Staffing Challenges and Using Acuity Tool On Obstetric Units

Staffing Challenges and Using Acuity Tool On Obstetric Units
Student’s name
Institutional affiliation
Instructor’s Name
Course
Date
Introduction
In the U. S., maternal mortality and severe maternal morbidity have increased significantly, especially in women from minority communities. Cardiac illness, abscess, and frequent postpartum problems including bleeding are the primary medical reasons of pregnancy - related deaths, which vary depending on when the baby is delivered (Özçelik et al., 2017). Despite specific changes in the treatment outcomes of certain disorders have been implemented, more may be done at the hospital and demographic stages to enhance the healthcare system for high-risk mothers. The purpose of maternity services standards is to minimize perinatal mortality, as well as existing inequities, by fostering the creation and maturity of systems for the administration of risk-appropriate antenatal care (Johnson et al, 2020). Additionally, the project herein will offer insights into the significance employing more skilled nurses in the obstetrics unit in order to manage the Maternal Fetal Triage Index (MFTI) tool. The tool will be used to increase the safety and protection of women both during pregnancy and after birth. Health care institutions, national certification and recognized professional criteria, recognized regional postpartum primary healthcare requirements, and local funding should all be considered when determining the appropriate degree of care to be delivered by a specific hospital. The discussion herein focuses on the fully implementation of the MFTI acuity tool and training more nurses to use the tool in achieving high levels of protection and safety by reducing maternal mortality rates and morbidity.
Background
State and regional governments should collaborate with multiple institutions within a region, as well as its obstetric care providers, to find the most suitable coordinated system of care and to enact policies that encourage and support it (Özçelik et al., 2017). These connections help women have babies safely in their neighborhoods while also offering support in cases where higher-level services are required. In the U. S., maternal deaths and adverse pregnancy morbidity has risen, especially in from minority communities. Prenatal fatalities increased from 7.2 per 1000 children in the last two decades to 18.0 in 2019 according to the Centers for Disease Control and Prevention (CDC), having non-Hispanic black females getting a 3.3-fold higher pregnancy-related deaths proportion than non-Hispanic white females (Johnson et al, 2020). In addition severe maternal comorbidity rose by roughly 200 percent. Furthermore, according to data supplied by 13 maternal deaths institutional review boards, up to 60% of prenatal fatalities between 2013 and 2017 may have been avoided (Johnson et al, 2020).. These findings highlight the need of focusing on maternity care systems that are both high-quality and safe.
Relationship between Population and Project Aim
When it comes to finding actionable chances to decrease maternal deaths, the adoption of levels of patient healthcare has been recognized as a reoccurring theme, especially for mothers. Heart illness, infections, and frequent postpartum problems including hemorrhaging are the primary medical causes of maternal death, which vary depending on when the baby is delivered (Johnson et al, 2020). Even though adjustments in the management of acute of certain situations have been implemented (for example, the use of venous thromboembolic prophylactic treatment and the advancement of profuse bleeding and high blood pressure case management packages), more must be accomplished at the hospital and demography levels to identify opportunities for improvement of medical services for high-risk mothers.
Delivering in a hospital with a wide range of specialist and specialized facilities is typically important for women with dealing with high risk circumstances. The fact that mothers with higher comorbidity indices had a considerably higher adjusted odds ratio risk of serious pregnancy complications when they child was born in low-acuity facilities may be the strongest concrete evidence that care for the unhealthiest women in higher-acuity centers is linked to better health outcomes (Özçelik et al., 2017). These findings should not be construed to mean that hospitals with low delivery numbers are unsafe for mothers with low-risk deliveries, or that low-volume or acuity facilities must be closed. Healthcare facilities with lower service counts are sometimes the sole local service alternative in isolated or rural regions. Instead, the above figures, coupled with the fact that 60 per cent of maternity ward babies born take place in amenities with fewer than 1,000 infants delivered each year (Johnson et al, 2020). It highlights the importance of sufficiently trained staff and kitted level I and II health facilities; spatially explicit care with clearly delineated links between various level facilities; constant risk evaluation; and the possible benefits of nurturing for women at increased risk of pregnancy complications in facilities with higher risk of maternal deaths.
All hospitals must be capable of stabilizing and give initial treatment for any patient while also being able to transport them if necessary, and they must also have the capabilities to deal with the most frequent obstetric crises including bleeding and high blood pressure. Interfaculty transfer of expectant mothers or women in the postnatal period is a crucial element of a decentralized prenatal healthcare delivery system since all institutions cannot sustain the variety of materials provided at specialist centers (Özçelik et al., 2017). All conception facilities, basic (level I) and highly specialized (level II) health centers must work collaboratively with specialist medical care and local perinatal medical centers to create and sustain maternal transit arrangements and written agreement to satisfy the medical needs of women who are having health problems to make sure that all expectant mothers receive the best possible care. Affiliated recipient facilities should welcome transfers without reservation. It's worth noting that deciding whether or not to transfer a patient is based not just on recommendations, but also on the universal healthcare supplier's assessment of the complexity of the problem.
Reconciling the need for other intensive care with the dangers of removing the mother from her family should be a necessity.  Since trauma center tiers have already been created, trauma is not incorporated into the tiers of maternity care. Pregnant women should be treated with the same degree of care as non-pregnant individuals in the event of a trauma. The proper degree of therapy in patients must be determined by their healthcare issues, not by budgetary restraints.
Theoretical Framework
Due to the high prevalence of obesity and overweight, all institutions should have enough technology for the patient and doctor of obese expectant mothers, such as proper birth chambers, surgical tables and chambers, and machines (Richter et al., 2019). However there are no well-established BMI cut-off thresholds to identify tier-centralized care for expectant women or those in the postnatal period with overweight and the problem of obesity degree of weight gain is perhaps one of the elements that influences choices to move a mother to a high standard of care. Since correct data is critical for assessing outcomes and quality metrics, all institutions ought to have data gathering, preservation, and retrieving infrastructures and protocols that enable for frequent trend analysis (Richter et al., 2019). Excellent postpartum care necessitates synchronization in institutional capacities for the woman and the fetus or newborn, despite the fact that this text concentrates on maternity healthcare and does not go into detail concerning risk-based neonatal intensive care capacity.
Across hospitals, prenatal and postpartum care standards may differ. A young mother, on the other hand, must be catered for at the hospital that perfectly serves her and her newborn's needs. Every degree of maternity healthcare represents necessary minimum competencies, facilities and equipment, and clinical and professional personnel, in accordance with the American Academy of Pediatrics' newborn care standards. Each intermediate standard of treatment incorporates and expands on the preceding levels' capacities (Kodama et al., 2021). Pregnant women should be treated with the same degree of care as non-pregnant individuals in the event of a trauma. The proper degree of therapy in patients must be determined by their healthcare issues, not by budgetary restraints. These findings should not be construed to mean that hospitals with low delivery numbers are unsafe for mothers with low-risk deliveries, or that low-volume or acuity facilities must be closed.
Healthcare facilities with lower service counts are sometimes the sole local service alternative in isolated or rural regions. Instead, the above figures, coupled with the fact that 60 per cent of maternity ward babies born take place in amenities with fewer than 1,000 infants delivered each year (Kodama et al., 2021). It highlights the importance of sufficiently trained staff and kitted level I and II health facilities; spatially explicit care with clearly delineated links between various level facilities; constant risk evaluation; and the possible benefits of nurturing for women at increased risk of pregnancy complications in facilities with higher risk of maternal deaths. In order to evaluate the significance and the effectiveness of the skilled nurses in the obstetrics unit, it is important create a feedback system. In the feedback system mothers that have used the obstetrics services to send feedback to the facilities (Kodama et al., 2021). The feedback will be used to assess the satisfaction levels of the patients. Although the significance of client contentment and review has been emphasized in the research, researchers have utilized a variety of ways to measure positive patient outcomes. Different approaches are employed, such as noting observations, analyzing resources available, examining participation over time, and even measuring the time spent at various prenatal care facilities
The Application of the Maternal Fetal Triage Index (MFTI)
The application of The Maternal Fetal Triage Index (MFTI) instrument, created by AWHONN obstetric specialists, is a new advancement that all obstetric doctors should be aware of (Richter et al., 2019). Standardization, as we all know, has been connected to risk reduction and demonstrated safety. The prenatal triage procedure is no different in terms of reducing variance. The postpartum health professional is at the center of early decision-making concerning patient entrance into the systems as antepartum patients continue to arrive to maternity units with rising acuity, intricacy, and volumes (Richter et al., 2019). The foundation of protection is administrative harmonization and proper patient prioritizing, since fast responses are crucial. Failure to notice and respond to changes in a patient's health, failure-to-rescue occurrences, and a lack of prompt assessment are all sectors of maternity that are becoming more disputed. The MFTI takes ...