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Placenta Previa/vag bleeding

Posted

Specializes in L&D.

So you’re working at night in a hospital and have a placental previa patient. At 0200 she calls out to say she’s bleeding. What do you do? Besides going in to her and getting her back in bed?

jodyangel, RN

Specializes in L&D.

Please help me ...I’m about to take a test and want to know what steps I need to make. Do I draw labs?

klone, MSN, RN

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership. Has 15 years experience.

What kind of test are you taking? Are you asking us for answers to a test question?

jodyangel, RN

Specializes in L&D.

um No. I was told that I'm not showing I have "critical thinking" skills but I don't know who's said this. I'm going to have to explain what I would do if a patient called out bleeding. If the patient was managed by the teaching staff then I would call them to call asap, put the patient back in bed and place monitors. What else do I need to do? Besides getting patient ready to go over to L&D.

klone, MSN, RN

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership. Has 15 years experience.

I’m confused - what do you mean by “getting her ready to go to L&D” - where is she now?

As far as critical thinking - what would you be concerned about with vaginal bleeding in a patient with a known previa? Knowing what those concerns are, what interventions would you take?

jodyangel, RN

Specializes in L&D.

I work on Antepartum. So if a patient that was a previa called out saying she was bleeding, I would quickly go to her room, assess what she is calling bleeding, place her on the monitor and call the residents.

And yes IF she was bleeding she probably would go to L&D. If she was spotting, they would do a spec exam and look at her cervix to see if it had changed.

So I believe I know what to do...just seeing if I was missing anything...

jodyangel, RN

Specializes in L&D.

So I’m hoping some of the experienced Ante nurses can add their thoughts.

Im upset that my “accusers” won’t say anything to me, but run to the manager. Also it’s like they’re being protected. I feel they should come to me if they think I’m not doing something the way they think I should?

how can I change my practice IF they don’t say what they are thinking.

im thinking I need to approach the NM and tell her this but honestly, I’m afraid. I’ve been done dirty in the past by management and I want to retire from this job!

jodyangel, RN

Specializes in L&D.

OK thanks anyway...not sure why I can’t get input...

jodyangel, RN

Specializes in L&D.

On 5/30/2020 at 12:13 PM, jodyangel said:

OK thanks anyway...not sure why I can’t get input...

Anyone?

Rose_Queen, BSN, MSN, RN

Specializes in OR, education. Has 16 years experience.

1 hour ago, jodyangel said:

Anyone?

Have you reached out to your unit educators for help? They would likely have resources available that you would be able to use, and if there are issues in practice, they should be involved anyway.

jodyangel, RN

Specializes in L&D.

1 hour ago, Rose_Queen said:

Have you reached out to your unit educators for help? They would likely have resources available that you would be able to use, and if there are issues in practice, they should be involved anyway.

They will be...I was just hoping to gain some knowledge first here. I think I already know but wanted to see if I was missing anything...