NR 327 Postpartum ISBAR,CHAMBERLAIN COLLEGE OF NURSING NR 327 Postpartum ISBAR
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Course
Nr 327
Institution
Chamberlain College Of Nursing
CHAMBERLAIN COLLEGE OF NURSING NR 327 Postpartum ISBAR
I Name: Aurelus, Maureen Your Title: SN Reason for Being There: Post partum Assessment
Date: 10/13/XX Time: 0900
S Patient initials: P. H. Age: 28 G 1 T 1 P_0 A_0 L 1 Delivery date: 10/14/XX time: 0600 Gest. Age: 4...
chamberlain college of nursing nr 327 postpartum isbar
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CHAMBERLAIN COLLEGE OF NURSING NR 327 Postpartum ISBAR
I Name: Aurelus, Maureen
Post partum Assessment
Your Title: SN Reason for Being There: Time:
0900
Date: 10/13/XX
S Patient initials: P. H. Age: 28
Delivery date: 10/14/XX
G 1
time: 0600
T 1 P_0 A_0
Gest. Age:
L 1
41 /7 weeks
Allergies
Pollen,
cats, dogs
Sex: male Singleton
Length of labor: 1st stage 15 hr 2nd stage 3 hr 3rd stage
Amniotic fluid rupture: SROM/ AROM Date/Time: Fluid
color: Type of delivery: assisted (forceps/ vacuum)
Attending
Cesarean (indication): n/a type of incision: Physician:
Episiotomy/
Julie
Lacerations: midline episiotomy EBL: 250 mL
Lowentha
APGAR: 1min 5 min 10 min Resuscitation measures: l
Complications: chorioamnionitis
Year pregnancies
Type of delivery Labor Length Complications
B Previous
Current pregnancy Prenatal care: yes no GBS status: pos neg Breast feeding: yes no
Blood type: B-_ Rubella: _immune _ Hep B: _neg_ HIV:_ neg_ RPR: _non-reactive_
Labs: H&H 12, 37 baseline
Complications: chorioamnionitis
Past Medical History: asthma Social History: Family Support: husband
Home Medications:
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