Date of Conferral
Doctor of Nursing Practice (DNP)
Barbara A. Niedz
Maternal cardiac arrest is among the most frightening events that can happen on the labor and delivery unit. A maternal arrest can have catastrophic results. Staff must be vigilant, competent, and ready to handle the maternal arrest emergency at all times. A maternal cardiac arrest requires coordination among multiple disciplines and precise performance is paramount in saving not one life, but two. The purpose of the project was to establish a clinical training course for maternal arrest intended for education to improve staff knowledge during a maternal cardiac arrest. Evaluation of the knowledge and skills were through an exam, participation in a mock maternal cardiac arrest, and annual competencies for all appropriate staff. Results of the advanced cardiac life support first time exam pass rate was 92% with 100% second time pass rate. The neonatal resuscitation protocol exam pass rate was 100% on the first attempt. Total pre confidence score for RNs M 30.32, SD = 4.34, range = 15.0. Total post confidence score for RNs M = 40.14, SD = 3.24, range = 12.0. Total pre confidence scores for MDs M = 37.91, SD = 2.51, range = 9.0. Total post confidence score for MDs M = 44.37, SD = 3.20, range = 12.0. Total pre confidence score for RTs M = 33.5, SD = 3.83, range = 9.0. Post confidence score for RTs M = 41.17, SD = 2.71, range = 8.0. All scores increased in a statistically significant way p=.000. The major themes that emerged from the debriefing were angst, rush, relief. Recommendations include an annual competency and frequent, monthly checks for skills. The impact on social change is a highly trained, competent, and confident hospital staff, which is a positive change for the critical access hospital.