Through listening to her patient without bias, having great assessment skills, and knowing when to escalate for help, Chevon made a huge difference to this patient’s outcome. 

The patient received prenatal care at another hospital, but when she went into labor, she knew she would not make it there. Her husband called an ambulance, and she was brought to Trinity. The patient was very anxious from the time she arrived. 

Although she had no prior medical or obstetric problems, she was out of her comfort zone at a hospital where she did not plan to deliver.  She quickly labored and delivered a healthy baby. However, her blood loss was >1500ml which is an OB Hemorrhage. 

Over the next hour or so the patient’s heart rate and respiratory rate increased. She continued to be anxious and asked if she was ok many times. Chevon was listening to the patient and did not discount her concerns or symptoms. She contacted the OB and labs were drawn. 

She would be getting blood if her hemoglobin dropped. Chevon remained at her bedside and soon noticed her color was off and she began to have chills. These symptoms are exactly what you would expect with an OB Hemorrhage. 

Chevon had a gut feeling that something was not right. She took the patient’s temperature which was elevated, and she called for help. A Sepsis alert was called, and the RRT/Sepsis team responded immediately. The patient was then treated for both hemorrhage and sepsis. 

The patient responded very well and remained in OB with her baby. Chevon not only correctly assessed her patient and escalated her concerns, but she listened to her patient and went with her gut instincts. This patient’s symptoms could have been dismissed as a result of being anxious and hypovolemic from the hemorrhage. Precious time could have been lost in diagnosing and treating this patient, resulting in increased maternal morbidity. However, through her skills and commitment to equitable and respectful care, Chevon was instrumental in achieving a great outcome for this patient.