Maternal hemorrhage remains one of the leading causes of severe maternal morbidity and mortality while the solutions continue to evolve. In this episode, Randi Boike and Devonee Germain explore emerging trends and innovations shaping hemorrhage care today, including the growing use of tranexamic acid, new technologies like vacuum-induced hemorrhage control devices, the role of antenatal anemia in prevention, and how simulation training can strengthen team preparedness. Listen in to gather practical insights for nurses and leaders seeking to improve outcomes through evidence-based care, prevention, and teamwork.

Devonee Germain, RN

Devonee Germain has been building her nursing career in labor and delivery, advancing her expertise in multiple areas of maternal and newborn care for the past five years. Throughout her tenure, she’s gained valuable knowledge and skills in postpartum care, triage, and transition nursing that have allowed her to exercise her passion and provide compassionate, patient-centered care throughout every stage of the birth experience. Most recently, Devonee was promoted to a Postpartum Patient Care Supervisor position, which expands her role into leadership and team support. She’s excited about this new opportunity to increase her advocacy for patients, support for families, and excel her growth as a nurse leader.

Randi Boike, BA, RN, C-MNN, C-OB, C-EFM

Randi Boike is a Senior Clinical Educator with Laborie Medical Technologies in the Southeast region. Randi has spent her extensive nursing career working in all areas of maternal child health. Her diversified background includes being a staff nurse in small community hospital birthing units as well as being a Clinical Specialist in large Level 4 maternity centers. She has cared for high-risk obstetric patients in the home setting and served as a coordinator and member of maternal transport teams performing ground, fixed wing, and helicopter transfers.

When Randi left the bedside, she established herself as a nurse leader. She was involved with opening the 2nd OB Hemorrhage center in the country. She has opened OBED units, and cross-trained nurses for OB ICU departments. When Dr. Jerome Adams served as the 20th Surgeon General of the United States, Randi was selected to be an advisor to assist in exploring the growing crisis of severe maternal morbidity.

Randi found her niche and favorite role as a perinatal consultant. Teaching classes, leading OB drills mock scenarios, and mentoring other nurses have been among her favorite opportunities.

Randi is an active AWHONN member and has been a Florida chapter co-chair in both Broward and Palm Beach/Treasure Coast chapters.

Randi never tires of sharing her knowledge and passion. She has been a speaker at numerous professional symposiums across the country. She has shared her expertise with hospital staff and conference attendees to provide the highest quality of patient care. Her passion is obvious, and she can make the most complicated concepts easy to understand with her dynamic teaching style. Her enthusiasm and energy are contagious.

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