OB Alert Yellow/OB Alert Red: Implementing a Rapid Response Team for Obstetrical Hemorrhage in a Community Hospital Setting

2.50
Hdl Handle:
http://hdl.handle.net/10755/150849
Type:
Presentation
Title:
OB Alert Yellow/OB Alert Red: Implementing a Rapid Response Team for Obstetrical Hemorrhage in a Community Hospital Setting
Abstract:
OB Alert Yellow/OB Alert Red: Implementing a Rapid Response Team for Obstetrical Hemorrhage in a Community Hospital Setting
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Schuch, Barbara C., BSN, RNC-OB, EFM-C
P.I. Institution Name:MacNeal Hospital
Title:Clinical Coordinator
Co-Authors:Sally M. Krempel, BSN, RNC-OB
21st INRC [Evidence-Based Practice Presentation] The Illinois Department of Public Health requires all hospitals providing obstetrical care in the State of Illinois to implement an obstetrical hemorrhage (OBH) initiative to include: Benchmark exam to assess OBH knowledge OBH education?didactic lecture, and hands on blood loss estimation skill stations OBH drills and debriefing; Implementation of Rapid Response team specific to OBH. This initiative was undertaken in 3 parts as suggested by the IDPH. The Benchmark exam, the OBH didactic and EBL skill stations were initially offered to all personnel providing obstetrical care including, obstetrical providers, nursing and surgical tech staff on L&D, as well as anesthesia personnel. A two tiered system for the activation of an OB Hemorrhage alert was created modeled after the MacNeal trauma alert standard already in place. The term "OB Alert Red" will initiate a full hemorrhage team response whereas "OB Alert Yellow" will initiate a partial team response. OB Alert yellow criteria EBL = 1000 cc after vaginal delivery EBL = 1500cc after/during C-section Hemorrhage NOT abated with massage and medical therapy. Patient with signs/symptoms of Class II hemorrhage (hypovolemia) OB Alert red criteria EBL >2000cc (vaginal delivery or c-section). Hemorrhage NOT abated with continuous massage and more than 3 pharmacologic agents. Surgical or radiologic intervention necessary. Blood/products replacement necessary. Patient with signs/symptoms of Class III or IV hemorrhage (hypovolemia). Fewer personnel are required for an OB Alert yellow, but can be elevated to an OB Alert red status involving more personnel as needed. Telecommunication's role is to perform a mass page having the multidisciplinary team in place with little wasted time. Our hospital will use the knowledge presented to us to approach OB hemorrhage with a new preparedness to do our part in decreasing preventable maternal mortality.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleOB Alert Yellow/OB Alert Red: Implementing a Rapid Response Team for Obstetrical Hemorrhage in a Community Hospital Settingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150849-
dc.description.abstract<table><tr><td colspan="2" class="item-title">OB Alert Yellow/OB Alert Red: Implementing a Rapid Response Team for Obstetrical Hemorrhage in a Community Hospital Setting</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Schuch, Barbara C., BSN, RNC-OB, EFM-C</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">MacNeal Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Coordinator</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bschuch@macneal.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sally M. Krempel, BSN, RNC-OB</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Presentation] The Illinois Department of Public Health requires all hospitals providing obstetrical care in the State of Illinois to implement an obstetrical hemorrhage (OBH) initiative to include: Benchmark exam to assess OBH knowledge OBH education?didactic lecture, and hands on blood loss estimation skill stations OBH drills and debriefing; Implementation of Rapid Response team specific to OBH. This initiative was undertaken in 3 parts as suggested by the IDPH. The Benchmark exam, the OBH didactic and EBL skill stations were initially offered to all personnel providing obstetrical care including, obstetrical providers, nursing and surgical tech staff on L&amp;D, as well as anesthesia personnel. A two tiered system for the activation of an OB Hemorrhage alert was created modeled after the MacNeal trauma alert standard already in place. The term &quot;OB Alert Red&quot; will initiate a full hemorrhage team response whereas &quot;OB Alert&nbsp;Yellow&quot; will initiate a partial team response. OB Alert yellow criteria EBL = 1000 cc after vaginal delivery EBL = 1500cc after/during C-section Hemorrhage NOT abated with massage and medical therapy. Patient with signs/symptoms of Class II hemorrhage (hypovolemia) OB Alert red criteria EBL &gt;2000cc (vaginal delivery or c-section). Hemorrhage NOT abated with continuous massage and more than 3 pharmacologic agents.&nbsp;Surgical or radiologic intervention necessary. Blood/products replacement necessary. Patient with signs/symptoms of Class III or IV hemorrhage (hypovolemia). Fewer personnel are required for an OB Alert yellow, but can be elevated to an OB Alert red status&nbsp;involving more&nbsp;personnel as needed. Telecommunication's role is to perform&nbsp;a mass page having the multidisciplinary team in place with little wasted time. Our hospital will use the knowledge presented to us to approach OB hemorrhage with a new preparedness to do our part in decreasing preventable maternal mortality.</td></tr></table>en_GB
dc.date.available2011-10-26T10:44:34Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:44:34Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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