Our Approach

A systematic framework, not ad hoc advice.

Evaluation and implementation are organized around the readiness–recognition–response–reporting structure that underpins national maternal safety bundles. Every recommendation maps to one of these four domains, so leadership can see exactly where the program is strong and where it is exposed.

Every unit is equipped.

Readiness

Before an event ever occurs, the unit is prepared: a standardized hemorrhage cart, immediate access to medications and blood products, a massive transfusion protocol, a defined response team, and regular unit-based drills.

Every patient is assessed.

Recognition & Prevention

Hemorrhage-risk stratification on admission and again pre-delivery, quantitative blood-loss measurement rather than visual estimation, and active management of the third stage of labor.

Every hemorrhage follows a plan.

Response

A staged, checklist-driven emergency protocol with unambiguous escalation triggers, clear role assignment, and support pathways for patients and families.

Every unit improves.

Reporting & Systems Learning

Structured post-event debriefs, multidisciplinary case review, and tracking of process and outcome metrics to close the loop.

Deliverables

What you receive.

Assessment report

A written readiness assessment and prioritized gap analysis, scored by clinical risk.

Updated protocol

A revised, stage-based hemorrhage algorithm with matching order sets and escalation triggers.

Implementation roadmap

A phased rollout plan with milestones, owners, and quick-win versus long-horizon items.

Simulation package

Scenario-based drills designed and, where engaged, facilitated on-site, with debrief tools.

Education materials

Slide decks, quick-reference cards, and competency checklists for nursing, OB, and anesthesia teams.

Metrics framework

Recommended process and outcome measures with a simple dashboard structure for ongoing monitoring.

Engagement model

How engagements begin.

  1. Scoping call

    A brief conversation about your unit’s volume, acuity, and goals.

  2. Document review

    We review your current hemorrhage protocol documents and supporting order sets.

  3. Scoped proposal

    You receive a proposal scoped to your unit: a focused review, a full evaluation, or an end-to-end implementation.

Start the conversation

See where your program stands.

A structured look at your current algorithms is the fastest way to find the gaps that only appear under stress.

herbstarobstetricalconsulting@gmail.com