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    A Sung

    Uploaded by

    Sharon Williams
    1) The simulated experience of Amelia Sung's delivery was an engaging learning experience compared to previous clinical observations. 2) Actions that went well included taking vital signs, thoroughly assessing the patient, and providing comfort throughout delivery. 3) Shoulder dystocia is a obstetric emergency because it can lead to dangerous complications for both mother and baby like hemorrhage, nerve injuries, fractures and hypoxia if not addressed promptly. Advance preparation and communication are important when there is a history of shoulder dystocia.

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    A Sung

    Uploaded by

    Sharon Williams
    3K views2 pages
    1) The simulated experience of Amelia Sung's delivery was an engaging learning experience compared to previous clinical observations. 2) Actions that went well included taking vital signs, thoroughly assessing the patient, and providing comfort throughout delivery. 3) Shoulder dystocia is a obstetric emergency because it can lead to dangerous complications for both mother and baby like hemorrhage, nerve injuries, fractures and hypoxia if not addressed promptly. Advance preparation and communication are important when there is a history of shoulder dystocia.

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    1) The simulated experience of Amelia Sung's delivery was an engaging learning experience compared to previous clinical observations. 2) Actions that went well included taking vital signs, thoroughly assessing the patient, and providing comfort throughout delivery. 3) Shoulder dystocia is a obstetric emergency because it can lead to dangerous complications for both mother and baby like hemorrhage, nerve injuries, fractures and hypoxia if not addressed promptly. Advance preparation and communication are important when there is a history of shoulder dystocia.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    3K views2 pages

    A Sung

    Uploaded by

    Sharon Williams
    1) The simulated experience of Amelia Sung's delivery was an engaging learning experience compared to previous clinical observations. 2) Actions that went well included taking vital signs, thoroughly assessing the patient, and providing comfort throughout delivery. 3) Shoulder dystocia is a obstetric emergency because it can lead to dangerous complications for both mother and baby like hemorrhage, nerve injuries, fractures and hypoxia if not addressed promptly. Advance preparation and communication are important when there is a history of shoulder dystocia.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Opening Questions

    How did the simulated experience of Amelia Sung's case make you feel?
     This simulation experience was very fun to do. I had previously watched a couple
    of deliveries before during clinicals, but it was totally different actually doing this.

    Describe the actions you felt went well in this scenario.


     The actions that went well in this scenario was taking the vitals, doing an
    assessment, and providing care and comfort throughout the delivery process.

    Scenario Analysis Questions*


    EBP/I Discuss why shoulder dystocia is an obstetrical emergency.
     Shoulder dystocia is an obstetrical emergency because there can be many
    dangerous complications that can affect mother and infant. There can be
    postpartum hemorrhage, lacerations, brachial plexus palsy (on newborn), clavicle
    fracture, fetal death, fetal hypoxia, and so many more dangerous things.

    EBP Name one of the two distinct signs that indicate shoulder dystocia is present.
     A patient with a history of shoulder dystocia and excessive weight gain during the
    pregnancy are at a greater risk for shoulder dystocia. Risk factors can include
    maternal obesity, diabetes, preeclampsia, prolonged gestation, and even fetal
    macrosomia.

    EBP List potential problems for Amelia Sung and her baby related to the shoulder
    dystocia.
     Morbidity/mortality
     Excessive bleeding or lacerations
     Possible fetal complications like nerve injury
     Fractured clavicles
     hypoxia

    PCC/T&C What preventive measures were put in place related to Amelia Sung's history of
    a previous shoulder dystocia?
     The charge nurse and NICU were informed about Sung’s case in case of emergency.
     Monitoring both mother and fetus and have everything ready if intervention is
    necessary.
     Have the step stool (used to provide and apply suprapubic pressure directly over
    the patient), and any other supplies in case of emergency

    S/QI/I Consider what points might be included in a safety checklist for shoulder dystocia.
     Risk factors for shoulder dystocia
     Advance notice to charge nurse and to NICU, in order to intervene in case of
    emergency
     Have step stool ready
     Educate patient of possible complications

    Concluding Questions
    Reflecting on Amelia Sung's case, were there any actions you would do differently? Explain.
    Describe how you would apply the knowledge and skills that you obtained in Amelia Sung's
    case to an actual patient care situation.
     I definitely did not do well the first time I did this simulation, but it was
    because I did not know I had to set up the room and everything. I definitely
    learned a lot from this simulation, and about should dystocia. I learned about
    suprapubic pressure that helps to push the anterior shoulder under the pubic
    bone and facilitate delivery.

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