Original Publication
Open Access

The Delivery Room Communication Checklist

Published: May 14, 2014 | 10.15766/mep_2374-8265.9797

Included in this publication:

  • Instructor's Guide.doc
  • User Guide.docx
  • Delivery Room Communication Checklist.docx

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.


Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.

Abstract

Introduction: Effective communication between obstetric and pediatric providers in the delivery room is crucial to providing safe patient care to women and their newborn infants. The use of checklists can be a simple and effective method to standardize handoff communication between obstetric and pediatric teams during deliveries. Methods: We present the Delivery Room Communication Checklist, a resource that consists of 23 vital communication items that should be exchanged between medical providers, nursing providers, and family members during infant deliveries. The checklist may be implemented in institutions as a educational tool, a visual aid during patient care, and an assessment tool. When used as an educational tool, learners receive a copy of the checklist for review prior to the training sessions, so that they may better utilize their time participating in the simulated delivery room scenario by practicing and demonstrating communication of the checklist items. When used as a visual aid during patient care, obstetric nurses may use parts of the checklist as a visual recall tool when communicating with pediatric providers during deliveries. Further, to enhance communication recall between teams, copies of the checklist may be posted close to infant warmers. Finally, the checklist may be used as an assessment tool to help educators and quality improvement specialists identify areas for improvement in delivery room communication. Assessments may be performed either by directly observing team communication during simulated or actual deliveries, or by reviewing videos of team communication. Results: The checklist has been validated (following the Standards for Educational and Psychological Testing. Using the checklist, we have demonstrated improvement in team communication during simulated deliveries over a 3-year assessment period, as well as during high-risk deliveries. Discussion: The Delivery Room Communication Checklist is an effective tool for standardizing handoff communication between obstetric and pediatric teams during deliveries.


Educational Objectives

After using this resource, facilitators will be able to:

  1. Improve student and provider knowledge, communication skills, and behavior during infant deliveries.
  2. Standardize communication between obstetric teams, pediatric teams, and families during infant deliveries.
  3. After using this resource, learners will be able to:
  4. List the different time points before, during, and after a delivery when communication of vital information among obstetric providers, pediatric providers, and family members should occur.
  5. Identify specific elements of maternal and fetal history that are important to the resuscitation and stabilization of the newborn.
  6. Explain the importance of different communication items during a delivery.
  7. Demonstrate effective communication during a simulated or actual delivery as either an obstetric or pediatric provider, using the checklist as a guide.

Author Information

  • Rita Dadiz, MD: University of Rochester Medical Center
  • Joanne Weinschreider: Saint John Fisher College
  • Ronnie Guillet: University of Rochester Medical Center
  • Eva Pressman: University of Rochester Medical Center

Disclosures
None to report.

Funding/Support
The development and validation of the Delivery Room Communication Checklist was supported in part by the Dean's Teaching Fellowship Program from the University of Rochester School of Medicine an Dentistry, the Strong Children's Research Center from the University of Rochester Medical Center, and the Health Resources and Services Administration from the Department of Health and Human Services (grant number T21MC18129-01-00).


References

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Citation

Dadiz R, Weinschreider J, Guillet R, Pressman E. The delivery room communication checklist. MedEdPORTAL. 2014;10:9797. https://doi.org/10.15766/mep_2374-8265.9797