Sentinel 4C Neonatal death and Chorioamnionitis with Intrapartum Fever” guideline including” maternal Group B strep infection presumed chorioamnionitis” developed. haemorrhage. after prolonged induction. Approved and released August 2011 Intrapartum asphyxia. CTG training Majority of staff completed K2 training Failure to correctly interpret New staff to complete K2 training in 1st CTG tracing and respond month appropriately. Plan to link regionally with RANZCOG training and aim to achieve all Midwives Overall deteriorating clinical and O&G Consultants attending situation was not appreciated. Quality Meetings Weekly MDT Clinical Quality meetings to review CTG’s, discuss clinical cases and to encourage open communication between Midwives and O&G Consultants. Serious 5 Patient collapsed RCA in progress. during sedation. Conscious sedation guidelines are under review.
Sentinel 4C Neonatal death and maternal haemorrhage. Chorioamnionitis with Group B strep infection after prolonged induction. Intrapartum asphyxia. Failure to correctly interpret CTG tracing and respond appropriately. Overall deteriorating clinical situation was not appreciated. Intrapartum Fever” guideline including” presumed chorioamnionitis” developed. Approved and released August 2011 CTG training Majority of staff completed K2 training New staff to complete K2 training in 1st month Plan to link regionally with RANZCOG training and aim to achieve all Midwives and O&G Consultants attending Quality Meetings Weekly MDT Clinical Quality meetings to review CTG’s, discuss clinical cases and to encourage open communication between Midwives and O&G Consultants. Serious 5 Patient collapsed during sedation. RCA in progress. Conscious sedation guidelines are under review.
SSE-cases-2010-11-FINALv1.docx