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Product preview · Fictional patient data

OvaFlow

For procedure & anesthesia teams

A slot counts when the whole team has committed.

A retrieval needs a physician, anesthesia, the OR and embryology at the same time. OvaFlow checks each commitment, raises late results before the cutoff and names who calls tomorrow.

Retrieval slot · movedNew time needs all four commitments
  • REI physician Committed
  • Anesthesia Committed
  • Operating room Committed
  • Embryology lab Committed

Whole-team commitment: slot confirmed

Fictional patient dataIllustration of a whole-team commitment check.

Who this is for

Procedure coordinators, anesthesia, OR and recovery teams.

One procedure day

From a moved slot to tomorrow's call.

Four commitments lock into the new slot, a late result surfaces before the cutoff, and nobody goes home without a named owner for the next-day call.

Illustration · Fictional schedule
  1. Today

    A rescheduled retrieval slot booked without the anesthesiologist, embryologist and physician committed.

    With OvaFlow

    A whole-team commitment check for every slot.

  2. Today

    Outside results still overdue at the cutoff.

    With OvaFlow

    Overdue outside results raised before the cutoff.

  3. Today

    Anesthesia questions unresolved on the day.

    With OvaFlow

    Pre-op questions resolved and visible.

  4. Today

    Discharge with no next-day owner.

    With OvaFlow

    Discharge with a named follow-up owner.

Everything else mapped for this role1 more

Also designed in

  • OR readiness confirmed.

A shift with OvaFlow

How the day actually goes.

Drawn from the prototype walkthroughs. Times are from the fictional demonstration day.

Fictional patient data
  1. The retrieval slot moves. Physician, anesthesia, OR and embryology each confirm the new time.

  2. An outside lab result is overdue. It is raised before the cutoff, with an owner for review.

  3. An anesthesia pre-op question is resolved before the procedure.

  4. At discharge, a named nurse owns the next-day call.

  5. Watch it happen

Procedure day · 06:30 room check to post-recovery follow-up

Oocyte retrievals and embryo transfers compress four distinct specialties—REI physician, anesthesia provider, OR/recovery nursing, and embryology—into tightly timed 20-to-30-minute procedure slots anchored ~36 hours after trigger. ASRM minimum staffing standards and multi-society perioperative anesthesia guidance require coordinated room readiness, individualized pre-op medication and fasting review, and named post-discharge follow-up [1, 2, 3].

  1. 01D−1 · 15:00
    Outside result cutoff & pre-op clearance check
    What comes in

    External infectious-disease panel, CBC, or cardiology note due before retrieval

    Where it can slip today

    An overdue outside lab is discovered at 06:45 on retrieval morning after the patient is already NPO in pre-op.

    How OvaFlow keeps it in view

    Raises overdue outside results before the D−1 cutoff with a named clinician owner for review

    Escalated before cutoff · Owner assigned
  2. 02D−1 · 17:15
    Moved retrieval slot · Four-way team commitment
    What comes in

    Trigger v3 (20:00 PDT) aligns retrieval slot for Nov 1 · 07:00 PST

    Where it can slip today

    A scheduler moves the calendar block, assuming anesthesia and the embryology bench saw the change.

    How OvaFlow keeps it in view

    Holds slot as 'Proposed' until Physician, Anesthesia, OR Nurse, and Embryology each confirm

    4 / 4 committed · Slot confirmed
  3. 0306:30
    Pre-op bay · Anesthesia & GLP-1 / NPO review
    What comes in

    Anesthesia pre-op questionnaire, airway history, and GLP-1 receptor agonist disclosure

    Where it can slip today

    Open anesthesia questions sit in a portal message nobody in the pre-op bay can see, or static templates miss active meds.

    How OvaFlow keeps it in view

    Surfaces open pre-op questions and anesthesia provider sign-off status on the procedure board

    Pre-op question resolved · Visible to OR
  4. 0407:00–07:25
    Procedure room · Specimen & time-out alignment
    What comes in

    OR time-out, follicular aspiration, and pass-through window to embryology

    Where it can slip today

    Verbal room updates after a late trigger injection fail to reach the anesthesia and lab pass-through check.

    How OvaFlow keeps it in view

    Displays both the signed 20:00 PDT trigger and Elena's reported 20:20 PDT injection on the retrieval brief

    OR & Lab aligned · Time-out ready
  5. 0508:45
    PACU discharge & next-day recovery owner
    What comes in

    Post-anesthesia recovery score, OHSS risk watch, and discharge instructions

    Where it can slip today

    Patient goes home with a paper sheet, but no specific nurse owns the next-day post-retrieval symptom check.

    How OvaFlow keeps it in view

    Requires a named Discharge owner for the Day+1 callback and displays clinic 24/7 line & 911

    Discharge owner named · Next-day queued
Five procedure-day coordination checkpoints from the afternoon before retrieval through recovery discharge and tomorrow's call.Fictional clinic day · Fictional patient data

Worked procedure-day example · Nov 1 · 07:00 PST Retrieval Slot

Why moving a retrieval slot requires four explicit commitments.

When Dr. Mira Lee signs Trigger v3 on Oct 30 (for 20:00 PDT), Elena Rivera's oocyte retrieval is set for Nov 1 at 07:00 PST. Trace how the procedure coordinator, anesthesiologist, OR nurse, and embryologist coordinate the slot, pre-op clearance, and recovery discharge.

Fictional patient data

Why this moment matters in an IVF clinic

In an ambulatory reproductive surgery center, moving a retrieval time affects sedation staffing, incubator dish equilibration in the embryology lab, and the 36-hour post-trigger ovulation window. Furthermore, 2024 multi-society perioperative guidance on GLP-1 receptor agonists requires individualized pre-op risk assessment rather than an unreviewed checkbox [1, 2, 3].

  1. Step 01Procedure Coordinator → Physician, Anesthesia, OR, Embryology

    D−1 · Whole-team commitment before a moved slot is treated as booked

    When the retrieval slot moves to 07:00 PST, OvaFlow does not treat a calendar drag-and-drop as a confirmed procedure. The slot remains in 'Awaiting team commitment' until the REI physician, anesthesiologist, OR nurse, and embryology bench each record their confirmation.[1][3]

  2. Step 02Pre-op Nurse & Ordering Clinician

    D−1 cutoff · Overdue outside results surfaced before fasting begins

    An outside lab result still pending at the afternoon pre-op cutoff is raised directly on the procedure readiness queue with a named owner, preventing a surprise cancellation after the patient arrives NPO on retrieval morning.[1]

  3. Step 03Anesthesia Provider & OR Team

    06:30 PST · Pre-op anesthesia question resolved on the day-of board

    Consistent with multi-society perioperative GLP-1 and sedation guidance, an open anesthesia question regarding pre-op medication timing and gastric symptom screening is flagged for the anesthesia provider and marked resolved before room roll-back.[2]

  4. Step 04PACU Nurse → Next-Day Recovery Coordinator

    08:45 PST · PACU discharge paired with a named Day+1 callback owner

    At discharge, OvaFlow separates clinical discharge sign-off (which stays in the EMR) from operational follow-up: the case cannot leave the active recovery board without a named nurse owning tomorrow's post-retrieval check-in call.[1][4]

How the safeguard works

How all four teams commit to a moved retrieval slot and next-day follow-up

Fictional patient record
01 · Elena Rivera · Egg retrieval on Nov 1

07:00 PST retrieval slot commitments

REI physician
Dr. Mira Lee · CommittedSigned version 3 (20:00 PDT); 20:20 PDT patient report noted
Anesthesia
Anesthesia team · CommittedPre-op medication and fasting questions answered before procedure
OR & embryology
OR nurse and embryology lab · CommittedWarming stage and labeled dishes prepared for the 07:00 PST slot
02 · Before the room is booked

Moving a calendar block does not mean the room is ready

Overdue outside labs are raised before the afternoon cutoff, and all four teams must confirm before the moved slot shows as booked.

03 · From recovery bay to home

Recovery discharge and tomorrow's call

Medical discharge
Signed in the surgical and anesthesia recordOvaFlow never grants anesthesia clearance or medical discharge
After-hours help
Clinic 24/7 phone line and 911 on the patient cardSymptom reports go straight to the care team, never an automated bot
Next-day follow-up
Named nurse assigned before dischargeStays on tomorrow's active queue until the recovery call is completed

Holding a calendar slot never substitutes for anesthesia clearance, surgical readiness, or signed discharge.

A moved retrieval time is confirmed only after every procedure team commits, and nobody is discharged without a named nurse for tomorrow's call.

What stays where it belongs

Booking a room does not establish professional clearance or discharge.

What OvaFlow shows this role
  • Four-way slot commitment trackerShows real-time confirmation status across Physician, Anesthesia, OR nursing, and Embryology whenever a procedure time moves.
  • Pre-cutoff outside result alertsFlags missing external infectious-disease, hormone, or clearance labs before the day-before cutoff with a named owner.
  • Visible pre-op anesthesia question statusTracks whether open patient or anesthesia pre-op questions have been reviewed and resolved by the anesthesia team.
  • Named post-discharge callback ownershipEnsures every retrieval or transfer patient leaves PACU with a specific nurse assigned to the next-day follow-up call.
What OvaFlow never does (stays with you & your EMR)
  • Never equates room booking with clinical clearanceReserving an OR slot never substitutes for the physician's or anesthesiologist's professional clearance in the EMR.
  • Never applies static hold rules to anesthesia medsPerioperative medication management (such as GLP-1 agonists or anticoagulants) is always decided by the clinical team.
  • Never performs or replaces OR/lab time-out witnessingPatient identity verification and pass-through specimen witnessing stay with the OR team and the lab's witnessing process.
  • Never scores post-op symptoms to clear a patientPost-anesthesia discharge criteria and post-retrieval symptom evaluation remain entirely with licensed clinicians.

Standards, regulations & norms shaping procedure & anesthesia teams

ASRM Minimum Standards

Synchronized multidisciplinary procedure staffing

ASRM's Minimum Standards for Practices Offering Assisted Reproductive Technologies require coordinated staffing across the reproductive surgeon, anesthesia personnel, recovery nursing, and embryology laboratory so oocyte aspiration and immediate gamete handling occur without thermal or timing delay.[1]

Multi-Society GLP-1 Guidance (2024)

Why pre-op anesthesia review cannot be a static template

The October 2024 multi-society clinical practice guidance from the American Society of Anesthesiologists (ASA) and partner societies emphasizes individualized perioperative assessment of GLP-1 receptor agonists (evaluating dose escalation, gastrointestinal symptoms, and liquid diet modifications) rather than a one-size-fits-all hold rule—illustrating why open pre-op questions must reach the anesthesia provider early.[2]

ASRM Lab & OHSS Guidance

Pass-through readiness and post-retrieval surveillance

ASRM laboratory operations guidance and OHSS prevention guidelines connect retrieval timing directly to cumulus-oocyte complex identification in the lab and structured post-retrieval follow-up for bloating, pain, or fluid shifts.[3][4]

Prototype walkthroughs

See it in the prototype.

Recorded from the interactive design prototype with fictional patient data. Open one to play it here with chapters and captions.

All 2 walkthroughs for procedure & anesthesia teams

Common questions & sources

Questions from procedure & anesthesia teams.

How OvaFlow handles edge cases, clinical authority, and source-system boundaries for this role.

Q01Why does Embryology need to commit when a retrieval slot moves by 15 or 30 minutes?

Oocyte retrieval timing is locked to the ~36-hour post-trigger window, and the embryology bench pre-equilibrates labeled culture dishes and warming stages for each patient's exact slot. If a slot moves without lab confirmation, two aspirations can collide at the pass-through window.[1][3]

Q02How does OvaFlow handle overdue outside clearance labs before a morning procedure?

Rather than waiting for the morning huddle, OvaFlow tracks expected outside results against your clinic's pre-op cutoff time the day before. If a result is still unreturned at cutoff, it escalates to a named owner while there is still time to obtain it.

Q03Does OvaFlow tell patients which pre-op medications to hold before sedation?

Never. Pre-op medication and fasting instructions come only from your anesthesia and clinical teams' signed instructions in the EMR. OvaFlow tracks whether open pre-op questions have been answered by the anesthesia team before procedure day.[2]

Q04What happens at PACU discharge in OvaFlow?

Clinical discharge stays in your surgical/anesthesia record. In OvaFlow, completing the operational discharge step links a named nurse as the Discharge owner for the next-day recovery call and ensures the patient's companion view shows the clinic's 24/7 line and 911.[1][4]

Next step

Walk a procedure day through with every team.

See how Physician, Anesthesia, OR, and Embryology commit to a moved retrieval slot and assign next-day recovery follow-up.