COMITÉ DE CONVIVENCIA ESCOLAR «COCE» AIDER JOSE HERNANDEZ ARTEAGA
Bachelor of Midwifery Midwifery Student Practice Portfolio€¦ · Midwifery Student Venue Feedback...
Transcript of Bachelor of Midwifery Midwifery Student Practice Portfolio€¦ · Midwifery Student Venue Feedback...
Midwifery Student Practice Portfolio ELA 3 2016
Bachelor of Midwifery Midwifery Student Practice Portfolio
Experiential Learning Activity: Midwifery Practice Development Practicum 3 (Nurs 2036)
Midwifery Student:………………………………………………….
ID:…………………………………………………………………………...
Year Level: ………………………………………………………………
Venue(s):…………………………………………………………………
Experience Area(s):…………………………………………………
Date:……………………………………………………………………….
If found, please return to:
University of South Australia School of Nursing and Midwifery City East campus Frome Road Adelaide 5000
Introduction
Before you begin you must ensure that you have read through the following resources:
Midwifery Students Practice Portfolio Guidelines
Clinical Assessment Tool for the Midwifery Student (CAT)
ELA 3 Course Outline
ELA 3 Quick Guide As explained in the Professional Practice Guidelines, the Experiential Learning Activities (ELAs) in this program provide opportunity for you to develop your professional and clinical skills. During the ELA’s you will also participate in pre-clinical workshops in the School’s Horizon Hospital and Health Service (HHHS) and will engage with the Clinical Assessment Tool (CAT) for Midwifery Students. You will be expected to successfully undertake an Objective Structured Clinical Activity (OSCA) in the simulated environment HHHS and pass the Medicine Calculations assessment online in order to satisfy the requirements for clinical placement. Any student who receives a fail grade for an OSCA will not be eligible to proceed to the clinical placement of the course. If you do not pass the OSCA on the first attempt you will be given a further opportunity to be reassessed, this will be arranged through your Course Coordinator. ELA 3 consists of 1 pre-clinical day, 4 weeks x 5 days/ week, rostered across a 7 day roster (this may include early, late and night shifts), and a post-clinical workshop. Please refer to the course objectives for ELA 3 in the Course Outline, along with the assessment requirements.
Compiling the Portfolio
This portfolio is to be taken with you on placement and while attending your COCE. It is important to show this portfolio to your Clinical Facilitator and the midwives you work with. For all ELA’s you will be required to provide and appropriately detail the following as outlined:
DCSI Criminal History Check
Nursing and Midwifery Student Clinical Placement Orientation, SA Health
*Please note you need to ensure you have met orientation requirements for each venue; please review orientation details under Clinical Experiences on your Learnonline site
Senior First Aid
CPR certificate
Manual Handling
Medicine Calculations Certificate
Learning Plan
Record of Clinical attendance
Clinical assessment Tool for the Midwifery Student (CAT)
o Completed specified Learning Tools
o Competency Assessment for each area
Midwifery Student Venue Feedback x 2 (minimum)
Clinical Experience Records ( including COCE documentation) with reflections and updated Cumulative record of minimum experiences (online)
Critical Reflection
All documentation must be clear, informative and in a report-like style.
No identification in any way may be made of women, babies or their families. Pseudonyms should be used to de-identify women and their families. Students are responsible for compiling and maintaining their portfolio. It is your responsibility to keep it safe and to ensure it is available for review by ANMAC if required for auditing purposes.
Assessment of your portfolio All records for this ELA should be compiled in a folder along with the clinical experiences including COCE that you have documented during this ELA and since your previous ELA completion. Please ensure you update the cumulative record for each experience and the ongoing cumulative record of minimum experiences for your program. Please include this record at the beginning of your folder to be signed off by your Course Coordinator. Please submit original paperwork. Portfolios will be marked through an interview process. You will be required to attend an appointment with the Course Coordinator or assigned marker to review your portfolio and provide feedback and receive a grade.
Internal students will undertake this interview face-to-face and bring their completed portfolio with them. Interview time will be available on the learnonline site.
External students may opt to undertake a virtual interview; however the portfolio will need to
be submitted prior to the organised interview time. Interview time will be available on the
learnonline site.
If a student’s portfolio does not meet the required standard it will be returned and a further appointment scheduled to review and ascertain the grade. Any student that does not return the amended portfolio in the agreed timeframe will receive a fail grade. Once this ELA has been marked, you must keep all documentation in a larger portfolio for evidence of meeting the clinical requirements for the program.
Passport to Placement Please ensure that you have your Passport to Placement folder completed and available on placement.
DSCI Criminal History Check
Your DCSI certificate must be available as this may be check at the venue you attend.
Nursing and Midwifery Student Clinical Placement Orientation, SA Health
Nursing and Midwifery Student Clinical Placement Orientation 2014, Nursing Office Department of Health, South Australia, this is applicable for SA Public Health venues, http://www.sahealth.sa.gov.au/wps/wcm/connect/ffbb7a8044f901d5b31df3005ba75f87/Nursing+and+Midwifery+Student+Clinical+Placement+Orientation+Package+V2.pdf?MOD=AJPERES&CACHEID=ffbb7a8044f901d5b31df3005ba75f87
Please make sure you have worked through the online package and have completed the check list and signed this form. Keep a copy of the signed checklist in your portfolio as some venues will request to site this. They may also request to site a record of your vaccinations so please have these available as well
First Aid and CPR certificate
These are a requirement for placement and it is advisable that you keep a record of these in your portfolio.
Manual handling
You can do an on line manual handling session by accessing this link through the Practice Based Laboratory button on your Learnonline site
http://resource.unisa.edu.au/course/view.php?id=187
Learning Plan
Please review your reflections from previous ELA placements to assist you develop your Learning Plan. You will need to develop this learning plan as outlined in your Course. This is to be discussed with your Clinical Facilitator at the beginning of placement and should guide your placement experience. You can share this with any midwives or doctors you work with in order to help them understand your learning needs for this placement. At the end of your placement you will need to demonstrate how you have achieved your learning plan and submit it with your portfolio. An electronic copy of the learning plan template can be found on the course site.
Medicine Calculations Certificate
You must undertake the learning package online and gain 100% for your ELA 3 Medicine Calculations assessment. Please upload the certificate on the Learnonline site and present a hard copy at your preclinical.
Attendance Record
You will be required to keep an attendance record that will need to be signed each day of your placement by the midwife you work with or the Clinical Facilitator. Please note if you cannot attend placement for any reason you must notify the manager of the area you are working in as well as contact your Clinical Facilitator. This can be done by email so it is a good idea to ask for the contact phone and email for your Clinical Facilitator and also for the area manager. You will need to make up all missed shifts, you may be able to make up 1 or 2 days while on placement but this is not always possible, please communicate with your Clinical Facilitator. If you are going to be late or leave early due to COCE appointments you also need to communicate, however this should be an exception as being punctual is a professional responsibility. Communication is a key skill in midwifery practice and it is important that you communicate your absence to ensure that you facilitate a positive work environment.
*If you miss more than 1 day in this placement you will need to contact your Course Coordinator to discuss. It is difficult to organise make up placements and this will only be done in extenuating circumstances.
Clinical Assessment Tool for the Midwifery Student
Learning Tools While on clinical placement or through the Continuity of Care Experience (COCE), the CAT for Midwifery Students will be utilised to inform the clinical assessment component. You will be expected to complete each of the clinical skills learning tool assessments detailed in the CAT for Midwifery Students as outline below:
Learning tool number 10: Epidural analgesia in labour
Learning tool number 11: Insertion of a urinary catheter
Learning tool number 15: Vaginal examination
Learning tool number 16: Mother and baby wellbeing assessment following birth
* Learning tool 4 will be undertaken as the OSCA and this can be signed off at this point. Tools can be downloaded from the learnonline site.
*It is expected that students will attain a minimum rating of assisted (A) for all tools Any student who does not achieve the minimum rating for the specified skill will require ongoing support and reassessment. This will be undertaken in consultation with the student, Clinical Facilitator and academic staff at the University responsible for the course. All nominated tools for ELA 3 and ELA 4 must be completed by the end of your second year of your program at the required level. We recommend that you complete all tools for ELA 3 during this placement. You will need to work with your Clinical Facilitator to achieve this as there will be very limited opportunity to assist any student except for very exceptional circumstances.
Competency Assessment
You will also be required to engage in 2 Competency Assessments, these assessments are usually undertaken at 2 weeks intervals. The Clinical Facilitator assigned to you for the associated ELA will be responsible for undertaking this assessment. *It is expected that students will attain a minimum rating of Assisted (A) for the Competency Assessment for ELA 3
Students who do not achieve a pass grade in the first assessment will be required to undertake a clinical challenge either while on placement or in the HHHS with the Clinical Midwife. Upon successful completion of the clinical challenge, students will be able to continue the clinical placement and undertake a final summative assessment. Students who do not achieve a pass grade for the final summative assessment will not pass the ELA course. This may impact on their progression throughout the program.
The method of assessment chosen for both the learning tools and the competency assessment component is a modified Bondy scale. You will need to be familiar with the scales used to rate your practice and you may need to provide the midwife or facilitator with a copy of these prior to completing your learning tool.
Independent (I): Refers to being safe & knowledgeable; proficient & coordinated and appropriately confident and timely. Does not require supporting cues
Proficient (P):
Refers to being safe & knowledgeable; efficient & coordinated; displays some confidence and undertakes activities within a reasonably timely manner. Requires occasional supporting cues.
Assisted (A):
Refers to being safe and knowledgeable most of the time; skillful in parts however is inefficient with some skill areas; takes longer than would be expected to complete the task. Requires frequent verbal and some physical cues
Supported (S):
Refers to being safe when closely supervised and supported; unskilled and inefficient; uses excess energy and takes a prolonged time period. Continuous verbal and physical cues.
Dependent (D): Refers to concerns about being unsafe and being unable to demonstrate behaviour or articulate intention; lacking in confidence, coordination and efficiency. Continuous verbal and physical cues/interventions necessary.
Bondy, K, N. (1983). Criterion-referenced definitions for rating scales in clinical evaluation. Journal of Nursing Education 22(9) 376-382
Venue Feedback
You are required to collect feedback from the midwives that directly supervise you while on clinical placement. This feedback is important and can be used to support your application in 3rd year when applying for a graduate position. You must obtain at least 2 completed feedback forms for each area you are placed but we encourage you to collect more if appropriate. The portfolio is your responsibility; you must consider the clinical assessment requirements for this
ELA and ensure that you have undertaken them. If you have difficulty fulfilling these requirements
please discuss this with your Clinical Facilitator. If this cannot be resolved you should contact the
Course Coordinator.
Critical Reflection
Your critical reflection should be submitted with your portfolio as a hard copy. Please refer to the Course Outline as each ELA has a different reflection activity.
Learning Plan ELA 3
Learning Objective Course
objectives/ANMC competencies
Resources, Strategies, Activities
Time-line Evidence Outcome
What are you going to learn? Include knowledge/skills/attitude
To which course objective/s, ANMC competencies does your learning objective relate?
How do you plan to learn? When and where do you plan to learn?
How will you demonstrate your learning? What evidence will be included in your portfolio?
Did you achieve
your objectives?
Acknowledgement: This resource is based upon previous material compiled by A. Gardner (2011).
Learning Plan ELA 3
Learning Objective Course
objectives/ANMC competencies
Resources, Strategies, Activities
Time-line Evidence Outcome
What are you going to learn? Include knowledge/skills/attitude
To which course objective/s, ANMC competencies does your learning objective relate?
How do you plan to learn? When and where do you plan to learn?
How will you demonstrate your learning? What evidence will be included in your portfolio?
Did you achieve
your objectives?
Acknowledgement: This resource is based upon previous material compiled by A. Gardner (2011).
Attendance Record for Clinical Placement
Student Name: _______________________________________ This is a record of your daily placement attendance: you are required to complete it and make sure it is signed by a Registered Midwife at the end of the day. This form is to be reviewed by the Clinical Facilitator at the end of each placement with the Competency Assessment.
Area
Total hours completed
Total number of shifts completed
Antenatal Clinic
Antenatal Ward
Labour and Delivery
Postnatal Ward
Domiciliary Midwifery
Neonatal
Midwifery Group Practice
Other
Sick Leave If you are sick you must not attend placement. You need to notify your Clinical Facilitator and the
Ward/Unit Manager that you will not be attending the shift. A medical certificate is required if you
are absent for three or more consecutive days or if you have had more than three days absent
within the placement. Please ensure certificates are presented to your Clinical Facilitator when you
next meet with them and emailed to your Course Coordinator. Your Clinical Facilitator will liaise with
the university about your ability to continue with placement. All leave will need to be made up and if
it cannot be organised with the venue, a make-up placement will be negotiated, otherwise you will
need to complete the placement when this ELA is offered again.
Total hours of sick leave
Total number/s of shift/s missed
Make–up shifts completed
Yes / No
Student Name: _______________________________________
Date Venue
Area Hours of
attendance
RM/ MO Signature &
Date
University facilitator
signature & Date
Skills List for 2nd year (ELA 3 & ELA 4)
Student to sign and date when completed. This form should be made available to assessor at
each clinical assessment if requested, to gauge clinical progress of the student.
Clinical Skill Theory Observation Skill assessed
1 Initial pregnancy assessment
2 Ongoing pregnancy care
3 Abdominal examination
4 Parenting education for the woman and her family
5 Performing and interpreting an antenatal cardiotocograph
6 Care of the woman on admission to the birth environment
7 Performing and interpreting an intrapartum cardiotocograph
8 Care of the woman progressing in labour
9 Working with pain in labour
10 Epidural analgesia in labour
11 Insertion of a urinary catheter
12 Care of the woman and baby during an induction of labour
13 Care of the woman and baby with increased needs in labour
14 Care (reception) of the newborn at birth
15 Vaginal examination
16 Maternal and baby wellbeing assessment following birth
17 Facilitating breastfeeding for the woman and baby
18 Breastfeeding challenges for the woman and baby
19 Care of a woman after a caesarean birth
20 Blood sampling of the newborn baby
21 Full examination of the newborn baby
22 Enteral/tube feeding a baby
23 Care of the unwell baby receiving oxygen therapy
24 Care of the baby receiving phototherapy
25 Administering an injection to the newborn
26 Neonatal resuscitation via simulation
Learning tool 4: Parenting education for the woman and her family
This is a competency and skills based assessment. Please note all boxes need to be filled in for the skill to be deemed
complete.
Expected outcome standard - the midwifery student NMBA competency Student Assessor
Maintains effective communication using active listening skills throughout 1.4, 3.1, 3.2
Ensures privacy Identifies and respects the woman’s individual needs in relation to language, culture, religion and spirituality Plans and provides care in partnership with the woman
1.4, 3.3, 4.1, 7.1, 7.2, 10.1, 12.2
Identifies learning needs in partnership with the woman and/or her family 3.2, 7.1
Plans, implements and evaluates a learning activity for the woman and/or her family
3.2, 5.3, 12.2
Applies principles of adult learning, giving consideration to individual needs such as language, cognitive and cultural factors
7.2, 9.1, 10.1
Selects an environment that is conducive to learning 5.3
Organises equipment, resources and venue (if applicable) 5.1, 2.2, 4.1
Presents education, demonstrating
Involving the woman and/or family
Providing opportunities for questions and discussion
Adapting education to accommodate individual needs
Identifying possible further learning needs and facilitating this as required
1.4, 3, 7.1, 13.2, 14.1, 14.2
Uses take home information and learning resources to promote health and wellbeing
1.3, 3.2
Documents legibly and appropriately 1.1, 1.3, 3.3
Student name and signature:……………………………………………................................. Date:………………………………………..
Assessor name and signature:……………………………………………................................. Date:………………………………………..
Overall rating (please circle):
Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)
Comments …………………………………………………………………………………………………………………………………………………………………………
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Learning tool 10: Epidural analgesia in labour
This is a competency and skills based assessment. The student may not have the opportunity to complete all aspects of this skill. The assessor can assess the student in theory or via simulation where appropriate and record this accordingly. Please note all boxes need to be filled in for the skill to be deemed complete.
Expected outcome standard - the midwifery student NMBA competency Student Assessor
Maintains effective communication using active listening skills throughout 1.4, 3.1, 3.2
Ensures privacy Identifies and respects the woman’s individual needs in relation to language, culture, religion and spirituality Plans and provides care in partnership with the woman
1.4, 3.3, 4.1, 7.1, 7.2, 10.1, 12.2
Discusses expectations and understanding of working with pain in labour Responds to information needs
2.1, 2.3, 3.1, 3.2, 3.3, 7.1
Identifies indications for epidural analgesia, including
Maternal request
Hypertension management Identifies contraindications to epidural analgesia, including
Coagulopathy
Some neurological disorders
Local sepsis
Allergy
2.1, 2.3, 4.1, 5.2, 5.3
Identifies possible side effects and their management, including
Maternal hypotension
Maternal sedation/respiratory depression
Fetal compromise
Partial/patchy block
Total spinal anaesthetic
2.1, 2.3, 5.2, 5.3, 6.1, 6.2
Assists with the preparation for and insertion of the epidural, including
Ensuring IV access and necessary investigations have been attended, such as FBE and group and hold
Initiation of fluid bolus if required, per local policy
Collection of relevant equipment and drugs
Positions the woman, providing information, support and reassurance throughout procedure
Assist anaesthetic team member(s) as required
Assist to secure epidural once inserted
2.1, 2.3, 3.1, 4.3, 5.2, 5.3, 5.5, 6.1, 6.2, 8.1
Provides care immediately after epidural insertion, including
Repositions the woman to ensure comfort, fetal wellbeing and effective epidural
Commences post epidural observations including T, P, BP, RR, sedation score and sensory and motor block per local policy
Re-commences continuous CTG if discontinued for procedure
Assists to program epidural infusion or PCEA if used
Ongoing fluid management
Insertion of urinary catheter
2.3, 3.1, 3.3, 4.3, 5.2, 6.1
Assists to cease epidural and remove epidural catheter, including
Cease epidural infusion or PCEA if used
Position woman and remove tape
Removes catheter carefully but swiftly
Assesses health of epidural site
Assesses completeness of epidural catheter
Assesses sensory and motor block to initiate ambulation
2.3, 3.1, 3.3, 4.3, 5.2, 6.1
Refers to other members of the health care team in consultation with the woman as needed, per the National Midwifery Guidelines for Consultation and Referral
1.4, 2.1, 2.3, 6.1, 8.1
(ACM)
Documents all care legibly and appropriately 1.1, 1.3, 3.3
Student name and signature:……………………………………………................................. Date:………………………………………..
Assessor name and signature:……………………………………………................................. Date:………………………………………..
Overall rating (please circle):
Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)
Comments …………………………………………………………………………………………………………………………………………………………………………
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Learning tool 10: Epidural analgesia in labour
Learning tool 11: Insertion of a urinary catheter
This is a competency and skills based assessment. Please note all boxes need to be filled in for the skill to be deemed
complete.
Expected outcome standard - the midwifery student NMBA competency Student Assessor
Maintains effective communication using active listening skills throughout 1.4, 3.1, 3.2
Ensures privacy Identifies and respects the woman’s individual needs in relation to language, culture, religion and spirituality Plans and provides care in partnership with the woman
1.4, 3.3, 4.1, 7.1, 7.2, 10.1, 12.2
Creates an environment which facilitates comfort for the woman and support person(s) Ensures comfort and safety throughout the procedure
3, 4.1, 5.3
Prepares equipment
Positions woman appropriately – considers aorto-‐caval compression effect of
positioning
2.1, 2.2, 5.3
Catheterisation
• Washes hands, wears sterile gloves
• Establishes sterile field
• Maintains aseptic principles throughout
• Cleanses the urinary meatus
• Inserts urinary catheter and checks for correct positioning
• Inflates balloon if indwelling
• Attaches drainage bag and secures, if needed
• Secures catheter
1.4, 2.1, 5.2, 5.3, 7.2, 12.2
Assists the woman into a position of comfort 2.1, 4.1, 5.2
Discusses actual/potential problems which may arise during the procedure
and outlines appropriate management
2.2, 2.3, 7.2
Refers to other members of the health care team in consultation with the
woman as needed, per the National Midwifery Guidelines for Consultation
and Referral (ACM)
1.4, 2.1, 2.3, 6.1, 8.1
Documents all care legibly and appropriately 1.1, 1.3, 3.3
Student name and signature:……………………………………………................................. Date:………………………………………..
Assessor name and signature:……………………………………………................................. Date:………………………………………..
Overall rating (please circle):
Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)
Comments …………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………………
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Learning tool 15: Vaginal examination
This is a competency and skills based assessment. Please note all boxes need to be filled in for the skill to be deemed
complete.
Expected outcome standard - the midwifery student NMBA competency Student Assessor
Maintains effective communication using active listening skills throughout 1.4, 3.1, 3.2
Ensures privacy Identifies and respects the woman’s individual needs in relation to language, culture, religion and spirituality Plans and provides care in partnership with the woman
1.4, 3.3, 4.1, 7.1, 7.2, 10.1, 12.2
Offers appropriate explanations including communicating findings and encourages the woman to ask questions to assist with informed consent for all care and procedures Identifies ways to support women with complex needs who may find examinations very challenging, including women who have experienced sexual assault
2.3, 5.1, 5.3, 7.2
Creates an environment which facilitates comfort for the woman and support person(s) Ensures comfort and safety throughout the procedure
3, 4.1, 5.3
Ensures woman has an empty bladder Performs abdominal examination prior to vaginal examination
3, 5.2, 5.3
Prepares equipment Positions woman appropriately – considers aorto caval compression
2.1, 2.2, 5.3
Vaginal examination
Washes hands, wears appropriate gloves
Encourages woman to relax, using breathing techniques
Inspects external genitalia
Gently inserts fingers into vagina
Identifies landmarks where possible, given stage of labour, intact membranes etc, including - presenting part (cephalic or breech), - denominator, - cervix (dilatation and effacement), - membranes (intact or ruptured), - ischial spines (station of presenting part), sutures and fontanelles
Assesses pelvic outlet
1.4, 2.1, 5.2, 5.3, 7.2, 12.2
After examination
Assists the woman into a position of comfort
Auscultates fetal heart rate
2.1, 4.1, 5.2
Refers to other members of the health care team in consultation with the woman as needed, per the National Midwifery Guidelines for Consultation and Referral (ACM)
1.4, 2.1, 2.3, 6.1, 8.1
Documents all care legibly and appropriately 1.1, 1.3, 3.3
Student name and signature:……………………………………………................................. Date:………………………………………..
Assessor name and signature:……………………………………………................................. Date:………………………………………..
Overall rating (please circle):
Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)
Comments …………………………………………………………………………………………………………………………………………………………………………
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Learning tool 15: Vaginal examination
Learning tool 16: Maternal and baby wellbeing assessment following
birth
This is a competency and skills based assessment. Please note all boxes need to be filled in for the skill to be deemed
complete.
Expected outcome standard - the midwifery student NMBA competency Student Assessor
Maintains effective communication using active listening skills throughout 1.4, 3.1, 3.2
Ensures privacy Identifies and respects the woman’s individual needs in relation to language, culture, religion and spirituality Plans and provides care in partnership with the woman
1.4, 3.3, 4.1, 7.1, 7.2, 10.1, 12.2
Ensures woman is physically comfortable, providing analgesia or ice packs as needed
3, 4.1, 5.3, 5.5
Promotes self-care and responsibility through health education, including
Healthy eating
Exercise and physical activity
Hygiene
Pelvic floor exercises
1.4, 4.1, 5.1, 7.1, 9.1
Performs physical assessment of woman’s wellbeing (if indicated)
Vital signs
Examination of breasts and nipples
Assess vaginal loss amount, colour and odour, palpate fundal height if appropriate
Observes perineal integrity or abdominal wound for evidence of healing
Bowel care -observes for haemorrhoids and outlines appropriate management
Assesses urinary continence
Examines limbs for oedema, varicosities, DVT
1.4, 4.1, 5.2, 5.3, 5.4, 6.1
Performs physical assessment of baby’s wellbeing
Weight (if indicated)
Examines fontanelles, eyes, ears, nose and mouth, fingers and toes for anomalies
Skin colour, integrity
Umbilical cord – integrity, colour and smell
Genitalia including urinary and bowel output, amount and characteristics
1.4, 4.1, 5.2, 5.3, 6.1
Provides information on safe sleeping and immunisations SIDS recommendations including smoke free environment Discusses early parenting, normal infant behaviours and expectations
1.4, 3, 4.1, 5.1, 7.1, 9.1
Discusses expectations of infant feeding, provides accurate and appropriate advise Informs woman about breastfeeding supports
3, 5.4, 9.2
Discusses issues surrounding sexuality after childbirth, relationships, family planning – gives appropriate advice
3, 7.1, 9.2, 12.2
Assesses the woman’s emotional wellbeing Discusses emotional changes in the postnatal period Provides community resources and supports Observes interaction between woman and baby
3, 4.1, 5.2, 9.2
Discusses transition through services – domiciliary care, MCHN 3, 9.1, 9.2
Refers to other members of the health care team in consultation with the woman as needed, per the National Midwifery Guidelines for Consultation and Referral (ACM)
1.4, 2.1, 2.3, 6.1, 8.1
Documents all care legibly and appropriately 1.1, 1.3, 3.3
Student name and signature:……………………………………………................................. Date:………………………………………..
Assessor name and signature:……………………………………………................................. Date:………………………………………..
Overall rating (please circle):
Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)
Comments …………………………………………………………………………………………………………………………………………………………………………
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Learning tool 16: Maternal and baby wellbeing assessment following birth
Competency Assessment
Student Name: ______________________Venue/ Clinical area _________________________
The Competency assessment will be carried out at various time points during the student’s midwifery
program. In each ELA an assessment should be undertaken for each clinical area that the student has been
rostered.
All sections of this assessment should be filled in for the assessment to be deemed complete. Students
should complete a self-assessment before participating in a review with the Clinical Facilitator.
LEGAL AND PROFESSIONAL PRACTICE
Competency 1 : Functions in accordance with legislation and common law affecting midwifery practice
Student Assessor
Element 1.1: Demonstrates and acts upon knowledge of legislation and common law pertinent to midwifery practice
Element 1.2: Complies with policies and guidelines that have legal and professional implications for practice
Element 1.3: Formulates documentation according to legal and professional guidelines
Element 1.4: Fulfils the duty of care in the course of midwifery practice
Competency 2: Accepts accountability and responsibility for own actions within midwifery practice
Student
Assessor
Element 2.1: Recognises and acts within own knowledge base and scope of practice
Element 2.2: Identifies unsafe action and takes appropriate action
Element 2.3: Consults with, and refers to, another midwife or appropriate health care provider when the needs of the woman and her baby fall outside own scope of practice or competence
Element 2.4: Delegates, when necessary, activities matching abilities and scope of practice and provides appropriate supervision
Element 2.5: Assumes responsibility for professional midwifery leadership functions
MIDWIFERY KNOWLEDGE AND PRACTICE
Competency 3: Communicates information to facilitate decision making by the woman
Student
Assessor
Element 3.1: Communicates effectively with the woman, her family and friends
Element 3.2: Provides learning opportunities appropriate to the woman’s needs
Element 3.3: Plans and evaluates care in partnership with the woman
Competency 4: Promotes safe and effective midwifery care
Student Assessor
Element 4.1: Applies knowledge, skills and attitudes to enable woman centred care
Element 4.2: Provides or supports midwifery continuity of care
Element 4.3: Manages the midwifery care of women and their babies
Competency 5: Assesses, plans, provides and evaluates safe and effective midwifery care
Student Assessor
Element 5.1: Utilises midwifery knowledge and skills to facilitate an optimal experience for the woman
Element 5.2: Assesses the health and well being of the woman and her baby
Element 5.3: Plans, provides and is responsible for, safe and effective midwifery care
Element 5.4: Protects, promotes and supports breastfeeding
Element 5.5: Demonstrates the ability to initiate, supply and administer relevant pharmacological substances in a safe and effective manner within relevant state of territory legislation
Element 5.6: Evaluates the midwifery care provided to the woman and her baby
Competency 6: Assesses, plans, provides and evaluates safe and effective midwifery care for the woman and /or baby with complex needs
Student Assessor
Element 6.1: Utilises a range of midwifery knowledge and skills to provide midwifery care for the woman and/or baby with complex needs as part of a collaborative ream
Element 6.2: Recognises and responds effectively in emergencies or urgent situations
MIDWIFERY AS PRIMARY HEALTH CARE
Competency 7: Advocates to protect the rights of women, families and communities in relation to maternity care
Student Assessor
Element 7.1: Respects and supports women and their families to be self- determining in promoting their own health and well being
Element 7.2: Acts to ensure that the rights of women receiving maternity care are respected
Competency 8: Develops effective strategies to implement and support collaborative midwifery practice
Student Assessor
Element 8.1: Demonstrates effective communication with midwives, health care providers and other professionals
Element 8.2: Establishes, maintains and evaluates professional relationships with other health care providers
Competency 9: Actively supports midwifery as a public health strategy
Student Assessor
Element 9.1: Advocates for and promotes midwifery practice, within the context of public health policy
Element 9.2: Collaborates with, and refers women to, appropriate community agencies and support networks
Competency 10: Ensures midwifery practice is culturally safe
Student Assessor
Element 10.1: Plans, implements and evaluates strategies for providing culturally safe practice for women, their families and colleagues
REFLECTIVE AND ETHICAL PRACTICE
Competency 11: Bases midwifery practice on ethical decision making
Student Assessor
Element 11.1: Practices in accordance with the endorsed Code of Ethics and relevant state/ territories and commonwealth privacy obligations under the law
Competency 12: Identifies personal beliefs and develops these in ways that enhance midwifery practice
Student Assessor
Element 12.1: Addresses the impact of personal beliefs and experiences on the provision of midwifery care
Element 12.2: Appraises and addresses the impact of power relations on midwifery practice
Competency 13: Acts to enhance the professional development of self and others
Student Assessor
Element 13.1 Assesses and acts upon own professional development needs
Element 13.2: Contributes to, and evaluates, the learning experiences and professional development of others
Competency 14: Uses research to inform midwifery practice
Student Assessor
Element 14.1: Ensures research evidence is incorporated into practice
Element 14.2: Interprets evidence as a basis to inform practice and decision making
Overall grading
Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)
Assessor name and signature…………………………………………………………………date………………………………… Student name and signature………………………………………………………………… date………………………………
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Competency Assessment
Student Name: ______________________Venue/ Clinical area _________________________
The Competency assessment will be carried out at various time points during the student’s midwifery
program. In each ELA an assessment should be undertaken for each clinical area that the student has been
rostered.
All sections of this assessment should be filled in for the assessment to be deemed complete. Students
should complete a self-assessment before participating in a review with the Clinical Facilitator.
LEGAL AND PROFESSIONAL PRACTICE
Competency 1 : Functions in accordance with legislation and common law affecting midwifery practice
Student Assessor
Element 1.1: Demonstrates and acts upon knowledge of legislation and common law pertinent to midwifery practice
Element 1.2: Complies with policies and guidelines that have legal and professional implications for practice
Element 1.3: Formulates documentation according to legal and professional guidelines
Element 1.4: Fulfils the duty of care in the course of midwifery practice
Competency 2: Accepts accountability and responsibility for own actions within midwifery practice
Student
Assessor
Element 2.1: Recognises and acts within own knowledge base and scope of practice
Element 2.2: Identifies unsafe action and takes appropriate action
Element 2.3: Consults with, and refers to, another midwife or appropriate health care provider when the needs of the woman and her baby fall outside own scope of practice or competence
Element 2.4: Delegates, when necessary, activities matching abilities and scope of practice and provides appropriate supervision
Element 2.5: Assumes responsibility for professional midwifery leadership functions
MIDWIFERY KNOWLEDGE AND PRACTICE
Competency 3: Communicates information to facilitate decision making by the woman
Student
Assessor
Element 3.1: Communicates effectively with the woman, her family and friends
Element 3.2: Provides learning opportunities appropriate to the woman’s needs
Element 3.3: Plans and evaluates care in partnership with the woman
Competency 4: Promotes safe and effective midwifery care
Student Assessor
Element 4.1: Applies knowledge, skills and attitudes to enable woman centred care
Element 4.2: Provides or supports midwifery continuity of care
Element 4.3: Manages the midwifery care of women and their babies
Competency 5: Assesses, plans, provides and evaluates safe and effective midwifery care
Student Assessor
Element 5.1: Utilises midwifery knowledge and skills to facilitate an optimal experience for the woman
Element 5.2: Assesses the health and well being of the woman and her baby
Element 5.3: Plans, provides and is responsible for, safe and effective midwifery care
Element 5.4: Protects, promotes and supports breastfeeding
Element 5.5: Demonstrates the ability to initiate, supply and administer relevant pharmacological substances in a safe and effective manner within relevant state of territory legislation
Element 5.6: Evaluates the midwifery care provided to the woman and her baby
Competency 6: Assesses, plans, provides and evaluates safe and effective midwifery care for the woman and /or baby with complex needs
Student Assessor
Element 6.1: Utilises a range of midwifery knowledge and skills to provide midwifery care for the woman and/or baby with complex needs as part of a collaborative ream
Element 6.2: Recognises and responds effectively in emergencies or urgent situations
MIDWIFERY AS PRIMARY HEALTH CARE
Competency 7: Advocates to protect the rights of women, families and communities in relation to maternity care
Student Assessor
Element 7.1: Respects and supports women and their families to be self- determining in promoting their own health and well being
Element 7.2: Acts to ensure that the rights of women receiving maternity care are respected
Competency 8: Develops effective strategies to implement and support collaborative midwifery practice
Student Assessor
Element 8.1: Demonstrates effective communication with midwives, health care providers and other professionals
Element 8.2: Establishes, maintains and evaluates professional relationships with other health care providers
Competency 9: Actively supports midwifery as a public health strategy
Student Assessor
Element 9.1: Advocates for and promotes midwifery practice, within the context of public health policy
Element 9.2: Collaborates with, and refers women to, appropriate community agencies and support networks
Competency 10: Ensures midwifery practice is culturally safe
Student Assessor
Element 10.1: Plans, implements and evaluates strategies for providing culturally safe practice for women, their families and colleagues
REFLECTIVE AND ETHICAL PRACTICE
Competency 11: Bases midwifery practice on ethical decision making
Student Assessor
Element 11.1: Practices in accordance with the endorsed Code of Ethics and relevant state/ territories and commonwealth privacy obligations under the law
Competency 12: Identifies personal beliefs and develops these in ways that enhance midwifery practice
Student Assessor
Element 12.1: Addresses the impact of personal beliefs and experiences on the provision of midwifery care
Element 12.2: Appraises and addresses the impact of power relations on midwifery practice
Competency 13: Acts to enhance the professional development of self and others
Student Assessor
Element 13.1 Assesses and acts upon own professional development needs
Element 13.2: Contributes to, and evaluates, the learning experiences and professional development of others
Competency 14: Uses research to inform midwifery practice
Student Assessor
Element 14.1: Ensures research evidence is incorporated into practice
Element 14.2: Interprets evidence as a basis to inform practice and decision making
Overall grading
Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)
Assessor name and signature…………………………………………………………………date………………………………… Student name and signature………………………………………………………………… date………………………………
Comments………………………………………………………………………………………………………………………………………
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Midwifery Student Venue Feedback
Student name: Date:
Hospital: Experience: Year level:
Please choose the most appropriate descriptor to provide feedback on the student in the following areas: Personal Ability/Aptitude/Skills; Experience; Knowledge. Please provide a summary comment based on these descriptors.
Personal Ability/Aptitudes/skills
N/A Needs
Improvement Good Excellent
Communication/Interpersonal Skills
Ability to expresses self clearly and concisely
Ability to communicate appropriately with all staff and women and their families
Ability to explain care to women and family/significant others
Effectiveness of hand over to oncoming shift
Ability to deliver effective education to women and their families
Organisational skills
Ability to effectively prioritize workload
Ability to complete all allocated care within a reasonable timeframe
Ability to be, creative, innovative and flexible when approaching issues within a healthcare setting
Teamwork
Ability to work with midwives
Ability to work effectively within a multidisciplinary team.
Ability to problem solve, resolve problems and negotiate.
Experience
N/A Needs Improvement
Good Excellent
Midwifery Clinical Competencies
Demonstrated competence in the relevant area of midwifery practice in accordance with the appropriate standards of practice.
Ability to apply theoretical knowledge in the clinical setting
Demonstrates critical thinking skills in application of skills in practice
Ability to provide culturally appropriate and safe midwifery care.
Ability to recognise own limitations and seeks assistance from senior staff where appropriate.
Ability to work in accordance with hospital procedures and policy.
Demonstrates initiative whilst caring for women and their babies.
Ability to recognise and report changes in the woman or baby’s condition promptly.
Documentation
Ability to write clear, concise and legible notes.
Ability to accurately document all observations in a timely manner.
Ability to report incidents and complete relevant forms.
Knowledge
N/A Needs
improvement Good Excellent
Knowledge of the conditions of the women and neonates under their care.
Ability to give logical rationales for midwifery care performed.
Ability to link theory to practice.
Understands the medications administered to women and neonates, and administers medications safely.
Understanding of the Australian Nursing and Midwifery Council (ANMC) National Competencies for the Registered Midwife.
Summary comment:
Supervising Registered Midwife Name: Signature:
Midwifery Student Venue Feedback
Student name: Date:
Hospital: Experience: Year level:
Please choose the most appropriate descriptor to provide feedback on the student in the following areas: Personal Ability/Aptitude/Skills; Experience; Knowledge. Please provide a summary comment based on these descriptors.
Personal Ability/Aptitudes/skills
N/A Needs
Improvement Good Excellent
Communication/Interpersonal Skills
Ability to expresses self clearly and concisely
Ability to communicate appropriately with all staff and women and their families
Ability to explain care to women and family/significant others
Effectiveness of hand over to oncoming shift
Ability to deliver effective education to women and their families
Organisational skills
Ability to effectively prioritize workload
Ability to complete all allocated care within a reasonable timeframe
Ability to be, creative, innovative and flexible when approaching issues within a healthcare setting
Teamwork
Ability to work with midwives
Ability to work effectively within a multidisciplinary team.
Ability to problem solve, resolve problems and negotiate.
Experience
N/A Needs Improvement
Good Excellent
Midwifery Clinical Competencies
Demonstrated competence in the relevant area of midwifery practice in accordance with the appropriate standards of practice.
Ability to apply theoretical knowledge in the clinical setting
Demonstrates critical thinking skills in application of skills in practice
Ability to provide culturally appropriate and safe midwifery care.
Ability to recognise own limitations and seeks assistance from senior staff where appropriate.
Ability to work in accordance with hospital procedures and policy.
Demonstrates initiative whilst caring for women and their babies.
Ability to recognise and report changes in the woman or baby’s condition promptly.
Documentation
Ability to write clear, concise and legible notes.
Ability to accurately document all observations in a timely manner.
Ability to report incidents and complete relevant forms.
Knowledge
N/A Needs
improvement Good Excellent
Knowledge of the conditions of the women and neonates under their care.
Ability to give logical rationales for midwifery care performed.
Ability to link theory to practice.
Understands the medications administered to women and neonates, and administers medications safely.
Understanding of the Australian Nursing and Midwifery Council (ANMC) National Competencies for the Registered Midwife.
Summary comment:
Supervising Registered Midwife Name: Signature:
2016 Cumulative record of portfolio requirements Student’s name: ___________________________________________ Student’s ID: __________________
* Students who hold a current registered nurse registration will be exempt from 5 CoCE and will only be required to engage in a minimum of 10 (approx. 5 CoCE/ year)
TOTAL required
Achieved ELA 1
Achieved ELA 2
Achieved ELA 3
Achieved ELA 4
Achieved ELA 5
Achieved ELA 6
Running Total
(update in pencil only)
Final TOTAL
Antenatal Care
Antenatal episode of care 100
Abdominal palpation 10
Complex antenatal care 15
Intrapartum Care
Labour and spontaneous vaginal birth
30
Active care 1st
stage labour 10
Vaginal examination 10
Complex intrapartum care 15
Postpartum Care
Postnatal episode of care 100
Complex postpartum care 10
Neonatal Care
Physical examination of the newborn
20
Complex neonatal care 10
Continuity of Care Experiences
Commenced 15
Completed
Learning tools University lecturer name, signature and date evidence reviewed and assessed as complete