Hypertension Toolkit
Attachments by Section
- Ambulatory Readiness Assessment
- Emergency Department Readiness Assessment
- Inpatient Readiness Assessment
- Manual Blood Pressure Competency Checklist
- Inpatient
Differential Diagnosis - Emergency
HELLP Syndrome Chart
Management of Pregnant/Postpartum Patients in the ED - Ambulatory
Ambulatory Preeclampsia Checklist
Preeclampsia Patient Education Checklist
- 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
AIM is an initiative led by the American College of Obstetricians and Gynecologists (ACOG), in partnership with over 30 additional professional organizations, including the American College of Nurse Midwives (ACNM), the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), the Society for Maternal and Fetal Medicine (SMFM) and more.
The purpose of AIM is to promote consistent and safe maternity care to reduce maternal morbidity and mortality by equipping, empowering, and emboldening every state’s maternal health leaders, providers, and systems by implementing patient safety bundles.
Safety Bundles
These safety bundles are short, straightforward evidence-based action steps that hospital obstetric and women’s health units can implement to reduce maternal morbidity and mortality The improvement work is done by evaluating current practices within each obstetric unit and improving upon any recognized deficits by adopting the national best practices outlined in the bundle.
AIM has patient safety bundles to reduce the most common maternal morbidities and causes of death.
The Core Patient Safety Bundles are the main foundation in the AIM program focused on addressing the leading identified causes of preventable severe maternal morbidity and mortality in the US. These bundles include:
- Obstetric Hemorrhage (Indiana Hemorrhage Toolkit)
- Severe Hypertension in Pregnancy (Indiana Hypertension Toolkit)
- Safe Reduction of Primary Cesarean Birth
- Cardiac Conditions in Obstetrical Care
- Care for Pregnant and Postpartum Patients with Substance Use Disorder (Indiana PSU Toolkit)
- Postpartum Discharge Transition
- Sepsis in Obstetrical Care
- Perinatal Mental Health Conditions
Indiana AIM
In January 2019, Indiana joined AIM and launched the program later that June. The first bundle that was implemented was Obstetric Hemorrhage. the Indiana hospital Association has partnered with the Indiana Department Division of Maternal and Child Health to provide data and support as necessary. This program is completely free and voluntary for Indiana hospitals.
Since launching in June 2019, IDOH received an overwhelming response from Indiana hospitals that were ready to implement proven and effective practice guidelines to improve the health outcomes of their patients. While participation in Indiana AIM is voluntary for Indiana hospitals, IDOH and the State Health Commissioner continue to call on all delivering facilities in the state to join. As of September 2022, 82 of Indiana’s 84 delivering facilities have been enrolled in AIM.
Hospitals Enrolled in Indiana AIM:
- Adams Memorial Hospital
- Ascension St. Vincent Anderson
- Ascension St. Vincent Carmel
- Ascension St. Vincent Dunn
- Ascension St. Vincent Evansville
- Ascension St. Vincent Fishers
- Ascension St. Vincent Kokomo
- Ascension St. Vincent Randolph
- Ascension St. Vincent Women’s Indianapolis
- Baptist Health Floyd
- Bluffton Hospital
- Bremen Hospital
- Cameron Memorial Community Hospital
- Clark Memorial Hospital
- Columbus Regional Health Hospital
- Community Hospital Anderson
- Community Hospital East
- Community Hospital Munster
- Community Hospital North
- Community Hospital South
- Community Howard Regional Health
- Daviess Community Hospital
- Decatur County Memorial Hospital
- Dukes Memorial Hospital
- Dupont Hospital
- Elkhart Health
- Eskenazi Health
- Franciscan Health Crown Point
- Franciscan Health Dyer
- Franciscan Health Indianapolis
- Franciscan Health Lafayette East
- Franciscan Health Michigan City
- Franciscan Health Mooresville
- Good Samaritan Hospital
- Goshen Hospital
- Greene County General Hospital
- Hancock Regional
- Harrison County Hospital
- Hendricks Regional
- Henry Community Health
- IU Health Arnett Hospital
- IU Health Ball Memorial Hospital
- IU Health Bloomington
- IU Health Paoli Hospital
- IU Health Riley Hospital for Children
- IU Health West Hospital
- Johnson Memorial Hospital
- Kosciusko Community Hospital
- Logansport Memorial Hospital
- Lutheran Hospital
- Major Hospital/MHP Medical Center
- Margaret Mary Health
- Marion General Hospital
- Memorial Hospital and Health Center
- Memorial Hospital South Bend
- Methodist Hospital - Northlake Campus
- Methodist Hospital - Southlake Campus
- Norton - King's Daughter's Health Inc.
- Parkview Dekalb Health
- Parkview Huntington Hospital
- Parkview LaGrange Hospital
- Parkview Noble Hospital
- Parkview Hospital - Randialla
- Parkview Regional Medical Center
- Parkview Wabash Hospital
- Parkview Whitley Hospital
- Perry County Memorial Hospital
- Reid Hospital and Health Care Services
- Riverview Health
- Schneck Medical Center
- St. Catherine East Chicago Hospital
- St. Elizabeth Dearborn
- St. Joseph Health System - Mishawaka
- St. Joseph Regional Medical Center - Plymouth Campus
- St. Mary Medical Center - Hobart
- Sullivan Hospital
- Terre Haute Regional Hospital
- The Women's Hospital Deaconess
- Union Health System
- Witham Health Services
- Woodlawn Hospital
For additional information on Indiana AIM, please contact the Indiana AIM Team at IndianaAIM@health.in.gov.
Maternal Hemorrhage Toolkit
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
- 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
Perinatal Substance Use Practice Bundle
Perinatal Substance Use Practice Bundle By Section
| Maternal | Neonatal |
|---|---|
Pregnant and Postpartum Patients with Substance Use Disorder Practice Bundle Overview
|
|
Perinatal Substance Use Practice Bundle Individual Attachments
- 5 Ps Screening Tool
- Addiction Services
- Alcohol Exposure – Going Home (Spanish version)
- Breastfeeding and Substance Use Guidance Document
- Breastfeeding and Substance Use Traffic Light (Spanish version)
- Cycle of Respectful Care
- DCS Patient Handout
- DCS Process Overview for Medical Providers
- Infant Discharge Readiness Checklist
- Infant Primary Care Provider Letter
- Map of Care for Pregnant Patients Affected by SUD
- Motivational Interviewing
- NAS Pharmacologic Therapy Protocol
- NAS Process Algorithm
- Newborn Withdrawal Going Home (Spanish version)
- OB Provider Pocket Card
- Patient Orientation Letters
- Pharmacologic Treatment Algorithm
- Plan of Safe Care – Engaging Communities
- Plan of Safe Care Fillable Form
- Postpartum Discharge Planning
- Postpartum Discharge Planning and Referral Checklist
- Postpartum Letter to Primary Care Provider
- Provider and Patient Resources
- Recommendations for Counseling
- Sample Release of information
- SUD Clinical Care Pathway
- Transfer Algorithm
- Trauma Informed Care Position Statement
- Validated Screening Tools
- Video 1: What is Trauma-Informed Care?
- Video 2: A Patient’s Perspective
- Video 3: Providers’ Perspective on Trauma-Informed Care
- Video 4: Voices in Care: Stories of Providers and Patients
- Voices in Care Provider & Patient Vignettes
Midwest Trauma-Informed Training Center
Trauma-Informed Care Materials for offices and facilities - free to download
Trauma-Informed Care Resource Library
Additional MTITC Trauma-Informed webinars and videos
Trauma-Informed Care video series trailer
Health Care Providers
Nurses, doctors, caseworkers and other professionals in the health and medical field are on the front lines in the battle to reduce infant mortality in Indiana. How can you help?
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).
Please email questions to isdhmch@health.in.gov.
