Antenatal Care: First year Those marked with an * may be carried over into the second year Second year Those marked with an * may be carried over into the third year year All competencies to be achieved Midwifery Practice Skill Minimum Level to be Achieved Sign-off Mentor Signature & Date Minimum Level to be Achieved Sign-off Mentor Level to be Achieved Minimum Level to be Achieved Sign-off Mentor Level to be Achieved Assesses the physical, psychological, emotional, socio-cultural, spiritual needs of women E Signature CD Signature CI Signature Date Date Date In partnership with plans, implements and evaluates holistic, care, that is responsive to maternal antenatal needs E Signature CD Signature CI Signature Date Date Date Plan and delivers a parent education lesson *E Signature CD Signature CI Signature Date Date Date Explains the aim of an initial consultation and obtains a E Signature CD Signature Signature
comprehensive and detailed history Date Date Date Recognises signs of pregnancy (e.g. breast tenderness; tiredness; frequency of micturition) CD Signature CD Signature CI Signature Date Date Date Monitor physical and psychological wellbeing of the mother during pregnancy E Signature CD Signature CI Signature Date Date Date Accurately measures Body Mass (BMI) CD Signature CI Signature CI Signature Date Date Date Explains the aim of an initial consultation and obtains a comprehensive and detailed history E Signature CD Signature CI Signature Date Date Date Appropriately provides choices available to the woman, with the ability to E Signature CD Signature Signature
Monitors, records and interprets urine analysis CD Signature CD/CI Signature CI Signature Date Date Date Monitors, records and interprets blood glucose levels E/CD Signature CD/CI Signature CI Signature Date Date Date Monitors, records and interprets oxygen saturation levels E Signature CD/CI Signature CI Signature Date Date Date Accurately completes and interprets the MEOWS chart E Signature CD/CI Signature CI Signature Date Date Date Interpretation of blood results, and referral to appropriate health care professional E Signature CD Signature CI Signature Date Date Date
Monitors, and maintains fluid balance E Signature CD/CI Signature CI Signature Date Date Date Justifies the use of a membrane sweep *E Signature *CD Signature CI Signature Date Date Date Performs a membrane sweep *O Signature *CD Signature CI Signature Date Date Date Intrapartum Care: First year marked with an * may be carried over into the second year Second year Those marked with an * may be carried over into the third year year All competencies to be achieved Midwifery Practice Minimum Level to be Achieved Sign-off Mentor Signature & Date Minimum Level to be Achieved Sign-off Mentor Signature & Date Minimum Level to be Achieved Sign-off Mentor Signature & Date
Assesses the physical, psychological, emotional, spiritual needs of women E Signature CD Signature CI Signature Date Date Date In partnership with plans, implements and evaluates holistic, care E Signature CD Signature CI Signature Date Date Date In partnership with the woman, and incorporating birth plans, provides care that is responsive to maternal needs in a variety of settings E Signature CD Signature CI Signature Date Date Date Provides care for women in the latent phase of labour E Signature CD Signature CI Signature Date Date Date Determines the onset of established labour E Signature CD Signature CI Signature Date Date Date
Monitors progress in labour; sensitively sharing information with the woman E Signature CD Signature CI Signature Date Date Date Assesses fetal presentation, lie, position and engagement at the onset of labour E Signature CD Signature CI Signature Date Date Date Assesses fetal descent through labour E Signature CD Signature CI Signature Date Date Date Assesses development of uterine contractions during labour E Signature CD Signature CI Signature Date Date Date Justifies the use of and performs vaginal examination in labour E Signature CD Signature CI Signature Date Date Date E Signature CD Signature Signature
Date Date Date Monitors, records and interprets fetal heart rate using a Pinnard stethoscope and sonicaid E Signature CD Signature CI Signature Date Date Date Effectively monitors and records fetal wellbeing in labour using intermittent auscultation E Signature CD Signature CI Signature Date Date Date Justifies the use of and applies electronic monitoring O Signature CD Signature CI Signature Date Date Date Effectively monitors and records fetal wellbeing in labour using electronic fetal heart rate monitoring accurately interpreting the cardiotocography patterns E Signature CD Signature CI Signature Date Date Date Justifies the use of and applies a fetal scalp electrode *O Signature E/CD Signature CI Signature Date Date Date
Prepares equipment for fetal blood sampling *O Signature E/CD Signature CI Signature Date Date Date Uses the correct procedure to obtain cord blood samples for analysis *O Signature CD Signature CI Signature Date Date Date Demonstrates the use of the blood gas analyser to obtain a fetal blood gas result *O Signature E/CD Signature CI Signature Date Date Date Assesses, monitors and evaluates maternal pain in labour E Signature CD Signature CI Signature Date Date Date Monitors, records and interprets body temperature E/CD Signature CD Signature CI Signature Date Date Date
Monitors, records and interprets rate and pattern E/CD Signature CD Signature CI Signature Date Date Date Monitors, records and interprets blood pressure (manual and automated) E/CD Signature CD Signature CI Signature Date Date Date Monitors, records and interprets respiratory rate and pattern E/CD Signature CD Signature CI Signature Date Date Date Monitors, records and interprets urine analysis CD Signature CD Signature CI Signature Date Date Date Monitors, records and interprets glucose levels E/CD Signature CD Signature CI Signature Date Date Date E/CD Signature CD Signature Signature
Monitors, records and interprets oxygen saturation levels Date Date Date Assesses and cares for maternal bowel and bladder function in labour E Signature CD Signature CI Signature Date Date Date Accurately completes and interprets the Intrapartum records E Signature CD Signature CI Signature Date Date Date Refer women’s care to appropriate health care professional when the situation demands O Signature CD Signature CI Signature Date Date Date Assessment of maternal condition immediately following E Signature CD Signature CI Signature Date Date Date O Signature CD Signature Signature
Assesses the perineum following classifying perineal trauma Date Date Date Examines the placenta and membranes E Signature CD Signature CI Signature Date Date Date Assesses amniotic liquor volume and colour E Signature CD Signature CI Signature Date Date Date Ensures hygiene are met during labour CD Signature CD/CI Signature CI Signature Date Date Date Uses appropriate measures to prevent infection during labour E Signature CD/CI Signature CI Signature Date Date Date In partnership with the woman, plans coping and pain management strategies E Signature CD Signature CI Signature Date Date Date
Date Date Date Prepares and supports a woman and her family for operative delivery O Signature CD Signature CI Signature Date Date Date Justifies and follows the correct procedure for urinary catheterisation O/E Signature CD Signature CI Signature Date Date Date Prepares a woman for an elective caesarean section *O/E Signature CD Signature CI Signature Date Date Date Prepares a for an emergency caesarean section *O/E Signature CD Signature CI Signature Date Date Date Accurate assessment of infants condition at birth E Signature CD/CI Signature Signature
Postnatal Care: year Those marked with an * may be carried over into the second year Second year Those marked with an * may be carried over into the third year Third year All competencies to be achieved Midwifery Practice Skill Minimum Level to be Achieved Sign-off Mentor Signature & Date Minimum Level to be Achieved Sign-off Mentor Signature & Date Minimum Level to be Achieved Sign-off Mentor Signature & Date Assesses the physical, psychological, emotional, socio-cultural, spiritual needs of women E Signature CD Signature CI Signature Date Date Date In partnership with plans, implements and evaluates holistic, woman-centred care E Signature CD Signature CI Signature Date Date Date Assesses physical and psychological health in the postnatal period E Signature CD Signature CI Signature Date Date Date Monitors, records and interprets body temperature E Signature CD Signature CI Signature Date Date Date
Monitors, records and interprets pulse rate and pattern E Signature CD/CI Signature CI Signature Date Date Date Monitors, records and interprets blood pressure (manual and automated) E Signature CD/CI Signature CI Signature Date Date Date Monitors, records and interprets respiratory rate and pattern E Signature CD/CI Signature CD Signature Date Date Date Monitors, records and interprets urine analysis E Signature CD/CI Signature CI Signature Date Date Date Monitors, records and interprets blood glucose levels *E Signature CD/CI Signature CI Signature Date Date Date E Signature CD/CI Signature Signature
Is able to demonstrate the correct procedure for removing sutures and clips Date Date Date Facilitates healing O/E Signature CD Signature CI Signature Date Date Date Justifies the use of and performs a wound swab *O/E Signature CD/CI Signature CI Signature Date Date Date woman’s care to appropriate health care professional when the situation demands O Signature CD Signature CI Signature Date Date Date Monitors, and maintains fluid balance E Signature CD Signature CI Signature Date Date Date Cares for a woman with a blood transfusion *O Signature E/CD Signature Signature
Date Date Date Cares for a woman with high dependency needs O Signature E/CD Signature CI Signature Date Date Date Assesses and monitors the babies wellbeing E Signature CD Signature CI Signature Date Date Date Accurately assesses the babies vital signs: colour; tone; respiratory rate and pattern; heart rate; oxygen saturation and blood glucose; and temperature O/E Signature CD Signature CI Signature Date Date Date Performs Newborn Blood Spot E/CD Signature CD/CI Signature CI Signature Date Date Date Promotes an environment that minimises the separation E Signature CD/CI Signature Signature
of mother and baby and promotes a culturally sensitive approach to mother and infant attachment Date Date Date Provides advice and support on hygiene needs of the baby E/CD Signature CD/CI Signature CI Signature Date Date Date Provides advice and support on umbilical cord care E/CD Signature CD/CI Signature CI Signature Date Date Date Refers to additional specialist services when appropriate e.g. BCG or renal scan O/E Signature CD Signature CI Signature Date Date Date Ensures safety and protection of the baby E Signature CD/CI Signature CI Signature Date Date Date Examine and cares for babies with complex needs *O Signature CD Signature Signature
feeding of her baby/is able to pass a nasogastric tube Date Date Date Safely discharges from maternity care E/CD Signature CD/CI Signature CI Signature Date Date Date Infant feeding: First year marked with an * may be carried over into the second year Second year Those marked with an * may be carried over into the third year Third year All competencies to be achieved Midwifery Practice Skill Minimum Level to be Achieved Sign-off Mentor Signature & Date Minimum Level to be Achieved Sign-off Mentor Signature & Date Minimum Level to be Achieved Sign-off Mentor Signature & Date Facilitation of effective bonding/relationship between mother and infant E/CD Signature CD/CI Signature CI Signature Date Date Date Communicates sensitively the benefits of exclusive breastfeeding for mother and baby E/CD Signature CD/CI Signature CI Signature Date Date Date
Communicates sensitively factors and risks associated with formula feeding E/CD Signature CD/CI Signature CI Signature Date Date Date Considers cultural traditions and beliefs relating to breastfeeding E/CD Signature CD/CI Signature CI Signature Date Date Date Facilitates forums where information is shared relating to the advantages and disadvantages of different feeding methods E/CD Signature CD/CI Signature CI Signature Date Date Date Explains the principles of Baby Friendly Initiative (skin to skin; responsive feeding and rooming in) CD Signature CD/CI Signature CI Signature Date Date Date Facilitating skin-to-skin contact E/CD Signature CD/CI Signature CI Date Date
Recognising effective positioning, attachment, suckling and milk transfer of the baby at the breast E/CD Signature CD/CI Signature CI Signature Date Date Date Empowering mothers to recognise effective positioning, attachment, suckling and milk transfer of the baby at the breast E Signature CD/CI Signature CI Signature Date Date Date Supporting and teaching hand expression of breast milk E/CD Signature CD/CI Signature CI Signature Date Date Date Supporting and assisting with the establishment of lactation when mother and baby are separated/mother has complex needs impacting upon her infant feeding practices O/E Signature CD Signature CI Signature Date Date Date Supporting and teaching the appropriate use and frequency of a breast pump O/E Signature CD/CI Signature CI Signature Date Date Date E/CD Signature Signature Signature
Advises via telephone when contacted for advice on breastfeeding issues E/CD Signature CD/CI Signature CI Signature Date Date Date Advises how to optimise lactation when separated from baby O/E Signature E/CD Signature CI Signature Date Date Date Identifies babies that require a managed approach to breastfeeding O/E Signature CD Signature CI Signature Date Date Date Medicines Management: year Those marked with an * may be carried over into the second year Second year marked with an * may be carried over into the third year Third year All competencies to be achieved Midwifery Practice Skill Minimum Level to be Achieved Sign-off Mentor Signature & Date Minimum Level to be Achieved Sign-off Mentor Signature & Date Minimum Level to be Achieved Sign-off Mentor Signature & Date Applies knowledge of NMC standards; legal and ethical frameworks to the documentation and administration of medicinal products CD Signature CD Signature CI Signature Date Date Date
Understand roles and responsibilities of the team in the administration of medicinal products CD Signature CD Signature CI Signature Date Date Date Is able to read and interpret prescriptions for accuracy in terms of the correct dosage, route and treatment plan CD Signature CD Signature CI Signature Date Date Date Clearly identifies the woman or baby for whom the medicine is intended CD Signature CD Signature CI Signature Date Date Date Obtain an accurate medicine history CD Signature CD Signature CI Signature Date Date Date Safely administers, and monitors medicinal products by the following routes: Oral CD Signature CD Signature CD Signature Date Date Date Topical treatments (if practicable) *E Signature CS/CD Signature CI Signature Date Date Date
Inhalational CD Signature CD Signature CI Signature Date Date Date Intramuscular injection CD Signature CD Signature CD Signature Date Date Date Subcutaneous injection CD Signature CD Signature CD Signature Date Date Date Per vaginum *O/E Signature CD Signature CD Signature Date Date Date Per rectum *O/E Signature CD Signature CD Signature Date Date Date IV administration of routine medicines (third year): Via Cannulation CD/CS Signature Date Via direct vein access CD/CS Signature Date
Date Date Date Appropriately assesses risk and promotes skin integrity E/CD Signature CD/CI Signature CI Signature Date Date Date Uses appropriate risk assessment tool and promotes practices that reduces the risk of thrombo-embolic conditions E/CD Signature CD/CI Signature CI Signature Date Date Date *Works within the lone-worker policy E/CD Signature CS Signature CI Signature Date Date Date Adheres to fire and security policies CD Signature CD Signature CI Signature Date Date Date Safely applies the principles of load management CD Signature CD/CI Signature Signature
Date Date Date Correct and safe disposal of clinical and household CD Signature CD/CI Signature CI Signature Date Date Date Correct and safe disposal of blood and body fluids CD Signature CD/CI Signature CI Signature Date Date Date Correct, safe use and disposal of Sharps CD Signature CD/CI Signature CI Signature Date Date Date Adheres to standard principles of infection control CD Signature CD/CI Signature CI Signature Date Date Date Adheres to local Trust hand hygiene policy CD Signature CD/CI Signature CI Signature Date Date Date
Adheres to local Trust asepsis policy CD Signature CI Signature CI Signature Date Date Date Safely uses medical devices and equipment CD Signature CD/CI Signature CI Signature Date Date Date Generic First year Those marked with an * may be carried over into the second year Second year Those marked with an * may be carried over into the third year year All competencies to be achieved Midwifery Practice Skill Minimum Level to be Achieved Sign-off Mentor Signature & Date Minimum Level to be Achieved Sign-off Mentor Signature & Date Minimum Level to be Achieved Sign-off Mentor Signature & Date Demonstrates effective decision making in midwifery practice, based on evidence and experience E Signature CD Signature CI Signature Date Date Date Demonstrate an understanding of the family’s role and relationships in maternal care E Signature CD Signature CI Signature Date Date Date Assesses the physical, psychological, emotional, E Signature CD Signature Signature
socio-cultural, spiritual needs of women Date Date Date In partnership with plans, implements and evaluates holistic, woman-centred care E Signature CD Signature CI Signature Date Date Date Respect women’s rights and autonomy in decision making and acts as their advocate E/CD Signature CD/CI Signature CI Signature Date Date Date Practices in a way which empowers women treating them and their family with respect E/CD Signature CD/CI Signature CI Signature Date Date Date Communicate sensitive information/breaking bad news *O Signature CD Signature CI Signature Date Date Date Explores sensitive issues and responds appropriately in sexual health O/E Signature CD Signature CI Signature Date Date Date Explores sensitive issues and responds appropriately in O/E Signature CD Signature Signature
safeguarding children and adults Date Date Date Explores sensitive issues and responds appropriately with vulnerable women O/E Signature CD Signature CI Signature Date Date Date Demonstrates effective communication that is clear, unambiguous and appropriate for the care setting E/CD Signature CI Signature CI Signature Date Date Date Initiates conversation and uses strategies to enhance communication such as removing barriers E/CD Signature CD/CI Signature CI Signature Date Date Date Answers the telephone professionally and deals appropriately with enquiries E Signature CD/CI Signature CD Signature Date Date Date Uses verbal skills of questioning, paraphrasing and reflection to enhance communication E/CD Signature CD/CI Signature CI Signature Date Date Date Actively listens and responds to verbal and non-verbal cues and respecting silences E/CD Signature CD/CI Signature CI Signature Date Date Date Uses touch appropriately E/CD Signature CD/CI Signature CI Signature Date Date Date
Communicates effectively and sensitively with who have physical, cognitive or sensory disabilities *O/E Signature CD Signature CI Signature Date Date Date Ensures effective communication with women/ families who do not speak English *O/E Signature CD/CI Signature CI Signature Date Date Date Is able to explain findings from observations and tests in a sensitive and clear manner encouraging women to ask questions O/E Signature CD Signature CI Signature Date Date Date Communicate and work effectively with the multidisciplinary team valuing roles and responsibilities E Signature CD Signature CI Signature Date Date Date Works effectively, providing support to others as a midwifery team member E Signature CD Signature CI Signature Date Date Date Confidently refers to an appropriate professional when the expertise required for care is outside the Midwife’s scope of practice O/E Signature CD Signature CI Signature Date Date Date Demonstrates assertiveness E/CD Signature CD/CI Signature Signature
Date Date Date Demonstrates empathy, kindness and compassion CD Signature CD/CI Signature CI Signature Date Date Date Is proactive in maintaining privacy and dignity CD Signature CD/CI Signature CI Signature Date Date Date Applies knowledge of the complaints procedure to manage complaints effectively O/E Signature CS/CD Signature CI Signature Date Date Date Uses effective communication skills to manage challenging situations O/E Signature CD Signature CI Signature Date Date Date Practices within the NMC Code, Standards and Guidelines CD Signature CD/CI Signature CI Signature Date Date Date Is professional in behaviour, appearance, manner, attitude, beliefs, judgements and language CD Signature CI Signature CI Signature Date Date Date
Adheres to principles of data protection, and confidentiality in practice CD Signature CD/CI Signature CI Signature Date Date Date Appropriately shares information with the team to enhance care provision O/E Signature CD Signature CI Signature Date Date Date Writes accurate, legible, comprehensive and contemporaneous records E Signature CD Signature CI Signature Date Date Date Is able to retrieve and record information to use in information technology CD Signature CD/CI Signature CI Signature Date Date Date Uses appropriate strategies to enable to make informed choices E Signature CD/CI Signature CI Signature Date Date Date Obtains maternal informed consent prior to undertaking any procedure CD Signature CD/CI Signature CI Signature Date Date Date Uses a non-discriminatory and diversity sensitive approach to practice CD Signature CD/CI Signature CI Signature Date Date Date