|
We put labels on our babies cots which are removed
when they have passed urine, mec, also stickers for those on 4hrly obs/a/b's or
other extra cares. A bit old fashioned perhaps but a simple
and effective visual reminder for all staff to check the first 24-48 hours
cares.
I remember being told that rectal temps were to
check for imperforate anus but this was way back in the 70's during my
training. Went out of style when a broken mercury thermometer was inserted
one time!
Sue
"The only thing necessary for the triumph of evil is for good men to do
nothing"
Edmund Burke
----- Original Message -----
Sent: Tuesday, January 24, 2006 3:48
PM
Subject: RE: [ozmidwifery] wasIV Synto
for 3rd stage now rectal temps
Hi
all,
There are other ways to handle the risk of missing an imperforate
anus. I know a case of a baby dying from meconium ileus due to
cystic fibrosis. It was quite some time before it was realised that the
baby had not passed meconium. That workplace now has a sticker on the
baby's chart which must be completed by 24hours post birth stating whether or
not the baby has passed urine or meconium, and if not, to document that a
paediatrician has been notified. (I could probably get you a sample if you
would like to show it to your paed.) Then if any invasive measures are taken,
at least they may be justified, rather than subjecting all babies to the
indignity and discomfort of having something passed into their
rectum.
Kind
regards,
Nicole.
Please be assured that I am not killing
the messanger here...............but really, are you really telling me that
at your site all newborn infants are subjected to an invasive process
because once upon a time a
single baby had a problem?
Alesa
----- Original Message -----
Sent: Tuesday, January 24, 2006 9:03
AM
Subject: Re: [ozmidwifery] IV Synto for 3rd
stage
> at the hospital i work in the paediatrician/neonatologist inisit
on all
> newborns have a rectal temp done for the first temp. i have
been told when
> questioning this from the clinical learning
co-ordinator that there once was
> a baby who had a imperferated anus
and this was not picked up until too late
> and the baby became
very sick so it is protocol. also i was told that there
> is a
difference in temperature as when i looked this subject up for my own
> interest if you take a temp axilla there is also many other factors
which
> come into play such as the air temp and if the thermometer is
accurately
> placed. the references i cant remember but the evidence
suggested that for a
> accurate reading we should be taking
temperatures rectally for infants and
> orally for adults not axilla
and certainly not be the fold at the back of
> the newborns
neck.
> regards
> ----- Original Message -----
> From:
"brendamanning" <[EMAIL PROTECTED]>
> To: <[email protected]>
> Sent: Tuesday, January 24, 2006 12:11 AM
>
Subject: Re: [ozmidwifery] IV Synto for 3rd stage
>
>
>
> How amazing, rectal temps are so archaic !
> > I thought they
went out with PR exams to assess dilation.
> > Poor you !
>
> Keep questioning, that's how change
> >
happens............................eventually.
> >
> >
With kind regards
> > Brenda Manning
> > www.themidwife.com.au
>
>
> > ----- Original Message -----
> > From: "Kylie
Holden" <[EMAIL PROTECTED]>
>
> To: <[email protected]>
> > Sent: Monday, January 23, 2006 11:42 PM
>
> Subject: Re: [ozmidwifery] IV Synto for 3rd stage
> >
>
>
> >> All debates regarding active v. physiological third
stage aside, I was
> >> referring to women who have had a jelco
put in for whatever reason (IV
> >> antibiotics in labour,
epidurals, etc).
> >>
> >> I completely agree with
you Brenda, that the number of women who didn't
> >> get their
"required" dose of synto and who go on and have a (semi)
> >>
physiological third stage are evidence in favour of safe, "normal" 3rd
> >> stage. Unfortuately this particular hospital doesn't
take too kindly to
> >> students coming in and questioning
their protocols! We learnt that the
> >> hard way when we
(as students) tried not to take babies first temps
> >>
rectally...a protocol was soon put in place that this MUST occur!
>
>>
> >> Kylie
> >>
> >>
>
>>>From: "brendamanning" <[EMAIL PROTECTED]>
> >>>Reply-To: [email protected]
> >>>To: <[email protected]>
> >>>Subject: Re: [ozmidwifery] IV Synto for 3rd
stage
> >>>Date: Mon, 23 Jan 2006 15:18:48 +1100
>
>>>
> >>>Kylie,
> >>>We are presuming
these are all high risk women you are dealing with as
>
>>>otherwise there would be no need for her to have a jelco in
place ?
> >>>I am including women who have epidurals in this
category as this
> >>>automatically makes them high risk
once they've deviated from the 'body
> >>>driven' course of
labour.
> >>>Otherwise...............
> >>>Why
would a low risk woman :
> >>>a. have a jelco in situ during
labour ?
> >>>b. need an oxytocic ?
>
>>>
> >>>So assuming she is high risk you need to be
very sure she gets the
> >>>oxytocic, she really needs it as
her body has had its input overridden by
> >>>the initial
intervention so it makes sense to flush the tubing & ensure
>
>>>the accurate therapeutic dose is received.
>
>>>
> >>>Maybe you might put some thought out there
in your workplace about how
> >>>all those women whose MW
didn't flush & they therefore didn't actually
> >>>get
their synt (or got a reduced/minimal amount) managed to have a
>
>>>"normal" 3rd stage & no PPHs ?
> >>>Now
there's an interesting question to ask your colleagues !!
>
>>>
> >>>With kind regards
>
>>>Brenda Manning
> >>>www.themidwife.com.au
>
>>>
> >>>----- Original Message ----- From: "Ceri
& Katrina"
> >>><[EMAIL PROTECTED]>
>
>>>To: <[email protected]>
> >>>Sent: Sunday, January 22, 2006 6:04
PM
> >>>Subject: Re: [ozmidwifery] IV Synto for 3rd
stage
> >>>
> >>>
> >>>>Hi
Kylie
> >>>>we actually give 5IU synto diluted in 10mls
Normal saline, then flush
> >>>>that through with a
flush.
> >>>>In the short time I have been in Middy even
when we gave it not
> >>>>diluted, it was still
flushed.
> >>>>
> >>>>katrina
;-)
> >>>>
> >>>>
>
>>>>On 22/01/2006, at 2:20 PM, Ken WArd wrote:
>
>>>>
> >>>>>Proberly where it should sit
for a normal birth. But when it is
> >>>>>advisable
to
> >>>>>give synto, then I guess you should flush the
line.
> >>>>>
> >>>>>-----Original
Message-----
> >>>>>From: [EMAIL PROTECTED]
>
>>>>>[mailto:[EMAIL PROTECTED] Behalf
Of Kylie Holden
> >>>>>Sent: Sunday, 22 January 2006
12:14 PM
> >>>>>To: [email protected]
> >>>>>Subject: [ozmidwifery] IV Synto for 3rd
stage
> >>>>>
> >>>>>
>
>>>>>Hi all
> >>>>>
>
>>>>>I'm a Mid student (who has finally finished all her
birth
> >>>>>requirements...yay!) and this issue has
only just come up for me over
> >>>>>the
>
>>>>>last week or two. For the first time in two years,
a midwife I was
> >>>>>working
>
>>>>>with pointed out the importance of flushing through the
synto if you
> >>>>>have
>
>>>>>given it IV, if there was no drip running to flush it
through.
> >>>>>
> >>>>>This
obviously makes sense, because if you don't flush it, the synto
>
>>>>>will
> >>>>>just sit in the J loop
or IV line. However, I had never actually seen
>
>>>>>a
> >>>>>midwife do this
before. Over the next few days I asked a few midwives
>
>>>>>what
> >>>>>they do, and the
responses I got ranged from "Why on earth would you
>
>>>>>need to
> >>>>>do that?" to "Yes,
of course you need to flush it!"
> >>>>>
>
>>>>>Any thoughts on this topic?
>
>>>>>
> >>>>>Kylie
>
>>>>>
>
>>>>>_________________________________________________________________
>
>>>>>New year, new job – there's more than 100,00 jobs at
SEEK
> >>>>>http://a.ninemsn.com.au/b.aspx?
>
>>>>>URL="">>
>>>>>=752315885&_r=Jan05_tagline&_m=EXT
>
>>>>>
> >>>>>--
>
>>>>>This mailing list is sponsored by ACE Graphics.
>
>>>>>Visit <http://www.acegraphics.com.au>
to subscribe or unsubscribe.
> >>>>>
>
>>>>>
> >>>>>--
>
>>>>>This mailing list is sponsored by ACE Graphics.
>
>>>>>Visit <http://www.acegraphics.com.au>
to subscribe or unsubscribe.
> >>>>>
>
>>>>
> >>>>--
> >>>>This
mailing list is sponsored by ACE Graphics.
> >>>>Visit
<http://www.acegraphics.com.au>
to subscribe or unsubscribe.
> >>>>
>
>>>
> >>>--
> >>>This mailing list is
sponsored by ACE Graphics.
> >>>Visit <http://www.acegraphics.com.au>
to subscribe or unsubscribe.
> >>
> >>
_________________________________________________________________
>
>> New year, new job – there's more than 100,00 jobs at SEEK
>
>> http://a.ninemsn.com.au/b.aspx?URL="">
> >>
> >> --
> >> This
mailing list is sponsored by ACE Graphics.
> >> Visit
<http://www.acegraphics.com.au>
to subscribe or unsubscribe.
> >
> > --
> > This
mailing list is sponsored by ACE Graphics.
> > Visit <http://www.acegraphics.com.au>
to subscribe or unsubscribe.
> >
>
>
>
--
> This mailing list is sponsored by ACE Graphics.
> Visit
<http://www.acegraphics.com.au>
to subscribe or unsubscribe.
>
No virus found in this incoming message.
Checked by AVG Free
Edition.
Version: 7.1.375 / Virus Database: 267.14.23/240 - Release Date:
25/01/2006
|
