Preventing Shaken Baby Syndrome One Demonstration at a Time

by Kati Stacy

Around 2005, Kathy Lopez-Bushnell, APRN, EdD, MPH, MSN, Director of ClinicalNursing Research at University of New Mexico Hospital (UNMH), was in a meeting when a community member approached her and said they had a terrible problem.

“She said that we’re not taking care of the families of shaken baby victims,” said Lopez-Bushnell. “So she and I and the CEO and other execs met and she told her story.”

This community member, who represented families going through the legal systemregarding Shaken Baby Syndrome (SBS) cases, explained that New Mexico had one of the highest rates of SBS and child abuse death in the country.

“After listening to her story, the execs saw there was a problem and they turned to me and said, go fix it,” Lopez-Bushnell shared.

After researching literature, Lopez-Bushnell found a program in New York state, headed by Mark S. Dias, MD, FAAP. The premise of Dias’ program was that parents who were taught about SBS immediately after their babies were born, when parent-child bonding is very strong, would be less likely to shake their baby. Dias’ program also recognized the effectiveness that these parents could have on disseminating SBS information to others who might be in the position of caring for their child. Dias’ program was so successful that it cut the rates of SBS in the eight-county region of western New York in half.

“I called him and told him we’d like to replicate his study,” said Lopez-Bushnell. “He couldn’t have been more helpful. He sent us volumes of information and we recreated his study here.”

In 2010, UNMH began a program modeled on this study. In 2012, they began using the RealCare™ Shaken Baby simulator by Realityworks®, Inc., with the educational program that was already in place.

UNMH Shaken Baby Syndrome Prevention and Awareness Program

UNMH’s Shaken Baby Syndrome Prevention and Awareness Program (SBSPAP) has four main goals:

  1. to provide educational materials about SBS to the parents of newborn infants
  2. to assess parents’ comprehension of the dangers of violent infant shaking
  3. to track penetration of the program through the collection of returned commitment statements (CS); and
  4. to evaluate the program’s effect on the incidence of SBS.

They work to accomplish this by teaching families of newborns as well as families with infants who come into the ICU for various reasons.

“We’re a Level II unit in ICU, so we take babies who are usually sick,” said Erika Cole, RN, BSN, RNC-LRN, ICN Unit Director at UNMH. “Upon admission to the unit, we start discharge teaching right away. One of the key pieces that we touch with every parent is the prevention of SBS using the Shaken Baby simulator.”

The program incorporates several tools during this education process. A handout gives tips about how to cope with infant crying and stats about what SBS is, etc. Nurses are given training on how to speak with parents and caregivers about how babies cry, that it’s okay if they cry and giving parents the okay to put them down and walk away if the need to. When Babies Cry, a video which comes with the Shaken Baby simulator, is shown. Finally, there is a demonstration with the Shaken Baby simulator to dramatically depict how easy it is to cause damage to an infant and what harm can potentially occur. From January 2016 to August 2016, 786 parents have participated in UNMH’s program.

The Shaken Baby simulator looks, feels and sounds like a real infant, with the exception of its clear head, which is equipped with LED lights. When shaken, the lights illuminate areas of the brain that have been damaged by the shaking event. “It’s a hard topic to discuss, and many parents might think, ‘Who doesn’t know not to shake a baby,’” said Cole. “But surprisingly 1 out of 6 parents we’ve talked with say that this was the first time they heard that [shaking a baby] was dangerous.”

Seven months later the families are called and asked what they remember of this education. According to Deisree Torrez, mathematician and research volunteer with the program, most parents remember working with the simulator.

One story that sticks out the most is a conversation she had with a Dad who called back.

“He said, ‘I remember the doll the most,’” Desiree Torrez recounted. “He continued, stating ‘whenever my baby cries and I start to get frustrated, I just remember you guys making me shake that doll and I know it’s time to put my kid down. I just don’t want to do that to my child.’”

The program has recently expanded its efforts to prevent child abuse by incorporating 30 additional Shaken Baby simulators into their program. Created by Realityworks, Inc., these electronic simulators have helped the hospital significantly reduce rates of Shaken Baby Syndrome since they were first implemented in 2012.

“There is a substantial amount of child abuse in NM, and a need for education as a potential preventative measure, given the significant morbidity and mortality in our state,” said Christopher Torrez, MD, Pediatric Resident Physician, PGY 3 at UNMH . “The doll leaves a lasting impression on our parents. Often, when we complete the 7-month follow-up, one of the things they remember the most is interacting with the doll.”

Editor’s Note: This is an excerpt of a larger testimonial about the UNMH Shaken Baby Syndrome Prevention and Awareness Program. Click here to read the testimonial in its entirety.

Calling All FACS Educators: Help NASAFACS Review National Family & Consumer Science Standards

By Diane Ross, M.Ed., Realityworks Senior Field Account Manager for NC, SC, VA, WV and National Family and Consumer Education Standards Review Member

Do you teach Family & Consumer Sciences at the high school or college level? Are you an industry representative or business leader with an interest in Family and Consumer Sciences programs in your community? The National Association of State of Administrators of Family and Consumer Sciences (NASAFACS) needs your help!

NASAFACS is seeking FACS educators and stakeholders from secondary education, post-secondary education, and business and industry to help review the final draft of the Family and Consumer Sciences National Standards 3.0.

The Family and Consumer Sciences Education National Standards form a comprehensive structure designed to accommodate varying state philosophies and issues related to standards and delivery systems. FACS, like other disciplines, is concerned with the integration of academic knowledge and achievement in a contextual approach. Your efforts will help ensure that these standards meet current and projected industry needs.

Want to help? Take 10-15 minutes to review the final draft of the standards by clicking here. Remember to consider the area of study, industry needs for this area, and pedagogy.

The more people who complete the survey, the better the results will be. Feel free to share this message and survey link with colleagues who are qualified to review them as well.

Diane holds a Master’s Degree in Secondary Education from Marshall University in Huntington, WV. She has been with Realityworks for more than 3 years and has been instrumental in assisting educators with implementing educational solutions that make a difference in students’ lives. She was selected to join nine other reviewers from across the country to participate in the Family and Consumer Sciences National Standards 3.0 project.

Student Workbooks as an Effective Instructional Resource

Educators have debated the effectiveness of worksheets, handouts and workbooks for years.  Similar to technology use in the classroom, efficacy all depends on how they are used.  Here are a few nuggets to contemplate from a review of literature on the subject:

  • Graphic organizers help learners to understand tasks by nurturing active participation, decrease dependency on rote learning and memorization, tap into learners’ prior knowledge, and show association between concepts to build new understanding (Kirylo & Millet, 2000).
  • Worksheets help students to construct knowledge, help to assess students and get feedback, are used as supplemental material to textbooks in authentic lessons, and build scaffolding for  some teaching strategies (Demircioglu & Kaymakci, 2011).
  • Using Multiple Intelligences learning theory, teachers should vary instruction and assessment strategy because all students do not learn and exhibit learning the same way (Smith 2002, 2008) Howard Gardner and Multiple Intelligences.

We are happy to announce two new student workbooks now available as supplemental resources to the RealCare Baby Simulation Experience and the Pregnancy Profile Simulation.

The RealCare Baby Experience Workbook includes all handouts needed for the simulation experience. Rather than photocopying dozens of pages, it is all ready for use in this handy workbook. Graphic organizers, rubrics and quizzes are included. Students will also complete journal and self-assessment exercises to reflect on their learning.  The completed workbook is a great addition to student portfolios for highlighting this project.

The My Life Student Workbook is a companion product to the Pregnancy Profile simulation experience. Rather than photocopying and assembling these workbooks in class, you can use that valuable time to teach the key objectives. Many of the handouts involve setting goals, reflecting on what a teen pregnancy would do to those goals and journal on a wide variety of questions relating to the impact of an unplanned pregnancy. These exercises strengthen student writing and research skills. The completed workbook provides a meaningful take-home manual that students can keep and refer to.

Follow this link to learn more about these effective student workbooks and how you can use them in your program.

Fostering Geriatric Sensitivity through Age Simulation

By Kati Stacy

Miranda Kessler, RN-BSN, is the Health Occupations Instructor at Nicholas County Career and Technical Center in West Virginia where she teaches 11th and 12th grade students. The program includes health science courses with the goal of the students obtaining their West Virginia State Nursing Assistant Certification at the end of the two-year program.

“We are in a very poor county with approximately 1000 students in grades 10-12,” said Kessler. “We have seven feeder schools from three counties. Our area is very poor and jobs are incredibly limited. Some students will leave to go to college, but statistics show that the majority of our students won’t leave. It is so important that we reach these students and teach them a skill that can be used to take care of themselves and their families.”

When looking for a product to begin teaching geriatric sensitivity, Kessler chose the RealCare™ Geriatric Simulator by Realityworks because she felt the included components were a great value for the money. Designed for secondary and post-secondary education programs, the Geriatric Simulator allows users to experience a variety of age-related physical challenges.

“When I told my principal about the simulator after seeing literature on it at a conference and he saw how excited I was to use and implement it into my program, he bought in immediately and ordered it for me with no hesitation,” she said. “When the simulator came, he was so excited about it, he was actually the first person to try it! He was amazed by how it changed his normal routine activities and made everything feel much
more physically demanding.”

Kessler thought her students could really get good use out of the Geriatric Simulator and learn from the experience of wearing it.

“I wanted to be able to teach my students to be more understanding and empathetic with the aging process once we made it into our clinical rotation at the local nursing home,” reflected Kessler. “I wanted them to understand why the residents moved so slowly and I wanted them to learn to be patient and kind while working with them.”

Students in Kessler’s class are introduced to the Geriatric Simulator during their unit on growth and development and the aging process. During note taking time, they dress in the suit, which includes a weight vest (adjustable, one-size-fits-most), ankle weights, wrist weights. elbow restraints, knee restraints, gloves and a cervical collar. They also wear the glasses to impair their vision while note taking to see how it inhibits them.

“Initially, the reaction is, “This can’t be that bad,” or they laugh and giggle while gettingdressed in the simulator,” said Kessler. “After wearing the suit for the recommended 20-30 minutes though, their feelings generally start to change.”

Kessler said she sees the students becoming tired and their actions becoming slower and more purposeful throughout that time.

“Many of the students say that they didn’t realize it would be so fatiguing,” she said. “I’ve never had a student complain after wearing the simulator though; I’ve always only had positive comments.”

“After wearing the suit,” Kessler continued, “I try to have a one-on-one conversation with each student and discuss the experience. How did you feel before and after? How did your body respond? How did your breathing change? What did you find most challenging? What did you do in an attempt to compensate for your deficits?”

Kessler currently has one Geriatric Simulator that her classes have been using since September, but she said if her enrollment continues to grow she may look into purchasing another if funding becomes available. She is also looking into adding Realityworks’ new Geriatric Sensory Impairment Kit to her program through a grant she is writing. The kit features wearable components which provide users with age-related sensory changes to help with understanding common aging changes including: hearing impairment, geriatric arthritis and geriatric tremor.

“It is so important to get these kids to understand the pains and aches that our elderly generation feel every day, so that they can provide better care for our aging population,” reflected Kessler. “Even more than the physical aspect of aging, the mental and emotional status must be considered. These students can learn so much from the generation that we are now caring for – they can gain valuable life experience if they just slow down and listen and most importantly, respect the geriatric population.”

Does RealCare Baby Adjust for Daylight Saving Time?

By Nate Schlieve, Realityworks Product Support Technician

Daylight Saving Time begins on March 12th, and many might be wondering “Does RealCare Baby adjust for DST?” The answer is no, during the simulation Baby will not adjust to Daylight Saving Time. If you have a specific Quiet Time for Sunday the 12th, you will want to adjust the time and possibly the length of the quiet time. Let’s say you need a Quiet Time to begin at noon on Sunday. When it is noon in real time, Baby thinks it is 11 am, so you will need to set your Quiet Time to begin at 11 am.

Once the simulation has ended you may ask yourself, “how do I adjust Baby so it is on real time?” The answer is, you do not have to make any adjustments. RealCare Baby takes the time from your Control Center, and your Control Center takes the time from the clock in your computer. As long as your computer has adjusted to DST (most computers do), then your Babies will be on the correct time when you program the next simulation. Double check the clock in your computer after March 12th, if it is on the correct time, the Babies will also be on the correct time.

Visit our RealCare Baby Product Support Page for Videos, Guides, FAQs and Troubleshooting Documents to help you manage your RealCare Program!

Tips for Programming Quiet Times for RealCare Baby® 3

By Nate Schlieve, Realityworks Product Support Technician

Quiet Times are a function that allows the instructor to set a specific time during a simulation where the RealCare Baby will not ask for any care. This is a discretionary function, and does not have to be used unless the instructor feels there is an event that warrants a Quiet Time. Here are some tips when setting the Quiet Times.

  1. Quiet Times can only be used up to three times during a simulation, and each Quiet Time has a maximum of 12 hours each. There is no way to increase the number of Quiet Times or increase the total hours of Quiet Times. So, if you use the Quiet Times, use them wisely.
  2. Quiet Times cannot be programmed at the same time a simulation begins. So if you set a simulation to start at 3 pm, you need to program the Quiet Time to begin at 4 pm.
  3. If programming an evening Quiet Time that will begin any time after midnight, be sure to set the Quiet Time to begin the following day. Example: if you have a simulation beginning on Friday, at 5 pm and you want the Quiet Time to begin at 1 am, you have to set the Quiet Time to begin on Saturday at 1 am. Remember, Friday ends at midnight.
  4. On rare occasions we have encountered instructors who use Quiet Times and Day Care during the same simulation. If you put the Baby into Day Care mode in the morning, but have an afternoon Quiet Time, you must end the Day Care BEFORE the Quiet Time starts. Example: Let’s say the students bring the Baby to you in the morning and you turn on the Day Care mode, but there is a 3 pm Quiet Time. You MUST end the Day Care BEFORE 2:59 pm. If you end the Day Care any time after 3 pm, you will also stop the Day Care.
  5. Finally, remind the students that in a Quiet Time the Baby will not ask for care, but the Baby WILL cry if mishandled (head supports, rough handling, shaken baby, wrong position). Quiet Time does not mean totally quiet; students are still responsible for how they handle Baby in a Quiet Time.

Full details on Quiet Time and Day Care modes can be found in the RealCare® Control Center Software Help Guide

For more RealCare Baby product support, including videos and FAQs check out our product support page.

Adjusting the RealCare® Baby Grading Scale

By Nate Schlieve, Realityworks Product Support Technician

  • Do you feel that you to make adjustments to the points taken off for each mishandle event?
  • Do you think that points should be reduced or increased to better reflect what you feel is appropriate for your grading scale?
  • Did you know that you can change the points taken off for each mishandle event?

We can help! Just follow these four easy steps…

  1. First, go to any class folder, select any report and click “View”
  2. On the view report screen, click where it says “Edit Rubric”
  3. A new window will open and in there you can increase or decrease points for each mishandle event
  4. Click “OK” and all reports, past-present-future will now reflect the new point system

For more product support tips make sure to check out our Product Support Page and our Pinterest Board too!

The Impact of the RealCare™ Drug-Affected Baby

by Diane Ross, M.Ed., Senior Field Account Manager with Realityworks

As I work with teachers throughout the year, one of the most poignant moments of my career is showing teachers the RealCare™ Drug-Affected Baby. Realityworks has been carrying the Drug-Affected Baby as a part of our RealCare™ Infant Health Trio (Shaken Baby, Fetal Alcohol Syndrome Baby and Drug-Affected Baby) for several years. This past year we added a new unit in the curriculum that covers Methamphetamine, which makes this product more relevant than ever before.

We’ve all seen the news stories of young parents, passed out in their cars, using meth, while their young children are present. Children are losing their parents in an alarming rate in our country overall to drug abuse.

Recently, my college coach, who is now the Executive Director of the School of Medicine at Marshall University, my alma mater, posted a news story created by a classmate about the increased drug problem in Huntington, WV. After watching the news story, I saw the parallels to our own curriculum concerning drug affected babies and their families.

I am convinced that every student, whether in West Virginia or any state, should see this video. It is not a dramatization, but reflects real lives, real people affected by heroin, meth and any other drug. Watching what this small town has had to do to combat the rising drug rate, as well as the rising number of infants born ‘drug addicted’ is alarming.

I challenge you, as a teacher, to spend a class period watching this video and discussing it with students. Many students will become child care givers and even more will become parents. Education is power. I think this lesson will be one of the most important. I welcome your comments and would like to get your feedback on how students have reacted and some of the conversations you have with your students. I’d like to share the comments in this forum, as well as in sessions you may attend or lead during your conferences and meetings.

As a teacher, you may underestimate your influence on society. I look forward to hearing your stories on how you continue to positively impact your students’ lives.

We would love to hear from you – please leave your thoughts and experiences in the comments below!

Diane Ross, M.Ed. is a Senior Field Account Manager with Realityworks. She graduated from Marshall University with a degree in Broadcasting, then returned for a Master’s in Secondary Education.

6 Reasons to Meet Realityworks at the Association for Career & Technical Education’s CareerTech VISION Conference

Every year, the Realityworks team journeys to the largest annual gathering of Career & Technical Education (CTE) professionals in a single location: The Association for Career & Technical Education (ACTE)’s CareerTech VISION Conference. We typically plan for this conference a good year in advance, and this year is no exception. Held in the Las Vegas Convention Center from November 30 – December 2, this year’s conference will be attended by thousands of technology education professionals, educators and industry representatives. From product exhibits and presentations to interactive demonstrations and more, there are countless reasons to meet Realityworks at ACTE’s CareerTech VISION 2016 Conference at Booth #529. Here are our top 6!

  1. Preview interactive products and simulators for nursing skills training, including injection training, elderly nursing care and catheterization
  2. Explore the new RealCareer™ Geriatric Sensory Impairment Kit, a set of wearable simulators that mimic hearing impairment, arthritis and hand tremors
  3. See the new Birth Process Kit, which includes six large, lifelike models that depict each stage of the birthing process
  4. Get a SNEAK PEEK at our one-of-a-kind animal science and plant science models, including detailed animal and stomach models and a plant science kit (available in 2017)
  5. Try virtual reality welding with the guideWELD® VR welding simulator
  6. Conduct live welding with the guideWELD® LIVE real welding guidance system

guideweld

Additional ways you can interact with Realityworks at VISION 2016 include:

  • Attend the “Baby Basics and Best Practices” pre-conference workshop we are co-hosting with the National Association of Teachers of Family and Consumer Sciences on November 30
  • Join us at the NATFACS Awards Reception, ACTEBabywhere
    we’ll be raffling off a new
    RealCare Baby 3 infant simulator
  • Attend the “Create Student Engagement Through Experiential Learning Tools” pre-conference workshop we are is co-hosting with the National Association of Agriculture Educators on November 30, where we’ll be raffling off one of our NEW animal science models
  • Attend the Health Occupations Student Association (HOSA) Luncheon we are co-hosting with HOSA on December 1, where we’ll be raffling off a RealCare™ Geriatric Simulator and sharing more details on our new experiential learning tools for health sciences
  • Share your selfie for a chance to win! tweet a selfie with your favorite Realityworks product in our booth and tag us @Realityworksinc and the show #VISION16 for your chance to win a Realityworks mug!

You can still register for ACTE’s CareerTech VISION 2016 Conference online by clicking here. We hope to see you there!

Is RealCare® Baby Recognizing ID Tags?

By Nate Schlieve, Realityworks Product Support Technician

Ever have students who have just completed a full simulation mention that their Baby was not accepting the ID very well? Before running a test or a demonstration you can look at the student’s report and verify if there was an ID problem or not.

Start by looking at the Performance Overview box. There is more to this box than just the Performance Overview percentage.

img1 Look at the Proper Care section of the Performance Overview. This section is very important because it provides you with an idea of how attentive the participant was with the Baby. The Proper Care percentage is calculated by dividing the number of care events the participant properly responded to (left side) from the total number of requested care events (right side).img2

If you look at just the Proper Care section alone, you can tell the participant gave excellent care. You can also tell from the Proper Care box that we have a very attentive student by looking at the total number of times the ID was recognized against the total number of requested care events. In the example above the Baby requested 103 care events and the ID was recognized 109 times. The Baby will respond to the ID whenever the Baby is crying for a care event, fussy event, or mishandle event. If the total number of times the ID is recognized is greater or equal to the total number of requested care events it is an indication that any time the Baby cried for care the student was there to respond. It also indicates that the Baby is responding just fine to their ID.

To see guides, videos, FAQs and troubleshooting with RealCare Baby, visit our support page: http://www.realityworks.com/support/realcare-baby/