Safety Bundles

Question 1

Name the four broad safety bundle components

Answer 1

Readiness
Recognition and Prevention
Response
Reporting and systems learning

Question 2

Describe readiness

Answer 2

• Medical carts with supplies
• Immediate emergency hemorrhage medications
• checklist
• Establish a response team
• Unit base drills with debriefs

Question 3

Describe recognition and prevention

Answer 3

• Active management of the 3rd stage. Oxytocin is a key component
• Assessment of hemorrhage risk. 40% of hemorrhages occur in low risk
• Measurement of EBL

Question 4

Describe response

Answer 4

• Determine etiology
• Uterine atony accounts for a majority of hemorrhage but careful examination with good lighting and exposure for cervical and vaginal lacerations or retained placenta is important to observe

Question 5

Describe reporting and systems learning

Answer 5

• Establish a culture of huddles and debriefs to talk communicate about questions or concerns regarding obstetric emergency
• Multidisciplinary review. The joint commission recommends a systems review of all severe hemorrhage of 4 or more units of RBC/admissions to ICU