Vacuum Extraction Delivery

Assisting

  1. Procedure
  2. Perform hand hygiene and apply clean gloves.
  3. Verify the patient's identity using two identifiers in accordance with institutional policy.
  4. Have the patient empty her bladder.
  5. Remove gloves and discard in proper trash receptacle. Perform hand hygiene and apply clean gloves.
  6. Notify the physician and patient when contractions are occurring.
  7. Assist the patient with pushing efforts.
  8. Obtain maternal verbal informed consent prior to the vacuum extraction attempt, although the procedure may need to be performed emergently or after the patient has been medicated. Some institutions may require a written informed consent.
  9. Assist the physician as needed during vacuum extractor delivery
  10. If applying suction to the vacuum extractor cup, suction force should not go beyond the green zone on the suction indicator.
  11. Keep the physician and team informed of length of time the vacuum extractor has been applied and the number of vacuum extractor application attempts.
  12. Report nonreassuring fetal heart rate patterns or an FHR lower than 100 BPM to the physician immediately.
  13. Reassure the patient and support person, and keep the patient informed of her progress when she is pushing.
  14. After the birth of the infant, assess the patient for cervical, vaginal, and perineal lacerations, vaginal hematoma, and bladder dysfunction.
  15. Remove gloves and discard in proper trash receptacle. Perform hand hygiene and apply clean gloves.
  16. Assess the infant for trauma.
  17. Examine the newborn for ecchymoses, scalp lacerations and abrasions, cephalohematoma, and any signs of subgaleal or intracranial hemorrhage.
  18. Assess the infant for scalp edema called a chignon at the application area.
  19. Remove gloves and discard in proper trash receptacle. Perform hand hygiene.
  20. Notify the physician and nursing unit receiving the infant of care needed as it relates to the circumstances of delivery.
  21. Encourage the patient and support person to express their feelings about the procedure.
  22. Assess maternal pain scale rating and medicate for pain as needed.
  23. Monitor maternal bleeding closely because patient is at increased risk for hemorrhage.
  24. Document the procedure in the patient's record.
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