Clinical staff looking after MCC unit should have suitable training, maintained CPD, allocated time in their job plans and work with the rest of the hospitals CC Service. Recognise variations in local models nationally but underline the need for standards to be met. Current Evidence MCC Unit models ‘Critical care without walls’ CC patients should receive same standard of treatment no matter where they are in the hospital. Unfortunately funding and initiatives for CC training was not taken up by obstetrics many hospitals Maternity units often function as a separate site within the hospital with their own guidelines managing majority of MCC cases Many models of different sizes depending on size of unit, some transfer all MCC patients others manage certain cases especially pre-eclampsia and massive haemorrhaging Often larger units manage CC patients in their own units Auditing Standards: A pilot scheme in Yorkshire CC networks in 27 regions around the country Since 2010 Yorkshire CC has supported a MCC group that meets 4 times a year – this group along with Y&H Networks carried out benchmarking against a number of factors from PECCM An audit was carried out in 15 trusts and as a result an action plan of recommendations was developed including: Improved education around sepsis Ensure early warning scores and protocols for escalation are in place and regular audit of obstetric areas to encourage compliance Encourage obstetric staff to attend a course with ABCDE approach to recognise acutely ill patients e.g. ALERT, AIM, PROMPT, REACTS Promote links between obstetrics departments and critical care/outreach
Clinical staff looking after MCC unit should have suitable training, maintained CPD, allocated time in their job plans and work with the rest of the hospitals CC Service. Recognise variations in local models nationally but underline the need for standards to be met. Current Evidence MCC Unit models ‘Critical care without walls’ CC patients should receive same standard of treatment no matter where they are in the hospital. Unfortunately funding and initiatives for CC training was not taken up by obstetrics many hospitals Maternity units often function as a separate site within the hospital with their own guidelines managing majority of MCC cases Many models of different sizes depending on size of unit, some transfer all MCC patients others manage certain cases especially pre-eclampsia and massive haemorrhaging Often larger units manage CC patients in their own units Auditing Standards: A pilot scheme in Yorkshire CC networks in 27 regions around the country Since 2010 Yorkshire CC has supported a MCC group that meets 4 times a year – this group along with Y&H Networks carried out benchmarking against a number of factors from PECCM An audit was carried out in 15 trusts and as a result an action plan of recommendations was developed including: Improved education around sepsis Ensure early warning scores and protocols for escalation are in place and regular audit of obstetric areas to encourage compliance Encourage obstetric staff to attend a course with ABCDE approach to recognise acutely ill patients e.g. ALERT, AIM, PROMPT, REACTS Promote links between obstetrics departments and critical care/outreach