Student’s signature: Date: Print Name Sign-off mentor’s signature: Date: Print Name 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:
Can prepare and transfer women between ward areas utilising SBAR. Can complete pre-operative care and preparation of women for transfer to theatre. Initiates the holistic assessment and monitoring of women throughout the postnatal period. Considers the following: History taking, observation, physical examination and biophysical tests. Include social, cultural and emotional assessments. Provide information relating to 2 specific postnatal investigations and demonstrate an understanding of their indications: 1. 2. Recognises, monitors and discusses the normal maternal postnatal physiological adaptations and refers as appropriate when deviation occurs. Prepares women for discharge home including appropriate documentation, discharge prescriptions/medications and follow up appointments. ANTENATAL/POSTNATAL 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 through evaluation and research ESC: Communication Initiation and continuance of breast feeding Can initiate appropriate care planning made in partnership with women and other health care professionals; which is evidence based and respecting culture, choice and individual context. Evaluates care plans and assists midwives making and documenting amendments to enhance care and improve outcomes. Critically discusses the need for individualised postnatal support for families. Provides examples of national and local policy/guidelines that support best practice and promotes women centred care:
Effective midwifery practice Professional and ethical practice Achieving quality through evaluation and research ESC: Communication Initiation and continuance of breast feeding Medicines management Provides a rationale when assessing the following signs and symptoms in the baby: Colour/skin perfusion. Behaviour/alertness. Cry. Muscle tone/movements. Feeding patterns. Elimination patterns. Weight loss. Signs of infection. Tachycardia, bradycardia, pyrexia and dyspnoea. Provides advice and support for parents on hygiene, safety, protection, security and child development. As appropriate assists women to administer medicines to their babies. Discusses and justifies referral pathways for babies with child protection issues. Initiates and justifies the care and referral as necessary for babies with specific health needs such a low birth weight. Under supervision, evaluates the care required for babies with pathological conditions, such as babies affected by maternal substance misuse. Prepares a baby for discharge home including appropriate documentation, follow-up and discharge medication. ANTENATAL/POSTNATAL 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 Infant nutrition Domain: Supports and advises women as they start to feed and care for their baby, recognising the woman’s existing attitude, knowledge and skills.
Partnership Domain: Effective midwifery practice Professional and ethical practice Developing the individual midwife and others ESC: Communication Initiates partnership working with women that facilitates the provision of seamless care. Discussions should include women centred care, promotion of health and management of health needs. Provides culturally sensitive support for women regarding future reproductive choices; for example: contraception and family planning. Medicine administration Student must also complete with their sign-off mentor the managing medicines in practice assessment p33 Domain: Effective midwifery practice & Professional and ethical practice Esc: Communication Initiation and continuance of breast feeding Medicines management (ENU Guidance for Student Midwives and Medicine Administration p35) Takes a medicine history and accesses evidence based sources of information relating to the safe and effective management of medicinal products utilising the British National Formulary. Identifies how medicines are absorbed, distributed, metabolised and eliminated (the principles of pharmaco-kinetics); and how medicine doses are determined by dynamics/systems in the body. Can correctly calculate and discuss 3 common medicines and dosages used in antenatal midwifery practice at the first attempt (100% accuracy). 1. 2. 3. Ensures an individual women centred focus when sharing information, alleviating fear and anxiety of the women in relation to medicine administration. Where appropriate utilises medicine information leaflets. Safely administers oral, intramuscular and subcutaneous medication under direct supervision and disposes of all equipment needed during preparation and administration. Demonstrates an understanding of and participates in the administration and management of blood and blood products. Observes the siting of intravenous cannulae and participate in the subsequent care of the intravenous site. ANTENATAL/POSTNATAL 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
Daily signature Mentor’s signature ____________________________________________________ Week 2 Commencing: …………………… Mon Tues Wed Thu Fri Sat Sun Total Start Finish Hours worked Daily signature Mentor’s signature ____________________________________________________ Week 3 Commencing: …………………… Mon Tues Wed Thu Fri Sat Sun Total Start Finish Hours worked Daily signature Mentor’s signature ____________________________________________________ Week 4 Commencing: …………………… Mon Tues Wed Thu Fri Sat Sun Total 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
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