Banner Health News Center  

Banner Lassen Medical Center gets valuable simulation training


SUSANVILLE, Calif. (Nov. 19, 2012) – Health care providers at Banner Lassen Medical Center took care of mannequins this week to perfect the care they give to women who have just had a baby.

Targeting a life-threatening condition that isn’t frequently seen in critical access hospitals, staff members from several disciplines learned about post partum hemorrhage – heavy bleeding after the delivery of a baby. Banner Health adopted a new protocol and required all of its employees involved in labor and delivery to be trained. The training took place at Banner Lassen Medical Center the week of Nov. 12.

The World Health Organization in 2009 said post partum hemorrhage was the leading cause of maternal death worldwide. The rate of post partum hemorrhage in mothers in the United States is 17 percent and in Banner Health is 2.6 percent. Early identification and management of a hemorrhaging patient is key, said Western Region Clinical Nurse Educator Roxann Edelmon, RN, BSN, MEd.

Training has been provided to blood bank, laboratory, respiratory therapy, OR, anesthesia, nurses, and physicians. The training consisted of a brief introduction to the patient simulator. The simulator is a mannequin that can breathe, bleed, speak, emit other bodily fluids and have a pulse. The mannequin used for this training also delivers a baby. For the scenarios, participants are asked to suspend disbelief so they act as if the scenario were real.

Training begins by having an educator play the role of the patient’s primary nurse who is leaving for the day. The nurse “hands-off” the patient to the new team of caregivers by describing the situation, background information, assessment of the patient, and recommendations on the plan of care.

The scenario then starts. The care team puts protocols into action to treat a mom who is suffering post partum hemorrhage. Activity goes as far as calling the blood bank for extra blood and other services that would be required to care for the patient.

Once the scenario is finished, the team reviews their session.
Edelmon has traveled to 11 facilities in the Banner Health Western Region this year with the simulation team (including the mom and baby mannequin) to provide the training. In three instances, the staff completed the training and within 24 hours had a maternity patient that suffered a post partum hemorrhage.

Edelmon said the simulation activity helps the staff to critically think about how to get the best resources for the patient. They have to rapidly identify the situation and respond. The ability to practice the new protocol in a safe environment is crucial especially when you have high-risk, low-volume scenarios like postpartum hemorrhage.

“With the mannequins, we can always restart and run through things again,” Edelmon said.

LeGay Parks, RN, senior manager for inpatient services at Banner Lassen, commented on the value of having simulation training available to the critical access hospitals. “It gives the nurses and physicians the opportunity to practice skills and fast critical thinking under safe and controlled environments so when a real emergency does happen, they are ready for it,” she said. “These simulations provide education and support in the use of proven best practices for optimal patient outcomes.”

Banner Lassen Medical Center in Susanville, Calif., originally opened in 1883 as Lassen County Hospital.  A 25-bed, critical access hospital, Banner Lassen offers quality care, close to home. In addition to providing our patients with a safe, efficient and caring environment, Banner Lassen offers a wide range of programs and services to aid in prevention, diagnosis and treatment of illness. We offer private rooms and home-like birthing suites.

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