Patient M.G. 27-year-old, G2P1 is admitted for elective cesarean section.
Her first born is a term 2-year-
old female. Negative uterine contraction, negative vaginal discharge. No history of hypertension. Patient is admitted at Day 1, 4:41PM
Admititng Dx: G3P2, pregnancy uterine, 37 weeks 5 days AOG
Day 1
4:45PM Doctor’s order
Patient admitted for elective cesarean section
Secure consent for admission Secure consent for the procedure Schedule contemplated procedure at Day 2, 8:00AM Inform operating room Notify Anesthesiologist on Duty Dx: CBC, urinalysis, BT crossmatching, Clotting time, bleeding time Secure Blood IVF: PNSS 1L x 12 hours prior to OR Cefuroxime 1500mg IV ANST prior to OR. Monitor Refer
Dr. (OB-Gyne)
5:00PM Doctor’s order
Skin test ketorolac prior to OR
Skin test lidocaine NPO post-midnight Complete bed bath Gargle with hexetidine Monitor Refer