John Hunter Hospital
1 - Delivery Suite Philosophy
Aim:
Objectives:
Birth Centre Philosophy
2 - Role, Location and Structure
Organizational Structure.
3 - General Unit Information
3.1 - Reception of the Pregnant Woman and her Family
3.2 Unit Information - Staff / Patients / Visitors
4 - Ancilliary/Support Services
4.1 - Interpreter Services
4.2 - Chaplaincy
4.3 - Wardsmen/Porters
4.4 - Medical Social Worker
4.5 - Physiotherapist
4.6 - Dietician
4.7 - Catering Department
4.8 - Ward Assistants
4.9 - Clean Linen Supply
4.10 - Sterile Linen Supplies
4.11 - Pathology Services
4.12 - Pharmacy Services
4.13 - Hospital Sterilising Unit
4.14 - Sexual Assault Clinic Protocol
4.15 - Aboriginal Liaison Service
4.16 - Stores - Stock
5 - Safety
5.1 - Occupational Health and Safety
5.2 - Drug Administration Requirements
5.3 - Unit Maintenance
5.4 - Infection Control
5.5 - Precautions necessary in the presence of blood and body fluids contamination of Hepatitis B & HIV + VE Mothers
5.6 - Linen - disposal of 'dirty' linen
5.7 - Garbage - disposal of
6 - Documentation
6.1 - Abbreviations
6.2 - Accountable Items
6.3 - Consent
6.4 - Guidelines for Preparing Records that are Acceptable Legal Documents
6.4.1 - Signatures
6.5 - Patient Records
6.6 - Identification Stickers
6.7 - Non English Speaking Background Form
6.8 - Discharge Summary
6.9 -Motor Vehicle Accidents
7 - Outpatient Services
7.1 - Outpatient Services in Delivery Suite
8 - Bookings/Admission/Retrieval/Homebirth Transfer
8.1- Bookings
8.2 - Admission Procedure
8.3 - Inset - Obstetric Retrieval Flowchart
8.4 - Homebirth Transfer
9 - Antenatal Care
9.1 - Amniocentesis
9.2 Antepartum Haemorrhage
9.3 - Cardiotocography - Antepartum
9.4 - Cervical Ligature Removal
9.5 - External Cephalic Version with Tocolysis
9.6 - Speculum Examination
9.7 - IV Salbutamol for Threatened Preterm Delivery
9.8 - Transfer - Mothers to the Antenatal Ward following stabilisation of an acute condition
10 - Intrapartum Care
10.1 - First Stage Labour
10.2 - HSMR 14 - Delivery Suite Notes / Instructions
10.3 - Partograph
10.4 - HSMR 14 - Labour / Delivery Summary
10.5. - Fluid Balance Record - HSMR 51
10.6. - Labour Onset and Augmentation Definitions
10.7 - Pain Management
Prostaglandin E2 gel for cervical ripening or induction of labour
Syntocinon Infusion for Induction and Augmentation of Labour
Guidelines for Intrapartum Foetal Monitoring - Cardiotocography - Intrapartum
Guidelines for Intrapartum Cardiotocographic Monitoring
Foetal Scalp Sampling
Foetal Distress - Tocolytic Management
Foetal Haemoglobin Detection Procedure - APPS Test
Diabetic - Insulin Dependent
Management of Labour/Delivery in Diabetic Mothers
Diagnosis of the onset of second stage of Labour - Maternal Position for Delivery
Management of Third Stage of Labour
Fourth Stage of Labour
Summary of Recommendations
12 - Newborn Neonatal Care
12.1 - Neonatal Care - Care of the Well Newborn in the Delivery Suite.
12.2 - Neonatal Resuscitation Preparation
12.2.1 - Notification - Impending admissions and Potential problems for the Neonatal Nurseries
12.3 - Management of Neonates of Opiate (and other substance) Dependent Mothers
12.4 - Circumcision
12.5 - Dextrostix
12.6 - Newborn Screening Protocol
12.7 - Post Natal Care - Postpartum care of the Mother in the Delivery Suite
12.8 - Breastfeeding Policy
12.9 - Cendavax/Meruvax Administration
12.10 - Telephone Inquiries - Guidelines for the Referral of Postnatal Telephone Inquiries
Transfer - Patients from Delivery Suite to the Postnatal Wards
13 - Discharge
Discharge of Mother/Baby to Christo Road, Polyclinic Nelson Bay, Toronto Private Hospital, Warners Bay Private Hospital.
Discharge Summary - Confinement
Transfer - Inter-hospital - Antenatal Patient
Death
Care of the Stillborn Neonatal Death Infant
14 - Continuity of Care
14.1 - Visiting Midwifery Practitioners
15 - Miscellaneous Guidelines and Procedures
15.1 - Adoption Procedure
15.2 - Alcohol Withdrawal Management
Anaphylaxis Management
15.3 - Anti D Immunoglobulin Administration
15.4 - Baby Bundles
15.5 - Bassinette Preparation
15.6 - Bed - Delivery - Preparation
15.7 - Blood Alcohol Collection
15.8 - Blood Pressure Measurement for Pregnant Mothers
15.9 - Blood Transfusion
15.10 - Fenwal Blood Warmer Set-Up
15.11 - Cardiac Arrest - Summary
15.12 - Cardiac Arrest Procedure
15.13 - Central Line
15.14 - Histopathology Specimens
15.15 - Placental Specimens
15.16 - Intravenous Cannula - Peripheral Insertion
15.17 - Midstream Urine Specimen Collection
15.18 - Oxygen Administration
15.19 - Perineal Toilet
15.20 - Pregnancy Induced Hypertension - Management of Severe
15.21 - Eclampsia - Management of
15.22 - Dilantin - Phenytoin Intravenous Infusion
15.23 - Hydrallazine
15.24 - Magnesium Sulphate
15.25 - Symphysiotomy
15.26 - Urine Collection - 24 Hour
15.27 - Valium
15.28 - X- Match Blood, Group/Save
