Referral Hospital Interventions
Activity spotlight: Clinical Attachment
Following on from the referral hospital Neonatal Residential Training at the end of 2018, clinical attachments were conducted to prepare the referral hospital paediatric team to run their own neonatal unit, which was due to open after the clinical attachment with AHC’s support.
The contents of the course were developed by the SBL team and based on the Ministry of Health and WHO guidelines. The three-week course was designed to provide neonatal clinical experience, management experience on patient flow in a Neonatal Unit, and an overview of how the AHC Neonatal Unit is run. To support the daily experience on the Neonatal Unit, the clinical attachment programme also consisted of bedside teaching, case presentations, and lectures covering topics such as neonatal sepsis, complications of prematurity, and assisted feeding and fluids management.
In total 11 PVH referral hospital staff participated in the clinical attachment with all but one passing their final assessment. From formal feedback, all candidates thought the clinical attachment was very useful and that they felt more confident to change their practices following the course.
Clinical Attachment - January – March 2019
- 11 PVH referral hospital staff (3 doctors, 8 nurses) attended the AHC Neonatal Unit for a three week clinical attachment
Establishing Neonatal Unit - March 2019
- Five-bed Neonatal Unit created at Preah Vihear Referral Hospital
- Equipment installed (including CPAP machine, 2 cots, bilirubin machines, 2 phototherapy machines, neonatal resuscitation kit and trolley, medication fridge, syringe drivers)
- Referral Hospital maintenance team and paediatric team trained in all equipment maintenance
Mentorship - April 2019 - ongoing
- Referral hospital mentorship package created
- Competency books for both mentees and mentors
- Monitoring and evaluation tool (‘cluster checklist’)
- 2-3 mentors attending per week, for alternate weeks, for 6 months