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NR 327 Postpartum ISBAR,CHAMBERLAIN COLLEGE OF NURSING NR 327 Postpartum ISBAR $10.99   Add to cart

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NR 327 Postpartum ISBAR,CHAMBERLAIN COLLEGE OF NURSING NR 327 Postpartum ISBAR

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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...

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  • March 28, 2022
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  • 2021/2022
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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:

TIME TEMP B/P HR RR SP02 PAIN
0700 38.7 132/73 96 12 95% 2
0715 38 128/70 100 16 96% 2
0730 38 112/70 104 18 98% 2
0745 38 116/72 100 18 98% 2
0800 38 116/72 104 16 98% 2
0815 38 116/72 104 16 98% 2
0830 38 118/74 104 16 98% 2


1130 38 116/72 94 18 98% 1
1800 37.2 104/70 92 22 95% 1

, A Mother
Vital Signs:




General Appearance


Activity: as tolerated

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