How to midwifery

MAKING UP DIFFERENT MEDICATIONS

IV Antibiotics from powder eg amoxycillin

- Collect
o ABs in vials
o Sodium chloride 100ml bag
o Sharp drawing up needle
o Appropriate syringe eg 10-20 ml
o Labels
o Swabs
o Posiflush
- Prepare
o Draw up 10ml NaCl
o Inject, shake and push to dissolve all ABs
o Redraw into syringe (repeat with same NaCl as nessecary)
o Inject into bag and shake, or attach bung to syringe for slow push
o Label bag
o Check with 2nd midwife (drug, dose, expiry)
o Check at bedside 6Rs
o Swab IV bung; flush
o Hang bag on bolus settings, or slow push over 2 mins
- Notes
o Push or drip depends on how irritating the medication is. If drip, settings
should take about 20-60 minutes

AFTER BIRTH OF BABY:

For baby
- Rub dry baby on mums tummy
- Assess APGARs at 1 minute
- Attach sats probe to baby
- Any resus action required, otherwise SK
- APGARS at 5 and 10 minutes
- Baby obs at 15 minutes
- Attach labels
- initiate BF

For mum
- inject mum with synto for active third stage
- Assess fundus and loss
- 3rd stage – CCT
- Assess fundus
 - Assess perineum
- Take cord bloods (arterial and venous) and a group and DAT (if O+/negative group)
- Assess placenta
- Reinsert IDC if necessary
- Cease infusions
- Obs 30 minutely

Questions for Clare

- When making up ABs ie for GBS+ or PROM, how do I know when to give by push or
drip?
-