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Running Head: ESSENTIALS OF ADVANCED NURSING PRACTICE FIELD EXPERIENCE 1Essentials of Advanced Nursing Practice Field Experience Western Governors UniversityPurpose and Overview
Running Head: ESSENTIALS OF ADVANCED NURSING PRACTICE FIELD EXPERIENCE 2The purpose of this author is to play the role of the consultant and interview a nurse leader to establish strengths and weaknesses. By analyzing practices and processes and by interviewing a nurse leader, a consultation can establish opportunities for change or improvementwithin a healthcare organization. Through the evaluation of quality data, patient chart audits, and statistics, nurse leaders are able to recognize areas of weakness and use that data to develop policies and processes to deliver safe, high-quality, patient-centered care. The Joint Commission (JC) approved an optional certification program that provides an independent evaluation of the accredited hospitals perinatal health care services. The program requirements which came in effect July 1, 2015 are referred to as Perinatal Care (PC) Core Measures. One key element the hospital is required to meet to achieve certification is early identification of high-risk pregnancies and births.Through a face to face interview with the Team Specialist (Nurse Manager) of the Birthplace at Dupont Hospital, quality metric data and core measure data provided by Premier Inc. through the hospitals Premier Quality metric dashboard, the Joint Commission (JC), and HCAHPS were reviewed. Included in this discussion with the Birthplace Team Specialist was theBirthplace Educator as well as the Team Specialist of the Quality team. Each member shared data collected by chart audits, a program called Premier which gives data related to OB core measures, and specific data pulled from chart reviews for the OB core measures. The discussion of emphasis was a trend noted by the educator and Team Specialist of Quality regarding Postpartum hemorrhage (PPH). Postpartum Hemorrhage (PPH) is commonly defined as a blood loss of 500 ml or more within 24 hours after birth. PPH is the leading cause of maternal mortalityin low-income countries and the primary cause of nearly one quarter of all maternal deaths, globally. The United States is ranked 47thin the world of maternal mortality (Association of
Running Head: ESSENTIALS OF ADVANCED NURSING PRACTICE FIELD EXPERIENCE 3Women’s Health, Obstetrics and Neonatal Nurses [AWHONN], 2015). Petula stated, “Although the facility has a large focus on HCAHPS and how to improve our top box scores, the Birthplace has other areas of weakness that cause a greater concern” (P. Gouveia personal communication, February 6, 2019). Data from the Joint Commission were reviewed. This data reflects specifically about the Perinatal dashboard that contains the Perinatal core measures; PC-01 Elective delivery, PC-02 Cesarean Section, PC-03 Antenatal Steroids, PC-04 Health Care Associated BSI in Newborns, and PC-05 Exclusive Breast Milk Feeding as well as total