Health Care Team Lead

Ultrasound Laboratory Patient Education Procedure Room Scrub room Recovery room Follow-up General duties Ultrasound An Ultrasound must be done on every patient before an abortion is performed.

This is done to determine exactly how many weeks pregnant the patient is and to determine for the physician how they will perform the procedure.

if the physician is male, one female member of the clinic staff must assist him in the ultrasound room The person performing the ultrasound does not have to be a physician but must have training from a reputable educational institute or from a licensed physician.

1.

Any charts with an ultrasound reading of 12.0 weeks and above must be taken to the front desk for approval.

2.

If needed, one clinical staff member should be in the lab during ultrasounds to run a pregnancy test after the ultrasound and ensure all consent forms are signed.

Indications are as follows: a.

Ultrasounds indicate "NV" (not visible) must run a 2-minute pregnancy test.

Record results on the chart.

i.

If results are positive, counsel on early warnings and ectopic pregnancy and have the patient sign Early Warning consent.

ii.

If results are negative patient may NOT be pregnant.

Advise the patient to seek a further evaluation with her own OB/GYN.

Regardless of pregnancy test results or option selected, "Ectopic/Early Warning Consent" must be signed.

b.

Ultrasound indicated patient is 15.0 to 19.6 weeks patient's procedure may be a 2-day procedure.

Laminaria will be inserted on day one.

The patient will return on day two (at clinic time) to have the procedure.

A completed "Laminaria Consent" must be signed by the patient.

3.

After each patient has completed their labs and, ultrasound a member of the clinical staff will check charts for completion of signatures, and medical information is complete.

Laboratory 1.

Take the patient's vital signs: blood pressure, temperature, respiration, pulse, and weight.

Record values on the chart.

Circle abnormal values in red and notify RN and MD.

2.

Review demographics and medical history with the patient.

a.

Ask the patient if they have any illnesses: i.e., Rheumatic Fever, DIC (disseminated intravascular coagulation), or hemophilia.

b.

Ask if the patient has any food or drug allergies.

If yes, flag the chart with "allergic" to the sticker; place the sticker on the left side of the chart.

c.

Ask the patient if she is taking any medications.

Ensure medications are documented on the chart and nothing is left blank.

d.

Ask the patient if she would like a form of birth control such as a pill, vaginal insert, or Depo.

Document on the chart under "Contraception" 3.

Prick the patient's finger.

a.

Using a lancet, prick a finger and obtain blood in micro cuvette, and place it in hemoCue hb 201 machine to get hemoglobin count.

Record the reading on the AB lab sheet in the hematocrit column for that patient.

Circle abnormal values in red and notify RN of values under 10.

b.

Place 1 drop of Anti-D on the glass slide and t...