PROMPT Flex Cervical Dilatation Effacement Module - PDF document

PROMPT Flex Cervical Dilatation & Effacement Module limbsandthings.comr me sk train uc t Limbs & Things Ltd.Sussex Street, St PhilipsBristol, BS2 0RA, UKsales@limbsandthings.com+44 (0) 117 311 0500 Us 

e This versatile module is an optional add-on to the PROMPT Flex Standard or Wireless Force Monitoring simulator. It allows for training in management of both the latent and active rst stages of labour.Key FeaturesPackage supplied Pruct : • Bi

shop’s scoring Assessment of and artificial rupture of membranes Assessment of presenting part - flexed, deflexed, brow, face, breech, caput and moulding and Perineum for PROMPT Flex CDE and C-Section ModulesStatic RigSet of 7 Latent Labour CervixesSet of 5 Pre

senting PartsSet of 2 Difficult Labour Heads Set of 3 Caput Dynamic RigSet of 5 Presenting PartsSet of 3 CaputPerineum for PROMPT Flex Pack of 25 Membrane sheetsDynamic CervixAmniotic Membrane Set Components Consumables Remove PROMPT Flex Abdominal Skin from the PRO

MPT Flex UnitThis module is to be used in conjunction with your PROMPT Flex Birthing SimulatorRemove the Pelvic Ring Clamp from the PROMPT Flex Unit Attaching the Cervical Dilatation & Effacement Perineum 12 Remove the Cervix if presentRemove the birth canal and per

ineum by firstly detaching the perineal skin from the feed the birth canal through the pelvisOnce the top half of the perineum has been detached from the unit, detach bottom of the mother unit 345 The perineum is now in place. Some adjustment to the inside of the bi

rth seated properly in the pelvisAttach the Perineum for PROMPT Flex CDE and C-Section modules. Push the Fix the perineum top using the poppersNOTE: Rolling the popper on side first Fix the perineum bottom using the poppers 9687 Align and fit the bottom of the prese

nting part first Fit the Cervical Dilatation Pelvic Ring Select the Static RigChoose presenting part and fit to the fitted with occiput/back of head aligned with arrow on head plate Static Rig set up 132 Fitting Cervix Firmly press the presenting part into place on

the Static RigPresenting part can be used with or If using without cervix, lubricate head prior to positioning in birth canalOnce the presenting part has been representing 0-4cm dilation. Place the chosen cervix over the presenting part. A small amount of aid fittin

g 5612 Stretch the chosen cervix over presenting part in the Static RigEnsure that the cervix covers the The cervix is now fittedLubricate the outer surface of the cervix 3456 Lubricate birth canalPress the button on either side of the Static Rig and with the prese

nting part facing down, fit the two gaps on the Static Rig (next to the buttons) over the Once fitted, press the buttons on either side of the Static Rig to adjust the station (-3 - +3) 132Fitting the Static Rig to Cervical Dilatation Pelvic Ring Adjust cervical pos

ition (tilt) by pulling the lever on the positioning rod and moving along the notched guide. The position of the rod gives degrees of positioning between anterior, 4 Adjust foetal position (rotation) by occiput (the back of the baby’s head) 5 Fit the Cervical

Dilatation Pelvic Ring Select the Dynamic Rig and follow steps 3 - 5 in the Static Rig set up Dynamic Rig set up 12 Rotate the rear end of the Dynamic RigThis will make it easier to attach the cervixGently press down with thumbs on the two tabs, and place fingers be

tween the two ringsGently pull the top ring away from the bottom ring to separate Fitting Dynamic Cervix 1234 Repeat this process on the other side of the Dynamic Ring, and separate the Now that the two rings are separated, The Dynamic Cervix is now ready to be Lubr

icate the presenting part 567 8 There are 2 cervixes designed for use with the Dynamic Rig: the Dynamic these instructions we have used the Dynamic CervixPlace the Cervix over the presenting partStretch the Cervix over presenting part in the Dynamic Rig. Ensure that

the cervix covers 91011 * Lubricate liberally between the presenting Take the loose top ring and line up the clamps so that the ring can be fitted on the top ring and one on the clamp)Press the top ring over all of the clamps 121314 Lubricate birth canal as sho

wn and between the Cervix and presenting partPress the button on either side of the Dynamic Rig (next to the buttons) over the Cervical Dilatation Pelvic RingOnce fitted, press the buttons on either Adjust cervical position (tilt) by pulling the of the rod gives deg

rees of positioning between anterior, mid, and posterior 234Fitting the Dynamic Rig to Cervical Dilatation Pelvic Ring 1 The Dynamic Cervix stretches from 4 – 10cm dilated.Sometimes when dilation is changed from this, run your finger round the cervix with some

lubricant. This can be done with the Turn the knob clockwise to enlarge or 567 Moderate Select one of the two Difficult Labour Heads. They represent a flexed and de-of parietal bone fixed onto the headThe other two sections of parietal bone are moveable up or down

to allow There are three sizes of caput provided. Mild 123How moulding and caput formation is simulated using the module 4Marked Attach the Skin for Difficult Labour over the top of the Difficult Labour Head by placing thumb in the centre of the skin and pulling ar

ound the head. The thumb holding the The Difficult Labour Head is now ready to be fitted to the Rig (follow Rig Setup instructions to fit the head to the rig) 5 MarkedModerateMild Select the Static Rig 2How membrane rupture is simulated using the module Fit the Cerv

ical Dilatation Pelvic Ring 1 NOTE: Each of the heads has a small hole at the rear for the fluid tube to attach, and a hole on the top of the head where the water flows out when the membrane is in place Place the O ring on top of the membrane Roll the O ring down u

ntil it locates the groove along the edge of the head 56 Select the flexed or de-flexed head. Peel Place the membrane sheet centrally 34 Fit the head to the Static RigRotate the head so that the hole on the underside of the Static Rig is easy to 910 Select a cervi

xStretch the cervix over the head and 78 Lubricate the outer surface of the cervixLubricate birth canal 13 14 Attach the fluid tubeRotate the head back into the correct position with the arrow at the top and 1112 Press the button on either side of the Statig Rig

and with the presenting part Statig Rig (next to the buttons) over the Cervical Dilatation Pelvic Ring The Static Rig is now in place 1516 Fill the supplied syringe with 60ml of 17 Open the clamp on the tube. The water within the membrane, the membrane can be ruptu

red 18 Setting up different scenarios - Latent Stage STATIC RIG* We recommend using 3 to 4 cm dilatation cervixes when Select one of the CERVIXES (Latent Stage)0 cm dilatation0% effacement4 cm dil100% eff1 cm dil40% eff2 cm dil50% eff3 cm dil65% eff4 cm dil70%

eff PRESENTING PARTSFace* To simulate membrane rupture, DIFFICULT LABOUR HEADS Set of 3 Caputs(Mild, Moderate & Marked) 123 Setting up different scenarios - Active Stage DIFFICULT LABOUR HEADS Set of 3 Caputs(Mild, Moderate & Marked) PRESENTING PARTS* You’ll

use one of the heads 12 Use the DYNAMIC CERVIX (Active Stage) 3 It stretches from 4 to 10cm dilated Part No: 165-008 Visit the website or YouTube channellimbsandthings.comyoutube.com/limbsandthings A good starting point... Take a look at our Cervical Dilatation & E