(17.04) Demonstrate good Understand the bereavement reaction, Be able to break bad news Core training (17.08) communication skills following how people react often to bad news and appropriately and support (2016) Relevant Audit 1,3,4 stillbirth. how best to approach difficult and distress. Communication or other Quality challenging consultations. skills. Improvement 1,3,4 Project. (17.05) Debrief family after Be able to advise upon the 1 adverse intrapartum outcome. Be familiar with the investigations that local support available and the RCOG Green top 1,2,4 may determine causation of antepartum options for further discussion. guideline No.55 (17.10) stillbirth including the option of (2010) Late Log of risk (17.06) Debrief staff after 1,3,4 examination and karyotyping. intrauterine fetal management adverse intrapartum outcome. Know when to ask for death and cases. assistance and how to offer a stillbirth. second opinion if required. (17.07) Understand how to triage clinical cases (17.07) Co-ordinate the clinical 1,2 (17.07) (17.07) according to local guidelines. running of Labour Ward: triage Ability to co-ordinate the LW Direct and staffing. appropriately and supervision by Understand the labour ward staffing communicate effectively all senior staff and 1,2 structure and the minimum staffing plans and decisions to team indirect support number safety standards. members. as confidence develops. Feedback from NOTTS. RCOG Clinical Governance (17.08) Produce a relevant 1,2 Advice No.1c Audit, Guideline or other Quality Producing a Improvement Project (attach clinical practice supporting evidence). guideline. No.2 Improving patient safety. Risk
(17.08) Relevant Audit or other Quality Improvement Project. (17.10) Log of risk management cases. (17.04) Demonstrate good communication skills following stillbirth. (17.05) Debrief family after adverse intrapartum outcome. (17.06) Debrief staff after adverse intrapartum outcome. 1,3,4 1,2,4 Understand the bereavement reaction, how people react often to bad news and how best to approach difficult and challenging consultations. Be familiar with the investigations that may determine causation of antepartum stillbirth including the option of examination and karyotyping. 1 Be able to break bad news appropriately and support distress. Be able to advise upon the local support available and the options for further discussion. Know when to ask for assistance and how to offer a second opinion if required. 1,3,4 1,3,4 Core training (2016) Communication skills. RCOG Green top guideline No.55 (2010) Late intrauterine fetal death and stillbirth. (17.07) Co-ordinate the clinical running of Labour Ward: triage and staffing. (17.07) Understand how to triage clinical cases according to local guidelines. Understand the labour ward staffing structure and the minimum staffing number safety standards. 1,2 1,2 (17.07) Ability to co-ordinate the LW appropriately and communicate effectively all plans and decisions to team members. (17.07) Direct supervision by senior staff and indirect support as confidence develops. Feedback from NOTTS. (17.08) Produce a relevant Audit, Guideline or other Quality Improvement Project (attach supporting evidence). 1,2 RCOG Clinical Governance Advice No.1c Producing a clinical practice guideline. No.2 Improving patient safety. Risk
advanced-labour-ward-practice-atsm-2018.docx