Prenatal Information - Revision history

JenniferH: /* Prenatal Labs/Sono Needed */

2021-08-16T19:57:15Z

Prenatal Labs/Sono Needed

← Older revision		Revision as of 19:57, 16 August 2021
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	'''24-28 weeks''': Prenatal with CBC/GST. If the GST is over 140, will need a 2hr GTT ASAP. Get Quantiferon gold if PPD not done.<br />		'''24-28 weeks''': Prenatal with CBC/GST. If the GST is over 140, will need a 2hr GTT ASAP. Get Quantiferon gold if PPD not done.<br />
	'''36 weeks''': Into Bethel (BIB) and/or Anchorage, CBC, GC/CT, and GBS culture<br />		'''36 weeks''': Into Bethel (BIB) and/or Anchorage, CBC, GC/CT, and GBS culture<br />
			'''Premature Labor or no prenatal care delivery''': [[Group B Strep (GBS) PCR or Xpert GBS]]

	==Prenatal Supplements==		==Prenatal Supplements==

JenniferH: /* Introduction */

2021-07-21T17:52:58Z

Introduction

← Older revision		Revision as of 17:52, 21 July 2021
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	Use the '''OP PC Prenatal Visit Note''' for your prenatal visits. There are several auto-texts that can be used when documenting a First Prenatal or routine prenatal visits. These all start with '''''..ob''''' (case sensitive). The '''''..ob1stpnhpi''''' is particularly important to include for First Prenatal visits.		Use the '''OP PC Prenatal Visit Note''' for your prenatal visits. There are several auto-texts that can be used when documenting a First Prenatal or routine prenatal visits. These all start with '''''..ob''''' (case sensitive). The '''''..ob1stpnhpi''''' is particularly important to include for First Prenatal visits.

			The nurse or provider should go through the Ad Hoc form “Perinatal Substance Use Screening” If the screening is positive, please place this in your note and refer to HROB rounds. You should also address the problem and do an SBIRT as time allows.

	At the first prenatal visit you will also need to complete the '''1st Prenatal Visit''' ad hoc form and copy the textual rendition of this form to your HPI.		At the first prenatal visit you will also need to complete the '''1st Prenatal Visit''' ad hoc form and copy the textual rendition of this form to your HPI.

JenniferH at 21:17, 20 July 2021

2021-07-20T21:17:00Z

← Older revision		Revision as of 21:17, 20 July 2021
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	'''''See [[media:Prenatal care.pdf\|YKHC Prenatal Care Reference]] for a summary of the details below.'''''		'''''See [[media:Prenatal care.pdf\|YKHC Prenatal Care Reference]] for a summary of the details below.'''''

			==Introduction==
	We have a large number of pregnant patients, and many who are high risk. The OB Case Managers are an excellent resource. It is recommended to document any pregnancy problems in the HPI of your prenatal notes. An example:		We have a large number of pregnant patients, and many who are high risk. The OB Case Managers are an excellent resource. It is recommended to document any pregnancy problems in the HPI of your prenatal notes. An example:

JenniferH at 21:16, 20 July 2021

2021-07-20T21:16:26Z

← Older revision		Revision as of 21:16, 20 July 2021
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	*see [https://wiki.cerner.com/display/YUKOAK/1st+Prenatal+Workflow 1st Prenatal Workflow] Learning Live for more information		*see [https://wiki.cerner.com/display/YUKOAK/1st+Prenatal+Workflow 1st Prenatal Workflow] Learning Live for more information

	===Prenatal Appointment Schedule if Uncomplicated===		==Prenatal Appointment Schedule if Uncomplicated==
	'''Q4 week''': Appts until 32 weeks<br />		'''Q4 week''': Appts until 32 weeks<br />
	'''Q2 week''': Until be-in-Bethel Date<br />		'''Q2 week''': Until be-in-Bethel Date<br />
	'''Q1 week''': Appts in Bethel and/or Anchorage<br />		'''Q1 week''': Appts in Bethel and/or Anchorage<br />
	===Prenatal Labs/Sono Needed===
			==Prenatal Labs/Sono Needed==
	'''1st prenatal(If in SRC do labs)''': CBC, HepBsAg, RPR, CCUA and urine culture, Vitamin D, GC/CT, Rubella, PPD (see PowerPlan). Make appointment for 1st trimester sonogram in Bethel. We want a sonogram as early as possible on everyone. <br />		'''1st prenatal(If in SRC do labs)''': CBC, HepBsAg, RPR, CCUA and urine culture, Vitamin D, GC/CT, Rubella, PPD (see PowerPlan). Make appointment for 1st trimester sonogram in Bethel. We want a sonogram as early as possible on everyone. <br />
	'''11-13 weeks''': If Advanced Maternal Age, 35 or older, first trimester screening for Down’s. Contact Ann Glasheen for particulars. <br />		'''11-13 weeks''': If Advanced Maternal Age, 35 or older, first trimester screening for Down’s. Contact Ann Glasheen for particulars. <br />
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	'''36 weeks''': Into Bethel (BIB) and/or Anchorage, CBC, GC/CT, and GBS culture<br />		'''36 weeks''': Into Bethel (BIB) and/or Anchorage, CBC, GC/CT, and GBS culture<br />

	===Fetal Monitoring===		==Prenatal Supplements==
			#Patients in the village with a positive pregnancy test.
			##Health Aid contacts RMT.
			##RMT provider uses the AMB Prenatal Supplement Power plan to write for cholecalciferol daily, Calcium/vitamin D daily, Ferrous Sulfate daily and prenatal vitamins daily 90 days with 3 refills from the pharmacy in Bethel NOT clinic dispensed.
			##The pharmacy will mail the prescription to the patient.
			#Patients in the SRC with a positive pregnancy test.
			##SRC provider uses the SRC 1st Prenatal PowerPlan to write for cholecalciferol daily, Calcium/vitamin D daily, Ferrous Sulfate daily and prenatal vitamins daily 90 days with 3 refills from the pharmacy in Bethel.
			#Patients in Bethel with a positive pregnancy test.
			##Provider uses the AMB Prenatal Supplement to write for cholecalciferol daily, Calcium/vitamin D daily, Ferrous Sulfate daily and prenatal vitamins daily 90 days with 3 refills from the pharmacy in Bethel.

			==Fetal Monitoring==
	{\| class="wikitable"		{\| class="wikitable"
	\|+ style="caption-side:bottom; text-align:left;"\| ''Resource: Dr. David Compton''		\|+ style="caption-side:bottom; text-align:left;"\| ''Resource: Dr. David Compton''

JenniferH at 21:14, 19 July 2021

2021-07-19T21:14:21Z

← Older revision		Revision as of 21:14, 19 July 2021
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	[[Prenatal Care During COVID-19]]		[[Prenatal Care During COVID-19]]

	See [[media:Prenatal care.pdf\|YKHC Prenatal Care Reference]] for a summary of the details below.		'''''See [[media:Prenatal care.pdf\|YKHC Prenatal Care Reference]] for a summary of the details below.'''''

	We have a large number of pregnant patients, and many who are high risk. The OB Case Managers are an excellent resource. It is recommended to document any pregnancy problems in the HPI of your prenatal notes. An example:		We have a large number of pregnant patients, and many who are high risk. The OB Case Managers are an excellent resource. It is recommended to document any pregnancy problems in the HPI of your prenatal notes. An example:

JenniferH at 21:11, 19 July 2021

2021-07-19T21:11:38Z

← Older revision		Revision as of 21:11, 19 July 2021
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	[[Prenatal Care During COVID-19]]		[[Prenatal Care During COVID-19]]

	[[media:Prenatal care.pdf\|YKHC Prenatal Care Reference]]		See [[media:Prenatal care.pdf\|YKHC Prenatal Care Reference]] for a summary of the details below.

	We have a large number of pregnant patients, and many who are high risk. The OB Case Managers are an excellent resource. It is recommended to document any pregnancy problems in the HPI of your prenatal notes. An example:		We have a large number of pregnant patients, and many who are high risk. The OB Case Managers are an excellent resource. It is recommended to document any pregnancy problems in the HPI of your prenatal notes. An example:

JenniferH at 21:10, 19 July 2021

2021-07-19T21:10:25Z

← Older revision		Revision as of 21:10, 19 July 2021
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	[[Prenatal Care During COVID-19]]		[[Prenatal Care During COVID-19]]

			[[media:Prenatal care.pdf\|YKHC Prenatal Care Reference]]

	We have a large number of pregnant patients, and many who are high risk. The OB Case Managers are an excellent resource. It is recommended to document any pregnancy problems in the HPI of your prenatal notes. An example:		We have a large number of pregnant patients, and many who are high risk. The OB Case Managers are an excellent resource. It is recommended to document any pregnancy problems in the HPI of your prenatal notes. An example:

JenniferH at 07:48, 30 October 2020

2020-10-30T07:48:09Z

← Older revision		Revision as of 07:48, 30 October 2020
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	*You should only open one '''1st Prenatal Visit''' ad hoc form for each pregnancy.		*You should only open one '''1st Prenatal Visit''' ad hoc form for each pregnancy.
	*If you need to add or modify information, you should go to the Form Browser, find the '''1st Prenatal Visit''' ad hoc form for the current pregnancy, right click and select '''Modify'''.		*If you need to add or modify information, you should go to the Form Browser, find the '''1st Prenatal Visit''' ad hoc form for the current pregnancy, right click and select '''Modify'''.
			*see [https://wiki.cerner.com/display/YUKOAK/1st+Prenatal+Workflow 1st Prenatal Workflow] Learning Live for more information

	===Prenatal Appointment Schedule if Uncomplicated===		===Prenatal Appointment Schedule if Uncomplicated===

JenniferH: /* Prenatal Labs/Sono Needed */

2020-10-28T12:30:46Z

Prenatal Labs/Sono Needed

← Older revision		Revision as of 12:30, 28 October 2020
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	'''Q1 week''': Appts in Bethel and/or Anchorage<br />		'''Q1 week''': Appts in Bethel and/or Anchorage<br />
	===Prenatal Labs/Sono Needed===		===Prenatal Labs/Sono Needed===
	'''1st prenatal(If in SRC do labs)''': CBC, ~~HepBxAg~~, RPR, CCUA and urine culture, GC/CT, Rubella, PPD (see PowerPlan). Make ~~Bethel appt.~~ for 1st trimester ~~sono~~. We want a ~~sono~~ as early as possible on everyone. <br />		'''1st prenatal(If in SRC do labs)''': CBC, HepBsAg, RPR, CCUA and urine culture, Vitamin D, GC/CT, Rubella, PPD (see PowerPlan). Make appointment for 1st trimester sonogram in Bethel. We want a sonogram as early as possible on everyone. <br />
	'''11-13 weeks''': If Advanced Maternal Age, 35 or older, first trimester screening for Down’s. Contact Ann Glasheen for particulars. <br />		'''11-13 weeks''': If Advanced Maternal Age, 35 or older, first trimester screening for Down’s. Contact Ann Glasheen for particulars. <br />
	'''15-21 weeks''': Do Quad screen<br />		'''15-21 weeks''': Do Quad screen<br />
	'''18-24 weeks''': Make a 2nd ~~Sono appt.~~ in Bethel for Anatomy ~~screen~~<br />		'''18-24 weeks''': Make a 2nd Sonogram appointment in Bethel for Anatomy Screen<br />
	'''24-28 weeks''': Prenatal with CBC/GST. If the GST is over 140, will need a GTT ASAP. <br />		'''24-28 weeks''': Prenatal with CBC/GST. If the GST is over 140, will need a 2hr GTT ASAP. Get Quantiferon gold if PPD not done.<br />
	'''36 weeks''': Into Bethel and/or Anchorage, CBC, GC/CT, and GBS culture<br />		'''36 weeks''': Into Bethel (BIB) and/or Anchorage, CBC, GC/CT, and GBS culture<br />

	===Fetal Monitoring===		===Fetal Monitoring===

JenniferH at 12:27, 28 October 2020

2020-10-28T12:27:52Z

← Older revision		Revision as of 12:27, 28 October 2020
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	[[Prenatal Care During COVID-19]]		[[Prenatal Care During COVID-19]]

	~~OB Case Managers are the primary resource for the prenatal paperwork.~~ We have a large number of pregnant patients, many who are high risk ~~due to chronic HTN or preeclampsia~~. ~~Please, at~~ the ~~top~~ of ~~each HPI for a pregnant women, put a summary sentence like this~~ example.		We have a large number of pregnant patients, and many who are high risk. The OB Case Managers are an excellent resource. It is recommended to document any pregnancy problems in the HPI of your prenatal notes. An example:

	''Pt is a 32 yr old G5P3 AB1 with an EDC of 12/25/17 at 22 weeks gestation with a history of Cholestasis of Pregnancy and Kell Antibodies.''		''Pt is a 32 yr old G5P3 AB1 with an EDC of 12/25/17 at 22 weeks gestation with a history of Cholestasis of Pregnancy and Kell Antibodies.''

	~~To document prenatal visits use~~ '''"OP PC Prenatal Visit Note'''."		Use the '''OP PC Prenatal Visit Note''' for your prenatal visits. There are several auto-texts that can be used when documenting a First Prenatal or routine prenatal visits. These all start with '''''..ob''''' (case sensitive). The '''''..ob1stpnhpi''''' is particularly important to include for First Prenatal visits.

	There are several auto-text that should be used when documenting a prenatal or 1st prenatal visit. These all start with "''..ob''" (case sensitive). The ''"..ob1stpnhpi"'' is particularly important to include for 1st Prenatal visits.		At the first prenatal visit you will also need to complete the '''1st Prenatal Visit''' ad hoc form and copy the textual rendition of this form to your HPI.
			*You should only open one '''1st Prenatal Visit''' ad hoc form for each pregnancy.
	At the first prenatal visit you will also need to complete the '''1st Prenatal Visit ad hoc form~~'''~~ and copy the textual rendition of this form to your HPI.		*If you need to add or modify information, you should go to the Form Browser, find the '''1st Prenatal Visit''' ad hoc form for the current pregnancy, right click and select '''Modify'''.
	*You should only open one 1st Prenatal Visit ad hoc form for each pregnancy.
	*''If you need to add or modify information'', you should go to the ~~'''~~Form Browser'''~~, find the~~ 1st Prenatal Visit ad hoc form for the current pregnancy, right click and select '''Modify'''.

	===Prenatal Appointment Schedule if Uncomplicated===		===Prenatal Appointment Schedule if Uncomplicated===