OBSTETRIC EMERGENCY PREPAREDNESS AND READINESS IN LABOR AND DELIVERY UNIT

 Limit the study to the labor and delivery room.

EVALINE’S CAPSTONE PROJECT
KOIDU GOVERNMENT HOSPITAL, KONO
SIERRA LEONE
RE: EMERGENCY PREPAREDNESS IN MATERNITY UNIT
Background
ABSTRACT:
Obstetric emergencies in maternity unit are almost a norm and can happen at any time. Prompt response, excellent communication and teamwork increases the efficiency and effectiveness of emergency response. Over decades, maternal morbidity has continued to rise in Sierra Leone from complications of childbirth, intra and post-partum. The major ones being postpartum hemorrhage, eclampsia and sepsis. With PIH MCOE, we expect more women and more referrals and hence the potential of having more complicated cases. we It is therefore important to have measures in place to curb the menace by being prepared all the times. The first steps would be to have the unit prepare themselves by assessing potential emergencies, establishing early warning systems (use of MEOWS), Identifying team leads who have the knowledge and capacity to lead during emergencies, emergency drills, and debriefing staff after actual events to identify strengths and opportunities for improvement. This if put in place, could reduce or prevent the severity of obstetric emergencies. A successful emergency response team would benefit greatly from having appropriate emergency supply in the emergency trolley/crash cart, having established and written protocols on handling emergencies, have a rapid response team that will include, use of standardized communication tools(SBAR) and constant implementation of drills and simulations.
IMPACT STATEMENT
The aim is to provide Emergency preparedness training to all the midwives, nurses, clinical officers at maternity, focusing on the importance of being prepared in terms of man power, supplies and skills wise. The expected outcome will be enhanced patient safety and also being able to mitigate adverse outcomes.
PROJECT OBJECTIVE
To implement obstetric emergency preparedness in maternity unit and improve overall patient safety, and a well prepared team that can recognize early warning signs and activate emergency protocols promptly. If a success, will adapt it at Bemonc sites so as to improve patients wellbeing
PROJECT DESIGN AND IMPLEMENTATION
Expected results
By May 2022, we hope to see always stocked emergency trolley, protocols on emergency preparedness, knowledgeable nurses and midwives. This will be measured by auditing the emergency cases by the time the emergency was noted to end, use of protocol and the situation outcome.
Work plan
Implement a training and mentorship program for the unit staff on triggers of emergency, proper monitoring of patients and preparedness from May to to July 2022.
Auditing all emergency cases with the team involved and evaluate what was done right and what could improve so as to adjust and learn.
Performing emergency drills to see if the team is well equipped in terms of skills and resources.
ESTIMATED TIMELINE
3-6 Months

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