My facility does not formally use Bishop's Scores on our patients...
However, we are often asked to do a VE and then report to the physician, who then orders how the patient is to be induced, be it elective OR medically indicated inductions.
Since I know the difference between a favorable cervix and one that is "slammed shut, thick and high", I always chart my initial exam with all the info needed to do a formal Bishop's Score, so no one can mistake what I was feeling...in court!
ex: dilatation, effacement, station of presenting part, position of cervix (anterior, mid or posterior), mobility of cervix (fixed or movable), and softness (ripe vs unripe; soft vs firm.)
Why go to this length? So that if the Bishop's score is a 1 or 2 and the MD orders pitocin, whomever reviews this chart for the c/s for failed induction won't accuse me of not telling the MD all the info available!
Many times the Docs are NOT familiar with the formal scoring system, but will listen to my suggestions if they know the cervix is in need of ripening before pitocin.