Registered Midwife. Location : Child Women and Family Division North Shore and Waitakere Hospitals

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1 Date: November 2017 Job Title : Registered Midwife Department : Maternity Service Location : Child Women and Family Division North Shore and Waitakere Hospitals Reporting To : Charge Midwife Manager for safety, care, compassion and quality of practice to the highest standard possible and for professional conduct and quality of practice. Head of Division of Midwifery for professional conduct, quality of practice within scope of practice as defined by Nursing Council of New Zealand. Direct Reports : Nil Functional Relationships with : Internal Midwife colleagues Midwifery Educator Obstetrics and Gynaecology Medical staff Enrolled Nurses Health Care Assistants Paediatric medical and nursing colleagues, including SCBU Allied Health staff Theatre Team Duty Nurse Manager Waitemata Central Team External Women and their families Lead Maternity Carers GPs Well child providers Clinical Teachers from School of Midwifery Midwifery students Our Purpose, Values and Standards At the heart of Waitemata DHB is our promise of best care for everyone. This promise statement is the articulation of our three-fold purpose to: 1. promote wellness, 2. prevent, cure and ameliorate ill health and 3. relieve the suffering of those entrusted to our care. At the heart of our values is the need for all of us to reflect on the intrinsic dignity of every single person that enters our care. It is a privilege to be able to care for patients, whānau and our community, a privilege that is sometimes overlooked in our day to day work. Our standards and behaviours serve as a reminder to us all about how we are with our patients and with each other. Midwifery 11/11/2017 Page 1

2 Purpose of the role The scope of practice for registered midwives outlines that these professionals are responsible for the delivery of safe and effective perinatal care. Midwives attend to the physiological process of pregnancy, birth and adaptation to parenthood identify deviations from the normal pathway, and work alongside obstetricians to deliver packages of care for women with complex pregnancies. are the first responders in obstetric emergencies and provide life preserving care such as neonatal resuscitation, management of postpartum haemorrhage and maternal collapse. are key in supporting and protecting mother- infant attachment which is critical for both maternal and child mental health provide midwifery care to women and babies within the maternity service and to perform this as part of the multidisciplinary team KEY ACCOUNTABILITY EXPECTED OUTCOMES Management of midwifery care at advanced practice level Includes accountability related to assessment and management of advanced practice that is supported by evidence Works in partnership with Provides holistic care that recognizes the woman as the central focus of care. women throughout the Obtains informed consent from the woman before delivery of care. maternity experience The plan of care is negotiated with the woman, and documented according to the woman s wishes. Works in a way that promotes continuity of care and carer. Applies principles of cultural safety to the midwifery partnership. Acts as an advocate for the woman and baby within the clinical setting. Promotes each woman s right to empowerment through her birth experience. Applies comprehensive Practice reflects the Midwifery Council scope of practice and competencies. knowledge and skills to Applies knowledge and clinical skills within a legal and ethical framework. provide effective and safe Recognises and acts appropriately where deviation from the normal has occurred. midwifery care Demonstrates competence in provision of basic neonatal care. Ability to identify emergency situations and provide an appropriate response including immediate emergency life saving measures. Provides accurate written progress notes and relevant documentation. Shares knowledge with colleagues, women and family/whanau. Assists with student learning and orientation of new team members. Promotes practices that Provides care which maintains childbirth as a normal life event. enhances the health of the woman and her Ensures that women have access to information in a form that allows them to participate in their health choices. family/whanau and encourages their participation Gives information about community resources available to women and their family/whanau and refers appropriately. in her health care. Works collaboratively with the multidisciplinary team to ensure the best outcomes are achieved. Promotes the global Baby Friendly Hospital Initiative while supporting the woman in her choice of infant feeding. Aware of health education programmes and shares information with women. To provide midwifery care in a capacity as a member of the Provides information, help and advice to the LMC, when a woman s pregnancy or labour deviates from the expected outcome. secondary maternity team Fosters collaborative relationships with LMC s, and other members of multidisciplinary team Provides midwifery care in antenatal, intrapartum and postnatal areas, including the obstetric theatre. Provides secondary midwifery care to unwell women or neonates under medical direction. For example commencing of phototherapy. Interpersonal relationships and enhancing the patient experience Midwifery 11/11/2017 Page 2

3 KEY ACCOUNTABILITY EXPECTED OUTCOMES Includes accountability for interpersonal and therapeutic communication with clients/patients and members of the health care team. Kind, compassionate, helpful and polite interactions with women and their families. Relationships with women is appropriate and therapeutic using good customer service skills; maintaining boundaries; partnership; caring; behaviours consistent with DHB values Demonstrates clinical and professional leadership through effective teamwork and collaborative relationships Role models advanced therapeutic communication Establishes a positive partnership /relationship with the woman and family Acts as an advocate to promote needs and rights Coaches and debriefs with clinical teams regarding situations where clinical management requires case review Collaborates and participates with colleagues and members of the health care team to facilitate and coordinate care and education Environment is managed to facilitate calmness so the patient/client can make sense of what is happening for them. Interprofessional healthcare and quality improvement to deliver organisational objectives Includes accountability for evaluating the effectiveness of care within the health care team Interprofessional health care and quality improvement Team relationships Quality Improvement To provide professional judgment as a reflective practitioner when providing midwifery care Statutory & Treaty of Waitangi obligations To recognise individual responsibility for workplace Health & Safety under the Health and Safety at Work Act 2015 Good collaboration with the wider clinical and non-clinical team, respecting their contribution and advocating for the patient needs. Contributes to quality improvement in the clinical setting: practices to agreed standards, applies evidence-based practices, audits practice, contributes to team discussion, participates in improvement programmes Acts at all times to maintain a safe environment to mimise risks e.g. infections, falls, pressure injuries The Health Practitioner Competence Assurance Act obligations are adhered to: works within the scope of practice, maintains competence, updates knowledge, undergoes competence assessment as required in the specialty, annually reapplies for a practicing certificate [self-directed] Complies with the WDHB QLP Programme i.e. has presented a portfolio for assessment of competence. Takes all opportunities to maintain on-going learning i.e. inservice, self-learning, study days, post graduate learning Accepts personal accountability for midwifery practice. Reflects on practice and is able to recognize professional limits, and then seeks guidance to expand knowledge and skills. Challenges practices that are not evidence based. Keeps up to date by attending education sessions and conferences as well as reading and researching the latest literature. Participates fully in the midwifery council approved review programme. Participates in peer review. Participates in annual appraisal and regularly updates professional education plan including Baby Friendly Hospital Initiative.(BFHI) Maintains a professional portfolio. Ensures the professional and political integrity of WDHB by carrying out all functions in compliance of the Treaty of Waitangi and by demonstrating a serious commitment to keeping the treaty alive. Shows sensitivity to cultural complexity in the workforce and patient population Contribute to a safe and healthy workplace at WDHB by: All Employees Following & complying with H&S policies & processes & applying them to their own work activities, including using/wearing Personal Protective Equipment as required. Participating in activities directed at preventing harm & promoting well-being in the workplace Identifying, reporting & self-managing hazards where appropriate Midwifery 11/11/2017 Page 3

4 KEY ACCOUNTABILITY EXPECTED OUTCOMES Early and accurate reporting of incidents at work and raising issues of concern when identified. It is mandatory for midwives to have and maintain their annual practicing certificate. Midwives will be provided with opportunities to maintain their annual practicing certificate. In a situation where the Midwife has conditions imposed on their practice by the Midwifery Council it is their duty to inform WDHB, their employer. VERIFICATION: Employee: Department Head: Date: Midwifery 11/11/2017 Page 4

5 PERSON SPECIFICATION POSITION TITLE: Registered Midwife EXPECTATIONS Qualification Registered Midwife with current annual practising certificate Experience A wide range of midwifery experiences in a variety of settings either as a student or in a postgraduate capacity. Experience of working with women from a wide range of cultural and social backgrounds Enthusiasm for learning Contemporaneous professional portfolio Membership of professional body Skills/Knowledge/ Non-judgmental, flexible, autonomous, holistic practitioner Behaviour Excellent communication skills and customer service focus Initiative and a positive manner Willingness to develop expertise in a range of skills, including care of women with epidurals, cannulation, suturing, neonatal resuscitation and care of women with complicated pregnancies Understanding of section 88 Understanding of the Baby Friendly Hospital Initiative Upholds confidentiality Collaborative approach with the multidisciplinary team Able to handle stress effectively Good time management skills Basic keyboard skills sufficient for data input An awareness of Quality improvement cycle Dynamic and creative approach to midwifery Computer literate Is aware of contemporary standards and has reputation of providing good nursing care, demonstrating professional responsibility and accountability Reputation for midwifery care that is patient focused care; and provided to the highest professional standard possible. Demonstrated confident collaborative approach in team practice Able to take initiative where clinical judgment suggests therapeutic intervention. Seeks guidance and supervision Sensitive and constructive in responding to the needs of individuals and groups Personal Attributes 1. Personal Attributes Positive and enthusiastic Possesses a good sense of humour Strong and self-reliant Calm and mature Consistent Realistic Some awareness of the Health and Safety impacts on an organisation Seeks advice and guidance from colleagues and other disciplines as required Self directed and motivated 2. Teamwork Sensitive and constructive to others Seeks out opportunities to support others in achieving goals Effectively shares information with colleagues Midwifery 11/11/2017 Page 5

6 Inclusive of colleagues Resilience, flexible and willing to work across a range of clinical settings 3. Self-Management Recognises and respects individual differences Develops positive working relationships with staff and managers Identifies and seeks to meet their needs. Treats them as first priority Upholds confidentiality, behaves with integrity and discretion Positive professionally mature 4. Communication skills Very strong written and verbal communication skills Excellent communicator clear and complete at all times Sets high standards and strives to achieve challenging goals Displays drive and energy and persists in overcoming obstacles Acts as a good health and safety role model to others Acts in a positive manner Copes well under pressure, is resilient to change and understands personal limitations Is proactive and displays initiative Is able to communicate effectively on the phone and via computer and face to face with a variety of people Is able to communicate without engendering conflict 5. Learning Makes effective decisions within appropriate timeframes and levels of responsibility Knows when to ask for help Midwifery 11/11/2017 Page 6

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