Stokes Tanesha L, Koslan Garrett
AORN J. 2019 Aug;110(2):162-168. doi: 10.1002/aorn.12754.
A cesarean hysterectomy (CH) is an emergency procedure that can save a woman's life in the event of postpartum hemorrhaging. If the CH is anticipated, it can take place in the general OR; however, more complex patients with multiple comorbidities are undergoing cesarean deliveries, resulting in unanticipated CHs and emergent procedures occurring in the obstetric OR. Many perinatal nurses believe they are not properly trained to provide the level of perioperative care required during a CH. Perinatal nurse leaders implemented a perinatal perioperative simulation program to address this knowledge gap. Feedback from perinatal nurses after completing the simulation revealed they gained a comprehensive understanding of the flow of the procedure and the instrumentation needed to perform it. The simulation also improved communication and leadership skills in the obstetric OR. Simulations may help perinatal nurses provide safer, higher quality care when a delivery develops into a high-risk operative procedure.
剖宫产子宫切除术（CH）是一种紧急手术，在产后出血的情况下可以挽救女性的生命。如果预计要进行CH，可以在普通手术室进行；然而，越来越多患有多种合并症的复杂患者需要进行剖宫产，导致在产科手术室出现意外的CH和急诊手术。许多围产期护士认为他们没有得到适当的培训，无法提供CH期间所需的围手术期护理水平。围产期护士领导实施了一项围产期围手术期模拟计划，以弥补这一知识差距。围产期护士在完成模拟后反馈称，他们对手术流程和所需器械有了全面的了解。模拟还提高了产科手术室的沟通和领导技能。当分娩发展为高风险手术时，模拟可能有助于围产期护士提供更安全、更高质量的护理。
