The Different Types Of Obstetric Emergencies Discussion

The Different Types Of Obstetric Emergencies Discussion

Background

Different types of obstetric emergencies can occur at any time during labor. Some of these emergencies can be serious and fatal. Some can result in complications that may affect the mother both in the long and short term. To curb these possible complications and manage the emergencies effectively, it is vital to ensure that emergency trolleys are always fully stocked with the necessary emergency rescue drugs, fluids, and equipment. Sierra Leone is one of the world’s countries with high maternal mortality rates, with a maternal mortality ratio of 510 deaths per 100,000 live births (Carson-Marsh et al., 2022)The Different Types Of Obstetric Emergencies Discussion . The major causes of these deaths are hemorrhage followed by eclampsia and sepsis. Nurses should be charged with ensuring that emergency trolleys are fully stocked daily, checking the contents onto the Emergency Trolley Contents and Layout Checklist. The checklist should be audited at regular intervals to ensure adherence to the minimum daily checklist requirements.

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Impact Statement

This capstone project aims to examine the importance of maintaining a well-stocked obstetric emergency trolley in the labor and delivery emergencies swift response to the emergency situations in the unit, enhancing quality service provision, and promoting emergency response and resuscitation for both the mother and the newborn.

Project Purpose and objectives

The purpose of this project is to assess and evaluate the state of the trolley for emergency response and examine the importance of having all the emergency response drugs and equipment in the emergency response trolley. The objectives include evaluating the availability of the essential emergency response equipment, evaluating the availability of the essential emergency response resuscitation drugs, and assessing the condition and functionality of the emergency response trolley The Different Types Of Obstetric Emergencies Discussion .

Project Design and Implementation

This project aims at ensuring the safety of obstetrics patients during the process of labor by ensuring that emergency trays are well stocked and functional for effective resuscitation and prompt response to obstetrics emergencies. A team of nurses and midwives will be at the forefront in helping implement this project plan. My role as the project manager will be to oversee the project, ensuring the availability of resources and that all goals are met. Resources needed to ensure that the project is adequately carried out include trained personnel, emergency response equipment and drugs to be stocked in the emergency trolleys, and an approved evidence-based protocol for handling the trolleys. The project will involve the implementation of drills, simulations, and training for nurses and midwives to ensure proper protocols are followed in handling the emergency trolley and that they are knowledgeable about the contents of an emergency tray. Studies have shown that implementing skills and drills in emergency obstetrics care significantly reduces maternal and neonatal deaths (Pattinson et al.,2019)The Different Types Of Obstetric Emergencies Discussion .

A crash cart supply and equipment checklist will be used to ensure all the required supplies are stocked in the emergency crash cart daily (Collier et al., 2019). Ensuring the crash cart is adequately stocked according to the protocols will lie solely on the nurses and midwives in the labor and delivery room. I will identify the team leaders with the knowledge and capacity to provide leadership during obstetric emergencies and debrief staff after the emergency response to identify the strengths, weaknesses, and opportunities for improvement. The completion of the project will provide a future blueprint for the necessity of stocking the obstetric emergency trolleys in the labor delivery room.

Expected Results

The result of the project is expected to bring about a change in midwives’ attitudes towards the use of the emergency trays, equipping them with evidence-based benefits of having a well-stocked emergency response trolley to enhance prompt and quicker response to obstetric emergencies by the end of December 2022. The results will be measured by evaluating the average emergency response time in cases where there is a well-stocked emergency trolley with appropriate handling protocols and noting the outcome of the patients The Different Types Of Obstetric Emergencies Discussion .

Work Plan

The work plan of a project guides the project execution and control. It outlines the project plan, the method for managing resources, and the necessary steps to execute and complete the task (Sipes, 2020). To ensure that the project proceeds in an orderly and effective manner, I will carry out a training and mentorship program for the staff on the components of an obstetrics emergency trolley, provide guidelines and protocols to be observed to ensure proper stocking of the trolley, and how to handle the stocked trolley (Manetti et al.,2018). After ensuring that the staff is knowledgeable in this area, I will allow them to work with the well-stocked emergency trolley and then evaluate the average response time for the emergencies and their outcomes, noting what was done right and identifying potential areas for improvement The Different Types Of Obstetric Emergencies Discussion .

Estimated Timeline

The project will run for six months. During this period, the project manager will schedule each phase to fit into this estimated timeline.

References

Carson-Marsh, R., Aimone, A., Ansumana, R., Swaray, I. B., Assalif, A., Musa, A., … & Jha, P. (2022). Child, maternal, and adult mortality in Sierra Leone: nationally representative mortality survey 2018–20. The Lancet Global Health, 10(1), e114-e123. https://doi.org/10.1016/S2214-109X(21)00459-9

Pattinson, R. C., Bergh, A. M., Ameh, C., Makin, J., Pillay, Y., Van den Broek, N., & Moodley, J. (2019). Reducing maternal deaths by skills-and-drills training in managing obstetric emergencies: A before-and-after observational study. South African Medical Journal, 109(4), 241-245. http://dx.doi.org/10.7196/samj.2019.vl09i4.13578

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Sipes, C. (2020). Project Management for the Advanced Practice Nurse (2nd Ed.). Springer

Collier, A. Y., & Molina, R. L. (2019). Maternal Mortality in the United States: Updates on Trends, Causes, and Solutions. NeoReviews, 20(10), e561–e574. https://doi.org/10.1542/neo.20-10-e561

Manetti, B. K. S., Amukugo, H. J., & Shilunga, A. P. (2018). Emergency trolley’s contents and records: audit study at maternity sections, State Hospitals, Windhoek, Namibia The Different Types Of Obstetric Emergencies Discussion