ELA 2: Midwifery Practice Development - 2018 University of South Australia | UNIVERSITY OF SOUTH AUSTRALIA Bachelor of Midwifery Student Practice Portfolio Experiential Learning Activity: Midwifery Practice Development Practicum 2 (Nurs 2039) Midwifery Student:…………………………………………………. 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
Transcript
ELA 2: Midwifery Practice Development - 2018
University of South Australia | UNIVERSITY OF SOUTH AUSTRALIA
Bachelor of Midwifery Student Practice Portfolio
Experiential Learning Activity: Midwifery Practice Development
Practicum 2 (Nurs 2039)
Midwifery Student:………………………………………………….
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
Introduction
Before you begin you must ensure that you have read through the following resources:
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
Students. 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 Student 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.
Students 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 Student
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 Students 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):
Refers to being safe & knowledgeable; proficient & coordinated and appropriately confident and timely. Does not require supporting cues
Proficient (P):
Refers to being safe & knowledgeable; efficient & coordinated; displays some confidence and undertakes activities within a reasonably timely manner. Requires occasional supporting cues.
Assisted (A):
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
Supported (S):
Refers to being safe when closely supervised and supported; unskilled and inefficient; uses excess energy and takes a prolonged time period. Continuous
Dependent (D):
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 Plan ELA 2
Learning Objective Course
objectives/ANMC competencies
Resources, Strategies, Activities
Time-line Evidence Outcome
What are you going to learn? Include knowledge/skills/attitude
To which course objective/s, ANMC competencies does your learning objective relate?
How do you plan to learn? 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 Student 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
Total hours completed Total number of shifts completed
Antenatal Clinic
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.
Student 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
3 Abdominal examination
4 Parenting education for the woman and her family
5 Performing and interpreting an antenatal cardiotocograph
6 Care of the woman on admission to the birth environment
7 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 Care of the woman and baby during an induction of labour
13 Care of the woman and baby with increased needs in labour
14 Care (reception) of the newborn at birth
15 Vaginal examination
16 Maternal and baby wellbeing assessment following birth
17 Facilitating breastfeeding for the woman and baby
18 Breastfeeding challenges for the woman and baby
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 newborn
26 Neonatal resuscitation via simulation
Competency Assessment
Student 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. Students 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
Student Assessor
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
Student
Assessor
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
Student
Assessor
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 Student Assessor
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
Student Assessor
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
Student Assessor
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 10: Ensures midwifery practice is culturally safe
Student Assessor
Element 10.1: Plans, implements and evaluates strategies for providing culturally safe practice for women, their families and colleagues
REFLECTIVE AND ETHICAL PRACTICE
Competency 7: Advocates to protect the rights of women, families and communities in relation to maternity care
Student Assessor
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
Student Assessor
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
Student Assessor
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 11: Bases midwifery practice on ethical decision making
Student Assessor
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
Student Assessor
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
Student Assessor
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
Overall grading
Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)
Assessor name and signature…………………………………………………………………date…………………………………
Student name and signature………………………………………………………………… date………………………………..
Competency 14: Uses research to inform midwifery practice
Student Assessor
Element 14.1: Ensures research evidence is incorporated into practice
Element 14.2: Interprets evidence as a basis to inform practice and decision making
Competency Assessment
Student 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. Students 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
Student Assessor
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
Student
Assessor
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
Student
Assessor
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 Student Assessor
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
Student Assessor
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
Student Assessor
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 10: Ensures midwifery practice is culturally safe
Student Assessor
Element 10.1: Plans, implements and evaluates strategies for providing culturally safe practice for women, their families and colleagues
REFLECTIVE AND ETHICAL PRACTICE
Competency 7: Advocates to protect the rights of women, families and communities in relation to maternity care
Student Assessor
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
Student Assessor
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
Student Assessor
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 11: Bases midwifery practice on ethical decision making
Student Assessor
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
Student Assessor
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
Student Assessor
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
Overall grading
Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)
Assessor name and signature…………………………………………………………………date…………………………………
Student name and signature………………………………………………………………… date………………………………..
To the Registered Midwife: Students 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.
