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Strategy Submission

Obstetrical Simulation: Unfolding Case Study on Postpartum Hemorrhage


Mary Lou Gies

Ed.D, RN


Assistant Professor



La Salle University


Competency Categories:

Patient-Centered Care, Quality Improvement, Safety, Teamwork and Collaboration

Learner Level(s):

Pre-Licensure BSN

Learner Setting(s):

Classroom, Skills or Simulation Laboratories

Strategy Type:

General Strategy

Learning Objectives:

At the end of this simulation of an unfolding case study, the learner will be able to: Recognize the importance of family-centered and patient-centered care; Summarize the knowledge, skills, and attitude necessary for a nurse in a critical care situation; Demonstrate professional behaviors during the simulation; Perform a focused and overall assessment of a postpartum mother; Use SBAR (Situation, Background, Assessment, Recommendation) reporting during patient transfer from a labor and delivery unit to a postpartum unit; Implement The Joint Commission safety standards in the care of a postpartum mother, including correct identification of infant and mother; Demonstrate standard infectious disease precautions when performing nursing care; Provide safe nursing care to the newly delivered postpartum mother; Analyze a critical care clinical situation and respond appropriately within a safe learning lab. This teaching strategy evaluates the following KSAs: Knowledge:  Incorporates family-centered care for the newly delivered postpartum mother by communicating with the patient and family about the critical situation, including patient needs in plan of care. Skills:  Encourages open, effective communication, when possible, between multi-disciplinary team and family. Attitude:  Provides emotional support to patient and family and encourage support for one another. Core-Competency:  This teaching strategy evaluates the following KSAs: Knowledge:  Demonstrates nurse’s role in providing safe and effective patient care according to The Joint Commission standards of nursing care of a critically ill patient. Skills:  Implements safe patient care when identifying patient, administering medication, transferring patient, and intervening with a critically ill patient. Attitude:  Promotes patient care in a safe and effective manner.

Strategy Overview:

This simulation can take place in a Learning Resource Center or classroom setting at mid-semester or during the final weeks of a Nursing Care of Women and the Childbearing Family course. The goal of the simulation is to teach neophyte students about applying the QSEN KSA competencies to the care of a critically ill postpartum mother, by presenting them with an unexpected clinical situation. The earning objectives, equipment, and case study of a new mother with a postpartum complication are given. Students demonstrate skills on a manikin as the case study progresses. Questions about the situation are posed during the debriefing, to encourage critical thinking and patient-centered care.

Submitted Materials:

Additional Materials:

Evaluation Description:

The simulation was evaluated based on debriefing feedback after the simulation and NCLEX style questions. The debriefing questions and NCLEX are incorporated in the document submitted. The faculty and student feedback had positive learning outcomes, as reflected in debriefing and correct responses to NCLEX questions. Students and faculty were in favor of having more simulations in the learning lab.
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