Nursing Simulation Scenario: Postpartum Hemorrhage

[@drp2200]

Fabulous simulation, very realistic, thank you for sharing this openly. This will be a very helpful teaching tool for nursing students.

[@bugga179]

I wish I could talk so firm and clearly!!!

[@SuperICEMAN15]

SIMULATION!?! THIS WAS BETTER ACTING THAN THE MED SHOW IM WATCHING ON NETFLIX!!!!💯

[@johannaharris1718]

Diversity is on point

[@drunkpilates]

is that miss brown's white mom or lesbian partner?

[@kimmyaguilar5408]

drunk pilates i think it’s lesbian partner

[@kawtharbakhach5848]

@@kimmyaguilar5408 but she just....gave. ...birth lmao

[@allybrookeaf79]

@@kawtharbakhach5848 lesbians can have children too ya know just not with each other biologically 🤨

[@hannahtjoa8101]

Agreed

[@inutukasote7908]

Great team work and execution! Thank you for helping me understand what to expect in my clinical for postpartum hemorrhage!

[@mirimel1423]

That is the best simulation I've ever seen,good acting,so realistic,thank you for the actors😊🙏

[@Pinksuga07]

I'm an actor playing an OBGYN in a short film, so this was insanely helpful for my research :)

[@swiftdaggas]

where can we see the short film?

[@angelicataylor4875]

This was very good and educational. Helped me understand from the other side. This just happened to me today. God is good and blessed all you docs and nurse's!

[@aleximalmgren5301]

Indeed he is Jesus healed several Gentiles who not worshipers of the god of Israel . Even if Christians don;t agree with the lifestyle they should stiull help them .

[@hannahtjoa8101]

Brilliant execution and composition. Cheers to Montgomery College for this very educational piece!

[@dancewithoutme]

I don't know how I got here but I commend you for making videos that uses diversity and professionalism - nurses comiing out of your program have to be absolutely awesome

[@scottmasih9175]

I really needed to see this for my OB clinical. Thanks for making this quality vid!

[@josiedoyle1600]

This happened to me last week on xmas day. Most terrorfying moment of my life. I thought my family were going to loose me on xmas day and my boyfriend left to raise a child alone. Was only 850mls blood loss in the end but when your lying on your back you dont know whats going on. God bless midwives and drs who save lives. Watching this helped me understand what happened to me.

[@chloecoughlan9896]

I know exactly how you feel!! I gave birth nearly 5 months ago and lost 1.5 ltrs of blood altogether, I was so happy I had my baby that I wasn’t even aware of the amount of blood I lost

[@bettyphiri6512]

Bless you

[@copperlight]

wow that was awesome. I felt like I was watching a movie. I was holding my breath for her and everything. Great job guys.

[@tummetje1240]

They should explain more to the patient. When she asked what's going on the only response she got was that she was doing well. She should have been told what happened

[@Merscouponcorner]

These are so helpful and educational!! Thank you to this school for making these wonderful videos.

[@ashhappyface]

I’m not in the nursing program yet so just interested right now about the kind of stuff I’ll be doing during nursing school. And this stresses me out lol😳

[@akhoneybee907]

Having managed a hemorrhage myself. You get used to it and know what to look for. It’s always stressful, but you rely on tour training and react as it comes. 😊

[@Kriistall7]

So terrifying watching this. Its exactly what happened to me

[@josiedoyle1600]

Same

[@kimbaker3232]

Me too 😢

[@nicholasbutorovichg4409]

Kim Bakeuur h

[@munevversahinkayaayyildiz5398]

I hope, you are ok,now

[@termfivenursingchannel6645]

Toradol? I had to idea this could be given with active bleeding. Great teamwork and exercise!

[@kmina9972]

Great job nursing students! Too bad this year students are not having helpful experiences like this

[@che8527]

lovely video, very realistic. should've explained more about what's going on to the patient tho and not use toradol when there's an active bleed

[@gemsancho8480]

I thought the same thing

[@kah_lan]

Thank you for this video. This is going to help me tremendously. Very detailed. Thank you! Thank you!

[@vanessaarline349]

Awesome simulation! I first became aware of your work, when I showed your You Tube video in a presentation on incivility. It was very well received and outstanding. Excellent scenario elements! I teach OB now and need this kind of help in formulating my ideas.

[@binbinky78]

As always these simulations are fantastic & so helpful to nursing students....so thankful for your quality content

[@courtneymcgregor2542]

this is such an awesome simulation. Great job!

[@rachelaltman3783]

Decent simulation except I the nurse should initially explain" you are bleeding more than average I am calling for help. " In this situation toradol is contra-indicated .This is critical as it is contra-indicated for bleeding and also not fast acting. We usually give fentanyl. After foley placement and manual removal of clots and placental fragments we would want to consider Methergine in the scenario as well as pitocin, misoprostil. Remember pt will need antibiotic afterwards. QBL more accurate than EBL. Also important to mention possible indication for Type and screen and available blood products.

[@JennyLouRN]

Double like. Also, it seems to go about double this speed in real life, with patient either screaming or unconscious, not as quiet as this one.

[@NikkieRoxxx]

Yeah, screaming for EFFECTIVE pain control. Or do you just tjink "its just a woman"

[@lovejoy_23]

I had a PPH situation at a birth center with my first delivery. And although getting my uterus massaged was very painful, I wasn’t screaming. I’m also grateful to not have a host of pain medication offered because I wouldn’t want them in my system anyhow. While the midwife massaged and managed the blood loss, another midwife started an IV with pitocin. Thankfully I didn’t need a transfer (I was very close to getting transferred) and was able to discharge home with our baby only 2-3 hrs later with post-partum care instructions. My husband was also given instructions to accompany me to the restroom and only take quick showers until the midwife followed up with me in 2 days. In the following days, loading up on beef liver, iron rich foods and lots of liquids made a huge difference in my energy levels after all that blood-loss.

[@SRNAreview]

Amazing video!! Professional, and very helpful to this nursing student. Thank you!

[@gemahoeksema6798]

I know that there was a lot going on and they had to be focused on what to do, but it took 3 times for the patient to ask what was happening to her for anyone to give her an answer.

[@aaronjames3228]

That's not the top priority in my opinion. Stabilize the patient asap

[@peterwaswa1171]

Excellent team work.

[@ttselha64]

I’m a retired RN. I had a postpartum hemorrhage due to a tear from a mid forceps delivery.

[@dawngraves3067]

Excellent demonstration for teaching

[@elizabethcw9378]

Excellent task delegation

[@KManwarren]

Well done and everyone received care by those who were prepared and calm.

[@cdsonly]

Nice touch with blood on glove.

[@marie.s9995]

Great content. Thank you!

[@Maggie19701]

Outstanding very much respect for all the people that Reenacted what can happen after labor I have not seen that good at acting since dances with wolves excellent ladies and gentlemen

[@Honeypepper.]

im shooketh, I can't be this profession too high stress!

[@JennyLouRN]

Imagine this times 8 patients at once, all in different halls, plus 8 doctors calling you as well as your supervisor. Also, you have to push a 50 pound computer into each room, and push a 50 pound rolling crib to and from the nursery for labs and procedures.

[@nmiller021]

Awesome simulation lab!

[@NoQuarterIsHere]

I love watching the simulations.

[@briannag.9486]

this was amazing! thank you!

[@Vahriin]

I think the Spo2 device was placed on backwards.

[@MissAlexis911]

Fantastic video! Thank you !

[@krissyko3864]

this really helps a lot, thank you so much

[@69kalil]

Excellent video !! realistic, and very educative. For me it was wonderful resource for to remember a shift delivery.

[@ambrosiaaa9064]

We Stan diversity

[@LynnDeatherage-q3k]

I had this happen years ago after one of my babies who are now adults.

[@sandhiller49]

Toradol not a good choice, contraindicated in bleeding situations, otherwise nice training video, need a little more explanation to patient at beginning

[@sandyyveee]

Thank you for this video very helpful!

[@bluejedi723]

this is so awesome....everything is going so normal, you think she's okay, just normal checking ect and then out of nowhere things go south fast

[@NinaSchexnider]

great video and the main nurse was awesome!

[@yuneydelacruz9179]

1. What are the causes of the patient's postpartum bleeding? 2. Do you consider that the nursing management was adequate? Explain why. 3. If you were in a scenario like this, what nursing intervention would you do? Would you do something different from what was seen on stage? Explain why. 4. Do you understand that communication between health professionals, the patient and the family member was adequate? Explain why. 5. Are the medications used for bleeding; were they adequate? Explain your answer. 6. What did you learn from the stage?

[@zoilaquintana9115]

Hola yunior el medicamento usado para el sangramiento fue el correcto

[@lovejoy_23]

To answer number 1: she had multiple factors that put her at risk for PPH. Her main cause seemed to be placenta fragments left behind, one reason why inspecting the placenta after delivery is very important. Precipitous delivery of a large baby is another factor. That happened to me.

[@wsheri11]

Wow this was really realistic I really liked it thanks!

[@grace2be]

Phenomenal SIM!

[@msprettynpink25]

Awesome Simulation!!

[@bethanywhite877]

I had preeclampsia. I hemorrhaged with my second child. Uterus massage looks nice and pain free in this video…lol. My nurse was on a step stool or something, over the top of me, pushing on my uterus as hard as they could. People running everywhere. The people running around was what terrified me honestly. I had no idea how dangerous preeclampsia is until years later. Probably a good thing to be ignorant to the danger I was in and my kids. Diagnosed at 22 weeks with first and 24 with second. Bed rest, induced one month early on both, perfectly healthy babies. Just low birth weights of 4 lbs. I would of rather gone through labor and delivery again than suffer with a hemorrhage.

[@jaeratkay1846]

Loved the report, wish they went this slow/detailed irl 😅

[@sagittal6950]

Did she really memorize the VS that quickly to relay to the midwife when she asked?

[@valentinyazbek2980]

how do you guys memorise all the infos of the patients ? I am a nursing student and i tend to forget my patients infos i have to constantly look for it .

[@halimahyadi7987]

very created video, so helping for imagening the real situation

[@Spookyghoul777]

Love this !

[@thajejigthbuzru4721]

Thanks.for sharing! Very helpful video for nursing students.

[@nwabundohappiness3127]

This is lovely ❤😊

[@bettybraima6187]

This is fantastic..

[@sandrita9643]

Thank you very helpful for the nclex.

[@Sigridr763]

Great sim!

[@Hobosdkcheese]

This was great!

[@rubyellis.5472]

Pieces of the placenta get left behind because the doctors and nurses are pulling on the placenta to get it out instead of letting it come out on its own in one piece.

[@alicjarojas7736]

I’m confused why is toradol 30mg IVP ordered for pain when she’s already hemorrhaging?? So we want her to bleed more now?

[@SpeedyCutz]

amazing stimulation

[@leeanningram9204]

Great job

[@yourarisgirl1927]

Great simulation! 👍🏼

[@JennyLouRN]

Oops didn’t mean to click the thumbs down. A slip of my finger!

[@aprilotic3717]

I wish we have that many personnel in our unit. Unfortunately, all of the things being done on this patient is only done by a nurse and a doctor in our facility. This simulation is fantastic. In my experience though, when a patient is having PPH, they are always in a lot of pain so I make sure to check the patient frequently in the 2 hours after delivery.

[@bettybraima6187]

Great job guys

[@iamyoonis]

I'm going to be doing a similar simulation soon... except with only three people in the team

[@tylerstudley8474]

Excellent work. Thank you

[@SuperBerya]

AWESOME!

[@sandhiller49]

tachycardia is a sign too, that something happening

[@JennyLouRN]

Yes, and she had only voided 150, as well as a >4000 g baby, precipitous delivery.

[@teresadues9531]

Great Job!

[@alexisstreckenbach6801]

This is great! What is EBL?

[@ashleycarter5963]

Estimated bleeding loss

[@soleilsoleil716]

Why an NSAID during a bleed?

[@mattcandiepetty3933]

My EXACT thought watching this! Other than that, it was well done! We would definitely AVOID all NSAID's until stable

[@jamesrowlandson7308]

I thought the same thing. Ketorolac is contraindicated for hemorrhage due to platelet function inhibition!

[@NikkieRoxxx]

because nowadays, eveyrone's afraid to give REAL pain meds because of the fear of addiction .. ridiculous in such a situation!!! they should have given propofol, no pain: patient gone!!

[@amandag2089]

@@NikkieRoxxx we give Fentanyl for a vaginal sweep. Toradol ain’t gonna do anything!

[@NikkieRoxxx]

@@amandag2089 even better: propofol!! quick, efficient, and the waking up is also quick!

[@shanadumplins8462]

Why Cytotec as opposed to Oxytocin?

[@Untamed_ayla]

in the beginning of the video i believe she was on pitocin so i guess it wasnt working

[@akhoneybee907]

Midwife here. Pitocin (oxytocin) is usually used first since it has a short half life and we want to start with that. If if doesn’t work after a single dose, a double may be used as well as Cytotec which has a similar action of quickly causing the uterus to contract and close the blood vessels. Cytotec is used in situations like these rectally most often in my area for its quicker action that way. I also find it lasts longer.

[@premiumview4248]

Well done

[@theneed2comment]

"Have a baby" they say. "It's a beautiful thing" they say. smh.

[@arsewipe22424]

Well done for diversity.

[@missleader5262]

Ketorolac for that is INSANE!!!

[@nmh7499]

Oh my gosh came here to say the same thing. If this was a man he would have had fentanyl or morphine easily!

[@thompsonkendra44]

thank you.

[@sarahbadumedi6571]

i didnt know you can remove rpoc's with your hand🤔i dont think the doctors would let me do that

[@kiaanointed1360]

well done

[@marypetrauskas5008]

compassion nice!!!

[@viktoriia7382]

Who is primary nurse here?

[@laurens7431]

I hate how quickly thing can go badly in postpartum! it's really all fine until it's really not.

[@donhowell6667]

@2:08 Who brings their business partner to a birthing?

[@gaggymott9159]

Why Ketorolac?

[@southern-samurai]

How many mls of blood is expelled to classify the scenario as fully Woke?

[@asluzun5400]

harikaa

[@misswolflover789]

Wow that was good!

[@rejeanelc8797]

👏🏻👏🏻👏🏻👏🏻

[@tungstenwhizard4361]

10/25 Bday? 😂That's my birthday!!!!

[@iPinkerbell]

3:04

[@lovelydae7455]

Honestly most my nurses and doctors were foreign

[@NikkieRoxxx]

putting their hand in uterus WITHOUT ANAESTHESIA?!?!?!

[@cassiem7157]

I think the risk of bleeding out and dying outweighs the pain of the hand in the uterus.

[@hha8171]

@@cassiem7157 well said

[@ladiibug3318]

I’ve had this done to me. It was extremely painful 😖

[@NikkieRoxxx]

@@cassiem7157 a propofol injection kicks in 5-10 seconds. Taking an appendix out is also lifesaving.... its just a chauvinistic excuse "because itsxa woman"

[@NikkieRoxxx]

@@ladiibug3318 sue the bastards. Hrre in the Netherlands tgey put you under for this!!!!!