Sunday, Sep 26 - Expo Hall Opening
Sunday, Sep 26 - Job Fair
Monday,
Sep 27 - AWHONN's Block Party
Sunday, September 26, 2010
Title: Don't Leave Me in the Dark: Implementation of Bedside Postpartum Depression Screening
Discipline: Childbearing (CB)
Learning Objectives:
Submission Description:- Discuss utilization of the Edinburgh Postnatal Depression Scale for perinatal patients.
- Describe patient resources used at this institution for postpartum depression
- Discuss the process of developing a treatment algorithm for postpartum depression.
Don’t Leave Me in the Dark: Implementation of Bedside Postpartum Depression Screening
In 2006 maternity nurses at a large metropolitan hospital wanted to implement Postpartum Depression (PPD) screening on all postpartum patients. A trial using the Edinburgh Postnatal Depression Scale (EPDS) was completed. Due to the large volume of births, it was determined there were limited in-patient and community resources to meet the needs of identified patients. The nurses developed a brochure and implemented patient/family education.
The nurses continued to work toward the goal of screening all postpartum patients. The committee collaborated with Behavioral Health. A PPD treatment algorithm was developed to help physicians determine mode of therapy. Breastfeeding profile is the first decision question. Concurrently the county perinatal mood disorder task force developed a comprehensive community resource list. With these resources in place, the committee reintroduced the proposal of administering the EPDS to postpartum patients. All patients receive a PPD brochure with individualized patient/family teaching and information about the new mother’s support group offered free of charge by the hospital. If the score is eleven or greater on the EPDS, the nurse notifies the physician office and gives the patient a brochure about the local PPD support group. Patients who answer anything other than “no” on question 10 receive a Behavioral Health consult. The proposal was presented to the medical staff and approved. Mandatory education for the entire postpartum nursing staff was provided using an open house format. Team leaders made visits to
In addition, evidence supported utilization of the EPDS in the antenatal population. The decision was made to implement PPD screening on the high risk antepartum unit. Because patient volume was lower, Behavioral Health was able to meet the demand for consults. Patients who score 11 or greater receive Behavioral Health consults. Nurses were educated via a mandatory poster.
This poster illustrates the process nurses used to develop and implement PPD bedside screening on both antepartum and postpartum patients. Successes and failures in the nurse education process will be shared.
Poster attendees will receive a copy of our brochure and algorithm.
