From: Exploring the third delay: an audit evaluating obstetric triage at Mulago National Referral Hospital
Patient Number: | |
Patient details | |
Age and Parity | |
Is the patient booked or un-booked for antenatal care at Mulago? | |
Has the patient been seen previously for the same complaint? | |
Nature of presenting complaint | |
Gestation (weeks of amenorrhoea (WOA)) | |
Patient observations on assessment by HCP (BP, P, RR, Temp, conscious level) | |
Foetal assessment by HCP (FHR, movements) | |
Final diagnosis | |
Immediate treatment given | |
Are there any factors causing delay in initiation of treatment (i.e., lack of equipment, medicine or personnel)? | |
Were there any immediate adverse outcomes (maternal death, IUFD, FSB)? | |
Was senior help sought? |