Vaginal Delivery A Step by Step Guide WHY DO WE CARE ABOUT QBL Current recommendations 1 After delivery of baby provider and primary RN agree on amniotic fluid level in calibrated drape and ID: 1034827
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1. Quantification of Blood LossVaginal DeliveryA Step by Step Guide
2. WHY DO WE CARE ABOUT QBL?
3. Currentrecommendations:
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6. 1) After delivery of baby, provider and primary RN agree on amniotic fluid level in calibrated drape and note.2) Before provider removes the under buttock drape (after placenta and repair), provider and primary RN agree on Quantified Blood Loss (QBL):[Total Fluid – Amniotic Fluid = Quantified Blood Loss] and Provider enters into Delivery Summary.
7. 3) BLOOD LOSS WILL BE QUANTIFIED ON ALL PATIENTS IN THE L&D RECOVERY PERIOD (1 ½ - 2 HOURS). FOR THOSE WHO HAVE BEEN IDENTIFIED AS HIGH RISK ( ON THE EPIC GREASEBOARD), QBL WILL CONTINUE FOR 6 HOURS TOTAL****QBL CAN CONTINUE ONCE PATIENT IS TRANSFERRED TO PP
8. 4) At any time, if QBL is > 500ml (vaginal) or > 1000 ml (C-section): charge RN called, OB FAST TEAM called [4-4111] and PPH cart and WOW brought to room. Blood loss measurements to be tallied, documented and reported to the team at 5-10 minute interval.
9. 5) All blood soaked materials (laps, yellow pads, chux, and linens) placed in new red biohazard bag and quantities of each item recorded on QBL calculator.
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11. If indicated: Primary RN to record Recovery QBL in Epic under Flowsheet Intake/Output Tab Output Blood and notify provider if recovery QBL > 500 ml for vaginal [do not re-record delivery QBL].