Um unsere Internetseite (www.laerdal.com) für Sie optimal zu gestalten und fortlaufend verbessern zu können, verwenden wir Cookies. Durch die weitere Nutzung der Webseite stimmen Sie der Verwendung von Cookies zu. Weitere Informationen zu Cookies erhalten Sie in unserer Datenschutzerklärung OK Inhalt überspringen Laerdal Medical Navigation öffnen Suchen Einkaufswagen (0) How to reach rural communities with obstetric simulation training Customer Story University Hospital in San Antonio Texas, USA About University Hospital in San Antonio is a leading teaching hospital. The Perinatal Outreach Program supports community hospitals in the surrounding area of South Texas with multidisciplinary simulation training. Video 2:15 The Challenge Training for childbirth emergencies In recent years, there has been an increase in Maternal Mortality Rates in the United States. Texas is one of the states with cause for concern, with 18.5 deaths per 100,000 live births. Access to quality, patient-centered healthcare wherever the mother is located is vital for quick recognition and treatment of childbirth emergencies. "MamaBirthie has been absolutely perfect for our program, particularly the shoulder dystocia component." The Solution Making simulation simple and accessible To train healthcare providers in rural community hospitals across South and Central Texas, the team at the University Hospital in San Antonio started a simulation outreach program. The Perinatal Outreach Program was developed to improve the quality and standardization of care, to practice skills in management of shoulder dystocia, PPH and pre-eclampsia, and to improve teamwork and communication. However, the solution needed had to be easy to use, easily portable, and cost effective. Did You Know? Shoulder dystocia happens in about 1 in every 200 births. It is often neither preventable nor predictable. It can deprive the baby of oxygen, leading to brain damage or death and can cause injuries including fractures of the baby's arm or shoulder or damage to the nerves resulting in a brachial plexus injury. Shoulder dystocia can also lead to complications for the mother, including tears or hemorrhage, so it is important that maternity teams can identify and manage it quickly and efficiently. A perfect combination of skills and realism The goal was to create a highly realistic experience, at the same time, provide the opportunity to learn on an ongoing basis as the simulation progressed. Using MamaBirthie to train for skills together with a standardized patient to make the simulation feel realistic was an integral part of the program. Keep the simulation simple with MamaBirthie and a standardized patient and practice the process, and your participants will get a lot out of it. Dr Alejandro Gonzalez, MD, FAAP Simulation Consultant Because standardized patients can verbalize the symptoms they are experiencing, they are useful for gathering patient history and diagnosing symptoms. By using body language to convey information, healthcare professionals are required to be highly observant and hone their communication skills. In addition, this combined approach of using MamaBirthie with a standardized patient, enabled the patient to be moved into different positions to practice specialized maneuvers to manipulate the position of the baby such as McRoberts and Gaskin techniques. 1:22 Rapid Cycle Deliberate Practice – the methodology is the glue Another essential part of the program was the use of Rapid Cycle Deliberate Practice (RCDP). This is a simulation strategy well-known in the world of CPR training. The simulation team provides the participants with instructions about the scenario and what to expect prior to executing the drill. During the drill, the participants are paused by their facilitators for an immediate debrief when something goes wrong, and then they start over again. This process is repeated until the participants can perform the drill perfectly. "We have this opportunity where the participants get a chance to practice, to try again and ultimately to do it 100% correctly, and I think that gets hard-wired." 1:51 The Results Engagement leads to empowerment While the program is still in progress, initial results are positive. Data is being accumulated to measure outcomes, but some of the qualitative elements have been immediate. Participants have found the program incredibly engaging and realistic, especially with the use of a standardiazed patient actor together with MamaBirthie. Feedback on the RCDP methodology is also extremely positive, with participants enjoying the fact that they get to try again and again until they get it right. There’s just this moment in there where they suddenly become completely engaged and when you get to the debriefing point you really see them being able to say they know what to do and they truly feel empowered and prepared. Allison Moreno, BSN, RSC-OB Maternal Fetal Transport Team Coordinator, Outreach Simulation Specialist, Labor & Delivery Nurse Looking forward Helping rural communities train themselves Using a mobile, accessible, cost effective low-fidelity simulator like MamaBirthie together with a standardized patient and applying the RCDP methodology, enables simulation to be adaptable and available to all healthcare providers, wherever they are. My dream is to have rural hospitals to have their own programs for obstetric simulations. Dolores Perry, MSN, RSC-OB Perinatal Educator Key Takeaways Practice makes perfect RCDP method of learning enables participants to practice over and over Create a realistic environment Standardized patient adds realism and engagement Choose the right tools MamaBirthie meets the need for the education method and use with standardized patient Watch the full video 5:05 Thanks to the team at University Hospital in San Antonio for sharing their story www.universityhealthsystem.com The Role of Low-Fidelity Simulation in Labor and Delivery Mithilfe von Low-Fidelity-Simulationen haben Lernende die Möglichkeit, einen umfassenden Erfahrungsschatz aufzubauen – bei geringen Kosten. Lernen Sie drei Möglichkeiten für den Einsatz von Low-Fidelity-Simulationstraining kennen, um das Risiko vermeidbarer Gefährdungen von Mutter und Neugeborenem zu reduzieren. 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