Triage Notes for Patient Anna

Patient Presentation

  • Patient Name: Anna
  • Accompanied by: Husband, Lewis

Triage Details

  • Time of Arrival: Approximately 30 minutes prior to evaluation
  • Contractions:
    • Start Time: Around 0200 hours
    • Frequency: Every 5 minutes
    • Duration: Lasting about 40 seconds
    • Sleep Impact: Unable to sleep through contractions

Gestational Age

  • Gestational Age: 39 weeks and 5 days

Fetal Monitoring

  • External Fetal Monitoring Results:
    • Fetal Heart Rate: 130 bpm
    • Reactivity: Positive reactivity

Obstetric History

  • Gravida Status: Gravida 2 (G2)
  • Previous Child:
    • Age of Child: 3 years old
    • Birth Details: Born at term
  • Current Pregnancy: Uncomplicated

Current Labor Assessment

  • Dilation: 5 cm
  • Effacement: 90%
  • Station: -1
  • Cervical Findings: Bulging bag of waters

Previous Labor Details

  • Labor Duration: Approximately 8 hours
  • Pain Management Preference: Would like to try without pain medication

Baby's Gender

  • Gender Status: Unknown; they don't know the gender yet

Breastfeeding Plans

  • Previous Experience: Breastfed their oldest child
  • Plan for Newborn: Would like to breastfeed again

Infectious Disease Status

  • Group B Streptococcus (GBS): Negative
  • Rubella Immunity: Not immune
  • Blood Type: A positive

Doctor and Admission Information

  • Attending Physician: Dr. Amister
    • Aware of Arrival: Yes
    • Estimated Time of Arrival: About one hour
  • EHR Notes: Admission orders are in EHR

Dietary Preferences

  • Cultural Considerations: Patient family keeps kosher
  • Meal Arrangements:
    • Specific dietary needs not required at this time
    • Option to bring meals from home if needed

Postpartum Plans

  • Length of Stay: They do not plan on staying long after the baby is born.