Teesside University · Web viewThe midwifery competencies and skills have been mapped against the NMC Essential Skills Clusters (2009) which support the achievement of the practice

APPENDIX 13

F:\Conditions\BSc Practice Progress File Year 1 CR Amended June 2013

BSc (Hons) Midwifery

Midwifery Competencies and Skills

Midwifery Competencies and Skills

Levels of Achievement:

Observed O The student has had the opportunity to observe this skill

Simulation S The student has had the opportunity to practice this skill through supervised simulation

Competent simulation CS The student has demonstrated that they are competent through supervised simulation

Experience E The student has had the opportunity to practice this skill under the direct supervision of a midwife

Competent under direct supervision

CD The student has demonstrated that they are competent under direct supervision

Competent under indirect supervision

CI The student has demonstrated that they are competent under indirect supervision

The midwifery competencies and skills have been mapped against the NMC Essential Skills Clusters (2009) which support the achievement of the practice outcomes. They are designed to help you and your Midwife Sign-off Mentor monitor your progress throughout the programme and should be considered within the context of providing safe, holistic care rather than in isolation. You must be supported by your named Midwife Sign-off Mentor for at least 40% of the time in practice (15 hours). The remainder of the time will be with another Midwife Sign-off Mentor or Midwife. NB the midwifery competencies related to medicines management which are depicted in the shaded column must be signed by a Midwife Sign-off Mentor;“ The medicines and healthcare products Regulatory Authority (MHRA) require that the midwife supervising the administration of medicines by a student midwife must have undertaken an approved mentorship programme and be a sign off mentor” (NMC 2011)

1F:\Conditions\BSc Practice Progress File Year 1 CR Amended June 2013

MA

TER

NA

L

Hol

istic

Wom

an-c

entr

ed C

are Assesses the

physical, psychological, emotional, socio-cultural, spiritual needs of women

E Signature CD

Signature CI

Signature

Date Date Date

In partnership with women, plans, implements and evaluates holistic woman-centred care

E Signature CD

Signature CI

Signature

Date Date Date

MA

TER

NA

L

Ass

essm

ent a

nd

Mon

itorin

g M

ater

nal W

ellb

eing

in

the

Ant

enat

al P

erio

d of

Pr

egna

ncy

Demonstrates effective decision-making in midwifery practice, based on evidence and experience

E Signature CD Signature CI Signature

Date Date Date

Demonstrate an understanding of the family’s role and relationships in maternal care

CD Signature CI Signature CI Signature

Date Date Date


The additional column can be used to add the level achieved if it differs from

the desired levels

Desirable level to be achieved by the

end of Year 1

Desirable level to be achieved by the end

of Year 1/2

Level to be achieved by the end of Year 3

Mon

itorin

gRecognises signs of pregnancy


Date Date Date

Explains the aim of an initial consultation and obtains a comprehensive and detailed history


Date Date Date

Monitors physical and psychological wellbeing during pregnancy


Date Date Date

Accurately calculates Body Mass Index (BMI)


Date Date Date

Mon

itorin

g M

ater

nal

Wel

lbei

ng in

Lab

our

Determines the onset of established labour


Date Date Date

Monitors progress in labour; sensitively sharing information with the woman


Date Date Date

Assesses fetal presentation, lie,



position and engagement at the onset of labour

Date Date Date

Assesses fetal descent through labour


Date Date Date

Assesses development of uterine contractions during labour


Date Date Date

Justifies the use of and performs vaginal examination in labour


Date Date Date

Assesses maternal behaviour during labour


Date Date Date

Monitors maternal wellbeing using vital observations in labour (in addition, please refer to general health assessment skills)


Date Date Date

Monitors fetal wellbeing in labour(in addition, please refer to fetal wellbeing assessment skills)


Date Date Date


Assesses, monitors and evaluates maternal pain in labour


Date Date Date

Assess maternal bowel and bladder function in labour

E Signature CD/CI

Signature CI Signature

Date Date Date

Mon

itorin

g M

ater

nal W

ellb

eing

in th

e Po

stna

tal P

erio

d

Assessment of maternal condition immediately following birth


Date Date Date

Assesses the perineum following birth: classifying perineal trauma


Date Date Date

Examines the placenta and membranes


Date Date Date

Assesses physical and psychological health in the postnatal period


Date Date Date

Mon

itorin

g M

ater

nal

Monitors, records and interprets body temperature

CD Signature CD/CI


Date Date Date

Monitors, records and interprets pulse

CD Signature CD/CI



Gen

eral

Hea

lth

rate and pattern Date Date Date

Monitors, records and interprets blood pressure (manual and automated)

CD Signature CD/CI


Date Date Date

Monitors, records and interprets respiratory rate and pattern

CD Signature CD/CI


Date Date Date

Monitors, records and interprets urine analysis

CD Signature CD/CI


Date Date Date

Monitors, records and interprets blood glucose levels

CD Signature CD/CI


Date Date Date

Monitors, records and interprets blood oxygen saturation levels

CD Signature CD/CI


Date Date Date

Monitors, records and interprets the ‘Maternal Early Obstetric Warning Score’

E Signature CD/CI


Date Date Date


Mon

itorin

g Fe

tal w

ellb

eing

Assesses vaginal amniotic liquor volume and colour

E Signature CD/CI


Date Date Date

Monitors, records and interprets fetal heart rate using a Pinard stethoscope and sonicad

E Signature CD/CI


Date Date Date

Assesses fetal growth through abdominal palpation and symphysis -fundal height measurement


Date Date Date

Justifies the use of and applies electronic fetal monitoring


Date Date Date

Justifies the use of and applies a fetal scalp electrode

O Signature E Signature CD Signature

Date Date Date

Interprets accurately fetal cardiotocograph patterns


Date Date Date


Prepares equipment for fetal blood sampling

E Signature CD/CI


Date Date Date

Uses the correct procedure to obtain cord blood samples for analysis


Date Date Date

Demonstrates the use of the blood gas analyser to obtain a fetal blood gas result


Date Date Date

Ant

enat

al C

are

In partnership with the woman, provides care that is responsive to maternal antenatal needs


Date Date Date

Facilitates informed screening choices


Date Date Date

Justifies the use of and performs a membrane sweep

O Signature CD Signature CI Signature

Date Date Date


Intr

anat

al C

are

In partnership with the woman, and incorporating birth plans, provides care that is responsive to maternal needs in a variety of settings


Date Date Date

Provides care for women in the latent phase of labour


Date Date Date

Uses strategies to facilitate normal labour and birth: position, mobilisation, birthing aids


Date Date Date

Adapts the labour room environment to meet the woman’s needs


Date Date Date

Provides emotional support during labour for the woman and her family/partner


Date Date Date

Ensures nutrition and hydration needs are met during labour


Date Date Date


Ensures hygiene needs are met during labour


Date Date Date

Uses appropriate measures to prevent infection during labour

E/ CD

Signature CD Signature CI Signature

Date Date Date

Cares for the woman’s bladder during labour


Date Date Date

In partnership with the woman, plans coping and pain management strategies


Date Date Date

Appropriately uses non-pharmacological methods of pain relief during labour, e.g. massage


Date Date Date

Cares for women using transcutaneous electrical nerve stimulation

O/E

Signature CD/CS

Signature CI/CS

Signature

Date Date Date

In accordance with NMC regulations administers

E Signature CD Signature CD Signature


pharmacological methods of pain relief pain in labour

Date Date Date

Cares for a woman using epidural anaesthesia


Date Date Date

Justifies the use of and performs an amniotomy in labour

O Signature CS/CD

Signature CD Signature

Date Date Date

Facilitates care and management in of the second stage of labour. Actively preparing the environment for birth


Date Date Date

Infiltrates the perineum with local anaesthetic and performs an episiotomy, justifying the intervention

O Signature CD Signature CD Signature

Date Date Date

Actively manages, and monitors maternal condition in



the third stage of labour, facilitating safe delivery of the placenta and membranes

Date Date Date

Manages a physiological third stage of labour

E Signature CD/CS

Signature CI/CS

Signature

Date Date Date

Post

nata

l Car

e

Demonstrates appropriate perineal suturing technique

O Signature CD/CS

Signature CD/CS

Signature

Date Date Date

Safely transfers women and babies to the postnatal ward or home


Date Date Date

Provides emotional support to the mother and family during the postnatal period

E Signature CD/CI


Date Date Date

Provides advice on pelvic floor exercises

E Signature CD/CI


Date Date Date

Provides information to women and their



partners regarding sexual health and contraception

Date Date Date

Cares for women with restricted mobility

E Signature CD/CI


Date Date Date

Educates women with regard to perineal hygiene


Date Date Date

Makes beds whilst occupied and unoccupied

CI Signature

Date

MA

TER

NA

L

Prep

arat

ion

for P

aren

thoo

d an

d

Encourages women to consider their health and lifestyle choices


Date Date Date

Provides individualised health information for the woman and her family, which is easily understood

E Signature CD/CI


Date Date Date

Assesses and responds to parenthood and educational needs


Date Date Date

Plans and delivers a parent education lesson


Date Date Date


Hea

lth E

duca

tion

In partnership with the woman facilitates birth planning, including place of birth


Date Date Date

Explores opportunities for pre-conception care


Date Date Date

MA

TER

NA

L

Scre

enin

g/D

iagn

ostic

Inve

stig

atio

ns

Performs venepuncture including the appropriate and safe procedure for specimen collection and transport

O/E/CD

Signature CD Signature CD Signature

Date Date Date

Provides information to facilitate informed choices about antenatal screening tests, respecting the subsequent maternal decision

E Signature CD/CI


Date Date Date

Interprets data accurately from results and sensitively shares this information with women


Date Date Date


Justifies the use of and performs a wound swab

E/CD

Signature CI Signature CI Signature

Date Date Date

Justifies the use of and performs high, low and endo-cervical vaginal swabs

E/CD


Date Date Date

Justifies the use of and performs MRSA swabs for screening

E/CD


Date Date Date

Justifies the use of and performs a speculum examination


Date Date Date

Justifies the use of and obtains a midstream urine sample

E/CD

Signature CD/CI


Date Date Date

MA

TER

NA

L

Com

plex

Mat

erna

l Car

e Identifies and acts on deviations from the normal in the antenatal period, referring to the appropriate health professional


Date Date Date

Identifies and acts on deviations from the normal in labour, referring to the appropriate health professional


Date Date Date


Identifies and acts on deviations from the normal in the postnatal period, reporting to the appropriate health professional


Date Date Date

Recognise women who require specialised services, and refer appropriately


Date Date Date

Communicates sensitive information: breaking bad news


Date Date Date

Cares for women and families suffering pregnancy loss

E Signature E/CD


Date Date Date

Contributes to the support of women experiencing a complex pregnancy

E Signature CD/Cl


Date Date Date

In partnership with the multi-disciplinary team provides care for women with complex pregnancy


Date Date Date

MA

TER

NA

L

Com

plex

Care for a woman with an intravenous infusion including ‘Visual Infusion Phlebitis’ (VIP) documentation

E Signature E/CD


Date Date Date


Car

e M

anag

emen

t

Monitors and maintains fluid balance

E Signature E/CD


Date Date Date

IV cannulation including ‘Visual Infusion Phlebitis’ (VIP) documentation

CD/CS

Signature

Date

Cares for a woman with a blood transfusion

O/E Signature E/CD


Date Date Date

Cares for women with high dependency needs


Date Date Date

MA

TER

NA

L

Surg

ical

Car

e

Prepares a woman for elective Caesarean surgery


Date Date Date

Prepares a woman for emergency Caesarean section


Date Date Date

Justifies and follows the correct procedure for urinary catheterisation

O/E Signature CD/CI


Date Date Date

Provides post-operative care


Date Date Date


Is able to demonstrate the correct procedure for removing sutures and cIips

CS/CD

Signature CS/CD

Signature CS/CI

Signature

Date Date Date

Facilitates wound healing E Signature CD Signature CI Signature

Date Date Date

Expl

ore

sens

itive

issu

es a

nd

resp

ondi

ng a

ppro

pria

tely

in th

e fo

llow

ing

area

s:

Sexual health O Signature E Signature CI Signature

Date Date Date

Safeguarding children and adults

O Signature E Signature CI Signature

Date Date Date

Vulnerable women O Signature E Signature CI Signature

Date Date Date

MA

TER

NA

L

Emer

genc

y Pr

oced

ures

Demonstrates the care and management of antepartum haemorrhage

CS/CD

Signature CD/CS

Signature

Date Date

Demonstrates the care CS/ Signature CD/ Signature


and management of postpartum haemorrhage

CD CSDate Date

Demonstrates the care and management of shoulder dystocia

CS/CD

Signature CD/CS

Signature

Date Date

Demonstrates the care and management of the unconscious woman

CS/CD

Signature CD/CS

Signature

Date Date


Demonstrates the care and management of breech birth

CS Signature CD/CS

Signature

Date Date

Demonstrates the care and management of cord prolapse

CS Signature CD/CS

Signature

Date Date

Initiates basic emergency call and demonstrates maternal resuscitation

O/E CS Signature CD/CS

Signature

Date Date

Hea

lth a

nd S

afet

y

Ris

k A

sses

smen

t

Apply knowledge of risk assessment in practice


Date Date Date

Appropriately assesses risk and promotes skin integrity


Date Date Date

Uses appropriate risk assessment tool and promotes practices that reduces the risk of thrombo-embolic conditions


Date Date Date


Pers

onal

Saf

ety

Works within the ‘Lone Worker policy’


Date Date Date

Adheres to fire and security policies

E/CS


Date Date Date

Safely applies the principles of load management in practice

E/CD


Date Date Date

Correct and safe disposal of clinical and household waste

CD/CI


Date Date Date

Correct and safe disposal of blood and body fluids

CD/CI


Date Date Date

Correct, safe use and disposal of sharps

CD/CI


Date Date Date


Prev

ent a

nd C

ontr

ol o

f In

fect

ion

Adheres to standard principles of infection control

CD/CI


Date Date Date

Adheres to the local trust hand hygiene policy

CD/CI


Date Date Date

Adheres to the local trust asepsis policy

E/CD


Date Date Date

Med

ical

Te

chno

logy

Safely uses medical devices/equipment


Date Date Date

Med

icin

e M

anag

emen

t

Applies knowledge of NMC standards, legal and ethical frameworks, to the documentation and administration of medicinal products

CD Signature CD Signature CD Signature

Date Date Date

Understand roles and responsibilities of the



multi-professional team in the administration of medicinal products

Date Date Date

Is able to read and interpret prescriptions for accuracy in terms of the correct dosage, route and treatment plan (applying understanding of pharmacology)


Date Date Date

Clearly identifies the woman/baby for whom the medication is intended


Date Date Date

Obtains an accurate medicine history


Date Date Date

Safely administers, and monitors the effect of, medicinal products by the following routes:Oral CD Signature CD Signature CD Signature

Date Date Date


Topical treatments E Signature CD Signature CD Signature

Date Date Date

Inhalational CD Signature CD Signature CD Signature

Date Date Date

Intramuscular injection


Date Date Date

Sub-cutaneous injection


Date Date Date

per vaginum E Signature CD Signature CD Signature

Date Date Date

per rectum E Signature CD Signature CD Signature

Date Date Date

Intra venous administration of

Via Cannulati

Signature


routine medicines (following University simulation)

onCD/CS

Date

Via direct vein access CD/CS

Signature

Date

In accordance with NMC regulations is able to participate in controlled drug administration


Date Date Date

Demonstrates the ability to safely involve women in the self-administration of medicinal products


Date Date Date

Demonstrates accurate calculation of medicinal products in midwifery practice


Date Date Date

Demonstrates the ability to order, receive and store medicines safely,


Date Date Date


applying knowledge of local trust polices

Correctly dispenses medicines


Date Date Date

Safely administers medicine to the baby


Date Date Date

Demonstrates intra–muscular injection in the baby

S/E Signature CD/CS

Signature CD/CS

Signature

Date Date Date

Demonstrates oral administration of medicine to the baby


Date Date Date

Accurately documents medicine administration


Date Date Date

Responds to, and reports, adverse drug reactions and near-miss incidents

E/S Signature CD/CS


Date Date Date


Demonstrates an awareness of complementary therapies and refers appropriately to a registered complementary therapist


Date Date DateC

omm

unic

atio

n an

d In

terp

erso

nal S

kills

Demonstrates effective communication that is clear, unambiguous, and appropriate for the care setting

E/CD

Signature CD/CI


Date Date Date

Initiates conversation and uses strategies to enhance communication such as removing communication barriers

E/CD

Signature CD/CI


Date Date Date

Answers the telephone professionally and deals appropriately with enquiries


Date Date Date

Uses verbal skills of questioning, paraphrasing and reflection to enhance communication

E/CD

Signature CD/CI


Date Date Date

Actively listens and E/ Signature CD/ Signature CI Signature


responds to verbal and non-verbal cues and respecting silences.

CD CIDate Date Date

Uses touch appropriately

E/CD

Signature CD/CI


Date Date Date

Communicates effectively and sensitively with women who have physical, cognitive or sensory disability

E/CD

Signature CD/CI


Date Date Date

Ensures effective communication with women/families who do not speak English

E/CD


Date Date Date

Is able to explain findings from observations and tests in a sensitive and clear manner, encouraging women to ask questions


Date Date Date

Col

labo

rati

ve W

orki

ng

Communicates and works with multi-professional agencies, valuing other roles and responsibilities


Date Date Date


Communicate and works effectively with the multi-disciplinary team valuing other roles and responsibilities


Date Date Date

Works effectively, providing support to others, as a midwifery team member


Date Date Date

Confidently refers to an appropriate professional when the expertise required for care is outside the midwife’s scope of practice


Date Date Date


Pers

onal

Attr

ibut

es

Practices in a way which empowers women; treating them and their family with respect


Date Date Date

Demonstrates empathy, kindness and compassion


Date Date Date

Respects women’s rights and autonomy in decision-making and acts as their advocate


Date Date Date

Demonstrate assertiveness


Date Date Date

Is proactive in maintaining privacy and dignity

CI Signature CI Signature CI Signature

Date Date Date

Han

dlin

g C

ompl

aint

s

Applies knowledge of the complaints procedure to manage complaints effectively


Date Date Date

Uses effective communication skills to manage challenging situations


Date Date Date


Prof

essi

onal

Sta

ndar

dsPractises within the NMC codes, standards and guidelines


Date Date Date

Is professional in behaviour appearance, manner, attitude, beliefs, judgements and language


Date Date Date

Adheres to principles of Data Protection and confidentiality in practice

CI Signature CI Signature CI Signature

Date Date Date

Appropriately shares information with the multi-professional team to enhance care


Date Date Date

Lega

l and

Eth

ical

Rec

ord

Kee

ping

Writes accurate, legible and comprehensive records

E/CD


Date Date Date

Is able to record and retrieve information using information technology

E/CD


Date Date Date


Prac

tice

Info

rmed

Con

sent

Uses appropriate strategies to enable women to make informed choices


Date Date Date

Obtains maternal informed consent prior to undertaking any procedure.


Date Date Date

Ant

i–di

scrim

inat

ory

Prac

tice

Uses a non-discriminatory and diversity sensitive approach to practice


Date Date Date

Car

e of

the

Bab

y

Ass

essm

ent a

nd M

onito

ring

Assesses and monitors the baby’s wellbeing


Date Date Date

Accurately assesses the baby’s vital signs:colour; tone;respiratory rate and pattern;heart rate;oxygen saturation andblood glucose

E Signature CD/CI


Date Date Date


Accurately assesses the baby’s temperature

E Signature CD/CI


Date Date Date

Performs an initial examination of the baby


Date Date Date

Accurately records the baby’s birth weight

E/CD


Date Date Date

Performs a newborn blood spot


Date Date Date

Car

e M

anag

emen

t

Promotes an environment that minimises separation of mother and baby and promotes a culturally sensitive approach to maternal and infant attachment


Date Date Date

Promotes an environment that facilitates skin-to-skin contact

E/CD

Signature CD/CI


Date Date Date

Provides advice and support on hygiene

E/CD

Signature CD/CI



needs of the baby Date Date Date

Provides advice and support on umbilical cord care


Date Date Date

Refers to additional specialist services when appropriate e.g. BCG, renal scan

E Signature CD Signature Signature

Date Date Date


Ensu

ring

Safe

ty a

nd S

ecur

ity o

f th

e N

ew-b

orn

Ensures safety and protection of the baby


Date Date Date

Safely discharges the baby to the postnatal ward or home


Date Date Date

Com

plex

Car

e of

the

Bab

y

Examine and cares for babies with complex needs


Date Date Date

Provides support for families with an ill/pre-term baby


Date Date Date

Justifies and obtains swabs from the baby

E/CD

Signature CD/CI


Date Date Date

Recognise signs of infection in the baby and reports appropriately


Date Date Date

Performs a baby capillary blood sample


Date Date Date


Support and assists a mother with nasogastric feeding of her baby/is able to pass a naso-gastric tube

O Signature CD Signature CD Signature

Date Date DateEm

erge

ncy

Proc

edur

es

Initiates basic emergency call and demonstrates resuscitation of the newborn baby

O/E Signature CD/CS

Signature CD/CS

Signature

Date Date Date

INFA

NT

FEED

ING

Initi

atio

n an

d C

ontin

uatio

n of

Bre

astfe

edin

g Communicates sensitively the benefits of exclusive breastfeeding for mother and baby


Date Date Date

Communicates sensitively factors and risks associated with formula feeding


Date Date Date

Considers cultural traditions and beliefs relating to breastfeeding


Date Date Date

Facilitates forums where information is shared relating to the



advantages and disadvantages of different infant feeding methods

Date Date Date

Explains the principles of Baby Friendly Initiative (skin-to-skin, baby-led feeding, rooming in)

CD Signature CD Signature CI Signature

Date Date Date

INFA

NT

FEED

ING

Initi

atio

n an

d C

ontin

uatio

n of

Bre

astfe

edin

g

Recognises effective positioning, attachment, suckling and milk transfer


Date Date Date

Empowers women to recognise effective positioning, attachment, suckling and milk transfer


Date Date Date

Recognises common complications of breastfeeding and responds appropriately


Date Date Date

Teaches principles of hand expression of breast milk to the mother


Date Date Date

Provides accurate information on the safe storage, freezing and warming of breast milk


Date Date Date


Directs women to breastfeeding support


Date Date Date

Advises women via telephone when contacted for advice on breastfeeding issues


Date Date Date

INFA

NT

FEED

ING

Initi

atio

n an

d C

ontin

uatio

n of

B

reas

tfeed

ing

Advises women how to optimise lactation when separated from baby


Date Date Date

Appropriate use of breast pump


Date Date Date

Identifies babies that require managed approach to feeding


Date Date Date

Advises mother on the safe preparation and feeding with infant formula


Date Date Date



Documents

Teesside University · Web viewThe midwifery competencies and skills have been mapped against the NMC Essential Skills Clusters (2009) which support the achievement of the practice