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Compliance em Unidades de Saúde 11 itens

Obstetrics & Labor and Delivery Safety Audit

Este checklist está em inglês.

Maternal safety audit covering obstetric hemorrhage readiness, hypertension/preeclampsia management, high-alert medications, and fetal monitoring on labor and delivery units.

CMS 42 CFR 482.60AWHONN StandardsACOG GuidelinesTJC PC.06.01.03

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Maternal Hemorrhage Readiness

  • Is an obstetric hemorrhage cart or kit with uterotonics and supplies immediately available on the unit? *
  • Is quantitative blood loss (QBL) measured rather than estimated for all births? *
  • Is a stage-based obstetric hemorrhage protocol with a massive transfusion pathway in place? *

Hypertension & Preeclampsia

  • Is severe-range hypertension (>=160/110) treated with first-line antihypertensives within 60 minutes? *
  • Is magnesium sulfate available and used for seizure prophylaxis in preeclampsia with severe features? *
  • Are staff educated on recognition of preeclampsia warning signs and early warning criteria? *

High-Alert Medication Safety

  • Is oxytocin managed as a high-alert medication with standardized concentrations and checklists? *
  • Is magnesium sulfate administered via smart pump with independent double checks? *

Fetal Monitoring & Emergency Response

  • Do clinicians use standardized NICHD fetal heart rate terminology for interpretation and documentation? *
  • Are emergency drills for shoulder dystocia, hemorrhage, and eclampsia conducted and debriefed regularly? *
  • Is a plan for emergency cesarean (decision-to-incision) capability maintained and tested? *

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