Obstetric Triage: Models and Trends in Resident Education By Midwives

被引:9
作者
Angelini, Diane J. [1 ,2 ]
Stevens, Elizabeth [3 ,4 ]
MacDonald, Amy [5 ]
Wiener, Sharon [6 ]
Wieczorek, Bridget [7 ,8 ]
机构
[1] Brown Univ, Warren Alpert Med Sch, Dept Obstet Gynecol, Providence, RI 02905 USA
[2] Brown Univ, Women & Infants Hosp, Providence, RI USA
[3] Baystate Med Ctr, Tufts Med Sch, Springfield, MA USA
[4] Baystate Med Ctr, Womens Evaluat & Treatment Unit, Springfield, MA USA
[5] Duke Univ, Med Ctr, Duke Midwifery Serv, Durham, NC USA
[6] Univ Calif San Francisco, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA 94143 USA
[7] Midwifery Serv, Omaha, NE USA
[8] Univ Nebraska Med Ctr, Dept Obstet Gynecol, Omaha, NE USA
关键词
labor management; midwifery roles; obstetric triage; resident education; MEDICAL-EDUCATION; MANAGEMENT; HANDOFFS;
D O I
10.1016/j.jmwh.2009.03.004
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Four models of resident education in obstetric triage with midwifery faculty consultants are presented. Common trends in the structure and function of these models are reviewed. The four models represent diverse settings where midwives serve as clinical teachers primarily for first-year obstetric residents and residents from other subspecialties. Each model supports a growing number of midwives working in the triage setting, functioning as both teacher and consultant for new residents. This expanded midwifery teaching role extends beyond labor assessment to include a wide range of common obstetric and gynecologic conditions in the triage setting. Additional advantages include the ability of the midwife to bill for triage services and to provide a safety net to decrease medical errors which, in a busy triage unit, occur most often during patient transfers. J Midwifery Womens Health 2009;54:294-300 (C) 2009 by the American College of Nurse-Midwives.
引用
收藏
页码:294 / 300
页数:7
相关论文
共 22 条
[1]   A National Survey of the Midwifery Director Role in Academic Midwifery Practices Involved in Medical Education in the United States [J].
Angelini, Diane J. .
JOURNAL OF MIDWIFERY & WOMENS HEALTH, 2009, 54 (04) :275-281
[2]   Obstetric triage - State of the practice [J].
Angelini, DJ .
JOURNAL OF PERINATAL & NEONATAL NURSING, 2006, 20 (01) :74-75
[3]   Liability in triage: Management of EMTALA regulations and common obstetric risks [J].
Angelini, DJ ;
Mahlmeister, LR .
JOURNAL OF MIDWIFERY & WOMENS HEALTH, 2005, 50 (06) :472-478
[4]  
Angelini DJ, 1999, J NURSE-MIDWIFERY, V44, P493
[5]   The utilization of nurse-midwives as providers of obstetric triage services - Results of a national survey [J].
Angelini, DJ .
JOURNAL OF NURSE-MIDWIFERY, 1999, 44 (05) :431-438
[6]  
Angelini DJ, 2000, J PERINAT NEONAT NUR, V13, P1
[7]   Obstetric triage revisited: Update on non-obstetric surgical conditions in pregnancy [J].
Angelini, DJ .
JOURNAL OF MIDWIFERY & WOMENS HEALTH, 2003, 48 (02) :111-118
[8]   Communicating in the "'Gray zone": Perceptions about emergency physician-hospitalist handoffs and patient safety [J].
Apker, Julie ;
Mallak, Larry A. ;
Gibson, Scott C. .
ACADEMIC EMERGENCY MEDICINE, 2007, 14 (10) :884-894
[9]   THE PERINATAL EVALUATION CENTER - A NURSE PRACTITIONER SERVICE DELIVERY MODEL [J].
ARNOLD, L ;
GENNARO, S ;
KIRBY, A ;
ATENDIDO, M ;
LAVERTY, M ;
BROOTEN, D .
JOURNAL OF PERINATAL & NEONATAL NURSING, 1995, 9 (01) :45-51
[10]   Medication discrepancies in resident sign-outs and their potential to harm [J].
Arora, Vineet ;
Kao, Julia ;
Lovinger, David ;
Seiden, Samuel C. ;
Meltzer, David .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2007, 22 (12) :1751-1755