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Emergency Cesarean Section IPE Simulation

  Submitted by: Norah Bennett on January 30, 2018
  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.