[BCM] [KKH] [E3] [BIA] [P1] CBF [1] Emergency Obstetric Services

Sub-CBF Code

Sub-Critical Business Function

Description of Business Function

Business Unit Minimum Business Continuity Objective (BU MBCO)

1.1

Emergency Patient Arrival and Registration

Receive emergency obstetric patients, verify identity where possible, create emergency admission records, and initiate the clinical care pathway.

Maintain the capability to register and admit all emergency obstetric patients using electronic or manual procedures within clinically acceptable timeframes, ensuring no patient requiring emergency care is denied admission.

1.2

Obstetric Triage and Clinical Prioritisation

Assess maternal and fetal condition to determine clinical urgency and allocate patients according to established emergency triage protocols.

Maintain continuous obstetric triage capability with qualified clinicians to assess 100% of presenting emergency patients and prioritise life-threatening cases immediately.

1.3

Emergency Clinical Assessment

Perform urgent medical examination, establish provisional diagnosis, and determine immediate treatment requirements.

Maintain sufficient specialist obstetric capability to conduct emergency clinical assessments for all high-priority patients without compromising patient safety.

1.4

Diagnostic and Laboratory Support

Provide urgent laboratory testing, blood investigations, ultrasound imaging, and fetal monitoring to support clinical decisions.

Maintain access to essential emergency laboratory tests, blood grouping, imaging, and fetal monitoring required for urgent obstetric decision-making, with manual fallback arrangements where necessary.

1.5

Emergency Obstetric Decision-Making

Determine appropriate clinical interventions based on patient condition, diagnostic findings, and accepted clinical guidelines.

Maintain the ability for senior obstetric clinicians to make timely emergency treatment decisions for all critical maternal and fetal cases at all times.

1.6

Emergency Theatre Preparation

Prepare operating theatres, surgical equipment, sterile instruments, blood products, and specialist teams for emergency surgery.

Maintain at least one fully operational emergency obstetric theatre with essential equipment, sterile supplies, and appropriately trained staff available for immediate activation.

1.7

Emergency Obstetric Surgery and Delivery

Perform emergency Caesarean sections and other life-saving obstetric surgical procedures.

Maintain the capability to perform emergency obstetric surgery for all clinically indicated cases, prioritising patients whose delay would significantly increase maternal or fetal risk.

1.8

Anaesthesia and Perioperative Care

Deliver emergency anaesthetic services and perioperative monitoring before, during, and after surgery.

Maintain 24-hour emergency anaesthetic support capable of providing safe anaesthesia and perioperative monitoring for all emergency obstetric procedures.

1.9

Neonatal Emergency Support

Provide immediate neonatal assessment, resuscitation, stabilisation, and transfer to specialised neonatal care where required.

Maintain neonatal resuscitation capability with essential equipment and trained personnel for every emergency delivery involving neonatal compromise.

1.10

Maternal Critical Care and Stabilisation

Manage severe maternal complications following delivery or surgery, including haemorrhage, sepsis, and organ dysfunction.

Maintain the capability to stabilise critically ill mothers using designated high-dependency or intensive care resources until definitive treatment can continue.

1.11

Blood Products and Medication Management

Ensure timely availability of emergency medications, blood products, and transfusion support.

Maintain uninterrupted access to emergency medications, uterotonics, blood products, and massive transfusion capability for all life-threatening obstetric emergencies.

1.12

Clinical Communication and Care Coordination

Coordinate multidisciplinary communication among clinical teams, support services, and hospital operations throughout the emergency response.

Maintain reliable communication channels enabling continuous coordination among obstetric, anaesthetic, neonatal, laboratory, blood bank, operating theatre, and support teams during emergency operations.

1.13

Patient Monitoring and Ongoing Clinical Management

Monitor maternal and neonatal condition following emergency intervention and adjust treatment as clinical conditions change.

Maintain continuous monitoring of all high-risk mothers and newborns using essential monitoring equipment and qualified clinical staff until patient stabilisation.

1.14

Patient Transfer and Continuity of Care

Transfer patients safely to inpatient wards, HDU, ICU, NICU, or other specialist services while ensuring continuity of treatment.

Maintain the capability to transfer all stabilised patients safely to the appropriate level of ongoing care without interruption to essential clinical management.

1.15

Clinical Documentation and Regulatory Reporting

Record clinical assessments, treatments, procedures, medication administration, patient outcomes, and mandatory reporting requirements.

Maintain accurate and contemporaneous documentation of all emergency obstetric care using electronic or approved manual records, ensuring legal, clinical, and regulatory requirements continue to be met.