Obstetrics/Neonatal
In this section, you will find:
1) Fetal Monitoring Guideline
2) NRP/Code Pink
3) Amniotic Fluid Embolus
4) PPH
5) HTN in Pregnancy
6) Breastfeeding after GA
Fetal Monitoring
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1) Monitoring is indicated from 16 weeks gestation
2) MFM (Maternal Fetal Medicine) will dictate level and need for INTRA and POST operative monitoring
3) Procedures are in place that MFM should've been notified already
4) If MFM has not been notified, PACU coordinator/In charge RN is your go-to person to delegate contact
5) The PACU needs to be made aware of the OB patient and the need for fetal monitoring
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Code Pink
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If a Code Pink gets called, there will be an automatic "Anesthesia STAT to location"overhead and the first call pager will go off.
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The Code Pink Obstetric Emergency Kit (pregnancy kit) is stocked in the OR Core 5 Omnicell
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To retrieve:
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click on Core Drugs, then click"Remove Kits"
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It consists of:
1. betamethasone 6mg/1mL 1mL INJ x2
2. carboprost 250mcg/1mL INJ x4
3. ergonavine 0,25 mg/1mL INJ x3
4. magnesium 2g/50mL D5W BAG x5
5. oxytocin 10 unit/1mL INJ x7
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The neonatal resuscitation cart is located in BPTU Storage Room 2717 (directly by one of the entrances)
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The Access Code = 2, 3, 4, then PUSH
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In the event of a code PINK, procedures are in place that the above resuscitation cart/meds will be brought to you. It is not expected that you go hunt these things down.
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NRP Resuscitation Resources
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Amniotic Fluid Embolus
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PPH Management
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HTN in Pregnancy
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Breastfeeding after GA
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''Patients do not need to interrupt their breastfeeding routine, as there is minimal transfer of anesthetic drugs into their breast milk. However, if patients are concerned about the small possibility of mild sedation of their baby, they can pump and discard their breast milk for the first day after surgery" (Joanne Douglas)
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Patient Handouts are available in PCC
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