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College of Nursing Obstetrics & Gynecologic Skills Laboratory OBGYN Skills Lab Coordinator Dr. Eman Rashad Ahmad 2015 2016 College of Nursing Table of Contents Section # Items 1. Title Page 2. Undergraduate Program Vision, Mission & Goals 3. Vision and Mission of Maternity & Child Health Nursing Unit 4. Guidelines of OBGYN Ng Skill Lab 5. Goal & Philosophy 6. Objectives 7. Schedule of occupancy 8. ObGyn Ng Skill Lab Inventory 9. List of procedures 10. ObGyn Ng. Checklists Antenatal checklists Labor checklists Postpartum checklists Newborn checklists Gynaecology checklists 11. Clinical Simulation 12. OSCE Evidences [2014-2015] College of Nursing Obstetrics & Gynecologic Skill Lab 2015 College of Nursing Undergraduate Program Vision, Mission & Goals College of Nursing Undergraduate Program Vision: To be an innovative cornerstone of nursing education nationally, regionally; and internationally through the use of technology within a caring context. Undergraduate Program Mission: To offer dynamic, comprehensive and innovative educational experience that will enable students to expand their nursing knowledge and enhance their professional skills to meet the health care needs of the community within the context of Islamic culture, beliefs and values. Goals of the Program 1. Provide quality education in nursing to graduate Saudi nurses with high scientific and clinical competencies. 2. Utilize concepts from humanities and behavioural sciences in nursing practice. 3. Practice legal and ethical standards in nursing profession. 4. Develop professional knowledge and practice through problem-solving approach and evidence-based learning. 5. Utilize electronic administration and health information resources. 6. Apply leadership and managerial skills to attain quality care. 7. Focus on the commitment to the principle of “lifelong learning”. College of Nursing Vision and Mission of Obstetrics & Gynecological Nursing Unit Based on the vision and mission of University of Dammam, Nursing College & the undergraduate program, the Vision and Mission of Obstetrics & Gynecologic Nursing Department will be as follows: Vision: Providing the Saudi community with high qualified professional nurses in Obstetrics & Gynecologic Nursing care who are unique on National and International levels. Sharing in an enhancement of Women's health through the application of nursing education and researches in Obstetrics & Gynecologic Nursing field. Mission: The Obstetrics & Gynecologic Nursing Department, College of Nursing, University of Dammam (UOD) prepares the Saudi undergraduates and postgraduates to be a competent, skillful and creative in delivering the needed high quality nursing care for healthy and high risk women throughout pregnancy, labor & delivery, postpartum, newborn and women with gynecologic problems in different Obstetrics & Gynecologic health settings. These are derived from recent National and International nursing strategies within the framework of Islamic belief and moral values. College of Nursing Guidelines of OBGYN Ng. Skill Lab College of Nursing ObGyn Skills Lab Guidelines The ObGyn nursing skills lab at the nursing college provides nursing students with an additional learning resource to meet their educational goals. The lab is equipped with instructional videos and DVDs, supplies and equipment, as well as practice manikins including Full body Pregnancy Simulator, obstetric manikin, pelvic models, Ultrasonography simulator (Biometric and Gynaecology) as well as high fidelity childbirth simulator. The lab provides students with a realistic, simulated clinical environment to practice and demonstrate competency of selected nursing skills. Open lab times are posted at the beginning of each semester. Please keep in mind that the following guidelines should be followed during your attendance in the ObGyn nursing skills lab: • No eating or drinking in the lab. • Please turn your cell phone off or on vibrate before entering the lab. • PLEASE clean up after yourself. • Keep all beds in appropriate positions with linens straightened before leaving. • Students are required to return clean equipment to its proper place after use. • All simulated practice needles are to be disposed in sharps containers. • Needles and syringes are not to be discarded in trash containers. • If you are accidently stuck with a non-sterile needle or your skin comes in contact with contaminated material, you must immediately go to the Lab Coordinator. • Lab resource books, movies and supplies MUST NOT leave the lab. • Please return all media to proper storage areas or to lab personnel after use. • Please save equipment obtained in labs for practice during open lab times. • Report any incidents or malfunctions to the Lab Coordinator immediately. • Do not move mannequins. If a mannequin needs to be moved, please, contact lab coordinator. • Keep personal belongings with you during the lab session, please take them with you when leave. *If a latex or betadine allergy exists or is suspected, please notify your clinical instructor or lab coordinator. College of Nursing Obstetrics & Gynecologic Skill Laboratory “I hear, I forget; I see, I remember; I do, I understand” – Confucius Goal The goal of the OB/GY Nursing Skills and Simulation Laboratory is to promote safe, knowledgeable and effective nursing care by demonstrating and reinforcing the highest level of performance and readiness. Introduction/Philosophy The OB/GY Nursing Skill and Simulation Laboratory is here to make the student’s clinical experience educational and enlightening and to promote empowerment of the student. Scenarios and simulation experiences relate to the OB/GY Lab objectives. Students will be oriented to simulations instructions prior to running a scenario. If the student is not comfortable, learning will not take place and scenario objectives may not be met. Simulations and case scenarios mimic the clinical setting and are designed to help the student develop problem-solving and decisionmaking skills. Simulations include all environmental factors to make students’ learning realistic and authentic. These simulations help students think on their feet and help the transition from lab to clinical. For an enhanced learning experience, students must come to the lab prepared. The faculty will provide debriefing and positive feedback; students will self-analyze their performance and use critical thinking during the reflection process. College of Nursing General Information The OB/GY Nursing Skill and Simulation Laboratory is located in Dammam University, College of Nursing, C3. Room # has an Interactive Child Birth mannequin/Simulator (NOELLE Maternal and Neonatal Birth simulator), LUCINA (High fidelity childbirth simulator), Biometric & pelvic ultrasonography simulator and a Full Body Pregnancy Simulator. The NSSL simulates a hospital care setting. The OB/GYN Skill Lab is fully equipped to practice all OB/GYN. nursing clinical skills served both undergraduate and postgraduate students. A variety of task trainers are also accessible as well as the ability to view a variety of media. Mentoring and tutoring are also available. The OB/GN. lab is opening 5 days a week (Sunday to Thursday) according to the students’ schedule and either they are undergraduate, post graduate & bridging students. The lab schedule is subjected to change: The calendar for the OB/GY Nursing Skill and Simulation Laboratory is posted on OB/GYN lab. Bulletin. Confidentiality All simulation scenarios practice sessions involving students and/or recordings are considered confidential. All mannequin accessibility should be treated as a real patient (including inappropriate viewing). Discussion of scenarios or information is considered a violation of Practical Nursing Program privacy policy. All students will need to sign a confidentiality lab form. Lab Coordinator: Dr. Eman Rashad Ahmed (Ph #. 0538084984/0542855415) (E mail:[email protected]/[email protected]) College of Nursing Objectives College of Nursing OB/GY Nursing Skill Laboratory’s Objectives: Upon completion of the laboratory rotations the students will be competent in performing different procedures through using different models & simulators available in the OB/Gyne skill lab and they will be able to: Identify the anatomical parts in both male & female reproductive system through using models (bony pelvis & soft tissues) and video tapes. Identify different stages of fetal development using different fetal development models. Perform complete physical assessment for women during antenatal period through using full body simulator and other lab resource as CTG, video tapes, (plasma screen) and posters. Assess the parturient physical condition & the progress of process of normal labor through using interactive childbirth simulator, and different models available in the lab. Perform complete physical assessment for women during post partum period through using full body simulator & childbirth simulator. Prepare delivery set and instruments and equipments needed during labor. Use the full body pregnant simulator to demonstrate the different fetal positions attitudes, lies, and presentations. Use different interactive childbirth simulator to help students to formulate nursing care plan according to each scenarios. Perform physical examination & resuscitation for the newborn using interactive childbirth simulator. Assess any deviation from normal during labor using interactive childbirth simulator. College of Nursing Interactive child birth simulator ultrasound scanning can be used to detect any deviation from normal during pregnancy. Assess female genital system to help students dealing with women having any gynecologic problem. Identify different instruments used for gynecologic women. Apply universal infection control precautions & safety measures while providing care to the women during antenatal, labor & postpartum, Newborn, as well as women who have any gynecological problem. College of Nursing Schedule of Occupancy College of Nursing Schedule of Occupancy of Obstetrics /Gynecology Nursing Lab in the 1st Semester of Academic year 2015-2016 Day/Time 8:00-12:00N 12:00-1:00PM 1:00-3:00 Sunday Medical Surgical Nursing Break Medical Surgical Nursing Monday Medical Surgical Nursing Break Medical Surgical Nursing Tuesday Wednesday Bridging Course: OB/GYNE Nursing (3pm-6:30pm) Maintenance Fundamentals of Nursing Break Fundamentals of Nursing Health Assessment ( Bridging course) 3pm-6:30pm Thursday Fundamentals of Nursing Break Fundamentals of Nursing Clinical skill laboratories Coordinator /Dr. Radwa Hamdi Bakr Coordinator of OB/GYNE Nursing Lab/Dr. Eman Rashad OB/GYNE c Nursing Lab Manager/ Mrs. Salwa Alhosary College of Nursing University of Dammam College of Nursing Academic Year 2013-2014(1434-1435H)-2nd Semester Obstetrics and Gynecologic Nursing (NURS 1610-322)- Third Year-6th Level Year/level Third year/level students (NURS 1610-322)- Third Year-6th Level Course Semester Second Number of students 92 Number of weeks 16 Days used Wednesday & Thursday Schedule of Occupancy & Evaluations in OBGYN Skill lab for Undergraduate Students As regards clinical training of undergraduate students in the 2nd semester, At the beginning of the semester the lab was occupied for the 1st 3 weeks as incorporation between theory followed by application of variable procedures related to the same lecture for demonstration by using models for training (anatomy models), the full-body simulator, interactive childbirth simulator, CTG, postpartum procedures and Gyn. procedures as a preparatory phase for interaction with women in the actual health care settings (hospital & or centers) followed by continuous lab training through clinical lab rotation for all students groups according to their schedule throughout their semester. College of Nursing Continuous evaluation was held for each student to be competent while performing procedures in the skill lab. At the end of each lab rotation, clinical exam. was held through using checklists & simulation assessment to evaluate their performance, through application of different procedures using the simulators and models At the end of the semester, OSCE. Will be held through using variable stations in the OBG/YN, Pedia and Newborn Skill labs for each student to evaluate students' performance, through application of different procedures using the simulators and models. Also clinical scenarios will be held in the OBGYN Skill lab, through applying the scenarios on the simulator, and formulate nursing care plan according to each scenarios and other stations that measure students' ability for taking history and communication skills. The undergraduate students will be arranged in the lab according to the following schedule: College of Nursing OB/GYNE NURSING (NURS 1610- 322) Academic Year 2013/2014 (1434/1435), Second semester 6th Level 1st lab Plan [Distribution of clinical staff] Weeks Day, Date & time Skill Lab Application/ Ng Assessment Demonstration Wed. 29/01/2014 I Anatomy models (Female & Male 1.00 -2.00 Reproductive pm Organs) Thurs. 30/01/2014 - II 2.30-4.00 pm Thurs. 6/02/2014 - 1.00-3.00 pm Wed. 12/02/ 2014 III 10.0012.00 pm Thurs. I/OB/GYN Lab II/ Pedia. Lab III/NB Lab Mrs. Helen P. Mrs.Hajar+ Ms.Seham Dr.Mona G + Mrs.Julliet Dr. Sahar S + Ms. Fatma Mrs. Helen+ Mrs.Zeinab Mrs.Jully + Mrs. Areej Dr. Sanaa G. + Dr. Sahar S Mrs. Areej, Ms. Fatma Mrs.Areej+Ms. Fatma Mrs.Jully + Mrs.Hajar Y. Physical assessment & Leopold’s maneuver Dr. Sahar S. Bony pelvis & Fetal skull models Dr. Eman R. Labor Procedure - Preparation of delivery set - Assessment of uterine contraction - Examination of placenta Dr. Sanaa G. Postpartum procedures - Breast examination - Lochial assessment - Fundal assessment Dr. Maha A. Dr. Sahar S + Ms.Seham Ms Zeinab+ Mrs. Samia M. Mrs. Hajar + Ms. Donna H. Newborn procedures Prof. Awatef+ Dr. Ahlam+ Mrs. Dr. Laila Y.+ Mrs. Samia 1.00: 3.00 pm Wed. 5/02 / 2014 - - Faculty Staff/ St. Groups [I-II-III] - Dr. Sanaa G. + Ms.Seham Dr.Mona G.+ Mrs. Helen Dr. Mona G.+ Ms. Donna H. College of Nursing 13/02/2014 - - 10.0012.00 pm - 1.00-2.30 am Thurs. 6-2-14 - 10.3011.15 pm Thurs. 6-2-14 - Zeinab Sh. M. Prof. Awatef + Dr.Neama Mrs. Helen + Mrs. Hajar Y Mrs. Samia M+ Ms. Fatma A. Nursing Assessment Demonstration - Antenatal - Dr. Sahar S. Miss Seham - Labor - Dr. Sanaa G. Dr. Mona G. - Postnatal & NB - Miss. Donna H., Mrs. Zeinab Sh. - Gynecology - Mrs. Helen, Dr. Neama F. 1.00-2.00 pm. Thurs. 13-214 - Gyn. Procedures - Pelvic Examination - Speculum Examination and Pap test - Examination of the female genital area Ms.Donna 11.1512.00 pm Wed. 12-2-14 - - Immediate NB care NB Growth Measurement NB’s cord care 2.30-3.00 pm College of Nursing OB/GYNE NURSING (NURS1610- 322) 2nd Semester- 3rd Year/6th Level Academic Year 2013/2014 (1434/1435) Lab Clinical Rotation Week 1st 2nd Day of clinical Antenatal +postnatal rotation/Area/Venue [Pedia. Lab] First day [Wednesday] Second day [Thursday] Third day [Wednesday] Fourth day [Thursday] Newborn [NB Lab] GA Labor [OB/GY N Lab] GB GB GC GA GC GA GB GC Redemonstration & Clinical Exam for all groups NB. On Thursday (The final day of each rotation) Redemonstration will be held from 8.00 am to 10.00 am. The clinical exam. will start from 10.00 am to 12.00 am College of Nursing OB/GYNE NURSING (NURS1610- 322) 2nd Semester- 3rd Year/6th Level Academic Year 2013/2014 (1434/1435) Plan for lab clinical Exam. [13 -03 -2014] G V A (1st 30 min) 10.00 -10.30 am First 15 min Second 15 min G VB (2nd 30 min.) 10.30 -11.00 am First 15 min Second 15 min G V C (3rd 40 min.) 11.00 -11.40 am First 20 min Second 20 min OB/GYN Lab (labor simulation station) 15 min. Pedia. Lab (AN station) 5 min. Pedia. Lab (PN station) 5 min. NB Lab (Newborn station) 5 min. Nor Nasser Al Bahussien Ghufran Abdullah AlMaghaslah Afnan Jalal Jalaludeen Maithafahat Al-Aenzi Fatimah Mansour AlNaser Mashal Faisal AlMarhoon OB/GYN Lab (labor station) 15 min. Maithafahat Al-Aenzi Fatimah Mansour Al-Naser Mashal Faisal AlMarhoon Nor Nasser Al Bahussien Ghufran Abdullah AlMaghaslah Afnan Jalal Jalaludeen Ibtehal Ahmed Ali Aldressy HameedahHabeebRabeea’ h Arwa Alawi Al-Khabbaz Ghadeer Ahmad AlEssam WalaaNouri Al-Aithan Habab Adnan AlMashhad OB/GYN Lab (labor station) 20min. Ghadeer Ahmad Al-Essam WalaaNouri Al-Aithan Habab Adnan AlMashhad Ibtehal Ahmed Ali Aldressy HameedahHabeebRabeea’h Arwa Alawi AlKhabbaz Pedia. Lab (AN station) 5 min. Pedia. Lab (PN station) 5 min. NB Lab (Newborn station) 5 min. Pedia. Lab (AN station) 5 min. Pedia. Lab (PN station) 5 min. NB Lab (Newborn station) 5 min. Sukaina Abdullah Alshwihkat SalhaYaquob Youssef Marzouk HameidaAqeel AlTurkj Sukaina Abdullah Alshwihkat SalhaYaquob Youssef Marzouk HameidaAqeel Al-Turkj Zainab Mohammad AlAswad Zainab Mohammad AlAswad College of Nursing OB/GYNE NURSING (NURS 1610- 322) AY 2013/2014 (1434/1435) Second Semester-3rd Year-6th Level STUDENT’S EVALUATION SUMMARY SHEET (LABORATORY Group #: ___ P S. # No. Students' Name Rotation ___ ID # AN clinical Performance 30 Date of Clinical Experience__________________ Labor simulation Performance 30 PN Clinical Perform ance 30 Newborn Clinical Performa nce 30 Total Clinical Evaluat ion 120 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Evaluated By: _____________________ Faculty Staff/Clinical Instructor Approved By: Dr. Eman R. Ahmad Dr. Maha Al-Madani Course Coordinator Course Co-Coordinator Mean Lab Marks 30 Stude nts’ signat ure College of Nursing OB/GYNE NURSING (NURS 1610- 322) Second Semester-3rd Year/6th Level Third year/level students Year/level (NURS 1610-322)- Third Year-6th Level Course Semester Second Number of students 44 Number of weeks/Lab 4 Wednesday & Thursday Days used Academic Year 2014/2015-G (1435/1436-H) Schedule of Occupancy & Evaluations in OBGYN Skill lab for Undergraduate Students As regards clinical training of undergraduate students in the 2 nd semester, At the beginning of the semester the lab was occupied for the 1st 2 weeks as incorporation between theory followed by application of variable procedures related to the same lecture for demonstration by using models for training (anatomy models) for more emphasizing of knowledge being given in the lecture. Lab rotation was held for 4 weeks. At the end of each rotation (1 week), clinical exam was held through using checklists & simulation assessment to evaluate their performance, through application of different procedures using the simulators and models. At the end of the semester, OSCE. was held through using variable stations in the OBG/YN, Pedia and newborn Skill labs for each student to evaluate students' performance, through application of different procedures using the College of Nursing simulators and models. The undergraduate students will be arranged in the lab according to the following schedule: OB/GYNE NURSING (NURS 1610- 322) Second Semester-3rd Year/6th Level Academic Year 2014/2015-G (1435/1436-H) Clinical Skill Lab Rotation Place: College of Nursing - Building C3 (Ob/gyne, Pedia, Newborn & Funda Lab) Time: Every Wednesday & Thursday from (1-4 PM ). Rotation 1st - Rotation 2nd - Rotation 3rd - Rotation 4th - Rotation 11&12/2/2015 18&19/2/2015 25&26/2/2015 4&5/3/2015 G1 G2 G3 G4 G2 G3 G4 G1 G3 G4 G1 G2 G4 G1 G2 G3 Area Antenatal (Pedia. lab) Labor (Ob/Gyne lab) Postnatal (newborn lab) Newborn & Gynecology (funda. lab) NB.: Documents must be Submitted after Each Rotation by Responsible Staff Includes: All original copies of evaluation form, checklist, attendance sheet, and feedback from the whole group. College of Nursing Course Coordinator: DR . Sahar AL-Shamandy Co-Coordinator: DR. Sanaa Ghareeb College of Nursing ObGyn Ng Skill Lab Inventory College of Nursing OB/GYN Lab Inventory May 2015 University of Dammam Nursing College OB & GYN Skill Lab OB& GYNE Skill Lab Inventory according to placement May 2015 S.N Cabi QT o net # Equipment /supplies TY Remarks A.Mounted Cabinet 1 Human fetus replica 7-8 weeks 1 2 Human fetus replica 13 weeks 1 3 Human fetus replica 5months 2 4 Human fetus replica 7 months 1 5 Human fetus replica 20 weeks 1 6 Human fetus replica9 months 1 7 Embryonic Development 1 9 pcs Female pelvis w/internal organs 1 2psc 9 Female genital organs 1 rubberized 10 Male pelvic 1 11 Female Breast Model 1 12 Single Breast Model with Benign tumor 13 Female pelvis Skeleton 8 1 2 14 3 Family planning ( IUD, oral contaceptive pills, yassmen boklets )Jell 15 4 Doppler Huntleigh 14-يناير 1008497 3B Scientific Product (1000345) 3 B Scientific Product 2 1 need battries (9V) size College of Nursing 16 speakers 1 17 Cut down pad 6 Breast Pump 5 Torniqute 4 Birth Station Simulator 3 Abdominal palpation model 1 Child birth simulator 1 23 S500Advanced Childbirth Simulator 1 24 obstetrical manikin 1 Cervical dilation /effacement simulator 6 18 5 19 20 6 21 22 25 7 8 4angel,1 pigon College of Nursing Cervical dilation module 26 5pc s per set 5 pcs balck box for accessories of full body pregnancy ( dilation examination with stand , vaginal examination models ,preineo suture model ) Accessories for full body pregnancy ( 4 uterus inside brown bag with support uterus inside abdomen) (post partum abdominal skin )green bag has ( baby male, comber ,suport uterus inside abdomen ) 27 28 1 Need new fetal heart sound prob/ attached with printer Fetal monitoring &labor progress model set 1 5 pcs CD (1) for Noelle S560 Gaumard Scientific product Demonstrator 1 CD for Dell computer 2 32 CD (2) for Noelle S560 Difficult Deliveries 1 33 CD (3) for Noelle S560 Using Interactive soft ware 1 34 CD Program 6 Neonatal Care from the delivery Room to NICU 1 35 vedio tap physical Examination and health Assessment for pregnant women 1 29 8 30 31 9 Fetal heart Sound (new)MD200 Huntleigh doppler College of Nursing 36 CD Noelle Interactive software S560 version 3.5(original ) 1 37 CD 2004 Product Catalog for Health Care Educator 1 38 CD Gaumard Training Arm 1 39 CD Clinical Nursing 40 CD Noelle Interactive software S560 version 3.5(copy) 5 41 Noelle Simulation system training Guid Scenarios (copy) 6 CD Sonicaid team 1 43 small plastic stand 12 44 large plastic stand 3 45 metal connection for fetus to Noelle 2 connected in Noelle 46 Remote JVC TV 1 need battries 47 Remote VCR TV 1 need battries 48 Remote for Sony 1 49 Instruction Mannual Modele S560 (2004) White 1 50 S560 Teaching Tips Scenarios 1-9(2005) blue /white 1 51 Noelle Maternal & Neonatal Simulation System Training Guid Scenarios (original copy ) 1 Manual Procedure Obestetric and Gynecology Skills Laboratory 20092010(green) 1 42 52 10 Scientific Simulation Intravenous in Maternity 1 one with Dr.Eman &one with Dr,. Asma College of Nursing 53 Manual Procedure Obestetric and Gynecology Skills Laboratory 2010-2011 1 54 Manual Procedure Obestetric and Gynecology Skills Laboratory 2011-2012 1 55 OB &Gyn Nursing Procedure ( old) 1 56 11 Placenta of full body pregnancy 1 57 12 Dissposable sterile drape 3 in black file 58 Dissposable umblical cord clamp 59 Stainless graduated pitcher 1 60 Stainless small bowel with cover 2 61 Insturment tray with cover (new) 2 14-يناير 62 Insturment tray without cover (new) 1 14-فبراير 63 Kocher 2 64 Insturment tray 1 old 65 Curved forceps 9 medium size -3added 2013sep Needle holder 7 6 added sep2013 66 12 College of Nursing 67 Bandage scissors 4 3 added sep2013(1 large&3small size) 68 Straight scissors 2 one added in sep 2013 69 Tissue forceps with tooth 5 4 added sep2013 70 Umbilical scissors 5 71 Curved scissors 7 72 Straight forceps 3 73 Ouvard vaginal retractor 1 6 added 2013 sep one borrowed from male section College of Nursing 74 non pregnant utrine curette 75 cervical ditator 76 utrine sound 3 one borrowed from male section 77 Delivery forceps 2 small- large 78 vaginal speculum 1 1 from Qatif college April 2013 1se t from Qatif college April 2013 College of Nursing 79 sim's speculum 1 one borrowed from male section 80 Ovum forceps 4 septamber 2013 81 Tissue forceps with out tooth 8 added 2013 sep 82 steel tray 2 83 blade holder 1 84 towel clip 2 85 curved forceps 2 small 86 Kidney basin steel 1 added Dec2014 2 small- large added 2013 Dec 87 College of Nursing 88 curette spoon Blue Phantom U/S Training model (Breast Masses- Elastography Breast Model ) ) 2 89 fibrocystic breast model 2 Episiotomy model (R-mediolateral ) 2 Episiotomy suturing simulator 2 Caput Scccedaneum 2 93 Fetal head for intubation 1 94 Fetal doll female 2 95 Fetal doll male 1 96 NB Baby female 1 Hysteroscopy trainer de lux Kit 1 90 13 91 92 14 16 Transfere from MSN Lab Dec2014 one for childbirth simulator College of Nursing 17 female pelvic trainer surgical 1 female pelvic trainer clinical 1 Family planning Model with accessories 1 in blue bag Jan 2014 Eva 1 Gyne accessories 1 old 1 in gray bag Jan 2014 Exam Eva pelvic training accessories (New) Simulator model with with Strap around Breast examination Model L51 1 College of Nursing Breast Examination Model (New) 1 empty bags for simulators 18 under sink 19 Gynecology training model 1 Female Catheterization 1 20 Maternity simulator Jacket 1 21 Plastic pitcher 2 24 H urine collection bag 4 Cold compress pack 4 Bed pan , plastic 1 yellow Bed pan , plastic 3 2 green 22 storage one transfere to male college College of Nursing B. Outside cabinet Noelle include Noelle Maternal &Neonatal birthing sim 1 Female adult manikin w/accessories including metal connection 1 Birthing baby 1 4 Neonate 1 5 Dell Laptop 1 6 Fetal box 1 7 Maternal box 1 8 Full body pregnancy w/accessories(new) Jan 2014 9 Blue Phantom U/S Training model 3episiotomy/uterus /exter 1-2 bottel pwder for blood -1 external genitalia for delivery (cutted )-1 external genitalia - 1 arm skin -inflated tubes -1 placenta model -Baby face skin -plastic connection for NB - abdominal skin- fetus -electrical connection -abdominal skin -placenta-4 uterus -2episiotomy external genitalia-black box -brown bag green bag ,New born ) simulator 1 BPOB1220/Dec2011 College of Nursing 1 January 2012Model 06821weeks 11 Birth model 5 beside TV 12 Purperal uterus (adam,Roully) 2 W/accessories 4pcs new one comes March 2015(AK055) Meti pelvic examination w/following 1 2010November 60269 uterus ;Normal 1 uterus ;fibroid 1 60357 (in cabinet 13) uterus ;Retroverted 1 60377(in cabinet 13) uterus ;overian cyst 1 60356(in cabinet 13) Meti 10 Biometric Fetal U/S Training Pantom /Cris - Tissue simmulation &Phantom Tecnology palpation C. Steel Cabinet model College of Nursing 17 Pen Light 2 Stethoscopes 4 Otoscope 2 Tuning fork 2 percission hammer 2 Measuring tape 10 suction aparatus 1 Pelvis w/uterus 9 month 4 lactating mamary gland 1 Fetal Head Extractor (for obstetric model ) 1 Pelvic bone w/2 fetal heads 1 Meti pelvic Exam Sim user Guids 1 in cabinet 13 Episiotomy trainer modle 2 in cabinet 6 Sphgmomanometer 3 Pocket mask 6 2from CC1 April 2013/4 newin Feb2015 Littman Stethoscope 2 Feb 2015(new) One touch glucometer 1 2spectrum &2Germany 2 new comes in March 2015(1000333)3B Scientific Product 13-يناير D. Furnitures 1 Steel Cabinets (glass door ) 1 2 Swivel Lab chairs 20 Black color Swivel OFFICE chair 1 Black color -2are discarded in March 2015 College of Nursing 3 Lab tables 4 4 Bed Contoura (electronic ) 1 5 Bed Stryker (electronic ) 1 6 Bed Manual 1 7 Bed mattress 2 8 Bedside tables 2 9 Computer tables 1 10 Foot stool 1 11 Bulettin Board 1 12 Birthright delivery bed & trolley 1 13 Stretcher 1 14 Linen shelving trolley 2 15 Trolley 3 16 TV Stand 1 17 Filling Trolley 1 18 Emergency Cart 1 19 Locker-Sentry 1 20 Wheel chair 1 21 Over bed table 1 22 Patient screen 1 E. Locker 2 are discarded in March2015 Transfere to pediatric Lab 2big Stainless steel /1with 4 drawer College of Nursing 1 U/S-Sonosite 180 plus 1 2 U/S Probe 2 1 abdominal & 1 transvaginal 3 Meti Laptop 1 in black bag with charger 4 MAC COMPUTER WITH LICENSE (MFS0091)MSI/MS-AC1111-04S 1 UN95789471 5 charger for Lucina and touch screen 2 Keyboard &mouse for touch screen 1for eac h 6 F.Electronics 1 Dell CPU 1 2 Mouse 1 3 Keyboard 1 4 LCD Monitor 1 5 Data Show ,ElklModel 1 6 Sony Bravia plasma TV w/Rc 1 7 TV (Color ,JVC29) Model ;AV-29wx11 1 Serial#09981081;w/Rc;AVR 8 Video Cassette recorder (JVC)Model HRV-401AS 1 Serial #10970780w/RC 9 IP Fast Dome Camera 1 10 Alaris IV Pump 1 11 CTG Sonocaid 1 15 1 G.Linen Bath towel ,white 4 LCXB22;30588 College of Nursing 2 Face towel ,white 4 Bed sheet,White color 5 One comes with Lucina 3 Bed sheet ,blue 9 One transfer to pedia lab 4 Bed cover ,blue (blanket ) 4 5 Pillow case ,blue 14 6 Draw sheet ,yellow 3 One is missed after college activity in Rayan college for girles from Mrs .Hyfaa /one send to Male college Sep2014 7 baby blanket 5 7 Laundrybag /hamper bag 1 8 Delivery room pack 3 9 Leggings 8 2 in Noelle 10 Gown 9 One in Noelle and one in Full body pregnancy 11 blue Drape 2 12 Mayo cover 2 13 Eye sheet 2 14 Pillow 2 one transfer to pedia lab H.Others 2 Screen projector (mounted ) 1 4 IV Stand 1 6 Weighing Scale for pedia 1 attached with Alaris IV pump 13-يناير College of Nursing 7 2 Stainless basin with one stand 1 8 Electricity Extention connection 3 1 w/Noelle&1W/CPU&1W/Vidio 9 Manual Resuscitator 1 Jan 2013 inside emergensy cart 10 Adult weight scale 1 13-يناير 11 Dynamap 1 transfere from KFU in 26 December 2013 (has one adult cuff and pluse oximeter ) 12 Small Square steel trolly 2 transfere from KFU in 26 December 2013 13 vegitable scale 1 transfere from KFU in 26 December 2013 15 DVD (LG) 1 with remote in December 2013 END OF ASSY,BIRTHI NG CANAL,PREPARTUM ASSY,BIRTHING CANAL,PRE-PARTUM CAE( Lucina) simulator 18Jan2015 from CAE Health care VAGINA,PRE-PARTUM+STATIC CERVIX 1 104K488400 BRACKET,CERVIX,BACKPLATE 1 106K473500 BRACKET,CERVIX,RETENSION CERVIX ,STATIC ,CLSD,W/O EFFACEMENT ,PERM 1 FNGR, FIRM,POSTERIOR CERVIX,STATIC,CLSD,50PERCENTAH E,EFFACEMENT,PERM 1 FNGR,MED,POSTERIOR COMPLETE, CERVIX,STATIC,4cm DILATION,90 PERCENTAGE EFFACEMENT ,SOFT,INT 1 016K473600 1 104k488500 1 104K488600 1 105K471100 FETUS,LEOPOLD 1 104K489500 TUB,LEOPOLD,FOAM 1 104K488200 ASSY,PLACENTA AND UMBILICAL CORD END OF ASSY ,PLACENTA AND UMBILICAL CORD POSTPARTUM VAGINAL DELIVERY BASE College of Nursing ABDOMEN,PRE/POST PARTUM 1 104K487800 GOWN,FIDELIS 1 101KK00160 ASSY,EXTENSION,FILLING TANK 1 253K485700 GUIDE,QUICK INSTALL+DDENDUM TO USER'S MANUAL 1 253K486600 FRAGMENTED ,PLACENTA 1 104K479500 PLACENTA FRAGMENT 1 104K479700 CORD ,UMBILICAL, 90CM 1 105K472600 INTACT PLACENTA 1 105K473700 TUB,C-SECTION,FOAM 1 105K470200 COTTONSEED OIL,500mL 1 060KK00053 ASSY ,BOTTLE,W/TRIGGER SPRAYER 1 253K486100 ASSY,FETUS 253K480000 ABDOMEN FOR DELIVERY 1 016K472800 ( CONNECTED WITH LUCINA )/016K4872800 ASSY,BLOODTANK,POST PARTUM 1 253K479700 ASSY,FLUID PUMP,METIMAN 1 253K358600 FOOD COLOR ,16OZ,BLOOD 1 060KK00077 1 253K485800 ,RED,DURKEE ASSY,ADAPTER ,BLOOD PRESSURE College of Nursing SYRINGE ,PLASTIC ,MANUAL,W/LUER LOCK CONNECTION ,1.69oz 1 101kk00164 ASSY , EXTENSION , O.D 1 268K352400 ASSY,URINARY TOOL 1 253K484600 POST ,ECG,ISTAN 4 200K00500 DISK,PACING DEFIB,MANUAL 2 104KK00036 POST ,DEFIB,HANS FREE 2 200K000800 ASSY , CONDENSATION DRAIN,COMMON PLATFORM 1 253K484900 TBG.IV ARM .125ID.250OD 3 268KK00103 HOOK&LOOP, W/ADHESIVE (SETS) 2 253K485500 1 UN95789471 MODULE,FILLING MAC COMPUTER WITH LICENSE (MFS0091)MSI/MS-AC1111-04S Touch Pro computer Monitor MSI( MFS0091)Including TV Mount,charger &USB Cable 1se t MSI/MS-AC1111-04S Fully Insturmented mother &partially insturmenred fetus including accessories 1 MFS091 S/N MFS-100 Fidelis MFS Wirless Audiosystem 1 253K30401 Clinical Simulation &Skill Laboratory Coordinator College of Nursing Dr.Radwa Baker OB & GYN skill Lab Coordinator Dr. Eman Rashad OB & GYN skill Lab Manager Mrs. Salwa M.El Hussari MINISTRY OF HIGHER EDUCATION UNIVERSITY OF DAMMAM NURSING COLLEGE OB & GYNSKILL LAB College of Nursing List of Equipment's requiring maintenance (Electronic and Hard) Electronic /Models Yearly Maintenance 1. Portable Ultrasonography Sonosite 2. Cervix-Accessory for Noelle Simulator 3. Metti Pelvic Simulator’s Cover Academic year 2014-2015 Done Not Done College of Nursing List of Equipments to be purchased for Academic year 2010-2011 Electronic /Hard Equipments 1. Accessory Placenta with umbilical cord 2. DVD Device 3. Obstetric ultrasonography simulator Price College of Nursing List of procedures College of Nursing List of procedures included in OBGyn. Lab I. Ante-Natal Procedures 1. Physical Examination during Pregnancy 2. Leopold's Maneuver. 3. Application of the External Monitor. II. Labor & Delivery Procedures 1. Timing Uterine Contractions during Labor. 2. Assisting Normal Birth. 3. Placental Examination. 4. Immediate care of the Newborn. III. Postpartum Procedures 1. Breast examination. 2. Postpartum Fundal & Lochial assessment. 3. Episiotomy Care. 4. Postpartum perineal Assessment. V. Gynecologic Procedures 1. Assessment of female Genitalia. 2. Gynecological Instruments. College of Nursing Antenatal Procedures Second Semester-3rd Year/6th Level Academic Year 2014/2015-G (1435/1436-H) Check List: Physical Examination during Pregnancy Student's Name: ------------------------------ ID #-------------------------------------Group# ---------------------------------------- Date: ------------------------------------Steps 2 1. 2. Prepare equipment 1. Stethoscope 2. light measuring device 3. Thermometer 4. Sphygmomanometer 5. Tongue depressor 6. Weighing scale 7. Urine testing facility 8. Client record Great the mother 3. Ensure empty bladder and collect urine specimen and test for protein, sugar and ketones. 4. measure weight, height and vital signs 5. Place the woman on the examination couch on her back and Explain the procedure to her. 6. Provide privacy. 7. Wash hands. 8. Examine and observe her from head to toe: a) b) c) d) Head and neck. Heart and lungs. Breast, nipples and areola. Abdominal examination. Extremities examination 1 0 College of Nursing e) External genitalia examination. 9. Assist the woman to get down from examination table and redress her clothes. 10. Give the woman the necessary instructions and date of the next visit, Replace equipment and wash hands 11. Report any deviation from normal. 12. Record all pertinent information. Total Mark Legend: 2: done correctly and knows rationale 1: done correctly and don’t know rationale 0: not done Evaluated By: _________________ Student's signature: ___________________ College of Nursing OB/GYNE NURSING (NURS 1610- 322) Second Semester-3rd Year/6th Level Academic Year 2014/2015-G (1435/1436-H) Check List: Leopold's Maneuver Student's Name: ------------------------------ ID #-------------------------------------Group# ---------------------------------------- Date: ------------------------------------Steps 1 Prepare the woman by: Explaining the procedure and Instruct her to empty the bladder then instruct the woman to lie on her back, with knees flexed slightly (dorsal recumbent position), place a small pillow or rolled towel under client’s right hip. 2 Close the door or close the curtains. Properly drape the patient. 3 Perform abdominal palpation (Determine fundal level) Stand at the foot of the bed facing the face of the woman and measured in centimeters from the top of pubic bone to the top of fundus,correllates with the current weeks of pregnancy. 4 First maneuver (fundal grip ) (content of the fundus) ( determine the fetal lie and presentation) Stand at the foot of the bed, facing the patient and gently place both hands flat on the abdomen palpate upper abdomen with both hands (Use palms not fingertips). Palpate gently but with firm motions ,determine if the mass palpated is the head or buttocks by observing the relative consistency ,shape ,and mobility 5 Second Maneuver ( lateral maneuver) (Determine the fetal lie, presentation , position and attitude) Facing the woman place the palmar surfaces of both hands on either side of the abdomen and apply gentle but deep pressure, Hold one hand still while using the flat surface of the fingers on the other hand to gradually palpate the opposite side from the top to the lower segment of the uterus, palpate the fetal outline. Reverse actions of the hands to palpate the other side 2 1 0 College of Nursing 6 Third Maneuver (1st pelvic maneuver) (determine degree of engagement) Gently grasp the lower portion of the abdomen, just above the symphysis pubis, between the thumb and the fingers of one hand, Press thumb and fingers together in an attempt to grasp the presenting part. 7 Fourth Maneuver ( 2nd pelvic maneuver) (determine how fare fetal head is flexed) Stand Facing the client’s feet, Place tips of first three fingers on both sides of the midline about 2 inches above the Poupart’s ligament, Exert pressure downward and in the direction of the birth canal, moving skin of the abdomen downward along with the fingers. Slide fingers of other hand as far as possible. 8 Use the doppler with ultrasonic gel, locate and determine the FHS. Wipe the extra gel in the abdomen with tissue, redress her and asset her down of the bed. 9 Report any deviation from normal. 10 Record all pertinent information. lie, whether presenting part is flexed or extended, engaged or free or floating ,presentation, position, FHS, vaginal discharge , and report any abnormal findings Total mark Legend: 2: Done correctly and knows rational 1: Done correctly and don’t know rationale 0: Not done Evaluated By: ________________________ Student's signature: ___________________ OB/GYNE NURSING (NURS 1610- 322) College of Nursing Second Semester-3rd Year/6th Level Academic Year 2014/2015-G (1435/1436-H) Check List: Application of the External Monitor Student's Name: ------------------------------ ID #-------------------------------------Group# ---------------------------------------- Date: ------------------------------------Steps 1 2 2 Wash hands with warm water, Screen the bed, drape the woman and expose her abdomen. Elevate head of the bed 15-30 degrees or place the client in lateral position. 3 Perform leopold’s maneuvers and identify the fetal position and place 2 straps under the patient. 4 Apply the conductive jelly to Doppler and place on client's abdomen until strong FHR is heard and consistent signal is obtained. 5 Attach straps to Doppler and secure. 6 Push recorder button if not already on. 7 Place tocodynamometer on abdomen between umbilicus and top of the fundus. 8 Adjust sound and equipment as needed particularly when procedure is performed and client's position is changed. 9 Review FHR and UA with client and family report any abnormality and recode FHR, reactivity, variability. 10 Report any deviation from normal. 11 Record all pertinent information. Total mark Legend 2: Done correctly and knows rational 1: Done correctly and don’t know rationale 0: Not done Evaluated By: ________________________ Student Signature:____________________ 1 0 College of Nursing OB/GYNE NURSING (NURS 1610- 322) Second Semester-3rd Year/6th Level Academic Year 2014/2015-G (1435/1436-H) Checklist: Timing Uterine Contractions during Labor Student's Name: ------------------------------ ID #-------------------------------------Group# ---------------------------------------- Date: ------------------------------------Sl. # 1 Steps Explain the procedure to the woman.(ensure that bladder is empty). 2 Screen the bed and drape the woman. 3 Wash hands and warm them up. 4 Put the woman in supine position. 5 Locate the fundus and place the hands gently on it. (After knowing the LMP, EDD, Health status throughout pregnancy). 6 Assess the intensity of contractions. 7 Assess the duration of contractions. 8 Assess the interval of contractions. 9 Assess the relaxation time. 10 Observe any irregularity or abnormality. 11 Drape the exposed abdomen. 12 Record findings. 13 Report any abnormalities 2 1 0 Remarks College of Nursing Legend: 2: done correctly and knows rationale 1: done correctly but doesn’t know rationale 0: not done Evaluated By: ------------------------------ Student Signature:------------------------ College of Nursing OB/GYNE NURSING (NURS 1610- 322) Second Semester-3rd Year/6th Level Academic Year 2014/2015-G (1435/1436-H) Check List: Placental Examination Student's Name: ------------------------------ ID #-------------------------------------Group# ---------------------------------------- Date: ------------------------------------Sl. No Steps 2 1 0 Remarks 1 Wash hands. 2 Prepare equipment 3 Wear gloves. 4 Receive placenta in a round basin.. 5 7 Observe placental size and shape. - Check weight - Check thickness Inspect the maternal surface in a cupped hand or flat surface. Inspect the membranes 8 Turn the placenta and observe fetal surface 8 Observe the insertion of the cord. 9 Check the length of the cord. 10 Check presence of knots. 11 Check blood vessels (two arteries and one vein). 12. Check blood vessels ending beyond periphery 6 ( suspecting extra lobe) 13 Discard placenta as per the policies and discard disposal supplies. 14 Wash equipments and replace in place. 15 Wash hands. 15 Record and report. Legend: 2: done correctly and knows rationale 1: done correctly but doesn’t know rationale 0: not done Evaluated by:_____________________ Student Signature: ____________________ College of Nursing Second Semester 6th Level-3rd Year Academic Year 2014/2015 (1435/1436) Check List: Assisting Normal Birth Student's Name: -----------------------------Group# ---------------------------------------- ID #-------------------------------------Date: -----------------------------------Student’s degree Steps 1- Check good place, Light & complete equipment. 2- Put mother in lithotomy- position. 3- Identify signs of starting second stage of labor. 4- Put on mask & Over. 5- Scrubbing, gowning & gloving is done. 6- Arrange equipment on the tray. 7- Provide perineal care. 8- Drape the mother. 9- Give the doctor syringe of local anaesthesia. 10- Give scissor to the doctor to cut episiotomy. 11- Deliver head & expulsion of fetal body. 12- Clamp 1st cokher on the cord far from the mother at least 20 cm. 13- Evacuate small segment. 14- Clamp 2nd cokher on the cord far from the 1st about 10 2 1 0 Remarks College of Nursing cm. 15- Cut cord between 2 cokher down ward. 16- Assist doctor in expulsion of the placenta. 17- Assist doctor in episiotomy repair according to procedure. 18- Give perineal care. 19- Remove all towels from the mother. 20- Collect equipment and clean instrument. 21- Wash hands. 22- Report complete information about mother & baby. * Legend: 2: done correctly and knows rationale 1: done correctly but doesn’t know rationale 0: not done Evaluated by_____________________ Student Signature: _________________ College of Nursing OB/GYNE NURSING (NURS 1610- 322) Second Semester-3rd Year/6th Level Academic Year 2014/2015-G (1435/1436-H) Check List: Immediate Care of the Newborn Student's Name: ------------------------------ ID #-------------------------------------Group# ---------------------------------------- Date: ------------------------------------- Sl. No 1 2 Steps 3 After delivery of the head, wipe the infant’s nose and mouth with dry gauze Receive the baby in a clean blanket or towel 4 5 6 7 8 9 10 11 12 13 14 15 16 Prepare equipment Wash hands and wear gloves Keep baby’s face down Perform suction of the naso- pharynx & oropharynx Keep the baby warm throughout the procedure. Perform Apgar score at 1 minute Perform Apgar score at 5 minutes Weigh the baby Measure baby’s length Examine baby’s head, and measure head circumference Examine face, and neck including a detailed examination of eyes , mouth and lips and ears Assess baby’s skin Check the baby’s thorax Measure chest circumference Observe the respirations Palpate the baby’s abdomen 16.1. Measure abdominal circumference 2 1 0 Remarks College of Nursing 17 18. 19 20. 21 22 Examine the baby’s genitalia for development and discharge Check the patency of the baby’s anus Examine baby’s back - spine &vertebrae Check baby’s extremities including joints, fingers and toes. Examine for club foot Examine baby’s cord for number of vessels Clamp or ligate the baby’s cord 23 24. 25 Perform eye care Administer single dose of vitamin K Provide suitable dress 26 Ensure identification of the baby 27 Wash hands Record findings in the proper records 29 Report any abnormality to the pediatrician 28 Legend: 2: done correctly and knows rationale 1: done correctly but doesn’t know rationale 0: not done Evaluated by_______________________ Student Signature: _________________ College of Nursing OB/GYNE NURSING (NURS 1610- 322) Second Semester-3rd Year/6th Level Academic Year 2014/2015-G (1435/1436-H) Check List: Breast Examination Student's Name: ------------------------------ ID #-------------------------------------Group# ---------------------------------------- Date: ------------------------------------STEPS 1 Welcome the woman, introduce yourself. Place the woman on the examination couch and explain the procedure to her. 2 Drape the woman and keep the doors and curtain closed. 3 Wash your hands. 4 Inspection: 5 a) On sitting position: Ask the client to sit in comfortable position facing the examiner With arm relaxed at sides. With arms held over head. With hands on hips ,pressing in to contract the chest muscles b) On the supine position: Ask the client to assume the supine position and put her right arm over her head and inspect the right breast (Reverse this step for the left breast). Palpation :examine the right breast on the supine position: Put right hand behind head. Use pads of fingers of left hand, held flat together, gently press on the breast tissue using small circular motion, imagine the breast as a face of a clock. Beginnings at the top (12 O’ clock position) make a circle around the outer area of the breast. Move in one finger width, continue in smaller and smaller circles until you have reached the nipple (cover all areas including the breast tissues leading to the axilla) Reverse the procedure to the left breast. 6 Underarm Examination: Examine the left under arm area with arm held loosely at side. Cup the finger of the opposite hand and insert them high into the underarm area. Draw finger down slowly, pressing in circular pattern, covering all areas. Reverse the procedure for the right underarm 2 1 0 College of Nursing 7 Nipple Examination Gently squeeze the nipple of each breast between the thumb and index finger to check for discharge. 8 Assist the woman to get down from examination table and redress her clothes, then wash hands. 9 Report abnormality. 10 Record findings & woman's reaction. Total mark Legend: 2: Done correctly and knows rational 1: Done correctly and don’t know rationale 0: Not done Evaluated By: ___________________ Student Signature:__________________ College of Nursing OB/GYNE NURSING (NURS 1610- 322) Second Semester-3rd Year/6th Level Academic Year 2014/2015-G (1435/1436-H) Check List: Postpartum Fundal & Lochia Assessment Student's Name: ------------------------------ ID #-------------------------------------Group# ---------------------------------------- Date: ------------------------------------S# Steps 1 Explain procedure. 2 Ask the woman to empty the bladder. 3 Put the woman in comfortable dorsal position with legs flexed. 4 Gently place one hand on the lower segment of the uterus using the side of the other hand. 5 Palpate the uterus to determine the consistency of the uterus. 66 6 6. Palpate the fundus to determine its position. 7 Record the following : 1. Characteristics of Uterus: - Level of the fundus. - Consistency of the uterus. - Position of the fundus. 8 2. Characteristics of Lochia: - Type - Amount - Color - Odor - Presence of clots Total Marks Legend: 2: done correctly and knows rationale 1: done correctly but don’t know rationale 0: not done Evaluated by________________ Student Signature:__________________ 2 1 0 College of Nursing OB/GYNE NURSING (NURS 1610- 322) Second Semester-3rd Year/6th Level Academic Year 2014/2015-G (1435/1436-H) Check List: Assessment of Female Genitalia Student's Name: ------------------------------ ID #-------------------------------------Group# ---------------------------------------- Date: ------------------------------------Done Steps Complete (2) 1. Wash hands Apply disposable gloves 2. Explain procedure to the client 3. Prepare equipment 4. Prepare women & environment 5. Inspect external genitalia 6. Assist examiner in selecting proper size of speculum. 7. Place speculum running water. under warm 9- Adjust light. 10- Talk with the client as the examiner begins to insert speculum. Not Done Incomplete (1) (0) College of Nursing 11- Warm the client that a stretching sensation may be felt as speculum is introduced. 12- Remains at examiner’s side as cervix is inspected. 13- Assist examiner in obtaining pap smear. 14- Let client know that the speculum is about to be withdrawn. 15- Offer perineal hygiene. 16- Assist client to get down from the examination table. 17- Remove gloves 18- Wash and replace equipment. 19- Wash hands. 20- Compare finding with normal characteristics. 21- Evaluate client’s emotional response towards examination. College of Nursing 22- Ask the client about the importance of routine vaginal examination. 23- Determine unexpected outcomes. 25- Assemble nursing diagnosis. 26- Record all finding and women reactions, date and time, size of speculum used. 27- Report any observed to physician. abnormalities -Total Mark Legend: 2: done correctly and knows rationale 1: done correctly but don’t know rationale 0: not done Evaluated By:--------------------------- Students Signature:---------------------------------- College of Nursing OB/GYNE NURSING (NURS 1610- 322) Second Semester-3rd Year/6th Level Academic Year 2014/2015-G (1435/1436-H) Clinical Evaluation: Gynecological Instruments Student's Name: ------------------------------ ID #-------------------------------------Group# ---------------------------------------- Date: ------------------------------------Identify the Displayed Gynecological Instruments: GRAD Name of Instrument Usage Allotted 1. 3 2. 3 3. 3 4. 3 5. 3 TOTAL MARK Evaluated By:------------------------------- Actual Comments 15 Students Signature:----------------------------- College of Nursing Clinical Simulation College of Nursing Academic Year 2013/2014 (1434/1435),3rd Year, Second semester 6th Level OB/GYNE NURSING (NURS 1610- 322) Labor and delivery Scenario Labor Scenario: Noelle is 24 years old female. Weighing 150 pounds (68 kilograms). Her OB history shows a para 1, a gravida of 2 and that she is currently 39 weeks pregnant; she has had 0 spontaneous abortion, 0 elective abortions, and 0 stillbirth. Labor and delivery lab role-play: First step: Student will be divided into 2 scrubbing nurses and 1 circulating nurse. Second step: The scrub nurse will be responsible for delivery set preparation with the consideration of which type of set should be prepared and at what time. Third step: the second scrubbing nurse will conduct the delivery of the fetus and the placenta and monitor the uterine contraction during labor process. Fourth step: the circulating nurse will be able to examine the placenta after delivery. The students should work together as a team exactly as if working in the delivery room. Fifth step: Each student must document her role in the nursing record and answer some questions related to the scenario. Finally, at the last half an hour debriefing started and each student will gave her feedback and the instructor will respond to students' questions and for explanation. After reading the scenario carefully each student will pick up one paper each has the task that will be conducted: (delivery set preparation, monitoring of uterine contraction during labor and placental examination). College of Nursing OB/GYN Nursing (NURS1610-322) 6th Level/ Second Semester Academic Year 2013– 2014/1434-1435 Debriefing Questions A Day of Clinical Teaching Observation Questions 1. What did you do today? 2. What area were you at? 3. Who did you work with there? 4. Overall, how did the consultation/training go? Any obstacles? Support? 5. What were the biggest quality-of-care problems you saw (e.g., lack of knowledge and adequate time or facility limitations) 6. Do you have any ideas on why these problems exist? 7. What particular recommendation(s) did you gave to the people you worked with? Feedback College of Nursing 8. How did you communicate the recommendation(s) (verbally, in writing, through a supervisor, etc.) 9. How was the Recommendation received? 10. Please explain any knowledge gaps you identified that could be addressed with further training? 11. What would be the most useful assistance one could offer to improve quality of care for the patients you observed? 12. Do you think participants found this session useful? 13. Why or why not? 14. Are there any changes you suggest we make regarding how this clinical consultation session was arranged, structured, and carried out? Please continue your answers on the back of this page, if necessary. Thank you. College of Nursing OB/GYNE NURSING (NURS 1610- 322) Second semester- 3rd Y/ 6th Level Academic Year 2013/2014 (1434/1435) Simulated Clinical Experience Student's Evaluation Sheet Students' Name:--------------------ID#:------------------------- Group#:----------Assessed Item Communication: (4) Communicate effectively with the care providers. Communicates effectively with the patient and significant others (verbal, nonverbal, teaching). Assessment: (6) Assesses in a systematic & orderly manner using the correct technique. Writes documentation clearly, completely & accurately. Promotes realism and professionalism. Critical thinking: (8) Interprets CTG monitoring trace. Provides specific rationale for each interventions. Reflects on simulation experience (debriefing). Technical skills: (10) Uses patient identifiers. Utilizes standard precautions including effective hand washing. Administers medications safely. Ideal Grade Rotation#:--------- Students Comments Grade 2 2 2 2 2 3 2 3 1 1 1 Manages equipment, and set the delivery table accurately. Performs procedure correctly. Others: (2) Student's portfolio. Total Grade. Student's name: ____________________ Assessor's name: ___________________ 2 5 2 30 Signature: _________________ Signature: __________________ Date: ______ / ______ / _________ College of Nursing 1- First scrub nurse will be responsible for delivery set preparation with the consideration of which type of set should be prepared and at what time she will start her task. 2- Second scrub nurse will examine the placenta and directly notify if any abnormality found. 3- The circulating nurse will recognize the true labor signs and monitor for uterine contractions during labor. 4- The total number of students will be 3 students each round, each student will work within 5 minutes and the round will take about 15 minutes to finish the three procedures. College of Nursing OSCE Evidences [2014] College of Nursing College of Nursing College of Nursing College of Nursing OB/GYNE Nursing (NURS 1610-322) 2nd Semester/6th Level- AY 2013-2014 Distribution of stations by Lab/Instructor/Standardized, time keeper & organizer [7-8/5/2014] Venue/Stat Fundamental Ng. Lab ion/Staff - Station's Station [1] Station [2] Station [3] # OBGYN Lab Pedia. Lab Station [4] Station [5] Station [6] Station Station [7] [8] Newborn Lab Station [9] Station [10] Station [11] Station [12] -Station 1st Day AN Hist AN Prced AN HE Labor Hist. Labor proc. PP Psy adap. PN NB Proc Proc. Gyn. Proced. Communi Sk. -Station 2 nd Day PN Hist AN Prced AN HE Labor Hist. Labor proc. PP Psy adap. PN NB Meas. Proc. Gyn. Proced. Communi Fetal Skull Sk. Dr. Mona Dr. Sanaa Dr. Neama Ms. Dr. Layla Mrs. Helen Mrs. Hajar Donna Ms. Seham Ms. Fatma Mrs.Hanan Dr. Sahar Examiners Pelvic Model Gyn. Instrum Gyn. Instrum Ms. Fathia Standardiz Ms Samia ed Pt. -Time Keepers Organizers Mrs.Zeinab Mrs. Hind Mrs. Nawal Mrs. Sarah Dr. Ahlam Prof. Awatef Dr. Kamelia/Dr. Maha Al-Madani Mrs. Heba (Registration) at Blue Hall (Sts. organization) (Maps’ submission & feedback collection from sts/ Med.Sg. Lab) Total no. of students is 91 they will be arranged for OSCE stations/day as the following: [1st day OSCE 46 sts (GI, II, VA)] [2nd day OSCE 45 sts. (GIII, IV, VB] start OSCE at 8.00am-12.00pm] 4 rotations/12 students/60 min. College of Nursing OB/GYNE NURSING (NURS 1610- 322) 2nd Semester- 3rd Year/6th Level Academic Year 2013/2014 (1434/1435) st Blueprint for OSCE in Ob Gyne Nursing/ 1 Day [7-05-2014] History Competencies taking / Domains Antenatal Health education Procedure Diagnosis Model/Instru ments Identification Minor discomfort Labour Postpartum Pelvic bones PP Psych. adaptation Newborn Gyn. Instruments College of Nursing OB/GYNE NURSING (NURS 1610- 322) 2nd Semester- 3rd Year/6th Level Academic Year 2013/2014 (1434/1435) nd Blueprint for OSCE in Ob Gyne Nursing/ 2 Day [8-05-2014] Competencies / Domains Antenatal History taking Health education Assessment Procedure Diagnosis Minor discomfort Labour Postpartum Model/Instru ments Identification Fetal Skull PP Psych. adaptation Newborn Gyn. Instruments College of Nursing College of Nursing College of Nursing College of Nursing OSCE Evidences [2015] College of Nursing OB/GYNE NURSING (NURS 1610- 322) Second Semester-3rd Year/6th Level Academic Year 2014/2015-G (1435/1436-H) Blueprint Objective Structured Clinical Examinations (OSCE) In Ob/Gyne Nursing Competencie Procedure Skills Examination/As /Care sessment History Taking s Nursing Data Anatomical Total # of Interpretatio Landmarks / Stations n& Instruments Documentati Identification on Skills Antenatal 1 1 - - 2 Labor 1 1 - 1 1 4 Postnatal 1 1 - - - 2 Gynecology - 1 - - 1 2 Total # of 2 4 1 1 2 10 Stations College of Nursing OB/GYNE NURSING (NURS 1610- 322) Second Semester-3rd Year/6th Level Academic Year 2014/2015-G (1435/1436-H) Distribution of OSCE Stations Statio Statio Station Station Station Station Station Station Station Station Stations/ n n (3) (4) (5) (6) (7) (8) (9) (10) Venue (1) (2) OBY/GYN EXAMI EXAMI EXAMIN EXAMIN E LAB NER NER ER ER Dr. Dr. Mrs. Mrs. Eman Mona Areej Zeinab R. Gamal Al- NEWBOR EXAMIN EXAMIN EXAMIN N ER ER ER LAB Mrs. Mrs. Dr. Rabha Tahani Sanaa PEDIATRI EXAMIN EXAMINE EXAMIN C ER R ER LAB Mrs. Miss. Dr. Laila Helan Donna Al- Abu- Petricia Hajry & Salem Ahma Otaibi d & Miss. Gharee Al- b Anoud (SP.) Notes: - Organizers: General organizer/timekeeper for all labs: (Mrs. Hajar). Student’s registration at blue hall: (Mrs. Sahar AL-Ghareeb). Student’s feedback at fundamental lab: (Dr. Ahlam). College of Nursing College of Nursing OB/GYNE NURSING (NURS 1610- 322) Second Semester-3rd Year/6th Level - Academic Year 2014/2015-G (1435/1436-H) - Student’s Map for Ob/Gyne OSCE Stations (Wed. 6/5/2015) STATION (1) - STATION (2) Leopold’s Maneuver Partogram Ob/Gyne Lab Ob/Gyne Lab - STATION (3) Fundal & Lochia Assessment Ob/Gyne Lab EXAMINER EXAMINER Dr. Eman R. Ahmad Dr. Mona Gamal Mrs. Areej AlOtaibi EXAMINER STATION (6) Signature: Immediate care of newborn Newborn Lab EXAMINER Mrs. Tahani Signature: STATION (10) Fetal skull Pediatric Lab EXAMINER Dr. Laila AbuSalem Signature: Perineal care Ob/Gyne Lab EXAMINER Signature: STATION (4) STATION (9) Instruments identification Signature: STATION (5) History taking Mrs. Zeinab Shaheen Signature: Newborn Lab EXAMINER Mrs. Rabha & Miss. Al-Anoud (SP.) Signature: STATION (8) STATION (7) Placenta examination Pediatric Lab Speculum Exam. &Pap Smear Test Newborn Lab EXAMINER Pediatric Lab EXAMINER EXAMINER Dr. Sanaa Ghareeb Miss. Donna AlHajry Mrs. Helan