Project Heal Obstetrics Checklist
  • Obsterics and Gynaecology (OBGYN) CHECKLIST

     

    Welcome to the OBSTETRICS and GYNAECOLOGY Checklist for PROJECT HEAL. Thank you for accepting to be part of our group of experts. This checklist consists of resources i.e. manpower, skills, consumables, equipment that are deemed relevant for a health facility to be deemed OBGYN competent or biased. Please read and select the relevance level of the underlisted.


    The relevant resources would be scored and used in developing a system of ranking. The total scores will be used to develop a checklist for which hospitals can independently administer to determine their level of health care provision based on specific specialization and over score. These can then inform the emergency care services, referral facilities, health workers, and the general public on which facility provides which level of care.


    Be assured your response is confidential. Only aggregated results would be seen by the Delphi group.


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  • HOSPITAL ORGANIZATION

  • Presence of Obstetrics and Gynaecology Services in the hospital
  • Designated Head of Obstetrics and Gynaecology (registered Obstetrician/Gynaecologist)
  • Designated Residents pursuing training in Obstetrics and Gynaecology
  • SUB-UNITS IN THE DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY

  • ANTENATAL CLINICS
  • POST NATAL CLINICS
  • ASSISTED REPRODUCTION (IVF)
  • OBSTETRIC EMERGENCY UNIT
  • GYNAECOLOGY EMERGENCY UNIT
  • BLOOD BANK
  • ONCO-GYNAECOLOGY
  • UROGYNAECOLOGY
  • OPERATING THEATRE
  • PERSONNEL

  • Designated Medical officer in OBGYN in-charge of the shift
  • Doctor with special competence in obstetric/gynaecology care is a designated member of the Obstetrics/Gynaecology team and is physically present in the emergency department 24 hours a day
  • ACLS(R)-trained personnel 24 hours a day
  • On-call anaesthetist, Neonatologist
  • Designated Medical officer/Resident with surgical skills present 24 hours a day
  • A nursing personnel with specific training in Obstetrics and Gynaecology care who provides continual monitoring of the OBGYN patient from hospital arrival to disposition in theatre, ICU, or Patient ward
  • DIMENSIONS OF OBSTETRIC CARE. State the relevance of the following obstetric care in the operation of an OBGYN Department in a hospital.

  • A. Routine care (for all mothers and babies)

  • 1. Monitoring and management of labor using partograph
  • 2. Infection prevention measures (hand-washing, gloves)
  • 3. Immediate and exclusive breastfeeding
  • 4. Active management of the third stage of labor (AMTSL)
  • B. Basic emergency care (for mothers and babies with complications)

  • 1. Parenteral magnesium sulfate for (pre-) eclampsia
  • 2. Antibiotics for preterm or prolonged labor
  • 3. Assisted vaginal delivery
  • 4. Parenteral antibiotics for maternal infection
  • C. Comprehensive emergency care (functions in addition to Basic)

  • 1. Surgery (e.g. cesarean) including anesthesia Intravenous fluids
  • 2.     Blood transfusion
  • The following are a list of Medical resuscitative equipment . Please list the relevance of each item in the obstetric/gynaecology emergency room

  • Oral or nasal airway
  • Surgical Blade and scalpel
  • Umbilical cord clamp
  • Umbilical cord cutting scissors
  • Suction device: at least manual (bulb) or foot pump
  • Suction device: powered: electric/pneumatic
  • Suction tubing
  • Yankauer or other stiff suction tips
  • Laryngoscope
  • Endotracheal tube
  • Oesophageal detector device
  • Bag–valve–mask
  • Peakflow meter
  • CPAP/BiPAP face masks and devices
  • Stethoscope
  • Artery forceps
  • Allis forceps
  • Episiotomy scissors
  • Oxygen supply (cylinder, concentrator or other sources)
  • Nasal prongs, face mask, associated tubing
  • Needles Holder
  • Syringes (3cc, 5cc, 10cc)
  • Mechanical ventilator
  • Vaginal Speculum
  • Crystalloid
  • Electrocardiograph monitor
  • Intravenous infusion set (lines and cannulas)
  • Perfusor
  • Bag–valve–mask
  • Clock or watch with second hand
  • Colloids
  • Nebulizer machines
  • Intraosseous needle or equivalent
  • AED/Defribillator
  • Haemodialysis unit
  • Blood pressure (BP) cuff
  • Central venous lines
  • Foley catheter
  • Gauze and bandages
  • Arterial blood gas measurements
  • Pulse oximetry
  • Ultrasonography
  • Cardiotopography
  • Capnography
  • IV Cannulation of varying adult sizes
  • Vacuum suction device
  • Electronic cardiac monitoring
  • Monitoring of centralvenous pressure
  • Autotransfusion capabilities
  • Manual vacuum aspiration (MVA) capabilities
  • Blood transfusion capabilities
  • Birthing bed with stirrups
  • Operating theatre with recovery rooms
  • Obstetric ICU
  • Drugs essential to obstetric care: Oxytocin Misoprostol Magnesium Sulphate
  • Should be Empty: