14. Risk factors in this pregnancy Definitions Instructions Sources Key words/Abbreviations Look for designation in maternal q. Renal (Kidney) Disease Click yes or no 1st Prenatal Care Record under record of: Problem list or—initial risk assessment If the record indicated that the Renal disease Complications patient has renal disease and high Kidney disease Maternal medical condition blood pressure the proper Acute renal failure or that involves her kidneys 2nd Labor and Delivery Nursing designation is listed under insufficiency Admission Triage Form hypertension Chronic renal failure of under insufficiency Admission chief Fetal congenital kidney Proteinuria without complaint abnormalities should not be listed hypertension Comments here Nephritic syndrome Medications Renal transplant Maternal congenital kidney 3rd Admission H&P under abnormalities affecting Admission chief pregnancy complaint Current pregnancy history Problem list/findings Past medical history 4th Delivery Record under Maternal OB/labor summary Labor and delivery admission history Labor summary record
14. Risk factors in this pregnancy Definitions Instructions Sources Key words/Abbreviations q. Renal (Kidney) Disease Maternal medical condition that involves her kidneys Click yes or no If the record indicated that the patient has renal disease and high blood pressure the proper designation is listed under hypertension Fetal congenital kidney abnormalities should not be listed here 1st Prenatal Care Record under Problem list or—initial risk assessment Complications 2nd Labor and Delivery Nursing Admission Triage Form under Admission chief complaint Comments Medications 3rd Admission H&P under Admission chief complaint Current pregnancy history Problem list/findings Past medical history 4th Delivery Record under Maternal OB/labor summary Labor and delivery admission history Labor summary record Look for designation in maternal record of: Renal disease Kidney disease Acute renal failure or insufficiency Chronic renal failure of insufficiency Proteinuria without hypertension Nephritic syndrome Renal transplant Maternal congenital kidney abnormalities affecting pregnancy
Guide_MPM_BC_Facility_Worksheet_Guidelines.10.14.docx