Sample Labor Unit ADMIT and POSTPARTAL ORDERS

Page by: E.J. Mayeaux, Jr., M.D.
Louisiana State University Medical Center Shreveport, Louisiana

ROUTINE ADMIT TO LABOR UNIT

  1. Dx: INTRAUTERINE PREGNANCY (@) _____ WKS GESTATION
  2. ACTIVITY: BEDREST
  3. DIET: NPO
  4. LAB: CBC, RPR
  5. IV: LACTATED RINGERS @ 8 hour RATE
  6. HYDRATE with 1500cc LR FOR EPIDURAL, IF INDICATED
  7. PREP & ENEMA
  8. MONITOR FETAL HEART TONES & CONTRACTIONS
  9. INTAKE & OUTPUT q SHIFT
  10. ROUTINE VITAL SIGNS
  11. CATHETERIZE IF UNABLE TO VOID DURING LABOR AND BLADDER IS DISTENDED
  12. IN DELIVERY ROOM:
    1. PITOCIN 20u TO I.V. FLUID AFTER DELIVERY OF PLACENTA
    2. ________ P.O. q 3-4 HRS. PRN PAIN IN RECOVERY ROOM

ROUTINE POST PARTAL ORDERS

  1. ADMIT TO 4J
  2. HIGH PROTEIN DIET
  3. FERROUS SULFATE 1 PO BID
  4. PAIN MEDS:___________PO Q 3-4 hours PRN
  5. MOM 30cc with MYLICON 1.2cc p.o. q 6 hrs prn
  6. DERMOPLAST SPRAY PRN TO EPISIOTOMY
  7. WATCH FOR EXCESSIVE BLEEDING
  8. CHECK VOIDING 6 hours post DELIVERY - Catherize if unable to void and bladder is distended X one only, then notify M.D.
  9. Ambulate AD LIB
  10. D/C IV WHEN OUT
  11. HEMOGLOBIN/HEMATOCRIT IN AM
  12. RHOGAM IF INDICATED
  13. IF PATIENT HAS A 3rd OR 4th degree LACERATION OR WAS A FORCEP DELIVERY:
    1. SURFAC 240mg PO BID
    2. SITZ BATH BID OR WARM PACK PRN

Return to The Intern in the Middle of the Night Home Page

Return to LSUHSC-S Family Medicine Home Page

Return to the LSUHSC-S Home Page.