NURSES NOTES FDAR(MOTHER) F-Safe delivery A case of INITIAL NAME, AGE, CIVIL STATUS, OB HISTORY from ADDRESS was

admitted to VSMMC due to pain (elevated blood pressure, breech presentation, cord prolapsed, etc.) Note: applicable only if the pt. is direct to DR. D -grimace face noted, with strong uterine contractions noted, with fully effaced and dilated cervix upon internal examination, bulging of perineum noted A -Ushered to Delivery room via wheelchair/stretcher, mounted to delivery table, prepared physically, episiotomy done (optional), delivered spontaneously an alive baby boy/girl at TIME, placenta out in Schultze/ Duncan mechanism at TIME, with the initial postpartum BP of ____mmhg, with ____oxytocin infused to present IVF by nurse on duty, exploration for placental fragments done, repair of perineal laceration done by Dr. /Intern/ PGI Family name (optional), postpartum care done R- Endorsed to nurse on duty conscious, with ongoing oxytocin drip, firmed and contracted uterus, with minimal vaginal bleeding. FDAR(MOTHER) F-Safe delivery

NURSES NOTES FDAR(MOTHER) F-Safe delivery

NURSES NOTES

A case of INITIAL NAME, AGE, CIVIL STATUS, OB HISTORY from ADDRESS was admitted to VSMMC due to pain (elevated blood pressure, breech presentation, cord prolapsed, etc.) Note: Applicable only if the pt. is direct to DR. D -grimace face noted, with strong uterine contractions noted, with fully effaced and dilated cervix upon internal examination, bulging of perineum noted A -Ushered to Delivery room via wheelchair/stretcher, mounted to delivery table, prepared physically, episiotomy done (optional), delivered spontaneously an alive baby boy/girl at TIME, placenta out in Schultze/ Duncan mechanism at TIME, with the initial postpartum BP of ____mmhg, with ____oxytocin infused to present IVF by nurse on duty, exploration for placental fragments done, repair of perineal laceration done by Dr. /Intern/ PGI Family name (optional), postpartum care done R- Endorsed to nurse on duty conscious, with ongoing oxytocin drip, firmd and contracted uterus, with minimal vaginal bleeding.

A case of INITIAL NAME, AGE, CIVIL STATUS, OB HISTORY from ADDRESS was admitted to VSMMC due to pain (elevated blood pressure, breech presentation, cord prolapsed, etc.)Note: Applicable only if the pt. is direct to DR. D -grimace face noted, with strong uterine contractions noted, with fully effaced and dilated cervix upon internal examination, bulging of perineum noted A -Ushered to Delivery room via wheelchair/stretcher, mounted to delivery table, prepared physically, episiotomy done (optional), delivered spontaneously an alive baby boy/girl at TIME, placenta out in Schultze/ Duncan mechanism at TIME, with the initial postpartum BP of ____mmhg, with ____oxytocin infused to present IVF by nurse on duty, exploration for placental fragments done, repair of perineal laceration done by Dr. /Intern/ PGI Family name (optional), postpartum care done R- Endorsed to nurse on duty conscious, with ongoing oxytocin drip, firmed and contracted uterus, with minimal vaginal bleeding.

Marife G. Martinez & sign/ C.Is Name & sign SC-SIT/SN SC-SIT/C.I

Nicezel S. Saz & sign/ C.Is Name & sign SC-SIT/SN SC-SIT/C.I

Joscil O. Tudlasan & sign/ C.Is Name & sign SC-SIT/SN SC-SIT/C.I

FDAR (BABY) F- Immediate Newborn Care Born an alive baby boy/girl FAMILY NAME at TIME via Normal Spontaneous Vaginal Delivery D- Cried lustily, with good muscle tone, with good sucking reflex, minimal vernix caseosa, with an APGAR score of 9,10 A-received safely, wiped immediately, stimulated to cry, brought to NICU immediately (applicable only if the baby is distress), cord care done aseptically, vital signs taken and charted, anthropometric measurements done, identification band attached to right ankle, terramycin eye ointment applied to both eyes at TIME, Vitamin K 0.1/0.05cc injected intramuscularly at TIME at the right thigh, kept warm and dry R- Endorsed to NICU staff for ballard scoring and further evaluation.

FDAR (BABY) F- Immediate Newborn Care Born an alive baby boy/girl FAMILY NAME at TIME via Normal Spontaneous Vaginal Delivery D- Cried lustily, with good muscle tone, with good sucking reflex, minimal vernix caseosa, with an APGAR score of 9,10 A-received safely, wiped immediately, stimulated to cry, brought to NICU immediately (applicable only if the baby is distress), cord care done aseptically, vital signs taken and charted, anthropometric measurements done, identification band attached to right ankle, terramycin eye ointment applied to both eyes at TIME, Vitamin K 0.1/0.05cc injected intramuscularly at TIME at the right thigh, kept warm and dry R- Endorsed to NICU staff for ballard scoring and further evaluation.

FDAR (BABY) F- Immediate Newborn Care Born an alive baby boy/girl FAMILY NAME at TIME via Normal Spontaneous Vaginal Delivery D- Cried lustily, with good muscle tone, with good sucking reflex, minimal vernix caseosa, with an APGAR score of 9,10 A-recieved safely, wiped immediately, stimulated to cry, brought to NICU immediately (applicable only if the baby is distress), cord care done aseptically, vital signs taken and charted, anthropometric measurements done, identification band attached to right ankle, terramycin eye ointment applied to both eyes at TIME, Vitamin K 0.1/0.05cc injected intramuscularly at TIME at the right thigh, kept warm and dry R- Endorsed to NICU staff for ballard scoring and further evaluation.

Marife G. Martinez & sign/ C.Is Name & sign SC-SIT/SN SC-SIT/C.I

Nicezel S. Saz & sign/ C.Is Name & sign SC-SIT/SN SC-SIT/C.I

Joscil O. Tudlasan & sign/ C.Is Name & sign SC-SIT/SN SC-SIT/C.I