Date of Graduation

Spring 5-20-2022

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

Lisa Brozda


In order to address shortcomings of the health care system within the United States surrounding the early recognition and response to preeclampsia (PreE) and postpartum hemorrhage (PPH) emergencies The Joint Commission (TJC) revised the accreditation requirements regarding implementing yearly maternal hypertension and hemorrhage simulation scenarios in emergency departments. A Quality improvement team of Clinical Nurse Leader (CNL) students at University of San Francisco, working alongside the emergency department and labor and delivery department nurse educators assisted a dual hospital system in the Bay Area of California to develop and implement training materials and simulations for the hospital system’s Emergency Department (ED) staff. Pre and post simulation data were collected, and simulation debriefs were conducted to determine staffs level of awareness of hospital policies and procedures as well as comfort levels in recognizing and treating PreE and PPH prior to and after implementation of the simulation scenarios. The CNL students were also tasked with developing a staged and recorded example of two simulations, PreE and PPH, to be uploaded to the hospital system’s knowledge center (online learning platform) in early 2023. Low survey response rates made results analysis difficult but the debriefs provided valuable insight into the usefulness of simulation and debrief to increase awareness of policies and procedures. The QI team and will not be able to obtain post-intervention data on the effectiveness of the video training materials until implementation in early 2023.