Neonatal Simulation: A Practical Guide

502 Pages·2021·12.304 MB·English

by  Lamia M. Soghier, Beverley Robin

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Editors: Lamia Soghier, MD, MEd, CHSE, FAAP, and
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Developed by the leading experts in neonatal simulation, this innovative resource delivers i
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neonatal health care professionals and educators essential guidance on designing, developing,
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and implementing simulation-based neonatal education programs.
Th e early chapters cover learning theory, fundamentals of scenario design, and simulation and the
Neonatal Resuscitation Program®. Th e later chapters cover specifi c applications of simulation in A
neonatology and debriefi ng techniques.
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Th is book guides the reader through scenario design, mannequins and task trainers, moulage, R
simulation techniques, virtual simulations, mannequin adaptations needed to conduct specifi c A
simulation procedures, debriefi ng methods, and more.
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Step-by-step images guide the reader through how to adapt mannequins to simulate procedures and T
how to replicate bodily fl uids and conditions commonly encountered in newborns. I
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With 225+ color images, as well as plenty of helpful boxes and tables throughout, this book will be A
useful to both novices and experts.
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More than 30 chapters include G
• In Situ Simulation
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• Simulation and the Neonatal Resuscitation Program
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• Mannequins and Task Trainers D
• Boot Camps E
• Debriefi ng in Simulation-Based Training in Neonatology
• Simulation Operations
• And more... So
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For other neonatal resources, visit the American Academy of Pediatrics at shop.aap.org. h
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ISBN 978-1-61002-260-6
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b Lamia Soghier, MD, MEd, CHSE, FAAP Beverley Robin, MD, MHPE, CHSE, FAAP
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Neonatal
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Lamia Soghier, MD, MEd, CHSE, FAAP Beverley Robin, MD, MHPE, CHSE, FAAP
NeoSim.indb 1 2/21/21 12:13 PM
American Academy of Pediatrics Publishing Staff
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The American Academy of Pediatrics is an organization of 67,000 primary care pediatricians, pediatric medical subspecialists, and
pediatric surgical specialists dedicated to the health, safety, and well-being of all infants, children, adolescents, and young adults.
The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care.
Variations, taking into account individual circumstances, may be appropriate.
Statements and opinions expressed are those of the authors and not necessarily those of the American Academy of Pediatrics.
Any websites, brand names, products, or manufacturers are mentioned for informational and identification purposes only and do
not imply an endorsement by the American Academy of Pediatrics (AAP). The AAP is not responsible for the content of external
resources. Information was current at the time of publication.
The persons whose photographs are depicted in this publication are professional models. They have no relation to the issues discussed.
Any characters they are portraying are fictional.
The publishers have made every effort to trace the copyright holders for borrowed materials. If they have inadvertently overlooked any,
they will be pleased to make the necessary arrangements at the first opportunity.
This publication has been developed by the American Academy of Pediatrics. The contributors are expert authorities in the field of pediatrics.
No commercial involvement of any kind has been solicited or accepted in the development of the content of this publication. Christopher
Colby discloses a relationship with InTouch Health. Walter Eppich discloses consultant relationships with Center for Medical Simulation and
PAEDSIM eV and editorial board member relationships with Perspectives on Medical Simulation and Advances in Simulation. Jennifer Fang
discloses a relationship with InTouch Health. Janene Fuerch discloses relationships with Novonate, Emme, and D-Rev.
Chapter 24 is supported in part by the Endowment for the Center for Advanced Pediatric and Perinatal Education.
Every effort has been made to ensure that the drug selection and dosages set forth in this publication are in accordance with the
current recommendations and practice at the time of publication. It is the responsibility of the health care professional to check the
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Every effort is made to keep Neonatal Simulation: A Practical Guide consistent with the most recent advice and information available
from the American Academy of Pediatrics.
Please visit www.aap.org/errata for an up-to-date list of any applicable errata for this publication.
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First edition published 2021.
Printed in the United States of America
9-384/0421 1 2 3 4 5 6 7 8 9 10
MA0900
ISBN: 978-1-61002-260-6
eBook: 978-1-61002-261-3
Library of Congress Control Number: 2018942267
NeoSim.indb 2 2/21/21 12:13 PM
III
Editors
Lamia Soghier, MD, MEd, CHSE, FAAP Beverley Robin, MD, MHPE, CHSE, FAAP
Associate Professor of Pediatrics Assistant Professor, Pediatrics
The George Washington University School of Medicine Director, Neonatal-Perinatal Medicine Fellowship Program
Medical Director, Neonatal Intensive Care Unit Rush University Medical Center
Children’s National Health System Chicago, IL
Washington, DC
Contributors
Anne Ades, MD, MSEd Marc Auerbach, MD, MSc
Professor of Clinical Pediatrics Associate Professor of Pediatrics and Emergency Medicine
Perelman School of Medicine at the University of Yale University School of Medicine
Pennsylvania New Haven, CT
Attending Neonatologist Chapter 7. Simulation for Infant Lumbar Puncture Training
The Children’s Hospital of Philadelphia Alana Barbato, MD
Philadelphia, PA Assistant Professor of Clinical Pediatrics
Chapter 11. Extracorporeal Membrane Oxygenation Division of Neonatal-Perinatal Medicine
Simulation Indiana University School of Medicine
Chapter 14. Boot Camps Indianapolis, IN
Catherine Allan, MD, FAAP Chapter 9. Simulating Neonatal Pericardial Effusion and
Medical Director, Cardiac Intensive Care Unit Cardiac Tamponade
Associate Program Director, Simulator Program G. Jesse Bender, MD
Boston Children’s Hospital NICU Medical Director
Boston, MA Mission Health System
Chapter 11. Extracorporeal Membrane Oxygenation Asheville, NC
Simulation Chapter 19. In Situ Simulations for Testing New Health Care
Christine Arnold, MS, RNC, CHSE Environments
Educator for Pursuing Excellence Angela D. Blood, MPH, MBA, CHSE-A
University of Rochester Medical Center Director, Curricular Resources
Rochester, NY Association of American Medical Colleges (AAMC)
Chapter 27. The Difficult Debriefing Washington, DC
Jennifer Arnold, MD, MSc, FAAP Chapter 1. Applications of Learning Theory in Simulation
Medical Director, Center for Medical Simulation and Renee D. Boss, MD, MHS
Innovative Education Associate Professor, Neonatology and Palliative Care
Johns Hopkins All Children’s Hospital Johns Hopkins University School of Medicine
St Petersburg, FL Baltimore, MD
Chapter 13. Simulation-Based Education for Parents and Other Chapter 20. Communication Skills in Neonatal Simulation
Home Caregivers of Infants With Technology Dependence
Steven Brediger, RRT-NPS
Michael-Andrew Assaad, MD, FRCPC, FAAP ECMO Educator
Associate Professor of Pediatrics Boston Children’s Hospital
Division of Neonatology Boston, MA
University of Montreal Chapter 11. Extracorporeal Membrane Oxygenation
Montreal, Quebec, Canada Simulation
Chapter 5. Simulation for Neonatal Airway Management
Christie J. Bruno, DO
Chapter 25. Blended-Method Debriefing With the PEARLS
Associate Professor of Pediatrics
Debriefing Framework
Neonatal-Perinatal Medicine Fellowship Training Program
Chapter 26. Co-debriefing in Neonatal Simulation
Director
Appendix B
Yale New Haven Children’s Hospital
New Haven, CT
Chapter 10. Neonatal Exchange Transfusion
Chapter 14. Boot Camps
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IV CONTRIBUTORS
Melanie Burke, MRT (R) Christopher E. Colby, MD
Simulation Technician, Simulation Lab Professor of Pediatrics
Health Sciences North Mayo Clinic
Sudbury, Ontario, Canada Rochester, MN
Chapter 22. Moulage: The Special Effects Chapter 17. Telesimulation for Neonatal Resuscitation
Education and Training
Sabrina M. Butteris, MD
Associate Professor, Department of Pediatrics Rita Dadiz, DO, CHSE, FAAP
University of Wisconsin School of Medicine and Associate Director of Pediatrics
Public Health Director, Neonatal Innovation and Safety Simulation
American Family Children’s Hospital Program
Madison, WI Division of Neonatology
Chapter 15. Simulation in Neonatal Global Health University of Rochester Medical Center
Rochester, NY
Bobbi J. Byrne, MD, FAAP
Chapter 19. In Situ Simulations for Testing New Health Care
Professor of Clinical Pediatrics
Environments
Division of Neonatal-Perinatal Medicine
Chapter 27. The Difficult Debriefing
Indiana University School of Medicine
Indianapolis, IN Maria Carmen G. Diaz, MD, FACEP, FAAP
Chapter 8. Neonatal Thoracentesis and Chest Tube Placement Clinical Professor of Pediatrics and Emergency Medicine
Simulation Sidney Kimmel Medical College of Thomas Jefferson
Chapter 9. Simulating Neonatal Pericardial Effusion and University
Cardiac Tamponade Philadelphia, PA
Chapter 18. In Situ Simulation Medical Director of Simulation
Appendix C Nemours Institute for Clinical Excellence
Appendix D Attending Physician, Division of Emergency Medicine
Nemours/Alfred I. duPont Hospital for Children
Douglas M. Campbell, MD, FRCPC
Wilmington, DE
Director of NICU, Medical Director of Allan Waters Family
Chapter 13. Simulation-Based Education for Parents and Other
Simulation Centre Program
Home Caregivers of Infants With Technology Dependence
Department of Pediatrics
University of Toronto Archana Dhar, MD
St Michael’s Hospital, Unity Health Toronto Associate Professor of Pediatrics
Toronto, Ontario, Canada UT Southwestern Medical School
Chapter 32. History of Neonatal Simulation Medical Director of Transport
Division of Pediatric Critical Care
Todd Chang, MD, MAcM
Children’s Health Medical Center
Associate Director / Research Director, CHLA Las Madrinas
Dallas, TX
Simulation Center
Chapter 12. Extracorporeal Life Support Organization Training
Associate Fellowship Director, Division of Emergency
and Education
Medicine
Director of Research & Scholarship, Division of Emergency Walter Eppich, MD, PhD, FSSH
Medicine Professor and Chair of Simulation Education and Research
Vice Chair, Institutional Review Board Royal College of Surgeons of Ireland
Children’s Hospital Los Angeles Dublin, Ireland
Associate Professor of Pediatrics/Medical Education Chapter 25. Blended-Method Debriefing With the PEARLS
Keck School of Medicine Debriefing Framework
University of Southern California Chapter 26. Co-debriefing in Neonatal Simulation
Los Angeles, CA Jennifer L. Fang, MD, MS, FAAP
Chapter 30. Simulation Research Networks Assistant Professor of Pediatrics
Adam Cheng, MD Medical Director, Teleneonatology
Professor, Departments of Paediatrics and Emergency Division of Neonatal Medicine
Medicine Mayo Clinic
University of Calgary Rochester, MN
Calgary, Alberta, Canada Chapter 17. Telesimulation for Neonatal Resuscitation
Chapter 25. Blended-Method Debriefing With the PEARLS Education and Training
Debriefing Framework
Chapter 26. Co-debriefing in Neonatal Simulation
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CONTRIBUTORS V
Heather M. French, MD, MSEd Elizabeth A. Hunt, MD, MPH, PhD
Associate Professor of Clinical Pediatrics Associate Professor
Perelman School of Medicine at the University of Department of Anesthesiology and Critical Care Medicine
Pennsylvania Johns Hopkins University School of Medicine
Philadelphia, PA Director, Johns Hopkins Medicine Simulation Center
Chapter 23. Simulation Training for Effective Resuscitation Baltimore, MD
Leadership Chapter 28. Rapid-Cycle Deliberate Practice
Appendix F Sarah Isaac, MEd, BHSc, BA
Janene H. Fuerch, MD Simulation Technician
Clinical Assistant Professor of Pediatrics Health Sciences North
Division of Neonatal and Developmental Medicine Sudbury, Ontario, Canada
Stanford University Chapter 22. Moulage: The Special Effects
Palo Alto, CA Priti Jani, MD, MPH
Chapter 31. Simulation-Based Research in Neonatology Assistant Professor of Pediatrics
Kristen M. Glass, MD Section of Critical Care Medicine
Associate Professor of Pediatrics The University of Chicago, Comer Children’s Hospital
Division of Neonatal-Perinatal Medicine Chicago, IL
Penn State Health Milton S. Hershey Medical Center Chapter 1. Applications of Learning Theory in Simulation
Penn State College of Medicine Lindsay Johnston, MD, MEd, CHSE, FAAP
Hershey, PA Associate Professor of Pediatrics
Chapter 10. Neonatal Exchange Transfusion Division of Neonatal-Perinatal Medicine
Megan M. Gray, MD Yale School of Medicine
Assistant Professor of Pediatrics New Haven, CT
Division of Neonatology Chapter 11. Extracorporeal Membrane Oxygenation
University of Washington Simulation
Seattle, WA Chapter 14. Boot Camps
Chapter 4. Mannequins and Task Trainers David O. Kessler, MD, MSc
Chapter 6. Umbilical Catheter Placement Vice Chair of Innovation for the Department of Emergency
Arika G. Gupta, MD Medicine
Assistant Professor of Pediatrics Associate Professor
Department of Pediatrics Columbia University Vagelos College of Physicians and
Division of Neonatology Surgeons
Northwestern University Feinberg School of Medicine New York, NY
Ann & Robert H. Lurie Children’s Hospital of Chicago Chapter 7. Simulation for Infant Lumbar Puncture Training
Chicago, IL Suzanne Lortie-Carlyle
Chapter 25. Blended-Method Debriefing With the PEARLS Manager, Simulation Lab
Debriefing Framework Health Sciences North / Horizon Santé-Nord
Chapter 26. Co-debriefing in Neonatal Simulation Sudbury, Ontario, Canada
Louis P. Halamek, MD, FAAP Chapter 22. Moulage: The Special Effects
Professor Lisa Mayer, RN, BSN
Division of Neonatal and Developmental Medicine Simulation Educator
Department of Pediatrics Riley Maternal and Newborn Health at Indiana University
Stanford University Health
Founding Director, Center for Advanced Pediatric and Indianapolis, IN
Perinatal Education (CAPE) Chapter 8. Neonatal Thoracentesis and Chest Tube Placement
Director of Neonatal Resuscitation, Attending Neonatologist Simulation
Lucile Packard Children’s Hospital
Tyler Montroy, A-EMCA, PCP
Palo Alto, CA
Simulation Technician
Chapter 3. Simulation and the Neonatal Resuscitation Program
Health Sciences North
Chapter 24. Debriefing in Simulation-Based Training in
Sudbury, Ontario, Canada
Neonatology: An Outcomes-Based Approach
Chapter 22. Moulage: The Special Effects
Chapter 31. Simulation-Based Research in Neonatology
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VI CONTRIBUTORS
Ahmed Moussa, MD, MMed, FRCPC, FAAP Beverley Robin, MD, MHPE, CHSE, FAAP
Director, Center for Applied Health Sciences Education Assistant Professor, Pediatrics
(CPASS) Director, Neonatal-Perinatal Medicine Fellowship Program
University of Montreal Rush University Medical Center
Associate Professor, Departement of Pediatrics Chicago, IL
University of Montreal Chapter 2. Scenario Design
Neonatologist, CHU Sainte-Justine Chapter 19. In Situ Simulations for Testing New Health Care
Montreal, Quebec, Canada Environments
Chapter 5. Simulation for Neonatal Airway Management David L. Rodgers, EdD, EMT-P, NRP, FAHA
Appendix B Manager, Interprofessional Learning and Simulation
Allyson Norton, RN Penn State Health Milton S. Hershey Medical Center
Simulation Technician Hershey, PA
Health Sciences North Chapter 29. Simulation Operations
Sudbury, Ontario, Canada Taylor Sawyer, DO, MEd, CHSE-A
Chapter 22. Moulage: The Special Effects Director of Medical Simulation
Mark T. Ogino, MD, FAAP Associate Division Head for Education
Chief Partnership Officer Division of Neonatology
Neonatology Chief, Nemours Delaware Valley Associate Professor of Pediatrics
Nemours/Alfred I. duPont Hospital for Children Department of Pediatrics
Wilmington, DE Division of Neonatology
Clinical Professor of Pediatrics University of Washington School of Medicine, Seattle
Sidney Kimmel Medical College of Thomas Jefferson Children’s Hospital
University Seattle, WA
Philadelphia, PA Chapter 4. Mannequins and Task Trainers
Chapter 12. Extracorporeal Life Support Organization Training Chapter 6. Umbilical Catheter Placement
and Education Joo Lee Song, MD
Julie S. Perretta, MSEd, RRT-NPS, CHSE-A Assistant Professor of Clinical Pediatrics
Assistant Professor Division of Emergency and Transport Medicine
Anesthesiology and Critical Care Medicine Children’s Hospital Los Angeles
Johns Hopkins University School of Medicine Department of Pediatrics
Director of Education and Innovation Keck School of Medicine
Johns Hopkins Medicine Simulation Center University of Southern California
Baltimore, MD Los Angeles, CA
Chapter 2. Scenario Design Chapter 30. Simulation Research Networks
Chapter 28. Rapid-Cycle Deliberate Practice Theophil A. Stokes, MD
Appendix A Associate Professor of Pediatrics
Appendix G Uniformed Services University of the Health Sciences
Michael B. Pitt, MD, FAAP Bethesda, MD
Associate Professor of Pediatrics Chapter 20. Communication Skills in Neonatal Simulation
Division of Hospital Pediatrics Lillian Su, MD
University of Minnesota Clinical Associate Professor of Pediatrics
Minneapolis, MN Stanford University School of Medicine
Chapter 15. Simulation in Neonatal Global Health Medical Director of Simulation, Heart Center
Michael Roach, BScN, MN (c) Lucile Packard Children’s Hospital
Simulation Educator Palo Alto, CA
Health Sciences North Chapter 11. Extracorporeal Membrane Oxygenation
Sudbury, Ontario, Canada Simulation
Chapter 22. Moulage: The Special Effects Patricia E. Thomas, PhD, RN, NNP-BC, CNE
Shannon Poling, MEHP, RRT-NPS, CHSE Clinical Associate Professor
Simulation Educator College of Nursing
Johns Hopkins Medicine Simulation Center University of Texas at Arlington
Johns Hopkins University Arlington, TX
Baltimore, MD Chapter 16. Virtual Simulation
Chapter 28. Rapid-Cycle Deliberate Practice
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CONTRIBUTORS VII
Rachel A. Umoren, MB, BCh, MS, FAAP Alexander Wood, BScN
Associate Professor of Pediatrics Simulation Technician, Simulation Lab
Division of Neonatology Health Sciences North
Department of Pediatrics Sudbury, Ontario, Canada
University of Washington Chapter 22. Moulage: The Special Effects
Seattle, WA Nicole K. Yamada, MD, MS, FAAP
Chapter 4. Mannequins and Task Trainers Clinical Associate Professor
Chapter 6. Umbilical Catheter Placement Division of Neonatal and Developmental Medicine
Chapter 16. Virtual Simulation Stanford University School of Medicine
Joanne Weinschreider, MS, RN Associate Director, Center for Advanced Pediatric and
Director of Simulation and Learning Resources Perinatal Education (CAPE)
School of Nursing Attending Neonatologist
Saint John Fisher College Medical Director, Neonatal Critical Care Transport Team
Rochester, NY Lucile Packard Children’s Hospital
Chapter 27. The Difficult Debriefing Palo Alto, CA
Chapter 3. Simulation and the Neonatal Resuscitation Program
Elizabeth A. Wetzel, MD, MS
Assistant Professor of Clinical Pediatrics Marsha E. Yelen, MSN, RN
Division of Neonatal-Perinatal Medicine Director of the Standardized Patient Program
Indiana University School of Medicine Rush University Clinical Skills and Simulation Center
Indianapolis, IN Chicago, IL
Chapter 18. In Situ Simulation Chapter 21. Standardized Patients
Appendix C Appendix E
Appendix D
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To Dr Halamek, founder of neonatal simulation, and to
all neonatal health care professionals and the patients
who benefit from their care
(cid:24)
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