Implementing a Massive Transfusion Protocol in Labor and Delivery

Poster PresentationPurpose for the ProgramNurses in the labor and delivery unit at Baylor University Medical Center recognized a need to guide staff during a massive hemorrhage. Postpartum hemorrhages continue to be a leading cause of maternal death in the United States. Staff felt that developing an interdisciplinary protocol and standardized education would help foster timely communication that leads to improved patient outcomes.Proposed ChangeTo develop an obstetric (OB)‐specific massive transfusion protocol (MTP) by utilizing current evidence‐based practice transfusion recommendations. Our hospital has had a MTP for many years. As a result of working in conjunction with the blood bank and the OB anesthesia unit, we also defined the nurse's roles in caring for patients during massive hemorrhages and transfusions. This tool serves as a guide for nursing staff. By activating this MTP, we ensure that all appropriate parties are aware of the emergent situation.Implementation, Outcomes, and EvaluationWe assessed the knowledge base of our staff before creating our education plan. The results from that the assessment suggested we focus on the definition of massive hemorrhage. Furthermore, the results indicated what labs to anticipate, which resources to utilize, and what the role of the nurse should be during a massive hemorrhage. Education focused on these key components in addition to the new obstetric MTP. To reiterate the components addressed through education and to focu...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - Category: Nursing Authors: Tags: Women's Health Source Type: research