Analysed tasks

Established dedicated CD phone line

Created OB anaesthesia questionnaire

Purchased dedicated OR infant “stabilet”

Reassigned inappropriate tasks

Programmed on-call team members into computer

Placed completed questionnaire on birthing centre

Prepare OR for “STAT” CD each evening

Eliminated unnecessary tasks (eg, transfer of patient to stretcher)

Programmed birthing centre phones with CD line on speed dial

Developed process for antenatal anaesthesia consults

Trained birthing centre nurses to check “stabilet” and OR preparedness each evening

Organised supplies into CD kits

Instituted mightly test of system with mandatory call back requirement

Review OB high risk and VBAC lists each week

Replaced OR checklist with CD specific checklist

Designated codes to indicate “STAT” v routine CD

Recommend CBC, type and screen on all labouring women

Used mock CDs to identify steps in routine process that could be eliminated during emergency

Developed standardised terminology

Worked with providers to develop standardised terminology

Synchronised OR clocks with birthing centre clocks

Distributed flow charts of “STAT” process

Created standardised brief operative note

Assisted with development of “STAT” process map

Assisted with development of “STAT” process map

Finalised “STAT” process map

Assisted with development of “STAT” process map

Participated in OR skills day and “STAT” pathway mock drills

Participated in OR “skills day” and “STAT” pathway mock drills

Participated in OR “skills day” and “STAT” pathway mock drills

Participated in OR “skills day” and “STAT” pathway mock drills

Empowered nurses and CNMs to transport patients to OR in emergency

Trained nurses in anaesthesia set up

Trained nurses in OR set up