Labor Ward

WHILE ENTERING LABOR WARD
All footwear are kept in the rack outside labor ward.
All labour room slippers are in the rack inside labor ward while leaving labor ward
AT 7 am, CHECK
LWD patients' over is taken.
Recovery room patients' over is taken.
NST machine over is taken.
Machines working is taken (if not working,Sister-in-charge and Assistant professor in charge are informed.
Belts
NST paper
Written over in NST book
Emergency trolley is checked for availability and functionality of: suction machine, oxygen mask, adrenaline, atropine, midazolam, sodium bicarbonate, ET tube, laryngoscope with cells, central oxygen connection.
Stock of the following things in the ward is checked: cap, mask, plastic apron,    syringes, needles, sterile plastic drape, catheter, indoor continuation sheet, partographs, HIV kit, liquid soap, towel, BP apparatus, lights.
The availability of a call book is checked.
Presence of a neonatologist on call is confirmed.
OBOT, GYN OT, OPD Units’ patients’ over is taken.
Fresh orders are written.
Hb and relevant investigations are checked.
BGCM form is checked if indicated.
Senior findings are checked.
Plan of action is checked.
Proper patient monitoring is done.
In labor patients- Half hourly
Delivered patients- every 15 mins x 2 hours, every 30 mins x next 2 hours, 2 hourly x next 4 hours
2 hourly Senior rounds
Perineal care is given to all patients who have delivered.
Patients are shifted on a wheelchair from labor room to recovery room.
All beds are cleaned by servant after delivery .
All post delivery notes are written.
Entries in IPM book
PPIUCD entries are made in PPIUCD Register
All required Death Certificate forms filled
All high risk entries in confinement book
IF PATIENT IS TO BE SHIFTED TO OT, CHECK
Fresh OT changes
OT availability (Servants, staff and table)
Anaesthesia call
Pre-op orders (injectable antibiotics, relevant drugs, shaving of parts)
Senior decision written on paper with date and time
Written informed consent of the patient
Relevant prescription
IV line
Patient is catheterised
Blood availability
Neonatologist is informed
Ask for trolley and servant
When leaving labour room, make sure over of all the above is given to the next E-Unit