Bachelor of Midwifery Practice Portfolio Experiential Learning Activity: Midwifery Practice Development Practicum 2 (Nurs 2039) Midwifery :. ID:... Year Level: Venue(s): Experience Area(s): Date:. If found, please return to: University of South Australia School of Nursing and Midwifery City East campus Frome Road Adelaide 5000 ELA 2: Midwifery Practice Development - 2018 University of South Australia UNIVERSITY OF SOUTH AUSTRALIA
Introduction Before you begin you must ensure that you have read through the following resources: MIDAC Clinical Assessment Tools 2 nd Edition Experiential Learning Activity: Midwifery Foundation Practicum 2 (ELA 2) Course Outline ELA 2 Quick guide The Experiential Learning Activities (ELAs) in this program provide opportunity for you to develop your professional and clinical skills. During the ELA s you will participate in a pre-clinical workshop in the School s HHHS and will engage with the MIDAC/UniSA Clinical Assessment Tool (CAT) for Midwifery s. You will be expected to successfully undertake an Objective Structured Clinical Activity (OSCA) in the simulated environment (HHHS) in order to satisfy the requirements for clinical placement. Any student who receives a fail grade for an OSCA will not be eligible to proceed to the clinical placement of the course. They may be provided an opportunity to resit the OSCA in discussion with the Course Coordinator. ELA 2 consists of 1 pre-clinical workshop, placement for 4 weeks x 5 days per week (across a 24h roster), and a post-clinical workshop. Please refer to the course objectives for ELA 2 which are detailed in the corresponding Course Outline, along with the assessment requirements. Compiling the Portfolio This portfolio and passport to placement folder is to be taken with you on placement and when attending your COCE. You can access the Passport to Placement checklist from the CPU link on the Clinical Experience site. It is important to show this documentation to your Clinical Facilitator and the midwives you work with. For all ELA s you will be required to provide and appropriately detail the following as outlined: Learning Plan Your previous ELA rubric(s) Record of Clinical attendance Specified Learning Tools (CAT) Competency Assessment for each area Daily Venue Feedback forms (minimum 15) Clinical Experience Records (including completed COCE documentation) with reflections and updated Cumulative record of minimum experiences Documentation must be clear, informative and in a report-like style. No identification in any way may be made of women, babies or their families. Pseudonyms should be used to de-identify women and their families. s are responsible for compiling and maintaining their portfolio. It is your responsibility to keep it safe and to ensure it is available for review by AHPRA if required for auditing purposes.
Assessment of your portfolio All records for this ELA should be compiled in the UniSA Portfolio folder with the clinical experiences you have documented during this ELA and/or COCE since your previous ELA completion. You need only submit finished COCE that were completed during this time frame. Please ensure you update the cumulative record for each experience and the ongoing cumulative record of minimum experiences for your program. Please include this record to be signed off by your Course Coordinator. Ensure you submit original paperwork in the folder provided. Once this ELA has been marked, you can keep all documentation in a larger portfolio for evidence of meeting the clinical requirements for the program. Portfolios will be marked through an interview process. You will be required to attend an appointment with the Course Coordinator or assigned marker to review your portfolio and provide feedback and receive a grade. Internal students will undertake this interview face-to-face and bring their completed portfolio with them. Interview times are to be booked through the LearnOnline site. External students may opt to undertake a virtual interview; however the portfolio will need to be submitted prior to the organised interview time. Interview times will be available on the LearnOnline site. Attendance Record You will be required to keep an attendance record that will need to be signed each day of your placement by the midwife you work with or the Clinical Facilitator. Please note if you cannot attend placement for any reason you must notify the manager of the area you are working in, as well as contact your Clinical Facilitator. It is a good idea to ask for the contact phone and email for your facilitator and also for the area manager. You will need to make up all missed shifts, you may be able to make up 1 or 2 days while on placement but this is not always possible, please communicate with your Clinical Facilitator. Communication is a key skill in midwifery practice and it is important that you communicate your absence to ensure that you facilitate a positive work environment. Clinical Assessment Tool for the Midwifery Learning Tools While on clinical placement or through the Continuity of Care Experience (COCE), the following CAT Learning tools should be completed to inform the clinical assessment component. You will be expected to complete each of the clinical skills learning tool assessments detailed in the CAT for Midwifery s as outline below: Learning tool number 5: Performing and interpreting an antenatal cardiotocograph * Learning tool number 6: Care of the woman on admission to the birth environment Learning tool number 10: Epidural analgesia in labour Learning tool number 13: Care of the woman and baby with increased needs in labour Learning tool number 16: Maternal and baby wellbeing assessment following birth * Learning tool 5 will be undertaken as the OSCA. Tools can be downloaded from the LearnOnline site as needed.
*It is expected that students will attain a minimum rating of proficient (P) for all tools Tools must be completed at the required level in order to pass the course; you will need to work with your Clinical Facilitator to achieve this as there will be very limited opportunity to assist any student except for very exceptional circumstances. Competency Assessment You will also be required to engage in two Competency Assessment Components. The Clinical Facilitator assigned to you for the associated ELA will be responsible for undertaking this assessment. *It is expected that students will attain a minimum rating of Proficient (P) for the Competency Assessment for ELA 2 The method of assessment chosen for both the learning tools and the competency assessment component is a modified Bondy scale. You will need to be familiar with the scales used to rate your practice and you may need to provide the midwife or facilitator with a copy of these prior to completing your learning tool. Independent (I): Proficient (P): Assisted (A): Supported (S): Dependent (D): Refers to being safe & knowledgeable; proficient & coordinated and appropriately confident and timely. Does not require supporting cues Refers to being safe & knowledgeable; efficient & coordinated; displays some confidence and undertakes activities within a reasonably timely manner. Requires occasional supporting cues. Refers to being safe and knowledgeable most of the time; skilful in parts however is inefficient with some skill areas; takes longer than would be expected to complete the task. Requires frequent verbal and some physical cues Refers to being safe when closely supervised and supported; unskilled and inefficient; uses excess energy and takes a prolonged time period. Continuous Refers to concerns about being unsafe and being unable to demonstrate behaviour or articulate intention; lacking in confidence, coordination and efficiency. Continuous verbal and physical cues/interventions Bondy, K, N. (1983). Criterion-referenced definitions for rating scales in clinical evaluation. Journal of Nursing Education 22(9) 376-382
Learning Objective What are you going to learn? Include knowledge/skills/attitude Course objectives/anmc competencies To which course objective/s, ANMC competencies does your learning objective relate? Learning Plan ELA 2 Resources, Strategies, Activities How do you plan to learn? Time-line Evidence Outcome When and where do you plan to learn? How will you demonstrate your learning? What evidence will be included in your portfolio? Reflect on your progress towards achieving your objectives Acknowledgement: This resource is based upon previous material compiled by A. Gardner (2011).
Attendance Record for Clinical Placement Name: This is a record of your daily placement attendance: you are required to complete it and make sure it is signed by a Registered Midwife at the end of the day. This form is to be reviewed by the Clinical Facilitator at the end of each placement with the Competency Assessment. Area Antenatal Clinic Total hours completed Total number of shifts completed Antenatal Ward Labour and Birth Suite Postnatal Ward Domiciliary Midwifery Neonatal Midwifery Group Practice Other Sick Leave If you are sick you must not attend placement. You need to notify your Clinical Facilitator and the Ward/Unit Manager that you will not be attending the shift. A medical certificate is required if you are absent for three or more consecutive days or if you have had more than three days absent within the placement. Please ensure certificates are presented to your Clinical Facilitator when you next meet with them and emailed to your Course Coordinator. Your Clinical Facilitator will liaise with the university about your ability to continue with placement. All leave will need to be made up and if it cannot be organised with the venue, a make-up placement will be negotiated, otherwise you will need to complete the placement when this ELA is offered again. Total hours of sick leave Total number/s of shift/s missed Make up shifts completed Yes / No
Attendance Record for Clinical Placement Name: Date Venue Area Hours of attendance RM/ MO Signature & Date University facilitator signature & Date
Attendance Record for Clinical Placement Name: Date Venue Area Hours of attendance RM/ MO Name, Signature & Date University facilitator signature & Date
Skills List ELA 2
to sign and date when completed. This form is a guide to ensure students are ready to undertake the assessment and should be made available to assessor. Clinical Skill Theory Observation Skill assessed 1 Initial pregnancy assessment 2 Ongoing pregnancy care Abdominal examination 3 4 5 6 7 Parenting education for the woman and her family Performing and interpreting an antenatal cardiotocograph Care of the woman on admission to the birth environment Performing and interpreting an intrapartum cardiotocograph 8 Care of the woman progressing in labour 9 Working with pain in labour 10 Epidural analgesia in labour 11 Insertion of a urinary catheter 12 13 14 15 Care of the woman and baby during an induction of labour Care of the woman and baby with increased needs in labour Care (reception) of the newborn at birth Vaginal examination 16 Maternal and baby wellbeing assessment following birth 17 Facilitating breastfeeding for the woman and baby 18 Breastfeeding challenges for the woman 19 Care of a woman after a caesarean birth 20 Blood sampling of the newborn baby 21 Full examination of the newborn baby 22 Enteral/tube feeding a baby 23 Care of the unwell baby receiving oxygen therapy 24 Care of the baby receiving phototherapy 25 Administering an injection to the 26 Neonatal resuscitation via simulation
Competency Assessment Name: Venue/ Clinical area The Competency assessment will be carried out at various time points during the student s midwifery program. In each ELA an assessment should be undertaken for each clinical area that the student has been rostered. All sections of this assessment should be filled in for the assessment to be deemed complete. s should complete a self-assessment before participating in a review with the Clinical Facilitator. LEGAL AND PROFESSIONAL PRACTICE Competency 1 : Functions in accordance with legislation and common law affecting midwifery practice Element 1.1: Demonstrates and acts upon knowledge of legislation and common law pertinent to midwifery practice Element 1.2: Complies with policies and guidelines that have legal and professional implications for practice Element 1.3: Formulates documentation according to legal and professional guidelines Element 1.4: Fulfils the duty of care in the course of midwifery practice Competency 2: Accepts accountability and responsibility for own actions within midwifery practice Element 2.1: Recognises and acts within own knowledge base and scope of practice Element 2.2: Identifies unsafe action and takes appropriate action Element 2.3: Consults with, and refers to, another midwife or appropriate health care provider when the needs of the woman and her baby fall outside own scope of practice or competence Element 2.4: Delegates, when necessary, activities matching abilities and scope of practice and provides appropriate supervision Element 2.5: Assumes responsibility for professional midwifery leadership functions
MIDWIFERY KNOWLEDGE AND PRACTICE Competency 3: Communicates information to facilitate decision making by the woman Element 3.1: Communicates effectively with the woman, her family and friends Element 3.2: Provides learning opportunities appropriate to the woman s needs Element 3.3: Plans and evaluates care in partnership with the woman Competency 4: Promotes safe and effective midwifery care Element 4.1: Applies knowledge, skills and attitudes to enable woman centred care Element 4.2: Provides or supports midwifery continuity of care Element 4.3: Manages the midwifery care of women and their babies Competency 5: Assesses, plans, provides and evaluates safe and effective midwifery care Element 5.1: Utilises midwifery knowledge and skills to facilitate an optimal experience for the woman Element 5.2: Assesses the health and well being of the woman and her baby Element 5.3: Plans, provides and is responsible for, safe and effective midwifery care Element 5.4: Protects, promotes and supports breastfeeding Element 5.5: Demonstrates the ability to initiate, supply and administer relevant pharmacological substances in a safe and effective manner within relevant state of territory legislation Element 5.6: Evaluates the midwifery care provided to the woman and her baby Competency 6: Assesses, plans, provides and evaluates safe and effective midwifery care for the woman and /or baby with complex needs Element 6.1: Utilises a range of midwifery knowledge and skills to provide midwifery care for the woman and/or baby with complex needs as part of a collaborative ream Element 6.2: Recognises and responds effectively in emergencies or urgent situations
MIDWIFERY AS PRIMARY HEALTH CARE Competency 7: Advocates to protect the rights of women, families and communities in relation to maternity care Element 7.1: Respects and supports women and their families to be self- determining in promoting their own health and well being Element 7.2: Acts to ensure that the rights of women receiving maternity care are respected Competency 8: Develops effective strategies to implement and support collaborative midwifery practice Element 8.1: Demonstrates effective communication with midwives, health care providers and other professionals Element 8.2: Establishes, maintains and evaluates professional relationships with other health care providers Competency 9: Actively supports midwifery as a public health strategy Element 9.1: Advocates for and promotes midwifery practice, within the context of public health policy Element 9.2: Collaborates with, and refers women to, appropriate community agencies and support networks Competency 10: Ensures midwifery practice is culturally safe Element 10.1: Plans, implements and evaluates strategies for providing culturally safe practice for women, their families and colleagues REFLECTIVE AND ETHICAL PRACTICE Competency 11: Bases midwifery practice on ethical decision making Element 11.1: Practices in accordance with the endorsed Code of Ethics and relevant state/ territories and commonwealth privacy obligations under the law
Competency 12: Identifies personal beliefs and develops these in ways that enhance midwifery practice Element 12.1: Addresses the impact of personal beliefs and experiences on the provision of midwifery care Element 12.2: Appraises and addresses the impact of power relations on midwifery practice Competency 13: Acts to enhance the professional development of self and others Element 13.1 Assesses and acts upon own professional development needs Element 13.2: Contributes to, and evaluates, the learning experiences and professional development of others Competency 14: Uses research to inform midwifery practice Element 14.1: Ensures research evidence is incorporated into practice Element 14.2: Interprets evidence as a basis to inform practice and decision making Overall grading Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D) name and signature date name and signature date.. Comments.
Competency Assessment Name: Venue/ Clinical area The Competency assessment will be carried out at various time points during the student s midwifery program. In each ELA an assessment should be undertaken for each clinical area that the student has been rostered. All sections of this assessment should be filled in for the assessment to be deemed complete. s should complete a self-assessment before participating in a review with the Clinical Facilitator. LEGAL AND PROFESSIONAL PRACTICE Competency 1 : Functions in accordance with legislation and common law affecting midwifery practice Element 1.1: Demonstrates and acts upon knowledge of legislation and common law pertinent to midwifery practice Element 1.2: Complies with policies and guidelines that have legal and professional implications for practice Element 1.3: Formulates documentation according to legal and professional guidelines Element 1.4: Fulfils the duty of care in the course of midwifery practice Competency 2: Accepts accountability and responsibility for own actions within midwifery practice Element 2.1: Recognises and acts within own knowledge base and scope of practice Element 2.2: Identifies unsafe action and takes appropriate action Element 2.3: Consults with, and refers to, another midwife or appropriate health care provider when the needs of the woman and her baby fall outside own scope of practice or competence Element 2.4: Delegates, when necessary, activities matching abilities and scope of practice and provides appropriate supervision Element 2.5: Assumes responsibility for professional midwifery leadership functions
MIDWIFERY KNOWLEDGE AND PRACTICE Competency 3: Communicates information to facilitate decision making by the woman Element 3.1: Communicates effectively with the woman, her family and friends Element 3.2: Provides learning opportunities appropriate to the woman s needs Element 3.3: Plans and evaluates care in partnership with the woman Competency 4: Promotes safe and effective midwifery care Element 4.1: Applies knowledge, skills and attitudes to enable woman centred care Element 4.2: Provides or supports midwifery continuity of care Element 4.3: Manages the midwifery care of women and their babies Competency 5: Assesses, plans, provides and evaluates safe and effective midwifery care Element 5.1: Utilises midwifery knowledge and skills to facilitate an optimal experience for the woman Element 5.2: Assesses the health and well being of the woman and her baby Element 5.3: Plans, provides and is responsible for, safe and effective midwifery care Element 5.4: Protects, promotes and supports breastfeeding Element 5.5: Demonstrates the ability to initiate, supply and administer relevant pharmacological substances in a safe and effective manner within relevant state of territory legislation Element 5.6: Evaluates the midwifery care provided to the woman and her baby Competency 6: Assesses, plans, provides and evaluates safe and effective midwifery care for the woman and /or baby with complex needs Element 6.1: Utilises a range of midwifery knowledge and skills to provide midwifery care for the woman and/or baby with complex needs as part of a collaborative ream Element 6.2: Recognises and responds effectively in emergencies or urgent situations
MIDWIFERY AS PRIMARY HEALTH CARE Competency 7: Advocates to protect the rights of women, families and communities in relation to maternity care Element 7.1: Respects and supports women and their families to be self- determining in promoting their own health and well being Element 7.2: Acts to ensure that the rights of women receiving maternity care are respected Competency 8: Develops effective strategies to implement and support collaborative midwifery practice Element 8.1: Demonstrates effective communication with midwives, health care providers and other professionals Element 8.2: Establishes, maintains and evaluates professional relationships with other health care providers Competency 9: Actively supports midwifery as a public health strategy Element 9.1: Advocates for and promotes midwifery practice, within the context of public health policy Element 9.2: Collaborates with, and refers women to, appropriate community agencies and support networks Competency 10: Ensures midwifery practice is culturally safe Element 10.1: Plans, implements and evaluates strategies for providing culturally safe practice for women, their families and colleagues REFLECTIVE AND ETHICAL PRACTICE Competency 11: Bases midwifery practice on ethical decision making Element 11.1: Practices in accordance with the endorsed Code of Ethics and relevant state/ territories and commonwealth privacy obligations under the law
Competency 12: Identifies personal beliefs and develops these in ways that enhance midwifery practice Element 12.1: Addresses the impact of personal beliefs and experiences on the provision of midwifery care Element 12.2: Appraises and addresses the impact of power relations on midwifery practice Competency 13: Acts to enhance the professional development of self and others Element 13.1 Assesses and acts upon own professional development needs Element 13.2: Contributes to, and evaluates, the learning experiences and professional development of others Competency 14: Uses research to inform midwifery practice Element 14.1: Ensures research evidence is incorporated into practice Element 14.2: Interprets evidence as a basis to inform practice and decision making Overall grading Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D) name and signature date name and signature date.. Comments.
2018 Cumulative record of portfolio requirements s name: s ID: TOTAL required Achieved ELA 1 Achieved ELA 2 Achieved ELA 2 (2018) Achieved ELA 4 Achieved ELA 5 Running Total (update in pencil only) Final TOTAL Antenatal Care Intrapartum Care Postpartum Care Neonatal Care Antenatal visit 100 Abdominal palpation 10 Complex pregnancy care 15 Labour and spontaneous vaginal birth 30 Active care 1 st stage labour 10 Vaginal examination 10 Complex Intrapartum care 15 Normal postpartum care 100 Complex postpartum care 10 Physical Examination of the newborn 20 Complex neonatal care 10 Continuity of Care Experiences Learning tools Commenced Completed University lecturer name, signature and date evidence reviewed and assessed as complete 15
Record of daily feedback s name: ID: To the Registered Midwife: s are required to obtain daily written feedback to support their learning and to determine progress throughout their placement. Please provide the student with feedback in each of the areas indicated below. To assist you, cues have been provided overleaf. Date: Clinical Venue: Area: Communication/Team work: Clinical competence/safety: Organisation/priority setting/time management: Knowledge level/ability to link theory to practice/critical thinking: Areas for Improvement: Additional comments: Midwife s name, signature & date Date: Clinical Venue: Area: Communication/Team work: Clinical competence/safety: Organisation/priority setting/time management: Knowledge level/ability to link theory to practice/critical thinking: Areas for Improvement: Additional comments: Midwife s name, signature & date
Communication Ability to expresses self clearly and concisely Ability to communicate appropriately with all staff, women and their families Ability to explain care to women and family/significant others Effectiveness of clinical hand over Ability to provide effective education to women and their families Ability to write clear, concise and legible notes in a timely manner Ability to accurately document all observations and recognise deviations from normal Team work Ability to work effectively with midwives and the multidisciplinary team Ability to problem solve, resolve problems and negotiate Clinical Competence/safety Demonstrated competence in the relevant area of midwifery practice in accordance with the appropriate standards of practice Ability to provide culturally appropriate and safe midwifery care Ability to recognise own limitations and seeks assistance from senior staff where appropriate Ability to work in accordance with hospital procedures and policy Demonstrated initiative whilst caring for women and their babies Demonstrated knowledge of maternal and neonatal conditions and/or the ability and initiative in seeking further information. Understanding the medications administered to women and neonates, and administers medications according to medication safety standards Understanding of the Australian Nursing and Midwifery Council (ANMC) National Competencies for the Registered Midwife Organisational/priority settings/time management Ability to effectively prioritise workload and complete all allocated care within a reasonable timeframe Ability to be, creative, innovative and flexible when approaching issues within a healthcare setting Knowledge level/ability to link theory to practice/critical thinking Ability to apply theoretical knowledge in the clinical setting Demonstrated critical thinking skills in application of skills in practice Ability to recognise and report changes in the woman or baby s condition promptly Ability to give logical rationales for midwifery care performed