practical obstetric multi-professional training prompt prompt practical obstetric multi-professional...
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Practical Obstetric Multi-Professional Training PROMPT
PROMPT Practical Obstetric Multi-Professional Training
For CSIG January 2013
Sharron Bolitho and Tina Hewitt
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Why PROMPT for CWH?
• Obstetric emergencies are rare events • Our experiences of them are limited and
sporadic. • Team members at CWH are constantly
changing• We needed a course to focus on practical
emergency drills and teamwork
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
PROMPT Course Format
Short lectures and drills over one day
At our place using our equipment
Emphasis on teamwork
Emphasis on realism
Emphasis on keeping it “in-house”
Emphasis on staff “owning” course
Emphasis on fun
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Warming Up - EBL
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Warming Up – Treasure Hunt
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Drill Format
2 Fully equipped birthing suite rooms
Patients will bleed, fit, scream, wail
Drill will start with a hand over
One team “performing”, one team observing
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Drill FormatDo
Stay in your usual role
Communicate with patient
Take pulse, BP etc.
Take and send blood
Record notes. Use forms and stickers
Use the phone, emergency buzzer
Order (and get) drugs, blood, IV fluids
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Drill Format
Don’t
Stick sharp needles into patient
Press the actual emergency button
Do a real vaginal examination!
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Performance Anxiety
• Everyone is going through the same “performance anxiety”
• Adrenaline can improve performance• Laugh and learn• Teamwork takes practice • Strive for perfection but learn from your
mistakes• There is no formal assessment!!
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
The Drills
Eclampsia
Maternal collapse
Postpartum haemorrhage
Shoulder dystocia
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Eclampsia - Handover
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Eclampsia – The fit
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Eclampsia - Teamwork
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Eclampsia - Feedback
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Teeth marks in IV bag
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
PPH - Handover
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
PPH – Full team
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Perimortem Pants
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Shoulder Dystocia
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Teamwork
Communication
Roles and responsibilities
Leadership
Decision making
Situational awareness
Helicopter view
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Teamwork Video
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
Aviation Teams
• Crew Resource Management (CRM) training programmes aim to improve communication and co-ordination amongst flight crew
• Poor teamwork within cockpit crews responsible for half of all air accidents
• Training reduces errors during a crisis• CRM principles now introduced into
healthcare training around the world • Teams who train together work better together
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
PROMPT props
Practical Obstetric Multi-Professional Training PROMPTPractical Obstetric Multi-Professional Training
To Kill a mockingbird
• “If you learn a simple trick…you’ll get along a lot better with all kinds of folks:
You never really understand a person until you consider things from his point of view – until you climb into his skin and walk around in it.”
(Harper Lee, 1960)