|Maternal Fetal Triage Index|
In obstetric triage, the initial, brief nursing assessment of the woman and fetus has traditionally been done on a first-come, first-served basis. One of the problems with this approach is that it does not efficiently identify those women who need urgent or immediate care.
AWHONN has developed the Maternal Fetal Triage Index (MFTI), a tool that provides a standardized approach to obstetric triage. The MFTI is a five-level obstetric acuity tool for nurses to use when they triage a woman presenting for care to a birth unit in order to prioritize the woman's urgency for provider evaluation. It is the first obstetric acuity tool developed by a professional society for use across the United States. The research done by AWHONN to develop the MFTI is described in two articles available on early view in the Journal of Obstetric, Gynecologic and Neonatal Nursing (JOGNN). Content Validity Testing of the Maternal Fetal Triage Index details the multidisciplinary content validation of each item in the MFTI and includes the actual MFTI. Interrater Reliability Testing of the Maternal Fetal Triage Index outlines how the MFTI was tested in the clinical setting. The articles were published in the November/December 2015 issue of JOGNN.
AWHONN has developed an online education module to educate perinatal nurses about obstetric triage basics - what triage means in obstetrics, the role of the nurse, and how a systematic approach using the MFTI can be beneficial to improve the process of triage and outcomes. A post-test with 14 case studies is included with the educational module.
Currently AWHONN is seeking hospital-based nurse champions for our implementation community who agree to:
Members of the implementation community will help assess successes and challenges and identify best practices and barriers to implementation of the MFTI in birth units.
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