Re: accuracy of V/E findings

From: Kathi Wilson (wilsonk@gtn.on.ca)
Sun May 27 19:31:09 2001


zuhdi khalid wrote:

> Last week during our morning rounds ,there was a differance in V/E
> findings between senior and jonior staff , that affected the managment .
> I heard there was a pelvic model where residents can practice V/E then
> tested for accuracy, can any one tell me where we can find it?

When I was training as a midwife, I did what was recommended in Varney's (then) "Nurse Midwifery". I carried around a 6 inch ruler that also had centimeters on it. I put my fingers into every round object that I encountered (coffee cups, orange juice cans, bottles, and so on and so on), estimated my findings and then measured w/ the ruler. Estimating dilation is a psychomotor skill that one only gets good at w/ continuous repetition. I *am* good at it, because I've done this. (For example, the opening of the wine glass that I'm enjoying my off-call glass of wine in is 7 cm in diameter, confirmed by the ruler on the desk :-)

Station is more difficult, and something that I find that people generally don't have good agreement on. Position -- well... you do your best, knowing that the best will occasionally be wrong. One of my midwife partners says "If it doesn't feel right, then it's probably OP" :-) OA always "feels right".

--
Kathi Wilson, RM
Ilderton, Ontario, Canada
mailto:wilsonk@gtn.on.ca
**********************
Thames Valley Midwives
346 Platts Lane,

London, Ontario, Canada

http://tvm.on.ca mailto:info@tvm.on.ca





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