Location

Spectrum Theatre

Start Date

30-3-2019 9:00 AM

End Date

30-3-2019 10:15 AM

Session Chair

Dr. Gayle L. Casterline

Mentor

Dr. Jill Parker

Description

Objective: The purpose of this quality improvement project is to implement a best practice obstetric rapid response team (OB-RRT) and conduct in-situ drills of this team. The expected outcome is improved response times, self-confidence of OB-RRT team members, communication, and outcomes for obstetrical emergencies.

Design: The methodology for this project is a post-test descriptive design. There will be an educational session followed by drills to evaluate the effectiveness of the education.

Setting/Local Problem: Rural Level III Labor and Delivery Unit is part of a Level III Trauma Center campus hospital system in Southeastern North Carolina.

Participants: Obstetric Labor and Delivery nurses who have worked in Obstetrics for more than two years.

Intervention/Measurements:Participants watched an educational PowerPoint module describing various obstetric emergencies and the roles and responsibilities for each Code OB team member. Following the educational module each participant completed a questionnaire as a review of the roles and responsibilities for each member. The participants were given two weeks to complete the education prior to implementing in-situ drills. Following each drill, participants completed the NLN approved Student Satisfaction and Self-Confidence in Learning questionnaire. This questionnaire, a series of statements that measuressatisfaction with learning and self-confidence in responding and managing an obstetric emergency. Drills were conducted over a 30-day period.

The effectiveness of the education was measured. The Student Satisfaction and Self-Confidence in Learning questionnaire scores was aggregated (drill #1 and drill #2) and analyzed with descriptive analysis using measures of central tendency. The OB Code Team Roles and Responsibilities Education questionnaire, the Project Leader Evaluation Tool, and the Project Partners Evaluation Tool were analyzed using descriptive statistics.

Results: 100% of eligible nurses (n=85) successfully identified roles and responsibilities of each Code-OB RRT member while responding to a simulated drill.

Conclusion: The educational sessions effectively increased nursing knowledge and the Student Satisfaction and Self-Confidence questionnaire showed an improvement in communication and confidence while managing obstetric emergency codes.

Keywords: obstetric emergencies, code, communication, nursing knowledge, and drills.

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Mar 30th, 9:00 AM Mar 30th, 10:15 AM

Session I Nursing Presentation 1: Development of an Obstetric Rapid Response Team in a Rural Labor and Delivery Hospital Unit

Spectrum Theatre

Objective: The purpose of this quality improvement project is to implement a best practice obstetric rapid response team (OB-RRT) and conduct in-situ drills of this team. The expected outcome is improved response times, self-confidence of OB-RRT team members, communication, and outcomes for obstetrical emergencies.

Design: The methodology for this project is a post-test descriptive design. There will be an educational session followed by drills to evaluate the effectiveness of the education.

Setting/Local Problem: Rural Level III Labor and Delivery Unit is part of a Level III Trauma Center campus hospital system in Southeastern North Carolina.

Participants: Obstetric Labor and Delivery nurses who have worked in Obstetrics for more than two years.

Intervention/Measurements:Participants watched an educational PowerPoint module describing various obstetric emergencies and the roles and responsibilities for each Code OB team member. Following the educational module each participant completed a questionnaire as a review of the roles and responsibilities for each member. The participants were given two weeks to complete the education prior to implementing in-situ drills. Following each drill, participants completed the NLN approved Student Satisfaction and Self-Confidence in Learning questionnaire. This questionnaire, a series of statements that measuressatisfaction with learning and self-confidence in responding and managing an obstetric emergency. Drills were conducted over a 30-day period.

The effectiveness of the education was measured. The Student Satisfaction and Self-Confidence in Learning questionnaire scores was aggregated (drill #1 and drill #2) and analyzed with descriptive analysis using measures of central tendency. The OB Code Team Roles and Responsibilities Education questionnaire, the Project Leader Evaluation Tool, and the Project Partners Evaluation Tool were analyzed using descriptive statistics.

Results: 100% of eligible nurses (n=85) successfully identified roles and responsibilities of each Code-OB RRT member while responding to a simulated drill.

Conclusion: The educational sessions effectively increased nursing knowledge and the Student Satisfaction and Self-Confidence questionnaire showed an improvement in communication and confidence while managing obstetric emergency codes.

Keywords: obstetric emergencies, code, communication, nursing knowledge, and drills.