Midwifery practice

Ravenshaw Ridge Midwifery · Midwifery practice · Missoula, MT

Zelda Kincaid is the practice lead at Ravenshaw Ridge Midwifery, a midwifery practice and birth center in Missoula, and she uses this to keep the licenses, safety rounds, chart reviews and incident follow-up an inspector would ask to see, with the private clinical columns kept out of the inspector's copy.

HealthcareComplianceGoverned columns5 tables · 9 views · 2 forms · 4 dimension sets · 1 dashboard · 1 digest · 1 notification · 1 stage rule set · 1 agent
Use this template

Lapse calendar

Licenses and permits
October 2026
Sun
Mon
Tue
Wed
Thu
Fri
Sat
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15Newborn resuscitation — Strandberg
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30Bloodborne pathogens — Vanterpool
31

Tables

Licenses and permits

23 sample rows · 11 columns

Every license, permit and training card the birth center and its midwives must be able to show.

LicenseLicense no.KindHeld byIssued byIssuedExpires
CPR — StrandbergLC-40338CPR for professionalsOttilie StrandbergProfessional rescuer training providerSep 20, 2024Sep 20, 2026
Bloodborne pathogens — OkwuosaLC-40457Bloodborne pathogens trainingEmeric OkwuosaOnline safety course providerSep 25, 2025Sep 25, 2026
Newborn resuscitation — StrandbergLC-40270Newborn resuscitation cardOttilie StrandbergNeonatal resuscitation training programOct 15, 2024Oct 15, 2026
Bloodborne pathogens — VanterpoolLC-40406Bloodborne pathogens trainingTheodora VanterpoolOnline safety course providerOct 30, 2025Oct 30, 2026
City business licenseLC-40134Permit or waiver—City licensing officeNov 9, 2025Nov 9, 2026
Midwife license — FairbairnLC-40202Midwife licenseMarit FairbairnState midwifery boardNov 14, 2024Nov 14, 2026
Bloodborne pathogens — StrandbergLC-40440Bloodborne pathogens trainingOttilie StrandbergOnline safety course providerDec 4, 2025Dec 4, 2026
Newborn resuscitation — VanterpoolLC-40236Newborn resuscitation cardTheodora VanterpoolNeonatal resuscitation training programDec 24, 2024Dec 24, 2026
Hazardous waste generator registrationLC-40151Permit or waiver—State environmental quality officeApr 8, 2026Apr 8, 2027
Bloodborne pathogens — FairbairnLC-40423Bloodborne pathogens trainingMarit FairbairnOnline safety course providerMay 8, 2026May 8, 2027
CPR — FairbairnLC-40321CPR for professionalsMarit FairbairnProfessional rescuer training providerMay 23, 2025May 23, 2027
Bloodborne pathogens — PennywhistleLC-40474Bloodborne pathogens trainingAurelia PennywhistleOnline safety course providerJul 7, 2026Jul 7, 2027

11 more rows

Safety checks

30 sample rows · 11 columns

Each recurring equipment check, drill and walkthrough, what it found and what the fix costs.

CheckKindDone onDone byResultItems looked atItems not passing
CK-26-129Autoclave spore testSep 24, 2026Marit FairbairnFailed112
CK-26-128Medication fridge logSep 13, 2026Ottilie StrandbergFailed221
CK-26-127Infection control walkthroughSep 2, 2026Emeric OkwuosaPassed with notes150
CK-26-126Resuscitation kit checkAug 22, 2026Aurelia PennywhistlePassed80
CK-26-125Oxygen and suction checkAug 11, 2026Zelda KincaidPassed190
CK-26-124Emergency birth drillJul 31, 2026Theodora VanterpoolPassed120
CK-26-123Fire extinguisher roundJul 20, 2026Marit FairbairnFailed232
CK-26-122Autoclave spore testJul 9, 2026Ottilie StrandbergPassed160
CK-26-121Medication fridge logJun 28, 2026Emeric OkwuosaPassed90
CK-26-120Infection control walkthroughJun 17, 2026Aurelia PennywhistlePassed200
CK-26-119Resuscitation kit checkJun 6, 2026Zelda KincaidFixed after retest132
CK-26-118Oxygen and suction checkMay 26, 2026Theodora VanterpoolPassed with notes60

18 more rows

Chart reviews

16 sample rows · 11 columns

Spot checks of client charts against the practice's standards, kept without client names.

ReviewClient codeReviewed onReviewed byServiceWeeks pregnantSent to hospital
CR-26-215CL-3535Sep 10, 2026Theodora VanterpoolPostpartum visit—No
CR-26-214CL-3506Aug 26, 2026Marit FairbairnNewborn visit—No
CR-26-213CL-3477Aug 11, 2026Zelda KincaidPrenatal visit42No
CR-26-212CL-3448Jul 27, 2026Theodora VanterpoolBirth41No
CR-26-211CL-3419Jul 12, 2026Marit FairbairnPostpartum visit—No
CR-26-210CL-3390Jun 27, 2026Zelda KincaidNewborn visit—No
CR-26-209CL-3361Jun 12, 2026Theodora VanterpoolPrenatal visit38No
CR-26-208CL-3332May 28, 2026Marit FairbairnBirth37No
CR-26-207CL-3303May 13, 2026Zelda KincaidPostpartum visit—No
CR-26-206CL-3274Apr 28, 2026Theodora VanterpoolNewborn visit—No
CR-26-205CL-3245Apr 13, 2026Marit FairbairnPrenatal visit41No
CR-26-204CL-3216Mar 29, 2026Zelda KincaidBirth40No

4 more rows

Incidents

14 sample rows · 12 columns

Anything that went wrong or nearly did, what was done about it and what that cost.

IncidentReferenceKindHow seriousStatusHappened onReported by
Late hand-off note after a transferIN-26-313Transfer to hospitalModerateReportedOct 2, 2026Theodora Vanterpool
Back-up generator did not start on the monthly testIN-26-312EquipmentHighReportedSep 29, 2026Emeric Okwuosa
Postpartum call log missing two entriesIN-26-311DocumentationLowReportedSep 26, 2026Aurelia Pennywhistle
Whiteboard hid a posted allergy alertIN-26-310Near missModerateCorrective action under waySep 13, 2026Ottilie Strandberg
Expired medication found in the birth bagIN-26-309Medication storageModerateCorrective action under waySep 5, 2026Marit Fairbairn
Biohazard bin overfull before pickupIN-26-308EquipmentLowCorrective action under wayAug 28, 2026Emeric Okwuosa
Ambulance arrival slower than the transfer planIN-26-307Transfer to hospitalModerateCorrective action under wayAug 21, 2026Zelda Kincaid
Oxygen regulator leak found at the weekly checkIN-26-306EquipmentHighClosedJul 12, 2026Emeric Okwuosa
Scale reading drifted by half a poundIN-26-305EquipmentLowClosedJun 27, 2026Emeric Okwuosa
Mislabeled newborn screening cardIN-26-304Near missModerateClosedJun 7, 2026Theodora Vanterpool
Consent form unsigned on a chartIN-26-303DocumentationLowClosedMay 18, 2026Aurelia Pennywhistle
Transfer paperwork left on the printerIN-26-302Transfer to hospitalLowClosedApr 28, 2026Zelda Kincaid

2 more rows

Forms and booking

Check report

Form
Check reportWhoever does a round or a drill files this form straight afterwards.
What is the check number on the sheet? *
Which round or drill was it? *Medication fridge logResuscitation kit checkEmergency birth drillAutoclave spore testInfection control walkthroughOxygen and suction checkFire extinguisher round
Which day did you do it? *
Who did it? *
Did it pass?PassedPassed with notesFailedFixed after retest
Anything you want the practice lead to know?Leave blank if all was well.
File the report

Incident report

Form
Incident reportUsed by any team member to log something that went wrong or nearly did.
In a few words, what happened? *
What kind of event was it? *EquipmentMedication storageTransfer to hospitalDocumentationNear miss
How serious was it? *LowModerateHigh
Which day did it happen? *
Who is reporting it? *
Send the report

Dashboards

Inspector overview

Licenses and permits
Licenses by status
  • Current16
  • Renewal due5
  • Expired2
Checks by result23
Cost of fixes by incident status
  • Current0
  • Renewal due0
  • Expired0

Also included

  • Incident boardStage rules
  • License running outNotificationTells the office manager six weeks ahead that a license or card expires.
  • Monday renewals digestDigest