When Lightening Strikes?We're Ready!!! Teams Performance and Communication During Eclamptic Seizures

2.50
Hdl Handle:
http://hdl.handle.net/10755/151606
Type:
Presentation
Title:
When Lightening Strikes?We're Ready!!! Teams Performance and Communication During Eclamptic Seizures
Abstract:
When Lightening Strikes?We're Ready!!! Teams Performance and Communication During Eclamptic Seizures
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Anderson, Lindsey, RN, BSN
P.I. Institution Name:Sharp Mary Birch Hospital for Women
Title:Manager
Co-Authors:Ana-Maria Gallo, PhD, CNS, RNC; Suzanne Flohr-Rincon, BSN, RN
Hypertension during pregnancy has been one of the leading causes of perinatal morbidity and mortality. In the U.S., approximately 5% of pregnancies are complicated by preeclampsia. Of these patients, 0.5-2% progress to eclamptic. Maternal complications of eclampsia may include permanent CNS damage from recurrent seizures or intracranial bleeds, renal insufficiency, and death. Causes of neonatal death include prematurity, placental infarcts, intrauterine growth retardation, abruptio placentae, and fetal hypoxia. In late 2004, a series of eclamptic seizures occurred in the obstetrical units at Sharp Mary Birch Hospital for Women. In this emergent situation, the coordinated timely efforts of the team were questionable.  Concurrently, JCAHO announced a Sentinel Event Alert suggesting that the majority of perinatal death and injury cases were the result of problems with organizational culture and with communication among caregivers. It was recommended that organizations with high-risk events conduct clinical drills to help staff prepare for when such events actually occur, and conduct debriefings to evaluate team performance and identify areas for improvement. An interdisciplinary team was formed to address this issue and to enhance care and communication among caregivers during an eclamptic seizure. The team developed an ?Eclamptic Seizure Procedure? drill and medication algorithm based on current literature and AWHONN & ACCOG standards and established goals which made significant positive differences in the last year in staff education and patient safety related to the care of the eclamptic patient. Evidence-based practice demonstrated that there are 38 critical tasks/items that staff must perform during eclamptic seizures which contribute to better outcomes for the mother and fetus.  Therefore, measurable outcomes consisted of the staff?s demonstration of critical tasks/items during the performance of eclamptic seizure drills.  The execution of this system/drill has thus resulted in a heightened understanding and demonstration of coordinated timely care of the eclamptic patient.
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.titleWhen Lightening Strikes?We're Ready!!! Teams Performance and Communication During Eclamptic Seizuresen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151606-
dc.description.abstract<table><tr><td colspan="2" class="item-title">When Lightening Strikes?We're Ready!!! Teams Performance and Communication During Eclamptic Seizures</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">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Anderson, Lindsey, RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Sharp Mary Birch Hospital for Women</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Manager</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lindsey.anderson@sharp.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ana-Maria Gallo, PhD, CNS, RNC; Suzanne Flohr-Rincon, BSN, RN</td></tr><tr><td colspan="2" class="item-abstract">Hypertension during pregnancy has been one of the leading causes of perinatal morbidity and mortality. In the U.S., approximately 5% of pregnancies are complicated by preeclampsia. Of these patients, 0.5-2% progress to eclamptic. Maternal complications of eclampsia may include permanent CNS damage from recurrent seizures or intracranial bleeds, renal insufficiency, and death. Causes of neonatal death include prematurity, placental infarcts, intrauterine growth retardation, abruptio placentae, and fetal hypoxia. In late 2004, a series of eclamptic seizures occurred in the obstetrical units at Sharp Mary Birch Hospital for Women. In this emergent situation, the coordinated timely efforts of the team were questionable. &nbsp;Concurrently, JCAHO announced a Sentinel Event Alert suggesting that the majority of perinatal death and injury cases were the result of problems with organizational culture and with communication among caregivers. It was recommended that organizations with high-risk events conduct clinical drills to help staff prepare for when such events actually occur, and conduct debriefings to evaluate team performance and identify areas for improvement. An interdisciplinary team was formed to address this issue and to enhance care and communication among caregivers during an eclamptic seizure. The team developed an ?Eclamptic Seizure Procedure? drill and medication algorithm based on current literature and AWHONN &amp; ACCOG standards and established goals which made significant positive differences in the last year in staff education and patient safety related to the care of the eclamptic patient. Evidence-based practice demonstrated that there are 38 critical tasks/items that staff must perform during eclamptic seizures which contribute to better outcomes for the mother and fetus.&nbsp; Therefore, measurable outcomes consisted of the staff?s demonstration of critical tasks/items during the performance of eclamptic seizure drills.&nbsp; The execution of this system/drill has thus resulted in a heightened understanding and demonstration of coordinated timely care of the eclamptic patient.</td></tr></table>en_GB
dc.date.available2011-10-26T11:07:45Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:07:45Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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