1. Practical Obstetric Multi-Professional Training PROMPT PROMPT Practical Obstetric Multi-Professional Training For CSIG January 2013 Sharron Bolitho and Tina Hewitt

2. Practical Obstetric Multi-Professional Training PROMPT Practical 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

3. Practical Obstetric Multi-Professional Training PROMPT Practical 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

4. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training Warming Up - EBL

5. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training Warming Up – Treasure Hunt

6. Practical Obstetric Multi-Professional Training PROMPT Practical 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

7. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training 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

8. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training Drill Format Don’t Stick sharp needles into patient Press the actual emergency button Do a real vaginal examination!

9. Practical Obstetric Multi-Professional Training PROMPT Practical 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!!

10. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training The Drills Eclampsia Maternal collapse Postpartum haemorrhage Shoulder dystocia

11. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training Eclampsia - Handover

12. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training Eclampsia – The fit

13. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training Eclampsia - Teamwork

14. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training Eclampsia - Feedback

15. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training Teeth marks in IV bag

16. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training PPH - Handover

17. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training PPH – Full team

18. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training Perimortem Pants

19. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training Shoulder Dystocia

20. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training Teamwork Communication Roles and responsibilities Leadership Decision making Situational awareness Helicopter view

21. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training Teamwork Video

22. Practical Obstetric Multi-Professional Training PROMPT Practical 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

23. Practical Obstetric Multi-Professional Training PROMPT Practical Obstetric Multi-Professional Training PROMPT props

24. Practical Obstetric Multi-Professional Training PROMPT Practical 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)