PROMPT training program for obstetric emergencies piloted in Queensland and New South Wales
The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), recently commenced a pilot of Practical Obstetric Multi-Professional Training (PROMPT) in Queensland and New South Wales thanks to funding received through RHCE.
PROMPT training provides obstetric teams with a unique approach to dealing with obstetric emergencies whilst working together to achieve the best outcome for mother and baby.
Developed in the UK by a multi-professional team of obstetricians, anaesthetists and midwives, the program is delivered using the Train the Trainer method.
The program is designed to be run by in house facilitators and to be conducted in ‘real time’ on the maternity ward of the hospital. It focuses on how teams handle common obstetric emergencies and requires multidisciplinary participation.
The workshop does not test each individual’s knowledge but invites individuals to self-reflect on their individual performance, and their performance as part of a team. Debriefing assists teams to become aware that through improved communication, teamwork and situational awareness they can better handle obstetric emergencies when they arise.
The project commenced in February 2012 with an expression of interest being sent to RANZCOG Fellows in rural and remote hospitals (RA 2 – 5) in Queensland and NSW. Fellows were asked to nominate the participation of an obstetric team from their facility to attend and participate in a PROMPT Trainer the Trainer, or T3 day, scheduled for their state.
Information on the project was also sent to ANZCA Fellows and Midwifery Educators located at the same facilities to ensure multidisciplinary uptake of the project.
A multidisciplinary team of facilitators was bought together from across Australia and New Zealand, many of whom have been trained in PROMPT by one of the course founders, obstetrician Dr Tim Draycott from the UK.
PROMPT has been running in New Zealand for approximately 5 years and a pilot funded by Victorian Managed Insurance Authorty (VMIA) occurred in Victoria from 2010 completing in early 2012.
Contact with participating teams has been maintained and support offered as they now move into organising and implementing their first PROMPT workshop. Like new parents RANZCOG are proud to announce that three of the participating hospitals from Queensland have already set dates for their first workshop, with a fourth currently making plans.
The implementation of this program so soon after training is testament to the need for training such as this in maternity hospitals and also the achievability and effectiveness of the program.
(Image: Teams in Townsville working through a shoulder dystocia scenario. One team enacts the scenario and the observing team provides feedback)