It depends on what your hospital has. Normally, the information should go from your computer to a server, then to a storage disk and then to a backup storage disk. These are all in different buildings and frequently in different towns.
We give them a robe, infant car seat, diaper bag and a gift bag that contains, lotion, shampoo, conditioner, lip gloss, deodorant, shower gel, toothbrush, toothpaste, pen, paper, comb and a bath net sponge. Baby also gets a handmade crochet cap.
I've worn the white dress, white hose, hair up and nurse's cap for Halloween. The older patient's called me the "real nurse". It was amazing how many visitors would walk past the other staff and come to me with their questions.
You need to be aware of the pt. history--was it a preciptious or prolonged first or second stage of labor, or both. What drugs were used, oxytocin and mag.sulfate. Were forceps or vacuumn extractor used. Is the mother exhausted. If a large, boggy uterus, clots and right red blood may be due to uterine atony. If a firm uterus with bright red blood, steady stream or trickle of unclotted blood may be due to lacerations. If firm uterus with bright red blood, extreme perneal or pelvic pain, difficulty voiding, unexplained tachycardia due to hematoma. Check for decreased systolic blood pressure, reduced pulse pressue and delayed capillary filling time, cold, clammy skin. If the pt shows fear, anxiety or restlessness they may be having pp hemorrhage.
If only 1 finger fits in the cervix--1cm,when you cross your fingers and the 2 fit in--then it's 2cm, if you have your fingers side by side and they both fit in-it's 3, if with 2 fingers there is a small gap--it's 4, if you can fit your thumb between the two fingers-it's 5, 6 is when you fit 2 fingers with the thumb between and a small gap. For 7, 8,9 and 10 you go by how much cervix is left, not how far apart your fingers are.
I do know that Haiti won't accept out dated supplies or medicine. Not sure about other third world countries. If you have items that you no longer use and don't have outdates I can get you an address that will ship the items to the poor of Haiti.
I might chart it as an isolated deceleration with rapid recovery, if it happens once.(Hopefully it recovered rapidly) If it's repetative,(occurs with every contraction) I would chart it as repetative variable decelerations with rapid recovery and anything I did to improve the pattern and the results of that. I always chart about the company the decleration keeps, the variability.
I've worked with TraceVue for 7 years. We have computers in each LDR and at the nurses station and in the doctor's lounge. Two years ago we attached the program to the OB's cllinic so that they can see what is going on with their patient's at all times. We are now making it possible for the OB's to dial in from their home computers so see what is going on with their patients. Trace Vue is really easy to chart on--very user friendly. Plan on putting the system into our outreach area and will add the prenatal program to it, so that we can access a patient's prenatal record.
I almost quit nursing school because I didn't like any of the clinicals and I thought that Ihad made a judgement error in going into nursing. Then came my clincals in L&D. My very first clinical in L&D was in a hospital I had never been to. The patient came to the unit crowning--the nurse and I barely had time to get her clothes off. The nurse delivered the baby and handed the baby boy to me.That nurse was so calm and made the birthing experiece a wonderful one for the patient. I just knew that I wanted to be that nurse. I've been in L&D ever since. It's a great job. One where you get to see people fall in love as they see their baby for the first time.