Maternal and Child Health Care Nursing

Proposal for MCH on Job Training Program (TRUE Copy)

Introduction

Maternal and Child Health Care on-Job Training Program is a course that is designed to provide staff nurses an updated theoretical knowledge and an opportunity to enhance their skills through evidence-based practice in order to deliver the safest and highest quality of health care especially in the primary and secondary health care institutions.

Description

The course will provide the staffs interactive lecture discussions and demonstration of appropriate skills and procedures for obstetrical and gynaecological health promotion with more evidence-based approach. In this process, the staff nurse will practice critical-thinking and practice the skills as they undergo theoretical and clinical rotations. The staff nurses are expected to demonstrate a high level of competency and continuously adhere to existing ideal international standards in the field of nursing with due respect to the existing Ministry of Health policies.

Course objectives

The objectives of the Maternal and Child Health On-Job Training are the following to:

1. Strengthen the knowledge, skills and attitude in an adult learning environment and increase the capacity of the staff nurses to educate and empower those who are in the community.2. Train the staff nurses on how to use facilities available in the hospital when responding to life-threatening obstetric emergencies3. Identify medical, surgical and psychological problems, occurring during pregnancy and puerperal period, and their corresponding evidence-based nursing care management.4. Consolidate knowledge gained in the course with fulltime experience in the actual set-up.5. Enable the staff nurses to perform case presentation as part of mentoring process.6. Create a professional portfolio which will highlight the staff’s significant accomplishments at the commencement of the course.7. Increase the knowledge and ability of the staff to perform and critic research studies in line MCH care studies.

Course Requirements

The coordinators will assume the overall responsibility for supervision of staff nurses who are participants in the course.

Requirements for the Participants: Evidence-Based Articles Case Presentation Clinical Duty Hours Health Education in the field Exams Portfolio 100 % attendance (absences shall require a valid reason and make-up duty is required)

Requirements for the Coordinators Local (in-house/ward) skills checklists

o Crash Carto Physical Assessmento Abdominal Assessment (4 Maneuvers)o CTG

MCH On-Job Training Program 2015Nizwa Hospital

Format to be used for Case Presentation Format to be used for Portfolio

o Lay out Criteriao Soft and Hard copy of the format

Requirements for the Speakers Clear objectives for the presentation CV according to OMSB format Powerpoint presentation

The coordinators will work hand-in-hand with the staff nurses during clinical activities. A high degree of professionalism is expected to be reflected in this relationship

Target Participants:

Nurses from Maternity, OPD OB-GYN, OB-GYN Ward and DS (Primary and Secondary health care institutions)

Target Locations for Clinical Duty:

Maternity, OB-GYN, DS ReceptionSCBU, PICU, PSW

Noted and Checked by:

__________________________

Aysha Al-Turki, Unit Head

__________________________

Gamila Al-Nabhani, RN Midwife

__________________________

Annalyn Corpuz, RN MAN


ANTEPARTAL PERIODWEEK 1

Day 1: Introduction to the Course

Registration @ 7:00 Classroom

Time Topic Objectives Method Speaker Duration T P8.00-8.15 Inaugural

AddressShow acknowledgment and inspire participants

15

8.15-8.30 Introduction to Midwifery

Relate the relevance of the course to the field of nursing and midwifery.

Lecture Gamila15

8.30-9.00 Application of the concept of EBP

Ascertain the importance of EBP to nursing practice. Video Show Coordinators

30

Q & A 15Break 30

9.45-10.00 Building a Portfolio

Create a professional portfolio Lecture 15

10.00-11.00 Reflection Process clinical experiences into writing using Gibb’s cycle

Discussion Zainab Zaher60

11.00-12.00 Principles of Infection Control

Regulate infection control policy for the awareness of participants

DiscussionKhalid Al-

Daghari

60

12.00-13.00 What are Teratogens?

Describe well studied viral teratogens and discuss teratogenic effects of specific drugs.

DiscussionSheikha

60

Day 2

Time Topic Objectives Method Speaker Duration T P8.00-9.00 Anatomy of the Female

Reproductive System (including menstruation cycle and menopause) List the organs and

describe the structure and function of each.

Discussion &Recitation

Institute Instructors

60

9.00-10.00 Anatomy of the Male Reproductive System

60

10.00-10.30 Break 3010.30-10.45 Process of Conception &

ImplantationExplain the process of conception and implantation

Discussion 15

10.45-11.45 Development of Placenta Discusses the role of the Lecture 60


placenta during fetal development

11.45-12.15 3 P's of Pregnancy and Minor Discomfor ts

Identify presumptive, probable and positive signs of pregnancy.

Identify the s/s in the pregnant mother and alleviate their discomfort.

Lecture 30

12.15-13.15 Birth Preparedness and Awareness on Labor Complications among Primipara Women

Describe the elements of birthpreparedness and complications readiness that is associated with women’s pregnancy-related seeking behaviours.

Journal-Sharing(be brought

before coming to class)

60

13.15-14.00

Causes of Infertility and Treatment

Endometriosis PCOS Others

Distinguish between the pathophysiology of the various etiologies of infertility in women

Discussion 35

Day 3

Time Topic Objectives Method Speaker Duration T P7.00-8.00 Fetal Development (1-3

trimester)Examine the process of fetal development

Lecture

Institute Instructors

60

8.00-8.30 Fetal Circulation Compare the fetal vs adult heart circulation

Video 308.30-9.30 Recitation 609.30-10.30 Fetal Screening During

PregnancyList the prenatal screening test and diagnostic tests commonly available for the detection of Down Syndrome and other genetic anomalies.

Discussion 60

10.30-11.30 Termination of Pregnancy

Discuss the reasons for termination of pregnancy

Discussion 60

11.30-12.45 Break11.30-12.45 Sexually Transmitted

DiseasesIdentify sexually transmitted diseases and its prevention

Journal Sharing

Course Coordinators

75

12.45-13.45 Consequences of Drug Use and Abuse to the Fetal Well-being

Identify the effects of drug abuse to fetal well-being in relation to promoting healthy outcomes.

Journal Sharing

60


Day 4

Time Topic Objectives Method Speaker Duration T P7.00-8.00 Registration of a

Pregnancy (As a Key Event)

Identify the importance of booking a visit/appointment in a health care institution at the earliest time of pregnancy.

Video Show

DiscussionAysha Salim

60

8.00-9.00 Routine Screening Tests During Pregnancy

Identify the relevance of routine tests done during pregnancy

Discussion 60

9.00-10.00 Interview a Pregnant History Taking

Pre-arranged meeting with OPD staffs to tackle actual patients for interview and history taking

c/o OPD staff

60

10.00-10.30 Break 3010.30-11.00 Sharing of Experiences

on Practices from Different Health Centers

Participants w/

Coordinators

30

10.30-11.45 Physical Assessment (including abdominal palpation)

Create a comprehensive assessment for further diagnosis and treatment of pregnant women

Evidence-Based Practice

DemonstrationAysha Salim

75

11.45-12.45 Dietary and Lifestyle Changes During Pregnancy

Video Show & Feedback Coordinators

60

Day 5

Time Topic Objectives Method Speaker Duration T P9.00-9.30 Admission

Policy Guide the participants in dealing ethically and safely with their patients

DiscussionGamila

Nabhani w/ PRO

30

9.30-10:00 Discharge Policy

30

10.00-10.30 LAMA policy

30

10.30-10.45 Question and Answer

15

10.45-11.15 Break

11.00-12.00 Pre-Visit the Wards (OB-GYN, MAT & DS)

Prepare the participants for their roles in the clinical area

Tour around the wards;

courtesy call to ward in-charges

Coordinators, Ward In-charges,

Participants


12.00-14.00 Return to Class

Reminders to be given in preparation for duty Coordinators

Clinical Duty (2 weeks)

OFF (1 day)

Day 6

Time Topic Objectives Method Speaker Duration T P8.00-9.00 Neurologic

AssessmentProvide an overview of the neurologic assessment for a

pregnant woman

Lecture

Tarah

60

9.00-10.00 Multiple Sclerosis

Identify evidence- based issues, treatment &

management

60

10.00-11.30 Stroke Preeccla

mpsia Ecclamps

ia

Review nursing responsibilities.

Identify drugs related to the management

Discussion Kristine90

11.30-12.00 Break12.00-13.00 Epilepsy Identify evidence- based

issues, treatment & management

DiscussionTaiba

13.00-14.00 Effects of Illness and medications on pregnancy outcome

Summarize the gathered evidence based resource and present them to the group

Group Discussion Sharing of evidence-based resource

Day 7

Time Topic Objectives Method Speaker Duration T P7.00-8.00 Gestational

Diabetes Identify evidence- based issues, treatment &

managementDiscussion

Naima 60

8.00-9.00 Hematologic Disorders

Maiya 60

9.00-10.00 Renal Disorders

Zainab K 60

10.00-10.30 Break 3010.30-11.30 Ovarian

Cancer Identify evidence- based issues, treatment &

management

Discussion of evidence-based

facts

Zainab K 60

11.30-12.30 Cardiac Problems Arlene

60

12.30-13.30 Uterine Cancer

Radhiya 60

13.30-14.30 Breast Zamzam 60


Cancer

Day 8

Time Topic Objectives Method Speaker Duration T P7.00-8.00 Parathyroid

Disease During Pregnancy Define and review

management Discussion

Dalal60

8.00-9.00 Adrenal Disease 609.00-10.00

Autoimmune disorders

SLE Scleroder

ma Polymyos

itis

Bahiya60

10.00-10.30

Break 30

10.30-11.30

Marfan’s Syndrome

Define and review management

Lecture Annalyn 60

11.30-14.00

Evidence-Based Management Journal Research

Library work 90

Day 9

Time Topic Objectives Method Speaker Duration T P7.00-8.00 Uterine

Problems: Fibroid

Uterus Uterine

prolapse


management

Discussion Jasmine

60

8.00-9.00 Ovarian Cyst and

Marissa

60

9.00-10.00 Ovarian Hyperstimulation

60

10.00-10.30 Preoperative preparation for the pregnant woman

Evidence based article sharing

Joanna Zel 30

10.30-11.00 Break11.00-11.30 Preoperative and

Post operative instructions

Review the nursing responsibilities involved Discussion

Silja 30

11.30-12.30 Psychological Support for Pregnant Women

Connect psychological well-being as an integral part of

providing holistic care

Reflection writing Coordinators

60

12.30-14.00 Types of OB- 90


GYNE surgeries Hystere

ctomy Laparos

copy Laparot

omy TAHBS

O Myome

ctomy

To Avoid Conception

BTL Vasecto

my

Define the surgery and describe how it is performed.Identify the role of the nurse.

Lecture Rushielle Credo

OFF (1 day)

Clinical Duty (2 weeks)

OFF (1 day)

INTRAPARTAL PERIODDay 10-14: Obstetric emergencies +Attachment to Triage Unit

5 days

Time Topic Objectives Method Speaker Duration T P7.00-7.30 Utilization of

Crash TrolleyTo demonstrate knowledge and proficiency in skill with regards to crash trolley, crash code and code blue activation for obstetric emergencies.

LectureSunida

607.30-8.30 Demonstration 608.30-9.00 Crash Code

CSDiscussion

Dr. Marufa30

9.00-9.30 Skill Drill 30

9.30-10.00 Break 3010.00-10.30 CTG

interpretationTo be able to explain CTG reading in relation to the condition of the fetus inside the womb.

LectureBadriya Dhawi

3010.30-11.00 Demonstration 30

11.00-11.15 Review Break 1511.15-12.15 Re-

Demonstration (groups)

12.15-14.00 Events During Labor

To identify the different stages of labor and the

Return Demonstration Coordinators

90


and Delivery Stage

1 Stage

2 Stage

3 Stage

4(hemostasis achieved)

nursing responsibilities for each situation Discussion

Video Show

Lecture

Day 15:

Time Topic Objectives Method Speaker Duration T P7.00-8.00 Severe

postpartum hemorrhage


management DiscussionDr. Shahira

60

8.00-9.00 Preterm Labour

60

9.00-10.00 Ectopic Pregnancy

60

10.00-11.00 Cord Presentation & Cord prolapse

60

11.00-11.30 Break 3011.30-12.00 Abruptio

PlacentaIdentify evidence- based

issues, treatment & management

Discussion Dr. Shreen30

12.00-12.30 Miscarriage 3012.30-13.00 Intrauterine

Fetal Death30

13.00-14.00 Ethical Issues:Aborting a Malformed Fetus

Guide the participants in ethical decision making

Individual Reflection

writing(Library Work)

Group Discussion

Coordinators to inform library

staff in advance

60

Day 16:

Time Topic Objectives Method Speaker Duration T P7.00-7.30 Cesarean

SectionIdentify indications and

contraindicationsEvidence-based

teaching

Dr. Eman

30

7.30-8.00 Breech Delivery Describe the condition

and emergency management as well as nursing responsibilities

30

8.00-8.30 Malpresentation

30

8.30-9.00 Shoulder Dystocia

30

9.00-9.30 Cephalopelvic 30


disproportion9.30-10.00 Break10.00-11.00 Resuscitation

for Sick Baby Identify causes of eventful situations during birth

DiscussionAysha Mohd

6011.00-12.00 Demonstration/Video

Show60

12.00-14.00 Safety measures: Risk Reduction and Documentation

Identify Safety MeasuresRisk Reduction and Ways to Document

Review of Standards and Protocols in

Handling Patient and Documentation

120

Mechanics: Journal Sharing By Each Participant

*They must point out the significant things in their journal that are being used at present in their nursing practice and which are possibly to be adopted by their institutions.

Day 17-19: Selecting of Topics for Health Education and Preparation

3 days (7.00-14.00)

*In this activity, the participants must come up with a unique and creative plan on how to deliver health education to their pregnant clients.

The following points or information must be considered to be delivered to the patients:

1. Definition of the Disease2. Epidemiology in Oman3. Possible Complications4. Preventive Management5. Therapeutic Management6. Educative Management

The criteria for the delivery of health education:

Criteria PercentageCreativity 30%Teamwork 10 %Content 60%Audience Impact 10 %Total 100 %

OFF (1 day)

3 weeks Clinical Duty


OFF (1 day)

(3 days) MORNING DUTIES

(2 days) LECTURES

(3days) OFF

POSTPARTAL PERIODDay 20

Time Topic Objectives Method Speaker Duration T P7.00-8.00 Early parenthood and

Child CareAnalyze the support

needed by individuals planning for a family Discussion

Evidence Based Practice

Maridel60

8.00-9.00 Breastfeeding 60

9.00-10.00 Immunization for Mother and Child

Familiarize with vaccination policy and identify immunization needed by mother and

child immediately

Noora Said60

10.00-11.00 Early Ambulation and Wound Care

11.00-11.30 Break11.3 Therapeutic

Communication Review the concepts of proper communication to patients and other

members of the health care team.

Discussion Amal

Mental Health Problems Depression Post Partum Blues


management

Preparation of groups for the Debate: Utilization of Birth Control For Women and Child Health (PRO or Against)

Day 21

Time Topic Objectives Method Speaker Duration T P8.00-9.00 Utilization of Birth

ControlIdentify use of birth control as a decision

requiring more thought and consideration of feelings, beliefs and

Debate/Group Discussion Coordinators


values.9.00-10.30 Pharmacological

Management(Safety Measures)

Review the indications, side effects and nursing responsibilities of drugs prescribed for psychiatric conditions

DiscussionFarida (1196)

90

10.30-11.00 Quiz about Pharmaceutical Drugs

30

11.00-13.00 Finalizing the Case Presentation

30

13.00-14.00 Checking of Case Presentation draft

Course Coordinators

Coordinators 60

(1 day before)

Announcement and invitation shall be sent for institutions so that students, interns and staffs will attend the event

(1 week) Clinical Duty

+

Practicum in the Clinical Area on (1 week)

Practicum Content

(Evidences needed: Attendance form, Script/Lecture Notes, Photo Documentation of the Activity)

Time Topic Objectives Method Speaker Duration T P8.00 - 10.00 HE in

Maternity Ward Apply concepts learned.

Relate the promotive and preventive care to mothers and women of reproductive age.

Discussion Participants

120

10.00-10.30 Break 3010.30-11.30 HE in GYN

Ward60

11.30-12.30 HE in GYN OPD

60

12.30-13.30 HE in DS 60


Day 22-26

10-14/04/2016

Time Topic Objectives Method Speaker Duration T P8.00-12.00 Case

Presentation Examine and summarize a disease condition and apply

knowledge in setting a nursing care plan

Presentation in auditorium or clinical

area

Participants

Coordinators

240

Criteria of the Case Presentation

Criteria PercentageDegree of Difficulty of the Selected Case

30%

Completeness of History Taken from Patient

20%

Accuracy of Information 10 %Content of the Output 40%Total 100 %

(4 days) CLINICAL DUTY

(1 day) THEORETICAL EXAM12.00 – 14.00

Multiple ChoiceWritten Exams

Test the critical thinking of individuals using situation-

based questions

Venue: Classroom/Auditoriu

m

120

3 days COMPLETION OF PORTFOLIO

1 day: Commencement Exercises (Program to be prepared and arranged coordinators)

Last day: Signing off from hospital


Calculation of Marks (%):

Theoretical Exam : 30Portfolio: 20Clinical Duty (Case Presentation + Health Education): 40Attendance: 10 Total: 100 %

Breakdown of the # of hours:

Theory : 154Clinical: 385Total: 539 hours_________________________________________________________________________________________

References

Books

Pillitteri, A. (2010) Maternal and Child Health Nursing: Care of the Childbearing and Childrearing Family. Lippincott Williams & Wilkins. 6th Edition.

Alnas, H. et. al (2010) Nursing Skills Laboratory Handbook

Padilla, M.T. (2008). Fundamentals of Nursing. Administration of Blood Transfusion. C & E Publishing Inc.

Online Journals

Brooks, M. (2014) Fewer Women Dying From Childbirth Globally: US lagging. Retrieved from http://www.medscape.com/viewarticle/824704

Pregnancy News and Updates. Retrieved from: http://www.medscape.com/resource/pregnancy

Articles

Distribution of Health Services in Oman. http://www.moh.gov.om/en/stat/2012/Chapters/CH03Y12.pdf In-hospital resuscitation. Resuscitation Council (UK) Guidelines. 2010

Internet Sources

Prevention and Treatment of pre-eclampsia and eclampsia: Summary of Recommendations. WHO. WHO reference number: WHO/RHR/11.30.

The management of hypertension in pregnancy. Clinical guidelines, CG107 - Issued: August 2010. National Institute for Health Care and Excellence


http://www.moh.gov.om/en/stat/2012/Chapters/CH03Y12.pdf

http://www.medscape.com/viewarticle/824704

Maternal and Child Health Care Nursing

Education

Transcript of Maternal and Child Health Care Nursing