Documentation Guidelines

• Physical responses: Amount of blood loss, location of bleeding; fluid intake and output; condition of skin (oozing of puncture sites, bruising, petechiae); vital signs, including hemody-namic monitoring results if appropriate; patency of airway and adequacy of gas exchange

• Response to therapy: Fluid replacement; blood component therapy; heparin

• Laboratory findings: Coagulation profile

• Signs and symptoms of systems complications: Hemorrhage, hypovolemic shock, transfusion reaction

• Condition of newborn if recently delivered

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