Triage staffing:
Now an OB ED with APP dedicated to triage 24/7. Intern still comes to staff with upper level. First NF block: chief staffs with intern when around. PGY-3 steps in subsequent blocks as floor allows.
- •Ask attending re: their staffing/discharge check-in preference.
- •Can ask chief to un-double-scrub to help with triage/L&D.
- •Have consistent person staffing patients (don’t switch).
- •Run triage list throughout night with intern for AM sign-out.
- •For uncomplicated patients, try to get them out in 2 hours.
7 PM and 7 AM — announce “High Alert” patients on the board:
- •TOLAC
- •Concerning Cat II strips
- •Preeclampsia on magnesium (pregnant or postpartum)
- •Breech PPROM
- •Vasa previa / placenta previa
- •Ongoing postpartum hemorrhage protocols / Jada / Bakri / vaginal packing
- •Severe maternal cardiac or fetal cardiac patients with strict monitoring plans