Shoulder dystocia drills

Selke · May 17, 2006

I'm in the process of setting up a shoulder dystocia drill for our facility, ia anyone doing them now? (I'm sure SOMEONE is) If so would you be will to share how you do them and how you document what you do with me? Thanks
Janet

Have you heard of ALSO (Advanced Life Support in Obstetrics)?

http://www.aafp.org/online/en/home/cme/aafpcourses/clinicalcourses/also.html

Shoulder dystocia drills are included in this program. I'm taking this course in July.

There is also a video and learning packet from Dartmouth-Hitchcock Regional Program:

http://www.dhmc.org/webpage.cfm?site_id=2&org_id=93&gsec_id=18058&sec_id=18058&item_id=18058

The Farm has videos on several midwifery skills, including SD. All these are on my list to buy and memorize ...

janetrnc · May 17, 2006

Thanks for the info. I have taken the ALSO course before. I'm asking for what people are doing hands on for real in their institutions.

Thanks

janetrnc · May 17, 2006

I guess I should have also said, we know what to do but we want to develop a systematic way of doing things so everyone will know what everyone else is doing and will be clear on the individual roles. Thanks.

SmilingBluEyes · May 18, 2006

This should be a collaborative effort made with a multidisciplinary input. Meaning, physicians, midwives, RNs and techs should all have a role and it be well-defined, as you put it. I say, this should be a topic of discussion at your perinatal meetings and with the input of the above personnel, a drill be set up with clearly-defined roles for each player in any given birth situation. And then all personnel on your unit should be "drilled" once you have defined who does what. Obviously, the ones who should know what to do are ANY people who are in the delivery room, be they nurse, dr, midwife or RT.

I do know, our doctors' insurance carriers issued flip-type spiral notebooks/cards entitled "Are you ready for dystocia" or something to that effect. We have a copy on our unit. VERY helpful. May want to ask around about that and start from there.....

Just like the NRP mega-code, it helps to practice, practice, practice.

imenid37 · May 18, 2006

I took ALSO a couple of years ago too. I can also vouch for the Dartmouth video as being very good too. We are going to work w/ the med students that come w/ our one group of ob's and do a dystocia drill. I think we will make up a scenario or two and have the students and staff work through it. You can use the pneumonics from ALSO and we may use them to help us.

Selke · May 18, 2006

Thanks for the info. I have taken the ALSO course before. I'm asking for what people are doing hands on for real in their institutions.
Thanks

Do you know about the perinatal RN listserv? You would get an answer from managers, CNS, CNMs, others who run OB units and could answer your specific question:

Perinatal List: http://listserv.buffalo.edu/archives/pnatalrn.html

It's a great list.

mitchsmom · May 19, 2006

Do you know about the perinatal RN listserv? You would get an answer from managers, CNS, CNMs, others who run OB units and could answer your specific question:
Perinatal List: http://listserv.buffalo.edu/archives/pnatalrn.html
It's a great list.

Thanks for the list link!

moosemadness · Mar 31, 2008

I am also in need of doing shoulder dystocia drills. I'll also take any other info not already listed. One question, the video by Dartsmouth via Dr. W. Young, says to do suprapubic pressure down and to the side. I have found most research says straight down, not to the side. Any comments??? :nurse:

Baby Catcher, CNM · Apr 1, 2008

I didn't see the video you are referring to but when doing suprapubic pressure you should stand on the side of the fetal back and direct the pressure so the shoulder adducts.