Hey everyone! I work at a hospital that does 4,000 deliveries a year (give or take). Right now, our only “protocol” is “bring all the procedure in at any cost, and figure it out”. This includes both medically indicated and elective inductions and cesarean sections, with some versions and cerclages as well. There is no tool for unit acuity and staffing. When we have to bump procedures, we are only “allowed” to bump electives. A procedure listed as “medical” can vary in acuity from severe pre-e on mag with twins to “post dates” at 40+1. Obviously, those are not the same acuity, but we have no type of triage or prioritization system to say hey one person needs to come now and the other should come tomorrow. We can only bump medical procedures with the approval of the OB and unfortunately, the OB is the one who chooses the new date. So if we had lots of room on the schedule for a weekend, it’ll get pushed off into the next week anyway (compounding the problem) because the OB does not want to come in. Our hospital has plenty of weekend resources to accommodate many of these things. We also have more and more often been inappropriately assigning these patients and (to no one’s surprise) there has been an increase in adverse outcomes and turnover. So, I was told a few months ago that I could present a new scheduling model and trial it. I found one from Hoag via CMQCC that would help a TON but I’m wondering if anyone else has a triage tool or sample procedure for something like this? I’ve seen terms that define indications as medical vs risk reducing vs elective and I love that, I just need something someone has tried successfully so I can use it as a case study type of deal. Thanks!! Tl;dr: need an acuity based scheduling plan for OB procedures for quite a busy facility that currently flies by the seat of their pants.   submitted by   /u/lizzzdee [link]   [comments]