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Facilitator First Screen: Call Nurse engages with PC

Facilitator First Screen: Call Nurse engages with PC. Please choose the appropriate action: Facilitate Cesarean Section Input Call Team Information Customize System Settings.

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Facilitator First Screen: Call Nurse engages with PC

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  1. Facilitator First Screen: Call Nurse engages with PC • Please choose the appropriate action: • Facilitate Cesarean Section • Input Call Team Information • Customize System Settings

  2. REQUIREMENT: The Facilitator shall remind Team members what actions must be performed to successfully Notify surgical team: surgeon, anesthesia, pediatrician, nurses. REQUIREMENT: The Facilitator shall allow one person to simultaneously summon the entire first call CS Team within 3 minutes of the decision to do a CS • CONFIRM FIRST CALL MEDICAL PERSONNEL • The following medical personnel will be summoned on the first call: • OBSTETRICIAN: Name of Obstetrician 1 (Primary contact #s) • ANESTHESIOLOGIST: Name of Anesthesiologist 1 (Primary contact #s) • NURSE: Name of Nurse 1 (Primary contact #s) • PEDIATRICIAN: Name of Pediatrician 1 (Primary contact #s) CHANGE CONTINUE

  3. REQUIREMENT: The Facilitator shall provide contact information for the medical personnel scheduled to be on call • CHOOSE FIRST CALL MEDICAL PERSONNEL • Please click in the circle next to an individuals name to select or deselect that individual: • OBSTETRICIANS ON CALL • Name of Obstetrician 1 (Primary contact #s) • Name of Obstetrician 2 (Primary contact #s) • ANESTHESIOLOGISTS ON CALL • Name of Anesthesiologist 1 (Primary contact #s) • Name of Anesthesiologist 2 (Primary contact #s) • NURSES ON CALL • Name of Nurse 1 (Primary contact #s) • Name of Nurse 2 (Primary contact #s) • Name of Nurse 3 (Primary contact #s) • PEDIATRICIANS ON CALL • Name of Pediatrician 1 (Primary contact #s) Continue

  4. REQUIREMENT: The Facilitator should include a set of pre-recorded messages to use when summoning the Team REQUIREMENT: The Facilitator shall *appropriately* prompt and permit the charge nurse to enter Initial Summons Data REQUIREMENT: The Facilitator’s pre-recorded messages shall be in simple English • CHOOSE SUMMONS MESSAGE INFORMATION • Please choose the appropriate information to include in the initial summons message: • PATIENT STATUS • Scheduled: Arrive within 20 min • Urgent: Arrive within 15 min • Crash: Arrive within 10 min • PATIENT NAME {Type block} • REASON FOR CS • Reason 1 • Reason 2 • Reason 3 • Other: {Type Block} • PATIENT LOCATION • Location 1 • Location 2 Continue

  5. REQUIREMENT: The Facilitator shall remind Team members what actions must be performed to successfully notify surgical team • CONFIRM FIRST CALL PERSONNEL AND MESSAGE • Click on the circle next to information in order to select or deselect it: • TEAM • Name of Obstetrician • Name of Anesthesiologist • Name of Pediatrician • Name of Nurse • PATIENT STATUS • Urgent: Arrive within 15 min • PATIENT NAME • Jane Doe • REASON FOR CS • Fetal Intolerance • ASSEMBLY LOCATION • OR 1 CHANGE SEND

  6. REQUIREMENT: The Facilitator shall, if summoned team member does not respond affirmatively within 3 minutes of summons, immediately suspend all subsequent summons to the team member, notify the charge nurse, and summon the next corresponding team member. • *******FIRST CALL TEAM NOTIFIED******* • CONFIRM ALTERNATE MEDICAL PERSONNEL • These ALTERNATE medical personnel will be notified in the case that one or more members of the first call team does not respond: • OBSTETRICIAN: Name of Obstetrician 2 • ANESTHESIOLOGIST: Name of Anesthesiologist 2 • NURSE: Name of Nurse 2 • PEDIATRICIAN: None CHANGE CONTINUE

  7. REQUIREMENT: The Facilitator shall store and provide information on alternate team members (2nd call, 3rd call) in the event that one or more individuals on the initial contact list (1st call) is unable to respond • *******FIRST CALL TEAM NOTIFIED******* • SELECT ALTERNATE MEDICAL PERSONNEL • Please click in the circle next to an individuals name to select or deselect that individual: • OBSTETRICIANS ON CALL • Name of Obstetrician 1 • Name of Obstetrician 2 • ANESTHESIOLOGISTS ON CALL • Name of Anesthesiologist 1 • Name of Anesthesiologist 2 • NURSES ON CALL • Name of Nurse 1 • Name of Nurse 2 • PEDIATRICIANS ON CALL • Name of Pediatrician 1 CONTINUE

  8. REQUIREMENT: The Facilitator shall, if a summoned team member does not respond affirmatively within 1 minute of a summons, immediately summon the team member by another means, if available. • *******FIRST CALL TEAM NOTIFIED******* • **Unconfirmed personnel have been summoned by alternate means** • TEAM RESPONSE STATUS • Obstetrician 1: NO RESPONSE • Anesthesiologist 1: NO RESPONSE • Nurse 1: NO RESPONSE • Pediatrician 1: NO RESPONSE • TIME UNTIL ALTERNATES ARE NOTIFIED • 1 min 59 sec CS PREPARATION MENU

  9. REQUIREMENT: The Facilitator shall be capable of receiving responses from Team members confirming that they have received the summons and that they are on the way to the hospital • *******FIRST CALL TEAM NOTIFIED******* • **Unconfirmed personnel have been summoned by an alternate means** • TEAM RESPONSE STATUS • Obstetrician 1: CONFIRMED • Anesthesiologist 1: CONFIRMED • Nurse 1: UNAVAILABLE • *ALTERNATE NOTIFIED* • Nurse 2: NO RESPONSE • Pediatrician 1: NO RESPONSE • TIME UNTIL ALTERNATES ARE NOTIFIED • 45 sec CS PREPARATION MENU

  10. REQUIREMENT: The Facilitator shall be capable of receiving responses from Team members confirming that they have received the summons and that they are on the way to the hospital • *******FIRST CALL TEAM NOTIFIED******* • *******ALTERNATES NOTIFIED AS NECESSARY******* • TEAM RESPONSE STATUS • Obstetrician 1: CONFIRMED • Anesthesiologist 1: CONFIRMED • Nurse 1: UNAVAILABLE • *ALTERNATE NOTIFIED* • Nurse 2: CONFIRMED • Pediatrician 1: NO RESPONSE • *NO ALTERNATE* CS PREPARATION MENU

  11. REQUIREMENT: The Facilitator shall remind team members what actions must be performed to successfully confirm surgical team • TEAM RESPONSE STATUS • Obstetrician 1: CONFIRMED • Anesthesiologist 1: CONFIRMED • Nurse 2: CONFIRMED • Pediatrician 1: NO RESPONSE • *NO ALTERNATE* ASSIGN ROLES CS PREPARATION MENU

  12. REQUIREMENT: The Facilitator shall remind team members what actions must be performed to successfully assign roles and brief surgical team • ASSIGN TEAM ROLES AND RESPONSIBILITIES • No Pediatrician is available. Please reassign standard Pediatrician roles to other team members by clicking on the circle next the appropriate person: • Pediatrician Responsibility 1: • Obstetrician 1: CONFIRMED • Anesthesiologist 1: CONFIRMED • Nurse 2: CONFIRMED • Pediatrician Responsibility 1: • Obstetrician 1: CONFIRMED • Anesthesiologist 1: CONFIRMED • Nurse 2: CONFIRMED CONFIRM ROLES

  13. Team Members Receives Notification Message on PDA System Design Concepts Meet the Requirements Prevent errors Smooth flow

  14. REQUIREMENT26: The Facilitator shall be capable of receiving responses from team members confirming that they have received the summons and that they are on the way to the hospital. Members Receives Notification Message on PDA ALERT! CS is Required Name: Jane Doe ID: 1234567890 Classification : Urgent Location: OR 2 Reason for CS: Fetal Intolerance Arrive within: 15 min Are you available? Initial Summons Data Countdown time to respond 2min 45sec No Yes Scroll & select or Use stylus

  15. If Select “Yes” REQUIREMENT81: The Facilitator shall remind Team members what actions must be performed to successfully Confirm surgical team. ALERT! CS is Required Identity: Angelina Jolie Age: 30 Urgency : Urgent Arrive within: 15 min Location: OR 1 Are you available? Initial Summons Data The system will add you in a Member list. Cancel OK No Yes

  16. If Select “No” REQUIREMENT81: The Facilitator shall remind Team members what actions must be performed to successfully Confirm surgical team. ALERT! CS is Required Initial Info Identity: Angelina Jolie Age: 30 Urgency : Urgent Arrive within: 15 min Location: OR 1 Are you available? Initial Summons Data The system will summon the next personnel. Cancel OK No Yes

  17. 1 minutes After Notification REQUIREMENT66 :The Facilitator shall, if a summoned Team member does not respond affirmatively within 1 minute of a summons, immediately summon the Team member by another means, if available. REQUIREMENT24: The Facilitator shall deliver the Initial Summons Data to the summoned Team members in both text and voice modes. CS is Required Patient’s name is…… Age … Press 1 if available, otherwise…… ALERT! CS is Required Name: Jane Doe ID: 1234567890 Classification : Urgent Location: OR 2 Reason for CS: Fetal Intolerance Arrive within: 15 min Are you available? Initial Summons Data OR No Yes Press 1= Available Press 2= Unavailable

  18. REQUIREMENT64: The Facilitator shall, if a summoned team member does not respond affirmatively within 3 minutes of summons, immediately suspend all subsequent summons to the Team member, notify the charge nurse, and summon the next corresponding Team member. 3 minutes After Notification ALERT! CS is Required Initial Info Identity: Angelina Jolie Age: 30 Urgency : Urgent Arrive within: 15 min Location: OR 1 Are you available? Initial Summons Data 3 minutes has passed. The next alternate personnel was summoned. OK 0min 00sec No Yes

  19. Program Ends Thank you for your cooperation. Good bye 

  20. Confirmation Finishes & Loading Menu Screen Please head to the hospital . Loading Preparation Menu

  21. Team Preparation MenuShow all the information that the member need to know Menu 1.Initial Summons Data 2.Function Specific Data 3.Full Patient Chart 4.Assigned Roles 5.Member Status Assemble Location : OR2 Reminder of the assemble location REQUIREMENT82: The Facilitator shall remind Team members what actions must be performed to successfully Assemble team.

  22. Preparation Menu Basic CS data Role specific data Full chart Assigned Roles Member lists In case of the member want to check the summons data again. Team Preparation Menu 1: Initial Summons Data • Initial Summons Data • Name: Jane Doe • Age:24 • ID:1234567890 • Location:OR2 • Reason for CS: • Fetal Intolerance menu Indicates the which direction to scroll

  23. REQUIREMENT33: The Facilitator shall be able to be programmed to provide customized, function-specific Critical Patient Data. Team Preparation Menu 2: Function Specific Critical Data REQUIREMENT34: The Facilitator shall provide patient briefing data to the surgical team. • CS Data for “Nurse” • Current Medication: None • Allergies: NKDA • Health during pregnancy: • No major problems • Past major illness: None • Contraction interval: X min • Contraction duration: X sec menu

  24. Team Preparation Menu 3: Full Patient Medical Data In case the member want to check the medical data other than their main interest. • Patient Medical Data • Name: Jane Doe • Age:24 / G:2 / P:0 • EGA:37 • Reason for CS: • Fetal tolerance • Current Medication: None • Allergies: NKDA • Health during pregnancy: • No major Problems • Past Major Illnesses:None • Membrance Rupture: • Time/Color/Amount menu

  25. REQUIREMENT83:The Facilitator shall remind Team members what actions must be performed to successfully Assign roles and brief surgical team Team Preparation Menu 4: Assigned Roles. • Assigned Roles • 1. OB Practitioner • Name Initial Role • Dr. • Dr. • 2. Surgeon • Name Initial Role • Dr. • Dr. menu

  26. Team Preparation Menu 5: Member’s Status Make the member maintain better situation awareness • Member Status • 1. OB Practitioner • Name Status_ • Dr. Arrived • Dr. On the way • 2. Surgeon • Name Status_ • Dr. Unavailable • Dr. Not responded menu

  27. Weather delay Power failure. Storms. Floods. Down trees. Traffic signals out. Traffic delay. Accident. Injuries require physician/technician attention. Weather solution Alternative routes to provide redundant pathways to hospital to avoid, possible, flooding, downed, trees, traffic signal outages, traffic delays. Physician / technician call immediately charge nurse to alert backup person if help at accident scene is required. Failures To Prepare Team

  28. System failure Hard drive/device failure. Program crashes. Time out area no signal received. System solution Backup system daily. Automatic save feature of transactions every minute once CS initiated. Continuous real time printout of all transactions communications and processes (teletype). Have redundant computer system ready to take over for down system. Failures To Prepare Team

  29. System failure Program crashes during calling. System solution Nurse resorts to paperback up and calls each person on the team left to notify. Failures To Prepare Team

  30. Human causes Multiple births Multiple Physician/technician illness or unavailable. Human solution Multiple areas that can be readied within 5 minutes to accommodate mother and staff for procedure. Multiple movable patient monitoring devices. Multiple anesthesia carts. Failures To Prepare Team

  31. Human causes Multiple Physician/technician illness or unavailable Human solution Multiple anesthesia packs with all of the types of anesthesia necessary for doctor. Increase cross training of nurses and doctors to increase the resource pool in case of an extreme need case. Failures To Prepare Team

  32. Requirements Discussion • The Facilitator shall remind Team members what action must be performed to successfully Dress/scrub surgical team • The Facilitator shall remind Team members what action must be performed to successfully Address team Activities of Daily Living (ADL)

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