A valuable resource for NIPE training
Examples of the app interface:
Eye Screen is a valuable tool for student midwives to develop competency in screening for neonatal eye conditions. Confidence and competency in midwives reduce the incidence of unnecessary clinic referrals, and ensures that those who need treatment, get it.
Originally developed in collaboration with Anglia Ruskin University in Cambridge, inspired by Senior Midwifery Lecturer, Lindsey Rose, Eye Screen is designed to augment the practice of those implementing the Newborn Infant and Physical Examination (NIPE) programme. NIPE is an NHS screening for congenital abnormalities which takes place within 72 hours of birth and again between 6 and 8 weeks of age.
Student midwives must develop their NIPE skills and increase their confidence through practice once qualified. However, as some conditions are relatively rare (according to Public Health England, just 2 or 3 babies in every 10,000 require treatment), it can take months before a midwife encounters a condition in practice. Eye Screen places several examples of multiple conditions at the student’s fingertips.
The app makes use of a library of clinical opthalmoscopic images to familiarise the student with a variety of conditions. When the student midwife feels confident in recognising conditions, they can choose to test their screening skills. Eye Screen presents 20 images of conditions at random and the student must decide whether what they are seeing is healthy or unhealthy.
The explanations that accompany the results can be downloaded as a PDF for the student’s records and to share with their tutor as evidence of competency.
Eye Screen is available for download on both iOS and Android devices. Web-based administration makes it easy for managers to grant access for their students, while a simple, intuitive interface makes for a smart training experience.
See the app in action:
The price for an annual licence for an institution is dependent on the number of students:
£8 / head for less than 40
£7 / head for 40+
Minimum price of £200 (which equates to 25 students)
VAT is not included, but as Eye Screen is an educational tool, many institutions are able to provide an exemption certificate.
View the app's Information Governance Summary.
"Eye Screen gave me the confidence to speak up when something wasn't right"
Anglia Ruskin University student, Sarah Jesudason used the Eye Screen app as part of her midwifery degree course.
Alongside practical shifts undertaken at Peterborough hospital, as a third-year student Sarah had lectures focused on NIPE (Newborn Infant Physical Examination). Lecturer and Eye Screen creator, Lindsey Rose used the app with her students to develop their practical skills in the eye examination part of NIPE. Sarah found that the Eye Screen app helped her to absorb the extensive course content so that she was ready to use it in both exams and placements.
Sarah recognises that as a midwife her role is not to diagnose but to be competent in distinguishing between normal and abnormal. Eye Screen has helped her to understand what the implications of abnormality might be.
On placement in Peterborough, Sarah’s duties on a postnatal ward included the daily assessment of newborn babies. One mother pointed out a large mark on her baby’s head and face that encroached the eye and extended to the side of the body. Based on her app learning, Sarah thought that it merited further assessment, but saw that a junior doctor had concluded that it was a birthmark that didn’t need further action.
Dissatisfied with this, Sarah did take action. In consultation with her mentor, and following NIPE procedure, a senior review was requested. This review, by a paediatric registrar and consultant, concluded that the baby did indeed need to be referred for further investigations.
In fact, prior to Sarah’s examination, this newborn had also been seen by two other midwives, neither of whom had taken action. The confidence Sarah developed through her NIPE training and her use of Eye Screen, and the understanding of her responsibility to advocate for baby and mother alike, had now become a learning experience for others.
Sarah, pictured volunteering in Tanzania.
Credit: ChameleonsEye / Shutterstock.com
To find out more information about Eye Screen, or how you can get Eye Screen for your organisation, contact firstname.lastname@example.org.
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