Charting in Labor and Delivery: Behind the nurse's notes - 222

02/19/24 • 12 min

Pulling Curls Podcast: Pregnancy & Parenting Untangled

In this episode, Hilary untangles the complexity of charting as a nurse in labor and delivery. She sheds light on the legal requirements and the impact on patient care. Stay tuned for practical insights and pro tips on charting in the healthcare setting.

Big thanks to our sponsor The Online Prenatal Class for Couples -- it gives you a good peek behind the nurse's station and what to expect from your labor nurse.

Timestamps:

00:00 Online prenatal class for couples prepares parents. 04:50 Nurses need to ask about coping with pain 07:33 Anticipating potential problems, doctor gives options. 10:29 Lawyers blame doctors and nurses for problems.

Keypoints:

The episode discusses the intricacies of charting in labor and delivery, shedding light on the role of nurses and the obligations faced in the medical setting.
It emphasizes the legal obligations of healthcare providers to meticulously chart patient information and assessments, primarily due to litigation concerns.
The episode highlights the impact of charting on patient care, revealing that a significant portion of a nurse's time is spent on charting rather than providing direct care.
It delves into the frustration experienced by healthcare professionals, especially nurses, in dealing with the extensive charting requirements and the limitations it poses on delivering optimal care.
The discussion touches upon the annoyance felt by patients from the repetition of assessments and inquiries, acknowledging their perspective in the medical setting.
It contrasts paper charting with computer charting, noting that while computer charting may automate some aspects, it often necessitates more detailed input and navigation, potentially adding to the workload.
The episode addresses the legal necessity of providing information to patients about potential risks and complications, highlighting the delicate balance between informing patients and respecting their autonomy in decision-making.
It underscores the impact of litigation and the stress it places on healthcare providers, particularly in labor and delivery, where unexpected outcomes can lead to costly lawsuits and heightened anxiety.
The discussion offers insights into the challenges faced in labor and delivery, citing the emotional toll on nurses and the impacts of malpractice insurance on healthcare professionals.
The host hints at upcoming episodes on topics including Disneyland tips and fascinating facts about the placenta, adding a lighter note after the heavy discussion on charting and litigation in the medical field.

Producer: Drew Erickson

Keywords:

charting, nurse, labor and delivery, fetal heart rate monitoring, litigation, legal obligations, medical care, prenatal class, online prenatal class, labor and delivery providers, patient care, childbirth, hospital charting, computer charting, paper charting, malpractice insurance, malpractice lawsuit, medical litigation, informed consent, induction, preeclampsia, big baby, shoulder dystocia, assessment, pain management, medical assessments, maternal health, electronic medical reco

Big thanks to our sponsor The Online Prenatal Class for Couples -- it gives you a good peek behind the nurse's station and what to expect from your labor nurse.

Timestamps:

Keypoints:

The episode discusses the intricacies of charting in labor and delivery, shedding light on the role of nurses and the obligations faced in the medical setting.
It emphasizes the legal obligations of healthcare providers to meticulously chart patient information and assessments, primarily due to litigation concerns.
The episode highlights the impact of charting on patient care, revealing that a significant portion of a nurse's time is spent on charting rather than providing direct care.
It delves into the frustration experienced by healthcare professionals, especially nurses, in dealing with the extensive charting requirements and the limitations it poses on delivering optimal care.
The discussion touches upon the annoyance felt by patients from the repetition of assessments and inquiries, acknowledging their perspective in the medical setting.
It contrasts paper charting with computer charting, noting that while computer charting may automate some aspects, it often necessitates more detailed input and navigation, potentially adding to the workload.
The episode addresses the legal necessity of providing information to patients about potential risks and complications, highlighting the delicate balance between informing patients and respecting their autonomy in decision-making.
It underscores the impact of litigation and the stress it places on healthcare providers, particularly in labor and delivery, where unexpected outcomes can lead to costly lawsuits and heightened anxiety.
The discussion offers insights into the challenges faced in labor and delivery, citing the emotional toll on nurses and the impacts of malpractice insurance on healthcare professionals.
The host hints at upcoming episodes on topics including Disneyland tips and fascinating facts about the placenta, adding a lighter note after the heavy discussion on charting and litigation in the medical field.

Producer: Drew Erickson

Keywords:

Previous Episode

Let's Talk Pelvic Floor Physical Therapy - 221

In this episode of The Pulling Curls Podcast, Hilary Erickson dives into her personal experience with pelvic floor physical therapy. She shares her journey, the challenges she faced, and the unconventional methods that ultimately helped her. Stay tuned as she delves into the lessons learned and the importance of being patient with yourself.

Big thanks to our sponsor Family Routines -- if you're looking for margins that allow you to fix things like incontinence or pelvic floor issues, you need to get your home life in order so come join me!

Links for You:

The Workout Witch: https://www.tiktok.com/@theworkoutwitch

Timestamps:

00:00 Language barrier made medical visits unbearable. Improved with shots. 05:18 Patience with bladder, routine, calm actions key. 06:20 Mixing up bathroom cues for better control. 10:55 Join me on Instagram, share your experience.

Keypoints:

Hilary discusses her experience with pelvic floor physical therapy after experiencing pelvic and tailbone pain post-pregnancy.
She shares her challenges with understanding the therapist's heavy accent and lack of improvement in her condition despite multiple sessions.
Hilary tried Deroit shots and chiropractic treatment, but found no relief from her symptoms, including urge incontinence.
After seeking help from a well-known pelvic floor therapist on Instagram, she found that the focused core and pelvic floor exercises did not alleviate her urge incontinence issues.
Hilary reflects on the importance of learning patience and managing the urge to pee, attributing calmness and a set routine to her improvement.
She found that reducing her water intake lessened her urge incontinence symptoms, contrary to conventional advice to stay hydrated.
While focusing on pelvic floor training, Hilary experienced worsening hip pain, which she addressed through somatic exercises with The Workout Witch, leading to relief and highlighting the interconnectedness of the body.
Hilary emphasizes the need to explore different therapies and practitioners when faced with unresolved issues, with patience and individualized solutions being key.
The episode ends with a teaser for upcoming episodes on charting in labor and delivery and valuable Disneyland tips.
Hilary encourages engagement with her audience on Instagram to share their experiences with pelvic floor physical therapy and alternative treatments.

Producer: Drew Erickson

Keywords:

Pelvic floor physical therapy, TMI, tailbone pain, lightning crotch, deroid shots, plantar fasciitis, chiropractor, urinary incontinence, urge incontinence, core strength, language barrier, anatomy, patient bladder, hydration, somatic exercises, hip pain, physical therapy, routine, pregnancy nurse, Instagram, charting, labor and delivery, Disneyland tips, patience, bladder health, anatomy, somatic exercises, water intake, pelvic floor workout, pain management.

Next Episode

Disneyland Untangled - Making the Most of Your Trip - 223

In this episode of The Pulling Curls Podcast, Hilary Erickson and guest Kim Fidler share their best Disneyland tips for a spring break trip. From utilizing Genie plus and Lightning Lane strategically to prioritizing children's preferences and making the most of dining options, this episode is packed with valuable insights for a magical Disneyland vacation. Plus, don't miss the exclusive discount code for Getaway Today to help you plan the perfect Disneyland trip.

This episode is sponsored by my Disneyland Day Planner: https://birdsend.page/forms/844/5FY54uqZxv

Today's guest is Kim Fidler from Get Away Today. She has been with the company for 20 years helping families make vacation memories, and has been to the Disneyland resort too many times to count. Be sure to mention that you found them through Pulling Curls and use code CURLS10 to save $10 on your upcoming trip!

Links for you:

Genie+ Tips

Timestamps:

00:00 Podcast sponsored by Disneyland day planner, featuring Kim. 03:25 Frequent park visits, early mornings maximize time. 07:32 Maximizing park time with Genie+ was crucial. 11:40 Easier ordering with specific planning and availability. 13:30 Set a phone alarm for Disney's 2-hour rule. 15:46 Book special experiences to break chaotic routine. 19:13 Prioritize popular rides to avoid closures. 23:22 Expect the unexpected and go with flow. 27:55 Enjoy the trip, stay relaxed, future topics previewed.

Keypoints:

Genie plus is recommended for maximizing time at Disney parks, especially during busy times and for half-day visits, allowing access to popular attractions without long waits.
Pre-purchasing Genie plus at $30 can be a good investment, particularly during peak season, and strategic planning is essential to make the most of the Lightning Lane system.
Families with very young children or those who prefer slower rides may find Genie plus less suitable, but it can be beneficial for those prioritizing high-demand attractions.
Research and strategy are crucial for utilizing the Lightning Lane system effectively, with only one ride allowed per attraction.
Special experiences like princess breakfast or Droid Depot visits can provide a break from chaotic rides, enhancing the overall Disney vacation.
Timing late 2 PM lunch breaks to rest and hydrate is advised, and exploring cheaper sit-down restaurants like Lamp Light Lounge and attractions outside the park, such as Downtown Disney, can be worthwhile.
Listening to children's ride preferences and being flexible with their choices is important, as simpler activities can create lasting memories.
Utilize time-saving methods like mobile ordering, which allows for setting later return times for specific items and accommodating allergy adjustments.
Strategize Lightning Lane bookings, consider the 2-hour window rule, and prioritize attractions that sell out quickly, stacking subsequent bookings for a more efficient park experience.
Booking with Getaway Today offers benefits such as cheaper hotel rates, white glove service, personalized assistance, and specific room requests for families with young children, and listeners can use code "curls10" for a $10 discount on their trip.

Producer: Drew Erickson

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