Professional Documents
Culture Documents
Table of Contents
Section #
Items
1. Title Page
6. Objectives
7. Schedule of occupancy
9. List of procedures
2015
College of Nursing
Undergraduate Program
Vision, Mission & Goals
College of Nursing
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:
Guidelines of OBGYN
Ng. Skill Lab
College of Nursing
Please keep in mind that the following guidelines should be followed during your
attendance in the ObGyn nursing skills lab:
• 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
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 decision-
making 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.
Objectives
College of Nursing
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
Schedule of Occupancy
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
Semester Second
Number of students 92
Number of weeks 16
Days used Wednesday & Thursday
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
Day, Date & Skill Lab Faculty Staff/ St. Groups [I-II-III]
Weeks time Application/ Ng
Assessment I/OB/GYN Lab II/ Pedia. Lab III/NB Lab
Demonstration
- 11.15-
12.00 pm
Wed. 12-2-14 - Postnatal & NB - Miss. Donna H., Mrs. Zeinab Sh.
- 1.00-2.00
pm.
Thurs. 13-2- - Gynecology - Mrs. Helen, Dr. Neama F.
14
- 2.30-3.00
pm
College of Nursing
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
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Semester Second
Number of students 44
Number of weeks/Lab 4
Days used Wednesday & Thursday
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:
Antenatal
(Pedia. lab) G1 G2 G3 G4
Labor
(Ob/Gyne lab) G2 G3 G4 G1
Postnatal
(newborn lab) G3 G4 G1 G2
Newborn &
Gynecology G4 G1 G2 G3
(funda. lab)
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
16 speakers 1
19 Torniqute 4
24 obstetrical manikin 1
5pc
26 Cervical dilation module s per set 5 pcs
42 CD Sonicaid team 1
63 Kocher 2
70 Umbilical scissors 5
72 Straight forceps 3
1se
75 cervical ditator t from Qatif college April 2013
78 vaginal speculum 1
College of Nursing
82 steel tray 2
83 blade holder 1
84 towel clip 2
curette spoon
Blue Phantom U/S Training model
(Breast Masses- Elastography Breast
88 Model ) ) 2 Transfere from MSN Lab Dec2014
92 14 Caput Scccedaneum 2
96 NB Baby female 1
18 under sink
Female Catheterization 1
21 Plastic pitcher 2
22 storage
College of Nursing
B. Outside cabinet
Birthing baby 1
4 Neonate 1
5 Dell Laptop 1
6 Fetal box 1
7 Maternal box 1
uterus ;Normal 1
C. Steel Cabinet
College of Nursing
Pen Light 2
Otoscope 2
Tuning fork 2
percission hammer 2
Measuring tape 10
suction aparatus 1
Sphgmomanometer 3
D. Furnitures
6 Bed Manual 1
7 Bed mattress 2
8 Bedside tables 2
9 Computer tables 1
10 Foot stool 1
11 Bulettin Board 1
16 TV Stand 1
17 Filling Trolley 1
18 Emergency Cart 1
19 Locker-Sentry 1
20 Wheel chair 1
22 Patient screen 1
E. Locker
College of Nursing
1for
eac
6 Keyboard &mouse for touch screen h
F.Electronics
1 Dell CPU 1
2 Mouse 1
3 Keyboard 1
4 LCD Monitor 1
10 Alaris IV Pump 1
11 CTG Sonocaid 1
15 G.Linen
9 Leggings 8 2 in Noelle
11 blue Drape 2
12 Mayo cover 2
13 Eye sheet 2
H.Others
VAGINA,PRE-PARTUM+STATIC
ASSY,BIRTHING CANAL,PRE-PARTUM
CERVIX 1 104K488400
BRACKET,CERVIX,BACKPLATE 1 106K473500
BRACKET,CERVIX,RETENSION 1 016K473600
CERVIX ,STATIC ,CLSD,W/O
EFFACEMENT ,PERM 1 FNGR,
FIRM,POSTERIOR 1 104k488500
CERVIX,STATIC,CLSD,50PERCENTAH
E,EFFACEMENT,PERM 1
FNGR,MED,POSTERIOR 1 104K488600
COMPLETE, CERVIX,STATIC,4cm
DILATION,90 PERCENTAGE
EFFACEMENT ,SOFT,INT 1 105K471100
ASSY,BIRTHI
CANAL,PRE-
PARTUM
END OF
FETUS,LEOPOLD 1 104K489500
NG
TUB,LEOPOLD,FOAM 1 104K488200
College of Nursing
GOWN,FIDELIS 1 101KK00160
BASE
GUIDE,QUICK INSTALL+DDENDUM TO
USER'S MANUAL 1 253K486600
ASSY,PLACENTA AND
TUB,C-SECTION,FOAM 1 105K470200
ASSY,FETUS 253K480000
ASSY,URINARY MODULE,FILLING
TOOL 1 253K484600
Dr.Radwa
Baker
Dr. Eman
Rashad
1. Portable
Ultrasonography
Sonosite
2. Cervix-Accessory
for Noelle Simulator
3. Metti Pelvic
Simulator’s Cover
College of Nursing
Equipments
2. DVD Device
3. Obstetric ultrasonography
simulator
College of Nursing
List of procedures
College of Nursing
2. Leopold's Maneuver.
3. Application of the External Monitor.
II. Labor & Delivery Procedures 1. Timing Uterine Contractions during Labor.
2. Gynecological Instruments.
College of Nursing
Antenatal Procedures
Second Semester-3rd Year/6th Level
1. Prepare equipment
1. Stethoscope
3. Ensure empty bladder and collect urine specimen and test for
protein, sugar and ketones.
6. Provide privacy.
7. Wash hands.
10. Give the woman the necessary instructions and date of the next
visit, Replace equipment and wash hands
Total Mark
0: not done
Steps 2 1 0
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.
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.
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.
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:
0: Not done
1 Wash hands with warm water, Screen the bed, drape the woman and expose her
abdomen.
2 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.
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.
Total mark
0: Not done
12 Record findings.
Legend:
12- Clamp 1st cokher on the cord far from the mother at least
20 cm.
14- Clamp 2nd cokher on the cord far from the 1st about 10
College of Nursing
cm.
0: not done
Place the woman on the examination couch and explain the procedure to her.
2 Drape the woman and keep the doors and curtain closed.
4 Inspection:
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).
5 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
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.
Total mark
0: Not done
S# Steps 2 1 0
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
1. Wash hands
Apply disposable gloves
3. Prepare equipment
9- Adjust light.
-Total Mark
Legend:
2: done correctly and knows rationale
1: done correctly but don’t know rationale
0: not done
GRAD
1. 3
2. 3
3. 3
4. 3
5. 3
TOTAL MARK 15
Clinical Simulation
College of Nursing
Labor Scenario:
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
Debriefing Questions
Please continue your answers on the back of this page, if necessary. Thank you.
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
Venue/Stat
Fundamental Ng. Lab OBGYN Lab Pedia. Lab Newborn Lab
ion/Staff
- Station's Station Station
Station [1] Station [2] Station [3] Station [4] Station [5] Station [6] Station [9] Station [10] Station [11] Station [12]
# [7] [8]
- Ms.
Mrs.Hanan Dr. Sahar Dr. Mona Dr. Sanaa Dr. Neama Dr. Layla Mrs. Helen Mrs. Hajar
Examiners Donna
Ms. Fathia
Standardiz
Ms Samia Mrs.Zeinab Ms. Seham Ms. Fatma
ed Pt.
-Time
Mrs. Hind Mrs. Nawal Mrs. Sarah Dr. Ahlam
Keepers
-
Organizers 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
PP Psych.
Postpartum adaptation
Newborn
Gyn. Instruments
College of Nursing
Postpartum PP Psych.
adaptation
Newborn
Gyn.
Instruments
College of Nursing
College of Nursing
College of Nursing
College of Nursing
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
C ER R ER
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
-
STATION (3)
STATION (1)
- STATION (2)
STATION (4)
Leopold’s Fundal &
Maneuver Partogram
- Lochia Perineal care
Ob/Gyne Lab Ob/Gyne Lab Assessment
- Ob/Gyne Lab
Ob/Gyne Lab
- EXAMINER EXAMINER
EXAMINER
EXAMINER
Dr. Eman R. Dr. Mona Gamal Mrs. Areej Al-
Otaibi Mrs. Zeinab
Ahmad
STATION (6)
Signature: Shaheen
STATION (5)
Signature: Signature:
Immediate care of Signature:
History taking
newborn
Newborn Lab
Newborn Lab
EXAMINER
EXAMINER
Mrs. Rabha &
Mrs. Tahani
Miss. Al-Anoud
Signature: (SP.)