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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.

http://www.sahealth.sa.gov.au/wps/wcm/connect/ffbb7a8044f901d5b31df3005ba75f87/Nursing+and+Midwifery+Student+Clinical+Placement+Orientation+Package+V2.pdf?MOD=AJPERES&CACHEID=ffbb7a8044f901d5b31df3005ba75f87



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.

http://resource.unisa.edu.au/course/view.php?id=187

*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).

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.




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





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

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Learning tool 10: Epidural analgesia in labour

Learning tool 11: Insertion of a urinary catheter


complete.




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






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

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Learning tool 15: Vaginal examination


complete.




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






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

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Learning tool 15: Vaginal examination

Learning tool 16: Maternal and baby wellbeing assessment following

birth


complete.




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






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

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Learning tool 16: Maternal and baby wellbeing assessment following birth


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


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

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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


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