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With Drills Since 2004, the Joint Commission has recom-mended the use of periodic drills for common obstetric emergencies, such as shoulder dystocia, neonatal resuscitation, emergency cesarean birth and maternal hemorrhage. Drills have long been Keeping mothers and babies safe while they’re in our care is our number one priority. To

Drills have long been Keeping mothers and babies safe while they’re in our care is our number one priority. To 2016-08-16 • Trainees will observe LPCHS OB simulation drills 4. Training scenarios will be created by the OB Sim Training team and trainees to include: • Learning objectives • Creation of scenarios • Supplies and equipment needed • Personnel needed 5. Sample scenario subjects: • Post-partum hemorrhage • Shoulder dystocia 37 OB Hemorrhage: Carts, Kits, Trays 40 OB Hemorrhage Resources 42 Developing Training & Tools for Quantitative Measurement of Blood Loss 43 ACOG Patient Safety Checklist 45 Simulations & Drills 48 Importance of Drills 48 What you Need to Know for a Postpartum Hemorrhage Drill Improve recognition of OB hemorrhage by performing on-going objective quantification of actual blood loss during and after all births. Improve response to hemorrhage by performing regular on-site multi-professional hemorrhage drills.

3. A systematic, team based, maternal hemorrhage protocol has been implemented at SBUH. Drills provide a platform to identify system issues and prepare for maternal emergencies. Hemorrhage drills and systematic, non- punitive chart review of actual maternal hemorrhages will decrease the risk of adverse maternal outcomes. Its purpose is to teach a team to run obstetric emergency drills on a random schedule within the obstetrics unit, to help clinical staff evaluate and improve their responses to obstetric emergencies. The objective of this manual is to describe the procedures and to provide the necessary tools to conduct obstetric emergency drills followed by debriefing sessions to improve facility quality and With Drills Since 2004, the Joint Commission has recom-mended the use of periodic drills for common obstetric emergencies, such as shoulder dystocia, neonatal resuscitation, emergency cesarean birth and maternal hemorrhage.

Debrief after OB Hemorrhage Events Hospitals submitted baseline data for July – September 2013 and prospective data from December 2013 – April 2015. Major findings include: Hospitals educated 100% of their clinical staff and 71% of their obstetricians/midwives on OB hemorrhage in 2014.

Utilizing OB Hemorrhage Drills and Standardized Electronic Order Sets to Champion Excellence and Collaboration during Postpartum Hemorrhage Suzanne Flohr-Rincon, RNC-OB, BSN, Sharp HealthCare, Chula Vista, CA Lora Tucker, RNC-OB, BSN, Sharp Chula Vista Medical Center, Chula Vista, CA Bernadette Balestrieri-Martinez, MSN, RNC-OB, CNS, Sharp Chula

Simulation Background • Response to OB hemorrhage (OBH) needs a protocol, drills and a team response • Improve team communication • Both physician and nurses can activate an emergency hemorrhage protocol • Increase early recognition and “triggers” for recognizing and responding to hemorrhage and abnormal vital signs Long Beach Memorial CMQCC OBSTETRIC HEMORRHAGE TOOLKIT Version 2.0 3/24/15 37 SIMULATIONS AND DRILLS: EDUCATIONAL TOOL #2: SAMPLE SCENARIO #1: DRILL FOR UTERINE ATONY Center for Advanced Pediatric and Perinatal Education Julie Arafeh MSN, RN SCENARIO OVERVIEW Name of Scenario: Post-partum Hemorrhage (Uterine Atony) 2021-04-18 · Checklist: Hemorrhage Stages 1-4 (Revised September 2020) Checklist: Recommended Instruments (Revised March 2019) Poster: Managing Maternal Hemorrhage. Poster: Massive Transfusion Protocol (Blood Bank) Poster: Surgical Management. Obstetric Hemorrhage: Thinking Outside the Drill Poster Presentation Obstetric hemorrhage is a critical event that requires optimal management to minimize morbidity and mortality.

Conducting Obstetric Hemorrhage Drills. November 18, 2014 Prior to this role, Ms. Desai managed ACOG’s in-patient obstetric peer review program, Voluntary

Rates of postpartum hemorrhage have increased over the past two decades, primarily due to an increase in cases of uterine atony. Reviews have shown that delays in recognition and response to hemorrhage contribute to poor maternal outcomes. IDHI’s POWER team travels across the state and provides OB Emergency In Situ Simulation Drills to all 39 of our delivering hospitals. We cover topics such as severe hypertension, eclampsia, shoulder dystocia, and postpartum hemorrhage. OB Hemorrhage is: •Increasingly Common •A leading killer of moms OB hemorrhage deaths are largely preventable. MacDorman.

OB Risk Assessment/Drill.
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Debriefings should occur after every drill and after every actual OB hemorrhage emergency.
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Examples of massive transfusion protocols can be found in the appendix. Additionally, training should include provider and staff education about hematologic.

The Obstetric Emergency Drills Trainer’s Manual and accompanying resources were developed by Argentina’s Institute for Clinical Effectiveness and Health Policy (IECS) and the Maternal Health Task Force (MHTF) as part of a research and Implementation of Obstetrical Hemorrhage Drills Amy Sanborn, RN, BSN Clinical Educator Long Beach Memorial Miller Children’s Hospital Long Beach Objectives: • Learn the benefits of participating in a quality care collaborative • Understand how to develop and implement obstetrical emergency drills • Describe the assigned tasks and obstetric hemorrhage bundle and meet the goals of the OPC Obstetric Hemorrhage Initiative. We fully encourage providers and hospitals to review and utilize the resources from the following organizations in addition to the OPC, as they each offer valuable tools and guidance for addressing obstetric hemorrhage. Key references for this toolkit Utilizing OB Hemorrhage Drills and Standardized Electronic Order Sets to Champion Excellence and Collaboration during Postpartum Hemorrhage Suzanne Flohr-Rincon, RNC-OB, BSN, Sharp HealthCare, Chula Vista, CA Lora Tucker, RNC-OB, BSN, Sharp Chula Vista Medical Center, Chula Vista, CA Bernadette Balestrieri-Martinez, MSN, RNC-OB, CNS, Sharp Chula 2.

Massive transfusion in relation to obstetric hemorrhage : with special attention to placenta High quality drill core material from the upper 1 km of the central

MKS8806. Specializes in Labor and Delivery, Newborn, Antepartum. Has 7 years experience. Hi Everyone! I … From: Main et al. Obstet Gynecol 2015;125(4):938-947 4 Cause of Death While Pregnant 0-7 Days Post-partum 8-42 Days Post-partum 43-60 Days Post-partum 61+ Days Post-partum Total Amniotic Embolism 1 9 0 0 0 10 Cardiac Event 2 12 9 5 27 55 Cerebrovascular Event 0 8 9 1 9 27 Drug Overdose 0 3 7 5 49 64 Hemorrhage 3 12 2 0 3 20 Homicide 2 1 5 2 32 42 Hypertension/Eclampsia 0 7 4 0 7 18 hemorrhage is a leading cause of preventable maternal morbidity and mortality. Rates of postpartum hemorrhage have increased over the past two decades, primarily due to an increase in cases of uterine atony.

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