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Monday, 31 October 2011
Learning Objective 1: discuss the steps in creating and implementing a post partum hemorrhage high fidelity simulation
Learning Objective 2: identify what faculty and students learned from participation in a post partum hemorrhage high fidelity simulation.
While post partum hemorrhage (PPH) is the most common cause of pregnancy-related deaths worldwide, undergraduate nursing students may not have the opportunity to provide nursing care for these patients. After the faculty of the Department of Nursing at Bradley University identified a goal to increase use of high fidelity simulation across the curriculum, faculty wrote a PPH simulation. Participation in this high fidelity scenario encouraged the use of critical thinking by students to implement nursing care in a "safe" setting. After pre-testing the simulation with two graduate students, 68 undergraduate students participated in the first class. Pre-work completed by students in advance of the simulation included identification of patients at risk, pathophysiology, identification of nursing diagnoses with plan of care, medications used to treat PPH, and teaching needs of the patient. During the simulation, students participated in one of four roles: nurse 1, nurse 2, recorder, or observer. Overall, students worked well as a team, correctly identified the fundus as boggy, identified causes of PPH for the patient in the scenario, and provided appropriate client/family teaching. While most students needed assistance with interpreting standing orders and administering medications in a timely manner, some students also needed assistance in recognizing when to call the physician and communicating appropriate assessment data to the physician. After minor revisions to the original simulation, 65 additional students participated in the revised version. Students stated that although they were anxious at the beginning of the experience, working with their peers during the simulation provided a valuable way to utilize critical thinking in implementing nursing care for a patient with PPH.