Maternity Effective Handover
Week Commencing 19/12/2022
Trust
Trust
This Christmas, Uber are providing staff with a valid NHS or HSC email address two Uber rides up to £10
and a food delivery up to £10.
Please be aware that these offers are only valid on the 24th and 25th of December 2022, with your NHS or
HSC email needing to be linked to your Uber account by Tuesday 20th December.
For further information and to claim this offer please visit: Free rides for NHS staff this Christmas |
UberBlog
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
"Please ensure we are not making referrals to the tongue tie clinic at NIPE or Day 0-1 im
areas unless there are major difficulties with initiating lactation.
Frenulotomy will not be performed for future speech or dental issues.
Please allow 2 days before referrals, babies are being referred with a tongue tie
appearance but their function is great. Consequently these parents are upset when there is
no indication for a frenulotomy. Can we look out for tongue tie symptoms - not tongue tie
appearance. If there are difficulties initiating lactation due to a suspected tongue tie the
baby will need a midwifery feeding plan and if this fails refer for infant feeding specialist
support. I welcome any questions or support with assisting suspected tongue tied babies to
feed."
Jaspreet Garcha
Maternity
This is a survey for staff to answer questions related to the Learning disability national
standards and care given to patients 21/22 and it includes whether they think they have
access to resources and training specific to caring for a patient who has an LD and / or
autism.
https://surveys.nhsbenchmarking.nhs.uk/y/25756-790
The information is voluntary and anonymous. All information is collated by the NHS E
project team. UHCW will receive a report with data charts based on responses.
Emma Fish
Associate Director of Nursing for Quality
and Patient Safety
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
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
Maternity
Clinical Risk
Clinical Risk