PROMPT Practical Obstetric Multi-Professional Training For CSIG March 2014 Tina Hewitt, Midwifery Educator - PowerPoint PPT Presentation

Loading...

PPT – PROMPT Practical Obstetric Multi-Professional Training For CSIG March 2014 Tina Hewitt, Midwifery Educator PowerPoint presentation | free to download - id: 74fbdd-ZTQwO



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

PROMPT Practical Obstetric Multi-Professional Training For CSIG March 2014 Tina Hewitt, Midwifery Educator

Description:

PROMPT Practical Obstetric Multi-Professional Training For CSIG March 2014 Tina Hewitt, Midwifery Educator – PowerPoint PPT presentation

Number of Views:236
Avg rating:3.0/5.0
Slides: 20
Provided by: Martin878
Learn more at: http://www.cdhb.health.nz
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: PROMPT Practical Obstetric Multi-Professional Training For CSIG March 2014 Tina Hewitt, Midwifery Educator


1
PROMPT Practical Obstetric Multi-Professional
TrainingFor CSIG March 2014Tina Hewitt,
Midwifery Educator
2
Debriefing
  • The learner must make sense of the event as
    experienced in terms of their own world
  • Fanning Gaba 2007

3
In an ideal world
  • learners should be able to compare their own
    performance with a standard, and be able to
    diagnose their own strengths and weaknesses.
  • A simulated learning environment should permit
    such self-criticism providing an atmosphere of
    trust and encouraging excellence
  • Ker and Bradley, 2010

4
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

5
Stage one Pre-briefing
  • To ensure that participants are prepared for
    PROMPT scenarios, here are some examples of
    informational slides..

6
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
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
Drill Format
  • Dont
  • Stick sharp needles into patient
  • Press the actual emergency button
  • Do a real vaginal examination!

9
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
The Drills
  • Eclampsia
  • Maternal collapse
  • Postpartum haemorrhage
  • Shoulder dystocia

11
Eclampsia - Handover
12
Eclampsia The fit
13
Eclampsia - Teamwork
14
Eclampsia - Feedback
15
PROMPT debriefing
  1. Take time to chat in groups about how you felt
    during scenario
  2. Ask the actress how it felt for her
  3. Ask the participants how it felt for them what
    went well, any areas for improvement
  4. Ask the observers to feedback on checklist on
    teamwork strategies

16
Debriefing Frameworks
  • Pendleton's rules
  • Interviewer says what he or she thinks has been
    done well
  • Rest of the group then say what they think has
    been done well
  • Interviewer says what he or she thinks could have
    been done differently
  • The rest of the group then say what they think
    could have been done differently

17
Boston Framework
  • Emotional How did it feel?
  • Cognitive What happened clinically?
  • Facilitating learning
  • Did you all know what was going on?
  • Did you know what you were doing?
  • I saw this happen, can you help me understand
    why?
  • How can we minimise this happening again?

18
Aim for the ideal
  • Provide an atmosphere of trust and encourage
    excellence..

19
References
  • Fanning, R. Gaba D. (2007) The role of
    debriefing in simulation-based learning
    Simulation in healthcare the journal for the
    society of simulation in healthcare. 2 (2) pp
    115-125
  • Ker, J. Bradley, P. (2010) Simulation in
    medical education Understanding Medical
    Education Evidence, Theory and Practice. Edited
    by T Stanwick. Association for the study of
    medical education
  • Boston framework kindly shared by Maggie
    Meeks, consultant neonatologist 2014
  • Pendletons rules taken from PROMPT trainers
    manual 2008
About PowerShow.com