Bachelor of Midwifery

Student Practice Portfolio Experiential Learning Activity:

Midwifery Practice Development Practicum 1(NURS 1056)

Student name:

Student ID:

Venue:

Experience level:

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:

• MIDAC Clinical Assessment Tools 3rd Edition• Experiential Learning Activity: Midwifery Foundation Practicum 1 (ELA 1) Course Outline• ELA 1 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 Students. You will be expected to successfully undertake an Objective Structured Clinical Activity (OSCA) in the simulated environment (HHHS) 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 redo the OSCA in discussion with the Course Coordinator. ELA 1 consists of 1 pre-clinical day, 4 weeks x 5 days per week placement (working across a 24h roster), and a post-clinical workshop. Please refer to the course objectives for ELA 1 that are detailed in the 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:

• Venue Orientation Record

• Learning Plan

• Attendance Record of Clinical Placement

• Learning Tools (CAT)

• Standards Assessments

• Record of Daily Feedback

• Clinical Experience Records (including COCE documentation) with reflections and updated Cumulative record of minimum experiences

• Critical Reflection

Documentation must be clear, informative and in a report-like style.

No identifiers are to be used for 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 documented in your Portfolio with the clinical experiences you have completed during this ELA. Portfolios will be marked through an interview process. You will be required to attend an allocated 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. Allocated interview times will be available on the LearnOnline site.

External students can undertake a virtual interview; however, the portfolio will need to be submitted prior to the allocated interview time. Please notify your course coordinator if you wish to have a virtual interview and allocated 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 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 Clinical 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 Learning tools/CAT for Midwifery Students will be utilised 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 1: Initial pregnancy assessment Learning tool number 3: Abdominal examination Learning tool number 17: Facilitating breastfeeding for the mother and baby Learning tool number 20: Blood screening of the newborn baby Learning Tool number 21: Full examination of the newborn

* Learning tool 1 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 Assisted (A) for all tools Tools must be completed prior to submission of your portfolio 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.

Standards Assessment

You will also be required to engage in two (2) Standards Assessments. 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 Assisted (A) for the Standards Assessment for ELA 1

The method of assessment chosen for both the learning tools and the standards 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 1

Learning ObjectiveCourse

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 standards 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?

Provide evidence of how you achieved 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.

AreaTotal hours completed Total number of shifts

completed

Antenatal Clinic

Antenatal Ward

Labour and Delivery

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 PlacementStudent Name: _______________________________________

Date VenueArea Hours of

attendanceRM/ MO

Signature & Date

University facilitator

signature &Date

Attendance Record for Clinical PlacementStudent Name: _______________________________________

Date VenueArea

Hours of attendance

RM/ MOName,

University facilitator

Signature & Date

signature &Date

Skills List ELA 1 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 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

19 Care of the 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

Midwife Standards Assessment Students will be assessed according to the Midwife Standards for Practice at various time points. Some students may have two assessments recorded on the one document – one in the Formative and one upon completion or Summative. If the assessment is only to be completed once during the course please fill in the section entitled ‘Summative’ and disregard the Formative component. The frequency and timing of the assessment will differ between universities (please refer to university guidelines for this information). All sections of this assessment should be completed.

Standard 1: Promotes health and wellbeing through evidence-based midwifery practice

StudentFormative

AssessorFormative

StudentSummative

Assessor Summative

1.1 identifies what is important to the woman as the foundation for using evidence to promote informed decision-making, participation in care, and self-determination1.2 accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality midwifery practice1.3 uses health assessment and health education to support birth and reproductive health, and minimises the potential for complications1.4 undertakes ongoing processes of reflection to ensure professional judgements acknowledge how personal culture impacts on practice1.5 supports access to maternity care for the woman

1.6 supports the development, implementation and evaluation of evidence-based health initiatives and programs, and1.7 identifies and promotes the role of midwifery practice and the midwifery profession in influencing better health outcomes for women

Standard 2: Engages in professional relationships and respectful partnerships

StudentFormative

AssessorFormative

StudentSummative

AssessorSummative

2.1 supports the choices of the woman, with respect for families and communities in relation to maternity care2.2 partners with women to strengthen women's capabilities and confidence to care for themselves and their families2.3 practises ethically, with respect for dignity, privacy, confidentiality, equity and justice2.4 practises without the discrimination that may be associated with race, age, disability, sexuality, gender identity, relationship status, power relations and /or social disadvantage2.5 practises cultural safety that is holistic, free of bias and exposes racism2.6 practises in a way that respects that family and community underpin the health of Aboriginal and /or Torres Strait Islander Peoples2.7 develops, maintains and concludes professional and personal relationships, and2.8 participates in and /or leads collaborative practice

Standard 3: Demonstrates the capability and accountability for midwifery practice

StudentFormative

AssessorFormative

StudentSummative

AssessorSummative

3.1 understands their scope of practice

3.2 practises within relevant legal parameters and professional standards, codes and guidelines3.3 participates in own continuing professional development to maintain the required knowledge and skill base for safe and effective practice3.4 contributes to a culture that supports learning, teaching, knowledge transfer and critical reflection3.5 engages in timely consultation, referral and documentation3.6 uses relevant processes to identify, document and manage complexity and risk3.7 recognises and responds appropriately where safe and quality practice may be compromised, and3.8 considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice.

Standard 4: Undertakes comprehensive assessments StudentFormative

AssessorFormative

StudentSummative

AssessorSummative

4.1 works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of women, communities and populations4.2 uses assessment techniques to systematically collect relevant and accurate information4.3 analyses information and data and communicates assessments and anticipated outcomes as the basis for midwifery practice, and4.4 assesses the resources that are available to inform planning.

Standard 5: Develops a plan for midwifery practice StudentFormative

AssessorFormative

StudentSummative

AssessorSummative

5.1 interprets assessment data and best available evidence to develop a plan for practice5.2 collaboratively develops plans until options, priorities, goals, actions, anticipated outcomes and timeframes are agreed with the woman, and/or relevant others5.3 co-ordinates resources effectively and efficiently for planned actions, and 5.4 documents, evaluates and modifies plans to facilitate the anticipated outcomes.

Standard 6: Provides safety and quality in midwifery practice

StudentFormative

AssessorFormative

StudentSummative

AssessorSummative

6.1 actively contributes to quality improvement and research activities6.2 practises to achieve the agreed goals and anticipated outcomes that meet the needs of the woman6.3 is responsible for consultation and referral and/or escalation in situations that are outside the individual’s scope of practice, and6.4 provides and accepts effective and timely direction, allocation,

delegation, teaching and supervision.

Standard 7: Evaluates outcomes to improve midwifery practice

StudentFormative

AssessorFormative

StudentSummative

AssessorSummative

7.1 evaluates and monitors progress towards planned goals and anticipated outcomes7.2 revises plan and actions based on evidence and what is learned from evaluation7.3 uses evaluation and reflection to inform future practice and professional development.

Formative assessment - Overall grading

Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)

Student name and signature:……………………………………………................................. Date:………………………………………..

Assessor name and signature:……………………………………………................................. Date:………………………………………..

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Summative assessment - Overall grading

Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)

Student name and signature:……………………………………………................................. Date:………………………………………..

Assessor name and signature:……………………………………………................................. Date:………………………………………..

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Midwife Standards Assessment Students will be assessed according to the Midwife Standards for Practice at various time points. Some students may have two assessments recorded on the one document – one in the Formative and one upon completion or Summative. If the assessment is only to be completed once during the course please fill in the section entitled ‘Summative’ and disregard the Formative component. The frequency and timing of the assessment will differ between universities (please refer to university guidelines for this information). All sections of this assessment should be completed.

Standard 1: Promotes health and wellbeing through evidence-based midwifery practice

StudentFormative

AssessorFormative

StudentSummative

Assessor Summative

1.1 identifies what is important to the woman as the foundation for using evidence to promote informed decision-making, participation in care, and self-determination1.2 accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality midwifery practice1.3 uses health assessment and health education to support birth and reproductive health, and minimises the potential for complications1.4 undertakes ongoing processes of reflection to ensure professional judgements acknowledge how personal culture impacts on practice1.5 supports access to maternity care for the woman

1.6 supports the development, implementation and evaluation of evidence-based health initiatives and programs, and1.7 identifies and promotes the role of midwifery practice and the midwifery profession in influencing better health outcomes for women

Standard 2: Engages in professional relationships and respectful partnerships

StudentFormative

AssessorFormative

StudentSummative

AssessorSummative

2.1 supports the choices of the woman, with respect for families and communities in relation to maternity care2.2 partners with women to strengthen women's capabilities and confidence to care for themselves and their families2.3 practises ethically, with respect for dignity, privacy, confidentiality, equity and justice2.4 practises without the discrimination that may be associated with race, age, disability, sexuality, gender identity, relationship status, power relations and /or social disadvantage2.5 practises cultural safety that is holistic, free of bias and exposes racism2.6 practises in a way that respects that family and community underpin the health of Aboriginal and /or Torres Strait Islander Peoples2.7 develops, maintains and concludes professional and personal relationships, and2.8 participates in and /or leads collaborative practice

Standard 3: Demonstrates the capability and accountability for midwifery practice

StudentFormative

AssessorFormative

StudentSummative

AssessorSummative

3.1 understands their scope of practice

3.2 practises within relevant legal parameters and professional standards, codes and guidelines3.3 participates in own continuing professional development to maintain the required knowledge and skill base for safe and effective practice3.4 contributes to a culture that supports learning, teaching, knowledge transfer and critical reflection3.5 engages in timely consultation, referral and documentation3.6 uses relevant processes to identify, document and manage complexity and risk3.7 recognises and responds appropriately where safe and quality practice may be compromised, and3.8 considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice.

Standard 4: Undertakes comprehensive assessments StudentFormative

AssessorFormative

StudentSummative

AssessorSummative

4.1 works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of women, communities and populations4.2 uses assessment techniques to systematically collect relevant and accurate information4.3 analyses information and data and communicates assessments and anticipated outcomes as the basis for midwifery practice, and4.4 assesses the resources that are available to inform planning.

Standard 5: Develops a plan for midwifery practice StudentFormative

AssessorFormative

StudentSummative

AssessorSummative

5.1 interprets assessment data and best available evidence to develop a plan for practice5.2 collaboratively develops plans until options, priorities, goals, actions, anticipated outcomes and timeframes are agreed with the woman, and/or relevant others5.3 co-ordinates resources effectively and efficiently for planned actions, and 5.4 documents, evaluates and modifies plans to facilitate the anticipated outcomes.

Standard 6: Provides safety and quality in midwifery practice

StudentFormative

AssessorFormative

StudentSummative

AssessorSummative

6.1 actively contributes to quality improvement and research activities6.2 practises to achieve the agreed goals and anticipated outcomes that meet the needs of the woman6.3 is responsible for consultation and referral and/or escalation in situations that are outside the individual’s scope of practice, and6.4 provides and accepts effective and timely direction, allocation,

delegation, teaching and supervision.

Standard 7: Evaluates outcomes to improve midwifery practice

StudentFormative

AssessorFormative

StudentSummative

AssessorSummative

7.1 evaluates and monitors progress towards planned goals and anticipated outcomes7.2 revises plan and actions based on evidence and what is learned from evaluation7.3 uses evaluation and reflection to inform future practice and professional development.

Formative assessment - Overall grading

Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)

Student name and signature:……………………………………………................................. Date:………………………………………..

Assessor name and signature:……………………………………………................................. Date:………………………………………..

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Summative assessment - Overall grading

Independent (I) Proficient (P) Assisted (A) Supported (S) Dependent (D)

Student name and signature:……………………………………………................................. Date:………………………………………..

Assessor name and signature:……………………………………………................................. Date:………………………………………..

Comments………………………………………………………………………………………………………………………………………………………

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Record of daily feedback Student’s name: ______________ ID: _______________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.

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 Midwife Standard for Practice

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

Minimum cumulative record ProgramRequirement

Achieved ELA 1

Achieved ELA 2

Achieved ELA 3

Achieved ELA 4

Achieved ELA 5

Running Total

(pencil)

Final TOTAL

Antenatal Care

Antenatal episode of care 100

Abdominal palpation 10

Complex antenatal care 15

Intrapartum Care

Labour and spontaneous vaginal birth 30

Active care 1st stage labour 10

Vaginal examination 10

Complex intrapartum care 15

Postpartum Care

Postnatal episode of care 100

Complex postpartum care 10

Neonatal Care

Physical examination of the newborn 20

Complex neonatal care 10

Continuity of Care Experiences

Commenced15

CompletedLearning toolsUniversity lecturer name, signature and date evidence reviewed and assessed as complete