Job Quality Questions identified by specialty leaders as critical to success:                       
Hospital credentialing required?   Yes                    
deliveries and surgery requirements?   Laborsit position for on call labor and delivery (8, 24 hour call shifts per month)                    
Malpractice count restrictions   no                    
Average number of deliveries   280/month for the group                    
Average number of procedures   PRN while on call                    
Patient case load (deliveries per monthm, patients per day - Office schedule)  No clinic time. Labor and delivery call shifts only (approx 280 deliveries/month for the group                    
Level of Nursery   NICU                    
High risk patient protocol   yes                    
Who administers the Anesthesia?   Anesthesiologist                     
Support staff   Midwives, RNs, Techs                    
                      
Area/Procedures                       
Low risk pregnancy   Yes                    
High risk pregnancy   Yes                    
FHR interpretation - NST/CST/FSE   Yes                    
OB Ultrasounds - Performance of, interpretation   Yes                    
  * Level I/Screening (viability)   Yes                    
  * Level II/Targeted (anatomic)   Yes                    
Amniocentesis   No                    
                      
Labor and Delivery                      
Routine delivery - vaginal, low forceps, decision-making for c-section   yes                    
Complicated delivery - c-section, breech, multiple births, abruptions etc.   yes                    
   * VBAC's   Yes                    
Repair of 3rd & 4th degree lacerations   Yes                    
                      
Gynecology                       
Office/minor gynecology - IUD, Cystoscopy, Colposcopy, cryosurgery, LEEP, etc.   No                    
Surgical gynecology -   No                    
   *open                       
   * Laparoscopic diagnostic/minor only - tubal ligation, LOA's, chronal tubation  Yes in an on call capacity                    
   * operative/major (includes diagnostic) - ectopic pregnancy, ovary removal, cystectomy, extensive LOA's   Yes in an on call capacity                    
Laser certification   no    

We have a robust midwife practice that manages the majority of deliveries. The physician provides oversight and management of both routine and complex deliveries and c-sections. Our providers do cover ED GYN call. We partner with the Women's Specialists group to cover this call. The laborist will have times when they cover both L&D and ED call.

24 hour in house laborist coverage at the hospital.


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