yesterday, we had a SIM lab. Sounds exciting, huh? It is somewhat...but also somewhat funny. You step into a classroom which is full of mechanical mannequins which can be programmed via the computer to cough, cry, have weird heartbeats, and give birth. Yes, give birth.

this
sim above is the one I was using (not me in the picture)

pregnant and gives birth....

birthing....
So, to start the day I did my
vag (grossest word ever) check and the laboring mom was at about 4cm. Needs to be totally effaced before pushing...good, I'll move to the newborn, see if I can do a nice easy assessment. I walk over...look at the screen, everything seems pretty good. There are a lot of things laying out for me to use.
Itty bitty blood pressure cuff, stethoscope,
intubation tubes, heel sticks, feeding tubes, diapers...basically everything.
I got my stethoscope and started to do my evaluation. I unwrapped the swaddled baby and started listening for lung sounds, heart beats and to see if there were any heart defects. As I was going through the motions, the nurse standing next to me started giggling...Your baby's face is turning blue. I look up and gasp! yikes...what's going on? I see the heart rate has gone up...I start to panic...
hmmmm First thing into my mind...go for broke...
INTABATION... STAT! Like something off of ER I grab the tubes, no gloves (duh, fail), spray the lube on and start
jammin the tube down the babies neck. Of course it gets stuck and at this point the girl next to me is laughing
hysterically. My babies vitals are down the shoot and there is beeping galore...and the baby is now glowing blue.
Jeesus christ...Jam, jam , jam...I wrench the kids neck back and the tube goes down. I
slap the top piece on it and look at my work proudly...as the baby
flatlines...Nice...
UHMMMM...
The nurse next to me is laughing...I look over and say, "well, what would you have done?" She giggles and says, " How about just wrapping the baby in a blanket and put the hat back on? It was freezing...It had hypothermia from you taking the blankets off and putting that ice cold stethoscope on it....
hahahahaha"
What? You mean NO TUBE? All I needed to do was burrito wrap that kid back up and all the bells and whistles would have gone back to normal?!!!
great....
I look over as one of the girls is yelping about the SIM mom "crowning". She gets her gloves on and the baby starts to appear from the gaping rubber vagina. Lovely. She says the baby is coming!...I say, "Hey,
Isn't' the face
supposed to be facing down?"
"Well, yeah...I suctioned, but the baby won't budge..."
I say again, "The face of that baby should be down." thinking to myself that the computer must be set for a problem birth.
The girl takes the baby's head and wrenches it so that the face is NOW down and
CRRRRRRRRRRRuuuNch" Baby head is now down and baby head is a goner. She looked at me like I did it from
across the room.
"
Heehee, I said it is
supposed to be facing down, not crack the head off and make it down!"
Uhm, teacher...I believe we killed the SIM Babies...
Lord, this is why we don't get real patients.