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BSc (HONS) MIDWIFERY

PRACTICE PROGRESS FILE

YEAR 2

PARTICIPATING IN HOLISTIC MATERNITY

CARE

JANUARY 2019

CONTENTS

/tt/file_convert/5e9bf3ed2272b930c771812f/document.docx 1©TU-SOHSC (2018)

Page

1 INTRODUCTION 1

2 MODULE OUTCOMES 2

3 PRACTICE PLACEMENTS 3

4 CONSENT AND CONFIDENTIALITY 4

5 NMC PROFESSIONAL GUIDANCE 4

6 GUIDANCE FOR COMPILING YOUR PRACTICE PROGRESS FILE 56.1 Presentation 56.2 Student Self-assessment 56.3 Writing your Learning Goals 56.4 Tripartite Meetings 66.5 Midwife Sign-off Mentor Feedback and Student Reflection and

Progress 76.6 Cause for Concern 76.7 Communication Tool 86.8 Medicines Management Workbook and Learning Tool 86.9 Infant Feeding Workbook 86.10 Enhanced Continuity of Care 96.11 Midwifery Competencies and Skills 96.12 Quantitative Records of Essential Experience 106.13 Attendance 106.14 Assessment of Practice and Grading of Practice 116.15 Failure to Achieve the Graded Practice Outcomes 116.16 Health and Safety Evidence 12

APPENDICES 13Appendix 1 Checklist of Essential Elements of Practice Progress File 14Appendix 2 Sign-off Mentor/Practice Mentor Signature List 15Appendix 3 Orientation to Placement Area 16Appendix 4 Student self-assessment 17Appendix 5 Student Learning Goals 18Appendix 6 Mid-placement Summary of Practice-progress Sign-off Mentor

Feedback 19Appendix 7 Student Summary and Evaluation on Personal Progression/

Learning Goals 22Appendix 7a Cause for Concern 23Appendix 7b Action Plan and Review 24Appendix 7c Outcome of Review 25Appendix 8 Development of Professional Communication Skills 26Appendix 9 Complex Placement Experience 30Appendix 10 Guidelines for Enhanced Continuity of Care 36Appendix 11 Practice Outcomes & Grading Grid 38Appendix 12 Attendance Sheet 42Appendix 13 Competencies and Skills 43


DISCLAIMERThe information contained in this handbook is, as far as possible, accurate and up to date at the time of printing. The express permission of Teesside University must be obtained to reproduce any, or all of this publication, other than for personal use or for those purposes permitted by law.


1 INTRODUCTION

This Practice Progress File provides a framework which will enable you to document your ongoing record of achievement whilst in the practice area and is a fundamental tool for the assessment of your application of midwifery care, during the second year of your course. Essential Evidence is collected continuously throughout the year, which reflects your personal and professional development within the practice environment.

There are two main elements to the Practice Progress File; firstly, it provides a record of your personal and professional development within the practice environment; secondly, it is the means by which your progress is measured and practice outcomes assessed at the summative points and meeting the NMC Standards for Pre-registration Midwifery Education (NMC, 2009). Assessment of practice will be undertaken by your Midwife Sign-off Mentor, who will grade your achievement of the practice outcomes, basing their professional decision on evidence provided within the Practice Progress File. Two summative assessment points will take place in Weeks 17 and 43/44 (stream specific), a mean of the two assessments will provide the final summative grade for the year. It is essential that the Midwife Sign-off Mentor has access to your Practice Progress File, including development planning and any written comments that you or other Practice Mentors have made, so that a complete picture of progress is available (NMC, 2009).

Module Team Contact Details

Module Leader: Fay PolsonSenior LecturerMarketing & Recruitment H1.29 [email protected]

Module Team: Rosie DawsonSenior LecturerH1.29 01642 384100 Ext [email protected]

Module Team: Debra BunfordSenior LecturerH1.28 01642 [email protected]


mailto:[email protected]



2 MODULE OUTCOMES

By the end of this module you should be able to:

Research, Knowledge and Cognitive skills: Demonstrate a deeper understanding of the impact of physiological,

psychological, social, political and cultural factors on the safe, holistic care of the woman, baby and family.

Engage in evidence-based practice to ensure provision of safe care delivery to women and neonates with complex care needs.

Analyse, apply and interpret the midwife's professional role and scope of practice.

Professional Skills: Acts with direct supervision to participate in safe, holistic and personalized

care for women and their families. Acts with direct supervision to participate in safe, holistic baby-centred care. Participates in using a range of techniques and knowledge to facilitate

normality in all aspects of midwifery practice. Acts with direct supervision to participate in the recognition of, and response

to complex care whilst demonstrating the courage to escalate concerns through timely referral to an appropriate professional.

Demonstrates effective communication and interpersonal skills to initiate and maintain supportive relationships with women and their families including in complex situations.

Acts with direct supervision when participating in working with multi-disciplinary and agency teams.

Acts with direct supervision when participating in public health support and education to meet the individual needs of women, their babies and families.

Acts with direct supervision when participating in prioritising and managing care for individuals and groups of women and their babies, justifying the decision-making process.

Participates in the maintenance of accurate, legible, contemporaneous and comprehensive records of midwifery practice.

Demonstrates personal responsibility for professional behaviour to ensure conduct in accordance with NMC standards.

Personal and Transferable Skills: Work effectively as a part of a team, whilst participating in leading care with a

proactive and supportive approach. Demonstrate resilience with the ability to recognize and resolve situations that

have the potential to lead to conflict. Work effectively and responsibly with suitable digital tools within the practice

environment.

3 PRACTICE PLACEMENTS


During the second year of the course clinical placements take place in:

Delivery suiteAntenatal wardPostnatal wardWomen’s Health Visits: (examples may include genital urinary medicine; gynaecology theatre; colposcopy)Complex Care Experience to include the following placements(one week experience in each):MedicineCritical careMental healthNeonatal careMaternity Assessment Unit Antenatal clinic

These placements will enable you to provide midwifery care across a range of settings and also contribute to multidisciplinary/multi-agency team-working. In these placements, you will be assigned to a Midwife Sign-off Mentor who is knowledgeable regarding the expectations of a second-year student midwife. The Sign-off Mentor will also be your ‘hub’ mentor when you are on your complex care placements, to provide support and guidance. As the year progresses, you should be developing and demonstrating confidence in the delivery of care within the spectrum of normality, whilst also gaining experience to develop your skills in providing care to women and babies with complex health needs under the supervision of your Midwife Sign-off Mentor.

You are required to achieve practice outcomes identified for the end of Year 2. It is your Midwife Sign-off Mentor who is responsible and accountable for making decisions regarding your achievement of the practice outcomes.

It is important that you and your Midwife Sign-off Mentor identify time together, to discuss your progress and experiences and to plan future opportunities for learning within the practice area. To support you in practice and to make decisions about your professional development and progress, your Midwife Sign-off Mentor is required to read the documentation and feedback from your previous placements (NMC, 2009).

You will be expected to organise a two-week elective placement during the summer months. This will provide you with the opportunity to undertake visits to other departments in other Trusts, explore the provision of midwifery care in another part of the country, or, you may choose to go abroad. With the exception of Trusts attached to the University, this placement must be observational only and must meet University requirements. You will initially discuss this with the module team and then make contact with the chosen placement following the guidelines which you will be provided with. Goals for the placement must be discussed and negotiated with the Academic Mentor, who also makes contact with the proposed host of the visit.


It is your responsibility to ensure that all essential elements are evident within this Practice Progress File on submission at the summative tripartite.

It is a NMC requirement that you experience 24-hour care for women and their babies in the form of night shifts. Therefore, it is expected that you will work night shifts in rotation with your Sign-off Mentor in each placement allocation and year of the course; however, the number of nights must not normally exceed 50% of a placement allocation. In the instance that you are allocated off duty in excess of 50% night shifts it is your responsibility to inform both the Sign-off Mentor and Academic Mentor so that, following discussion, alternative arrangements maybe made.

4 CONSENT AND CONFIDENTIALITY

As a student at Teesside University it is essential that you abide by The Code: Professional Standards of Practice and Behaviour for Nurses and Midwives (2015) and the current School of Health & Social Care (SOHSC) guidelines when gaining informed consent and maintaining confidentiality. Any breach of confidentiality or failure to gain informed consent, in any setting, will be deemed to be unprofessional conduct and will result in a mark of 0% and possible disciplinary and/or legal action.

5 NMC PROFESSIONAL GUIDANCE

You will be expected to keep current copies of the NMC guidance with your Practice Progress File to use and to clearly demonstrate your underpinning knowledge in relation to your professional midwifery practice.

NMC Guidance includes:

Practising as a midwife in the UK https://www.nmc.org.uk/standards/midwifery/midwifery-regulation/ (2017) Nursing & Midwifery Council. The Code: (2015) http://www.nmc.org.uk/standards/code/ Standards for Medicines Management (2007) http://www.nmc.org.uk/standards/additional-standards/standards-for-medicines-management/. Updated by subsequent circulars at: https://www.nmc.org.uk/standards/additional-standards/standards-for-medicines-management/Standards for Pre-registration Midwifery Education (2009)http://www.nmc.org.uk/standards/additional-standards/standards-for-pre-registration-midwifery-education/ NMC Standards of Competence for Registered Midwives http://www.nmc.org.uk/standards/additional-standards/standards-of-competence-for-registered-midwives/ NMC Complaints about Fitness to Practisehttp://www.nmc-uk.org/Employers-and-managers/Fitness-to-practise/Raising and Escalating Concerns: Guidance for Nurses and Midwives (2015)http://www.nmc.org.uk/standards/guidance/raising-concerns-guidance-for-nurses-


http://www.nmc.org.uk/standards/guidance/raising-concerns-guidance-for-nurses-and-midwives/

http://www.nmc-uk.org/Employers-and-managers/Fitness-to-practise/

http://www.nmc.org.uk/standards/additional-standards/standards-of-competence-for-registered-midwives/

http://www.nmc.org.uk/standards/additional-standards/standards-of-competence-for-registered-midwives/

http://www.nmc.org.uk/standards/additional-standards/standards-for-pre-registration-midwifery-education/

http://www.nmc.org.uk/standards/additional-standards/standards-for-pre-registration-midwifery-education/

https://www.nmc.org.uk/standards/additional-standards/standards-for-medicines-management/

https://www.nmc.org.uk/standards/additional-standards/standards-for-medicines-management/

http://www.nmc.org.uk/standards/additional-standards/standards-for-medicines-management/

http://www.nmc.org.uk/standards/additional-standards/standards-for-medicines-management/

http://www.nmc.org.uk/standards/code/

https://www.nmc.org.uk/standards/midwifery/midwifery-regulation/

https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/practising-as-a-midwife-in-the-uk.pdf

and-midwives/ NMC Social Networking Guidance (2015) http://www.nmc.org.uk/standards/guidance/social-networking-guidance/

6 GUIDANCE FOR COMPILING YOUR PRACTICE PROGRESS FILE

6.1 Presentation

You should include an introduction to your Practice Progress File which summarises your aims for the year and a conclusion which presents a summary evaluation of your progress over the year, including an Action Plan to take forward.

All entries must adhere to the minimum standards for presentation of academic work contained in the Student Essential Guide. Where possible, entries should be word-processed, with exceptions for tripartite summaries, Midwife Sign-off Mentor feedback, quantitative records of essential experience Referencing must be in accordance with Teesside University guidelines, which can be found in the Student Essential Guide.

6.2 Student Self-assessment

At the beginning of each placement and consolidation you should identify the knowledge, attitudes and experience relating to the practice outcomes and midwifery competencies and skills that you bring to the placement. This should include your identified strengths, areas for development and what you would like to achieve during that placement.

At the end of each placement you should evaluate the progress you have made during the placement.

6.3 Writing your Learning Goals

You should develop realistic learning goals that are linked to the achievement of the Year 2 practice outcomes and the midwifery competencies and skills. Once the self-assessment tool is complete you can use it to identify your learning needs as a basis from which to formulate learning goals. Identifying your learning needs is an important part of self-evaluation. A learning need is the gap between the learning that you need to achieve as part of your placement and your present level of development e.g. where are you now? and where do you want to be?

Once you have identified your learning needs you can write a set of learning goals. A learning goal is a broad statement of what you will be able to do or achieve during your clinical placement. Your learning goals need to be concise, realistic, measurable and specific so that you can assess attainment in your mid placement summaries of personal development, when you have written your learning goals discuss them with your Midwife Sign-off Mentor in


http://www.nmc.org.uk/standards/guidance/social-networking-guidance/

http://www.nmc.org.uk/standards/guidance/raising-concerns-guidance-for-nurses-and-midwives/

the early part of your placement to ensure that planned learning opportunities will enable you to achieve the goals you have identified.

6.4 Tripartite Meetings

Tripartite meetings will take place according to the schedule, with yourself, the HUB sign-off mentor and your Academic Mentor. It is your responsibility to liaise with your Midwife Sign-off Mentor and Academic Mentor to arrange your tripartite meetings. The initial tripartite meeting should be arranged for the first week in the placement area. At this meeting you will identify and discuss your self-assessment analysis and learning goals relevant to the area of practice, achievement of essential competencies and skills and practice outcomes. In addition to discussing your self-assessment and learning goals, the initial tripartite meeting will also focus on exploring various learning opportunities available during your placement to enable you to work towards achievement of the practice outcomes, midwifery competencies and skills. Skills that may prove difficult to achieve due to lack of opportunity should be identified with a plan to be simulated in practice. It is essential that the Midwife Sign-off Mentor works 40% of the placement with you (NMC Standards for Midwifery Education, 2009) to be able to make a decision about your progress and abilities.

The final tripartite takes place normally in Module Weeks 17 and 43/44 and is when your Midwife Sign-off Mentor will grade your practice. Prior to these summative tripartite meetings, you must give your Midwife Sign-off Mentor your Practice Progress File to ensure they have time to review it prior to the meeting. All essential elements of the Practice Progress File requiring the Midwife Sign-off Mentor’s signature must be evident within the Practice Progress File at the time given to them. At the summative tripartite meeting your Midwife Sign-off Mentor and Academic Mentor will meet initially to discuss the grades awarded for each of your practice outcomes and then there will be an opportunity to discuss your progress, achievement of the practice outcomes and the grade your Midwife Sign-off Mentor has awarded for these. An individual account of this discussion must be documented and signed by you, your Midwife Sign-off Mentor and the Academic Mentor.To achieve a pass at the summative grading points, all of the practice outcomes must be achieved at the level of 40%. Tripartite Meeting Schedule

Date Placement Year 2 studentsWeek 9 Initial tripartite – Labour wardWeek 17 Summative grading in practice –

Labour ward placementWeek 25/26 Mid placement reviewWeek 21/22 Initial tripartite – wards Week 39/40 Mid placement review

Week 43/44 Summative grading in practice –wards


6.5 Midwife Sign-off Mentor Feedback and Student Reflection and Progress

Formative feedback on your progress is provided within the practice modules and is considered an integral part of enabling you to develop clarity and self-esteem as a midwifery student. In the practice setting, feedback is given by your Midwife Sign-off Mentor in both oral and written formats. Oral feedback is dynamic and occurs spontaneously during your day-to-day practice. Written feedback is more structured and documented mid-placement. Each feedback should enable you to improve your midwifery knowledge and skills so that high quality, safe and effective midwifery care is provided to mothers, babies and families. The following points may help you to gain the most from your Midwife Sign-off Mentor feedback:

Read feedback Seek clarification of illegible written feedback or unfamiliar terminology Compare feedback with previous comments to confirm your progress,

towards learning goals and practice outcomes

Your Midwife Sign-off Mentor should use the ‘Mid-placement summary of practice progress’ proforma, and will include a review of your progression towards the development and achievement of your learning goals, practice outcomes, midwifery competencies and skills, and attendance.

The feedback during all the placements are essential to aid the Midwife Sign-off Mentor in summative grading, and inform you of your progress, and any areas that you may need to action.

In response to the Midwife Sign-off Mentor’s feedback, you should also comment on your progress and reflect upon the various practice experiences that you have been involved in. You should also consider reviewing short-term goals where appropriate. Your summary of learning can be word-processed but should be completed as contemporaneously as possible and signed by the Midwife Sign-off Mentor.

6.6 Cause for Concern

The term Cause for Concern (Appendix 8) refers to any concern your Midwife Sign-off Mentor or Academic Mentor may have about your progress, achievement or professional attitude in practice. Regular review of your progress by your Midwife Sign-off Mentor should highlight any problem at the earliest opportunity.

If a problem is identified, your Academic Mentor will be contacted and an additional tripartite meeting arranged to clarify and discuss the evidence that has caused concern. This will be documented in your Practice Progress File, using a form that will be provided. An Action Plan will be devised to specify learning goals, any additional resources and the evidence required to demonstrate achievement, along with a timeframe for review of achievement which is normally four weeks.


6.7 Communication Tool

Recent national guidance (Kirkup 2015, DOH2010, Cumberlege 2016) has clearly articulated that effective communication among all members of maternity and social care teams will ensure high quality seamless care for women, babies and their families. When women require referral, the midwife must be skilled in working as part of the multidisciplinary/multi-agency team (NMC, 2009). In the second year, you will be providing care to women with more complex needs, where your communication skills will need to be developed further in order to meet the woman’s more specialised needs.

In the final week of your first placement block you are required to complete a self-assessment of your communication skills. Your Midwife Sign-off Mentor will also complete her initial review of your communication skills. Your Midwife Sign-off Mentor is responsible for selecting a woman whose care you have been involved in and is willing to provide feedback on your communication skills. You will not be made aware of who has been selected. Your Midwife Sign-off Mentor must gain informed consent from the woman in accordance with the SOHSC guidelines. This three-dimensional approach to the evaluation of your communication skills will enable a more complete picture, of your strengths and areas for development.

6.8 Medicines Management Workbook and Learning Tool

The medicine management workbook is aimed to develop your knowledge and understanding of pharmacology and drug calculations. This should be completed in order to support your summative assessment.

The medicines management workbook for Year 2 is aimed to develop your knowledge and understanding of pharmacology in relation to the needs of the mothers and babies requiring complex care as well as the continued development of your drug calculation skills. Therefore, you are to utilise the workbook within the clinical setting, to develop your awareness of drugs used in the care of women and babies with complex needs. We would advise that you make use of the workbook immediately when you enter Year 2, to obtain its maximum use in your learning.

6.9 Infant Feeding Workbook

This workbook is a learning tool for the module Participating in Holistic Maternity Care. As the focus for Year 2 is the needs of mothers and babies with complex needs, it is essential that you have the knowledge and skills to meet the nutritional needs of babies. The Infant Feeding Workbook will provide a learning tool which will enable you to develop and apply your knowledge and skills to achieve the specific NMC Skills Clusters, in relation to initiation and continuation of breastfeeding (NMC, 2009, p. 49). The particular focus to achieve this in Year 2 is to consider special situations, where additional skills in breastfeeding support need to be utilised, as identified by the UNICEF Baby Friendly Initiative.


6.10 Enhanced Continuity of Care

Throughout Year 2 you will participate in providing enhanced continuity of care for six women, in collaboration with the women and the midwives responsible for their care. You are expected to avail yourself of a range of opportunities for continuity of midwifery care with midwives’. This will involve arranging to participate on several occasions during the woman’s antenatal and/or labour and/or postnatal care, as appropriate. The aims are to:

Appreciate the importance of continuity for the provision of women-centred care with midwives known to the woman.

Create opportunities to develop supportive relationships with individual women and their families, gaining insight into their experiences.

Enable development of skills in prioritising, managing care and negotiating choices.

Experience gradually increasing responsibility for the planning and provision of midwifery care in preparation for caseload holding in Year 3.

Enhance opportunities to reflect on the provision and evaluate the outcomes of midwifery care, including the woman’s perspective and impact on the family.

You will negotiate with your Sign-off Mentors and Academic Mentor how best to achieve enhanced continuity of care in each setting.

Opportunities include participating in continuity of antenatal and postnatal care; participating in care in labour as well as antenatal and postnatal care; caring for an antenatal woman with more complex needs on the ante-postnatal ward, through to the woman’s postnatal and neonatal care. It may be possible to arrange to accompany a known antenatal woman having induction of labour, or an elective caesarean section, and then follow her care through to the postnatal ward. Accompanying a known woman to visit her baby on the neonatal unit from the postnatal ward is another element of continuity.

For each woman for whom enhanced continuity of care is provided, consent must be verified by the Midwife Sign-off Mentor on the appropriate SOHSC form, and a written summary recorded by the student in the documentation provided and counter-signed by your Midwife Sign-off Mentor.

6.11 Midwifery Competencies and Skills

The midwifery competencies and skills have been mapped against the NMC Standards and Essential Skills Clusters (2009) which support the achievement of the practice outcomes and level of achievement in relation to your stage in the course is identified, as you progress through the course. They are designed to help you and your Midwife Sign-off Mentor monitor your progress throughout the three years and should be considered within the context of safe, holistic maternity care, rather than in isolation. Your Midwife Sign-off Mentor should sign each skill to the level achieved which should clearly


demonstrate your progression and along with achieved practice outcomes that you are fit to practise, at the point of NMC registration.

Skills that may have proved difficult to achieve due to lack of opportunity should be identified with a plan to be simulated in practice (e.g. physiological management of the third stage, use of TENS). Any midwifery competencies and skills that have not been achieved at the summative tripartite should be clearly highlighted, discussed and an Action Plan agreed upon in order to achieve this competency during the third year.

6.12 Quantitative Records of Essential Experience

Requirements of the European Union Directive 2005/36/EC Article 40 (The Training of Midwives), specify the following as statutory requirements for registration as a midwife:

Advising of pregnant women involving at least 100 prenatal examinations.

Supervision and care of at least 40 pregnant women. At least 40 births personally carried out by the student. Supervision and care of 40 women at risk in pregnancy or labour or

postnatal period. Supervision and care (including examinations) of at least 100 postnatal

women and healthy newborn infants. Perineal care to include episiotomy, suturing both theoretical instruction

and clinical practice. Active participation with breech births or practice in a simulated setting. Observation and care of the newborn requiring special care including

those born pre-term, post-term, underweight or ill. Care of women with pathological conditions in gynaecology and

obstetrics.

The quantitative records of essential experience are required to be completed during all three years of the course to demonstrate your range of care experiences. All entries must be verified contemporaneously by the relevant midwife who supervised you. Any entries that are not verified by a midwife’s signature will be discounted on submission of your Practice Progress File. Please be aware that all of the required quantitative numbers are an essential element of the course and must be completed and evident within the Practice Progress File when submitted.

6.13 Attendance

You must complete the attendance record accurately whilst in placement, accounting for a total of 37.5 hours of practice each week, excluding breaks. The record must be verified at the time by your Midwife Sign-off Mentor and periodically by the Academic Mentor. It is your responsibility to ensure all attendance records are submitted with the Practice Progress File, so that the NMC requirements for clinical practice time are clearly evident. Practice


hours that have not been completed to the NMC requirements must be made up at the end of the course.

6.14 Assessment of Practice and Grading of Practice

Summative Tripartite Meetings: Assessment and Grading of Practice (GP)In each year of the course practice modules have two components that are each worth 50% of an overall module mark. The components are the summative assessment for grading in practice and take place at the end of a defined placement experience at a summative tripartite meeting (GP). At this meeting, the Midwife Sign-off Mentor assesses the student's achievement within the practice area against 10 practice outcomes and awards a grade of achievement for practice.

At each summative tripartite meeting the Midwife Sign-off Mentor will award a grade for each of the ten practice outcomes. Each practice outcome must achieve a grading of 40% or above. The overall grading at one summative assessment will be calculated by adding together each individual grade and dividing by 10 to give an overall percentage grade for the practice outcomes. Achievement of a practice outcome is determined by both practice and evidence accrued within the Practice Progress File.

The grade agreed at a summative tripartite is unratified and, as such, requires that the student maintains the assessed level against each of the 10 practice outcomes until the placement is complete. If a Sign-off Mentor subsequently raises concerns about the student’s practice, the situation will normally be managed through the School’s Cause for Concern procedure and may result in the unratified grade being amended. However, if the concern is of a serious nature then the University Fitness to Practise procedure may be invoked

6.15 Failure to Achieve the Graded Practice Outcomes

If a student fails to achieve one or more practice outcomes at a summative assessment point, this will be classed as a fail at first attempt. The Midwife Sign-off Mentor will indicate on the practice outcome assessment grid only the outcome/s that have not been achieved and the overall grade entered to the Assessment Board will be that of zero. The remainder of the practice outcomes although achieved will not be assigned a grade as all will be capped at 40 at any subsequent reassessment. At this point in the course ‘Chairs Action’ will be obtained to grant the student a reassessment of the failed summative grading of practise.

If reassessment is granted with ‘Chairs Action; the student will be required to return to that placement for a further four weeks and an Action Plan put in place with the focus on the specific practice outcomes that have not been achieved at the first attempt. However, the student must demonstrate at the end of the four weeks that they have achieved a pass standard in all practice outcomes. The Academic Mentor will liaise with the Midwife Sign-off Mentor on a weekly/two-weekly basis. If successful at reassessment the grade for


ALL 10 practice outcomes will be capped at 40% (pass). If the student is referred at re-assessment they will be removed from practice and commence a period of study leave pending the decision of the Assessment Board.

6.16 Health and Safety Evidence

Orientation Sheets - Orientation Sheets for each practice area should be completed within the first week of each placement.

Trust Mandatory Training Sessions - you must provide evidence that you have attended your Trust Mandatory Induction Training within the Practice Progress File.

Load Management - these sessions are provided at the University during theory time. You must include evidence of your attendance with your Practice Progress File.


APPENDICES


APPENDIX 1

CHECKLIST OF ESSENTIAL ELEMENTS OF PRACTICE PROGRESS FILE All elements must be included for submission

Essential Elements1. Introduction to Practice Progress File

2. Midwife Sign-off Mentor/Practice Mentor signature list

3. Orientation Sheets to practice area for each placement

4. A self-assessment for each placement

5. Student learning goals for each placement

6. Mid-placement summaries of practice progress for each placement

7. Evaluation of personal progress for each placement

8. Communication Tool

9. Complex Placement Experience

10. Documentation of Enhanced Continuity of Care cases

11. Documentation of Components 1 & 2 for summative grading of practice

12. Elective placement documentation (aims and objectives, summary of learning) (separate booklet)

13. Essential Professional Recordsa) Quantitative records of essential experience (verified by a

Midwife’s signature)b) Midwifery competencies and skillsc) Records of attendance/copy of timesheets verified by Practice/

Sign off Mentord) Evidence of attending Home Trust Mandatory Traininge) Evidence of attendance at Manual Handlingf) Evidence of Data security awareness Non-contact study timetable

14. Practice Progress File Conclusion and Action Plan for future learning


APPENDIX 2

MIDWIFE SIGN-OFF MENTOR/PRACTICE MENTOR SIGNATURE LISTIf you are involved as a Midwife Sign-off Mentor or Practice Mentor in the education

of this midwifery student and need to provide any written information within this portfolio, please sign below.

Date Placement Name Signature


APPENDIX 3ORIENTATION TO PLACEMENT AREA

To be completed on the first day of the placement

Placement Area:……………………………………………………………………………

Date of Placement: From:………………………… To:………………………………….

Practice/Midwife Sign-off Mentor:………………………………………………………

Academic Mentor:…………………………………………………………………………..

The following have been discussed:

Practice/ Midwife Sign-off Mentor

(please tick)

Student(please tick)

Philosophy of midwifery care

Layout and location of facilities and equipment

Fire procedure including location of emergency exits and fire equipmentLocation of emergency equipment and the role of the student in an obstetric/clinical emergencyPlacement routines, policies and protocols

Load management procedures and equipment

Expectations of student: professional manner

Policy for receiving messages/enquiries

Security

Staff names, status and roles

Local Safeguarding Children Policy

Lone Worker Policy

Signature DatePractice/Midwife Sign-off Mentor:Student:


APPENDIX 4STUDENT SELF-ASSESSMENT

Placement:……………………………………………. Week No:………………………

Strengths

Development Areas

Opportunities

Challenges



APPENDIX 5STUDENT’S LEARNING GOALS

Placement:………………………………… Week No:.…………………………



APPENDIX 6

MID PLACEMENT SUMMARY OF PRACTICE PROGRESSSIGN-OFF MENTOR FEEDBACK

Placement Area:The following areas of practice reflect assessment of the student’s progress towards grading for each individual practice outcome.

The following rating scales provide a level of quantitative guidance to the student about their progression:

1. Progress towards achieving all placement Learning Goals that are relevant to the current placement area.

Progress towards achievement of the Learning Goals

Learning Goal Number 1 2 3 4 5 6

Tick the box if on track to achieve the Learning GoalsFurther actions for those Learning Goals that are not on track to be achieved

2. Progress toward achieving a 40% pass mark on each individual practice outcome in the current placement area.

Guide to ActionNo concerns with the current progress.Current progress is slow, just meeting a grade of 40% for one or more of the practice outcomes. Action to be discussed with the Academic Mentor.At the current rate of progress the student will not achieve one or more of the ten practice outcomes. Action to be discussed with the Academic Mentor pending a ‘Cause for Concern’.


Please provide a qualitative comment on the following areas of practice:

1. Overall practice progress towards preserving safe care of women their babies and families. Guide to Sign-off Mentors: The area of care to which this comment refers is identified in the NMC (2015) Code of Professional Practice. To develop and work within one’s scope of competence, to act without delay if women their babies and families are at risk, including raising concerns. Your comments should refer to progression in relation to Practice Outcomes 1,2, 3, 4

2. Overall practice progress towards prioritising women their babies and families. Guide to Sign-off Mentors: The area of care to which this comment refers is identified in the NMC (2015) Code of Professional Practice. The ability to act in the best interests of women their babies and families, listen and respond, uphold privacy, dignity and confidentiality, assess and respond to physical, social and psychological need. Your comments should refer to progression in relation to Practice Outcomes 5


3. Overall practice progress towards practising effectively. Guide to Sign-off Mentors: The area of care to which this comment refers is identified in the NMC (2015) Code of Professional Practice. The ability to co-operate with colleagues and communicate clearly, to share and use evidence to support practice. Your comments should refer to progression in relation to Practice Outcomes 6, 7, 8, 9.

4. Overall progress towards a professional approach to clinical practice. Guide to Sign-off Mentors: The area of care to which this comment refers is identified in the NMC (2015) Code of Professional Practice. Upholding the reputation of the profession. Your comments should refer to progression in relation to Practice Outcomes 10.

Please ensure the following are up to date:

Signature verification The EU Quantitative numbers signed and recorded. The Competencies and Skills booklet The Attendance Record

Sign-off Mentor Signature: Date:Student Signature: Date:


APPENDIX 7

STUDENT SUMMARY AND EVALUATION ON PERSONAL PROGRESSION/ LEARNING GOALS



APPENDIX 7aCAUSE FOR CONCERN

NATURE OF CONCERN

Signature DatePractice/Midwife Sign-off Mentor:Academic Mentor:

Student:


APPENDIX 7bACTION PLAN AND REVIEW


Student:


APPENDIX 7cOUTCOME OF REVIEW


Student:


APPENDIX 8DEVELOPMENT OF PROFESSIONAL COMMUNICATION SKILLS

MIDWIFE SIGN-OFF MENTOR FEEDBACKPlease score how effective you felt the student was in relation to communication in the following areas,

when assisting in the woman’s care

Excellent Good Satisfactory

Refer

1 Initial contact with woman

2 Elicit the woman’s needs (paying attention to both verbal and non-verbal cues)

3 Care planning

4 Evaluating the woman’s understanding (paying attention to both verbal and non-verbal cues)

5 Inclusion of partner/family if appropriate

6 Appropriate/inappropriate talking (talk too much)

7 Communicates with the care team as appropriate

8 Telephone skills

9 Acceptance of constructive criticism

10 Eye contact

Comments regarding overall performance:



DEVELOPMENT OF PROFESSIONAL COMMUNICATION SKILLSSTUDENT SELF–ASSESSMENT

Please score how effective you feel you are in relation to communication in the following areas, when assisting in the woman’s care

Excellent Good Satisfactory Refer

1 Initial contact with woman

2 Elicit the woman’s needs (paying attention to both verbal and non-verbal cues)

3 Care planning

4 Evaluating the woman’s understanding (paying attention to both verbal and non-verbal cues)

5 Inclusion of partner/family if appropriate

6 Appropriate/inappropriate talking (talk too much)

7 Communicates with the care team as appropriate

8 Telephone skills

9 Acceptance of constructive criticism

10 Eye contact

Comments regarding overall performance:

Signature DatePractice/Midwife Sign-offMentor:Student:


SCHOOL OF HEALTH & SOCIAL CARE

BSc (HONS) MIDWIFERY

ASSESSMENT OF STUDENT MIDWIFE COMMUNICATION BY A WOMANFOLLOWING EXPERIENCE OF MIDWIFERY CARE

Name of Student Midwife

I confirm that consent has been obtained from the woman completing this form

Name of Midwife Sign-off Mentor

Signature of Midwife Sign-off Mentor

Communication is an essential part of the role of the midwife and this particularly true when caring for a woman and her partner/family during the labour and birth. We are very grateful for your contribution to the student’s development in this area, please be as honest as possible so that the student midwife can see, where she needs to improve. The student will not know who has been asked to complete these forms.


Please score how effective you felt the student midwife was in relation to the following areas when participating in your care

Very Good

Good OK

Poor

1 Introduced her/himself to me

2 Thanked me for being allowed to be involved in my care

3 Asked how I was feeling

4 Listened to what I was saying

5 Involved my partner/family when they were present

6 Asked permission to examine me

7 The student explained what they were doing and why it was necessary

8 I understood the explanations the student gave

9 I was given enough time to ask questions

10 Involved me in decisions about my care gave me opportunities to say what I would like to do

11 Respected my feelings and wishes

12 Recognised my need for quiet when I wanted it

13 Responded to my needs appropriately

14 Tried to make me feel at ease and encouraged me

15 Made me feel valued

Please feel free to make any further comments about the student midwife’s performance


APPENDIX 9COMPLEX PLACEMENT EXPERIENCEFORMATIVE RECORD OF LEARNING

The Complex Care Experience includes the following placements: Health Visiting Medicine Critical Care Mental Health Neonatal Care Antenatal Experience/Patient Safety

Introduction: Why is it important for you to experience selected areas of general practice?Recent reports into the life style and health of women and families who access the maternity services have provided reliable evidence to show a trend of increasing complexity in all cultural, educational, social, psychological and physical aspects of wellbeing. The MBBRACE (2014) report stated that from 2009 to 2012, 357 women died during pregnancy or up to six weeks in the postnatal period of pregnancy. The number shows a declined from the MBBRACE (2011) report. This decrease was mainly evident as a result of a reduction in direct (obstetric) causes of maternal death due to advances in the care of women with pregnancy related conditions; however it is important to note that approximately three-quarters of the women who died had a co-existing medical condition (MBBRACE, 2014). It was also noted in the report that greater numbers of women giving birth have increasingly complex pregnancies (MBBRACE, 2014).

The National Patient Safety Agency publication (NPSA) (2007) ‘Safer Care for the Acutely Ill Patient: Learning from Serious Incidents’ highlighted the increasing need for health practitioners to be able to recognise and respond appropriately to early signs of deterioration in hospitalised patients’. This report highlights the importance of the need for your education to focus on early recognition and escalation to ensure prompt treatment along with actions to prevent morbidity in acutely ill patients. Subsequent MBBRACE reports (2014, 2015) concur with the NPSA publication that care should ensure prompt early recognition of deterioration in maternal and neonatal health and escalation to the appropriate health professional to prevent mortality and morbidity. More recently the Maternity Review (2016) noted the increase in women who have children at an older age along with the rise in complex health needs that can affect pregnancy and wellbeing (NHS, England, date). Contemporary pre-registration courses must prepare student midwives to care for women with pre-existing medical conditions and to recognise and promptly escalate deterioration in health.

The MBBRACE (2015) first report into psychiatric causes of maternal death stressed the importance of seamless care across professions, disciplines and agencies that care for women during pregnancy due to their level of vulnerability. The report therefore highlights the need for maternity services, primary care and mental health services to work together to ensure effective perinatal health care. Furthermore, although the report focuses on psychiatric causes of maternal death, the majority of


women had multiple morbidities and complex social problems. The report highlighted the need for practitioners to provide holistic care, including not only physical but care related to psychological and social needs. Your practice experience therefore needs to embed the lessons learnt from the above reports.

In summary, the holistic health of women through the ante, intra and postpartum period of childbirth is inextricably intertwined with the preconception health and wellbeing of the woman and her family. As such, your education needs to extend beyond maternity placements to experience general practice environments, to learning about pre-existing conditions that influence the health and wellbeing of women, their babies and families in pregnancy.

Aim and Learning Outcomes of the Placement Experience The complex practice experience in Year 2 of the BSc (Hons) Midwifery course aims to:

Provide student midwives with a broad experience of complex general practice placement areas, to develop their competence in the care of women or babies with pre-existing/co-morbidities social, psychological and pathological complex care needs.

Learning Outcomes:At the end of this experience student midwives will have:

Enhanced their practice experience, knowledge and understanding of pre-existing medical conditions that influence childbirth.

Developed a broader knowledge and understanding of health visiting and safeguarding practices.

Enhanced their practice experience, knowledge and understanding of the multi-disciplinary team who care for women with mental ill health.

Enhanced their practice experience, knowledge and understanding of the neonate with complex needs.

Developed their knowledge and understanding of pregnancy related conditions and the management of complex needs.

Enhanced their practice experience, knowledge and understanding of critical care.

Explanation of your Learning Activity during the Complex Care ExperiencesIn each complex care placement select one condition that is social, psychological or pathological that can be encountered during pregnancy.

To fulfil the requirements of this learning experience your record of practice should meet the following:


Template: Record of Practice Based Learning

Identify the nature of practice experience e.g. medicine, health visiting. Record the name of a pathological, social or psychological condition that is either: Pre-existing to pregnancy Develops during pregnancy Affects the Newborn Infant

Using bullet points and no more than 200 words write a brief introduction to the condition.

The introduction should contain defining theories.

If the condition is pathological it should demonstrate knowledge and understanding about the aetiology and pathological progression of the condition. If the condition is social or psychological it should focus on epidemiology.

Health visiting should include learning about safeguarding.


Using bullet points and no more than 200 words, reflect on what you have learnt about how the condition is managed in your placement area. Note services that support the

care, along with members of multidisciplinary team


Using bullet points and no more than 100 words, review how your chosen condition is affected by the onset of pregnancy.

Using bullet points and no more than 100 words, reflect on the competencies and skills required to effectively care for a baby or woman during the ante, intra and postnatal period of pregnancy with the chosen condition.


Complex placement experience FeedbackDate Practice signature

Date Student signature

The student’s midpoint assessment is based around the following areas of feedback:1. Has prioritised the care of service users.2. Has shown effective practise. 3. Has preserved the safe care of service users. 4. Has shown a professional approach to clinical practice.

Please provide the student with a short qualitative comment about their engagement in the care of service users following this week of practice experience.


APPENDIX 10

GUIDELINES FOR ENHANCED CONTINUITY OF CARE

Following discussion with an individual woman to ascertain her willingness and permission to specially follow through her care, verification of gaining informed consent is needed from the Practice/Midwife Sign-off Mentor on the appropriate form.

You should ensure that you do not place yourself in unsafe situations or beyond your competence when accompanying a woman. You should liaise with the midwives responsible for the women’s care and ensure that arrangements are clear. If making a visit to another setting you should make your whereabouts clear, and the off-duty should reflect this. Midwifery staff need to liaise, to ensure that you are not placed in a position beyond your capabilities, prior experience and stage of the course.

Clear lines of communication need to be established, including a mechanism by which you will keep in touch with the woman and be informed of her progress, e.g. when she is in labour or admitted to hospital, or discharged home. This could be by asking the woman herself to keep you informed, or by highlighting your wish to be involved on the woman’s care documentation, so that all midwives are aware of your involvement. For safety reasons, you should not be the first point of contact for the woman with the maternity services, for example when she goes into labour.

Being on call: whilst it is ideal that you see all aspects of each woman’s care, it is not realistic for you to be available at all times. It is up to each student to decide what is reasonable and to make that clear to the woman and the midwife. During the second year, you will always attend a woman with a Practice Midwife Mentor. You will also need to ensure personal safety.


ENHANCED CONTINUITY OF CARE CASES

Enhanced Continuity of Care Case 1

Pseudonym Consent Identifier

Brief summary of woman’s history at first meeting


Date or care/discussion

Summary of Enhanced Continuity of Care

APPENDIX 11


PRACTICE OUTCOMES & GRADING GRID (LEVEL 5)

Grade Descriptor100-90 Always demonstrates a very detailed knowledge and understanding from an

extensive and comprehensive range of robust source material. Always confidently demonstrates an exceptional ability to safely and effectively participate in all aspects of midwifery practice. Is proactive in participating in midwifery care without the need for any verbal or physical cues. Always demonstrates a professional attitude when participating in midwifery practice.

89-80 Regularly demonstrates detailed knowledge and understanding from a wide and comprehensive range of robust source material. Regularly and confidently demonstrates an outstanding ability to safely and effectively participate all aspects of midwifery practice. Requires very occasional supportive cues when participating in midwifery practice. Consistently conveys a professional attitude when participating in midwifery practice.

79-70 Demonstrates detailed knowledge and understanding from a comprehensive range of robust source material. Consistently and confidently demonstrates the ability to safely and effectively participate in all aspects of midwifery practice. Requires very occasional verbal and physical cues when participating in midwifery practice. Consistently conveys a professional attitude when participating in midwifery practice.

69-60 Demonstrates knowledge and understanding from a broad range of source material. Confidently demonstrates the ability to safely and effectively participate in all aspects of midwifery practice. Requires occasional verbal and physical cues when participating in midwifery practice. Conveys a professional attitude when participating in midwifery practice.

59-50 Demonstrates knowledge and understanding from a range of source material. Displays ability to safely participate in all aspects of midwifery practice. Requires frequent verbal and occasional physical directive cues when participating in midwifery practice. Conveys a professional attitude when participating in midwifery practice.

49-40 Demonstrates knowledge and understanding from a limited range of source material. Displays an acceptable ability to safely participate in all aspects of midwifery practice. Requires continuous verbal and frequent physical cues when participating in midwifery practice. Conveys professional attitude when participating in midwifery practice most of the time.

39-30Fail

Demonstrates a weak knowledge and understanding. Generally lacks the ability to safely and effectively participate in all aspects of midwifery practice. Unable to demonstrate a professional attitude when participating in midwifery practice.

29-20Fail

Demonstrates a very weak knowledge and understanding. Consistently lacks the ability to safely and effectively participate in all aspects of midwifery practice. Unable to demonstrate a professional attitude when participating in midwifery practice.

19-0Fail

Demonstrates no real knowledge and understanding. Lacks the ability to safely and effectively assist the midwife in all aspects of midwifery practice. Unable to demonstrate a professional attitude when assisting the midwife.


Grading of Practice Level 5 0-19Fail

20-29

Fail

30-39

Fail

40-49

50-59

60-69

70-79

80-89 90-100

1 Acts with direct supervision to participate in safe, holistic and personalised care for women and their families.To achieve the above practice outcome essential evidence must be contained within the Practice Progress File. (1, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 16, 17, 18, 19, 20 (a, b, & c)

Y N

2 Acts with direct supervision to participate in safe holistic baby-centred care.

To achieve the above practice outcome essential evidence must be contained within the Practice Progress File. (1, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 16, 17, 18, 19, 20 (a, b, & c)

Y N

3 Participates in using a range of techniques and knowledge to facilitate normality in all aspects of midwifery practice.


Y N

4 Acts with direct supervision to participate in the recognition and response to complex care, demonstrating the courage to escalate concerns

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through timely referral to an appropriate professional. To achieve the above practice outcome essential evidence must be contained within the Practice Progress File. (1, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 16, 17, 18, 19, 20 (a, b, & c)

Y N

5 Demonstrates effective communication and interpersonal skills to initiate and maintain supportive relationships with women and their families including in complex situations.


Y N

6 Acts with direct supervision when participating in work with multi-disciplinary and agency teams.

To achieve the above practice outcome essential evidence must be contained within the Practice Progress File. (1, 3, 4, 5, 6, 7, 8, 9, 10, 12, 13, 16, 17, 18, 19, 20 (a, b, & c)

Y N

7 Acts with direct supervision when participating in public health support and education to meet the individual needs of women, their babies and families. To achieve the above practice outcome essential evidence must be contained within the Practice Progress File. (1, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 17, 18, 19, 20 (a, b, & c)

Y N


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8 Acts with direct supervision when participating in prioritising and managing individual and groups of women and their babies, justifying the decision-making process. To achieve the above practice outcome essential evidence must be contained within the Practice Progress File. (1, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 18, 19, 20 (a, b, & c)

Y N

9 Participates in the maintenance of accurate, legible, contemporaneous and comprehensive records of midwifery practice. To achieve the above practice outcome essential evidence must be contained within the Practice Progress File. (1, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 15, 18, 19, 20 (a, b, & c)

Y N

10 Demonstrates personal responsibility for professional behaviour to ensure conduct in accordance with NMC standards.To achieve the above practice outcome essential evidence must be contained within the Practice Progress File. (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 15, 16, 18, 19, 20 (a, b, & c)

Y N

Signature

Midwife Sign-off Mentor:

Academic Mentor:

Student:


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42©TU-SOHSC (2018)

ATTENDANCE SHEETPRE-REG NURSING, MIDWIFERY, RADIOGRAPHY, PHYSIOTHERAPY, OCCUPATIONAL

THERAPY, DENTAL, ODP & PARAMEDIC PRACTICE

Surname ……………………………………………………………………………………… Forename …………….…………………………………………..

Student Number Cohort ……………. Month ……………… Year ……….………

Date(Day of Month)

ShiftsTotalHours

Worked/ Sick

CodeClinician / MentorFull Signature toverify time worked

Shift worked with mentor (Initials)

(for Nursing, Midwifery & Dental Cert HE students

only)

CodeTimeStarted Time Finished

1st ND – Night DutyDO – Day OffAL – Annual LeaveS – SickA – AbsentU – University / TheoryP – Placement

HoursRelate to placements only and should include the time started and finished.

Please note that you must subtract your meal break from the total hours worked column.

Hours per weekNursing 37.5Midwifery 3yr 37.5Radiography 28Physiotherapy 37.5Occ Therapy 37.5Dental 22.5ODP 37.5Paramedic 37.5

2nd3rd4th5th6th7th8th9th10th11th12th13th14th15th16th17th18th19th20th21st22nd23rd24th25th26th27th28th29th30th31st

Student Signature MUST BE DATED …..…………………………………………………………. Date …………………………………………………….

Practice Mentor / Educator / Supervisor’s Signature MUST BE DATED

……………………………………..................................................…………………...............Date …………………………………………………….

The form should be signed by the student and countersigned by the Practice Mentor/Educator/Site Co-ordinator each month. In addition they will be checked by the Academic Mentor at the end of the tripartite meeting (nursing/midwifery)/at the end of the placement (OT)/at the final bipartite meeting (DR).Note: Nursing/Midwifery/DR/Dental/ODP - the student must keep a copy of the completed “Student Attendance Sheet” in their portfolio as well as submit a copy of this with their travel expense form to verify eligibility of claim.OT/PT – the original must be submitted with the Assessment Form and a copy submitted with travel e


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APPENDIX 12

APPENDIX 13

Levels of Achievement:

Observed O The student has had the opportunity to observe this skill

Simulation S The student has had the opportunity to practice this skill through supervised simulation

Competent simulation CS The student has demonstrated that they are competent through supervised simulation

Experience E The student has had the opportunity to practice this skill under the direct supervision of a midwife

Competent under direct supervision

CD The student has demonstrated that they are competent under direct supervision

Competent under indirect supervision

CI The student has demonstrated that they are competent under indirect supervision


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BSc (Hons) Midwifery

Midwifery Competencies and Skills

The midwifery competencies and skills have been mapped against the NMC Essential Skills Clusters (2009), which support the achievement of the practice outcomes. They are designed to help you and your Midwife Sign-off Mentor monitor your progress throughout the course and should be considered within the context of providing safe, holistic care rather than in isolation. Your named Midwife Sign-off Mentor must support you for at least 40% of the time in practice (15 hours). The remainder of the time will be with another Midwife Sign-off Mentor or Midwife. NB the midwifery competencies related to medicines management, which are depicted in the shaded column, must be signed by a Midwife Sign-off Mentor.

“The medicines and healthcare products Regulatory Authority (MHRA) require that the Midwife supervising the administration of medicines by a student midwife must have undertaken an approved mentorship programme and be a Sign-off Mentor” (NMC, 2011).

Note full list of competencies and skills can be located in Competencies and Skills Booklet

Antenatal Care:

Midwifery Practice Skill Minimum Level to be Achieved Sign-off Mentor Level to be Achieved

Assesses the physical, psychological, emotional, socio-cultural, spiritual needs of women CD

Signature

Date

In partnership with women, plans, implements and evaluates holistic, woman-centred care, that is responsive to maternal antenatal needs

CD

Signature

Date

Plan and delivers a parent education lesson CDSignature


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Date

Explains the aim of an initial consultation and obtains a comprehensive and detailed history CD

Signature

Date

Recognises signs of pregnancy (e.g. breast tenderness; tiredness; frequency of micturition) CD

Signature

Date

Monitor physical and psychological wellbeing of the mother during pregnancy CD

Signature

Date

Accurately measures Body Mass Index (BMI) CI

Signature

Date

Explains the aim of an initial consultation and obtains a comprehensive and detailed history CD

Signature

Date


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Appropriately provides choices available to the woman, with the ability to advise as required (in relation to the screening options available, inc. infant screening, blood tests etc.)

CD

Signature

Date

In partnership with women create birth plans that is responsive to their individual needs CD

Signature

Date

Monitors, records and interprets body temperature CD/CI

Signature

Date

Monitors, records and interprets pulse rate and pattern CD/CI

Signature

Date

Monitors, records and interprets blood pressure (manual and automated) CD/CI

Signature

Date

Monitors, records and interprets respiratory rate and pattern

CD/CI Signature


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Date

Monitors, records and interprets urine analysis CD/CI

Signature

Date

Monitors, records and interprets blood glucose levels CD/CI

Signature

Date

Monitors, records and interprets oxygen saturation levels CD/CI

Signature

Date

Accurately completes and interprets the MEOWS chart CD/CI

Signature

Date

Interpretation of blood results, and referral to appropriate health care professional CD

Signature


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Date

Assesses fetal growth through abdominal palpation and symphysis-fundal height measurement CD

Signature

Date

Accurately documents the symphysis-fundal height referring to appropriated health care professional as appropriate

CD/CI

Signature

Date

Encourages women to consider their health needs and appropriately provides health promotional advice according to individual needs

CD

Signature

Date

Able to prioritise and plan care according to individual needs, taking into account the holistic needs of the woman and her family

CD

Signature

Date

Refer woman’s care to appropriate health care professional when the situation demands CD

Signature

Date


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Monitor, record and interpret fetal heart rate using a Pinnards’ stethoscope CD

Signature

Date

Monitor and record and interpret fetal heart rate using a sonicaid

CD

Signature

Date

Assesses fetal presentation, lie, position and engagement from 36 weeks gestation

CD

Signature

Date

Performs venepuncture including the appropriate and safe procedure for specimen collection and transport

CD/CI

Signature

Date

Provides information to facilitate informed choices about antenatal screening tests respecting the subsequent maternal decision

CD

Signature

Date

Interprets data accurately from screening results and sensitively shares this information with women CD

Signature

Date


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Justifies the use of and performs a speculum examination E/CD

Signature

Date

Justifies the use of and performs high, low and endo-cervical swabs E/CD

Signature

Date

Justifies the use of and performs MRSA swabs for screening *E/CD

Signature

Date

Justifies the use of and collects a mid-stream urine sample CD/CI

Signature

Date

In partnership with the multidisciplinary team provides care for women with complex pregnancies CD

Signature

Date

Monitors, and maintains fluid balance CD/CI

Signature

Date


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Justifies the use of a membrane sweep *CD

Signature

Date

Performs a membrane sweep *CDSignature

Date


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Intrapartum Care: Second yearThose marked

with an * may be carried over into

the third yearMidwifery Practice Skill Minimum Level to

be Achieved Sign-off Mentor Signature & Date


Signature

Date

In partnership with women, plans, implements and evaluates holistic, woman-centred care CD

Signature

Date

In partnership with the woman, and incorporating birth plans, provides care that is responsive to maternal needs in a variety of settings

CD

Signature

Date

Provides care for women in the latent phase of labour CD

Signature

Date

Determines the onset of established labour CDSignature


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Date

Monitors progress in labour; sensitively sharing information with the woman CD

Signature

Date

Assesses fetal presentation, lie, position and engagement at the onset of labour CD

Signature

Date

Assesses fetal descent through labour CD

Signature

Date

Assesses development of uterine contractions during labour CD

Signature

Date

Justifies the use of and performs vaginal examination in labour CD

Signature

Date

CDSignature


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Assesses maternal behaviour during labour Date

Uses strategies to facilitate normal labour and birth (e.g. position, mobilisation, birthing aids) CD

Signature

Date

Adapts the labour room environment to meet the woman’s needs CD

Signature

Date

Provides emotional support during labour for the woman and her family/partner CD

Signature

Date

Ensures nutrition and hydration needs are met during labour CD

Signature

Date

Assesses vaginal amniotic liquor volume and colour CD

Signature

Date


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Monitors, records and interprets fetal heart rate using a Pinnard stethoscope and sonicaid CD

Signature

Date

Effectively monitors and records fetal wellbeing in labour using intermittent auscultation CD

Signature

Date

Justifies the use of and applies electronic fetal monitoring CD

Signature

Date

Effectively monitors and records fetal wellbeing in labour using electronic fetal heart rate monitoring accurately interpreting the cardiotocography patterns

CD

Signature

Date

Justifies the use of and applies a fetal scalp electrode E/CD

Signature

Date

Prepares equipment for fetal blood sampling E/CDSignature


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Date

Uses the correct procedure to obtain cord blood samples for analysis CD

Signature

Date

Demonstrates the use of the blood gas analyser to obtain a fetal blood gas result E/CD

Signature

Date

Assesses, monitors and evaluates maternal pain in labour CD

Signature

Date

Monitors, records and interprets body temperature CD

Signature

Date

Monitors, records and interprets pulse rate and pattern CD

Signature

Date


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Monitors, records and interprets blood pressure (manual and automated) CD

Signature

Date

Monitors, records and interprets respiratory rate and pattern CD

Signature

Date

Monitors, records and interprets urine analysis CD

Signature

Date

Monitors, records and interprets blood glucose levels CD

Signature

Date

Monitors, records and interprets oxygen saturation levels CD

Signature

Date

Assesses and cares for maternal bowel and bladder function in labour CD

Signature

Date


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Accurately completes and interprets the Intrapartum records CD

Signature

Date

Refer women’s care to appropriate health care professional when the situation demands CD

Signature

Date

Assessment of maternal condition immediately following birth CD

Signature

Date

Assesses the perineum following birth: classifying perineal trauma CD

Signature

Date

Examines the placenta and membranes CD

Signature

Date

Assesses amniotic liquor volume and colour CD

Signature

Date


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Ensures hygiene needs are met during labour CD/CI

Signature

Date

Uses appropriate measures to prevent infection during labour CD/CI

Signature

Date

In partnership with the woman, plans coping and pain management strategies CD

Signature

Date

Appropriately uses non-pharmacological methods of pain relief during labour, e.g. massage CD

Signature

Date


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Cares for women using transcutaneous electrical nerve stimulation *CS/CD

Signature

Date

In accordance with NMC regulations administers pharmacological methods of pain relief in labour CD

Signature

Date

Cares for a woman using epidural anaesthesia CD

Signature

Date

Justifies the use of and performs an amniotomy in labour CS/CD

Signature

Date

Facilitates care and management of the second stage of labour/actively preparing the environment for birth CD/CI

Signature

Date

Infiltrates the perineum with local anaesthetic and performs an episiotomy, justifying the intervention CS/CD

Signature

Date


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Actively manages, and monitors maternal condition in the third stage of labour, facilitating safe delivery of the placenta and membranes

CD

Signature

Date

Manages a physiological third stage of labour CS/CD

Signature

Date

Promotes an environment that facilitates skin-to-skin contact CD

Signature

Date

Demonstrates appropriate perineal suturing technique O/CS/E

Signature

Date

Prepares and supports a woman and her family for operative delivery CD

Signature

Date


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Justifies and follows the correct procedure for urinary catheterisation CD

Signature

Date

Prepares a woman for an elective caesarean section CD

Signature

Date

Prepares a woman for an emergency caesarean section CD

Signature

Date

Accurate assessment of infants condition at birth (APGAR; colour; tone; breathing; heart rate) CD/CI

Signature

Date

Safely transfers or discharges the baby to postnatal ward/home CD

Signature

Date

Performs and accurately documents the initial assessment of the newborn CD

Signature

Date


©TU-SOHSC (2018) 63

Accurately records the babies’ birth weight CD/CI

Signature

Date

Initiates basic emergency call for a newborn CD

Date

Date

Demonstrates resuscitation of the newborn O/CS/E

Signature

Date

Appropriate care and referral of the infant to the suitable health care professional if needed CD

Signature

Date

Effectively communicates with the multi-professional team utilising the situational awareness tool (e.g. SBAR)

CD

Signature

Date


©TU-SOHSC (2018) 64

Provides individualised health information for the woman and her family which is easily understood CD

Signature

Date

Assesses and responds to parenthood and individual needs CD

Signature

Date

Cares for women and families suffering pregnancy loss E/CD

Signature

Date

Care for a woman with an intravenous infusion including a visual infusion phlebitis (VIP) documentation

CD/CI

Signature

Date

Monitors, and maintains fluid balance CI

Signature

Date

Demonstrates the care and management of antepartum haemorrhage CS

Signature

Date


©TU-SOHSC (2018) 65

Demonstrates the care and management of postpartum haemorrhage CS

Signature

Date

Demonstrates the care and management of shoulder dystocia CS

Signature

Date

Demonstrates the care and management of the unconscious woman CS

Signature

Date

Demonstrates the care and management of cord prolapse CS

Signature

Date

Demonstrates the care and management of breech birth CS

Signature

Date

Initiates basic emergency call for maternal complication CD

Signature

Date


©TU-SOHSC (2018) 66

Postnatal Care: Second yearThose marked with an * may be carried over into the third year

Midwifery Practice Skill Minimum Level to be Achieved

Sign-off Mentor Signature & Date


Signature

Date


Signature

Date

Assesses physical and psychological health in the postnatal period CD

Signature

Date

Monitors, records and interprets body temperature CD

Signature

Date

Monitors, records and interprets pulse rate and pattern CD/CI

Signature

Date


©TU-SOHSC (2018) 68

Monitors, records and interprets blood pressure (manual and automated) CD/CI

Signature

Date

Monitors, records and interprets respiratory rate and pattern CD/CI

Signature

Date

Monitors, records and interprets urine analysis CD/CI

Signature

Date

Monitors, records and interprets blood glucose levels CD/CI

Signature

Date

Monitors, records and interprets blood oxygen saturation levels CD/CI

Signature

Date

Accurately completes and interprets the MEOWS chart completion

CD/CI Signature


©TU-SOHSC (2018) 69

Date

Safely transfers women and babies home CD/CI

Signature

Date

Provides emotional support to the mother and family during the postnatal period CD/CI

Signature

Date

Effectively communicates with the multi-professional team utilising the situational awareness tool (e.g. SBAR)

CD

Signature

Date

Provides advice on pelvic floor exercises CD/CI

Signature

Date

Provides information to women and their partners regarding sexual health and contraception

CD/CI Signature

Date


©TU-SOHSC (2018) 70

Cares for women with restricted mobility CD/CI

Signature

Date

Educates women with regard to perineal hygiene CD/C

Signature

Date

Provides post-operative care CD/CI

Signature

Date

Is able to demonstrate the correct procedure for removing sutures and clips CS/E

Signature

Date

Facilitates wound healing CD

Signature

Date


©TU-SOHSC (2018) 71

Justifies the use of and performs a wound swab CD/CI

Signature

Date

Refer woman’s care to appropriate health care professional when the situation demands CD

Signature

Date

Monitors, and maintains fluid balance CD

Signature

Date

Cares for a woman with a blood transfusion E/CD

Signature

Date

Cares for a woman with high dependency needs E/CD

Signature

Date

Assesses and monitors the babies wellbeing CDSignature


©TU-SOHSC (2018) 72

Date

Accurately assesses the babies vital signs: colour; tone; respiratory rate and pattern; heart rate; oxygen saturation and blood glucose; and temperature

CD

Signature

Date

Performs Newborn Blood Spot CD/CI

Signature

Date

Promotes an environment that minimises the separation of mother and baby and promotes a culturally sensitive approach to mother and infant attachment

CD/CI

Signature

Date

Provides advice and support on hygiene needs of the baby CD/CI

Signature

Date

Provides advice and support on umbilical cord care CD/CI

Signature

Date


©TU-SOHSC (2018) 73

Refers to additional specialist services when appropriate e.g. BCG or renal scan CD

Signature

Date

Ensures safety and protection of the baby CD/CI

Signature

Date

Examine and cares for babies with complex needs CD

Signature

Date

Provides support for families with an ill or preterm baby CD

Signature

Date

Recognises signs of deterioration in the condition of the baby and reports appropriately CD

Signature

Date

Performs a baby capillary blood sample CD/CISignature


©TU-SOHSC (2018) 74

Date

Justifies and obtains swabs from a baby CD

Signature

Date

Supports and assists the mother with nasogastric feeding of her baby/is able to pass a nasogastric tube *CD

Signature

Date

Safely discharges from maternity care CD/CI

Signature

Date


©TU-SOHSC (2018) 75

Infant feeding: Second yearThose marked with an * may be carried over into the third year



Facilitation of effective bonding/relationship between mother and infant

CD/CI

Signature

Date

Communicates sensitively the benefits of exclusive breastfeeding for mother and baby CD/CI

Signature

Date

Communicates sensitively factors and risks associated with formula feeding CD/CI

Signature

Date


©TU-SOHSC (2018) 76

Considers cultural traditions and beliefs relating to breastfeeding CD/CI

Signature

Date

Facilitates forums where information is shared relating to the advantages and disadvantages of different feeding methods

CD/CI

Signature

Date

Explains the principles of Baby Friendly Initiative (skin to skin; responsive feeding and rooming in) CD/CI

Signature

Date

Facilitating skin-to-skin contact CD/CI

Signature

Date

Recognising effective positioning, attachment, suckling and milk transfer of the baby at the breast CD/CI

Signature

Date

Empowering mothers to recognise effective positioning, attachment, suckling and milk transfer of

CD/CI Signature


©TU-SOHSC (2018) 77

the baby at the breast Date

Supporting and teaching hand expression of breast milk CD/CI

Signature

Date

Supporting and assisting with the establishment of lactation when mother and baby are separated/mother has complex needs impacting upon her infant feeding practices

CD

Signature

Date

Supporting and teaching the appropriate use and frequency of a breast pump CD/CI

Signature

Date

Provides accurate information on the safe storage, freezing, and warming of breast milk CD/CI

Signature

Date

Supporting and assisting with cup/syringe/spoon feeding

CD/CI Signature


©TU-SOHSC (2018) 78

Date

Bottle feeding a baby using correct technique CD/CI

Signature

Date

Sterilisation of feeding equipment and correct reconstitution of formula milk CD/CI

Signature

Date

Recognise common complications of breastfeeding and respond appropriately CD/CI

Signature

Date

Directs women to breastfeeding support CD

Signature

Date


©TU-SOHSC (2018) 79

Advises women via telephone when contacted for advice on breastfeeding issues CD/CI

Signature

Date

Advises women how to optimise lactation when separated from baby E/CD

Signature

Date

Identifies babies that require a managed approach to breastfeeding CD

Signature

Date


©TU-SOHSC (2018) 80

Medicines Management: Second yearThose marked with an * may be carried over into the third year



Applies knowledge of NMC standards; legal and ethical frameworks to the documentation and administration of medicinal products

CD

Signature

Date

Understand roles and responsibilities of the multi-professional team in the administration of medicinal products

CD

Signature

Date

Is able to read and interpret prescriptions for accuracy in terms of the correct dosage, route and treatment plan

CD

Signature

Date

Clearly identifies the woman or baby for whom the medicine is intended CD

Signature

Date

Obtain an accurate medicine history CD Signature

Date


©TU-SOHSC (2018) 81

Safely administers, and monitors medicinal products by the following routes:

Oral CD

Signature

Date

Topical treatments (if practicable) CS/CD

Signature

Date

Inhalational CD

Signature

Date

Intramuscular injection CD

Signature

Date

Subcutaneous injection CD Signature

Date


©TU-SOHSC (2018) 82

Per vaginum CD

Signature

Date

Per rectum CD

Signature

Date

In accordance with NMC regulations is able to participate in controlled drug administration CD

Signature

Date

Accurately documents medicine administration CD

Signature

Date

Demonstrate the ability to safely involve women in the self-administration of medicinal products CD

Signature

Date

Demonstrates accurate calculation of medicinal CD Signature


©TU-SOHSC (2018) 83

products in midwifery practice Date

Demonstrate the ability to order, receive and store medicines safely applying knowledge of local Trust policies

CD

Signature

Date

Correctly dispenses medicines CDSignature

Date

Safely administers oral medicines to the baby CS

Signature

Date

Safely administers intramuscular injection to a baby CS/CD

Signature

Date

Responds to and reports adverse drug reactions and near miss incidents CS/CD

Signature

Date

Demonstrates an awareness of complementary CS/E Signature


©TU-SOHSC (2018) 84

therapies Date

Signposting appropriately to a registered complementary therapist where appropriate CS/CD

Signature

Date


©TU-SOHSC (2018) 85

Health & Safety: Second yearThose marked with an * may be carried over into the third year



Apply knowledge of risk assessment in practice CD

Signature

Date

Appropriately assesses risk and promotes skin integrity CD/CI

Signature

Date

Uses appropriate risk assessment tool and promotes practices that reduces the risk of thrombo-embolic conditions

CD/CI

Signature

Date

*Works within the lone-worker policy CS

Signature

Date


©TU-SOHSC (2018) 86

Adheres to fire and security policies CD

Signature

Date

Safely applies the principles of load management CD/CI

Signature

Date

Correct and safe disposal of clinical and household waste CD/CI

Signature

Date

Correct and safe disposal of blood and body fluids CD/CI

Signature

Date

Correct, safe use and disposal of Sharps CD/CI

Signature

Date

Adheres to standard principles of infection control CD/CI Signature


©TU-SOHSC (2018) 87

Date

Adheres to local Trust hand hygiene policy CD/CI

Signature

Date

Adheres to local Trust asepsis policy CI

Signature

Date

Safely uses medical devices and equipment CD/CI

Signature

Date

Generic Second yearThose marked with an * may be carried over into the third year


©TU-SOHSC (2018) 88



Demonstrates effective decision making in midwifery practice, based on evidence and experience CD

Signature

Date

Demonstrate an understanding of the family’s role and relationships in maternal care CD

Signature

Date


Signature

Date


Signature

Date

Respect women’s rights and autonomy in decision making and acts as their advocate CD/CI

Signature

Date

Practices in a way which empowers women treating CD/CI Signature


©TU-SOHSC (2018) 89

them and their family with respect Date

Communicate sensitive information/breaking bad news CD

Signature

Date

Explores sensitive issues and responds appropriately in sexual health CD

Signature

Date

Explores sensitive issues and responds appropriately in safeguarding children and adults CD

Signature

Date

Explores sensitive issues and responds appropriately with vulnerable women CD

Signature

Date

Demonstrates effective communication that is clear, unambiguous and appropriate for the care setting CI

Signature

Date

Initiates conversation and uses strategies to enhance CD/CI Signature


©TU-SOHSC (2018) 90

communication such as removing barriers Date

Answers the telephone professionally and deals appropriately with enquiries CD/CI

Signature

Date

Uses verbal skills of questioning, paraphrasing and reflection to enhance communication CD/CI

Signature

Date

Actively listens and responds to verbal and non-verbal cues and respecting silences CD/CI

Signature

Date

Uses touch appropriately CD/CI

Signature

Date

Communicates effectively and sensitively with women who have physical, cognitive or sensory disabilities CD

Signature

Date

Ensures effective communication with women/ families CD/CI Signature


©TU-SOHSC (2018) 91

who do not speak English Date

Is able to explain findings from observations and tests in a sensitive and clear manner encouraging women to ask questions

CD

Signature

Date

Communicate and work effectively with the multidisciplinary team valuing other roles and responsibilities

CD

Signature

Date

Works effectively, providing support to others as a midwifery team member CD

Signature

Date

Confidently refers to an appropriate professional when the expertise required for care is outside the Midwife’s scope of practice

CD

Signature

Date

Demonstrates assertiveness CD/CI

Signature

Date


©TU-SOHSC (2018) 92

Demonstrates empathy, kindness and compassion CD/CI

Signature

Date

Is proactive in maintaining privacy and dignity CD/CI

Signature

Date

Applies knowledge of the complaints procedure to manage complaints effectively CS/CD

Signature

Date

Uses effective communication skills to manage challenging situations CD

Signature

Date

Practices within the NMC Code, Standards and Guidelines CD/CI

Signature

Date

Is professional in behaviour, appearance, manner, attitude, beliefs, judgements and language

CI Signature


©TU-SOHSC (2018) 93

Date

Adheres to principles of data protection, and confidentiality in practice CD/CI

Signature

Date

Appropriately shares information with the multi-professional team to enhance care provision CD

Signature

Date

Writes accurate, legible, comprehensive and contemporaneous records

CD Signature

Date

Is able to retrieve and record information to use in information technology CD/CI

Signature

Date

Uses appropriate strategies to enable women to make informed choices

CD/CI Signature

Date


©TU-SOHSC (2018) 94

Obtains maternal informed consent prior to undertaking any procedure CD/CI

Signature

Date

Uses a non-discriminatory and diversity sensitive approach to practice CD/CI

Signature

Date

Explores opportunities for pre-conception care CD

Signature

Date


©TU-SOHSC (2018) 95

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