Gutierrez, Diana, RN

Marinelli, Jeanine A, RN

Pollock, Morgan, BSN, RN, CCE

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingMEWS or Lose Labor and Delivery Cedar CrestMorgan Pollock BSN, RN, CCELehigh Valley Health Network, Morgan_R.Pollock@lvhn.orgDiana Gutierrez RNLehigh Valley Health Network, Diana_M.Gutierrez@lvhn.orgJeanine A. Marinelli RNLehigh Valley Health Network, Jeanine_A.Marinelli@lvhn.orgFollow this and additional works at: https://scholarlyworks.lvhn.org/patient-care-services-nursingThis 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 AtPollock, M. Gutierrez, D. Marinelli, J. (2019, March 28). MEWS or Lose Labor and Delivery Cedar Crest. Poster presented at: LVHNVizient/AACN Nurse Residency Program Graduation, Lehigh Valley Health Network, Allentown, PA.© 2014 Lehigh Valley Health NetworkLehigh Valley Health Network, Allentown, PennsylvaniaMEWS or LoseLabor and Delivery Cedar Crest• Recommendation by regulatory agency (Joint Commission) of the critical importance of utilizing the MEWS score amongst L&D/PNU nurses.• Unit leadership acknowledgment of gaps and documentation of the MEWS score as evidence by chart audits.• Knowledge deficit amongst L&D and PNU nurses as evidenced by staff survey created by nurse residency cohort.EVIDENCEUtilizing MEWs score increases awareness of changes in maternal condition thus decreasing potential PPH thus decreasing maternal mortality rates.Process Indicators:Pre-Survey was distributed on each POD located on L&D/PNU that assess RN’s knowledge in regards to importance of utilizing the MEWS.Implementation: • TLC was assigned to 85 RNs on Labor and Delivery/PNU at 100% completion.• Post – education survey was completed to assess the knowledge gained .• Charge nurses helped to promote the utilization of the MEWS score.• Reminders were given at daily staff huddle to utilize the MEWS score unit wide.• Post education chart audits times 7 days  to ensure proper utilization and documentation of the MEWS score. • L&D/PNU RNs acknowledged a greater understanding of the MEWS score and why it is utilized.• Do Labor and Delivery /PNU nurses posses the necessary knowledge to utilize the MEWS score for patient safety when compared to Labor and Delivery/PNU nurses with increased education and training?• P – Labor and Delivery/PNU nurses• I – Education on proper utilization of the MEWS score.• C – When compared to Labor and Delivery/PNU nurses with additional education and training on the MEWS score.• O – Improved knowledge and utilization of MEWS score and its positive effect on patient care and outcomes.• L&D/PNU collectively have shown an increased knowledge on the MEWS score and how to properly utilize and document on it.• L&D/PNU nurses have shown improved documentation on the MEWS score.Morgan Pollock BSN, RN, CCE, Diana Gutierrez RN, Jeanine Marinelli RNBackgroundPICOImplementation Plan OutcomesConclusionREFERENCESCenters for Disease Control and Prevent. Severe maternal morbidity in the United StatesAvailableat:https://www.cdc.gov/reproductivehealth/maternalinfanthealth/severematernalmorbidity.html. Accessed October 2018Friedman, A. M., Campbell, M. L., Kline, C. R., Wiesner, S., D’Alton, M. E., & Shields, L. E. (2018). Implementing Obstetric Early Warning Systems. AJP Reports, 8(2), e79–e84. http://doi.org/10.1055/s-0038-1641569Zuckerwise, L. C., & Lipkind, H. S. (2017, April). Maternal early warning systems—Towards reducing preventable maternal mortality and severe maternal morbidity through improved clinical surveillance and responsiveness. In Seminars in perinatology (Vol. 41, No. 3, pp. 161-165). WB Saunders.0102030405060L&D nurses PNU nursesPercentage of Nursing StaffNursing StaffKnowledge of MEWS ScoreKnowledge of documentation onMEWS scoreDo I utilize the MEWS score020406080100120L&D nurses PNU nursesPercentage of Nursing staffNursing StaffIncreased knowledge of MEWS scoreIncreased knowledge on how todocument MEWS scoreIncerased compliance withdocumentation on MEWS score

MEWS or Lose  Labor and Delivery Cedar Crest

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MEWS or Lose Labor and Delivery Cedar Crest

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Lehigh Valley Health Network: LVHN Scholarly Works