[BCM] [KKH] [E3] [BIA] [DP] CBF [1] Emergency Obstetric Services

Sub-CBF Code

Sub-Critical Business Function

Description of Process / Activity

Example (KKH Context)

CBF-1.1

Emergency Patient Arrival and Registration

Receive emergency obstetric patients through ambulance services, emergency department referrals, walk-ins, or inter-hospital transfers. Capture essential patient information while prioritising urgent clinical intervention.

A pregnant woman experiencing severe bleeding arrives by ambulance and is immediately registered using an emergency admission workflow.

CBF-1.2

Obstetric Triage and Clinical Prioritisation

Assess maternal and fetal condition to determine clinical urgency using established obstetric triage protocols.

Midwives rapidly assess maternal vital signs and fetal heart rate before assigning the patient to immediate emergency treatment.

CBF-1.3

Emergency Clinical Assessment

Conduct comprehensive obstetric examination, review medical history, perform bedside investigations, and establish provisional diagnosis.

An obstetrician confirms suspected placental abruption requiring immediate intervention.

CBF-1.4

Diagnostic and Laboratory Support

Perform urgent laboratory tests, blood grouping, imaging, fetal monitoring, and other diagnostic investigations supporting clinical decision-making.

Blood tests, ultrasound imaging, and continuous cardiotocography (CTG) monitoring are performed before emergency surgery.

CBF-1.5

Emergency Obstetric Decision-Making

Determine the most appropriate emergency treatment pathway based on clinical findings and established obstetric protocols.

The multidisciplinary team decides to perform an emergency Caesarean section due to fetal distress.

CBF-1.6

Emergency Theatre Preparation

Prepare operating theatre, surgical equipment, anaesthetic resources, blood products, and specialist teams for emergency obstetric procedures.

Theatre staff activate the emergency obstetric operating theatre within minutes of surgical decision.

CBF-1.7

Emergency Obstetric Surgery and Delivery

Perform emergency Caesarean section or other life-saving obstetric procedures while ensuring maternal and neonatal safety.

Surgeons conduct an emergency Caesarean delivery for severe fetal compromise.

CBF-1.8

Anaesthesia and Perioperative Care

Provide emergency anaesthetic assessment, administration, intraoperative monitoring, and immediate postoperative support.

Anaesthetists administer general anaesthesia where urgent surgical intervention cannot be delayed.

CBF-1.9

Neonatal Emergency Support

Stabilise newborn infants requiring immediate neonatal resuscitation or transfer to specialist neonatal services.

Neonatal specialists perform advanced resuscitation before transferring the infant to the Neonatal Intensive Care Unit (NICU).

CBF-1.10

Maternal Critical Care and Stabilisation

Manage maternal complications following delivery or surgery, including haemorrhage, sepsis, organ failure, and intensive monitoring.

A patient experiencing postpartum haemorrhage receives blood transfusion and intensive monitoring in the High Dependency Unit (HDU).

CBF-1.11

Blood Products and Medication Management

Coordinate urgent access to blood components, emergency medications, and life-saving pharmaceuticals required during obstetric emergencies.

Massive transfusion protocol is activated to support severe obstetric haemorrhage management.

CBF-1.12

Clinical Communication and Care Coordination

Coordinate communication among obstetricians, anaesthetists, neonatologists, nursing staff, laboratory services, blood bank, operating theatre, and support departments.

A multidisciplinary emergency response team coordinates simultaneous preparation for surgery and neonatal care.

CBF-1.13

Patient Monitoring and Ongoing Clinical Management

Continuously monitor maternal and neonatal condition following emergency intervention and adjust treatment accordingly.

Continuous observation identifies early signs of postoperative complications requiring further intervention.

CBF-1.14

Patient Transfer and Continuity of Care

Transfer patients safely to appropriate inpatient wards, HDU, ICU, NICU, or other specialist care units while maintaining continuity of treatment.

Following stabilisation, mother and infant are transferred to specialised care units for ongoing management.

CBF-1.15

Clinical Documentation and Regulatory Reporting

Record all clinical interventions, treatment decisions, medication administration, outcomes, and mandatory regulatory documentation.

Electronic medical records are updated to document emergency procedures, surgical outcomes, and medication administration.