Experiential Learning Activity: Midwifery Foundation … · Web viewAll records for this ELA should...

Bachelor of Midwifery

Student Practice Portfolio Experiential Learning Activity: Midwifery Foundation Practicum 2

(Nurs 1057)

Midwifery Student:………………………………………………….

ID:…………………………………………………………………………...

Year Level: ………………………………………………………………

Venue(s):…………………………………………………………………

Experience Area(s):………………………………………………… Date:

……………………………………………………………………….

If found, please return to:

University of South Australia School of Nursing and Midwifery City East campus Frome Road Adelaide 5000

Introduction Before you begin you must ensure that you have read through the following resources:

• MIDAC Clinical Assessment Tools 2nd Edition• Experiential Learning Activity: Midwifery Foundation Practicum 2 (ELA 2) Course Outline

• ELA 2 Quick guide

The Experiential Learning Activities (ELAs) in this program provide opportunity for you to develop your professional and clinical skills. During the ELA’s you will participate in a pre-clinical workshop in the School’s HHHS and will engage with the MIDAC/UniSA Clinical Assessment Tool (CAT) for Midwifery Students. You will be expected to successfully undertake an Objective Structured Clinical Activity (OSCA) in the simulated environment (HHHS) and pass the Medicine Calculations assessment online in order to satisfy the requirements for clinical placement. Any student who receives a fail grade for an OSCA will not be eligible to proceed to the clinical placement of the course. They may be provided an opportunity to redo the OSCA in discussion with the Course Coordinator. ELA 2 consists of 1 pre-clinical day, placement for 4 weeks x 5 days per week (2 weeks antenatal or postnatal and 2 weeks Intrapartum working across a 24h roster), and a post-clinical workshop. Please refer to the course objectives for ELA 2 which is detailed in the corresponding Course Outline, along with the assessment requirements.

Compiling the Portfolio This portfolio and passport to placement folder is to be taken with you on placement and when attending your COCE. You can access the Passport to Placement checklist from the CPU link on the Clinical Experience site. It is important to show this documentation to your Clinical Facilitator and the midwives you work with. For all ELA’s you will be required to provide and appropriately detail the following as outlined:

• Learning Plan

• Record of Clinical attendance

• Specified Learning Tools (CAT)

• Competency Assessment for each area

• Midwifery Student Venue Feedback x 2 (minimum)

• Clinical Experience Records ( including COCE documentation) with reflections and updated Cumulative record of minimum experiences (online)

• Critical Reflection

Documentation must be clear, informative and in a report-like style.

No identification in any way may be made of women, babies or their families. Pseudonyms should be used to de-identify women and their families.

Students are responsible for compiling and maintaining their portfolio. It is your responsibility to keep it safe and to ensure it is available for review by AHPRA if required for auditing purposes.

2017 ELA Midwifery Student Practice Portfolio Student’s name: __________________________ Student’s ID: ______________

TABLE OF CONTENTS

7

Tab Content

1 Assessment Feedback Rubric

2 Learning Plan

3 Clinical Reflection Task (500 words)

4 Record of Clinical Attendance

5 Cumulative Record of Required Skills

6 Midwifery Student Venue Feedback

7 Competency Assessments

8 MIDAC Learning Tools

9 Antenatal Care Cumulative Record: 100 Antenatal Episodes of Care

Antenatal Episode of Care Record

Abdominal Palpation Record

10 Intrapartum Care Cumulative Record: 30 Intrapartum Care (Primary Accoucher)

Cumulative Record: 10 Intrapartum Care (Active care 1st stage labour)

Vaginal Examination

11 Postpartum Care Cumulative Record: 100 Postnatal Episodes of Care

Postnatal Episode of Care Record

12 Neonatal Care Cumulative Record: 20 Physical Examination of the Neonate

Physical Examination of the Neonate

Cumulative Record: 10 Complex Neonatal Care

Neonatal Complex Care Episode13 Complex Care

EpisodesCumulative Record: 40 Complex Care EpisodesAntenatal Complex Care EpisodeIntrapartum Complex Care EpisodePostnatal Complex Care Episode

14 Continuity of Care Experiences (COCE)

Cumulative Record: 15 Continuity of Care ExperiencesContinuity of Care Attendance and Summary ReportContinuity of Care Attendance records and summary record

Assessment of your portfolio All records for this ELA should be compiled in the UniSA Portfolio folder with the clinical experiences you have documented during this ELA and since your previous ELA completion. You need only submit finished COCE that were completed during this time frame. Please ensure you update the cumulative record for each experience and the ongoing cumulative record of minimum experiences for your program. Please include this record at the beginning of your folder to be signed off by your Course Coordinator. Ensure you submit original paperwork in the folder provided. Once this ELA has been marked, you can keep all documentation in a larger portfolio for evidence of meeting the clinical requirements for the program. Portfolios will be marked through an interview process. You will be required to attend an appointment with the Course Coordinator or assigned marker to review your portfolio and provide feedback and receive a grade. • Internal students will undertake this interview face-to-face and bring their completed portfolio with them. Interview time will be available on the learnonline site. • External students may opt to undertake a virtual interview; however the portfolio will need to be submitted prior to the organised interview time. Interview time will be available on the learnonline site.

Attendance Record You will be required to keep an attendance record that will need to be signed each day of your placement by the midwife you work with or the Clinical Facilitator. Please note if you cannot attend placement for any reason you must notify the manager of the area you are working in, as well as contact your Clinical Facilitator. It is a good idea to ask for the contact phone and email for your facilitator and also for the area manager. You will need to make up all missed shifts, you may be able to make up 1 or 2 days while on placement but this is not always possible, please communicate with your Clinical Facilitator. Communication is a key skill in midwifery practice and it is important that you communicate your absence to ensure that you facilitate a positive work environment. Clinical Assessment Tool for the Midwifery Student Learning Tools While on clinical placement or through the Continuity of Care Experience (COCE), the Learning tools/CAT for Midwifery Students will be utilised to inform the clinical assessment component. You will be expected to complete each of the clinical skills learning tool assessments detailed in the CAT for Midwifery Students as outline below:

• Learning tool number 6: Care of the woman on admission to the birth environment• Learning tool number 8: Care of the woman progressing in labour • Learning tool number 9: Working with pain in labour• Learning tool number 14: Care (reception) of the newborn at birth • Learning tool number 25: Administering injections to the newborn baby

* Learning tool 6 will be undertaken as the OSCA. Tools can be downloaded from the learnOnline site as needed. *It is expected that students will attain a minimum rating of assisted (A) for all tools

Tools must be completed prior to submission of your portfolio at the required level in order to pass the course; you will need to work with your Clinical Facilitator to achieve this as there will be very limited opportunity to assist any student except for very exceptional circumstances.

Competency Assessment

You will also be required to engage in 2 Competency Assessment Components. The Clinical Facilitator assigned to you for the associated ELA will be responsible for undertaking this assessment. *It is expected that students will attain a minimum rating of Assisted (A) for the Competency Assessment for ELA 2

The method of assessment chosen for both the learning tools and the competency assessment component is a modified Bondy scale. You will need to be familiar with the scales used to rate your practice and you may need to provide the midwife or facilitator with a copy of these prior to completing your learning tool.

Independent (I):Refers to being safe & knowledgeable; proficient & coordinated and appropriately confident and timely. Does not require supporting cues

Proficient (P):Refers to being safe & knowledgeable; efficient & coordinated; displays some confidence and undertakes activities within a reasonably timely manner. Requires occasional supporting cues.

Assisted (A):

Refers to being safe and knowledgeable most of the time; skilful in parts however is inefficient with some skill areas; takes longer than would be expected to complete the task. Requires frequent verbal and some physical cues

Supported (S):Refers to being safe when closely supervised and supported; unskilled and inefficient; uses excess energy and takes a prolonged time period. Continuous

Dependent (D):Refers to concerns about being unsafe and being unable to demonstrate behaviour or articulate intention; lacking in confidence, coordination and efficiency. Continuous verbal and physical cues/interventions

Bondy, K, N. (1983). Criterion-referenced definitions for rating scales in clinical evaluation. Journal of Nursing Education 22(9) 376-382

Learning Plan ELA 2

Learning ObjectiveCourse

objectives/ANMC competencies

Resources, Strategies, Activities Time-line Evidence Outcome

What are you going to learn? Include knowledge/skills/attitude

To which course objective/s, ANMC competencies does your learning objective relate?

How do you plan to learn? When and where do you plan to learn?

How will you demonstrate your learning? What evidence will be included in your portfolio?

Provide evidence of how you achieved your objectives?

Acknowledgement: This resource is based upon previous material compiled by A. Gardner (2011).

Attendance Record for Clinical Placement Student Name: _______________________________________ This is a record of your daily placement attendance: you are required to complete it and make sure it is signed by a Registered Midwife at the end of the day. This form is to be reviewed by the Clinical Facilitator at the end of each placement with the Competency Assessment.

AreaTotal hours completed Total number of shifts

completed

Antenatal Clinic

Antenatal Ward

Labour and Delivery

Postnatal Ward

Domiciliary Midwifery

Neonatal

Midwifery Group Practice

Other

Sick Leave If you are sick you must not attend placement. You need to notify your Clinical Facilitator and the Ward/Unit Manager that you will not be attending the shift. A medical certificate is required if you are absent for three or more consecutive days or if you have had more than three days absent within the placement. Please ensure certificates are presented to your Clinical Facilitator when you next meet with them and emailed to your Course Coordinator. Your Clinical Facilitator will liaise with the university about your ability to continue with placement. All leave will need to be made up and if it cannot be organised with the venue, a make-up placement will be negotiated, otherwise you will need to complete the placement when this ELA is offered again.

Total hours of sick leave

Total number/s of shift/s missed

Make–up shifts completed

Yes / No

Attendance Record for Clinical PlacementStudent Name: _______________________________________

Date VenueArea Hours of

attendanceRM/ MO

Signature & Date

University facilitator

signature &Date

Attendance Record for Clinical PlacementStudent Name: _______________________________________

Date VenueArea Hours of

attendance

RM/ MOName,

Signature & Date

University facilitator

signature &Date

Skills List ELA 2 Student to sign and date when completed. This form is a guide to ensure students are ready to undertake the assessment and should be made available to assessor.

Clinical Skill Theory Observation Skill assessed

1 Initial pregnancy assessment

2 Ongoing pregnancy care

3 Abdominal examination

4 Parenting education for the woman and her family

5 Performing and interpreting an antenatal cardiotocograph

6 Care of the woman on admission to birth environment

7 Performing and interpreting interpreting an intrapartum cardiotocograph

8 Care of the woman progressing in labour

9 Working with pain in labour

10 Epidural analgesia in labour

11 Insertion of a urinary catheter

12 Care of the woman and baby during an induction of labour

13 Care of the woman and baby with increased needs in labour

14 Care (reception) of the newborn at birth

15 Vaginal examination

16 Maternal and baby wellbeing assessment following birth

17 Facilitating breastfeeding for the woman and baby

18 Breastfeeding challenges for the woman

19 Care of the woman after a caesarean birth

20 Blood sampling of the newborn baby

21 Full examination of the newborn baby

22 Enteral/tube feeding a baby

23 Care of the unwell baby receiving oxygen therapy

24 Care of the baby receiving phototherapy

25 Administering an injection to the newborn

26 Neonatal resuscitation via simulation

Learning tool 6: Care of the woman on admission to the birth environment This is a competency and skills-based assessment. Please note all boxes need to be completed. Please refer to the Bondy scale before completing the tool.

Expected outcome standard - the midwifery student NMBA competency Student Assessor

Maintains effective communication using active listening skills throughout 1.4, 3.1, 3.2

Ensures privacyIdentifies and respects the woman’s individual needs in relation to language, culture, religion and spiritualityIdentifies the woman’s expectations and /or birth planPlans and provides care in partnership with the woman

1.4, 3.3, 4.1, 5.3,7.1, 7.2, 10.1, 12.2

Welcomes the woman and support person(s)Offers appropriate explanations including communicating any findings and encourages the woman to ask questions to assist with informed consent for all care and procedures

1.4, 3.1, 3.2, 3.3,4.1, 5.1, 5.3, 7.1, 7.2

Creates an environment which facilitates comfort for the woman and support person(s) and supports the progression of labour

5.1, 7.2, 12.2

Performs midwifery assessments to assess maternal wellbeing• Reviews history• Performs baseline observations – T, P, BP• Performs abdominal examination• Assess the frequency, duration and strength of uterine contractions• Assesses vaginal discharge• Collects urine sample when woman next empties her bladder and

performs urinalysis• Performs vaginal examination (if indicated)• Supports woman’s choices to work with her pain in labour

1.4, 2.1, 2.2, 4.3,5.1, 5.2, 5.3, 5.5,6.1, 14.1

Performs midwifery examination to assess fetal wellbeing• Auscultates fetal heart rate and notes deviations from normal• Correctly performs a cardiotocograph (if indicated)

1.4, 2.1,5.2, 14.1

Recognises deviations from normal (in both woman and baby) and refers to other members of the health care team in consultation with the woman as needed, per the National Midwifery Guidelines for Consultation and Referral (ACM)

1.4, 2.1, 2.3, 6.1, 8.1

Documents all care legibly and appropriately 1.1, 1.3, 3.3

Student name and signature:……………………………………………................................. Date:………………………………………..

Assessor name and signature:……………………………………………................................. Date:………………………………………..

Overall rating (please circle):

Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)

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

Learning tool 8: Care of the woman progressing in labour This is a competency and skills-based assessment. Please note all boxes need to be completed. Please refer to the Bondy scale before completing the tool. Expected outcome standard - the midwifery student NMBA competency Student Assessor



1.4, 3.3, 4.1, 7.1,7.2, 10.1, 12.2

Creates an environment which facilitates comfort for the woman and support person(s) and supports the progression of labourOffers appropriate explanations including communicating any findings and encourages the woman to ask questions to assist with informed consent for all care and procedures

1.4, 3.1, 3.2, 3.3,5.1, 5.3, 7.2

Assesses and monitors the progress of labour by• Assessing the frequency, duration and strength of uterine contractions• Assessing the descent of the presenting part, abdominally and/or vaginally• Assessing vaginal discharge (show, blood, and/or rupture of the membranes – describes liquor accurately and implications of findings)• Performs vaginal examination as indicated• Observes woman for changes in behaviour

1.4, 2.1, 2.2, 4.3,5.1, 5.2, 5.3, 6.1,14.1

Supports and assesses maternal wellbeing• Supports woman’s choices to work with her pain in labour• Assists with position changes and comfort• Provides advice about nutritional needs and fluid intake• Encourages frequent bladder emptying• Provides verbal guidance, encouragement and support

1.4, 2.1, 3.1, 3.3,4.3, 5.3, 14.1

Assesses fetal wellbeing• Auscultates fetal heart rate and notes deviations from normal • Performs CTG as appropriate

1.2, 1.3, 4.3, 5.2

Recognises and describes the signs of second stage Anticipates and prepares to assist with birth

1.4, 4.3, 7.1

Supports the normal mechanisms of birth, in the woman’s chosen position 3.3, 5.3

Facilitates skin to skin contact with woman and baby 5.4

Describes the principles of active and physiological management of third stage Assists with the birth of placenta and membranes and ensures haemostasis, including estimation of blood loss Performs post birth observations

1.2, 1.4, 5.2, 5.3, 7.1

Performs thorough inspection of the genital tract to identify any injury and describes appropriatelyConsults and refers with midwife and/or medical staff for repair as appropriate

1.4, 2.3, 5.2

Ensures woman’s comfort and facilitates interaction with her baby Encourages early breastfeeding

4.3, 5.1, 5.4

Thoroughly checks to ensure placenta and membranes are complete Identifies characteristics of a normal and healthy placenta and recognizes deviations from normal

1.4, 5.2, 5.3

Recognises deviations from normal (in both woman and baby) and refers to other members of the health care team in consultation with the woman as needed, per the National Midwifery Guidelines for Consultation and Referral (ACM)

1.4, 2.1, 2.3, 6.1, 8.1






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

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Learning tool 9: Working with pain in labour This is a competency and skills-based assessment. Please note all boxes need to be completed. Please refer to the Bondy scale before completing the tool.

Expected outcome standard - the midwifery student NMBA competency Student Assessor



1.4, 3.3, 4.1, 7.1,7.2, 10.1, 12.2

Discusses expectations and understanding of pain managementResponds appropriately to information needs including benefits, potential side effects and complications of choices available

2.1, 2.3, 3.1, 3.2,3.3, 4.1, 4.3, 7.1

Obtains informed consent before initiating any intervention or procedure 1.2, 1.4, 3.1, 3.2, 3.3

Assesses acceptability and effectiveness of the woman’s choices including fetal wellbeing

4.3, 5.1, 5.2, 5.3

Demonstrates knowledge of various ways of working with pain in labour, including• Position changes• Use of water including, shower or immersion• Massage techniques• TENS• Relaxation, including breathing techniques• Sterile water injections• Oral analgesia• Nitrous oxide and oxygen• Opiates• Epidural analgesia (see CAT 10)

2.1, 4.3, 5.1, 5.2,5.3, 5.5

Identifies contraindications, including• Allergies• Clinical picture such as medical history or obstetric complications

2.1, 4.3, 5.1, 5.2,5.3, 5.5

Refers to other members of the health care team in consultation with the woman as needed, per the National Midwifery Guidelines for Consultation and Referral (ACM)

1.4, 2.1, 2.3, 6.1, 8.1






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

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Learning tool 14: Care (reception) of the newborn at birth This is a competency and skills-based assessment. Please note all boxes need to be completed. Please refer to the Bondy scale before completing the tool. Expected outcome standard - the midwifery student NMBA competency Student Assessor


Ensures privacyIdentifies and respects the woman’s individual needs in relation to language, culture, religion and spiritualityPlans and provides care in partnership with the woman

1.4, 3.3, 4.1, 7.1,7.2, 10.1, 12.2

Reviews woman’s history for progress of pregnancy and labour, noting variations from normal and use of analgesia – type, timing and implications for the newborn

1.2, 1.4, 5.2, 5.5

Anticipates and prepares for birth Notifies relevant personnel

2.1, 2.2, 8.1

Prepares and checks equipment, including• Warm wraps• Resuscitation equipment• Baby ID bands

1.2, 1.3, 1.4, 5.3

Notes the time of birthPerforms initial assessment birth, including

• Immediately assesses possible need for resuscitation based on muscle tone and respiratory effort• Assesses respiratory effort, muscle tone, heart rate, reflex response and colour (APGAR score) as appropriate

Protects against heat lossFacilitates skin to skin

1.3, 1.4, 2.1, 5.2,5.4, 6.1

Attaches correct identity bands to baby and documents Correctly cares for umbilical cord

1.2, 1.3, 1.4, 5.2, 5.3

Facilitates interaction between woman/family and babyRecognises infant feeding behaviour and encourages breastfeeding within first hour of birthAssesses newborn vital signs

1.3, 2.1,5.2, 5.4

Performs initial examination of the newborn 2.1, 2.3, 6.1


1.4, 2.1, 2.3, 6.1, 8.1






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

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Learning tool 25: Administering an injection to the newborn This is a competency and skills-based assessment. Please note all boxes need to be completed. Please refer to the Bondy scale before completing the tool.

Expected outcome standard - the midwifery student NMBA Competency Student Assessor


Ensures privacyIdentifies and respects the woman’s individual needs in relation to language, culture, religion and spiritualityPlans and provides care in partnership with the woman

1.4, 3.3, 4.1, 7.1,7.2, 10.1, 12.2

Offers explanation of the need for procedure and provides written information (if available eg: Hep B)Obtains consent, written and/or verbal

1.4, 3.1, 3.2, 3.3,4.1, 5.1, 5.3, 7.1,7.2, 10.1

Reviews baby’s history, checks medication orders Verifies baby’s identity

1.2, 1.4, 5.2

Prepares and checks equipment 1.2, 1.4, 2.2, 5.2, 5.3

Prepares and checks medication• Checks with supervising midwife• Observes five rights of administration• Uses aseptic non touch technique when preparing medication

1.2, 1.3, 2.1, 2.2,5.2, 5.3, 5.5

Prepares the baby• Ensures baby remains warm• Identifies correct site for injection

1.2, 1.4, 2.2, 5.2, 5.3

Considers use of sucrose for pain relief as appropriateAdministers medication using correct technique Maintains aseptic non touch technique

1.2, 5.3, 5.5

Records site of injectionMonitors baby for signs of reactionFollowing procedure comforts baby as needed

5.2, 5.4, 6.1

Demonstrates an understanding of the pharmacological/immunological action of the specific medicationStates rationale for administering medication to the newbornDiscusses actual/potential problems which may arise during the procedure and outlines appropriate management

2.1, 2.2, 2.3, 5.5,5.6, 6.1, 6.2


1.4, 2.1, 2.3, 6.1, 8.1






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

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Student Name: ______________________Venue/ Clinical area _____________________ The Competency assessment will be carried out at various time points during the student’s midwifery program. In each ELA an assessment should be undertaken for each clinical area that the student has been rostered. All sections of this assessment should be filled in for the assessment to be deemed complete. Students should complete a self-assessment before participating in a review with the Clinical Facilitator.

LEGAL AND PROFESSIONAL PRACTICE

Competency 1 : Functions in accordance withlegislation and common law affecting midwifery practice

Student Assessor

Element 1.1: Demonstrates and acts upon knowledge of legislation and common law pertinent to midwifery practice

Element 1.2: Complies with policies and guidelines that have legal and professional implications for practiceElement 1.3: Formulates documentation according to legal and professional guidelinesElement 1.4: Fulfils the duty of care in the course of midwifery practice

Competency 2: Accepts accountability andresponsibility for own actions within midwifery practice

Student Assessor

Element 2.1: Recognises and acts within own knowledge base and scope of practiceElement 2.2: Identifies unsafe action and takes appropriate actionElement 2.3: Consults with, and refers to, anothermidwife or appropriate health care provider when the needs of the woman and her baby fall outside own scope of practice or competenceElement 2.4: Delegates, when necessary, activities matching abilities and scope of practice and provides appropriate supervisionElement 2.5: Assumes responsibility for professional midwifery leadership functions

MIDWIFERY KNOWLEDGE AND PRACTICE

Competency 3: Communicates information to facilitate decision making by the woman

Student Assessor

Element 3.1: Communicates effectively with the woman, her family and friendsElement 3.2: Provides learning opportunities appropriate to the woman’s needsElement 3.3: Plans and evaluates care in partnership with the woman

Competency 4: Promotes safe and effective midwifery care Student Assessor

Element 4.1: Applies knowledge, skills and attitudes to enable woman centred careElement 4.2: Provides or supports midwifery continuity of careElement 4.3: Manages the midwifery care of women and their babies

Competency 5: Assesses, plans, provides and evaluates safe and effective midwifery care

Student Assessor

Element 5.1: Utilises midwifery knowledge and skills to facilitate an optimal experience for the womanElement 5.2: Assesses the health and well being of the woman and her babyElement 5.3: Plans, provides and is responsible for, safe and effective midwifery careElement 5.4: Protects, promotes and supports breastfeedingElement 5.5: Demonstrates the ability to initiate, supply and administer relevant pharmacological substances in a safe and effective manner within relevant state of territory legislation

Element 5.6: Evaluates the midwifery care provided to the woman and her baby

Competency 6: Assesses, plans, provides and evaluates safe and effective midwifery care for the woman and /or baby with complex needs

Student Assessor

Element 6.1: Utilises a range of midwifery knowledge and skills to provide midwifery care for the woman and/or baby with complex needs as part of a collaborative ream

Element 6.2: Recognises and responds effectively in emergencies or urgent situations

MIDWIFERY AS PRIMARY HEALTH CARE

Competency 7: Advocates to protect the rights Student Assessor

of women, families and communities in relation to maternity careElement 7.1: Respects and supports women and their families to be self- determining in promoting their own health and well beingElement 7.2: Acts to ensure that the rights of women receiving maternity care are respected

Competency 8: Develops effective strategies to implement and support collaborative midwifery practice

Student Assessor

Element 8.1: Demonstrates effective communication with midwives, health care providers and other professionalsElement 8.2: Establishes, maintains and evaluates professional relationships with other health care providers

Competency 9: Actively supports midwifery as a public health strategy

Student Assessor

Element 9.1: Advocates for and promotes midwifery practice, within the context of public health policyElement 9.2: Collaborates with, and refers women to, appropriate community agencies and support networks

Competency 10: Ensures midwifery practice is culturally safe

Student Assessor

Element 10.1: Plans, implements and evaluatesstrategies for providing culturally safe practice for women, their families and colleagues

REFLECTIVE AND ETHICAL PRACTICE

Competency 11: Bases midwifery practice on ethical decision making

Student Assessor

Element 11.1: Practices in accordance with theendorsed Code of Ethics and relevant state/ territories and commonwealth privacy obligations under the law

Competency 12: Identifies personal beliefs and develops these in ways that enhance midwifery practice

Student Assessor

Element 12.1: Addresses the impact of personal beliefs and experiences on the provision of midwifery careElement 12.2: Appraises and addresses the impact of

power relations on midwifery practice

Competency 13: Acts to enhance the professional development of self and others

Student Assessor

Element 13.1 Assesses and acts upon own professional development needsElement 13.2: Contributes to, and evaluates, thelearning experiences and professional development of others

Competency 14: Uses research to inform midwifery practice

Student Assessor

Element 14.1: Ensures research evidence is incorporated into practiceElement 14.2: Interprets evidence as a basis to inform practice and decision making

Overall grading


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

Student name and signature………………………………………………………………… date………………………………..

Comments………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………


Student Name: ______________________Venue/ Clinical area _____________________ The Competency assessment will be carried out at various time points during the student’s midwifery program. In each ELA an assessment should be undertaken for each clinical area that the student has been rostered. All sections of this assessment should be filled in for the assessment to be deemed complete. Students should complete a self-assessment before participating in a review with the Clinical Facilitator.

LEGAL AND PROFESSIONAL PRACTICE

Competency 1 : Functions in accordance withlegislation and common law affecting midwifery practice

Student Assessor

Element 1.1: Demonstrates and acts upon knowledge of legislation and common law pertinent to midwifery practice

Element 1.2: Complies with policies and guidelines that have legal and professional implications for practiceElement 1.3: Formulates documentation according to legal and professional guidelinesElement 1.4: Fulfils the duty of care in the course of midwifery practice

Competency 2: Accepts accountability andresponsibility for own actions within midwifery practice

Student Assessor

Element 2.1: Recognises and acts within own knowledge base and scope of practiceElement 2.2: Identifies unsafe action and takes appropriate actionElement 2.3: Consults with, and refers to, anothermidwife or appropriate health care provider when the needs of the woman and her baby fall outside own scope of practice or competenceElement 2.4: Delegates, when necessary, activities matching abilities and scope of practice and provides appropriate supervisionElement 2.5: Assumes responsibility for professional midwifery leadership functions

MIDWIFERY KNOWLEDGE AND PRACTICE

Competency 3: Communicates information to facilitate decision making by the woman

Student Assessor

Element 3.1: Communicates effectively with the woman, her family and friendsElement 3.2: Provides learning opportunities appropriate to the woman’s needsElement 3.3: Plans and evaluates care in partnership with the woman

Competency 4: Promotes safe and effective midwifery care Student Assessor

Element 4.1: Applies knowledge, skills and attitudes to enable woman centred careElement 4.2: Provides or supports midwifery continuity of careElement 4.3: Manages the midwifery care of women and their babies

Competency 5: Assesses, plans, provides and evaluates safe and effective midwifery care

Student Assessor

Element 5.1: Utilises midwifery knowledge and skills to facilitate an optimal experience for the womanElement 5.2: Assesses the health and well being of the woman and her babyElement 5.3: Plans, provides and is responsible for, safe and effective midwifery careElement 5.4: Protects, promotes and supports breastfeedingElement 5.5: Demonstrates the ability to initiate, supply and administer relevant pharmacological substances in a safe and effective manner within relevant state of territory legislation

Element 5.6: Evaluates the midwifery care provided to the woman and her baby

Competency 6: Assesses, plans, provides and evaluates safe and effective midwifery care for the woman and /or baby with complex needs

Student Assessor

Element 6.1: Utilises a range of midwifery knowledge and skills to provide midwifery care for the woman and/or baby with complex needs as part of a collaborative ream

Element 6.2: Recognises and responds effectively in emergencies or urgent situations

MIDWIFERY AS PRIMARY HEALTH CARE

Competency 7: Advocates to protect the rights Student Assessor

of women, families and communities in relation to maternity careElement 7.1: Respects and supports women and their families to be self- determining in promoting their own health and well beingElement 7.2: Acts to ensure that the rights of women receiving maternity care are respected

Competency 8: Develops effective strategies to implement and support collaborative midwifery practice

Student Assessor

Element 8.1: Demonstrates effective communication with midwives, health care providers and other professionalsElement 8.2: Establishes, maintains and evaluates professional relationships with other health care providers

Competency 9: Actively supports midwifery as a public health strategy

Student Assessor

Element 9.1: Advocates for and promotes midwifery practice, within the context of public health policyElement 9.2: Collaborates with, and refers women to, appropriate community agencies and support networks

Competency 10: Ensures midwifery practice is culturally safe

Student Assessor

Element 10.1: Plans, implements and evaluatesstrategies for providing culturally safe practice for women, their families and colleagues

REFLECTIVE AND ETHICAL PRACTICE

Competency 11: Bases midwifery practice on ethical decision making

Student Assessor

Element 11.1: Practices in accordance with theendorsed Code of Ethics and relevant state/ territories and commonwealth privacy obligations under the law

Competency 12: Identifies personal beliefs and develops these in ways that enhance midwifery practice

Student Assessor

Element 12.1: Addresses the impact of personal beliefs and experiences on the provision of midwifery careElement 12.2: Appraises and addresses the impact of

power relations on midwifery practice

Competency 13: Acts to enhance the professional development of self and others

Student Assessor

Element 13.1 Assesses and acts upon own professional development needsElement 13.2: Contributes to, and evaluates, thelearning experiences and professional development of others

Competency 14: Uses research to inform midwifery practice

Student Assessor

Element 14.1: Ensures research evidence is incorporated into practiceElement 14.2: Interprets evidence as a basis to inform practice and decision making

Overall grading


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

Student name and signature………………………………………………………………… date………………………………..

Comments………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………

Record of daily feedbackStudent’s name: __________________________________ ID: _______________To the Registered Midwife: Students are required to obtain daily written feedback to support their learning and to determine progress throughout their placement. Please provide the student with feedback in each of the areas indicated below. To assist you, cues have been provided overleaf.

Date: Clinical Venue: Area:

Communication/Team work: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Clinical competence/safety: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Organisation/priority setting/time management: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Knowledge level/ability to link theory to practice/critical thinking: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________Areas for Improvement: ______________________________________________________________________________________________________________________________________________________________________Additional comments: _______________________________________________________________________________________________________________________________________________________________________

Midwife’s name, signature & date _________________________________________________________________

Date: Clinical Venue: Area:

Communication/Team work: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Clinical competence/safety: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Organisation/priority setting/time management: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Knowledge level/ability to link theory to practice/critical thinking: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________Areas for Improvement: ______________________________________________________________________________________________________________________________________________________________________Additional comments: _______________________________________________________________________________________________________________________________________________________________________Midwife’s name, signature & date _________________________________________________________________

Communication

Ability to expresses self clearly and concisely

Ability to communicate appropriately with all staff, women and their families

Ability to explain care to women and family/significant others

Effectiveness of clinical hand over

Ability to provide effective education to women and their families

Ability to write clear, concise and legible notes in a timely manner

Ability to accurately document all observations and recognise deviations from normal

Team work

Ability to work effectively with midwives and the multidisciplinary team

Ability to problem solve, resolve problems and negotiate

Clinical Competence/safety

Demonstrated competence in the relevant area of midwifery practice in accordance with the appropriate standards of practice

Ability to provide culturally appropriate and safe midwifery care

Ability to recognise own limitations and seeks assistance from senior staff where appropriate

Ability to work in accordance with hospital procedures and policy

Demonstrated initiative whilst caring for women and their babies

Demonstrated knowledge of maternal and neonatal conditions and/or the ability and initiative in seeking further information.Understanding the medications administered to women and neonates, and administers medications according to medication safety standardsUnderstanding of the Australian Nursing and Midwifery Council (ANMC) National Competencies for the Registered Midwife

Organisational/priority settings/time management

Ability to effectively prioritise workload and complete all allocated care within a reasonable timeframe

Ability to be, creative, innovative and flexible when approaching issues within a healthcare setting

Knowledge level/ability to link theory to practice/critical thinking

Ability to apply theoretical knowledge in the clinical setting

Demonstrated critical thinking skills in application of skills in practice

Ability to recognise and report changes in the woman or baby’s condition promptly

Ability to give logical rationales for midwifery care performed

2017 Cumulative record of portfolio requirements

Student’s name: ___________________________________________ Student’s ID: __________________ TOTAL

requiredAchieved

ELA 1Achieved

ELA 2Achieved

ELA 3Achieved

ELA 4Achieved

ELA 5Achieved

ELA 6Running

Total (update in

pencil only)

FinalTOTAL

AntenatalCare

Antenatal visit 100

Abdominal palpation 10Complex pregnancy care 15

IntrapartumCare

Labour and spontaneous vaginal birth 30

Active care 1st stage labour 10

Vaginal examination 10Complex Intrapartum care 15

PostpartumCare

Normal postpartum care 100

Complex postpartum care 10

NeonatalCare

Physical Examination of the newborn 20

Complex neonatal care 10

Continuity of Care Experiences

Commenced15*

CompletedLearning tools

University lecturer name, signature and date evidence reviewed and assessed as complete* Students who hold a current registered nurse registration will be exempt from 5 CoCE and will only be required to engage in a minimum of 10 (approx. 5 CoCE/ year)

Experiential Learning Activity: Midwifery Foundation … · Web viewAll records for this ELA should...

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