Maternal Health Emergency Department Toolkit Resource Library
Maternal Health ED Toolkit Resource Library
General Resources
- Condition- and Event-Specific Equipment and Medications for Care of Obstetric Patients in the Emergency Department: A non-exhaustive list of medications and equipment developed by the Alliance for Innovation on Maternal Health. This list is meant to serve as a tool that may be used by teams to review their pre-existing resources and equipment, identify gaps in materials, and plan for acquisition of appropriate materials.
- Obstetric Simulation Scenarios for the Emergency Department: Six scenarios designed by the Alliance for Innovation on Maternal Health that can be used in any level of fidelity simulation.
- Obstetric Care Assessment for Resource-Limited Environments: Tools designed by the Alliance for Innovation on Maternal Health to assist healthcare teams in evaluating system readiness and care provided in a single encounter when a pregnant or postpartum patient presents at a site where formal obstetric services may be limited or unavailable.
As part of the Maternal Health ED Toolkit, one of the Critical Success Factors is displaying a sign in your ED that alerts patients that they should inform ED staff of their pregnancy or postpartum status. The sample ED sign is a provided sign that you may display in your ED.
IDPH Maternal Morbidity and Mortality Report October 2023
- IDPH Maternal Morbidity and Mortality Report October 2023: Maternal mortality (death) is an important measure for assessing the overall health of a community. Using a variety of data sources, the Illinois Department of Public Health (IDPH) identifies all deaths of women while pregnant or within one year of pregnancy (pregnancy-associated deaths). IDPH convenes two maternal mortality review committees (MMRCs), which review specific cases of maternal death to identify the causes of death, determine whether the deaths were pregnancy-related, determine whether the deaths were preventable, and develop recommendations to prevent future deaths.
Module B
- AIM Obstetric Emergency Readiness Resource Kit: The AIM Obstetric Emergency Readiness Resource Kit is a collection of best practices to aid in readiness efforts to appropriately care for patients experiencing obstetric emergencies in non-obstetric or lower-resources settings. This resource kit may particularly benefit those who do not typically provide obstetric services or encounter obstetric emergencies.
- Cardiovascular Disease in Pregnancy & Postpartum Algorithm: A flow chart created by the American College of Obstetricians and Gynecologists to help a physician determine when cardiovascular disease is a possible diagnosis, and potential treatment options, for pregnant and postpartum patients.
- Acute Hypertension in Pregnancy & Postpartum Algorithm: A flow chart created by the American College of Obstetricians and Gynecologists to walk a physician through steps to take in determining gestational hypertension, preeclampsia, and preeclampsia with severe features diagnoses and treatment options for pregnant and postpartum patients.
- Eclampsia Algorithm: A flow chart created by the American College of Obstetricians and Gynecologists to walk a physician through treatment of a presumed eclamptic seizure in a pregnant or postpartum patient.
- Urgent Maternal Warning Signs: Be aware of urgent maternal warning signs and symptoms in your patients during pregnancy and in the year after delivery. These symptoms could indicate a life-threatening situation. The Urgent Maternal Warning Signs were developed by the Alliance for Innovation on Maternal Health (AIM).
- Emergency Severity Index (ESI): A Triage Tool for Emergency Departments: The Emergency Nurses’ Association (ENA) and the American College of Emergency Physicians (ACEP) formed a joint triage taskforce where they developed the emergency severity index scale. This algorithm is based on acuity and resources and stratifies the patient into five categories from least to most urgent.
Gilboy N, Tanabe P, Travers D, Rosenau AM. Emergency Severity Index (ESI) A Triage Tool for Emergency Department Care Version 4 Implementation Handbook. Agency for Healthcare Research and Quality. 2011; 12(0014). - HTN and Cardiomyopathy Algorithm: The HTN and Cardiomyopathy Algorithm was created to guide in the care of a perinatal patient that presents with the signs and symptoms of HTN and cardiomyopathy.
- Perinatal Triage Algorithm: The Perinatal Triage Algorithm combines the Emergency Deverity Index (ESI), the Maternal Early Warning System Triggers, and the AWHONN Maternal Fetal Triage Index into one algorithm for the care of perinatal patients.
- Postpartum Hemorrhage Management Checklist: The Postpartum Hemorrhage Checklist was created to guide in the management of a patient that presents with postpartum hemorrhage.
- Sepsis Algorithm: The Sepsis Algorithm was created to guide in the care of a perinatal patient that presents with the signs and symptoms of sepsis.
Resources
- AIM Obstetric Emergency Readiness Resource Kit: The AIM Obstetric Emergency Readiness Resource Kit is a collection of best practices to aid in readiness efforts to appropriately care for patients experiencing obstetric emergencies in non-obstetric or lower-resources settings. This resource kit may particularly benefit those who do not typically provide obstetric services or encounter obstetric emergencies.
- Drug Overdose Prevention Program – Illinois Department of Human Services Flyer: This brochure gives guidance to anyone who might come into contact with a person who has the potential to experience Opioid Overdose.
- Illinois Helpline Information Flyer: The Illinois Helpline for Opioids & Other Substances flyers guides pregnant and postpartum patients to proper support for potential substance abuse disorder.
- Is Opioid Use Causing Problems For You?: This is a resource flyer for patients that summarizes treatment types for OUD, as well as where patients can seek care for OUD.
- MAR NOW Factsheet- Medication Assisted Recovery Information Sheet: MAR NOW is a new service offered by the Illinois Helpline for Opioids and Other Substances. The MAR NOW factsheet gives cirtical information on the new service.
- MOMS Hotline Flyer (English)/ MOMS Hotline Flyer (Spanish): The MOMS Hotline flyer gives critical help information for pregnant and postpartum individuals who are seeking mental health support. The MOMS Hotline Flyer should be placed in areas where patients can easily see it.
- Neonatal Abstinence Syndrome (NAS): What You Need to Know: This informational sheet can be printed front and back and gives parents guidance on how to spot and actively help treat NAS.
- Nasal Narcan Spray Quick Start Guide: This opioid Overdose Response instruction sheet can be made available to any person who may know or come into contact with a person suffering from Opioid Use Disorder.
- Pregnant/Postpartum Patient OUD Algorithm For EDs: The Pregnant/Postpartum Patient OUD Algorithm for Emergency Departments gives step by step guidance on pregnant/postpartum patients who present to the ED with a positive OUD screen.
- Prescpription Pain Medicine, Opioids, and Pregnancy: What All Pregnant Women Need to Know – Flyer: This flyer gives pregnant and postpartum patients critical information about prescription paid medicine and opioids.
- Save A Life Narcan/Naloxone Administration Flyer – Providers: The Narcan-Naloxone flyer is a great resource for healthcare providers to reference for establishing the need and dosage of this life-saving drug.
- Screening For Anxiety Algorithm: The “Screening for Anxiety Flowchart” gives step by step instructions for screening all pregnant and postpartum patients who present to the ED for Anxiety.
- Screening For Depression Algorithm: The “Screening for Depression Flowchart” gives step by step instructions for screening all pregnant and postpartum patients who present to the ED for Depression.
- What every OB Provider needs to know to save a mother’s life – Poster – Providers: The ILPQC created this poster to give OB and health care provider guidance for treating pregnant and postpartum patients who screen positive for opioids in their care.
- Opioid Use Disorder (OUD) Screening Methods and Resources for Emergency Department Providers: These resources and video were created by Illinois Helpline (for Substance Use Disorder) with input from the Illinois Perinatal Quality Collaborative (ILPQC) and Illinois physicians who care for pregnant and postpartum patients with OUD. Visit this website to access screening and treatment guidelines, flowcharts, warm handoffs, explanatory video, and more support for ED providers caring for patients with OUD.
- Opioid Use Disorder (OUD) Screening Methods and Resources for Perinatal Providers: These resources and video were created by Illinois Helpline (for Substance Use Disorder) with input from the Illinois Perinatal Quality Collaborative (ILPQC) and Illinois physicians who care for pregnant and postpartum patients with OUD. Visit this website to access screening and treatment guidelines, flowcharts, explanatory video, and more support for perinatal providers caring for patients with maternal OUD (MOUD).
Module D: Trauma in Pregnancy and Postpartum Resources
- Cardiac Arrest In Pregnancy In Hospital ACLS Algorithm: The Cardiac Arrest in Pregnancy In-Hospital ACLS Algorithm gives step by step instructions for process in care for pregnant/postpartum patients in cardiac arrest.
American Heart Association. Cardiac arrest in pregnancy in-hospital ACLS algorithm. Published 2020.
Module E:
- Discharge Flow Chart To Determine Follow Up Time: The ED Discharge Flow Chart helps ED providers determine follow-up time for a perinatal patient in the ED.
- Local Resources Worksheet-Fill In The Blank: The Local Resource Worksheet is a fill-in-the-blank document for each hospital to list their local resources. Complete this document to provide easy access for providers and staff to support perinatal patients in the ED. This document also includes a list of general resources available in Illinois.
- ED Discharge Checklist: The ED Discharge Checklist should be completed for each patient prior to discharge from the ED. This brief checklist includes questions such as whether prenatal care is established, identifying barriers to care, and family planning.
- ED Discharge Resource Packet: The ED Discharge Resource Packet is ready to print and provider this brief resource packet to perinatal patients upon discharge from the ED. This packet includes resources for obtaining prenatal care, substance use support and maternal health warning signs. Remember to provider additional patient-specific resources as needed.
- Health Choices Healthy Futures: This is a summary document for Health Choices Health Futures Toolkit (HCHF) resource guide for perinatal patients. HCHF Toolkit was created by EverThrive IL.