Joint Commission Readiness – PPH Postpartum Hemorrhage Are You Ready?? 

As you know Joint Commission is requiring set guidelines to be in place by July 2020. This is a great time to schedule an AWHONN OPS course. See Onsite courses OPS for more details. Do you have all the components in place? Here are the required standards:

1. Complete an assessment using an evidence-based tool for determining maternal hemorrhage risk on admission to labor and delivery and on admission to postpartum.
 

  • The AWHONN PPH Risk Assessment can be done on paper if you do not have it built into your EMR yet. You receive all this information in your AWHONN OPS course.


 

2. Develop written evidence-based procedures for stage-based management of pregnant and postpartum patients who experience maternal hemorrhage that include the following:
 

  • The use of an evidence-based tool that includes an algorithm for the identification and treatment of hemorrhage 

  • The use of an evidence-based set of emergency response medications that are immediately available on the obstetric unit 

  • Required response team members and their roles in the event of severe hemorrhage - How the response team and procedures are activated 

  • Blood bank plan and response for emergency release of blood products and how to initiate the hospital’s massive transfusion procedures 

  • Guidance on when to consult additional experts and consider transfer to a higher level of care 

  • Guidance on how to communicate with patients and families during and after the event 

  • Criteria for when a team debrief is required immediately after a case of severe hemorrhage 
    AWHONN OPS Course gives you a debriefing template, Sign up TODAY!  
     


3. Each obstetric unit has a standardized, secured, and dedicated hemorrhage supply kit



4. Provide education to all staff and providers who treat pregnant and postpartum patients about the hospital’s hemorrhage procedure. At a minimum, education occurs at orientation, whenever changes to the procedure occur, or every two years.
 

  • AWHONN POEP, AWHONN OPS and AWHONN POST-BIRTH FORMS will provide compliance in this area 

  • SEE my attachments for QBL Competency
     


5. Conduct drills at least annually to determine system issues as part of ongoing quality improvement efforts
 

6. Review hemorrhage cases


7. Provide education to patients (and their families including the designated support person whenever possible).
AWHONN POST-BIRTH is an excellent option to maintain competency 

 

CREDENTIALS

LaShea Haynes M.Ed, MSN, AGCNS-BC, APRN, RNC, C-EFM

Perinatal Clinical Nurse Specialist


AWHONN Instructor Trainer


AWHONN Obstetric Program Instructor


AWHONN Georgia Lead PPH Project


Independent Legal Consultant


International & National Speaker


Inpatient OB Course Instructor

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