Background

The importance of continual education in all aspects of midwifery has long been recognised by the Royal College of Obstetricians and Gynaecologists and the Royal College of Midwives, as well as all the leading colleges overseas; however, routine training has been difficult to implement on an individual basis.

The 7th annual CESDI report recommended that interactive computer based training should be available to staff involved in the management of labour.

The Clinical Negligence Scheme for Trusts (CNST) now insists that all maternity units in England verify that their clinical staff receive training in the management of high risk labours and CTG interpretation every 6 months; and it is to facilitate this need, and to encompass all aspects of maternity care training, that K2 introduces the New Perinatal Training Programme.

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Why is Fetal Monitoring Training so important?

Inconsistent Interpretation & Communication of Abnormal Fetal Trends The 1997 Confidential Enquiry into Stillbirths and Deaths in Infancy (CESDI) found that:

  • 75% of deaths during birth are due to human error.
  • Misinterpretation of the fetal trace was the commonest failing.

Risk Management Fnd of Harvard Medical Inst found: most frequent allegation in perinatal malpractice claims is delayed diagnosis of fetal distress.

Litigation costs in obstetrics are rising exponentially and now constitute the majority of litigation in UK healthcare. The Clinical Negligence Scheme for Trusts (CNST) now insists that all maternity units in England verify that their clinical staff receive training in the management of high risk labours and CTG interpretation every 12 months.

The Answer is Training

The importance of training in fetal heart rate monitoring interpretation has long been recognised by the Royal College of Obstetricians and Gynecologists, and the Royal College of Midwives as well as all the leading colleges overseas, but routine training has been difficult to implement on an individual basis.

The 7th annual CESDI report recommended that interactive computer based training should be available to staff involved in the management of labour.

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Benefits of the K2 Training System

  • On-line web access lets you train when you want and where you want.
  • Auditing of user progress for compliance management.
  • Simulation Library updated regularly allowing continual improvement in competency.
  • User Assessment to evaluate your knowledge level.
  • Evaluated in Controlled Randomised Clinical Trial.
  • Enterprise Licensing available.

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What is the K2 Fetal Monitoring Training System?

Encompassing all the established and award winning content of the K2 Fetal Monitoring Training System, the Perinatal Training Programme is an interactive computer based training system covering a comprehensive spectrum of learning that can be accessed over the internet, anywhere, anytime, from within your own hospital or from home. It is a cost effective option compared to the high cost and inconvenience associated with traditional 'lecture based' training courses.

Covering extensive subject areas in fetal monitoring training and maternity crisis management the Perinatal Training Programme teaching material is broad and deep. As well as CTG interpretation and labour management, it also covers physiology, underlying intrapartum fetal monitoring and perinatal asphyxia. Topics also include, amongst others, shoulder dystocia, pre-eclampsia and maternal haemorrhage and so, with real cases presented to teach by example, the Perinatal Training Programme provides users with the complete learning experience.

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What will you learn?

Acid Base & Fetal Physiology (*FMTS)
Cardiotocography (*FMTS)
Errors & Limitations in Fetal Monitoring (*FMTS)
Training Simulator (*FMTS)
Assessment Tool (*FMTS)
Antenatal CTG: The Non Stress Test (*FMTS)
Shoulder Dystocia (*MCMT)
Breech (*MCMT)
Antepartum Haemorrhage (APH) (*MCMT)
Postpartum Haemorrhage (PPH)(*MCMT)
Maternal Resuscitation (*MCMT)
Uterine Rupture/Inversion (*MCMT)
Cord Presentation & Prolapse (*MCMT)
Pre-Eclampsia (*MCMT)

*FMTS = Fetal Monitoring Training System, *MCMT = Maternity Crisis Management Training

Fetal Monitoring Training System

Chapter 1: The physiology underlying intrapartum fetal monitoring and perinatal asphyxia. Topics include: basic physiology, fetal responses to hypoxia, normal acid-based balance, disturbed acid-base balance, rationale and techniques for cord blood gas analysis.

Chapter 2: CTG interpretation and labour management. Topics include: the purpose of monitoring, recognising the basic features of the CTG, abnormal CTG's and what to do, appropriate fetal blood sampling, labour management. Chapter 2 also includes additional guidance on clarification of decelerations in accordance with the NICE guidelines. An additional section has also been included to demonstrate NICE guidelines on CTG interpretation covering categorisation of fetal heart rate traces.

Errors and Limitations in Fetal Monitoring – A theoretical understanding of the complications surrounding fetal monitoring. Topics include: Fetal heart rate detection, dual heart rate monitoring, uterine activity monitoring and how to guard against errors.

Antenatal CTG: the Non Stress Test – Understanding the purpose of Non-Stress testing in order to assess fetal well-being for women with at-risk pregnancies. Areas covered will ensure the user can: Define the purpose of Non-stress testing (NST), tell when NST may be required, state the proper procedure for conducting a NST.

CTG Training Simulator: Maintain your CTG interpretation and labour management skills. Achieved through presentation of real cases. The first time that you see an abnormal case should not be as it unfolds in front of you on the labour ward. (Read more about the Simulator in the section below)

Maternity Crisis Management Training

Exciting new content has now been introduced to the Perinatal Training Programme covering wide-ranging aspects of maternity crisis management. This stimulating new content covers all requirements for CNST standards 1-3, as set out in the CNST Clinical Risk Management Standards 2011/12, and aims to further challenge the user and to promote thought and learning. With chapters covering Shoulder Dystocia, Breech, Maternal Haemorrhage, Maternal Resuscitation and Pre-Eclampsia, to name but a few, this new addition to the Perinatal Training Programme is a vital new extension to the existing and award winning fetal monitoring content.

Topics included within Maternity Crisis Management:

Shoulder Dystocia - this chapter covers all aspects of management and subsequent care. Topics include: definition and causes, maternal and neonatal complications, as well as management, manoeuvers, care and on-going risk management.

Antepartum/Postpartum Haemorrhage (APH/PPH) – Outlining risk factors and subsequent management. Topics include: describing the main causes of APH and understanding the principle of APH management, outlining the risk factors for PPH and identifying the emergent management of the woman experiencing PPH.

Uterine Rupture/Inversion – A theoretical understanding of the risk and management of UR/I. Users will cover: Identifying risk factors and complications of uterine rupture/inversion and the recognition of UR/I and its management

Breech – providing a theoretical understanding of breech management this chapter includes: An introduction to breech and Intrapartum breech management

Pre-eclampsia – this chapter will guide you through an understanding of pre-eclampsia and subsequent management. Topics in this section cover: An introduction to pre-eclampsia, diagnosing and managing pre-eclampsia and preventing and managing pre-eclampsia.

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Why do simulation?

The Training Simulator is a unique component that will allow you to improve your skills by practicing on some of the most abnormal cases. You will have access to a one-of-a-kind library of real world cases with clinical details and fetal monitor traces, which may be reviewed with the on-line strip chart recorder.

We have built up a comprehensive database of over a thousand cases with a full range of CTG patterns with normal and very abnormal outcomes. These cases are presented to you in their entirety and you decide, blind to outcome, how they should be managed.

When the case review is over you can compare your management with 3 independent experts and the actual clinical outcome.

Six cases are provided initially and every 6 months an additional 5 cases are sent so that over a period of time you are able to compile a significant database of interesting cases.

The K2MS Simulator embraces NICE guidelines and features exciting new functionality and management options. Classification of individual CTG features can be selected and an overall classification, in accordance with the NICE guidelines, is then automatically determined. INFANT® technology is also embedded within the simulator providing its own interpretation for comparison which, together with expert analysis from independent clinicians and specialists, provides segment by segment feedback.

Individuals can score and rate their own interpretations against the experts, and challenge them directly by being able to send comments and queries straight from the Simulator. Queries are answered personally allowing each user to benefit from one to one support. Finally, an assessment mode allows the user to review cases with no feedback from either the experts, or INFANT®, thereby testing their own skill. Results can then be compared with those of the experts to assess how they got on. All scores and comparisons are stored for future reference.

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How long will it take?

The training is equivalent to 2 full days training at a lecture based course. However, unlike lecture courses, with the K2 Training System you are free to learn at your own pace, in privacy, at a time that suits you. You can do as much or as little as you wish at each session or repeat difficult sections and you do it in your hospital or at home.

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How does the training work?

Each user is uniquely identified, which enables a detailed record to be kept of the topics completed and certification date. Users are able to print their own certificates directly from within the PTP as many times as they require.

The logon facility also allows the package to bookmark where you leave off so that when you return you can pick up where you left off.

The training continues after the certificate is issued:

  • Review Chapter Content at any time
  • Test your competency with the Assessment Tool
  • Re-certify Annually
  • Build your competency with the Training Simulator

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Who will benefit?

Everyone. Over 110,000 clinicians across the world have now used the package from the most junior to the most experienced. 90% of all UK hospitals use the K2 Fetal Monitoring Training System. It has been rigorously tested in controlled randomised clinical trials and proven to improve core knowledge for all grades of doctors, nurses and midwives.

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Current users login here:

Buy K2MS™ PTP online

The Perinatal Training Programme can be purchased on an individual basis immediately online following the steps featured below, or it can be purchased on behalf of an entire hospital's perinatal staff. The cost of a site license is proportional to the number of deliveries in your hospital. To find out more about enrolling your hospital, please contact our sales office.

3 simple steps to start using the system as an individual user:

1. Go to the Training Programme Registration page by clicking on the button below to register as a user. Your login ID is your unique reference so you should use your professional body number or another unique code.

2. Wait a few minutes to receive your password via email. (If your password does not arrive, do check your spam folder just in case.)

3. Go to the Training Programme Logon page and use your login ID and password to login. If your hospital has purchased K2MS™ PTP then you can link your account to the hospital account, otherwise, follow the links to buy individual membership:

  • £100 per year Fetal Monitoring Training
  • £70 per year Maternity Crisis Training
  • £170 per year Fetal Monitoring Training and Maternity Crisis Training

Register now to start using the PTP

Please note: If you are a US user you should purchase the Training Programme through the US K2MS Website: www.k2ms-america.com

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