Midwifery Student Practice Portfolio

Bachelor of Midwifery Midwifery Student Practice Portfolio Experiential Learning Activity: Midwifery Practice Development Practicum 5 (Nurs 3048)

Midwifery Student:………………………………………………….

ID:…………………………………………………………………………...

Year Level: ………………………………………………………………

Venue(s):…………………………………………………………………

Experience Area(s):…………………………………………………

Date:……………………………………………………………………….

If found, please return to:

University of South Australia School of Nursing and Midwifery City East campus Frome Road Adelaide 5000

Midwifery Student Practice Portfolio ELA 5 2016

Introduction Before you begin you placement you must ensure that you have read through the following resources:  Midwifery Students Practice Portfolio Guidelines  Clinical Assessment Tools for the Midwifery Student (CAT)  ELA 5 Course Outline  ELA 5 Quick Guide As explained in the Professional Practice Guidelines, the Experiential Learning Activities (ELA) in this program provide opportunity for you to develop your professional and clinical skills. During each ELA you will participate in a pre-clinical workshop in the School’s Horizon Hospital and Health Service (HHHS) and engage with the Clinical Assessment Tool (CAT) for Midwifery Students. Prior to attending placement you will be required to successfully undertake an Objective Structured Clinical Activity (OSCA) in the simulated environment HHHS and pass the Medicine Calculations online assessment, as identified in your Course Outline to satisfy the requirements for clinical placement. Any student who receives a fail grade for an OSCA will not be eligible to proceed to the clinical placement of the course. If you do not pass the OSCA on the first attempt you will be given a further opportunity to be reassessed, this will be arranged through your Course Coordinator.

ELA 5 consists of 1 pre-clinical day, 4 weeks x 5 days/week, rostered across a 7 day roster (this may include early, late and night shifts), and a post-clinical workshop. Please refer to the Course Outline to review the course objectives for ELA 5 and the assessment requirements.

*Please note you need to ensure you have met orientation requirements for each venue; please review orientation details under Clinical Experiences on your Learnonline site

Compiling the Portfolio This portfolio is to be taken with you on placement and while attending your COCE. It is important to show your portfolio to your Clinical Facilitator and the midwives you work with. Your portfolio should include the following documents:  Learning Plan  Record of Clinical Attendance  Clinical Assessment Tool for the Midwifery Student (CAT) o Learning Tools (specified in the Course Outline) o Competency Assessment for each area  Midwifery Student Venue Feedback x 2 (minimum)  Clinical Experience Records ( including COCE documentation) with reflections and updated Cumulative record of minimum experiences  Critical Reflection

All documentation must be clear, informative and in a report-like style.

No identification in any way may be made of women, babies or their families. Pseudonyms should be used to de-identify women and their families.

Students are responsible for compiling and maintaining their portfolio. It is your responsibility to keep it safe and to ensure it is available for review by ANMAC if required for auditing purposes. Assessment of your portfolio

All records for this ELA should be compiled in a folder along with the clinical experiences (including COCE) that you have documented during this ELA and since your previous ELA completion. Please ensure you update the cumulative record for each experience and the ongoing cumulative record of minimum experiences for your program. This record should be included at the beginning of your folder to be signed off by your Course Coordinator. Please submit original paperwork.

Portfolios will be marked through an interview process. You will be required to attend an appointment with the Course Coordinator or assigned marker to review your portfolio.

 Internal students will undertake this interview face-to-face and bring their completed portfolio with them. Interview times will be scheduled through the learnonline site.  External students may opt to undertake a virtual interview; however the portfolio will need to be submitted prior to the organised interview time. Your Course Coordinator will schedule an interview time through the learnonline site.

If a student’s portfolio does not meet the required standard it will be returned and a further appointment scheduled to review and ascertain the grade. Any student that does not return the amended portfolio in the agreed timeframe will receive a fail grade.

Once this ELA has been marked, you must keep all documentation in a larger portfolio for evidence of meeting the clinical requirements for the program.

Passport to Placement

Please ensure that you take your Passport to Placement folder to placement should the venue ask to see evidence of the required documentation.

DSCI Criminal History Check Your DCSI certificate must be available as this may be check at the venue you attend. Nursing and Midwifery Student Clinical Placement Orientation, SA Health Nursing and Midwifery Student Clinical Placement Orientation 2014, Nursing Office Department of Health, South Australia, this is applicable for SA Public Health venues, http://www.sahealth.sa.gov.au/wps/wcm/connect/ffbb7a8044f901d5b31df3005ba75f87/Nursing+an d+Midwifery+Student+Clinical+Placement+Orientation+Package+V2.pdf? MOD=AJPERES&CACHEID=ffbb7a8044f901d5b31df3005ba75f87 Please make sure you have worked through the online package and have completed the check list and signed this form. Keep a copy of the signed checklist in your portfolio as some venues will request to site this. They may also request to site a record of your vaccinations so please have these available as well First Aid and CPR certificate These are a requirement for placement and it is advisable that you keep a record of these in your passport to placement. Manual handling You must compete a manual handling session before commencing placement. This can be undertaken online by accessing the flowing link from the HHHS tab on your Learnonline site https://lo.unisa.edu.au/course/view.php?id=2229

Learning Plan Please review your reflections from previous ELA placements to assist you develop your Learning Plan. You will need to develop this learning plan as outlined in your Course site. This is to be discussed with your Clinical Facilitator at the beginning of placement and should guide your placement experience. You can share this with any midwives or doctors you work with in order to help them understand your learning needs for this placement. At the end of your placement you will need to demonstrate how you have achieved your learning plan and submit it with your portfolio. An electronic copy of the learning plan template can be found on the course site.

Medicine Calculations Certificate You must undertake the learning package online and gain 100% for your ELA 5 Medicine Calculations assessment. Please upload the certificate on the Learnonline site and present a hard copy at your preclinical. Attendance Record You will be required to keep an attendance record that will need to be signed each day of your placement by the midwife you work with or the Clinical Facilitator. Please note if you cannot attend placement for any reason you must notify the manager of the area you are working in as well as contact your Clinical Facilitator. This can be done by email so it is a good idea to ask for the contact phone and email for your Clinical Facilitator and also for the area manager. You will need to make up all missed shifts, you may be able to make up 1 or 2 days while on placement but this is not always possible, please communicate with your Clinical Facilitator. If you are going to be late or leave early due to COCE appointments you also need to communicate, however this should be an exception as being punctual is a professional responsibility. Communication is a key skill in midwifery practice and it is important that you communicate your absence to ensure that you facilitate a positive work environment.

*If your Clinical Facilitator is unable to arrange the required makeup shift/s you must contact your Course Coordinator and the Clinical Placement Unit to see if this can be arranged at an alternative time. Failing to complete the required shifts may result in a fail grade and you would need to complete the placement when the ELA is offered again.

Clinical Assessment Tool for the Midwifery Student Learning Tools

While on clinical placement or through the Continuity of Care Experience (COCE), the CAT for Midwifery Students will be utilised to inform the clinical assessment component. You will be expected to complete each of the clinical skills learning tool assessments detailed in the CAT for Midwifery Students as outline below:

 Learning tool number 22: Enteral/tube feeding the baby

 Learning tool number 23: Care of the unwell baby receiving oxygen therapy

 Learning tool number 24: Care of the baby receiving phototherapy

 Learning tool number 26: Neonatal resuscitation via simulation * Learning tool 26 will be undertaken as the OSCA and this can be signed off at this point. Tools can be downloaded from the learnonline site.

*It is expected that students will attain a minimum rating of Proficient (P) for all tools

Any student who does not achieve the minimum rating for the specified skill will require ongoing support and reassessment. This will be undertaken in consultation with the student, Clinical Facilitator and academic staff at the University responsible for the course.

All CAT tools must be completed within third year of your program at a minimum of a proficient level. We recommend that you complete more than the recommended tools for ELA 5 during this placement. You will need to work with your Clinical Facilitator to achieve this as there will be very limited opportunity to assist any student except for very exceptional circumstances.

Competency Assessment You will also be required to engage in 2 Competency Assessments, these assessments are usually undertaken at 2 weeks intervals. The Clinical Facilitator assigned to you for the associated ELA will be responsible for undertaking this assessment.

*It is expected that students will attain a minimum rating of Proficient (P) for the Competency Assessment for ELA 5

Students who do not achieve a pass grade in the first assessment will be required to undertake a clinical challenge either while on placement or in the HHHS with the Clinical Midwife. Upon successful completion of the clinical challenge, students will be able to continue the clinical placement and undertake a final summative assessment. Students who do not achieve a pass grade for the final summative assessment will not pass the ELA course. This may impact on their progression throughout the program.

The method of assessment chosen for both the learning tools and the competency assessment component is a modified Bondy scale. You will need to be familiar with the scales used to rate your practice and you may need to provide the midwife or facilitator with a copy of these prior to completing your learning tool.

Refers to being safe & knowledgeable; proficient & coordinated and Independent (I): appropriately confident and timely. Does not require supporting cues Refers to being safe & knowledgeable; efficient & coordinated; displays some Proficient (P): confidence and undertakes activities within a reasonably timely manner. Requires occasional supporting cues. Refers to being safe and knowledgeable most of the time; skillful in parts however is inefficient with some skill areas; takes longer than Assisted (A): would be expected to complete the task. Requires frequent verbal and some physical cues Refers to being safe when closely supervised and supported; unskilled and Supported (S): inefficient; uses excess energy and takes a prolonged time period. Continuous Refers to concerns about being unsafe and being unable to demonstrate Dependent (D): behaviour or articulate intention; lacking in confidence, coordination and efficiency. Continuous verbal and physical cues/interventions Bondy, K, N. (1983). Criterion-referenced definitions for rating scales in clinical evaluation. Journal of Nursing Education 22(9) 376-382 Venue Feedback You are required to collect feedback from the midwives that directly supervise you while on clinical placement. This feedback is important and can be used to support your application in 3 rd year when applying for a graduate position. You must obtain at least 2 completed feedback forms for each area you are placed in although we encourage you to collect more if appropriate.

Critical Reflection Your critical reflection should be submitted with your portfolio as a hard copy. Please refer to the Course Outline as each ELA has a different reflection activity. Learning Plan ELA 5 Course objectives/AN Resources, Strategies, Learning Objective Time-line Evidence MC Activities competencies What are you going to To which course How do you plan to learn? When and How will you demonstrate learn? Include objective/s, where do your learning? What knowledge/skills/attitude ANMC you plan to evidence will be included competencies learn? in your portfolio? does your learning objective relate?

Acknowledgement: This resource is based upon previous material compiled by A. Gardner (2011). Learning Plan ELA 5 Course objectives/AN Resources, Strategies, Learning Objective Time-line Evidence MC Activities competencies What are you going to To which course How do you plan to learn? When and How will you demonstrate learn? Include objective/s, where do your learning? What knowledge/skills/attitude ANMC you plan to evidence will be included competencies learn? in your portfolio? does your learning objective relate?

Acknowledgement: This resource is based upon previous material compiled by A. Gardner (2011). Attendance Record for Clinical Placement

Student Name: ______

This is a record of your daily placement attendance: you are required to complete it and make sure it is signed by a Registered Midwife at the end of the day. This form is to be reviewed by the Clinical Facilitator at the end of each placement with the Competency Assessment.

Total hours Total number of shifts Area completed completed

Antenatal Clinic

Antenatal Ward

Labour and Delivery

Postnatal Ward

Domiciliary Midwifery

Neonatal

Midwifery Group Practice

Other

Sick Leave If you are sick you must not attend placement. You need to notify your Clinical Facilitator and the Ward/Unit Manager that you will not be attending the shift. A medical certificate is required if you are absent for three or more consecutive days or if you have had more than three days absent within the placement. Please ensure certificates are presented to your Clinical Facilitator when you next meet with them and emailed to your Course Coordinator. Your Clinical Facilitator will liaise with the university about your ability to continue with placement. All leave will need to be made up and if it cannot be organised with the venue, a make-up placement will be negotiated, otherwise you will need to complete the placement when this ELA is offered again.

Total hours of Total number/s of Make–up shifts sick leave shift/s missed completed

Yes / No Student Name: ______

University RM/ MO Area Hours of facilitator Date Venue Signature & attendance signature & Date Date Skills List for 3rd year (ELA 5)

Student to sign and date when completed. This form should be made available to assessor at each clinical assessment if requested, to gauge clinical progress of the student.

Clinical Skill Theory Observation Skill assessed Initial pregnancy assessment 1 2 Ongoing pregnancy care Abdominal examination 3 Parenting education for the woman and 4 her family Performing and interpreting an antenatal 5 cardiotocograph

Care of the woman on admission to the 6 birth environment Performing and interpreting an 7 intrapartum cardiotocograph

Care of the woman progressing in labour 8 9 Working with pain in labour 10 Epidural analgesia in labour Insertion of a urinary catheter 11 Care of the woman and baby during an 12 induction of labour 13 Care of the woman and baby with Care (reception) of the newborn at birth 14 Vaginal examination 15 Maternal and baby wellbeing assessment 16 following birth Facilitating breastfeeding for the woman 17 and baby 18 Breastfeeding challenges for the woman 19 Care of a woman after a caesarean birth 20 Blood sampling of the newborn baby Full examination of the newborn baby 21 Enteral/tube feeding a baby 22 Care of the unwell baby receiving oxygen 23 therapy 24 Care of the baby receiving phototherapy 25 Administering an injection to the 26 Neonatalnewborn resuscitation via simulation

Learning tool 22: Enteral/tube feeding a baby This is a competency and skills-based assessment. Please note all boxes need to be completed.

Please refer to the Bondy scale on page 4 before completing the tool.

Expected outcome standard - the midwifery student NMBA Competency Student Assessor Maintains effective communication using active listening skills throughout 1.4, 3.1, 3.2 Ensures privacy 1.4, 3.3, 4.1, 7.1, Identifies and respects the woman’s individual needs in relation to language, 7.2, 10.1, 12.2 culture, religion and spirituality Plans and provides care in partnership with the woman Reviews baby’s history, checks management plan 1.2, 1.4, 5.2 Verifies baby’s identity Prepares and checks equipment 1.4, 5.3 Prepares the baby 1.2, 2.1, 5.3, 14.1  Monitors vital signs prior to commencing  Correctly positions baby safely  Ensures baby remains warm Tube insertion 1.2, 1.3, 1.4, 2.1,  Maintain non-touch technique at all times 5.2, 5.3  Measures and marks the length of tube correctly  Gently inserts tube to measured mark  Observes neonate for signs of complications during insertion  Ensures tube is correctly positioned and securely taped (in the case of an indwelling tube)  Confirms correct positioning of tube as per local guideline  Discusses trouble shooting when confirming tube position  Observes for indicators of tube dislodgement Administering feed 1.2, 1.4, 2.1, 5.2,  Ensures correct type of feed 5.3, 6.1  Ensures correct temperature and volume of milk  Observes for complications during feed  Appropriately and safely regulates the flow of milk  Safely ends the feed  Leaves the baby comfortably positioned  Encourage parental involvement with tube feeding as per local guideline States rationale for enteral/tube feeding 2.1, 2.2, 2.3, 5.6, Discusses actual/potential problems which may arise during the procedure and 6.1, 6.2 outlines appropriate management Refers to other members of the health care team in consultation with the woman 1.4, 2.1, 2.3, 6.1, 8.1 as needed, per the National Midwifery Guidelines for Consultation and Referral (ACM) Documents all care legibly and appropriately 1.1, 1.3, 3.3 Student name and signature:……………………………………………...... Date:………………………………………..

Assessor name and signature:……………………………………………...... Date:………………………………………..

Overall rating (please circle):

Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)

Comments …………………………………………………………………………………………………………………………………………………………………………

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…………………………………………………………………………………………………………………………………………… ……………………………………………… Learning tool 23: Care of the unwell baby receiving oxygen therapy

This is a competency and skills-based assessment. Please note all boxes need to be completed.

Please refer to the Bondy scale on page 4 before completing the tool.

Expected outcome standard - the midwifery student NMBA Competency Student Assessor Maintains effective communication using active listening skills throughout 1.4, 3.1, 3.2 Ensures privacy 1.4, 3.3, 4.1, 7.1, Identifies and respects the woman’s individual needs in relation to language, 7.2, 10.1, 12.2 culture, religion and spirituality Plans and provides care in partnership with the woman Reviews baby’s history, checks management plan 1.2, 1.4, 5.2 Verifies baby’s identity Prepares and checks equipment – according to method of oxygen delivery 1.2, 1.4, 2.2, 5.2, 5.3  Ensures incubator is pre warmed  Checks if oxygen gas is to be humidified  Checks O2 delivery method  Positions and calibrates oxygen analyser correctly Prepares baby 1.2, 2.1, 5.3, 14.1  Positions baby safely  Monitors vital signs prior to commencing and at regular intervals  Ensures correct placement of the oximeter  Ensures continuous saturations are monitored and documented  Ensures thermoregulation is considered Records vital signs and observations as per guidelines 1.2, 1.3 Provides developmental supportive care to baby as needed 5.2, 5.3, 5.4 Attends to baby’s nutritional needs according to management plan Identifies alternate methods of oxygen therapy delivery 5.1, 5.3, 6.1, Explains rationale for alternate methods States rationale for administering oxygen therapy 2.1, 2.2, 2.3, 5.6, Discusses actual/potential problems which may arise during oxygen therapy and 6.1, 6.2 outlines appropriate management Refers to other members of the health care team in consultation with the woman 1.4, 2.1, 2.3, 6.1, 8.1 as needed, per the National Midwifery Guidelines for Consultation and Referral (ACM) Documents all care legibly and appropriately 1.1, 1.3, 3.3 Student name and signature:……………………………………………...... Date:………………………………………..

Assessor name and signature:……………………………………………...... Date:………………………………………..

Overall rating (please circle):

Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)

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…………………………………………………………………………………………………………………………………………… ……………………………………………… Learning tool 24: Care of the baby receiving phototherapy This is a competency and skills-based assessment. Please note all boxes need to be completed.

Please refer to the Bondy scale on page 4 before completing the tool.

Expected outcome standard - the midwifery student NMBA Competency Student Assessor Maintains effective communication using active listening skills throughout 1.4, 3.1, 3.2 Ensures privacy 1.4, 3.3, 4.1, 7.1, Identifies and respects the woman’s individual needs in relation to language, 7.2, 10.1, 12.2 culture, religion and spirituality Plans and provides care in partnership with the woman Reviews baby’s history, checks management plan 1.2, 1.4, 5.2 Verifies baby’s identity Prepares and checks equipment – according to method of phototherapy delivery 1.2, 1.4, 2.2, 5.2, 5.3  Considers thermoregulation  Ensures phototherapy unit is functioning Prepares the baby 1.2, 2.1, 5.2, 5.3,  Monitors vital signs prior to commencing 14.1  Positions baby safely  Ensure baby is nursed only wearing a nappy  Ensures eyes are protected Records vital signs as per guidelines 1.2, 1.3 Records baby’s fluid balance including intake and output Comforts baby as needed 5.2, 5.3, 5.4 Attends to baby’s nutritional needs according to management plan Interrupts phototherapy for feeds where applicable Maintains baby’s skin integrity - provides rationale 5.2, 6.1 Monitors serum bilirubin, turns off lights during collection - provides rationale 5.2, 5.3, 6.1 States rationale for administering phototherapy 2.1, 2.2, 2.3, 5.6, Discusses actual/potential problems which may arise during phototherapy and 6.1, 6.2 outlines appropriate management Refers to other members of the health care team in consultation with the woman 1.4, 2.1, 2.3, 6.1, 8.1 as needed, per the National Midwifery Guidelines for Consultation and Referral (ACM) Documents all care legibly and appropriately 1.1, 1.3, 3.3

Student name and signature:……………………………………………...... Date:………………………………………..

Assessor name and signature:……………………………………………...... Date:………………………………………..

Overall rating (please circle):

Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)

…………………………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………… ……………………………………………… Learning tool 26: Neonatal resuscitation via simulation This is a competency and skills-based assessment. Please note all boxes need to be completed.

Please refer to the Bondy scale on page 4 before completing the tool.

Expected outcome standard - the midwifery student NMBA Competency Student Assessor Prior to the assessment 1.4, 3.1, 3.2 Displays effective communication skills using active listening skills throughout Ensures privacy within the context of an emergency 1.4, 7.1, 7.2, 10.1 Identifies and respects the woman’s individual needs in relation to language, culture, religion and spirituality Reviews history and identifies pre-disposing factors that may necessitate 1.2, 1.4, 5.2 resuscitation Verifies baby’s identity – applies identity labels if necessary Ensures environment is warm and well lit 1.2, 1.4, 2.2, 5.2, 5.3 Ensures equipment is available and operational 1.4, 5.3  Oxygen/air/blender  Oximeter  Neopuff and bag and mask  Suction  Resuscitaire At the time of initial assessment 1.2, 1.3, 1.4, 2.1, Assesses baby’s condition 2.2, 5.2, 5.3  Breathing/crying and tone  Response to stimulation  Clears airway if indicated Evaluates APGAR score (if at birth) at 1 and 5 minutes, and every 5 minutes until baby is stable  Heart rate  Respirations  Muscle tone  Reflex response  Colour Is aware intervention for depressed infants should not await APGAR score Notifies appropriate personnel and summons help 2.1, 2.3, 6.1, 6.2  Supervising midwife  Paediatrician  Special care nurseries  Calls neonatal code blue if required Positions and handles baby safely 1.2, 1.4, 2.2, 5.2, 5.3 Positions baby correctly for resuscitation Resuscitates baby correctly 1.2, 1.4, 2.2, 5.2,  Establishes and maintains correct position of head and neck 5.3, 5.5, 14.1  Provides adequate oxygenation/ventilation via neopuff  Correctly attaches oximetry  Bag and mask is to be used in gas supply failure as per ARC guideline  States the indications and rates for ventilation (inadequate breathing, HR<100)  Assesses the effectiveness of ventilation  Reassesses baby’s condition at correct times  Commences external cardiac compressions if indicated  States indications, correct ratio, rates and depth for cardiac compressions (inadequate breathing, HR<60. Ratio 3:1)  States indications administration and precautions for resuscitation medications: adrenaline, normal saline and O negative blood (as per Australian Resuscitation Council (ARC) guideline 13.7)  Delegates scribe Prepares for and assists with intubation and intravenous therapy 1.4, 2.1, 2.2, 5.2, 5.3  Familiarity with equipment required  Prepares tapes  Prepares IV tubing with 3 way tap Reassess baby’s condition 1.2, 5.2, 14.1 Follows the Australian resuscitation council guidelines ‘flow chart’ and appropriately intervenes where indicated Following stabilisation 1.2, 1.4, 2.1, 3, 5.2 Ensures baby is warm and monitored closely Explains criteria for care in the SCN following resuscitation Ensures family are supported and debriefed Documents actions legibly and appropriately including observations interventions 1.3, 2.1, 2.3 and times as per ARC guideline 13.9 States indications for neonatal resuscitation at the time of birth and following birth 2.1, 2.2, 2.3, 5.6, Discusses actual/potential problems which may arise during the resuscitation and 6.1, 6.2 outlines appropriate management

Student name and signature:……………………………………………...... Date:………………………………………..

Assessor name and signature:……………………………………………...... Date:………………………………………..

Overall rating (please circle):

Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)

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…………………………………………………………………………………………………………………………………………… ……………………………………………… Competency Assessment Student Name: ______Venue/ Clinical area ______

The Competency assessment will be carried out at various time points during the student’s midwifery program. In each ELA an assessment should be undertaken for each clinical area that the student has been rostered. All sections of this assessment should be filled in for the assessment to be deemed complete. Students should complete a self-assessment before participating in a review with the Clinical Facilitator.

LEGAL AND PROFESSIONAL PRACTICE

Competency 1 : Functions in accordance with Student Assessor legislation and common law affecting midwifery practice

Element 1.1: Demonstrates and acts upon knowledge of legislation and common law pertinent to midwifery practice

Element 1.2: Complies with policies and guidelines that have legal and professional implications for practice Element 1.3: Formulates documentation according to legal and professional guidelines Element 1.4: Fulfils the duty of care in the course of midwifery practice

Competency 2: Accepts accountability and Student Assessor responsibility for own actions within midwifery practice

Element 2.1: Recognises and acts within own knowledge base and scope of practice Element 2.2: Identifies unsafe action and takes appropriate action Element 2.3: Consults with, and refers to, another midwife or appropriate health care provider when the needs of the woman and her baby fall outside own scope of practice or competence Element 2.4: Delegates, when necessary, activities matching abilities and scope of practice and provides appropriate supervision Element 2.5: Assumes responsibility for professional midwifery leadership functions MIDWIFERY KNOWLEDGE AND PRACTICE

Competency 3: Communicates information to facilitate Student Assessor decision making by the woman Element 3.1: Communicates effectively with the woman, her family and friends Element 3.2: Provides learning opportunities appropriate to the woman’s needs Element 3.3: Plans and evaluates care in partnership with the woman

Competency 4: Promotes safe and effective midwifery Student Assessor care Element 4.1: Applies knowledge, skills and attitudes to enable woman centred care Element 4.2: Provides or supports midwifery continuity of care Element 4.3: Manages the midwifery care of women and their babies

Competency 5: Assesses, plans, provides and evaluates Student Assessor safe and effective midwifery care Element 5.1: Utilises midwifery knowledge and skills to facilitate an optimal experience for the woman Element 5.2: Assesses the health and well being of the woman and her baby Element 5.3: Plans, provides and is responsible for, safe and effective midwifery care Element 5.4: Protects, promotes and supports breastfeeding Element 5.5: Demonstrates the ability to initiate, supply and administer relevant pharmacological substances in a safe and effective manner within relevant state of territory legislation Element 5.6: Evaluates the midwifery care provided to the woman and her baby

Competency 6: Assesses, plans, provides and evaluates Student Assessor safe and effective midwifery care for the woman and /or baby with complex needs Element 6.1: Utilises a range of midwifery knowledge and skills to provide midwifery care for the woman and/or baby with complex needs as part of a collaborative ream

Element 6.2: Recognises and responds effectively in emergencies or urgent situations MIDWIFERY AS PRIMARY HEALTH CARE

Competency 7: Advocates to protect the rights of Student Assessor women, families and communities in relation to maternity care Element 7.1: Respects and supports women and their families to be self- determining in promoting their own health and well being Element 7.2: Acts to ensure that the rights of women receiving maternity care are respected

Competency 8: Develops effective strategies to Student Assessor implement and support collaborative midwifery practice

Element 8.1: Demonstrates effective communication with midwives, health care providers and other professionals Element 8.2: Establishes, maintains and evaluates professional relationships with other health care providers

Competency 9: Actively supports midwifery as a public Student Assessor health strategy Element 9.1: Advocates for and promotes midwifery practice, within the context of public health policy Element 9.2: Collaborates with, and refers women to, appropriate community agencies and support networks

Competency 10: Ensures midwifery practice is Student Assessor culturally safe Element 10.1: Plans, implements and evaluates strategies for providing culturally safe practice for women, their families and colleagues

REFLECTIVE AND ETHICAL PRACTICE

Competency 11: Bases midwifery practice on ethical Student Assessor decision making Element 11.1: Practices in accordance with the endorsed Code of Ethics and relevant state/ territories and commonwealth privacy obligations under the law Competency 12: Identifies personal beliefs and Student Assessor develops these in ways that enhance midwifery practice Element 12.1: Addresses the impact of personal beliefs and experiences on the provision of midwifery care Element 12.2: Appraises and addresses the impact of power relations on midwifery practice

Competency 13: Acts to enhance the professional Student Assessor development of self and others Element 13.1 Assesses and acts upon own professional development needs Element 13.2: Contributes to, and evaluates, the learning experiences and professional development of others

Competency 14: Uses research to inform midwifery Student Assessor practice Element 14.1: Ensures research evidence is incorporated into practice Element 14.2: Interprets evidence as a basis to inform practice and decision making

Overall grading

Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)

Assessor name and signature…………………………………………………………………date…………………………………

Student name and signature………………………………………………………………… date………………………………

Comments……………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… Competency Assessment Student Name: ______Venue/ Clinical area ______

LEGAL AND PROFESSIONAL PRACTICE

Competency 1 : Functions in accordance with Student Assessor legislation and common law affecting midwifery practice

Element 1.1: Demonstrates and acts upon knowledge of legislation and common law pertinent to midwifery practice

Competency 2: Accepts accountability and Student Assessor responsibility for own actions within midwifery practice

Element 6.2: Recognises and responds effectively in emergencies or urgent situations MIDWIFERY AS PRIMARY HEALTH CARE

Competency 8: Develops effective strategies to Student Assessor implement and support collaborative midwifery practice

REFLECTIVE AND ETHICAL PRACTICE

Overall grading

Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)

Assessor name and signature…………………………………………………………………date…………………………………

Student name and signature………………………………………………………………… date………………………………

Midwifery Student Venue Feedback

Student name: Date: Hospital: Experience: Year level:

Please choose the most appropriate descriptor to provide feedback on the student in the following areas: Personal Ability/Aptitude/Skills; Experience; Knowledge. Please provide a summary comment based on these descriptors. Personal Ability/Aptitudes/skills Needs N/A Good Excellent Improvement Communication/Interpersonal Skills

Ability to expresses self clearly and concisely Ability to communicate appropriately with all staff and women and their families Ability to explain care to women and family/significant others

Effectiveness of hand over to oncoming shift Ability to deliver effective education to women and their families Organisational skills Ability to effectively prioritize workload Ability to complete all allocated care within a reasonable timeframe Ability to be, creative, innovative and flexible when approaching issues within a healthcare setting Teamwork Ability to work with midwives

Ability to work effectively within a multidisciplinary team.

Ability to problem solve, resolve problems and negotiate.

Experience Needs N/A Good Excellent Improvement Midwifery Clinical Competencies Demonstrated competence in the relevant area of midwifery practice in accordance with the appropriate standards of practice. Ability to apply theoretical knowledge in the clinical setting Demonstrates critical thinking skills in application of skills in practice Ability to provide culturally appropriate and safe midwifery care. Ability to recognise own limitations and seeks assistance from senior staff where appropriate. Ability to work in accordance with hospital procedures and policy. Demonstrates initiative whilst caring for women and their babies. Ability to recognise and report changes in the woman or baby’s condition promptly. Documentation Ability to write clear, concise and legible notes. Ability to accurately document all observations in a timely manner. Ability to report incidents and complete relevant forms. Knowledge Needs N/A Good Excellent improvement Knowledge of the conditions of the women and neonates under their care. Ability to give logical rationales for midwifery care performed.

Ability to link theory to practice. Understands the medications administered to women and neonates, and administers medications safely. Understanding of the Australian Nursing and Midwifery Council (ANMC) National Competencies for the Registered Midwife.

Summary comment:

Supervising Registered Midwife Name:

Signature: Midwifery Student Venue Feedback

Student name: Date: Hospital: Experience: Year level:

Ability to expresses self clearly and concisely Ability to communicate appropriately with all staff and women and their families Ability to explain care to women and family/significant others

Ability to work effectively within a multidisciplinary team.

Ability to problem solve, resolve problems and negotiate.

Summary comment:

Supervising Registered Midwife Name:

Signature: 2016 Cumulative record of portfolio requirements Student’s name: ______Student’s ID: ______TOTAL Achieved Achieved Achieved Achieved Achieved Achieved Final TOTAL required ELA 1 ELA 2 ELA 3 ELA 4 ELA 5 ELA 6

Antenatal Antenatal episode of 100 Care care Abdominal 10 palpation Complex antenatal 15 care Labour and Intrapartum spontaneous 30 Care vaginal birth Active care 1st stage 10 labour Vaginal 10 examination Complex intrapartum 15 care Postnatal Postpartum episode of 100 Care care Complex postpartum 10 care Physical Neonatal examination 20 Care of the newborn Complex neonatal 10 care Continuity of Commenced 15 Care Completed Experiences Learning tools University lecturer name, signature and date evidence reviewed and assessed as complete * Students who hold a current registered nurse registration will be exempt from 5 CoCE and will only be required to engage in a minimum of 10 (approx. 5 CoCE/ year)