Daily Schedule

OB Anesthesia Morning Report

Weekday Morning Report (0700-0800*, 4203 VUH) is the sacred hour that anchors our workday:

  • Before 0700* Very Important: Night call team must prepare clinical service in order to help preserve the integrity of the education hour (optimal when all faculty & trainees are present):
    • Round on all ongoing labor blocks on L&D, to minimize likelihood of interruption of conference. Inadequate blocks should be remedied & PCEA infusion bags should be adequately full.
    • Perform any needed L&D consults on newly admitted parturients, incl. in 4E triage unit.
    • Round on 4 East antenatal patients & update the clinical census.
    • Apprise float CRNA of any potentially problematic patients - Float CRNA will cover service during Morning Report, including coverage of on-going OR case.
  • 0700* - Outgoing on-call attending attends beginning of OB-sign out rounds (4137 MCE).
  • 0700-0800* Core Topics Conference (4203 VUH): This 40 min session addresses core topics . All participants must prepare in advance by studying the 10-20 page reading assignment & accompanying study guide.
  • 0800-0815* Clinical Report: Ongoing blocks, post-partum cases, & antenatal inpatients are reviewed and clinical care is transferred to incoming team.
  • 0815* Clinical duties begin.

[*Note: Late starts on Wednesdays & Fridays frame-shift all times 1/2 hr later, i.e. 0730-0830]

Early Morning Work

 After Morning Report, the following tasks are attended to:

  • Meet up with OB residents & charge nurse on L&D to
    • review potentially problematic patients,
    • prioritize work schedule, as applicable, and
    • promote positive team communication & collaboration, and thereby safety.
  • Round on all patients with ongoing blocks - introduce new anesthesia team, assess analgesic blocks & parturient status, troubleshoot problem blocks, confirm pt understanding of plan... 
  • Post-partum rounds & documentation - This is essential.  We are proactive in seeking out
    • the potential complications that may require out attention/intervention, and
    • feedback on our work, in order to adjust and improve.

Afternoon / Evening

  • Noon or so - "Mid-shift Safety Rounds", announced on phones, oftern at front or back nurse station. Those of us available, should attend this very quick review of each pt on the unit.
  • 5:00 PM - Review pt census board with outgoing & incoming Anesthesia attendings.
  • 6:00 PM - Inter-disciplinary rounds in MCE 4137 (across the MCE bridge, right, then left before reaching MSC (Maternal Speical Care) unit. Ideally our entire team, but at least one of us should be there, preferably the senior call resident.
  • 7:00 PM - Review pt census board with outgoing & incoming OB Anesthesia junior resident/SRNA.
  • Midnight, or so - Mid-shift Safety Rounds

Weekends & Holidays

  • Before 7:00 AM - outgoing team prepares for handover of service:
    • check in with L&D resident and charge nurse for pt updates
    • round on all ongoing blocks
    • review /update all ante-partum patients
  • 7:00 AM - Review pt census board with outgoing & incoming teams.
  • 7-8AM - "early morning work" - see above
  • 8:00 AM - Inter-disciplinary rounds in 4137 MCE (4E conf rm). Ideally our entire team, but at least one of our team should be there.
  • Noon - Mid-shft safety rounds (see above)
  • 6:00 PM - Inter-disciplinary rounds at back nursing station on L&D.
  • 7:00 PM - Review pt census board with outgoing & incoming junior resident/SRNA.
  • Midnight - Mid-shft safety rounds (see above)