We had our OB lab simulation on Thursday, and while I walked into it feeling not so thrilled about the fact that I was giving up my Thursday morning volunteer shift at Children’s in order to attend a mandatory clinical lab simulation, I walked out of it happy and glad to have had the opportunity.
The simulation had three stations. The first station was probably my favorite…we were taken into a “clinic” and given the woman’s chart, told to look it over & come up with an SBAR report, and then call the hospital with our report so the hospital could admit “Annie Havnbaby.” I think I liked this one the best because the collaboration of coming up with an appropriate SBAR report really made me critically think about how to put an SBAR report together, since I haven’t ever had the need to and probably won’t until I’m a new grad nurse.
We were probably at this station for about 25 minutes and then we moved on to being “labor and delivery” nurses in the hospital for our next station. We entered Annie Havnbaby’s room and supported her through her contractions. She had pitocin running so we were carefully monitoring her contractions and the FHTs (fetal heart tones). At one point during a contraction her FHTs dropped due to a late decel so we had to intervene in order to get the baby the oxygen it needed – we put mother on her side, stopped the pitocin, opened up a fluid bolus, put an oxygen mask on her at 10L/min and then called the doctor with the information that she’d had a late decel and we’d stopped the pitocin. At that point the doctor came in, examined Annie and found her to be 100% effaced and 10cm dilated, and we were told then that our simulation for that station was over.
We were given feedback about our performance and told that we did really well. The only two things that we could’ve done better was recognize the decel earlier – we were about a minute behind in recognizing it – and checking Annie after she told us that she was feeling a lot more pressure, because apparently she’d gone from a 4cm to a 10cm in that short amount of time and in the real world if we wouldn’t have checked she possibly could have had the baby right there in the bed without us even realizing it.
So then we moved on to our next station – the newborn station! There were 3 babies set up in this station. One was for us to practice giving our Vitamin K shots, one was to practice measuring and weighing the baby, and one was for us to practice getting the 1min and 5min APGAR scores on a baby. This station was fun and not too complicated. I feel like we were in there for about 10 minutes before being told we were done and feeling out a form for feedback for the instructors.
It was a fun simulation!! I really enjoy simulations because unlike in clinicals where if something were to really happen you’d step back and allow the nurses room to do their jobs, you’re actually acting as a nurse and YOU’RE the one who has to make all of the decisions and do the job that you’re training to do. They’re definitely helpful in preparing you to critically think and act like a nurse.
Onward and upward! Looking forward to the next lab simulation that comes my way – unfortunately I don’t think that’s until next semester.