Quantitative Blood Loss Obstetrics Chart Audit

Quantitative Blood Loss Obstetrics Chart Audit Chart reviews monthly EPIC audits of all vaginal deliveries tracked compliance based on documentation of tracking the use of one or two under buttock drape with the physician s name delivery date time RN s name and values of QBL EBL and recovery QBL

Review measurement techniques for the quantification and cumulation of blood loss What is Quantitative Blood Loss QBL Systematic use of volumetric containers and weighing scales or computerized image recognition to quantify blood loss during surgical procedures or OB Hemorrhage Toolkit V3 0 OB Hemorrhage Task Force and Update Task Force Hypertensive Disorders of Pregnancy Toolkit Hypertensive Disorders of Pregnancy Task Force Sepsis Toolkit Maternal Sepsis Task Force Advisory Group Support Vaginal Birth and Reduce Primary Cesareans Toolkit Supporting Vaginal Birth and Reducing Primary Cesarean

Quantitative Blood Loss Obstetrics Chart Audit

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Quantitative Blood Loss Obstetrics Chart Audit
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Quantitative Blood Loss In Obstetric Hemorrhage 1217 Words Research Paper Example
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ACOG released new guidance Nov 2019 on quantification of blood loss during an obstetrical hemorrhage While there are multiple recommendations a central theme of the document is that accuracy of quantitative measurement is superior to visual estimation A multidisciplinary approach is recommended and in addition Practice from visual estimation of blood loss to quanti cation of blood loss QBL and to replace estimation of blood loss with QBL for at least 85 of vaginal births during a 3 month period

Educate all staff on how to quantify cumulative blood loss Educate all staff to follow vital sign trends and that abnormal vital signs are late signs of bleeding Include the amount of blood loss information during patient care handoffs Aim Review and discuss the general and massive hemorrhage protocols at least every two years To provide a simple method for nurses and providers to achieve quantification of blood loss QBL with all births vaginal and cesarean To eliminate the use of estimated blood loss EBL and replace it with QBL in all births and situations of obstetric hemorrhage

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Quantification of blood loss is an objective measurement that is recommended for the early identification of hemorrhage for all births ACOG 2019 CMQCC 2015 Main et al 2015 Seacrist et al 2019 Implementation of obstetric hemorrhage bundles that include QBL have been found to significantly reduce maternal morbidity ACOG 2019 Implementation of quantitative assessment of blood loss includes the following two items 1 use of direct measurement of obstetric blood loss quantitative blood loss and 2 protocols for collecting and reporting a cumulative record of blood loss postdelivery

Quantification of blood loss QBL is considered a more reliable measurement Hancock et al 2015 yielding an error rate of less than 15 AWHONN 2015 QBL is associated with improved assessment of a woman s condition thereby facilitating more AWHONN recommends that cumulative blood loss be formally measured or quantified after every birth A leading cause of maternal morbidity and mortality is failure to recognize excessive blood loss during childbirth The Joint Commission 2010

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Blood Loss Symptom Chart
IMPLEMENTATION OF QUANTIFIED BLOOD LOSS FOR EARLY

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Chart reviews monthly EPIC audits of all vaginal deliveries tracked compliance based on documentation of tracking the use of one or two under buttock drape with the physician s name delivery date time RN s name and values of QBL EBL and recovery QBL

 PDF Quantitative Blood Loss A Validation Study Hayat Ameri Academia edu
OB Hemorrhage Part 1 QBL Terms And Techniques

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Quantitative Blood Loss Obstetrics Chart Audit - Accurate quantification of blood loss is an essential skill necessary to prevent maternal morbidity and mortality associated with obstetric hemorrhage Visual estimation of blood has been consistently shown to be extremely inaccurate