467 APPENDIX E Appendix E Example Standardized Patient Scenario: Prenatal Consultation for Preterm Labor Scenario Case Name: Prenatal Consultation, Preterm Labor (Scenario 1) Scenario Case Authors: Janice Jones (registered nurse), Barbra Smythe (standardized patient [SP] educator), Mary McCullom (physician) Patient in the Scenario: “Antoinette Greene” (played by an SP) Patient’s Partner in the Scenario: “Tony Smith” (played by an SP) Chief Concern in the Scenario: Preterm labor at 23 to 24 weeks of gestation Scenario Purpose: Formative Learner Level: Second-year neonatal-perinatal fellows Location of the Scenario: Labor and delivery room Date Case Finalized: November 21, 2019 Learning Objectives for the Scenario 1. Demonstrate clear introductions and identify the roles and relationships of people in the room, consisting of self, patient, and others. 2. Apply the “ask-tell-ask” principle, by using open-ended questions, during the consultation. 3. Demonstrate active listening, including nonverbal methods, such as sitting next to the patient, looking directly at the patient, and mirroring the patient’s facial expressions and emotions. 4. Respond to the parents’ and family’s emotions by using the “NURSE” mnemonic (short for naming, understanding, respecting, supporting, exploring). 5. Review the survival and long-term outcome for an infant at 23 to 24 weeks of gestational age. Learner Prerequisite Competencies for the Scenario 1. Survival and long-term outcomes for infants at the “border of viability” 2. Comprehension of the ask-tell-ask and NURSE communication principles Required Reading or Review for the Learner, Before the Scenario 1. Davis C. What is “Ask, Tell, Ask”? Institute for Health Care Improvement. Accessed December 16, 2020. http://www.ihi. org/education/IHIOpenSchool/resources/Pages/AudioandVideo/ConnieDavis-WhatIsAskTellAsk.aspx 2. Stokes TA, Kukora SK, Boss RD. Caring for families at the limits of viability. Clin Perinatol. 2017 44(2):447–459 3. Berkey FJ, Wiedemer JP, Vithalani ND. Delivering bad or life-altering news. Am Fam Physician. 2018 98(2):99–104 4. Lui K, Lee SK, Kusada S, et al. Trends in outcomes for neonates born very preterm and very low birth weight in 11 high-income countries. J Pediatr. 2019 215:32–40.e14 5. Alshaikh B, Yusuf K, Sauve R. Neurodevelopmental outcomes of very low birth weight infants with neonatal sepsis: sys- tematic review and meta-analysis. J Perinatol. 2013 33(7):558–564 6. Natarajan G, Pappas A, Shankaran S, et al. Outcomes of extremely low birth weight infants with bronchopulmonary dysplasia: impact of the physiologic definition. Early Hum Dev. 2012 88(7):509–515 7. Andrews B, Myers P, Lagatta J, Meadow W. A comparison of prenatal and postnatal models to predict outcomes at the border of viability. J Pediatr. 2016 173:96–100 NeoSim.indb 467 2/21/21 12:13 PM
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