Edinburgh Napier University 9 Week Antenatal/ Postnatal Hub & Spoke placement: 4-5 weeks Ward hub and Maternity Day Care/ Observation/ Outpatient /Triage spokes as applicable Record of Maternity Spoke: Student’s self-assessment of progress: Students’ signature: …………………………… Date: Mentor’s comments: Mentor’s signature: ………………………….. Date: All mentors are responsible for signing off competencies within the main booklet. The mentor in week 9 of the placement must ensure that they collate evidence and complete the final assessment.
RECORD OF FINAL MEETING AND COMMENTS: Student’s evaluation of achievement: Student’s signature: ……………………………………Date: Sign-Off ’s rationale for mark awarded: COMPETENCIES: PASS/FAIL OVERALL MARK ……. Sign-off mentor’s signature: ……………………………Date: Module leader’s comments:
Signature, Print Name and Date: Assessment Criteria – Clinical Score-Directions for use: Level 8 The scoring system is based on the assessment of each element of practice. Each box has the same 4 criteria which identify progress according to performance. Based on your experience and comments from other sign-off mentors you need to decide whether the student is excellent, pass or fail. Once you have decided which box best describes your student’s performance; you should mark according to the box you have chosen. For example, if you feel that the student is a pass this automatically means that the student will receive a mark of 40% with additional scoring increasing it to a maximum of 64%. Overall Judgement Domain criteria Available Score Actual Score Overall score Excellent (merit) 100-65% Domain 1 Effective midwifery practice Excellent care and clinical skills achieved at level 8, at all times with exceptionally effective practice 0-9 Domain 2 Professional and ethical practice Consistently demonstrates excellent insight into professional practice and is fully aware of the ethical issues within midwifery practice 0-9 Domain 3 Developing the individual midwife and others Can clearly identify 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 0-9 Domain 4 Achieving quality care through evaluation and research Has developed full insight into the importance of research and the evidence that informs practice 0-8 Pass 64-40% Domain 1 Good care and clinical skills achieved at level 8, with good effective practice 0-6 Domain 2 Demonstrates insight into professional practice and is aware of the ethical issues within midwifery and midwifery practice 0-6 Domain 3 Has shown 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 0-6 Domain 4 Demonstrates some insight into the research that informs practice 0-6 Fail 39-0% Domain 1 Care and clinical skills not achieved at level 8 0-10 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
Achieving quality through evaluation and research ESC: Communication, Normal labour and birth, Initiation and continuance of breastfeeding, Medicines management Recognises and discusses the importance of team working to support the best interests of individual women. 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 Emergency procedures Domain: Effective midwifery practice Developing the individual midwife and others Achieving quality through evaluation and research ESC: Communication Medicines management Can discuss and examine the role of the midwife when participating in emergency procedures that meet the needs of women and their babies: Adult resuscitation. Antepartum haemorrhage. Postpartum haemorrhage. Severe pre-eclampsia/eclampsia. Acute fetal distress. Neonatal resuscitation. Examination and care for babies Actively participates in and observes the documentation of a full assessment and physical examination of the baby recognising normal growth and development.
Domain: Effective midwifery practice Professional and ethical practice Developing the individual midwife and others Achieving quality through evaluation and research ESC: Communication Initiation and continuance of breastfeeding Medicines management Demonstrates awareness and understanding of 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. Actively participates in providing advice and support for parents on hygiene, safety, protection, security and child development. Discuss and justify referral pathways for babies with child protection issues. Participates in and describes the care and referral, as necessary, for babies with specific health needs such a low birth weight 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 Examination and care for babies (cont…) Observes and applies knowledge of the care required for babies with pathological conditions such as babies affected by maternal substance misuse. Participates in the preparation of the baby for discharge home, including appropriate documentation. Infant nutrition Domain: Effective midwifery practice Professional and ethical practice Developing the individual midwife and others Supports and advises women as they start to feed and care for their baby recognising the woman’s existing knowledge and skills. Actively participates in communicating sensitively the importance of breast feeding and the consequences of not breast feeding in terms of health outcomes.
Developing the individual midwife and others Achieving quality through evaluation and research ESC: Communication Initiation and continuance of breastfeeding Medicines management Participates with the midwife in providing culturally sensitive support for women regarding future reproductive choices for example: contraception and family planning. Medicine administration Domain: Effective midwifery practice Professional and ethical practice Developing the individual midwife and others Achieving quality through evaluation and research ESC: Communication Medicines management (ENU Guidance for Student Midwives and Medicine Administration p25) Actively participates in taking a medicine history and is able to access evidence based sources of information relating to the safe and effective management of medicinal products. Can correctly calculate and discuss 3 common medicines and dosages used in antenatal midwifery practice at the first attempt (100% accuracy). 1. 2. 3. Safely administers oral, intramuscular and subcutaneous medication under direct supervision and disposes of all equipment needed during preparation and administration. Demonstrates an awareness and understanding of the administration and management of blood and blood products. Observe 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 Medicine administration (cont…) Participates in involving women in administration and/or of medicines. Maintains accurate records as per national/local policies for the administration of medicines with an understanding of professional responsibilities. Initiates with support, referral to an appropriate practitioner for medicine review such as pain relief.