Postpartum Hemorrhage Simulation Activity with Swim Lane Mapping
Prepare for a postpartum hemorrhage simulation activity by printing slides, setting up a floor diagram with masking tape lanes, and arranging role members. Watch instructional videos, analyze contributing factors, and place process steps on the diagram. Follow key instructions, identify key actions by healthcare roles, and simulate interventions for managing postpartum hemorrhage effectively.
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Swim Lane Mapping Activity Directions: 1. Print slides 1-20 2. Clear a large area on the floor 3. Use masking tape to make four lanes as shown by the blue lines below 4. Place the role members in the lanes as shown below (slides 2-5) 5. Watch the postpartum hemorrhage video 6. Pass out the process steps (slides 6-18) and arrange them on the swim lane diagram outline on the floor 7. Check key on slide 19 8. Watch the postpartum hemorrhage video for a second time looking for contributing factors 9. Write contributing factors on post it notes and add them to the swim lane diagram 10. Check key on slide 20 Physician Junior RN Senior RN Patient
Pt: blood loss stops, no further intervention needed
Pt: Continued bleeding?
MD: orders methergine and multidisciplinary team
Senior RN: administers methergine intramuscularly
RN: administers misoprostol sublingually
Senior RN: retrieves methergine 0.2mg from medication room
RN: attempts to enter computer order for misoprostol
Pt: blood loss > 500 ml, brisk bleeding, symptoms of post-partum hemorrhage
RN: retrieves 4 pills from medication room
KEY 1 Swim lane MD: delivers placenta MD: massages uterus MD: orders misoprostol MD: orders methergine and multidisciplinary team MD RN: attempts to enter computer order for misoprostol RN: retrieves 4 pills from medication room RN: administers misoprostol sublingually RN: administers Pitocin RN Senior RN: retrieves methergine 0.2mg from medication room Senior RN: administers methergine intramuscularly Sr RN Yes Pt: blood loss > 500 ml, brisk bleeding, symptoms of post-partum hemorrhage Pt: blood loss stops, no further intervention needed Pt: No Pt Continued bleeding?
KEY 2 MD doesn t specify drug quantity Swim lane + contributing factors MD: delivers placenta MD: massages uterus MD: orders misoprostol MD: orders methergine and multidisciplinary team MD MD uses accusatory tone with RN Doesn t specify dose Senior RN is rushed RN: attempts to enter computer order for misoprostol RN: retrieves 4 pills from medication room RN: administers misoprostol sublingually RN: administers Pitocin RN No confirmation of dose Lack of RN medication knowledge RN is visibly distressed Unclear medication labeling Senior RN: retrieves methergine 0.2mg from medication room Senior RN: administers methergine intramuscularly Sense of urgency as patient s condition gets worse Sr RN Yes Pt: blood loss > 500 ml, brisk bleeding, symptoms of post-partum hemorrhage Pt: blood loss stops, no further intervention needed Pt: No Pt Continued bleeding?
