LABOUR WARD PLACEMENT SUMMARY PRACTICE PLACEMENT AREA: DATES: I have received and discussed student’s previous placement records Sign-off mentor’s signature: RECORD OF DEVELOPMENTAL PLAN AT INITIAL MEETING To be completed by the student prior to initial meeting Student’s goals and expectations Student’s signature: Date: Print Name To be completed by the mentor at the initial meeting Agreement of learning opportunities during the placement Sign-off mentor’s signature: Date: Print Name
39-0% Domain 2 Displays minimal or no insight into professional practice and does not indicate awareness of the ethical issues within midwifery 0-10 Domain 3 Has shown no or very limited ability in identifying own learning requirements in practice in relation to the need for life long teaching and learning for themselves and others: Principles and processes relating to revalidation 0-10 Domain 4 Does not demonstrate insight into the research that informs practice 0-9 LABOUR PLACEMENT P or Fail If there is no opportunity for the student to demonstrate a competency, enter “EV” to denote that she/he has the underpinning theoretical knowledge P or Fail Sign-off mentors signature Date Student Mentor Communication Domain: Effective midwifery practice Professional and ethical practice ESC: Communication Initiation and continuance of breastfeeding Normal labour and birth Consistently shows the ability to communicate safely and effectively using appropriate strategies with women throughout their labour and birth ensuring the meaning is always clear and informed consent is gained. Initiates conversations and actively listens to women and their families enabling them to make informed choices about their care. Recognises when silence and the use of touch are appropriate. Discusses the recognition and response to verbal and non-verbal cues. Demonstrates effective multidisciplinary communication skills, such as providing guidance for juniors, using SBAR and report writing. Provides accurate, truthful and balanced information that is presented in such a way as to make it easily understood. Shares information with women who have physical, cognitive or sensory disabilities and those who do not speak or read English. Encourages and supports a proactive and creative approach to enhance communication and understanding with women and their families. Diagnosis Domain: Effective midwifery practice Actively participates with the holistic assessment and monitoring of women and the fetus during the intrapartum period including social, cultural and emotional assessments.
LABOUR PLACEMENT P or Fail If there is no opportunity for the student to demonstrate a competency, enter “EV” to denote that she/he has the underpinning theoretical knowledge P or Fail Sign-off mentors signature Date Student Mentor Professional practice (cont…) Maintains midwifery standards by adhering to local uniform policies, practising good time keeping, conducting yourself in a professional manner and adhering to infection control policies. Applies safe moving and handling principles to practice Collaborative working Domain: Effective midwifery practice Professional and ethical practice Developing the individual midwife and others ESC: Communication Initiation and continuance of breast feeding Medicines management Observes collaborative working with the wider health care team and other agencies, such as: social policy, surgical specialities, medicine and pharmacy.
RECORD OF MID-POINT MEETING AND COMMENTS: Student’s self-assessment of progress: Students’ signature: ………………………………… Date: Sign-off mentor’s comments: Sign-off mentor’s signature: ………………………….. Date: USE THIS SECTION ONLY IF NECESSARY. Sign-off mentor’s action plan for areas of concern if required. ACTION PLAN: REVIEW OF OUTCOMES:
Domain: Effective midwifery practice ESC: Communication Initial consultation between the woman and the midwife Actively participates with the holistic assessment and monitoring of women throughout the preconception, antenatal and postnatal period. Include the following: History taking, observation, physical examination and biophysical tests, social, cultural and emotional assessments. Initiates and justifies monitoring of fetal wellbeing, which includes assessment of the fetal heart rate through auscultation, using a pinard stethoscope/sonicaid and noting fetal movements. COMMUNITY PLACEMENT P or Fail If there is no opportunity for the student to demonstrate a competency, enter “EV” to denote that she/he has the underpinning theoretical knowledge P or Fail Sign-off mentors signature Date Student Mentor Care planning Domain: Effective midwifery practice Professional and ethical practice Achieving quality care through evaluation and research ESC: Communication Initial consultation between the woman and the midwife Normal labour and birth Initiation and continuance of breastfeeding Medicine management Initiates with support appropriate care planning made in partnership with women and other health care professionals, which is evidence based and respects her culture, choice and individual context. Demonstrates an understanding of plans for birth, infant nutrition, preparation for parenthood and postnatal support. Participates in parent education or group sessions to share information in a variety of forums which empowers women to recognise normal pregnancy and when to seek advice. Evaluates care plans and observes midwives making and documenting amendments to improve outcomes.
Start Finish Hours worked Daily signature Mentor’s signature ____________________________________________________ Week 5 Commencing: …………………… Mon Tues Wed Thu Fri Sat Sun Total Start Finish Hours worked Daily signature Mentor’s signature ____________________________________________________ Week 6 Commencing: …………………… Mon Tues Wed Thu Fri Sat Sun Total Start Finish Hours worked Daily signature Mentor’s signature ____________________________________________________ Week 7 Commencing: …………………… Mon Tues Wed Thu Fri Sat Sun Total Start Finish Hours worked Daily signature Mentor’s signature ____________________________________________________ Week 8 Commencing: …………………… Mon Tues Wed Thu Fri Sat Sun Total Start Finish Hours worked Daily signature Mentor’s signature ____________________________________________________ Week 9 Commencing: …………………… Mon Tues Wed Thu Fri Sat Sun Total Start Finish Hours worked Daily signature Mentor’s signature ____________________________________________________ Week 10 Commencing: …………………… Mon Tues Wed Thu Fri Sat Sun Total