NPMS 2015: Responding to complex needs during the Intrapartum period Health and safety* NPMS 2017: Practice experience 3 (PE3) NPMS 2017: Practice experience 3 (PE3) Moving and handling* NPMS 2017: Practice experience 3 (PE3) NPMS 2017: Practice experience 3 (PE3) NPMS 2017: Practice experience 3 (PE3) and PAH induction Equality, human rights and diversity* NPMS 2017: Practice experience 3 (PE3) NA Conflict resolution* NPMS 2017: Practice experience 3 (PE3) NA Resuscitation* to include neonatal resuscitation NPMS 2017: Practice experience 3 (PE3) NPMS 2015: Responding to complex needs during the Intrapartum period NPMS 2017: Practice experience 3 (PE3) Safeguarding* NPMS 2028: Partnerships NPMS 2017: Practice experience 3 (PE3) Recognising the deteriorating patient NPMS 2015: Responding to complex needs during the Intrapartum period NPMS 2015: Responding to complex needs during the Intrapartum period NPMS 2018: Practice experience 4 (PE4) Acuity skills/MEOWS NPMS 2015: Responding to complex needs during the Intrapartum period NPMS 2018: Practice experience 4 (PE4) Medicines administration and management including intravenous infusions and blood transfusions NPMS 2015: Responding to complex needs during the Intrapartum period NPMS 2018: Practice experience 4 (PE4) Drug calculations NPMS 2016: Responding to complex needs during the postpartum and neonatal period NPMS 2018: Practice experience 4 (PE4)
2.1 At a glance skills taught in practice by midwifery teaching team Year 1 Year 2 NN resuscitation Skills for PE1 MEOWS Bp Temp Pulse Resp ANTT Abdominal palpation Placenta Fundus/involution Risk assessment Equipment for birth Gloves Urinalysis Partogram – normal birth pathways Venesection Lucky dip bag Neonatal resuscitation – introduction to resuscitaire Skills for PE2 MEOWS Risk assessment Drugs – terminology / community Intermittent auscultation and CTG interpretation – differences Birth planning Record keeping Skills for PE3 Documentation Drug round Drugs form/booklet Drug round workshop Partograms – action and alert lines Risk assessment Oedema Drug charts Catheterisation Injection technique Skills for PE4 CTG and intermittent auscultation Sepsis ANTT Glucose monitoring VE DVT/PE =VTE Passing urine Assessment jaundiced baby Neonatal resuscitation Unwell woman Pressure area care Perineal assessment/checking
3.0 Part 2 Record of training and updates taken from the AoP. For the purposes of this section of the document, year three considers the final year of the outgoing curriculum and may alter with the new 2011 curriculum Fire Lectures Year Theory Skills rehearsal - academic Practice only Year 1 On line Statutory and mandatory n/a PAH Trust mandatory training for students Year 2 On line Statutory and mandatory n/a PAH mandatory training for students Year 3 n/a PAH mandatory training for students *Infection prevention and control/Standard precautions (including handwashing) Year Theory Skills rehearsal - academic Practice only Year 1 NPMS 1014 – PE1 n/a ANTT PAH Trust mandatory training for students Year 2 NPMS 2017 – PE3 n/a ANTT PAH Trust mandatory training for students Year 3 n/a n/a PE 5 ANTT PAH Trust mandatory training for students Drug Calculation Year Theory Skills rehearsal - academic Practice only Year 1 NPMS 1012 Online self test n/a Year 2 NPMS 2016 Online self test n/a Year 3 NPMS 3016 Online self test n/a
Drug assessments Year Theory Skills rehearsal - academic Practice only Year 2 n/a n/a NPMS 2018 – PE4 Year 3 n/a n/a PE 6 CTG Sessions Year Lecture/training Theory Skills rehearsal - academic Practice only Year 1 Interpretation of normal CTGs NPMS 1012 n/a NPMS 1014/1015 and 2 Year 2 Interpretation of abnormal CTGs NPMS 2015 n/a NPMS 2017/2018 – PE 3 and 4 Year 3 K2 n/a Via K2 access PE 5 and 6 Blood transfusion updates Year Theory Skills rehearsal - academic Practice only Year 2 n/a NPMS 2014 online National Blood transfusion – module 1 Observation Year 3 n/a NPMS 3015 online National transfusion – module 1 Observation
Neonatal Resuscitation Year Theory Skills rehearsal - academic Practice only Year 1 n/a NPMS 1014 – PE1 n/a Year 2 n/a NPMS 2016 n/a Year 3 n/a NPMS 3015 n/a Infant Basic Life Support Year Theory Skills rehearsal - academic Practice only Year 1 n/a NPMS 1014 – PE1 n/a Year 2 n/a NPMS 2014 n/a Year 3 n/a NPMS 3015 n/a Child Basic Life Support Year Theory Skills rehearsal - academic Practice only Year 1 n/a NPMS 1014 – PE1 n/a Year 2 n/a NPMS 2014 n/a Year 3 n/a NPMS 3015 n/a Adult Basic Life Support/Maternal Resuscitation Year Theory Skills rehearsal - academic Practice only Year 1 n/a NPMS 1014 – PE1 n/a Year 2 n/a NPMS 2014 n/a Year 3 n/a NPMS 3015 including maternal resus n/a
Nursing skills Year 1 Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Prevention of cross infection √ √ √ Disposal of sharps √ √ √ Temperature √ √ √ Pulse √ √ √ Respiration √ √ √ Blood pressure √ √ √ Bed making √ √ √ Urinalysis √ √ √ Collection of sample including mid stream sample √ √ √ Aseptic technique √ √ √ Vulval care √ √ √ Use of bidet √ √ √ Comfort during period of immobility √ √ √ Observation of skin colour √ √ Assessment of oedema √ √ Collection of sample √ √
Collection of wound swab √ √ Pressure sore prevention √ √ Oral care √ √ Nursing Skills Year One Year Two Year Three Theory Skills Theory and practise Practice only Theory Skills Theory and practise Practice only Theory Skills and practise Practice only Personal hygiene needs i.e. blanket bath, care of hair etc √ √ Maternal blood sugar measurement √ √ Examination of stools √ √ Examination of √ √ Examination of discharge (PV, wound etc) √ √ Recognition of signs of infection (e.g. pyrexia, tachycardia, tachypnoea, vomiting diarrhoea) √ √ √ Examination of wound healing √ √ Catheter care √ √ Care of blood transfusion √ √ Catheterisation √ √ Removal of wound drains √ √
Removal of sutures/clips √ √ Pre-operative preparation/care √ √ Immediate post operative recovery √ √ Post-operative care √ √ Care of the unconscious/semi-conscious patient √ √ Escort duties e.g. X-ray/Ultrasound √ √ Nursing Skills Year One Year Two Year Three Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Administer intramuscular injections √ √ Administer subcutaneous injections √ √ Administration of insulin √ √ Maintenance of balance charts √ √ Administration of oral medicine √ √ Administration of medicine per rectum √ √ Role of second practitioner in relation to drug administration √ √ Conduct drug round √ √ Principles of record keeping in relation to drug administration √ √
Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Care of women in active labour √ √ √ Abdominal examination in labour √ √ √ Nutrition/hydration of women in labour √ √ √ Setting up and care of IV infusion √ √ √ Bladder care in labour √ √ √ Bowel care in labour √ √ √ Emotional support of women √ √ √ Emotional support of birthing partners √ √ √ Facilitate spontaneous vaginal birth in hospital √ √ √ Facilitate planned spontaneous vaginal birth at home √ √ Care of using water immersion during labour and/or birth √ √ √ Manage spontaneous rupture of membranes √ √ √ Monitor liquor √ √ √ Physiological management of third stage of labour √ √ √ Active management of third stage of labour √ √ √ Examination of placenta and membranes √ √ √
Labour Skills Year One Year Two Year Theory Skills Theory and practise Practice only Theory Skills Theory and practise Practice only Theory Skills Theory and practise Practice only Knowledge of drugs carried by midwives in the community √ √ Uses prescription charts correctly and maintains accurate records √ √ √ Involve in administration and/or self administration of medicinal products √ √ Midwives exemption orders (utilisation & legislation) √ √ √ Use of non-pharmacological methods of pain relief (e.g. TENS, massage, positioning) √ √ √ √ Safely administer oral analgesia in labour √ √ Safely administer controlled drugs √ √ Safely administer inhalational analgesia √ √ √ Assist with insertion of epidurals √ √ Care of women with epidurals/spinals √ √ Labour Skills Year One Year Two Year Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only
Neonatal resuscitation √ √ Antepartum haemorrhage √ √ Postpartum haemorrhage √ √ Shoulder dystocia √ √ Cord prolapse √ √ Manual removal of placenta √ √ Undiagnosed breech √ √ Eclampsia √ √ Shock, including anaphylaxis √ √ Postnatal Skills Year One Year Two Year Three Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Admission of mother and baby to postnatal ward √ √ √ Ensures that needs of women are met in developing a clear care pathway √ √ √ Assessment of maternal wellbeing, including perineum √ √ √ Examination of lochia √ √ √
Measurement of postnatal haemoglobin (e.g. haemacue) √ √ Postnatal exercises √ √ √ Advice on bladder care and control √ √ Applies in-depth knowledge of the physiology of lactation to practical situations √ √ √ Empowers mothers to be successful with breast feeding for the first 6 months of life √ √ √ Effective positioning, attachment, suckling and milk transfer √ √ √ Postnatal Skills Year One Year Two Year Three Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Support of baby-led feeding √ √ √ Expression of breast milk by hand √ √ √ Expression of breast milk by pump √ √ √ Advise women over the telephone on breast feeding issues √ √ Supports women who are separated from their babies to initiate and maintain their lactation √ √ Successfully support mother with formula feeding √ √ √ Sterilisation of feeding equipment √ √ √
Nappy changing √ √ √ Bathing a baby √ √ √ ‘Top and tail’ √ √ √ Advice on safety of baby in hospital and at home. √ √ √ Postnatal discharge of mother √ √ √ Postnatal discharge of baby √ √ √ Postnatal liaison to other agencies √ Postnatal Skills Year One Year Two Year Three Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Works with other agencies to promote breastfeeding and support women in their choice to breastfeed √ √ √ Facilitate discussion about future reproductive choices √ √ Appropriate referral if deviations from normal (including infant growth) √ √ Supports parents whose baby is in the neonatal unit √ √ Monitor, support and refer if appropriate, women who have postnatal depression or other mental health issues √ √
Provide care for women who have suffered pregnancy loss, stillbirth or neonatal death √ √ Post operative care for women who have had caesarean and operative deliveries √ √ Provision of pain relief √ √ √ Promotion of would healing √ √ Postnatal Skills Year One Year Two Year Three Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Keep accurate, legible and continuous records √ √ √ Detail the reasoning behind any actions taken √ √ √ √ Keep accurate records of the woman and her baby relating to breastfeeding √ √ √ Recording practice in consistent formats in IT systems for wider-scale analysis (HICSS) √ √ √ Neonatal Skills Year One Year Two Year Three Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Skin to skin contact √ √ √ Temperature measurement √ √ √
rate √ √ √ Respiration rate √ √ √ Head circumference √ √ √ Weight √ √ √ Determine Apgar score √ √ √ Initial examination of newborn √ √ √ Labelling babies √ √ √ Thermoregulation √ √ √ Daily check of the neonate √ √ √ Assess appropriate growth and development of neonate √ √ √ Cord care √ √ √ Recognition of neonatal jaundice √ √ Neonatal Skills Year One Year Two Year Three Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Theory Skills academic Theory and practise Practice only Care of a baby with physiological jaundice √ √ Check, use and restock resuscitaire √ √ √