Record of Achievement in Practice...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

Record of Achievement in PracticePortfolio of Practice

School of Community and Health Sciences

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

Year 3

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 FOR MIDWIFERY PRACTICE........................................................................28

SECTION 1: CARE, COMPASSION AND.............................28

SECTION 2: INITIAL CONSULTATION BETWEEN THE WOMAN AND THE MIDWIFE.....................................30

SECTION 3: NORMAL LABOUR AND BIRTH ......................31

SECTION 4: INITIATION AND CONTINUANCE OF BREAST FEEDING ............................................................33

SECTION 5: MEDICINES MANAGEMENT..........................35

EFFECTIVE MIDWIFERY PRACTICE DOMAIN ...................37

ACTIVITY 1 .......................................................................38

ACTIVITY 2.......................................................................40

ACTIVITY 3 .......................................................................41

ACTIVITY 4.......................................................................42

ACTIVITY 5.......................................................................43

ACTIVITY 6.......................................................................45

ACTIVITY 7.......................................................................47

ACTIVITY 8 ......................................................................48

PROFESSIONAL AND ETHICAL PRACTICE DOMAIN ........50

ACTIVITY 9 .......................................................................51

ACTIVITY 10 .....................................................................53

ACTIVITY 11......................................................................57

ACTIVITY 12 .....................................................................59

ACTIVITY 13......................................................................61

ACTIVITY 14 .....................................................................62

CASE/PATIENT LOG ........................................................63

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Record of Achievement in Practice Year 3 >

Introduction

This Portfolio is designed to enable you to demonstrate achievement of the Standards for Pre Registration Midwifery Education andEssential Skills Clusters (NMC 2007, 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 will be undertaken at the end of your practice experience to ensure you have achieved all the NMC Standardsto enable you to register as a midwife.

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 register on completion of the programme.

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 3.

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 26.

‘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 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 11) will be signed at the end of your final placement in Year 3 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.

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3

How to Use the Portfolio of Practice >

Tips for Students

Whilst working through your Year 3 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 Year3. 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.

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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 Progression

Action Plan for future practice.

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 3 (week - 42 )

To be completed in the final ‘sign off’ interview /meeting for year 3 (week - 42 )

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

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

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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%; B = 60%; C = 50%; D = 35% (Fail)

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Declaration of Good Character – Year 3 >

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 3 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 3 Midwifery Programme (Parker 2004)

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

Professional Behaviour

• Adheres to Code of Conduct

• Is confident and competent in delivering Care.

• Is able to manage time and prioritise Care provision.

• Is able to use own initiative and follow instructions.

• Is aware of limitations, areas to develop and actions to take.

• Provides care without omissions

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)

B2. Practise in a way, which respects, promotes and supportsindividual’s rights, interests, preferences, beliefs andcultures. (Professional & Ethical Practice Domain)

B3. Practise in accordance with relevant legislation (Professional& Ethical Practice Domain)

B4. Maintain confidentiality of information (Professional &Ethical Practice Domain)

(ESC1-5)

Teamwork

• Shares the team’s common goal

• Knows about different styles of leadership.

• Shares information with team.

• Is flexible in taking roles within the team.

• Is aware of skill mix issues.

A4. Provide seamless care, and where appropriate interventions,in partnership with women and other care providers duringthe antenatal period (Effective Midwifery Practice Domain)

A5. Refer women who would benefit from the skills andknowledge of other individuals (Effective Midwifery PracticeDomain)

A9. Work in partnership with women and other care providersduring the postnatal period to provide seamless care andinterventions (Effective Midwifery Practice Domain)

B5. Work collaboratively with other practitioners and agencies inways (Professional & Ethical Practice Domain)

C2. Demonstrate effective working across professionalboundaries and develop professional networks (Developingthe Individual Midwife and Others Domain)

(ESC1-5)

Student interest, motivation and enthusiasm

• Is enquiring and suggests actions.

• Identifies learning opportunities.

• Uses initiative.

• Can identify own learning needs.

• Is interested in what happening.

• Discusses knowledge and deficits in relation to practiceundertaken

• Is able to identify how to get resources and use them.

C1. Review, develop and enhance the midwife’s own knowledge,skills and fitness to practise. (Developing the IndividualMidwife and Others Domain)

(ESC1-5)

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Requests for help

• Is open to feedback and acts of this

• Provides feedback to others.

• Can work with minimal supervision.

• Reflects on own performance and can identify areas fordevelopment

• Requires advice and supervision for some tasks

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

• Knows the rationale for actions.

• Shares knowledge with others.

• Can discuss concepts for practice.

• Can take action related to differences in practice.

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)

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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 initiate verbal communication.

• Can provide explanations and convey information clearly.

• Can complete documents accurately.

• Uses non-verbal communication effectively.

• 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)

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Orientation to the Practice Environment

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

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 continuedPlacement and Mentor Details

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

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

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:

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 40 and 46 (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.Record of Student and Mentor Meetings

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 formalsupervision 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 3 – 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 5days in 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

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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 3:

……………………..



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

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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 Consistently shows ability to communicatesafely and effectively with women, providingguidance for juniors

1.2 Provides accurate and comprehensive writtenreports based on best available evidence

1.3 Acts to reduce and challenge barriers toeffective communication and understanding

1.4 Where appropriate uses the skills of activelistening, questioning, paraphrasing, andreflection to assist in effectivecommunication

1.5 Uses appropriate and relevantcommunication skills to deal with difficultand challenging circumstances in individualand group scenarios

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

2.1 Acts within the law when confidence hasbeen broken

2.2 Acts appropriately in sharing information toenable and enhance care (multidisciplinaryteam, across agency boundaries)

2.3 Acts professionally and appropriately insituations where there may be limits toconfidentiality (eg child protection,protection from harm)

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 Provide accurate, truthful and balancedinformation that is presented in such a wayas to make it easily understood

3.2 Respect women’s autonomy when making adecision, even where a particular choice mayresult in harm to themselves or their unbornchild, unless a court of law orders thecontrary

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

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Skill LevelAchieved

Mentor

Signature & date


Comments

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 Seeks consent prior to sharing confidentialinformation outside of the professional careteam (subject to agreed safeguarding /protection procedures)

4.2 Uses appropriate strategies to enable womento understand treatments and interventionsin order to give informed consent

5 Treat women with dignity and respect them as individuals.

5.1 Acts professionally to ensure that personaljudgements, prejudices, values, attitudes andbeliefs do not compromise the care provided

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

6.1 Takes into account UK legal frameworks andprofessional ethics when planning care

6.2 Is proactive in promoting care environmentsthat are diversity sensitive and free fromexploitation, discrimination and harassment

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

7.1 Recognises circumstances that triggerpersonal negative responses and takesaction to prevent this compromising of care

7.2 Recognises and responds to emotionaldiscomfort / distress of self and others

7.3 Through reflection and evaluationdemonstrates commitment to personal andprofessional development

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 Appropriately consults and exploressolutions and ideas with others to enhancecare

8.3 Appropriately challenges the practice of selfand others across the multi-professionalteam

8.4 Acts as an effective role model in decisionmaking, taking action and supporting morejunior staff

SECTION 2: Initial consultation between the woman and the midwife

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Skill LevelAchieved

Mentor

Signature & date


Comments

1 Be confident in sharing in formation about antenatal screening tests

1.1 Acts professionally to ensure that personaljudgements, prejudices, values, attitudes andbeliefs do not compromise the provision ofcare

1.2 Can accurately interpret data / results andshare this information sensitively withwomen, including the ability to discuss anyfurther action / consequences as necessary

1.3 Can conduct general information sharing (egoptimum times for testing) as appropriatethrough a variety of multi-media channels,such as texting

1.4 variety of multi-media channels, such astexting

Can effectively share information inchallenging circumstances, such as aprevious bereavement, or affected / high riskscreening result

1.5 Is able to seek out required informationabout less common / specialised antenatalscreening tests

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

2.1 Effectively explores social, religious andcultural factors that inform an individualisedantenatal care pathway for women that isdiversity sensitive

2.2 Is competent in recognising and advisingwomen who would benefit from morespecialist services

2.3 Skilled in providing the opportunity towomen to disclose domestic abuse and isable to respond appropriately

3 Work collaboratively other practitioners and external agencies

3.1 Is competent to refer women who wouldbenefit from more specialist services, such asa local substance misuse support unit

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

4.1 Be confident in working in a variety of modelsof service delivery which encourage earlyaccess to care

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

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

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SECTION 3: Normal labour and birth

Skill LevelAchieved

Mentor

Signature & date


Comments

1 Work in partnerships with women to facilitate a birth environment that supports their needs

1.1 Ensures that women’s labour and birth isdiversity sensitive meeting the individualneeds and preferences

1.2 Can anticipate and provide for the needs ofwomen

1.3 Inspires confidence and bases decisions onevidence and uses experience to guidedecision making

1.4 Practises in accordance with relevantlegislation

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

2.1 Applies in-depth knowledge of thephysiology of labour and birth

2.2 Uses skills of observation and activelistening in order to analyse theeffectiveness of care being provided

3 Determine the onset of labour

3.1 Identify the onset of labour and discuss thefindings accurately and share thisinformation with women, including theability to discuss any further action /consequences as necessary

4 Determine the well being of women and their unborn baby

4.1 Assess maternal wellbeing and interpret thefindings accurately and share thisinformation with women, including theability to discuss any further action /consequences as necessary

4.2 Identify and safely manage risk

4.3 Assess and implement measures to manage,reduce or remove risk that could bedetrimental to women, self and others

5 Measure, assess and facilitate the progress of normal labour

5.1 Accurately assess progress of labour andshare this information with women,including the ability to discuss any furtheraction / consequences as necessary

5.2 Critically appraise and justify the use of anyintervention, such as artificial rupture ofmembranes, continuous electronic fetalmonitoring, urinary catheterisation, in orderto facilitate a spontaneous vaginal birth

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

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Skill LevelAchieved

Mentor

Signature & date


Comments

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

6.1 Accurately assess progress and shares thisinformation with women, including theability to discuss any further action /consequences as necessary

6.2 Sensitively care for women and be attentiveto the ‘moment of birth’, creating anenvironment that is responsive to thewoman’s needs

6.3 Initiate emergency measures if required,such as episiotomy

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

6.5 Assess and monitor the woman’s conditionthroughout the third stage of labourfacilitating safe delivery of the placenta andmembranes by physiological or activemanagement

7 Facilitate the mother and baby to remain together

7.1 Initiate emergency measures if required

7.2 In a culturally sensitive manner, create anenvironment that is protective of thematernal infant attachment process, such asminimal handling of the baby, discoveringgender, fostering maternal infant eyecontact, skin-to-skin contact

8 Identify and safely manage appropriate emergency procedures

8.1 Can initiate emergency measures in bothprimary and secondary care settings

8.2 Can sustain emergency measures until helparrives

9 Works collaboratively with other practitioners

9.1 Is an advocate for women

9.2 Negotiates with others in relation tobalancing competing / conflicting priorities

9.3 Confident to call appropriate professionalregardless of hierarchy, when care requiresexpertise beyond the midwife’s currentpractice, or the needs of the women or babyfall outside the scope of midwifery practice

9.4 Practices in accordance with the NMCMidwives rules and standards

10 Keep accurate records

10.1 Detail reasoning behind any actions orinterventions taken

33

SECTION 4: Initiation and continuance of breast feeding

Skill LevelAchieved

Mentor

Signature & date


Comments

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

1.1 Able to lead a variety of forums whereinformation is shared with women about theadvantages and disadvantages of differentinfant feeding methods, without regardingbreastfeeding and artificial feeding as‘equal’ choices

1.2 Critically appraises the nature and strengthof breastfeeding promotional and supportinterventions

1.3 Understands the nature of evidence and howto evaluate the strength of researchevidence used to back information

1.4 Keep accurate records of the woman and herbaby relating to breastfeeding, includingplans of care and any problems encounteredor referrals made

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

2.1 Skilfully explores attitudes to breastfeeding

2.2 Takes into account differing culturaltraditions, beliefs and professional ethicswhen communicating with women

3 Effectively support women to breastfeed

3.1 Uses skills of observation, active listeningand on-going critical appraisal in order toanalyse the effectiveness of breastfeedingpractices

3.2 Confident at exploring with women thepotential impact of delivery room practices,such as the effect of different pain reliefmethods and the importance of skin-to-skincontact, on the well being of their baby andthemselves, and on the establishment ofbreastfeeding in particular (BFI)

3.3 Explore with women the evidence-baseunderpinning information, which may havean impact on breastfeeding such as bed-sharing and the use of dummies (BFI)

3.4 Skilled at advising women over thetelephone when contacted for advice onbreastfeeding issues

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

4.1 Demonstrates skills to empower women torecognise appropriate infant growth anddevelopment and to seek advice when theyhave concerns

34

Skill LevelAchieved

Mentor

Signature & date


Comments

5 Work collaboratively with other practitioners and external agencies

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

5.2 Works confidently, collaboratively and inpartnership with women and others toensure the needs of women are met

5.3 Understand the importance of communitysupport for breastfeeding and actively referswomen to community based supportnetworks, both in supporting women tobreastfeed and as a resource for healthprofessionals (BFI)

5.4 Actively works with other healthprofessionals and external agencies topromote breastfeeding and support womenin their choice to breastfeed

5.5 Is able to discuss with women theimportance of exclusive breastfeeding for sixmonths and timely introduction ofcomplementary foods and continuingbreastfeeding during the weaning period,into the second year of life and beyond

6 Support women to breastfeed in challenging circumstances

6.1 Acts upon the need to refer to appropriatehealth professionals where deviation fromappropriate infant feeding and growthpatterns are apparent

6.2 Support women who are separated fromtheir babies (on admission to SCBU, womenreceiving high dependency care in aseparate environment) to initiate andmaintain their lactation and feed their 18babies optimally (BFI)

6.3 Feed expressed breast milk to a baby, usinga cup and/or syringe as appropriate (BFI)

35

SECTION 5: Medicine management

Skill LevelAchieved

Mentor

Signature & date


Comments

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

1.1 Apply an understanding of basicpharmacology, how medicinal products actand interact in the systems of the body aswell as their therapeutic action in all aspectsrelated to midwifery practice

1.2 Uses knowledge and understanding ofcommonly supplied or administeredmedicinal products to the woman or baby inorder to act promptly in cases where sideeffects and adverse reactions occur

1.3 Reports adverse incidents and near missesand adverse drug reactions.

2 Correctly and safely undertake medicinal products calculations

2.1 Accurate calculation of medicinal productsfrequently encountered within field ofpractice

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

3.1 Utilises and accurately interprets medicinelegislation related to midwives exemptions

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

4.1 Demonstrate an understanding of roles andresponsibilities within the multi-disciplinaryteam for medicinal products management,including how and in what ways informationis shared

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

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

5.2 Applies legislation in practice to safe andeffective ordering, receiving, storingadministering and disposal of medicinalproducts and drugs, including controlleddrugs in both primary and secondary caresettings

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

6.1 Assist women to make safe and informedchoices about their medicinal products

36

Skill LevelAchieved

Mentor

Signature & date


Comments

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

7.1 Question, critically appraise and useevidence to support an argument indetermining when medicinal products mayor may not be an appropriate choice

7.2 Appropriate referral to a registeredcomplementary therapist

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

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

9 Use and evaluate up-to-date information on medicinal products management and work within national and local policies andguidelines using appropriate reference

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

9.2 Work within national and local policies

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

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

37

A. Effective Midwifery Practice Domain >

Following are a number of activities that you must undertake at least 4 times, in hospital and or in the community, prior to assessment.These activities will help you to achieve the following Standards of Proficiency

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.

The numbers attached to the A relate to the Standards of Proficiency for Pre Registration Midwifery Education (NMC, 2004).and have beenadapted to meet the learning outcomes for a student midwife.

Effective Midwifery Practice Activities

Activity 1

This activity is related to communication and report giving process

1. Select a woman you have admitted.

• What information was necessary to give when handing over the woman to your colleague

• How did you ensure that the information was given in an effective way?

1.A. How was the woman involved in the process of handover?

38

39

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

Activity 2

This activity is related to leadership

After planning and managing a shift on the ward, discuss how you successfully assumed leadership. Evaluate your performance

40

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 3 student midwife

(please tick)

Yes No

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

Comments on strengths and areas for improvement

41

Activity 3

This activity relates to Domestic violence

3. Identify initiatives in place that you have observed in the clinical area to address domestic violence and reflect on the effectiveness ofthese

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

Activity 4

This activity relates to child protection

4. Identify initiatives in place that you have observed in the clinical area to address child protection and reflect on the effectiveness ofthese

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

42


Date:


Yes No


(please tick)

Yes No

Mentor Comments and Action Plan as required on Activities 3 & 4


43

Activity 5

This Activity is related to maternal mental health

5. Give a brief summary of a case study of a patient’s care you were involved in, in the mental health field.

5A. Reflect on the care given; comment on this and on any medication prescribed.

5B. Consider the long term implication for the woman’s health and future pregnancies.

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

44


Date:


Yes No


(please tick)

Yes No

Mentor Comments and Action Plan as required on Activity 5


45

Activity 6

This activity relates to anaemia and haemoglobinopathies

6. Give a brief summary of a case study of a woman’s care you were involved in, who had one of the above conditions.

6A. Reflect on the care given; comment on this and on any treatment prescribed.

6B. Consider the long term implication for the woman’s health and her future pregnancies.

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

46


Date:


Yes No


(please tick)

Yes No



47

Activity 7

This activity relates to family planning

7. Select a woman in your care.

• Identify her family planning needs

• Consider the alternative family planning methods

• Discuss how the woman’s choice was arrived at


Date:


Yes No


(please tick)

Yes No



Activity 8

The following activities relate to fetal monitoring

8. Attend an in house workshop on Fetal monitoring.

• Identify the types of fetal monitoring available in labour

8A. Select a woman in your care having each type of fetal monitoring and discuss the rationale for your choice of monitoring the fetus inlabour.

48

49

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


Date:


Yes No


(please tick)

Yes No



Professional and Ethical Practice Domain >


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:

50

51

Professional and Ethical Practice Activities >

Activity 9

The following activities relate to management

9. Reflecting on a shift (either in hospital or community) identify the key issues for the shift and how you prioritised your work load for theday.

9A. Reflect on your role as senior student supervising junior members of the team giving care to mothers and babies (e.g. junior studentmidwives, health care assistants).

• Identify the key management issues associated with this role.

9B. Reflect on your decision making and communication skills you have used whilst doing this activity and identify what you have learntwhen undertaking these activities.

52


Date:


Yes No


(please tick)

Yes No



53

Activity 10

These Activities are related to neonatal drug administration

10. Convert the following, and show your calculations below:

1g = mg (milligram)

1mg = mcg (microgram)

1mcg = ng (nanogram)

10A. Convert to milligrams and show your calculations:

8.7g = mg

1,725mcg = mg

0.006g = mg

36mcg = mg

10B. Convert to Grams and show your calculations:

1,500mg = g

175mg = g

50mg = g

5mg = g

10C. Convert to microgramme and show your calculations:

1.5MG = mcg

0.001mg = mcg

500ng = mcg

12.5ng = mcg

10D. A 3kg neonate is 2days old and is prescribed 90mg of Benzyl penicillin 12 hourly (Benzyl penicillin 600mg made up with 5.0mlswater).

• How many much did you need to draw up? (show your calculations)

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55

10E. A 2.2 kg neonate is prescribed 6mgs of Gentamicin (20mgs in 2mls).

• How much do you need to draw up into your syringe (show your calculations)


Date:


Yes No


(please tick)

Yes No



Developing the Individual Midwife and Others Domain >


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

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57

Developing the individual Midwife and Others

Activities >

Activity 11

This activity relate to higher order midwifery practice. This would involve working with a specialist e.g. Consultant Midwife, SpecialistMidwives, Researchers, Managers and Project Leads.

11. Identify the key features of one of the above roles and consider the impact of such roles on midwifery practice and the quality of care forwomen


Date:


Yes No


(please tick)

Yes No



Achieving Quality Care through Evaluation andResearch Domain >

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

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59

Activity 12

This activity relates to Risk management

12. Identify a risk situation you have been involved in and highlight the key issues which constituted the risk situation

• Evaluate the strategies that were employed to reduce or alleviate the risk.

• Reflect on what you have learnt.

60


Date:


Yes No


(please tick)

Yes No



61

Activity 13

This activity relates to clinical governance

13. With reference to the NICE Guidelines select one and demonstrate how these are applied in order to improve quality of care.


Date:


Yes No


(please tick)

Yes No



Activity 14

Supervision and midwifery practice

14. Identify a situation you have participated in that has required the involvement of the Supervisor of Midwives

• Reflect on the Supervisor’s involvement and the outcome

• Provide a brief summary of your meeting with the supervisor

62


Date:


Yes No


(please tick)

Yes No



63

EU Midwifery Directives (2005/36/EU) >

Case/Patient Log

Please record your findings using the tables below

Care of 40 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 40 Antenatal Mothers continued

64



11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

65




21.

22.

23.

24.

25.

26.

27.

28.

29.

30.


66



31.

32.

33.

34.

35.

36.

37.

38.

39.

40.

67

Care of 40 Postnatal mothers



1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Care of 40 Postnatal mothers continued

68



11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

69

Care of 40 Postnatal mothers continued



21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

70

Care of 40 Postnatal Mothers continued



31.

32.

33.

34.

35.

36.

37.

38.

39.

40.

71

Care and Examination of 40 Newborn Babies

Number Date Baby’sInitial


1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Care and Examination of 40 Newborn Babies continued



11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

73




21.

22.

23.

24.

25.

26.

27.

28.

29.

30.


74



31.

32.

33.

34.

35.

36.

37.

38.

39.

40.

75

Care and Supervision of 15 Women in Normal Labour



1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

Care, Supervision and Delivery of at least 20 Women In Normal Labour

76



1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

77

Care, Supervision and Delivery of at least 20 Women In Normal Labour continued



11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

Care and Supervision of 20 Women Who Experience Abnormal Conditions Either in the Antenatal, Labour orPostnatal Period

78



1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

79

Care and Supervision of 20 Women Who Experience Abnormal Conditions Either in the Antenatal, Labour orPostnatal Period continued



11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

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

80



1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

81

At the end of year three, enclose a reflection on the development of your midwifery skills and proficiencies(NMC 2007, NMC 2009) covering the following areas:

Write 1500 words on:

Analyse what skills and practices you have developed this year

Critically reflect on the women within your case load discussing the appropriateness of care provided within ethical and legal frameworksfor practice

Outline areas you need to develop as a newly qualified midwife . You are expected to refer to appropriate literature to support your points

Mark awarded:

Assessment marking record completed and returned tostudent:

(found in Assessment Guidelines Pack)

Yes No

Personal Tutor Signature:

Personal Tutor Name:

(please print)

Date:

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83

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

Documents

Record of Achievement in Practice...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