C S DEC ISIO N CONTINUE NORMAL DELIVERY CARE NO TIFY STANDARD PERSONNEL IN ITIAL SU M MONS DATA UPLO ADED W ARD CLERK NO TIFIES ALTERNATE TEAM IN ITIAL SU M MONS DATA UPLO ADED W ARD CLERK NO TIFIES FIR ST TEAM UPDATE TEAM STATUS O BG YN ASSIG N ROLES FIR ST M IN UTE STATUS ALL RESPONDED THREE M IN U TE ALL RESPONDED STANDARD ROLES W ARD CLERK SEND BROADBAND SUMMONS W O RD CLERK NO TIFIES N EXT PERSON SECOND PERSON NOT RESPONDING ! FIRST PERSO N NO T RESPONDING SCRUB/PREPARE TEAM YES NO YES NO NO YES NO YES YES NO PREPARE TEAM SEQ UENCE O F EVENTS
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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. - PowerPoint PPT Presentation
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CS DECISIONCONTINUENORMAL
DELIVERY CARE
NOTIFYSTANDARD
PERSONNEL INITIAL SUMMONSDATA UPLOADED
WARD CLERKNOTIFIES
ALTERNATE TEAM
INITIAL SUMMONSDATA UPLOADED
WARD CLERKNOTIFIES FIRST
TEAM
UPDATE TEAMSTATUS
OBGYN ASSIGNROLES
FIRST MINUTESTATUS ALLRESPONDED
THREEMINUTE ALLRESPONDED
STANDARDROLES
WARD CLERKSEND
BROADBANDSUMMONS
WORD CLERKNOTIFIES NEXT
PERSON
SECOND PERSON NOTRESPONDING !
FIRST PERSON NOTRESPONDING
SCRUB/PREPARETEAM
YESNO
YES
NO
NO
YES
NO
YES
YESNO
PREPARE TEAMSEQUENCE OF
EVENTS
Facilitator First Screen: Call Nurse engages with PC
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:
o OBSTETRICIAN: Name of Obstetrician 1 (Primary contact #s)
o ANESTHESIOLOGIST: Name of Anesthesiologist 1 (Primary contact #s)
o NURSE: Name of Nurse 1 (Primary contact #s)
o PEDIATRICIAN: Name of Pediatrician 1 (Primary contact #s)
System Design Concepts• Meet the Requirements • Prevent errors• Smooth flow
Team Members Receives Notification Message on PDA
ALERT! CS is Required
Name: Jane Doe
ID: 1234567890
Classification : Urgent
Location: OR 2Reason for CS: Fetal Intolerance
Arrive within: 15 min
Are you available?
YesNo
Members Receives Notification Message on PDA
Scroll & select or Use stylus
REQUIREMENT26: The Facilitator shall be capable of receiving responses from teammembers confirming that they have received the summons and that they are on the way to the hospital.
Initial Summons Data
2min 45sec
Countdown time to respond
ALERT! CS is Required
Identity: Angelina Jolie
Age: 30
Urgency : Urgent
Arrive within: 15 min
Location: OR 1
Are you
available?YesNo
The system will add you in a
Member list.
OKCancel
If Select “Yes”REQUIREMENT81: The Facilitator shall remind Team members what actions must be
performed to successfully Confirm surgical team.
Initial Summons Data
ALERT! CS is Required
Initial Info
Identity: Angelina Jolie
Age: 30
Urgency : Urgent
Arrive within: 15 min
Location: OR 1
Are you
available?YesNo
The system will summon
the next personnel.
OKCancel
If Select “No”REQUIREMENT81: The Facilitator shall remind Team members what actions must be
performed to successfully Confirm surgical team.
Initial Summons Data
1 minutes After NotificationREQUIREMENT66 :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.
Press 1= AvailablePress 2= Unavailable
OR
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?
YesNo
Initial Summons Data
ALERT! CS is Required
Initial Info
Identity: Angelina Jolie
Age: 30
Urgency : Urgent
Arrive within: 15 min
Location: OR 1
Are you available?
YesNo
3 minutes has passed.The next alternate
personnel was summoned.
OK
3 minutes After NotificationREQUIREMENT64: 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.
Initial Summons Data
0min 00sec
Program Ends
Thank you for your cooperation.
Good bye
Confirmation Finishes & Loading Menu Screen
Please head to the hospital .
Loading Preparation Menu
Menu
1.Initial Summons Data
2.Function Specific Data
3.Full Patient Chart
4.Assigned Roles
5.Member Status
Assemble Location : OR2
Team Preparation MenuShow all the information that the member need to know
Reminder of the assemble location REQUIREMENT82: The Facilitator shall remind Team members what actions must be
performed to successfully Assemble team.
Preparation Menu
Basic CS data
Role specific data
Full chart
Assigned Roles
Member lists
Initial Summons Data
•Name: Jane Doe
•Age:24
•ID:1234567890
•Location:OR2
•Reason for CS:
Fetal Intolerance
Team Preparation Menu 1: Initial Summons Data
menu
In case of the member want to check the summons data again.
Indicates the which direction to scroll
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
Team Preparation Menu 2: Function Specific Critical Data
REQUIREMENT34: The Facilitator shall provide patient briefing data to the surgical team.
menu
REQUIREMENT33: The Facilitator shall be able to be programmed to provide customized, function-specific Critical Patient Data.
Team Preparation Menu 3: Full Patient Medical Data
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
In case the member want to check the medical data other than their main interest.
Team Preparation Menu 4: Assigned Roles.
Assigned Roles1. OB Practitioner
Name Initial Role
Dr.
Dr.
2. Surgeon
Name Initial Role
Dr.
Dr.
REQUIREMENT83:The Facilitator shall remind Team members what actions must be performed to successfully Assign roles and brief surgical team
menu
Team Preparation Menu 5: Member’s Status
Member Status1. OB Practitioner
Name Status_
Dr. Arrived
Dr. On the way
2. Surgeon
Name Status_
Dr. Unavailable
Dr. Not responded
menu
Make the member maintain better situation awareness
Failures To Prepare Team
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
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
• 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
• 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
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.
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)