Sie sind auf Seite 1von 1

LABOR ROOM SOAP CHARTING (TIME)>Into LR, a __ y/o G__P__ mother from _____ ward, per _____ accompanied

by _____, with ongoing IVF of _______ at ____ cc level, infusing well on ____ hand. S> > With Pain rated as N?10, aggravated by ________, characterized as _______, radiating to _______, occurring _______. O> With Vital Signs: T= P= R= BP= . > Irritability noted. > Pacing movements noted. > Narrowed focus. > Moaning/Grimacing noted. > With FHT of ___beats per minute at _____. > Uterine contractions occurring every ___ min with duration of ___ sec/min. A> Labor pains related to uterine contractions secondary to labor progression P>Monitor VS >Assess pain PQRST >Assisted on ambulation (TIME)> HNBB given via IV push by NOD. > Instructed on: a. DBE b. Squatting > Reinforced NPO as ordered > Encouraged verbalization of feelings of anxiety/pain. (TIME)> Brought to DR table ambulatory/per _____ accompanied by _____, with above IVF at ____ cc level.

Das könnte Ihnen auch gefallen