We have been using our Noelle for simulations for four years at Mount Saint Mary College in Newburgh, NY. So far I have gained some new ideas from those replying to your post. This is great!
One other suggestion is to fill a chux with fake blood and clots (I use strawberry jam with the big pieces of strawberries in it for clots). During this simulation we incorporate the discussion of how to determine the amount of estimated blood loss. We discuss weighing the chux or pads or how to estimate from the saturation of the chux or pads. We also discuss what actions to take if this saturated chux is pre or post birth and what are the nursing interventions; what could be the causes; and what might be the signs and symptoms related to different amounts of blood loss.
We have a patient's chart with history, labs, physician's orders, MAR, etc. We still use paper charts since we don't have a computer charting system...yet. But that is another discussion.
We have the students bring their own stethoscopes so they can count the fetal heart rate. The students find it is difficult to count a pulse that is rapid and with Noelle I can change the rate during their counting to give them practice with this difficult skill. We then discuss the indications of different fetal heart rates.
I hope these suggestions help. Good luck with your simulations. I am sure your students will appreciate it as much as ours.
Andrea D. Ackermann PhD, RN
Associate Professor of Nursing
Director of Simulation and Clinical Learning