The following online book is great for us RNs in Labor and Delivery. We are always hearing Evidence Based Practice, well... this is it! Check out the chapters of your interest, then look up the article to print the book for your own resource! Very informative!



LABOR AND DELIVERY NURSING: A Guide to Evidence-Based Practice

Table of Contents

About the Authors ii
Acknowledgments ix
Preface xi
Chapter 1 Communication, Advocacy, and the Chain of Command 1
Chapter 2 Patient Assessment 17
Chapter 3 Phases and Stages of Labor 45
Chapter 4 Pain Management 75
Chapter 5 Positions for Labor and Birth 99
Chapter 6 Passenger, Placenta, and Cord 109
Chapter 7 Passageway 137
Chapter 8 Presentation, Station, and Position 153
Chapter 9 Powers of Labor: Stimulation and Hyperstimulation 171
Chapter 10 Psyche, Spirituality, and the Cultural Dimensions of Care 195
Glossary 207
Appendix A Abbreviations 217
Appendix B Abbreviations to Avoid in Documentation 223
Appendix C Orientation to Labor and Delivery 225
Appendix D Sample Orientation Skills Checklist 227
Appendix E Orientation Log Chart 233
Index 235




Murray, M. L., & Huelsmann, G.M. (2009). Labor and Delivery Nursging: A Guide to
Evidence-Based Practice. Retrieved
http://www.springerpub.com/samples/9780826118035_chapter.pdf

Patient Education for Interventions and Drugs Used in Labor and Delivery

http://www.acphd.org/AXBYCZ/Admin/Publications/MCAH_Drugs_Labor_Delivery.pdf
~this is a great brochure to read and educate ourselves of the possible side effects of our everyday interventions

This handout contains information regarding:

Internal Fetal Monitoring
Cesarean Section
Epidural
Episiotomy
Oxytocin/Pitocin
Cervadil
Cytotec
VBAC

Just a little slice of our lives those late nights in OB Triage!

Tips for when your patient has a Shoulder Dystocia:



Use the HELPERR Acronym
1. Call for Help
2. Consider an Episiotomy
3. Lower Head of bead
(elevate legs--> McRobert's Manuever
4. Provide suprapubic Pressure
5. Enter internal rotation (provider)
6. Relieve the arm (provider)
7. Rotate the patient to side-lying
(Curtis, Guillien, 2009)

This figure demonstrates Nurse's role during a vaginal delivery with a shoulder dystocia and is performed while using the algorithm below:



Curtis, K., & Guillien, L. (2009). Shoulder dystocia drills: how one unit prepares for potential obstetric emergencies. Nursing for Women's Health, 13(1), 65-69. Retrieved from CINAHL Plus with Full Text database.

Disseminating best practice through a web log

Much literature exists regarding web blogs and its efficacy regarding online education. Many blogs contain discussions, pictures, and interactive activities. As stated in the article, Disseminating best practice through a web log, a blog is a combination of the words “web log” (Price, 2010). Referring to a blog as a diary like posts on a web page. These posts are typically updated frequently with short passages of information, thoughts, and discussions. Blogs can be viewed by anyone on the Internet, and in most cases many people follow a blog at one time (Price, 2010).
Blogs are often selected at mediums for the capability to be free with words, personal, and provide the readers with insight to the blogger’s thoughts and views. Price states two distinctive ways blogs are used, personal like diaries and professional learning. As stated previously, the diary style is more individualized and sometimes more private specific events and situations prevalent in their lives. The professional blog use can spotlight on specific specialized topics, discussions, case studies, and practices (Price, 2010).

When considering a Blog one must consider including the following:
*Purpose
*Objectives
*Overviews
*Case Studies
* Posts with title, date, pictures, excerpts, and thoughts
* Conclusion
(Price, 2010)

As stated at greater length in the Bill Price’s article, Disseminating best practice through a web log, blogs are a great and successful way to improve practice in healthcare. Personal and professional ideas, facts, and information, are also common finds on sites. Blog’s popularity is growing in all societies, whether in educational facilities, healthcare systems, clubs, sororities, hobbyists, and even sports

Price, B. (2010). Disseminating best practice through a Web log. Nursing
Standard, 24(29), 35-40. Retrieved from CINAHL Plus with Full Text
database.

I'm comprising this blog as a class assignment for a Health Informatics course at UNCC for my BSN completion. This website is to be a resource for the Registered Nurses of 8E High Risk Labor & Delivery. I chose a blog as my option because I feel it is a fun, easy, and casual medium to present a wide variety of healthcare information. Also, with this blog viewers can add comments and questions from work and home, which can aid in my future research for additions. Some believe blogs aren't ideal due to the expected frequent updates, but as long as my readers and I have an understanding of the time frame of updated posts, this should be a great source. I am very excited to post articles, links, pictures, news and any and all information that can be useful in our daily lives on 8E. I hope all viewers enjoy!