record of achievement in practice - cass business school...1 record of achievement in practice year...

Record of Achievement in PracticePortfolio of Practice

School of Community and Health Sciences

Pre-Registration BSc (Hons) Midwifery – 3 year Programme

Year 2

Student Name:

Community of Practice:

Personal Tutor:

‘Sign-off Mentor’:

Contents >Page

Portfolio of Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

How to use the Portfolio of Practice . . . . . . . . . . . . . . . . . . 3

Sign-off Mentor Arrangements . . . . . . . . . . . . . . . . . . . . . . 4

Overall Assessment Of Practice . . . . . . . . . . . . . . . . . . . . . 6

Declaration Of Good Character . . . . . . . . . . . . . . . . . . . . . . 7

Framework for Continuous Assessment . . . . . . . . . . . . . . 8

Orientation to the Practice Environment . . . . . . . . . . . . . 11

Placement Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Record of Student and Mentor Meetings . . . . . . . . . . . . . 15

Record of Teaching/Discussion Sessions Attended . . . 19

Record of Assessors/Mentors . . . . . . . . . . . . . . . . . . . . . . 21

Record Of Attendance On Placement . . . . . . . . . . . . . . . . 23

Levels of Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Essential Skills Clusters Of Midwifery Practice . . . . . . . 28

Care, Compassion and Communication . . . . . . . . . . . . . . 28

Initial Consultation between the Woman and the Midwife . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Normal Labour and Birth . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Initiation and Continuance of Breast Feeding . . . . . . . . . 33

Medicines Managements . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Effective Midwifery Practice . . . . . . . . . . . . . . . . . . . . . . . 36

Activity 1: Managing Records and Record Keeping . . . . . 37

Activity 2: Recognising Various Woman-specific Conditionsand their Effect on Reproductive and Sexual Health atDifferent Stages of their Lives . . . . . . . . . . . . . . . . . . . . . . 38

Activity 3: Preparation and Care of Women Pre and PostOperatively . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Activity 4: Principles Underpinning the Managementof Fluid Balance Status during the Peri and PostOperative Period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Activity 5: Patient Care in the OperatingTheatre Department . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Activity 6: Experience in the Accident and EmergencyDepartment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Activity 7: Antenatal Care . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Activity 8: Care for Women who have ExperiencedPregnancy Loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Activity 9: Antenatal Screening . . . . . . . . . . . . . . . . . . . . . 54

Activity 10: Care in Labour and Complexities . . . . . . . . . . 56

Activity 11: Fetal Monitoring. . . . . . . . . . . . . . . . . . . . . . . . 59

Activity 12: The Second Stage of Labour. . . . . . . . . . . . . . 61

Activity 13: Complication during the Third Stageof Labour . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Activity 14: Compromised or Sick Newborn . . . . . . . . . . . 64

Activity 15: Care in the Puerperium . . . . . . . . . . . . . . . . . . 67

Activity 16: Preparation for Parenting . . . . . . . . . . . . . . . . 69

Professional And Ethical Practice . . . . . . . . . . . . . . . . . . . 71

Activity 17: Counselling . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

Developing The Individual Midwife And Others. . . . . . . 74

Activity 18: Clinical Governance. . . . . . . . . . . . . . . . . . . . . 74

Activity 19: Drug Administration . . . . . . . . . . . . . . . . . . . . 75

Achieving Quality Care Through EvaluationAnd Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

Activity 20: Monitoring, Evaluating and ImprovingPractice through your Caseload . . . . . . . . . . . . . . . . . . . . 79

Activity 21: Supervision and Midwifery Practice . . . . . . . 81

Activity 22: Recognising your own Learning Needs. . . . . 83

Case Patient Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

1

Record of Achievement in Practice Year 2 >

Introduction

This Portfolio is designed to enable you to demonstrate achievement of the Standards for Pre Registration Midwifery Education andEssential Skills Clusters (NMC 2009, 2009) which will allow you entry to the Midwifery part of the NMC register. It is designed to help youapply theoretical knowledge to the practice of midwifery.

Your Portfolio of Practice contributes towards your ability to meet the requirements of a midwife as laid down in the definition of a midwifeand would comply with the European Union Midwives Directive 80/155/EEC Article 4 and as amended by Article 40 (a) (b) 2005/36/EU.

The aim of this portfolio is to guide your learning in practice. It will aid your assessors and mentors to provide appropriate learningexperiences. It will also provide clear direction for the assessment of your practice.

The Portfolio of Practice contains activities for you to complete whilst in the practice area. These are designed to help you:

• Learn and practice clinical skills

• Develop your practical skills

• Apply theoretical knowledge gained relating to the five components of holistic care (physical, psychological, spiritual, cultural andsocial)

• Work inter-professionally

• Reflect upon your learning and experiences.

Your assessor(s) in practice will be monitoring your progress throughout the year and gain documented evidence from your mentor(s). Thefinal summative assessment of year two will be undertaken at the end of your practice experience to ensure you have achieved all the NMCStandards and ESC to enable you to progress to year three.

Pass mark

The expected level of performance in all skills and activities is ‘Satisfactory (C)’.is the minimum acceptable standard to pass the Portfolio ofPractice

The NMC Standards (NMC, 2009) will be assessed under the four domains:

• Effective Midwifery Practice

• Professional and Ethical Practice

• Developing the Individual Midwife and Others

• Achieving Quality Care through Evaluation and Research

- using the Professional Behaviour and Practice Assessment Framework tool (Parker, 2004).

All activities must be completed and all will need to be undertaken several times in order to demonstrate understanding, application andacquisition of skills. You should aim to undertake each activity several times under supervision as appropriate PRIOR to a formalassessment by your mentor which will then be documented. You should document your learning in this portfolio at the formal assessmentstage.

Please ensure your attendance sheet in this Portfolio is completed prior to the final submission. This forms a record of your clinical hoursrequired by the NMC in order for you to complete year two.

Record of Attendance

Your attendance must be recorded each day (see pages 23-26) and the total number of hours required must be completed prior tosubmission at the end of your final placement in year 2.

This forms a record of your clinical hours required by the NMC in order for you to register on completion of the programme. If you are offsick or absent for any other reason this should be noted on page 26 and any hours worked to make up sickness/absence should berecorded on page 26. The total hours worked must be stated on page 28.

‘Sign-off Mentors’

The Nursing and Midwifery Council requires you to be supervised and assessed by a ‘sign-off mentor’ at different periods in your three yearplacement (Standards to Support Learning and Assessment in Practice – NMC, 2008). Your ‘sign-off mentor’ has undertaken a supervisedsign-off course and is there to assess your safety and effectiveness in relation to the stage of your programme.

Record of Student and Mentor Meetings

Student and mentor meetings should take place at the beginning of the placement, half way through to review progress and again at theend of the placement. A summary of these meetings should be documented using pages 15-18.

Record of Teaching and Discussion Sessions Attended

Within the Record of Student and Mentor Meetings, a page is provided in each placement to make a note of any teaching sessions ormeetings with Link Lecturers.

Overall Assessment of Practice

Overall Assessment of Practice (Page 6) will be signed at the end of your final placement in Year 2 to indicate that you have achieved all theNMC Standards and ESC. Your mentor must have a recognised qualification (ENB 997/998, Teaching and Assessing in Clinical Practice orPreparation for Mentorship) in order to undertake this assessment.

Take your Portfolio of Practice Experience to all practice reflection seminars (group sessions organised by the university that you arerequired to attend whilst on your placement) and the Link Lecturer for your placement area will ask to see your Portfolio and will be able tohelp you with any questions or problems that you have.

How does it relate to the Essential Skills Clusters & NMC Standards?

You will be using a range of clinical and communication skills as you complete the activities in the Portfolio. This icon is thereto remind you to ask your mentor to sign when you are confident with the skills and when you have completed activitiesdesigned to demonstrate achievement of the NMC Standards.

Reflection is an important part of each activity as it helps you to really think about what you have learnt and what you stillneed to learn.

2

3

How to Use the Portfolio of Practice >

Tips for Students

Whilst working through your Year 2 portfolio of practice please take the following advice and tips on board:

• This is YOUR portfolio of practice. The work you undertake within the portfolio contributes towards your practice assessment for Year2. YOU are responsible for completing and taking it from placement to placement.

• You may record and complete this electronically if you wish.

• Before commencing any of the Activities in the NMC Domain sections you must read and follow all of the introductory information andinstructions at the front of the portfolio. You are ultimately responsible for making sure that the appropriate signatures, meetings andother induction requirements are obtained and completed at the appropriate times.

• You will only be issued with one copy each year so please keep it safe. Any lost information you will need to replace i.e. activities mayneed to be redone and signed again. This document can be downloaded from the Practice website.

• Whilst working through the activities you should regularly review your progress to plan and ensure that you will be able to completeALL of the activities in the portfolio by the end of the year. The activities do not need to be completed in numerical order – you shouldplan to do them when you undertake relevant placement experiences.

• An activity will only be deemed to have been successfully completed where there is an appropriate comment, signature & date in theAssessor/Mentor signature box – it is YOUR responsibility to ensure that your Mentor/Assessor completes this box fully.

• You must undertake and complete the Case/Patient log tables as you work through your practice experience during the year.

• You must also ensure that the attendance sheet at the back of the portfolio is fully completed prior to the final submission and produceit for scanning at the request of the placement unit.

• Some activities may be completed over 2-3 placement experiences. You should ensure each mentor gives comments so that you canprogress with the activity.

• You are strongly advised to keep a separate notebook of all the things you do and record the number of times you practice them so thatyou can reflect on how you have improved. A reflective diary may be used to enhance your professional development.

Sign Off Mentor Arrangements >

NMC Circular 2/2008 requires all students to be “signed off” as safe and effective for progressing to the next phase of your Programmeor to be suitable for entry on the Midwives part of the Register.

Method

*Advisory notes for mentors re students who need tripartite early.

Where there is an indication of any student needing more support to achieve the required learning outcomes, the mentor should discussthis with the student and arrange an early tripartite meeting to agree a way forward. “Tripartite” meeting could be two of the followingpeople with the student: Mentor, student, Personal Tutor, Link Lecturer, and Practice Facilitator.

4

Periodplacement

Activity Comments

Week 1-2 (of every placement) • Allocation of mentor

• Formulation of learning objectives

• Named “sign off” mentor allocated

• Orientation to placement and portfolio

Is an action plan necessary?

Week 10 Mentor documents in portfolio student’sstrengths and areas for further work to betaken to next phase.

E.g., refer to

Week 20 Mentor documents similar to week 10.

Week 30 • Revision of areas identified for further work

• Same as week 10

Week 40-46 Tripartite “sign off” meeting*:

Sign off mentorStudent

Practice FacilitatorOrPersonal TutorOrLink Lecturer

The outcome:

Recommendation for ProgressionOrAction Plan.

Agree Outcome/Decision

Draw Action Plan (12 week NMC rule 2008)

5

Name of Student:

The above named student has completed all the activities in this portfolio and achieved all the Essential Clinical & Communication skillsat the required level and so has demonstrated achievement of the NMC Standards for pre-registration midwifery education.

Sign Off Mentor(print name)

Date of Mentor Qualificationand Update

Signature Date

Clinical Practice Facilitator(print name)

Date of Mentor Qualificationand Update

Signature Date

Additional Assessor(print name)

Qualification Signature Date

Overall Assessment of Practice >

To be completed in the final ‘sign-off’ interview/meeting for year 2 (weeks xx - xx )

The above student’s performance has been (Please ✓ one)

* NB Fail (D) grades must be accompanied by comments to identify areas that need improvement.

6

Name of Student:

Excellent (A): Outstanding performance well above that expected at this stage in the programme

Good (B): Performance above that expected at this stage in the programme

Satisfactory (C): Performance at the level expected at this stage in the programme

Fail* (D) Performance well below that expected at this stage in the programme. Has failed to meet the required standard.

Comments to enable student to improve

Signature

Date:

For university use only:A = 70 – 100%; B = 60 - 69%; C = 40 - 59%; D = 0 - 39% (Fail)

7

Declaration of Good Character – Year 2 >

To be completed by the Personal Tutor at the final summative assessment

*If you do not agree with this statement you must state your reasons in the box below and provide page numbers to indicate theskills/areas in which the student needs to improve.

Student Name:

‘During this Supervised Practice Experience the above student has demonstrated standards and behaviours that are consistent with thestandards and requirements outlined by ‘The Code: standards for conduct, performance and ethics for nurses and midwives’ (Nursing &Midwifery Council, 2008).

I agree*/do not agree* with the above statement (*Please delete as applicable – see below)

Personal Tutor Signature (Please print name & sign):

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

Date:

Comments

Personal Tutor Signature (Please print name & sign)

Date:

Framework for Continuous Assessment >

Notes for Assessor(s)/Mentor(s)

The framework below should be used to assess the competency and safety of your student in practice. This chart clearly indicates theexpectations of a year 2 student midwife at the end of the first year in relation to the Proficiencies that they have been working towardsthroughout the year whilst undertaking practice activities. This is the students’ final summative practice assessment for year 2 and theassessor is verifying achievement of the NMC proficiencies.

Professional Behaviour and Practice Framework for the Year 2 Midwifery Programme (Parker 2004)

8

Professional and Practice Behaviour Framework (Parker 2004) NMC Standards for First Progression Point (NMC 2009)

Professional Behaviour

• Awareness of the Code of Conduct;

• Appearance is professional i.e. correct uniform;

• Maintains punctuality;

• Follows correct procedure for absence/sickness;

• Maintains confidentiality;

• Follows instructions;

• Maintains safety at all times;

• Demonstrates respect and dignity for all;

• Is able to identify areas for development

B1. Practise in accordance with the NMC code of professionalconduct: standards for conduct, performance and ethics(NMC 2004), within the limitations of the individual’s owncompetence, knowledge and sphere of professional practice,consistent with the legislation relating to midwifery practice.

B2. Practise in a way, which respects, promotes and supportsindividual’s rights, interests, preferences, beliefs andcultures.

B3. Practise in accordance with relevant legislation

B4. Maintain confidentiality of information

(ESC1-5)

Teamwork

Aware of different nursing/midwifery roles;

Knows their own role within the team;

Is aware of the team’s way of working;

Knows how the team functions;

Always gives information to senior staff;

Is flexible;

Is dependable; Is supportive

A4. Provide seamless care, and where appropriate interventions,in partnership with women and other care providers duringthe antenatal period

A9. Work in partnership with women and other care providersduring the postnatal period to provide seamless care andinterventions

C2. Demonstrate effective working across professionalboundaries and develop professional networks

(ESC1-5)

Student interest, motivation and enthusiasm

Asks questions;

Gets involved;

Uses opportunities;

Is willing to participate;

Is aware of learning needs;

Is interested in what is happening;

Demonstrates knowledge in relation to the practice undertaken;

Knows about resources;

Requests ‘hands on’ practice

Has undertaken preparatory reading

C1. Review, develop and enhance the midwife’s own knowledge,skills and fitness to practise.

(ESC1-5)

9

Requests for help

Open to feedback;

Acts on feedback;

Needs guidance with practical tasks;

Reflects on performance;

Works with supervision;

Requests help appropriately;

Is assertive;

Knows limitations in practice;

Recognises areas to develop;

Is aware of where to find information and resources.

B1. Practise in accordance with the NMC code of professionalconduct: standards for conduct, performance and ethics(NMC 2004), within the limitations of the individual’s owncompetence, knowledge and sphere of professional practice,consistent with the legislation relating to midwifery practice.(Professional & Ethical Practice Domain)

(ESC1-5)

Application of Theory to Practice

Asks rationale for actions;

Demonstrates knowledge in relation to the practiceundertaken;

Understands principles of midwifery practice;

Can provide knowledge for different care;

Remembers what is taught;

Responds to feedback

A2. Diagnose pregnancy, assess and monitor women holisticallythroughout the pre-conception, antenatal, intrapartum andpostnatal period through the use of a range of assessmentmethods and reach valid, reliable and comprehensiveconclusions. (Effective Midwifery Practice Domain)

A3. Determine and provide programmes of care and support forwomen (Effective Midwifery Practice Domain)

A6. Care for, monitor and support women during labour andmonitor the condition of the fetus and support spontaneousbirths. (Effective Midwifery Practice Domain)

A.7 Undertake appropriate emergency procedures to meet thehealth needs of women and babies. (Effective MidwiferyPractice Domain)

A8. Examine and care for babies immediately following birth.(Effective Midwifery Practice Domain)

A10. Examine and care for babies with specific health or socialneeds and refer to other professionals or agencies asappropriate (Effective Midwifery Practice Domain)

A11. Care for and monitor women during the puerperium, offeringthe necessary evidence-based advice and support regardingthe baby self-care. (Effective Midwifery Practice Domain)

A12. Select, acquire and administer safely, a range of permitteddrugs consistent with legislation, applying knowledge andskills to the situation which pertains at the time. (EffectiveMidwifery Practice Domain)

A13. Complete, store and retain records of practice (EffectiveMidwifery Practice Domain)

A14. Monitor and evaluate the effectiveness of programmes ofcare and modify them to improve the outcomes for women,babies and their families (Effective Midwifery PracticeDomain)

A15. Contribute to enhancing the health and social well-being ofindividuals and their communities. (Effective MidwiferyPractice Domain)

B6. Manage and prioritise competing demands (Professional &Ethical Practice Domain)

B7. Support the creation and maintenance of environments thatpromote the health, safety and well-being of women, babiesand others (Professional & Ethical Practice Domain)

B8. Contribute to the development and evaluation of guidelinesand policies and make recommendations for change in theinterests of women, babies and their families (Professional& Ethical Practice Domain)

10

D1. Apply relevant knowledge to the midwife’s own practice instructured ways which are capable of evaluation (AchievingQuality Care through Evaluation and Research Domain)

D2. Inform and develop the midwife’s own practice and thepractice of others through using the best achievableevidence and reflecting on practice. (Achieving Quality Carethrough Evaluation and Research Domain)

D3. Manage and develop care utilising the most appropriateinformation technology (IT) systems. (Achieving QualityCare through Evaluation and Research Domain)

D4. Contribute to the audit of practice to review and optimise thecare of women, babies and their families. (Achieving QualityCare through Evaluation and Research Domain)

(ESC1-5)

Communication

Able to communicate verbally and clearly to all;

Can complete basic observations with supervision;

Able to identify some non-verbal communication cues;

Able to form relationships;

Listens to others;

Respects others views

A1. Communicate effectively with women and their familiesthroughout the pre-conception, antenatal, intrapartum andpostnatal periods. (Effective Midwifery Practice Domain)

11

Orientation to the Practice Environment

Students should complete the Risk Assessment with mentors within the first week of each placement.

Please refer to next page for placement details and mentor signatures.

The Mentor(s) must ensure that the student is familiar with the following:

Emergency Procedures Area 1 Area 2 Area 3 Area 4 Area 5

Fire alarm tests are carried out regularly: Yes No Yes No Yes No Yes No Yes No

The Assembly Point has been shown to me: Yes No Yes No Yes No Yes No Yes No

I have been informed of the Emergency Telephone Number and I am aware of the location of the Fire Equipment:

Yes No Yes No Yes No Yes No Yes No

I have been informed of the Major Incident Procedure: Yes No Yes No Yes No Yes No Yes No

Actions to be taken by the student:

Security Area 1 Area 2 Area 3 Area 4 Area 5

I have been informed of the Emergency Telephone Number in the event of a security risk:


Emergency Resuscitation Area 1 Area 2 Area 3 Area 4 Area 5

I have been informed of the Emergency ResuscitationTelephone Number:


I have been informed of where the ResuscitationEquipment is stored:



Psychiatric Emergencies Area 1 Area 2 Area 3 Area 4 Area 5

I have been informed of the telephone number for the Rapid Response Team:


I have been informed of the Incident Procedure: Yes No Yes No Yes No Yes No Yes No


Location of First Aid Information Area 1 Area 2 Area 3 Area 4 Area 5

I am aware of the contact name or number for the FirstAider: (if your First Aider is not available call thenominated deputy) or understand the procedure shoulda First Aider be required:


Orientation Risk Assessment to Practice Environment continued

After having completed the form on the preceding 2 pages, Mentors should complete and sign here to confirm that the Risk Assessment hasbeen undertaken.

Practice Environment 1




12

I confirm that I have discussed the Risk Assessment list with the student and explained their responsibilities in this placement:

Mentor Signature:

Mentor Name: (please print)

Name of Practice Environment:

Date:


Mentor Signature:



Date:


Mentor Signature:



Date:


Mentor Signature:



Date:

13



Mentor Signature:



Date:

Placement Checklist: Information, Policies and Procedures

Students should read and consider the checklist below and sign to confirm that they understand their responsibilities in the placementareas.

14

I have read this list and understand my responsibilities as a student Midwife for my placements throughout the year:

Signature of Student:

Name of Student: (please print)

Date:

Accident/Emergency Reporting

• You are responsible for ensuring that an accident/incident is reported to the person in charge of your placement, your personaltutor/or link lecturer or practice facilitator

Information about Health and Safety

You are responsible for ensuring that you are aware of, understand and comply with the following:

• Specific procedures for placement activities/tasks allocated e.g. use of equipment or machinery such as for manual handling

• Use of equipment e.g. administration of specific medications such as cytotoxic drugs

• External activities e.g. lone worker policies when visiting patients/clients in their own home etc

Policies and Protocols such as and including:


• Administration of medicines, infection control, handling biological materials

• Visiting

• Storage of valuables

• Confidentiality of patient records, including computerised records

• Personal security

• Blood glucose monitoring

Education Related Policies


• Induction to placement area and staff

• Procedure for reporting sickness or absence

• Duty times and mentoring-working arrangements

• Planning placement experience

• Learning contract: dates for review and feedback sessions

Occupational Health Referral Procedure

You are responsible for ensuring that you are aware of, understand and comply with the following (if applicable):

• Services available e.g. counselling

• Immunisation (where relevant)

• Risk assessment: e.g. students who are pregnant or breast feeding; students with special needs

Security Issues

• You must carry your identity badge with you at all times whilst in the placement area

15

Record of Student and Mentor Meetings >

You are also required to meet with your ‘sign-off mentor’ in the first few weeks of practice to identify a date for your final ‘sign-off’assessment between weeks xx and xx (please see your course plan)

A note of each initial interview, interim and end of placement meeting between you and your named mentor should be recorded to helpplan objectives and review progress.

First discussion with named mentor (weeks 1-2 of placement)

The following points and objectives were discussed at the first student/mentor meeting.

Date:

Assessor/Named Mentor Signature and date:

Student Signature and date:

2nd Meeting with mentor (week 10)

The following points and objectives were discussed at the interim student/mentor meeting.

16

Date:



17

3rd Meeting with mentor (week20)

The following points and objectives were discussed at the interim student/mentor meeting.

Date:



Tripartite Summative ‘sign off’ meeting

The following points and objectives were discussed at the summative meeting by student and ‘sign-off team.

18

Date:



19

Record of Teaching/Discussion Sessions Attended >

Please give details of any teaching or discussion sessions attended whilst in this placement area.

Teaching/Discussion session about/with:

Signature: Date:


Signature: Date:


Signature: Date:


Signature: Date:


Signature: Date:

Record of Teaching/Discussion Sessions Attended >

Please give details of any teaching or discussion sessions attended whilst in this placement area.

20


Signature: Date:


Signature: Date:


Signature: Date:


Signature: Date:


Signature: Date:

21

Record of Assessors/Mentors undertaking formal supervision and supervisors signing attendance sheets >

Please record Mentor/Assessor details below for verification of names and signatures.

Assessor/Mentor/Supervisor (print name)

Date of Mentor Qualificationand Update (if applicable)

Signature Practice Area

22

Assessor/Mentor/Supervisor (print name)

Date of Mentor Qualificationand Update (if applicable)

Signature Practice Area

23

RECORD OF ATTENDANCE ON PLACEMENT >

YEAR 2 – BSc (Hons) Midwifery

• You must complete all weeks of clinical practice.

• Each shift must be recorded on the pages overleaf. A qualified practitioner or equivalent* must sign this form at the end of each shift

• Sickness or absence and any days worked to make this up must be recorded on page 26. If you are sick or absent for more than 5 daysin the year you will be required to make an appointment to see your programme leader.

• Bank Holidays if a Bank Holiday falls while you are on placement you are not required to work the day of the Bank Holiday

Student Name: Cohort:

Midwifery: Student Number:

Placement area: Placement area:

Date Weeks Signature Date Weeks Signature

Total Total

Total this page

24





Total Total

Total this page





Total Total

25





Total Total

Total this page





Total Total

Sickness and Absence >

Days worked to make up for Sickness/Absence >

26





Total Total

Total Weeks completed in Year 2:

……………………..



Total Total

27

Levels Of Performance >

A

(Excellent)

• Outstanding performance well above that expected at this stage in the programme

• Can perform this activity satisfactorily without assistance, prompting or direct supervision, with acceptablespeed and quality of work

• Cognitive and affective components of the skill are integrated

• Is aware of his/her limitations and seeks help and advice appropriately

• With guidance, is able to reflect on performance to identify strengths and learning needs

B

(Good)

• Performance above that expected at this stage in the programme

• Can perform this activity without assistance or prompting and does not require direct supervision

• Awareness of some knowledge and reasoning

• Is aware of his/her limitations and seeks help and advice appropriately

• With guidance, is able to reflect on performance to identify strengths and learning needs

C

(Satisfactory)

(expected level)

• Performance is at the level expected at this stage in the programme

• Can perform this activity satisfactorily under direct supervision but requires some prompting/assistance

• Is able to perform the skills

• Limited knowledge

• With guidance, is able to reflect on performance and identify learning needs

D

(Fail)

• Performance is below that expected at his/her stage in the programme

• Is not able to perform this activity even when prompted

• Fails to demonstrate knowledge and reasoning

• Unable to demonstrate skill

• Is unable to reflect on own performance or identify learning needs

NB All Essential skills are expected to be achieved at Level C (Satisfactory)

All mentors must write their full name, signature & designation on page 21 to enable their initials to be identified.

Essential Skills Clusters for Midwifery Practice (NMC 2007) >

SECTION 1: Care, Compassion and Communication

28

Skill LevelAchieved

Mentor

Signature & date

Student selfassessment

Comments

1 Be attentive and share information that is clear, accurate and meaningful at a level which women, their partners and family canunderstand.

1.1 Can articulate a clear plan of care, that hasbeen developed in partnership with thewoman

1.2 Communicates effectively and sensitively indifferent settings, using a range of methodsand styles in individual and group settings

1.3 Is proactive and creative in enhancingcommunication and understand

1.4 Familiar with accessing and recordinginformation other than in handwritten form,such as texting

2 Protect and treat as confidential all information relating to themselves and their care.

2.1 Recognises the significance of informationand who does / does not need to know

2.2 Distinguishes between information that isrelevant to care planning and that which isnot

2.3 Works within the legal framework for dataprotection (eg access to and storage ofrecords)

3 Enable women to make choices about their care by informing women of the choices available to them and providing evidence-based information about benefits and risks of options so that women can make a fully informed decision

3.1 Respect the role of women as partners intheir care and contributions they can make toit

3.2 Uses appropriate strategies to encourageand promote choice for all women

4 Ensure that consent will be sought from the woman prior to care being given and that the rights of women are respected

4.1 Works within legal frameworks when seekingconsent

4.2 Demonstrates respect for client autonomyand the rights of women to withhold consentin relation to care and treatment within legalframeworks

29

Skill LevelAchieved

Mentor

Signature & date


Comments

5 Treat women with dignity and respect them as individuals.

5.1 Is proactive in maintaining dignity

5.2 Challenges situations / others where thedignity of the woman may be compromised

5.3 Confidently shares information with womenwho have physical, cognitive or sensorydisabilities and those who do not speak orread English

6 Work in partnership with women in a manner that is diversity sensitive and is free from discrimination, harassment andexploitation.

6.1 Upholds the rights of the women and speaksout when these are at risk of beingcompromised

6.2 Manages challenging situations effectively

7 Provide care that is delivered in a warm, sensitive and compassionate way

7.1 Anticipates how a woman might feel in agiven situation and responds with kindnessand empathy to

7.2 provide physical and emotional comfort

7.3 Makes appropriate use of touch

7.4 Listens to, watches for, and responds toverbal and non verbal cues

7.5 Delivers care that recognises need andprovides both practical and emotionalsupport

7.6 Has insight into own values and how thesemay impact on interactions with women

8 Be confident in their own role within a multi-disciplinary / multi-agency team

8.1 Works within the NMC Midwives rules andstandards

8.2 Works inter-professionally as a means ofachieving optimum outcomes for women

SECTION 2: Initial consultation between the woman and the midwife

30

Skill LevelAchieved

Mentor

Signature & date


Comments

2 Be confident in sharing in formation about antenatal screening tests

2.1 Facilitates informed choices regardingantenatal screening tests ensuring womenfully understand the purpose of all testsbefore they are taken

2.2 Discuss with women local / nationalinformation to assist with making choices,including local and national voluntaryagencies and websites

2.2 Accurately complete an initial consultation ensuring women are the centre of care

2.1 Consistently shows the ability to:

• share information with women

• assess maternal and fetal wellbeingrelevant to gestation, and acts upon theneed to refer to appropriate individualswhere necessary

• plan, in partnership with women, a carepathway to ensure individual needs aremet

2.2 Empowers women to recognise normalpregnancy development and when to seekadvice

2.3 Is competent in sharing information about:the pregnancy care services and optionsavailable; lifestyle considerations, includingdietary information; and screening tests

3 Work collaboratively other practitioners and external agencies

3.1 Able to collaborate effectively with otherpractitioners and agencies as required

4 Be first point of contact when women seek advice or information about being pregnant

4.1 Where available, to be actively involved inbeing accessible for women in environmentsother than traditional NHS settings

31

SECTION 3: Normal labour and birth

Skill LevelAchieved

Mentor

Signature & date


Comments

3 Determine the well being of women and their unborn baby

3.1 Able to support women in a variety of birthsettings, other than the acute hospitalenvironment, taking into account the health,safety and wellbeing of women

3.2 Acknowledges the roles and relationships infamilies, dependent upon religious andcultural beliefs, preferences and experiences

3.3 Practises in accordance with relevantlegislation

4 Be attentive to the comfort needs of women before, during and after the birth

4.1 Be attentive to the comfort needs of womenbefore, during and after the birth

5 Determine the onset of labour

5.1 Identify the onset of labour and discuss thefindings accurately and share thisinformation with women, including the abilityto discuss any further action / consequencesas necessary

6 Determine the well being of women and their unborn baby

6.1 Refer women who would benefit from theskills and knowledge of other individuals

6.2 Supports feeding when the baby is ready,including skin to skin contact.

6.3 Delay any unnecessary separation of motherand baby, avoiding early routine proceduressuch as weighing

7 Measure, assess and facilitate the progress of normal labour

7.1 Identify and appropriately manage latent andactive phase of labour

7.2 Able to discuss with women the progress oflabour in relation to the birth plan / writtenwishes and modify in partnership withwomen, as need dictates

7.3 Seek informed consent prior to undertakingany procedure

7.4 Recognise any deviation from the normalprogress of labour or wellbeing of the womanor fetus

7.5 Continue to provide care to womenundergoing complications as part of amultidisciplinary team

32

Skill LevelAchieved

Mentor

Signature & date


Comments

8 Support women and their partners in the birth of their baby

8.1 Prepares the environment ready for the birth

8.2 Safely support women in the birth of theirbaby

8.3 Timely referral of women who would benefitfrom the skills and knowledge of others

9 Facilitate the mother and baby to remain together

9.1 Accurately assess the health and wellbeing ofthe newborn baby

10 Identify and safely manage appropriate emergency procedures

10.1 Can initiate emergency measures in bothprimary and secondary care settings

11 Works collaboratively with other practitioners

11.1 Is an advocate for women

11.2 Can articulate professional limitations andboundaries

11.3 Practices in accordance with the NMCMidwives rules and standards

12 Keep accurate records

12.1 Detail reasoning behind any actions orinterventions taken

33

SECTION 4: Initiation and continuance of breast feeding

Skill LevelAchieved

Mentor

Signature & date


Comments

4.1 Understand and share information that is clear, accurate and meaningful at a level which women, their partners and family canunderstand

4.1.1 Listens to, watches for, and responds toverbal and non verbal cues

4.1.2 Uses skills of being attentive, open endedquestioning and paraphrasing to supportinformation sharing with women

4.1.3 Understands the importance of exclusivebreastfeeding and the consequences ofoffering artificial milk to breastfed babies

4.2 Respect social and cultural factors that may influence the decision to breastfeed

4.2.1 Demonstrate a working knowledge of thelocal demographic area and explorestrategies to support breastfeedinginitiatives within the locality

4.3 Effectively support women to breastfeed

4.3.1 Applies in-depth knowledge of thephysiology of lactation to practical situations(BFI)

4.3.2 Can recognise effective positioning,attachment, suckling and milk transfer

4.3.3 Uses appropriate skills to support women tobe successful at breastfeeding for the firstsix months of life (BFI)

4.3.4 Empowers women to recognise effectivepositioning, attachment, suckling and milktransfer for themselves (BFI)

4.4 Recognise appropriate infant growth and development, including where referral for further advice / action is required

4.4.1 Acts upon the need to refer when there is adeviation from appropriate infant growth

4.5 Work collaboratively with other practitioners and external agencies

4.5.1 Practices within the limitations of the theirown competence, knowledge and sphere ofprofessional practice, consistent with thelegislation relating to midwifery practice

4.6 Support women to breastfeed in challenging circumstances

4.6.1 Involve appropriate help, such as a lactationconsultant, where specialised skills arerequired, in order to support women tosuccessfully breastfeed

4.6.2 Teach women how to use mechanical breastpump where appropriate

SECTION 5 : Medicines management

34

Skill LevelAchieved

Mentor

Signature & date


Comments

5.1 Within the parameters of normal childbirth, ensure safe and effective practice through comprehensive knowledge of medicinalproducts, their actions, risks and benefits including the ability to recognise and respond safely to adverse drug reactions andadverse drug events

5.1.1 Safely manage drug administration andmonitor its effect.

5.1.2 Reports adverse incidents and near missesand adverse drug reactions.

5.2 Correctly and safely undertake medicinal products calculations

5.2.1 Accurate calculation of medicinal productsfrequently encountered within field ofpractice.

5.3 In the course of their professional midwifery practice, supply and administer medicinal products safely in a timely manner,including controlled drugs

5.3.1 Safely and effectively select, acquire andadminister medicinal products via routes andmethods commonly used within normalmidwifery practice and maintains accuraterecords

5.3.2 Uses prescription charts correctly andmaintains accurate records

5.4 Keep and maintain accurate records, which includes when working within a multi-disciplinary framework and as part of a team

5.4.1 Effectively keep records of informationsharing with women about the benefits andrisks of relevant medication

Effectively keep records of medicationsupplied and/or administered and omitted,including controlled drugs

5.5 Work within the legal and ethical framework that underpins safe and effective medicinal products management, as well as inconjunction with national guidelines, and local policies

5.5.1 Is aware of personal accountability inrespect of supplying and administeringunlicensed products

5.5.2 Demonstrates the ability to use relevantmedicines legislation to support midwiferypractice within the NHS in both the primaryand secondary care settings, as well asduring self-employed practice

5.6 Work in partnership with women to share information in assisting them to make safe and informed choices about medicinalproducts related to herself, her unborn child or her baby

5.6.1 Ensures information sharing is woman-centred and provides clear and accurateinformation

5.6.2 Assess the woman’s ability to safely self-administer their medicinal products

5.6.3 Give clear instruction and explanation andcheck understanding relating to use ofmedicinal products and treatment options

35

Skill LevelAchieved

Mentor

Signature & date


Comments

5.7 Work in partnership with women to share information about alternative approaches to using medication, where appropriate.

5.7.1 Awareness of the dangers of givingcomplementary therapy advice when notqualified e.g. raspberry leaf, over thecounter herbal products

5.8 Order, receive, store, transport and dispose of medicinal products safely and in accordance with relevant legislation, in anymidwifery setting (including controlled drugs)

5.8.1 Order, receive, store and dispose ofmedicinal products safely, includingcontrolled drugs

5.9 In the course of their professional midwifery practice, supply and administer medicinal products safely in a timely manner,including controlled drugs

5.9.1 Confident in accessing commonly usedevidence based sources of informationrelating to the safe and effectivemanagement of medicinal products

5.10 Recognise and correctly respond to obstetric emergencies in the context of medicines management

5.10.1 Recognise and act accordingly whenconfronted with obstetric emergencies, inboth primary and secondary care settings

A. Effective Midwifery Practice >

A.1 Communicate effectively with women and their families throughout the preconception, antenatal, intrapartum and postnatal

A.2 Diagnose pregnancy, contribute to the assessment and monitoring of women holistically throughout the preconception, antenatal,intrapartum and postnatal period through the use of a range of assessment methods.

A.3 Participate in the provision of programmes of care and support for women.

A.4 Contribute to the provision of seamless care, where interventions are required, in partnership with women and other care providersduring the antenatal period

A.5 Recognise women who would benefit from the skills and knowledge of other individuals

A.6 Actively participate in care, monitor and support women during labour and monitor the condition of the fetus and support spontaneousbirths.

A.7 Undertake appropriate emergency situations to meet the health needs of women and babies

A.8 Examine and care for babies immediately following birth

A.9 Work in partnership with women and other care providers during the postnatal period to provide seamless care and interventions

A.10 Examine and care for babies with specific health or social needs and refer to other professionals as appropriate

A.11 Care for and monitor women during the puerperium and provide support regarding the baby and self-care

A.12 Demonstrate safe administration of a range of permitted drugs consistent with legislation, applying factual knowledge and skills to thesituation that pertain at the time

A.13 Participate in the completion, storage and retention of records of practice

A.14 Reflect on the effectiveness of programmes of care and revise them to improve the outcomes for women, babies and their families

A.15 Contribute to enhancing the health and social well-being of individuals and their communities.

36

37

A. EFFECTIVE MIDWIFERY PRACTICE ACTIVITIES

1. This activity is about managing records and record keeping.

ESC 1.2.3

Select a woman you have cared for in either the ante/ peri /or post partum period.

1A What information was necessary to record in her documentation (EPR or care / discharge notes) and how was this data protected?

1B What is the significance of data storage for a woman during childbirth?

1C Compare the differences in documentation between women in the childbearing situation and those in other health care events.

2. This Activity is about recognising various woman-specific conditions and their effect on reproductive and sexual health at differentstages of their lives

Select a woman you are involved in the care of and undertake the following:

Introduce yourself and gain consent to undertake the following activities

Engage the client in a discussion and find out about her usual health (physical, psychological and social) and how this has been affectedsince the diagnosis of her condition (ESC 1.1.2)

2A Drawing on your knowledge to date make suggestions for maintenance, improvement and continuing care of the woman and feedbackkey points to your mentor

38

39

2B How could the condition that the woman was admitted with affect her ongoing reproductive health?

2C Did her reproductive history impact on her current physical and mental health?

Assessor/Mentor Signature and date: Signature:

Date:

The student has completed the above activity (please tick)

Yes No

Has achieved the above activities at an appropriate levelfor a year 2 student midwife

(please tick)

Yes No

Mentor Comments and Action Plan as required on Activities 1 & 2

Comments on strengths and areas for improvement

3. The following activities are focussed on preparation and care of women pre and post operatively (ESC 1.3.2)

Identify a woman undergoing an elective or emergency surgical procedure

3A Carry out an admission procedure. Discuss the important aspects of this.

(ESC 1.1.2)

3B Prepare a woman for surgery and discuss 3 points that relate to the care provided.

40

41

3C Transfer and hand over care of the woman to the operating theatre team pre-operatively. Outline the significant information for thetheatre team. (ESC 1.2.1&2)

3D Receiving a woman post-operatively from theatre provide safe immediate post-operative care. Identify the important aspects ofpostoperative care in the first 24 hours following surgery.(ESC1.7.1)

3E Reflect on your experiences whilst doing these activities and identify what you have learnt.

42

43

4. This activity is about the principles underpinning the management of fluid balance status during the peri and post operative period

4A Select a woman who required intravenous fluids and discuss the types of fluid used and why. (ESC 5.1.1)

4B Explain how fluids were managed, monitored and the significance of this.

4C Reflect on your experiences whilst doing these activities and identify what you have learnt.

44


Date:


Yes No


(please tick)

Yes No



45

These activities relate to your experience of care in the operating theatre department

5. This Activity is about patient care in the operating department

5A Give a brief summary of a case study of a patient’s care you were involved in when they were brought to the operating theatre: (ESC1.7.5)

5B Reflect on the care and medication given in the anaesthetic room (ESC 5.4.1)

5C Discuss the precautions taken during the procedure to minimise the risk of

• Blood loss and transfusion

• Infection

• Aspiration (ESC1.1.4)

5D Discuss how safety was maintained peri-procedure in relation to

• Safety around swabs, instruments and suture materials

• Equipment, machinery and anaesthetic gases

• Monitoring of physical well-being during the procedure including integrity of the skin (ESC1.7.4)

46

47

5E Identify and discuss the importance of undertaking post operative observations

5G Discuss the importance of communication and team-working in this setting (ESC1.8.1; 1.8.2)

There is no 5F, it jumps to 5G

5H Reflect on how this experience will contribute to your learning as a future midwife

6. These activities relate to your experience in the Accident and Emergency Department

6A Write 4 points about a patient whose care you were involved in during your A & E placement. Consider the following

• Reception/admission of this patient

• Immediate procedures of initial care to sustain life

• The nature of the treatment and plan of follow-on care

• The outcome (ESC 1.1.1; 1.1.2)

48

49

6B Reflect on how this experience will contribute to your learning as a future midwife.


Date:


Yes No


(please tick)

Yes No



7. The Following Activities Relate To Antenatal Care

Each activity should be undertaken at least four times prior to being assessed.

These activities are about assessments that require “appropriate interventions consistent with the management of risk” (NMC 2004:A4)

7A Recognise a complication of pregnancy which render the mother and fetus ‘high risk’ and present a care pathway for subsequentmanagement (ESC1.1.1; 1.1.4;1.2.1;1.2.2; 1.7.1-5)

7B Discuss the members of the multidisciplinary team it was necessary to involve in the immediate and ongoing care of the woman andfetus and how they contribute to her ongoing management and care (ESC 1.8.1; 1.8.2; 2.1.1)

7C Select a woman that requires care and treatment such as: syntocinon infusion or epidural analgesia and present an analysis of her careand management (ESC 3.1.1; 5.1.1; 5.2.1; 5.3.1; 5.3.2)

50

51

7D Identify a woman who requires an assisted birth (ventouse, forceps or LSCS).

Present an analysis of the rationale for this mode of delivery

What are the risks of this form of delivery for the mother and baby? (ESC 2.2.2; 3.1.1; 3.1.3; 3.2.1)

8. The following activities relate to care for women who have experienced pregnancy loss.

8A Reflect on the care of a woman that you have been involved in who has experienced loss and bereavement of a baby after 24 weeksgestation (ESC 1.5.1; 1.7.1-5; 3.1.3)

8B What are the mandatory and statutory duties of a midwife following a perinatal death? (ESC 1.8.1; 3.1.3)

8C How can the parents and family be supported through this? (ESC 1.7.1-6; 3.1.2)

52

53

8D Reflect on your experiences whilst doing these activities and identify what you have learnt.


Date:


Yes No


(please tick)

Yes No



9. The following exercises relate to antenatal screening.

9A Identify a woman during booking who requires information regarding screening for Down’s syndrome. Discuss the counselling andvariety of tests that contribute to screening for this condition. (ESC 2.1.1; 2.1.2; 2.2.1-3)

9B Identify and discuss the diagnostic tests that may be associated with this method of screening.

9C Women are recommended a number of serum screening and diagnostic tests one of which is for HIV. Discuss the reasons andimplications of this for women and their pregnancies.

54

55

9D Women are recommended a number of serum screening tests one of which is for syphilis. Discuss the test, the reasons for undertakingit and the implications of this for women and their pregnancies.

9E Reflect on your experiences whilst doing these activities and identify what you have learnt.

10. The Following Activities Relate To Care in Labour and Complexities

10A Select a woman in your care who need has experienced the complication of pregnancy induced hypertension (PIH) and or preeclampsiaand undertake the following activities

• Identify the risk factors in her history that relate to the condition

• Identify the risk factors for the mother, fetus and baby

• Discuss the plan of management for the mother and fetus

• Discuss the involvement of the multidisciplinary team (ESC3.1.1; 3.1.3; 3.3.1; 3.4.1; 3.5.4)

56

57

10B A number of drugs may be prescribed in the management of PIH and or pre-eclampsia.

• Identify what these are, their dosage, methods of administration their contra indications and side effects.

• How is the effectiveness of these monitored? (ESC 5.1.1; 5.1.2; 5.3.1; 5.3.2; 5.5.2)

10C Select a woman in your care who is experiencing a complication in her pregnancy / labour.

• Write 4 relevant facts about how it is intended that her labour will be monitored with rationale referring to your learning so far. (ESC1.1.1-6; 3.5.2)


58


Date:


Yes No


(please tick)

Yes No



59

11. The following activities relate to fetal monitoring

11A Continuous electronic fetal monitoring should be offered to women experiencing a “high risk” pregnancy.

Discuss how you would gain consent for this. (ESC 1.1.1-3; 1.2.3; 1.4.1; 1.4.2; 1.6.1)

11B How would you recognise a fetal heart trace that is considered as “reassuring overall”?

11C How would you recognise a fetal heart trace that is considered as “non-reassuring overall”?

• What actions should be undertaken in this case?

60

61

12. These Activities Relate To the Second Stage of Labour

12A Identify a woman that you have cared for who experienced a birth in an alternative position eg all fours, squatting. (ESC 1.7.1-5; 3.1.1-3;3.2.1; 3.3.1; 3.5.1-5; 3.6.1-3)

• Discuss how the woman was prepared for birthing and the type of care you gave her.

• What did you need to consider to ensure safety for both mother, fetus and the practitioner when supporting her through this type ofbirth?

13. The following activities relate to complications during the third stage of labour.

13A Reflect on a woman you have cared for who has experienced a complication of the third stage of labour e.g. retained placenta /products of conception, haemorrhage.

• How was this complication recognised?

• How was it managed?

• Who was involved in the management and why? (ESC1.1.1-4; 1.3.2; 1.4.1; 1.4.2; 1.5.1; 1.7.1-5; 1.8.1; 3.4.1;.3.5.1-4)

13B Following completion of the delivery discuss the necessary information that would help the mother and her partner come to terms withthe complexities of her labour

62

63



Date:


Yes No


(please tick)

Yes No

Mentor Comments and Action Plan as required on Activities 11-13


14. The following activities relate to the compromised or sick newborn

Please refer to www.resus.org.uk

14A Reflect on a baby that required resuscitation following delivery as a consequence of fetal distress.

• How was the fetal distress recognised?

• Discuss how resuscitation was undertaken and evaluated (ESC 1.1.3, 1.2.3, 3.9)

14B Identify the personnel involved and their roles.

• How was the mother and birth partner supported during and following the resuscitation


64

65

14D Policy advises that Vitamin K should be administered to all neonates following birth.

• Reflect on the information given to parents to gain consent

• What should be considered if parents refuse vitamin K? (ESC 5.1.3; 5.3.1; 5.3.3)

14E Reflect on a baby that you have cared for that became hypothermic.

Define neonatal hypothermia

• What contributes to this condition?

• How was it managed? (ESC 5.1.3; 5.3.1; 5.3.3)

14F Reflect on a baby that had physiological jaundice.

• Discuss the recognition of this condition

• Present a plan of management and care (ESC 4.4.1; 4.5.1; 4.6.1)

14G Reflect on your experiences whilst doing these activities and identify what you have learnt.

66


Date:


Yes No


(please tick)

Yes No

Mentor Comments and Action Plan as required on Activity 14


67

15. These activities are about care in the puerperium

15A Reflect on a woman who has had a delivery with an intervention (episiotomy, instrumental or LSCS) and required pain relief.

• Discuss how the pain affected her

• Evaluate the effectiveness of the pain management (ESC 1.1.2; 1.1.4; 1.4.2; 1.7.4; 1.7.5; 1.8.2; 5.1.3; 5.3.1; 5.3.2; 5.5.1)

15B Reflect on your experiences whilst doing these activities and identify what you have learnt.

15C Reflect on a woman in your care who has experienced difficulty breastfeeding.

• Identify the problem

• Discuss the contributory factors to the problem

• Discuss the advice and support for the mother (ESC 1.1.2; 1.1.3; 4.1.1; 4.1.2; 4.1.3; 4.3.1; 4.3.2; 4.6.1; 4.6.2)


68


Date:


Yes No


(please tick)

Yes No



69

16. These activities relate to preparation for parenting

16A You are expected to take an active teaching role in preparation for parenting. (ESC 1.1.1; 1.1.2; 1.1.3; 1.2.1; 1.3.1; 1.3.2; 1.7.1-5; 2.2.1;2.2.2&3; 2.4.1)

• Reflect on one of the classes you were involved in.

• Provide the aims and outcomes and plan of your teaching session.

16B Evaluate the effectiveness of the teaching session

16C Supporting families in caring for their new baby is a necessary role for practitioners. One of these could be to teach the mother how tobath her baby, sterilise feeding equipment effectively or prepare feeds for her baby.

• Teach one of these skills

• Evaluate the effectiveness of the session and your teaching


70


Date:


Yes No


(please tick)

Yes No



71

Professional and Ethical Practice Domain >

Following are a number of activities that you must undertake at least 6 times, in hospital and or in the community, prior to assessment.These activities will help you to achieve the following Standard of Proficiency

B. PROFESSIONAL AND ETHICAL PRACTICE

B1. Practise in accordance with the NMC code of professional conduct: standards for conduct, performance and ethics (NMC 2004), withinthe limitations of the individual’s own competence, knowledge and sphere of professional practice, consistent with the legislation relatingto midwifery practice.

B2. Practise in a way, which respects, promotes and supports individual’s rights, interests, preferences, beliefs and cultures.

B3. Practise in accordance with relevant legislation.

B4. Maintain confidentiality of information.

B5. Work collaboratively with other practitioners and agencies.

B6 Manage and prioritise competing demands. This will include:

deciding who is best placed and able to provide particular interventions to women, babies and their families

alerting managers to difficulties and issues in service delivery

B7. Demonstrate an awareness of environments that promote the health, safety and well-being of women, babies and others.

B8. Contribute to the development and evaluation of guidelines and policies and make recommendations for change in the interests ofwomen, babies and their families. Evaluating the process will include:

Activity B. Professional and Ethical Practice

17. These activities relate to counselling

17A Reflect on how you obtained consent for various antenatal screening tests:

(ESC 1.1.2-4; 1.3.1&2; 1.4.1; 1.4.4; 2.1.2; 2.1.6; 2.4.1)

• Discuss the way information was given to allow her to make an informed choice

17B Select 2 ethical issues that arise in the above situation and how you dealt with them

17C Identify and discuss the role of the members of the Multi-professional team that could be involved when caring for a woman undergoingscreening in pregnancy (not only the integrated test).

• How does your role as a midwife relate to the members of the multi professional team?

72

73



Date:


Yes No


(please tick)

Yes No




C. DEVELOPING THE INDIVIDUAL MIDWIFE AND OTHERS

C1. Has a factual knowledge of the nature of midwifery knowledge, skills and fitness to practise.

C2. Demonstrate awareness of effective working across professional boundaries and can meet obligations to others e.g. colleagues andpeers

Activity C. Developing the individual Midwife and Others

18. The following activities relate to Clinical Governance

18A Identify the difference between audit and research? (ESC 1.4.1; 1.8.5)

• Reflect on one example of how audit is undertaken in your clinical learning environment?

• How did the results affect practice?

74


Date:


Yes No


(please tick)

Yes No



75

19. The following activities relate to drug administration

Read the NMC 2004 Guidelines for administration of medicines London NMC, before undertaking this exercise.

Epidural analgesia is one choice women may opt for during labour.

19A Reflect on a woman you have cared for who elected for epidural analgesia.

(ESC 5.1.3; 5.1.4; 5.2.1; 5.3.1; 5.3.2; 5.4.2; 5.4.3; 5.6.1; 5.8.1)

• What essential information was required to help her make this decision?

• What is the Midwife’s role in the administration and provision of care for epidural analgesia?

19B Identify the risk factors associated with epidural analgesia?

19C Identify and provide rationale for the observations required when caring for a woman with epidural analgesia

Calculate the following:

19D What volume is 12.5mg of ranitidine injection contained in? It is supplied to you as 25mg/ml, in 2ml vials

• A. 0.75 B. 0.6ml C. 1ml D. 0.25ml E. None of these

• Show your calculation below

19E A patient weighing 50kg has been prescribed dobutamine 250mg in 50ml. The rate of administration prescribed is 5 microgram per kgper min. What rate in ml per hour should the syringe driver be set at?

• A. 0.6ml/hr B. 3ml/hr C. 6ml/hr D. 30ml/hr E. Other

• Show your calculations below

19F You need to give a 500mg dose of streptomycin. You have 1g vial of powder which needs to be reconstituted. The injection powder hasa displacement value 0.75ml per 1g.

• If you reconstitute the vial with 2.25ml, what volume would you need to administer the dose of 500mg?

• A. 1.13ml B. 1.5ml C. 1.3ml D. 3ml E. Other

• Show your calculations below

76

77

19G Administer medication, under supervision to 6 different women. Include a record of your administration.

19H Give an account of the legislation governing the administration and storage of scheduled poisons and controlled drugs. (The MedicineAct 1968 and the Misuse of Drugs Act 1971)

19I Reflect on your experiences whilst doing this activity and identify what you have learnt

Initials Drug Dose Route Signature Mentor signature

19J Reflecting on a shift (either in hospital or community) identify the key issues for the shift and how you and your midwife prioritised yourwork load for the day

19K Reflect on the communication skills you have used whilst doing this activity and identify what you have learnt (ESC All ESCs group one)

78


Date:


Yes No


(please tick)

Yes No



79


D. ACHIEVING QUALITY CARE THROUGH EVALUATION AND RESEARCH

D1. Apply relevant knowledge to the midwife’s own practice in structured ways which are capable of evaluation

D2. Inform and develop the midwife’s own practice and the practice of others through using the best available evidence and reflecting onpractice

D3. Manage and develop care utilising the most appropriate information technology (IT) systems

D4. Contribute to the audit of practice, to review and optimise the care of women, babies and their families

20. The following activities relate to Monitoring, evaluating and improving practice through your case load

20A Having identified a case load, reflect on the care given to one of the women you have given care to. (ESC 1.1.4; 1.2.4; 1.5.4; 1.8.1)

• Highlight the key issues essential to her management

20B How did this affect the outcome?

20C Reflect on how you used supervision to support your decision making during the case. (ESC 1.2.1; 1.8.1; 1.8.5; 4.5.1)

20D Reflect on what you have learned.

80


Date:


Yes No


(please tick)

Yes No



81

21. Supervision and midwifery practice

21A Identify a situation you have participated in (not your case load) that has required the involvement of the Supervisor of Midwives. (ESC1.2.1; 1.8.1; 1.8.5; 4.5.1)

• Reflect on the Supervisor’s involvement and the outcome

21B You need to attend a meeting with your allocated Supervisor of Midwives by the end of the second year. Give a brief summary of yourmeeting

82


Date:


Yes No


(please tick)

Yes No



83

22. The Following Activities Relate To Recognising Your Own Learning Needs

22A Identify areas of your learning that you would like to improve

22B Discuss ways in which you sought help from your mentors and assessors over the last year

22C Identify new learning and an action plan for Year 3.

84


Date:


Yes No


(please tick)

Yes No



85

EC Midwifery Directives Case Patient Log >Case/Patient Log

EU Midwifery Directives (2005/36/EU)

Please record your findings using the following tables

Care of 30 Antenatal Mothers

Number Date Mother’sInitial

Brief Summary of Findings Midwife’s Signature

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Care of 30 Antenatal Mothers continued

86



11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

87

Care of 30 Antenatal Mothers continued



21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

Care of 30 Postnatal mothers

88



1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

89

Care of 30 Postnatal Mothers continued



21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

Care of 30 Postnatal Mothers continued

90



21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

91

Care and Examination of 30 Newborn Babies

Number Date Baby’sInitial


1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Care and Examination of 30 Newborn Babies continued

92



11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

93




11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

94




21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

95

Care and Supervision of 15 Women in Normal Labour



1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

96

Care, Supervision and Delivery of at least 10 Women In Normal Labour



11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

97

Care, Supervision and Delivery of at least 10 Women In Normal Labour continued



11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

98

Care and Supervision of 5 Women Who Experience Abnormal Conditions Either in the Antenatal, Labour orPostnatal Period



1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

99

Any Other Experience Student Has Achieved, E.g. Care Of Sick Neonate, Episiotomy or Suturing Undertaken



1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

101

*NMC 2009 Standards of Proficiency for Pre-Registration Midwifery Education standards.03.04 London NMC

Revised and rewritten by: Gulu Hussein, Adele Hamilton, Dora Opoku and Michelle Steptoe

Original development by: Val Dimmock, Michelle Ellis, Gulu Hussein, Di Lear, Michelle Lyne, Maggie Maxwell and Soo Moore

School of Community and Health Sciences, 20 Bartholomew Close, London, EC1A 7QN.

Tel: 020 7040 5780

www.city.ac.uk/communityandhealth

record of achievement in practice - cass business school...1 record of achievement in practice year...

Documents