Ob staffing

[PpfSuxTube]

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So how do you guys staff your OB floor overnight and on call times?
Particularly MD only, no residents, 10k deliveries per yr?

1 anesthesiologist on call with back up from the main OR person or another home call?

No back up @ all, just 1 guy?

 

[pocafx]

2 in house. 24/7 I think we are 6k

 

[CopaceticOne]

PP or employed?

 

[psychbender]

We used to have one physician in-house to cover both OR and L&D, with second call at home as backup. Now, both are in-house, with first call (comes in at 7pm) still taking most of the calls from both OR and L&D, but second (had been working all day) being able to handle one of those locations immediately, if first is engaged. When we first made that change, I brought up the idea of formally splitting the two, with one only covering the OR and the other L&D, but that was not popular.

 

[johncunningham]

10k deliveries with one guy seems like a tall order. How many OBs are there? 5,6? How do you keep them from doing concurrent sections?

 

[BobBarker]

27-28 per day on average!

 

[medicine2wallstreet]

So how do you guys staff your OB floor overnight and on call times?
Particularly MD only, no residents, 10k deliveries per yr?

1 anesthesiologist on call with back up from the main OR person or another home call?

No back up @ all, just 1 guy?

There is no way in hell you are staffing 10k deliveries a year with 1 overnight person plus a backup person.

10k deliveries a year is at least 2 anesthesia personnel devoted directly to OB at night if you are truly doing 10k deliveries a year. The epidural volume is probably easily 15 a day not to mention sections.

And the answer to your question is I don't do OB.

 

[DesiredMemberName?]

Day shift in house, night shift in house, and a backup home call shift for the 24hrs

 

[abolt18]

So how do you guys staff your OB floor overnight and on call times?
Particularly MD only, no residents, 10k deliveries per yr?

1 anesthesiologist on call with back up from the main OR person or another home call?

No back up @ all, just 1 guy?

Physician only. Hospital employed. 2 docs in house 24 hours, but the 2nd doc does all the sections during the day and at night kind of serves as a flex to the OR for traumas and covers peds code pager (never had it go off).. 2nd doc usually sleeps through the night in the hospital. It's the coverage the hospital wanted it seems. I think having the 2nd doc on for daytime sections is a huge plus, but overkill to have them overnight. I say this, but it is not uncommon to have 2 sections running at the same time in the middle of the night.

Our volume is way less than yours. Maybe like 3-4K/year at the most!

 

[ERRES2288]

So how do you guys staff your OB floor overnight and on call times?
Particularly MD only, no residents, 10k deliveries per yr?

1 anesthesiologist on call with back up from the main OR person or another home call?

No back up @ all, just 1 guy?

10K a year ?? Hospital needs to pony up for 1 in house MD dedicated OB and some form of backup as well. This should be a highly compensated shift in some way as you would not be "sleeping through the night". How is the day staffed ? At least 2 MD I would think unless board runner is putting in all the epidurals.