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


Problem: A Not-for-Profit Hospital accredited by the Joint Commission was fined for not having a current policy or procedure set in place for the treatment of obstetric emergencies. This quality improvement project implemented a simulation and a training video to prepare Emergency Department (ED) nurses and clinical staff for the awareness of preeclampsia and postpartum hemorrhage (PPH).

Context: This quality improvement project was implemented in two different Emergency Room locations for this Not-for-Profit Hospital. One of the campuses does not have a Labor and Delivery (L&D) unit while the other one does. The overarching goal is to increase awareness of obstetric emergencies on both campuses in addition to meeting the Joint Commission standards.

Intervention: With very limited time CNL students within the quality improvement team had to create a fictitious simulation scenario and a training video to prepare the ED staff for managing and treating preeclampsia and PPH.

Measures: The measures utilized for this quality improvement project were from the pre-and post-surveys that were completed by the ED staff that participated in the simulation. These surveys were used to assess the ED staff's knowledge and self-reported confidence in managing obstetric emergencies. In addition, the training video would be measured by the completion of the training at the knowledge center for this Not-for-Profit Hospital staff and newly hired.

Results: A total of 30 ED staff participated in both simulation days. The ED staff that participated in these simulations were ED Nurses, ED Technicians, ED directors, Clinical Nurse specialists, OB doctors, Midwives, and L&D nurses. The results were taken from the pre-and post-surveys. No result of the training video was given, the training video is not going to be implemented until the year 2023.

Conclusions: This quality improvement project showed that with the implementation of simulation and training videos the ED staff felt more confident to recognize and treat maternal complications. In addition, after completing both simulations, this Not-for-Profit Hospital did meet the Joint Commission standards.