Postpartum Hemorrhage – A Nurse’s Guide to Being Proactive

• Postpartum hemorrhage is defined as blood loss of 1000mL or greater within 24hours of delivery through 12 weeks postpartum. 
• Postpartum hemorrhage affects 14 million moms worldwide. 
• Clinical practices such as appropriate supplies, risk assessments, and mock scenarios can make nurses better prepared to handle postpartum hemorrhage.
  

What is Postpartum Hemorrhage?

When thinking about perinatal care, attention and focus is typically directed towards the pregnancy and delivery. But what about immediately after delivery? What about 2 days after delivery? What about 4 weeks and 3 days after delivery? As the body is transitioning back to pre-pregnancy state, there are multiple changes happening. 

A concern to be highly vigilant for is postpartum hemorrhage. There are around 14 million cases of postpartum hemorrhage occurring around the world. The American College of Obstetricians and Gynecologists (ACOG) define postpartum hemorrhage as excessive bleeding (1000 mL or greater) within the first 24 hours after delivery. In 2017, ACOG expanded their definition to include up to 12 weeks after delivery. 

With the significant numbers of postpartum hemorrhage cases, guidance on clinical management can increase positive outcomes. This article will explore how clinical practices can make lifesaving impacts. 

What Are the Consequences of Fake Vaccine Cards? Could I Lose My Job?

Much like the production, possession, and alteration of fake driver’s licenses, the consequences are far worse for fake vaccine cards.  

For example, if one is in possession of a fake driver’s license, the punishment is usually labeled as a misdemeanor, and the guilty party will pay a fine. However, the consequences for fake vaccine cards are far worse.  

“What exactly do you mean by this? What happens?” 

As the pandemic progresses, more news stories regarding the utilization of fake vaccine cards for traveling, employment (if vaccinations are required upon hiring), and entry into private businesses are receiving national coverage. Check out this example from CNN: 

Tammy McDonald, a South Carolina nurse, was recently charged with producing and distributing fraudulent identification (vaccine) documents as well as lying to federal investigators regarding the matter; she is now facing up to 35 years in prison. 

 Although more information is not available at this time, it is safe to assume that the South Carolina Board of Nursing will be revoking her nursing license.  

Not only do the production, distribution, and possession of fake vaccine cards violate an individual state’s laws, it can also be a federal offense due to the CDC being a federal agency.  

The Bottom Line

If you are a resident of the U.S., you have the right to bodily autonomy and in most cases, there are various employment opportunities that do not require any proof of vaccination.  

We strongly recommend that you do not seek, produce, or distribute fake vaccine cards – it is not only a danger to those around you, but it could cost you your career and so much more.  

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