Case Details

Patient Information: Patient is calling for a telehealth consultation. Parent is experiencing a lot of nipple pain when latching on the left side. Parent wants to learn how to position and attach her 9 day old newborn.

Setting:  Telehealth

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Individual Telesimulation Tasks

Team Telesimulation Tasks

Learner 1

1. Obtain a focused history relevant to the presenting concerns (eg. medical, surgical, family, social, pregnancy, peripartum, breastfeeding)
2. Obtain a focused medical history of a neonate
3. Perform a breast assessment
4. Request to observe a breastfeed
5. Communicate signs of ineffective newborn positioning and attachment to the parent
6. Teach a lactating parent how to position a newborn in a cross-cradle hold
7. Teach a lactating parent how to differentiate between a deep and shallow latch while in a cross-cradle hold
8. Provide a breastfeeding plan to the lactating parent

Learner 1. 

  1. Obtain a focused history relevant to the presenting concerns (eg. medical, surgical, family, social, pregnancy, peripartum, breastfeeding)
  2. Obtain a focused medical history of a neonate
  3. Perform a breast assessment

Learner 2:

  1.  Request to observe a breastfeed
  2. Communicate signs of ineffective newborn positioning and attachment to the parent

Learner 3:

  1. Teach a lactating parent how to position a newborn in a cross-cradle hold
  2. Teach a lactating parent how to differentiate between a deep and shallow latch while in a cross-cradle
  3. Provide a breastfeeding plan to the lactating patient
  1. Obtain a comprehensive history of the lactating patient and her infant
  2. Recognize ineffective newborn positioning and attachment while observing a breast feed
  3. Teach a lactating patient how to position a newborn in a cross-cradle hold
  4. Teach a lactating patient how to differentiate between a deep and shallow latch while in a cross-cradle
  5. Provide a breastfeeding plan to the lactating patient

Example Question:

Follow-up.

Describe the follow-up plan you provided to the patient during the telesimulation. Include when you would like to see (or check in) with this dyad (Eg. in the next 24 h, in two weeks).

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