All physicians, nurses, and nurse midwives working on Labor and Delivery will be required to complete cervical exam simulation training. Data before and after institution of the training will be compared to determine if the training leads to less cervical exams during labor and increases consistency between examiners
The labor cervical exam is the cornerstone of the management of labor as the accurate assessment of cervical dilation and effacement are crucial in recognizing a normal labor from and abnormal one. To enhance accuracy and precision among healthcare providers working on Labor and Delivery we have created a high fidelity cervical exam simulator. All providers working on Labor and Delivery Repetitive will be required to practice on the simulators until a pre-specified level or accuracy is achieved. We will prospectively and retrospectively assess the number of cervical exams a women receives and the discrepancy between exams performed by 2 different providers both before and after the training is instituted.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
1,125
Each nurse will then examine 1 sets of 10 high-fidelity silicone task trainers approximately three per week for a maximum of 20 sessions (200 repetitions total). For each set of 10 exams, the estimates will recorded on an answer sheet. A cumulative summation analysis will be performed on each participant. When an individual nurse achieves competence her training will be suspended
Wake Forest University Health Sciences
Winston-Salem, North Carolina, United States
RECRUITINGNumber of repetitions needed to obtain competence
The number of simulated cervical exams each provider needs to reach a pre-specified level of accuracy.
Time frame: 3 month training period
Number of exams patients receive
Number of exams per hour of labor or triage visit
Time frame: Six months period before training
Number of exams patients receive
Number of exams per hour of labor or triage visit
Time frame: Six month post training
Discrepancy between 2 cervical exam assessments--retrospective
Discrepancy between 2 exam assessments performed less than 30 minutes apart by 2 different examiners: Cervix Dilation will be reported as 1-10 cm Cervix Effacement will be reported as 0% -100%
Time frame: Six months period before training and Six months period post training completion
Discrepancy between 2 cervical exam assessments--prospective
Discrepancy between 2 exam assessments performed one after the other by 2 different examiners: Cervix Dilation will be reported as 1-10 cm Cervix Effacement will be reported as 0% -100%
Time frame: Six months period before training and Six months period post training completion
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.