TeamBirth Clinician and Staff Numbers on Maternal Health Units Submission

TeamBirth Clinician and Staff Numbers Submission

Please complete this form to report on your clinician and staffing numbers. Include staffing numbers for all provider groups (physicians, nurses, residents, and midwives) on all maternal health units (triage, labor and delivery, and postpartum).

Hospital Name - Select your site from the list below(Required)

Name of Person Submitting Information(Required)

How many nurses are on labor and delivery?(Required)

How many nurses are on postpartum?(Required)

Do residents provide care on your maternal health units (triage, labor and delivery, and/or postpartum)?(Required)

Yes

How many residents do you have?(Required)

Do midwives provide care on your maternal health units (triage, labor and delivery, and/or postpartum)?(Required)

Yes

How many midwives do you have?(Required)

How many obstetricians provide care on your maternal health units (triage, labor and delivery, and postpartum)? Indicate whether they are employed or private practicing physicians. If you have both employed and private practicing physicians, provide the numbers separately.(Required)

For example: 80 Employed physicians and 80 Private physicians

Do you have nurses or other providers that staff your triage or antepartum unit separately and were not included in the above counts? If so, provide the staff numbers below.

If there are other relevant staff to include, indicate their role and how many provide care on your maternal health units.

For example, lactation consultants, pediatricians, anesthesiologists, etc.