 
PATIENT CARE UNIT/AREA:
Scope of
Service
The OB/Gyn
Clinic provides a variety of services to the women of Saudi Area. Clinics held
in the area include the following:
·
High
Risk Obstetrics (including diabetes)
·
Non-Stress Testing
·
Gynecology (including Oncology)
·
Pre-conceptual Counselling
·
Recurrent Abortion
·
Obstetrical Diabetic Education
·
Prenatal (including patient education)
·
Post-Partum
The unit consists of
eight (8) examination rooms, five consultation rooms, and four nurse work
rooms. There is also a three room Ultrasound Department located in one area of
the Clinic.
Monthly patient volume is
2,500.
Frequent
Procedures/Services/Functions
The following
procedures are performed frequently in the OB/Gyn Clinic:
·
Pelvic ultrasounds, including doppler studies and biophysical profiles
·
Blood
glucose monitoring
·
Non-stress testing
·
Colposcopy
·
Endometrial and cervical biopsies
·
Pap
smear
·
Vaginal cultures
·
Urine
dipsticks
·
Wound
Care
Obstetrical Prenatal Clinic
is held once per week for history taking and prenatal work-up, which includes
routine lab tests. Patient teaching and education is emphasized in each clinic
and a variety of written educational materials are available in both English and
Arabic. The department of Patient Education operates clinics providing classes
for obstetrical diabetic patients as well as pre and post natal classes.
Hours of Operation
Saturday
through Tuesday 0800 h – 1800 h
Wednesday 0800 h – 1700 h
CRITERIA FOR ADMISSION TO
SERVICE
Patients are
accepted for admission through the Patent Acceptance Center in collaboration
with designated physicians from Perinatology and Gynecology.
In
addition, hospital employees and dependents and hospital exceptions are admitted
to the clinic following the appropriate referrals.
STAFFING PLAN
Number and Mix of Staff
Total FTE’s
- 14
Charge
Nurse - 1
SNI
- 4
SNII
- 5
SNIII
- 2
PCA
- 2
Ward
Clerk - 1
Method of adjusting to
staffing variances
The Charge Nurse in
collaboration with the Head Nurse makes adjustments in staffing according to
skill level, volume of patients, and fluency in Arabic. Occasionally, a staff
member from another outpatient clinic might be requested to float into the
clinic to accommodate patient needs. In addition, staff members from A-1/NNN,
Labor and Delivery and D-1 assist in staffing requirements.
Ob/Gyn Clinic nurses
generally float to the following units:
·
Pediatric Clinic
·
Surgical Clinic
·
Medical Clinic
QUALIFICATIONS OF STAFF
·
Current knowledge in high-risk obstetrics and gynecology.
·
Highly motivated in the area of education within a multicultural setting keeping
in mind that some of the education might have to be provided with the help of a
translator.
·
Fluency in Arabic and leadership skills would be a definite asset.
Qualifications/Licenses/Certifications Required of Staff
·
Current nursing registration
·
BCLS
·
Fire
& Safety
·
Infection Control
·
Inservices/Continuing Education
·
Age
Specific Care
·
Point
of Care Testing
·
Performance Improvement
·
Pressure Ulcer
·
Wound
Care
How are inservices/continuing education programs
provided to maintain staff competency?
Staff meetings are
held twice per month and there is usually brief inservice component at each
meeting. Also, each staff member presents an annual inservice to their
colleagues. Staff members are encouraged to attend hospital-wide inservices and
educational sessions, which are pertinent to their area of expertise.
Required Competencies
·
Performing non-stress tests
·
Blood
glucose monitoring
·
Urine
dipstick testing
·
Operation of special equipment such as fetal monitors, dopplers, and colposcope
machine
·
Code
green and code blue
·
Code
amber
METHOD OF COMMUNICATION WITH
OTHER DEPARTMENTS/PROGRAMS
Internal and External Methods
of Communication
Internal
communication is ongoing and multidisciplinary. Nurses, physicians, dieticians,
social workers, lab staff, pharmacy, medical records, ultrasound technicians,
housekeeping, etc. communicate verbally to enhance patient care and maintain a
safe and clean environment. There is a bulletin board in the staff room for
written information as well as two clipboards for current memos and inservice
education.
External
communication with other hospital departments and the community usually occurs
by telephone, fax, cc mail, telex, or written memos.
Collaboration with other departments. The OB/Gyn Department holds quarterly
collaborative meetings which include physicians, nurses, medical coordinator,
OB ultrasound, case management, QRM and a secretary
The
Nursing Management Council is another method of collaboration hospital-wide. It
provides an opportunity to share new information and to discuss issues related
to patient care.
At the monthly Clinic staff
meetings, we frequently invite a guest from another hospital department to give
a brief overview of their service to the staff (i.e. Biomed, Housekeeping,
Nursing Units, Social Services, etc.)
PLAN TO IMPROVE QUALITY OF
SERVICE:
·
Increase
multidisciplinary participation in patient care.
·
Promote
Performance Improvement projects and establish this as a method of improving
patient care.
·
Enhance the
education provided to patients and their families
·
Modify physical
layout of the Clinic to improve patient flow.
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