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.

4.4: Competency-Based Training Checklist for Estimating Blood Loss and Postpartum Hemorrhage (PPH): Vaginal bleeding after delivery that exceeds 500 ml

The Kentucky Hospital Association, through a generous grant from t 2. Recognition of OB hemorrhage by performing ongoing objective quantification of actual blood loss during and after all births. 3. Response to hemorrhage by performing regular on-site multi-professional hemorrhage drills. 4. Reporting of OB hemorrhage by standardizing definitions and consistency in coding and reporting. PATIENT SAFETY BUNDLES 8.

PATIENT SAFETY BUNDLES 8. Perform Interdisciplinary Hemorrhage Drills 9. 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 Author: Suzanne Flohr‐Rincon Subject: Journal of Obstetric Gynecologic and Neonatal Nursing, (2013) S26. doi:10.1111/1552-6909.12084 Keywords: hemorrhage; postpartum hemorrhage; blood; transfusion Hemorrhage . I. PRINCIPLE .

Utilizing OB Hemorrhage Drills and Standardized Electronic Order Sets to Champion Excellence and Collaboration during Postpartum Hemorrhage Suzanne Flohr‐Rincon RNC‐OB, BSN

49. Sample document exists within the CMQCC tool kit related to obstetric hemorrhage drills and. Postpartum hemorrhage and pre-eclampsia/eclampsia are the most common causes of maternal mortality globally. In the rare case that a woman suffers one of Training courses on estimating blood loss after vaginal delivery.

2. Recognition of OB hemorrhage by performing ongoing objective quantification of actual blood loss during and after all births. 3. Response to hemorrhage by performing regular on-site multi-professional hemorrhage drills. 4. Reporting of OB hemorrhage by standardizing definitions and consistency in coding and reporting. PATIENT SAFETY BUNDLES

Reporting of OB hemorrhage by standardizing definitions and consistency in coding and reporting. PATIENT SAFETY BUNDLES 8.

AIM e-module 2 Readiness. AIM e-module Response. Obstetric emergency drills should be conducted at a frequency that is appropriate for maintaining skills of clinical staff. This may be twice a quarter, once a quarter, or twice a year, depending on need. The first drill will be used to detect latent problems and to plan and implement corrective measures. The team at Norton Hospital in Louisville performs a drill for an OB Hemorrhage Emergency.
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4. Reporting of OB hemorrhage by standardizing definitions and consistency in coding and reporting.

COVID-19 in District II The drill involves (1) a person who assumes the role of an obstetrics client experiencing an obstetric emergency and (2) health providers from the facility who simulate the emergency management of the obstetric complication as a team (including an obstetrician, a midwife, and a nurse). Purpose of the tool: The Postpartum Hemorrhage In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the unit where they work. Upon completion of a Postpartum Hemorrhage In Situ Simulation, participants *The Obstetric Emergency Drills Trainer’s Manual and accompanying resources are now available in French! 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.
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SIMULATIONS AND DRILLS: EDUCATIONAL TOOL #2: SAMPLE . Education Details: Center for Advanced Pediatric and Perinatal Education Julie Arafeh MSN, RN SCENARIO OVERVIEW Name of Scenario: Post-partum Hemorrhage (Uterine Atony) Patient description: Renee Harper, 32 yo G2 P1, 38 weeks gestation, admitted for spontaneous labor, OB history remarkable for previous postpartum hemorrhage requiring massive transfusion policies, OB Hemorrhage simulation drills and debriefing, quantification of blood loss, and more. Hospitals and providers will be better Postpartum hemorrhage remains a leading cause of maternal morbidity and mortality in the United States.

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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)

OB Attending (513-325-0304) optimal management of obstetric hemorrhage fall under five domains of recommendations for Readiness: 1. Development of a hemorrhage cart or kit with supplies, checklist and instruction cards for intrauterine balloons and compression stitches. 2. Immediate access to hemorrhage medications (recommended medications and doses included in appendix). 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.