NR 327 POSTPARTUM ISBAR CHAMBERLAIN
COLLEGE OF NURSING LATEST 2021:2022
I Name: Angela Lambert Your Title: Student Time
Nurse Reason for Being There: Post-Partum Care :
Date: 10/14/xx 1800
S Patient initials: P.H. Age: 28y G1T1P0A0L1 Allergies:
Delivery date: 10/14/xx time: 0700 Gest. Age: 41 0/7
Pollen
weeks Sex: male / female Singleton Twin Other
, Cats,
Length of labor: 1st stage 2nd stage: 3 Hours 3rd stage 15hrs
Dogs
total Amniotic fluid rupture: SROM/ AROM Date/Time:
Fluid color:
Attendin
Type of delivery: vaginal - spontaneous assisted (forceps/ vacuum)
g
Cesarean (indication): type of incision: Episiotomy/
Physician
Lacerations: Midline EBL: 250ml
:
Lowenth
a lJulie
AYPG : T1mypine=o7f n=L8abor ComRpelsiucasctiitoantison measures:
eaArR delive5rmy i Le1n0gmthin
Complic tions: nitis
a Chorioamnio
B Previo s pregnancies
u
, NR 327 POSTPARTUM ISBAR CHAMBERLAIN
COLLEGE OF NURSING LATEST 2021:2022
Current pregnancy Prenatal care: yesno GBS status: pos neg
Breast feeding: yes no Blood type: B (-) Rubella: Immune
Hep B: Negative HIV: Negative RPR: Non-Reactive Labs:
H&H baseline 12/38% 10/14/xx Hb 10.8 Hct 23% Platelets 135,000/mm3
Complications: Chorioamnionitis, post-partum hemorrhage, Uterine Curettage & Balloon, Blood
Trans.
Past Medical History: Asthma Social History: Family Support: Husband
HoTmIeM tiTonEsM: r B/P HR RR PAIN
MEedica InPhale
1600 38°C 94/66 96 20 1/10
1700 37.3°C 106/72 96 20 1/10
1800 37.2° C 104/70 92 22 1/10
COLLEGE OF NURSING LATEST 2021:2022
I Name: Angela Lambert Your Title: Student Time
Nurse Reason for Being There: Post-Partum Care :
Date: 10/14/xx 1800
S Patient initials: P.H. Age: 28y G1T1P0A0L1 Allergies:
Delivery date: 10/14/xx time: 0700 Gest. Age: 41 0/7
Pollen
weeks Sex: male / female Singleton Twin Other
, Cats,
Length of labor: 1st stage 2nd stage: 3 Hours 3rd stage 15hrs
Dogs
total Amniotic fluid rupture: SROM/ AROM Date/Time:
Fluid color:
Attendin
Type of delivery: vaginal - spontaneous assisted (forceps/ vacuum)
g
Cesarean (indication): type of incision: Episiotomy/
Physician
Lacerations: Midline EBL: 250ml
:
Lowenth
a lJulie
AYPG : T1mypine=o7f n=L8abor ComRpelsiucasctiitoantison measures:
eaArR delive5rmy i Le1n0gmthin
Complic tions: nitis
a Chorioamnio
B Previo s pregnancies
u
, NR 327 POSTPARTUM ISBAR CHAMBERLAIN
COLLEGE OF NURSING LATEST 2021:2022
Current pregnancy Prenatal care: yesno GBS status: pos neg
Breast feeding: yes no Blood type: B (-) Rubella: Immune
Hep B: Negative HIV: Negative RPR: Non-Reactive Labs:
H&H baseline 12/38% 10/14/xx Hb 10.8 Hct 23% Platelets 135,000/mm3
Complications: Chorioamnionitis, post-partum hemorrhage, Uterine Curettage & Balloon, Blood
Trans.
Past Medical History: Asthma Social History: Family Support: Husband
HoTmIeM tiTonEsM: r B/P HR RR PAIN
MEedica InPhale
1600 38°C 94/66 96 20 1/10
1700 37.3°C 106/72 96 20 1/10
1800 37.2° C 104/70 92 22 1/10
