By Kathleen Rice Simpson PhD RNC FAAN, Patricia A. Creehan MSN RNC
You’ll achieve for this hugely useful source for: increased insurance of high-risk being pregnant, from bleeding in being pregnant to preterm hard work and delivery, diabetes, cardiac illness, pulmonary problems, a number of gestation, and maternal-fetal delivery. And, you will expertly deal with ultra-modern broader scope of perinatal nursing with . . . an all-new bankruptcy on weight problems in being pregnant covers hazards to the mummy and fetus, care from preconception to postpartum, in addition to bariatric surgical procedure. And, an extended bankruptcy on baby meals comprises new sections at the youngster feeding choice, merits of breastfeeding, dietary parts, and preterm milk and lactation. New chapters on the topic of sufferer defense and the advance of a hugely trustworthy perinatal unit, tell nurses how you can behavior crew education and drills for obstetric emergencies, create checklists, and successfully handoff patients.
Two skilled perinatal nurses staff with the distinguished Association of Women’s healthiness, Obstetric and Neonatal Nurses and greater than 70 participants and reviewers for an independent standpoint. You’ll comprehend the easiest facts and most modern criteria for all components of your perinatal perform by means of drawing on a wealth of knowledge amassed into the new version of AWHONN’s Perinatal Nursing, 4th edition.
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Additional resources for AWHONN's Perinatal Nursing
In addition to carrying out his or her own responsibilities and altering them when necessary, each member must also monitor his or her teammates’ activities and diffuse potential team conflicts. Effective teams exhibit these skills while maintaining a positive emotional attitude toward the team itself (AHRQ, 2005). Skills required for effective interdisciplinary team work are listed in Table 1–4. Team training usually includes structured processes for communication such as team meetings, team huddles, care hand offs, and briefings and debriefings to facilitate information exchange and effective patient hand offs as well as working together efficiently during emergent events.
For example, ACOG (2011d, 2011e) has published patient safety checklists for scheduling labor induction and scheduling cesarean birth. The purpose is to enhance patient safety by making sure all expected aspects of care are completed and verified prior to the procedure. A vital component of the scheduling process for elective births is establishing that the woman has reached 39 completed weeks of gestation. A more basic but equally important checklist is a universal protocol for preventing wrong site, wrong procedure, and wrong person surgery for all invasive procedures (NQF, 2010; TJC, 2012).
Obviously, during emergent situations, medical record documentation occurs retrospectively. The first priority during an emergency is to provide immediate patient care. Then, after the mother or fetus or newborn is stable, documentation is possible. Post-event documentation should focus on reconstructing a summary of all of the assessments, actions, and communication that transpired as accurately and timely as possible. For example, in the case of an abnormal FHR pattern of acute onset resulting in an emergent cesarean birth, summary documentation should include timely recognition of the problem, nursing actions initiated for maternal and/or fetal resuscitation, communication with team members and their responses, time to the surgical suite and incision, and chronologies of interventions performed (and by whom) for newborn resuscitation, followed by a note about the details of the discussion between the physician and the patient and her family.