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Table 5 Summary of participant tool and artifact use by participant role

From: An activity theory perspective of how scenario-based simulations support learning: a descriptive analysis

Primary scenario goal Role Physical clinical tools and artifacts Structured interventions
Conduct an uncomplicated postpartum assessment Primary nurse Alcohol gel, gloves, vital sign monitor, stethoscope, disposable underwear, peri-pad Postpartum assessment, apply alcohol gel, palpate, auscultate, visualize, assess blood loss (peri-pad), change peri-pad
Support nurse Alcohol gel, gloves, patient ID band, vital sign monitor, pulse oximetry monitor, thermometer, vital signs readings, heart rate, respiratory rate) Apply alcohol gel, identify patient, assess vital signs (mother), assess blood oxygen, assess urine output, visualization, auscultation, hand washing
Escalate care and treat a patient experiencing post-epidural hypotension Primary nurse Alcohol gel, gloves, vital sign monitor, electronic fetal monitor (EFM), IV pump, thermometer, stethoscope Intrapartum assessment, apply alcohol gel, auscultation, assess vital signs (mother), interpret EFM tracings, lower head of bed, roll patient, give fluid bolus
Support nurse Alcohol gel, gloves, electronic fetal monitor (EFM), pillow, IV pump Apply alcohol gel, interpret EFM tracings, roll patient, fluid bolus
Recognize and treat a patient experiencing a postpartum hemorrhage Primary nurse Alcohol gel, gloves, Chux, vital sign monitor, pulse oximetry monitor, vital sign readings, straight catheter kit Postpartum assessment, apply alcohol gel, assess vital signs (mother), assess blood oxygen, visualization, assess blood loss, perform straight catheterization
Support nurse 1 Alcohol gel, gloves, Chux, IV fluids, IV tubing, IV pump Fluid administration
  Support nurse 2 Alcohol gel, gloves Fundal massage
Conduct an intrapartum assessment of a patient experiencing a fetal demise in utero Primary nurse Alcohol gel, gloves, vital sign monitor, pulse oximetry monitor, thermometer, vital sign readings, pulse oximetry reading, stethoscope Intrapartum assessment, apply alcohol gel, apply gloves, assess vital signs, auscultate (lung sounds), assess blood oxygen
  1. Italics indicate structured interventions with greater complexity