Date of Graduation

Spring 5-20-2022

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Department/Program

<--Please Select Department-->

Program

MSN project

First Advisor

Lisa Brozda

Second Advisor

Karen Poon

Abstract

Postpartum hemorrhage remains a leading cause of maternal mortality in the United States. Postpartum hemorrhage occurs when mothers are bleeding excessively, have uterine atony, or the placenta has failed to come out completely. Research has shown that quantitative methods of blood loss estimation revealed a higher incidence of PPH than visual estimation. That is why using quantitative methods on time is essential for diagnosing PPH. Quantification of blood loss should be replaced by estimated blood loss since it is more accurate. The project's main focus was implementing quantification of blood loss and using the Triton Scale, a smart system to quantify blood loss after every delivery on all three postpartum units. The team provided a triton scale staff demonstration for days and night shifts, had nurses complete a 'teach back' to verify learning of Triton use, and ensured nurses knew where they would have to chart QBL on EPIC. The QI team shared the evidence-based research supporting QBL to gain the "buy-in" of the postpartum staff for the change project. With the support from the leadership team, unit manager, clinical instructor, and nursing staff, the sustainability of this project has excellent potential. The QI team implemented the project, taught new skills, and presented their findings in the final poster presentation.

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