1 Placement Community Midwifery Radio Room Community Midwives Office Introduction to Placement area

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1 1 Placement Community Midwifery Radio Room Community Midwives Office Introduction to Placement area We provide community midwifery care to the women of Central Manchester, Trafford, Salford and Eccles. To help us achieve holistic care we also provide care on the midwifery led unit (MLU) and the St Mary's Birth Centre at Salford and are supported by our colleagues on both units. 3 Placement Philosophy As community midwives, we seek to provide woman centred care. We aim to combine both the art and science of holistic care to childbearing women and their families respecting all physical, psychological, social, religious and cultural needs. 4 Staff Facilities and Break Allocation Due to the nature of our work, we frequently remain off site. Opportunities will rise for you to have a drink/lunch and it is advisable that you always bring a packed lunch with you. When on MLU, there are refreshment facilities available on the unit and an opportunity to use a fridge/microwave. 5 Handover / Shift Patterns All community colleagues communicate with each other with team diaries, phone calls and s. Our working day on community begins in the office where we are allocated work by the Team Leader. This could be a combination of both antenatal and postnatal women. We then return to the office at the end of the day, to ensure discharges are completed, blood samples are processed and visits are put back into the diary if required. The shifts you will work will be dependent on what your mentor is working. Due to the number of students we facilitate and their learning needs, it is strongly recommended that you follow your mentor and their shifts. Community Day Compressed Community Day

2 Community/MLU Late Compressed Community Late Community Night Community midwives frequently are allocated on-calls, this could be during the evening or overnight. You are not expected to undertake the on calls, but should you feel it will support your learning needs, please discuss with your mentor. 6 Specialties We are committed to providing low risk midwifery care. Our specialty is recognising deviations from the norm and referring women to the hospital/obstetricians for further investigations. We hope to empower women and their families to become confident in preparing for their newborn baby. We support every woman and her family through her pregnancy and work very closely with the MDT which includes specialist midwives for drugs, alcohol and mental health. We also work closely with specialist midwives who support women's social needs, e.g. Asylum seeker/refugee midwife. Low risk women are given every opportunity to birth their babies at home or at the Birth Centre. We will always carry out risk assessments and if at any point they do not fit the criteria anymore, we will liaise with senior colleagues/obstetricians and where appropriate SoM. We also continue to provide postnatal care up to the baby being 28 days old. We also liaise with the HV's who will continue to provide care for women and their families, once they have been discharged from community midwifery care. Where the baby is requiring further support, we liaise with NNOT to ensure that optimum care is provided. Mothers and their families will be supported by community midwives even when separated from their babies.

3 7 Commonly used terms / Abbreviations AAU-Antenatal Assessment Unit AF-Artificially Feeding ATT-Appointment Attended ANC-Antenatal Clinic BBA-Birth Before Arrival BF-Breastfeeding BO-Bowels opened BP-Blood Pressure BW-Birthweight CANC-Appointment Cancelled CMW-Community Midwife CONI-Care Of the Next Infant CP-Child Protection DNA-Did Not Attend ECO-Early Consultant Opinion EON-Examination of the Newborn FH-Fetal Heart FNP-Family Nurse Partnership GTT-Glucose Tolerance Test HB-Home Birth HV-Health Visitor IDVA-Independent Domestic Violence Advisor MASH-Multi Agency Safeguarding Hub MCAF-Manchester Common Assessment Framework MDT-Multi Disciplinary Team MLC-Midwifery Led Care MOPNC-Mum Only Postnatal Clinic MSSU-Mid Stream Specimen of Urine NAD-No Abnormalities Detected NNOT-Neonatal Outreach Team PEd-Parent Education PNC-Postnatal Clinic PU-Passed Urine RFM-Reduced Fetal Movements SGA-Small for Gestational Age SIDS-Sudden Infant Death Syndrome SoM-Supervisor of Midwives SSCC-Sure Start Children's Centre SSMG-Sure Start Maternity Grant SW-Social worker YPG-Young Parent Group

4 8 Learning and teaching opportunities specific to clinical area / Spoke Placements Whilst on community, you have great opportunities to complete your antenatal/postnatal objectives. Please be sure to identify these prior to commencing placement and discuss with your mentor appropriately. Antenatal objectives will incorporate booking and follow-up appointments. This could be in various settings. Postnatal care will be carried out both at home and our postnatal clinics. We aim to empower women and their families, to become more confident in their needs during the antenatal, postnatal and labour period. We are committed to providing parent education to women and their families to help them achieve this. You could use this time and facilities available to achieve your objectives in planning and implementing a teaching/education session. Community midwives are allocated to work on MLU/Birth Centre on a shift basis. We also participate in home-births, and hope you are exposed to some of these opportunities to be able to understand the role of the Community Midwife at CMFT. Moving forward into your second year, you will be supported to recruit case loading women, so you can follow them throughout their pregnancy and where possible be involved in their labour/postnatal care. There will be specific case loading objectives that you can achieve pending recruitment. 9 Teaching / Competency Packs Student welcome leaflet and guide to community Student board outside Community Midwives Office at St Mary's Hospital Resources from Student File available for use/photocopy

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