implications for this study was implementation of a comprehensive educational plan for all obstetric nurses, incorporating the MFTI into the new workflow and a two-week trial run to be completed on both shifts to assess for barriers. The result of this study stated that the mean wait time was significantly decreased by 5.7 minutes. Since implementation, all patients identified as priority one–stat were in a direct 1:1 nursing care assignment within 10 min of presentation to the unit. Because there was no method to identify these patients before implementation, they were unable to compare timeliness of care.In conclusion, all these studies had one major goal, to create better outcomes for mother and baby and improve overall satisfaction of the obstetric triage process. Hospital-based obstetric units are urged to collaborate with emergency departments and hospital ancillary services, as well as emergency response systems outside of the hospital, to establish guidelines for triage of pregnant women. The results indicated that a humanizing, caring approach by the inter-professional team offering obstetric triage services contributed to women’s satisfaction and woman-centered care.Implementation of the MFTI through a collaborative team approach in a rural, community hospital helped nurses objectively identify obstetric patients' risk and prioritize care. Efficiency of assessment was improved by 15.3 min, exceeding the target of 10 min from
Obstetric Triage in the Emergency Department 7patient arrival to priority index assignment. Case study discussions in group meetings and individual coaching increased nurse accuracy to 100% in assigning the priority score. Overall, this standard approach for triaging obstetric patients has improved interdepartmental communication, nurse–provider communication, and the quality of care delivered to patients. The use of the MFTI allows for the clear and rapid identification of potentially emergent patientsso that care can be as timely as possible to prevent maternal and fetal complications.
Obstetric Triage in the Emergency Department 8ReferencesACOG. (2016, July). Women's Health Care Physicians. Retrieved February 2, 2020, from -Opinions/Committee-on-Obstetric-Practice/Hospital-Based-Triage-of-Obstetric-Patients?IsMobileSet=falseCAPWHN. (2014, October 3). PPT. London.Evans, M. K., Watts, N., & Gratton, R. (2015). Women’s Satisfaction With Obstetric Triage Services. Journal of Obstetric, Gynecologic & Neonatal Nursing, 44(6), 693–700. doi: 10.1111/1552-6909.12759Murray, A., & Danford, L. (2019). Improving Efficiency and Effectiveness of Obstetric Patient Triage Through Use of the Maternal Fetal Triage Index (MFTI) in a Rural Community Hospital. Journal of Obstetric, Gynecologic & Neonatal Nursing, 48(3). doi: 10.1016/j.jogn.2019.04.180Richter, A., Brennan, C., & Sogn, G. (2019). Implementation of a Contemporary Model for Obstetric Triage Using AWHONN’s Maternal Fetal Triage Index. Journal of Obstetric, Gynecologic & Neonatal Nursing, 48(3). doi: 10.1016/j.jogn.2019.04.167
You've reached the end of your free preview.
Want to read all 8 pages?
- Fall '20
- Health care provider, triage