pit after delivery

[elleRN]

I am brand new to L&D on orientation with 2 great preceptors. There is no standard protocol for pit administration after delivery. I asked how they knew how much pit to give considering I did not see an order in the chart nor did I hear an MD order it. One preceptor routinely gives 20 miliunits in 1 liter LR x 2 for all her deliveries. There is a protocol for administering pit for induction or augmentation that requires 30 miliunits in 500 ml of LR. My other preceptor simply leaves that 500 ml bag on after delivery. There is obviously no standard in this. As a new L&D nurse I am a little confused as to what do when on my own. When I questioned the preceptor who runs the 2 liters about it she asked the nurse on charge that day who said it's just something you routinely do and know, this nurse obviously practiced the 2 liter rule as well. I plan on asking the CNS on our floor if there is a documented protocol, but I just wanted to run this by you guys first and see what is standard in your institutions. Thanks!!

[mark_LD_RN]

SEEMS WE HAD A TREAD LIKE THIS NOT LONG AGO:)

we usually just let them have what is left in 5oo cc bag they were getting during labor if enough is left, or we add 10 or 20 units depending on what the dr orders. if no iv we give 10 to 20 units IM if dr orders it.

if in the rare occassion we have a natural birth with no iv thy will try breast feeding and /or nipple stimulation to control bleeding

hope this helps.

for more on this topic look further down list her for old thread:)

[RMH]

We give 10 units IM or IVP after delivery. There is preprinted orders. Anything else has to be a order from the physician.

[greyhorse]

First of all, I am new here, this is my first time to post. I have been an OB Rn for 5 years.

At our facility standing orders are 20 u pit in 1L LR after delivery, this is run at a rapid rate immediately after delivery of placenta for 500cc then 125cc/hr. We occasionally give 10u pit IM if Dr requests for excessive bleeding. Also, Methergine if uterus will not contract, Hemabate if all else fails.

Our hospital is small 20-35 del a month. We have two OB/Gyn and 4 family practice docs that do deliveries. They all got together and made a set of standing delivery orders that they were all able to agree on with minor variations.

Glad to be here!

Greyhorse