First and foremost, I would acquaint myself with Diane’s flowchart and learn the process that’s already in place. I would take a few days or weeks to study her inputs and the process flow. After I get a clear and concise understanding, then I would suggest improvements if any. The process in place right now is very well maintained, however different Labor and Delivery (L&D) floors on which facilities for operations and normal delivery are scattered. In case of emergency the delivering mother has to be shifted many times from different floors, rooms, and facilities. This process can risk critical time and also utilize excessive man power. One suggestion is to assign one entire floor or wing of the facility exclusively for L&D operations. This would minimize any unnecessary movement of delivering mothers; floor 8 would be adequate since that’s where the triage process starts for the mother.
Patients who are expected to have a cesarean or surgery may bypass the in between steps and jump from step 1 to step 7. In essence, step 7 would become step 2 as the mother would already be pre-registered and ready for the cesarean or operation. Once the operation is complete with no complications, then step 6 would be next. After monitoring the mother and newborn without any complications, finalize with step 8. Following this process would prevent the mother to have to go back to any other steps in the flowchart.
If expecting mothers could pre-register prior to arrival, this would minimize the long process immensely. Pre-registration should become mandatory for all expectant mothers, whether that means registering during the third trimester, electronically, or by phone. Then the order would change with step 3 now becoming step 1, since they would already be registered, and all other steps following. If all registration is completed prior to the delivery date, this would... [continues]
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