Women and Newborn Health Service
Health Professionals
King Edward Memorial Hospital
O&G Clinical Guidelines Section A
Obstetrics & Gynaecology
6. Management of the Bladder and Urinary Drainage Apparatus
Preface
1. Standard Protocols
1.1 Standing Orders for Midwives/Nurses - Key Points
1.1.5 Ordering an Anatomy Ultrasound Scan
1.1.7 Ordering Group B Streptococcus Antenatal Screening
1.1.8 Ordering of Routine Antenatal Tests
1.1.9 Ordering of Cord Blood Group
1.1.10 Ordering of a Kleihauer for Postpartum Women
1.1.11 Ordering of Postpartum Full Blood Picture for Haemoglobin Levels
1.1.12 Referral of Women to the Department of Psychological Medicine
1.1.14 Ordering of Low Vaginal Swabs for Microscopy, Culture and Sensitivity
1.1.15 Ordering of High Vaginal Swabs for Microscopy, Culture and Sensitivity
1.1.16 Ordering of Endocervical Swabs
1.1.17 Ordering of Mid-Stream Urine for Microscopy, Culture and Sensitivity
1.1.18 Ordering of Spot Urine Protein: Creatinine Ratios
1.1.19 Ordering of Urea and Electrolytes, Uric Acid and Liver Function Tests
1.1.20 Ordering of a Full Blood Picture
1.1.21 Ordering of a Blood Group And Hold
1.1.22 Ordering of a Kleihauer By Midwives Working in the Maternal Fetal Assessment Unit
1.1.23 Ordering of a C Reactive Protein (CRP)
1.1.33 Ordering Hba1c for the Antenatal Woman
1.1.34 Ordering of Full Blood Picture, Blood Group and Hold and BhCG in Emergency Centre
1.1.35 Ordering of Full Blood Picture in Adult Special Care Unit for Gynaecology Women
1.1.36 Ordering Urea and Electrolytes in Adult Special Care Unit for Gynaecology Women
1.2 Standard Protocol for all Nursing / Midwifery Clinical Care
1.3 Communication Guidelines and Flowchart
1.4 Hand Hygiene
- Major aseptic procedure
- Minor aseptic procedure
1.6 Use of graduated compression stockings
1.9 Management of Women who have RhD Negative Blood Group
1.9.1 Blood group and antibody screening
1.9.2 Kleihauer Test
1.9.3 Rh D Immunoglobulin
2. Patient Administration
2.1.1 Patient with Same / Similar Names
2.1.2 Baby Identification
2.3 Privacy
2.4 Notification of Patient Accidents and Incidents
2.6 Patient movement
2.6.1 Guidelines for Obstetric Registrars Receiving External Phonecalls
2.6.2 Policy for Private Obstetricians with Admitting Rights for Private Patients at KEMH
2.6.3 Patient Admission and Booking Procedure
2.6.4 Admission of a Patient
2.6.4.1 Nursing Care and Assessment
2.6.4.2 Notification - Medical Officers
2.6.5 Born before Arrival - Admission Procedure
2.6.6 Transfer of a Patient
2.6.6.1 Transfer of a Patient to Agnes Walsh Lodge / House
2.6.6.2 Transfer of a critically unwell patient and records to an ICU at another Hospital
2.6.7 Discharge of a Patient
2.6.7.2 Midwifery / Nursing Considerations
2.6.7.3 Discharge Against Medical Advice
2.6.9 Referrals
2.6.9.1 Visiting Midwifery Service (VMS) Referrals
2.6.9.2 VMS When There is Known Aggression or Domestic Violence
2.6.9.3 VMS for Women Identified as Complex Care
2.6.9.4 VMS Guidelines for the Readmission of a Baby / Babies to KEMH
2.6.9.5 Psychological Medicine
2.6.9.6 Social Work
2.6.9.7 Dietitian
2.6.9.8 Physiotherapy Referrals
2.7 Relinquishment for Adoption
2.9 On-call Responsibilities of KEMH Obstetric and Gynaecological Consultants
2.10 Guidelines for Consultant Responsibilities in ASCU KEMH
2.11 Pressure ulcer prevention
2.12 Falls Prevention at King Edward Memorial Hospital
3. Medications - refer to Section P
4. Parenteral Therapy
4.1 WA Policy for Use of Intravenous Potassium Chloride
4.2 Intranvenous Therapy
4.2.1 Insertion of a Peripheral Intravenous Cannula
4.2.2 Intravenous Catheter Insertion by Registered Midwife/Nurse
4.2.3 Montoring/dressings of a Perpheral Intravenous Site
4.2.4 Sodium Chloride 0.9% Flush of a Cannula
4.2.5 Changing Intravenous Administration Set
4.3 Peripheral Intravenous Central Catheter (PICC)
4.3.1 Insertion of a PICC
4.3.2 Monitoring Dressings of a PICC Site
4.3.3 Flushing PICC
4.3.4 Changing an Administration Set on a PICC
4.3.5 Removal of a PICC
4.4 Central Venous Catheter (CVC)
4.4.1 Insertion of a CVC
4.4.2 Monitoring/Dressings of a CVC Site
4.4.3 Flushing a CVC
4.4.4 Changing Intranvenous Administration Set
4.4.5 Removal of a CVC
4.5 Arterial Line
4.5.1 Insertion of an Arterial Line
4.5.2 Monitoring/Dressings of an Arterial Line
4.5.3 Sodium Chloride 0.9% Flush of an Arterial Line Site
4.5.4 Changing Arterial Line
4.6 Calculating an Intravenous Infusion Rate
4.7 Measuring Central Venous Pressure
4.8 Electronic Infusion Devices
4.9 Enrolled Nurses And Intravenous Therapy
4.10 Implanted Vascular Access Port (IVAP)
4.10.1 Needling an Implanted Vascular Access Port (IVAP)
4.11 Total Parenteral Nutrition (TPN)
4.12 Blood Transfusion Medicine
5. Vaginal Procedures
5.1 Vaginal Examination
5.2 Specimen Collection
5.2.1 Speculum Examination
5.2.2 Low Vaginal, High Vaginal, Endocervical and Rectal Swabs
5.2.3 Papanicolaou (Pap) Smear
6. Management of the Bladder and Urinary Drainage Apparatus
6.1 Collection of a Midstream Urine Specimen
6.2 Intermittent Catheterisation
6.2.1 Self Catheterisation
6.3 Indwelling Catheters
6.3.1 Insertion of an Indwelling Urinary Catheter
6.3.2 Ongoing Management Following Insertion of Catheter
6.3.2.1 Emptying a Urinary Drainage Bag
6.3.2.2 Blockage of a Urinary Catheter
6.3.3 Collection of a Catheter Specimen
6.4 Care of Supra Pubic Catheter
7. Wound Care
7.1 Dressings
7.1.1 Simple Dressing
7.1.2 Removal of Sutures
7.1.3 Removal of Staples
7.2 Wound Drains
7.2.1 Wound Drainage Systems
7.2.2 Shortening of Drainage Tubes
7.2.3 Removal of Drainage Tube
7.2.4 Removal of Vaginal Drain
7.3 Wound Suction
8. Death
8.2 Sudden and Unexplained Death - Including Maternal Death
8.3 Care of the Deceased Adult Patient
8.4 Perinatal Death
8.5 Care for the Deceased Baby
8.5.1 Contact and Management of the Deceased Baby – Registered and Unregistered
8.6 Funeral Arrangements for Deceased Babies
8.7 Assisting Parents with Death and Dying
8.8 Baptism
8.9 Release of Body
9. Contraception
9.1 Barrier Methods
9.3.1 Progestogen Only Pill
9.3.2 Combined Oral Contraceptive Pill
9.5.1 Insertion of an Implanon Implant
9.5.2 Non Routine removal of an Implanon Implant
9.6 Sterilisation
9.7.1 Post partum contraception
9.7.2 Emergency Contraception
10. Isolation
10.1 Isolation precautions for the woman with varicella zoster
10.2 Isolation precautions for the Woman with Viral Haemorrhagic Fever
10.3 Isolation precautions for the woman with SARS
10.4 Isolation Precautions for the woman with Measles
11. Emergency Procedures
11.1 Anaphylaxis
11.2 Basic Life Support - Adult
11.3 Advanced Life Support - Adult
