Maternal Simulation Experience

The maternal simulation experience was very knowledgeable, amazing and fun. At first, I did not know what to expect because it was going to be a new field that we have not had much practice in other than having theoretical knowledge. I also had fear that it may turn out to be like the last simulation we had; fortunately this was very nice compared to the last one. Our clinical instructor helped us prepare for this experience to make sure we were ready and relaxed other than being nervous. I performed the role of charge Nurse.
I believe I did well at performing the postpartum assessments, postpartum teaching to prevent hemorrhage, and performing the SIPOV check. I was effective at these techniques because I viewed the medcom videos on blackboard

The only time I massaged the fundus was during a clinical rotation on the labor and delivery floor when one RN that I was shadowing showed me how to do it and asked me to return demonstration but still this is a technique that I am unfamiliar with. However I believe I did a great job massaging the fundus of the manikin the way I would to a real patient although the manikin body was kind of hard. I felt like I was not positioning my hands in the right place that is placing one hand above the suprapubic bone and the other hand to massage the fundus. Also I noticed right away that the patient was hemorrhaging, I knew that I had to massage the fundus and I found that it was displaced to the right. With my knowledge from class, the best intervention was to straight catheterize the patient and my colleague did a very good job with that. After, I had to massage the fundus again to make sure that it is firm because a boggy fundus is the leading cause of bleeding. Breasts were assessed to make sure that the nipples are not inverted because if they are inverted, the baby cannot latch on properly. I did a great job teaching the patient the different colors of lochia that she should expect to see from day one through three weeks. I taught the patient that the first three days, she will see rubra that is red drainage and from day three to the eleventh day, she would see light pink to brown tinged blood and from day eleven, she would see white or cream like discharge and I also informed her to notify the healthcare provider immediately if the color changes from white to red. The use of warm water and squirt bottle was also stressed to the patient and I also advised her to wipe from front to back to prevent herself from getting infections. During the postpartum period 50% to 70% of women experience postpartum blues which are normal and