Text reads: HomeGrown Solutions, HomeGrown Simulation Solutions, an initiative of INACSL, powered by the N L N S I R C.

HomeGrown Solution: Emergency Cesarean Section IPE Simulation

Title

Emergency Cesarean Section IPE Simulation

Submitted By

Norah Bennett

HomeGrown Solution Number

295

Identification of the Problem

Over the last several decades, surgical procedures have become less centralized-procedures that historically occurred in a community hospital surgical services department are now performed in specialty facilities, even for emergencies. Cesarean births are likely to occur in a designated birthing center in our region. Surgical technology students in clinical rotations have very little opportunity to participate in scheduled Cesarean births, much less emergency procedures. An emergency Cesarean is a procedure every surgical technologist should be prepared for, yet opportunities for learning experiences during the program are limited at best. Providing our students with the most realistic learning experience possible in order to overcome this lack of opportunity was the initial problem identified.

Unique Idea

As planning proceeded, the opportunity to provide an IPE for both EMS and Surgical Technology became apparent. As these two highly skilled health professions are at opposite ends of the golden hour, they rarely directly interact. When they do come in contact with each other to provide patient care, an understanding of roles and responsibilities will enhance patient care and safety. Simulation design followed patient care in an emergency scenario: pre-hospital care, rapid transport, surgical intervention and neonatal care. High fidelity simulators were available to us for every aspect of this scenario except for the surgical procedure itself. Building a gravid uterus with a realistic fetus that could be surgically delivered in a realistic fashion was our best option. Lack of available funds required us to improvise with supplies and equipment already on hand.

Objectives

  • To provide surgical technology and paramedic students the opportunity to interact as healthcare professionals, enhancing teamwork for optimal patient care
  • To provide paramedic students with the opportunity to participate in a realistic pre-hospital obstetrical emergency and neonatal resuscitation
  • To provide surgical technology students with the opportunity to participate in a realistic emergency cesarean simulation, providing assimilation of didactic learning and the opportunity to demonstrate critical skills in a safe environment
  • To provide students from both programs with a mutual understanding of roles, responsibilities and skill levels of other health professions.

Supplies/Ingredients

  1. Leopold fetus
  2. Leopold abdominal wall

Steps to Creating the Solution

  1. Make an incision in the Leopold fetus skin approximately ½ inch long at the umbilicus.
  2. Hold skin away from drill bit, drill all the way through foam center of fetus until skin on back begins to stretch.

Images

neonate manikin with umbilical cord attached fetal manikin in placenta intubated pregnant manikin strapped to gurney with abdomen covering removed intubated full size pregnant manikin strapped to gurney surgical theatre with four health care professionals in surgical gowns delivering neonate manikin

HomeGrown Disclaimer

The information contained within this website is for information purposes only. While the website is monitored in an attempt to keep the information up to date and accurate, be aware that there are no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, and/or suitability being made. The sponsors of this website are not liable for any loss or damage that may result from using information contained within this website. Any reliance you place on the information contained within this website is strictly at your own risk.

Please note that sections of this website include postings of individuals not associated with the website sponsors. These postings are not endorsed or warrantied by the website, and use of such information is at your own risk.

Always check the user guide/manuals provided by the manufacturer of your manikin or task trainer. Using products that are not sanctioned may invalidate the product warranty. (For example: Some products could stain the skin on a manikin. Liquids used around electrical parts may cause malfunctions.)