Outcome of practice assessment: 1st attempt/2nd attempt (Please circle) Now Add up each of the 5 sections to find the total mark out of 100% If the mark is 0.5 or then round up to the next number. For example 41.5 = 42 Overall indicative mark awarded__________________ Pass / Fail / Resubmission (Please circle) Comments on grading process only If required in addition to the final interview documentation Signature of student Print name Date I/We authorise that the student has met / not met (please circle) all of the performance outcomes (including competencies, essential skills clusters, professional behaviour and conduct) associated with this placement/module and that in my judgement has performed to the quality indicated. Print name Signature/s of sign-off mentor/Mentors if Tripartite Print name Date I confirm that in my judgement assessment processes have been conducted appropriately Signature of link lecturer (If appropriate) Print name Date I confirm that the assessment process is comparable to that of other institutions Signature of External Examiner (If appropriate) Print name Date
Year 2 Learning Period 1 Student’s Name ….......................................... Student has attended as follows: Hours Mentor Signature Placement Week 1 …..........hrs Week 2 …..........hrs Week 3 ……… hrs Week 4 ……… hrs The student has not attended the placement on the following occasions: Date(s) not attended Number of hours missed Number of hours made up Hours outstanding at end of placement number of hours worked …....................Number of Nights worked (if any)……………… Mentor Print name………………………………………………. Mentor’s signature ……………………….................................Date ………………. I verify that the above student has worked 40% of the time within this placement with a sign off mentor on the mentor register. Mentor’s signature ……………………………………………... Date…………………………… Student’s signature………………………………………..…... Date……………………………… In the event of sickness it is the student’s responsibility to inform the placement area and the University of Hull – Midwifery Programme Secretary Andrea Randerson, phone (01482) 464583. Module Team Verification Signature ……………………………… Date …………… RECORD OF PLACMENT ATTENDANCE Year 2 Learning Period 1
1 Performance and skills outcomes Not Achieved (NA) Achieved (A) Sign-off mentor Signature & date A) 1MC Establishes a rapport with women and their families throughout the pre-conception, antenatal, intrapartum and postnatal stages. B) 1MC Listens to women and their families talk about their experiences and expectations and where necessary seeks appropriate information from other sources to answer questions raised. C) 1MC ESC Uses appropriate verbal, non-verbal and written communication and is familiar with accessing and recording information other than in handwritten form such as texting. D) ESC 1/1 1/7 With women and colleagues/peers consistently demonstrates the ability to use strategies to enhance communication to remove barriers in order to make clear effective communication and can recognise the appropriateness of silence in certain situations, including a range of communication methods and styles in individual and group settings. E) ESC 1/1 Is proactive and creative in enhancing communication and seeks to confirm understanding, responding appropriately to what the woman is communicating and acts to reduce and challenge barriers to effective communication. 1 Performance and skills outcomes Not Achieved (NA) Achieved (A) Sign-off mentor Signature & date F) ESC 1/7 Cares for women in a sensitive and compassionate manner to maintain a supportive relationship with the woman and her family by; anticipating responses with empathy: providing physical and emotional comfort: responding to emotional discomfort of self and others and using touch appropriately. G) ESC 1/1 Uses appropriate and relevant communication skills to deal with difficult and challenging circumstances in individual and group scenarios. 1) Student’s evidence and experience to achieve outcomes This should be linked to specific examples from practice, and how this case links to the outcome.
C) ESC 1/6 Is proactive in promoting care environments that are diversity sensitive and free from exploitation, discrimination and harassment. D) ESC 1/6 in partnership with women and is sensitive to age, culture, religion, spiritual beliefs, disability, gender, sexual orientation and respects people’s rights. Speaking out when these are at risk of being compromised and takes into account legal frameworks and professional ethics. E) ESC 1/7 Does not allow personal feelings towards a client or others to compromise care. Has insight into own values and how these may impact on interactions with women. F) ESC 4/1 Contributes, with indirect supervision, to a variety of forums where information is shared in respect of the advantages and disadvantages of different infant feeding methods. G) 14MC Monitors and evaluates the effectiveness of care provided and contributes to the modification of care to meeting the changing needs of women and their babies. 3) Student’s evidence and experience to achieve outcomes This should be linked to specific examples from practice, and how this case links to the outcome. 4) Provision of antenatal care To meet the standard the student is required to demonstrate the following competency/skills drawing on practice experience(s) and underpinned by theoretical learning appropriate to their level. By the end of an NMC approved midwifery programme the student will have achieved all the competencies and skills. Midwifery competency (4MC) Domain: Effective midwifery practice Provide seamless care and where appropriate interventions in partnership with women and other care providers during the antenatal period which: -
F) ESC 2/1 Is able to seek out required information about less common/specialised antenatal screening tests G) ESC 2/1 Interprets data/results accurately and shares this information sensitively with women and their families, including the ability to discuss further actions/consequences as necessary H) ESC 2/2 Participates and consistently shows the ability to assess maternal and fetal wellbeing relevant to the stage of pregnancy, explaining the findings in a sensitive manner and encourages women to ask questions, referring to appropriate individuals where necessary. Empowering women to recognise normal pregnancy development and to seek advice. I) ESC 2/2 Explores effectively the social, religious and cultural factors that inform an individualised antenatal care pathway for women that is diversity sensitive. Recognising and advising women who would benefit from more specialist services. J) ESC 2/2 Is skilled in providing the opportunity to to disclose domestic abuse and is able to respond appropriately. L) ESC 2/3 20MC Is able to collaborate effectively with the wider healthcare team and agencies as required and be aware of those best placed to provide aspects of maternity care and is competent to refer women who would benefit from more specialist services such as a local substance misuse support unit. M) 13MC Demonstrates full compliance with professional records, the confidentiality and security of written or verbal information and the storage of records in accordance with local policies and relevant legislation. 4) Student’s evidence and experience to achieve outcomes This should be linked to specific examples from practice, and how this case links to the outcome.