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OB Hemorrhage : A Collaborative Approach to Standardization. Presented by: Kristi McClure, RN, MSN, C-EFM Clinical Educator, MCW June 26, 2014. Mount Carmel Health System. *. MCHS OB Collaborative. The Collaborative Approach. Who Multidisciplinary team Physician champions.
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OB Hemorrhage: A Collaborative Approach to Standardization Presented by: Kristi McClure, RN, MSN, C-EFM Clinical Educator, MCW June 26, 2014
The Collaborative Approach • Who • Multidisciplinary team • Physician champions
The Standardization Process • What • The equipment • The process • The team • The documentation
The Standardization Process • Where • Hospital • Health System • Region/State • Nation
But WHY? • Aviation • ACOG • AWHONN
How do We Start? (Project Planning) • Regular monthly meetings • Leadership buy-in • Budget planning • Timeline/scheduling • Physician Engagement
Project Components • Education Program • OB Hemorrhage policy • Rapid Response Team • Massive Transfusion Protocol • Written review process (Peer Review) • Written process for weighing blood soaked items when hemorrhage identified
Policy Development • Policy written to include: • Risk assessment of all patients • Weighing all materials for accurate EBL • Staging of hemorrhage based on EBL • Reference to Massive Transfusion Policy*
Trinity OB Hemorrhage Education Plan 339 339 377 394 394 339