temperature, can led to devastating consequences for all involved. Failure to undertake or record even a single observation can have significant consequence for patient care (Pomeroy, 2009). Another negative was watching what should have been a joyous, happy occasion for Susan and her husband had now turned into a horrific ordeal. This time should have been spent bonding between mum and baby and spending time together as a family. The first few hours and days after the birth of a baby are critical in the establishment of a positive bond between mum and infant and the consequences of unsuccessful bonding can be devastating and long-lasting (Klaus & Kennell, 1976).
There were also a number of positive aspects of this experience. The first was watching the MDT (multidisciplinary team) working well together and stabilising the lady. All avenues were covered and the lady returned to the postnatal ward two days later. She was treated for sepsis and spent a few days on Intravenous antibiotics but made a full recovery. Salas et al (2007) stated that there is a close association with effective teamwork and patient safety.
Another positive aspect was the effective communication between all members of the MDT. Everyone involved was kept up to date and a care plan was devised. Also the communication between the staff and Susan’s husband was exceptional and he was very thankful after the event for all the help and supports he and his wife received. Moss (2008) stated that the