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Knowledge Base for First Trimester Nursing
This list is intended to benefit all staff/volunteer nurses in our setting. It does not include the added knowledge one needs to perform limited ultrasound exams. As this model has developed, we are learning that many aspects of our patient care are unique to our setting. Except in a fertility clinic, most obstetrical nursing is focused on the second and third trimesters. Because we are focused on caring for patients in the decision-making phase of pregnancy (often first trimester), we need to become specialists in the aspects of nursing that will be of greatest benefit to our patients. In many ways we are developing a new specialty that we call a "First Trimester Nursing Specialty." Listed below is a rudimentary list of topics nurses should consider in a pregnancy help clinic. Note: This list is intended to benefit all staff/volunteer nurses in our setting. It does not include the added knowledge one needs to perform limited ultrasound exams., Female Reproductive Anatomy and Physiology A. Normal/abnormal physiology B. Pregnancy physiology
Birth control pills
Sexually Transmitted Diseases Know signs/symptoms STDs and testing related to abortion/future reproductive health STDs and ectopic pregnancy risk Abortion Techniques Which techniques are currently done in your area How to assess for laminaria removal Pregnancy Testing Understand action and accuracy of pregnancy test Know reasons for incorrect results Assess for accuracy of test result/need for retest Medical Risk Management Utilize trained nurses for phone triage Have charting guidelines and train all staff/volunteers in charting procedures Maintain phone log for medical advice given Follow assessment tools to determine abortion vulnerability- refer women who are not your focus. Community Resources Know the system and agencies in your area Know people for referrals
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