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A postpartum hemorrhage is uncontrolled bleeding after giving birth, usually from uterine atony, or loss of tone in the uterus. Jada System is a thin tube with a silicone loop that can be placed inside the uterus during a postpartum hemorrhage. It uses a vacuum like force to mimic uterine contractions, which constricts the blood vessels to stop bleeding (Hastings, 2020).

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Dr. Conn Hastings, PhD with medgadget.com
Janel Miller with healio.com
Troy Brown, RN with medscape.com

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All sources published in September of 2020

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*Adverse reactions - like most other medications and devices, adverse reactions were noted during the trial period, including endometritis, bacterial vaginosis, vaginal candidiasis, and a vaginal laceration that needed to be repaired again (Miller, 2020).
* The device is not currently FDA approved for use, although the company is currently working on approval (Hastings, 2020).
*Pain - although this is not talked about in the articles, as a postpartum nurse, I do question the patient's perception of pain from the device. Obviously postpartum hemorrhages are painful due to the constant fundal rubs and medications we give, but if this device is supposed to mimic contractions from inside the uterus, it seems to me that it would be painful.

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Alice - Achiever
Carter - Communication
Izzie - Input
Randall - Responsibility
Susan - Significance
I think this team would be great to work with to evaluate the Jada System. I think Alice would be committed to our goal and will accomplish what she is tasked with. Communication is a key component in any situation and Carter can ensure everyone is communicating well. Izzie will help us with her input and what she feels would be best for our unit/hospital if we were to adopt the device. Randall would be able to ensure everyone is being held responsible with their part in evaluating. Susan would be able to help us with the significance of the product and the benefit of if we were to adopt it, and what it would mean for our postpartum hemorrhage bundle.

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*Easy to use - according to Miller  (2020), 98% of physicians said the device was easy to use
*Quick response time - during clinical trials, it took an average of 3 minutes to control bleeding (Brown, 2020).
*Patients with certain medical conditions can still be treated with this device, unlike other hemorrhage medications like Methergine and Hemabate (Miller, 2020).

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As a postpartum nurse who has dealt with a handful of postpartum hemorrhages, I think this device is a great idea. Medications do usually take some time to work, and if this device only takes 3 minutes to start seeing a change I believe that would decrease blood loss. I also like the ease of using it - it doesn't seem to have many steps for use. This reminds me a lot of what we call a Bakri Baloon at my hospital, which is a balloon tamponade. However, the Bakri has to be kept in for 12-24 hours to stop bleeding, making it uncomfortable for the patient, and the patient must be moved back to labor and delivery, increasing the acuity of the unit. This device wouldn't be kept in for that long, and the patient can be kept in her room on our unit with this device.

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[Picture of Jada System]. (n.d.). https://www.medgadget.com/2020/09/the-jada-system-for-postpartum-hemorrhage-interview-with-rob-binney-ceo-of-alydia-health.html

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There is not currently a video of Jada System.

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Brown, T. (2020, September 17). Vacuum Device Quickly Stops Postpartum Hemorrhage. Medscape. https://www.medscape.com/viewarticle/937540.

Hastings, C. (2020, September 3). Medgadget. https://www.medgadget.com/2020/09/the-jada-system-for-postpartum-hemorrhage-interview-with-rob-binney-ceo-of-alydia-health.html.

Miller, J. (2020, September 10). FDA clears device for postpartum bleeding. Healio. https://www.healio.com/news/primary-care/20200910/fda-clears-device-for-postpartum-bleeding.