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Walden University *
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Course
6003
Subject
Health Science
Date
Dec 6, 2023
Type
docx
Pages
3
Uploaded by MattM5
Eric Dressel
Matthew Meyer
Khatera Safi
Katelyn Humbert
Rhonda Kashlan
Healthcare FMEA Process Steps 1 and 2
Step 1
. Define the HFMEA Topic (Define your problem narrowly.)
Pregnant women who undergo episiotomies or receive perineal lacerations in childbirth do not receive
adequate education and teaching.
Step 2
. Assemble the Team
Team Member Role
Rationale for Inclusion
1. Team Leader: RN
(You)
Throughout the birthing process, the RN is in charge of ensuring the safety
of the patient during the procedure, completing proper counts are done and
monitoring bleeding. Following the birth, the RN should be providing the
patient with education regarding the procedure is the role of the nurse to
support laceration recovery after childbirth. Teaching the patient signs and
symptoms that occur after a laceration and techniques to alleviate pain
should be done by the nurse.
2. OB/GYN
The OB/GYN completes the delivery and initiates the episiotomy. As the
laceration is being stitched, the OB/GYN should be educating the patient
regarding what occurred during the birthing process and what
complications can arise as a result.
3. OB tech
In addition with the RN, the OB tech checks the patient’s vitals during and
following the childbirth. If the OB tech sees any medical errors or
inappropriate practices, it is his/her duty to speak up for the patient.
Ensuring the patient is comfortable and understands their care also falls
under the role of the OB tech.
4. Postpartum RN
Following labor, the postpartum nurse monitors the patient’s status and
pain resulting from the episiotomy. Prior to discharge, the postpartum RN
should teach the patient concerning signs along with expected symptoms
as a result of the care she received.
5. Support Person
While the nurse educates the patient and provides care, the support person
should also learn about signs and symptoms to continue monitoring the
patient in the home setting.
6. Charge RN
Prior to discharge, the charge RN reviews the patient’s case and ensures
that the patient can safely leave the hospital. This serves as a final check,
providing the patient with another opportunity to learn what may bring her
back to the hospital.
Are all affected or relevant areas represented?
YES
NO
Are different levels and types of knowledge represented on the team?
YES
NO
Step 3
. Create the Graphic (see example based on fall prevention).
Use Post-Its on poster or
include this
as separate attachment if independent assignment
.
Step 4
. Complete the Hazard Analysis.
See HFMEA packet for figures listed below.
1
Sub Process
Postpartum RN
assesses pt
understanding of
complications
arising from perineal
lacerations and
provides educational
materials where
needed.
Postpartum RN
assesses pt
understanding of
complications arising
from perineal
lacerations and
provides educational
materials where
needed.
Postpartum RN
assesses pt
understanding of
complications arising
from perineal
lacerations and
provides educational
materials where
needed.
2
Potential
Failure
Mode
Postpartum
assumes pt received
proper education
prior
Poor pt handoff
resulting in RN
receiving incomplete
information
RN is
distracted/forgetful of
assessment due to
high pt workload
3
Potential
Cause
Postpartum RN
does poor job of
assessing pt’s
Lengthy delivery
process causes
fatigue on team
Shortage of RN staff
leads to higher RN-pt
ratios. Postpartum RNs
RN educates
pt on
laceration
complications
Laceration
occurs
RN educates
pt on
occurrence
and what is
being done
Postpartum
RN educates
pt on s/s of
complications
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