Date of Award

Fall 2022

Degree Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

School

Leadership and Advanced Nursing Practice

Committee Chair

Dr. Nina McLain

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Mary Jane Collins

Committee Member 2 School

Leadership and Advanced Nursing Practice

Abstract

Amniotic Fluid Embolism is a rare obstetric event that has a high morbidity/mortality rate. It is imperative that the anesthesia provider be properly educated on how to recognize and treat an AFE. Prompt recognition and treatment, including the AOK regimen, increase the patient's chance of survival. The faculty for The University of Southern Mississippi’s Nurse Anesthesia Program acknowledged the need for an objective-based exam on Amniotic Fluid Embolism during the Cesarean section. The need for an educational tool on AFE prompted the creation of this doctoral project and resulted in an AFE OSCE which has been added to the OSCE library at USM NAP. Simulation of this obstetric emergency will allow students repetitive practice on how to recognize and treat an AFE, so that if the student encounters the event in the clinical setting, they will be prepared. A simulated experience helps increase patient safety as well as the student’s confidence.

The OSCE template was developed following evidence-based research. The OSCE trigger film was created to supplement the template. A survey was sent to anesthesia faculty, practicing CRNAs, and 2nd and 3rd-year SRNAs to review and complete. The survey contained the OSCE template and a questionnaire. There were 60 participants in the survey and the response was positive. The quantitative and qualitative data showed that participants agreed the OSCE would be beneficial for the students and would be a good addition to the NAP curriculum. The results gave no criticism regarding change for the OSCE, so therefore no changes were made. Based on the results of the survey, it can be concluded that the AFE OSCE should be a good resource for the students to increase their knowledge base and clinical competency regarding amniotic fluid embolism during cesarean section.

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