Maternity Effective Handover Week Commencing 22/01/2024
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Trust The QI Network for Early Career and Newly Qualified Nurses and Midwives meetings are taking place on: •30th January 2024 12:00-13:30, •4th March 2024, 15:30 - 17:00 •18th April 2024, 14:00-15:30
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Maternity Immediate learning from a recent incident: Please can we ensure, if a woman is referred to either FWBU or LWT- This must be telephoned through and communicated with the department, This includes referrals from Community and ANC. The telephone calls must be recorded on K2 so that the department can follow up if the woman DNA’s. And you ask the woman TCI – this wizard here, this recommendation page
Maternity Hi all, Going forward can you all email any K2 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
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Maternity Dear All, In light of the rising cases of measles in the W. Midlands there are currently urgent IPC and trust strategy meetings with more advice to follow shortly ; In the interim please for any woman you DISCHARGE postnatally would you please ensure you have discussed the MMR vaccine prior to discharge and please add the sentence in bold below to the GP/HV summary on K2. We will be ordering a supply of the leaflets below, and have these up as laminated posters on the Wards and they will also be put up on Maternity FB pages/ padlet / AN education classes . Our vaccination team will also be discussing this with women at any opportunity when they are vaccinating. **Please ensure there is a note on the discharge letter to the GP/HV- Please check & offer MMR vaccination at the 6-8 week postnatal check for ALL women **
Maternity Hi All, if you need to contact the CPSM team, can you all please use our new email address, for all correspondence. [email protected]. Our previous email [email protected] is not in use. Bleep Number 5119. Phone number 27313 The CPSM team
Maternity Level 3 Safeguarding Training. Dates. Face to Face Level 3 Safeguarding Training is available monthly for both Childrens and Adults Safeguarding. Please see above the dates for Level 3 safeguarding both for Adults and Children. Contact Frankie if you need to book on
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Maternity Gentle reminder All Group and Save samples must be double checked by x2 clinicians before being sent to the lab. Labelling of requests should be done at the patient’s bedside. Best practice is for all blood requests to be double checked. This is to eliminate error, delay and to avoid the patient being re-bled.
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Maternity Dear all, New bottle warmers will be introduced very soon to comply with health and safety recommendations. Water is not recommended to heat up bottles in hospital settings due to the risk of pseudomonas. The new beldico bottle warmer can remain plugged in 24/7 when bottles have to be heated. The temperature will remain constant at 37 degrees - there is no danger of overheating or damaging of breastmilk's live immune and brain boosting constituents Do NOT use water in the heating units, they are purely contact warmers When connecting the device for the first time push the 'start' button for at least 2 seconds until the temperature appears The device is then ready to be used! Cleaning: Turn off the warmer. Never immerse the warmer in liquids. Wipe the external surface, control panel and heating units with a moistened cloth and wipe dry with a dry cloth. To disinfect tristel should be used daily.
Maternity Dear All, With the new SBLv3 we have to implement certain changes to the smoking element ( Element 1) to adhere to the national reporting requirements . These are please mandatory : • ALL women to have a CO check at each AN appt – every hospital visit and admission ( just not labour ward/ Lucina ) • ALL women to have a smoking assessment wizard re-done around their 36/40 appt ( 35+0- 36+6 ) Profile – Social Profile – Smoking – Smoking Assessment ( add new ) • ALL smokers / recent ex-smokers ( gave up following conception )/ women with CO>4 to have CO checked and smoking assessment done at each AN appt / visit to the hospital . Many thanks for your help and support on this and our booking and 36/40 CO checks have been the best they ever have been – Please remember CO checking is a safety check for both mums and babies and we can help educate and prevent exposure to this poisonous gas . Public Health Midwife UHCW
Maternity Thank you for all your ongoing support to establish Lucina as the default place of birth for low risk midwife led births. Following a review of the Lucina exclusion guidelines I would like to confirm the following : The MLU can accept certain women who do not require continuous electronic fetal monitoring (CEFM) in labour and have a well-grown baby. These women include those who have been offered induction of labour (IOL) for postdates who then establish in labour following one Propess/Prostin, providing labour is established by 40+14 and there are no other identified risk factors present. If you are unsure, please speak to myself or the labour ward co-ordinator, or refer to the policy and guidelines. Dee Parker Lucina Birth Centre Manager
Maternity Dear all, *Please offer a HbA1c to all women with pre-existing diabetes (Type 1 & 2 only) at 28/40 – this is a Saving Babies Lives V6 requirement and compliance needs to be reported. *Please check with your diabetic lady (GDM or pre-existing DM) that she is aware of her next diabetic follow-up appointment and escalate anyone who has not had blood glucose levels reviewed in >3 weeks. You can do this as a diabetic referral via K2. * Please be reminded the cut-off for OGTT is 34/40 – please try to arrange a GTT before referring for Home Blood Glucose Monitoring (HBGM) before this gestation. FYI - The new Diabetes in Pregnancy Guideline is available on the intranet https://uhwebapps.uhcw.nhs.uk/eLibrary/filecon/download.aspx?Doc=125242&DocReturn=/elibrary/& VERI=fyw723pj. Please refer to this for any diabetes related queries you may have. From 30/1/24 New GDM patients will be invited to attend a group session for their initial consultation. This will be facilitated by me and our diabetes specialist dietitians. Sessions will be held every Tuesday in the seminar room on W24. Anyone who is unable to participate in the group session will be offered a one-to-one appointment as soon as possible. Thank you for your continued support! Mandeep Kaur Diabetes Specialist Midwife (DSM)
Maternity Delivery/suture instruments on the Labour Ward All instruments used on Labour ward are now non disposable and must be returned to sterile supplies for cleaning and resterilising. It is your responsibility to: • Sign out instruments from shift leader • Check all instruments present when opening the blue wrapped pack • Check that all instruments are returned to the tray following delivery/procedure • Sign the enclosed contents slip in the pack • Place tray and used instruments together with signed contents slip in a clear plastic bag • Sign the return sheet held with shift leader • Place bagged dirty instruments in blue box in the dirty hold NO INSTRUMENTS MUST BE DISPOSED OF IN THE SHARPS BINS The instruments have been procured at a considerable cost and they will be difficult to replace as the lead times when they are ordered are many months. PLEASE, be responsible with the instruments and ensure that they are all returned. This morning it is evident that some of the instruments in a pack have been thrown away-this is not acceptable. There should now be no confusion as all disposable instruments have now been removed and ALL delivery and suturing instruments provided MUST be returned to sterile supplies after use.
Maternity 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: • Please continue to complete fresh eyes hourly you are all doing extremely well with compliancy we are on average 95% compliant. • Please remember fresh eyes 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!)
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
Maternity Fetal Surveillance Study Day: • As everyone is now aware we no longer complete K2 online learning: it is essential everyone remains in date with their training, once your compliance expires you will not be able to provide any care that requires you assess the fetal heart either antenatally or during the intrapartum period. • 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.
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Maternity- Risk Please find attached the datix’s for the patient safety incidents submitted during the period of 20.12.2023- 02.01.2024 34 datix’s were submitted during this period, with 11 cases still open. If you are assigned as an investigator and require further support with closing it, please contact the Risk Team for help. Key messages: • Care must be taken to ensure that all out of area discharges are notified. • Upon discharge please confirm with the patient that they fully understand how to take prescribed medication. Staff to follow hospital TTO instruction. • Please ensure that the correct patient is identified and the correct patient details are confirmed before any procedure. • Please ensure that all blood results are reviewed at every appointment. • All management plans to be reviewed on K2 at point of admission. Staff to be extra diligent when English is not the patient's first language. All staff are welcome to join the Maternity Grand Safety Huddle every Tuesday at 2pm in the Ward 24 seminar room. Thank you for all of your continued hard work.