What Is The Workflow On M5 Obstetrical Floor

Labour epidural and vaginal delivery

• start time when enter pt room, finish time is 1 hour after delivery

• if pt delivers when you are on shift, it is your responsibility to finalize the record

• if handover to a colleague, use Provider tab to document handover times/people, suggest outgoing anaesthetist do this just before end of shift

• remember to sign whole chart before handing over case

• we can chart using the Notes function, the drugs section if we give something, and manually chart vitals if we do a top up

• you don’t have to be continuously logged into pt record in iPro; the system will continue the case in the background until an End time is entered

C/S Without Epidural In-Situ

• chart as we would in the main OR

Epidural Converting To Operative Delivery

• suggest here that we finalize the record for the epidural and start a new record for the C/S (or instrumented delivery)

• the history can by copied over so no need to repeat (previous record will appear in the Documents tab)

• the rationale here is that 1) this is a separate event and billable to OHIP separately; 2) for QA purposes will be easier to track C/S at a later date; 3) you can apply a C/S template to speed charting in the new record, but can’t if the record continues as will erase the previously charted epidural

Covering Fellows

• when you review the Fellow billing cards, which should appear in your box, this is the time to log into iPro, unlock that record and add the staff signature

• this process is same as in the main OR