bsc (hons) pre-registration midwifery€¦ · bsc (hons) pre registration midwifery 11 ongoing...

BSc (Hons) Pre Registration Midwifery 1 Ongoing Achievement Record 2016-2017

PLYMOUTH UNIVERSITY Faculty of Health and Human Sciences

School of Nursing and Midwifery

BSc (Hons) Pre-Registration Midwifery

ONGOING ACHIEVEMENT RECORD

To be used in conjunction with your E-portfolio

NAME: ………………………………………………….

UNIVERSITY NUMBER: ……………………………..

COHORT: ………………………………………………

CLINICAL BASE: ……………………………………..

PERSONAL TUTOR:………………..…………………


Special Needs Notice Dear Student Important: please note If you have a disability The University is very supportive of students with disabilities, and year–on-year we are making adjustments to assist students with special needs. It may be that we have already put in place changes which will assist you – but unless we know what your needs might be, we cannot guarantee that that will be the case. If we can identify your needs sufficiently far in advance of when you intend to start a programme at the University, we are better able to put in place appropriate arrangements – or, if there is a health and safety issue or an issue about the expectations of students on the programme, to advise you on alternative options. However, we may not be able to do so if we do not know in advance. If you have not told us about your disability Please do contact the University’s Disability Assist Services on Plymouth 01752 587676 to discuss your needs. While we are making reasonable adjustments to our provision, we may not be able to meet your individual needs if we do not have the opportunity to assess them in advance, and that could impact negatively on your experience on the programme or even your ability to take up your place. The DSA Assessment Centre is located on the ground and first floor of 3 Portland Mews. The Assessment Centre provides DSA Needs Assessments for prospective HE students across the SW region, and for Plymouth University students. (Note: The Assessment Centre DOES NOT perform diagnostic dyslexia assessments.) If you have told us about your disability You may be asked for additional information or invited to attend an interview with Disability Assist Services. This is in order that we can properly assess your individual needs and ensure that we have the best possible chance of meeting them. Please do provide any information requested and come in to see staff if asked to do so, since otherwise you – and we - could find ourselves in a position in which it is difficult or even unsafe for you to take up your place. So please tell us about any disability – even if you do not think it will affect you while you are at the University – and respond positively to any requests for further details or for an information interview. If you do not do so, you may find yourself unable to take up your place or unable to complete the programme because we have not been able adequately to meet your needs. The Disability Advisory Service reception and drop in for students has relocated to a new area alongside Gateway in RLB. (Note: Diagnostic dyslexia assessments are arranged by the Disability Advisory Service.) See the website for more information http://www.plymouth.ac.uk/disability

http://www.plymouth.ac.uk/disability


CONTENTS

Special Needs Notice Page 3

Contents

Part One Ongoing Achievement Record

Page 5-100

Signature Record 7-10

Mandatory Sessions 11-12

European Union Midwifery Record 13-28

Placement Record 29-99

References 100

Part Two Mentor Assessment of Practice

Page 101-230

Guidelines for use of Assessment Document 102-107

Practice Assessment Process 102

Guidelines for Grading of Practice 103

Example of Completed MAP Page 105-6

Glossary 107

Year 1 Mentor Assessment of Practice 109-144



Final Sign-Off Mentor Statement of Proficiency 229

Final Record of European Union Requirements 230

Copyright of this document is held by the Plymouth University Midwifery team in collaboration with the Centre for Excellence

in Professional Placement Learning


PART ONE

ONGOING ACHIEVEMENT RECORD


SIGNATURE RECORD

For all whose signatures appear elsewhere in the portfolio as well as those signing

timesheets. I consent to share my Ongoing Achievement Record and electronic portfolio with my sign-off mentors, other supervising practice staff and academic staff at their request, to enable my fitness for practice to be assessed.

(NMC 2009) Name of student …………………………………………………………………………… Signature ………………………………………… Date …………………………….

Date/s Placement Name of signator

Role (ie: sign-off mentor/

supervising midwife/ service-

user)

Full signature

Initials (essential for staff signing

timesheet)

Mentorship qualification

(eg: ENB 997; HEAB 369/ 370)





user)

Full signature


timesheet)


(eg: ENB 997; HEAB 369/ 370;

MENT 601/602)


MANDATORY SESSIONS

The Strategic Health Authority requires all students to undertake mandatory training in a number of areas before they go out into placement each year. These sessions are indicated

by an asterisk (*).

The Mandatory sessions will be provided by Plymouth University at the start of each academic year and prior to placement. Registers will be taken at all mandatory training sessions. This page should be dated and signed by the session leader (who does not need to sign signature sheet in addition).

MANDATORY EXPERIENCE

Year 1

Year 2

Year 3

Fire Prevention*

Adult Resuscitation* (Basic life support)

Mental Capacity Act*

Race Relations Act* –

Equality and Diversity

Moving and Handling*

Theory

Moving and Handling*

Practice

Manual Handling*

Update

Neonatal Resuscitation

Anaphylaxis

Safeguarding Children

Conflict Resolution

Infection control

Local Trust Induction (as required)


EUROPEAN UNION MIDWIFERY RECORD

The European Union and Article 40 (training of midwives) of Directive 2005/36/EU. (Directive 2005/36/EC of the European Parliament and of the Council (2005). 1. Advising of pregnant women, involving at least 100 pre-natal examinations

2. Supervision and care of at least 40 women in labour

3. The student should personally carry out at least 40 deliveries; where this number cannot

be reached owing to the lack of available women in labour, it may be reduced to a minimum of 30, provided that the student participates actively in 20 further deliveries.

4. Active participation with breech deliveries. Where this is not possible because of lack of

breech deliveries practice may be in a simulated situation 5. Performance of episiotomy and initiation into suturing. Initiation shall include theoretical

instruction and clinical practice. The practice of suturing includes suturing of the wound following an episiotomy and a simple perineal laceration. This may be in a simulated situation if absolutely necessary.

6. Supervision and care of 40 women at risk in pregnancy, or labour or post-natal period 7. Supervision and care (including examination) of at least 100 post-natal women and

healthy new-born infants 8. Observation and care of the new-born requiring special care including those born pre-

term, post-term, underweight or ill 9. Care of women with pathological conditions in the fields of gynaecology and obstetrics 10. Initiation into care in the field of medicine and surgery. Initiation shall include theoretical

instruction and clinical practice Nursing and Midwifery Council (2009) ‘Standards for pre-registration midwifery education’ p65.

All the above require signatures by your sign-off mentor/ supervising midwife. These are therefore documented in your Ongoing Achievement Record.

If you exceed the stipulated number a signature is not needed by the supervising midwife for these.

Please note that only signed entries will be counted and, where identified, the minimum number must be achieved before completion of your programme. Additional experiences to cover unsigned entries should be recorded on page 27.

Confidentiality must be maintained at all times. Please only record the woman’s initials, and indicate the sex of the baby♀ (female) or ♂(male) where appropriate.

You may find it helpful to keep a running total of your numbers achieved in pencil in the column below:


EU requirement Page number Running total

1 Antenatal Examinations and Advice 15 and 16

2 Supervision and Care in Labour 17

3 Personal Deliveries 18

4 Breech 19

5 Episiotomy 19

Suturing 19

6 Supervision and Care of Women At

Risk

20

7 Post-Natal Women and Healthy

Neonates

21 and 22

8 Observation and Care of the New-

Born requiring Special Care

23

9 Gynaecological and Obstetric

Pathology

24

10 Medicine and Surgery 25

Continuation Sheets 26 - 28


1. Advising of pregnant women, involving at least 100 pre-natal examinations

You must have conducted a physical antenatal examination, verbal discussion/ advice and completed relevant documentation.

Only the woman’s initials to be used, for confidentiality

No. Date Initials Midwife signature


1 26

2 27

3 28

4 29

5 30

6 31

7 32

8 33

9 34

10 35

11 36

12 37

13 38

14 39

15 40

16 41

17 42

18 43

19 44

20 45

21 46

22 47

23 48

24 49

25 50


1. Advising of pregnant women, involving at least 100 pre-natal examinations

You must have conducted a physical antenatal examination, verbal discussion/ advice and completed relevant documentation.




51 76

52 77

53 78

54 79

55 80

56 81

57 82

58 83

59 84

60 85

61 86

62 87

63 88

64 89

65 90

66 91

67 92

68 93

69 94

70 95

71 96

72 97

73 98

74 99

75 100

If you have been unable to obtain signatures for all 100 entries, please continue

on page 26-28


2. Supervision and care of at least 40 women in labour

These exclude personal deliveries, but include women whose care you hand over or who proceed to an instrumental/ surgical delivery, or those personal deliveries requiring manual removal of the placenta.




1 21

2 22

3 23

4 24

5 25

6 26

7 27

8 28

9 29

10 30

11 31

12 32

13 33

14 34

15 35

16 36

17 37

18 38

19 39

20 40

If you have been unable to obtain signatures for all 40 entries, please continue on page 26-28


3. The student should personally carry out at least 40 deliveries These must include part of the first stage, as well as the second and third stages and

examination of the baby

Manual removal of retained placenta may not be included. However, these births may be recorded under “Care in labour” (2) or “At risk” (6)




1 21

2 22

3 23

4 24

5 25

6 26

7 27

8 28

9 29

10 30

11 31

12 32

13 33

14 34

15 35

16 36

17 37

18 38

19 39

20 40



4. Active participation with breech deliveries. Where this is not possible because of lack of breech deliveries practice may be in a simulated situation

Signature and date of the person leading your experiential learning session Signature-------------------------------------------- Date---------------------------------

Record observation of and participation in vaginal breech deliveries

5. Performance of episiotomy and initiation into suturing. Initiation shall include theoretical instruction and clinical practice

Signature and date of the person leading your experiential learning session Signature-------------------------------------------- Date--------------------------------

Record observation of and participation in episiotomies

Signature and date of the person leading your experiential learning session Signature-------------------------------------------- Date------------------------------

Record observation of and participation in perineal suturing


6. Supervision and care of 40 women at risk in pregnancy, or labour or post-natal period




1 21

2 22

3 23

4 24

5 25

6 26

7 27

8 28

9 29

10 30

11 31

12 32

13 33

14 34

15 35

16 36

17 37

18 38

19 39

20 40



7. Supervision and care (including examination) of at least 100 post-natal women and healthy new-born infants

You must examine both mother and baby and complete relevant documents.

Please indicate the sex of the baby ♀♂ (no names) and only the woman’s initials to be

used, for confidentiality.

No. Date Initials of mother, and sex of baby

♀♂

Midwife signature


♀♂

Midwife signature

1 26

2 27

3 28

4 29

5 30

6 31

7 32

8 33

9 34

10 35

11 36

12 37

13 38

14 39

15 40

16 41

17 42

18 43

19 44

20 45

21 46

22 47

23 48

24 49

25 50


7. Supervision and care (including examination) of at least 100 post-natal women and healthy new-born infants

You must examine both mother and baby and complete relevant documents.

Please indicate the sex of the baby ♀♂ (no names) and only the woman’s initials to be

used, for confidentiality.


♀♂

Midwife signature

No. Date Initials of mother, and sex of

baby ♀♂

Midwife signature

51 76

52 77

53 78

54 79

55 80

56 81

57 82

58 83

59 84

60 85

61 86

62 87

63 88

64 89

65 90

66 91

67 92

68 93

69 94

70 95

71 96

72 97

73 98

74 99

75 100

If you have been unable to obtain signatures for all 100 entries, please continue on

page 26-28


8. Observation and care of the new-born requiring special care including those

born pre-term, post-term, underweight or ill

These must be signed by the supervising nurse/ midwife

Brief details of the baby’s condition/ care should be documented No names to be

recorded, for confidentiality (use ♀♂ only)

Date Sex of

baby

Brief details of baby condition/

care

Supervising nurse/

midwife signature


9. Care of women with pathological conditions in the fields of gynaecology and

obstetrics

Conditions include those occurring in pregnancy under 24 weeks’ gestation (eg: miscarriage, TOP, hyperemesis gravidarum, PPROM) or those pre-existing gynaecological conditions potentially affecting the wellbeing/ duration of the pregnancy (eg: fibroids, bicornuate uterus)

Also include gynaecological experiences obtained in gynaecology placement


Date Initials Brief details of woman’s condition/

care

Supervising nurse/

midwife signature


10 Initiation into care in the field of medicine and surgery. Initiation shall include theoretical instruction and clinical practice

Please record experiences gained during both maternity and non-maternity placements

Only the patient’s initials to be used, for confidentiality

Date Initials Brief details of patient’s condition/

care

Supervising nurse/

midwife signature


Continuation sheet for additional mandatory EU experiences

Please record additional experiences of (1) Antenatal examination, (2) Care in labour, (3) Personal deliveries, (6) At risk care, (7) Postnatal examination where EU numbers have not all been signed on previous pages.

Please tick the relevant column and record details required, using woman’s initials or sex

of baby only ♀♂ (if applicable), for confidentiality.

Date Initials of

woman

Sex

of

baby

♀♂

European Union category Midwife signature

Ante-

natal

exam

Care in

labour

Personal

deliveries

At

risk

care

Post-

natal

exam






Date Initials

of

woman

Sex

of

baby

♀♂


Ante-

natal

exam

Care in

labour

Personal

deliveries

At

risk

care

Post-

natal

exam


PLACEMENT RECORD Placement:

The following set of documentation (5 pages) should be completed for each placement. Please note that ‘Placement’ refers to a period of at least four weeks in one clinical area, and only refers to midwifery placements. This Ongoing Achievement Record must be sufficiently detailed to enable the midwife sign-off mentors to confirm that a student is proficient at designated points in the programme. Mentors should not keep their own separate student progress records (NMC 2009, p18).

All other non-maternity allocations (eg: neonatal, gynaecology, accident and emergency, intensive care unit, medical ward/ outpatients department) should be recorded in the relevant resource workbook. Please note that these are not assessed ‘placements’ and the supervising nurse may not sign any of your MAP assessment documentation. However, please ask the nurse mentoring you in these non-maternity areas to write a brief statement on the ‘Reports from Others’ page in your associated midwifery placement documentation (eg: page 33). Experiences gained must be recorded as appropriate on European Union Midwifery Record numbers 8 – 10 (pages 23 – 25). Learning Contract:

The ‘Learning Contract’ must be completed and signed by you and your sign-off mentor within the first week of the placement.

The learning needs identified should be drawn from your Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis which is in your electronic portfolio (capability plan), and full learning objectives should be documented and reviewed in this. You may add to these learning needs during the course of the placement.

Please give a photocopy of your learning contract to your sign-off mentor so that s/he is reminded of your identified learning needs and can help you to access the necessary resources. Progress Reports:

The ‘Mid-point Report’ provides an opportunity for you and your sign-off mentor to record your progress during your placement period, as a means of formative assessment. Buddy mentors may also contribute. You may or not wish to invite your personal tutor/ midwifery lecturer to be present for this discussion. Depending on the stage of your programme, you and your sign-off mentor may also need to record your progress at the formative point in your MAP document (see Part Two of Ongoing Achievement Record).

The ‘Reports from Others’ page provides an opportunity for other health professionals or service-users to comment on your progress. Service-users need to know that if they include their name confidentiality of the information will not be maintained and that they are given an option not to do so. Please invite others supervising your practice to contribute to this evidence, including those in non-maternity areas (see above). This evidence may help inform your sign-off mentor’s decisions regarding your fitness to practise. Please ensure that all those contributing to this page also sign the ‘Signature Record’ (see page 7).

The ‘End of Placement Report’ needs to be completed by you, your sign-off mentor/s and the midwifery lecturer (usually your personal tutor) attending for your tripartite discussion. It is essential that a tripartite is held when it is a summative point in your programme, and the MAP document requires completion and grading of your practice. If it is not a summative point, a tripartite is not compulsory, but is recommended. Please remember to complete placement and mentor evaluations.


LEARNING CONTRACT

Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………

The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:

I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….


MID-POINT REPORT

For documentation of student progress during a longer placement

Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point

Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................

Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................

Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................


REPORTS FROM OTHERS DURING PLACEMENT

Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress

Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.

All contributors must provide a specimen signature on the ‘Signature Record’

Name: .......................................... Position: ..................................... Date: ................

Name :.......................................... Position: ..................................... Date: ................




END OF PLACEMENT REPORT

A report must please be written at the end of a placement.

If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress

The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.

Student’s self-assessment of progress during the placement:

I have completed my placement evaluation on POW and mentor evaluations

Student signature: ............................................................. Date: .............................

Sign-off mentor’s comments on student’s progress during the placement:

I confirm that ………………………………………………………. (insert student name) behaved

professionally and safely throughout this placement.

Sign-off mentor signature: ........................................................ Date:…………………

Mentorship qualification: ………................. Date of most recent triennial review:……………

Buddy mentor comments or personal tutor/midwifery lecturer, if attending

Buddy mentor/Lecturer’s signature: ................................... Date: .............................


LEARNING CONTRACT Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………




MID-POINT REPORT







REFERENCES Nursing and Midwifery Council (2007a) Introduction of Essential Skills Clusters for pre registration midwifery education programmes Circular 23 Nursing and Midwifery Council (2007b) Pre registration midwifery education programmes: progression from one academic level to the next academic level. Circular 24 Nursing and Midwifery Council (2007c) Grading of Clinical practice for pre registration midwifery education programmes Circular 25 Nursing and Midwifery Council (2007d) Ensuring continuity of practice assessment through the ongoing achievement record Circular 33 Nursing and Midwifery Council (2008) Standards to support learning and assessment in practice (2nd edition). London: NMC Nursing and Midwifery Council (2009) Standards for pre-registration midwifery education. London: NMC Nursing and Midwifery Council (2012) Midwives Rules and Standards 2012. London: NMC Nursing and Midwifery Council (2015) The Code: Professional standards of practice and behaviour for nurses and midwives. London: NMC Quality Assurance Agency (2001) Benchmark statements Steinaker N & Bell MR (1979) The experiential taxonomy: a new approach to teaching and learning. Educational Psychology New York: Academic Press

RECOMMENDED READING IN PREPARATION FOR ALL PRACTICE PLACEMENTS

Cescutti-Butler L and Fisher M (eds) (2016) The Hands-on Guide to Midwifery Placements.

Chichester: John Wiley & Sons Ltd. (available as an e-book or hard copy from the library)

Chapters (including vignettes and ‘top tips’ from past students in Plymouth and Bournemouth Universities): 1. Introduction to midwifery and the profession - Susan Way 2. Preparation for practice - Henrietta Otley 3. Assessment of practice - Margaret Fisher 4. Low-risk midwifery placements - Jo Coggins 5. High-risk midwifery placements - Margaret Fisher 6. Caseloading - Stella Rawnson 7. Wider experiences - Margaret Fisher 8. Student electives - Luisa Cescutti-Butler 9. What next? - Faye Doris


PART TWO

MENTOR ASSESSMENT OF PRACTICE/ PROFICIENCIES (MAP)


GUIDELINES FOR USE OF ASSESSMENT DOCUMENT PRACTICE ASSESSMENT PROCESS: 1. Assessment of practice in the Pre-Registration Midwifery programmes is through

continuous monitoring of progress, based on Steinaker and Bell (1979). The student gradually moves towards a point of practising at a level of proficiency, competence and accuracy under indirect supervision. Summative assessment by the sign-off mentor/s must be documented at set points in the programme.

2. The MAP (Mentor Assessment of Practice/ Proficiencies) document comprises the criteria against which students are assessed. These consist of the Essential Skills Clusters (ESC) as well as additional criteria necessary to achieve the Midwifery Standards (NMC 2009) and Quality Assurance Agency Midwifery Benchmark statements (2001).

3. Designated midwifery sign-off mentors, or buddy mentors with the sign-off mentor’s

agreement, will initial and date cues within statements as this experience is gained and demonstrated at the appropriate level. All entries must be signed/ counter-signed by the sign-off mentor. Only the sign-off mentor may write comments in the box indicating whether or not the student has achieved the statement as a whole. Students may not write anything in the MAP.

4. In some clinical areas the student may change placements and sign-off mentors during the

course of the year. If it is unlikely that the student will return to a placement before the summative point, and the sign-off mentor considers that the student has achieved all statements within a specific criterion, they may award an interim grade. This must be written in ink and the entry signed and dated by both the sign-off mentor and student on the “first attempt” section at the end of the relevant criterion. Please note that interim grades may be subject to amendment, however they may only be adjusted if prior discussion has taken place between the summative and previous sign-off mentors.

5. Comments by other supervising practitioners may be included in the Placement Record in

Part One to supplement evidence and to guide the sign-off mentor in their decision regarding the student’s achievement/ non-achievement of criteria. Students are also reminded to share their e-portfolio with their sign-off mentor as this can also be referred to as evidence in the MAP.

6. Before the summative progression point the sign-off mentor must ensure that all cues

within statements have been initialled and dated, and counter-sign any made by a buddy mentor. The sign-off mentor must decide whether the student has achieved that statement and document comments in the box. Evidence supporting the sign-off mentor’s decisions must be recorded and signed by the sign-off mentor. The sign-off mentor then needs to award an appropriate grade for each criterion (see Guidelines for Grading of Practice) – the sign-off mentor may prefer to wait until the tripartite to award these grades, but they need to have provisional grades in mind. In preparation for the summative tripartite, the sign-off mentor must have liaised with any other designated sign-off mentors if they disagree with an interim grade previously awarded for that year (see point 4 above). Liaison should also take place with other staff who have worked with the student so that triangulation of evidence is achieved.

7. A tripartite meeting must be arranged by the student prior to the summative

submission date. A detailed discussion regarding the student’s progress and the evidence


for the grades will take place with a midwifery lecturer (usually the personal tutor) as moderator. The present sign-off mentor and the moderator will agree the final grades for all criteria. It is essential that all parties (sign-off mentor, student and midwifery lecturer attending) sign and date where indicated. Failure to do so will result in a referral for practice.

8. The sign-off mentor will also be required to sign a statement at each progression point to

confirm that the student’s practice has been safe and professional, and at the final assessment point of the programme that the student is fit for practice and eligible to apply for registration as a midwife, based on clinical performance. If the sign-off mentor’s signature does not appear on the ‘Proficiency’ statement at the final assessment point the student will be referred in practice and will not be able to be admitted to the NMC register until this has been achieved, together with all other NMC, EU and programme requirements.

GUIDELINES FOR GRADING OF PRACTICE: Grading may only be undertaken by the designated sign-off mentor.

a) For each criterion – ascertain whether student has achieved all statements i) If Yes:

Initial/ countersign and date all those cues in the statements achieved

Write comments in the ‘Evidence of achievement’ box and sign

When all statements for a criterion have been achieved award a grade (see below).

ii) If No:

Do not initial the cues in the statements which have not been achieved

Write comments and sign in the relevant box ‘Comment if not achieved’ explaining why the student hasn’t achieved

Identify a brief plan on how criteria can be achieved

b) Awarding a grade You need to take the following into consideration when deciding upon a grade:-

Your evidence and observations from working with the student. Comments and reports from other practitioners, service users, etc. Using the grid at the end of this section, determine the appropriate grade for

each criterion. The column headed ‘Criteria’ may be a helpful starting point. Many sign off mentors find it appropriate to determine the grade band (i.e. 40’s, 50’s) before deciding on the specific mark. Only grades identified in the banding should be used (eg: 52% or 55% or 58%). To identify the specific mark it may be helpful to consider the bands on either side to determine if the student falls within top, middle or bottom of the identified band.

The band of 42% - 48% indicates that the student is meeting the minimum requirements of the criterion, and is practising safely

A pass mark of 40% must be achieved in all statements, or the student will be referred in the module and will be unable to progress until all statements have achieved a pass grade (NMC 2009). Under University Regulations, the student is only allowed two attempts at practice.


c) Tripartites A tripartite meeting between student, sign-off mentor and a midwifery lecturer must take place before submission; it should be arranged in advance by the student. The following should take place at this meeting:

i) A process of moderation, this is where the evidence and proposed grades are reviewed, correlation between the comments and grade should be evident.

ii) A checking process to ensure the following are completed: Signature record completed European Union Midwifery Record completed Placement records completed Initials/signatures and dates inserted for all cues in the MAP Comments including evidence written by sign-off mentor for all

statements, having determined achievement/ non-achievement – signed and dated

Grade agreed for each MAP criterion – signed and dated by sign-off mentor, midwifery lecturer and student

Final year students - ‘Proficiency’ statement by sign-off mentor If interim grades are adjusted during this process, the original grade

should be crossed out and initialled by the sign off mentor; comments must be made if this is the case. An overall comment should also be documented by the sign-off mentor or midwifery lecturer if the student has been practising at an exceptionally high/ low level

iii) Failure to evidence all signatures and thereby the completed grading and moderation process will result in referral in the module.

If students or staff have any questions about understanding the assessment process or completing the documentation, or there are any concerns in practice please do not hesitate to contact a midwifery lecturer.

Criteria for awarding grades (based on the Undergraduate Guidelines on Assessment)

Grade Description Criteria Faculty Guidelines

Below 29 Clear failure to achieve a pass

Frequently fails to meet expectations in performance

Limited and inappropriate links between theory and practice. Unsafe or ineffective practice demonstrated.

32/35/38 Failure to achieve a pass

Sometimes meets expectations in performance

Poor understanding of practice issues. Evidence of unsafe practice.

42/45/48 Satisfactory pass

Meets expectations in performance

Safe practice demonstrated with some reference to evidence-based underpinning.

52/55/58 Good Sometimes exceeds expectations in performance

Consistently safe practice demonstrated with some reference to evidence-based rationale.

62/65/68 Very good Frequently exceeds expectations in performance

Safe and evidence-based practice consistently demonstrated.

72/76/80/84 Excellent Sometimes excellent/ outstanding performance

Incorporates evidence of consistently safe and best standards of practice.

86/90/95/100 Outstanding Consistently outstanding performance

Incorporates evidence of consistently safe and highest standards of practice. Outstanding comprehension of contemporary issues. Excellent application of recent research to practice.


EXAMPLE OF COMPLETED MENTOR ASSESSMENT OF PRACTICE/ PROFICIENCIES (MAP) CRITERION

YEAR ONE

CRITERION 7 Personal and Professional Growth

1: Takes responsibility for personal and professional growth.

Initials Date

Appraises own strengths and weaknesses in an objective manner. J B 10/6/16

Understands the concept of lifelong learning. J B 10/6/16

Evidence of achievement

Emma is good at identifying her strengths and weaknesses. She has shared with

me her Capability Plan in her e-portfolio which provides evidence of this. She

occasionally brings in literature from theory to support new learning in practice,

for example some recent research on breastfeeding which I had not read.

Sign-off Mentor…… Julie Brown ………… Date…10/6/16….

Comment if not achieved Sign-off Mentor…………………………… Date………………..

2: Demonstrates assertiveness in clinical practice.

3: Demonstrates autonomy in and accountability for own clinical practice.

Initials Date

Is able to accept criticism and reflect upon it constructively. RW 30/5/16

Recognises importance of accountability in midwifery practice and acts within own limitations.

J B 10/6/16

Evidence of achievement

Emma has worked some shifts with me as buddy mentor. I have found that she

responds well to feedback. An example was when she did not record a woman’s urinary

output and I explained why this was important. Emma has since recorded all

measurements. Rose Williams 30/5/16 I have also found that Emma consistently responds well to feedback. She will also

always ask for help if she is unsure how to do something. I have recently allocated

her a couple of women and their babies to care for under indirect supervision and she

has provided very good care and sought my advice when deviations from the norm

such as pyrexia have been noted.

Sign-off Mentor………… Julie Brown …… Date……10/6/16…

Comment if not achieved Sign-off Mentor…………………………………. Date……………….`


TRIPARTITE


First attempt

Grade ……65…….…..%

Sign-off mentor signature …… Julie Brown ………..………… Date …10/6/16…….

Student signature ……………………Emma Black………………… Date ….. 10/6/16….… Lecturer signature ………………Annie Tutor……………………… Date …..10/6/16……

Comments and suggestions for improvement:

Emma is making very good progress and tries to link theory with practice to inform

her development. She would benefit from reading around situations encountered in

practice to further enhance this, which will also help her to gain confidence in caring for

women experiencing normality under decreasing levels of supervision.

Julie Brown 10/6/16

Second attempt Grade ………….…..%

Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date ……………………



GLOSSARY OF TERMS: Criteria = Skills clusters in the MAP which are summatively assessed at progression points (see below). These comprise the Essential Skills Clusters and additional criteria necessary to achieve the Midwifery Standards (NMC 2009). A grade is awarded for each criterion by the sign-off mentor, and these are aggregated to provide the overall grade for practice at the summative point. There are 9 criteria in total. Cue = Brief sentence which provides further information about specific skills/ evidence required within a statement. These must be initialled and dated by the sign-off mentor or designated buddy; all must be countersigned by the sign-off mentor. Essential Skills Clusters (ESC) = Specific areas of practice required by the NMC to be explicitly demonstrated in all pre-registration Midwifery Programmes approved from September 2008 (NMC 2009). MAP = Mentor Assessment of Practice (‘Proficiencies’ in 2008 curriculum): Midwifery assessment of practice document, based on the NMC Standards for pre-registration midwifery education and Essential Skills Clusters (NMC 2009). Competencies = The standards identified by the NMC as necessary to enter the register as a midwife (NMC 2009). Progression point = “A point/s established for the purpose of making summative judgements about safe and effective practice in a programme. These are to be passed before the student midwife is allowed to progress.” (NMC 2007c, p1). In the midwifery programme, a progression point occurs at the end of each academic year and is ratified at the University Examination Board. Sign-off mentor = An experienced and suitably qualified mentor who has met additional criteria required by the NMC and been annotated on the mentor register as a “sign-off mentor” (NMC 2008a). All midwifery mentors must be sign-off mentors, and they must record or counter-sign all entries in the MAP. Determination of achievement/ non-achievement and grading can only be undertaken by the sign-off mentor (NMC 2009). Statement = Sentence above the relevant section of MAP which indicates the expectation from women of a newly registered midwife relating to each criterion. All statements need to have been achieved for the student to receive a pass grade for the criterion, at the level identified by the cues in the first column. Only the sign-off mentor may determine this achievement/ non-achievement and is responsible for writing the comments. Summative assessment = Assessment of a student’s achievement/ non-achievement at the progression point. Any interim grades awarded by previous sign-off mentors are verified by the summative sign-off mentor, following discussion with these individuals, as required. Final grades are awarded for all criteria by the sign-off mentor during discussion with a midwifery lecturer at the tripartite. Signatures of the student, sign-off mentor and attending midwifery lecturer must be documented for every criterion and the aggregated grid.


YEAR ONE

MENTOR ASSESSMENT OF PRACTICE

(MAP)

Please note that it is YOUR responsibility to ensure that all statements are fully

initialled and dated, and include written evidence and signature of the sign-off

mentor before you submit your OAR. The grading section for each

criterion must be signed and dated by all parties. Absence of any of these will

result in referral in the module. Attention to detail is a vitally important part of

midwifery practice and record-keeping.


BSc (Hons) Pre Registration Midwifery

Mentor Assessment of Practice (MAP)

Year 1

Based on the Standards for pre registration midwifery education (NMC 2009)

NOTE THAT THE LEVEL EXPECTED IN YEAR ONE IS

‘REFLECTION AND KNOWLEDGE UNDER DIRECT SUPERVISION’

CRITERION Page No.

1 Initial Consultation between the Woman and the

Midwife * 111

2 Ongoing Antenatal Care 115

3 Normal Labour and Birth * 117

4 Postnatal and Neonatal Care 122

5 Initiation and Continuance of Breastfeeding * 125

6 Medical Products Management* 130

7 Personal and Professional Growth 133

8 Risk Assessment and Management Skills 135

9 Communication* 137

*Indicates linked to Essential Skills Clusters


CRITERION 1 Initial Consultation between the Woman and the Midwife

1: Be confident in sharing information about common antenatal screening tests

Initials Date

Is aware of the main NHS-managed antenatal screening programmes that are offered to pregnant women.

Participates in sharing information with women about common antenatal screening tests.

Can respect the decision of women to decline services or treatment.

Evidence of achievement Sign-off Mentor…………………………… Date………………..



2: Completes an initial consultation accurately ensuring women are at the centre of care.

Initials Date

Ensures consent is obtained before any care is initiated.

Assists in determining preferences to maximise an individual approach to care.

Participates in explaining to women the aim of the initial consultation relevant to gestation.

Participates in assessing maternal and fetal wellbeing, relevant to the stage of pregnancy.

Participates in explaining findings in a sensitive manner and encourages women to ask questions.

Participates in explaining to women lifestyle considerations in relation to diet, smoking and drugs.




3: Works collaboratively with other healthcare professionals and external agencies.

4: Be the first point of contact when seeking advice and/or information about being pregnant.

Initials Date

Works alongside other health care professionals who input into antenatal care.

Is able to demonstrate how and where a midwife can be accessed as the first point of contact.




TRIPARTITE


First attempt

Grade ………….…..%

Sign-off mentor signature …………..…………….…………… Date……………………….. Student signature …………………………………………..…… Date……………………….. Lecturer signature …………………………...…………………… Date………………………..


Second attempt

Grade ………….…..%




CRITERION 2 Ongoing Antenatal Care

1: Be able to accurately monitor maternal and fetal wellbeing throughout pregnancy, taking action as appropriate.

Initials Date

Is able to conduct basic assessments of maternal and fetal wellbeing, including abdominal examination, monitoring of vital signs and auscultation of the fetal heart.

Communicates findings to women at a level appropriate for their understanding.



2: Advises women on a range of health issues related to their pregnancy.

Initials Date

Demonstrates knowledge and understanding of the physiological changes in normal pregnancy.

Recognises some of the minor disorders of pregnancy.

Is able to impart basic health information on a limited range of issues, to women and their families.




TRIPARTITE


First attempt

Grade ………….…..%



Second attempt

Grade ………….…..%




CRITERION 3 Normal Labour and Birth

1: Work in partnership with women to facilitate a birth environment that supports their needs.

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

Initials Date

Ensures a women-centred approach to care; is sensitive to cultural and social factors when providing care for women.

Respects the rights of women and ensures privacy and provides care with dignity, making appropriate use of the environment.

Participates in ‘being with women’ during their labour and birth to provide safe and sensitive care.

Incorporates birth plans or written instructions that identify the wishes of women, in any care provided.

Respects silence.

Participates in changing the physical environment to meet the needs of women, such as lighting, furniture, temperature.

Participates in ensuring the comfort needs of women are met, such as: bladder care, appropriate hydration, nutritional intake, hygiene requirements, prevention of infection, assessment of skin integrity.

Participates in working with women to determine their coping strategies in order to support their preferences for pain management, such as mobilising, different positions, use of water, silence




3: Determine the onset of labour.

4: Determine the wellbeing of women and their unborn babies (during labour).

5: Measure, assess and facilitate the progress of normal labour.

Initials Date

Participates in using observation, history-taking and clinical assessment to determine the onset of labour.

Participates in the monitoring of maternal vital signs (during labour), such as maternal pulse and blood pressure.

Participates in monitoring fetal wellbeing (during labour) which includes assessment of liquor volume and colour and intermittent auscultation of the fetal heart using a Pinard stethoscope.

Participates in assessing the progress of labour using observation, such as behaviour; abdominal examination; vaginal examination where appropriate.

Participates in informing women sensitively about their progress, giving feedback in a positive manner.

Assists in supporting women to use a variety of birthing aids, such as birthing balls.




6: Support women and their partners in the birth of their babies.

7: Facilitate the mother and baby to remain together.

Initials Date

Recognises the importance of offering choices related to this phase (birth) and sensitively informs women of their progress.

Recognises the latent and active phase of birth.

Assists in preparing necessary equipment for the birth.

Assists in monitoring maternal and fetal wellbeing.

Assists in assessing the wellbeing of the baby immediately after birth.

Supports feeding when the baby is ready, monitoring close proximity of the mother to the baby.

Delays any unnecessary separation of mother and baby, avoiding early routine procedures such as weighing.




8: Identify and safely manage appropriate emergency procedures.

9: Work collaboratively with other practitioners.

Initials Date

Participates in “drills and skills” procedures related to adult resuscitation.

Is confident in initiating basic emergency call procedures relevant to local policy.

Acts in accordance with the The Code: Standards of conduct, performance and ethics for nurses and midwives (NMC 2015)



10: Keep accurate records.

Initials Date

Assists in keeping accurate and legible records which include planning, implementation and evaluation of care, interventions and findings.




TRIPARTITE


First attempt

Grade ………….…..%



Second attempt

Grade ………….…..%




CRITERION 4 Postnatal and Neonatal Care

1: Accurately monitor maternal and neonatal wellbeing throughout postnatal period, taking action as appropriate

Initials Date

Is able to conduct basic assessments of maternal and neonatal wellbeing and communicates findings to women at a level appropriate for their understanding.



2: Advise women on a range of maternal and neonatal health issues related to the postnatal period

Initials Date

Demonstrates knowledge and understanding of the maternal and neonatal physiological changes in the postnatal period and is beginning to recognise deviations from the norm.

Is able to impart basic maternal and neonatal health information to women and their families.




3: Provides individualised and seamless care in partnership with women and other care providers during the postnatal period.

Initials Date

Participates in working sensitively with women, identifying factors which may contribute to a woman’s psychosocial wellbeing.

Beginning to recognise when women may require involvement of other professionals in their care.




TRIPARTITE


First attempt

Grade ………….…..%



Second attempt

Grade ………….…..%




CRITERION 5 Initiation and Continuance of Breastfeeding

1: Understand and share information that is clear, accurate and meaningful at a level which women, their partners and family can understand.

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

Initials Date

Participates in communicating sensitively the importance of breastfeeding, and the consequences of not breastfeeding, in terms of health outcomes (BFI).

Observes a variety of forums where information is shared in respect of the advantages and disadvantages of different infant feeding methods.

Has an awareness of own thoughts and feelings about infant feeding in order to facilitate information sharing to be ethical and non-judgemental.

Is sensitive to issues of diversity when sharing with women and respects the rights of women




3: Support women to breastfeed.

Initials Date

Has a willingness to learn from women.

Assists in ensuring that the needs of women are met in developing a clear care pathway.

Participates in explaining to women the importance of baby-led feeding in relation to the establishment and maintenance of breastfeeding (BFI).

Recognises effective positioning, attachment, suckling and milk transfer.

Is able to teach mothers the necessary skills to enable them to effectively position and attach their baby for breastfeeding (BFI).

Explains to women the importance of their baby rooming-in with them and baby holding in the postnatal period as a means of facilitating breastfeeding.

Recognises common complications of breastfeeding, how these arise and demonstrates how women may be helped to avoid them (BFI).

Participates in teaching women how to hand express their breast milk and how to store, freeze and warm it with consideration to aspects of infection control (BFI).




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

5: Work collaboratively with other practitioners and external agencies.

Initials Date

Participates in assessing appropriate growth and development of the neonate.

Participates in carrying out physical examinations as necessary with parent’s consent.

Informs women of the findings from any assessment/examination performed, in a manner that is understood by the women.

Works within The Code: Standards of conduct performance and ethics for nurses and midwives (NMC 2015).

Works actively as a team member.

Values others’ roles and responsibilities in supporting women to breastfeed.

Shares information about national and local agencies and networks that are available to support women in the continuation of breastfeeding, such as Lactations Consultants, National Childbirth Trust and La Leche League.




6: Support women to breastfeed in challenging circumstances.

Initials Date

Is aware of the limited number of situations in which exclusive breastfeeding is not possible and participates in supporting women to partially breastfeed or artificially feed (BFI).

Is sensitive to the needs of women and their partners.




TRIPARTITE


First attempt

Grade ………….…..%



Second attempt

Grade ………….…..%




CRITERION 6 Medical Products Management

1: Within the parameters of normal childbirth, ensure safe and effective practice through comprehensive knowledge of medicinal products, their actions, risks and benefits including the ability to recognise and respond safely to adverse drug reactions and adverse drug events.

Initials Date

Has an understanding of basic pharmacology, how medicines act and interact in the systems of the body as well as their therapeutic action on a limited range of medicines in relation to midwifery practice

Can identify potential side effects and/or adverse reactions for a limited range of commonly administered medicinal products

Has successfully achieved the Plymouth University mandatory anaphylaxis test.




2: Undertake medicinal product calculations correctly and safely

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

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

Initials Date

Competent in calculating common dosages of medicinal products used in normal midwifery practice

Administers oral medication to women and safely monitors its effect, under direct supervision.

Utilises and disposes of equipment needed to prepare/administer medication (e.g. needles, syringes, gloves) safely.

Demonstrates an understanding of professional responsibility in maintaining accurate records including regulation, national and local policy and guidelines




TRIPARTITE


First attempt

Grade ………….…..%

Sign-off mentor signature …………..…….…………… Date……………………….. Student signature …………………………………..…… Date……………………….. Lecturer signature ………………………………………… Date………………………..


Second attempt

Grade ………….…..%

Sign-off mentor signature …………..…….…………… Date……………………….. Student signature …………………………………..…… Date……………………….. Lecturer signature …………………………..…………… Date………………………..




1: Takes responsibility for personal and professional growth.

Initials Date

Appraises own strengths and weaknesses in an objective manner.

Understands the concept of lifelong learning.



2: Demonstrates assertiveness in clinical practice.

3: Demonstrates autonomy in and accountability for own clinical practice.

Initials Date

Is able to accept criticism and reflect upon it constructively.

Recognises importance of accountability in midwifery practice and acts within own limitations.




TRIPARTITE


First attempt

Grade ………….…..%



Second attempt

Grade ………….…..%




CRITERION 8 Risk Assessment and Management Skills

1: Follows Trust guidelines and policies to meet service needs.

2: Demonstrates the ability to manage risk.

3: Can manage workload and make decisions.

Initials Date

Can access the Trust and Maternity Services guidelines and policies as appropriate.

Can verbalise the organisation of Maternity Services within own clinical practice area, demonstrating understanding.

Knows how to summon on-call staff.

Can reflect upon the witnessed role and decision-making of the midwife when complications occur.




TRIPARTITE


First attempt

Grade ………….…..%

Sign-off mentor signature …………..…….…………… Date……………………….. Student signature …………………………………..…… Date……………………….. Lecturer signature ………………………………………… Date………………………..


Second attempt

Grade ………….…..%

Sign-off mentor signature …………..………………… Date……………………….. Student signature ………………………….……..….… Date……………………….. Lecturer signature ………………………………………… Date………………………..



CRITERION 9 Communication

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

Initials Date

Communicates effectively so that the meaning is always clear.

Uses strategies to enhance communication and remove barriers in order to make communication effective.

Records information accurately and clearly on the basis of observation and communication.

Always seeks to confirm understanding.

Responds in a way that confirms what the woman is communicating.

Communicates the needs and wishes of the woman to other professionals.

Participates in group sessions to share information.




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

Initials Date

Applies the principles of confidentiality as outlined by the NMC.

Protects and treats information as confidential except where sharing information is required for the purposes of safeguarding and/ or public protection.

Applies the principles of data protection.




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

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

Initials Date

Participates in sharing evidence-based information with women in order for them to make an informed decision about their care.

Applies principles of consent in accordance with The Code: Standards of conduct, performance and ethics for nurses and midwives (NMC2015).

Participates in ensuring that the meaning of consent is understood by the woman.




5: Treat women with dignity and respect them as individuals.

Initials Date

Takes a woman-centred approach to care.

Demonstrates respect for diversity and individual preferences.

Applies the concept of dignity.

Delivers care with dignity making use of the environment, self, skills and attitude.

Identifies factors which maintain the dignity of women.

Acts in a way that demonstrates respect for others and that promotes and values differences.




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

Initials Date

Participates in working in partnership with women that is sensitive

to age, culture, religion, spiritual beliefs, disability, gender and

sexual orientation.

Respects people’s rights.

Adopts a principled approach to care underpinned by The Code:

Standards of conduct, performance and ethics for nurses and

midwives (NMC 2015).




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

Initials Date

Is attentive and acts with kindness and dignity.

Recognises the appropriateness of silence in certain situations.

Is able to initiate a conversation.

Takes into account the woman’s responses.

Talks in a manner that is interpreted by the woman as warm, sensitive, kind and compassionate.

Maintains a supportive relationship with women and their families.




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

Initials Date

Works within The Code: Standards of conduct, performance and ethics for nurses and midwives (NMC 2015).

Works as an active team member.

Supports and assists others appropriately.

Values others’ roles and responsibilities within the team and interacts appropriately.

Communicates with colleagues verbally (face-to-face and by telephone) and in writing and electronically and checks that the communication has been fully understood.

Reflects on own practice and discusses issues with other members of the team to enhance learning.




TRIPARTITE


First attempt

Grade ………….…..%

Sign-off mentor signature …………..…….…………… Date……………………….. Student signature …………………………………..…… Date……………………….. Lecturer signature …………………………...…………… Date………………………..


Second attempt

Grade ………….…..%

Sign-off mentor signature ……………….…………… Date……………………….. Student signature ……………………….………..…… Date……………………….. Lecturer signature …………………………..…………… Date………………………..



YEAR TWO


(MAP)

THIS SECTION MUST NOT BE COMPLETED UNTIL YEAR ONE OF THE PROGRAMME HAS BEEN SUCCESSFULLY COMPLETED AND PROGRESSION TO YEAR TWO HAS

BEEN CONFIRMED Please note that it is YOUR responsibility to ensure that all statements are fully



criterion must be signed and dated by all parties. Absence of any of these will

result in referral in the module. Attention to detail is a vitally important part of




Mentor Assessment of Practice (MAP) Year 2


NOTE THAT THE LEVEL EXPECTED IN YEAR TWO IS

‘INTERNALISATION OF KNOWLEDGE AND SKILLS UNDER MINIMAL SUPERVISION’

CRITERION Page No.


Midwife * 147













Initials Date

Is able to provide information regarding screening tests

Is beginning to interpret data/ results and shares this information with women under supervision

Demonstrates sensitivity in situations such as previous bereavement or affected/ high risk screening result

Demonstrates knowledge of wide sources of information to assist women in making choices

Knows limitations in knowledge of specialised antenatal screening tests and refers appropriately




2: Completes an initial consultation accurately, ensuring women are at the centre of care Initials Date

Demonstrates the ability to: o Share information with women o Assess maternal and fetal wellbeing and identify deviations from the

normal o Suggest an appropriate care pathway in partnership with individual

women

Recognises social, religious and cultural factors influencing individual antenatal care pathways

Beginning to recognise the need for and advise women on more specialist services

Can explain normal pregnancy development to women

Beginning to facilitate women to share sensitive information eg: disclosure of domestic violence

Demonstrates sound knowledge of pregnancy care services and options available and lifestyle considerations




3:Work collaboratively with other healthcare professionals and external agencies

4:Be the first point of contact when seeking advice and/or information about being pregnant Initials Date

Demonstrates knowledge of specialist services and knows referral process

Beginning to liaise with other healthcare professionals and agencies as required

Beginning to broaden involvement in initiating contact in a variety of settings

Has been exposed to a variety of models of service delivery




TRIPARTITE CRITERION 1 Initial Consultation between the Woman and the Midwife

First attempt Grade ………….…..%

Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:


Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:



1:Be able to accurately monitor maternal and fetal wellbeing throughout pregnancy, taking action as appropriate Initials Date

Becoming confident in undertaking clinical assessments of maternal and fetal wellbeing, including monitoring progress of pregnancy

Beginning to recognise deviations from the normal

Is able to explain findings to women

Documents these clearly and accurately

Evidence of achievement Sign-off Mentor………………………….. Date………………..



2:Advises women on a range of health issues related to their pregnancy Initials Date

Participates in educating women on a range of health issues, including antenatal screening

Demonstrates respect for women’s individual beliefs and preferences

Communicates with women on a level which ensures understanding, and checks that the meaning is clear



3:Acknowledge women as individuals in a wider psychosocial context in pregnancy

Initials Date

Can identify factors which may contribute to a woman’s psychosocial wellbeing, and discusses these sensitively with women




4:Provide seamless care in partnership with women and other care providers during the antenatal period Initials Date

Is able to devise a plan of care in partnership with the woman and her family in normal pregnancy

Refers women to other members of the multidisciplinary team as appropriate.




TRIPARTITE CRITERION 2 Ongoing Antenatal Care







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

2:Be attentive to the needs of women before, during and after the birth Initials Date

Developing skills to ensure that women’s labour and birth is diversity sensitive, meeting individual needs and preferences

Developing skills to anticipate and provide for the needs of women

Learning to acknowledge the roles and relationships in families, dependent on religious and cultural beliefs, preferences and experiences

Is able to state the relevant legislation

Developing skills in listening to, watching for and responding to verbal and non-verbal cues

Starting to apply current knowledge of the physiology of labour and birth

Developing skills of observation and active listening




3:Determine the onset of labour

4:Determine the wellbeing of women and their unborn babies (during labour)

5: Measure, assess and facilitate the progress of normal labour

Initials Date

Skills in identifying onset of labour developing

Able to reflect upon findings

With support, beginning to discuss findings with women

Skills in interpreting findings mostly accurate

Beginning to share this information with women

Able to discuss situations when women would benefit from the skills and knowledge of other individuals

Able to discuss measures to reduce or remove risk that could be detrimental to women, self and others

Beginning to recognise the latent and active phases of labour

Is developing the ability to assess progress of labour

Is developing the skills and knowledge to manage normal labour and birth

Beginning to recognise when interventions, i.e. continuous electronic fetal heart monitoring, urinary catheterisation are required

Knowledge and skills in undertaking interventions developing

Ability to discuss woman’s birth plan/written wishes

Ability to discuss with women the progress of labour in relation to birth plan / written wishes developing

Ability to seek informed consent prior to undertaking any procedure developing

Beginning to recognise deviations from the normal progress of labour or wellbeing of the woman or fetus

Assesses and monitors the woman’s condition throughout the third stage of labour, is able to assist in safe delivery of the placenta and membranes by physiological or active management

Refers women appropriately to other health professionals and continues to work within this multidisciplinary team




6:Support women and their partners in the birth of their babies

7:Facilitate the mother and baby to remain together Initials Date

Prepares the environment ready for birth

Safely and sensitively supports women in the birth of their baby

Accurately assesses the health and wellbeing of the newborn baby

Developing skills in promoting an environment that is protective of the maternal infant attachment process, such as minimal handling of the baby, discovering gender, fostering maternal infant eye contact, skin-to-skin contact




8:Identify and safely manage appropriate emergency procedures

9:Works collaboratively with other practitioners Initials Date

Is able to recognise an emergency situation and seeks help appropriately

Developing role as an advocate for women

Able to discuss issues that require professionals to balance competing / conflicting priorities

Able to state the situations when other professional help required



10:Keep accurate records

Initials Date

Develops ability to keep accurate records, minimal support required

Developing evidence of reasoning behind any actions or interventions taken




TRIPARTITE CRITERION 3 Normal Labour and Birth







1:Be able to accurately monitor maternal wellbeing throughout postnatal period, taking action as appropriate Initials Date

With minimal supervision can assess, plan, implement and evaluate postnatal care for mothers who have had normal births, instrumental deliveries or caesarean sections

Recognises deviations from the normal, complications and /or problems during the postnatal period




2:Be able to accurately monitor neonatal wellbeing throughout postnatal period, taking action as appropriate Initials Date

With minimal prompting, can assess, plan, implement and evaluate postnatal care of normal babies

Can detect and report common deviations from normal neonatal progress

Recognises when referral to other health professionals / agencies is required



3:Advise women on a range of health issues related to the postnatal period Initials Date

Able to discuss basic health information on a wide range of issues

Beginning to discuss more complex health issues with women




4: Advises women on a range of health issues related to the neonate

Initials Date

Able to discuss basic health information on a wide range of issues

Beginning to discuss more complex health issues in relation to the neonate



5:Acknowledges women as individuals in a wider psychosocial context in the postnatal period Initials Date

Able to identify factors which contribute to a woman’s psychosocial wellbeing

Beginning to recognise when women have risk factors




6:Provides seamless care in partnership with women and other care providers during the postnatal period Initials Date

Recognises when other health professionals / agencies are required




TRIPARTITE CRITERION 4 Postnatal and Neonatal Care







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

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

Gaining confidence in communication skills, with an emphasis on listening to women and establishing understanding, when discussing breastfeeding issues

Participates in sharing information with women about the advantages and disadvantages of different infant feeding methods, in a variety of forums, demonstrating an understanding of the importance of exclusive breastfeeding

Applies knowledge of a variety of interventions to promote and support breastfeeding

Applies knowledge of relevant research when giving information to women

Maintains accurate records of care and interventions relating to infant feeding

Is beginning to develop knowledge of breastfeeding initiatives in the locality

Demonstrates sensitivity towards cultural traditions and beliefs when exploring women’s attitudes to breastfeeding

Is able to support women’s choice whilst promoting breast feeding, irrespective of own personal beliefs




3: Supports women to breastfeed

Initials Date

Applies knowledge of the physiology of lactation to practical situations

Is able to advise women on correct positioning and attachment of their baby to the breast

Is able to assess the effectiveness of breastfeeding

Discusses options of pain relief in labour and the importance of skin-to-skin contact with women, taking into consideration the potential impact on the establishment of breastfeeding

Discusses with women other practices which may influence the establishment of breastfeeding (eg: bed-sharing and the use of dummies)

Is able to offer basic advice to women over the telephone regarding breastfeeding issues




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

5:Work collaboratively with other practitioners and external agencies Initials Date

Is able to recognise deviations from normal infant growth and share this information with women and other health professional, as needed

Recognises limitations in own practice, and seeks to address these through the involvement of appropriate others

Able to discuss locally based community support networks for breastfeeding

Is aware of the referral process to these support networks / resources

Demonstrates knowledge of the weaning process when discussing with women the importance of exclusive breastfeeding for the first six months




6:Support women to breastfeed in challenging circumstances

Initials Date

Recognises situations when specialised skills may be required to support women to successfully breastfeed

Recognises when deviations from normal infant growth require referral to appropriate health professionals

Participates in supporting women to initiate and maintain lactation when they are separated from their baby

Participates in feeding expressed breast milk to a baby, using a cup and/ or syringe as appropriate

Demonstrates knowledge of the use of a mechanical breast pump




TRIPARTITE CRITERION 5 Initiation and Continuance of Breastfeeding







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

Initials Date

Has an understanding of basic pharmacology, how medicines act and interact in the systems of the body as well as their therapeutic action on a limited range of medicines in relation to midwifery practice

Can identify potential side effects and/or adverse reactions for a limited range of commonly administered medicinal products

Has successfully achieved the Plymouth University mandatory anaphylaxis test

Evidence of achievement Sign-off Mentor…………………………… Date……………………………..

Comment if not achieved Sign-off Mentor…………………………… Date…………………………….


2:Undertake medicinal product calculations correctly and safely

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

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

Initials Date

Competent in calculating common dosages of medicinal products used in normal midwifery practice Please note – the NMC require that this assessment takes place in practice and a 100 per cent pass mark is required. This means that all calculations undertaken in clinical practice must be correctly calculated

Administers oral medication to women and safely monitors its effect, under direct supervision

Utilises and disposes of equipment needed to prepare/administer medication (e.g. needles, syringes, gloves) safely

Demonstrates an understanding of professional responsibility in maintaining accurate records including regulation, national and local policy and guidelines

Under supervision is able to take a medicine history




5: Work within the legal and ethical framework that underpins safe and effective medicinal products management, as well in conjunction with national guidelines and local policies

Initials Date

Demonstrates an understanding of the legal and ethical frameworks relating to safe administration of medicinal products in practice



6:Work in partnership with women to share information in assisting them to make safe and informed choices about medicinal products related to themselves, their unborn children or their babies

Initials Date

Participates in involving women in administration and/or the self-administration of medicinal products




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

Initials Date

Demonstrates awareness of a range of commonly recognised approaches to supporting women throughout childbirth, e.g. relaxation, distraction, life style advice



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

Initials Date

Applies knowledge of local policies to safe storage and transport of medicinal products

Demonstrates ability to store medicinal products safely




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

Initials Date

Is able to access commonly used evidence-based sources of information relating to the safe and effective management of medicinal products



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

Initials Date

Is able to state where a range of medicinal products required in an obstetric emergency are stored




TRIPARTITE








1:Take responsibility for personal and professional growth

Initials Date

Self-evaluates through active reflection, and identifies appropriate goals for enhancing development of knowledge, skills and attitudes



2:Demonstrate assertiveness in clinical practice

3:Demonstrate autonomy and accountability for own clinical practice

Initials Date

Is able to appropriately: o express opinions o make requests o say no o allow others to express opinions

Is beginning to exercise professional judgement and can justify actions (seeking guidance where needed)




TRIPARTITE CRITERION 7 Personal and Professional Growth







1:Follows Trust guidelines and policies to meet service needs

2:Can manage workload and make decisions

3:Demonstrates the ability to manage risk Initials Date

Appropriately utilises policies and guidelines in the delivery of care for both low and high-risk women and their fetuses/ babies

Is able to prioritise and plan workload with minimal supervision when providing normal care, and under direct supervision when there are risk factors

Can state the role of the Supervisor of Midwives

Has attended one of the following and reflected upon the learning gained:

o Clinical audit meeting o Labour Ward case discussion meeting o Perinatal meeting o Other (please specify)

Understands the clinical risk reporting system:

o Incident reporting o Risk assessment o Risk management




TRIPARTITE CRITERION 8 Risk Assessment and Management Skills







1:Be attentive and share information that is clear, accurate and meaningful at a level which women, their partners and family can understand Initials Date

Demonstrates the ability to communicate sensitively and effectively with women in a variety of settings

Begins to plan care in partnership with women

Records information accurately and comprehensively, using a variety of methods

Beginning to challenge other professionals as required, in order to clarify the woman’s wishes and understanding

Applies effective communication skills in both individual and group settings




2:Protect and treat as confidential all information relating to themselves and their care Initials Date

Maintains confidentiality and is beginning to apply these principles in more challenging situations

Demonstrates understanding of the principles of appropriate access to and sharing of information

Acts within the law relating to data protection




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

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

Respects women and their partners’ right to make choices in their care

Explains evidence-based information in a way which women can understand

Demonstrates knowledge of a range of available sources of information when discussing options with women

Seeks consent for all procedures

Beginning to broaden explanations to women when seeking consent, to ensure that this is informed

Respects woman’s autonomy and right to refuse consent




5:Treat women with dignity and respect them as individuals Initials Date

Is able to relate to and respect the differences between individuals

Maintains the dignity of women in all situations

Takes appropriate action to ensure that those with different languages, beliefs or abilities are respected and assisted to maintain their dignity




6:Work in partnership with women in a manner that is diversity sensitive and is free from discrimination, harassment and exploitation Initials Date

Recognises diversity and works in partnership with women from a range of backgrounds

Beginning to actively protect women from discrimination, harassment and exploitation



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

Beginning to anticipate women’s needs through both verbal and non-verbal cues

Provides physical and emotional comfort to women and their families

Beginning to recognise how own values may impact on interactions with women

Beginning to recognise and manage appropriately own or others’ distress or discomfort




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

Recognises and respects the differences in the roles of team members

Acknowledges the importance of maintaining good interprofessional relationships

Knows when to refer women to other members of the multi-professional team

Demonstrates the ability to reflect on own role within a team situation




TRIPARTITE







YEAR THREE


(MAP)

THIS SECTION MUST NOT BE COMPLETED UNTIL YEAR TWO OF THE PROGRAMME HAS BEEN SUCCESSFULLY COMPLETED AND PROGRESSION TO YEAR TWO HAS

BEEN CONFIRMED Please note that it is YOUR responsibility to ensure that all statements are fully



criterion must be signed and dated by all parties. The final ‘Proficiency’

statement must also be completed in full. Absence of any of these will result in

referral in the module. Attention to detail is a vitally important part of




Mentor Assessment of Practice (MAP) Year 3


NOTE THAT THE LEVEL EXPECTED IN YEAR THREE IS

‘PROFICIENT AND COMPETENT, ACCURATE PERFORMANCE UNDER INDIRECT SUPERVISION’

CRITERION Page No.


Midwife * 189













Initials Date

Acts professionally to ensure that personal judgements, prejudices, values, attitudes and beliefs do not compromise the provision of care

Facilitates informed choices regarding antenatal screening tests ensuring women fully understand the purpose of all tests before they are taken

Interprets data/results accurately and shares this information sensitively with women, including the ability to discuss any further action/ consequences as necessary

Conducts general information sharing eg: optimum times for testing as appropriate through a variety of multi-media channels, such as texting

Shares information effectively in challenging circumstances, such as a previous bereavement, or affected/high risk screening result

Discusses with women local/ national information to assist with making choices, including local and national voluntary agencies and websites

Is able to seek out required information about less common/ specialised antenatal screening tests




2: Completes an initial consultation accurately, ensuring women are at the centre of care Initials Date

Shows the ability consistently to: o Share information with women o Assess maternal and fetal wellbeing relevant to gestation, and

acts upon the need to refer to appropriate individuals where necessary

o Plan, in partnership with women, a care pathway to ensure individual needs are met

Explores effectively social, religious and cultural factors that inform an individualised antenatal care pathway for women that is diversity sensitive

Is competent in recognising and advising women who would benefit from more specialist services

Empowers women to recognise normal pregnancy development and when to seek advice

Is skilled in providing the opportunity to women to disclose domestic abuse and is able to respond appropriately

Is competent in sharing information about the pregnancy care services and options available, lifestyle considerations, including dietary information, and screening tests




3:Work collaboratively with other healthcare professionals and external agencies

4:Be the first point of contact when seeking advice and/or information about being pregnant Initials Date

Is competent to refer women who would benefit from more specialist services, such as a local substance misuse support unit

Is able to collaborate effectively with the wider healthcare team and agencies as required

Where available, is actively involved in being accessible for women in environments other than traditional NHS settings, such as shops, supermarkets, leisure centres

Is confident in working in a variety of models of service delivery which encourage early access to care




TRIPARTITE CRITERION 1 Initial Consultation between the Woman and the Midwife







1:Be able to accurately monitor maternal and fetal wellbeing throughout pregnancy, taking action as appropriate Initials Date

Consistently assesses the progress of normal pregnancy with accuracy

Is able to interpret findings and refer appropriately if there are deviations from normal

Maintains all documentation relating to pregnancy clearly and professionally



2:Advises women on a range of health issues related to their pregnancy Initials Date

Provides sound and evidence-based information and explanation to women on a wide range of health issues

Respects individual beliefs and preferences, and works in partnership with women and their families to facilitate informed choice




3:Acknowledge women as individuals in a wider psychosocial context in pregnancy

Initials Date

Accurately identifies factors which may contribute to a woman’s psychosocial wellbeing

Refers to appropriate professionals or agencies if there are concerns



4:Provide seamless care in partnership with women and other care providers during the antenatal period Initials Date

Demonstrates confidence in caring for a woman in normal pregnancy, working in partnership with her and her family

Collaborates with other members of the multidisciplinary team as required, and communicates effectively with them and the woman




TRIPARTITE








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

2:Be attentive to the needs of women before, during and after the birth Initials Date

Supports the health, safety and wellbeing of women in a variety of birth settings other than the acute hospital environment

Ensures that women’s labour and birth is diversity sensitive, meeting individual needs and preferences

Inspires confidence, bases decisions on evidence and uses experience to guide decision making

Anticipates and provides for the needs of women

Acknowledges the roles and relationships in families, dependent upon religious and cultural beliefs, preferences and experiences

Practises in accordance with relevant legislation

Listens to, watches for and responds to verbal and non-verbal cues

Applies in-depth knowledge of the physiology of labour and birth

Uses skills of observation and active listening in order to analyse the effectiveness of care being provided




3:Determine the onset of labour

4:Determine the wellbeing of women and their unborn babies (during labour)

5: Measure, assess and facilitate the progress of normal labour

Initials Date

Identifies the onset of labour, discusses the findings accurately and shares this information with women, including the ability to discuss any further action / consequences as necessary

Assesses maternal wellbeing, interprets the findings accurately and shares this information with women and has the ability to discuss any further action / consequences as necessary Identifies and manages risk safely

Refers women who would benefit from the skills and knowledge of other individuals

Assesses and implements measures to manage, reduce or remove risk that could be detrimental to women, self and others

Identifies and appropriately manages latent and active phase of labour

Makes an accurate assessment of the progress of labour, shares this information with women and has the ability to discuss any further action / consequences as necessary

Is able to discuss with women the progress of labour in relation to their birth plan/written wishes and modify in partnership with women, as need dictates

Critically appraises and justifies the use of any intervention, such as artificial rupture of membranes, continuous electronic fetal monitoring, urinary catheterisation, in order to facilitate a spontaneous vaginal birth

Seeks informed consent prior to undertaking any procedure

Recognises any deviation from the normal progress of labour or wellbeing of the woman or fetus

Initiates timely referral of women who would benefit from the skills and knowledge of others

As part of a multi-disciplinary team continues to provide care to women undergoing complications




6:Support women and their partners in the birth of their babies

7:Facilitate the mother and baby to remain together Initials Date

Assesses accurately the progress of labour and shares this information with women and has the ability to discuss any further action / consequences as necessary

Prepares the environment ready for the birth

Cares for women sensitively and is attentive to the ‘moment of birth’, creating an environment that is responsive to the woman’s needs

Supports women safely in the birth of their baby

Initiates emergency measures if required, such as episiotomy

Initiates timely referral of women who would benefit from the skills and knowledge of others

As part of a multi-disciplinary team continues to provide care to women undergoing complications

Assesses and monitors the woman’s condition throughout the third stage of labour, facilitating safe delivery of the placenta and membranes by physiological or active management

Assesses accurately the health and wellbeing of the newborn baby

Initiates emergency measures if required

In a culturally sensitive manner, creates an environment that is protective of the maternal infant attachment process, such as minimal handling of the baby, discovering gender, fostering maternal infant eye contact , skin-to-skin contact




8:Identify and safely manage appropriate emergency procedures

9:Works collaboratively with other practitioners Initials Date

Initiates emergency measures in both primary and secondary care settings

Sustains emergency measures until help arrives

Is an advocate for women

Negotiates with others in relation to balancing competing / conflicting priorities

Articulates professional limitations and boundaries

Is confident to call appropriate professional regardless of hierarchy, when care requires expertise beyond the midwife’s current practice, or the needs of the women or baby fall outside the scope of midwifery practice

Practises in accordance with the NMC Midwives rules and standards




10:Keep accurate records

Initials Date

Details reasoning behind any actions or interventions taken

Evidence of achievement Sign-off Mentor………………………… Date………………..

Comment if not achieved Sign-off Mentor…………………………. Date………………..


TRIPARTITE CRITERION 3 Normal Labour and Birth







1:Be able to accurately monitor maternal wellbeing throughout postnatal period, taking action as appropriate Initials Date

Provides evidence-based midwifery care in the postnatal period in a variety of settings (eg: maternity unit, midwife-led unit, home).

Can articulate a clear plan of care for mothers who have had a normal birth, an instrumental delivery or a caesarean section



2:Be able to accurately monitor neonatal wellbeing throughout postnatal period, taking action as appropriate Initials Date

Without prompting can assess, plan, implement and evaluate postnatal care and progress of the healthy neonate

Recognises when there are deviations from the normal, and refers to other health professionals / agencies in a timely way




3:Advise women on a range of health issues related to the postnatal period Initials Date

Provides health promotion to postnatal mothers based on current available evidence and government policy

Can discuss with postnatal mothers their future contraception choices in a culturally sensitive way



4: Advises women on a range of health issues related to the neonate

Initials Date

Skilled at communicating with mothers and their families issues about the baby’s health and progress




5:Acknowledges women as individuals in a wider psychosocial context in the postnatal period Initials Date

Can empower postnatal mothers, taking into consideration their social, cultural and psychological needs



6:Provides seamless care in partnership with women and other care providers during the postnatal period Initials Date

Works in partnership with the woman and collaborates with other health professionals as appropriate




TRIPARTITE CRITERION 4 Postnatal and Neonatal Care







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

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

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

Uses skills of being attentive, open ended questioning and paraphrasing to support information sharing with women

Is able to lead a variety of forums where information is shared with women about the advantages and disadvantages of different infant feeding methods, without regarding breastfeeding and artificial feeding as ‘equal’ choices

Understands the importance of exclusive breastfeeding and the consequences of offering artificial milk to breastfed babies

Critically appraises the nature and strength of breastfeeding promotional and support interventions

Understands the nature of evidence and how to evaluate the strength of research evidence used to back information

Keeps accurate records of the woman and her baby relating to breastfeeding, including plans of care and any problems encountered or referrals made

Demonstrates a working knowledge of the local demographic area and explores strategies to support breastfeeding initiatives within the locality

Explores skilfully attitudes to breastfeeding

Takes into account differing cultural traditions, beliefs and professional ethics when communicating with women




3: Supports women to breastfeed

Initials Date

Applies in-depth knowledge of the physiology of lactation to practical situations (BFI)

Recognises effective positioning, attachment, suckling and milk transfer

Empowers women to recognise effective positioning, attachment, suckling and milk transfer for themselves (BFI).

Uses skills of observation, active listening and ongoing critical appraisal in order to analyse the effectiveness of breastfeeding practices

Is confident at exploring with women the potential impact of delivery room practices, such as the effect of different pain relief methods and the importance of skin-to-skin contact, on the wellbeing of their baby and themselves and on the establishment of breastfeeding in particular (BFI)

Explores with women the evidence-base underpinning information, which may have an impact on breastfeeding such as bed-sharing and the use of dummies (BFI)

Uses appropriate skills to support women to be successful at breastfeeding for the first six months of life (BFI)

Is skilled at advising women over the telephone when contacted for advice on breastfeeding issues




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

5:Work collaboratively with other practitioners and external agencies Initials Date

Acts upon the need to refer when there is a deviation from appropriate infant growth

Demonstrates skills to empower women to recognise appropriate infant growth and development and to seek advice when they have concerns

Practises within the limitations of their own competence, knowledge and sphere of professional practice, consistent with the legislation relating to midwifery practice

Works confidently, collaboratively and in partnership with women and others to ensure the needs of women are met

Understands the importance of community support for breastfeeding and refers women to community based support networks, both in supporting women to breastfeed and as a resource for health care professionals (BFI)

Works actively with other health professionals and external agencies to promote breastfeeding and support women in their choice to breastfeed

Is able to discuss with women the importance of exclusive breastfeeding for six months and timely introduction of complementary foods and continuing breastfeeding during the weaning period, into the second year of life and beyond




6:Support women to breastfeed in challenging circumstances

Initials Date

Involves appropriate help, such as a lactation consultant, where specialised skills are required, in order to support women to successfully breastfeed

Acts upon the need to refer to appropriate health professionals where deviation from appropriate infant feeding and growth patterns are apparent

Supports women who are separated from their babies (on admissions to SCBU a special care baby unit, women receiving high dependency care in a separate environment) to initiate and maintain their lactation and feed their babies optimally (BFI)

Feeds expressed breast milk to a baby, using a cup and / or syringe as appropriate (BFI)

Teaches women how to express their breast milk by hand




TRIPARTITE CRITERION 5 Initiation and Continuance of Breastfeeding







1:Within the parameters of normal childbirth, ensure safe and effective practice through comprehensive knowledge of medicinal products, their actions, risks and benefits including the ability to recognise and respond safely to adverse drug reactions and adverse drug events Initials Date

Applies an understanding of basic pharmacology, how medicines act and interact in the systems of the body as well as their therapeutic action in all aspects related to midwifery practice

Uses knowledge and understanding of commonly supplied or administered medicinal products to the woman or baby in order to act promptly in cases where side effects and adverse reactions occur

Manages drug administration and safely monitors its effect

Reports adverse incidents and near misses and adverse drug reactions

Manages anaphylaxis safely




2:Undertake medicinal product calculations correctly and safely

3:In the course of their professional midwifery practice, supply and administer

medicinal products safely and in a timely manner, including controlled drugs

4:Keep and maintain accurate records, which includes when working within a multi-

disciplinary framework and as part of a team

Initials Date

Calculates accurately the medicinal products frequently encountered within field of practice

Selects, acquire and administers medicinal products safely and efficiently via routes and methods commonly used within normal midwifery practice and maintains accurate records

Uses prescription charts correctly and maintains accurate records

Utilises and interprets medicine legislation related to midwives exemptions accurately

Demonstrates an understanding of roles and responsibilities within the multi-disciplinary team for medicinal products management, includes how and in what ways information is shared

Keeps effective records of information shared with women about the benefits and risks of relevant medication

Keeps effective records of medication supplied and/or administered and omitted, including controlled drugs




5: Work within the legal and ethical framework that underpins safe and effective medicinal products management, as well in conjunction with national guidelines and local policies Initials Date

Is conversant with legislation related to midwives exemptions, Pharmacy only and General Sales Lists medicinal products, Midwives Supply Orders, destruction of controlled drugs and Patient Group Directions

Is aware of personal accountability in respect of supplying and administering unlicensed products

Demonstrates the ability to use relevant medicines legislation to support midwifery practice within the NHS in both the primary and secondary care settings as well as during self-employed practice

Applies legislation in practice to safe and effective ordering, receiving, storing, administering and disposal of medicinal products and drugs, including controlled drugs in both primary and secondary care settings




6:Work in partnership with women to share information in assisting them to make safe and informed choices about medicinal products related to themselves, their unborn children or their babies Initials Date

Ensures information sharing is woman-centred and provides clear and accurate information

Assists women to make safe and informed choices about their medicinal products

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

Gives clear instruction and explanation and checks understanding relating to use of medicinal products and treatment options




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

Questions, critically appraises and uses evidence to support an argument in determining when medicinal products may or may not be an appropriate choice

Appropriately refers to a registered complementary therapist

Is aware of the dangers of giving complementary therapy advice when not qualified, e.g. raspberry leaf, over-the-counter herbal products



8:Order, receive, store, transport and dispose of medicinal products safely and in accordance with relevant legislation, in any midwifery setting (including controlled drugs) Initials Date

Orders, receives, stores and disposes of medicinal products safely, including controlled drugs




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

Is confident in accessing commonly used evidence-based sources of information relating to the safe and effective management of medicinal products

Works within local and national policies



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

Recognises and acts accordingly when confronted with obstetric emergencies, in both primary and secondary care settings




TRIPARTITE








1:Take responsibility for personal and professional growth

Initials Date

Demonstrates commitment to lifelong learning. Actively seeks to continue development through reflection and/or audit of practice

Can foster an environment which promotes the continuing development of others including other health care students



2:Demonstrate assertiveness in clinical practice

3:Demonstrate autonomy and accountability for own clinical practice

Initials Date

Can interact effectively to challenge aspects of professional practice that arise from ethical or legal dilemmas

Deals constructively with criticism

Fulfils the role of autonomous practitioner, fully aware of the consequences of alternative actions and accepts responsibility for own actions




TRIPARTITE








1:Follows Trust guidelines and policies to meet service needs

2:Demonstrates the ability to manage risk

3:Can manage workload and make decisions Initials Date

Supports the creation and maintenance of environments that promote the health, safety and wellbeing of women, babies and others

When need arises can interpret and undertake care prescribed by a medical practitioner

Is able to respond flexibly to change and alerts managers when difficulties in service arise

Knows when and how to call a Supervisor of Midwives

Efficiently manages and organises own workload

Delegates activities to colleagues effectively when necessary

Can take appropriate course of action on own initiative, applying evidence based procedures

Decision making process evident in documentation




TRIPARTITE CRITERION 8 Risk Assessment and Management Skills







1:Be attentive and share information that is clear, accurate and meaningful at a level which women, their partners and family can understand Initials Date

Consistently shows ability to communicate safely and effectively with women, providing guidance for juniors

Communicates effectively and sensitively in different settings, using a range of methods and styles in individual and group settings

Articulates a clear plan of care, that has been developed in partnership with the woman

Provides accurate and comprehensive written reports based on best available evidence

Is familiar with accessing and recording information other than in handwritten form, such as texting

Acts to reduce and challenge barriers to effective communication and understanding

Is proactive and creative in enhancing communication and understanding

Where appropriate uses the skills of active listening, questioning, paraphrasing, and reflection to assist in effective communication

Uses appropriate and relevant communication skills to deal with difficult and challenging circumstances in individual and group scenarios




2:Protect and treat as confidential all information relating to themselves and their care Initials Date

Acts professionally and appropriately in situations where there may be limits to confidentiality eg: child protection, protection from harm

Recognises the significance of information and who does/does not need to know

Distinguishes between information that is relevant to care planning and that which is not

Acts appropriately in sharing information to enable and enhance care (multi-disciplinary team, across agency boundaries)

Works within the legal framework for data protection eg: access to and storage of records

Acts within the law when disclosing information without consent




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

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

Respects the role of women as partners in their care and contributions they can make to it

Uses appropriate strategies to encourage and promote choice for all women

Provides accurate, truthful and balanced information that is presented in such a way as to make it easily understood

Respects women’s autonomy when making a decision, even where a particular choice may result in harm to themselves or their unborn child, unless a court of law orders the contrary

Discusses with women local/ national information to assist with making choices, including local and national voluntary agencies and websites

Works within legal frameworks when seeking consent

Seeks consent prior to sharing confidential information outside of the professional care team (subject to agreed safeguarding/ protection procedures)

Uses appropriate strategies to enable women to understand treatments and interventions in order to give informed consent

Demonstrates respect for client autonomy and the rights of women to withhold consent in relation to care and treatment within legal frameworks




5:Treat women with dignity and respect them as individuals Initials Date

Acts professionally to ensure that personal judgements, prejudices, values, attitudes and beliefs do not compromise the care provided

Is proactive in maintaining dignity

Challenges situations/ others where the dignity of the woman may be

compromised

Shares information confidently with women who have physical, cognitive or sensory disabilities and those who do not speak or read English



6:Work in partnership with women in a manner that is diversity sensitive and is free from discrimination, harassment and exploitation Initials Date

Upholds the rights of the women and speaks out when these are at risk of being compromised

Takes into account UK legal frameworks and professional ethics when planning care

Is proactive in promoting care environments that are diversity sensitive and free from exploitation, discrimination and harassment

Manages challenging situations effectively




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

Anticipates how a woman might feel in a given situation and responds with kindness and empathy to provide physical and emotional comfort

Makes appropriate use of touch

Listens to, watches for, and responds to verbal and non-verbal cues

Delivers care that recognises need and provides both practical and emotional support

Has insight into own values and how these may impact on interactions with women

Does not allow personal feelings towards a client or others to compromise care

Recognises and responds to emotional discomfort/ distress of self and others

Through reflection and evaluation demonstrates commitment to personal and professional development




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

Works within the NMC Midwives rules and standards

Consults and explores solutions and ideas appropriately with others to enhance care

Challenges the practice of self and others across the multi-professional team

Acts as an effective role model in decision making, taking action and supporting more junior staff

Works inter-professionally as a means of achieving optimum outcomes for women




TRIPARTITE CRITERION 9 Communication






BSc (HONS) PRE REGISTRATION MIDWIFERY

FINAL SIGN-OFF MENTOR STATEMENT OF PROFICIENCY COMPLETION OF PROGRAMME

TO BE COMPLETED BY SIGN-OFF MENTOR 1:

I confirm that ........................................................................... (insert student name) has met the defined Nursing and Midwifery Council (2009) Standards for pre registration midwifery education and is capable of safe and effective practice.

Sign-off Mentor Name

Sign-off Mentor Signature:

Mentorship Qualification

Date of most recent annual mentor update and triennial review

Update: Triennial review:

Date of signing statement:

TO BE COMPLETED BY SIGN-OFF MENTOR 2 (IF APPLICABLE):

I confirm that ........................................................................... (insert student name) has met the defined Nursing and Midwifery Council (2009) Standards for pre registration midwifery education and is capable of safe and effective practice.

Sign-off Mentor Name

Sign-off Mentor Signature:

Mentorship Qualification

Date of most recent annual mentor update and triennial review

Update: Triennial review:

Date of signing statement:


FINAL RECORD OF EUROPEAN UNION REQUIREMENTS

Name of Student

Cohort

Name of Lecturer finally reviewing

Ongoing Achievement Record

European Union requirement Minimum

requirement

Number achieved (must have been signed

by midwife)

1 Advising pregnant women/ antenatal

examinations

100

2 Supervision and care of women in labour

40

3 Personal deliveries 40

4 Simulated/ active participation in breech

deliveries

Experience

5 Simulation/ active participation in

episiotomy

Experience

5 Simulation/ active participation in

perineal suturing

Experience

6 Supervision and care of women at risk

(in pregnancy, labour, postnatal periods)

40

7 Supervision and care (including

examination) of postnatal women and

healthy neonates

100

8 Observation and care of the newborn

requiring special care

Experience

9 Care of women with pathological

conditions in the fields of gynaecology

and obstetrics

Experience

10 Care of patients in the field of surgery

and medicine

Experience

Declaration by lecturer on student’s completion of programme: I can confirm that …………………………………........................................... has achieved all the Mentor Assessment of Practice (MAP) statements and EU requirements. A copy of the final caseloading “Completion of Caseloading” form is in the student’s electronic portfolio. Signature of lecturer: ………………………….…………..... Date:……………...........

Student to sign the following statement: I have returned (or arranged for the return of) all books, equipment (ie: dolls, pelves, fetal skulls) and caseloading equipment loaned to me. Signature of student:………………………………….…..... Date:…………………….

Please ensure this form is filed in student records and email midwifery programme administrator,

cohort leader and practice module leader that EU numbers have been achieved