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Unscheduled care / MAU / Day Care (Move Day care work into MAU (Rostering…
Unscheduled care / MAU / Day Care
Worries - e.g. reduced fetal movements
MAU (FPOC)
Heartbeat trace
Midwife
Take history
Tried various techniques, then call back after 30 mins
Teachback
Every midwife teaches this to all women
Most common cause of stillbirth
Default instruction - phone MAU
Clinician decides review needed
MAU or day care?
Urgency triage
Could arrange appointment
All emergencies are seen in Dumfries
Opportunity to amalgamate day care and MAU into birthing suite
Move Day care work into MAU
Staffing
Location / accommodation
Finance
Rural residents
Single point of contact
Services
4 shorter shifts to cover (Leannes)
Rostering of community midwives into MAU
7 day coverage
Updating themselves through core
Stranraer
Oak tree family centre
(Darataigh)
Scans every Wednesday
Community
2 days
Unscheduled care
Routine postnatal
Unscheduled postnatal
Reduced fetal movements
PV bleeding / abdominal pain
In hours
<12 weeks comes from early pregnancy gynae service during office hours
OOH
MAU OOH phone number
Pass to registrar
Decision
D9 ?
1 more item...
Triage
Avoid unnecessary appointments
Possible point to early pregnancy service
.> 12 weeks - MAU
Midwifery triage approach
MAU triage
Assign to community team
Ruptured membrane
Phone MAU
Additional stuff
Calls
Triage
Some of the work from the existing day care workload
depending on accommodation
3 days
Scheduled care
Published guidance - comms team
Badgernet guidance
Customise
What should it say?
Website updates
Leaflet
Same content as on Badgernet
Business card size guidance
Block headings, list of conditions
MAU calls
Change of clinic appointments
Day care current work
CTG's (planned)
BP run throughs (planned)
Some could be done in community
Clashes with consultant clinics
Community rostering and core rostering
Another meeting
MAU coverage
Updating experience in core
Low, high risk as well as Wings
Review existing work recording
What does the EPIC workload look like?
Variability of workload over weekend where there are less staff
Communication between midwifery and women