Effective Handover W/C 02.01.23

Maternity Effective Handover

Week Commencing 02/01/2023

Trust

Trust

Trust

Trust

Trust

Trust

Maternity

K2

Please ensure you complete
the SBAR handover wizard
when handing over care

When you receive the
handover you will need to
complete this section to
confirm it was you who
received the handover

K2

Care Pathways MW/CLC- Please remember to update the type of care if
changes occur from low to high or vice versa.

K2

K2

Maternity

We have had complaints from Dr. Rina
Agrawal who is being incorrectly selected on
CRRS. Accuracy of correct Consultant allocation
is very important, so please ensure you are
selected the right Consultant for every woman.

Gaynor Armstrong
Director of Midwifery
Womens & Childrens Group

Maternity

Patients will be expected to remove any abdominal
piercings during obstetric scans, even plastic ones. We
have a damaged probe as a result of belly bars and the
replacement is £6000. It would be appreciated if
patients could be informed of this at the booking visit
and expectations managed as we do have some
negative responses when we ask patients to remove
piercings and they do restrict the view that we have on
ultrasound.

Catherine Monsanto
Superintendent Midwife Sonographer

Maternity

Please promote an improved focus on the menus
available to all during their stay. If they are vegan, gluten
free and any other special dietary need, there is a folder
in each area to refer to.
The process is clear and directs you to the hostess if you
have any questions.

Victoria M Jones
Antenatal Ward Manager (Ward 24)

Maternity

If a patient presents who hasn't had booking bloods
taken, they should be taken before discharge.

Risk Team

Maternity

Maternity

BEFORE ADMINSTRATION - THINK ABOUT FERRINJECT RISKS

• IS IT PRESCRIBED BY A CONSULTANT AS PER THE TRUST GUIDELINE
• DO WE HAVE RECENT RESULTS (FBC & FERRITIN)
• IS IT NEEDED?

As part of our learning review from a recent clinical incident and two complaints we have reviewed our current process
regarding referrals and administration of Ferrinject infusions.

The Anaemia in Pregnancy guideline is currently being reviewed and updated and in advance of this being circulated it has
been agreed that the following actions must take place for all women with immediate effect:

• Although the current Trust Anaemia guideline has expired it states that IV iron should not be used in pregnancy unless
clearly necessary and most certainly not in the first trimester. PRIOR TO Ferrinject administration all oral alternatives
should have been tried first and the prescription of Ascorbic Acid (Vit C) should be considered alongside oral iron when
the absorption is poor.

• The Trust guideline states that ALL patients should be closely monitored for 30 minutes after every administration of IV
iron products – therefore women will need to remain in the department for a minimum of 30 minutes post
administration

• ALL WOMEN REQUIRING IV IRON THERAPY MUST BE TRANSFERRED TO LABOUR WARD TRIAGE/OR LABOUR WARD
FOR ADMINISTRATION

• All women must have a repeat ferritin blood test at 28 weeks alongside the FBC and Group and antibody testing.

Please can I ask you to ensure that these changes take place immediately.

Maternity

PRECEPT: When administering Magnesium sulphate or Steroids please
remember to complete the Wizards on K2, so accurate and up to date
information can be transferred across to Badger Net.

Computerised CTG: All admissions with RFM alone after 26/40 must have a
computerised CTG as this forms part of Saving Babies Lives
recommendations, as well part of our CNST compliance. If you are having
IT problems, please send me the patients name and PID so these can be
removed from the audit.

Fresh eyes: You are doing extremely well with compliancy we are on
average 95% compliant. Please remember they are done on the hour by a
different practioner, if there is no one to complete the review due to a
clinical emergency you may complete it yourself, but you must document
the reason why you have completed it and then ask a colleague to
complete it asap (this will mean there are two reviews completed for this
Hour!)

RFM: Please remind patients we are open all over Christmas should they
have any concerns regarding their babies movements.

Maternity

Maternity

Florence
Kwofie
has passed
her OSCE!

Maternity

Please see the photos attached for how to
prep the beds in anticipation of a patient
arrival.

Can you please bring to their attention:

• Menus and make clear the action required
• Mum plus 1 patient information leaflet.
• Urine sample on arrival and advise of the 6

am pots at the bedside ( HCA night shift)
• CO test on arrival and update K2 Wizard
• TEDS on arrival
• IOL patient information is required for all

IOL ladies in addition to the above

Maternity

Clinical Risk

Clinical Risk