Friel, Kristin, MD

Rochon, Meredith, MD

Smith, Amy B, PhD

Walsh, Melissa, BS

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of EducationStandard Patients on Labor and DeliveryAmy B. Smith PhDLehigh Valley Health Network, amy_b.smith@lvhn.orgMelissa Walsh BSLehigh Valley Health Network, Melissa_B.Walsh@lvhn.orgKristin Friel MDLehigh Valley Health Network, Kristin.Friel@lvhn.orgMeredith Rochon MDLehigh Valley Health Network, Meredith_L.Rochon@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/educationPart of the Curriculum and Instruction Commons, Educational Administration and SupervisionCommons, Medical Education Commons, and the Obstetrics and Gynecology CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtSmith, A., Walsh, M., Friel, K., & Rochon, M. (2010, June). Standardized patients on labor and delivery. Presented at: The 9th AnnualConference of the Association of Standardized Patient Educators, Baltimore, MDLehigh Valley Health Network, Allentown, PennsylvaniaBackground:•		Education	on	the	Labor	and	Delivery	(L&D)	Unit	incorporates	Standardized	Patients	(SPs)	and	Simulation	for	teaching	and	assessment.•	Goal:	enhance	patient	safety.•		Practicing	emergency	situations	in	situ	through	simulation	enhanced	with	SPs	better	prepares	the	care	team	for	real	life	clinical	encounters.Standard Patients on Labor and DeliveryAmy B Smith, PhD1; Melissa Walsh, BS1; Kristin Friel, MD2; Meredith Rochon, MD21Division of Education, 2Division of Obstetrics & GynecologyInterdisciplinary Education:•		Standardized	patients	are	incorporated	into	interdisciplinary	simulation-based	education.	Standardized	patients	play	the	role	of	the	patient,	family	members,	and	friends.	The	interdisciplinary	teams	consist	of	physicians,	residents,	medical	students,	nurses,	and	technical	partners.A husband and wife present on the L&D Unit. During triage fetal decelerations are detected and the wife is taken for an emergency cesarean section. The team’s challenge is to activate appropriate team members while addressing the mother, baby, and husband. The SP’s challenge is to realistically show concern for the unborn baby, ask for information from the staff, observe the reactions of all present in the room, and accurately recall the behaviors and emotions and provide feedback. After the encounter, the team debriefs and feedback is shared from all team members including the SPs.Team EducationResident Assessment:•		Standardized	patient	scenarios	have	been	developed	and	implemented	to	assess	resident’s	performance	in	explaining	and	acquiring	patient	consent.	 	 -	 	The	patient	presents	for	induction	of	labor	and	appears	anxious.	 	 -	 	The	SP	has	been	trained	to	question	the	resident	about	the	induction	process	and	complications.	 	 -	 The	sessions	are	videotaped.	 	 -	 	The	SP	and	faculty	complete	a	checklist	and	provide	feedback	while	watching	the	videotaped	encounter.Outcomes:•		We	have	identified	several	system	issues	including	communication	and	equipment	on	the	L&D	Unit.	•		Areas	for	Improvement:	 	 -	 	SBAR	(Situation,	Background,	Assessment,	Recommendation).		 	 -	 	Closed	loop	communication.•		Multifaceted	feedback	concerning	communication	skills	improves	the	delivery	of	content	and	counseling	skills.	•		Equipment	issues	identified:	 	 -	 Rooms	without	stools.	 	 -	 	Outdated	paperwork.	 	 -	 Location	and	contents	of	the	difficult	airway	cart.•		Standardized	patients	illustrated	the	importance	of	appropriate	communication	with	family	members.Discussion:•		Standardized	patients	have	increased	the	interaction	and	reality	of	the	education	provided	to	learners	on	the	L&D	Unit.	•		The	education	promotes	effective	communication	skills	with	patients,	families,	and	colleagues.	•		Through	this	education	the	outcomes	identified	have	been	corrected	to	promote	patient	safety.Nurse Resident AttendingAnesthesiologistNurseSPAcquiring Patient Consent

Standard Patients on Labor and Delivery

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Standard Patients on Labor and Delivery

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