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Lessons Learned
Important to spend time with new facilitators teaching them how to give an OSCE.
Some students arrive late and aren't up to speed for OSCE's.  I had them go study and practice for at least another hour before re-taking the test.  If they couldn't, they were excused from class.
Multilingual approach needed (English, French & Kinyarwanda)
Multilingual approach needed
HBB full day done
HBB full course done
11/19/2018RWANDAHeidi, Darin, Dan, Steve McSweeney, Bosworth, Woodhead,
11/19/2018RWANDAHeidi Darin Dan Steve McSweeney Bosworth
Have the people running OSCEs complete the name on the certificate at the OSCE station to reduce waiting time for the participants at the end of the day.
Identify those on night duty at the start of the day, so that their OSCEs can be done first and they can be allowed home early without the word getting out around the time of ?OSCE and causing confusion.

Have the red area translated into local language when teaching from the front.
9/17/2018RWANDAHeidi, Darin, Dan, Steve McSweeney, Bosworth, Woodhead,
I employed the help of Master Trainers I previously trained, and paired them with new Master Trainers.  It was very effective for learning on the part of the trainers and the participants.
This was a training for 48 3rd year baccalaureate nursing students at Adventist University of Central Africa Ngoma campus.  We trained 3 nursing faculty as master trainers - and 1 MD, the campus director.  Additionally, we trained 1 midwife as a Peer Practice Coordinator for the next door Mugonero Adventist Hospital maternity staff.  These numbers do not include a HBB 2nd Ed. update for 19 midwives from the Rwanda Association of Midwives HBB trainers and master trainers in Kigali, Rwanda, on Sept 18, 2017.
Taught 15 Facilitators who have had HBB before.  Updated them to 2nd Edition.  12 then helped train 30 new students and 2 are training HBB at the Symposium in Rwanda in November.  A full day helping them learn to present, test and work together is valuable time spent.
12/1/2014RWANDAGeralyn Sue
The participants were excited about the hand on training. They said that generally they learn from a book but to be able to learn and practice was very beneficial.
Flexibility is key to working with rural hospitals for the best results! In addition to the numbers below, we trained 4 HBB facilitators (3 MDs and 1 midwife). We are working on a research project with this hospital to determine the neonatal mortality rates from birth asphyxia.Out of the following, 11 successfully completed the HBB learners/providers course. Some attended parts of the training as a refresher to the previous courses taught here. Some were unable to attend the full training due to their other responsibilities.
People are always late.  If it rains, they will be very very late.  Still, be sure the four sections are taught, budget the time to spend more on Golden Minute and Improving Ventilation.I had students who would grab the mannequin and bag/mask the second another student achieved chest rise.  I made the rule no one could touch the equipment until I pointed to them to indicate it was their turn.Use of cell phones was a real problem in this group and no matter how many times we discussed it, the interruptions continued.I have found it caluable to train anesthetists as they are present in a C section, start to finish, and can bag and mask the baby if no one else is present.
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