Postpartum Hemorrhage Drill Evaluation

Evaluation template for postpartum hemorrhage simulation drills, focusing on recognition, team activation, medication escalation, and blood product use.

Drill Setup and Scenario Readiness

• Scenario objectives and expected actions were briefed to facilitators
• Emergency hemorrhage cart and supplies were present and accessible
• Blood product access process was available for the drill
• Team roles for the drill were assigned or available
• Any equipment or supply deficiencies identified before start

Recognition of Postpartum Hemorrhage

• Excessive bleeding was recognized promptly
• Estimated blood loss or quantified blood loss was assessed and communicated
• Vital signs and signs of hypovolemia were reassessed during the scenario
• Recognition time from onset of hemorrhage to escalation
• Recognition-related deficiencies observed

Team Activation and Communication

• Appropriate team members were activated without delay
• Role assignment was clear and acknowledged by team members
• Closed-loop communication was used during key actions
• Escalation to obstetric provider, anesthesia, and blood bank was completed
• Communication or coordination gaps observed

Medication Escalation and Clinical Management

• First-line uterotonic was administered appropriately
• Medication escalation followed the hemorrhage protocol
• Tranexamic acid or other second-line therapy was considered or administered when indicated
• Uterine massage, IV access, fluids, and other supportive measures were initiated
• Medication or management deficiencies observed

Blood Product Use and Escalation

• Blood products were requested in a timely manner when indicated
• Type and crossmatch or emergency release process was initiated appropriately
• Massive transfusion protocol was activated when indicated
• Units of blood products requested or prepared
• Blood product coordination issues or delays observed