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 AustraliaSchool of Nursing and MidwiferyCity East campusFrome RoadAdelaide5000

Midwifery Student Practice Portfolio ELA 5 2016

IntroductionBefore 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.

*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

Compiling the Portfolio This portfolio is to be taken with you on placement and while attending your COCE. It is important to show your portfolio to your Clinical Facilitator and the midwives you work with. Your portfolio should include the following documents:

Learning Plan

Record of Clinical Attendance

Clinical Assessment Tool for the Midwifery Student (CAT)

o Learning Tools (specified in the Course Outline)

o Competency Assessment for each area

Midwifery Student Venue Feedback x 2 (minimum)

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

Critical Reflection

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.

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

Nursing and Midwifery Student Clinical Placement Orientation, SA HealthNursing 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

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

Manual handlingYou 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 https://lo.unisa.edu.au/course/view.php?id=2229

Learning PlanPlease 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 CertificateYou 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 RecordYou 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 your Clinical Facilitator is unable to arrange the required makeup shift/s you must contact your Course Coordinator and the Clinical Placement Unit to see if this can be arranged at an alternative time. Failing to complete the required shifts may result in a fail grade and you would need to complete the placement when the ELA is offered again.

Clinical Assessment Tool for the Midwifery StudentLearning 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

* 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.

All CAT tools must be completed within third year of your program at a minimum of a proficient level. 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 someconfidence 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

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

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

Venue FeedbackYou are required to collect feedback from the midwives that directly supervise you while on clinical placement. This feedback is important and can be used to support your application in 3 rd year when applying for a graduate position. You must obtain at least 2 completed feedback forms for each area you are placed in although we encourage you to collect more if appropriate.

Critical ReflectionYour critical reflection should be submitted with your portfolio as a hard copy. Please refer to the Course Outline as each ELA has a different reflection activity.

Learning Plan ELA 5

Learning ObjectiveCourse

objectives/ANMC competencies

Resources, Strategies, Activities Time-line Evidence Outcome

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

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

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

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

Did you achieve your objectives?

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

Learning Plan ELA 5

Learning ObjectiveCourse

objectives/ANMC competencies

Resources, Strategies, Activities Time-line Evidence Outcome

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

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

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

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

Did you achieve your objectives?

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

Attendance Record for Clinical Placement

Student Name: _______________________________________

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

AreaTotal hours completed

Total number of shifts completed

Antenatal Clinic

Antenatal Ward

Labour and Delivery

Postnatal Ward

Domiciliary Midwifery

Neonatal

Midwifery Group Practice

Other

Sick LeaveIf 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

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

5Performing and interpreting an antenatal cardiotocograph

6 Care of the woman on admission to the birth environment

7Performing and interpreting an intrapartum cardiotocograph

8 Care of the woman progressing in labour

9 Working with pain in labour10 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

14 Care (reception) of the newborn at birth

15 Vaginal examination

16 Maternal and baby wellbeing assessment following birth

17 Facilitating breastfeeding for the woman and baby

18 Breastfeeding challenges for the woman 19 Care of a woman after a caesarean birth20 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 phototherapy25 Administering an injection to the

newborn26 Neonatal resuscitation via simulation

Learning tool 22: Enteral/tube feeding a babyThis 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, 3.2Ensures privacyIdentifies and respects the woman’s individual needs in relation to language, culture, religion and spiritualityPlans and provides care in partnership with the woman

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

Reviews baby’s history, checks management planVerifies baby’s identity

1.2, 1.4, 5.2

Prepares and checks equipment 1.4, 5.3Prepares 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 feedingDiscusses 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

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 AssessorMaintains effective communication using active listening skills throughout 1.4, 3.1, 3.2Ensures privacyIdentifies and respects the woman’s individual needs in relation to language, culture, religion and spiritualityPlans and provides care in partnership with the woman

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

Reviews baby’s history, checks management planVerifies baby’s identity

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, 1.3Provides developmental supportive care to baby as neededAttends to baby’s nutritional needs according to management plan

5.2, 5.3, 5.4

Identifies alternate methods of oxygen therapy deliveryExplains rationale for alternate methods

5.1, 5.3, 6.1,

States rationale for administering oxygen therapyDiscusses 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

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 24: Care of the baby receiving phototherapyThis 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, 3.2Ensures privacyIdentifies and respects the woman’s individual needs in relation to language, culture, religion and spiritualityPlans and provides care in partnership with the woman

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

Reviews baby’s history, checks management planVerifies baby’s identity

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 guidelinesRecords baby’s fluid balance including intake and output

1.2, 1.3

Comforts baby as neededAttends to baby’s nutritional needs according to management planInterrupts phototherapy for feeds where applicable

5.2, 5.3, 5.4

Maintains baby’s skin integrity - provides rationale 5.2, 6.1Monitors serum bilirubin, turns off lights during collection - provides rationale 5.2, 5.3, 6.1States rationale for administering phototherapyDiscusses actual/potential problems which may arise during phototherapy 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 26: Neonatal resuscitation via simulationThis 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

Prior to the assessmentDisplays effective communication skills using active listening skills throughout

1.4, 3.1, 3.2

Ensures privacy within the context of an emergencyIdentifies 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 resuscitationVerifies 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, 5.3Ensures 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 assessmentAssesses 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 safelyPositions 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) States indications administration and precautions for resuscitation

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

medications: adrenaline, normal saline and O negative blood (as per Australian Resuscitation Council (ARC) guideline 13.7)

Delegates scribePrepares 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 conditionFollows the Australian resuscitation council guidelines ‘flow chart’ and appropriately intervenes where indicated

1.2, 5.2, 14.1

Following stabilisationEnsures baby is warm and monitored closelyExplains criteria for care in the SCN following resuscitationEnsures 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 birthDiscusses 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

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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Competency AssessmentStudent Name: ______________________Venue/ Clinical area _________________________

The Competency assessment will be carried out at various time points during the student’s midwifery program. In each ELA an assessment should be undertaken for each clinical area that the student has been rostered.

All sections of this assessment should be filled in for the assessment to be deemed complete. Students should complete a self-assessment before participating in a review with the Clinical Facilitator.

LEGAL AND PROFESSIONAL PRACTICE

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

Student Assessor

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

Element 1.2: Complies with policies and guidelines thathave legal and professional implications for practiceElement 1.3: Formulates documentation according tolegal and professional guidelinesElement 1.4: Fulfils the duty of care in the course ofmidwifery practice

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

Student Assessor

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

MIDWIFERY KNOWLEDGE AND PRACTICE

Competency 3: Communicates information to facilitatedecision making by the woman

Student Assessor

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

Competency 4: Promotes safe and effective midwiferycare

Student Assessor

Element 4.1: Applies knowledge, skills and attitudes toenable woman centred careElement 4.2: Provides or supports midwifery continuityof careElement 4.3: Manages the midwifery care of womenand their babies

Competency 5: Assesses, plans, provides and evaluatessafe and effective midwifery care

Student Assessor

Element 5.1: Utilises midwifery knowledge and skills tofacilitate an optimal experience for the womanElement 5.2: Assesses the health and well being of thewoman and her babyElement 5.3: Plans, provides and is responsible for, safeand effective midwifery careElement 5.4: Protects, promotes and supportsbreastfeedingElement 5.5: Demonstrates the ability to initiate, supplyand administer relevant pharmacological substances in a safe and effective manner within relevant state of territory legislationElement 5.6: Evaluates the midwifery care provided tothe woman and her baby

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

Student Assessor

Element 6.1: Utilises a range of midwifery knowledgeand 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 ofwomen, families and communities in relation to maternity care

Student Assessor

Element 7.1: Respects and supports women and theirfamilies to be self- determining in promoting their own health and well beingElement 7.2: Acts to ensure that the rights of womenreceiving maternity care are respected

Competency 8: Develops effective strategies toimplement and support collaborative midwifery practice

Student Assessor

Element 8.1: Demonstrates effective communicationwith midwives, health care providers and other professionalsElement 8.2: Establishes, maintains and evaluatesprofessional relationships with other health care providers

Competency 9: Actively supports midwifery as a publichealth strategy

Student Assessor

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

Competency 10: Ensures midwifery practice isculturally safe

Student Assessor

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

REFLECTIVE AND ETHICAL PRACTICE

Competency 11: Bases midwifery practice on ethicaldecision making

Student Assessor

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

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

Student Assessor

Element 12.1: Addresses the impact of personal beliefsand experiences on the provision of midwifery careElement 12.2: Appraises and addresses the impact ofpower relations on midwifery practice

Competency 13: Acts to enhance the professionaldevelopment of self and others

Student Assessor

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

Competency 14: Uses research to inform midwiferypractice

Student Assessor

Element 14.1: Ensures research evidence isincorporated into practiceElement 14.2: Interprets evidence as a basis to informpractice and decision making

Overall grading

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

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

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

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

Competency AssessmentStudent Name: ______________________Venue/ Clinical area _________________________

The Competency assessment will be carried out at various time points during the student’s midwifery program. In each ELA an assessment should be undertaken for each clinical area that the student has been rostered.

All sections of this assessment should be filled in for the assessment to be deemed complete. Students should complete a self-assessment before participating in a review with the Clinical Facilitator.

LEGAL AND PROFESSIONAL PRACTICE

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

Student Assessor

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

Element 1.2: Complies with policies and guidelines thathave legal and professional implications for practiceElement 1.3: Formulates documentation according tolegal and professional guidelinesElement 1.4: Fulfils the duty of care in the course ofmidwifery practice

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

Student Assessor

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

MIDWIFERY KNOWLEDGE AND PRACTICE

Competency 3: Communicates information to facilitatedecision making by the woman

Student Assessor

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

Competency 4: Promotes safe and effective midwiferycare

Student Assessor

Element 4.1: Applies knowledge, skills and attitudes toenable woman centred careElement 4.2: Provides or supports midwifery continuityof careElement 4.3: Manages the midwifery care of womenand their babies

Competency 5: Assesses, plans, provides and evaluatessafe and effective midwifery care

Student Assessor

Element 5.1: Utilises midwifery knowledge and skills tofacilitate an optimal experience for the womanElement 5.2: Assesses the health and well being of thewoman and her babyElement 5.3: Plans, provides and is responsible for, safeand effective midwifery careElement 5.4: Protects, promotes and supportsbreastfeedingElement 5.5: Demonstrates the ability to initiate, supplyand administer relevant pharmacological substances in a safe and effective manner within relevant state of territory legislationElement 5.6: Evaluates the midwifery care provided tothe woman and her baby

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

Student Assessor

Element 6.1: Utilises a range of midwifery knowledgeand 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 ofwomen, families and communities in relation to maternity care

Student Assessor

Element 7.1: Respects and supports women and theirfamilies to be self- determining in promoting their own health and well beingElement 7.2: Acts to ensure that the rights of womenreceiving maternity care are respected

Competency 8: Develops effective strategies toimplement and support collaborative midwifery practice

Student Assessor

Element 8.1: Demonstrates effective communicationwith midwives, health care providers and other professionalsElement 8.2: Establishes, maintains and evaluatesprofessional relationships with other health care providers

Competency 9: Actively supports midwifery as a publichealth strategy

Student Assessor

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

Competency 10: Ensures midwifery practice isculturally safe

Student Assessor

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

REFLECTIVE AND ETHICAL PRACTICE

Competency 11: Bases midwifery practice on ethicaldecision making

Student Assessor

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

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

Student Assessor

Element 12.1: Addresses the impact of personal beliefsand experiences on the provision of midwifery careElement 12.2: Appraises and addresses the impact ofpower relations on midwifery practice

Competency 13: Acts to enhance the professionaldevelopment of self and others

Student Assessor

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

Competency 14: Uses research to inform midwiferypractice

Student Assessor

Element 14.1: Ensures research evidence isincorporated into practiceElement 14.2: Interprets evidence as a basis to informpractice and decision making

Overall grading

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

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

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

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

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 timeframeAbility 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 CompetenciesDemonstrated 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

practiceAbility 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.

DocumentationAbility 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 timeframeAbility 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 CompetenciesDemonstrated 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

practiceAbility 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.

DocumentationAbility 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: __________________

TOTAL required

AchievedELA 1

AchievedELA 2

AchievedELA 3

AchievedELA 4

AchievedELA 5

AchievedELA 6

RunningTotal

(update in pencil only)

Final TOTAL

AntenatalCare

Antenatal episode of care 100

Abdominal palpation 10

Complex antenatal care 15

IntrapartumCare

Labour and spontaneous vaginal birth 30

Active care 1st stage labour 10

Vaginal examination 10

Complex intrapartum care 15

PostpartumCare

Postnatal episode of care 100

Complex postpartum care 10

NeonatalCare

Physical examination of the newborn 20

Complex neonatal care 10

Continuity of Care Experiences

Commenced15

CompletedLearning toolsUniversity lecturer name, signature and date evidence reviewed and assessed as complete

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