Interprofessional care for postpartum hemorrhage

Postpartum Hemorrhage (PPH) is a serious complication occurring after childbirth. 1-5% of mothers will experience PPH which the American College of Obstetrics and Gynecologists defines as a blood loss of greater than 1,000 mL of blood along with signs of hypovolemia. Primary PPH can occur up to 24 hours after delivery while secondary PPH occurs ...

Therapeutic Procedures Interprofessional Care Nursing Care Medications Client Education ElizabethRafailova ... Postpartum Hemorrhage uterusdoesnotcontractenough Search life-sciences literature (Over 39 million articles, preprints and more)The Agency for Healthcare Research and Quality (AHRQ) developed the Safety Program for Perinatal Care (SPPC) in order to improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse events resulting from poor communication and system failures. The SPPC is organized around three program pillars ... Systems to optimize the management of postpartum hemorrhage must ensure timely diagnosis, rapid hemodynamic and hemostatic resuscitation, and prompt interventions to control the source of bleeding. None of these objectives can be effectively completed by a single clinician, and the management of postpartum hemorrhage requires a carefully ...Major obstetric haemorrhage (MOH) is the leading cause of maternal morbidity and mortality worldwide.1,2 The vast proportion of deaths occur in resource-poor countries.2 However, MOH results in severe morbidity in all healthcare settings, including multiorgan failure, postpartum hysterectomy and long-term psychological trauma, …1. Assess vital signs. Increased pulse rate and decreased blood pressure can signal bleeding. Vital signs should be closely monitored with placenta previa. 2. Assess and monitor diagnostic studies. Transabdominal or transvaginal ultrasounds should be conducted to monitor the location of the placenta. 3.Postpartum hemorrhage (also called PPH) is when a woman has heavy bleeding after giving birth. It’s a serious but rare condition. It usually happens within 1 day of giving birth, but it can happen up to 12 weeks after having a baby. About 1 to 5 in 100 women who have a baby (1 to 5 percent) have PPH. It’s normal to lose some blood after ...

Midwives who provided postpartum care assessed for infection, hemorrhage, bladder care, breastfeeding, mastitis, and thrombosis. Bedrest was encouraged for up to a month. Care was provided in the home, and healing was promoted. ... Coordinating an interprofessional postpartum health care team may also benefit women who are seeking mental health ...Jun 12, 2023 · Placenta previa is the complete or partial covering of the internal os of the cervix with the placenta.[1][2][3] It is a major risk factor for postpartum hemorrhage and can lead to morbidity and mortality of the mother and neonate.[4] This situation prevents a safe vaginal delivery and requires the delivery of the neonate to be via cesarean delivery. Most cases are diagnosed early on in ... Postpartum hemorrhage (PPH) is severe vaginal bleeding after childbirth. It’s a serious condition that can lead to death. Other signs of postpartum hemorrhage are dizziness, feeling faint and blurred vision. PPH can occur after delivery or up to 12 weeks postpartum. Early detection and prompt treatment can lead to a full recovery.Part 1 Immediate Postpartum Assessment of the Mother. Immediately following the delivery of the placenta until maternal stabilization is a time of complex physiologic and psychosocial changes for the new mother. It is imperative that the nurse caring for the newly delivered woman has knowledge of the prenatal history as well as …Polyhydramnios is a pathologic excess of amniotic fluid volume (AFV) in pregnancy.[1] It represents a high-risk obstetric condition with increased perinatal and maternal morbidity and mortality due to a higher incidence of intrauterine fetal demise, preterm labor, premature rupture of membranes, cord prolapse, fetal macrosomia, …Hospitals that had also participated in previous CMQCC hemorrhage collaboratives reported an even larger reduction in SMM – 28.6%. Obstetric hemorrhage is one of the leading causes of severe maternal morbidity and mortality in California. The California Pregnancy-Associated Mortality Review has repeatedly identified hemorrhage as one of the ...Hemorrhage most commonly occurs after the placenta is delivered. The average amount of blood loss after the birth of a single baby in vaginal delivery is about 500 ml (or about a half of a quart). The average amount of blood loss for a cesarean birth is approximately 1,000 ml (or one quart). Most postpartum hemorrhage occurs right after ...Postpartum hemorrhage is a leading cause of maternal death, yet many deaths related to hemorrhage might be prevented with early recognition and intervention. The birthing unit of a U.S. community hospital formed an interprofessional task force to plan and implement a postpartum hemorrhage protocol that would provide the obstetric team with

The primary goal of this guideline is to provide a foundation for the implementation of interventions shown to have been effective in reducing the burden of postpartum haemorrhage (PPH). Health professionals responsible for developing national and local health policies constitute the main target audience of this document. …Importance: Postpartum hemorrhage (PPH) is a common complication of childbirth and the leading cause of maternal deaths worldwide, also associated with important secondary …Background Postpartum hemorrhage (PPH) is a serious obstetric emergency, and one of the top five causes of maternal mortality globally. The most common causes of PPH include uterine atony, placental disorders, birth trauma and coagulation defects. Timely diagnosis and early management are critical to reduce morbidity, the …The Improving Health Care Response to Obstetric Hemorrhage toolkit was developed by the Obstetric Hemorrhage Task Force to assist obstetric providers, ...Postpartum bleeding or postpartum hemorrhage (PPH) is often defined as the loss of more than 500 ml or 1,000 ml of blood following childbirth. Some have added the requirement that there also be signs or symptoms of low blood volume for the condition to exist. Signs and symptoms may initially include: an increased heart rate, feeling faint …

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for hemorrhage and outline an interprofessional postpartum hemorrhage protocol. A team of healthcare professionals, representing different healthcare professions that care for patients during postpartum hemorrhage, evaluated the protocol utilizing the AGREE II evaluation tool. The No. 1 direct cause of maternal mortality globally is postpartum hemorrhage (PPH), according to a 2014 publication in the Lancet Global Health. Additionally, PPH necessitating blood transfusion is the No. 1 cause of maternal morbidity, reports Dr. Creanga and colleagues in a 2014 issue of Journal of Women's Health.Assess and communicate hemorrhage risk to all team members as clinical conditions change or high-risk conditions are identified; at a minimum, on admission to labor and delivery, during the peripartum period, and on transition to postpartum care.* Measure and communicate cumulative blood loss to all team members, using quantitative approaches.*The WHO deemed that interprofessional education and practice (IPEP) is vital to attain a workforce that is ready and able to care for local health needs through teamwork and collaboration . Interprofessional teams are critical in the care of acute, chronic, and complex health and social support needs of COVID-19 patients ( Michalec & Lamb, 2020 ).Therapeutic Procedures Interprofessional Care. Nursing Care Medications Client Education. Glorimar Rios Postpartum Hemorrhage. Postpartum Hemorrhage. Firmly massage the uterine fundus, assess vitals, assess source of bleeding. Hgb and HCT, coagulation profile Estimation of blood loss (PT), Blood type and crossmatch

Improving Health Care Response to Obstetric Hemorrhage Toolkit, Version 3.0, Errata 7.18.22. Errata: Table Chart Appendix C and Flow Chart Appendix D erroneously depicted that methylergonovine is given in Stage 1 as a standard practice. The intention is to perform the interventions listed in Stage 1, but not hesitate to MOVE ON to a 2nd level ...Uses of Medicines for Prevention and Treatment of Post-partum Hemorrhage and Other Obstetric Purposes 3 INTRODUCTION With recent innovations and WHO recommendations, there are now more medication options to prevent and treat post-partum hemorrhage (PPH). However, there is still no single solution for preventing and managing PPH.These innovations engaged interprofessional students as members of the healthcare team to meet the healthcare needs of a population. We offer two exemplars that highlight the work and outcomes of nurse leaders in North Carolina to match health professions students with clinical practice settings to deliver services during the pandemic.Eclampsia is a severe complication of preeclampsia and poses both a risk to the mother and fetus. Eclampsia is a disease process that needs to be emergently identified and treated promptly. This article reviews the topic of eclampsia and specifically focuses on etiology, epidemiology, pathophysiology, history and physical, evaluation and ...Multidisciplinary interprofessional care planning and communication are essential for management of a safe pregnancy, birth, and postpartum course in this complex population. Case A 27-year-old gravida 1, para 0 woman with a history of undergoing a Fontan procedure as a young child presented at 23 weeks with preterm premature rupture of the ...١٧‏/٠٧‏/٢٠٢٢ ... ” Care of postpartum hemorrhage starts with early identification and ... Interprofessional collaboration: Three best practice models of ...Despite advances in maternity care, postpartum hemorrhage (PPH) remains a significant risk that affects maternal morbidity and mortality. In response to an increase in our massive transfusion hemorrhage protocols during caesarean births, a labor and delivery unit (L&D) in an urban academic medical center sought to incorporate a Hemorrhage Risk Assessment (HRA) Checklist into all preoperative ... Sep 1, 2022 · Background Post-partum haemorrhage (PPH) is an obstetric emergency that requires effective teamwork under complex conditions. We explored healthcare team performance for women who suffered a PPH, focusing on relationships and culture as critical influences on teamwork behaviours and outcomes. Methods In collaboration with clinical teams, we implemented structural, process and relational ... Postpartum hemorrhage is a leading cause of maternal death, yet many deaths related to hemorrhage might be prevented with early recognition and intervention. The birthing unit of a U.S. community hospital formed an interprofessional task force to plan and implement a postpartum hemorrhage protocol that would provide the obstetric team with This is the most common cause of postpartum hemorrhage. If small pieces of the placenta remain attached, bleeding is also likely. It is estimated that as much as 600 ml (more than a quart) of blood flows through the placenta each minute in a full-term pregnancy. Some women are at greater risk for postpartum hemorrhage than others. Risk factors ...

After giving birth, an intense mood disorder known as postpartum psychosis may also occur. Postpartum depression (PPD) is a sensation of melancholy that may start as early as within 3 months following childbirth and may last longer than a year after. PPD interferes with the mother’s regular functions. It may be because of the hormonal changes ...

Sep 28, 2023 · Postpartum hemorrhage, defined as blood loss of at least 500 ml after birth, accounts for 27% of maternal deaths worldwide. 1,2 The World Health Organization (WHO) has published and updated ... What is postpartum hemorrhage? Postpartum hemorrhage is more bleeding than normal after the birth of a baby. About 1 in 100 to 5 in 100 women have postpartum hemorrhage. It is more likely with a cesarean birth. It most often happens after the placenta is delivered, but it can also happen later.An incomplete abortion is a subtype of spontaneous abortion, along with inevitable and missed abortion. Other types of spontaneous abortion are threatened abortion and complete abortion. This article will focus on incomplete abortion, which is described as partial loss of products of conception within the first 20 weeks of pregnancy. Patients will …The No. 1 direct cause of maternal mortality globally is postpartum hemorrhage (PPH), according to a 2014 publication in the Lancet Global Health. Additionally, PPH necessitating blood transfusion is the No. 1 cause of maternal morbidity, reports Dr. Creanga and colleagues in a 2014 issue of Journal of Women's Health.Therapeutic Procedures Interprofessional Care Nursing Care Medications Client Education ElizabethRafailova ... Postpartum Hemorrhage uterusdoesnotcontractenoughThe interprofessional collaborative team worked as a task force to review systems and processes to identify contributing factors for PPH. Review of the literature resulted in implementation of a risk stratification tool, order set bundles, nursing practice and policy revision, and changes to medication administration practices.Despite advances in maternity care, postpartum hemorrhage (PPH) remains a significant risk that affects maternal morbidity and mortality. In response to an increase in our massive transfusion hemorrhage protocols during caesarean births, a labor and delivery unit (L&D) in an urban academic medical center sought to incorporate a Hemorrhage Risk Assessment (HRA) Checklist into all preoperative ...Apr 1, 2017 · Oxytocin is the most effective treatment for postpartum hemorrhage, even if already used for labor induction or augmentation or as part of AMTSL. 8, 23, 24 The choice of a second-line... The content of this toolkit was developed by the Macy grant team at the University of Washington, who were funded in 2008 to develop and integrate interprofessional team training into existing curriculum in the Health Sciences schools of Medicine, Nursing, Pharmacy and the Physician Assistant Program. This training was piloted with a group of ...

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Nursing Care Plan for Thrombocytopenia 2. Nursing Diagnosis: Fluid Volume Deficit related to blood volume loss secondary to bleeding as evidenced by hematemesis, low platelet count, HB of 70, skin pallor, blood pressure level of 85/58, and lightheadedness. Desired Outcome: The patient will have an absence of bleeding, a hemoglobin (HB) level of ...Postpartum hemorrhage is a significant and potentially life-threatening complication that requires prompt recognition, rapid intervention, and expert nursing …During Perioperative Interprofessional Huddles of Women at Risk for Postpartum Hemorrhage Introduction Despite advances in maternity care, post-partum hemorrhage (PPH) remains a sig-nificant risk that affects maternal morbidity and mortality. In response to an increase in our massive transfusion hemorrhage protocols duringImportance: Postpartum hemorrhage (PPH) is a common complication of childbirth and the leading cause of maternal deaths worldwide, also associated with important secondary sequelae. Objective: The aim of this study was to review and compare the most recently published influential guidelines on evaluation, management, and prevention of this …Therapeutic Procedures Interprofessional Care. Nursing Care Medications Client Education. lauren s postpartum hemorrhage. postpartum hemorrhage. monitor VS fundal assessment and massage bladder catheterization admin oxygen admin IV fluids admin blood products. estimation of blood loss through weighing of saturated products …The purpose of this article is to consolidate current postpartum care guidelines to provide a comprehensive approach to care in the postpartum period. We include a critical examination of the reasons for some women’s lack of attendance at postpartum visits, the current state of postpartum care, and the unmet needs of women.Improved management of postpartum hemorrhage can eliminate the need for a higher level of care and save women and their families from possible emotional trauma associated with ICU admission Results The amount of mandatory nursing education time was reduced by using the individualized e-learning platform rather than a traditional full-content ...It is definitely important to assess the risk of bleeding, burns, and GI and GU losses. This is because hypovolemic shock can be caused by blood loss from traumatic injuries, internal bleeding, like a GI bleed or a surgical complication, and postpartum hemorrhage or fluid loss from burns, diarrhea and vomiting.Postpartum hemorrhage is abnormally heavy bleeding after childbirth. Learn more about this serious condition's symptoms and causes. ... Because postpartum hemorrhage is serious, your healthcare provider will likely want to quickly perform a few tests to confirm the diagnosis and try to find the cause of it. Along with considering your …1.Postpartum hemorrhage – prevention and control. 2.Postpartum hemorrhage – therapy. 3.Obstetric labor complications. 4.Guideline. I.World Health Organization. ISBN 978 92 4 154850 2 (NLM classification: WQ 330) ... Box C: Recommendations on organization of care 7 1. Background 8 2. Methods 9 3. Results 12 ….

Interprofessional Relations* Patient Care Team / organization & administration* Postpartum Hemorrhage / prevention & control*Oct 15, 2019 · The 12 weeks after delivery, known as the postpartum period or the fourth trimester, are a critical time in the life of a mother and her infant. Maternal mortality, which is defined as deaths that ... This activity reviews the evaluation and management of vaginal bleeding and highlights the role of interprofessional team members in collaborating to provide well-coordinated care and enhance outcomes for affected patients. ... Risk factors for postpartum hemorrhage include multiparity, multiple gestations, prolonged labor, prior …Nursing Care Plan for Placental Abruption 1. Nursing Diagnosis: Altered Uteroplacental Tissue Perfusion related to maternal bleeding secondary to abruptio placentae, as evidenced by vaginal bleeding, abnormal uterine contractions, abdominal and uterine tenderness and pain, and changes in fetal heart rate.1Emergency Obstetric Care and Quality of Care Unit, WHO collaborating Centre for Research and Training in Maternal and Newborn Health, International Public Health …Apr 1, 2022 · Most cases of postpartum hemorrhage, greater than 99%, are early postpartum hemorrhage. Notably, most women are still under the care of their delivering provider during this time. With many women delivering outside of hospitals and early postpartum hospital discharge being a growing trend, postpartum hemorrhage that presents to the emergency ... Hospitals that had also participated in previous CMQCC hemorrhage collaboratives reported an even larger reduction in SMM – 28.6%. Obstetric hemorrhage is one of the leading causes of severe maternal morbidity and mortality in California. The California Pregnancy-Associated Mortality Review has repeatedly identified hemorrhage as one of the ... The purpose of this project was to develop system-adopted guidelines to assist health care professionals in the prevention and management of postpartum hemorrhage (PPH) and treatment of severe hypertension in obstetric patients in a 10-hospital health care system. Incongruencies in the clinical setting lead to confusion and poor outcomes. System adoption was crucial in support, sustainability ...Pituitary apoplexy is a condition in which there is a hemorrhage or infarction of the pituitary gland. This disorder usually occurs in a pre-existing pituitary adenoma.[1][2][3] The term pituitary apoplexy or apoplexia refers to the "sudden death" of the pituitary gland, usually caused by an acute ischemic infarction or hemorrhage. … Interprofessional care for postpartum hemorrhage, Studies that have evaluated factors associated with identification and treatment of postpartum hemorrhage have found that imprecise health care provider estimation of actual blood loss during birth and the immediate postpartum period is a leading cause of delayed response to hemorrhage 10 11 12 13., Letters. Postpartum hemorrhage continues to be the leading preventable cause of maternal illness and death globally. 1,2 Worldwide, postpartum hemorrhage accounts for 8% of maternal deaths in ..., Review interprofessional team strategies for improving care coordination and communication to advance the treatment of postpartum hemorrhage and improve outcomes. Access free multiple choice questions on this topic. Go to: Introduction Obstetric hemorrhage is the most common and dangerous complication of childbirth., Box C: Recommendations on organization of care 7 1. Background 8 2. Methods 9 3. Results 12 Box 1: Recommendations for the prevention of PPH – uterotonics 15 Box 2: Recommendations for the prevention of PPH – cord management and uterine massage 16 Table 1: Recommendation status of the individual components of, hemorrhage: current knowledge and implications for health care ... and patient outcome following interprofessional simulation training on postpartum haemorrhage., The Interdisciplinary Curriculum for Oncology Palliative Care Education project uses team-based palliative oncology education as the framework for teaching students interprofessional practice skills. The need for IPE is apparent, but there are very few comprehensive, successful projects for nurse educators to use as models., Therapeutic Procedures Interprofessional Care. Nursing Care Medications Client Education. lauren s postpartum hemorrhage. postpartum hemorrhage. monitor VS fundal assessment and massage bladder catheterization admin oxygen admin IV fluids admin blood products. estimation of blood loss through weighing of saturated products …, View ActiveLearningTemplate-oxtocin administration-postpartum hemorrhage.docx from PSYC MISC at Graceland University. System Disorder ACTIVE LEARNING TEMPLATE: STUDENT NAME Lauren ... delivery of placenta, management, of postpartum hemorrhage, stress testing Interprofessional Care Notify provider of blood loss, …, We developed a simulation for nurse-midwifery and nurse-anesthesia students, using the Core Competencies for Interprofessional Collaborative Practice framework. The simulation, involving a postpartum women with a retained placenta and acute blood loss, allowed students to collaboratively manage a high-risk situation. , In the United States, the rate of postpartum hemorrhage increased 26% between 1994 and 2006 primarily because of increased rates of atony 3. In contrast, maternal mortality from postpartum obstetric hemorrhage has decreased since the late 1980s and accounted for slightly more than 10% of maternal mortalities (approximately 1.7 deaths per ..., Bookshelf ID: NBK565875 PMID: 33351433. The postpartum period begins soon after the baby's delivery and usually lasts six to eight weeks and ends when the mother's body has nearly returned to its pre-pregnant state. [1] The weeks following birth lay the foundation of long-term health and well-being for both the woman and her infant., identified obstetric hemorrhage as an area of opportunity for this community hospital. In order to improve patient safety and quality outcomes, change was essential. Proposed Change To create an evidenced-based protocol to pro-mote the early recognition and treatment of ob-stetric hemorrhage through interprofessional collaboration. , Hospitals that had also participated in previous CMQCC hemorrhage collaboratives reported an even larger reduction in SMM – 28.6%. Obstetric hemorrhage is one of the leading causes of severe maternal morbidity and mortality in California. The California Pregnancy-Associated Mortality Review has repeatedly identified hemorrhage as one of …, Background Postpartum hemorrhage (PPH) is a serious obstetric emergency, and one of the top five causes of maternal mortality globally. The most common causes of PPH include uterine atony, placental disorders, birth trauma and coagulation defects. Timely diagnosis and early management are critical to reduce morbidity, the …, Demonstrate interprofessional communication and professionalism with respectful ... Review the facility policy on Care of a Patient During a Postpartum., Jun 27, 2016 · Postpartum hemorrhage (PPH) is one of the most frequent life-threatening complications of going into labor and occurs mostly without any warning or predictive signs or symptoms and often in the absence of predisposing conditions. The main causes of PPH are uterine atony, retained placenta, and genital tract trauma. , Abstract. Purpose: Through data review, we determined that our postpartum hemorrhage (PPH) rate was above the national average. A multidisciplinary team was assembled to design strategies for ..., Definition and Prevalence. Postpartum hemorrhage (PPH) is commonly defined as blood loss exceeding 500 mL following vaginal birth and 1000 mL following cesarean. 1 Definitions vary, however, and are often based on inaccurate estimates of blood loss. 1-4 Moreover, average blood loss at birth frequently exceeds 500 or 1000 mL. 4 Proposed ..., 1Emergency Obstetric Care and Quality of Care Unit, WHO collaborating Centre for Research and Training in Maternal and Newborn Health, International Public Health …, Communication and interprofessional collabo-ration are crucial to provide safe patient care. The use of creative educational strategies pro-motes staff engagement and elevates nursing Keywords postpartum hemorrhage severe hypertension safety Women’s Health Poster Program Raluca Anca, MSN, RNC-OB, Pennsylvania Hospital, Philadelphia, PA, ١٧‏/٠٧‏/٢٠٢٢ ... ” Care of postpartum hemorrhage starts with early identification and ... Interprofessional collaboration: Three best practice models of ..., Background Postpartum hemorrhage (PPH) is a serious obstetric emergency, and one of the top five causes of maternal mortality globally. The most common causes of PPH include uterine atony, placental disorders, birth trauma and coagulation defects. Timely diagnosis and early management are critical to reduce morbidity, the …, Mother-baby is a 30-bed, postpartum care unit. The highly skilled nurses on this floor receive an extensive orientation and attend numerous classes to provide the best possible care for routine ..., Postpartum hemorrhage is excessive bleeding (1,000 mL or greater) within the first 24 hours after birth but can occur up to 12 weeks postpartum. While there can be several causes, uterine atony, or when the uterus fails to contract after delivery, accounts for 70-80 percent of cases and should usually be considered first., Lochia is postpartum bleeding and vaginal discharge. It has three stages and lasts up to six weeks. Lochia rubra is the first stage of lochia. You can expect: Dark or bright red blood. Lasts for three to four days. Flows like a heavy period. …, Hemorrhage most commonly occurs after the placenta is delivered. The average amount of blood loss after the birth of a single baby in vaginal delivery is about 500 ml (or about a half of a quart). The average amount of blood loss for a cesarean birth is approximately 1,000 ml (or one quart). Most postpartum hemorrhage occurs right after ..., Postpartum hemorrhage (PPH) is the leading cause of maternal death. In developing countries, approximately 8% of maternal death is caused by PPH. Protocols should provide a standardized approach to evaluate and monitor the patients. A standard protocol must be recognized by the institution and must be accepted and known by all team members. Additionally, it is important to have a massive ..., Improving postpartum hemorrhage care: Policy, practice, and research Int J Gynaecol Obstet. 2022 Jun;158 Suppl 1:4-5. doi: 10.1002/ijgo.14271. Authors Charles Ameh 1 ... , Summarize the importance of improving care coordination among the interprofessional team to enhance the delivery of care for patients who can benefit from misoprostol therapy. ... After labor, it also has a use for the treatment of postpartum uterine bleeding upon failure of uterine massage, and/or when other uterotonic …, WHO guidelines for the management of postpartum haemorrhage and retained placenta. 1.Placenta, Retained - therapy. 2.Postpartum hemorrhage - diagnosis. 3.Postpartum …, Hemorrhage from any large source. Traumatic injuries. Burns (plasma loss due to capillary permeability). Prolonged vomiting or diarrhea. Desired Outcome. The goal is to restore circulating blood volume, preserve hemodynamics, and prevent any damage to vital organs. Hypovolemic Shock Nursing Care Plan, Improved management of postpartum hemorrhage can eliminate the need for a higher level of care and save women and their families from possible emotional trauma associated with ICU admission Results The amount of mandatory nursing education time was reduced by using the individualized e-learning platform rather than a traditional full-content ..., Obstetric Hemorrhage Patient Safety Bundle Recognition & Prevention — Every Patient Assess and communicate hemorrhage risk to all team members as clinical conditions change or high-risk conditions are identified; at a minimum, on admission to labor and delivery, during the peripartum period, and on transition to postpartum care.*