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Teaching Management of the Unexpected Birth: Application of Multimodal Techniques

Wilbeck, Jennifer DNP, ACNP-BC, FNP-BC; Phillippi, Julia PhD, CNM; Schorn, Mavis PhD, CNM

Advanced Emergency Nursing Journal: January/March 2014 - Volume 36 - Issue 1 - p 87–96
doi: 10.1097/TME.0000000000000006
Cases of Note

The ability to safely manage birth in the emergency department is a competency for emergency nurse practitioner practice. However, it is difficult to ensure that students receive enough practice with this low-frequency event. To meet this need, we created a learning environment combining readings, skills videos, lecture, practice with models, simulation, and debriefing to assist students in providing safe care to women giving birth in the emergency department. This program, which includes a high-fidelity, low-technology simulation, has been successfully implemented with excellent results. The realistic nature of the simulations, use of recently graduated nurse–midwives as the simulated patients, and group interactions during the births were keys to this successful simulation experience. When paired with appropriate preparation, simulation of an unexpected birth in the emergency department promotes confidence and safe practice among advanced practice nursing students.

Emergency Nurse Practitioner Program (Ms Wilbeck), Nurse-Midwifery Program (Dr Phillippi), and Nurse-Midwifery Program, and Academics Dean (Dr Schorn), Vanderbilt University School of Nursing, Nashville, Tennessee.

Corresponding Author: Jennifer Wilbeck, DNP, ACNP-BC, FNP-BC, Emergency Nurse Practitioner Program, Vanderbilt University School of Nursing, 461 21st Ave South, Nashville, TN 37240 (

The authors acknowledge Carrie Snider in her assistance with preparation and distribution of the survey, and Jeffrey Gordon, PhD, for assistance with statistical analysis.

Disclosure: The authors report no conflicts of interest.

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