Double the stakes: A joint obstetric hemorrhage and neonatal emergency (JOHNE) simulation for practice readiness

Background Maternal hemorrhage and neonatal emergencies are critical events that require rapid differential diagnosis, interprofessional teamwork, effective communication, and crisis management. In rural communities, where providers often practice with broad clinical responsibilities, preparedness for these emergencies is essential. Providers may enter practice without prior exposure to these critical events in the clinical setting. To address this gap, doctoral nursing faculty developed a joint obstetric hemorrhage and neonatal emergencies simulation designed to prepare Bachelor of Science in Nursing (BSN) students and Student Registered Nurse Anesthetists (SRNAs) for real-world crisis scenarios in the rural community. Methods After Institutional Review Board approval, 63 BSN and SRNA students voluntarily participated. Anonymous pre- and post-simulation surveys using Section I of the Casey–Fink Readiness for Practice Survey assessed practice readiness. Results Practice readiness scores increased significantly from pre- to postsimulation for both groups ( p < .001). Improvements were comparable across readiness subscales. SRNAs scored higher than BSN students on one readiness subscale ( p = .02), with no differences observed in the remaining subscales. Conclusion The simulation emphasized interprofessional collaboration, differential diagnosis, and readiness for practice.