OMG IN THE ED

Mrs Caroline Murray1, MRS DIANNE BISSETT2
1Eastern Health, BOX HILL, Australia, 2EASTERN HEALTH, BOX HILL, AUSTRALIA

OMG in the ED- Obstetric emergencies in the Emergency Department (ED).

What happens when a frantic family member runs into your ED stating a woman is giving birth in the car park? The triage nurse instinctively grabs the birthing kit and gloves and runs out calling a Code Pink on the way out. Then what?

Emergency Department obstetric emergency deliveries although uncommon, can be terrifying for both the non-midwife nursing staff and birthing women. Anecdotal stories of birthing women not quiet making it to the delivery suite and delivering their babies in the car park are reported in Australia and internationally, most commonly through word of mouth and through the media.

Our ED runs a day long course dealing with Emergency deliveries in the ED with simulation based scenarios, with and without midwifery/medical support and what nurses should and do in those critical moments whilst waiting for help to arrive. This may happen in the car park, at triage, in resus or on the way to the delivery suite. All course materials are collaboratively designed by both ED and Midwife educators.

The study day is primarily focused on the attendance of post-graduate students; the course is available to all CCRN’s and covers a range of topics including:

  • Assessment and Management of the Pregnant women
  • Managing the imminent birth
  • The collapsed women in ED
  • Early Pregnancy Bleeding
  • Assessment and Management of the bleeding woman
  • Counseling in difficult circumstances
  • Simulations – Vaginal Delivery, Complicated Birth, Estimated Blood loss and Triage and UVC and bubble CPAP

Feedback from staff is overwhelmingly positive with participants feeling they would feel more confident in dealing with obstetric emergency and care for the pregnant woman delivering a baby in the ED.


Biography:
DI AND CAROLINE HAVE BEEN PART OF EASTERN HEALTH FOR MORE THAN 40 YEARS COLLECTIVELY. THEY HAVE BEEN PART OF EDUCATION WITHIN THE EMERGENCY DEPARTMENT AT BOX HILL FOR MORE THAN TEN YEARS EACH. THEY SHARE A PASSION FOR HIGH CLINICAL STANDARDS AND THE TEAM THEY WORK WITHIN PROMOTE AND SUPPORT A POSTIVE LEARNER ENVIRONMENT.