Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant
Science
Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Van Blarcom, Carolyn Conant
Infants -- Care; Maternity nursing; Pregnancy
If the doctor wishes to do a vaginal examination on a patient more than
eight months pregnant, or one who is bleeding, take same precaution as
though examining a patient in labor; clip; scrub with green soap and
water; then 1 per cent lysol; give doctor freshly boiled, sterile
gloves.
=6—Arrangement of Examining Room After Clinic=
Soiled linen in laundry bags; fresh linen on tables, tables covered; all
used instruments to be washed, scrubbed when necessary, boiled five
minutes, dried and put away; all gloves used to be washed in cool water
and green soap and thoroughly rinsed, wrapped in towel, dropped in
boiling water and boiled for five minutes, then dried, powdered and put
away in a clean towel ready for use at next clinic; solution basins to
be emptied, washed and dried; all waste to be securely rolled up in
newspaper and put in a house garbage can; supply of drugs to be checked
up and replenished when necessary.
=7—Records=
All “Doctor’s Record” cards to be written up and filed; reports mailed
to the central office; reports on the condition of patient sent to
nursing agencies caring for the patient and other agencies working on
the case; maternity records to be filed in date file before the nurse
goes off duty.
=Doctor’s Duties as Outlined on Doctor’s Record=
1. One complete physical examination including heart, lungs, breast,
blood pressure, abdominal examination, fetal heart, pelvic
measurements, vaginal examination and a Wassermann and G.C. smear
on all patients with a suspicious history. Notes on this
examination to be dictated to the nurse.
2. Blood pressure; abdominal; urinalysis; on return visits and
provides space for notes on such other observations as she may
wish to make.
3. One post-partum examination on every patient; including a statement
on general condition; examination of breasts; vaginal; uterus;
perineum; and note results of any intercurrent disease.
4. Recording advice given to patient.
5. Instructing patients when to return to see the doctor. _Note_: All
patients not registered with a hospital or private doctor, to be
seen by the clinic doctor once a month up to the seventh month,
and once in two weeks, or oftener as the case demands,
thereafter.
=8—Duties of Clinic Assistants=
At those clinics where a lay woman acts as assistant to the nurse, the
following duties (and no others without special permission) may be
assigned to the assistant:
1. Greeting patient; and from name on her pink card, getting her
maternity record from file and sending to nurse.
2. Taking temperature, a record of which is sent in to the nurse on a
scratch pad and copied by her on her clinic record.
3. Urinalysis.
4. Helping patient dress and undress.
5. Care of any children who may come with patient.
6. See that patient understands when to return and has her pink card
so marked before she leaves.
Public-domain text, read in full here on John Shaqi.
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