Table 4:

Percent of Nurse Participants Who Reported Care Frequently or Always Missed by Item (N=669)

Item/Scale	Frequently or Always missed
1. Assess effectiveness of medications	50%
2. Check bladder status/voiding needs every 2 hours	48%
3. Assess pain status every hour	55%
4. Thorough review of prenatal records	55%
5. Patient teaching about procedures, tests, and other diagnostic studies	51%
6. Medications administered within 30 minutes before or after scheduled time	50%
7. Administer oxytocin as per orders or protocol	49%
8. Response to call light is initiated within 5 minutes	49%
9. Emotional support to patient and/or family	50%
10. Patient bathing, skin care, or pericare	48%
11. Recognize and respond to indeterminate (Category II) or abnormal (Category III) FHR changes within 15 minutes	47%
12. Recognize and respond to excessive uterine activity within 20 minutes	47%
13. Recognize and respond to new maternal complications within 10 min (e.g. hypertension, bleeding)	48%
14. Focused reassessments according to patient condition (e.g., fetal heart rate and uterine activity assessment every 15 minutes for women receiving oxytocin for labor induction or augmentation)	49%
15. Real-time or near real- time documentation of maternal-fetal assessments during labor, birth, and recovery	63%
16. Patient teaching about signs and symptoms, when to call after discharge from obstetric triage	46%
17. Monitor intake and output	57%
18. Provide skin-to-skin mother-baby care immediately after birth	49%
19. Assess vital signs as ordered, or per protocol	50%
20. Provide thorough patient handoff	51%
21. Hand washing	48%
22. Breastfeeding within 1 hour after birth for women who are breastfeeding	49%
23. Recovery care consisting of 2 hours of every 15 minute maternal assessments and 2 hours of every 30 minute newborn assessments	49%
24. Notification of physician or nurse-midwife in a timely manner to attend birth	47%