Enhance Your Client Care Prenatal Chart Review

Elevate Your Practice with Pacific Birth Institute Documentation Templates

Q: What is a Documentation Template? A: Documentation Templates are invaluable tools for midwives, doulas, midwife assistants, midwife students, nurses, OBGYNs, and birth keepers. These pre-formatted scripts, tailored to SOAP communication notes, streamline the charting process and ensure efficient communication. Our SBAR Transfer Form is printable and usable to hand off care in emergent situations, while Documentation Templates are copiable into the midwife's EHR system for charting and medical record-keeping. Whether you're an experienced provider or just starting your journey in birth care, these templates are designed to guide you through critical points of care and facilitate seamless collaboration and escalation of care when needed. Q: How do Documentation Templates work? A: Documentation Templates are in SOAP format and structured to be easily recognizable by hospital providers, making them a valuable resource in times of transfer or emergency. They prompt you with the right questions at the right moments, ensuring swift and accurate documentation during client care. Q: How can Documentation Templates save time? A: In emergencies, time is crucial. Documentation Templates help midwives save valuable time by structuring the charting process. They guide you through essential details, ensuring that no critical information is missed during chart review. This efficient approach can make a significant difference in client care. In the training capacity, they help students learn quickly how to read client charts, assess emergencies and understand timing and it's relationship to outcomes, and for them to move into the primary assist phase prepared while charting well for the midwife from the beginning. Q: Can I customize Documentation Templates to my practice? A: Absolutely! Our templates are designed to be adaptable, allowing you to customize and tailor them to fit your unique practice needs. Whether you prefer paper charting or electronic health record (EHR) systems, these templates are versatile and user-friendly. They are yours to use and copy and paste into your records keeping system. They are not to be re-sold or re-distributed, we keep the costs low so all midwives and students can access what they need. Q: What resources are included with Documentation Templates? A: Each Documentation Template purchase includes not only the template itself but also an instruction sheet. This sheet offers guidance on how to effectively use the template and provides essential tips to ensure comprehensive and accurate documentation. If you have any questions, email us at [email protected] and check out our archives of videos and lessons on Facebook and Instagram.