She was the charge nurse for the night shift and briefly huddled before assembling our team for an anticipated routine C-section. She was alerted to the escalation of my patient's acuity, called in the requested staff. She used closed-loop communication to facilitate crowd control, direct assertive utilization of staff for retrieval of blood products. The father being an ER-resident was well aware of his wife's critical condition, and was escorted to the PACU holding area to be united with his newborn while his wife was under general anesthesia. She collaborated and assembled the nursing staff in a controlled direct approach that provided me with maximized support so there was no delay in care. OB called to have the hysterectomy instruments opened, counted and to be available as a last resort to resolve the bleeding. She made calls to the house officer, blood bank, OR supervisor requesting a circulator upon opening the hysterectomy set. The team nursing and closed-loop communication between her, the baby nurse, the orientee, and ANOIC, composed an environment for the surgeons to maintain their focus and provide crowd control for essential personnel.
The outcome of the case was orchestrated as a remarkable collaborative effort between surgeons, anesthesia, and nursing staff resulting in a good outcome. The patient was stabilized, recovered in L&D PACU without further complications, and transferred to postpartum with expectant management of couplet care. She is recognized in her role as charge nurse who maintained control of the unit, facilitated resource management, and stayed in closed loop communication continuously to allow for maximum direct patient care with no delay. She displayed remarkable composure as a charge nurse to calmly disseminate information and served as a role model for newer nurses, orientees, and staff on duty.
Note: This is Bridget's 2nd DAISY Award!