Ob/Gyn

Our Ob/Gyn colleagues are located across the street on the East Campus building, at the furthest point of campus from the ED. It typically takes 15-20 minutes to walk to the ED.

• We do have fetal monitoring and a neonatal resuscitation bed in the ED. We also have the capability to perform stat c-sections in the West Campus OR if Ob calls for it.

• For a small percentage of patients, it is okay to ask a clinical question over the phone to our ob/gyn colleagues without requiring them to come across the street for a full examination. However, if you do request an in-person evaluation from ob/gyn, they are required to come without exceptions.

• Ob STAT emergencies, such as imminent deliveries, require somebody to use the red "Batphone" located in the Red Zone that connects immediately with the Labor & Delivery floor. Your conversation will trigger the on-call L&D and NICU team to jump into an ambulance and race across the street. This will typically take 5-10 minutes so in the meantime, you should be ready to deliver the baby and stabilize your patient(s).

• Pregnant patients >=22 weeks with an Ob-related issue who are stable after a medical screening exam should be transported to L&D for Ob management after consulting them on the dashboard. See the attached protocol below.

  • Patients who are unstable or have major trauma should be managed by the ED with immediate Ob consultation

  • Patients who require West Campus diagnostic resources may stay on the West Campus only after consultation with Ob.

• Occasionally, the attending will be called overhead to Triage to assess a pregnant patient in labor. You should gather a history and perform a limited examination that sufficiently rules out imminent delivery. The triage nurse will then book an ambulance to transport the patient immediately to L&D. You are required to write a note.