BSc (Hons) Midwifery Achieving The NMC Standards For Pre

Student: Test Student | Course: UoC BSc Midwifery - Year 2 | Module:

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UoC BSc Midwifery - Year 2

University of Chester

Faculty Of Health And Social Care

BSc (Hons) Midwifery

Achieving The NMC Standards For Pre-Registration MidwiferyEducation

Student Name: Test Student

Student Number: orig_id:9029

Cohort

Academic Assessor: Not Assigned

Personal Tutor: Not Assigned

www.onlinepare.net [email protected]

Marriss House, Birkenhead, Wirral, CH41 5AL

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Contents

HENW Placement Charter 4 ............................................................................................................................................................

Assessing Practice In Pre-Registration Midwifery Programmes 5 ................................................................................

Guidelines For Completion 7 ..........................................................................................................................................................

Overview Of Documents And Assessment 9 ...........................................................................................................................

Possible Experience For Non-Midwifery Placements 10 ....................................................................................................

Placement Orientation Form 12 ...................................................................................................................................................

Placement Learning Plan - Accident and Emergency 15 ....................................................................................................

Placement Learning Plan - Neonatal Unit 16 ..........................................................................................................................

Placement Learning Plan - Gynaecology 17 ............................................................................................................................

Placement Learning Plan - Out-Patients Department 18 ..................................................................................................

Assessments - A Step By Step Guide 19 .....................................................................................................................................

Day With Infant Feeding Leads 20 ...............................................................................................................................................

Discussions Between Practice Assessor / Practice Supervisor 21 .................................................................................

Levels Of Skill 22 ..................................................................................................................................................................................

Preliminary Interview & Placement Orientation Form - Placement 1 23 ..................................................................






Guide To Complete The NMC Standards 29 .............................................................................................................................

NMC Standards - Communication 31 .........................................................................................................................................

NMC Standards - Diagnose Pregnancy and Assess 34 .........................................................................................................











NMC Standards - Determine Programmes of Care 36 ........................................................................................................

NMC Standards - Refer Women 39 ..............................................................................................................................................

NMC Standards - Seamless Care and Interventions 44 ......................................................................................................

NMC Standards - Care, Monitor and Support 47 ...................................................................................................................

NMC Standards - Undertake Emergency Procedures 52 ...................................................................................................

NMC Standards - Care After Birth 55 ..........................................................................................................................................

NMC Standards - Apply Knowledge In Practice 57 ................................................................................................................

NMC Standards - Partnership With Women 58 ......................................................................................................................

NMC Standards - Examine and Care for Babies 61 ...............................................................................................................

NMC Standards - Care and Monitor Women During The Puerperium 64 ...................................................................

NMC Standards - Select, Aquire and Administer Drugs 67 ...............................................................................................

NMC Standards - Records Of Practice 70 ..................................................................................................................................

NMC Standards - Effectiveness of Programmes of Care 73 ..............................................................................................

NMC Standards - Promote and Support Individuals Rights 74 .......................................................................................

NMC Standards - Health and Social Well-Being of Individuals 76 ..................................................................................

NMC Standards - Practice In Accordance With The Code 79 ............................................................................................

NMC Standards - Practice Legislation 83 ..................................................................................................................................

NMC Standards - Working Collaboratively 86 ........................................................................................................................

NMC Standards - Using Evidence and Reflecting on Practice 89 ....................................................................................

NMC Standards - Confidentiality of Information 91 ............................................................................................................

NMC Standards - Information Technology Systems 92 ......................................................................................................

NMC Standards - Audit of Practice 93 ........................................................................................................................................

NMC Standards - Review Fitness to Practise 95 ....................................................................................................................

NMC Standards - Professional Boundaries and Networks 97 .........................................................................................











NMC Standards - Competing Demands 99 ...............................................................................................................................

NMC Standards - Creation and Maintenance of Environments 101 .............................................................................

NMC Standards - Guidelines and Policies 104 ........................................................................................................................

Placement 1 Formative/Intermediate Clinical Report 106 ...............................................................................................

Placement 1 Summative/Final Clinical Report 108 ..............................................................................................................











Re-Assessment Practice Report Form - Placement 1 Intermediate 130 .....................................................................

Re-Assessment Practice Report Form - Placement 1 Final 132 .......................................................................................





















Progression to Level Six 154 ...........................................................................................................................................................









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HENW Placement Charter









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Assessing Practice In Pre-Registration Midwifery Programmes

Background

The NMC (2009) have directed that practice in pre-registration midwifery programmes require that student midwives pass allaspects of practice prior to being permitted entry to the professional register held by the NMC. Students who fail practice wereand are still permitted one further attempt only, at practice.

Standards for Student Supervision and Assessment (NMC, 2018)

This document sets out the expectations for the learning, support, supervision and assessment of students in the practiceenvironment. The term mentor will no longer be used and the traditional role of the mentor will change. The new roles tosupport supervision and assessment of students within practice will be that of practice supervisor, practice assessor andacademic assessor. The students will work primarily with their allocated practice supervisor and periodically with the practiceassessor.

What will remain the same?

Students will remain supernumerary requiring the support of a registered practitioner.Induction, learning contracts- reflective practice, formative/ intermediate assessments, action plans and summative/ finalassessments will continue.Students will receive continuous feedback to inform their progress.Midwives will continue to respond to student concerns, safeguarding issues and issues around clinical competencies andprofessionalism.

Roles to support practice learning

Practice SupervisorPractice AssessorAcademic Assessor

It is possible to be a practice supervisor and a practice assessor - but not for the same student

The role of the Practice Supervisor:

Identifies student learning needs at the beginning of each shift and sets realistic goals to achieve these.Seeks learning opportunities to support the student to achieve skills and practice learning outcomes.Uses coaching skills and appropriate coaching models/ and the use of skilful questioning to support student learning.Collects and documents evidence of student performance continuously.Provides verbal and written formative/ intermediate feedback to the student.Discusses the student’s performance with the Practice Assessor.

The role of the Practice Assessor:

To receive feedback from Practice Supervisors/Service Users on student performance.Observes aspects of the student’s practice.Undertakes and records the summative/final assessments.Gives constructive feedback to the student.Uses The NMC Code (2018) to inform all decisions regarding student’s performance and professionalism.









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Undertakes preparation or evidences previous relevant experience to undertake their role.Discusses student performance with the Academic Assessor regarding student progression.

The role of the Academic Assessor:

Supports and works in partnership with Practice Assessors and Practice Supervisors to confirm student achievement andprogression.Works in partnership with clinical colleagues to ensure quality assurance and enhancement of practice areas and thestudent experience.Liaises with Practice Assessors, where appropriate, if a student action plan is needed.Supports the Practice Supervisor, Practice Assessor and the student with the implementation of the action plan.Ensures relevant documentation is completed.Will respond to student concerns, and/or Practice Supervisor, Practice Assessor concerns regarding safeguarding issues,clinical competencies and professional behaviour.

Documents to be completed for assessment of practice

NMC Standards for each academic year/level currently marked as pass/fail. This is still completed during the year as the studentattends each practice placement.

NOTES FOR PRACTICE SUPERVISORS AND PRACTICE ASSESSORS

The Practice Supervisor can provide verbal and written feedback to the student for formative/ intermediate assessments(mid-point for individual NMC Standards). Summative/ final assessments should be completed by the Practice Assessorand takes place following consultation with the Practice Supervisor/s. Dates and times when the assessment will take placeshould be mutually agreed. Time should be allocated to gather and co-ordinate feedback from practice supervisors toallow reliable and fair decision making around assessments and progression documents.

Formative/ Intermediate Assessment

The formative/ intermediate assessment is designed to assist the student to identify gaps in their knowledge. It is thePractice Supervisor’s responsibility to meet with the student to provide feedback and to discuss any issues that may impactupon the student’s summative/ final assessments.

Summative/ Final Assessment

The summative/ final assessment will be conducted by the Practice Assessor, following observation of aspects of thestudent’s practice. This will be in collaboration with feedback from the Practice Supervisor on the student’s clinicalperformance and professional behaviour.

Only two attempts at the summative/ final practice assessments are permitted by the NMC, therefore twofails in practice will lead to discontinuation from the course.









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Guidelines For Completion

NMC Standards

This document measures the student’s level of achievement within the practice area. The Practice Supervisor can provide verbaland written feedback to the student for formative/ intermediate assessments.

Summative/ final assessments should be completed by the Practice Assessor, and take place following consultation with thePractice Supervisor. In order to provide continuity, the student will access the electronic document for each placement, the aimbeing to complete the document during the year as the student gains experience in all areas of midwifery care.

The Standards are determined by the NMC (2009) and MUST NOT be altered by students, Practice Supervisorsor Practice Assessors.

At the beginning of a placement the Practice Supervisor should orientate the student to the placement area and document thatthis has been completed using the form provided. There is a separate form for non-midwifery placements such as HealthVisiting, Gynaecology, OPD, A & E etc.

As part of the introduction to the placement, the Practice Supervisor and the student should discuss the learning opportunitiesthat are available in the placement area and develop a learning contract that can be discussed and reviewed by the practicesupervisor and the practice assessor.

The statements may be completed at any time during the year, once the Practice Assessor is satisfied that the student hasreached the appropriate level. There is no requirement for the same Practice Supervisor to sign every mid-point / intermediatesection. There is no requirement for the same Practice Assessor to sign every summative/ final section. It is recognised that thestudent will work with different Practice Supervisors / Practice Assessors in practice, and the purpose of this document is that itis completed as an on-going record of achievement.

The levels of achievement are evident in the tables and are detailed at the front of the document. To achieve a ‘pass’, thestudent must reach the required level of performance as indicated. Practice Supervisors and Practice Assessors shouldsign and date the box appropriate to the student’s level.

At the intermediate/ formative assessment the Practice Supervisor should complete the practice report and comment onthe student’s performance following discussion with the practice assessor. The student may also comment on the placement. Ifthe student’s performance falls below the expected level the Practice Supervisor must contact the Practice Assessor, AcademicAssessor and the Practice Education Facilitator (PEF). A remedial plan of action should be developed.

At the summative/ final assessment, completed by the Practice Assessor, the comments should include identification ofoutcomes that could not be met if the experience was not available, although where possible care may bediscussed/simulated and an appropriate comment made (see examples within the documentation).

If the student’s performance falls below the accepted level at the summative/ final assessment, the student will be deemed tohave failed in practice. The Practice Assessor must contact the relevant Academic Assessor and the Practice EducationFacilitator (PEF).

If the student fails in practice usually one further attempt is permitted following ratification by the module assessment boardand a period of re-allocation to the practice area. Students will be informed of the dates for submission of assessmentdocumentation by their Personal Academic Tutor (PAT).









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It is the student’s responsibility to ensure that practice documentation is completed and handed in at thedesignated time.









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Overview Of Documents And Assessment

For the pre-registration midwifery programme

The following guide to assessment and documentation were produced following re-validation of the programme in May 2012. Astep by step guide has been included to help Practice Supervisors and Practice Assessors.

Student Midwives are required to undertake a variety of assessments in practice, which are:

Document Description Completion Signed off by:

NMCStandards

Document contains all the NMCStandards and Essential SkillsClusters, and details of the levelwhich must be achieved for thatyear.

Standards should be signed offas they are achieved. Onedocument is completed for eachyear to form an on-going recordof achievement

Practice Supervisor forformative/intermediate (mid-point) and Practice Assessor forsummative/ final.

PracticeReport

These are found in the NMCStandards document. Onesheet to be completed midwaythrough the placement(formative/ intermediate) andone sheet to be completed atthe end of the placement(summative/ final).

An intermediate assessment isrecommended for all students,but especially if the PracticeSupervisor has concerns aboutthe student’s performance. Finalsheet completed at the end ofeach practice period which is thesummative /final assessment.

Practice Supervisor forformative/intermediate andPractice Assessor for summative/final.

Progressiondocument

This is found at the end of theNMC Standards document. Thissheet is completed at the endof each year; prior toprogression to the next year ofthe course.

At the end of the year- thePractice Assessor should be ableto see all practice report sheetsbefore signing this.

Practice Assessor and academicassessor for summative/ finalprogress sheet.









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Possible Experience For Non-Midwifery Placements

For non-midwifery placements, please complete the orientation checklist, discuss and document the learning opportunitiesavailable and any resources that are required, for example accessing a specialist, attending a special clinic and when theplacement is completed, complete the section relating to the student's performance. A summary of any discussions can beentered into the sections on the Discussions page

Placement Aims and Learning Outcomes

Accident and Emergency Aim:The aim of this placement is to develop your knowledge and understanding of teamwork in relation to the management of emergency situations such as cardiac arrest.Also this placement aims to give you experience of women's health conditions whichmay present via the Emergency Department such as ectopic pregnancy andmiscarriage.

Learning Outcomes:At the end of this placement you will be able to:• Identify key aspects of effective team work within emergency situations.• Discuss the patient journey through the Emergency Department for a womanpresenting with a pregnancy related health problem• Identify strategies for caring for and managing people who are dealing with stressfuland distressing situations• Discuss the importance of effective communication and documentation withinemergency situations.

Out-patients/medical unitDepartment

Aim:The aim of this placement is to develop your knowledge and understanding of themanagement of long term medical conditions. You should try to gain as much insightas possible into the effects of medical conditions on patient's general health, lifestyleand well- being. This should also include the long term management of patients withmedical conditions. Some medical conditions which you should try and learn moreabout whilst on placement include: Diabetes; Hypertension; Renal; Cardiac; Blooddisorders including coagulation disorders(This is not an exhaustive list)

Learning Outcomes:At the end of this placement you will be able to:• Discuss at least 3 medical conditions including signs, symptoms, monitoring andbasic management of the conditions.• Discuss the long term effects of at least 3 medical conditions on a patient's longterm health and lifestyle.• Identify key health and social care professionals who may be involved in the patientjourney for individuals with long term medical conditions (3 different conditions).









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Neonatal Unit Aim:The aim of this placement is to develop your knowledge and understanding of themanagement of babies within the Neonatal Unit (NNU). This will also include supportof the parents of the baby. You will develop a clearer understanding of the role of themulti-professional team in caring for and managing babies within the unit and the roleof the midwife within the team.

Learning Outcomes:At the end of this placement you will be able to:• Discuss at least 3 different conditions which may require a baby to be admitted tothe NNU.• Identify key health and social care professionals who may be involved in the care of ababy (and his/her family) within the NNU• Outline the role of the midwife in supporting parents who have a baby in the NNU• Discuss the importance of good communication between the midwifery team andNNU giving at least 1 example to demonstrate this.

Gynaecology Aim:The aim of this placement is to develop your knowledge and understanding ofcommon gynaecological conditions. This will help you to link midwifery care to broaderwomen's health issues and understand the potential implications of gynaecologicalconditions on women's health.

Learning Outcomes:At the end of this placement you will be able to:• Discuss at least 3 gynaecological conditions including signs, symptoms and basictreatment of each condition.• Identify key health and social care professionals who may be involved in the patientjourney for individuals with gynaecological conditions (3 different conditions).• Discuss the post - operative care required by a woman who has had a hysterectomy.









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Placement Orientation Form

Induction to practice placement to be completed on first day of placement with an appropriately qualified member of staff

Gynaecology Neonatal Unit Accident andEmergency

Out-patientsDepartment

Layout of placement area

Introduction to team members

Diversity and equality

Harassment and oppressivebehaviour policy

Sickness and absence protocolsdiscussed

Emergency procedures discussed

Location of emergency equipment

Administration of medicines policydiscussed

H&S equipment

Fire procedures

Infection control

Safe disposal of sharps

Control of Substances Hazardousto Health

Moving and Handling









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Risk assessment undertaken ifrequired

Confidentiality proceduresdiscussed including:• Patient/client and individualinformation• Reporting concerns, e.g. poorpractice

Uniform Policy discussed

1:

2:

3:

4:

Gynaecology

Practice Supervisor Signature: Unsigned DateSigned: Unsigned

Student Signature: Unsigned DateSigned: Unsigned

Neonatal Unit











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Accident and Emergency



Out-patients Department











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Placement Learning Plan - Accident and Emergency

To be completed at the start of the placement with the Mentor/supervisor

These needs can be reviewed at any time during the placement.

Aim:The aim of this placement is to develop your knowledge and understanding of team work in relation to the management ofemergency situations such as cardiac arrest. Also this placement aims to give you experience of women's health conditionswhich may present via the Emergency Department such as ectopic pregnancy and miscarriage.

Learning Outcomes:At the end of this placement you will be able to:

Identify key aspects of effective team work within emergency situations.Discuss the patient journey through the Emergency Department for a woman presenting with a pregnancy related healthproblemIdentify strategies for caring for and managing people who are dealing with stressful and distressing situationsDiscuss the importance of effective communication and documentation within emergency situations.

1 Date:

Learning Opportunity Mentor/supervisor comments

Practice Supervisor Signature: Unsigned Date Signed: Unsigned









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Placement Learning Plan - Neonatal Unit



Aim:The aim of this placement is to develop your knowledge and understanding of the management of babies within the NeonatalUnit (NNU). This will also include support of the parents of the baby. You will develop a clearer understanding of the role of themulti-professional team in caring for and managing babies within the unit and the role of the midwife within the team.


Discuss at least 3 different conditions which may require a baby to be admitted to the NNU.Identify key health and social care professionals who may be involved in the care of a baby (and his/her family) within theNNUOutline the role of the midwife in supporting parents who have a baby in the NNUDiscuss the importance of good communication between the midwifery team and NNU giving at least 1 example todemonstrate this.

1 Date:











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Placement Learning Plan - Gynaecology



Aim:The aim of this placement is to develop your knowledge and understanding of common gynaecological conditions. This will helpyou to link midwifery care to broader women's health issues and understand the potential implications of gynaecologicalconditions on women's health.


Discuss at least 3 gynaecological conditions including signs, symptoms and basic treatment of each condition.Identify key health and social care professionals who may be involved in the patient journey for individuals withgynaecological conditions (3 different conditions).Discuss the post - operative care required by a woman who has had a hysterectomy.

1 Date:











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Placement Learning Plan - Out-Patients Department



Aim:The aim of this placement is to develop your knowledge and understanding of the management of long term medicalconditions. You should try to gain as much insight as possible into the effects of medical conditions on patient's general health,lifestyle and well- being. This should also include the long term management of patients with medical conditions. Some medicalconditions which you should try and learn more about whilst on placement include: Diabetes; Hypertension; Renal; Cardiac;Blood disorders including coagulation disorders(This is not an exhaustive list)


Discuss at least 3 medical conditions including signs, symptoms, monitoring and basic management of the conditions.Discuss the long term effects of at least 3 medical conditions on a patient's long term health and lifestyle.Identify key health and social care professionals who may be involved in the patient journey for individuals with long termmedical conditions (3 different conditions).

1 Date:











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Assessments - A Step By Step Guide

Midwifery Placements

Point of review/assessment Documents to be reviewed/completed

Preliminary interview The student should have entered the details of the placement name and the datesinto the NMC Standards document. The Practice Supervisor should sign and printtheir name on the form provided to create a record of all those who have assessedthe student.• Go through the Placement Orientation form – both student and Practice Supervisorsign it.• Discuss the experience available in the placement.• Discuss possible dates for formative/ intermediate and summative/ finalassessments.

Formative / Intermediateassessment

Practice Supervisor to discuss the student’s progress so far and complete a formative/intermediate practice report form. As a Practice Supervisor, if you have concernsabout practice then an action plan should be completed, in conjunction with thePractice Assessor. The Academic Assessor and the PEF should also be informed.The Practice Supervisor can complete the individual mid-point NMC Standards andmust feedback on the students’ progress to the Practice Assessor.

Summative / Final assessment Practice Assessor will complete a final/ summative report following direct observationof the student and discussion with the Practice Supervisors. If you have concernsabout practice then an action plan should be completed, and you should inform theAcademic Assessor and the PEF.• Sign off any items in the NMC Standards document if appropriate.• Document a summary of your discussion on the discussions page.

End of year assessment At the end of years one and two the Progression form within the NMC Standardsdocument must be completed by the Practice Assessor, who should have access to allpractice report forms completed during the year. If appropriate, an action plan shouldbe completed.At the end of year three the Progression form at the end of the NMC Standardsdocument must be completed, by the Practice Assessor who should have access to allpractice report forms completed during the programme. The above progression andcompletion points will be confirmed by the Academic Assessor.









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Day With Infant Feeding Leads

Year 2

The student needs to contact the Infant Feeding Lead to arrange a date.

The aim of this 1 day spoke placement is to enable you to review and extend your knowledge around breast feeding problems.This will facilitate reflection on your experiences to date.

The day will incorporate the following:

Attendance at specialist lactation clinicsReview of the skills of positioning and attachment and hand expression to establish and maintain breastfeedingDiscussion and reflection on breast feeding problems observed in practice including reluctant feeders andhypoglycaemiaThe student needs to bring scenarios relating to breast feeding problems and difficulties observed in practiceRelate this to summative assessment for MW5104

Achievement of learning outcomes

Practice SupervisorSignature:

Unsigned DateSigned:

Unsigned









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Discussions Between Practice Assessor / Practice Supervisor

1 Date

Details

Practice Assessor Signature: Unsigned Date Signed: Unsigned

Practice Supervisor/AssessorSignature:

Unsigned Date Signed: Unsigned

Academic Assessor Signature: Unsigned Date Signed: Unsigned









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Levels Of Skill

Category Criteria Level

Fail Has not yet attained the minimum level required.Performance is unsatisfactory.

Observed Shows awareness of learning opportunities. Observespractice and begins to participate. When participating in askill, can perform it safely under constant supervision at anacceptable speed. May require prompting

Minimum standard for level one

Direct Supervision Can perform satisfactorily with supervision andminimal assistance. Is a knowledgeable participant,demonstrates an emerging level of competence.

Minimum standard for leveltwo.

Indirect Supervision Performs with minimal supervision and minimal assistance,and demonstrates understanding of the rationale for care.Demonstrates competence in knowledge, skills andattitudes.

Minimum standard for level threeMinimum standard for Return toPractice

Proficient InPractice

Can perform efficiently and consistently. Shows initiative andadaptability. Shows competence and proficiencyconsistently.









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Preliminary Interview & Placement Orientation Form - Placement 1

Issues to be discussed during the initial interview in week one

Placement Details

Student: Test Student Student No: orig_id:9029

Personal Tutor:Unassigned

Profession: Midwifery

Practice Placement:

Checklist of responsibilities to be completed by Practice Supervisor:

Placement orientation

Location of equipment


Fire and Safety procedures

Emergency procedures

Ward/dept procedures and policies

Sickness/absence procedure

Accident/ injury procedure

Learning Contract

Trust policies

Student Signature: Unsigned Date Signed: Unsigned










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Placement Details




Practice Placement:










Learning Contract











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Placement Details




Practice Placement:










Learning Contract











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Placement Details




Practice Placement:










Learning Contract











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Placement Details




Practice Placement:










Learning Contract











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Placement Details




Practice Placement:










Learning Contract











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Guide To Complete The NMC Standards

Please read the following instructions carefully to help you complete all the NMC Standards that need to be achieved for thestudent thoughout the course of the year.

The student is required to be assessed twice during this period (Mid-Point and Final). At each point you will need to completeevery NMC standard so that their progress can be reviewed and the students learning plan tailored to ensure all skills havebeen completed.For each page read the information regarding the standard and choose an option from the drop-down list that best suits thestudents progress to date. The options are:

FailObservedDirect ObservationIndirect ObservationProficient In PracticeNot Available - Discussed

If the option selected is Not Available - Discussed, this means that this experience was not available in practice for thestudent midwife, so this essential skill was discussed/simulated to the appropriate level.

Step 1At the mid-point we will be choosing options from the 1st dropdown box for each NMC standard. Select the studentscompetency carefully using the "Levels Of Skill" page as a reference. Once you have done this for all the standards on the page,save your progress.

Step 2Once you are happy with all the selections you have made to the page, add your signature to each of your selections to ensureyour changes are locked. Again click the save button at the bottom of the page to ensure all your changes have been made.

Step 3As you can see from the example below we have selected an option at the students mid-point and added our signature toconfirm our selection. The dropdown box is now grey and that shows it cannot be changed. The only way to make a change is toremove this signature.









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NMC Standards - Communication

NMC standards to be achieved

Communicate effectively with women and their families throughout the preconception, antenatal, intrapartum and postnatalperiods

Essential Skills Clusters: Communication. Initial consultation between the woman and the midwife. Normal labour and birth.Initiation and continuance of breastfeeding. Medicines management

1. Discuss methods of effective communication and can outline the boundaries and barriers to effective communication

Mid Point


Unsigned

Date Signed: Unsigned

Final

Practice Assessor Signature: Unsigned


2. Enables women to discuss their feelings

Mid Point


Unsigned


Final



3. Enables women to make informed choices about health care









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Mid Point


Unsigned


Final



4. Demonstrate sensitivity when interacting with and providing information to women and their families

Mid Point


Unsigned


Final



5. Utilise a range of effective and appropriate communication skills

Mid Point


Unsigned










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Final











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NMC Standards - Diagnose Pregnancy and Assess


Diagnose pregnancy and assess and monitor women holistically throughout the preconception, antenatal, intrapartum andpostnatal periods using a range of assessment methods and reach valid, reliable and comprehensive conclusions.

Essential Skills Clusters: Communication. Initial consultation between the woman and the midwife. Normal labour and birth.Initiation and continuance of breastfeeding.

1. Contribute to midwifery assessments by participating in physical assessment of the woman

Mid Point


Unsigned


Final



2. Contribute to midwifery assessments by participating in assessment of the woman's psychological and emotional needs

Mid Point


Unsigned


Final



3. Contribute to midwifery assessments by participating in assessment of the woman's social and cultural needs









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Mid Point


Unsigned


Final



4. Analyse and interpret data accurately to inform midwifery care

Mid Point


Unsigned


Final











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NMC Standards - Determine Programmes of Care


Determine and provide programmes of care and support for women

Essential Skills Clusters: Communication. Initial consultation between the woman and the midwife. Normal labour and birth.Initiation and continuance of breastfeeding. Medicines management.

1. Contribute to the planning of midwifery care, including options for birth and place of birth, under the supervision of aregistered midwife

Mid Point


Unsigned


Final



2. Contribute to discussions relating to postnatal support and parenthood

Mid Point


Unsigned


Final



3. Outline the options and methods of feeding babies









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Mid Point


Unsigned


Final



4. Contribute to discussions relating to preparation for parenthood

Mid Point


Unsigned


Final



5. Discuss the woman's needs in terms of dignity, privacy and confidentiality

Mid Point


Unsigned










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Final



6. Discuss the need for referral to other health professionals where appropriate

Mid Point


Unsigned


Final











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NMC Standards - Refer Women


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


1. Discusses the procedure for making referral to other health professionals

Mid Point


Unsigned


Final



2. Recognises situations where referral may be appropriate

Mid Point


Unsigned


Final



3. Women's choices









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Mid Point


Unsigned


Final



4. Health needs

Mid Point


Unsigned


Final



5. Social needs

Mid Point


Unsigned










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Final



6. Financial needs

Mid Point


Unsigned


Final



7. Law

Mid Point


Unsigned


Final











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8. Child protection

Mid Point


Unsigned


Final



9. Psychological needs

Mid Point


Unsigned


Final



10. Participate with other health professionals in decision-making in relation to the care of the woman









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Mid Point


Unsigned


Final











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NMC Standards - Seamless Care and Interventions


Provide seamless care and interventions, in partnership with women and other care providers during the antenatal period

Essential Skills Clusters: Communication. Initial consultation between the woman and the midwife. Medicines management

1. Observe and contribute to antenatal care when pregnancy is normal

Mid Point


Unsigned


Final



2. Observe and contribute to the provision of care and support when pregnancy is in difficulty

Mid Point


Unsigned


Final



3. Observe and contribute to care for women who have suffered pregnancy loss









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Mid Point


Unsigned


Final



4. Observe discussions with other health professionals when further interventions are required

Mid Point


Unsigned


Final



5. Contributes to team working for women's best interests

Mid Point


Unsigned










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Final











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NMC Standards - Care, Monitor and Support


Care for, monitor and support women during labour; monitor the condition of the fetus supporting spontaneous births.

Essential Skills Clusters: Communication. Normal labour and birth. Medicines management.

1. Observe and participate in delivery of care to women in normal labour under supervision of a qualified midwife

Mid Point


Unsigned


Final



2. Observe and participate in delivery of care to women when labour requires induction or augmentation, undersupervision of a qualified midwife

Mid Point


Unsigned


Final



3. Utilise a range of communication skills in the care of women in labour









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Mid Point


Unsigned


Final



4. Outline the range of methods of pain relief available to women in labour

Mid Point


Unsigned


Final



5. Participates in monitoring progress during labour

Mid Point


Unsigned










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Final



6. Performs vaginal examinations under supervision and records findings accurately

Mid Point


Unsigned


Final



7. Observes normal births

Mid Point


Unsigned


Final











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8. Monitors the fetal heart rate using a range of equipment

Mid Point


Unsigned


Final



9. Demonstrates application of CTG equipment

Mid Point


Unsigned


Final



10. Conducts normal births under supervision









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Mid Point


Unsigned


Final



11. Provides appropriate care to the woman and her partner following birth

Mid Point


Unsigned


Final











Page 52



NMC Standards - Undertake Emergency Procedures


Undertake appropriate emergency procedures to meet the health needs of women and babies.

Essential Skills Clusters: Communication. Normal labour and birth. Medicines management

1. Outlines the causes of retained placenta

Mid Point


Unsigned


Final



2. Outlines the causes of postpartum haemorrhage

Mid Point


Unsigned


Final



3. Outlines the reasons for manual examination of the uterus









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Mid Point


Unsigned


Final



4. Demonstrates (using manikin), basic resuscitation of the newborn

Mid Point


Unsigned


Final



5. Demonstrates (using manikin), resuscitation of the adult

Mid Point


Unsigned










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Final



6. Participates in giving care to women undergoing manual removal of the placenta to include manual removal in theatre

Mid Point


Unsigned


Final



7. Demonstrates the procedure for summoning help in an emergency

Mid Point


Unsigned


Final











Page 55



NMC Standards - Care After Birth


Examine and care for babies immediately following birth

Essential Skills Clusters: Communication. Normal labour and birth. Medicines management

1. Observe and participate in assessing heart rate, respiratory rate, muscle tone, colour and cry

Mid Point


Unsigned


Final



2. Identify the baby, following local policy/guidance

Mid Point


Unsigned


Final



3. Assist with the midwives assessment and examination of the newborn









Page 56



Mid Point


Unsigned


Final



4. Demonstrate(using simulation if appropriate) basic resuscitation of the newborn

Mid Point


Unsigned


Final











Page 57



NMC Standards - Apply Knowledge In Practice


Apply relevant knowledge to the midwifes own practice in structured ways which are capable of evaluation

Essential Skills Clusters: Communication.

1. Reflect on own practice

Mid Point


Unsigned


Final



2. Utilise client feedback and evaluation to inform practice

Mid Point


Unsigned


Final











Page 58



NMC Standards - Partnership With Women


Work in partnership with women and other care providers during the postnatal period to provide seamless care andinterventions

Essential Skills Clusters: Communication. Normal labour and birth. Initiation and continuance of breastfeeding. Medicinesmanagement.

1. Contribute to assessing needs and planning postnatal care for women who have had normal births

Mid Point


Unsigned


Final



2. Contribute to assessing needs and planning postnatal care for women who have had instrumental delivery

Mid Point


Unsigned


Final



3. Contribute to assessing needs and planning postnatal care for women who have had Caesarean section









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Mid Point


Unsigned


Final



4. Observe and participate in support and advice relating to infant feeding

Mid Point


Unsigned


Final



5. Observe and participate in support and advice relating to neonatal care

Mid Point


Unsigned










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Final



6. Outlines the care available for women who have suffered pregnancy loss, still birth or neonatal death

Mid Point


Unsigned


Final











Page 61



NMC Standards - Examine and Care for Babies


Examine and care for babies with specific health or social needs and refer to other professionals or agencies as appropriate.

Essential Skills Clusters: Communication. Normal labour and birth. Initiation and continuance of breastfeeding.

1. Outlines the policy for child protection

Mid Point


Unsigned


Final



2. Participates in discussions relating to Child protection with team members

Mid Point


Unsigned


Final



3. Participates in providing care for low birth weight, IUGR, and pre-term infants,









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Mid Point


Unsigned


Final



4. Participates in the care of babies with pathological conditions. E.g.- Physiological jaundice- Vertical transmission of HIV- Drug affected babies- MRSA

Mid Point


Unsigned


Final



5. Makes appropriate referrals









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Mid Point


Unsigned


Final











Page 64



NMC Standards - Care and Monitor Women During The Puerperium


Care for and monitor women during the puerperium, offering the necessary evidence-based advice and support regarding thebaby and self-care.

Essential Skills Clusters: Communication. Initiation and continuance of breastfeeding. Medicines management.

1. Participate in discussions relating to the health of the woman, her baby and her family

Mid Point


Unsigned


Final



2. Provides advice support and information to the woman relating to her own and her baby's health needs

Mid Point


Unsigned


Final



3. Provides advice and support on hygiene









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Mid Point


Unsigned


Final



4. Provides advice and support on safety and security

Mid Point


Unsigned


Final



5. Provides advice and support on child development

Mid Point


Unsigned










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Final



6. Provides advice and support on bladder care and bladder control

Mid Point


Unsigned


Final











Page 67



NMC Standards - Select, Aquire and Administer Drugs


Select, acquire and administer safely, a range of permitted drugs consistent with legislation, applying knowledge and skills to thesituation which pertains at the time.


1. Describe the types of drugs which may be utilised in midwifery practice

Mid Point


Unsigned


Final



2. Observe drug administration

Mid Point


Unsigned


Final



3. Prepare and administer topical preparations safely









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Mid Point


Unsigned


Final



4. Prepare and administer oral preparations safely

Mid Point


Unsigned


Final



5. Prepare and administer intramuscular injections safely

Mid Point


Unsigned










Page 69



Final



6. Prepare and administer subcutaneous injections safely

Mid Point


Unsigned


Final



7. Discuss the legislation relating to drug storage, administration, prescription, administration and disposal

Mid Point


Unsigned


Final











Page 70



NMC Standards - Records Of Practice


Complete, store and retain records of practice


1. Record information relating to biographical details of women and their babies legibly and accurately

Mid Point


Unsigned


Final



2. Record information relating to assessments made and outcomes of assessments, on women and their babies, legiblyand accurately

Mid Point


Unsigned


Final



3. Record information relating to discussions with women about their care and the care of their babies, legibly and









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accurately

Mid Point


Unsigned


Final



4. Record information relating to any drugs administered to women and their babies legibly and accurately

Mid Point


Unsigned


Final



5. Discuss the importance of good record keeping

Mid Point


Unsigned










Page 72



Final



6. Record information relating to action plans developed for women and their babies, legibly and accurately

Mid Point


Unsigned


Final











Page 73



NMC Standards - Effectiveness of Programmes of Care


Monitor and evaluate the effectiveness of programmes of care and modify them to improve outcomes for women babies andtheir families.


1. Contribute to the evaluation of midwifery care

Mid Point


Unsigned


Final



2. Recognise situations where agreed plans are no longer appropriate and refer these to a qualified midwife/otherpractitioner

Mid Point


Unsigned


Final











Page 74



NMC Standards - Promote and Support Individuals Rights


Practise in a way which respects promotes and supports individuals' rights, interests, preferences, beliefs and cultures


1. Observes and participates in planning and delivering care which is consistent with the woman's religious and culturalbeliefs, preferences and rights

Mid Point


Unsigned


Final



2. Offers culturally sensitive family planning advice

Mid Point


Unsigned


Final



3. Demonstrates awareness of roles and relationships within families which may differ with religious beliefs, cultural beliefs,









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preferences and experience.

Mid Point


Unsigned


Final











Page 76



NMC Standards - Health and Social Well-Being of Individuals


Contribute to enhancing the health and social well-being of individuals and their communities.

Essential Skills Clusters: Communication. Initial consultation between the woman and the midwife. Initiation and continuanceof breastfeeding.

1. Plan care for women in the context of current public health policies

Mid Point


Unsigned


Final



2. Observe assessment of mental health

Mid Point


Unsigned


Final



3. Advise women in relation to smoking, diet, exercise, alcohol, during pregnancy









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Mid Point


Unsigned


Final



4. Participate in planning and delivering care for groups with particular health needs, e.g. teenagers, Children's centres

Mid Point


Unsigned


Final



5. Informs practice with research evidence to prevent and reduce maternal mortality and morbidity

Mid Point


Unsigned










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Final



6. Informs practice with research evidence to prevent perinatal mortality and morbidity

Mid Point


Unsigned


Final



7. Participate in providing effective sensitive and appropriate advice and information to improve reproductive and sexualhealth

Mid Point


Unsigned


Final











Page 79



NMC Standards - Practice In Accordance With The Code


Practise in accordance with The Code: Professional standards of practice and behaviour for nurses and midwives (NMC, 2015),within the limitations of the individuals own competence, knowledge and sphere of professional practice, consistent with thelegislation relating to midwifery practice.


1. Adheres to Trust and University policies in relation to attendance punctuality sickness and absence and uniform

Mid Point


Unsigned


Final



2. Uses professional standards of practice to self-assess own performance

Mid Point


Unsigned


Final











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3. Identify unsafe practice and respond appropriately to ensure a safe outcome

Mid Point


Unsigned


Final



4. Discuss the process for reporting unsafe practice

Mid Point


Unsigned


Final



5. Observe and participate in completion of risk management documentation









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Mid Point


Unsigned


Final



6. Consult with a qualified midwife or other qualified health care professional when midwifery care requires expertisebeyond own competence

Mid Point


Unsigned


Final



7. Manage the delivery of maternity care within own sphere of practice

Mid Point


Unsigned










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Final











Page 83



NMC Standards - Practice Legislation


Practise in accordance with relevant legislation.


1. Demonstrates knowledge of legislation relating to human rights

Mid Point


Unsigned


Final



2. Demonstrates knowledge of legislation relating to equal opportunities

Mid Point


Unsigned


Final



3. Demonstrates knowledge of legislation relating to access to patient records









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Mid Point


Unsigned


Final



4. Demonstrates knowledge of legislation relating to health and social policy

Mid Point


Unsigned


Final



5. Demonstrates knowledge of ethical issues and the implications for midwifery practice

Mid Point


Unsigned










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Final



6. Manages care with due regard for legislation and ethical considerations

Mid Point


Unsigned


Final











Page 86



NMC Standards - Working Collaboratively


Work collaboratively with the wider health care team and agencies.


1. Health professionals

Mid Point


Unsigned


Final



2. Social care

Mid Point


Unsigned


Final



3. Social security benefits and housing









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Mid Point


Unsigned


Final



4. Advice guidance and counselling

Mid Point


Unsigned


Final



5. Child protection

Mid Point


Unsigned










Page 88



Final



6. The law

Mid Point


Unsigned


Final











Page 89



NMC Standards - Using Evidence and Reflecting on Practice


Inform and develop the midwife's own practice and the practice of others through using the best available evidence andreflecting on practice.


1. Discuss the evidence base for practice

Mid Point


Unsigned


Final



2. Apply research evidence in practice

Mid Point


Unsigned


Final



3. Actively inform peers and colleagues about new evidence









Page 90



Mid Point


Unsigned


Final











Page 91



NMC Standards - Confidentiality of Information


Maintain confidentiality of information.


1. Understands the importance of confidentiality and security of written and verbal information obtained in practice

Mid Point


Unsigned


Final



2. Discloses information only to those who have a right and a need to know it once proof of identity and right to disclosurehas been obtained

Mid Point


Unsigned


Final











Page 92



NMC Standards - Information Technology Systems


Manage and develop care using the most appropriate information technology (IT) systems.


1. Records own practice using designated IT system

Mid Point


Unsigned


Final



2. Utilises analysis of data from IT system to inform and develop own practice

Mid Point


Unsigned


Final











Page 93



NMC Standards - Audit of Practice


Contribute to the audit of practice to optimise the care of women, babies and their families.


1. Reflects on own practice and actions

Mid Point


Unsigned


Final



2. Contributes to the audit of clinical practice

Mid Point


Unsigned


Final



3. Contributes to audit of practice education and placements









Page 94



Mid Point


Unsigned


Final











Page 95



NMC Standards - Review Fitness to Practise


Review, develop and enhance the midwife's own knowledge, skills and fitness to practise.


1. Outline the model of Midwifery Supervision

Mid Point


Unsigned


Final



2. Reflect on own practice and make changes for future practice where appropriate

Mid Point


Unsigned


Final



3. Attend relevant practice focussed learning events









Page 96



Mid Point


Unsigned


Final











Page 97



NMC Standards - Professional Boundaries and Networks


Demonstrate effective working across professional boundaries and develop professional networks.


1. Observe and participate in discussions with other professionals

Mid Point


Unsigned


Final



2. Demonstrate an understanding of the role of other professionals by participating in inter-professional work

Mid Point


Unsigned


Final



3. Participate in shared learning events in the practice area









Page 98



Mid Point


Unsigned


Final



4. Contribute to standard setting and audits with other professionals

Mid Point


Unsigned


Final











Page 99



NMC Standards - Competing Demands


Manage and prioritise competing demands.


1. Identifies the most appropriate person to provide interventions for women babies and their families

Mid Point


Unsigned


Final



2. Alerts sign-off mentor to difficulties and issues in service delivery

Mid Point


Unsigned


Final



3. Accesses the model of Midwifery Supervision when appropriate









Page 100



Mid Point


Unsigned


Final











Page 101



NMC Standards - Creation and Maintenance of Environments


Support the creation and maintenance of environments that promote the health, safety and well-being of women babies andothers.


1. Outlines methods for preventing and controlling infection

Mid Point


Unsigned


Final



2. Demonstrates effective hand washing technique

Mid Point


Unsigned


Final



3. Demonstrates an awareness of promoting health, safety and security in the environment in which the midwife is









Page 102



working, e.g. a woman's home,

Mid Point


Unsigned


Final



4. In the community

Mid Point


Unsigned


Final



5. In a clinic

Mid Point


Unsigned










Page 103



Final



6. In a hospital

Mid Point


Unsigned


Final











Page 104



NMC Standards - Guidelines and Policies


Contribute to the development and evaluation of guidelines and policies and make recommendations for change, in theinterests of women, babies and their families.


1. Discuss new research evidence and knowledge with peers and colleagues

Mid Point


Unsigned


Final



2. Observe local policy developments relating to maternity care

Mid Point


Unsigned


Final



3. Discuss policies and guidelines with midwifery colleagues









Page 105



Mid Point


Unsigned


Final











Page 106



Placement 1 Formative/Intermediate Clinical Report

Practice Supervisor's Clinical Report

Placement Details


Student's progress to date - Not Answered -

Practice Assessor comments

Action plan

Student comments

Placement 1









Page 107



Academic Assessor comments












Page 108



Placement 1 Summative/Final Clinical Report


Placement Details




Action plan

Student comments

Placement 1









Page 109















Page 110





Placement Details




Action plan

Student comments

Placement 2









Page 111















Page 112





Placement Details




Action plan

Student comments

Placement 2









Page 113















Page 114





Placement Details




Action plan

Student comments

Placement 3









Page 115















Page 116





Placement Details




Action plan

Student comments

Placement 3









Page 117















Page 118





Placement Details




Action plan

Student comments

Placement 4









Page 119















Page 120





Placement Details




Action plan

Student comments

Placement 4









Page 121















Page 122





Placement Details




Action plan

Student comments

Retrieval









Page 123















Page 124





Placement Details




Action plan

Student comments

Retrieval









Page 125















Page 126





Placement Details




Action plan

Student comments









Page 127















Page 128





Placement Details




Action plan

Student comments









Page 129















Page 130



Re-Assessment Practice Report Form - Placement 1 Intermediate

Sign-Off Mentors Clinical Report

ONLY COMPLETE IF THE STUDENT HAS FAILED AT THE INTERMEDIATE ASSESSMENT.If student fails practice report form at the intermediate assessment, they are required to be re-assessed below.

Placement Details


Practice Placement:


Sign-off mentor's comments

Action plan

Student comments









Page 131



Personal tutor comments












Page 132



Re-Assessment Practice Report Form - Placement 1 Final


ONLY COMPLETE IF THE STUDENT HAS FAILED AT THE FINAL ASSESSMENT.If student fails practice report form at the final assessment, they are required to be re-assessed below.

Placement Details


Practice Placement:



Action plan

Student comments









Page 133















Page 134






Placement Details


Practice Placement:



Action plan

Student comments









Page 135















Page 136






Placement Details


Practice Placement:



Action plan

Student comments









Page 137















Page 138






Placement Details


Practice Placement:



Action plan

Student comments









Page 139















Page 140






Placement Details


Practice Placement:



Action plan

Student comments









Page 141















Page 142






Placement Details


Practice Placement:



Action plan

Student comments









Page 143















Page 144






Placement Details


Practice Placement:



Action plan

Student comments









Page 145















Page 146






Placement Details


Practice Placement:



Action plan

Student comments









Page 147















Page 148






Placement Details


Practice Placement:



Action plan

Student comments









Page 149















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Placement Details


Practice Placement:



Action plan

Student comments









Page 151















Page 152






Placement Details


Practice Placement:



Action plan

Student comments









Page 153















Page 154



Progression to Level Six

This should be completed at the end of year two by the SIGN OFF MENTOR / (Trainee sign-off assessed by sign-offmentor).

Has the student successfully passed all practice assessments Yes No

Has an action plan been developed to address concerns Yes No N/A

Progression to level three confirmed Yes No


Action plan

Student comments

Placement 1









Page 155













