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Obstetrical#postpartum#discharge#dot-phrasesPGY 1/2/3/4

Postpartum Discharge Workflow

Order reconciliation, Lovenox by VTE, HTN flowsheet + BP cuff, patient instruction dot phrases, D/C summary timing.

Source: OB Days handoff

Discharge tab → order reconciliation:

  • Tylenol, ibuprofen, Colace, ± oxycodone (for C/S).
  • Lovenox: make sure VTE calculator score is filed. Adjust to number of days recommended (3 weeks = 21 days, etc.). Dosage depends on BMI.
  • Be sure you have the right pharmacy. Can call into patient’s room: 681-53XX (XX = patient’s room number).

Hypertensive disorders (GHTN, PreE w/o SF, PreE with SF, chronic HTN) have special discharge tasks:

  • MyChart gestational hypertension flowsheet
  • Nursing communication: “BP cuff prior to DC”
  • Blood pressure monitor
  • Patient instructions: .HTNPOSTPARTUMREMOTE

Patient instructions (can steal from Hannah):

  • .HCKDCCSECTION
  • .HCKDCCSSPAN
  • .HCKDCSVD
  • .HCKDCSVDSPANISH
Sign the discharge order (… yes at 7 AM if you can). You can sign them even if you don’t know about baby — can always take it out later if there’s an issue.

D/C summaries:

  • Need to be completed within 24–48 hours.
  • Change the date of service at the top to actual day of D/C.

Referenced by handoffs