PROMPT Practical Obstetric Multi-Professional Training For CSIG January 2013 Sharron Bolitho and Tina Hewitt Practical Obstetric Multi-Professional Training PROMPT
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 PROMPT
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 PROMPT
Warming Up - EBL Practical Obstetric Multi-Professional Training PROMPT
Warming Up – Treasure Hunt Practical Obstetric Multi-Professional Training PROMPT
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 PROMPT
Drill Format Do 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 PROMPT
Drill Format Don’t Stick sharp needles into patient Press the actual emergency button Do a real vaginal examination! Practical Obstetric Multi-Professional Training PROMPT
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 PROMPT
The Drills Eclampsia Maternal collapse Postpartum haemorrhage Shoulder dystocia Practical Obstetric Multi-Professional Training PROMPT
Eclampsia - Handover Practical Obstetric Multi-Professional Training PROMPT
Eclampsia – The fit Practical Obstetric Multi-Professional Training PROMPT
Eclampsia - Teamwork Practical Obstetric Multi-Professional Training PROMPT
Eclampsia - Feedback Practical Obstetric Multi-Professional Training PROMPT
Teeth marks in IV bag Practical Obstetric Multi-Professional Training PROMPT
PPH - Handover Practical Obstetric Multi-Professional Training PROMPT
PPH – Full team Practical Obstetric Multi-Professional Training PROMPT
Perimortem Pants Practical Obstetric Multi-Professional Training PROMPT
Shoulder Dystocia Practical Obstetric Multi-Professional Training PROMPT
Teamwork Communication Roles and responsibilities Leadership Decision making Situational awareness Helicopter view Practical Obstetric Multi-Professional Training PROMPT
Teamwork Video Practical Obstetric Multi-Professional Training PROMPT
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 PROMPT
PROMPT props Practical Obstetric Multi-Professional Training PROMPT
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) Practical Obstetric Multi-Professional Training PROMPT
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