| Working Hours | Wards | |
|---|---|---|
| Mon - Thur | 08.00 - 17.00 | M1 & M2 Postnatal M3 Antenatal |
| Friday | 08.00 - 16.00 | |
Intern Jobs:
- Get the list everyday from the midwives on the Postnatal wards.
- Prepare discharges for that day.
- Ensure Day2 LSCS have FBC.
- On Friday, prepare discharges for the SHOs over the weekend.
- There is no bleep for the interns.
- You will be called on your mobile.
- Leave bloods out in the evening (for phlebotomy the next day).
Discharge:
- SVD day 2
- Kiwi/Forceps day 2 or 3
- LSCS day 4 or 5 (any less, needs Reg review)
- You need to fill out discharge summaries for the charts
- PICOs come off day 7 - PHN usually removes.
- Also document if staples were used (located in Op notes).
- GP follow up in 6 weeks.
- Standard analgesia for one week (no oxycontin/oxynorm etc).
- Please prescribe an additional PPI if giving Difene.
- Check the VTE score and prescribe prophylaxis if required.
- Gynae referral needed if 3/4 degree tear.
- They will see the same consultant in clinic in 6 weeks.
- If there is follow up for cysts/fibroids, same process with the exception that Prof Cotter’s patients will see Mr. Hickey.
Notes in chart:
- Day _ post SVD / LSCS of live M / F infant
- VTE / IMEWS
- Pain
- Breast / Bottle feeding
- Rubella / Rh status - if not immune for vaccine in GP.
Other Info:
- Cannulation - green/grey line essential in antenatal women (risk of PPH).
- Consent is a SHO/REG job.
- Hb <8, transfuse patient and give IV Ferrinject.
Bloods:
- LCSC - FBC, G+H
- ERPC - G+H
- PET - FBC, Coag, U+E, LFTs, Uric Acid
- Booking - FBC, G+H, VDRL, Rubella, HIV, Hep A/B/C
- ToP - FBC, Coag, G+H
Common Medications
Don’t forget the Mat section in the Micro Guide.
Pre-theatre:
- H2-blocker (check with team) and Sodium Citrate 30ml PO (Stat)
Analgesia:
- Diclofenac 100mg PR (effective for 16 hours)
- Diclofenac 50mg PO TDS (max 150mg in 24 Hours)
- No NSAIDS antenatally
- Paracetamol 1g PO QDS
- Tramadol 50mg PO TDS
- Pethidine 50 - 100mg IM 4 - 6 hourly
- Oxycontin 10mg PO BD / Oxynorm 5 - 10mg PO PRN/QDS
Stemetil - 12.5mg IM
Ferrinject 1g in 250ml NS 0.9%
Betamethasone 12mg IM x 2 doses
Colpermin 1 - 2 TDS
Topical PRN/QDS
Any questions do not hesitate to ask the Midwives/ SHOs/ Regs