Minnesota Simulation for Healthcare Education Partnerships (MnSHEP)
Choking Infant Simulation
You are in the OB setting, caring for mothers and babies.
A light goes on and a mother is heard screaming that her infant is not breathing.
You go in to assess the situation.
Date:
Discipline:
Expected Simulation Run Time:
Location:
Admission Date: Today’s Date:
Brief Description of Patient:
File Name:
Participant Level:
Debrief /Guided Reflection Time:
Location for Reflection:
Psychomotor Skills Required prior
to simulation:
Name:
Gender:
Age:
Race:
Weight: ____kg
Height: ____cm
Religion:
Major Support:
Phone:
Allergies:
Immunizations:
Attending Physician/Team:
PMH:
Cognitive Skills Required prior to
Simulation: i.e. independent reading
History of Present illness:
(R), video review (V), computer
simulations (CS), lecture(L)
Social History:
Primary Diagnosis:
Surgeries/Procedures:
Simulation Learning Objectives:
1. Assess the situation based on the information presented by the mother that her infant is
not breathing.
2. Assess the infant and determine the need to clear the infant’s airway.
3. Demonstrate the ability to clear the infant’s airway with a bulb syringe.
4. Communicate reassurance to the mother about what happened.
5. Teach the parent how to use the bulb syringe to clear the infant’s airway
Submitted 2007 – Updated 2015
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Minnesota Simulation for Healthcare Education Partnerships (MnSHEP)
Fidelity
Setting/Environment
o Women’s Center
Simulator Manikin/s Needed:
Medications and Fluids
o IV Fluids:
o Oral Meds:
o Newborn infant manikin
o IVPB:
Props:
Equipment attached to manikin:
o IV tubing with primary line
___________ fluids running at
__________ cc/hr
o Secondary IV line __ running at _
cc/hr
o IV pump
o Foley catheter ________cc output
o PCA pump running
o IVPB with ___ running at ___ cc/hr
o 02 _______
o Monitor attached
o ID band _______
Equipment available in room
o
o
o
o
o
o
o
o
o
o
o
o
o
Bedpan/Urinal
Foley kit
Straight Catheter Kit
Incentive Spirometer
Fluids
IV start kit
IV tubing
IVPB Tubing
IV Pump
Feeding Pump
Pressure Bag
02 delivery devices type
Crash cart with airway devices and
emergency medications
o Defibrillator/Pacer
o Suction
o Other_________
Submitted 2007 – Updated 2015
o IV Push:
o IM or SC:
Diagnostics Available
o
o
o
o
Labs
X-rays (Images)
12-Lead EKG
Other
Documentation Forms
o
o
o
o
o
o
o
o
o
o
o
o
Physician Orders
Admit Orders
Flow sheet
Medication Administration Record
Kardex
Graphic Record
Shift Assessment
Triage Forms
Code Record
Anesthesia / PACU Record
Standing (Protocol) Orders
Transfer Orders
Other Props


Bulb syringe
crib
Recommended Mode for simulation:
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Minnesota Simulation for Healthcare Education Partnerships (MnSHEP)
Roles / Guidelines for Roles
o Primary Nurse
o Family Member #1
Important information related to
roles:
Participant Information Needed
Prior to Scenario:




Critical Lab Values:
Physician Orders:

Has been oriented to simulator
Understands guidelines /expectations
for scenario
Has accomplished all pre-simulation
requirements
All participants understand their
assigned roles
Has been given time frame
expectations
Report Participants will receive
before simulation:
Mother puts on call light and screams for
nurse, stating that her infant is turning blue.
References, Evidence-Based Practice Guidelines, Protocols, or Algorithms
used for this scenario:
http://www.nlm.nih.gov/medlineplus/ency/article/000047.htm
Submitted 2007 – Updated 2015
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Minnesota Simulation for Healthcare Education Partnerships (MnSHEP)
Scenario Progression Outline
Timing
Manikin Actions
Expected Interventions
(approximate)
Mother puts on call light and
screams for the nurse, stating that
her infant is turning blue.




Participant should observe infant
and based on mother’s comments;
clear the infant’s airway using the
bulb syringe from the bassinet.
Participant should reassure
mother and explain to the mother
that the infant is choking as the
Participant clears the airway with
the bulb syringe.
The Participant should then give
the infant back to the mother to
cuddle and hold and then teach
the mother how to use the bulb
syringe should this happen again.
Participant can also explain to the
mother when to use the bulb
syringe in the future.
May use the following
Cues:
Role member providing
cue:
Mother
Cue: emphasize infant is
not breathing and is turning
blue, mother becomes more
agitated
Role member providing
cue:
Cue:
Submitted 2007 – Updated 2015
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Minnesota Simulation for Healthcare Education Partnerships (MnSHEP)
Scenario Progression Outline
Timing
Manikin Actions
Expected Interventions
(approximate)
May use the following
Cues:
Role member providing
cue:
Cue
.
Role member providing
cue:
Cue:
Submitted 2007 – Updated 2015
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Minnesota Simulation for Healthcare Education Partnerships (MnSHEP)
Debriefing / Guided Reflection Questions for this Simulation:
Link to Participant Outcomes and Professional Standards
(i.e. QSEN, NLN {Nursing}, National EMS Standards {EMS}, etc.)
1. What were your primary concerns in this scenario?
2. Did you miss anything in getting report on this patient?
3. Did you have sufficient knowledge/skills to manage this situation?
4. What were your primary nursing diagnoses in this scenario? What nursing interventions
did you use, what outcomes did you measure? Where is your patient in terms of these
outcomes now?
5. What did you do well in this scenario?
6. If you were able to do this again, what would you do differently?
Complexity – Simple to Complex
Suggestions for changing the complexity of this scenario to adapt to different
levels of learners:
Submitted 2007 – Updated 2015
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Minnesota Simulation for Healthcare Education Partnerships (MnSHEP)
SIMULATION SCENARIO
Choking Infant
Participant Copy
LEARNING OBJECTIVES
1. Correctly assess the simulation scenario based on the information provided by the mother
2. Demonstrate infant airway clearance using a bulb syringe
3. Provide therapeutic communication to the mother
SUPPLIES NEEDED
Stethoscope
PATIENT DATA
You are in the OB setting, caring for mothers and babies. A light goes on and a mother is heard
screaming that her infant is not breathing. You go in to assess the situation.
REFERENCES
http://www.nlm.nih.gov/medlineplus/ency/article/000047.htm
Submitted 2007 – Updated 2015
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