IMSH has been referred to as the super bowl of simulation meetings. Even with the difficulties brought about by COVID-19, Simulationists around the world have engaged with the IMSH virtual platform to attend sessions and the virtual exhibit hall. As a company, Limbs & Things has had to think of innovative ways to show off our new products and engage with our customers, all while ensuring that our values continue to shine.
Limbs & Things, working together with Obstetric and Gynecology specialists around the world, continues to be at the forefront of providing affordable and effective team training using our PROMPT Flex family of products. Recently, our Obstetric range of products has been expanded to include dark skin models, providing teams the ability to focus specifically on racial disparities in caring for mothers and infants. Also detailed in one of our previous articles, Dr. Deering stated that African American Women are three to four times more likely than white women to die in childbirth as a result of postpartum hemorrhage, infection, or heart disease – one of the widest of all racial disparities in women’s health.
Racial disparity is concerning, and isn’t just rooted in obstetrics; if you consider that black women are 42% more likely to die from breast cancer at every age, the need for change becomes even more apparent. Regardless of the reasons, more must be done to provide safe care for every patient, regardless of skin color.
The United States is taking action to help alleviate disparities in the care of moms and babies. Effective in January 2021, the Joint Commission released a set of new standards for its accredited hospitals mandating team-based drills in Obstetric units for both Postpartum Hemorrhage (PPH) and Severe Hypertension.
In the case of PPH, accredited facilities will have to show proof of the following:
- Clearly defined procedures for stage-based management of maternal hemorrhage
- Critical medications must be immediately available on the obstetric unit
- The ability to activate the emergency response team when needed
- A massive transfusion procedure or other blood bank plan for emergency release of blood products
- Annual drills including all members of the obstetric team as part of an ongoing quality improvement plan
- Review all cases to determine where improvements are needed2
In cases of severe hypertension / pre-eclampsia, accredited facilities will have to show proof of the following:
- Clearly defined procedures for blood pressure measurement
- Critical medications must be immediately available on the obstetric unit for decreasing blood pressure and seizure prophylaxis
- Correct use of fetal monitoring for all patients with elevated blood pressure
- Drills including all members of the obstetric team conducted at least annually, as part of an ongoing quality improvement plan
- Review all cases to determine where improvements are needed
Meeting those requirements does not have to be difficult and, as Dr. Deering explains, there are tools out there that are readily available to all healthcare providers. The ACOG Emergency in Clinical Obstetrics (ECO) Course is a cost-effective way that facilities can engage their teams by providing comprehensive simulation scenarios for emergency multidisciplinary obstetric drills that enhance both technical skills and communication with patients and their families. Limbs & Things ensures the ECO courses are properly equipped to provide adequate training for any size team. Available in light and dark skin-tones and in three different packages, the ECOSystems from Limbs & Things include equipment needed to practice shoulder dystocia, PPH, umbilical cord prolapse, and vaginal breech deliveries in a controlled environment.
Another resource available for obstetric education includes current work that Dr. Deering is spearheading, Practicing for Patients. Everything needed for in-situ PPH drills is included in the packet currently available here. As discussed in the learning lab, Dr. Deering has been able to pilot the PPH project throughout Texas and has seen good results from the initial work. Soon to come is another resource packet for Severe Hypertension.
Now also at the forefront of training for PPH is the Clean Bleed™ Mat, which you can see in action in the recording. The patent-pending Clean Bleed™ Mat offers medical professionals a closer to life, efficient and mess free solution for training scenarios involving fluid.