Unique Plan Description: OB Cervical Ripening Balloon Catheter
Plan Selection Display: OB Cervical Ripening Balloon Catheter
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2016-08-29 18:06:22
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 10:20:24
Available at all facilities: Yes

OB Cervical Ripening Balloon Catheter
Vital Signs
	Vital Signs
		Routine labor vital signs
Activity
	Ambulate
		T;N+120
			Comment: Patient may ambulate after insertion of cervical ripening balloon catheter with intermittent auscultation
Diet
	Regular Diet
		T;N+120
			Comment: as tolerated, after cervical ripening balloon inserted and/or no active labor
	NPO
		T;N, After Midnight, Except for Ice
Medications
	Ambien
		5 mg, Tab, By Mouth, QHS, PRN, insomnia
Patient Care
	Vaginal Exam
		T;N
			Comment: prior to administration of cervical ripening balloon catheter. Document Bishop Score
	Fetal and Uterine Contraction Monitoring
		T;N, intermittent or continuous based on the presence of risk factors/CONTINUOUSLY after cervical ripening medication administration and for 15 minutes after removal.
	Notify
		T;N, MWH Only: Provider/Resident to perform bedside US to check for vertex
	Cervical Ripening Balloon Catheter
		T;N, Insert once, by provider
		T;N, remove 12 hours after insertion if catheter has not fallen out
	Foley Catheter
		T;N, Once, Transcervical, to be inserted by provider. Use all silicone foley catheter
	Shower
		T;N, QHS, 1, Dose(s)/Time(s)
			Comment: with chlorhexidine gluconate

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase