SNHP | Nurse Anesthesia DNP Project Presentations
Enhancing Nurse Anesthetists' Preparedness for Combined Twin Delivery: A Simulation-Based Approach
Academic Level at Time of Presentation
Graduate
Major
Nurse Anesthesia
List all Project Mentors & Advisor(s)
Dr. Amy Cook
Presentation Format
Poster Presentation
Abstract/Description
As independent anesthesia providers in many states across the U.S., including Kentucky, certified registered nurse anesthesiologists provide anesthesia care to obstetric patients throughout all stages of delivery, in both low and high-risk patients, and for multiple gestations. Combined delivery of a twin pregnancy is an obstetric emergency in which the first twin is delivered vaginally, and the second twin is delivered by emergency cesarean. Although both twin pregnancy rates and occurrence of combined twin delivery are increasing, many practicing nurse anesthetists may not have encountered this during their practice. Additionally, this scenario may not be addressed in standard obstetric anesthesia curriculum. The purpose of this study was to provide an education session about combined twin delivery key concepts as well as anesthetic considerations, followed by participation in a simulation experience to reinforce these ideas and implement them into practice. Education is a vital aspect of advancing provider knowledge and improving patient outcomes. Simulation is a proven tool for nursing education and improves provider understanding, confidence, and clinical judgment before experiencing the emergency in practice. Recognition of key concepts and ability to manage this obstetric emergency will be evaluated through pre- and post-assessments as well as a self-evaluation. This project was implemented in a hospital in Western Kentucky as well as for a junior nurse anesthesia cohort and was shown to cultivate a deeper understanding of this obstetric emergency and increased confidence level in providing anesthesia care among the participants. The most significant goal of this project was to improve obstetric and neonatal patient outcomes throughout the future careers of CRNAs and SRNAs.
Spring Scholars Week 2025
FNP and Post-Masters Student Presentations
Enhancing Nurse Anesthetists' Preparedness for Combined Twin Delivery: A Simulation-Based Approach
As independent anesthesia providers in many states across the U.S., including Kentucky, certified registered nurse anesthesiologists provide anesthesia care to obstetric patients throughout all stages of delivery, in both low and high-risk patients, and for multiple gestations. Combined delivery of a twin pregnancy is an obstetric emergency in which the first twin is delivered vaginally, and the second twin is delivered by emergency cesarean. Although both twin pregnancy rates and occurrence of combined twin delivery are increasing, many practicing nurse anesthetists may not have encountered this during their practice. Additionally, this scenario may not be addressed in standard obstetric anesthesia curriculum. The purpose of this study was to provide an education session about combined twin delivery key concepts as well as anesthetic considerations, followed by participation in a simulation experience to reinforce these ideas and implement them into practice. Education is a vital aspect of advancing provider knowledge and improving patient outcomes. Simulation is a proven tool for nursing education and improves provider understanding, confidence, and clinical judgment before experiencing the emergency in practice. Recognition of key concepts and ability to manage this obstetric emergency will be evaluated through pre- and post-assessments as well as a self-evaluation. This project was implemented in a hospital in Western Kentucky as well as for a junior nurse anesthesia cohort and was shown to cultivate a deeper understanding of this obstetric emergency and increased confidence level in providing anesthesia care among the participants. The most significant goal of this project was to improve obstetric and neonatal patient outcomes throughout the future careers of CRNAs and SRNAs.
