1. PCC Labor and Delivery

2.  1073 Oak Street  Between the Family Birth Center (brick building after Center for Outpt Medicine) and the Salem Hospital Psychiatric Unit  Small building  Very limited parking

3.  Tuesdays 1500-2200  All other days 1500-2300  Consider walking out with someone else or calling hospital security

4.  No uniform!  Must have CCC photo ID  Nice jeans ok  Shirt with collar  Comfortable shoes

5.  Verification form  Pen  Something to write on  Mental status assessment guide (optional)  Something to study during down time  Dinner or money

6.  Do S-O-A-P chart  Subjective Past Medical History Current complaint General status, if known

7.  Describe physical appearance  Orientation  Psychomotor  Verbal  Social behavior  Mood and Effect

8.  Intellectual functioning  Insight  Judgment  Memory  Thought content

9.  Salem Hospital – go directly to unit, don’t meet in lobby  Silverton Hospital  Patient permission  There to observe  Be helpful to staff  Shifts are 12 hours  Hospital Scrubs

10.  This info is on mom only

11.  Subjective Mom’s age Due date (EDC) and Gestational age (EGA) Gravida, Para, TAB/SAB When prenatal care started Attended birthing classes? Coach/support person Height/weight and vital signs Last oral intake

12.  Subjective Substance abuse? Herpes? Smoker? Abuse (sexual/emotional/physical) Pregnancy history – current and past

13.  Objective Heart/lungs Abdomen (note fundal heighth) Extremities Reflexes Any noted abnormalities

14.  Pertinent info can be charted in flow chart Membranes intact? When ruptured? Vaginal bleeding? Fetal heart tones (FHT) and where heard

15.  Can do in the flow chart section Time of birth Gender, weight, length Any resuscitation done What initial exam revealed Apgar score

16.  Call Rhonda if any issues Pager 503.918-6128 Cell 503.580-8871 Home 503.868-7374  OK to start IVs when in OB  If intubation opportunity for tubal ligation, OK with permission of anesthesiologist  Do not ask permission to intubate C Sections