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Marion County Psych Crisis Center

PCC. Marion County Psych Crisis Center. Labor and Delivery. PCC Location. 1073 Oak Street Between the Family Birth Center (brick building after Center for Outpt Medicine) and the Salem Hospital Psychiatric Unit Small building Very limited parking. Shift Hours. Tuesdays 1500-2200

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Marion County Psych Crisis Center

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  1. PCC Marion County Psych Crisis Center Labor and Delivery

  2. PCC Location • 1073 Oak Street • Between the Family Birth Center (brick building after Center for Outpt Medicine) and the Salem Hospital Psychiatric Unit • Small building • Very limited parking

  3. Shift Hours • Tuesdays 1500-2200 • All other days 1500-2300 • Consider walking out with someone else or calling hospital security

  4. What to wear • No uniform! • Must have CCC photo ID • Nice jeans ok • Shirt with collar • Comfortable shoes

  5. What to bring • Verification form • Pen • Something to write on • Mental status assessment guide (optional) • Something to study during down time • Dinner or money

  6. How to write PCC chart • Do S-O-A-P chart • Subjective Past Medical History Current complaint General status, if known

  7. Objective – Behavioral Response • Describe physical appearance • Orientation • Psychomotor • Verbal • Social behavior • Mood and Effect

  8. Objective – Cognitive level • Intellectual functioning • Insight • Judgment • Memory • Thought content

  9. Labor and Delivery • Salem Hospital – go directly to unit, don’t meet in lobby • Silverton Hospital • Patient permission • There to observe • Be helpful to staff • Shifts are 12 hours • Hospital Scrubs

  10. Meds and allergies • This info is on mom only

  11. Charting – Mom • Subjective Mom’s age Due date (EDC) and Gestational age (EGA) Gravida, Para, TAB/SAB When prenatal care started Attended birthing classes? Coach/support person Height/weight and vital signs Last oral intake

  12. Charting – Mom • Subjective Substance abuse? Herpes? Smoker? Abuse (sexual/emotional/physical) Pregnancy history – current and past

  13. Charting - Mom • Objective Heart/lungs Abdomen (note fundal heighth) Extremities Reflexes Any noted abnormalities

  14. Charting – Actual delivery • Pertinent info can be charted in flow chart Membranes intact? When ruptured? Vaginal bleeding? Fetal heart tones (FHT) and where heard

  15. Charting - Baby • Can do in the flow chart section Time of birth Gender, weight, length Any resuscitation done What initial exam revealed Apgar score

  16. Problems • Call Rhonda if any issues Pager 503.918-6128 Cell 503.580-8871 Home 503.868-7374 • OK to start IVs when in OB • If intubation opportunity for tubal ligation, OK with permission of anesthesiologist • Do not ask permission to intubate C Sections

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