Dear Anne-Marie,
I write to offer our view from the Northampton School in England.
When we started our school we wished to address areas of our own education
which we felt uncomfortable with. We had all had to sign a form on
acceptance of a place on a Podiatry course to say we would allow a total
stranger to stick us with a large knitting needle.(Well it seemed like
that)
So when the L.A. education was planned, for Northampton, we decided not
to have students sticking each other.
We get around this by using oranges, and pigs trotters to practice on.
Sites for injections are identified on each other but the practice of the
injection is into the trotters or fruit, which allows the student to
experience that feeling of penetrating the skin. The oranges aren't as
good but vegetarians and some religious bods don't wish to use the
trotters.The students then will log injections performed into real
patients prior to PNA's etc from the middle of their second year and into
their third year. They have to achieve at least 6 passes to satisy the
regulations. I do feel that the student misses out on the experience of
having a needle in the foot or lower leg, but injecting for no medical
requirement does raise the ethical question.
Some students who pair up and wish to inject each other do so after
assessment, and consent is given by both parties being fully aware that it
is not a requirement of the course.
(Another ethical question but not a requirement of the course)
Your second point about dumdie limbs.
I am aware of General Practitioner(medics) training on false limbs but
not of a toe being available for this. They were using dumbie toes for
practising PNA techniques during our time of GP fundholding here in
England but the toes didn't have vessels etc. Some of the nursing schools
have used a "sorbo" and latex models to inject for intra muscular but not
as specific as we might require.
When we looked at models some 8 years ago the lack of specific models and
cost was prohibitive, particularly against the price of trotters and
oranges. As an aside we also would use the trotters for the practising of
electrosurgery techniques.
I hope this is of help, I'd welcome any comments.
Steve Avil
>O<
Senior Lecturer
Northampton School Of Podiatry,
Northampton General Hospital,
Northampton, NN1 5BD
England
TEL 01604 627303
On Thu, 5 Aug 1999, Anne-Maree Keenan wrote:
> Mailbasers,
>
> At the University of Western Sydney, we are currently in a position where
> all teaching practices have to be scrutinised through Human Ethics
> protocols. One of the issues which has been identified as a problem is the
> local analgesia practical module in which students practice injection
> procedures on one another.
>
> Given that this is common practice across podiatry education programs, we
> were wondering
>
> (a) what procedures do other education institutions undertake in the
> practical aspect of LA
> (b) have other institutions had to confront these ethical issues
> (c) and if so, what strategies have been developed)
>
> We are attempting to find/build/develop/purchase/plagiarise a simulated
> toe, complete with blood vessels and phalanges which would eliminate the
> need for some of the activities the students here currently undertake.
> Does anyone know of such a thing and if we were to get our hands on some,
> would others like to purchase one? (Hey, only 142 shopping days until
> Christmas........).
>
> I will post all responses I receive.
>
> Many thanks
>
> amk
>
>
>
> *************************************************************************
> Anne-Maree Keenan, B.App.Sc.(Pod), M.App.Sc
> FAAPSM
>
> Senior Lecturer, Division of Podiatry,
> e-mail: [log in to unmask]
> ph: (02) 4620.3335
> fax: (02) 4620.3792
> Website: http://FOHWEB.macarthur.uws.edu.au/podiatry/welcome.htm
>
> ---------------------------------------------------------------------
>
> UNIVERSITY OF WESTERN SYDNEY MACARTHUR
> P.O. Box 555
> Campbelltown NSW 2560
> Australia
> ************************************************************************
>
>
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