bachelor of midwifery midwifery student practice … ela midwifery student practice portfolio...

Midwifery Student Practice Portfolio ELA 6 2017

Bachelor of Midwifery Midwifery Student Practice Portfolio Experiential Learning Activity: Midwifery Transition Practicum 6

(Nurs 3051)

Midwifery Student:………………………………………………….

ID:…………………………………………………………………………...

Year Level: ………………………………………………………………

Venue(s):…………………………………………………………………

Experience Area(s):…………………………………………………

Date:……………………………………………………………………….

If found, please return to:

University of South Australia School of Nursing and Midwifery City East campus Frome Road Adelaide 5000

2017 ELA Midwifery Student Practice Portfolio

Student’s name: __________________________ Student’s ID: ______________

TABLE OF CONTENTS

Tab Content

1 Assessment Feedback Rubric

2 Learning Plan

3 Clinical Reflection Task (500 words)

4 Record of Clinical Attendance

5 Cumulative Record of Required Skills

6 Midwifery Student Venue Feedback

7 Competency Assessments

8 MIDAC Learning Tools

9 Antenatal Care Cumulative Record: 100 Antenatal Episodes of Care

Antenatal Episode of Care Record

Abdominal Palpation Record

10 Intrapartum Care Cumulative Record: 30 Intrapartum Care (Primary Accoucher)

Cumulative Record: 10 Intrapartum Care (Active care 1st stage labour)

Vaginal Examination

11 Postpartum Care Cumulative Record: 100 Postnatal Episodes of Care

Postnatal Episode of Care Record

12 Neonatal Care Cumulative Record: 20 Physical Examination of the Neonate

Physical Examination of the Neonate

Cumulative Record: 10 Complex Neonatal Care

Neonatal Complex Care Episode

13 Complex Care Episodes

Cumulative Record: 40 Complex Care Episodes

Antenatal Complex Care Episode

Intrapartum Complex Care Episode

Postnatal Complex Care Episode

14 Continuity of Care Experiences (COCE)

Cumulative Record: 15 Continuity of Care Experiences

Continuity of Care Attendance and Summary Report

Continuity of Care Attendance records and summary record

Introduction

Before you begin you must ensure that you have read through the following resources:

Midwifery Students Practice Portfolio Guidelines

Clinical Assessment Tool for the Midwifery Student (CAT)

ELA 6 Course Outline

ELA 6 Quick Guide As explained in the Professional Practice Guidelines, the Experiential Learning Activities (ELAs) in this program provide opportunity for you to develop your professional and clinical skills. During the ELA’s you will also participate in pre-clinical workshops in the School’s Horizon Hospital and Health Service (HHHS) and will engage with the Clinical Assessment Tool (CAT) for Midwifery Students. You will be expected to successfully undertake an Objective Structured Clinical Activity (OSCA) in the simulated environment HHHS and pass the Medicine Calculations assessment online in order to satisfy the requirements for clinical placement. Any student who receives a fail grade for an OSCA will not be eligible to proceed to the clinical placement of the course. ELA 6 consists of 1 pre-clinical day, Eight (8) weeks clinical placement across all areas (intrapartum, neonatal, antenatal/postnatal & women's health), rostered over a 7 day roster (this may include early, late and night shifts), and a post-clinical workshop. Please refer to the course objectives for ELA 6 in the Course Outline, along with the assessment requirements.

Compiling the Portfolio

This portfolio is to be taken with you on placement and while attending your COCE. It is important to show this portfolio to your Clinical Facilitator and the midwives you work with. For all ELA’s you will be required to provide and appropriately detail the following as outlined:

Criminal History Clearance

Nursing and Midwifery Student Clinical Placement Orientation, SA Health

*Please note you need to ensure you have met orientation requirements for each venue; please review orientation details under Clinical Experiences on your Learnonline site

Provide First Aid and annual CPR updates

Immunisation

Passport to Placement Information and documents

Medicine Calculations Certificate

Learning Plan

Record of Clinical attendance

Clinical assessment Tool for the Midwifery Student (CAT)

o Completed specified Learning Tools

o Competency Assessment for each area

Midwifery Student Daily Venue Feedback

Clinical Experience Records (including COCE documentation) with reflections and updated Cumulative record of minimum experiences

Critical Reflection

All documentation must be clear, informative and in a report-like style.

http://i.unisa.edu.au/students/health/cpu/responsibilities/first-aid/

http://i.unisa.edu.au/students/health/cpu/responsibilities/immunisation/

http://i.unisa.edu.au/students/health/cpu/#passport

No identification in any way may be made of women, babies or their families. Pseudonyms should be used to de-identify women and their families. Students are responsible for compiling and maintaining their portfolio. It is your responsibility to keep it safe and to ensure it is available for review by ANMAC if required for auditing purposes.

Learning Plan

Please review your reflections from previous ELA placements to assist you develop your Learning Plan. You will need to develop this learning plan as outlined by you Course Coordinator. This is to be discussed with your Clinical Facilitator at the beginning of placement and should guide your placement experience. You can share this with any midwives or doctors you work with in order to help them understand your learning needs for this placement. At the end of your placement you will need to demonstrate how you have achieved your learning plan and submit it with your portfolio. An electronic copy of the learning plan template can be found on the course site.

Medicine Calculations Certificate

You must undertake the learning package online and gain 100% for your ELA 6 Medicine Calculations assessment. Please upload the certificate on the learnonline site as directed in the course outline.

Attendance Record

You will be required to keep an attendance record that will need to be signed each day of your placement by the midwife you work with or the Clinical Facilitator. Please note if you cannot attend placement for any reason you must notify the manager of the area you are working in as well as contact your Clinical Facilitator. It is a good idea to ask for the contact phone and email for your facilitator and also for the area manager. You will need to make up all missed shifts, you may be able to make up 1 or 2 days while on placement but this is not always possible, please communicate with your Clinical Facilitator. Communication is a key skill in midwifery practice and it is important that you communicate your absence to ensure that you facilitate a positive work environment.

*If you miss more than 1 day in this placement you will need to contact your Course Coordinator to discuss. It is difficult to organise make up placements and this will only be done in extenuating circumstances.

Clinical Assessment Tool for the Midwifery Student

Learning Tools While on clinical placement or through the Continuity of Care Experience (COCE), the CAT for Midwifery Students will be utilised to inform the clinical assessment component. You will be expected to complete each of the clinical skills learning tool assessments detailed in the CAT for Midwifery Students as outline below:

Over the course of the final year (ELA 5, ELA 6 or with COCE) students must have the following learning tools completed and assessed at either Proficient or Independent;

Learning tool 22: Enteral/tube feeding the baby Learning tool 23: Care of the unwell baby receiving oxygen therapy Learning tool 24: Care of the baby receiving phototherapy Learning tool 2: Ongoing pregnancy care Learning tool 5: Performing and interpreting an antenatal cardiotocograph

Learning tool 13: Care of the woman and baby with increased needs in labour Learning tool 16: Maternal and baby wellbeing assessment following birth Learning tool 18: Breastfeeding challenges for the woman and baby

*It is expected that students will attain a minimum rating of proficient (P) for all tools Any student who does not achieve the minimum rating for the specified skill will require ongoing support and reassessment. This will be undertaken in consultation with the student, Clinical Facilitator and academic staff at the University responsible for the course. All nominated tools for ELA 5 and ELA 6 must be completed by the end of your third year of your program at the required level. You will need to work with your Clinical Facilitator to achieve this as there will be very limited opportunity to assist any student except for very exceptional circumstances.

Competency Assessment

You will also be required to complete Competency Assessments for ELA 6, these assessments are undertaken at 2 weeks intervals. The Clinical Facilitator assigned to you for the associated ELA will be responsible for undertaking this assessment. You will be required to have 4 completed competency assessments for ELA 6. *It is expected that students will attain a minimum rating of Proficient (P) for the Competency Assessment for ELA 6

Students who do not achieve a pass grade in the assessment will be required to undertake a clinical challenge while on placement. Upon successful completion of the clinical challenge, students will be able to continue the clinical placement and undertake a final summative assessment. Students who do not achieve a pass grade for the final summative assessment will not pass the ELA course.

The method of assessment chosen for both the learning tools and the competency assessment component is a modified Bondy scale. You will need to be familiar with the scales used to rate your practice and you may need to provide the midwife or facilitator with a copy of these prior to completing your learning tool.

Independent (I): Refers to being safe & knowledgeable; proficient & coordinated and appropriately confident and timely. Does not require supporting cues

Proficient (P):

Refers to being safe & knowledgeable; efficient & coordinated; displays some confidence and undertakes activities within a reasonably timely manner. Requires occasional supporting cues.

Assisted (A):

Refers to being safe and knowledgeable most of the time; skillful in parts however is inefficient with some skill areas; takes longer than would be expected to complete the task. Requires frequent verbal and some physical cues

Supported (S):

Refers to being safe when closely supervised and supported; unskilled and inefficient; uses excess energy and takes a prolonged time period. Continuous verbal and physical cues.

Dependent (D): Refers to concerns about being unsafe and being unable to demonstrate behaviour or articulate intention; lacking in confidence, coordination and efficiency. Continuous verbal and physical cues/interventions necessary.

Bondy, K, N. (1983). Criterion-referenced definitions for rating scales in clinical evaluation. Journal of Nursing Education 22(9) 376-382

Venue Feedback

You are required to collect feedback from the midwives that directly supervise you while on clinical placement. This feedback is important and can be used to support your application in 3rd year when applying for a position. The portfolio is your responsibility; you must consider the clinical assessment requirements for this

ELA and ensure that you have undertaken them. If you have difficulty fulfilling these requirements

please discuss this with your Clinical Facilitator. If this cannot be resolved you should contact the

Course Coordinator.

Critical Reflection

Your critical reflection should be submitted with your portfolio as a hard copy. Please refer to the Course Outline as each ELA has a different reflection activity.

Learning Plan ELA 6

Learning Objective Course

objectives/ANMC competencies

Resources, Strategies, Activities

Time-line Evidence Outcome

What are you going to learn? Include knowledge/skills/attitude

To which course objective/s, ANMC competencies does your learning objective relate?

How do you plan to learn? When and where do you plan to learn?

How will you demonstrate your learning? What evidence will be included in your portfolio?

Provide evidence of how you achieved your objectives?

Acknowledgement: This resource is based upon previous material compiled by A. Gardner (2011).

Venue Orientation Record Student’s name: _____________________ ID: ________________________

Venue Name Date of orientation Orientation provider

name, signature & date

Note: If you have not attended placement within 12 months of undertaking orientation at a venue you will need to repeat the orientation session. Please refer to the Venue information tab on the Clinical Experience moodle for specific venue requirements https://lo.unisa.edu.au/mod/book/view.php?id=524929

https://lo.unisa.edu.au/mod/book/view.php?id=524929

Attendance Record for Clinical Placement

Student Name: _______________________________________ This is a record of your daily placement attendance: you are required to complete it and make sure it is signed by a Registered Midwife at the end of the day. This form is to be reviewed by the Clinical Facilitator at the end of each placement with the Competency Assessment.

Area

Total hours completed

Total number of shifts completed

Antenatal Clinic

Antenatal Ward

Labour and Delivery

Postnatal Ward

Domiciliary Midwifery

Neonatal

Midwifery Group Practice

Other

Sick Leave If you are sick you must not attend placement. You need to notify your Clinical Facilitator and the

Ward/Unit Manager that you will not be attending the shift. A medical certificate is required if you

are absent for three or more consecutive days or if you have had more than three days absent

within the placement. Please ensure certificates are presented to your Clinical Facilitator when you

next meet with them and emailed to your Course Coordinator. Your Clinical Facilitator will liaise with

the university about your ability to continue with placement. All leave will need to be made up and if

it cannot be organised with the venue, a make-up placement will be negotiated, otherwise you will

need to complete the placement when this ELA is offered again.

Total hours of sick leave

Total number/s of shift/s missed

Make–up shifts completed

Yes / No

Student Name: _______________________________________

Date Venue

Area Hours of

attendance

RM/ MO Signature &

Date

University facilitator

signature & Date

Skills List for 3rd year (ELA 5 & ELA 6)

Student to sign and date when completed. This form should be made available to assessor at

each clinical assessment if requested, to gauge clinical progress of the student.

Clinical Skill Theory Observation Skill assessed

1 Initial pregnancy assessment

2 Ongoing pregnancy care

3 Abdominal examination

4 Parenting education for the woman and her family

5 Performing and interpreting an antenatal cardiotocograph

6 Care of the woman on admission to the birth environment

7 Performing and interpreting an intrapartum cardiotocograph

8 Care of the woman progressing in labour

9 Working with pain in labour

10 Epidural analgesia in labour

11 Insertion of a urinary catheter

12 Care of the woman and baby during an induction of labour

13 Care of the woman and baby with increased needs in labour

14 Care (reception) of the newborn at birth

15 Vaginal examination

16 Maternal and baby wellbeing assessment following birth

17 Facilitating breastfeeding for the woman and baby

18 Breastfeeding challenges for the woman and baby

19 Care of a woman after a caesarean birth

20 Blood sampling of the newborn baby

21 Full examination of the newborn baby

22 Enteral/tube feeding a baby

23 Care of the unwell baby receiving oxygen therapy

24 Care of the baby receiving phototherapy

25 Administering an injection to the newborn

26 Neonatal resuscitation via simulation


Student Name: ______________________Venue/ Clinical area _________________________

The Competency assessment will be carried out at various time points during the student’s midwifery

program. In each ELA an assessment should be undertaken for each clinical area that the student has been

rostered.

All sections of this assessment should be filled in for the assessment to be deemed complete. Students

should complete a self-assessment before participating in a review with the Clinical Facilitator.

LEGAL AND PROFESSIONAL PRACTICE

Competency 1 : Functions in accordance with legislation and common law affecting midwifery practice

Student Assessor

Element 1.1: Demonstrates and acts upon knowledge of legislation and common law pertinent to midwifery practice

Element 1.2: Complies with policies and guidelines that have legal and professional implications for practice

Element 1.3: Formulates documentation according to legal and professional guidelines

Element 1.4: Fulfils the duty of care in the course of midwifery practice

Competency 2: Accepts accountability and responsibility for own actions within midwifery practice

Student

Assessor

Element 2.1: Recognises and acts within own knowledge base and scope of practice

Element 2.2: Identifies unsafe action and takes appropriate action

Element 2.3: Consults with, and refers to, another midwife or appropriate health care provider when the needs of the woman and her baby fall outside own scope of practice or competence

Element 2.4: Delegates, when necessary, activities matching abilities and scope of practice and provides appropriate supervision

Element 2.5: Assumes responsibility for professional midwifery leadership functions

MIDWIFERY KNOWLEDGE AND PRACTICE

Competency 3: Communicates information to facilitate decision making by the woman

Student

Assessor

Element 3.1: Communicates effectively with the woman, her family and friends

Element 3.2: Provides learning opportunities appropriate to the woman’s needs

Element 3.3: Plans and evaluates care in partnership with the woman

Competency 4: Promotes safe and effective midwifery care

Student Assessor

Element 4.1: Applies knowledge, skills and attitudes to enable woman centred care

Element 4.2: Provides or supports midwifery continuity of care

Element 4.3: Manages the midwifery care of women and their babies

Competency 5: Assesses, plans, provides and evaluates safe and effective midwifery care

Student Assessor

Element 5.1: Utilises midwifery knowledge and skills to facilitate an optimal experience for the woman

Element 5.2: Assesses the health and well being of the woman and her baby

Element 5.3: Plans, provides and is responsible for, safe and effective midwifery care

Element 5.4: Protects, promotes and supports breastfeeding

Element 5.5: Demonstrates the ability to initiate, supply and administer relevant pharmacological substances in a safe and effective manner within relevant state of territory legislation

Element 5.6: Evaluates the midwifery care provided to the woman and her baby

Competency 6: Assesses, plans, provides and evaluates safe and effective midwifery care for the woman and /or baby with complex needs

Student Assessor

Element 6.1: Utilises a range of midwifery knowledge and skills to provide midwifery care for the woman and/or baby with complex needs as part of a collaborative ream

Element 6.2: Recognises and responds effectively in emergencies or urgent situations

MIDWIFERY AS PRIMARY HEALTH CARE

Competency 7: Advocates to protect the rights of women, families and communities in relation to maternity care

Student Assessor

Element 7.1: Respects and supports women and their families to be self- determining in promoting their own health and well being

Element 7.2: Acts to ensure that the rights of women receiving maternity care are respected

Competency 8: Develops effective strategies to implement and support collaborative midwifery practice

Student Assessor

Element 8.1: Demonstrates effective communication with midwives, health care providers and other professionals

Element 8.2: Establishes, maintains and evaluates professional relationships with other health care providers

Competency 9: Actively supports midwifery as a public health strategy

Student Assessor

Element 9.1: Advocates for and promotes midwifery practice, within the context of public health policy

Element 9.2: Collaborates with, and refers women to, appropriate community agencies and support networks

Competency 10: Ensures midwifery practice is culturally safe

Student Assessor

Element 10.1: Plans, implements and evaluates strategies for providing culturally safe practice for women, their families and colleagues

REFLECTIVE AND ETHICAL PRACTICE

Competency 11: Bases midwifery practice on ethical decision making

Student Assessor

Element 11.1: Practices in accordance with the endorsed Code of Ethics and relevant state/ territories and commonwealth privacy obligations under the law

Competency 12: Identifies personal beliefs and develops these in ways that enhance midwifery practice

Student Assessor

Element 12.1: Addresses the impact of personal beliefs and experiences on the provision of midwifery care

Element 12.2: Appraises and addresses the impact of power relations on midwifery practice

Competency 13: Acts to enhance the professional development of self and others

Student Assessor

Element 13.1 Assesses and acts upon own professional development needs

Element 13.2: Contributes to, and evaluates, the learning experiences and professional development of others

Competency 14: Uses research to inform midwifery practice

Student Assessor

Element 14.1: Ensures research evidence is incorporated into practice

Element 14.2: Interprets evidence as a basis to inform practice and decision making

Overall grading

Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)

Assessor name and signature…………………………………………………………………date………………………………… Student name and signature………………………………………………………………… date………………………………

Comments………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………





rostered.





Student Assessor






Student

Assessor








Student

Assessor





Student Assessor





Student Assessor








Student Assessor





Student Assessor




Student Assessor




Student Assessor




Student Assessor




Student Assessor



Student Assessor




Student Assessor




Student Assessor



Overall grading



Comments………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………..