Maximizing Fidelity

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Post-Partum Fundus
by Shelley Yeager - Saturday, June 21, 2008, 9:29 AM

Hello Colleagues!

I have been running a post-partum hemmorhage scenario with my students for a number of times so far this year.  I have been making a post-partum fundus and blood clots with the recipes I received from a conference I attended in January.  I actually have an eggplant shaped mold that I pour the jello in to make the shape of a post-partum fundus.  After I take the jello out of the mold, I place it in a zip-lock bag and bring it to school and place it in the refrigerator.  To set up SimMan, I use wigs, glasses with eyes, etc. to make "him" a "her" and then place two spandex pants on "her" and place the mold in the zip-lock bag between the spandex pants so the students have something to massage.  The blood clots are placed on Chux under SimMan prior to and during the scenario.  The problem is that the mold breaks down after the students have massaged it so many times.  I am getting tired of having to make new molds!  Does anyone know of a "permanent" fundus that would work in this way or a recipie for a "permanent" fundus mold using different materials than jello?  I was considering a bean-bag, but I haven't found one big enough so I thought a dressmaker could sew one shaped in the size of a post-partum fundus and stuff it with some massageable material.  I would appreciate any of your learned thoughts!



Picture of durcilla williams
Re: Post-Partum Fundus
by durcilla williams - Friday, June 27, 2008, 6:00 PM


Jello molds was also told to me by another faculty.  We do have a Novell Birthing simulator and can utilze her fundus to massage.  Our Laerdal Nursing Anne also has a fundus that can be created with styofoam balls inside her abdomen with the added pelvic part. 

What if you use the NERF balls that kids play with and put them inside the manequins abdomen with a skin or fabric over it?

Durcilla Williams, MSN, RN
Odessa College

Picture of Marjorie Scheikl
Re: Post-Partum Fundus
by Marjorie Scheikl - Thursday, July 24, 2008, 3:56 PM
If you have a Vital Sim Anne, she has a "boggy" fundus that can be used.

I did a PPH scenario last semester using the Sim Man and when the students "palpated the fundus" it prompted a preprogrammed vocal to say " Fundus @ U-1, midline, and boggy to massage".

I would think maybe a soft nerf ball might work too?

Marjie Scheikl, JMU
Picture of Candice Sullivan
Re: Post-Partum Fundus
by Candice Sullivan - Monday, May 23, 2011, 10:10 AM
I went to Toys R Us and palpated all the nerf balls until I found one that felt like a fundus.  The jello mold would work well for clots I may try that.  Clay drys out too fast.  Is ther a recipe for the blood clots that you would be willing to share? 
Picture of Kathleen Atchison
Re: Post-Partum Fundus
by Kathleen Atchison - Tuesday, May 24, 2011, 3:52 AM
You can use gel effects.  Heat it to melt it.  Then shape it.  You can use the red gel effects and add black food coloring in spots for dark clots.  Once you firm it up in the fridge, it won't stain and you can use it over and over again.  It even rinses clean with cold tap water.
Picture of Joyce Gorcyca
Re: Post-Partum Fundus
by Joyce Gorcyca - Wednesday, September 5, 2012, 6:07 AM
I use cherry pastry filling (as opposed to cherry pie filling). It is a little more expensive than the pie filling, but the cherry pieces are smaller, there is less syrup, and I find the results more realistic. I have heard other instructors say they also have a "confederate family member" at the bedside during scenarios. The confederate has an IV bag of "blood" under his/her shirt. The tubing goes under the pelvis and is concealed by chux. When the student massages the fundus, the confederate squeezes the IV bag and releases a fresh flow of blood. Sounds pretty realistic if you can get the help.
Joyce Gorcyca MSN RN
Lincoln Technical Institute
New Britain Ct
Picture of angela hoenig
Re: Post-Partum Fundus
by angela hoenig - Monday, June 20, 2011, 3:54 PM

Hello, I am hoping you may be able to help me.  I am looking for information on the tasks that a nursing students should complete during her L&D section of of school.  I know that the ADN program in PA offers it during there Nursing IV.  Honestly, it has been to long for me to rememeber and I have been trying to put together an article on skills vs tasks in simulation.

I do remember that when doing my rotation it was really only a look and see clinical rotation for me.  There where no children born the two days that I went to the community Hospital.  My school did not have the option of manikins that are available to us now.

Picture of cindy cole
Re: Post-Partum Fundus
by cindy cole - Monday, June 20, 2011, 4:39 PM


Although I am relatively new at Simulations and especially L&D, I am in the process of teaching that now. Other than having each student assist/ observe with Noelle's delivery , I have been going over how to check dilation, performing the 4 Leopolds maneuvers correctly, a little bit about the strips, and calculating Pitocin. We also discuss, things such as: what would you do for cord prolapse, abruption, previa, etc.

This has been the most difficult sim lab for me to teach, because it is way ouit of my scope of practice. However, I have spent a lot of time 'studying"

Good luck.

Picture of Crissy Hunter
Re: Post-Partum Fundus
by Crissy Hunter - Friday, September 16, 2011, 12:13 PM
I use dough. I stick it in the fridge during the night and take it out in the morning. It is a perfect boggy uterus AND it lasts the entire semester.
Picture of Judith Baltazar
Re: Post-Partum Fundus
by Judith Baltazar - Tuesday, February 28, 2012, 10:58 AM
How about silicone or a similar material? There are many toys made of silicone, especially balls. I have seen artificial breasts made of a similar material that you could also use as a palpable fundus.