Gogle, Julia, MSN, RNC-OB

Kemp, Tonya, RN, RNC-OB

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingCollaborating Against Catecholamines: UsingInterprofessional Simulation to Prepare for aPotential Cardiac Emergency in Pregnancy.Julia Gogle MSN, RNC-OBLehigh Valley Health Network, Julia.Gogle@lvhn.orgTonya Kemp RN, RNC-OBLehigh Valley Health Network, Tonya_L.Kemp@lvhn.orgFollow this and additional works at: https://scholarlyworks.lvhn.org/patient-care-services-nursingPart of the Nursing CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtGogle, J. Kemp, T. (2018, June 23-27). Collaborating Against Catecholamines: Using Interprofessional Simulation to Prepare for a PotentialCardiac Emergency in Pregnancy. Poster Presented at: AWHONN, Tampa, FL.LVHN.org 888-402-LVHN© 2018 Lehigh Valley Health NetworkOBJECTIVES•  Detail the evidence-based, interprofessional management of an antepartum woman with a high-risk cardiac condition – Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT).•  Identify pragmatic strategies to prepare for a potential cardiac emergency in pregnancy.BACKGROUND•  Interprofessional simulation is routinely scheduled on the L&D unit to prepare staff for obstetric emergencies.•  OB division holds monthly multidisciplinary team meetings  to develop care plans for complicated obstetric cases.•  Team identified a 28 year-old primigravid woman at 16 weeks gestation with a rare, genetic cardiac disorder – CPVT.•  In CPVT:  Increased catecholamines (such as with labor) may precipitate syncope  ventricular tachycardia  cardiac arrest death•  Call to action – team assembled to outline care strategies  for the antepartum, intrapartum and postpartum periods.Collaborating Against Catecholamines: Using Interprofessional Simulation  to Prepare for a Potential Cardiac Emergency in Pregnancy Julia Gogle, MSN, RNC-OB and Tonya L. Kemp, RN, RNC-OBLabor and Delivery Unit, Lehigh Valley Health Network, Allentown, PennsylvaniaCONCLUSION/LESSONS LEARNED1) Ask for assistance.2)  Define the available resources and establish the process to access, activate and mobilize that support in a timely manner.3)  Involve bedside clinicians in the plan of care.REFERENCES1.  Bushnell, S. (1992). PDCA...A timeless tool for decision making. Journal of Quality and Participation, 58-61.2.  Friday, K., Moak, J., Fries, M., Iqbal, S. (2015). Catecholaminergic ventricular tachycardia, pregnancy, and teenager: Are they compatible? Pediatric Cardiology, 1542-7.3.  Gogle, J. (2017). Using simulation-based learning to prepare for a potential cardiac emergency on the labor unit. Nursing for Women’s Health, 22-27.4.  Romagano, M., Quinones, J., Ahnert, A., Martinez, R., Smulian, J. (2016). Catecholaminergic polymorphic ventricular tachycardia in pregnancy. Obstetrics and Gynecology, 735-739.PLANSTUDYACT DOINTEGRATE PLAN OF CARESimulation content developed using the multidisciplinary plan of careDEVISE SOLUTIONS/REVISE PLANPlan of care was evaluated and updated following each simulation drill TEST PLAN OF CAREInterprofessional simulation drills conducted to:• rehearse skills• stimulate critical    thinking• develop team    behaviorsDEBRIEF/BRAINSTORM SOLUTIONSTeam members assembled post-simulation to:• explore their experience• reflect on events• address concerns in a safe environmentNO EPINEPHRINEIMPLEMENTATIONMagnet® Since 2002

Collaborating Against Catecholamines: Using Interprofessional Simulation to Prepare for a Potential Cardiac Emergency in Pregnancy.

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1959&context=patient-care-services-nursing

Collaborating Against Catecholamines: Using Interprofessional Simulation to Prepare for a Potential Cardiac Emergency in Pregnancy.

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