Training Needs Analysis S&PC Attachment D/Q7 Maternity Department

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1 Training Needs Analysis S&PC Attachment D/Q7 Maternity Department Corporate/Departmental 1. STATUTORY 1.1 All staff will attend induction prior to commencing post 1.2 All new HCSW staff will attend Skills for Care Programme who require As necessary In house To ensure all staff are fully informed of Health Board policies etc attain all required statutory As required In house 10 days All HCSW will have consistent basic skills recognized as an inhouse qualification 1.3 All staff to attend Fire Update sessions 172 midwives 38 HCSW All medical staff 1.4 Manual Hling 172 midwives 38 HCSW All medical staff 1.5 Infection Control 172 midwives 38 HCSW All medical staff E learning Knowledgeable staff well informed in an event of a fire E learning Update skills passport for maternity care E learning Update skills 1

2 Corporate/Departmental 2. SPECIALISED MANDATORY TRAINING 2.1 CTG 172 midwives All medical staff RCOG e learning programme. Approx 15 hours over the course of a year. Repeated every 5 years Staff to undertake in own time To ensure all staff are skilled at interpreting CTG monitoring. Competency assessment ot be undertaken. 70% pass mark with 3 attempts before capability policy considered. Compliance monitored through annual supervisory appraisal PDR process revalidation process for medical staff. 2.2 Obstetric Skills & Drills Further develop in house programme with MDT team to meet higher dem on complex Obstetric needs within one area of the Health Board To include: 1. Risk Management 2. Shoulder Dystocia 3. Major Obstetric Haemorrhage 4. Breech Delivery 5. Cord Prolapse 6. Pregnancy Induced Hypertension 7. CTG interpretation 8. Adult Resuscitation 9. Infant Resuscitation 10. Sepsis/anaphylaxis MEOWS 172 midwives All medical staff In-house teaching programme incorporating clinical simulation. 2 2 trainers. Equipment to support simulation models. To ensure all staff are skilled at dealing with obstetric emergencies underst importance of team working communication within these situations To ensure all staff are skilled at Adult Newborn resuscitation

3 2.3 Neonatal Advance Life Support 16 midwives 2.4 NALS Update Training for Ceredigion staff no SCBU staff available at Bronglais 2.5 Matory Update Day- Midwives 1. Normality 2. Breast Feeding 3. Fundamentals of Care 4. Record keeping 5. Antenatal screening 6. SOM 7. Diabetes 8. Accountability 9. Children Protection inc DA 10. Bereavement support 2.6 Matory Update HCSW 1. Breastfeeding 2. Fundamentals of Care 3. Bereavement support 4. Children Protection in/da 5. Labour Ward environment 6. Myrddin 7. Delegation/Accountability 8. Adult resuscitation All pediatric medical staff 10 HCSW 34 midwives 15 Medical staff UK Resuscitation Council Faculty trainers 2 ½ hrs trainers 172 midwives In-house 1 day trainers 38 HCSW In-house 1 day trainers 3 1 day 400 each All staff need to be competent in caring for Preterm infants in SCBU until transfer to another unit. Extension of skills may need to be considered dependant on Clinical Services Strategy proposal for Pembrokeshire. Essential updates for all midwives To keep in line with NMC All staff will be trained in appropriate manual hling techniques. Introduce Sept 2013 Essential updates to ensure competent staff on Maternity Unit All staff will be trained in

4 9. Infant resuscitation 10. Team working 11. Observations MEOWS appropriate manual hling techniques Corporate/Departmental 3. Clinical Services Strategy 3.1 Implementation of Normality workshops to support clinical services strategy with development of st alone MLU hospital MLU. 3.2 Care of the Critically Ill woman detection of deteriorating patient Initially 30 midwives 20 HCSW External course initially to support at least 30 midwives. Facilitated by University of Glam organ Consultant midwife Maggie Davies Further development support with Swansea University over coming year midwifery lead for normality. 30 midwives In-house in conjunction with Swansea University 4 Workshops at 4 hours at a time. Further 1 day for all staff through the year rotating into these areas. 5 days taught Competency based portfolio clinical placement External 500 per 4 hour workshop. 4 Workshops planned to complete. Further workshops through the year from contract with Swansea University Contract with university Skilled competent staff able to clearly evidence support clinical practice decision making around midwifery normality role model. Course content needs to be agreed with the University in preparation for the complex unit in line with the Clinical Service Strategy. This course provides the midwives with the opportunity to develop clinical knowledge skills in early detection

5 management of the highly dependent ward base patient 3.3 Examination of the newborn 6 Midwives University of Glamorgan Level 3 Diploma Module 1000 To perform newborn checks extend the role of the midwife to support MLC model 4. SUPERVISON OF MIDWIVES 4.1Annual SOM updating to meet NMC stards 3 SOM LSA Provision incorporated into future modelling supervisors time To increase supervisors knowledge confidence in undertaking investigations in line with LSA stard. Corporate/Departmental 5. IT TRAINING 5.1 Training to support compliance of maternity performance indicators for WG 8 HCSW 1 ward clerk In-house with IT Department 2 hours To ensure all staff are competent to use IT system to support function 5.2 E Expenses 50 Midwives In-house 2 hours Competent staff 5

6 Corporate/Departmental 6.PROFESSIONAL/SPECIALIST DEPARTMENTAL (non-matory) 6.1 Suturing workshop 65 midwives Swansea Uni through contract 6.2 IV Cannulation Training 15 midwives a year All medical staff 6.3Advanced Practice Module MSc Degree Course 1 1 In-house University Swansea 1 day 1 day Theory Modular Proficient at suturing technique To maintain cannulation skills Support practitioners to degree level 6.4 Student Mentorship Level 3 Module midwives Year In-house from visiting University Lecturer 6 2 days Ward based learning portfolio ½ day 6.5 Newborn Spot Screening Train the trainers 15 midwives Public Health Wales 6.6 Newborn Spot Screening 160 midwives In house 2 ½ hrs trainers Maintain new NMC mentorship legislation Roll out the to other practitioners Competent practitioners 6.7 Customised growth Chart 30 midwives Perinatal Institue 1 day 500 Update skills 6.8 Advanced Life Support in Obstetrics 5 midwives ALSO 2 days 450 To update skills in order to deliver skills drills 6.9 RCOG High Risk Labour ward management 6 midwives RCOG 2 days 400 To deliver high risk obstetrics in line with Clinical Services Strategy

7 6.10 Care of epidural 150 midwives In house anaestetic dept 1 hour Update skills Corporate/Departmental 7.0Additional Study days RCM Annual Conference 1 RCM National Conference Assistant Director of Midwifery to undertake sessions in each county to share key objectives learning outcomes. CNO Conference 1 CNO Conference 1 No cost Opportunity to network disseminate good practice CARIS Update 3 CARIS 1 Update department Health Board Management 5 In house 6 For succession planning Passport Summer School 1 Wales 5 competent managers Leadership development Priorities for Implementation of to develop support implementation of Clinical Services Strategy. 2. Roll out of Heath Care support worker annual update across the Health Board 7

8 3. Continue to allocate all staff with dates to attend the two dates at beginning of the year. If staff are unable to attend a specific date, the midwife has to organise another date by changing with another midwife. All midwives have to attend the study days are not an optional extra all non-attendees must be followed up. Supervisors of midwives to identify whether all days have been attended in annual appraisal withhold Notification of Practice until complete. Training database to be maintained by lead in each county. 4. Provide WHRP with report re RCOG compliance against CNO/CMO directive. 5. Undertake succession planning exercise to map current staff skills identify gaps where is required to undertake the role. 6. Work with University to develop implement work-based learning passport for key skills by June

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