Professional skills and Training Evidence/ Clinical competency Knowledge criteria GMP attitudes support assessment Substance misuse (7.01-7.03) (7.01-7.03) (7.01-7.04) (7.01-7.04) 1,2 (7.01) Current alcohol misuse Know the incidence, pharmacology, Provide sympathetic support. RCOG Statement Record of 1,2 1,2,3 obstetric, medical & neonatal 5 (Alcohol attendance at complications and legal consequences consumption and drug / alcohol (7.02) Obstetric management for Respect confidentiality. 1,2,3 for the abuse of: alcohol, cannabis, the outcomes of abuse clinic or current opiate misuse opiates, cocaine and crack cocaine, pregnancy). relevant 1,2,3 Recognise if there are issues heroin, benzodiazepines, psychiatry clinic. (7.03) Obstetric management for relating to child protection and amphetamines, LSD, phencyclidine current stimulant misuse. where to seek advice. (angel dust), solvent misuse and not Work alongside forgetting cigarette smoking. drug liaison (7.04) MDT assisted conversion Achieve harm minimisation in 1,2,3 midwife or to an opiate replacement partnership with women. 1,2 Know their interactions with prescribed community team. programme drugs and analgesia during labour. Take an appropriate history 1,2,3 OSAT and examination. 1,2 Understand the organization of dependency services and links with CBD Plan pregnancy, delivery and psychiatric and social services; the postnatal care within a theories of addiction and self-harming Reflective team. behaviours prevalence of psychiatric Practice and its detection. Talk to the drug dependency team, psychiatrists, social (7.01-7.04) services, pharmacists, 1,2,3 Manage cases of alcohol or substance midwives and neonatologists abuse in pregnancy; arrange and understand their services and interpret appropriate maternal & fetal your role in supporting the care investigations refer, where appropriate, they deliver. for further assessment. 1,2,3 Counsel appropriately about: (7.02-7.03) drinking / drug cessation Knowledge of the law regarding class A maternal, fetal and neonatal 1,2 and class B drugs. risks: long-term health implications, viral and other infections breast-feeding / 1.2
Clinical competency Knowledge criteria GMP Professional skills and attitudes Training support Evidence/ assessment Substance misuse (7.01) Current alcohol misuse (7.02) Obstetric management for current opiate misuse (7.03) Obstetric management for current stimulant misuse. (7.04) MDT assisted conversion to an opiate replacement programme 1,2 (7.01-7.03) Know the incidence, pharmacology, obstetric, medical & neonatal complications and legal consequences for the abuse of: alcohol, cannabis, opiates, cocaine and crack cocaine, heroin, benzodiazepines, amphetamines, LSD, phencyclidine (angel dust), solvent misuse and not forgetting cigarette smoking. Know their interactions with prescribed drugs and analgesia during labour. Understand the organization of dependency services and links with psychiatric and social services; the theories of addiction and self-harming behaviours prevalence of psychiatric and its detection. (7.01-7.04) Manage cases of alcohol or substance abuse in pregnancy; arrange and interpret appropriate maternal & fetal investigations refer, where appropriate, for further assessment. (7.02-7.03) Knowledge of the law regarding class A and class B drugs. 1,2 1,2 1,2 1,2,3 1,2 1.2 (7.01-7.03) Provide sympathetic support. Respect confidentiality. Recognise if there are issues relating to child protection and where to seek advice. Achieve harm minimisation in partnership with women. Take an appropriate history and examination. Plan pregnancy, delivery and postnatal care within a team. Talk to the drug dependency team, psychiatrists, social services, pharmacists, midwives and neonatologists understand their services and your role in supporting the care they deliver. Counsel appropriately about: drinking / drug cessation maternal, fetal and neonatal risks: long-term health implications, viral and other infections breast-feeding / 1,2,3 1,2,3 1,2,3 (7.01-7.04) RCOG Statement 5 (Alcohol consumption and the outcomes of pregnancy). (7.01-7.04) Record of attendance at drug / alcohol abuse clinic or relevant psychiatry clinic. Work alongside drug liaison midwife or community team. OSAT CBD Reflective Practice 1,2,3 1,2,3 1,2,3
high-risk-pregnancy-atsm-2018.docx