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MFTI Implementation Toolkit
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MFTI Implementation Toolkit

The MFTI Toolkit has the resources that you need to implement the Maternal Fetal Triage Index in your unit.  Hospitals purchasing 10 or more MFTI Education Seats are eligible to purchase additional MFTI Implementation resources to assist you in your MFTI implementation journey.  These resources were developed based upon AWHONN’s work with over 200 hospitals in the MFTI Implementation Communities. 


A list of these resources is below:


Introductory Items

  • Terms of use for the MFTI Toolkit: includes discussion of copyright, permission to reprint and liability 
  • MFTI Introductory Presentation: covers basic steps to implement the MFTI including organizing your team, collecting baseline data, EMR integration and the MFTI education module
  • MFTI Nurse FAQs: includes answers to clinical questions about the use of the MFTI and logistical questions about the purchase of the MFTI education
  • Sample MFTI Justification Letter: template letter you can use in your institution to gain support for MFTI implementation. This describes the MFTI, it’s ROI for your institution, the cost and how AWHONN supports institutions with implementation
  • Past MFTI Implementation Community Webinar Recordings: nurses who took part in AWHONN’s MFTI implementation communities, leading implementation in three different settings, present the approaches and tools that helped them achieve success

Clinical Tools

  • Coping With Labor Algorithm*: this algorithm for assessing labor pain, researched by University of Utah nurses and midwives, is an integral element of the MFTI’s approach to assessment of pain
  • MFTI Algorithm*: the Maternal Fetal Triage Index in algorithm format
  • MFTI Poster:  poster-sized pdf version of the MFTI algorithm useful for posting in clinical triage settings
  • MFTI Paper Checklist: the Maternal Fetal Triage Index in a checklist format for use before the MFTI is built into an EMR
  • Patient Education about what to expect in triage: article, from AWHONN’s Healthy Mom&Baby consumer magazine, about what pregnant women can expect when they go to a triage unit 
  • MFTI References*: literature used in the MFTI educational module
  • Additional AWHONN MFTI Resources: video and articles related to the MFTI and triage

Implementation Tools

  • MFTI Audit Log (customizable): example of a log that can be used to audit use of the MFTI in practice and compare assigned MFTI levels
  • MFTI Case Studies Post test Answer Key: for nurse leader use with the MFTI educational module’s case studies posttest (not to be shared with learners)
  • MFTI Provider Handout: explains to providers what the MFTI is and how nurses use the MFTI 
  • MFTI Sample News Release (customizable): highlights how your team is using the MFTI to improve quality care
  • MFTI Sample Screening Room Process (customizable): tool developed by a nurse leader in one of AWHONN’s MFTI Implementation Communities to assess each step in triage throughput
  • MFTI Sample  Implementation Timeline (customizable): timeline developed by a nurse leader in one of AWHONN’s MFTI implementation communities describes each step in a successful process beginning with formation of a champions’ team in week 1 to the project debrief in week 42
  • Sample Triage Policy (customizable): this sample triage policy from AWHONN’s Templates for Protocols and Procedures for Maternity Services, 4th Edition (2018) includes a policy about triage of pregnant women and the procedures involved in obstetric triage, transport and/or discharge

*Also included in the MFTI Education Module 



$75/hospital for AWHONN members and $99/hospital for AWHONN non-members


Contact Mitty Songer at with questions or for a review of the toolkit contents.


*Also included in the MFTI Education Module 

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AWHONN is approved by the California Board of Registered Nursing, Provider #CEP580. Accredited status does not imply endorsement by AWHONN or the American Nurses Credentialing Center of any commercial products displayed or discussed in conjunction with educational activities.

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