Purpose: To determine the most effective modalities and length of preparation required to adequately prepare obstetrical personnel transitioning to a new facility.
Background: Summa Health Akron City Hospital is a community-based facility in NE Ohio which opened a new 343,000 square foot and seven story tower to re-locate its women’s services, including 17 labor and delivery rooms, 10 perinatal rooms, 36 postpartum rooms and a 22-bed NICU. There is a paucity of data assessing the preparedness of staff in transitioning to a new facility especially in a high-acuity unit like L&D.
Methods: Using an online survey, self-reported feedback was collected from personnel on ability to perform tasks on their current unit prior to the transition. A second online survey was collected following the transition evaluating methods used for preparation, amount of time spent using those methods and their effectiveness. Self efficacy in patient care scenarios was re-evaluated.
Results: 73 personnel completed the pre-transition survey; 56 completed the post-transition survey. Overall confidence in ability to perform patient care tasks and navigate their unit decreased post-transition.
Discussions: As expected, overall confidence decreased following transition to a new facility. Many reported concerns about their ability to find supplies, respond to patient care emergencies, and navigate the new facility. Simulation was found to be the most effective modality for preparation suggesting that this could be implemented as part of any transition to a new facility.
Topics: CREOG & APGO Annual Meeting, 2020, Resident, Faculty, Osteopathic Faculty, Patient Care, Interpersonal & Communication Skills, GME, Assessment, Simulation, Quality & Safety, General Ob-Gyn,
Natalie Brzoza, MD, Summa Health - Akron City Hospital; Alexandra Schueler, MD; Derek Ballas, DO, MHPE
