Final answer:
A Registered Nurse (RN) ensures intrauterine resuscitation by positioning the mother, administering oxygen and IV fluids, monitoring, and communicating effectively with the healthcare team. Following protocols and checklists, similar to those used in ICU settings, is also critical.
Step-by-step explanation:
To ensure intrauterine resuscitation, there are several steps that a Registered Nurse (RN) should take. These steps are crucial for securing the health and safety of both the mother and the fetus during emergency situations where fetal distress is suspected.
- Positioning the mother: The RN should help the mother into a left lateral position, improving blood flow to the uterus.
- Oxygen administration: If approved by the physician, providing the mother with supplemental oxygen can help increase the fetal oxygen supply.
- Fluids and medications: Administer IV fluids to the mother to improve blood volume and circulation, and give any medications as ordered by the physician to alleviate potential causes of fetal stress.
- Monitoring: Continuously monitor the fetal heart rate and uterine contractions, and be prepared to relay any changes to the physician.
- Communication: Keep the mother informed, maintain a calm environment, and communicate effectively with the rest of the healthcare team.
It is also important for the RN to follow established protocols and checklists, similar to the method proposed by Dr. Pronovost for ICU doctors using a checklist. The RN should also ensure that all procedures have been correctly documented, including counts of needles, sponges, and instruments; proper labeling of specimens; and that any issues with equipment are addressed.