Labor room setting

Most of the rules about working conditions are governed by state laws, but the federal government also has a set of standards. The Federal Labor Standards Act, or FLSA, sets the minimum standards for state wage and hour laws.

1. GUIDED BY: DR.ANJALATCHI VICE PRINCIPAL ERA COLLEGE OF NURSIN G PRESENTED BY: SEJAL SAXENA B.SC NURSING 4 th YEAR ERA COLLEGE OF NURSIN G LABOR ROOM SETTING Equipment/device/instruments

2. LABOUR ROOM The labor room, often known as the Labor Delivery Room (LDR), is the hospital’s most versatile place.. The LDR is created to accommodate all types of deliveries. LDR can be used for women who prefer not to be medicated or who want an epidural. These rooms may also manage minor crises and treatments such as forceps and vacuum births.

3. DEFINITION A labour room Also known as birthing room which is comfortable, furnished for the process of labour and delivery to take place wherein the baby is usually delivered and an hour after delivery if everything is normal or stable mother is shifted to postnatal ward.

4. OBJECTIVES To act as full Factor for 100% institutional delivery rate. Delivery with dignity . To maintain strict aseptic the reduce maternal and Neonatal death. To provide good working atmosphere to the hospital staff.

5. Standardization of setting labor room 4 labor areas with one labor table each, one nursing station, one newborn care area, two toilets and two washing areas

6. Labor areas Each LDR unit should have 4 labor areas with the following specifications: a. Each labor area should be of size 10’X 10’. b. There should be a partition between two consecutive labor areas extending up to the ceiling. The partition should be opaque till 6.5’ and can have glass (optional) for the rest of the height. c. Each labor area should have one labor table (see specifications on page 23). d. Each labor area should have one stool for birth companion. e. Each labor area should have adequate lighting and ventilation. f. Each labor area should have a ceiling/wall mounted fan. g . There should be two curtains, one from each side of the door, extending to the partition walls of the nursing station area.

7. LIST OF EQUIPMENT Bed with mattress/delivery table with leg support string Bed side trolley IV stand S.s.stool Kelleys pad Doppler (fetal heart rate )machine ECG machine with accessories Defibrillator with accessories Resuscitation set for adult Resuscitation set for newborn

8. Continue BMW set GW set Spillage set Eclampsia first aid kit PPH manage kit

9. Continued Dressing trolley with articles Episiotomy set Incisional set EMR drug tray/Crash carts Labor normal delivery set Newborn corner set Focus light Manual suction machine Central suction supply port Oxygen cylinder with accessories Central oxygen supply

10. DELIVERY ROOM PREPARATION To preparations of delivery room is very important in every hospital set-up in order to have it a safe healthy infection free birth it is described below .

11. DELIVERY TABLE SET – UP Handwashing Wear Cap , Gown ,Mask as per the hospital policy Place the sterile delivery set ( pack ) on table delivery trolley or a flat surface that is above the waist level. Maintain asepsis.

12. ASSESSMENT OF LABOUR ROOM LABOUR ROOM Labour table with mackintosh sheet Suction machine Oxygen cylinder with face mask and oxygen concentration 24 hour water supply Waste disposal system In place Privacy in the Labour room

13. ADDITIONAL TRAY Examination tray Bowel with cotton swabs Sterile gloves Antiseptic solution Measuring tape Stethoscope/fetoscope BP apparatus Thermometer Knee hammer Blood and urine collection

14. ASSESSMENT : LABOUR ROOM Emergency drug tray with Oxytocin injection = Oxytocin injection is used to begin or improve contractions during labor. Oxytocin also is reduce bleeding after childbirth.  Diazepam injection = required during labour, diazepam has been used to relieve the anxiety component of pain. Magnesium sulphate injection = Magnesium sulfate is a naturally occurring mineral used to control low blood levels of magnesium. 

15. LABOUR ROOM Watch Protocol Delivery tray Sterile cotton Gauze Curtain Oxygen cylinder Labour table Attach toilet

16. vaginal speculum to spread and hold open your vaginal walls during an exam . Used in gynae OPD For general procedure.

17. ARTERY FORCEPS To hold stay sutures . To clamp bleeding vessels during hemorrhage

18. NEEDLE HOLDERS Grapsing needle at the timeof suturing.

19. SPONGE HOLDER For holding sponge or a Gauze piece for painting the area before operation.

20. THUMB FORCEPS Us ed for grasping, holding or manipulating body tissue.

21. Scissors Straight Straight scissors are used for cutting suture . Curved used for cutting heavy tissue  .

22. CORD TIE used to tie off an umbilical cord when separating the baby from the placenta.

23. GLOVES Gloves help keep your hands clean and lessen your chance of getting germs that can make you sick.

24. CATGUT used for surgical ligatures and sutures .

25. XYLOCAINE LOADED SYRINGES Used to numb an area of your body to help reduce pain or discomfort caused by invasive medical procedures such as surgery, needle punctures, or insertion of a catheter or breathing tube.

26. URINARY CATHETER To empty the bladder in retention of urine. U sed to empty the bladder before or after surgery and to help perform certain tests.

27. RETRACTOR Inspection for suspected rupture of membranes.

28. NEWBORN CARE CORNER Radiant warmer Neonatal Ambu bag Mucus extractor Infant tray with clean cloth Oxygen cylinder Nasal catheter Laryngoscope Pediatric stethoscope