Creating a Highly Reliable Perinatal Service Natividad Medical Center Salinas, Ca. Multidisciplinary team at morning hand off. Communication- our quest is to be a team that has a shared understanding of what is going on.
at morning hand off
Sets the tone for the day
Discuss procedures, unexpected changes in the care process
Everyone knows the game plan, we are on the same page
Make sure the situation is owned by the entire team
The team includes oncoming and outgoing Family Medicine and OB, residents, L&D RNs, The L&D Charge RN and the Mother/Baby Unit charge RN
Talk about next steps
Encourage ongoing monitoring & cross-checking: it’s everyone’s responsibility to maintain situational awarenessFormal Briefings at Designated Times
Off going 2300
RN – L&D
Charge RN – L&D
OB physician 2300
On for 24 hrs
Even the private physicians attend board rounds and report on their patients.
We are all on the same page
Keeps track of each member that attends board rounds on their patients.
Documents the category of each strip reviewedLabor and Delivery Charge RN
Our champion – Dr Peter Chandler