02.04 OB (Labor) Nurse Report to OB (Postpartum) Nurses

Hey guys, we're going to go through giving OB nursing report because this is such a different report than any other report. There are certain things that you need to make sure are included, things you need to make sure you know when you're getting a report. And it's just a very different world in OB. So let's look at this. Okay. So I really wanted to talk more so about when you are a labor nurse giving report to the postpartum floor. So that transfer of care when things get a little different. But I also wanted to include a little bit about labor report to labor court. So with this, you're going to be talking about things like where the patient is in their labor stage. So that would be things like dilation, that effacement the station of the baby, so that just that positioning where that baby's located.

We're gonna also include medication. So has she had pain medication, has she had an epidural, that kind of thing. We are of course going to always include mom's prenatal labs. So anything significant with that as well as, her G's and her P's. So her gravity and parody. So how many times has she been pregnant and how many babies has she had? And how has she had them? Has she had them spontaneous vaginally or has she had C-sections? So those are the big things with your labor to labor report. And then of course if there's any abnormal assessment that needs to be given. Okay. So when you are getting report as a postpartum nurse or when you're a labor nurse giving that report, there's a few different things that we're going to add in here. So this patient has already had their baby.

So they are getting transferred to the postpartum floor. So we are going to of course include, any pertinent history, history in that pregnancy, pertinent history and her past, of course, any allergies would always be included with any patient. We're going to include her gravity and parody. So how many times has she been pregnant? How many babies has she had? So that GS and P's, the prenatal lab work. So the big ones that we're gonna include are gonna be her GBS status. We're going to include her rubella status, hepatitis. If she's Hep-B negative, I should say hepatitis B, negative or positive, rubella, GBS, and then we want to know about syphilis or RPR and HIV. So those are the big ones to make sure we pass on and report to.  Really anytime you're giving a report with a pregnant person or somebody in postpartum .

So our lab work, our GS and RPS and then we're going to talk about how that baby was born. So did we have a vaginal delivery or was it a C-section? Okay. So we need to know that if it was a Csection there's going to be some other things that we need to find out. So if it was a C-section, we want to talk about the dressing that is on the, if there is one. So what's holding that together?  We want to talk about if she is, had bowel sounds return yet from after surgery, if she's tolerating any liquids yet. Those are the big things. We'll include with that. Now, the biggest thing that you always want to make sure you include in your report or that you make sure you ask if you weren't told is going to be how much blood loss has there been.

So most facilities are doing quantified blood loss, so that also known as we call it, QBL quantify blood loss. And you want to know that because if she had 300 blood loss and then all of a sudden passes a clot that weighs in equal to 300 more CCS, she's had been a postpartum hemorrhage. So we always want to pass on our quantified blood loss.  We also need to know where that fundus is located. So totally different in OB world, right? Like you're not talking about anybody's fundus and any other floor. So where that fundus is located, And then the lochia. So how much bleeding are we having? What is happening with that? And then we also want to with these patients, so this will be different than our C-sections. We want to know about the perineum. Did we have an a PZ atomy or a tear?

Are we intact? So what is going on in that perineum. And then what are we doing for it? Do we have ice or is she just wearing a Perry pad?  That kind of thing. And then we always do what I mentioned. If the patient's getting up to the bathroom, OK. Or it has gotten up, how many times has she voided and where that Ivy is located. So those are the big things.  , so you are going to always include these in report, get it in report. We are not in OB land world, we're not giving a full head to toe assessment.  Passing that on. We're not really worried about, uh, you know, she a full assist to the bathroom. Like no, they just usually need one person to help them get out. Our patients are pretty healthy normally, so we're just focused on these big things that are pertinent to this area.

So when these patients come to the floor, you want to make sure that you are getting this information so that you can best take care of your patient. And then if you ever have anything abnormal, if her breath sounds aren't clear, then of course you're going to pass that on. But typically our patients are these normal, healthy, well patients that have just had a baby. All right guys. So let's look over some of these key points here. So you always want to make sure you get the delivery history. So what happened at the delivery? Was there any problems?  , was there a shoulder dystocia? That kind of thing would be a problem. Any problems? How did she deliver? Was it a vaginal or was it a C-section? And anything pertinent to that delivery history then significant history for the mom. Has she had some elevated blood pressures, maybe, anything that would pertain to this pregnancy or just be pertinent in her history.

We want to make sure it's passed on and then blood loss. So this is your biggest thing. Get that QBL, that quantified blood loss so that you know how much your patient has lost already. So you'll know if it's a problem and she starts to lose a little bit more. Okay. Guys, I hope it helps ease you a little bit if you're working in this area and understand the best way to get report and, uh, what to make sure you're passing on and report. Of course, this is going to vary from facility to facility a little bit, but I hope that this has helped you. All right. We'd love you guys now go out and be your best selves and as always, happy nursing.