Chelsea and Westminster Hospital Information Governance Team Chelsea Harbour Harbour Yard Unit 111, 1 st Floor London SW10 0XD 29/12/2015

Transcription

1 Chelsea and Westminster Hospital Information Governance Team Chelsea Harbour Harbour Yard Unit 111, 1 st Floor London SW10 0XD 29/12/2015 Our Ref: FOI Dear Requester Thank you for your information request received by us on 04/12/2015 This request has been handled under the Freedom of Information Act Please note that Chelsea and Westminster Healthcare NHS Foundation Trust merged with West Middlesex University Hospital in September 2015, for this reason our response covers both sites. Our response: 1.1 Who manages training? A practice development midwife or the HR department? The Midwifery Practice Development Team in liaison with Learning and Development (L&D). 1.2 Do you keep a database tracking training? If so, is this part of a trust-wide computer system? Yes to both we use the Oracle Learning Management (OLM) system which is integral to Electronic Staff Records(ESR). 1.3 Which topics do you identify as requiring mandatory maternity training? In addition to the topics applicable to all staff (e.g. Fire Safety, Health & Safety, Information Governance, Safeguarding, etc.), the following are the Clinical professional subjects that midwifery staff are also required to complete: - Blood Transfusion: updates 2 yearly, competences 3 yearly (F2F) and e-learning and self-assessment - Pressure Ulcer Prevention & Management: 3 yearly F2F (30mins) and e-learning - Medicines Management : 2 yearly F2F and e-learning (30-60mins) - Medicines Management Anti-microbial stewardship: 3 yearly F2F and e-learning (30mins) - VTE: 2 yearly F2F and e-learning (30-60mins) - Health Record Keeping / Electronic Patient Records: One-off (up to 3 hrs) - Medical Gases: 3 yearly e-learning (90mins) - Consent: one-off (30mins) - End of Life Care: one-off (15mins) - Dementia Awareness: one-off (30mins) - Waste Management: one-off (25mins)

2 The topics which are mandatory within Maternity for core staff working in specific areas. There are numerous topics/ courses which are deemed Area Essential in order to target training appropriately to meet specific area requirements. Please see below for details of this training: Attached 1.4 What is the duration of your training? That is, what number of hours and/or sessions of training do you provide per topic? Variable topic dependant (see attached ) 1.5 How frequently is the training provided per topic? Variable topic dependant (see attached ) 1.6 How frequently do you mandate that individual staff should attend for retraining? By which method do you deliver this training? Variable topic dependant (see above) 1.7 Is this training provided in-house or do you use external providers? In-house 1.8 Do you use a course assessment form? Yes.Please see the attached course assessment form. 1.9 Do you offer a budget for mandatory training for attendance at external courses for Yes / No Individual annual budget It is not from Continuous Professional and Personal Development (CPPD) but departments may hold a budget. Most mandatory trainings are provided internally. Trained doctors Yes / No Individual annual budget This would be departmental. We assume mandatory training is regarding to Statutory Mandatory Training. The Trust provides training to the Medics. They all attend for Maternity 1.10 Please confirm if you do not have access to data about Q1.9 2.WITH RESPECT TO NON-MANDATORY MATERNITY TRAINING 2.1 Do you have any specific non-mandatory training programmes? No fixed programme, this is delivered through CPPD and is dependent on department need and Trust Objectives. 2.2 Do you provide any non-mandatory training relevant to obstetrics within the Trust?

3 No fixed programme, this is delivered through CPPD and is dependent on department need and Trust Objectives. 2.3 If so, is this training provided in-house or do you use external providers? No fixed programme, this is delivered through CPPD and is dependent on department need and Trust Objectives. 2.4 Do you offer a budget for non-mandatory training for attendance at external courses for: Yes / No Individual annual budget Yes, the funding is not based on personal budgets but by Training Need Assessment(TNA) and meet the development needs as agreed by the Head of Midwifery. Trained doctors Yes / No Individual annual budget Yes each trainee has annual training allowance of 850 for Foundation year 2 and upwards. For more information on this please see: You can find a list of our Directors on our website at: If you are not satisfied with this response If you are not satisfied with how your request has been handled then please either 1. Respond to this and we will review our answers and get back to you or 2. Write directly to: The Chief Executive Chelsea and Westminster Hospital NHS Foundation Trust 4 Verney House 1B Hollywood Road London SW10 9HS If, after we have addressed your complaint, you remain dissatisfied with how we have responded, you are entitled to appeal to the Information Commissioner at: The Information Commissioner's Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF. Telephone: or Website: There is no charge for making an appeal. Re-use of information and copyright

4 You are free to re-use the information contained in our response under the terms of the Open Government Licence You must take into account the exemptions and any other conditions such as the nonendorsement condition below This licence does not grant you any right to use the Information in a way that suggests any official status or that Chelsea and Westminster Hospital NHS Foundation Trust, the Information Provider and/or Licensor endorse you or your use of the Information Further information can be found at: Yours sincerely The Information Governance team Chelsea and Westminster Hospital NHS Foundation Trust foi@chelwest.nhs.uk

5 Faculty of Nursing WMUH WMUH Medication management assessment Please read each question carefully. You have 30 minutes to complete this test. You may use a calculator. No talking or conferring is allowed during the test. Please show how you have arrived at your answer. The total score for each question is shown in bold. 1. Metformin is prescribed 500mg with breakfast for 10days, followed by 500mgwith breakfast & evening meal for the next 10 days, then 500mg with breakfast, lunch & evening meal for the next 10 days. How many grams in total has the patient taken in total in 30 days? 1 mark 2. Change 200 micrograms to mg 1 mark 3. The prescription asks for carbamazepine 600mg b.d. How many grams of carbamazepine does the patient take daily? 1 mark mg of amoxicillin is reconstituted with 2.5ml water then diluted with sodium chloride 0.9 w/v infusion fluid to give a volume of 50ml. What volume do you measure out? 1 mark 5. The patient needs 150mg amitryptiline. The stock is an oral solution containing 50mg in 5ml. What volume do you measure out? 1 mark 6. A syringe driver contains 20mg morphine and 150mg cyclizine in 6ml of solution. The entire contents of the syring are infused in 24 hours. What is the dose

6 rate for the cyclizine in mg/hour? 1 mark 7. During your medicine round, your patient reduses to take his/her medicines. List 3 actions that you should take as the registered nurse or midwife in charge 3 marks 8. When you carry out the regular check of the controlled drugs you notice that something is missing. List 3 actions that you should take as the registered nurse or midwife in charge? 3 marks 9. Student nurses/student midwives are allowed the administer medicines to patients? True or False? Give reasons for your answer 10. You discover medicines that have been left on a patient s bedside locker which should have been taken in the morning. It is now the afternoon. List 3 actions that you should now take as the registered nurse or midwife in charge? 3 marks 11. The drug keys are missing from the ward. List 3 actions that you should take as the registered nurse or midwife in charge 3 marks

7 WEST MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST NAME DATE OF TEST NB: YOU HAVE 40 MINUTES IN TOTAL TO COMPLETE THIS TEST. YOU MUST ANSWER ALL DRUG CALCULATIONS. THE FORMULA FOR CALCULATING DRUGS IS ENCLOSED. CALCULATORS ARE NOT PERMITTED. Drug calculations 80% pass mark RESULTS Reason for referral Drug calculation Comments: 1

8 WEST MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST DRUG CALCULATIONS TEST Question: 1 A patient is prescribed 75 micrograms of thyroxin, but the strength of tablets available is 25 micrograms. How many tablets are required? Question: 2 A patient is prescribed 1 gram of Erythromycin orally, but you have erythromycin suspension 250 mg in 5 ml. How much of the suspension do you need to give to the patient? 2

9 Please continue on this page. Question: 3 A patient is prescribed 2g of flucloxacillin to be given orally; the drug is only available in 500mg capsule. How many capsules will you give? Question: 4 Convert 3.2 litres to millilitres. Question: 5 Convert 250 milligrams to grams 3

10 Question 6 A patient is prescribed 1 litre of fluid over 24 hours. How may mls/hour should the patient receive? Question 7 You need to give 45 mg of Prednisolone and you have 10mg, 5mg and 2mg tablets on the trolley. What tablets would you give to ensure that your patient has the correct dose with the least amount of tablets? Question 8 You need to give a patient 5mg of Morphine Sulphate via subcutaneous injection. It comes in vials of 20mg in 2ml. How may mls would you give the patient? 4

11 Question 9 A patient is prescribed 30mgs of Amlodipine. You have 5mg and 10mg tablets. What tablets would you give to get the correct dose? Question 10 A patient is prescribed 1g of Paracetamol you have 500mg tablets. How many would you give? 5

12 Formulas: If you are use to a recognised formula, please stick to it. Otherwise use any of the below as required. a) Volume needed = Prescribed dose x Volume supplied Supplied dose b) Volume needed = What you want x what is in it What you ve got c) Volume needed = Amount you WANT x Volume it s in Amount you ve GOT Conversions 1 kilogram = 1000 grams 1 gram = 1000 milligrams 1 milligram = 1000 micrograms 1 microgram = 1000 nanograms To change from to do this kilogram grams multiply by 1000 grams milligrams multiply by 1000 milligrams micrograms multiply by 1000 micrograms nanograms multiply by 1000 nanograms micrograms divide by 1000 micrograms milligrams divide by 1000 milligrams grams divide by 1000 grams kilograms divide by

13 - Maternity Mandatory Training All Areas Who has to complete training Course Delivery method Refresher period Care for Women following Operative Interventions & Nurses Local Induction Individual One off Bladder Care & Nurses Maternity Update Infant Feeding, Nurses, MSWs & Doulas Maternity Update Reducing Neonatal Intensive Care Unit Admissions & Nurses Maternity Update Maternal Mental Health & Nurses Maternity Update Women's Health Physiotherapy: Reducing Morbidity & Nurses Maternity Update Recognition of a severely unwell maternity patient - Maternity Early Warning Score(MEWS), Nurses, MSWs(Maternity Support Workers ) & Doulas Multidisciplinary Obstetric and Midwifery Simulation ()/ Antenatal Clinic(ANC )

14 Antenatal and Newborn Screening Tests Maternity Update E-Learning Maternal Resuscitation (Level 1 & 2) Level 1 = MSWs & Doulas Level 2 = and Nurses /ANC Eclampsia & Nurses /ANC Sepsis & Nurses /ANC Area Essential Training Antenatal Clinic Interpreting Blood Results ANC Antenatal Screening ANC (Skills and Drills) Antenatal Screening: Infectious Diseases ANC Antenatal Risk Assessment ANC

15 Interpreting Growth Scans ANC Birth Centre Foetal Monitoring Foetal Monitoring Study Day One Off Assessment and Repair of Perineal Trauma Perineal Repair Study Day & Assessment One Off Birth Centre Emergencies Birth Centre Simulation One Off Foetal Monitoring: CTG/Intermittent Obstetric Haemorrhage Cord Prolapse Breech (Skills (Skills (Skills Shoulder Dystocia (Skills

16 Newborn Life Support (Skills Teamwork & Communication for Obstetric Emergencies, MSWs and Doulas Simulation Anaesthetic Update Community Newborn Life Support (RC UK) Resus Council (UK): NLS 4 Yearly Homebirth Simulation Homebirth Foetal Monitoring: CTG/Intermittent Perineal Repair Study Day Assessment and Repair of Perineal Trauma & Assessment One Off Obstetric Haemorrhage (Skills

17 Cord Prolapse Breech Shoulder Dystocia Newborn Life Support Update (Skills (Skills (Skills (Skills Teamwork & Communication for Obstetric Emergencies & MSWs Simulation Anaesthetic Update Interpreting Blood Results ANC Antenatal Screening ANC Antenatal Screening: Infectious Diseases ANC

18 Antenatal Risk Assessment ANC Interpreting Growth Scans ANC Labour Ward Foetal Monitoring Foetal Monitoring Study Day One Off Assessment and Repair of Perineal Trauma Perineal Repair Study Day & Assessment One Off Bereavement in Maternity Bereavement Study Day One Off Foetal Monitoring: CTG/Intermittent Obstetric Haemorrhage Cord Prolapse (Skills (Skills Breech (Skills

19 Shoulder Dystocia Newborn Life Support Update (Skills (Skills Teamwork & Communication for Obstetric Emergencies, MSWs and Doulas Simulation Anaesthetic Update Maternity High Dependency/Recover/Theatre Foetal Monitoring: CTG (Cardiotocograph )/Intermittent Nurses Obstetric Haemorrhage Nurses Cord Prolapse Nurses (Skills (Skills

20 Breech Nurses Shoulder Dystocia Nurses Newborn Life Support Update Nurses (Skills (Skills (Skills Teamwork & Communication for Obstetric Emergencies Nurses Simulation Anaesthetic Update Nurses Maternity Inpatients Ward Foetal Monitoring: CTG/Intermittent (excluding EON ) Obstetric Haemorrhage Cord Prolapse (Skills (Skills

21 Breech Shoulder Dystocia Newborn Life Support Update (Skills (Skills (Skills Teamwork & Communication for Obstetric Emergencies, MSWs and Doulas Simulation Anaesthetic Update Private Maternity Unit Foetal Monitoring Foetal Monitoring Study Day One Off Assessment and Repair of Perineal Trauma Perineal Repair Study Day & Assessment One Off Foetal Monitoring: CTG/Intermittent

22 Obstetric Haemorrhage Cord Prolapse Breech Shoulder Dystocia Newborn Life Support Update (Skills (Skills (Skills (Skills (Skills Teamwork & Communication for Obstetric Emergencies Simulation Anaesthetic Update Role Essential Training Senior /Nurses/Managers

23 Foetal Monitoring: CTG/Intermittent Line Managers Appraisal One off Obstetric Haemorrhage Band 7 & Above Recruitment & Selection One off Cord Prolapse Senior Managers and Band 8 & Above Risk Awareness Training for Senior Managers One off Doctors in Maternity Maternal Mental Health Doctors Induction One off Infant Feeding Doctors Induction One off Recognition of a severely unwell maternity patient - MEWS Doctors Maternal Resuscitation Doctors Eclampsia Doctors (Skills Sepsis

24 Doctors Assessment and Repair of Perineal Trauma Junior Doctors (Obstetrics) Perineal Repair Study Day One off Foetal Monitoring: CTG/Intermittent Doctors Cord Prolapse Doctors (Skills Breech Doctors (Skills Shoulder Dystocia Doctors (Skills Newborn Life Support Doctors (Skills Teamwork & Communication for Obstetric Emergencies Doctors Simulation Anaesthetic Update Doctors

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