A Collaboration of Providers and Registered Nurses on Early Assessment and Identification of Patients with Risk Factors for Postpartum Hemorrhage

Poster PresentationPurpose for the ProgramTo prevent harm to the woman, health care providers and nursing staff collaborated to implement early identification triggers for women at risk of postpartum hemorrhage (PPH). Audit information was collected from six women who experienced PPH in May 2014. The obstetric units consist of 16 beds in the labor and delivery unit and 15 beds in the mother/infant unit in a community‐based medical center. During the audits, the chief of obstetrics and the administrative director questioned if the hemorrhages could have been prevented.Proposed ChangeNursing staff receive education on PPH, and a hemorrhage cart is accessible on the individual units. Provider involvement became essential as concern was voiced over lack of patient information during physician hand‐off. Literature review took place and evidence was presented during a perinatal collaborative meeting consisting of physicians, nurses, quality representatives, and the risk manager. The Maternal Safety Bundle for Obstetric Hemorrhage published by the American College of Obstetricians and Gynecologists guided creation the program. Quarterly, nursing staff are taught to recognize PPH. Early recognition and prevention of PPH were ranked as top priorities that fueled the implementation of the project.Implementation, Outcomes, and EvaluationEducation was performed with health care providers and nurses on a trigger tool constructed for women at risk of PPH. During initial assessment of t...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - Category: Nursing Authors: Tags: Childbearing Source Type: research