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LUMC DR and NURSERY STANDARD CHARTING (for LUMC only) please add and remove needed notations as necessary;

the parts are all noted but not all will be applied DR: _____> Into DR, a _____ y/o female, per __________ with an on-going IVF of _____ ________________ infusing at ____________________ at _______ level > Transferred to DR table; assisted into lithotomy position; perineal preparatio n done by NOD; straight catheter inserted > Episiotomy done ______> Delivered an alive baby _____ attended by ______________________ ______> Placenta out via ____________ presentation; BP taken was _________ mmHg > Methergine 1 amp IM/IV administered > Repair of laceration/ Episiorrhaphy done >Painted betadine over episiorrhaphy / perineum / labia > Minimal exploration done; massaged uterus until firm > Perineal care done; adult diaper applied; assisted in transferring from DR tab le to stretcher _____> Endorsed with an on-going IVF of __________________________________ at __ ____________ ml level R> Patient delivered an alive baby __________ with minimal blood loss and a BP o r __________ mmHg Nursery: _____> Born an alive baby ______ via ______ attended by _____________________ > With ___________ cry; __________________ in color > With ______________ vernix caseosa > With ______________ movement of extremities > With the following anthropometric measurements: wt = _____kg; length = _____ c m; HC= _____ cm; CC= _____ cm; AC= _____ cm A> Thorough drying done by ____________________ and assisted by SN > Cord tying done > Anthropometric measurements taken > Placed under radiant warmer > Dressed the baby _____ > Vitamin K 0.1ml given IM at __________ vastus lateralis > Placed nametag on ankle R> Baby has patent airway _____ > Brought to nursery cuddled by ____________________________________ this style first part e off, but fy such as of charting was utilized for our two rotations at LUMC DR during the of the second semester; its subject to change; yes, the grammar may b this is the generic version that was formulated and agreed upon; modi needed

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