Low Cost Neonatal Exchange Transfusion Trainer
HomeGrown Solution Number
Identification of the Problem
Neonatal Exchange Transfusion (NET) is a potentially lifesaving procedure that is done to remove excess bilirubin and other antibodies in the blood. With the advent of several other therapies, NET has become a rarity and many trainees may not have performed or seen one being done; however, it continues to be the rescue procedure when all other therapies fail for severe neonatal hyperbilirubinemia. In order to alleviate this training deficit, our simulation team was task to develop a neonatal exchange transfusion simulator model for acquisition and retention of skills for this life saving procedure for Neonatal healthcare providers.
This training model was a deficit in the current market and a need that was addressed by our faculty for Resident training. The creation of this trainer allowed for the Resident staff to switch from a table-top simulation approach to a more hands-on simulation experience. The faculty were in search of a better solution to the acquisition and retention of exchange transfusion skills. The final product was developed in a way that allows the Resident engage in a high-fidelity learning environment for the development of these skills.
The main objectives were to identify the gaps in the current training model, create a hands-on model for both single and double catheter exchange transfusion training, and create with a low cost budget. Our objectives drove the design and planning of the product. We were able to fill the curricular gap with a hands-on model for both single or double catheter exchange transfusion with items that we found unused in our simulation lab.
- Repurposed neonatal manikin
- Umbilical Vessel Catheters
- 50mL spiked IV bag
- Tygon flexible polymer tubing (1/16” ID)
- Foam block (16.5”x16.5”x2”)
- Plastic Tupperware container
Steps to Creating the Solution
- Four foam blocks were used to disguise the fluid reservoir as the patient’s bed. The two middle blocks were carved out for a plastic container to hold the spiked IV bag.
- The container and IV bag create the fluid reservoir, which acts as the neonate’s blood supply.
- The umbilical catheters were run through the neonate and inserted into the Tygon tubing. A separate system was created for the two different methods of exchange transfusion. A small Y-connection splitter allowed for the inclusion of the two catheter design.
- The umbilical catheters were connected to the fluid reservoir by a luer lock connection. This allowed for the ability to easily swap between exchange transfusion methods.