Examples of Ochsner Baptist In-Situ Simulations
| Topic | Location | Safety Barrier Identified |
|---|---|---|
| Placental abruption | Labor and delivery unit | Communication via personal cell phones found ineffective for emergencies |
| Eclamptic seizure | Antepartum | Attendings not receiving code notification |
| Eclamptic seizure | Obstetric emergency room | Magnesium not stocked in Pyxis |
| Eclamptic seizure | Postpartum | Wrong number for code operator; lorazepam not stocked in Pyxis |
| Severe hypertension | Antepartum | Code button deactivated |
| Precipitous preterm delivery | Antepartum | Unknown location of warmer; unable to override elevator |
| Precipitous delivery | Obstetric emergency room | Stat pack inadequate |
| Postpartum hemorrhage | Operating room | Massive transfusion protocol order set via telephone communication improved response time |
| Cord prolapse | Alternative birth center | Requires key to access; bed does not fit through front door |
| Car delivery | Garage | “Code stork” confused with “code stroke” |
| Malignant hyperthermia | Operating room | Resuscitation box disorganized |
| Fire | Operating room | Location of oxygen shutoff unknown |
| Malignant hyperthermia | Operating room | Optimal medication not available at Ochsner Baptist |