Centre of Midwifery Education 5 South Cork University Maternity Hospital

Transcription

1 Centre of Midwifery Education 5 South Cork University Maternity Hospital PROSPECTUS of CONTINUING EDUCATION September 2015 June 2016

2 GLOSSARY OF TERMS An Bord Altranais agus Cnáimhseachais na héireann - ABAC Centre of Midwifery Education - CME Continuing Education Units - CEUs Cork University Hospital Group - CUHG Cork University Maternity Hospital - CUMH Nursing and Midwifery Board of Ireland - NMBI South/South West Hospital Group - SSWHG 1

3 THE CENTRE OF MIDWIFERY EDUCATION (CME) Welcome to the 9 th edition of the Prospectus for Continuing Education for the Cork University Maternity Hospital (CUMH). This has been developed by the staff of the Centre of Midwifery Education. The educational programmes identified within the prospectus are intended to develop and enhance your knowledge, skills and awareness with the ultimate aim of enhancing professional practice and the care provided to women, their babies and families. Details regarding the CME staff and how to contact them are provided in the following pages as well as the application process for all of the programmes outlined within the prospectus. 2

4 CONTENTS Staff of the CME and contact details 4 How to use the prospectus 5 How to book onto a programme 6 Changes and cancellation of programmes 6 Attendance and CEUs 7 Non-attendance 7 Mandatory education 8 E-learning resources for blended learning programmes 9 Updates for experienced, competent staff 10 Details of programmes and training Appendices 13 3

5 CENTRE OF MIDWIFERY EDUCATION (CME) STAFF AND CONTACT DETAILS Ms. Annette Keating, Interim Director, CME Ext Ms. Cathy O Sullivan, Midwife Teacher Ext cathy.osullivan@hse.ie Ms. Deirdre Kelleher, Midwife Teacher Ext deirdre.kelleher@hse.ie Barry O Herlihy, CME administrator Ext cme.administrator@hse.ie To ring direct from an outside line, place 49 before any of the above extension numbers. Details re- Please note that bookings will not be accepted by phone. bookings will follow on page 6. 4

6 HOW TO USE THE PROSPECTUS The programmes included in this prospectus are listed in alphabetical order. Each programme is described under the following headings: Title of Programme: Aim of Programme: Content: Facilitator(s): Duration: Date: Venue: Time: Number of Places: Target Audience: Nominations through Line Manager: While every effort has been made to plan programmes well in advance, some of the dates have not yet been finalised due to the availability of appropriate speakers. Be aware of the possibility of changes in the programme such as dates, starting times and content. Again, this is dependent on the availability of speakers and on the number of participants applying for each programme. Additional dates may be added based on demand and available resources. 5

7 HOW TO BOOK ONTO A PROGRAMME We would encourage you to read the prospectus carefully and choose the programmes that are most appropriate to your needs. Please note that the number of places per programme can vary and may be limited. To make a booking onto any of the programmes please cme.administrator@hse.ie Note that when you are making a booking you need to include your contact telephone number, address, the name of your line manager, your area of work and your ABAC (NMBI) PIN Number. The above contact details are essential should you need to be contacted e.g. cancellation of a programme, change in times etc. No telephone bookings will be accepted. CHANGES AND CANCELLATION OF PROGRAMMES We, in the Centre of Midwifery Education, will make every attempt to ensure that programmes are not changed or cancelled. However, in the event of this occurrence as much notice as possible will be provided. If possible the programme will be rescheduled to a later date. A minimum of 50% take up rate is necessary for the programme to proceed as planned. Otherwise, there is unnecessary waste of resources, time and finance. If it becomes necessary for you to cancel your place, please do so as soon as you become aware that you will not be attending. This allows your place to be offered to another midwife or practitioner. An ongoing audit of all participants who book onto programmes and actual attendance is maintained. Therefore, if you cannot attend please inform the CME by e- mail: cme.admistrator@hse.ie ASAP. 6

8 ATTENDANCE AND CEU s All programmes provided by the CME carry Continuing Education Units (CEUs) from the Nursing and Midwifery Board of Ireland (NMBI). To obtain the allocated CEUs, you need to attend each programme in full. Otherwise, a certificate of attendance will not be issued and you will not obtain the CEUs accredited to the programme. Punctuality is essential so that the programmes may commence and finish as planned. What are CEUs? A CEU is a unit of credit for participation in an accredited programme. CEU records are widely used to provide evidence of completion of continuing education requirements mandated by certification bodies, professional societies, or governmental licensing boards. The records also supply employers with information on training relevant to particular occupations. Specific industries, such as midwifery, nursing, health, etc., have their own accrediting processes for CEUs. We, in the CME, obtain CEUs from the NMBI for each programme of education and training provided by the CME. The number of CEUs accredited to each programme offered by the CME is indicated in the prospectus and will also be included in the certificate of attendance for each of the programmes. Accreditation has also been received from UCC for one of our programmes. NON-ATTENDANCE In the event of non-attendance without explanation, to any of the programmes, a letter will be sent to your line manager informing them of your non-attendance. Please see appendix 1. 7

9 MANDATORY EDUCATION According to the NMBI (2014, p. 6), the frequency of mandatory requirements for continuing education, there is presently no statutory direction from the NMBI. Thus it is currently a matter to be determined by your organisation ). Name of Programme Frequency of update Fire Training Yearly Anaphylaxis 2 yearly Basic Life Support (BLS) 2 yearly IMEWS Update 2 yearly Neonatal Resuscitation Programme (NRP) 2 yearly Prevention and Control of Health Care Associated Infection (PCHCAI) 2 yearly Moving and Handling 3 yearly Preceptorship 3 yearly 8

10 E-LEARNING RESOURCES FOR BLENDED LEARNING PROGRAMMES Blended learning is a formal education programme in which an individual learns partly through online delivery of content and instruction with some aspect of individual control over time, place, path or pace. Face-to-face classroom techniques are combined with computer-mediated activities. A number of the programmes offered by the CME employ this method of learning, including K2 training. hseland.ie is an online learning forum developed and run by the Health Service Executive. It provides courses and learning resources for healthcare workers in both the hospital and community health settings. Access to the site is available through the internet or alternatively via the intranet within the health sector. Through this site a number of e-learning modules are available. Modules include the following: * Medication Management Peripheral IV Cannulation Venepuncture How to access a chosen module: Access site via the Intranet HSEnet: HSELanD.ie or Internet: Then register by entering your username and password (of own choice). Click on learning resources. Enrol in chosen programme before beginning. At the end of each programme a certificate of completion may be printed. In addition, an online self assessment test may be undertaken from which a score sheet can be printed. 9

11 UPDATES FOR EXPERIENCED, COMPETENT STAFF There are many experienced midwives and nurses who deem themselves competent in a particular skill and therefore do not need to partake in a full educational programme. To update their practice, it is recommended that these practitioners complete the on-line module (if available for that skill) and follow the pathway below: Following completion of any of the three e-learning modules above*, a certificate of completion and score sheet from the online self assessment test at the end of the module need to be submitted to your line manager. Please retain a copy for your own learning portfolio. In addition to submission of the above 2 documents, a self-assessment of competence form needs to be completed and signed by the experienced midwife/nurse and co-signed by her/his line manager/designated relevant person (peer reviewer). This is then submitted to your line manager. This particular form will differ depending on the skill concerned and may be printed off from an e-copy of the prospectus (appendix 3). Please retain a copy for your own learning portfolio. Maintenance of competence: A midwife/nurse, once achieving competence in any skill, must maintain her competence by practicing that skill on a regular basis. According to the Office of the Nursing Services Director, in the national framework for the skills of venepuncture and peripheral intravenous cannulation, this is achieved by performing 10 procedures per month for each of these 2 skills. However, the number that needs to be performed for the maintenance of the skills of perineal repair and Prostin administration needs to be agreed on an individual basis with your line manager. 10

12 DETAILS OF PROGRAMMES AND TRAINING Anaphylaxis & its Management Full programme 14 Anaphylaxis & its Management 1 hour Update 15 Basic Life Support 16 Breastfeeding Update: 6 Hour 17 Breastfeeding Programme: 20 Hour 18 Emergency Obstetric and Midwifery Drills 19 IMEWS Full Programme 20 IMEWS 1 Hour Update 21 Intravenous Therapy Programme 22 K2 Electronic Fetal Monitoring Training 23 Managing Pregnancies Complicated by Co-Morbidities 24 Maternity Critical Care Programme 25 Neonatal Resuscitation Programme 26 Patient Moving and Handling Programme (full-day) 27 Patient Moving and Handling Programme (half-day) 28 Preparation for Birth & Parenthood Facilitators 6 Day Module 29 Preparation for Birth & Parenthood 1 Day Workshop 30 Perineal Repair Workshop 31 Preceptorship Programme 32 11

13 PROMPT 2 Training Prostin Administration 35 Venepuncture and Peripheral Intravenous Cannulation Workshop Venepuncture and Peripheral Intravenous Cannulation Modified Programme Additional Programmes 40 12

14 APPENDICES Page No: Appendix 1: 41 Letter to Line Manager Informing them of Midwife/Nurse s Nonattendance (without explanation) at a Programme Appendix 2: 42 Essential Pre-reading for Attendance at the Venepuncture and Peripheral IV Cannulation Workshop and Modified 2-hour Update Programme Appendix 3: Forms for Self-Certification of Competence by the Experienced Midwife/Nurse Appendix 4: Forms for Assessment of Competence in Midwifery/Nursing Skills 13

15 ANAPHYLAXIS & ITS MANAGEMENT: 3-hour programme Aim: To be confident in the recognition and management of anaphylaxis. Content: What is anaphylaxis? Causes, recognition and management of anaphylaxis Practical Session Anaphylaxis and the adult Anaphylaxis and the child Anaphylaxis and the infant Facilitators: Staff, CME Duration: 3 hour programme Dates:- 3 rd September 2015 Times: hrs Repeat Session hr Venue: Centre of Midwifery Education, CUMH No. of Places: 15 Target Audience: Midwives, Nurses, and Doctors who have not previously attended an Anaphylaxis education programme Nominations through Line Manager to: cme.admistrator@hse.ie 14

16 ANAPHYLAXIS & ITS MANAGEMENT: 1-hour update Aim: To be confident in the recognition and management of anaphylaxis. Content: What is anaphylaxis? Causes, recognition and management of anaphylaxis Practical Session Anaphylaxis and the adult Anaphylaxis and the child Anaphylaxis and the infant Facilitators: Staff, CME Duration: 1-hour update, repeat sessions throughout the day Dates:- 15 th September th September 2015 Times: hrs hrs hrs hrs Venue: Centre of Midwifery Education, CUMH No. of Places: 15 Target Audience: Midwives, Nurses and Doctors who have previously attended an Anaphylaxis Education Programme Nominations through Line Manager to: 15

17 BASIC LIFE SUPPORT (Health Care Provider Course) Aim: To teach the principles and techniques of basic life support. Content: Adult CPR, Paediatric CPR, Infant CPR Use of automated external defibrillator Relief of choking in adults Relief of choking in infants Facilitator: Annette Keating Duration: 6 Hours Dates: 29 th September th October th November st December th January th February th March th April th May rd June 2016 Times: hrs Venue: Fifth Floor, Centre of Midwifery Education Number of Places: 6 Target Audience: All Health Care Providers Nominations through Line Manager to: cme.admistrator@hse.ie 16

18 BREASTFEEDING UPDATE: SIX HOUR Aim: To update midwives in the art & education of breastfeeding Content: Overview Anatomy and physiology of the Breast Establishing Breastfeeding Evaluating a Breastfeed Medications and mother s milk Baby with special needs Problems associated with breastfeeding La Lêche League handbook Facilitator: Breast Feeding Coordinator: Rebecca O Donovan Duration: 6 hours Dates:- 14 th September th October th January st March th April th May 2016 Time: hrs Venue: No. of Places: 20 Fifth Floor, Centre of Midwifery Education Target Audience: Midwives, Nurses, Dieticians, Maternity Care Assistants Nominations through Relevant Line Manager to: Rebecca.Odonovan@hse.ie or Tel. (087) (VPN 65591) 17

19 BREASTFEEDING PROGRAMME: 20 HOUR Aim: To update midwives, nurses and health care professionals in the art and education of breastfeeding. Content: Anatomy and physiology of the breast and breastfeeding Establishing breastfeeding Evaluating a breastfeed Medications and mother s milk Baby with special needs Problems associated with breastfeeding La Lêche League handbook Facilitator: Rebecca O Donovan & Colleagues Duration: 3 day programme Dates: Day 1: 2 November 2015 Day 2: 9 November 2015 Day 3: 23 November 2015 Time: hrs Venue: Fifth Floor, Centre of Midwifery Education No. of Places: 20 Target Audience: Midwives, Nurses, Dieticians, Maternity Care Assistants. Nominations through Relevant Line Manager to: Rebecca.Odonovan@hse.ie 18

20 EMERGENCY OBSTETRIC AND MIDWIFERY DRILLS Aim: To update in the management of obstetric and midwifery emergencies. Content: MBRRACE Report Primary Postpartum Haemorrhage Breech Birth and other malpresentations Shoulder Dystocia Maternal Resuscitation Neonatal Resuscitation Fetal Monitoring This programme is to complement, not replace, PROMPT. It is open to midwives and NCHDs who have already completed the PROMPT programme and wish to practice their skills. Facilitators: Staff Centre of Midwifery Education Midwives from Clinical Practice Duration: One day programme Dates: 2 nd March 2016 Time: hr Venue: Fifth Floor Centre of Midwifery Education No. of Places: 24 Target Audience: Midwives and NCHDs Nominations through Line Manager to: cme.admistrator@hse.ie 19

21 IMEWS Full programme (2-Hour) Aim: To introduce midwives, nurses and doctors to the Irish Maternity Early Warning System (IMEWS) Content: IMEWS Background and Context Recording Observations on the IMEWS CUMH Escalation Policy Use of the ISBAR Sticker in CUMH National Clinical Guideline (Nov, 2014) CUMH IMEWS Audit results and recommendations 2015 Facilitators: Cathy O Sullivan, Paulette De Foubert and Fiona Kirby Duration: 2 hours Dates: 7 th December, th April, 2016 Time: and repeated Venue: Fifth Floor, Centre of Midwifery Education No. of Places: 30 Target Audience: Midwives, Nurses and Doctors. Nominations through Relevant Line Manager to: cme.administrator@hse.ie 20

22 Aim: IMEWS Update Programme (1-Hour) To provide an update on the Irish Maternity Early Warning System (IMEWS) to midwives, nurses and doctors. Content: National Clinical Guideline (Nov, 2014) Overview of the new IMEWS chart CUMH Escalation Policy Use of the ISBAR Sticker in CUMH CUMH IMEWS National Audit result and recommendations (Aug, 2014) CUMH IMEWS Audit results and recommendations 2015 Facilitators: Cathy O Sullivan, Paulette De Foubert and Fiona Kirby Duration: 1 hour Dates: 7 th December, th April, 2016 Time: and repeated Venue: Fifth Floor, Centre of Midwifery Education No. of Places: 30 Target Audience: Midwives, Nurses and Doctors Nominations through Relevant Line Manager to: cme.administrator@hse.ie 21

23 INTRAVENOUS THERAPY PROGRAMME Aim: To up-date in the practice of intravenous therapy. Content: Theoretical Session: Local Guidelines on IV therapy & Medication Management Intravenous medications used in the maternity setting Recognition & management of anaphylaxis Drug calculations Review of E Learning programme (see below) Practical Demonstration: Setting up of the Braun infusion pump Setting up of Braun syringe driver Preparation of bolus IV medication Blood Transfusion Practices CUMH Pre-requisite for a place: It is necessary for all practitioners that wish to attend this programme to first complete the online learning module on medication management at The certificate of completion is to be submitted on the morning of the programme. Facilitators: Annette Keating, Interim Director, CME Connie Foley/Patricia O Leary Haemovigilance Aine Connolly, IV Nurse Specialist, CUH Duration: 7½ hours Date: 8 th October rd February 2016 Time: hrs Venue: Centre of Midwifery Education, 5 th Floor, CUMH No. of Places: 20 Target Audience: Maternity Care Staff Nominations through Line Manager to: cme.admistrator@hse.ie Braun Pump Training: Dates are continuously issued by from the CNE, CUH. Should you wish to attend, please book place from Hilary Cotterell Secretary CNE, CUH. hilary.cotterell@hse.ie Ext

24 K2 ELECTRONIC FETAL MONITORING TRAINING It is essential for all midwives to complete 2 modules of the K2 online learning programme on (Acid Base and Fetal Physiology and Cardiotocography). On completion of each of the 2 modules, a certificate is to be printed off and submitted to your line manager. Please retain a copy for your own learning portfolio. Aim: To improve understanding of, and confidence in, fetal surveillance. Content: Review of Acid-base balance, fetal physiology and cardiotocography Interpretation of the CTG: practical workshop Course Administrators: Annette Keating, Deirdre Kelleher, Cathy O Sullivan Course Facilitators: As above and Siobhan Bourke and Katie Bourke. Duration: 5 hours Date: 24 th November, 2015 Time: Venue: hrs 5 th Floor, CME No. of Places: 25 Target Audience: Midwives Nominations through Line Manager to: cme.admistrator@hse.ie 23

25 MANAGING PREGNANCIES COMPLICATED BY CO-MORBIDITIES Aim: To update Midwives/Nurses (Maternity Care), PHNs and practice nurses in the care of pregnant women with co-morbidities. Content: The development of medical complications during pregnancy. The effect of pregnancy on existing medical conditions. Facilitators: To be confirmed Duration: One day programme Dates: Date for Spring 2016 to be confirmed Time: hr Venue: Fifth Floor Centre of Midwifery Education No. of Places: 40 Target Audience: Midwives, Nurses, PHNs and Practice nurses. Nominations through Line Manager to: 24

26 MATERNITY CRITICAL CARE PROGRAMME Aim: To update Midwives/Nurses (Maternity Care) in the care of the critically ill woman. Content: Airway Management, Anaphylaxis/Cardiac Arrest, Central Lines, Arterial lines, Use of the Rapid Infuser, Blood Warmer, Use of the Irish Maternity Early Warning Score (IMEWS), Management of Massive Haemorrhage, National Guideline on Critical Care. Facilitators: Duration: To be confirmed 8 hours Date: 20 October 2015 Time: Venue: hrs 5 th Floor, CME No. of Places: 20 Target Audience: Midwives and Nurses in Maternity Care Nominations through Line Manager to: cme.administrator@hse.ie 25

27 NEONATAL RESUSCITATION PROGRAMME (6 th ed) Aim: To update Midwives and Health Care Staff in the theory and practice of neonatal resuscitation. Content: Overview and principles of resuscitation Initial steps of resuscitation Use of resuscitation bag and mask Chest compressions Endotracheal intubation Medications Special considerations Facilitators: Department of Paediatrics and Child Health, UCC, Paramedics, Staff of Centre of Midwifery Education, CUMH Duration: Half day programme, preceded by study of Neonatal Resuscitation Textbook and online exam. Dates Dates can be obtained directly from nrp@ucc.ie (See below for additional contact details). Time: hrs Venue: Fifth Floor, Centre of Midwifery Education Number of places: 16 Target Audience: Midwives, Nurses, Doctors, Paramedics. Nominations from Relevant Line Manager to: Ber Fitzgerald, 5 th Floor, 5 South, CUMH Ph: (021) or nrp@ucc.ie 26

28 PATIENT MOVING AND HANDLING TRAINING (Full day) Aim: To learn about how our backs work and how it can be injured. Content: Legislation in relation to manual handling Musculoskeletal system Ergonomics and ergonomic risk assessment Materials moving and handling People moving and handling Facilitators: Sheila Hussey, Moving & Handling Training Coordinator. Annette Keating & Moving & Handling Instructors. Duration: 8 hours Dates: 8 th September th November th January th April 2016 Time: hrs Venue: Fifth Floor, Centre of Midwifery Education. Number of Places: 12 Target Audience: All CUMH staff Dress code for this course is flat laced up shoes or trainers and track suit type clothing. Nominations through Relevant Line Manager to: Moving & Handling Training Department, Section B, Edward Court, Edward Street, Tralee, Co Kerry - address: mhtd@hse.ie Telephone (066) Fax (066) In order for nominations to be processed the following details are required: Name, Personnel Number, Job title and Place of work of trainee. Line Managers name must also be submitted. 27

29 PATIENT MOVING AND HANDLING TRAINING (Half day) Aim: Content: Facilitators: Duration: Dates: To learn about how our backs work and how it can be injured. Legislation in relation to manual handling Musculoskeletal system Ergonomics and ergonomic risk assessment Materials moving and handling People moving and handling Sheila Hussey, Moving & Handling Training Coordinator. Annette Keating & Moving & Handling Instructors. 4 hours 15 th October th December th February nd June 2016 Time: Venue: No. of Places: 12 Target Audience: All CUMH staff Fifth Floor, Centre of Midwifery Education. Dress code for this course is flat laced up shoes or trainers and track suit type clothing. Nominations through Relevant Line Manager to: Moving & Handling Training Department, Section B, Edward Court, Edward Street, Tralee, Co Kerry - address: mhtd@hse.ie Telephone (066) Fax (066) In order for nominations to be processed the following details are required: Name, Personnel Number, Job title and Place of work of trainee. Line Managers name must also be submitted. 28

30 SIX DAY PREPARATION FOR BIRTH AND PARENTHOOD PROGRAMME 5 credit module in conjunction with the School of Nursing and Midwifery, UCC Aim: To explore a range of skills that will enable health professionals to facilitate learning in antenatal and parenthood education. These include: Developing a course outline for all expectant parents The relevance of group dynamics Teaching/learning strategies that can be used to attract, sustain and inform expectant parents Facilitation skills to make learning fun and effective for prospective parents Presentation skills/ how to move from monologue to dialogue Preparing women/couples for birth Facilitators: Duration: Cathy O Sullivan and guest facilitators 6 days Dates: Day 1 and 2 16 th and 17 th September, 2015 Time: Venue: Day 3 and 4 12 th and 13 th October, 2015 Day 5 and 6 11 th and 12 th November, hrs Fifth Floor, Centre of Midwifery Education Target Audience: Midwives, Public Health Nurses and Physiotherapists. Application forms are available from: Helen Forbes, Catherine McAuley School of Nursing and Midwifery Brookfield Health Sciences Complex, University College Cork, Cork. Telephone: (021) Informal enquiries available from Course Coordinator Cathy O Sullivan (021) Centre of Midwifery Education, Cork University Maternity Hospital Cathy.OSullivan@hse.ie Closing Date for receipt of completed application forms: 17 July Note: Should the number of applications exceed the maximum quota (18); applicants will be ranked according to qualifications and experience. Send Completed Application and Fee to: CPD Coordinator, Graduate Studies Office West Wing, University College Cork, College Rd., Cork. 29

31 PREPARATION FOR BIRTH & PARENTHOOD 1 DAY WORKSHOP Aim: To introduce midwives, public health nurses and physiotherapists to the concept of parent focused antenatal/parentcraft education. Content: Introduction to facilitation skills The benefits of parent led education Interactive teaching and learning strategies Integration of learning into practice. Facilitator: Cathy O Sullivan Duration: One day programme Dates: 19 th April, 2016 Time: hr Venue: Fifth Floor, Centre of Midwifery Education No. of Places: 20 Target Audience: Midwives, Public Health Nurses & Physiotherapists Nominations through Line Manager to: cme.admistrator@hse.ie 30

32 PERINEAL REPAIR WORKSHOP (5 CEUs) Aim: To increase the midwife s knowledge base on perineal trauma and its repair. Content: The registration and legislation of Midwives The pelvic Floor, a review of the anatomy Perineal trauma: evidence based practice Perineal repair: evidence based practice Perineal repair: practical aspects Competency forms Facilitators: Staff of the Centre of Midwifery Education Jean Dennehy, Senior Physiotherapist Duration: 5½ Hours Dates: 28 th September th January 2016 Time hrs No. of Places: 10 persons Target Audience: Maternity Care Staff Venue: Fifth Floor, Centre of Midwifery Education Nominations through Line Manager to: cme.admistrator@hse.ie 31

33 PRECEPTORSHIP PROGRAMME (6 CEUs) Aim: Content To prepare midwives to undertake the role of preceptor Preceptorship - what is it? Adult Learning Principles of Assessment Competency Framework Levels of Learning/Steinaker and Bell s Learning Taxonomy Reflection Practical Workshops: Use of the various competency assessment handbooks. Facilitators: Staff of CME Practice Development Team School of Nursing and Midwifery, U.C.C. Duration: 6 hours Dates: 2 nd September, TH February, th October, th May, 2016 Time: Venue: hrs Fifth Floor, Centre of Midwifery Education No. of Places: 25 Target Audience: Midwives and Nurses Nominations through Line Manager to: cme.admistrator@hse.ie 32

34 PROMPT 2: PRACTICAL OBSTETRIC MULTI-PROFESSIONAL TRAINING FULL DAY PROGRAMME (8 CEUs) Aim: To adopt best practice and a multiprofessional approach in the management of obstetric emergencies. Content: Updated modules include: Pre-eclampsia & Eclampsia Maternal Resuscitation Shoulder Dystocia Major Obstetric Haemorrhage New modules include: Maternal Sepsis Anaesthetic Problems Uterine Inversion Prerequisites for the session: 1. Essential pre-reading for this training day is the PROMPT 2 Course manual and is available on a loan basis only from the CME office from Monday to Friday between 0800 and 1600 hours. For those who wish to purchase a manual, the supplier contact details are as follows: Cambridge University Press, The Edinburgh Building, Shaftesbury Road, Cambridge CB28RUK Phone (0044) As the drills will take place in the clinical area, including theatre, all participants must wear scrubs for the afternoon drill session. 33

35 Facilitators: Deirdre Kelleher, Centre of Midwifery Education Katie Bourke, Clinical Skills Facilitator Matt Hewitt, Obstetrician Oonagh Hickey, Anaesthetist And other members of the multi-disciplinary team Duration: 8 hours Dates: Tuesday 17 th November 2015 Wednesday 17 th February 2016 Friday 4 th November 2016 Time: hrs Venue: Fifth Floor, Centre of Midwifery Education No. of Places: 30 Target Audience: Maternity Care Staff Nominations through Line Manager to: cme.admistrator@hse.ie 34

36 PROSTIN ADMINISTRATION (3 CEUs) Aim: To discuss the theory and practice in relation to the administration of Prostin (Per Vaginum) Content: CUMH Policy re: Induction of labour and administration of Prostin Review of abdominal examination, vaginal examination and Electronic Fetal Monitoring Prostin administration and its management Practice Session: Vaginal examinations & administration of Prostin (including competency forms) Facilitators: Staff, CME Duration: 3 hour workshop Dates:- 22 nd September 2015 Other dates to follow based on demand Time: hrs Venue: Centre of Midwifery Education, CUMH No. of Places: 10 persons Target Audience: Maternity care staff Nominations through Line Manager to: cme.admistrator@hse.ie 35

37 VENEPUNCTURE AND PERIPHERAL IV CANNULATION WORKSHOP (5 CEUs) Aim: To gain competency in the skills of Venepuncture and Peripheral Intravenous Cannulation Content: Review of the National Framework on Venepuncture and Peripheral Intravenous Cannulation Labelling of specimens for Group & Cross match Complications of Peripheral Intravenous Cannulation Practical Application: Venepuncture Practical Application: Peripheral Intravenous Cannulation Clinical knowledge Assessment (MCQ and short answer questions) Pre-requisite for a place on the programme: It is necessary for all practitioners that wish to attend this programme to first complete the two online learning modules on venepuncture and Peripheral Intravenous Cannulation at and to complete the on-line self assessment section at the end of each module. Evidence of completion of the 2 modules and of a pass in the self assessments (score sheets) must be printed off and submitted to your line manager. Prereading is also essential. See appendix 2. It is important that participants give themselves adequate time to prepare for this programme. N.B.: Without submission of the 2 certificates and 2 score sheets attendance at the programme will not be permitted. 36

38 Facilitators: Staff of Centre of Midwifery Education Aine Connolly IV Nurse Specialist CUH Connie Foley/Patricia O Leary CMS Haemovigilance Duration: 6 Hours Dates: 22 nd October th January 2016 Other dates to follow based on demand. Time: hrs Venue: Centre of Midwifery Education, 5 th Floor, CUMH No. of Places: 12 Target Audience: Maternity Care Staff Nominations through Line Manager to: cme.admistrator@hse.ie 37

39 VENEPUNCTURE AND PERIPHERAL IV CANNULATION MODIFIED PROGRAMME (2 CEUs) Aim: To update in the skills of Venepuncture and Peripheral Intravenous Cannulation. Content: Review of the National Framework on Venepuncture & Peripheral IV Cannulation Complications of IV cannulation Update in practical aspects: Venepuncture Update in practical aspects: Peripheral IV Cannulation Pre-requisites for a place on the programme: It is necessary for all practitioners that wish to attend this programme to first complete the two online learning modules on venepuncture and Peripheral IV cannulation at and to complete the on-line self assessment section at the end of each module. Evidence of completion of the 2 modules and of a pass in the self assessments (score sheets) is to be printed off and submitted to your line manager (i.e. 4 documents). In addition, a self-certification of competence form needs to be completed by the participant and co-signed by your line manger. This is also submitted to your line manager. See appendices 2 and 3. N.B.: Without submission of the appropriate documentation attendance at this session will not be permitted. NO OPPORTUNITY FOR PRACTISING VENEPUNCTURE AND PERIPHERAL INTRAVENOUS CANNULATIION WILL BE PROVIDED DURING THIS MODIFIED SESSION AS IT IS OPEN ONLY TO COMPETENT PRACTITIONERS. 38

40 Facilitators: Staff of Centre of Midwifery Education Aine Connolly IV Nurse Specialist CUH Duration: 2½ hours Dates: 23 rd September 2015 Other dates to follow based on demand. Time: hrs Venue: Centre of Midwifery Education, 5 th Floor, CUMH No. of Places: 20 Target Audience: Maternity Care Staff who are competent and experienced in the skills of venepuncture and peripheral IV cannulation. Nominations through Line Manager to: cme.admistrator@hse.ie 39

41 ADDITIONAL PROGRAMMES Daters are yet to be confirmed for the following programmes: Dealing with Bad News Workshop Domestic Abuse Workshop Flyers will be circulated once dates are confirmed. 40

42 APPENDICES Appendix 1: Letter to line manager informing them of midwife/nurse s nonattendance (without explanation) at a programme. Centre of Midwifery Education 5 th Floor 5 South, Cork University Maternity Hospital, Wilton, Cork. Telephone (021) Date: Dear I wish to inform you that whom you nominated to attend a Name of Programme Did not attend and needs further follow up by you. on: We strongly recommend that you, the Line Manager, follow-up with this staff member at your earliest convenience. This has been recorded on the attendance form. Yours Sincerely, Interim Director of Midwifery Education/Midwife Teacher 41

43 Appendix 2: Essential Pre-reading for Attendance at the Venepuncture and Peripheral IV Cannulation Workshop and Modified 2-hour Update Session It is necessary to access QPulse and to read the following documents in preparation for these programmes: Policy and procedure on the practice of venepuncture by a registered nurse/midwife with the relevant competence in CUH Group. Infection prevention and control policies, procedures and guidelines CUH Group (particularly Blood and Body Fluid Exposure). Other documents that need to be read include the following and can be accessed on the Nursing and Midwifery Board of Ireland website under Policies and Guidelines: Code of Professional Conduct and Ethics (ABAC, 2014). Scope of Nursing and Midwifery Practice Framework (An Bord Altranais, 2000). 42

44 Appendix 3: Forms for Self-Certification of Competence by the Experienced Midwife/Nurse Venepuncture Skill Self-assessment of competence by the experienced midwife/nurse Name Job Title Organisation Department/Ward/Unit Clinical Skill Peer reviewed by Line Manager (Name & Department) Cork University Maternity Hospital Venepuncture The midwife/nurse will be able to discuss the rationale for each of the following actions and demonstrate competence in the practical application of venepuncture skills Actions and skills required Achieved Date 1 Preliminary discussion with line manager and be approved to undertake the modified venepuncture skill pathway. 2 Read the policy and procedure on the practice of Venepuncture by a registered nurse/midwife in Cork University Hospital Group. 3 Read the Code of Professional Conduct and Ethics (ABAC, 2014) and the Scope of Nursing and Midwifery Practice Framework (An Bord Altranais, 2000). 4 Completed the HSE elearning component of the blended learning education programme. 5 Is familiar and practises within the standards outlined in the local policies pertaining to Venepuncture. 6 Is deemed competent by self for independent practice in CUMH (peer reviewed by CMM2, line manager). Competence agreed for Venepuncture in line with the Scope of Nursing and Midwifery Practice Framework (An Bord Altranais 2000) is as follows: (recommend performing 10 venepuncture procedures per month) Name of Midwife/Nurse: I am satisfied that I have the necessary competence to continue practising the skill of Venepuncture, and I have updated with the related theoretical component from the National programme. Signed Print Department Date Clinical Midwife Manager/Line Manager: I am satisfied that the above named person has the necessary competence to continue practising the skill of venepuncture, and has updated with the related theoretical component from the National programme. Signed Print Department Clinical Midwifery/Nurse Manager (Line Manager) Date

45 Peripheral Intravenous Cannulation Skill Self-assessment of competence by the experienced midwife/nurse. Name Job Title Organisation Department/Ward/Unit Clinical Skill Peer reviewed by Line Manager (Name & Department) Cork University Maternity Hospital Peripheral Intravenous Cannulation The midwife/nurse will be able to discuss the rationale for each of the following actions and demonstrate competence in the practical application of peripheral intravenous cannulation skills Actions and Skills required Achieved Date 1 Preliminary discussion with line manager and be approved to undertake the modified peripheral intravenous cannulation skill pathway. 2 Read the Cork University Hospital Group Policy pertaining to Peripheral intravenous Cannulation and other related policies. 3 Read the Code of Professional Conduct and Ethics (ABAC, 2014) and the Scope of Nursing and Midwifery Practice Framework (An Bord Altranais 2000). 4 Completed the HSE elearning Module of the blended learning education programme. 5 Is familiar and practises within the standards outlined in the local policies pertaining to peripheral IV cannulation. 6 Is deemed competent by self for independent practice in CUMH (peer reviewed by CMM2, line manager). Competence agreed for Peripheral Intravenous Cannulation in line with the Scope of Nursing and Midwifery Practice Framework (An Bord Altranais 2000) is as follows: (recommend performing 10 Cannulation procedures per month) Name of Midwife/Nurse: I am satisfied that I have the necessary competence to continue practising the skill of Peripheral intravenous Cannulation, and I have updated with the related theoretical component from the National programme. Signed Print Department Date Clinical Midwife/Nurse Manager/Line Manager: I am satisfied that the above named person has the necessary competence to continue practising the skill of Peripheral Intravenous Cannulation, and has updated with the related theoretical component from the National programme. Signed Print Department Clinical Midwifery Manager (Line Manager) Date

46 Perineal Repair Skill Self-assessment of competence by the experienced midwife. Name Job Title Organisation Department/Ward/Unit Clinical Skill Peer reviewed by Date of theoretical update CUMH Birthing Suite Perineal repair The midwife will be able to discuss the rationale for each of the following actions and demonstrate competence in the practical application of perineal repair skills Actions and skills required Achieved Date 1 Preliminary discussion with line manager and be approved to undertake the modified perineal repair skill pathway. 2 Read Policy and Procedure on the Care of a Low Risk Woman during Labour in Cork University Maternity Hospital and Policy and Procedure on the Postnatal Perineal Care for Women following Vaginal Birth in Cork University Maternity Hospital. 3 Read the Code of Professional Conduct and Ethics (ABAC, 2014) and the Scope of Nursing and Midwifery Practice Framework (An Bord Altranais, 2000). 4 Is familiar and practises within the standards set in the local policies pertaining to perineal repair and care. 5 Is deemed competent by self for independent practice in CUMH (peer reviewed by CMM2, line manager). It is imperative that each midwife continues to undertake the skill of perineal repair on a regular basis to maintain competence. Name of Midwife: I am satisfied that I have the necessary competence to continue practising the skill of perineal repair, and I have updated with the related theoretical component. Signed Print Department Date Clinical Midwife Manager/Line Manager: I am satisfied that the above named person has the necessary competence to continue practising the skill of perineal repair, and has updated with the related theoretical component. Signed Print Department Clinical Midwifery Manager (Line Manager) Date

47 Skill of Administration of Dinoprostone (Prostin) Per vagina (PV) Self-assessment of competence by the experienced midwife. Name Job Title Organisation Department/Ward/Unit Clinical Skill Peer reviewed by Line Manager (Name & Department) Cork University Maternity Hospital Administration of Dinoprostone (Prostin) PV The midwife/nurse will be able to discuss the rationale for each of the following actions and demonstrate competence in the practical application of the administration of prostin PV Actions and skills required Achieved Date 1 Preliminary discussion with line manager and be approved to undertake the modified skill pathway of administration of Dinoprostone (Prostin) PV. 2 Read the policy and procedure on the administration of Prostaglandins for the induction of labour in Cork University Maternity Hospital. 3 Read the Code of Professional Conduct and Ethics (ABAC, 2014) and the Scope of Nursing and Midwifery Practice Framework (An Bord Altranais, 2000). 4 Is familiar and practises within the standards outlined in the local policy pertaining to the administration of Dinoprostone (Prostin) PV. 5 Is deemed competent by self for independent practice in CUMH (peer reviewed by CMM2, line manager). Competence agreed for the administration of Dinoprostone (Prostin) in line with the Scope of Nursing and Midwifery Practice Framework (An Bord Altranais 2000) Clinical Midwife Manager/Line Manager: I am satisfied that the above named person has the necessary competence to continue practising the skill of administering Dinoprostone (Prostin) PV. Signed Print Department Clinical Midwifery Manager (Line Manager) Date

48 Appendix 4: Forms for Assessment of Competence in Midwifery/Nursing Skills Venepuncture-Record of Supervised Practice Assessments. The purpose of this document is to provide evidence of supervised practice and demonstrate competence progression under supervision. Name & (Initials) Job Title Organisation Cork University Maternity Hospital Department Clinical Skill Venepuncture Date Started: Date Completed: Clinical Assessor Name & (Initials ) Clinical Assessor Name & (Initials) Clinical Assessor Name & (Initials) The nurse/midwife must be able to discuss the rationale for each of the actions and demonstrate competence in the practical application of these skills as applicable Skill Required 10 SELF ASSESSMENTS Achieved = Not Achieved = A Correct identification of patient B Appropriate patient preparation and communication C Chooses and handles equipment confidently and correctly D Considers personal safety and that of others E Correct identification of suitable vein F Appropriate venous dilation methods G Provision of local anaesthesia as required (as per CUH Group policy) H Needle inserted and sample obtained I Correct order of draw for multiple samples J Appropriate troubleshooting techniques K Aseptic technique followed throughout L Needle removed safely and care of site given M N Disposal of sharps safely Completes documentation, labelling, and sample dispatch (as per CUH Group organisation policy) Initial of Clinical Assessor: Initial of Nurse/midwife Date: *The number of these supervisions will vary between individuals so please copy this form if you require more supervised assessment 47

49 Final Assessment Venepuncture - Final Competence Assessment. Essential skills, demonstrating competence for independent practice Name Job Title Organisation Department Clinical Skill Venepuncture Clinical Assessor The nurse/ midwife demonstrated: Pass Refer 1 Appropriate communication with the patient throughout. 2 Safe technique throughout the whole procedure. 3 Familiarity with equipment. 4 Aseptic technique throughout. 5 Correct positioning of patient and preparation of environment. 6 Chooses appropriate vein site and equipment for venepuncture. 7 Provides local anaesthesia (as per CUH Group policy). 8 Completes venepuncture procedure correctly and safely (as per CUH Group policy). 9 Disposes of sharps and equipment correctly and safely. 10 Completes documentation in line with CUH Group policy. Outcome (tick ) Pass Refer OUTCOME AGREED Date Nurse / Midwife: Clinical Assessor: Sign: Sign: Print: Print: Note of action plan if referred for further assessment: ACTION PLAN AGREED Date Nurse / Midwife: Clinical Assessor: Sign: Sign: Print: Print: 48

50 Venepuncture Skill -Completion Checklist. Name Job Title Organisation Department/Ward/Unit Clinical Skill Clinical Assessor Date Programme Commenced (must be completed within 3 months) Date Programme Completed Cork University Maternity Hospital Venepuncture The nurse /midwife will be able to discuss the rationale for each of the following actions and demonstrate competence in the practical application of venepuncture skills Actions and skills required Achieved Date 1 Preliminary discussion with line manager and be approved to undertake the venepuncture skill pathway 2 Read CUH Group- Venepuncture Policy 3 Read the Code of Professional Conduct and Ethics (ABAC, 2014) and the Scope of Nursing and Midwifery Practice Framework (An Bord Altranais, 2000) 4 Completed the HSE elearning component of the blended learning education programme or Attended approved theoretical programme provided by the Cork University Maternity Hospital 5 Successfully completed the HSE Clinical Knowledge Assessment or its equivalent 6 Attended a skills demonstration and practice session and has become familiar with and practiced with equipment used in Cork University Maternity Hospital 7 Has been deemed suitable to proceed to supervised practice by educator 8 Completed and recorded 6-10 supervised practice assessments 9 Successfully completed the Final Competence Assessment and has been deemed competent by the Clinical Assessor for independent practice in Cork University Maternity Hospital Competence agreed for Venepuncture I agree to maintain my clinical competence in venepuncture in line with the Scope of Nursing and Midwifery Practice Framework (An Bord Altranais 2000) (recommend performing 10 venepuncture procedures per month) Date Nurse/Midwife Clinical Assessor: Sign: Sign: Print: Print: Clinical Nurse /Midwife Manager: I am satisfied that the above named person has attended the necessary education & training, and has completed the related competence programme. Sign Print Date

51 Peripheral VENEPUNCTURE Intravenous Cannulation-Record of Supervised Practice Assessments. The purpose of this document is to provide evidence of supervised practice and demonstrate competence progression under supervision. Name & (Initials) Job Title Cork University Maternity Hospital Organisation Department Clinical Skill Peripheral Intravenous Cannulation Date Started: Clinical Assessor Name & (Initials ) Date Completed: Clinical Assessor Name & (Initials) Clinical Assessor Name & (Initials) The nurse or midwife must be able to discuss the rationale for each of the actions and demonstrate competence in the practical application of these skills as applicable Skill Required 10 SELF ASSESSMENTS Achieved = Not Achieved = A Correct identification of patient B Appropriate patient preparation and communication C Chooses and handles equipment confidently and correctly D Considers personal safety and that of others E Correct identification of suitable vein F Appropriate venous dilation methods G Provision of local anaesthesia as required (as per CUH Group policy) H Cannula insertion I Secure and anchor cannula safely and effectively J Appropriate troubleshooting techniques K Appropriate technique followed throughout L Management of equipment M N Disposal of sharps safely Completes documentation (as per CUH Group policy) Initial of Clinical Assessor: Initial of Midwife / Nurse Date: *The number of these supervisions will vary between individuals so please copy this form if you require more supervised assessment 50

52 Peripheral Intravenous Cannulation - Final Competence Assessment. Final Assessment - Essential skills, demonstrating competence for independent practice Name Job Title Organisation CUMH Department Clinical Skill Peripheral Intravenous Cannulation Clinical Assessor The midwife or nurse demonstrated: Pass Refer 1 Appropriate communication with the patient throughout 2 Safe technique throughout the whole procedure 3 Familiarity with equipment 4 Displays appropriate technique throughout 5 Correct positioning of patient and preparation of environment 6 Chooses appropriate vein site and equipment for procedure 7 Provides local anaesthesia (as per CUH Group policy) 8 Completes procedure correctly and safely (as per CUH Group policy) 9 Disposes of sharps and equipment correctly and safely 10 Completes documentation in line with CUH Group policy. Outcome (tick ) Pass Refer OUTCOME AGREED Date Midwife / Nurse: Clinical Assessor: Sign: Sign: Print: Print: Note of action plan if referred for further assessment: ACTION PLAN AGREED Date Midwife / Nurse: Clinical Assessor: Sign: Sign: Print: Print: 51