Council Member Narcisse asks how soon pregnant women see an OBGYN
Narcisse asks how soon after intake a pregnant woman is seen by an OBGYN. Nancy Farias says the goal is within a week, with appointment timing based on pregnancy status and clinical presentation.
My, I think it's around the same question that Chair has, but before I get to that, I want to see how soon after intake a pregnant woman's person seen by OBGYN?
So the goal is to see the individual within a week's time.
Within a week's time.
So I'm assuming within a week time, if the person is on what trimester?
The first trimester, second?
Because I know in the ninth trimester, that's a little more kind of like you need a GYN to see that person right away.
So then the GYN, upon the completion of the intake or review, when they get advised that there's a pregnant individual coming in, and then he, she, they will assign an appointment based on the determination of where that person is in their status of pregnancy.
Okay.
Do you keep high-risk pregnancy?
Within the floors, how you address high risk.
Because some folks are very, you know, have complications.
So it's clinically indicated we have an infirmary, and if that individual needed to live there, they can do so.
But we also have partners in Elmhurst Hospital, so if that individual needed to go, they can go there as well.
That's where I work.
On the presentation.
Yeah, I'm used to be guys.
I used to work for MRS.
What happened when a pregnant person has a real high risk, right?
Does it manage her like right away?
So.
Is that something part of the intake?
That's what I'm trying to get in my head.
Is it part of the intake process?
You are high risk, then you go to Elmer's Hospital or you go to a clinic setup.
So the intake screening will happen at whatever time the individual arrives.
Then he, she, they will then be referred to the OBGYN.
The provider that's doing the screening is also clinically competent to determine what the status of that patient is and make a determination if they need to transfer that patient to on-hurst.
Again, it depends on clinical presentation.
Should they need to consult with our emergency response urgent care providers that are on island, they would also do that as well to get consultation and make a determination as to what to do for the patient.
Okay.
So if that person from the outside had a physician that's following them, would you...
Collaborate with that person, do any calls made to see what is the complexity of that pregnancy?
That is always the goal, to get as much collateral information as we possibly can from our patients.
So the answer is yes.
Okay.