Capstone Project M&E Plan
The capstone project aims to institute emergency preparedness measures in KGH labor and delivery unit from July 2022 to January 2023. This can be achieved through ensuring improved overall patient safety and improved maternal and newborn outcomes. To improve patient safety, the project will reduce acting time from occurrence of emergency to management of emergency by installing well stocked emergency cart with appropriate checklists. For the purposes of improving newborn and maternal outcomes, the project will onboard skilled midwives and install early critical signs of emergency can be recognized by midwives. Capstone Project Plan Essay Paper
The sixth month long project will include activities such as hiring midwives, training them, purchasing equipment and motivating employees. Training will involve subjects such as the management of eclampsia, management of hemorrhage, IPC, Vital signs, communication, and the use of an emergency checklist.
Like in any quality improvement project, documentation is important. It is through documentation that relevant data can be collected to determine the success of the project (Ba,2021). Relevant data will include emergency protocols, time, patient’s register, emergency checklist. Capstone Project Plan Essay Paper
Activity/Output | Indicator | Data Source | Frequency of Data Collection | Responsible Person | Timeline/ Deadline | |
1 | Recruitment of midwives, midwives’ mentors, obstetricians, nurses and community health workers | Number of staff hired in each category. | Employment records | Monthly | Chief nursing officer | August 2022 |
2 | Training on common obstetric emergencies, and implementing skills and drills on EmOC | Number of staff receiving training on common obstetric emergencies in each category.
Number of staff participating in EmOC drills. |
Weekly reports.
Weekly reports |
Weekly
Weekly |
Staff trainers
Director of nursing |
September 2022 |
3 | Purchasing of capital equipment and consumable medical and emergency supplies | Availability of supplies in adequate quantities as per emergency checklist.
All staff report having requisite equipment for managing obstetric emergencies |
Inventory records.
Interview (Likert scale used to categorize statements) |
Daily
Weekly |
Charge Nurse
Nurse supervisor |
July 2022 |
Outcome | Indicator | Data Source | Frequency Of Data Collection | Responsible Person | ||
1 | Labor and delivery unit with optimal staffing ratio | Reduced time between occurrence of emergency and its management | Clinical reports | Daily | Charge nurse | |
2 | Staff in labor and delivery unit can recognize early signs of emergency | Reduced mortality/morbidity rates | Labor and delivery unit mortality records | Weekly | Director of nursing | |
3 | Well-stocked emergency cart with appropriate checklist.
All staff can access requisite tools for emergency management |
Zero searches/request for supplies and tools during emergency | Nurses report sheet | Weekly | Nurse supervisor |
References
Ba, A. (2021). How to measure monitoring and evaluation system effectiveness?. African
Evaluation Journal, 9(1), 12.
Goal | Major Outcomes & Outputs Leading to Ultimate Goal | |||||
Strategic Objective (Long-term Outcome) |
Intermediate Result (Intermediate Outcome) |
Sub-Intermediate Result (Outputs) |
Activities | Inputs: Staff, Stuff, Space | Risks/Assumptions | |
Institute emergency preparedness measures in KGH labor and delivery unit from July 2022 to January 2023 | 1.improved overall patient safety | Reduced acting time from occurrence of emergency to management of emergency. | well stocked emergency cart with appropriate checklists. | 1. Staff (midwifes, midwifes mentors, osbtetricians, nurses, community health workers) 2. Equipments -Timers, sphygomanometer, patient monitors 3. trainings (Management of eclampsia, management of hemorrhage, IPC, Vital signs, communication, emergency checklist) 4. Space – Hall, skills lab. 5. Staff motivation( certification, feedback, data review ) |
1. Hiring of staff 2. Training on implementing skills and drills on Emergency obstetric care 3. Equipment purchased |
Obstetric emergencies can be very serious and can lead to both short- and long-term complications for the mother and baby. In addition, obstetric emergencies can lead to serious injuries for both the mother and baby. |
2.improved maternal and newborn outcomes | Improve quality of care to newborn | skilled midwives | training material, emergency supplies, time, IPCsupplies, medical supplies, emergency protocols, communication tool, emergency troley checklists, patients’ files | Establishment of emergency checklists/ emergency cabinet | implementing skills and drills on Emergency obstetric care (EmOC) training is significant in helping reduce maternal deaths | |
early critical signs of emergency can be recognized by midwives | Emergency protocols,Time, patient’s register, emergency checklist | Training on common obstetrical emergencies.Conduct morbidity/ mortality case reviews |
Capstone Project Plan Essay Paper