Types of beds

Other resources

Labs

Imaging

Recording in the stab room

Sign outs

Asthma

Chest Pain

Overdose

Renal Patients

Seizures

Vaginal Bleed

Wound Care

• History
  
  
  1. Get a full obstetric history including LMP, sexual history, history of STD’s, and any birth control being used.
      
  2. Amount of vaginal bleed in # of tampons or pads used in a day.
      
  3. Last Pap smear.
      
  4. Any urinary symptoms.
     
     
• Work-up
  
  
  1. pelvic exam – we do GC/Chlamydia amplification during almost all pelvic examinations, these will come back in 48 hours. ED wet prep will come back in about 30 minutes. Pelvic examinations need to be supervised by a senior resident or staff and a nurse needs to be present.
      
  2. U/A and UPT. If they have a uterus they need a UPT. If there is significant bleeding the U/A should be a catheterized specimen and sent for culture if abnormal or patient symptomatic.
      
  3. Pregnant Vaginal Bleed – type needs to be done unless they have a prior type at HCMC, call the blood bank.