Bachelor of Midwifery Midwifery Student Practice Portfolio...review orientation details under Clinical Experiences on your Learnonline site Senior First Aid ... Keep a copy of the

Midwifery Student Practice Portfolio ELA 5 2017

Bachelor of Midwifery Midwifery Student Practice Portfolio

Experiential Learning Activity: Midwifery Practice Development Practicum 5 (Nurs 3048)

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

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Introduction

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

Midwifery Students Practice Portfolio Guidelines

Clinical Assessment Tools for the Midwifery Student (CAT)

ELA 5 Course Outline

ELA 5 Quick Guide As explained in the Professional Practice Guidelines, the Experiential Learning Activities (ELA) in this program provide opportunity for you to develop your professional and clinical skills. During each ELA you will participate in a pre-clinical workshop in the School’s Horizon Hospital and Health Service (HHHS) and engage with the Clinical Assessment Tool (CAT) for Midwifery Students. Prior to attending placement you will be required to successfully undertake an Objective Structured Clinical Activity (OSCA) in the simulated environment HHHS and pass the Medicine Calculations online assessment, as identified in your Course Outline to satisfy the requirements for clinical placement. Any student who receives a fail grade for an OSCA will not be eligible to proceed to the clinical placement of the course. If you do not pass the OSCA on the first attempt you will be given a further opportunity to be reassessed, this will be arranged through your Course Coordinator. ELA 5 consists of 1 pre-clinical day, 4 weeks x 5 days/week, rostered across a 7 day roster (this may include early, late and night shifts), and a post-clinical workshop. Please refer to the Course Outline to review the course objectives for ELA 5 and the assessment requirements.

Compiling the Portfolio

This portfolio is to be taken with you on placement and while attending your COCE. It is important to show this portfolio to your Clinical Facilitator and the midwives you work with. For all ELA’s you will be required to provide and appropriately detail the following as outlined: Learning Plan

DCSI Criminal History Check

Nursing and Midwifery Student Clinical Placement Orientation, SA Health

*Please note you need to ensure you have met orientation requirements for each venue; please review orientation details under Clinical Experiences on your Learnonline site

Senior First Aid

CPR certificate

Manual Handling

Medicine Calculations Certificate

Learning Plan

Record of Clinical attendance

Clinical assessment Tool for the Midwifery Student (CAT)

o Completed specified Learning Tools

o Competency Assessment for each area

Midwifery Student Venue Feedback (daily)

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

Critical Reflection

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

No identification in any way may be made of women, babies or their families. Pseudonyms should be used to de-identify women and their families. Students are responsible for compiling and maintaining their portfolio. It is your responsibility to keep it safe and to ensure it is available for review by ANMAC if required for auditing purposes.

Assessment of your portfolio All records for this ELA should be compiled in a folder along with the clinical experiences (including COCE) that you have documented during this ELA and since your previous ELA completion. Please ensure you update the cumulative record for each experience and the ongoing cumulative record of minimum experiences for your program. This record should be included at the beginning of your folder to be signed off by your Course Coordinator. Please submit original paperwork. Portfolios will be marked through an interview process. You will be required to attend an appointment with the Course Coordinator or assigned marker to review your portfolio and provide feedback and receive a grade.

Internal students will undertake this interview face-to-face and bring their completed portfolio with them. Interview times will be scheduled through 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. Your Course Coordinator will schedule an

interview time through the learnonline site.

If a student’s portfolio does not meet the required standard it will be returned and a further appointment scheduled to review and ascertain the grade. Any student that does not return the amended portfolio in the agreed timeframe will receive a fail grade. Once this ELA has been marked, you must keep all documentation in a larger portfolio for evidence of meeting the clinical requirements for the program.

Passport to Placement Please ensure that you take your Passport to Placement folder to placement should the venue ask to see evidence of the required documentation.

DSCI Criminal History Check

Your DCSI certificate must be available as this may be check at the venue you attend.

Nursing and Midwifery Student Clinical Placement Orientation, SA Health

Nursing and Midwifery Student Clinical Placement Orientation 2014, Nursing Office Department of Health, South Australia, this is applicable for SA Public Health venues, http://www.sahealth.sa.gov.au/wps/wcm/connect/ffbb7a8044f901d5b31df3005ba75f87/Nursing+and+Midwifery+Student+Clinical+Placement+Orientation+Package+V2.pdf?MOD=AJPERES&CACHEID=ffbb7a8044f901d5b31df3005ba75f87

Please make sure you have worked through the online package and have completed the check list and signed this form. Keep a copy of the signed checklist in your portfolio as some venues will request to site this. They may also request to site a record of your vaccinations so please have these available as well

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



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First Aid and CPR certificate

These are a requirement for placement and it is advisable that you keep a record of these in your passport to placement.

Manual handling

You must compete a manual handling session before commencing placement. This can be undertaken online by accessing the flowing link from the HHHS tab on your Learnonline site http://resource.unisa.edu.au/course/view.php?id=187

Learning Plan

Please review your reflections from previous ELA placements to assist you develop your Learning Plan. You will need to develop this learning plan as outlined in your Course site. This is to be discussed with your Clinical Facilitator at the beginning of placement and should guide your placement experience. You can share this with any midwives or doctors you work with in order to help them understand your learning needs for this placement. At the end of your placement you will need to demonstrate how you have achieved your learning plan and submit it with your portfolio. An electronic copy of the learning plan template can be found on the course site.

Medicine Calculations Certificate

You must undertake the learning package online and gain 100% for your ELA 5 Medicine Calculations assessment. Please upload the certificate on the Learnonline site and present a hard copy at your preclinical.

Attendance Record

You will be required to keep an attendance record that will need to be signed each day of your placement by the midwife you work with or the Clinical Facilitator. Please note if you cannot attend placement for any reason you must notify the manager of the area you are working in as well as contact your Clinical Facilitator. This can be done by email so it is a good idea to ask for the contact phone and email for your Clinical Facilitator and also for the area manager. You will need to make up all missed shifts, you may be able to make up 1 or 2 days while on placement but this is not always possible, please communicate with your Clinical Facilitator. If you are going to be late or leave early due to COCE appointments you also need to communicate, however this should be an exception as being punctual is a professional responsibility. Communication is a key skill in midwifery practice and it is important that you communicate your absence to ensure that you facilitate a positive work environment.

*If you miss more than 1 day in this placement you will need to contact your Course Coordinator to discuss. It is difficult to organise make up placements and this will only be done in extenuating circumstances.

Clinical Assessment Tool for the Midwifery Student

Learning Tools While on clinical placement or through the Continuity of Care Experience (COCE), the CAT for Midwifery Students will be utilised to inform the clinical assessment component. You will be expected to complete each of the clinical skills learning tool assessments detailed in the CAT for Midwifery Students as outline below:

Learning tool number 22: Enteral/tube feeding the baby

Learning tool number 23: Care of the unwell baby receiving oxygen therapy

Learning tool number 24: Care of the baby receiving phototherapy

Learning tool number 26: Neonatal resuscitation via simulation

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

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* Learning tool 26 will be undertaken as the OSCA and this can be signed off at this point. Tools can be downloaded from the learnonline site. *It is expected that students will attain a minimum rating of Proficient (P) for all tools Any student who does not achieve the minimum rating for the specified skill will require ongoing support and reassessment. This will be undertaken in consultation with the student, Clinical Facilitator and academic staff at the University responsible for the course. A further 6 CAT tools must be completed within the third year of your program at a minimum of a proficient level these include 2, 5, 10, 13, 18, 19. We recommend that you complete more than the recommended tools for ELA 5 during this placement. You will need to work with your Clinical Facilitator to achieve this as there will be very limited opportunity to assist any student except for very exceptional circumstances.

Competency Assessment

You will also be required to engage in 2 Competency Assessments, these assessments are usually undertaken at 2 weeks intervals. The Clinical Facilitator assigned to you for the associated ELA will be responsible for undertaking this assessment. *It is expected that students will attain a minimum rating of Proficient (P) for the Competency Assessment for ELA 5

Students who do not achieve a pass grade in the first assessment will be required to undertake a clinical challenge either while on placement or in the HHHS with the Clinical Midwife. Upon successful completion of the clinical challenge, students will be able to continue the clinical placement and undertake a final summative assessment. Students who do not achieve a pass grade for the final summative assessment will not pass the ELA course. This may impact on their progression throughout the program.

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

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

Proficient (P):

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

Assisted (A):

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

Supported (S):

Refers to being safe when closely supervised and supported; unskilled and inefficient; uses excess energy and takes a prolonged time period. Continuous verbal and physical cues.

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

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

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Venue Feedback

You are required to collect daily feedback from the midwives that directly supervise you while on clinical placement. This feedback is important and can be used to support your application this year when applying for a graduate position. You must obtain daily written feedback for each area that you are placed. It is suggested that you identify possible referees for your graduate year application and ask them to complete 1 or more feedback forms. Provide them with a named copy so they can recall who you are if they are contacted for a reference. The portfolio is your responsibility; you must consider the clinical assessment requirements for this

ELA and ensure that you have undertaken them. If you have difficulty fulfilling these requirements

please discuss this with your Clinical Facilitator. If this cannot be resolved you should contact the

Course Coordinator.

Critical Reflection

Your critical reflection should be submitted with your portfolio as a hard copy. Please refer to the Course Outline

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Learning Plan

Learning Objective Resources, Strategies, Activities

Course objectives/ (NMBA)

competencies Time-line Evidence Outcome

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

How do you plan to learn it?

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

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).

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Attendance Record for Clinical Placement

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

Area

Total hours completed

Total number of shifts completed

Antenatal Clinic

Antenatal Ward

Labour and Delivery

Postnatal Ward

Domiciliary Midwifery

Neonatal

Midwifery Group Practice

Other

Sick Leave If you are sick you must not attend placement. You need to notify your Clinical Facilitator and the

Ward/Unit Manager that you will not be attending the shift. A medical certificate is required if you

are absent for three or more consecutive days or if you have had more than three days absent

within the placement. Please ensure certificates are presented to your Clinical Facilitator when you

next meet with them and emailed to your Course Coordinator. Your Clinical Facilitator will liaise with

the university about your ability to continue with placement. All leave will need to be made up and if

it cannot be organised with the venue, a make-up placement will be negotiated, otherwise you will

need to complete the placement when this ELA is offered again.

Total hours of sick leave

Total number/s of shift/s missed

Make–up shifts completed

Yes / No

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Student Name: _______________________________________

Date Venue

Area Hours of

attendance

RM/ MO Signature &

Date

University facilitator

signature & Date

Skills List for 3rd year (ELA 5)

Student to sign and date when completed. This form should be made available to assessor at

each clinical assessment if requested, to gauge clinical progress of the student.

Clinical Skill Theory Observation Skill assessed

1 Initial pregnancy assessment

2 Ongoing pregnancy care

3 Abdominal examination

4 Parenting education for the woman and her family

5 Performing and interpreting an antenatal cardiotocograph

6 Care of the woman on admission to the birth environment

7 Performing and interpreting an intrapartum cardiotocograph

8 Care of the woman progressing in labour

9 Working with pain in labour

10 Epidural analgesia in labour

11 Insertion of a urinary catheter

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

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

14 Care (reception) of the newborn at birth

15 Vaginal examination

16 Maternal and baby wellbeing assessment following birth

17 Facilitating breastfeeding for the woman and baby

18 Breastfeeding challenges for the woman and baby

19 Care of a woman after a caesarean birth

20 Blood sampling of the newborn baby

21 Full examination of the newborn baby

22 Enteral/tube feeding a baby

23 Care of the unwell baby receiving oxygen therapy

24 Care of the baby receiving phototherapy

25 Administering an injection to the newborn

26 Neonatal resuscitation via simulation

Learning tool 22: Enteral/tube feeding a baby

This is a competency and skills-based assessment. Please note all boxes need to be completed.

Please refer to the Bondy scale on page 4 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 privacy Identifies and respects the woman’s individual needs in relation to language, culture, religion and spirituality Plans and provides care in partnership with the woman

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

Reviews baby’s history, checks management plan Verifies baby’s identity

1.2, 1.4, 5.2

Prepares and checks equipment 1.4, 5.3

Prepares the baby

Monitors vital signs prior to commencing

Correctly positions baby safely

Ensures baby remains warm

1.2, 2.1, 5.3, 14.1

Tube insertion

Maintain non-touch technique at all times

Measures and marks the length of tube correctly

Gently inserts tube to measured mark

Observes neonate for signs of complications during insertion

Ensures tube is correctly positioned and securely taped (in the case of an indwelling tube)

Confirms correct positioning of tube as per local guideline

Discusses trouble shooting when confirming tube position

Observes for indicators of tube dislodgement

1.2, 1.3, 1.4, 2.1, 5.2, 5.3

Administering feed

Ensures correct type of feed

Ensures correct temperature and volume of milk

Observes for complications during feed

Appropriately and safely regulates the flow of milk

Safely ends the feed

Leaves the baby comfortably positioned

Encourage parental involvement with tube feeding as per local guideline

1.2, 1.4, 2.1, 5.2, 5.3, 6.1

States rationale for enteral/tube feeding Discusses actual/potential problems which may arise during the procedure and outlines appropriate management

2.1, 2.2, 2.3, 5.6, 6.1, 6.2

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

1.4, 2.1, 2.3, 6.1, 8.1

Documents all care legibly and appropriately 1.1, 1.3, 3.3

Student name and

signature:……………………………………………................................. Date:………………………………………..

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

Overall rating (please circle):

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

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

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Learning tool 23: Care of the unwell baby receiving oxygen therapy






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


1.2, 1.4, 5.2

Prepares and checks equipment – according to method of oxygen delivery

Ensures incubator is pre warmed

Checks if oxygen gas is to be humidified

Checks O2 delivery method

Positions and calibrates oxygen analyser correctly

1.2, 1.4, 2.2, 5.2, 5.3

Prepares baby

Positions baby safely

Monitors vital signs prior to commencing and at regular intervals

Ensures correct placement of the oximeter

Ensures continuous saturations are monitored and documented

Ensures thermoregulation is considered

1.2, 2.1, 5.3, 14.1

Records vital signs and observations as per guidelines 1.2, 1.3

Provides developmental supportive care to baby as needed Attends to baby’s nutritional needs according to management plan

5.2, 5.3, 5.4

Identifies alternate methods of oxygen therapy delivery Explains rationale for alternate methods

5.1, 5.3, 6.1,

States rationale for administering oxygen therapy Discusses actual/potential problems which may arise during oxygen therapy and outlines appropriate management

2.1, 2.2, 2.3, 5.6, 6.1, 6.2


1.4, 2.1, 2.3, 6.1, 8.1


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




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

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Learning tool 24: Care of the baby receiving phototherapy






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


1.2, 1.4, 5.2

Prepares and checks equipment – according to method of phototherapy delivery

Considers thermoregulation

Ensures phototherapy unit is functioning

1.2, 1.4, 2.2, 5.2, 5.3

Prepares the baby

Monitors vital signs prior to commencing

Positions baby safely

Ensure baby is nursed only wearing a nappy

Ensures eyes are protected

1.2, 2.1, 5.2, 5.3, 14.1

Records vital signs as per guidelines Records baby’s fluid balance including intake and output

1.2, 1.3

Comforts baby as needed Attends to baby’s nutritional needs according to management plan Interrupts phototherapy for feeds where applicable

5.2, 5.3, 5.4

Maintains baby’s skin integrity - provides rationale 5.2, 6.1

Monitors serum bilirubin, turns off lights during collection - provides rationale 5.2, 5.3, 6.1

States rationale for administering phototherapy Discusses actual/potential problems which may arise during phototherapy and outlines appropriate management

2.1, 2.2, 2.3, 5.6, 6.1, 6.2


1.4, 2.1, 2.3, 6.1, 8.1






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

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Learning tool 26: Neonatal resuscitation via simulation




Prior to the assessment Displays effective communication skills using active listening skills throughout

1.4, 3.1, 3.2

Ensures privacy within the context of an emergency Identifies and respects the woman’s individual needs in relation to language, culture, religion and spirituality

1.4, 7.1, 7.2, 10.1

Reviews history and identifies pre-disposing factors that may necessitate resuscitation Verifies baby’s identity – applies identity labels if necessary

1.2, 1.4, 5.2

Ensures environment is warm and well lit 1.2, 1.4, 2.2, 5.2, 5.3

Ensures equipment is available and operational

Oxygen/air/blender

Oximeter

Neopuff and bag and mask

Suction

Resuscitaire

1.4, 5.3

At the time of initial assessment Assesses baby’s condition

Breathing/crying and tone

Response to stimulation

Clears airway if indicated Evaluates APGAR score (if at birth) at 1 and 5 minutes, and every 5 minutes until baby is stable

Heart rate

Respirations

Muscle tone

Reflex response

Colour Is aware intervention for depressed infants should not await APGAR score

1.2, 1.3, 1.4, 2.1, 2.2, 5.2, 5.3

Notifies appropriate personnel and summons help

Supervising midwife

Paediatrician

Special care nurseries

Calls neonatal code blue if required

2.1, 2.3, 6.1, 6.2

Positions and handles baby safely Positions baby correctly for resuscitation

1.2, 1.4, 2.2, 5.2, 5.3

Resuscitates baby correctly

Establishes and maintains correct position of head and neck

Provides adequate oxygenation/ventilation via neopuff

Correctly attaches oximetry

Bag and mask is to be used in gas supply failure as per ARC guideline

States the indications and rates for ventilation (inadequate breathing, HR<100)

Assesses the effectiveness of ventilation

Reassesses baby’s condition at correct times

Commences external cardiac compressions if indicated

States indications, correct ratio, rates and depth for cardiac compressions (inadequate breathing, HR<60. Ratio 3:1)

1.2, 1.4, 2.2, 5.2, 5.3, 5.5, 14.1

States indications administration and precautions for resuscitation medications: adrenaline, normal saline and O negative blood (as per Australian Resuscitation Council (ARC) guideline 13.7)

Delegates scribe

Prepares for and assists with intubation and intravenous therapy

Familiarity with equipment required

Prepares tapes

Prepares IV tubing with 3 way tap

1.4, 2.1, 2.2, 5.2, 5.3

Reassess baby’s condition Follows the Australian resuscitation council guidelines ‘flow chart’ and appropriately intervenes where indicated

1.2, 5.2, 14.1

Following stabilisation Ensures baby is warm and monitored closely Explains criteria for care in the SCN following resuscitation Ensures family are supported and debriefed

1.2, 1.4, 2.1, 3, 5.2

Documents actions legibly and appropriately including observations interventions and times as per ARC guideline 13.9

1.3, 2.1, 2.3

States indications for neonatal resuscitation at the time of birth and following birth Discusses actual/potential problems which may arise during the resuscitation and outlines appropriate management

2.1, 2.2, 2.3, 5.6, 6.1, 6.2





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 with legislation and common law affecting midwifery practice

Student Assessor

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

Element 1.2: Complies with policies and guidelines that have legal and professional implications for practice

Element 1.3: Formulates documentation according to legal and professional guidelines

Element 1.4: Fulfils the duty of care in the course of midwifery practice

Competency 2: Accepts accountability and responsibility for own actions within midwifery practice

Student

Assessor

Element 2.1: Recognises and acts within own knowledge base and scope of practice

Element 2.2: Identifies unsafe action and takes appropriate action

Element 2.3: Consults with, and refers to, another midwife or appropriate health care provider when the needs of the woman and her baby fall outside own scope of practice or competence

Element 2.4: Delegates, when necessary, activities matching abilities and scope of practice and provides appropriate supervision

Element 2.5: Assumes responsibility for professional midwifery leadership functions

MIDWIFERY KNOWLEDGE AND PRACTICE

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

Student

Assessor

Element 3.1: Communicates effectively with the woman, her family and friends

Element 3.2: Provides learning opportunities appropriate to the woman’s needs

Element 3.3: Plans and evaluates care in partnership with the woman

Competency 4: Promotes safe and effective midwifery care

Student Assessor

Element 4.1: Applies knowledge, skills and attitudes to enable woman centred care

Element 4.2: Provides or supports midwifery continuity of care

Element 4.3: Manages the midwifery care of women and their babies

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

Student Assessor

Element 5.1: Utilises midwifery knowledge and skills to facilitate an optimal experience for the woman

Element 5.2: Assesses the health and well being of the woman and her baby

Element 5.3: Plans, provides and is responsible for, safe and effective midwifery care

Element 5.4: Protects, promotes and supports breastfeeding

Element 5.5: Demonstrates the ability to initiate, supply and administer relevant pharmacological substances in a safe and effective manner within relevant state of territory legislation

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

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

Student Assessor

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

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

MIDWIFERY AS PRIMARY HEALTH CARE

Competency 7: Advocates to protect the rights of women, families and communities in relation to maternity care

Student Assessor

Element 7.1: Respects and supports women and their families to be self- determining in promoting their own health and well being

Element 7.2: Acts to ensure that the rights of women receiving maternity care are respected

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

Student Assessor

Element 8.1: Demonstrates effective communication with midwives, health care providers and other professionals

Element 8.2: Establishes, maintains and evaluates professional relationships with other health care providers

Competency 9: Actively supports midwifery as a public health strategy

Student Assessor

Element 9.1: Advocates for and promotes midwifery practice, within the context of public health policy

Element 9.2: Collaborates with, and refers women to, appropriate community agencies and support networks

Competency 10: Ensures midwifery practice is culturally safe

Student Assessor

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

REFLECTIVE AND ETHICAL PRACTICE

Competency 11: Bases midwifery practice on ethical decision making

Student Assessor

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

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

Student Assessor

Element 12.1: Addresses the impact of personal beliefs and experiences on the provision of midwifery care

Element 12.2: Appraises and addresses the impact of power relations on midwifery practice

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

Student Assessor

Element 13.1 Assesses and acts upon own professional development needs

Element 13.2: Contributes to, and evaluates, the learning experiences and professional development of others

Competency 14: Uses research to inform midwifery practice

Student Assessor

Element 14.1: Ensures research evidence is incorporated into practice

Element 14.2: Interprets evidence as a basis to inform practice and decision making

Overall grading


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

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

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Student Name: ______________________Venue/ Clinical area _________________________

The Competency assessment will be carried out at various time points during the student’s midwifery

program. In each ELA an assessment should be undertaken for each clinical area that the student has been

rostered.

All sections of this assessment should be filled in for the assessment to be deemed complete. Students

should complete a self-assessment before participating in a review with the Clinical Facilitator.

LEGAL AND PROFESSIONAL PRACTICE

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

Student Assessor

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

Element 1.2: Complies with policies and guidelines that have legal and professional implications for practice

Element 1.3: Formulates documentation according to legal and professional guidelines

Element 1.4: Fulfils the duty of care in the course of midwifery practice

Competency 2: Accepts accountability and responsibility for own actions within midwifery practice

Student

Assessor

Element 2.1: Recognises and acts within own knowledge base and scope of practice

Element 2.2: Identifies unsafe action and takes appropriate action

Element 2.3: Consults with, and refers to, another midwife or appropriate health care provider when the needs of the woman and her baby fall outside own scope of practice or competence

Element 2.4: Delegates, when necessary, activities matching abilities and scope of practice and provides appropriate supervision

Element 2.5: Assumes responsibility for professional midwifery leadership functions

MIDWIFERY KNOWLEDGE AND PRACTICE

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

Student

Assessor

Element 3.1: Communicates effectively with the woman, her family and friends

Element 3.2: Provides learning opportunities appropriate to the woman’s needs

Element 3.3: Plans and evaluates care in partnership with the woman

Competency 4: Promotes safe and effective midwifery care

Student Assessor

Element 4.1: Applies knowledge, skills and attitudes to enable woman centred care

Element 4.2: Provides or supports midwifery continuity of care

Element 4.3: Manages the midwifery care of women and their babies

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

Student Assessor

Element 5.1: Utilises midwifery knowledge and skills to facilitate an optimal experience for the woman

Element 5.2: Assesses the health and well being of the woman and her baby

Element 5.3: Plans, provides and is responsible for, safe and effective midwifery care

Element 5.4: Protects, promotes and supports breastfeeding

Element 5.5: Demonstrates the ability to initiate, supply and administer relevant pharmacological substances in a safe and effective manner within relevant state of territory legislation

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

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

Student Assessor

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

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

MIDWIFERY AS PRIMARY HEALTH CARE

Competency 7: Advocates to protect the rights of women, families and communities in relation to maternity care

Student Assessor

Element 7.1: Respects and supports women and their families to be self- determining in promoting their own health and well being

Element 7.2: Acts to ensure that the rights of women receiving maternity care are respected

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

Student Assessor

Element 8.1: Demonstrates effective communication with midwives, health care providers and other professionals

Element 8.2: Establishes, maintains and evaluates professional relationships with other health care providers

Competency 9: Actively supports midwifery as a public health strategy

Student Assessor

Element 9.1: Advocates for and promotes midwifery practice, within the context of public health policy

Element 9.2: Collaborates with, and refers women to, appropriate community agencies and support networks

Competency 10: Ensures midwifery practice is culturally safe

Student Assessor

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

REFLECTIVE AND ETHICAL PRACTICE

Competency 11: Bases midwifery practice on ethical decision making

Student Assessor

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

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

Student Assessor

Element 12.1: Addresses the impact of personal beliefs and experiences on the provision of midwifery care

Element 12.2: Appraises and addresses the impact of power relations on midwifery practice

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

Student Assessor

Element 13.1 Assesses and acts upon own professional development needs

Element 13.2: Contributes to, and evaluates, the learning experiences and professional development of others

Competency 14: Uses research to inform midwifery practice

Student Assessor

Element 14.1: Ensures research evidence is incorporated into practice

Element 14.2: Interprets evidence as a basis to inform practice and decision making

Overall grading


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

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Midwifery Student Venue Feedback

Student name: Date:

Hospital: Experience: Year level:

Please choose the most appropriate descriptor to provide feedback on the student in the following areas: Personal Ability/Aptitude/Skills; Experience; Knowledge. Please provide a summary comment based on these descriptors.

Personal Ability/Aptitudes/skills

N/A Needs

Improvement Good Excellent

Communication/Interpersonal Skills

Ability to expresses self clearly and concisely

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

Ability to explain care to women and family/significant others

Effectiveness of hand over to oncoming shift

Ability to deliver effective education to women and their families

Organisational skills

Ability to effectively prioritize workload

Ability to complete all allocated care within a reasonable timeframe

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

Teamwork

Ability to work with midwives

Ability to work effectively within a multidisciplinary team.

Ability to problem solve, resolve problems and negotiate.

Experience

N/A Needs Improvement

Good Excellent

Midwifery Clinical Competencies

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

Ability to apply theoretical knowledge in the clinical setting

Demonstrates critical thinking skills in application of skills in practice

Ability to provide culturally appropriate and safe midwifery care.

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

Ability to work in accordance with hospital procedures and policy.

Demonstrates initiative whilst caring for women and their babies.

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

Documentation

Ability to write clear, concise and legible notes.

Ability to accurately document all observations in a timely manner.

Ability to report incidents and complete relevant forms.

Knowledge

N/A Needs

improvement Good Excellent

Knowledge of the conditions of the women and neonates under their care.

Ability to give logical rationales for midwifery care performed.

Ability to link theory to practice.

Understands the medications administered to women and neonates, and administers medications safely.

Understanding of the Australian Nursing and Midwifery Council (ANMC) National Competencies for the Registered Midwife.

Summary comment:

Supervising Registered Midwife Name: Signature:

Midwifery Student Venue Feedback

Student name: Date:

Hospital: Experience: Year level:

Please choose the most appropriate descriptor to provide feedback on the student in the following areas: Personal Ability/Aptitude/Skills; Experience; Knowledge. Please provide a summary comment based on these descriptors.

Personal Ability/Aptitudes/skills

N/A Needs

Improvement Good Excellent

Communication/Interpersonal Skills

Ability to expresses self clearly and concisely

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

Ability to explain care to women and family/significant others

Effectiveness of hand over to oncoming shift

Ability to deliver effective education to women and their families

Organisational skills

Ability to effectively prioritize workload

Ability to complete all allocated care within a reasonable timeframe

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

Teamwork

Ability to work with midwives

Ability to work effectively within a multidisciplinary team.

Ability to problem solve, resolve problems and negotiate.

Experience

N/A Needs Improvement

Good Excellent

Midwifery Clinical Competencies

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

Ability to apply theoretical knowledge in the clinical setting

Demonstrates critical thinking skills in application of skills in practice

Ability to provide culturally appropriate and safe midwifery care.

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

Ability to work in accordance with hospital procedures and policy.

Demonstrates initiative whilst caring for women and their babies.

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

Documentation

Ability to write clear, concise and legible notes.

Ability to accurately document all observations in a timely manner.

Ability to report incidents and complete relevant forms.

Knowledge

N/A Needs

improvement Good Excellent

Knowledge of the conditions of the women and neonates under their care.

Ability to give logical rationales for midwifery care performed.

Ability to link theory to practice.

Understands the medications administered to women and neonates, and administers medications safely.

Understanding of the Australian Nursing and Midwifery Council (ANMC) National Competencies for the Registered Midwife.

Summary comment:

Supervising Registered Midwife Name: Signature:

2016 Cumulative record of portfolio requirements Student’s name: ___________________________________________ Student’s ID: __________________

* Students who hold a current registered nurse registration will be exempt from 5 CoCE and will only be required to engage in a minimum of 10 (approx. 5 CoCE/ year)

TOTAL required

Achieved ELA 1

Achieved ELA 2

Achieved ELA 3

Achieved ELA 4

Achieved ELA 5

Achieved ELA 6

Running Total

(update in pencil only)

Final TOTAL

Antenatal Care

Antenatal episode of care 100

Abdominal palpation 10

Complex antenatal care 15

Intrapartum Care

Labour and spontaneous vaginal birth

30

Active care 1st

stage labour 10

Vaginal examination 10

Complex intrapartum care 15

Postpartum Care

Postnatal episode of care 100

Complex postpartum care 10

Neonatal Care

Physical examination of the newborn

20

Complex neonatal care 10

Continuity of Care Experiences

Commenced 15

Completed

Learning tools University lecturer name, signature and date evidence reviewed and assessed as complete