Postpartum Hemorrhage and Tranexamic Acid

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Class A Credits: 0.5

Pharmacology Credits: 0.5

Format: Video

Run time: 23 mins

Course Launch Date: 11/3/20

Course Expires: 11/2/23

The U.S. has the highest maternal mortality rate of any high resource country with postpartum hemorrhage; one of the leading causes of maternal death.  Many CRNAs are not aware of the indication for tranexamic acid in postpartum hemorrhage.  CRNAs should lead the implementation of evidence-based guidelines to improve maternal anesthetic management and maternal outcomes.

The American Association of Nurse Anesthetists is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.


Post-Test Attempt Notice
A minimum passing score of 80% is required to pass this course. You have TWO opportunities to achieve a passing score. If you fail to achieve a passing score of 80%, you will not receive CE credit for this course.

Content Disclaimer:

The views, information, or opinions expressed within the videos and audio are solely those of the individuals involved and do not necessarily represent those of the American Association of Nurse Anesthetists.

Course content has been prepared by the presenter/developer, and each viewer agrees that the presenter/developer is solely responsible for the content and the accuracy thereof. The viewer agrees that the American Association of Nurse Anesthetists has no responsibility or liability for the accuracy or completeness of the content.

  • Identify indications for tranexamic use in women with postpartum hemorrhage.
  • Describe the mechanism of action and possible side effects of tranexamic acid use.
  • Describe the patient safety bundle for obstetrical hemorrhage and how to implement the guidelines with your facility.

Dawn B. Lewellen, DNP, CRNA

Staff CRNA, Parkland Hospital

Dawn Borth Lewellen, CRNA has practiced trauma anesthesia for 30 years and is currently at Parkland Hospital, Dallas, TX, a Level 1 Trauma Center.  She serves as the CRNA Education Coordinator, co-chair of the Patient Blood Management Committee, and is involved with trauma quality improvement.

She attended Texas Wesleyan University graduating in 1990 with a Master in Health Science in Nurse Anesthesia and in 2020, she completed her Doctor in Nursing Practice from Texas Christian University.  She is adjunct faculty at Texas Wesleyan University. 

Dawn was selected as the 2014 APRN of the Year at Parkland Hospital, Dallas-Fort Worth Great 100 Nurse in 2016, and D Magazine Excellence in Nursing Award in 2019.



Gregory B. Collins, DNP, CRNA

Gregory Collins, DNP, CRNA, is a partner in an all-CRNA practice, Anesthetic Solutions, LLP, providing service to a high-risk labor and delivery unit at Northwest Texas Hospital in Amarillo, Texas.  Dr. Collins holds two degrees from Texas Christian University and continues his association with the institution, hosting an obstetric anesthesia enrichment rotation for the resident nurse anesthetists in the School of Nurse Anesthesia.  Through former service in the US Army Reserves, he is a veteran of Operation Iraqi Freedom and Operation New Dawn.


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