ATI Teaching and prenatal care PDF

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Summary

ATI assignments, ISBAR and Plan of Care...

Description

I-SBAR for Direct Patient Care Documentation Teaching Prenatal and Newborn Care

I S B

Your Name: Your Title: Reason for Being There:

Introduce yourself Date:

Time:

Patient Initials:

Age:

EDD:

Prenatal Class Attended:

G____T____P____A____L____

Situation Allergies: NKA Obstetrician: Dr. George Trimble Pediatrician: Dr. Aanya Patel

Background Pertinent Medical History: Teaching Topics: What teaching should be included in the topics below? Be Specific and Concise.

Birth Plan:

preferences: IV pain meds, support person to cut cord, delayed cord clamping[30 seconds], skin to skin, circumcision, vitamin K , opthalmic ointment, Hep. B vaccination undecided

Pain Management:

Risk Factors for Mom and Baby Related to Maternal Hypertension:

Umbilical Cord Care:

A

Assessment

Delayed Cord Clamping:

Skin to Skin:

Circumcision Care:

Gentle pressure should be applied to the circumcision site using a gauze pad if bleeding occurs . If bleeding does not, stop, contact the HCP.

Vitamin K:

Erythromycin Ophthalmic Ointment:

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661 12-210063

©2021 Chamberlain University LLC. All rights reserved.

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I-SBAR for Direct Patient Care Documentation Teaching Prenatal and Newborn Care

Hepatitis B Vaccine:

APGAR Scoring:

Infant Abduction Prevention:

Blood Glucose Monitoring (Newborn):

Heel Stick Procedure:

Hypoglycemia Protocol:

A

Assessment

Breastfeeding Benefits:

Breastfeeding Positions:

Newborn Feeding Cues (Early and Late):

Swaddling:

Using a Bulb Syringe:

Diaper Changing:

Newborn Bath:

Safe Sleep:

R

Discharge Planning Needs:

Recommendation

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661 12-210063

©2021 Chamberlain University LLC. All rights reserved.

0321pflcpeADA

I-SBAR for Direct Patient Care Documentation Teaching Prenatal and Newborn Care

PLAN OF CARE Nursing Analysis/Priority Diagnosis: Patient Goal: Outcome Criteria: Met

Not met

Priority Interventions

Partially met Reasoning

Evaluation of Intervention

1.

2.

3.

4.

5.

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661 12-210063

©2021 Chamberlain University LLC. All rights reserved.

0321pflcpeADA...