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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
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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
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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
MCH On-Job Training Program 2015Nizwa Hospital Page 3
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
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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
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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
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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
Identify evidence- based issues, treatment &
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
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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
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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
Identify evidence- based issues, treatment &
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
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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
MCH On-Job Training Program 2015Nizwa Hospital Page 10
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
Identify evidence- based issues, treatment &
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
MCH On-Job Training Program 2015Nizwa Hospital Page 11
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
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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
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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
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