**Coverage Schedule:** - August 2 (08:00) - August 3 (08:00) - August 7 (08:00 - 17:00)
**Clinical Environment:** The facility operates as a teaching hospital with OB/GYN residents available for assistance in labor and delivery (L&D). Additionally, laborists offer collaborative support to midwives during L&D.
**Facility Details:** - **L&D Beds:** 10 -
**Onsite Lab:** Yes -
**Onsite Ultrasound:** Yes -
**Support Staff Composition:** Residents and nursing personnel
**Patient Demographics:** - **Low-Risk Pregnancies:** 20% - **High-Risk Pregnancies:** 80% - **Gynecological Cases:** 10% - **C-Section Rate:** 25% - **Nursery Classification:** Level III - **Documentation/EMR System:** EPIC
**Required Obstetric Procedures:** - Management of Low-Risk Pregnancies (e.g., history of twins, toxemia, pyelonephritis) - Management of High-Risk Pregnancies (e.g., toxemia, diabetes, cardiac conditions Class II or higher, chronic lung issues, chronic renal disease) - Fetal heart rate (FHR) interpretation – NST, CST, FSE - Performance and interpretation of OB ultrasounds (Level I/Screening for viability and Level II/Targeted for anatomical assessment)
**Labor and Delivery Procedures:** - Routine and Complicated Deliveries: vaginal delivery, low forceps application, decision-making for C-sections, management of breech births, multiple births, and complications like abruptions - Vaginal Birth after Cesarean (VBAC) management - Repair of third- and fourth-degree lacerations
**Gynecological Procedures:** - Operative/Major Procedures: ectopic pregnancy management, oophorectomy, cystectomy, extensive laparoscopic procedures - Laparoscopic minor procedures: tubal ligation, chromopertubation - Surgical gynecology: open techniques
- Office/Minor Gynecology: IUD insertion, cystoscopy, colposcopy, cryosurgery, LEEP, etc.
**Shift Structure:** - 24-hour shifts, starting at 08:00 and concluding at 08:00 the following day.
**Credentialing Requirements:** - NPDB self-query pulled within the last 30 days required at the time of presentation.
- BLS and ACLS certifications required.
- Board-certified status is mandatory.
- Valid Ohio medical license is required.
**Certification Requirements:** - BLS - Board Certified
