Recovering Cesarian Section

Recovery Care (Maternal-Newborn)

1.Perform hand hygiene and apply clean gloves.
2.Verify the patient's identity using two patient identifiers in accordance with institutional policy.
3.Assess level of consciousness and position the patient to provide comfort and to prevent aspiration.
4.Assess airway and apply supplemental oxygen per the practitioner's order and institutional policy.
5.Obtain maternal vital signs and compare with preoperative baselines.
6.Apply hypo/hyperthermia blanket per institutional policy, if indicated.
7.Assess respiratory and abdominal status per institutional policy.
8.Assess surgical dressing and drains, if applicable, for intactness. Circle any drainage observed and mark with the date and time.
9.Assess level of pain. Provide pain management measures as indicated. Administer pain medications or initiate PCA as ordered for the recovery period.
10.Remove gloves and discard in proper trash receptacle. Perform hand hygiene and apply clean gloves.
11.Assess the uterine fundus and perform fundal massage, if indicated.
12.Assess lochia. Provide pericare and place fresh perineal pad in place.
13.Remove gloves and discard in proper trash receptacle. Perform hand hygiene.
14.Apply/assess intactness of elastic stockings and connect sequential compression devices (SCDs) to pump, if indicated.
15.Assess IV therapy and IV site. Ensure correct IV fluid is hanging and that it is infusing at the correct rate per the practitioner's order.
16.Monitor amount of intake and output, including type of intake and characteristics of output (e.g., urine clarity, color).
17.Provide comfort measures as indicated.
18.Administer pain medications as required and ordered.
19.Administer antiemetic medication as needed.
20.Assist with frequent position changes.
21.Assist/instruct the patient regarding splinting of the incision when coughing or turning.
22.Encourage patient to use relaxation and breathing techniques, if indicated.
23.Promote parental adaptation (bonding) with the infant. Assist with breastfeeding, if indicated.
24.Encourage and assist with bed mobility until the patient is ambulatory. Encourage frequent ambulation once the patient is mobile.
25.Perform hand hygiene.
26.Document the procedure in the patient's record.
 

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