PA-PSRS has received a number of reports related to the management of pregnant patients in the emergency department. In many instances, reports submitted through PA-PSRS reflect a lack of effective communication between emergency and obstetrics department staff. When a pregnant patient arrives at the emergency department, there are really two patients. Optimal care of both patients can only be achieved through a systematic approach to care that involves open communication between emergency and obstetric services. Risk reduction strategies include having policy and procedures in place that ensure a systematic approach to the triage and initial assessment of the pregnant patient with consideration of the presenting complaint, gestational age, availability of testing and consultants, and fetal monitoring requirements.
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