“Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States”, a key message called out in the Future of Nursing Report, commissioned by the Robert Wood Johnson Foundation in collaboration with the Institute of Medicine, 2011. A nurse at Kent Hospital is working to put this call into action in her own practice and across the perinatal care settings of Care New England (CNE). Jean Salera-Vieira is prepared as a Perinatal Clinical Nurse Specialist and serves as an Advanced Nurse Clinician at Kent.
Jean is a champion of safety and quality in perinatal care. She carefully built a successful interprofessional committee of nurses, obstetric and neonatal providers, family medicine residents, risk managers, and nursing and medical education leaders. The Interprofessional Perinatal Practice Committee (IPPC) meets regularly to examine scientific literature and evidence based guidelines in the context of perinatal safety while focusing upon a specific clinical topic. Jean and her co-leaders facilitate lively discussion, explore best practices and often develop new guidelines or order sets for care.
“Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States” a key message called out in the Future of Nursing Report.
The IPPC is known as a place where each participant has a voice and all disciplines are equally expected to come to the discussion prepared and ready to improve practice. The group at Kent has taken on multiple nationally identified perinatal safety topics including: standardizing oxytocin orders, adopting practices to reduce risk related top postpartum hemorrhage, and understanding the effect of maternal fluid intake on infant weight loss after birth. While the literature drives the discussion, Jean and her interprofessional associates build the steps and processes to enhance safety in perinatal practice across the disciplines.
Last summer, Jean and a colleague launched a pilot program at Women & Infants and anticipate that it will grow as the Kent committee has done. Jean and her team have been measuring the effect of the committee’s work and are clearly contributing to the culture of safety at Kent Hospital and across CNE. Kent perinatal nurses report improved bedside communication with physicians, adherence to policy and practice changes is evident, and committee members are engaged in the work. Jean was recently asked to share her learning by presenting a webinar for a national audience on the topic of perinatal safety and the role of the IPPC. For more information visit the National Perinatal Information Center.