Training for Obstetric Emergencies Martin Sowter National Women's - - PowerPoint PPT Presentation

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Training for Obstetric Emergencies Martin Sowter National Women's - - PowerPoint PPT Presentation

Jan 26, 2024 260 likes •622 views

Training for Obstetric Emergencies Martin Sowter National Women's Health promptnz@gmail.com Practical Obstetric Multi-Professional Training PROMPT Why Train ? The MoH recommends that all staff involved in the care of pregnant women

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Practical Obstetric Multi-Professional Training

PROMPT

Training for Obstetric Emergencies

Martin Sowter National Women's Health promptnz@gmail.com

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Why Train ?

“The MoH recommends that all staff involved in the care of pregnant women should undertake regular training in the management

  • f
  • bstetric emergencies”

PMMRC 2006

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Key Issues

  • 50-120 near misses per maternal death (UK data)
  • Substandard care in 20-70% of maternal deaths

(CEMACH)

  • Recurring problems

– Poor preparedness – Poor communication – Poor leadership – Poor knowledge – medical and procedural

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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What’s Available in NZ

  • ALSO –

Advanced Life Support in Obstetrics

  • MOET –

Managing Obstetric Emergencies and Trauma

  • PROMPT

– Practical Obstetric Multi- Professional Training

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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ALSO –

Advanced Life Support in Obstetrics

  • Developed 1991 by University
  • f Wisconsin dept of Family

Medicine

  • Aimed at Doctors and midwives
  • Run in USA, UK, Canada,

China, Australia, across developing world

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

ALSO – www.also.co.nz

Cost $1100 Run in off-site at weekends over two days RANZCOG and MCNZ recognised Lectures and skill stations Includes neonatal resuscitation, instrumental delivery, fetal monitoring, pre-term labour 60 courses so far in Australia/NZ

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

MOET

  • M

anaging Obstetric Emergencies and Trauma

  • Run by (Advanced Life Support Group from UK
  • Developed from ATLS and BATLS
  • First course 1997
  • Aimed at senior doctors
  • First Australian course 2009
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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

MOET –www.moetaustralia.com.au

  • Three day course
  • Cost -

$2500

  • Sim

Centre

  • Also covers trauma, twins,

airway management, psychiatric illness

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

PROMPT - www.prompt-course.org

  • P

ractical Obstetric Multi-Professional Training

  • Developed in Bristol 2000
  • TTT course every 3 months at RCOG
  • 50% of UK trusts run PROMPT
  • All

staff must attend two yearly

  • Courses run in NZ, Australia, Hong Kong, USA,

South Pacific

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

Safe Births – Everybody’s Business

  • The Kings fund 2008 –

www.kingsfund.org

– "Teams that work together should also train together, with regular training taking place on the labour ward rather than on 'away days' ...” – “ Simulation-based training, which assesses clinical, communication and team skills within a single exercise, should be offered to all maternity staff, ideally within their own units.”

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

PROMPT – The Model

  • All inclusive –

not for experts

  • Drill-based learning on delivery suite
  • Emphasis on local relevance
  • Emphasis on teamwork and leadership
  • Units “own”

the course

  • Cheap as possible
  • Kept as realistic as possible
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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

PROMPT - New Zealand

  • 12 Auckland courses since 2006
  • Cost –
  • Drs. $200, MWs

$100

  • 160 midwives and 50 doctors attended
  • Courses in Christchurch and Tauranga
  • TTT at PSRH and RANZCOG meetings 2009
  • Soon -

Middlemore, Wellington, Nelson, Dunedin

  • Linking in with PEmOC

(Pacific focused course)

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

PROMPT - Scenarios

  • Blood loss estimation exercise
  • Lectures, videos, drills
  • Four multi-disciplinary teams

– Maternal collapse – Eclampsia – Post-partum haemorrhage – Shoulder dystocia – Breech

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

PROMPT Themes

  • Teamwork

– How teams work

  • Leadership

– Types of leader, helicopter view

  • Communication

– Formulated, addressed, sent, heard, understood,

  • Situational Awareness

– Thinking “ahead of the plane”

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

Misoprostol

  • Give 800ug (4 tabs)
  • Give rectally
  • Comes as 200ug

hexagonal tablets

  • On drug room shelf

as Cytotec

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

Five Requirements for Communication

  • It must be HEARD
  • It must be FORMULATED
  • It must be ADDRESSED
  • It must be SENT
  • It must be UNDERSTOOD
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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Chaos Training- nothing is too

  • bvious…
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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

Why Use PROMPT Model

  • Cheaper
  • More inclusive
  • Local knowledge
  • Troubleshoot protocol

problems

  • Well evaluated
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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

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NZ - The Future ?

  • Courses Complementary
  • MOET –

SMOs, Senior trainees

  • ALSO –

SMOs, RMOs, IMWs

  • PROMPT –

Regular drill based training at all NZ delivery units

– Audited attendance of all staff – Funded by DHBs

  • r MoH
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Practical Obstetric Multi-Professional Training Practical Obstetric Multi-Professional Training – promptnz@gmail.com

PROMPT

promptnz@gmail.com