PROMPT Birthing Simulator Force Monitoring Software User Guide

Transcription

1 MD PROMPT Birthing Simulator Force Monitoring Software User Guide Ute Property of: Learning Resources Center Bio-nformation Center CREGHTON UNVERSTY 28th & Burt Street Limbs &Things Omaha, NE Sussex Street, St Philips, Bristol, BS2 ORA, UK. T: +44 (0) F: +44 (0) E: [email protected]

2 Overview Obstetri c brachial plexus injury (OBP) is a serious neonatal complication of shoulder dystocia whi ch may be associated with excessive tr action applied during delivery.' n recognition of th is, the Limbs & Things Force Monitoring System has been developed to create a better aw areness amongst obstetric medica l staff and trainees of the forces applied to th e baby du ring delivery. The system consists of an electronic st rain gauge within th e Force Monitoring Baby lin ked to a compute r via an nterface Unit. On commencing a shoulder dystocia drill the computer program will record and plot the force applied through the baby's neck on a graph, as well as the time taken during th e delivery. t also allows each step or 'intervention ' of the drill to be documented along the timeline as it is performed. Each drill can be saved to the computer and printed fo r trainee handouts at the end of a tra ining session. This is an ideal method for assessing the tra inee's performance, comparing different sessions conducted over time., Risk Facto rs for Shoulder Dystocia : an engineering study of clinician-applied forces Allen R, Sorab J. Gon ik B. Dept of Mech anical Engineering, University of Delaw are, New ark. Obstet Gynecol. 191 Mar ; 77 (3) :352-5 mportant information - Using the Product To incorporate this software eff ectively within a trai ning session you w ill require three people: an accoucheur (trainee), anot her to hold the baby in the Shoulder Dystocia position during delivery, and a computer operator. Performance of other scenarios such as normal, breech and instrumental deliveries can be recorded within the same program. Please note that only the use of th e timeline and interventions are relevant for these scenarios - the force monitoring only applies to shoulder dysto cia drills. Hardware and software setup Before running a drill see the qu ick setup guide in the PROM PT Birthing Simulator Force Monitoring product manual or the instructions on the back of the software case.

3 Program layout guide Properties panel ntervention flag Close program Menus and icons Control Panel Showing Delivery Scenarios and nterventions li st Close drill Created: Durat ion: CmOs. Property jvaloe J ControlPanel 0 colectforcedale!-= ' 'i. " o McRoberts' manoellm'8,0 5<.<><_ ",.,,,,. EV4lJa1:e needfol eprdatomy o Oe..."' of posterior..m :0 ri:crmlf"cltatiomlmarde\m"e!,0 Atf... _ 10 De&ve.y of baby ;0 Gaveup Nctes : , r+-- _ --,...J ntml!ce l.n: not cofylected 0:05 0:10 0: :25 0:30 0:35 0:40 0:45 0:50 Tme(m:s) Q Status bar Plot Timeline

4 . 1. Running a Drill To run a drill go to th e Window menu and select Show Control Panel..... File Edit o Properties Created: Duration: 1m 4. Property Cascade Tile Horizontally Tile Vertically Show Control Panel Hide Properties n the Control Panel select the appropriate Delivery Scenario from th e menu. (When selecting Shoulder Dystocia make sure th e Collect Force Data box is ticked, oth erwise no plot line w ill be displayed on t he graph) Control Panel [ Start [ Reset o Collect force data Normal Delivery Breech Forceps Normal Delivery..-.. Third Stage of Labour Ventouse!::::::!. ' o '.: t1 ',... -,f j... h" ' J to A\ l) - " l ti "Jr!n -j. ';' " " 1 r t" j'; vi Click on th e Start button to start the drill for your chosen Delivery Scenario Control Panel [ Start Reset o Collect for ce data The prog ram is now collect ing force data from th e baby and displaying th e plot line on th e graph. -= : ;! - 5J- '1 j! i m 1 i i 'w i l : L i cr:n 'D Ull lw foor_ ="-.-

5 - The list of nterventions associated with your chosen Delivery Scenario is now active Control Panel [ Stop Reset o Collect force data Shoulder Dystocia To record on the graph when a specif ic ntervent ion is perfo rmed, click on the required ntervention from the list displayed in the Control Panel. '00 ' 00 C4 'or """ [3 C" fvr 1k9st B= f """ "" ',, "l'"'d lnl' O 7 d pno;l:_... D w... ool nll.nn..l " DAl f<u flo"b;>1 o ow..r d botibr D r-.. '4' '" ro 00 :J 0:05 0:10 D1S 0: tuo n m l ('U) Each t ime an ntervention is clicked a colou r coded flag will appear on the graph. sse D - 5<4"'apilk p'," "," 100 :< '" ' 00!llMteroeedfot.-rPf D (l,o,hw'l' rn.... D rnr""'.r,jatlorool...,..",.,... o Al fu'5 poan, D<Jbooby 0_", 00 O 15 ro O ow sj

6 Once th e drill has been completed click th e Stop button on th e Control Panel Control Panel Stop [ Reset o Collect forcedata Shoulder Dystocia An example of a completed drill : i ''0,so :;! too ".A ij, t, :10 0:10 0 ) :00 1:10 11 ( J O 14 0 H O J OO :50 1:011 2; Tm. (m s) Q For ease of viewing you can Zoom n and Zoom Out of the graph. There is also a Fit Graph to screen button to qu ickly resize th e graph _ g.treinet - [DriU- ainer - [DriU-'J ng Trainer - [prill

7 2. Saving a drill Save a dril l by go ing to the File menu and selecting Save... or click on the Save drill icon. New. Ctrl+N Pr( Open. Ctrl+O Close Ctrl+W Save... Ctrl+S Pre Save As..., J, PROMPT Birthini Window Create a folder you wish to save t he dri ll in and the n name th e dri ll. -.:J t.tl' ACCl:r'l Oocunenl$ Saveirt.. L.oc.a DWc, C), Cl... 2:) Oocul'8nt s aod Sett -JO';"'ers 0 KPCMS LJPrOO7<Yneees Q WTJotXNiS Saver.: l..::ja:!ompt _ V ',...:, -e m Or ".& = p _._ Orf.,... My Network 1 r.j r? Fiel"llllW" To open previously saved drills go to th e File menu and click on Open... or click on the Open drill icon. R Pr( New.., Open... Close Save... Save As... Ctrl+N Ctrl+O ctrl+w c trl+s To start a brand new dri ll go to th e File menu and click on New... or click on the New drill icon New.., Ctrl+N Pri i Open... Close Ctrl+O Ctrl+W Cre DU Save.., Ctrl+S Pre Save As...

8 Saving drill properties Data relating to the trainee is saved w ith th e graph. Property Value l\jame Organisation Job Title DrillNumber Data is entered in the Value column within the Properties panel. Once the data has been entered save the dr ill to file (page 6). Properties Created: Duration: 1m46s Property Value Name J Southern Organisation Southmead Hospital Job Title SPR DrillNumber 1 Additional Properties and Values can be added and saved if required e.g. course title. Additional information can be entered in the Notes field at the bottom of the panel. Properties Created: Duration: 1m46s Property Value i Name J Southern Organisation Job Title DrillNumber Course Southmead Hospital SPR 1 LabourManagement Notes: GoodFirst attempt

9 3. Printing a Drill Drills saved to file can be printed out fo r reference, or as train ee handouts at the end of the training session. Each printout shows the graph with any nterventions recorded, th e Delivery Scenario and any ot her data entered in t he Properties Panel. To print the drill go to the File menu and select Print... or click on th e Print icon. f Open.., Close Ctrl+N Ctrl+O Ctrl+ W a[ Save... Save As". Save Graph... Ctrl+S Or( Export to CSV file.., Jot Dril Print... Ctrl+ P Nol Print Preview..! 1- r:'>:: 250 The printout can be previewed by going to the File menu and selecting Print Preview... or by clicking on t he Print Preview icon. Prd Open... Close CrE DUi Save.., Save As... Ctrl+N Ctrl+ O Ctrl+W ctrl+s Save Graph Or! Export to CSV file... JO ---- Print... Ctrl+P Dri\ Print Preview... No!'! [thing Trainer -:. [ Print preview example: Prlllt f'lflylr.w rnl8i _"f '. '" =," _ 'J_n a;;.:?:m Shoulder Dystocia,! i 11 l-1 ' '. PROMPT Birthing Tro'iner www. llntbt.anchhj.,o"",! m. ",mllll iw lmuu T_ f o:l) ::._ tot llou ll y PolOll l d l

10 4. Editing Scenarios The Scenario Editor allows for th e additio n, deletion and editi ng of Delivery Scenarios such as Normal Delivery, Breech, and Forceps. To view th e Scenario Editor go t o th e Edit menu and select Edit scenarios... fbl File o Copy Graph Ctrl+Shift+C r ,- Propertie Edit Scenarios... Created: Edit Settings. Select th e Delivery Scenario you w ish to edit or delete. You can also add a new Delivery Scenario at this stage. Scenarios Breech Forceps Normal Delivery Shoulder Dystocia Third Stage of Labour M@;'iiM: Add... Edit... Delete... Close 1 Cancel The Add... button allows you to add new Delivery Scenarios with associated nt erventions in th e Scenario Properti es w indow. Scenario Properties Scenario: nterventions: 1!mmJ Add... Edit' Delete. p rgj Save 1 [ Cancel

11 The Edit... button allows you to add, edit, delete or change the order of nterventions in the Scenario Properties w indow by select ing the ntervention then clicking t he relevant action button. To change t he running order of any of the ntervent ions select the ntervention you wish to move and click the Up or Down button. Scenario Properties lel Scenario: ventouse [0 nterventions: Prepare room and equipment A. i ' Abdominal al ation o Cervical dilatation Station Position Explain procedur e Catheterisation Applicat ion of suction cup Pressure to 0,2 kpa Check For vaginal entrapment Pressure to 0.8 kpa Recheck for vaginal entrapmen o Traction following pelvic curve J: \[l'.! "'1:.e.!'!",,-, d_ f.u"dl<; i.qd'!'.y Add... Edit... Delete... Up Down Save [ Cancel The Delete... button will remove th e Delivery Scenario selected and its associated nterventions.

12 5. Settings The Setting s window allows you to change the overall configuration of the program such as the style of font, colour of the graph, colour of the background, the length of the drill and other default user properties. To view the Settings window go to the Edit menu and select Edit Settings... }] File Copy Graph ctrl+shift+c Edit Scenarios... Edit Settings... There are three sections within the Settings window: - Application allows you to change the visual style of the graph and edit some basic startup options. Sett ing> 0 snow sdiash screenonst,ytup 0 Create newdrllon start Grephfont : al -- - Drill Settings allows you to edit the duration of the drill. t also gives you the option to display the entire timeline of the graph within the viewing window instead of having to scroll it through the window. SelllnllS 115) C o!l t 0r Settrgs :DrtMe,adat ::;..:= =.",,-_. ' ()' D1splayerth liil - Drill Metadata allows you to add, delete or edit the default settings shown in the Properties Panel (Page 7). Sell lnlls Appicetlon-"- M SettJ Or'MotecWa! _ 1Rl

13 6. Factory settings Certain default factory sett ings such as Scenarios can be restored. This is usefu l shou ld a Scenario be accidenta lly deleted alo ng with t he associated list of nt erventi ons. Go to t he Edit menu and select Restore Factory Settings...!!3l File o Copy Graph Ctrl+Shift + C Propertie Created: Duration, Propert y Edit Scenarios... Edit Settings,. Restore Factory Settings.. Note Any new Scenarios that you entered prior to the reset will be retained. They can be deleted on an individual basis by the user, if necessary. Visit for the latest PROMPT Birthing Simulator product and software FAQ information Li mbs & Things

14 Designed and manufactur ed by Limbs & Things Limited,