Learning Objective 1: identify factors that are associated with stable and unstable Antepartum clients
Learning Objective 2: classify Antepartum clients as "stable" or "unstable" congruent with the operational definition, then apply ACOG nurse ratio guidelines.
Given the complex nature of FHM, it is imperative that appropriate nurse/patient ratios are established for clients on continuous FHM. However, no specific guidelines exist. According to the American College of Obstetricians and Gynecologist (ACOG), the recommended nurse-to-patient ratio for high-risk obstetric client is 1:3 with complications but in "stable" condition, and 1:6 without complications (Perinatal Care, 2007;Schofield, 2003). Clarification is needed regarding an operational definition of "stable" to effectively apply the ACOG ratio guidelines. In addition, the impact of FHM on nursing time must be factored into ratio determination to ensure adequate monitoring, including troubleshooting and interpretation.
The purpose of this study was to determine an operational definition of "stable" as it relates to high-risk Antepartum clients. Using Constructivism as the theroetical framework, a definition of stable was constructed using expert practitioners at FMC, as well as medical literature and professional organizations.
The outcomes of this study will provide the Antepartum UCIC with some guidance when determining staffing policies and use of FHM.
See more of: Evidence-Based Practice Sessions – Oral Paper & Posters