Case Details

Patient Information: The patient is a first time mom who just delivered twins at 32 weeks via emergency C-section. Both babies were taken to the NICU and will not be able to breastfeed for at least another week. The patient wants to provide breast milk to her babies. You just came into the patient’s hospital room to help her learn how to express breast milk. The patient’s nurse has already brought a breast pump to the patient’s room.

Setting: Labor and delivery ward in the hospital

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Individual Telesimulation Tasks

Team Telesimulation Tasks

Learner 1

1. Counsel the lactating patient regarding expectations of breast milk production over the course of the next few weeks and provision of expressed milk to a hospitalized infant born preterm
2. Teach the lactating patient how to hand express her colostrum
3. Teach the lactating patient how to assemble and effectively utilize a double-electric breast pump (multi- or single-user)
4. Teach the lactating patient effective and “hands-on” pumping techniques with the double-electric breast pump (multi- or single-user)
5. Teach the lactating patient how to effectively use a “hands-free” breast pump (either a Willow or Elvie)
6. Propose a solution for breast pump-induced trauma to the nipple-areolar complex
7. Describe to the lactating patient how to properly store breast milk

Learner 1

  1. Counsel the lactating patient regarding expectations of breast milk production over the course of the next few weeks and provision of expressed milk to a hospitalized infant born preterm
  2. Teach the lactating patient how to hand express her colostrum 

Learner 2

  1. Teach the lactating patient how to assemble and effectively utilize a double-electric breast pump (multi- or single-user)
  2. Teach the lactating patient effective and “hands-on” pumping techniques with the double-electric breast pump (multi- or single-user)

Learner 3

  1. Teach the lactating patient how to effectively use a “hands-free” breast pump (either a Willow or Elvie)
  2. Propose a solution for breast pump-induced trauma to the nipple-areolar complex 
  3. Describe to the lactating patient how to properly store breast milk
  1. Counsel the lactating patient regarding expectations of breast milk provision to a hospitalized infant born preterm
  2. Teach the lactating patient how to hand express colostrum (Note: the standardized patient will be wearing a breast model)
  3. Teach the lactating patient how to use a double-electric breast pump (multi- or single-user) and a “hands-free” breast pump (either a Willow or Elvie) (Note: the standardized patient will be wearing a breast model)
  4. Teach a breastfeeding mother effective and “hands-on” pumping techniques  (Note: the standardized patient will be wearing a breast model)
  5. Propose solutions for breast pump-induced trauma to the nipple-areolar complex
  6. Teach the lactating patient about breast milk storage conditions

Question Example:

After-visit resources

What patient-centered resources/links can you provide? This is a great opportunity to learn what resources/links exist in the world and start collecting the ‘best’ ones for your own practice!

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