Placenta Previa/vag bleeding

[jodyangel]

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]

I guess no one knows?

[maberRN, BSN]

1. Call for help depending on the amount of bleeding ( spotting vs hemorrhage)

• assess bleeding and fetal heart rate
• provide O2 if fetal heart rate warrants
• obtain IV ACCESS
• Obtains labs, CBC, type and cross, DIC again based on amt of bleeding
• Gather toco lyrics if contracting
• Call report