The CIMFH (Colorado Institute of Maternal and Fetal Health)
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Version 1.0. September 2017
Obstetric Anesthesia Division. Department of Anesthesiology and Perioperative Medicine. Augusta University. Quick Guide.
Where will you find postpartum hemorrhage drugs ( Hemabate®, Methergine® and Cytotec®)?
o Notify the OR nurse and she will get them from Pyxis
o Check and voice contraindications for Hemabate and Methylergonovine during time-out.
Where is the Intralipid®?
o In the bottom drawer of the epidural anesthesia cart.
o Check expiration dates.
Where are the Glidescope video laryngoscope and difficult airway box?
o We have 2 Glidescopes. One is in OR-1 and the other in OR-3.
o They must remained connected all the time.
Arterial line pressure transducer set-ups are where?
o In the OR-3 anesthesia cart.
Where will you find a Level 1 and its disposables?
o On top of the difficult airway cart in OR-3 behind the anesthesia machine.
o See attached instructional video to learn setup.
Where are IV fluids and blood tubing for additional IV starts?
o In the anesthesia cart in OR-3.
Where are your spinal and epidural trays and extra spinal needles?
o Spinal kits and epidural are in OR-3 by the anesthesia machine.
o Additional epidural needles and catheters and spinal needles are in the drawer of the accessory table between the anesthesia cart and the anesthesia machine in OR-3. They are also stocked in the workroom where the epidural cart is.
o The epidural cart has epidural trays in it.
o NEVER LEAVE UNATTENDED MEDICATIONS (This includes but is not limited to anesthesia cart in OR, anesthesia machine and epidural cart).
Where will you find Dantrolene and MH supplies? Version 1.0. September 2017 o MH cart is in OR first floor across OR-23 before equipment storage room.
o Dantrolene is in a refrigerator in PACU next to medication dispensing machine.
What is my responsibility for the epidural carts?
o Be sure that they are stocked appropriately. That includes local anesthetics, extra spinal needles, IV supplies, emergency airway equipment and drugs. Code is 5-3-1.
Where are fire extinguishers?
o Between OR 2 and 3.
Where do I find Ambu bags in the O.R. and in the Labor and Delivery Rooms (LDRs)?
o On the Anesthesia machines in the operating room and behind the bed in the LDR.
Where is the difficult airway cart?
o Behind anesthesia machine in OR-3.
Where is the Code cart and the Hemorrhage cart?
o Call the charge Nurse on each floor if you need it.
What is the protocol for managing a PPH called and what does it provide?
o The massive transfusion protocol for OB hemorrhage is activated by notifying the OR nurse who will call blood bank (extension 1-2731.
Where will I find a stethoscope?
o Hanging on the anesthesia machines in the ORs.
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