CHAMBERLAIN COLLEGE OF NURSING NR 327 Antepartum/Intrapartum ISBAR

Name:__Sabrina Birch_________ Your Title:_Student Nurse___ Reason for Being There:__ATI Scenario Date: _2/27/18 Time: 1024 S Patient initials: TA Age: 38 G_1___T__0__P__0__A__0__L__0__ EDC: april 20th LMP: 08/13 Gest. Age: 11 weeks Singleton x Twin Other Reason for admit: first prenatal visit Fetal movement: present Membrane status: Intact Ruptured Date: Time: Fluid color: Allergies NKDA Attending Physician: Michael Bockman B Previous pregnancies Year Type of delivery Labor Length Complications Current pregnancy Prenatal care: yes GBS status: pos neg Breast feeding: no Labs: CBC, BMP, HBA1C, Urinalysis, Blood type and screen, RPR, Rubella titer, Hep B, Gonorrhea culture, HIV, Sickle cell, Pap smear Complications: Gestational Diabetes Past Medical History: Hypertension, Obesity Social History: history of smoking Family Support: Husband Home Medications: Prenatal vitamins A Vital Signs: TIME TE