Feedback from clinical skills drills. OSAT CBD (18.08) Assessment of haemodynamic status (18.09) Assessment of severe maternal sepsis 1 delivery is appropriate. Consider the place of termination of pregnancy for maternal health concerns compared to prolonging the pregnancy for delivery at fetal viability. intensivists for further assessment / treatment. Plan delivery and postnatal care in liaison with anaesthetists and physicians. Recognise and act promptly if there are signs of deterioration. Arrange and interpret appropriate investigations, formulate, implement and where appropriate modify a multi-disciplinary management plan with appropriate liaison where necessary. Understand how the MDT may be effective in optimising the outcome and underpinning effective supportive measures. 1,2 1,2,3 1,2,3 following pregnancy. (18.10) Run clinical skills drill for obstetric collapse including cardiopulmonary resuscitation. (18.11) Run clinical skills drill for massive obstetric haemorrhage. 1,2 1,2 (18.10-18.11) Understand the principles of resuscitation and how these relate to pregnancy collapse and massive postpartum haemorrhage. 1 (18.10-18.11) Be able to construct skills drills for resuscitation in pregnancy and make use of constructive feedback. 1,2,3 (18.10-18.11) RCOG Green top guideline No.56 (2011) Maternal collapse in pregnancy and the puerperium. 1,2,3 (18.12-18.13) 1,2 (18.13) 1,2 (18.12-18.13)
Understand how the neonate may be compromised by antenatal and intrapartum factors. Understand the requirements for neonatal admission. 1,2 1 Understand how to provide basic neonatal resuscitation and when to ask for help. Neonatal intensive care ward rounds neonatal follow- up clinics. ALSO Course a short placement on the neonatal unit. Suitable evidence includes: Reflective practice Log of cases Feedback from skills drills ALSO course or similar certification Uploaded evidence such as for case reviews or adverse outcomes should not include patient identifiable information. (19.02) Delivery of advanced neonatal resuscitation as part of the neonatal team 1,3 (19.02) Know how to assist in advanced neonatal life support, interpret cord gases and assess acid-base balance. Be able to follow the admission process of a neonate to their intensive care unit. 1,2 1,3 (19.02) To have the basic skills so that you may advance to be proficient at neonatal resuscitation in more challenging circumstances as part of the neonatal team. 1,2,3 (19.03) Interpret neonatal acid base balance 1 (19.03) Understand neonatal acid-base physiology and blood gas interpretation. Understand how to monitor it and the corrective measures that can be taken. Understand how intrapartum factors can influence neonatal acid base balance. 1,2 1,2 (19.03) Develop an understanding of how to minimise the risk of acid-base disturbances both intrapartum and during any initial resuscitation. 1 (19.04) Counsel parents about the neonatal risks of prematurity. (19.05) Counsel parents about the outcomes following prematurity 1,3,4 1,3,4 (19.04-19.05) Understand the morbidity and mortality associated with prematurity and the impact of birthweight alongside gestational age. If available review 1,2 (19.04-19.06) With support, counsel women and their partners on the specific long and short-term neonatal risks in a manner that is easy to understand. 1,3,4 (19.04-19.06) RCOG Scientific impact paper No.41 (2014) Perinatal management of
Authorisation of signatures (to be completed by the clinical trainers) Name of clinical trainer (please print) Signature of clinical trainer Completion of ASM 19: Intensive and high-dependency care – neonatal clinical competency Date Signature Experience gained of early neonatal resuscitation and care on the neonatal unit, supplemented by sessions within a tertiary neonatal unit setting and follow up clinics. ASM 20: Communication and Governance Skills for Labour Ward Lead Clinical competency GMP Knowledge criteria GMP Professional skills and attitudes GMP Training support Evidence/ assessment (20.01) Communicate effectively with the MDT for maternal concerns. (20.01) Understand effective techniques for communication. Learn how best to coordinate a discussion allowing all present to participate and have their opinions recognised. 1,3,4 (20.01) Demonstrate effective communication with colleagues. Demonstrate good working relationships with colleagues 3,4 3,4 (20.01) STRATOG Core training (2016) Communication skills. These are largely skills and the supporting evidence should reflect this.
and the ability to work in clinical teams. Respect confidentiality. Follow appropriate local and national guidelines if patient safety concerns are raised. 3,4 Learning from adverse events is key to the safe running of delivery suite. These communication and Governance skills should be supported by real case examples wherever possible. Please ensure patient identifiable material is not uploaded to your ePortfolio. NOTTS T01 forms OSATS (20.01-20.2, 20.06) OSATS of Management of the deliver suite (20.02) Recognise and positively influence a dysfunction team or clinical scenario. 1,3,4 (20.02) Understand how to create a positive work environment. Be able to use language in an assertive but respectful and positive manner. Understand the role of human factors for a variety of labour ward clinical scenarios and team dynamics. 1,3,4 1,3,4 (20.02) Be able to assess basic competencies of different members of staff. Be able to set objectives and assess against these objectives. Be able to deal with difficult team members. 1,3 1,3 1,3,4 (20.02) STRATOG Non-technical skills (2015) Human factors. GMC (2012) Leadership and Management for all doctors (20.03) Debrief parents / family following adverse pregnancy outcome (maternal). (20.04) Debrief parents /family following adverse pregnancy outcome (fetal). 1,3,4 1,3,4 (20.03-20.04) Understand the bereavement reaction, how people react often to bad news and how best to approach difficult and challenging consultations. Understand how the complaints procedure operates within the Trust. 1,3 1 (20.03-20.04) Be able to provide honest, informative and balanced clinical information in a way that is easy to understand. Be able to advise upon the local support available and the options for further discussion. 1,3,4 1,3,4 1,3,4 (20.03-20.04) STRATOG Non-technical skills eLearning: Communication skills and Communicating with patients.
Reflective Practice Record of eLearning Know when to ask for assistance and how to offer a second opinion if required. (20.05) Support staff following adverse pregnancy outcome. 1,3,4 (20.05) Understand when and how best to support staff after an adverse event. Understand the role of the Labour Ward Forum, risk management meeting and critical incident review. Understand how the department and Trust manage serious untoward incidents (SUI) or ‘never events’. (20.05) Develop good listening skills. Respect confidentiality and be to discuss clinical scenarios in an open, honest, and informative manner. (20.05) STRATOG skills eLearning: Communication skills, Mentoring scenarios. GMC (2015) Building a supportive environment. (20.06) Formulate and communicate effective intrapartum care plans to the midwifery, anaesthetic and obstetric teams. (20.06) Understand the principles of shared decision-making. Understand how best to document and communicate intrapartum care plans. Understand how to respond appropriately to and incorporate advanced directives and strongly held beliefs that might impact upon intrapartum care. 1,3 (20.06) Lead on ward rounds and handover. Delegate appropriately and ask for assistance as necessary. 3,4 1,3,4 RCOG/The Health Foundation. (2015) Safer births through better team working. STRATOG skills eLearning: Communication skills, communicating with colleagues.
ASM 20: Communication and Governance Skills for Labour Ward Lead Part of the Labour Ward Lead ATSM Logbook Competence level Not required Level 1 Level 2 Level 3 ASM 20: Communication and Governance Skills for Labour Ward Lead Date Signature Date Signature Date Signature Communicate effectively with the MDT for maternal concerns. Recognise and positively influence a dysfunction team or clinical scenario. Debrief parents / family following adverse pregnancy outcome (maternal).
Understand the equipment needs of the unit, the chain of command and the MDT pathways involving neonatologists, anaesthetists and other allied professionals. (21.03) Understand how to triage clinical cases according to local guidelines. 1,2 better team working. be multisource wherever possible and representative of all professional groups who work on the labour ward. NOTTS T01 forms OSATS (21.01-21.04) OSATS of Management of the delivery suite Reflective Practice Record of eLearning Record of based assessment ticket requests completed for others. Record and feedback on (21.04) Promote normality on the delivery suite. 1,4 (21.04) Understand the physiology and mechanisms of normal labour and delivery. Understand, support and respect the role of the midwife as an expert in normality. To be able to actively promote the ethos of normality in labour and to recognise and avoid negative influences, and avoid unnecessary interventions. 1 2,3,4 1,3 (21.04) Ability to actively promote normality, perform intermittent fetal heart auscultation and optimise the birth environment to promote normality. To avoid negative influences, unnecessary interventions and recognise the midwife as an expert in normality. To respect and support midwifery staff. 1,3 1,3,4 3,4 (21.04) Consensus statement from the maternity care working party (2007), Making normal birth a reality. (21.05) Support staff following adverse outcome. (21.06) Provide effective summative workplace based assessments. 1,3,4 1,3,4 (21.06- 21.07) Review the criteria for the use of each of the workplace based assessment tools and how their use contributes to and records different aspects of learning. Understand how both formative and 1,2 1 (21.05) Learn excellent listening skills and how to break down any barriers to communication. Be able to advice on the role of the mentor and local trainee support services. 1,3,4 1,3,4 (21.05) STRATOG - Non-technical skills eLearning: Communication skills, communicating with colleagues
organised skills drills. (21.07) Provide effective formative workplace based assessments. summative assessments are to be used. (21.06- 21.07) Demonstrate the ability to give constructive written feedback. 1,3,4 and mentoring scenarios. NACT UK (2013) Managing trainees in difficulty. Practical advice for educational and Clinical supervisors. (21.06 -21.07) STRATOG – Non-technical skills eLearning: Workplace based assessments eLearning resource. And Best practice demonstrations of Work-placed based assessments. (21.08) Support the trainee in difficulty. (21.09) Give appropriate feedback. 1,3,4 1,3,4 (21.08 -21.09) Understand how to recognise basic competencies and deficiencies. Understand the stages of clinical training and how progress is assessed. Understand the benefits of mentoring. 1,3,4 1,3,4 (21.08-21.09) Know when and how to best deliver feedback. Be able to document agreed SMART objectives. 1,3,4 1,3,4 STRATOG skills eLearning: Giving effective feedback in training videos.