PQCNC What is Simulation? - Gene Hobbs, CHSE, Director of Simulation, Clinical Skills and Patient Simulation Center, UNC, discusses how to think about conducting simulations at the PQCNC Obstetric Hemorrhage Simulation Learning Session



PQCNC Resilience in Healthcare - Christine Gerhard Dicks LCSW, CEAP from the Trauma Resource Institute provides information on how to recognize and respond to the body’s reaction to stress.  Mrs. Dicks introduces The Community Resilience Model and outlines skills that healthcare providers can utilize to assist in managing critical incident stressors and to reduce provider burnout. 




PQCNC AIM OBH Tranexamic Acid for the Treatment of Postpartum Hemorrhage - Dr. Jeffrey Stinson, Chief of Obstetrics at New Hanover Regional Medical Center in Wilmington, provides a brief review of the recent literature supporting the use of tranexamic acid (TXA) in preventing obstetric hemorrhage.  He also shares his experience of implementing TXA at New Hanover.


PQCNC AIM OBH EMR Integration - OB Informatics specialist at Randolph Health, Chanda Casey, BSN, RN, outlines their extensive integration of hemorrhage risk assessments, order sets and tracking reports they have built in their Meditech electronic medical record system.  The EMR integration assists their staff with identifying those at risk and directs them to the necessary stage-based steps needed to follow for successful and safe management of the OB patient. Most importantly, the reports her team is able to track is impressive and leads to continuous monitoring necessary to identify opportunities for improvement. 




PQCNC Postpartum Hemorrhage Update: New Features for the Bundle - Dr. Elliott Main, Medical Director for the California Maternal Quality Collaborative, discusses the October 2017 ACOG Practice Bulletin on postpartum hemorrhage, including recommendations for patient management provided in the AIM maternal safety bundle for postpartum hemorrhage.  Dr. Main also highlights data on how initial and repeat participation in a state collaborative focusing on postpartum hemorrhage can provide significant improvements in the care and outcomes of maternal hemorrhage patients.



Implementation of Quantitative Blood Loss Measurement at CaroMont - CaroMont Regional Medical Center has been successful in implementing quantitative blood loss (QBL) measurements for both vaginal and cesarean section deliveries. This webinar provides step by step guidance along with pearls of wisdom from their implementation experience.  This information will be helpful to teams who are beginning implementation of QBL, as well as, teams who have implemented QBL but are struggling with sustaining the workflow.



An Introduction to the Art and Science of Debriefing - Conducting an effective debriefing after an OB event is an essential element of improving patient care and outcomes. This webinar, conducted by the Center for Medical Simulation, provides a brief introduction to the art and science of effective debriefing and provides tips for improving communication among staff members.



Quantification of Blood Loss - AWHONN produced this quick, informative clinical practice video demonstrating ways providers can calculate and quantify blood loss. 



Overview of PQCNC AIM OBH Initiative presented by Dr. Arthur Ollendorff

In this high speed, high impact session, we will explore the latest trends disrupting and distracting healthcare and introduce you to a new perspective on innovation. You will discover 3 ways to activate your hidden genius to ignore the distraction, innovate, and sustain your healing mission.  

Internationally acclaimed innovation expert, bestselling author, and rapid results facilitator, K. Melissa Kennedy shares her no-nonsense approach to innovation that strives to help everyone walk outside the lines successfully to change the world. She is on a mission to make work fun, meaningful and productive again with her new book The Innovation Revolution, Discover the Genius Hiding in Plain Sight, which reached Amazon bestseller in 12 categories.



ASHEVILLE, N.C. (WLOS) — Studies show up to 5 percent of women have abnormal bleeding during and especially after giving birth. Pinpointing the cause and stopping the problem quickly can be the difference between life and death.

Mission Hospital is increasing the odds of survival by having medical teams practice a birth simulation.

The simulation turns from the celebration of a successful delivery to attempting to save a mother's life, something nurse educator Christine Conrad knows all too well.

"Obstetric hemorrhage can happen without warning and without risk factors, and it happens quickly," Conrad said. "People are literally bleeding to death in front of us."

The simulation gets intense quickly for Adrienne Weir, playing the role of patient.

"It can be a little more triggering than you might think," Weir said. "You know that it's fake, but when everything is happening, you do feel like the patient."

A typical simulation lasts 10 to 15 minutes. Participants have to be ready for anything and what they take away is invaluable.

"It has really helped empower me to be a better nurse, to do what is safe for the patient, to think ahead and help save that patient's life," labor & delivery nurse Rhonda Janes said.

In this exercise, the bleeding is stopped and the life is saved, but everyone's response is reviewed.

"It's well documented that hospitals who have a plan in place, who practice that plan, have better outcomes with their hemorrhages and their obstetric emergencies," Conrad explained.

That means fewer deaths and a reduced number of long-term hospitalizations.

Courtesy of WLOS