PORTFOLIO OF EVIDENCE. Domains of Competence Assessment Tool MidCAT. (Midwifery) Stages PDF Free Download

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Tel: PORTFOLIO OF EVIDENCE Domains of Competence Tool MidCAT (Midwifery) Stages 2-3 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3

TABLE OF CONTENTS Instructions for Use... 3 About the Portfolio of Evidence... 4 Your Clinical Placement... 5 Clinical Protocol... 7 Steps to be Followed in the Clinical Protocol... 8 Competence and the Domains of Competence... 9 Guidelines... 12 Antenatal Care Stage... 13 3 Meeting Forms: Preliminary, Intermediate and Final... 22 Additional Information Sheet... 25 Care in Labour Stage... 26 3 Meeting Forms: Preliminary, Intermediate and Final... 38 Additional Information Sheet... 41 Postnatal Care Stage... 42 3 Meeting Forms: Preliminary, Intermediate and Final... 52 Additional Information Sheet... 55 Antenatal Care Stage... 56 3 Meeting Forms: Preliminary, Intermediate and Final... 66 Additional Information Sheet... 69 Care in Labour Stage... 70 3 Meeting Forms: Preliminary, Intermediate and Final... 82 Additional Information Sheet... 85 Postnatal Care Stage... 86 3 Meeting Forms: Preliminary, Intermediate and Final... 96 Additional Information Sheet... 99 Ambulatory Care ADCC... 100 Community Midwifery... 103 3 Meeting Forms: Preliminary, Intermediate and Final... 113 Additional Information Sheet... 116 Gynaecology Care (Specialist Placement)... 117 Medical Care (Specialist Placement)... 127 Mental Health and Psychiatry (Specialist Placement)... 133 Neonatal Care (Specialist Placement)... 139 3 Meeting Forms: Preliminary, Intermediate and Final... 149 Additional Information Sheet... 152 Operating Theatre Care (Specialist Placement)... 153 Surgical Care (Specialist Placement)... 163 Skills List... 169 Additional Evidence of Achievement Form... 175 Clinical Outcome Form... 177 Clinical Outcome Form... 178 Appendices (Please see Blackboard) I Protocol on the Presentation of Undergraduate Clinical Modules... II Protocol in the Event of Unsuccessful Supernumerary Clinical Placement... III Protocol for Students Wishing to Avail of Compassionate Leave... DoCAT UCD Revised 2010 BSc Nursing General Stages 3-3 2

This is a confidential document. It is the property of the student and the UCD School of Nursing, Midwifery and Health Systems. This document may not be altered or defaced and it may not be photocopied. The student is responsible for its security and for maintaining it in good condition. The document should be available for inspection by authorised personnel on request. INSTRUCTIONS FOR USE It is my responsibility to ensure that I have the correct documentation prior to going on clinical placements i.e. MidCAT documentation. It is my responsibility to check ARC for information regarding transport links, start times and orientation dates/times for all placements. It is my responsibility to bring Record of Health Screening and Vaccination Programme Log Book on relevant placements as outlined in ARC. I will carry this document with me at all times while on clinical placements. It is my responsibility to ensure that the preceptor/co-preceptor signs the Signature Bank before signing Standards. It is my responsibility to ensure that I have arranged a date for a preliminary meeting. It is carried out at the beginning of the placement in order to discuss the learning opportunities and standards to be attained during the placement. It is my responsibility to ensure that I have arranged a date for an intermediate meeting. It is carried out to discuss progress during the placement but it is not necessary on 2 week placements. My attendance is also reviewed at this meeting. It is my responsibility to ensure that I have arranged a date for a final meeting. A final meeting is carried out at the end of the placement in order review standards and skills attained and complete the record of the meeting. It is my responsibility to seek feedback on my progress throughout the placement. It is my responsibility to act in accordance with local policies and guidelines (e.g. uniform policy). It is my responsibility to have all documentation signed off within two weeks of completing clinical time Students are assessed in relation to the Standards in each Domain of Competence. Standards should be signed off by the preceptor/co-preceptor when they are satisfied that the student has attained the Standard. Any staff nurse who acts as a preceptor may sign Standards for students if they are satisfied that the required level has been attained. Daily Record of Attendance must be completed at the end of each shift. 100% attendance is required on all clinical placements. I have read and understood the above instructions for MidCAT Stages 2-3. Student Signature: Date: DoCAT UCD Revised 2010 BSc Nursing General Stages 3-3 3

ABOUT THE PORTFOLIO OF EVIDENCE This Portfolio of Evidence is an official College document, containing a record of your attainments as a student. The Portfolio will be used as a dossier of evidence of your attainments throughout your education and training programme. It is an essential record for course progression and for the awarding of the degree from UCD. It is an essential requirement for your registration as a nurse/midwife with An Bord Altranais. The Portfolio of Evidence should contain the records of the assessments of your clinical instruction. It is your responsibility to know and understand the protocol for obtaining a clinical assessment. You are responsible for keeping your Portfolio of Evidence up-to-date and in good order. Normally you will be requested to submit your updated Portfolio of Evidence for inspection by internal and external examiners prior to the Programme Examination Board and/or at the end of the semester/stage. Students will be given the specific date to present their documentation at the beginning of each semester in which a clinical placement takes place. The grade descriptors for clinical assessments are described in the UCD School of Nursing Midwifery and Health Systems policy on the presentation of undergraduate clinical modules (Appendix I) and as outlined in the UCD Modularisation and Semesterisation General Regulations. Grades for clinical assessments are considered to be Grade Point neutral. All assessment judgements are deemed to be provisional until the Programme Examination Board confirms final results. Please read carefully the steps in the clinical assessment protocol. You are responsible for ensuring that you understand the assessment protocol and for ensuring that all the steps in the protocol are followed when obtaining a clinical assessment. DoCAT MidCAT UCD Revised 2010 4

YOUR CLINICAL PLACEMENT Clinical placements are where the world of nursing comes alive (Levett-Jones & Bourgeois, 2009, p.3). WHAT TO EXPECT As you approach your first clinical placement you will have mixed feelings. Before you begin your placement have a think about whom and what you are likely to encounter. How will you get there on time? o Check out the bus times, are they reliable, where can you park your car and what are the daily charges etc. Refer to ARC for additional details. What first impression do you want to give? o Uniforms neat and clean. Hair up with understated makeup (if any), nails short, clean and no nail polish. No jewellery, invest in a fob watch. Wear your student identification badge at all times. What first impressions will you get? o Wards are busy places and you may feel in the way. Remember you are a student and are there to learn. Be open to asking questions; try to demonstrate enthusiasm and a commitment to the nursing/midwifery team. Who will you meet? o Other students (get to know them they will be your allies), Registered Nurses/Midwives, Clinical Placement Coordinators, Clinical Nurse/Midwife Specialists, Health Care Assistants, Porters, Physiotherapists, Occupational therapists, Speech and language therapists, medical personal to name but a few, but most importantly you will meet women/patients/clients. What will be expected of you? o Your preceptor will have specific expectations of you make sure you know what they are. If you are in any doubt seek clarification. o You will be given individual clinical learning outcomes for each placement to use as a guide for your learning. o You will have numerous challenges some will be exhilarating others daunting. Try not to take things personally and accept constructive feedback. o Patients/clients/families will look to you for support/information. Ensure that all information is delivered in compliance with your scope of practice and demonstrate a caring, listening and empathetic attitude. DoCAT MidCAT UCD Revised 2010 5

WHO TO TURN TO You are never alone when on clinical placement and there are clinical and university supports available to you. These supports are ineffective unless you fully engage with your learning outcomes. What are you there to learn, you must be able to explain you re learning outcomes to your designated preceptor who will then guide and support you in achieving these outcomes. Clinical Supports Preceptor o Is there to supervise and guide your performance. Your preceptor will assess your attainment of the standards for each of the various domains of competence (more details about the domains are outlined below). Your preceptor will liaise with the CPC. CPC o Supports and facilitates your learning. Monitors the quality of the clinical learning environment. Liaises with the University and your Personal Tutor. UCD SNMHS Supports Personal Tutor o Offers assistance to you on matters, academic, clinical and personal. Your personal tutor will not routinely visit you when you are on placement, but if you are encountering any difficulties they are available to support you. Your personal tutor liaises with the clinical site, CPC and preceptor. Student Advisor o Independent support who offers guidance on all matters, financial, personal, academic and clinical. Liaises with personal tutor. Please insert the following details: Name of Personal Tutor: E-mail Address of Personal Tutor: Phone number of Personal Tutor: Name of Student Advisor: E-mail Address of Student Advisor: Ms Anna Farrell Anna.farrell@ucd.ie Phone number of Student Advisor: 01 7166497 DoCAT MidCAT UCD Revised 2010 6

CLINICAL ASSESSMENT PROTOCOL Each student is assessed on each clinical placement. For the purpose of progression and the award of the degree of BSc (Nursing/Midwifery), each student is required to achieve a pass grade for each clinical module in the programme. The relevant sections of the Portfolio of Evidence must be completed at the appropriate time, in consultation with the student s clinical preceptor. The clinical assessment process is conducted on the basis of the student providing evidence of the attainment of standards for the various domains of competence, and meeting the requirements for attendance in each module. Full attendance is required on all clinical placements thus ensuring compliance with An Bord Altranais registration requirements. Clinical modules are designated as must pass modules therefore a student will not be permitted to progress to the next Stage without having: attained the standards for the clinical modules in that Stage and met the requirement for attendance. In the case of a student not attaining the standards in a particular module, a supplemental placement will be required. Normally the duration of the supplemental placement will be two weeks (other rules may apply for specialist and other placements at the discretion of the Programme Board). Please refer to the UCD School of Nursing Midwifery and Health Systems Protocol in the Event of Unsuccessful Supernumerary Clinical Placement and the Enactment of an Action Plan (Appendix II). A student who attains all standards for the modules in a Stage but does not fulfil the attendance requirement must meet the shortfall of absent time in the clinical setting. Large student numbers are accessing clinical sites for placements. Clinical placements are an integral part of the BSc (Nursing) and the BSc (Midwifery) degree programmes and are a mandatory requirement for registration as a nurse or midwife. Therefore, FULL attendance at all scheduled clinical placements is mandatory; all attendances are monitored and all absences recorded. In the event of you being absent from scheduled clinical placement(s), you will be required to undertake additional clinical placement time commensurate with the duration of time absent. This additional clinical placement time will be scheduled during the summer holiday period and must be completed in full before progression to the subsequent year of the programme is possible. The precise scheduling of such periods of additional clinical placement time is completely at the discretion of the facilitating health service provider and can occur AT ANY TIME during the summer holiday period. You will be offered one opportunity to make up this outstanding absence time during your summer holiday period. If you do not take up this first opportunity you may NOT be offered another date. Students should also note that clinical placements will take place over a wide geographical area determined by the UCD Nursing Clinical Allocations Office. Special Considerations Some students require special considerations. Please refer to Appendix II. The Protocol in the Event of Unsuccessful Supernumerary Clinical Placement should be read in association with the following documents: UCD Information Handbook for Students with particular reference to the section on Student Conduct on Work Placements. BSc (Nursing/Midwiifery) Course Outline for Students, which contains details of the assessment schedules. Requirements and Standards for Nurse Registration Education Programmes (2005) Third Edition, An Bord Altranais, Dublin. Protocol on the presentation of undergraduate clinical modules (Appendix I). Protocol in the event of unsuccessful supernumerary clinical assessment and the enactment of an action plan (Appendix II). Protocol for nursing/midwifery students wishing to avail of compassionate leave whilst on supernumerary clinical placement and internship placement (Appendix III). Recommended reading (available from the Health Sciences Library) o Levett-Jones T. and Bourgeois, S. (2009) The Clinical Placement: A Nursing Guide (2 nd ed). Bailliere Tindall, (London). DoCAT MidCAT UCD Revised 2010 7

STEPS TO BE FOLLOWED IN THE CLINICAL ASSESSMENT PROTOCOL Meet with the Clinical Placement Co-ordinator (CPC) to review learning opportunities for the placement. Report to the Clinical Nurse/Midwife Manager and the clinical preceptor, and provide the clinical preceptor with the relevant DoCAT/MidCAT. It is the student s responsibility to make all relevant documentation available for the assessment process. Read the DoCAT/MidCAT prior to your placement and think about your learning objectives. All absences must be reported to relevant personnel as per local policy. Undertake a preliminary meeting with the clinical preceptor to discuss learning needs, opportunities and standards to be attained during the placement and co-sign the record of the meeting. Undertake an intermediate meeting (where appropriate) with the clinical preceptor to review progress, with particular reference to the learning needs and standards to be attained. Review standards attained at this stage and co-sign the record of the meeting. The student s attendance is also reviewed at this meeting. Undertake a final meeting with the clinical preceptor to review the learning needs and standards attained and where appropriate, the record of skills. Co-sign the record of the final meeting which may include a Record of Attendance in the presence of the preceptor. Submit updated Portfolio of Evidence to Stage co-ordinator/personal tutor for inspection and review. At the end of each semester, co-sign Clinical Outcome Form with the Stage coordinator/personal tutor. Any requirement to meet outstanding clinical time should be documented on the Clinical Outcome Form and should be submitted to the Clinical Allocations Team. Students are required to have all documentation completed within two weeks of the last day of their clinical placement. An Action Plan Following Unsuccessful Clinical Placement and a form should be completed in consultation with the student, preceptor, clinical placement coordinator and personal tutor. A copy of the action plan should be retained by the student for their own records. DoCAT MidCAT UCD Revised 2010 8

COMPETENCE AND THE DOMAINS OF COMPETENCE Competence is defined by An Bord Altranais as a complex and multidimensional phenomenon and is defined as the ability of the Registered Nurse/Midwife to practice safely and effectively, fulfilling his/her professional responsibility within his/her scope of practice (An Bord Altranais 2005). The attainment of competence is a necessary part of the requirements for entry onto the Nurses /Midwives Register, and the nurse/midwife must demonstrate the attainment of competence in a number of key areas. An Bord Altranais have identified 5 key areas (see below) in which a registered nurse/midwife must demonstrate competence in order to fulfil their professional role. These areas or Domains of Competence could therefore by thought of as the components of what a registered nurse/midwife is. Domain 1: Professional & Ethical Practice Domain 2: Holistic Approaches to Care Domain 3: Interpersonal Relationships Competent Registered Nurse Domain 4: Organisation & Management of Care Domain 5: Personal & Professional Development During your education and training you will be expected to build up competence in these Domains. This involves building a range of new knowledge, skills, attitudes and behaviours over the four Stages of the programme. It is important to remember that all of these Domains are interlinked and that the competent nurse/midwife must show evidence of performance in all Domains and not just in one or two. The purpose of your clinical placements is to allow you to develop competence in the practice setting. Your performance in the practice setting is guided and assessed by your Preceptor who is a registered nurse/midwife. Your preceptor can observe your developing competence in a number of ways; your behaviour (i.e. your words and actions), indirect observation for example your presentation of a case study and lastly your attainment of clinical experience (i.e. your attendance on clinical placements). The assessment of your competence is linked to explicit statements of standards to be achieved on each clinical placement relevant to your programme stage. The methods of assessment may need to change across time, to take account of the developmental and incremental nature of competence development. You should note that you have responsibility for your own clinical learning and you must therefore ensure that you are working towards competence development at all times. The assessment tools used to guide you clinical learning are described in the next section. DoCAT MidCAT UCD Revised 2010 9

THE DOMAINS OF COMPETENCE Domain 1: Professional/Ethical Practice This domain is concerned with professional and ethical practice and is reflected in all areas of clinical practice. It reflects the development of attitudes and values, in particular professional values. It also reflects the capacity to act in accordance with the appropriate legislation affecting professional nursing/midwifery practice, the capacity to practice within the limits of one s own competence and the willingness to take measures to develop competence. Indicators of this domain include: the integration of knowledge of ethical principles and the Code of Professional Conduct within the scope of professional practice in the delivery of care and includes fulfilling one s duty to care, and implementing the philosophies, policies, protocols and clinical guidelines of the health care institution. Other indicators include the ability to determine one s own scope of practice, the capacity to recognise one s own abilities and level of professional competence and the acceptance of responsibility and accountability for consequences of one s own actions or omissions. Domain 2: Holistic Approaches to Care and the Integration of Knowledge This domain is concerned with holistic approaches to care and the integration of knowledge into clinical practice. It reflects the ability of the nurse/midwife to conduct the care of a client using a framework that is developed and implemented in consultation with the client. Indicators for this domain include the nurse s/midwife s ability to conduct a comprehensive assessment, to interpret findings of assessment and to plan care, identifying outcomes of care and taking into consideration therapeutic regimes of all other members of the health care team. This involves meeting the needs of clients in a co-ordinated and effective manner, delivering care that is adaptable according to the care situation and client s individual needs. Other indicators include the ability to evaluate care and to review plans in accordance with the evaluation data. The domain also reflects the ability of the nurse/midwife to establish and maintain therapeutic interpersonal relationships with individuals and groups and to collaborate with other members of the health care team and to document relevant information. Domain 3: Interpersonal Relationships This domain is concerned with the establishment and maintenance of a therapeutic interpersonal relationship with individual clients and groups. It is also concerned with the ability to collaborate with members of the health care team. The focus for assessment in this domain is the student nurse s/midwife s interaction with clients and co-workers and her/his ability to communicate through documentation. Some basic behaviours and attitudes which might be observed in relation to communication skills include being approachable, displaying good listening skills, using appropriate language, being respectful and so forth. These and other behaviours may be assessed in any situation where the student nurse/midwife is interacting with clients, staff or others at work. For example, communication skills and documentation skills can be assessed when the student nurse/midwife is attending to a patient s wound, undertaking an oral assessment or admitting a patient to hospital. DoCAT MidCAT UCD Revised 2010 10

Domain 4: Organisation and Management of Care This domain relates to the development of competence in the area of the organisation and management of care. It reflects the ability of the nurse/midwife to effectively manage the care of individuals and groups, to delegate some nursing/midwifery activities to other nurses/midwives, commensurate with their competence and within their scope of practice and to facilitate the coordination of care. The domain also reflects the ability to identify the team functioning and differing role boundaries for formal and informal carers and an awareness of quality initiatives and the role of quality management in patient care. The focus of assessment is on the nurse s/midwife s ability to work as a team member, ensuring that patient care is appropriate, effective, and consistent in all health care settings. Domain 5: Personal and Professional Development This domain is concerned with the nurse s/midwife s commitment to enhancing the professional and personal development of him/herself and others. It reflects a commitment to life long learning, which is seen as the key to the development of excellence in nursing/midwifery practice and nurses /midwives professional development. Life long learning involves learning for one s own personal and professional development whilst also being part of the learning community that is the profession of nursing/midwifery. As a member of the learning community, the nurse/midwife perceives his/herself as a life long learner and as a nurse/midwife educator, actively learning and sharing knowledge and skills. The domain reflects the nurse s/midwife s contribution to the learning of others, including colleagues and clients and it reflects the ability of the nurse/midwife to educate and promote health. in this domain focuses on the extent to which the nurse/midwife demonstrates this commitment to lifelong learning and the extent to which she/he contributes to the learning of others. For more information on the Domains of Competence refer to Requirements and Standards for Nurse/Midwife Registration Education Programmes (2005) An Bord Altranais, Dublin. DoCAT MidCAT UCD Revised 2010 11

Guidelines An essential part of registering as a midwife is that the student is deemed to be competent. Competence is a complex, multidimensional phenomenon defined as the ability of the registered midwife to practise safely and effectively fulfilling [their] professional responsibility within [their] scope of practice (An Bord Altranais, 2000, p7). As midwifery is a practice-based profession it has become increasingly recognised that student midwives practice must be assessed for competence. The person best positioned to assess competence in practice is the registered midwife in the clinical area, who works with the student midwife in their everyday practice. These assessments are carried out with the support of the staff in the School of Midwifery. This document (MidCAT) utilises and builds upon a range of literature and documents already in existence on competence assessment tools. This document is based around the five domains of competence identified by An Bord Altranais. For each of these five domains of competence, critical elements were identified drawing on the literature on competence and existing assessment documentation, in consultation with midwives working in the clinical area. The particular competence assessment tools reviewed were those from the Academic Division of Midwifery, University of Nottingham and the Department of Nursing and Midwifery, University of Limerick in conjunction with the School of Midwifery, St Munchins Hospital, and the School of Nursing and Midwifery, University College Dublin (MidCAT). The Formal Process In keeping with the philosophy, which recognises the notion of progressive learning, levels of competence are assessed at four levels. Level 1: Observer Participant - award expected during Year One. Level 2: Advanced Beginner award expected during second year and third year within the core areas (antenatal, intranatal and postnatal) and one specialist area (community midwifery) - with the exception of critical element identified by an asterisk* where a Level 1 is acceptable as these items are of higher complexity. Level 3: Supervised Practitioner expected during fourth year (internship) Level 4: Competent Practitioner - award expected during fourth year (internship) (with the exception of critical elements identified by an asterisk* where a Level 3 is acceptable as these items are of higher complexity). CORE MIDWIFERY PLACEMENTS: ANTENATAL, INTRANATAL, POSTNATAL, STAGE TWO AND STAGE THREE AWARD A LEVEL TWO. SPECIALIST PLACEMENTS IN STAGE TWO AND THREE: AWARD AT LEVEL 1 WITH THE EXCEPTION OF COMMUNITY MIDWIFERY: AWARD A LEVEL 2. DoCAT MidCAT UCD Revised 2010 12

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Placement Dates: Antenatal Care (Stage 2) NMHS 20020 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 13

SIGNATURE BANK Each registered midwife who acts as a preceptor for this student must sign this bank. Preceptors Name (Print) Signature Preceptors Initials Ward/Area RECORD OF ATTENDANCE Week 1 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Week 2 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Week 3 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Week 4 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Week 5 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Week 6 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Number of Days/ Hours Absent : MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 14

Competence Form Domain One Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.1 Practises in accordance with legislation and professional guidelines affecting midwifery practice 1.1.1 Identifies the legislation and professional guidelines pertinent to midwifery practice (indicate level, date and initials) Preceptor/ Midwife (indicate level, date and initials) Unit/ ward 1.1.2 Practises in accordance with the legislation and professional guidelines pertaining to midwifery practice 1.1.3 Demonstrates an awareness of local policies and guidelines governing practice 1.1.4 Maintains a good standard of practice in relation to record keeping including computer records 1.1.5 Maintains confidentiality with regard to information including the use of technology and social networking sites Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.2 Practice is underpinned by the distinct philosophy of midwifery 1.2.1 Practises in accordance with the view that childbirth is a normal life event (indicate level, Preceptor/ Midwife (indicate level, Unit/ Ward 1.2.2 Recognises the midwife s role as an autonomous practitioner 1.2.3 Demonstrates a holistic approach to care MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 15

1.2.4 Practises in a way that acknowledges the difference in belief and cultural practises of individuals and groups. 1.2.5 Recognises and respects the dignity, uniqueness and autonomy of each person Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.3 Develops and maintains competence. 1.3.1 Practises within a student midwife's scope of practice and identifies own limitations (indicate level, Preceptor/ Midwife (indicate level, Unit/ Ward 1.3.2 Actively seeks exposure to all aspects of midwifery practice 1.3.3 Seeks clarification to unclear or inappropriate instructions MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 16

Competence Form Domain Two Domain 2: Holistic Midwifery Care Performance Criterion 2.1 Provides safe and effective midwifery care that encompasses the full range of activities of the midwife as set out in EU Directive 80/155/EEC and the Definition of the Midwife (ICM/FIGO/WHO). 2.1.1 Conducts an assessment of the woman and her baby during the first antenatal visit 2.1.2 Identifies the importance of a woman s individual history. 2.1.3 Provides information on relevant antenatal screening tests to facilitate informed choice 2.2.4 Identifies the significance of maternal investigations and interprets findings. 2.1.5 Observes venepuncture in relation to maternal antenatal screening 2.1.6 Assesses individual needs in relation to health promotion 2.1.7 Performs an abdominal examination and understands the significance of findings 2.1.8 Monitors fetal heart rate utilising pinard stethoscope, sonicaid and cardiotocography 2.1.9* Interprets fetal heart rate patterns (Indicate level, Preceptor/ Midwife (Indicate level, date and sign) MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 17

2.1.10 Identifies the onset of labour 2.1.11* Demonstrates an awareness of the use of ultrasound in obstetrics 2.1.12 Recognises deviations from the normal 2.1.13 Reports findings of deviations from normal promptly to appropriate members of the health care team 2.1.14* Prepares a woman for an induction of labour 2.1.15* Prepares a woman for a caesarean section 2.1.16 Adheres to and practises in accordance with the Guidance to Nurses and Midwives on Medication Management (An Bord Altranais 2003) 2.1.17 Understands the importance of evidence-based practice in midwifery 2.1.18 Evaluates and reflects on the effectiveness of own practice Domain 2: Holistic Midwifery Care Performance Criterion: 2.2 Works in partnership with the woman and her family throughout the maternity experience. 2.2.1* Provides antenatal education/advice on a oneto-one bases 2.2.2* Delivers care in partnership with the woman, facilitating the provision of informed choice and consent. (indicate level, Preceptor/ Midwife (indicate level,date and sign) MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 18

Competence Form Domain Three Domain 3: Interpersonal Relationships Performance Criterion 3.1 Communicates effectively with women and their families in one-toone and group situations. 3.1.1 Communicates effectively with women and their families, using appropriate interpersonal and listening skills (indicate level, date and sign) Preceptor/ Midwife (indicate level, Unit/ Ward 3.1.2 Demonstrates consideration and sensitivity towards women and their families 3.1.3 Demonstrates ability to identify factors that facilitate and hinder effective communication Domain 3: Interpersonal Relationships Performance Criterion 3.2 Communicates effectively with other members of the healthcare team 3.2.1 Recognises the role of each member of the health care team (indicate level, date and sign) Preceptor/ Midwife (indicate level, Unit/ Ward 3.2.2 Communicates effectively with other members of the health care team 3.2.3 Participates with other members of the health care team in decision-making, acknowledging each woman s needs and preferences MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 19

Competence Form Domain Four Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.1 Effectively co-ordinates the midwifery care of women and their families. 4.1.1 Demonstrates the ability to prioritise, organise and coordinate care for women (indicate level, date and sign) Preceptor/ Midwife (indicate level, Ward/Unit 4.1.2 Complies with the Scope of Midwifery Practice with regard to delegation Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.2 Supports the development and delivery of effective care for women and their families 4.2.1 Understands the importance of evidence-based practice in developing local policies and procedures (indicate level, date and sign) Preceptor/ Midwife (indicate level, Unit/Ward 4.2.2 Identifies the need for effective stress management 4.2.3 Demonstrates an appreciation of the responsibilities of the midwife in risk management 4.2.4 Complies with health and safety policies and maintains equipment 4.2.5 Demonstrates an awareness of the principles of infection control MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 20

Competence Domain Five Domain 5: Personal and Professional Development Performance Criterion 5.1 Acts to enhance the personal and professional development of self and others 5.1.1 Identifies own learning needs in relation to expected learning outcomes (indicate level, date and sign) Preceptor/ Midwife (indicate level, Ward/ Unit 5.1.2 Identifies potential resources to facilitate the achievement of learning needs 5.1.3 Recognises the importance of continuous professional and lifelong learning for midwives 5.1.4 Recognises the student s developing role in the education of others MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 21

Student Name: RECORD OF STUDENT-PRECEPTOR MEETINGS Preliminary Meeting Student Number: Placement: Dates From: To: The student is required to reflect on his/her own learning needs by considering his/her level of competence in relation to the five domains of competence. The student must document below specific learning needs in relation to this clinical placement with the preceptor. Learning needs identified by the Student: Specific opportunities identified by the preceptor that are available during this placement: Skills List Reviewed: Please tick if yes Preceptor Signature: Date: PRINT NAME: Student Signature: PRINT NAME: Date: Date set for Intermediate Meeting: DoCAT MidCAT UCD Revised 2010

Student Name: RECORD OF STUDENT-PRECEPTOR MEETINGS Intermediate Meeting Student Number: Placement: Dates From: To: The student is required to reflect on his/her own learning needs to date. The preceptor should review the student s progress in relation to the learning needs and learning opportunities identified at the first meeting. Please tick. Domain 1 The Student is progressing satisfactorily in this Domain Yes No Preceptor comment required on all domains Domain 2 The Student is progressing satisfactorily in this Domain Yes No Domain 3 The Student is progressing satisfactorily in this Domain Yes No Domain 4 The Student is progressing satisfactorily in this Domain Yes No Domain 5 The Student is progressing satisfactorily in this Domain Yes No The student must document below which learning need(s) are outstanding and specify new learning need(s) with the preceptor. (Use separate sheet if necessary). Skills List Reviewed: Please tick if yes Preceptor Signature: Date: PRINT NAME: Student Signature: PRINT NAME: Date: DoCAT MidCAT UCD Revised 2010

Student Name: RECORD OF STUDENT-PRECEPTOR MEETINGS Final Meeting Student Number: Placement: Dates From: To: There is evidence that the student has attained all the standards for this placement. Yes No If the student has attained all the required standards for this placement, please provide a general comment on the student s performance: If the student has not attained all the required standards for this placement, please outline the standards in each domain that require attention: (use separate sheet if necessary). Please refer to the Policy in the Event of Unsuccessful Clinical. Skills List Reviewed: Please tick if yes Please state any absences in hours: Record of Attendance for the Placement Preceptor Signature: Date: PRINT NAME: Student Signature: PRINT NAME: Date: Personal Tutor Signature: Date: PRINT NAME: DoCAT MidCAT UCD Revised 2010

ADDITIONAL INFORMATION SHEET DoCAT MidCAT UCD Revised 2010

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Placement Dates: Care in Labour (Stage 2) NMHS 20030 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 26

Competence Form Domain One Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.1 Practises in accordance with legislation and professional guidelines affecting midwifery practice 1.1.1 Identifies the legislation and professional guidelines pertinent to midwifery practice (Indicate level, date and initials) Preceptor/ Midwife (Indicate level, date and initials) Unit/ ward 1.1.2 Practises in accordance with the legislation and professional guidelines pertaining to midwifery practice 1.1.3 Demonstrates an awareness of local policies and procedures governing practice 1.1.4 Maintains a good standard of practice in relation to record keeping including computer records 1.1.5 Maintains confidentiality with regard to information including the use of technology and social networking sites Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.2 Practice is underpinned by the distinct philosophy of midwifery 1.2.1 Practises in accordance with the view that childbirth is a normal life event (Indicate level, Preceptor/ Midwife (Indicate level, Unit/W ard MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 28

1.2.2 Recognises the midwife s role as an autonomous practitioner 1.2.4 Demonstrates a holistic approach to care 1.2.5 Practises in a way that acknowledges the difference in belief and cultural practises of individuals and groups. 1.2.6 Recognises and respects the dignity, uniqueness and autonomy of each person 1.2.7 Recognises the value of midwifery skills in midwifery practice while also recognising the appropriate role of technology Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.3 Develops and maintains competence. 1.3.1 Practises within a student midwife's scope of practice and identifies own limitations (Indicate level, Preceptor/ Midwife (Indicate level, Unit/W ard 1.3.2 Actively seeks exposure to all aspects of midwifery practice 1.3.3 Seeks clarification to unclear or inappropriate instructions 1.3.4 Bases practice on the best available evidence. MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 29

Competence Form Domain Two Domain 2: Holistic Midwifery Care Performance Criterion 2.1Provides safe and effective midwifery care that encompasses the full range of activities of the midwife as set out in EU Directive 80/155/EEC and the Definition of the Midwife ICM/FIGO/WHO. (First and Second Stage of Labour) 2.1.1 Takes an accurate history on admission to the labour ward 2.1.2 Performs baseline assessment of maternal and fetal wellbeing 2.1.3 Identifies the onset of labour (Indicate level, Preceptor/ Midwife (Indicate level, 2.1.4 * Distinguishes differential diagnosis e.g. Urinary tract infections 2.1.5 Monitors the effectiveness of uterine contractions throughout labour 2.1.6 Performs an abdominal examination to identify fetal position and to assess progress in labour 2.1.7 Demonstrates awareness of indications and contraindications for performing an examination per vaginum 2.1.8 * Performs and interprets the findings of an examination per vaginum 2.1.9 Monitors maternal and fetal wellbeing in labour utilising intermittent monitoring or cardiotocography where appropriate 2.1.10 Recognises normal fetal heart rate patterns 2.1.11 Performs bladder care including urinary catheterisation when MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 30

appropriate 2.1.12 Recognises the emotional and physiological changes associated with the first and second stage of labour 2.1.13 Provides care for women who choose an active, non-pharmacological/ analgesic-free labour 2.1.14 Provides care for women who choose intramuscular, inhalation and epidural analgesia 2.1.15 Adheres to and practises in accordance with the Guidance to Nurses and Midwives on Medication Management (An Bord Altranais 2003) 2.1.16 Recognises deviations from the normal and makes appropriate referral to senior midwife/doctor 2.1.17 * 2.1.18 * Provides care and management for the woman requiring oxytocin infusion Understands the indications for an amniotomy 2.1.19 * Identifies the indications for selective use of episiotomy and can perform an episiotomy if indicated 2.1.20 Provides initial care and assessment of the newborn 2.1.21 Promotes and assists in establishing breast feeding in accordance with the Baby Friendly Initiative Domain 2: Holistic Midwifery Care Performance Criterion 2.2 Provides safe and effective midwifery care that encompasses the full range of activities of the midwife as set out in EU Directive 80/155/EEC and the Definition of the Midwife ICM/FIGO/WHO. (Third Stage of Labour) 2.2.1 Recognises the signs of separation of the placenta (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, date and sign) MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 31

2.2.2 Recognises the factors which influences the management of the third stage of labour 2.2.3 * Demonstrates the ability to assist in the physiological management of the third stage 2.2.4 Demonstrates ability to actively manage the third stage of labour 2.2.5 Demonstrates the ability to examine the placenta and membranes 2.2.6 * Demonstrates the ability to care for a woman with a retained placenta 2.2.7 * Identifies those women who are more at risk of a postpartum haemorrhage 2.2.8 * Demonstrates the ability to identify and manage a postpartum haemorrhage (PPH) 2.2.9 Demonstrates an understanding of the role of breastfeeding in the management of the third stage of labour 2.2.10 Demonstrates an understanding of the role of oxytocic agents in the management of the third stage of labour 2.2.11 * Classifies the degree of perineal trauma and identifies the need for repair and the appropriate suturing technique 2.2.12 Assesses well-being of mother and baby prior to transfer to postnatal ward MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 32

Domain 2: Holistic Midwifery Care. Performance Criterion 2.3 Provides safe and effective midwifery care that encompasses the full range of activities of the midwife as set out in EU Directive 80/155/EEc and the Definition of the Midwife ICM/FIGO/WHO. (High Risk Pregnancy). 2.3.1 * Provides care and management of a woman with a high risk pregnancy 2.3.2 Assists in the care and management of an assisted birth. (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, date and sign) 2.3.3 * 2.3.4 * 2.3.5 * Assists in the care and management of women with multiple pregnancy in labour Assists in the care and management of a breech birth Demonstrates awareness of the significance and management of meconium stained liquor in labour 2.3.6 Demonstrates awareness of indications for continuous fetal monitoring. 2.3.7 Demonstrates awareness of indications and contraindications for the use of fetal scalp electrodes (FSE) 2.3.8 Recognises and reports non-reassuring cardiotocograph and initiates appropriate intervention 2.3.9 * 2.3.10 * 2.3.11 * 2.3.12 * Prepares and assists in fetal blood sampling and is able to interpret the results Anticipates and plans for babies who are more likely to require resuscitation at birth Assists in the resuscitation of the newborn Recognises and assists in emergency situations associated with labour e.g. intrapartum haemorrhage, shoulder dystocia, cord prolapse etc MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 33

2.3.13 * Provides care for the woman and her partner who are experiencing an intra uterine death (IUD) or stillbirth 2.3.14 Understands the importance of evidence-based practice in midwifery and applies it appropriately to practice 2.3.15 Demonstrates effective decisionmaking and problem-solving skills 2.3.16 Evaluates and reflects on the effectiveness of own practice Domain 2: Holistic Midwifery Care Performance Criterion 2.4: Works in partnership with the woman and her family throughout the maternity experience. 2.4.1 Assists in a normal birth in partnership with the woman 2.4.2 Recognises the role of the woman s birthing partner. 2.4.3 Discusses, informs and supports the woman s choices in labour. 2.4.4 Provides support, encouragement and empathy for women in labour (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 34

Competence Form Domain Three Domain 3: Interpersonal Relationships Performance Criterion 3.1 Communicates effectively with women and their families in one-toone and group situations. 3.1.1 Communicates effectively with women and their families, using appropriate interpersonal and listening skills (Indicate level, Preceptor/ Midwife (Indicate level, date and sign) Unit/Ward 3.1.2 Demonstrates consideration and sensitivity towards women and their families 3.1.3 Demonstrates ability to identify factors that facilitate and hinder effective communication Domain 3: Interpersonal Relationships Performance Criterion 3.2 Communicates effectively with other members of the healthcare team 3.2.1 Recognises the role of each member of the health care team (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, Unit/W ard 3.2.2 Communicates effectively with other members of the health care team 3.2.3 Participates with other members of the health care team in decision-making, acknowledging each woman s needs and preferences MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 35

Competence Form Domain Four Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.1 Effectively co-ordinates the midwifery care of women and their families. 4.1.1 Demonstrates the ability to prioritise, organise and coordinate care for women (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, date and sign) Ward/Unit 4.1.2 Complies with the Scope of Midwifery Practice with regard to delegation Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.2 Supports the development and delivery of effective care for women and their families 4.2.1 Understands the importance of evidencebased practice in developing local policies and guidelines (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, date and sign) Unit/W ard 4.2.2 Identifies the need for effective stress management 4.2.3 Demonstrates an appreciation of the responsibilities of the midwife in risk management 4.2.4 Complies with health and safety policies and maintains equipment 4.2.5 Demonstrates an awareness of the principles of infection control MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 36

Competence Form Domain Five Domain 5: Personal and Professional Development Performance Criterion 5.1 Acts to enhance the personal and professional development of self and others 5.1.1 Identifies own learning needs in relation to expected learning outcomes (Indicate level, Preceptor/ Midwife (Indicate level, Ward/U nit 5.1.2 Identifies potential resources to facilitate the achievement of learning needs 5.1.3 Recognises the importance of continuous professional and lifelong learning for midwives 5.1.4 Recognises the student s developing role in the education of others MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 37

ADDITIONAL INFORMATION SHEET DoCAT MidCAT UCD Revised 2010

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Placement Dates: Postnatal Care (Stage 2) NMHS 20440 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 42

Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.2 Practice is underpinned by the distinct philosophy of midwifery 1.2.1 Practises in accordance with the view that childbirth is a normal life event (Indicate level, Preceptor/ Midwife (Indicate level, Unit/Ward 1.2.2 Recognises the midwife s role as an autonomous practitioner 1.2.4 Demonstrates a holistic approach to care 1.2.5 Practises in a way that acknowledges the difference in belief and cultural practises of individuals and groups. 1.2.6 Recognises and respects the dignity, uniqueness and autonomy of each person 1.2.7 Recognises the value of midwifery skills in midwifery practice while also recognising the appropriate role of technology Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.3 Develops and maintains competence. 1.3.1 Practises within a student midwife's scope of practice and identifies own limitations (Indicate level, Preceptor/ Midwife (Indicate level, Unit/ Ward 1.3.2 Actively seeks exposure to all aspects of midwifery practice 1.3.3 Seeks clarification to unclear or inappropriate instructions 1.3.4 Bases practice on the best available evidence. MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 45

2.1.6 Performs a daily examination of the newborn and evaluates the baby's adaptation to extrauterine life 2.1.7 Obtains blood for metabolic and other screening tests 2.1.8 Supports the woman in her choice of infant feeding 2.1.9 Provides advice and information with regard to breastfeeding in accordance with the Baby Friendly Initiative 2.1.10 Assists in establishing and maintaining breastfeeding 2.1.11 Provides advice and information in relation to formula feeding 2.1.12 * Provides care in relation to the management of maternal postnatal complications 2.1.13 Adheres to and practises in accordance with the Guidance to Nurses and Midwives on Medication Management (An Bord Altranais 2003) 2.1.14 * 2.1.15 * Provides care in relation to the management of neonatal complications e.g. jaundice, hypoglycaemia Provides support to women and their families who have experienced bereavement 2.1.14 Understands the importance of evidencebased practice in midwifery and applies it appropriately to practice MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 47

2.1.15 Demonstrates effective decision-making and problem-solving skills 2.1.16 Evaluates and reflects on the effectiveness of own practice Domain 2: Holistic Midwifery Care. Performance Criterion 2.2 Works in partnership with the woman and her family throughout the maternity experience. 2.2.1 Provides advice and support to the woman to promote health and wellbeing 2.2.2 Provides advice and support to the woman to aid adaptation to parenthood 2.2.3 Provides the woman with accurate information regarding her plan of care and possible outcomes. 2.2.4 Provides accurate advice regarding discharge home (Indicate level, Preceptor/ Midwife (Indicate level, date and sign) 2.2.5 * 2.2.6 * Liaises with other health professionals regarding the woman's and infant s discharge home or need for referral Provides support to women and their families whose baby has been admitted to Special Care Baby Unit MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 48

Competence Form Domain Three Domain 3: Interpersonal Relationships Performance Criterion 3.1 Communicates effectively with women and their families in one-toone and group situations. 3.1.1 Communicates effectively with women and their families, using appropriate interpersonal and listening skills (Indicate level, Preceptor/ Midwife (Indicate level, date and sign) Unit/Ward 3.1.2 Demonstrates consideration and sensitivity towards women and their families 3.1.3 Demonstrates ability to identify factors that facilitate and hinder effective communication Domain 3: Interpersonal Relationships Performance Criterion 3.2 Communicates effectively with other members of the healthcare team 3.2.1 Recognises the role of each member of the health care team (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, Unit/Ward 3.2.2 Communicates effectively with other members of the health care team 3.2.3 Participates with other members of the health care team in decision-making, acknowledging each woman s needs and preferences MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 49

Competence Form Domain Four Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.1 Effectively co-ordinates the midwifery care of women and their families. 4.1.1 Demonstrates the ability to prioritise, organise and coordinate care for women (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, date and sign) Ward/Unit 4.1.2 Complies with the Scope of Midwifery Practice with regard to delegation Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.2 Supports the development and delivery of effective care for women and their families 4.2.1 Understands the importance of evidencebased practice in developing local policies and guidelines (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, date and sign) Unit/Ward 4.2.2 Identifies the need for effective stress management 4.2.3 Demonstrates an appreciation of the responsibilities of the midwife in risk management 4.2.4 Complies with health and safety policies and maintains equipment 4.2.5 Demonstrates an awareness of the principles of infection control MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 50

Competence Form Domain Five Domain 5: Personal and Professional Development Performance Criterion 5.1 Acts to enhance the personal and professional development of self and others 5.1.1 Identifies own learning needs in relation to expected learning outcomes (Indicate level, Preceptor/ Midwife (Indicate level, Ward/Unit 5.1.2 Identifies potential resources to facilitate the achievement of learning needs 5.1.3 Recognises the importance of continuous professional and lifelong learning for midwives 5.1.4 Recognises the student s developing role in the education of others MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 51

ADDITIONAL INFORMATION SHEET DoCAT MidCAT UCD Revised 2010

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Placement Dates: Antenatal Care (Stage 3) NMHS 31150 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 56

Competence Form Domain One Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.1 Practises in accordance with legislation and professional guidelines affecting midwifery practice 1.1.1 Identifies the legislation and professional guidelines pertinent to midwifery practice (Indicate level, date and initials) Preceptor/ Midwife (Indicate level, date and initials) Unit/ ward 1.1.2 Practises in accordance with the legislation and professional guidelines pertaining to midwifery practice 1.1.3 Demonstrates an awareness of local policies and procedures governing practice 1.1.4 Maintains a good standard of practice in relation to record keeping including computer records 1.1.5 Maintains confidentiality with regard to information including the use of technology and social networking sites Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.2 Practice is underpinned by the distinct philosophy of midwifery 1.2.1 Practises in accordance with the view that childbirth is a normal life event (Indicate level, Preceptor/ Midwife (Indicate level, Unit/ Ward 1.2.2 Recognises the midwife s role as an autonomous practitioner 1.2.4 Demonstrates a holistic approach MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 58

to care 1.2.5 Practises in a way that acknowledges the difference in belief and cultural practises of individuals and groups. 1.2.6 Recognises and respects the dignity, uniqueness and autonomy of each person 1.2.7 Recognises the value of midwifery skills in midwifery practice while also recognising the appropriate role of technology Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.3 Develops and maintains competence. 1.3.1 Practises within a student midwife's scope of practice and identifies own limitations (Indicate level, Preceptor/ Midwife (Indicate level, Unit/ Ward 1.3.2 Actively seeks exposure to all aspects of midwifery practice 1.3.3 Seeks clarification to unclear or inappropriate instructions 1.3.4 Bases practice on the best available evidence. MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 59

Competence Form Domain Two Domain 2: Holistic Midwifery Care Performance Criterion 2.1 Provides safe and effective midwifery care that encompasses the full range of activities of the midwife as set out in EU Directive 80/155/EEC and the Definition of the Midwife (ICM/FIGO/WHO). 2.1.1 Conducts an assessment of the woman and her baby during the first antenatal visit 2.1.2 Identifies the importance of a woman s individual history. 2.1.3 Provides information on relevant antenatal screening tests to facilitate informed choice 2.2.4 Identifies the significance of maternal investigations and interprets findings. 2.1.5 Observes venepuncture in relation to maternal antenatal screening 2.1.6 Assesses individual needs in relation to health promotion 2.1.7 Performs an abdominal examination and understands the significance of findings 2.1.8 Monitors fetal heart rate utilising pinard stethoscope, sonicaid and cardiotocography 2.1.9 Interprets fetal heart rate patterns (Indicate level, Preceptor/ Midwife (Indicate level, date and sign) MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 60

2.1.10 Identifies the onset of labour 2.1.11 * 2.1.12 * 2.1.13 * 2.1.14 * 2.1.15 * 2.1.16 * Demonstrates an awareness of the use of ultrasound in obstetrics Recognises deviations from the normal Reports findings of deviations from normal promptly to appropriate members of the health care team Participates in the care of a woman with a high risk pregnancy Recognises emergency situations and takes appropriate action Prepares a woman for an induction of labour 2.1.17 * Prepares a woman for a caesarean section 2.1.18 Adheres to and practises in accordance with the Guidance to Nurses and Midwives on Medication Management (An Bord Altranais 2003) 2.1.19 Understands the importance of evidencebased practice in midwifery and applies it appropriately to practice 2.1.20 * Demonstrates effective decision-making and problem-solving skills 2.1.21 Evaluates and reflects on the effectiveness of own practice MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 61

Domain 2: Holistic Midwifery Care Performance Criterion: 2.2 Works in partnership with the woman and her family throughout the maternity experience. 2.2.1 Provides antenatal education on a one-to-one bases (Indicate level, Preceptor/ Midwife (Indicate level, date and sign) 2.2.2 * Demonstrates an awareness of the appropriate use of a written birth plan 2.2.3 Delivers care in partnership with the woman, facilitating the provision of informed choice and consent. MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 62

Competence Form Domain Three Domain 3: Interpersonal Relationships Performance Criterion 3.1 Communicates effectively with women and their families in one-toone and group situations. 3.1.1 Communicates effectively with women and their families, using appropriate interpersonal and listening skills (Indicate level, Preceptor/ Midwife (Indicate level, date and sign) Unit/Ward 3.1.2 Demonstrates consideration and sensitivity towards women and their families 3.1.3 Demonstrates ability to identify factors that facilitate and hinder effective communication Domain 3: Interpersonal Relationships Performance Criterion 3.2 Communicates effectively with other members of the healthcare team 3.2.1 Recognises the role of each member of the health care team (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, Unit/W ard 3.2.2 Communicates effectively with other members of the health care team 3.2.3 Participates with other members of the health care team in decision-making, acknowledging each woman s needs and preferences MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 63

Competence Form Domain Four Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.1 Effectively co-ordinates the midwifery care of women and their families. 4.1.1 Demonstrates the ability to prioritise, organise and coordinate care for women (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, date and sign) Ward/Unit 4.1.2 Complies with the Scope of Midwifery Practice with regard to delegation Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.2 Supports the development and delivery of effective care for women and their families 4.2.1 Understands the importance of evidencebased practice in developing local policies and guidelines (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, date and sign) Unit/W ard 4.2.2 Identifies the need for effective stress management 4.2.3 Demonstrates an appreciation of the responsibilities of the midwife in risk management 4.2.4 Complies with health and safety policies and maintains equipment 4.2.5 Demonstrates an awareness of the principles of infection control MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 64

Competence Form Domain five Domain 5: Personal and Professional Development Performance Criterion 5.1 Acts to enhance the personal and professional development of self and others 5.1.1 Identifies own learning needs in relation to expected learning outcomes (Indicate level, Preceptor/ Midwife (Indicate level, Ward/U nit 5.1.2 Identifies potential resources to facilitate the achievement of learning needs 5.1.3 Recognises the importance of continuous professional and lifelong learning for midwives 5.1.4 Recognises the student s developing role in the education of others MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 65

ADDITIONAL INFORMATION SHEET DoCAT MidCAT UCD Revised 2010

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Placement Dates: Care in Labour (Stage 3) NMHS 31160 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 70

Competence Form Domain One Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.1 Practises in accordance with legislation and professional guidelines affecting midwifery practice 1.1.1 Identifies the legislation and professional guidelines pertinent to midwifery practice (Indicate level, date and initials) Preceptor/ Midwife (Indicate level, date and initials) Unit/ward 1.1.2 Practises in accordance with the legislation and professional guidelines pertaining to midwifery practice 1.1.3 Demonstrates an awareness of local policies and procedures governing practice 1.1.4 Maintains a good standard of practice in relation to record keeping including computer records 1.1.5 Maintains confidentiality with regard to information including the use of technology and social networking sites Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.2 Practice is underpinned by the distinct philosophy of midwifery 1.2.1 Practises in accordance with the view that childbirth is a normal life event (Indicate level, Preceptor/ Midwife (Indicate level, Unit/Ward MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 72

1.2.2 Recognises the midwife s role as an autonomous practitioner 1.2.4 Demonstrates a holistic approach to care 1.2.5 Practises in a way that acknowledges the difference in belief and cultural practises of individuals and groups. 1.2.6 Recognises and respects the dignity, uniqueness and autonomy of each person 1.2.7 Recognises the value of midwifery skills in midwifery practice while also recognising the appropriate role of technology Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.3 Develops and maintains competence. 1.3.1 Practises within a student midwife's scope of practice and identifies own limitations (Indicate level, Preceptor/ Midwife (Indicate level, Unit/Ward 1.3.2 Actively seeks exposure to all aspects of midwifery practice 1.3.3 Seeks clarification to unclear or inappropriate instructions 1.3.4 Bases practice on the best available evidence. MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 73

Competence Form Domain Two Domain 2: Holistic Midwifery Care Performance Criterion 2.1Provides safe and effective midwifery care that encompasses the full range of activities of the midwife as set out in EU Directive 80/155/EEC and the Definition of the Midwife ICM/FIGO/WHO. (First and Second Stage of Labour) 2.1.1 Takes an accurate history on admission to the labour ward 2.1.2 Performs baseline assessment of maternal and fetal wellbeing 2.1.3 Identifies the onset of labour (Indicate level, Preceptor/ Midwife (Indicate level, 2.1.4 * Distinguishes differential diagnosis e.g. Urinary tract infections 2.1.5 Monitors the effectiveness of uterine contractions throughout labour 2.1.6 Performs an abdominal examination to identify fetal position and to assess progress in labour 2.1.7 Demonstrates awareness of indications and contraindications for performing an examination per vaginum 2.1.8 * Performs and interprets the findings of an examination per vaginum 2.1.9 Monitors maternal and fetal wellbeing in labour utilising intermittent monitoring or cardiotocography where appropriate 2.1.10 Recognises normal fetal heart rate patterns 2.1.11 Performs bladder care including urinary catheterisation when MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 74

appropriate 2.1.12 Recognises the emotional and physiological changes associated with the first and second stage of labour 2.1.13 Provides care for women who choose an active, non-pharmacological/ analgesic-free labour 2.1.14 Provides care for women who choose intramuscular, inhalation and epidural analgesia 2.1.15 Adheres to and practises in accordance with the Guidance to Nurses and Midwives on Medication Management (An Bord Altranais 2003) 2.1.16 Recognises deviations from the normal and makes appropriate referral to senior midwife/doctor 2.1.17 * 2.1.18 * Provides care and management for the woman requiring oxytocin infusion Performs an amniotomy safety and effectively when indicated 2.1.19 * Identifies the indications for selective use of episiotomy and can perform an episiotomy if indicated 2.1.20 Provides initial care and assessment of the newborn 2.1.21 Promotes and assists in establishing breast feeding in accordance with the Baby Friendly Initiative Domain 2: Holistic Midwifery Care Performance Criterion 2.2 Provides safe and effective midwifery care that encompasses the full range of activities of the midwife as set out in EU Directive 80/155/EEC and the Definition of the Midwife ICM/FIGO/WHO. (Third Stage of Labour) 2.2.1 Recognises the signs of separation of the placenta (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, date and sign) MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 75

2.2.2 Recognises the factors which influences the management of the third stage of labour 2.2.3 Demonstrates the ability to assist in the physiological management of the third stage 2.2.4 Demonstrates ability to actively manage the third stage of labour 2.2.5 Demonstrates the ability to examine the placenta and membranes 2.2.6 * Demonstrates the ability to care for a woman with a retained placenta 2.2.7 * Identifies those women who are more at risk of a postpartum haemorrhage 2.2.8 * Demonstrates the ability to identify and manage a postpartum haemorrhage (PPH) 2.2.9 Demonstrates an understanding of the role of breastfeeding in the management of the third stage of labour 2.2.10 Demonstrates an understanding of the role of oxytocic agents in the management of the third stage of labour 2.2.11 * Classifies the degree of perineal trauma and identifies the need for repair and the appropriate suturing technique 2.2.12 Assesses well-being of mother and baby prior to transfer to postnatal ward MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 76

Competence Form Domain Three Domain 3: Interpersonal Relationships Performance Criterion 3.1 Communicates effectively with women and their families in one-toone and group situations. 3.1.1 Communicates effectively with women and their families, using appropriate interpersonal and listening skills (Indicate level, Preceptor/ Midwife (Indicate level, date and sign) Unit/Ward 3.1.2 Demonstrates consideration and sensitivity towards women and their families 3.1.3 Demonstrates ability to identify factors that facilitate and hinder effective communication Domain 3: Interpersonal Relationships Performance Criterion 3.2 Communicates effectively with other members of the healthcare team 3.2.1 Recognises the role of each member of the health care team (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, Unit/Ward 3.2.2 Communicates effectively with other members of the health care team 3.2.3 Participates with other members of the health care team in decision-making, acknowledging each woman s needs and preferences MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 79

Competence Form Domain Four midwifery care Domain 4: Organisation and co-ordination of Performance Criterion 4.1 Effectively co-ordinates the midwifery care of women and their families. 4.1.1 Demonstrates the ability to prioritise, organise and coordinate care for women (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, date and sign) Ward/Unit 4.1.2 Complies with the Scope of Midwifery Practice with regard to delegation Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.2 Supports the development and delivery of effective care for women and their families 4.2.1 Understands the importance of evidencebased practice in developing local policies and guidelines (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, date and sign) Unit/Ward 4.2.2 Identifies the need for effective stress management 4.2.3 Demonstrates an appreciation of the responsibilities of the midwife in risk management 4.2.4 Complies with health and safety policies and maintains equipment 4.2.5 Demonstrates an awareness of the principles of infection control MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 80

Competence Form Domain Five Domain 5: Personal and Professional Development Performance Criterion 5.1 Acts to enhance the personal and professional development of self and others 5.1.1 Identifies own learning needs in relation to expected learning outcomes (Indicate level, Preceptor/ Midwife (Indicate level, Ward/Unit 5.1.2 Identifies potential resources to facilitate the achievement of learning needs 5.1.3 Recognises the importance of continuous professional and lifelong learning for midwives 5.1.4 Recognises the student s developing role in the education of others MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 81

ADDITIONAL INFORMATION SHEET DoCAT MidCAT UCD Revised 2010

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Placement Dates: Postnatal Care (Stage 3) NMHS 31170 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 86

Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.2 Practice is underpinned by the distinct philosophy of midwifery 1.2.1 Practises in accordance with the view that childbirth is a normal life event (Indicate level, Preceptor/ Midwife (Indicate level, Unit/ Ward 1.2.2 Recognises the midwife s role as an autonomous practitioner 1.2.4 Demonstrates a holistic approach to care 1.2.5 Practises in a way that acknowledges the difference in belief and cultural practises of individuals and groups. 1.2.6 Recognises and respects the dignity, uniqueness and autonomy of each person 1.2.7 Recognises the value of midwifery skills in midwifery practice while also recognising the appropriate role of technology Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.3 Develops and maintains competence. 1.3.1 Practises within a student midwife's scope of practice and identifies own limitations (Indicate level, Preceptor/ Midwife (Indicate level, Unit/ Ward 1.3.2 Actively seeks exposure to all aspects of midwifery practice 1.3.3 Seeks clarification to unclear or inappropriate instructions 1.3.4 Bases practice on the best MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 89

available evidence. Competence Form Domain Two Domain 2: Holistic Midwifery Care Performance Criterion 2.1 Provides safe and effective midwifery care that encompasses the full range of activities of the midwife as set out in EU Directive 80/155/EEC and the Definition of the Midwife (ICM/FIGO/WHO). 2.1.1 Performs the maternal postnatal examination and recognises the normal changes of the puerperium 2.1.2 Performs the maternal postnatal examination and recognises deviations from normal 2.1.3 Reports findings of deviations from normal promptly and appropriately 2.1.4 Recognises specific maternal needs associated with an instrumental delivery and caesarean section 2.1.5 Involves the woman in all aspects of care and identifies the woman's needs during the postnatal period (Indicate level, Preceptor/ Midwife (Indicate level, date and sign) MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 90

2.1.6 Performs a daily examination of the newborn and evaluates the baby's adaptation to extrauterine life 2.1.7 Obtains blood for metabolic and other screening tests 2.1.8 Supports the woman in her choice of infant feeding 2.1.9 Provides advice and information with regard to breastfeeding in accordance with the Baby Friendly Initiative 2.1.10 Assists in establishing and maintaining breastfeeding 2.1.11 Provides advice and information in relation to formula feeding 2.1.12 * Provides care in relation to the management of maternal postnatal complications 2.1.13 Adheres to and practises in accordance with the Guidance to Nurses and Midwives on Medication Management (An Bord Altranais 2003) 2.1.14 * 2.1.15 * Provides care in relation to the management of neonatal complications e.g. jaundice, hypoglycaemia Provides support to women and their families who have experienced bereavement 2.1.14 Understands the importance of evidencebased practice in midwifery and applies it appropriately to practice 2.1.15 Demonstrates effective MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 91

decision-making and problem-solving skills 2.1.16 Evaluates and reflects on the effectiveness of own practice Domain 2: Holistic Midwifery Care. Performance Criterion 2.2 Works in partnership with the woman and her family throughout the maternity experience. 2.2.1 Provides advice and support to the woman to promote health and wellbeing 2.2.2 Provides advice and support to the woman to aid adaptation to parenthood 2.2.3 Provides the woman with accurate information regarding her plan of care and possible outcomes. 2.2.4 Provides accurate advice regarding discharge home (Indicate level, Preceptor/ Midwife (Indicate level, date and sign) 2.2.5 * 2.2.6 * Liaises with other health professionals regarding the woman's and infant s discharge home or need for referral Provides support to women and their families whose baby has been admitted to Special Care Baby Unit MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 92

Competence Form Domain Three Domain 3: Interpersonal Relationships Performance Criterion 3.1 Communicates effectively with women and their families in one-toone and group situations. 3.1.1 Communicates effectively with women and their families, using appropriate interpersonal and listening skills (Indicate level, Preceptor/ Midwife (Indicate level, date and sign) Unit/Ward 3.1.2 Demonstrates consideration and sensitivity towards women and their families 3.1.3 Demonstrates ability to identify factors that facilitate and hinder effective communication Domain 3: Interpersonal Relationships Performance Criterion 3.2 Communicates effectively with other members of the healthcare team 3.2.1 Recognises the role of each member of the health care team (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, Unit/ Ward 3.2.2 Communicates effectively with other members of the health care team 3.2.3 Participates with other members of the health care team in decision-making, acknowledging each woman s needs and preferences MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 93

Competence Form Domain Four Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.1 Effectively co-ordinates the midwifery care of women and their families. 4.1.1 Demonstrates the ability to prioritise, organise and coordinate care for women (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, date and sign) Ward/ Unit 4.1.2 Complies with the Scope of Midwifery Practice with regard to delegation Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.2 Supports the development and delivery of effective care for women and their families 4.2.1 Understands the importance of evidencebased practice in developing local policies and guidelines (Indicate level, date and sign) Preceptor/ Midwife (Indicate level, date and sign) Unit/ Ward 4.2.2 Identifies the need for effective stress management 4.2.3 Demonstrates an appreciation of the responsibilities of the midwife in risk management 4.2.4 Complies with health and safety policies and maintains equipment 4.2.5 Demonstrates an awareness of the principles of infection control MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 94

Competence Form Domain Five Domain 5: Personal and Professional Development Performance Criterion 5.1 Acts to enhance the personal and professional development of self and others 5.1.1 Identifies own learning needs in relation to expected learning outcomes (Indicate level, Preceptor/ Midwife (Indicate level, Ward/ Unit 5.1.2 Identifies potential resources to facilitate the achievement of learning needs 5.1.3 Recognises the importance of continuous professional and lifelong learning for midwives 5.1.4 Recognises the student s developing role in the education of others MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 95

ADDITIONAL INFORMATION SHEET DoCAT MidCAT UCD Revised 2010

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Placement Dates: Ambulatory Day Care Centre (Specialist) NMHS 31180 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 100

Domain 1: Professional and Ethical Practice Recognises and respects the rights of all persons to be treated as individuals Identifies the various nursing roles in ADCC/Specialist Maintains confidentiality at all times in ADCC/Specialist Demonstrates professional conduct through punctuality, attendance and adherence to uniform policy Domain 2: Holistic Approaches to Care and the Integration of Knowledge Identifies the client care group and their specific health needs Participates under supervision in the assessment, planning, implementation and evaluation of care in ADCC/Specialist Observe and/or assist the staff nurse in his/her role e.g. management, health promotion, communication and educational role. Observe and participate with treatments and procedures Domain 3: Interpersonal Skills Recognises the multidisciplinary team approach needed for organisation and delivery of ADCC/Specialist nurse Identifies the role of the Public health nurse, community Liaison nurse, social worker to ADCC/Specialist nurse Observe/assist with the completion/maintenance of documentation Domain 4: Organisation and Management of Care Recognises the multidisciplinary approach in the ADCC/Specialist Observes and participates in prioritising and organising care in ADCC/Specialist Recognises the importance of involving family members where appropriate in the ADCC/Specialist Identify how social and government policies influence the health care system being delivered to the patient attending the ADCC/Specialist Recognises the nature of follow up care between hospital and home Observe and/or participate in the management of an ADCC/Specialist clinic Recognises the importance of team work within the department and also with community health services Domain 5: Personal and Professional Development Recognises the multidisciplinary team approach needed for organisation and delivery of ADCC/Specialist nurse Identifies the importance of health education/ promotion in the ADCC/Specialist Demonstrates a positive approach to learning in the ADCC/Specialist Shares learning experiences with colleagues Recognises own abilities and role boundaries and refers to others when necessary MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 101

Comments ADCC/Specialist Wound Care Diabetes Care Respiratory Care Review by Personal Tutor Signature Personal Tutor: Signature Student: Date: MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 102

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Placement Dates: Community Midwifery (Specialist) NMHS 20450 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 103

SIGNATURE BANK Each registered nurse who acts as a preceptor for this student must sign this bank. Preceptors Name (Print) Signature Preceptors Initials Ward/Area RECORD OF ATTENDANCE STAGE 2 Week 1 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Week 2 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Number of Days/ Hours Absent : RECORD OF ATTENDANCE STAGE 3 Week 1 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Week 2 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Number of Days/ Hours Absent : MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 104

Competence Form Domain One Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.1 Practises in accordance with legislation and professional guidelines affecting midwifery practice 1.1.1 Identifies the legislation and professional guidelines pertinent to midwifery practice (indicate level, date and initials) Preceptor/ Midwife (indicate level, date and initials) Unit/ ward 1.1.2 Practises in accordance with the legislation and professional guidelines pertaining to midwifery practice 1.1.3 Demonstrates an awareness of local policies and procedures governing practice 1.1.4 Maintains a good standard of practice in relation to record keeping including computer records 1.1.5 Maintains confidentiality with regard to information Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.2 Practice is underpinned by the distinct philosophy of midwifery 1.2.1 Practises in accordance with the view that childbirth is a normal life event (indicate level, Preceptor/ Midwife (indicate level, Unit/Ward 1.2.2 Recognises the midwife s role as an autonomous practitioner MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 105

1.2.4 Demonstrates a holistic approach to care 1.2.5 Practises in a way that acknowledges the difference in belief and cultural practises of individuals and groups. 1.2.6 Recognises and respects the dignity, uniqueness and autonomy of each person 1.2.7 Recognises the value of midwifery skills in midwifery practice while also recognising the appropriate role of technology Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.3 Develops and maintains competence. 1.3.1 Practises within a student midwife's scope of practice and identifies own limitations (indicate level, Preceptor/ Midwife (indicate level, Unit/W ard 1.3.2 Actively seeks exposure to all aspects of midwifery practice 1.3.3 Seeks clarification to unclear or inappropriate instructions 1.3.4 Bases practice on the best available evidence. MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 106

Competence Form Domain Two Domain 2: Holistic Midwifery Care Performance Criterion 2.1 Provides safe and effective midwifery care that encompasses the full range of activities of the midwife as set out in EU Directive 80/155/EEC and the Definition of the Midwife (ICM/FIGO/WHO). 2.1.1 Participates in Midwifery-Led antenatal care (indicate level, date and time) Preceptor/ Midwife (indicate level, 2.1.2 Demonstrates appropriate professional conduct in all care areas including the woman s own home 2.1.3 Conducts an assessment of the woman and her baby during the first antenatal visit 2.1.4 Identifies the importance of a woman s individual history. 2.1.5 Observes venepuncture in relation to maternal antenatal screening 2.1.6 Assesses individual needs in relation to health promotion 2.1.7 Performs an abdominal examination and understands the significance of findings 2.1.8 Monitors fetal heart rate utilising pinard stethoscope, sonicaid and cardiotocography 2.1.9 Participates in the preparation of a woman and partner for a Home Delivery 2.1.10 Participates in the preparation of a woman and partner for a DOMINO Delivery 2.1.11 Participates in a Home Delivery and/or DOMINO Delivery 2.1.12 Recognises the role of the woman s birthing partner. MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 107

2.1.13 Provides advice and support to the woman to promote health and well-being 2.1.14 Provides advice and support to the woman to aid adaptation to parenthood 2.1.15 Liases with other health professionals regarding the woman's and infant s discharge home or need for referral 2.1.16 Performs the maternal postnatal examination and recognises the normal changes of the puerperium 2.1.17 Performs the maternal postnatal examination and recognises deviations from the normal 2.1.18 Reports findings promptly and appropriately 2.1.19 Supports the woman in her choice of infant feeding 2.1.20 Provides advice and information with regard to breastfeeding in accordance with the Baby Friendly Hospital Initiative 2.1.21 Assists in establishing and maintaining breastfeeding 2.1.22 Provides advice and information with regard to formula feeding 2.1.23 Performs the daily examination of the newborn and evaluates the baby's adaptation to extrauterine life 2.1.24 Obtains blood for metabolic and other screening tests MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 108

Domain 2: Holistic Midwifery Care Performance Criterion 2.2: Works in partnership with the woman and her family throughout the maternity experience. 2.2.1 Demonstrates a holistic approach to care (indicate level, date and time) Preceptor/ Midwife (indicate level, 2.2.2 Practises in accordance with the view that childbirth is a normal life event 2.2.3 Recognises the midwife s role as an autonomous practitioner 2.2.4 Aware of the appropriate use of a written birth plan 2.2.5 Delivers care in partnership with the woman, facilitating the provision of informed choice and consent. 2.2.6 Aware of care choices within the Community Midwifery Service (NMH) MidCAT UCD BSc Midwifery Stage 2 3

Competence Form Domain Three Domain 3: Interpersonal Relationships Performance Criterion 3.1 Communicates effectively with women and their families in one-toone and group situations. 3.1.1 Communicates effectively with women and their families, using appropriate interpersonal and listening skills (indicate level, Preceptor/ Midwife (indicate level, date and sign) Unit/Ward 3.1.2 Demonstrates consideration and sensitivity towards women and their families 3.1.3 Demonstrates ability to identify factors that facilitate and hinder effective communication Domain 3: Interpersonal Relationships Performance Criterion 3.2 Communicates effectively with other members of the healthcare team 3.2.1 Recognises the role of each member of the health care team (indicate level, date and sign) Preceptor/ Midwife (indicate level, Unit/Ward 3.2.2 Communicates effectively with other members of the health care team 3.2.3 Participates with other members of the health care team in decision-making, acknowledging each woman s needs and preferences MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 110

Competence Form Domain Four Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.1 Effectively co-ordinates the midwifery care of women and their families. 4.1.1 Demonstrates the ability to prioritise, organise and coordinate care for women (indicate level, date and sign) Preceptor/ Midwife (indicate level, date and sign) Ward/Unit 4.1.2 Complies with the Scope of Midwifery Practice with regard to delegation Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.2 Supports the development and delivery of effective care for women and their families 4.2.1 Understands the importance of evidencebased practice in developing local policies and guidelines (indicate level, date and sign) Preceptor/ Midwife (indicate level, date and sign) Unit/Ward 4.2.2 Identifies the need for effective stress management 4.2.3 Demonstrates an appreciation of the responsibilities of the midwife in risk management 4.2.4 Complies with health and safety policies and maintains equipment 4.2.5 Demonstrates an awareness of the principles of infection control MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 111

Competence Form Domain Five Domain 5: Personal and Professional Development Performance Criterion 5.1 Acts to enhance the personal and professional development of self and others 5.1.1 Identifies own learning needs in relation to expected learning outcomes (indicate level, Preceptor/ Midwife (indicate level, Ward/Unit 5.1.2 Identifies potential resources to facilitate the achievement of learning needs 5.1.3 Recognises the importance of continuous professional and lifelong learning for midwives 5.1.4 Recognises the student s developing role in the education of others MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 112

ADDITIONAL INFORMATION SHEET DoCAT MidCAT UCD Revised 2010

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Placement Dates: Gynaecology Care (Specialist) NMHS 20460 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 117

SIGNATURE BANK Each registered midwife who acts as a preceptor for this student must sign this bank. Preceptors Name (Print) Signature Preceptors Initials Ward/Area RECORD OF ATTENDANCE Week 1 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Week 2 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Number of Days/ Hours Absent : RECORD OF ATTENDANCE Week 3 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Week 4 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Number of Days/ Hours Absent : MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 118

Record of Meeting Form Preliminary Meeting Date: Signatures : Student Preceptor Final Meeting Date: Comments on Domains and standards for clinical placement* Signatures Student Preceptor Skills List reviewed Clinical Placement Learning Outcomes reviewed Preliminary Meeting Final Meeting *If the student has attained all the required standards for this placement, please provide a general comment on the student s performance: *If the student has not attained all the required standards for this placement, please outline the standards in each domain that require attention: (use separate sheet if necessary). Please refer to the Policy in the Event of Unsuccessful Clinical for supernumerary clinical placements as appropriate. MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 119

Competence Form Domain One Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.1 Practises in accordance with legislation and professional guidelines affecting midwifery practice 1.1.1 Identifies the legislation and professional guidelines pertinent to midwifery practice (indicate level, date and initials) Preceptor/ Midwife (indicate level, date and initials) Unit/ ward 1.1.2 Practises in accordance with the legislation and professional guidelines pertaining to midwifery practice 1.1.3 Demonstrates an awareness of local policies and procedures governing practice 1.1.4 Maintains a good standard of practice in relation to record keeping including computer records 1.1.5 Maintains confidentiality with regard to information Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.2 Practice is underpinned by the distinct philosophy of midwifery 1.2.1 Practises in accordance with the view that childbirth is a normal life event 1.2.2 Recognises the midwife s role as an autonomous practitioner (indicate level, Preceptor/ Midwife (indicate level, Unit/Ward 1.2.3 Demonstrates a holistic approach MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 120

to care 1.2.4 Practises in a way that acknowledges the difference in belief and cultural practises of individuals and groups. 1.2.5 Recognises and respects the dignity, uniqueness and autonomy of each person 1.2.6 Recognises the value of midwifery skills in midwifery practice while also recognising the appropriate role of technology Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.3 Develops and maintains competence. 1.3.1 Practises within a student midwife's scope of practice and identifies own limitations (indicate level, Preceptor/ Midwife (indicate level, Unit/ Ward 1.3.2 Actively seeks exposure to all aspects of midwifery practice 1.3.3 Seeks clarification to unclear or inappropriate instructions 1.3.4 Bases practice on the best available evidence. MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 121

Competence Form Domain Two Domain 2: Holistic Midwifery Care Performance Criterion 2.1 Provides safe and effective midwifery /nursing care (that encompasses the full range of activities of the midwife as set out in EU Directive 80/155/EEC and the Definition of the Midwife (ICM/FIGO/WHO)). 2.1.1 Recognises and practices within limits of own scope of practice 2.1.2 Demonstrate safe and professional conduct in his/her everyday practice and maintains patient and family confidentiality at all times 2.1.3 Recognise the psychological effects of hospitalisation on women and their families and in relation to the reason for admission. 2.1.5 Demonstrate initiative to learn in the clinical area. 2.1.6 Participates, as a member of the nursing team, in the provision of care. 2.1.7 Recognises the importance of and participates under supervision in the initial assessment and care of woman with gynaecological conditions. 2.1.8 Participates under supervision in the continuous assessment and monitoring, planning, implementation and evaluation of nursing care. 2.1.9 Participates in the care and preparation of a woman prior to gynaecological surgical procedures e.g. Evacuation of Retained Products of Conception, Uterine Prolapse Repair, and Hysterectomy. 2.1.10 Participates in the care of a woman following gynaecological surgical procedures e.g. Evacuation of Retained Products of Conception, Uterine Prolapse Repair, Hysterectomy. (indicate level, date and time) Preceptor/ Midwife (indicate level, MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 122

2.1.11 * Provides support to women and their families who have experienced bereavement 2.1.12 Is aware of the safety needs of patients in hospital, and ensures that safety is maintained at all time 2.1.13 Is aware of the methods of organising nursing care in the gynaecological environment 2.1.14 Demonstrate the ability to work as a team member 2.1.15 Assists with arranging and coordinating the safe admission/discharge/transfer of woman. 2.1.16 Observes care within the Gynaecological Out-Patient Setting (Perineal Clinic, Uyrodynamics Clinic) 2.1.17 Identify the philosophy of care in the clinical placement setting Domain 2: Holistic Midwifery Care Performance Criterion 2.2: Works in partnership with the woman and her family throughout the healthcare experience. 2.2.1 Demonstrates professional values and attitudes and in the acute care setting 2.2.2 Recognises the diverse cultural and religious backgrounds of patients and their families 2.2.3 Recognises and respects the needs of the patient and their family where restoration to health is not possible. 2.2.4 Communicates clearly and accurately with patients, their families and member of the healthcare team (indicate level, date and time) Preceptor/ Midwife (indicate level, MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 123

Competence Form Domain Three Domain 3: Interpersonal Relationships Performance Criterion 3.1 Communicates effectively with women and their families in one-toone and group situations. 3.1.1 Communicates effectively with women and their families, using appropriate interpersonal and listening skills (indicate level, Preceptor/ Midwife (indicate level, date and sign) Unit/Ward 3.1.2 Demonstrates consideration and sensitivity towards women and their families 3.1.3 Demonstrates ability to identify factors that facilitate and hinder effective communication Domain 3: Interpersonal Relationships Performance Criterion 3.2 Communicates effectively with other members of the healthcare team 3.2.1 Recognises the role of each member of the health care team (indicate level, date and sign) Preceptor/ Midwife (indicate level, Unit/Ward 3.2.2 Communicates effectively with other members of the health care team 3.2.3 Participates with other members of the health care team in decision-making, acknowledging each woman s needs and preferences MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 124

Competence Form Domain Four Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.1 Effectively co-ordinates the midwifery care of women and their families. 4.1.1 Demonstrates the ability to prioritise, organise and coordinate care for women (indicate level, date and sign) Preceptor/ Midwife (indicate level, date and sign) Ward/Unit 4.1.2 Complies with the Scope of Midwifery Practice with regard to delegation Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.2 Supports the development and delivery of effective care for women and their families 4.2.1 Understands the importance of evidencebased practice in developing local policies and guidelines (indicate level, date and sign) Preceptor/ Midwife (indicate level, date and sign) Unit/ Ward 4.2.2 Identifies the need for effective stress management 4.2.3 Demonstrates an appreciation of the responsibilities of the midwife in risk management 4.2.4 Complies with health and safety policies and maintains equipment 4.2.5 Demonstrates an awareness of the principles of infection control MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 125

Competence Form Domain Five Domain 5: Personal and Professional Development Performance Criterion 5.1 Acts to enhance the personal and professional development of self and others 5.1.1 Identifies own learning needs in relation to expected learning outcomes (indicate level, Preceptor/ Midwife (indicate level, Ward /Unit 5.1.2 Identifies potential resources to facilitate the achievement of learning needs 5.1.3 Recognises the importance of continuous professional and lifelong learning for midwives 5.1.4 Recognises the student s developing role in the education of others MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 126

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Placement Dates: Medical Care (Specialist) NMHS 20430 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 127

Record of Attendance Week 1 Ward Hours of Duty Student signature Preceptor Signature Week 2 Ward Hours of Duty Student signature Preceptor Signature Week 3 ADCC/Clinical Nurse Specialist Area: Date Date Date Date Date Date Date Date Date Date Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Week 4 OPD Area: Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Number of Days/ Hours Absent: MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 128

Domain 1: Professional and Ethical Practice MEDICAL PLACEMENT Demonstrates the use of fundamental ethical principles relevant to patient care and their implications for her/his own practice. Demonstrates an understanding of relevant philosophies, policies, protocols and clinical guidelines of the clinical areas to which they are assigned Maintains confidentiality at all times Recognises the diverse cultural and religious backgrounds of all members attending and working in the medical/surgical setting Recognises and practices within limits of own scope of practice Demonstrates professional conduct through punctuality, attendance and adherence to uniform policy Identify the rights of all persons to be treated as individuals Preceptor: Student: Date: Comments Domain 2: Holistic Approaches to Care and the Integration of K l d Participates in the assessment, planning, implementation and evaluation of the nursing care needs of the patient in the medical/surgical setting Identifies the importance of planning for discharge from the point of admission Creates and maintains a physical, psychosocial, and spiritual environment that promotes safety, security, comfort and optimal health Participates in the delivery of care according to the plan of care Acts to promote the dignity and integrity of patient /clients Identifies the importance of evaluating care given and reassessing client/patient needs Preceptor: Student: Date: Comments MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 129

Domain 3: Interpersonal Skills Recognises the importance of effective communication between all members of the multi-disciplinary team, patient/client and family Demonstrates an understanding of the factors promoting and inhibiting patients/clients ability to receive and understand information Contributes to the establishment and maintenance of accurate, clear and current patient/ client records Preceptor: Student: Date: Comments Domain 4: Organisation and Management of Care Demonstrates an understanding of the overall goal/mission of the health care institution/organisation Recognises the importance of the multi-disciplinary approach to planning the care and demonstrates the ability to work as part of a team. Identifies the role of the individual patient/client and family in the decision-making processes of care delivery. Preceptor: Student: Date: Comments MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 130

Domain 5: Personal and Professional Development Demonstrates a positive approach to learning in the medical-surgical setting and show initiative in achieving standards required for level of training Responds receptively to constructive feedback Shares learning experiences with colleagues. Recognises own abilities and role boundaries and refers to others when necessary Preceptor: Student: Date: Comments Overall Comments (to be filled in at the end of the placement) MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 131

Record of Meetings Preliminary Meeting Date: Signatures Student Preceptor Final Meeting Date: There is evidence that the student has attained all the standards for this placement* Yes No Signatures Student Preceptor *If the student has attained all the required standards for this placement, please provide a general comment on the student s performance: *If the student has not attained all the required standards for this placement, please outline the standards in each domain that require attention: (use separate sheet if necessary). Please refer to the Policy in the Event of Unsuccessful Clinical. Signature Personal Tutor: Signature Student: Date: Review by Personal Tutor MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 132

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Placement Dates: Mental Health and Psychiatry NMHS 31190 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 133

Domain 1: Professional and Ethical Practice Identify legal aspects concerning patients detention treatment Recognise ethical issues relevant to the care of patents with altered mental health Identify ethical issues associated with the care of persons with altered mental health Recognise the legal ethical responsibilities of the psychiatric midwife Recognise own abilities and role boundaries and refers to others when necessary Preceptor: Student: Date: Comments Domain 2: Holistic Approaches to care and the Integration of K l d Recognises the importance of and participates in a structured psychiatric nursing assessment Identifies psychiatric midwifes sources of information in assessing patients Identifies the role of the members of the psychiatric team Recognises the importance of care planning Observes and participate in the implementation of planned care Maintains and promotes an environment of safety and security in the psychiatric setting Recognises the importance of evaluating care and participate in the evaluation of care in the psychiatric setting Preceptor: Student: Date: Comments MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 135

Domain 3: Interpersonal Skills Recognises the importance of planned interpersonal interventions Recognises the importance of developing therapeutic interpersonal skills Recognises factors which promote or inhibit patient ability to communicate Participates in the sharing of information with others members of the health care team Demonstrates the ability to work as a member of the mental health nursing team Preceptor: Student: Date: Comments Domain 4: Organisation and Management of Care Recognises the importance of a team approach to psychiatric care Identifies the methods of organising psychiatric nursing care Demonstrates an understanding of the overall goal/mission of the health care institution/organisation Preceptor: Student: Date: Comments MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 136

Domain 5: Personal and Professional Development Recognise the importance of developing knowledge and skills in the care of clients/patents with altered mental health Demonstrates a positive approach to learning in the mental health setting Shares learning experiences with colleagues. Recognises own abilities and role boundaries and refers to others when necessary Preceptor: Student: Date: Comments Overall Comments (to be filled in at the end of the placement) MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 137

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Placement Dates: Neonatal Care (Specialist) NMHS 31180 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 139

SIGNATURE BANK Each registered midwife who acts as a preceptor for this student must sign this bank. Preceptors Name (Print) Signature Preceptors Initials Ward/Area RECORD OF ATTENDANCE Week 1 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Week 2 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Number of Days/ Hours Absent : RECORD OF ATTENDANCE Week 3 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Week 4 Date Date Date Date Date Hours of Duty Student signature Preceptor Signature Number of Days/ Hours Absent : MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 140

Competence Form Domain One Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.1 Practises in accordance with legislation and professional guidelines affecting midwifery practice 1.1.1 Identifies the legislation and professional guidelines pertinent to midwifery practice (indicate level, date and initials) Preceptor/ Midwife (indicate level, date and initials) Unit/ ward 1.1.2 Practises in accordance with the legislation and professional guidelines pertaining to midwifery practice 1.1.3 Demonstrates an awareness of local policies and procedures governing practice 1.1.4 Maintains a good standard of practice in relation to record keeping including computer records 1.1.5 Maintains confidentiality with regard to information Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.2 Practice is underpinned by the distinct philosophy of midwifery 1.2.1 Practises in accordance with the view that childbirth is a normal life event (indicate level, Preceptor/ Midwife (indicate level, Unit/ Ward 1.2.2 Recognises the midwife s role as an autonomous practitioner MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 141

1.2.4 Demonstrates a holistic approach to care 1.2.5 Practises in a way that acknowledges the difference in belief and cultural practises of individuals and groups. 1.2.6 Recognises and respects the dignity, uniqueness and autonomy of each person 1.2.7 Recognises the value of midwifery skills in midwifery practice while also recognising the appropriate role of technology Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.3 Develops and maintains competence. 1.3.1 Practises within a student midwife's scope of practice and identifies own limitations (indicate level, Preceptor/ Midwife (indicate level, Unit/ Ward 1.3.2 Actively seeks exposure to all aspects of midwifery practice 1.3.3 Seeks clarification to unclear or inappropriate instructions 1.3.4 Bases practice on the best available evidence. MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 142

Competence Form Domain Two Domain 2: Holistic Midwifery Care Performance Criterion 2.1 Provides safe and effective midwifery care that encompasses the full range of activities of the midwife as set out in EU Directive 80/155/EEC and the Definition of the Midwife (ICM/FIGO/WHO). 2.1.1 Demonstrates an awareness of the safe and effective use of equipment 2.1.2 Recognises babies who require admission to the neonatal unit 2.1.3 Assists in the admission procedures necessary when a baby is admitted to the Special Care Baby Unit (SCBU) 2.1.4 Identifies the importance of antenatal and intranatal history which may contribute to the baby s present condition 2.1.5 Assists in the detailed assessment of the baby on admission to SCBU (indicate level, date and time) Preceptor/ Midwife (indicate level, 2.1.6 * 2.2.7 * 2.1.8 * Performs on-going assessment of a baby following admission to SCBU Identifies the physical and neurological differences between pre-term, small for gestational age and low birth weight babies Identifies potential and actual complications related to the baby's condition, gestation and birth weight MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 143

2.1.9 Assists in the care for a baby of a mother with diabetes 2.1.10 Assists in the care for a baby with cerebral irritation 2.1.11 Assists in the care for a baby with Neonatal Abstinence syndrome 2.1.12 Assists in the care for babies with congenital malformations 2.1.13 Aware of the Guidance to Nurses and Midwives on Medication Management (An Bord Altranais 2003) 2.1.14 Demonstrates an awareness of the causes, prevention and management of neonatal infection 2.1.15 Recognises the clinical signs of neonatal infection 2.1.16 Recognises the need for effective resuscitation of the newborn 2.1.17 Assists in the provision of support for women and the families of babies who are critically ill or have special needs 2.1.18 Assists in the provision of support for women and their families who have experienced bereavement 2.1.19 Recognises the factors that contribute to perinatal morbidity and mortality 2.1.20 Assists in planning for discharge home and follow-up of the baby from SCBU 2.1.21 Recognises the importance of the six week examination for babies discharged from SCBU MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 144

Domain 2: Holistic Midwifery Care Performance Criterion 2.2: Works in partnership with the woman and her family throughout the maternity experience. 2.2.1 Delivers care of the baby in partnership with the woman and her partner. 2.2.2 Recognises the emotional, spiritual, social, cultural and educational needs of the woman and her partner 2.2.3 Involves the woman and partner in the daily physical care of their baby 2.2.4 Facilitates parent-infant attachment/ relationship with particular reference to skin-to-skin contact 2.2.5 Recognises the role of different members of the health care team in neonatal care (indicate level, date and time) Preceptor/ Midwife (indicate level, date and sign) MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 145

Competence Form Domain Three Domain 3: Interpersonal Relationships Performance Criterion 3.1 Communicates effectively with women and their families in one-toone and group situations. 3.1.1 Communicates effectively with women and their families, using appropriate interpersonal and listening skills (indicate level, Preceptor/ Midwife (indicate level, date and sign) Unit/Ward 3.1.2 Demonstrates consideration and sensitivity towards women and their families 3.1.3 Demonstrates ability to identify factors that facilitate and hinder effective communication Domain 3: Interpersonal Relationships Performance Criterion 3.2 Communicates effectively with other members of the healthcare team 3.2.1 Recognises the role of each member of the health care team (indicate level, date and sign) Preceptor/ Midwife (indicate level, Unit/ Ward 3.2.2 Communicates effectively with other members of the health care team 3.2.3 Participates with other members of the health care team in decision-making, acknowledging each woman s needs and preferences MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 146

Competence Form Domain Four Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.1 Effectively co-ordinates the midwifery care of women and their families. 4.1.1 Demonstrates the ability to prioritise, organise and coordinate care for women (indicate level, date and sign) Preceptor/ Midwife (indicate level, date and sign) Ward/Unit 4.1.2 Complies with the Scope of Midwifery Practice with regard to delegation Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.2 Supports the development and delivery of effective care for women and their families 4.2.1 Understands the importance of evidencebased practice in developing local policies and guidelines (indicate level, date and sign) Preceptor/ Midwife (indicate level, date and sign) Unit/ Ward 4.2.2 Identifies the need for effective stress management 4.2.3 Demonstrates an appreciation of the responsibilities of the midwife in risk management 4.2.4 Complies with health and safety policies and maintains equipment 4.2.5 Demonstrates an awareness of the principles of infection control MidCAT UCD BSc Midwifery Stage 2 3

Competence Form Domain Five Domain 5: Personal and Professional Development Performance Criterion 5.1 Acts to enhance the personal and professional development of self and others 5.1.1 Identifies own learning needs in relation to expected learning outcomes (indicate level, Preceptor/ Midwife (indicate level, Ward/ Unit 5.1.2 Identifies potential resources to facilitate the achievement of learning needs 5.1.3 Recognises the importance of continuous professional and lifelong learning for midwives 5.1.4 Recognises the student s developing role in the education of others MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 148

ADDITIONAL INFORMATION SHEET DoCAT MidCAT UCD Revised 2010

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Placement Dates: Operating Theatre (Specialist) NMHS 31180 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 153

Record of Meetings Preliminary Meeting Date: Signatures Student Preceptor Final Meeting Date: There is evidence that the student has attained all the standards for this placement* Yes No Signatures Student Preceptor *If the student has attained all the required standards for this placement, please provide a general comment on the student s performance: *If the student has not attained all the required standards for this placement, please outline the standards in each domain that require attention: (use separate sheet if necessary). Please refer to the Policy in the Event of Unsuccessful Clinical. MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 155

Competence Form Domain One Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.1 Practises in accordance with legislation and professional guidelines affecting midwifery practice 1.1.1 Identifies the legislation and professional guidelines pertinent to midwifery practice (indicate level, date and initials) Preceptor/ Midwife (indicate level, date and initials) Unit/ ward 1.1.2 Practises in accordance with the legislation and professional guidelines pertaining to midwifery practice 1.1.3 Demonstrates an awareness of local policies and procedures governing practice 1.1.4 Maintains a good standard of practice in relation to record keeping including computer records 1.1.5 Maintains confidentiality with regard to information Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.2 Practice is underpinned by the distinct philosophy of midwifery 1.2.1 Practises in accordance with the view that childbirth is a normal life event (indicate level, Preceptor/ Midwife (indicate level, Unit/ Ward 1.2.2 Recognises the midwife s role as an autonomous practitioner 1.2.4 Demonstrates a holistic approach MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 156

to care 1.2.5 Practises in a way that acknowledges the difference in belief and cultural practises of individuals and groups. 1.2.6 Recognises and respects the dignity, uniqueness and autonomy of each person 1.2.7 Recognises the value of midwifery skills in midwifery practice while also recognising the appropriate role of technology Domain 1: Professional/ Ethical Midwifery Practice Performance Criterion 1.3 Develops and maintains competence. 1.3.1 Practises within a student midwife's scope of practice and identifies own limitations (indicate level, Preceptor/ Midwife (indicate level, Unit/ Ward 1.3.2 Actively seeks exposure to all aspects of midwifery practice 1.3.3 Seeks clarification to unclear or inappropriate instructions 1.3.4 Bases practice on the best available evidence. MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 157

Competence Form Domain Two Domain 2: Holistic Midwifery Care Performance Criterion 2.1 Provides safe and effective midwifery/nursing care (that encompasses the full range of activities of the midwife as set out in EU Directive 80/155/EEC and the Definition of the Midwife (ICM/FIGO/WHO). 2.1.1 Recognises and practices within limits of own scope of practice 2.1.2 Demonstrate safe and professional conduct in his/her everyday practice and maintains patient and family confidentiality at all times 2.1.3 Demonstrates consideration and sensitivity towards women and their families 2.1.4 Demonstrates an awareness of local policies and guidelines governing practice. 2.2.5 Demonstrate initiative to learn in the clinical area. 2.1.6 Participates in the admission of a woman to the Operating Theatre 2.2.7 Participates and observes the preparation for surgical procedures 2.1.8 Participates in and observes the preparation and administration of general and regional anaesthesia 2.1.9 Observes Obstetric and Gynaecological surgical procedures e.g. Caesarean Section, Evacuation of Retained Products of Conception, Uterine Prolapse Repair, Hysterectomy. 2.1.10 Participates in and observes postoperative care within the Recovery Room. 2.1.11 Participates in and observes the transfer of women to their allocated clinical care area (indicate level, date and time) Preceptor/ Midwife (indicate level, MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 158

Domain 2: Holistic Midwifery Care Performance Criterion 2.2: Works in partnership with the woman and her family throughout the maternity experience. 2.2.1 Demonstrate professional values and attitudes and in the acute care setting 2.2.2 Recognise the diverse cultural and religious backgrounds of women/patients and their families 2.2.3 Recognise and respect the needs of the woman/patient and their family 2.2.4 Communicate clearly and accurately with patients, their families and member of the healthcare team (indicate level, date and time) Preceptor/ Midwife (indicate level, MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 159

Competence Form Domain Three Domain 3: Interpersonal Relationships Performance Criterion 3.1 Communicates effectively with women and their families in one-toone and group situations. 3.1.1 Communicates effectively with women and their families, using appropriate interpersonal and listening skills (indicate level, Preceptor/ Midwife (indicate level, date and sign) Unit/Ward 3.1.2 Demonstrates consideration and sensitivity towards women and their families 3.1.3 Demonstrates ability to identify factors that facilitate and hinder effective communication Domain 3: Interpersonal Relationships Performance Criterion 3.2 Communicates effectively with other members of the healthcare team 3.2.1 Recognises the role of each member of the health care team (indicate level, date and sign) Preceptor/ Midwife (indicate level, Unit/ Ward 3.2.2 Communicates effectively with other members of the health care team 3.2.3 Participates with other members of the health care team in decision-making, acknowledging each woman s needs and preferences MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 160

Competence Form Domain Four Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.1 Effectively co-ordinates the midwifery care of women and their families. 4.1.1 Demonstrates the ability to prioritise, organise and coordinate care for women (indicate level, date and sign) Preceptor/ Midwife (indicate level, date and sign) Ward/Unit 4.1.2 Complies with the Scope of Midwifery Practice with regard to delegation Domain 4: Organisation and co-ordination of midwifery care Performance Criterion 4.2 Supports the development and delivery of effective care for women and their families 4.2.1 Understands the importance of evidencebased practice in developing local policies and guidelines (indicate level, date and sign) Preceptor/ Midwife (indicate level, date and sign) Unit/ Ward 4.2.2 Identifies the need for effective stress management 4.2.3 Demonstrates an appreciation of the responsibilities of the midwife in risk management 4.2.4 Complies with health and safety policies and maintains equipment 4.2.5 Demonstrates an awareness of the principles of infection control MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 161

Competence Form Domain Five Domain 5: Personal and Professional Development Performance Criterion 5.1 Acts to enhance the personal and professional development of self and others 5.1.1 Identifies own learning needs in relation to expected learning outcomes (indicate level, Preceptor/ Midwife (indicate level, Ward/ Unit 5.1.2 Identifies potential resources to facilitate the achievement of learning needs 5.1.3 Recognises the importance of continuous professional and lifelong learning for midwives 5.1.4 Recognises the student s developing role in the education of others MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 162

UNIVERSITY COLLEGE DUBLIN An Coláiste Ollscoile Baile Átha Cliath UCD SCHOOL OF NURSING, MIDWIFERY & HEALTH SYSTEMS Scoil na haltrachta, an Cnáimhseachais agus na gcoras Slainte in partnership with The National Maternity Hospital Sligo General Hospital Wexford General Hospital Student Name: Student Number: Placement Dates: Surgical Care (Specialist) NMHS 31180 MidCAT UCD Revised 2010 BSc Midwifery Stages 2-3 163

PORTFOLIO OF EVIDENCE. Domains of Competence Assessment Tool MidCAT. (Midwifery) Stages 2-3