Annual Mentor Update April 2017 March 2018

Transcription

1 : Division of Midwifery Annual Mentor Update April 2017 March 2018 Mentor Update V

2 Standards for pre-registration Standards to support learning and midwifery education (NMC 2009) assessment in practice (NMC 2008) Both publications are available at:

3 Responsibilities of sign-off mentor (NMC 2008) Support learning in practice Assess learning in practice Accountability CPD - Maintain & develop knowledge, skills and competence as a mentor - Annual update - Triennial review Also consider profiles of students with additional learning needs which challenge traditional ways of learning & teaching comply with Equality Act (2010)

4 Hot topics for 2017/18 National: Health Care Funding Reforms New Midwifery Education Standards & SLAiP Standards Competency 24.1: Describe the role of the Statutory Supervisor of Midwives Statutory Supervision of Midwives officially ended from 31/3/17 but a new model will be coming into effect. Student midwives should be aware of these changes and have some insight into what the NMC and NHS England are proposing about the new model, and ideally should also be aware of what is being planned at their local Trust regarding this.

5 Hot topics for 2017/18 Local: NIPE course from September Optional - Delivered over 3 years of BSc programme - Additional academic work (no academic credits awarded) - Supported in practice by NIPE qualified staff Clinical seminars - 3 per year, 2 hours - Student-led but facilitated by UoN staff - Opportunity to reflect on practice

6 Midwifery curriculum 1503 cohort: (BMID) curriculum - Paper based practice documents - Grading in practice 1509 cohort onwards: (BSc) curriculum, based on the six C s - E-practice document on PebblePad - Grading in practice

7 Supervision of student midwives Direct supervision: the practising midwife would normally be in close proximity to the student, either by working directly with them or close enough to directly monitor their activities. Indirect supervision:.enables students to develop confidence and independence, this approach should only be taken to support students who are more senior and where there is evidence that complex activities can be safely and responsibly delegated. Even so, indirect supervision requires that the midwife is easily contactable and can provide the level of support needed to ensure public protection and maintain the safety of both the women and the student. Nursing Midwifery Council (2009), The standards for pre-registration midwifery education. London, NMC.

8 Scenario You are a community midwife working with a final year midwifery student in a booking clinic. You are also on-call for home births in the area. You have nearly finished a booking appointment and you and get called out to do an early labour assessment. The student reassures you that she is capable of completing the booking..what do you do?

9 Supervision of student midwives medicines administration ALL medicines administration must take place under the direct (visual) supervision of a sign-off mentor who is annotated on the Live Register of mentors with an up-todate Annual Mentor Update and Triennial Review. Medicines administration cannot take place with a non sign-off mentor and cannot be countersigned. Students cannot ever administer medicines alone.

10 Supervision of student midwives medicines administration Q: Controlled Drugs? Q: Patient Group Directions? Q: Midwives Exemptions? Q: IM / IV medicines? Q: Vitamin K? Always refer to local Trust guidelines.

11 Scenario You are doing the drug round on the postnatal ward. Bobs, a second year student midwife, has been asked by her mentor to collect two paracetamol for the lady in bed 4..What do you do? Scenario You are the labour ward sign-off mentor for a final year midwifery student. You are providing care for Woman A who s labour is being augmented with syntocinon. The coordinator asks you to admit Woman B. You leave the student to continue caring for Woman A whilst you admit Woman B. When you return to Woman A, the student has increased the syntocinon infusion..what do you do?

12 Caseholding update Students expected to casehold two women in each year of the programme Students on their away placement may not be on community initially, but need to recruit women as soon as they are able Consent women without the student present Mentors to review Caseholding Information section on Pebblepad, including completing the caseholding plan Contact student when woman is labouring even in the middle of the night Caseholding student to take priority over other students on duty

13 Unaccompanied visits Usually related to caseholding Third year final community placement only Mentor must read UoN unaccompanied visits guideline Mentor and student must complete UoN risk assessment and checklist together Uncomplicated, postnatal visit only Not the first or the final (discharge) visit Not consecutive visits Pre-arranged visit only

14 Practice assessments Early identification and communication with student and lecturer regarding competency.

15 Mentor s appraisal of Practice Criteria (Level 1) Grade and % Unsafe practice Below Safe practice Average practice Good practice Excellent practice Care The ability to care defines us and our role. Women receiving care expect it to be individual to them, consistently, throughout every stage of their pregnancy. - Care tends to be task oriented with frequent omissions. - It is not self aware and does not reflect on care provided. - Able to safely perform routine care. - Some self-awareness and ability to reflect upon care. - Developing ability to perform routine care to women with insight into the individual needs of women. - Self-aware of own limitations and able to reflect on practice. - Good ability to perform routine care to women which considers some individual needs of women. - Good self-awareness and able to put learning from reflection into practice. - Provides excellent routine care to women which considers the individual needs of women. - Excellent self-awareness of own limitations. Compassion Compassion is how care is given through relationships based on empathy, respect and dignity it can also be described as intelligent kindness. - Unfamiliar with the NMC Code (2015). - Insensitive to women s needs observed. - A judgemental attitude observed. - Familiar with the NMC Code. - Shows potential to be caring and compassionate to women. - Acknowledges the rights of women and in line with ethical and cultural needs. - Understands the importance of NMC Code. - Caring and compassionate to women. - Understands the rights of women with particular regard to ethical and cultural needs. - Understands the NMC Code and applies to practice. - Very caring, compassionate and empathetic to women. - Demonstrates care that reflects the rights of women with particular regard to ethical and cultural needs. - Can discuss the NMC Code and applies to practice. - Exceptionally kind, caring and empathetic to women. - Facilitates the care of women and families in line with their ethical and cultural needs. Competence Competence means having the ability and technical knowledge to deliver effective care and treatments based on research and evidence. - Unable to perform any clinical skills safely or effectively. - Insufficient knowledge base to underpin practice. - Adequate ability to perform a limited number of clinical skills safely and effectively. - Adequate knowledge base. - Satisfactorily performs some clinical skills safely and effectively. - Satisfactory knowledge base. - Good ability to perform most clinical skills safely and effectively. - A good knowledge base with some ability to discuss and explain care given. - Excellent ability to perform all clinical skills safely and effectively. - Excellent knowledge base with ability to discuss and explain care given. Communication Communication is central to achieving successful caring relationships and to effective team working. - Poor verbal and non-verbal communication with women, families and the interdisciplinary team. - Poor record keeping. - Adequate use of verbal and nonverbal communication skills with women, families and the interprofessional team. - Understands the importance of giving accurate information to women. - Record keeping generally accurate. - Satisfactory use of verbal and nonverbal communication skills with women, families and the interprofessional team. - Communicates accurate information at all time to women. - Record keeping is consistently accurate. - Good use of verbal and non-verbal communication skills with women, families and the interprofessional team. - Able to communicate accurate information and facilitate informed choice. - Record keeping is concise, factual, clear and accurate. - Excellent use of verbal and non-verbal communication skills with women, families and the interprofessional team. - Able to communicate informed choice with underpinning knowledge. - Excellent record keeping. Courage Courage enables us to do the right thing for the women we care for, to speak up when we have concerns and to have the personal strength and vision to innovate new ways of working. - Unable to appraise own practice. - Unaware of the need for evidence based practice. - Little insight into the role of the midwife as an advocate for women. - Understands the importance of appraising and reflecting on own practice. - Some awareness of current evidencebased practice. - Has insight into the role of the midwife as an advocate for women. - Begin to appraise and reflect on own practice. - Able to recognise the need for evidence-based practice. - Is developing advocacy skills to promote women s choices. - Analyses and reflects on own practice. - Can discuss evidence-based practice. - Is an advocate for women and their choices. - Consistently analyses and reflects on own practice. - Recognises that non-evidence based practice needs to be challenged in an appropriate manner with colleagues. - Is a good advocate for women and their choices. Commitment Commitment means providing the best possible care for women by acting within the NMC code. - Does not act in a professional manner in accordance with the NMC Code. - Does not demonstrate that midwifery is the right profession for them. - Understands the importance of acting in a professional manner in accordance with the NMC Code. - Is working towards the attributes of a registered midwife. - Acts in a professional manner, in accordance with the NMC Code. - Demonstrates sound attributes required of a midwife. - Acts in a professional manner in accordance with the NMC Code and acknowledges its importance. - Demonstrates good attributes required of a midwife. Please provide evidence to support and justify your grading decision. If you feel a student has demonstrated any of these outcomes to an exceptional standard, you may wish to consider a mark between % - Consistently acts in a professional manner in accordance with the NMC Code and acknowledges its relevance in midwifery practice. - Demonstrates excellent attributes required of a midwife.

16 Portfolio evidence Reflection in practice and on practice is vital! One reflection on antenatal care One reflection on postnatal care Two reflections on intrapartum care Two interprofessional learning reflections Three breastfeeding observations Mentor to select four (2+2) women to provide written feedback. Verify this feedback.

17 Introduction to E-Practice Document Information Governance Access: Go to: Log in with your unique username and password Select the student s cohort from the list of workspaces Select your student to view their E-practice document for help (Mon-Fri 9am to 5pm): HS-mid-epracticedoc@nottingham.ac.uk

18 Introduction to E-Practice Document Sign-off Mentor Status changing to:

19 Scenario You are on duty in the community setting and have been allocated a student midwife undertaking her first week in placement. A colleague has invited the student to take antenatal booking bloods, as she thinks it will be a good skill for her to start developing. What do you do?