Hypertension Toolkit

Hypertension Toolkit By Section

• Hypertension Toolkit Overview
• Readiness
• Recognition & Prevention
• Response
• Reporting & Systems Learning

Hypertension Individual Attachments by Section

Readiness Attachments

• Ambulatory Readiness Assessment
• Emergency Department Readiness Assessment
• Inpatient Readiness Assessment
• Manual Blood Pressure Competency Checklist

Recognition & Prevention Attachments

• Inpatient
  Differential Diagnosis
• Emergency
  HELLP Syndrome Chart
  Management of Pregnant/Postpartum Patients in the ED
• Ambulatory
  Ambulatory Preeclampsia Checklist
  Preeclampsia Patient Education Checklist

Response Attachments

• Risk Appropriate Care Considerations for Intrapartum Inpatient Settings
• Risk Appropriate Care Considerations for Post-Discharge and Outpatient Settings
• Nursing Acuity Assessment
• Management of Pregnant/Postpartum Patients in the ED
• Postpartum Preeclampsia Checklist
• CMQCC Eclampsia Algorithm
• Hypertension Pre-Transport Checklist
• Maternal-Fetal GO-No-Go Transport Algorithm
• Sample Medication Toolbox (CMQCC)
• Badge Buddy Labor and Delivery
• Badge Buddy Postpartum
• ENA – AWHONN Consensus Statement on Emergency Care for Patients during Pregnancy and Postpartum

Reporting & Systems Learning Attachments

• Charge Nurse Communication Unit Huddle Sheet
• Nurse to Nurse Huddle Sheet
• Severe Maternal Hypertension Debriefing
• Hot Debriefing Form
• Root Cause Analysis in Response to Patient Event
• Simulation Scenario Files
• Postpartum Procardia Simulation
• ICD 10 Codes for Hypertension

Postpartum Hemorrhage Simulations

These simulation scenarios are available to be downloaded and adapted for your facility's use. They were designed with a Level of Care in mind but all scenarios can be used by all hospital designation levels. Best Practice: Whatever amount of time you schedule for the scenario you choose, plan to allow double that time for the debriefs portion of the simulation experience.

• Level 1 Trauma Scenario
• Level 2 Trauma Scenario
• Level 3 Thrombin Scenario
• Level 4 Tone Scenario
• Tissue Scenario / Simulation Template
• PPH Simulation Learning Objectives
• PPH Simulation Debriefing Questions

Individual Attachments

• Basic Post Partum Hemorrhage Cart Contents
• Hemorrhage Cart Examples
• Placement of Tamponade Balloon
• B-Lynch Suture - B-Lynch Suture.pdf
• CMQCC stages of hemorrhage guidelines
• Uterotonic Agents for Postpartum Hemorrhage
• Blood Component Reference AWHONN
• Hemorrhage Debrief Form
• Early Warning System Chart Sample
• Emergency Management Plan
• Sample Stress Debriefing Policy
• Patient Clinical Summary SME
• Hospital Audit Tool
• QBL Final

Breastfeeding and Substance Use Traffic Light

Breastfeeding and Substance Use Traffic Light (Spanish)

Perinatal Substance Use Practice Bundle By Section With Attachments

• NAS Diagnostic Criteria
• Prenatal Screening
• Non-Pharmacologic
• List of Updates made in August 2020
• Pharmacologic (updated August 2020)
• Transfer (updated August 2020)
• Discharge Planning Infants (updated October 30, 2020)
• Discharge Planning Mother (updated August 2020)

Perinatal Substance Use Practice Bundle Individual Attachments

• 5 Ps Screening Tool
• Addiction Services
• Alcohol Exposure – Going Home
• Alcohol Exposure – Going Home Spanish
• Breastfeeding and Substance Use Guidance Document
• DCS Patient Handout
• DCS Process Review for Medical Providers
• Help Me Grow Map
• Infant Discharge Readiness Checklist
• Infant Primary Care Provider Letter
• Motivational Interviewing
• NAS Pharmacologic Therapy Protocol
• NAS Process Algorithm
• Newborn Withdrawal Going Home
• Newborn Withdrawal Going Home Spanish
• OB Provider Pocket Card
• Patient Orientation Letters
• Pharmacologic Treatment Algorithm
• Postpartum Discharge Planning and Referral Checklist
• Postpartum Letter to Primary Care Provider
• Provider and Patient Resources
• Recommendations for Counseling
• Sample Release of information
• Screening Algorithm
• SUD Clinical Care Checklist
• Transfer Algorithm
• Validated Screening Tools

Start the conversation. While it’s important to talk to your patients and clients about their medical and wellness needs, it’s just as important to listen. Hearing their fears, struggles, frustrations and hopes can help you craft a plan for the needs of the parents and the baby.

Determine their level of understanding. Oftentimes, expectant or new parents are overwhelmed with advice from friends and family, which may or may not be accurate. Never assume what they may know and don’t hesitate to go over the basics with them. Even experienced parents can benefit from reminders and refreshers.

Identify their needs. The State of Indiana offers many resources for new and expectant parents to utilize. Familiarize yourself with the supportive programs and services available and begin to understand where your patients may need the most assistance or direction.

For more information and referral services call the MCH MOMS Helpline at 1-844-MCH-MOMS (1-844-624-6667) or visit http://www.MomsHelpline.isdh.IN.gov.

Please email questions to isdhmch@isdh.in.gov.