Maternity Effective Handover Week Commencing W/C 06.05.2024
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K2 From the new SBLv3 requirements we please have to complete a smoking assessment & CO on ALL women at 35+0-36+6 – this should just be a very quick question as to whether the woman smokes/doesn’t smoke following a CO check . Please document this under : Profile : Smoking : Add New Smoking assessment . This is now one of our mandatory audits which contributes to our CNST payments .
Maternity Hi all, Going forward can you all email any K2/EPR or digital queries to [email protected] This will ensure we are able to cover the workload when team members have A/L etc. Kayleigh Astley Specialist Digital Midwife: Better Births
Maternity Dear Colleagues, We are experiencing several technical challenges with our current Hep B sAg assay and as such we have had to switch testing to our second line assay. On a day to day basis this will not impact the delivery of results, however due to changing the instrument being used this will mean we are unable to provide urgent Hep B sAg testing overnight and on Sundays. Therefore where an urgent Hep B sAg test would have been required empirical management of the patient will be needed until we are able to provide a test in hours. Urgent HIV and syphilis testing at all times is still available. I am sorry for any inconvenience this may cause and if you have any specific questions, please call virology to discuss
Maternity
Maternity Dear everyone Following on from the recent invite to the Tommy’s National preterm birth centre launch in Coventry, the launch will be held on Ward 24 in the seminar room on the 13th of May 2024 at 11.30. It is a face-to-face only meeting. As the numbers are limited, please could you confirm your attendance via the calendar invite sent. You will be able to hear a clinical talk from Professor Andy Shennan OBE who is one of the world leaders in the management of preterm birth. There will also be talks from a couple of patients from UHCW describing their experience, and clinical staff here at UHCW will also provide talks. You are also invitedto a free buffet lunch immediately following the talks at 1pm in the seminar room (providing you have confirmed attendance).
Maternity
Maternity The EDM team are seeing a large volume in maternity paperwork go through the EDM workflow with missing PIDs on them. There is a theme currently with MEWs chart and Midwife Attendance sheets which are being returned to areas. Thank you.
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Maternity Dear All Due to an increase in datixs relating to FGM cases please see the below reminders to help you 1. Please complete a referral to the safeguarding team 2. Please complete a referral to Inspire clinic via K2, (just the same way as you completed for safeguarding) 3. The K2 Wizard for FGM needs completing, in ‘Profile’; ‘Antenatal Specialisms’; FGM Specialisms (appreciate this will change in EPR) 4. Confidential note - Full documentation of conversations you had regarding the illegalities of FGM in/out of the UK, especially as a female infant is expected although conversations should always happen until sex of child is confirmed at delivery. Many thanks Donna
Maternity Dear All Following feedback received around staff rotations, we are in the process of formulating a formal rotation plan which will commence from 14 July 2024. The rationale for the plan is for all staff to be fully skilled to work in all areas, this will aim to provide some continuity and maintain skills which ultimately will provide patient safety and a good patient experience. It will also improve equity for staff who are currently being rotated more regularly than others. The plan aims to provide you with adequate notice for the change in your working environment and hours to facilitate your personal preparation. The rotation plan will include a rotation to all areas for a 3 month period. For the next 6 months the following groups will be excluded : • Core teams • Maternal medicine • Lotus • EMCERT For those staff already working in an integrated model, when rotating to Community the expectation is your hours will increase or you may choose to work all your hours in Community for the 3 month period. If you have any questions about this rotational plan, please contact your line manager
Maternity Dear Maternity Team, As you all are aware, as part of upcoming EPR project we EPR-MEBS team had been installing FMCE and CCE (Cerner Connectivity Devices) across all bedspaces in LW, LWT, FWBU, WD24 and WD25. For several times it have come to our notice that the devices (shown below) we had installed and setup across various bedspaces have been turned off and unplugged. As you know we are running so tight on the EPR project line, we are struggling from one side to install the devices and connect them to the network, thus unplugging and switching off the FMCE/CCE are disrupting our network configuration and remote testing process. Thus I request your kind consideration in this matter, which is quiet very serious. Please ensure that no one from the clinical side unplugs or turns off any EPR devices (FMCE/CCE) connected across bedspace, even while the bedspace is unoccupied and no CTG/Philips Monitor is connected to the FMCE/CCE. It is intended for the FMCEs and CCEs to always be powered on and linked to the N/W. Even after Go-Live, this procedure must be followed since it will impact the data flow and clinical workflow of connecting the CTG to FetaLink. Hoping for your kind cooperation on the same. Thanks and Regards, Devika Surela Prakash Senior Clinical Technologist & EPR Medical Device Integration Assistant
Maternity Maternity survey action plan: • Reminder to midwives to review K2/ Cerner for social/ family history when caring for women. To involve complex care team or safeguarding team for further support if needed. • Postnatal discharge leaflet to be given on admission to postnatal ward rather than on discharge. This is to encourage women to review prior to discharge. • Birth afterthoughts clinic is available for anyone who would like to discuss labour or birth in more detail. First line process is for the Patient experience midwife to speak with them first prior to a referral to PALS etc. • Community telephone triage midwife has been on maternity leave, so to prevent gaps in communication please ask all women at the end of consultation if all concerns had been addressed. If they have any questions between appts please signpost to the Ask the Midwife section on K2.
Maternity Fetal Surveillance Study Day: • Currently everyone is rostered to attend the study day every 8-10 months to help maintain your compliance. If you notice this is on your roster and you are not able to attend the day due to annual leave, please let me know asap as the study days get booked up very quickly. • If you are off on sick leave this will automatically be re-booked for you when you return. Precept: • Please can you complete as much detail on the perinatal Optimisation Passport for preterm admissions and ensure the booklet remains in the mothers notes. • You must also complete the Magnesium Sulphate & Steroids wizard once administered. This vital information is then transferred across to Badger Net for the neonatal team. This is audited monthly, currently only about 40% of staff complete the wizard. • Fresh eyes: • In extreme circumstances, that no one is available to complete a fresh eyes this can be completed by yourself and then reviewed by another practitioner as soon as possible. • The reason must be clearly documented in the contemporaneous notes
Maternity Computerised CTG: •All admissions with RFM alone after 26/40 must have a computerised. •Women presenting with second or recurrent episodes of RFM should be offered a Growth USS which should be carried out within 24 hours of attendance (During the weekend or over a public holiday a daily cCTG must be performed until a scan can be completed on the next working day) A referral to obstetrician is required for a future plan of care. This is being audited each month as it is part of Saving Babies Lives criteria which we must be achieving. •Please use the contemporaneous notes on K2 to document your actions following episodes of RFM including date of scan you have booked. •Please remember to discuss fetal movements at every contact and document discussion that has taken place. •Please refer to the RFM Guideline for more details on the management of RFM