Post on 13-Oct-2020
BSc (Hons) Pre Registration Midwifery 1 Ongoing Achievement Record 2016-2017
PLYMOUTH UNIVERSITY Faculty of Health and Human Sciences
School of Nursing and Midwifery
BSc (Hons) Pre-Registration Midwifery
ONGOING ACHIEVEMENT RECORD
To be used in conjunction with your E-portfolio
NAME: ………………………………………………….
UNIVERSITY NUMBER: ……………………………..
COHORT: ………………………………………………
CLINICAL BASE: ……………………………………..
PERSONAL TUTOR:………………..…………………
BSc (Hons) Pre Registration Midwifery 2 Ongoing Achievement Record 2016-17
BSc (Hons) Pre Registration Midwifery 3 Ongoing Achievement Record 2016-17
Special Needs Notice Dear Student Important: please note If you have a disability The University is very supportive of students with disabilities, and year–on-year we are making adjustments to assist students with special needs. It may be that we have already put in place changes which will assist you – but unless we know what your needs might be, we cannot guarantee that that will be the case. If we can identify your needs sufficiently far in advance of when you intend to start a programme at the University, we are better able to put in place appropriate arrangements – or, if there is a health and safety issue or an issue about the expectations of students on the programme, to advise you on alternative options. However, we may not be able to do so if we do not know in advance. If you have not told us about your disability Please do contact the University’s Disability Assist Services on Plymouth 01752 587676 to discuss your needs. While we are making reasonable adjustments to our provision, we may not be able to meet your individual needs if we do not have the opportunity to assess them in advance, and that could impact negatively on your experience on the programme or even your ability to take up your place. The DSA Assessment Centre is located on the ground and first floor of 3 Portland Mews. The Assessment Centre provides DSA Needs Assessments for prospective HE students across the SW region, and for Plymouth University students. (Note: The Assessment Centre DOES NOT perform diagnostic dyslexia assessments.) If you have told us about your disability You may be asked for additional information or invited to attend an interview with Disability Assist Services. This is in order that we can properly assess your individual needs and ensure that we have the best possible chance of meeting them. Please do provide any information requested and come in to see staff if asked to do so, since otherwise you – and we - could find ourselves in a position in which it is difficult or even unsafe for you to take up your place. So please tell us about any disability – even if you do not think it will affect you while you are at the University – and respond positively to any requests for further details or for an information interview. If you do not do so, you may find yourself unable to take up your place or unable to complete the programme because we have not been able adequately to meet your needs. The Disability Advisory Service reception and drop in for students has relocated to a new area alongside Gateway in RLB. (Note: Diagnostic dyslexia assessments are arranged by the Disability Advisory Service.) See the website for more information http://www.plymouth.ac.uk/disability
BSc (Hons) Pre Registration Midwifery 4 Ongoing Achievement Record 2016-17
CONTENTS
Special Needs Notice Page 3
Contents Page 4
Part One Ongoing Achievement Record
Page 5-100
Signature Record 7-10
Mandatory Sessions 11-12
European Union Midwifery Record 13-28
Placement Record 29-99
References 100
Part Two Mentor Assessment of Practice
Page 101-230
Guidelines for use of Assessment Document 102-107
Practice Assessment Process 102
Guidelines for Grading of Practice 103
Example of Completed MAP Page 105-6
Glossary 107
Year 1 Mentor Assessment of Practice 109-144
Year 2 Mentor Assessment of Practice 145-186
Year 3 Mentor Assessment of Practice 187-228
Final Sign-Off Mentor Statement of Proficiency 229
Final Record of European Union Requirements 230
Copyright of this document is held by the Plymouth University Midwifery team in collaboration with the Centre for Excellence
in Professional Placement Learning
BSc (Hons) Pre Registration Midwifery 5 Ongoing Achievement Record 2016-17
PART ONE
ONGOING ACHIEVEMENT RECORD
BSc (Hons) Pre Registration Midwifery 6 Ongoing Achievement Record 2016-17
BSc (Hons) Pre Registration Midwifery 7 Ongoing Achievement Record 2016-17
SIGNATURE RECORD
For all whose signatures appear elsewhere in the portfolio as well as those signing
timesheets. I consent to share my Ongoing Achievement Record and electronic portfolio with my sign-off mentors, other supervising practice staff and academic staff at their request, to enable my fitness for practice to be assessed.
(NMC 2009) Name of student …………………………………………………………………………… Signature ………………………………………… Date …………………………….
Date/s Placement Name of signator
Role (ie: sign-off mentor/
supervising midwife/ service-
user)
Full signature
Initials (essential for staff signing
timesheet)
Mentorship qualification
(eg: ENB 997; HEAB 369/ 370)
BSc (Hons) Pre Registration Midwifery 8 Ongoing Achievement Record 2016-17
Date/s Placement Name of signator
Role (ie: sign-off mentor/
supervising midwife/ service-
user)
Full signature
Initials (essential for staff signing
timesheet)
Mentorship qualification
(eg: ENB 997; HEAB 369/ 370;
MENT 601/602)
BSc (Hons) Pre Registration Midwifery 9 Ongoing Achievement Record 2016-17
Date/s Placement Name of signator
Role (ie: sign-off mentor/
supervising midwife/ service-
user)
Full signature
Initials (essential for staff signing
timesheet)
Mentorship qualification
(eg: ENB 997; HEAB 369/ 370;
MENT 601/602)
BSc (Hons) Pre Registration Midwifery 10 Ongoing Achievement Record 2016-17
Date/s Placement Name of signator
Role (ie: sign-off mentor/
supervising midwife/ service-
user)
Full signature
Initials (essential for staff signing
timesheet)
Mentorship qualification
(eg: ENB 997; HEAB 369/ 370;
MENT 601/602)
BSc (Hons) Pre Registration Midwifery 11 Ongoing Achievement Record 2016-17
MANDATORY SESSIONS
The Strategic Health Authority requires all students to undertake mandatory training in a number of areas before they go out into placement each year. These sessions are indicated
by an asterisk (*).
The Mandatory sessions will be provided by Plymouth University at the start of each academic year and prior to placement. Registers will be taken at all mandatory training sessions. This page should be dated and signed by the session leader (who does not need to sign signature sheet in addition).
MANDATORY EXPERIENCE
Year 1
Year 2
Year 3
Fire Prevention*
Adult Resuscitation* (Basic life support)
Mental Capacity Act*
Race Relations Act* –
Equality and Diversity
Moving and Handling*
Theory
Moving and Handling*
Practice
Manual Handling*
Update
Neonatal Resuscitation
Anaphylaxis
Safeguarding Children
Conflict Resolution
Infection control
Local Trust Induction (as required)
BSc (Hons) Pre Registration Midwifery 12 Ongoing Achievement Record 2016-17
BSc (Hons) Pre Registration Midwifery 13 Ongoing Achievement Record 2016-17
EUROPEAN UNION MIDWIFERY RECORD
The European Union and Article 40 (training of midwives) of Directive 2005/36/EU. (Directive 2005/36/EC of the European Parliament and of the Council (2005). 1. Advising of pregnant women, involving at least 100 pre-natal examinations
2. Supervision and care of at least 40 women in labour
3. The student should personally carry out at least 40 deliveries; where this number cannot
be reached owing to the lack of available women in labour, it may be reduced to a minimum of 30, provided that the student participates actively in 20 further deliveries.
4. Active participation with breech deliveries. Where this is not possible because of lack of
breech deliveries practice may be in a simulated situation 5. Performance of episiotomy and initiation into suturing. Initiation shall include theoretical
instruction and clinical practice. The practice of suturing includes suturing of the wound following an episiotomy and a simple perineal laceration. This may be in a simulated situation if absolutely necessary.
6. Supervision and care of 40 women at risk in pregnancy, or labour or post-natal period 7. Supervision and care (including examination) of at least 100 post-natal women and
healthy new-born infants 8. Observation and care of the new-born requiring special care including those born pre-
term, post-term, underweight or ill 9. Care of women with pathological conditions in the fields of gynaecology and obstetrics 10. Initiation into care in the field of medicine and surgery. Initiation shall include theoretical
instruction and clinical practice Nursing and Midwifery Council (2009) ‘Standards for pre-registration midwifery education’ p65.
All the above require signatures by your sign-off mentor/ supervising midwife. These are therefore documented in your Ongoing Achievement Record.
If you exceed the stipulated number a signature is not needed by the supervising midwife for these.
Please note that only signed entries will be counted and, where identified, the minimum number must be achieved before completion of your programme. Additional experiences to cover unsigned entries should be recorded on page 27.
Confidentiality must be maintained at all times. Please only record the woman’s initials, and indicate the sex of the baby♀ (female) or ♂(male) where appropriate.
You may find it helpful to keep a running total of your numbers achieved in pencil in the column below:
BSc (Hons) Pre Registration Midwifery 14 Ongoing Achievement Record 2016-17
EU requirement Page number Running total
1 Antenatal Examinations and Advice 15 and 16
2 Supervision and Care in Labour 17
3 Personal Deliveries 18
4 Breech 19
5 Episiotomy 19
Suturing 19
6 Supervision and Care of Women At
Risk
20
7 Post-Natal Women and Healthy
Neonates
21 and 22
8 Observation and Care of the New-
Born requiring Special Care
23
9 Gynaecological and Obstetric
Pathology
24
10 Medicine and Surgery 25
Continuation Sheets 26 - 28
BSc (Hons) Pre Registration Midwifery 15 Ongoing Achievement Record 2016-17
1. Advising of pregnant women, involving at least 100 pre-natal examinations
You must have conducted a physical antenatal examination, verbal discussion/ advice and completed relevant documentation.
Only the woman’s initials to be used, for confidentiality
No. Date Initials Midwife signature
No. Date Initials Midwife signature
1 26
2 27
3 28
4 29
5 30
6 31
7 32
8 33
9 34
10 35
11 36
12 37
13 38
14 39
15 40
16 41
17 42
18 43
19 44
20 45
21 46
22 47
23 48
24 49
25 50
BSc (Hons) Pre Registration Midwifery 16 Ongoing Achievement Record 2016-17
1. Advising of pregnant women, involving at least 100 pre-natal examinations
You must have conducted a physical antenatal examination, verbal discussion/ advice and completed relevant documentation.
Only the woman’s initials to be used, for confidentiality
No. Date Initials Midwife signature
No. Date Initials Midwife signature
51 76
52 77
53 78
54 79
55 80
56 81
57 82
58 83
59 84
60 85
61 86
62 87
63 88
64 89
65 90
66 91
67 92
68 93
69 94
70 95
71 96
72 97
73 98
74 99
75 100
If you have been unable to obtain signatures for all 100 entries, please continue
on page 26-28
BSc (Hons) Pre Registration Midwifery 17 Ongoing Achievement Record 2016-17
2. Supervision and care of at least 40 women in labour
These exclude personal deliveries, but include women whose care you hand over or who proceed to an instrumental/ surgical delivery, or those personal deliveries requiring manual removal of the placenta.
Only the woman’s initials to be used, for confidentiality
No. Date Initials Midwife signature
No. Date Initials Midwife signature
1 21
2 22
3 23
4 24
5 25
6 26
7 27
8 28
9 29
10 30
11 31
12 32
13 33
14 34
15 35
16 36
17 37
18 38
19 39
20 40
If you have been unable to obtain signatures for all 40 entries, please continue on page 26-28
BSc (Hons) Pre Registration Midwifery 18 Ongoing Achievement Record 2016-17
3. The student should personally carry out at least 40 deliveries These must include part of the first stage, as well as the second and third stages and
examination of the baby
Manual removal of retained placenta may not be included. However, these births may be recorded under “Care in labour” (2) or “At risk” (6)
Only the woman’s initials to be used, for confidentiality
No. Date Initials Midwife signature
No. Date Initials Midwife signature
1 21
2 22
3 23
4 24
5 25
6 26
7 27
8 28
9 29
10 30
11 31
12 32
13 33
14 34
15 35
16 36
17 37
18 38
19 39
20 40
If you have been unable to obtain signatures for all 40 entries, please continue on page 26-28
BSc (Hons) Pre Registration Midwifery 19 Ongoing Achievement Record 2016-17
4. Active participation with breech deliveries. Where this is not possible because of lack of breech deliveries practice may be in a simulated situation
Signature and date of the person leading your experiential learning session Signature-------------------------------------------- Date---------------------------------
Record observation of and participation in vaginal breech deliveries
5. Performance of episiotomy and initiation into suturing. Initiation shall include theoretical instruction and clinical practice
Signature and date of the person leading your experiential learning session Signature-------------------------------------------- Date--------------------------------
Record observation of and participation in episiotomies
Signature and date of the person leading your experiential learning session Signature-------------------------------------------- Date------------------------------
Record observation of and participation in perineal suturing
BSc (Hons) Pre Registration Midwifery 20 Ongoing Achievement Record 2016-17
6. Supervision and care of 40 women at risk in pregnancy, or labour or post-natal period
Only the woman’s initials to be used, for confidentiality
No. Date Initials Midwife signature
No. Date Initials Midwife signature
1 21
2 22
3 23
4 24
5 25
6 26
7 27
8 28
9 29
10 30
11 31
12 32
13 33
14 34
15 35
16 36
17 37
18 38
19 39
20 40
If you have been unable to obtain signatures for all 40 entries, please continue on page 26-28
BSc (Hons) Pre Registration Midwifery 21 Ongoing Achievement Record 2016-17
7. Supervision and care (including examination) of at least 100 post-natal women and healthy new-born infants
You must examine both mother and baby and complete relevant documents.
Please indicate the sex of the baby ♀♂ (no names) and only the woman’s initials to be
used, for confidentiality.
No. Date Initials of mother, and sex of baby
♀♂
Midwife signature
No. Date Initials of mother, and sex of baby
♀♂
Midwife signature
1 26
2 27
3 28
4 29
5 30
6 31
7 32
8 33
9 34
10 35
11 36
12 37
13 38
14 39
15 40
16 41
17 42
18 43
19 44
20 45
21 46
22 47
23 48
24 49
25 50
BSc (Hons) Pre Registration Midwifery 22 Ongoing Achievement Record 2016-17
7. Supervision and care (including examination) of at least 100 post-natal women and healthy new-born infants
You must examine both mother and baby and complete relevant documents.
Please indicate the sex of the baby ♀♂ (no names) and only the woman’s initials to be
used, for confidentiality.
No. Date Initials of mother, and sex of baby
♀♂
Midwife signature
No. Date Initials of mother, and sex of
baby ♀♂
Midwife signature
51 76
52 77
53 78
54 79
55 80
56 81
57 82
58 83
59 84
60 85
61 86
62 87
63 88
64 89
65 90
66 91
67 92
68 93
69 94
70 95
71 96
72 97
73 98
74 99
75 100
If you have been unable to obtain signatures for all 100 entries, please continue on
page 26-28
BSc (Hons) Pre Registration Midwifery 23 Ongoing Achievement Record 2016-17
8. Observation and care of the new-born requiring special care including those
born pre-term, post-term, underweight or ill
These must be signed by the supervising nurse/ midwife
Brief details of the baby’s condition/ care should be documented No names to be
recorded, for confidentiality (use ♀♂ only)
Date Sex of
baby
Brief details of baby condition/
care
Supervising nurse/
midwife signature
BSc (Hons) Pre Registration Midwifery 24 Ongoing Achievement Record 2016-17
9. Care of women with pathological conditions in the fields of gynaecology and
obstetrics
Conditions include those occurring in pregnancy under 24 weeks’ gestation (eg: miscarriage, TOP, hyperemesis gravidarum, PPROM) or those pre-existing gynaecological conditions potentially affecting the wellbeing/ duration of the pregnancy (eg: fibroids, bicornuate uterus)
Also include gynaecological experiences obtained in gynaecology placement
Only the woman’s initials to be used, for confidentiality
Date Initials Brief details of woman’s condition/
care
Supervising nurse/
midwife signature
BSc (Hons) Pre Registration Midwifery 25 Ongoing Achievement Record 2016-17
10 Initiation into care in the field of medicine and surgery. Initiation shall include theoretical instruction and clinical practice
Please record experiences gained during both maternity and non-maternity placements
Only the patient’s initials to be used, for confidentiality
Date Initials Brief details of patient’s condition/
care
Supervising nurse/
midwife signature
BSc (Hons) Pre Registration Midwifery 26 Ongoing Achievement Record 2016-17
Continuation sheet for additional mandatory EU experiences
Please record additional experiences of (1) Antenatal examination, (2) Care in labour, (3) Personal deliveries, (6) At risk care, (7) Postnatal examination where EU numbers have not all been signed on previous pages.
Please tick the relevant column and record details required, using woman’s initials or sex
of baby only ♀♂ (if applicable), for confidentiality.
Date Initials of
woman
Sex
of
baby
♀♂
European Union category Midwife signature
Ante-
natal
exam
Care in
labour
Personal
deliveries
At
risk
care
Post-
natal
exam
BSc (Hons) Pre Registration Midwifery 27 Ongoing Achievement Record 2016-17
Continuation sheet for additional mandatory EU experiences
Please record additional experiences of (1) Antenatal examination, (2) Care in labour, (3) Personal deliveries, (6) At risk care, (7) Postnatal examination where EU numbers have not all been signed on previous pages.
Please tick the relevant column and record details required, using woman’s initials or sex
of baby only ♀♂ (if applicable), for confidentiality.
Date Initials
of
woman
Sex
of
baby
♀♂
European Union category Midwife signature
Ante-
natal
exam
Care in
labour
Personal
deliveries
At
risk
care
Post-
natal
exam
BSc (Hons) Pre Registration Midwifery 28 Ongoing Achievement Record 2016-17
Continuation sheet for additional mandatory EU experiences
Please record additional experiences of (1) Antenatal examination, (2) Care in labour, (3) Personal deliveries, (6) At risk care, (7) Postnatal examination where EU numbers have not all been signed on previous pages.
Please tick the relevant column and record details required, using woman’s initials or sex
of baby only ♀♂ (if applicable), for confidentiality.
Date Initials
of
woman
Sex
of
baby
♀♂
European Union category Midwife signature
Ante-
natal
exam
Care in
labour
Personal
deliveries
At
risk
care
Post-
natal
exam
BSc (Hons) Pre Registration Midwifery 29 Ongoing Achievement Record 2016-17
PLACEMENT RECORD Placement:
The following set of documentation (5 pages) should be completed for each placement. Please note that ‘Placement’ refers to a period of at least four weeks in one clinical area, and only refers to midwifery placements. This Ongoing Achievement Record must be sufficiently detailed to enable the midwife sign-off mentors to confirm that a student is proficient at designated points in the programme. Mentors should not keep their own separate student progress records (NMC 2009, p18).
All other non-maternity allocations (eg: neonatal, gynaecology, accident and emergency, intensive care unit, medical ward/ outpatients department) should be recorded in the relevant resource workbook. Please note that these are not assessed ‘placements’ and the supervising nurse may not sign any of your MAP assessment documentation. However, please ask the nurse mentoring you in these non-maternity areas to write a brief statement on the ‘Reports from Others’ page in your associated midwifery placement documentation (eg: page 33). Experiences gained must be recorded as appropriate on European Union Midwifery Record numbers 8 – 10 (pages 23 – 25). Learning Contract:
The ‘Learning Contract’ must be completed and signed by you and your sign-off mentor within the first week of the placement.
The learning needs identified should be drawn from your Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis which is in your electronic portfolio (capability plan), and full learning objectives should be documented and reviewed in this. You may add to these learning needs during the course of the placement.
Please give a photocopy of your learning contract to your sign-off mentor so that s/he is reminded of your identified learning needs and can help you to access the necessary resources. Progress Reports:
The ‘Mid-point Report’ provides an opportunity for you and your sign-off mentor to record your progress during your placement period, as a means of formative assessment. Buddy mentors may also contribute. You may or not wish to invite your personal tutor/ midwifery lecturer to be present for this discussion. Depending on the stage of your programme, you and your sign-off mentor may also need to record your progress at the formative point in your MAP document (see Part Two of Ongoing Achievement Record).
The ‘Reports from Others’ page provides an opportunity for other health professionals or service-users to comment on your progress. Service-users need to know that if they include their name confidentiality of the information will not be maintained and that they are given an option not to do so. Please invite others supervising your practice to contribute to this evidence, including those in non-maternity areas (see above). This evidence may help inform your sign-off mentor’s decisions regarding your fitness to practise. Please ensure that all those contributing to this page also sign the ‘Signature Record’ (see page 7).
The ‘End of Placement Report’ needs to be completed by you, your sign-off mentor/s and the midwifery lecturer (usually your personal tutor) attending for your tripartite discussion. It is essential that a tripartite is held when it is a summative point in your programme, and the MAP document requires completion and grading of your practice. If it is not a summative point, a tripartite is not compulsory, but is recommended. Please remember to complete placement and mentor evaluations.
BSc (Hons) Pre Registration Midwifery 30 Ongoing Achievement Record 2016-17
LEARNING CONTRACT
Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………
The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:
I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….
BSc (Hons) Pre Registration Midwifery 31 Ongoing Achievement Record 2016-17
MID-POINT REPORT
For documentation of student progress during a longer placement
Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point
Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................
Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................
Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................
BSc (Hons) Pre Registration Midwifery 32 Ongoing Achievement Record 2016-17
REPORTS FROM OTHERS DURING PLACEMENT
Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress
Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.
All contributors must provide a specimen signature on the ‘Signature Record’
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 33 Ongoing Achievement Record 2016-17
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 34 Ongoing Achievement Record 2016-17
END OF PLACEMENT REPORT
A report must please be written at the end of a placement.
If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress
The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.
Student’s self-assessment of progress during the placement:
I have completed my placement evaluation on POW and mentor evaluations
Student signature: ............................................................. Date: .............................
Sign-off mentor’s comments on student’s progress during the placement:
I confirm that ………………………………………………………. (insert student name) behaved
professionally and safely throughout this placement.
Sign-off mentor signature: ........................................................ Date:…………………
Mentorship qualification: ………................. Date of most recent triennial review:……………
Buddy mentor comments or personal tutor/midwifery lecturer, if attending
Buddy mentor/Lecturer’s signature: ................................... Date: .............................
BSc (Hons) Pre Registration Midwifery 35 Ongoing Achievement Record 2016-17
LEARNING CONTRACT Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………
The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:
I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….
BSc (Hons) Pre Registration Midwifery 36 Ongoing Achievement Record 2016-17
MID-POINT REPORT
For documentation of student progress during a longer placement
Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point
Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................
Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................
Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................
BSc (Hons) Pre Registration Midwifery 37 Ongoing Achievement Record 2016-17
REPORTS FROM OTHERS DURING PLACEMENT
Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress
Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.
All contributors must provide a specimen signature on the ‘Signature Record’
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 38 Ongoing Achievement Record 2016-17
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 39 Ongoing Achievement Record 2016-17
END OF PLACEMENT REPORT
A report must please be written at the end of a placement.
If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress
The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.
Student’s self-assessment of progress during the placement:
I have completed my placement evaluation on POW and mentor evaluations
Student signature: ............................................................. Date: .............................
Sign-off mentor’s comments on student’s progress during the placement:
I confirm that ………………………………………………………. (insert student name) behaved
professionally and safely throughout this placement.
Sign-off mentor signature: ........................................................ Date:…………………
Mentorship qualification: ………................. Date of most recent triennial review:……………
Buddy mentor comments or personal tutor/midwifery lecturer, if attending
Buddy mentor/Lecturer’s signature: ................................... Date: .............................
BSc (Hons) Pre Registration Midwifery 40 Ongoing Achievement Record 2016-17
LEARNING CONTRACT Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………
The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:
I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….
BSc (Hons) Pre Registration Midwifery 41 Ongoing Achievement Record 2016-17
MID-POINT REPORT
For documentation of student progress during a longer placement
Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point
Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................
Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................
Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................
BSc (Hons) Pre Registration Midwifery 42 Ongoing Achievement Record 2016-17
REPORTS FROM OTHERS DURING PLACEMENT
Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress
Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.
All contributors must provide a specimen signature on the ‘Signature Record’
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 43 Ongoing Achievement Record 2016-17
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 44 Ongoing Achievement Record 2016-17
END OF PLACEMENT REPORT
A report must please be written at the end of a placement.
If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress
The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.
Student’s self-assessment of progress during the placement:
I have completed my placement evaluation on POW and mentor evaluations
Student signature: ............................................................. Date: .............................
Sign-off mentor’s comments on student’s progress during the placement:
I confirm that ………………………………………………………. (insert student name) behaved
professionally and safely throughout this placement.
Sign-off mentor signature: ........................................................ Date:…………………
Mentorship qualification: ………................. Date of most recent triennial review:……………
Buddy mentor comments or personal tutor/midwifery lecturer, if attending
Buddy mentor/Lecturer’s signature: ................................... Date: .............................
BSc (Hons) Pre Registration Midwifery 45 Ongoing Achievement Record 2016-17
LEARNING CONTRACT Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………
The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:
I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….
BSc (Hons) Pre Registration Midwifery 46 Ongoing Achievement Record 2016-17
MID-POINT REPORT
For documentation of student progress during a longer placement
Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point
Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................
Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................
Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................
BSc (Hons) Pre Registration Midwifery 47 Ongoing Achievement Record 2016-17
REPORTS FROM OTHERS DURING PLACEMENT
Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress
Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.
All contributors must provide a specimen signature on the ‘Signature Record’
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 48 Ongoing Achievement Record 2016-17
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 49 Ongoing Achievement Record 2016-17
END OF PLACEMENT REPORT
A report must please be written at the end of a placement.
If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress
The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.
Student’s self-assessment of progress during the placement:
I have completed my placement evaluation on POW and mentor evaluations
Student signature: ............................................................. Date: .............................
Sign-off mentor’s comments on student’s progress during the placement:
I confirm that ………………………………………………………. (insert student name) behaved
professionally and safely throughout this placement.
Sign-off mentor signature: ........................................................ Date:…………………
Mentorship qualification: ………................. Date of most recent triennial review:……………
Buddy mentor comments or personal tutor/midwifery lecturer, if attending
Buddy mentor/Lecturer’s signature: ................................... Date: .............................
BSc (Hons) Pre Registration Midwifery 50 Ongoing Achievement Record 2016-17
LEARNING CONTRACT Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………
The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:
I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….
BSc (Hons) Pre Registration Midwifery 51 Ongoing Achievement Record 2016-17
MID-POINT REPORT
For documentation of student progress during a longer placement
Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point
Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................
Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................
Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................
BSc (Hons) Pre Registration Midwifery 52 Ongoing Achievement Record 2016-17
REPORTS FROM OTHERS DURING PLACEMENT
Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress
Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.
All contributors must provide a specimen signature on the ‘Signature Record’
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 53 Ongoing Achievement Record 2016-17
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 54 Ongoing Achievement Record 2016-17
END OF PLACEMENT REPORT
A report must please be written at the end of a placement.
If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress
The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.
Student’s self-assessment of progress during the placement:
I have completed my placement evaluation on POW and mentor evaluations
Student signature: ............................................................. Date: .............................
Sign-off mentor’s comments on student’s progress during the placement:
I confirm that ………………………………………………………. (insert student name) behaved
professionally and safely throughout this placement.
Sign-off mentor signature: ........................................................ Date:…………………
Mentorship qualification: ………................. Date of most recent triennial review:……………
Buddy mentor comments or personal tutor/midwifery lecturer, if attending
Buddy mentor/Lecturer’s signature: ................................... Date: .............................
BSc (Hons) Pre Registration Midwifery 55 Ongoing Achievement Record 2016-17
LEARNING CONTRACT Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………
The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:
I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….
BSc (Hons) Pre Registration Midwifery 56 Ongoing Achievement Record 2016-17
MID-POINT REPORT
For documentation of student progress during a longer placement
Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point
Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................
Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................
Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................
BSc (Hons) Pre Registration Midwifery 57 Ongoing Achievement Record 2016-17
REPORTS FROM OTHERS DURING PLACEMENT
Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress
Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.
All contributors must provide a specimen signature on the ‘Signature Record’
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 58 Ongoing Achievement Record 2016-17
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 59 Ongoing Achievement Record 2016-17
END OF PLACEMENT REPORT
A report must please be written at the end of a placement.
If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress
The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.
Student’s self-assessment of progress during the placement:
I have completed my placement evaluation on POW and mentor evaluations
Student signature: ............................................................. Date: .............................
Sign-off mentor’s comments on student’s progress during the placement:
I confirm that ………………………………………………………. (insert student name) behaved
professionally and safely throughout this placement.
Sign-off mentor signature: ........................................................ Date:…………………
Mentorship qualification: ………................. Date of most recent triennial review:……………
Buddy mentor comments or personal tutor/midwifery lecturer, if attending
Buddy mentor/Lecturer’s signature: ................................... Date: .............................
BSc (Hons) Pre Registration Midwifery 60 Ongoing Achievement Record 2016-17
LEARNING CONTRACT Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………
The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:
I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….
BSc (Hons) Pre Registration Midwifery 61 Ongoing Achievement Record 2016-17
MID-POINT REPORT
For documentation of student progress during a longer placement
Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point
Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................
Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................
Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................
BSc (Hons) Pre Registration Midwifery 62 Ongoing Achievement Record 2016-17
REPORTS FROM OTHERS DURING PLACEMENT
Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress
Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.
All contributors must provide a specimen signature on the ‘Signature Record’
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 63 Ongoing Achievement Record 2016-17
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 64 Ongoing Achievement Record 2016-17
END OF PLACEMENT REPORT
A report must please be written at the end of a placement.
If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress
The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.
Student’s self-assessment of progress during the placement:
I have completed my placement evaluation on POW and mentor evaluations
Student signature: ............................................................. Date: .............................
Sign-off mentor’s comments on student’s progress during the placement:
I confirm that ………………………………………………………. (insert student name) behaved
professionally and safely throughout this placement.
Sign-off mentor signature: ........................................................ Date:…………………
Mentorship qualification: ………................. Date of most recent triennial review:……………
Buddy mentor comments or personal tutor/midwifery lecturer, if attending
Buddy mentor/Lecturer’s signature: ................................... Date: .............................
BSc (Hons) Pre Registration Midwifery 65 Ongoing Achievement Record 2016-17
LEARNING CONTRACT Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………
The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:
I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….
BSc (Hons) Pre Registration Midwifery 66 Ongoing Achievement Record 2016-17
MID-POINT REPORT
For documentation of student progress during a longer placement
Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point
Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................
Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................
Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................
BSc (Hons) Pre Registration Midwifery 67 Ongoing Achievement Record 2016-17
REPORTS FROM OTHERS DURING PLACEMENT
Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress
Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.
All contributors must provide a specimen signature on the ‘Signature Record’
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 68 Ongoing Achievement Record 2016-17
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 69 Ongoing Achievement Record 2016-17
END OF PLACEMENT REPORT
A report must please be written at the end of a placement.
If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress
The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.
Student’s self-assessment of progress during the placement:
I have completed my placement evaluation on POW and mentor evaluations
Student signature: ............................................................. Date: .............................
Sign-off mentor’s comments on student’s progress during the placement:
I confirm that ………………………………………………………. (insert student name) behaved
professionally and safely throughout this placement.
Sign-off mentor signature: ........................................................ Date:…………………
Mentorship qualification: ………................. Date of most recent triennial review:……………
Buddy mentor comments or personal tutor/midwifery lecturer, if attending
Buddy mentor/Lecturer’s signature: ................................... Date: .............................
BSc (Hons) Pre Registration Midwifery 70 Ongoing Achievement Record 2016-17
LEARNING CONTRACT Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………
The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:
I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….
BSc (Hons) Pre Registration Midwifery 71 Ongoing Achievement Record 2016-17
MID-POINT REPORT
For documentation of student progress during a longer placement
Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point
Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................
Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................
Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................
BSc (Hons) Pre Registration Midwifery 72 Ongoing Achievement Record 2016-17
REPORTS FROM OTHERS DURING PLACEMENT
Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress
Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.
All contributors must provide a specimen signature on the ‘Signature Record’
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 73 Ongoing Achievement Record 2016-17
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 74 Ongoing Achievement Record 2016-17
END OF PLACEMENT REPORT
A report must please be written at the end of a placement.
If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress
The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.
Student’s self-assessment of progress during the placement:
I have completed my placement evaluation on POW and mentor evaluations
Student signature: ............................................................. Date: .............................
Sign-off mentor’s comments on student’s progress during the placement:
I confirm that ………………………………………………………. (insert student name) behaved
professionally and safely throughout this placement.
Sign-off mentor signature: ........................................................ Date:…………………
Mentorship qualification: ………................. Date of most recent triennial review:……………
Buddy mentor comments or personal tutor/midwifery lecturer, if attending
Buddy mentor/Lecturer’s signature: ................................... Date: .............................
BSc (Hons) Pre Registration Midwifery 75 Ongoing Achievement Record 2016-17
LEARNING CONTRACT Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………
The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:
I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….
BSc (Hons) Pre Registration Midwifery 76 Ongoing Achievement Record 2016-17
MID-POINT REPORT
For documentation of student progress during a longer placement
Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point
Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................
Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................
Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................
BSc (Hons) Pre Registration Midwifery 77 Ongoing Achievement Record 2016-17
REPORTS FROM OTHERS DURING PLACEMENT
Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress
Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.
All contributors must provide a specimen signature on the ‘Signature Record’
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 78 Ongoing Achievement Record 2016-17
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 79 Ongoing Achievement Record 2016-17
END OF PLACEMENT REPORT
A report must please be written at the end of a placement.
If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress
The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.
Student’s self-assessment of progress during the placement:
I have completed my placement evaluation on POW and mentor evaluations
Student signature: ............................................................. Date: .............................
Sign-off mentor’s comments on student’s progress during the placement:
I confirm that ………………………………………………………. (insert student name) behaved
professionally and safely throughout this placement.
Sign-off mentor signature: ........................................................ Date:…………………
Mentorship qualification: ………................. Date of most recent triennial review:……………
Buddy mentor comments or personal tutor/midwifery lecturer, if attending
Buddy mentor/Lecturer’s signature: ................................... Date: .............................
BSc (Hons) Pre Registration Midwifery 80 Ongoing Achievement Record 2016-17
LEARNING CONTRACT Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………
The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:
I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….
BSc (Hons) Pre Registration Midwifery 81 Ongoing Achievement Record 2016-17
MID-POINT REPORT
For documentation of student progress during a longer placement
Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point
Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................
Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................
Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................
BSc (Hons) Pre Registration Midwifery 82 Ongoing Achievement Record 2016-17
REPORTS FROM OTHERS DURING PLACEMENT
Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress
Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.
All contributors must provide a specimen signature on the ‘Signature Record’
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 83 Ongoing Achievement Record 2016-17
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 84 Ongoing Achievement Record 2016-17
END OF PLACEMENT REPORT
A report must please be written at the end of a placement.
If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress
The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.
Student’s self-assessment of progress during the placement:
I have completed my placement evaluation on POW and mentor evaluations
Student signature: ............................................................. Date: .............................
Sign-off mentor’s comments on student’s progress during the placement:
I confirm that ………………………………………………………. (insert student name) behaved
professionally and safely throughout this placement.
Sign-off mentor signature: ........................................................ Date:…………………
Mentorship qualification: ………................. Date of most recent triennial review:……………
Buddy mentor comments or personal tutor/midwifery lecturer, if attending
Buddy mentor/Lecturer’s signature: ................................... Date: .............................
BSc (Hons) Pre Registration Midwifery 85 Ongoing Achievement Record 2016-17
LEARNING CONTRACT Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………
The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:
I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….
BSc (Hons) Pre Registration Midwifery 86 Ongoing Achievement Record 2016-17
MID-POINT REPORT
For documentation of student progress during a longer placement
Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point
Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................
Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................
Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................
BSc (Hons) Pre Registration Midwifery 87 Ongoing Achievement Record 2016-17
REPORTS FROM OTHERS DURING PLACEMENT
Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress
Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.
All contributors must provide a specimen signature on the ‘Signature Record’
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 88 Ongoing Achievement Record 2016-17
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 89 Ongoing Achievement Record 2016-17
END OF PLACEMENT REPORT
A report must please be written at the end of a placement.
If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress
The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.
Student’s self-assessment of progress during the placement:
I have completed my placement evaluation on POW and mentor evaluations
Student signature: ............................................................. Date: .............................
Sign-off mentor’s comments on student’s progress during the placement:
I confirm that ………………………………………………………. (insert student name) behaved
professionally and safely throughout this placement.
Sign-off mentor signature: ........................................................ Date:…………………
Mentorship qualification: ………................. Date of most recent triennial review:……………
Buddy mentor comments or personal tutor/midwifery lecturer, if attending
Buddy mentor/Lecturer’s signature: ................................... Date: .............................
BSc (Hons) Pre Registration Midwifery 90 Ongoing Achievement Record 2016-17
LEARNING CONTRACT Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………
The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:
I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….
BSc (Hons) Pre Registration Midwifery 91 Ongoing Achievement Record 2016-17
MID-POINT REPORT
For documentation of student progress during a longer placement
Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point
Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................
Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................
Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................
BSc (Hons) Pre Registration Midwifery 92 Ongoing Achievement Record 2016-17
REPORTS FROM OTHERS DURING PLACEMENT
Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress
Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.
All contributors must provide a specimen signature on the ‘Signature Record’
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 93 Ongoing Achievement Record 2016-17
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 94 Ongoing Achievement Record 2016-17
END OF PLACEMENT REPORT
A report must please be written at the end of a placement.
If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress
The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.
Student’s self-assessment of progress during the placement:
I have completed my placement evaluation on POW and mentor evaluations
Student signature: ............................................................. Date: .............................
Sign-off mentor’s comments on student’s progress during the placement:
I confirm that ………………………………………………………. (insert student name) behaved
professionally and safely throughout this placement.
Sign-off mentor signature: ........................................................ Date:…………………
Mentorship qualification: ………................. Date of most recent triennial review:……………
Buddy mentor comments or personal tutor/midwifery lecturer, if attending
Buddy mentor/Lecturer’s signature: ................................... Date: .............................
BSc (Hons) Pre Registration Midwifery 95 Ongoing Achievement Record 2016-17
LEARNING CONTRACT Name of Placement: …………………………… Speciality …………………… Date of commencement of Placement: ………………………………………….…. Name of sign-off mentor/s…………………………................................................. ………………………………………………………………
The following are my identified learning needs for this placement, drawn from my SWOT analysis in my electronic portfolio:
I will liaise with my sign-off mentor/s and any other supervising practitioners to ensure that I do all that I can to achieve my learning objectives. This includes working a 24-hour pattern of care and ensuring that I work a minimum of two days per week with my designated sign-off mentor/s. I will liaise with my personal tutor if I have any concerns, and will arrange tripartites in a timely way. I will practise safely and professionally at all times. Student signature: …………………………………….. Date:…………………….. I will aim to work with the student a minimum of two days per week pro rata, and will liaise with all other practitioners supervising her/his practice when I am not available, to ensure that the student’s learning needs are being met and that I am able to monitor her/his progress. I have explained the health and safety issues and emergency procedures relevant to this placement to the student. Sign-off Mentor Signature (1): ………………………..…….. Date: ………………….. Sign-off Mentor Signature (2): ………………………………. Date: ………………….
BSc (Hons) Pre Registration Midwifery 96 Ongoing Achievement Record 2016-17
MID-POINT REPORT
For documentation of student progress during a longer placement
Personal tutor/ midwifery lecturer may or not be requested to attend a tripartite discussion at this point
Student’s self-assessment of progress to date: Student signature :............................................................. Date: .............................
Sign-off mentor’s assessment of student’s progress to date: Sign-off mentor signature: ……………………........................ Date: ...........................
Buddy mentor comments or personal tutor/midwifery lecturer, if attending Buddy mentor/ lecturer’s signature: ........................................... Date: ....................
BSc (Hons) Pre Registration Midwifery 97 Ongoing Achievement Record 2016-17
REPORTS FROM OTHERS DURING PLACEMENT
Those midwives contributing to a significant part of the student’s supervision during the placement may like to record comments which will help inform the sign-off mentor of evidence of progress
Others may also document comments on the student’s progress (eg: other medical/ nursing staff; student peers; service-users or their partners). Where these are not midwives, the sign off mentor/supervising midwife must countersign the entries.
All contributors must provide a specimen signature on the ‘Signature Record’
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 98 Ongoing Achievement Record 2016-17
Name: .......................................... Position: ..................................... Date: ................
Name :.......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
Name: .......................................... Position: ..................................... Date: ................
BSc (Hons) Pre Registration Midwifery 99 Ongoing Achievement Record 2016-17
END OF PLACEMENT REPORT
A report must please be written at the end of a placement.
If this is a summative point, a tripartite must be arranged with the personal tutor/ midwifery lecturer , and all parties must record comments on the student’s progress
The midwifery sign-off mentor must be present at the tripartite, and preferably any buddy mentors contributing to monitoring of the student’s progress.
Student’s self-assessment of progress during the placement:
I have completed my placement evaluation on POW and mentor evaluations
Student signature: ............................................................. Date: .............................
Sign-off mentor’s comments on student’s progress during the placement:
I confirm that ………………………………………………………. (insert student name) behaved
professionally and safely throughout this placement.
Sign-off mentor signature: ........................................................ Date:…………………
Mentorship qualification: ………................. Date of most recent triennial review:……………
Buddy mentor comments or personal tutor/midwifery lecturer, if attending
Buddy mentor/Lecturer’s signature: ................................... Date: .............................
BSc (Hons) Pre Registration Midwifery 100 Ongoing Achievement Record 2016-17
REFERENCES Nursing and Midwifery Council (2007a) Introduction of Essential Skills Clusters for pre registration midwifery education programmes Circular 23 Nursing and Midwifery Council (2007b) Pre registration midwifery education programmes: progression from one academic level to the next academic level. Circular 24 Nursing and Midwifery Council (2007c) Grading of Clinical practice for pre registration midwifery education programmes Circular 25 Nursing and Midwifery Council (2007d) Ensuring continuity of practice assessment through the ongoing achievement record Circular 33 Nursing and Midwifery Council (2008) Standards to support learning and assessment in practice (2nd edition). London: NMC Nursing and Midwifery Council (2009) Standards for pre-registration midwifery education. London: NMC Nursing and Midwifery Council (2012) Midwives Rules and Standards 2012. London: NMC Nursing and Midwifery Council (2015) The Code: Professional standards of practice and behaviour for nurses and midwives. London: NMC Quality Assurance Agency (2001) Benchmark statements Steinaker N & Bell MR (1979) The experiential taxonomy: a new approach to teaching and learning. Educational Psychology New York: Academic Press
RECOMMENDED READING IN PREPARATION FOR ALL PRACTICE PLACEMENTS
Cescutti-Butler L and Fisher M (eds) (2016) The Hands-on Guide to Midwifery Placements.
Chichester: John Wiley & Sons Ltd. (available as an e-book or hard copy from the library)
Chapters (including vignettes and ‘top tips’ from past students in Plymouth and Bournemouth Universities): 1. Introduction to midwifery and the profession - Susan Way 2. Preparation for practice - Henrietta Otley 3. Assessment of practice - Margaret Fisher 4. Low-risk midwifery placements - Jo Coggins 5. High-risk midwifery placements - Margaret Fisher 6. Caseloading - Stella Rawnson 7. Wider experiences - Margaret Fisher 8. Student electives - Luisa Cescutti-Butler 9. What next? - Faye Doris
BSc (Hons) Pre Registration Midwifery 101 Ongoing Achievement Record 2016-17
PART TWO
MENTOR ASSESSMENT OF PRACTICE/ PROFICIENCIES (MAP)
BSc (Hons) Pre Registration Midwifery 102 Ongoing Achievement Record 2016-17
GUIDELINES FOR USE OF ASSESSMENT DOCUMENT PRACTICE ASSESSMENT PROCESS: 1. Assessment of practice in the Pre-Registration Midwifery programmes is through
continuous monitoring of progress, based on Steinaker and Bell (1979). The student gradually moves towards a point of practising at a level of proficiency, competence and accuracy under indirect supervision. Summative assessment by the sign-off mentor/s must be documented at set points in the programme.
2. The MAP (Mentor Assessment of Practice/ Proficiencies) document comprises the criteria against which students are assessed. These consist of the Essential Skills Clusters (ESC) as well as additional criteria necessary to achieve the Midwifery Standards (NMC 2009) and Quality Assurance Agency Midwifery Benchmark statements (2001).
3. Designated midwifery sign-off mentors, or buddy mentors with the sign-off mentor’s
agreement, will initial and date cues within statements as this experience is gained and demonstrated at the appropriate level. All entries must be signed/ counter-signed by the sign-off mentor. Only the sign-off mentor may write comments in the box indicating whether or not the student has achieved the statement as a whole. Students may not write anything in the MAP.
4. In some clinical areas the student may change placements and sign-off mentors during the
course of the year. If it is unlikely that the student will return to a placement before the summative point, and the sign-off mentor considers that the student has achieved all statements within a specific criterion, they may award an interim grade. This must be written in ink and the entry signed and dated by both the sign-off mentor and student on the “first attempt” section at the end of the relevant criterion. Please note that interim grades may be subject to amendment, however they may only be adjusted if prior discussion has taken place between the summative and previous sign-off mentors.
5. Comments by other supervising practitioners may be included in the Placement Record in
Part One to supplement evidence and to guide the sign-off mentor in their decision regarding the student’s achievement/ non-achievement of criteria. Students are also reminded to share their e-portfolio with their sign-off mentor as this can also be referred to as evidence in the MAP.
6. Before the summative progression point the sign-off mentor must ensure that all cues
within statements have been initialled and dated, and counter-sign any made by a buddy mentor. The sign-off mentor must decide whether the student has achieved that statement and document comments in the box. Evidence supporting the sign-off mentor’s decisions must be recorded and signed by the sign-off mentor. The sign-off mentor then needs to award an appropriate grade for each criterion (see Guidelines for Grading of Practice) – the sign-off mentor may prefer to wait until the tripartite to award these grades, but they need to have provisional grades in mind. In preparation for the summative tripartite, the sign-off mentor must have liaised with any other designated sign-off mentors if they disagree with an interim grade previously awarded for that year (see point 4 above). Liaison should also take place with other staff who have worked with the student so that triangulation of evidence is achieved.
7. A tripartite meeting must be arranged by the student prior to the summative
submission date. A detailed discussion regarding the student’s progress and the evidence
BSc (Hons) Pre Registration Midwifery 103 Ongoing Achievement Record 2016-17
for the grades will take place with a midwifery lecturer (usually the personal tutor) as moderator. The present sign-off mentor and the moderator will agree the final grades for all criteria. It is essential that all parties (sign-off mentor, student and midwifery lecturer attending) sign and date where indicated. Failure to do so will result in a referral for practice.
8. The sign-off mentor will also be required to sign a statement at each progression point to
confirm that the student’s practice has been safe and professional, and at the final assessment point of the programme that the student is fit for practice and eligible to apply for registration as a midwife, based on clinical performance. If the sign-off mentor’s signature does not appear on the ‘Proficiency’ statement at the final assessment point the student will be referred in practice and will not be able to be admitted to the NMC register until this has been achieved, together with all other NMC, EU and programme requirements.
GUIDELINES FOR GRADING OF PRACTICE: Grading may only be undertaken by the designated sign-off mentor.
a) For each criterion – ascertain whether student has achieved all statements i) If Yes:
Initial/ countersign and date all those cues in the statements achieved
Write comments in the ‘Evidence of achievement’ box and sign
When all statements for a criterion have been achieved award a grade (see below).
ii) If No:
Do not initial the cues in the statements which have not been achieved
Write comments and sign in the relevant box ‘Comment if not achieved’ explaining why the student hasn’t achieved
Identify a brief plan on how criteria can be achieved
b) Awarding a grade You need to take the following into consideration when deciding upon a grade:-
Your evidence and observations from working with the student. Comments and reports from other practitioners, service users, etc. Using the grid at the end of this section, determine the appropriate grade for
each criterion. The column headed ‘Criteria’ may be a helpful starting point. Many sign off mentors find it appropriate to determine the grade band (i.e. 40’s, 50’s) before deciding on the specific mark. Only grades identified in the banding should be used (eg: 52% or 55% or 58%). To identify the specific mark it may be helpful to consider the bands on either side to determine if the student falls within top, middle or bottom of the identified band.
The band of 42% - 48% indicates that the student is meeting the minimum requirements of the criterion, and is practising safely
A pass mark of 40% must be achieved in all statements, or the student will be referred in the module and will be unable to progress until all statements have achieved a pass grade (NMC 2009). Under University Regulations, the student is only allowed two attempts at practice.
BSc (Hons) Pre Registration Midwifery 104 Ongoing Achievement Record 2016-17
c) Tripartites A tripartite meeting between student, sign-off mentor and a midwifery lecturer must take place before submission; it should be arranged in advance by the student. The following should take place at this meeting:
i) A process of moderation, this is where the evidence and proposed grades are reviewed, correlation between the comments and grade should be evident.
ii) A checking process to ensure the following are completed: Signature record completed European Union Midwifery Record completed Placement records completed Initials/signatures and dates inserted for all cues in the MAP Comments including evidence written by sign-off mentor for all
statements, having determined achievement/ non-achievement – signed and dated
Grade agreed for each MAP criterion – signed and dated by sign-off mentor, midwifery lecturer and student
Final year students - ‘Proficiency’ statement by sign-off mentor If interim grades are adjusted during this process, the original grade
should be crossed out and initialled by the sign off mentor; comments must be made if this is the case. An overall comment should also be documented by the sign-off mentor or midwifery lecturer if the student has been practising at an exceptionally high/ low level
iii) Failure to evidence all signatures and thereby the completed grading and moderation process will result in referral in the module.
If students or staff have any questions about understanding the assessment process or completing the documentation, or there are any concerns in practice please do not hesitate to contact a midwifery lecturer.
Criteria for awarding grades (based on the Undergraduate Guidelines on Assessment)
Grade Description Criteria Faculty Guidelines
Below 29 Clear failure to achieve a pass
Frequently fails to meet expectations in performance
Limited and inappropriate links between theory and practice. Unsafe or ineffective practice demonstrated.
32/35/38 Failure to achieve a pass
Sometimes meets expectations in performance
Poor understanding of practice issues. Evidence of unsafe practice.
42/45/48 Satisfactory pass
Meets expectations in performance
Safe practice demonstrated with some reference to evidence-based underpinning.
52/55/58 Good Sometimes exceeds expectations in performance
Consistently safe practice demonstrated with some reference to evidence-based rationale.
62/65/68 Very good Frequently exceeds expectations in performance
Safe and evidence-based practice consistently demonstrated.
72/76/80/84 Excellent Sometimes excellent/ outstanding performance
Incorporates evidence of consistently safe and best standards of practice.
86/90/95/100 Outstanding Consistently outstanding performance
Incorporates evidence of consistently safe and highest standards of practice. Outstanding comprehension of contemporary issues. Excellent application of recent research to practice.
BSc (Hons) Pre Registration Midwifery 105 Ongoing Achievement Record 2016-17
EXAMPLE OF COMPLETED MENTOR ASSESSMENT OF PRACTICE/ PROFICIENCIES (MAP) CRITERION
YEAR ONE
CRITERION 7 Personal and Professional Growth
1: Takes responsibility for personal and professional growth.
Initials Date
Appraises own strengths and weaknesses in an objective manner. J B 10/6/16
Understands the concept of lifelong learning. J B 10/6/16
Evidence of achievement
Emma is good at identifying her strengths and weaknesses. She has shared with
me her Capability Plan in her e-portfolio which provides evidence of this. She
occasionally brings in literature from theory to support new learning in practice,
for example some recent research on breastfeeding which I had not read.
Sign-off Mentor…… Julie Brown ………… Date…10/6/16….
Comment if not achieved Sign-off Mentor…………………………… Date………………..
2: Demonstrates assertiveness in clinical practice.
3: Demonstrates autonomy in and accountability for own clinical practice.
Initials Date
Is able to accept criticism and reflect upon it constructively. RW 30/5/16
Recognises importance of accountability in midwifery practice and acts within own limitations.
J B 10/6/16
Evidence of achievement
Emma has worked some shifts with me as buddy mentor. I have found that she
responds well to feedback. An example was when she did not record a woman’s urinary
output and I explained why this was important. Emma has since recorded all
measurements. Rose Williams 30/5/16 I have also found that Emma consistently responds well to feedback. She will also
always ask for help if she is unsure how to do something. I have recently allocated
her a couple of women and their babies to care for under indirect supervision and she
has provided very good care and sought my advice when deviations from the norm
such as pyrexia have been noted.
Sign-off Mentor………… Julie Brown …… Date……10/6/16…
Comment if not achieved Sign-off Mentor…………………………………. Date……………….`
BSc (Hons) Pre Registration Midwifery 106 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 7 Personal and Professional Growth
First attempt
Grade ……65…….…..%
Sign-off mentor signature …… Julie Brown ………..………… Date …10/6/16…….
Student signature ……………………Emma Black………………… Date ….. 10/6/16….… Lecturer signature ………………Annie Tutor……………………… Date …..10/6/16……
Comments and suggestions for improvement:
Emma is making very good progress and tries to link theory with practice to inform
her development. She would benefit from reading around situations encountered in
practice to further enhance this, which will also help her to gain confidence in caring for
women experiencing normality under decreasing levels of supervision.
Julie Brown 10/6/16
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date ……………………
Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 107 Ongoing Achievement Record 2016-2017
GLOSSARY OF TERMS: Criteria = Skills clusters in the MAP which are summatively assessed at progression points (see below). These comprise the Essential Skills Clusters and additional criteria necessary to achieve the Midwifery Standards (NMC 2009). A grade is awarded for each criterion by the sign-off mentor, and these are aggregated to provide the overall grade for practice at the summative point. There are 9 criteria in total. Cue = Brief sentence which provides further information about specific skills/ evidence required within a statement. These must be initialled and dated by the sign-off mentor or designated buddy; all must be countersigned by the sign-off mentor. Essential Skills Clusters (ESC) = Specific areas of practice required by the NMC to be explicitly demonstrated in all pre-registration Midwifery Programmes approved from September 2008 (NMC 2009). MAP = Mentor Assessment of Practice (‘Proficiencies’ in 2008 curriculum): Midwifery assessment of practice document, based on the NMC Standards for pre-registration midwifery education and Essential Skills Clusters (NMC 2009). Competencies = The standards identified by the NMC as necessary to enter the register as a midwife (NMC 2009). Progression point = “A point/s established for the purpose of making summative judgements about safe and effective practice in a programme. These are to be passed before the student midwife is allowed to progress.” (NMC 2007c, p1). In the midwifery programme, a progression point occurs at the end of each academic year and is ratified at the University Examination Board. Sign-off mentor = An experienced and suitably qualified mentor who has met additional criteria required by the NMC and been annotated on the mentor register as a “sign-off mentor” (NMC 2008a). All midwifery mentors must be sign-off mentors, and they must record or counter-sign all entries in the MAP. Determination of achievement/ non-achievement and grading can only be undertaken by the sign-off mentor (NMC 2009). Statement = Sentence above the relevant section of MAP which indicates the expectation from women of a newly registered midwife relating to each criterion. All statements need to have been achieved for the student to receive a pass grade for the criterion, at the level identified by the cues in the first column. Only the sign-off mentor may determine this achievement/ non-achievement and is responsible for writing the comments. Summative assessment = Assessment of a student’s achievement/ non-achievement at the progression point. Any interim grades awarded by previous sign-off mentors are verified by the summative sign-off mentor, following discussion with these individuals, as required. Final grades are awarded for all criteria by the sign-off mentor during discussion with a midwifery lecturer at the tripartite. Signatures of the student, sign-off mentor and attending midwifery lecturer must be documented for every criterion and the aggregated grid.
BSc (Hons) Pre Registration Midwifery 108 Ongoing Achievement Record 2016-17
BSc (Hons) Pre Registration Midwifery 109 Ongoing Achievement Record 2016-17
YEAR ONE
MENTOR ASSESSMENT OF PRACTICE
(MAP)
Please note that it is YOUR responsibility to ensure that all statements are fully
initialled and dated, and include written evidence and signature of the sign-off
mentor before you submit your OAR. The grading section for each
criterion must be signed and dated by all parties. Absence of any of these will
result in referral in the module. Attention to detail is a vitally important part of
midwifery practice and record-keeping.
BSc (Hons) Pre Registration Midwifery 110 Ongoing Achievement Record 2016-17
BSc (Hons) Pre Registration Midwifery
Mentor Assessment of Practice (MAP)
Year 1
Based on the Standards for pre registration midwifery education (NMC 2009)
NOTE THAT THE LEVEL EXPECTED IN YEAR ONE IS
‘REFLECTION AND KNOWLEDGE UNDER DIRECT SUPERVISION’
CRITERION Page No.
1 Initial Consultation between the Woman and the
Midwife * 111
2 Ongoing Antenatal Care 115
3 Normal Labour and Birth * 117
4 Postnatal and Neonatal Care 122
5 Initiation and Continuance of Breastfeeding * 125
6 Medical Products Management* 130
7 Personal and Professional Growth 133
8 Risk Assessment and Management Skills 135
9 Communication* 137
*Indicates linked to Essential Skills Clusters
BSc (Hons) Pre Registration Midwifery 111 Ongoing Achievement Record 2016-17
CRITERION 1 Initial Consultation between the Woman and the Midwife
1: Be confident in sharing information about common antenatal screening tests
Initials Date
Is aware of the main NHS-managed antenatal screening programmes that are offered to pregnant women.
Participates in sharing information with women about common antenatal screening tests.
Can respect the decision of women to decline services or treatment.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 112 Ongoing Achievement Record 2016-17
2: Completes an initial consultation accurately ensuring women are at the centre of care.
Initials Date
Ensures consent is obtained before any care is initiated.
Assists in determining preferences to maximise an individual approach to care.
Participates in explaining to women the aim of the initial consultation relevant to gestation.
Participates in assessing maternal and fetal wellbeing, relevant to the stage of pregnancy.
Participates in explaining findings in a sensitive manner and encourages women to ask questions.
Participates in explaining to women lifestyle considerations in relation to diet, smoking and drugs.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 113 Ongoing Achievement Record 2016-17
3: Works collaboratively with other healthcare professionals and external agencies.
4: Be the first point of contact when seeking advice and/or information about being pregnant.
Initials Date
Works alongside other health care professionals who input into antenatal care.
Is able to demonstrate how and where a midwife can be accessed as the first point of contact.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 114 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 1 Initial Consultation between the Woman and the Midwife
First attempt
Grade ………….…..%
Sign-off mentor signature …………..…………….…………… Date……………………….. Student signature …………………………………………..…… Date……………………….. Lecturer signature …………………………...…………………… Date………………………..
Comments and suggestions for improvement:
Second attempt
Grade ………….…..%
Sign-off mentor signature …………..…………….…………… Date……………………….. Student signature …………………………………………..…… Date……………………….. Lecturer signature …………………………...…………………… Date………………………..
Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 115 Ongoing Achievement Record 2016-17
CRITERION 2 Ongoing Antenatal Care
1: Be able to accurately monitor maternal and fetal wellbeing throughout pregnancy, taking action as appropriate.
Initials Date
Is able to conduct basic assessments of maternal and fetal wellbeing, including abdominal examination, monitoring of vital signs and auscultation of the fetal heart.
Communicates findings to women at a level appropriate for their understanding.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
2: Advises women on a range of health issues related to their pregnancy.
Initials Date
Demonstrates knowledge and understanding of the physiological changes in normal pregnancy.
Recognises some of the minor disorders of pregnancy.
Is able to impart basic health information on a limited range of issues, to women and their families.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 116 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 2 Ongoing Antenatal Care
First attempt
Grade ………….…..%
Sign-off mentor signature …………..…………….…………… Date……………………….. Student signature …………………………………………..…… Date……………………….. Lecturer signature …………………………...…………………… Date………………………..
Comments and suggestions for improvement:
Second attempt
Grade ………….…..%
Sign-off mentor signature …………..…………….…………… Date……………………….. Student signature …………………………………………..…… Date……………………….. Lecturer signature …………………………...…………………… Date………………………..
Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 117 Ongoing Achievement Record 2016-17
CRITERION 3 Normal Labour and Birth
1: Work in partnership with women to facilitate a birth environment that supports their needs.
2: Be attentive to the comfort needs of women before, during and after birth.
Initials Date
Ensures a women-centred approach to care; is sensitive to cultural and social factors when providing care for women.
Respects the rights of women and ensures privacy and provides care with dignity, making appropriate use of the environment.
Participates in ‘being with women’ during their labour and birth to provide safe and sensitive care.
Incorporates birth plans or written instructions that identify the wishes of women, in any care provided.
Respects silence.
Participates in changing the physical environment to meet the needs of women, such as lighting, furniture, temperature.
Participates in ensuring the comfort needs of women are met, such as: bladder care, appropriate hydration, nutritional intake, hygiene requirements, prevention of infection, assessment of skin integrity.
Participates in working with women to determine their coping strategies in order to support their preferences for pain management, such as mobilising, different positions, use of water, silence
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 118 Ongoing Achievement Record 2016-17
3: Determine the onset of labour.
4: Determine the wellbeing of women and their unborn babies (during labour).
5: Measure, assess and facilitate the progress of normal labour.
Initials Date
Participates in using observation, history-taking and clinical assessment to determine the onset of labour.
Participates in the monitoring of maternal vital signs (during labour), such as maternal pulse and blood pressure.
Participates in monitoring fetal wellbeing (during labour) which includes assessment of liquor volume and colour and intermittent auscultation of the fetal heart using a Pinard stethoscope.
Participates in assessing the progress of labour using observation, such as behaviour; abdominal examination; vaginal examination where appropriate.
Participates in informing women sensitively about their progress, giving feedback in a positive manner.
Assists in supporting women to use a variety of birthing aids, such as birthing balls.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 119 Ongoing Achievement Record 2016-17
6: Support women and their partners in the birth of their babies.
7: Facilitate the mother and baby to remain together.
Initials Date
Recognises the importance of offering choices related to this phase (birth) and sensitively informs women of their progress.
Recognises the latent and active phase of birth.
Assists in preparing necessary equipment for the birth.
Assists in monitoring maternal and fetal wellbeing.
Assists in assessing the wellbeing of the baby immediately after birth.
Supports feeding when the baby is ready, monitoring close proximity of the mother to the baby.
Delays any unnecessary separation of mother and baby, avoiding early routine procedures such as weighing.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 120 Ongoing Achievement Record 2016-17
8: Identify and safely manage appropriate emergency procedures.
9: Work collaboratively with other practitioners.
Initials Date
Participates in “drills and skills” procedures related to adult resuscitation.
Is confident in initiating basic emergency call procedures relevant to local policy.
Acts in accordance with the The Code: Standards of conduct, performance and ethics for nurses and midwives (NMC 2015)
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
10: Keep accurate records.
Initials Date
Assists in keeping accurate and legible records which include planning, implementation and evaluation of care, interventions and findings.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 121 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 3 Normal Labour and Birth
First attempt
Grade ………….…..%
Sign-off mentor signature …………..…………….…………… Date……………………….. Student signature …………………………………………..…… Date……………………….. Lecturer signature …………………………...…………………… Date………………………..
Comments and suggestions for improvement:
Second attempt
Grade ………….…..%
Sign-off mentor signature …………..…………….…………… Date……………………….. Student signature …………………………………………..…… Date……………………….. Lecturer signature …………………………...…………………… Date………………………..
Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 122 Ongoing Achievement Record 2016-17
CRITERION 4 Postnatal and Neonatal Care
1: Accurately monitor maternal and neonatal wellbeing throughout postnatal period, taking action as appropriate
Initials Date
Is able to conduct basic assessments of maternal and neonatal wellbeing and communicates findings to women at a level appropriate for their understanding.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
2: Advise women on a range of maternal and neonatal health issues related to the postnatal period
Initials Date
Demonstrates knowledge and understanding of the maternal and neonatal physiological changes in the postnatal period and is beginning to recognise deviations from the norm.
Is able to impart basic maternal and neonatal health information to women and their families.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 123 Ongoing Achievement Record 2016-17
3: Provides individualised and seamless care in partnership with women and other care providers during the postnatal period.
Initials Date
Participates in working sensitively with women, identifying factors which may contribute to a woman’s psychosocial wellbeing.
Beginning to recognise when women may require involvement of other professionals in their care.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 124 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 4 Postnatal and Neonatal Care
First attempt
Grade ………….…..%
Sign-off mentor signature …………..…………….…………… Date……………………….. Student signature …………………………………………..…… Date……………………….. Lecturer signature …………………………...…………………… Date………………………..
Comments and suggestions for improvement:
Second attempt
Grade ………….…..%
Sign-off mentor signature …………..…………….…………… Date……………………….. Student signature …………………………………………..…… Date……………………….. Lecturer signature …………………………...…………………… Date………………………..
Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 125 Ongoing Achievement Record 2016-17
CRITERION 5 Initiation and Continuance of Breastfeeding
1: Understand and share information that is clear, accurate and meaningful at a level which women, their partners and family can understand.
2: Respect social and cultural factors that may influence the decision to breastfeed.
Initials Date
Participates in communicating sensitively the importance of breastfeeding, and the consequences of not breast- feeding, in terms of health outcomes (BFI).
Observes a variety of forums where information is shared in respect of the advantages and disadvantages of different infant feeding methods.
Has an awareness of own thoughts and feelings about infant feeding in order to facilitate information sharing to be ethical and non-judgemental.
Is sensitive to issues of diversity when sharing with women and respects the rights of women
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 126 Ongoing Achievement Record 2016-17
3: Support women to breastfeed.
Initials Date
Has a willingness to learn from women.
Assists in ensuring that the needs of women are met in developing a clear care pathway.
Participates in explaining to women the importance of baby-led feeding in relation to the establishment and maintenance of breastfeeding (BFI).
Recognises effective positioning, attachment, suckling and milk transfer.
Is able to teach mothers the necessary skills to enable them to effectively position and attach their baby for breastfeeding (BFI).
Explains to women the importance of their baby rooming-in with them and baby holding in the postnatal period as a means of facilitating breastfeeding.
Recognises common complications of breastfeeding, how these arise and demonstrates how women may be helped to avoid them (BFI).
Participates in teaching women how to hand express their breast milk and how to store, freeze and warm it with consideration to aspects of infection control (BFI).
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 127 Ongoing Achievement Record 2016-17
4: Recognise appropriate infant growth and development, including where referral for further advice/action is required.
5: Work collaboratively with other practitioners and external agencies.
Initials Date
Participates in assessing appropriate growth and development of the neonate.
Participates in carrying out physical examinations as necessary with parent’s consent.
Informs women of the findings from any assessment/examination performed, in a manner that is understood by the women.
Works within The Code: Standards of conduct performance and ethics for nurses and midwives (NMC 2015).
Works actively as a team member.
Values others’ roles and responsibilities in supporting women to breastfeed.
Shares information about national and local agencies and networks that are available to support women in the continuation of breastfeeding, such as Lactations Consultants, National Childbirth Trust and La Leche League.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 128 Ongoing Achievement Record 2016-17
6: Support women to breastfeed in challenging circumstances.
Initials Date
Is aware of the limited number of situations in which exclusive breastfeeding is not possible and participates in supporting women to partially breastfeed or artificially feed (BFI).
Is sensitive to the needs of women and their partners.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 129 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 5 Initiation and Continuance of Breastfeeding
First attempt
Grade ………….…..%
Sign-off mentor signature …………..…………….…………… Date……………………….. Student signature …………………………………………..…… Date……………………….. Lecturer signature …………………………...…………………… Date………………………..
Comments and suggestions for improvement:
Second attempt
Grade ………….…..%
Sign-off mentor signature …………..…………….…………… Date……………………….. Student signature …………………………………………..…… Date……………………….. Lecturer signature …………………………...…………………… Date………………………..
Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 130 Ongoing Achievement Record 2016-17
CRITERION 6 Medical Products Management
1: Within the parameters of normal childbirth, ensure safe and effective practice through comprehensive knowledge of medicinal products, their actions, risks and benefits including the ability to recognise and respond safely to adverse drug reactions and adverse drug events.
Initials Date
Has an understanding of basic pharmacology, how medicines act and interact in the systems of the body as well as their therapeutic action on a limited range of medicines in relation to midwifery practice
Can identify potential side effects and/or adverse reactions for a limited range of commonly administered medicinal products
Has successfully achieved the Plymouth University mandatory anaphylaxis test.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 131 Ongoing Achievement Record 2016-17
2: Undertake medicinal product calculations correctly and safely
3: In the course of their professional midwifery practice, supply and administer medicinal products safely and in a timely manner, including controlled drugs.
4: Keep and maintain accurate records, which includes when working within a multi-disciplinary framework and as part of a team.
Initials Date
Competent in calculating common dosages of medicinal products used in normal midwifery practice
Administers oral medication to women and safely monitors its effect, under direct supervision.
Utilises and disposes of equipment needed to prepare/administer medication (e.g. needles, syringes, gloves) safely.
Demonstrates an understanding of professional responsibility in maintaining accurate records including regulation, national and local policy and guidelines
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 132 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 6 Medical Products Management
First attempt
Grade ………….…..%
Sign-off mentor signature …………..…….…………… Date……………………….. Student signature …………………………………..…… Date……………………….. Lecturer signature ………………………………………… Date………………………..
Comments and suggestions for improvement:
Second attempt
Grade ………….…..%
Sign-off mentor signature …………..…….…………… Date……………………….. Student signature …………………………………..…… Date……………………….. Lecturer signature …………………………..…………… Date………………………..
Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 133 Ongoing Achievement Record 2016-17
CRITERION 7 Personal and Professional Growth
1: Takes responsibility for personal and professional growth.
Initials Date
Appraises own strengths and weaknesses in an objective manner.
Understands the concept of lifelong learning.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
2: Demonstrates assertiveness in clinical practice.
3: Demonstrates autonomy in and accountability for own clinical practice.
Initials Date
Is able to accept criticism and reflect upon it constructively.
Recognises importance of accountability in midwifery practice and acts within own limitations.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 134 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 7 Personal and Professional Growth
First attempt
Grade ………….…..%
Sign-off mentor signature …………..…………….…………… Date……………………….. Student signature …………………………………………..…… Date……………………….. Lecturer signature …………………………...…………………… Date………………………..
Comments and suggestions for improvement:
Second attempt
Grade ………….…..%
Sign-off mentor signature …………..…………….…………… Date……………………….. Student signature …………………………………………..…… Date……………………….. Lecturer signature …………………………...…………………… Date………………………..
Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 135 Ongoing Achievement Record 2016-17
CRITERION 8 Risk Assessment and Management Skills
1: Follows Trust guidelines and policies to meet service needs.
2: Demonstrates the ability to manage risk.
3: Can manage workload and make decisions.
Initials Date
Can access the Trust and Maternity Services guidelines and policies as appropriate.
Can verbalise the organisation of Maternity Services within own clinical practice area, demonstrating understanding.
Knows how to summon on-call staff.
Can reflect upon the witnessed role and decision-making of the midwife when complications occur.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 136 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 8 Risk Assessment and Management Skills
First attempt
Grade ………….…..%
Sign-off mentor signature …………..…….…………… Date……………………….. Student signature …………………………………..…… Date……………………….. Lecturer signature ………………………………………… Date………………………..
Comments and suggestions for improvement:
Second attempt
Grade ………….…..%
Sign-off mentor signature …………..………………… Date……………………….. Student signature ………………………….……..….… Date……………………….. Lecturer signature ………………………………………… Date………………………..
Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 137 Ongoing Achievement Record 2016-17
CRITERION 9 Communication
1: Be attentive and share information that is clear, accurate and meaningful at a level which women, their partners and family can understand.
Initials Date
Communicates effectively so that the meaning is always clear.
Uses strategies to enhance communication and remove barriers in order to make communication effective.
Records information accurately and clearly on the basis of observation and communication.
Always seeks to confirm understanding.
Responds in a way that confirms what the woman is communicating.
Communicates the needs and wishes of the woman to other professionals.
Participates in group sessions to share information.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 138 Ongoing Achievement Record 2016-17
2: Protect and treat as confidential all information relating to themselves and their care.
Initials Date
Applies the principles of confidentiality as outlined by the NMC.
Protects and treats information as confidential except where sharing information is required for the purposes of safeguarding and/ or public protection.
Applies the principles of data protection.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 139 Ongoing Achievement Record 2016-17
3: Enable women to make choices about their care by informing women of the choices available to them and providing evidence-based information about benefits and risks of options so that women can make a fully informed decision.
4: Ensure that consent will be sought from the woman prior to care being given and that the rights of women are respected.
Initials Date
Participates in sharing evidence-based information with women in order for them to make an informed decision about their care.
Applies principles of consent in accordance with The Code: Standards of conduct, performance and ethics for nurses and midwives (NMC2015).
Participates in ensuring that the meaning of consent is understood by the woman.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 140 Ongoing Achievement Record 2016-17
5: Treat women with dignity and respect them as individuals.
Initials Date
Takes a woman-centred approach to care.
Demonstrates respect for diversity and individual preferences.
Applies the concept of dignity.
Delivers care with dignity making use of the environment, self, skills and attitude.
Identifies factors which maintain the dignity of women.
Acts in a way that demonstrates respect for others and that promotes and values differences.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 141 Ongoing Achievement Record 2016-17
6: Work in partnership with women in a manner that is diversity sensitive and is free from discrimination, harassment and exploitation.
Initials Date
Participates in working in partnership with women that is sensitive
to age, culture, religion, spiritual beliefs, disability, gender and
sexual orientation.
Respects people’s rights.
Adopts a principled approach to care underpinned by The Code:
Standards of conduct, performance and ethics for nurses and
midwives (NMC 2015).
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 142 Ongoing Achievement Record 2016-17
7: Provide care that is delivered in a warm, sensitive and compassionate way.
Initials Date
Is attentive and acts with kindness and dignity.
Recognises the appropriateness of silence in certain situations.
Is able to initiate a conversation.
Takes into account the woman’s responses.
Talks in a manner that is interpreted by the woman as warm, sensitive, kind and compassionate.
Maintains a supportive relationship with women and their families.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 143 Ongoing Achievement Record 2016-17
8: Be confident in their own role within a multi-disciplinary / multi-agency team.
Initials Date
Works within The Code: Standards of conduct, performance and ethics for nurses and midwives (NMC 2015).
Works as an active team member.
Supports and assists others appropriately.
Values others’ roles and responsibilities within the team and interacts appropriately.
Communicates with colleagues verbally (face-to-face and by telephone) and in writing and electronically and checks that the communication has been fully understood.
Reflects on own practice and discusses issues with other members of the team to enhance learning.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 144 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 9 Communication
First attempt
Grade ………….…..%
Sign-off mentor signature …………..…….…………… Date……………………….. Student signature …………………………………..…… Date……………………….. Lecturer signature …………………………...…………… Date………………………..
Comments and suggestions for improvement:
Second attempt
Grade ………….…..%
Sign-off mentor signature ……………….…………… Date……………………….. Student signature ……………………….………..…… Date……………………….. Lecturer signature …………………………..…………… Date………………………..
Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 145 Ongoing Achievement Record 2016-17
YEAR TWO
MENTOR ASSESSMENT OF PRACTICE
(MAP)
THIS SECTION MUST NOT BE COMPLETED UNTIL YEAR ONE OF THE PROGRAMME HAS BEEN SUCCESSFULLY COMPLETED AND PROGRESSION TO YEAR TWO HAS
BEEN CONFIRMED Please note that it is YOUR responsibility to ensure that all statements are fully
initialled and dated, and include written evidence and signature of the sign-off
mentor before you submit your OAR. The grading section for each
criterion must be signed and dated by all parties. Absence of any of these will
result in referral in the module. Attention to detail is a vitally important part of
midwifery practice and record-keeping.
BSc (Hons) Pre Registration Midwifery 146 Ongoing Achievement Record 2016-17
BSc (Hons) Pre Registration Midwifery
Mentor Assessment of Practice (MAP) Year 2
Based on the Standards for pre registration midwifery education (NMC 2009)
NOTE THAT THE LEVEL EXPECTED IN YEAR TWO IS
‘INTERNALISATION OF KNOWLEDGE AND SKILLS UNDER MINIMAL SUPERVISION’
CRITERION Page No.
1 Initial Consultation between the Woman and the
Midwife * 147
2 Ongoing Antenatal Care 151
3 Normal Labour and Birth * 155
4 Postnatal and Neonatal Care 160
5 Initiation and Continuance of Breastfeeding * 165
6 Medical Products Management* 170
7 Personal and Professional Growth 176
8 Risk Assessment and Management Skills 178
9 Communication* 180
*Indicates linked to Essential Skills Clusters
BSc (Hons) Pre Registration Midwifery 147 Ongoing Achievement Record 2016-17
CRITERION 1 Initial Consultation between the Woman and the Midwife
1: Be confident in sharing information about common antenatal screening tests
Initials Date
Is able to provide information regarding screening tests
Is beginning to interpret data/ results and shares this information with women under supervision
Demonstrates sensitivity in situations such as previous bereavement or affected/ high risk screening result
Demonstrates knowledge of wide sources of information to assist women in making choices
Knows limitations in knowledge of specialised antenatal screening tests and refers appropriately
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 148 Ongoing Achievement Record 2016-17
2: Completes an initial consultation accurately, ensuring women are at the centre of care Initials Date
Demonstrates the ability to: o Share information with women o Assess maternal and fetal wellbeing and identify deviations from the
normal o Suggest an appropriate care pathway in partnership with individual
women
Recognises social, religious and cultural factors influencing individual antenatal care pathways
Beginning to recognise the need for and advise women on more specialist services
Can explain normal pregnancy development to women
Beginning to facilitate women to share sensitive information eg: disclosure of domestic violence
Demonstrates sound knowledge of pregnancy care services and options available and lifestyle considerations
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 149 Ongoing Achievement Record 2016-17
3:Work collaboratively with other healthcare professionals and external agencies
4:Be the first point of contact when seeking advice and/or information about being pregnant Initials Date
Demonstrates knowledge of specialist services and knows referral process
Beginning to liaise with other healthcare professionals and agencies as required
Beginning to broaden involvement in initiating contact in a variety of settings
Has been exposed to a variety of models of service delivery
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 150 Ongoing Achievement Record 2016-17
TRIPARTITE CRITERION 1 Initial Consultation between the Woman and the Midwife
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 151 Ongoing Achievement Record 2016-17
CRITERION 2 Ongoing Antenatal Care
1:Be able to accurately monitor maternal and fetal wellbeing throughout pregnancy, taking action as appropriate Initials Date
Becoming confident in undertaking clinical assessments of maternal and fetal wellbeing, including monitoring progress of pregnancy
Beginning to recognise deviations from the normal
Is able to explain findings to women
Documents these clearly and accurately
Evidence of achievement Sign-off Mentor………………………….. Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 152 Ongoing Achievement Record 2016-17
2:Advises women on a range of health issues related to their pregnancy Initials Date
Participates in educating women on a range of health issues, including antenatal screening
Demonstrates respect for women’s individual beliefs and preferences
Communicates with women on a level which ensures understanding, and checks that the meaning is clear
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
3:Acknowledge women as individuals in a wider psychosocial context in pregnancy
Initials Date
Can identify factors which may contribute to a woman’s psychosocial wellbeing, and discusses these sensitively with women
Evidence of achievement Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 153 Ongoing Achievement Record 2016-17
Comment if not achieved Sign-off Mentor…………………………… Date………………..
4:Provide seamless care in partnership with women and other care providers during the antenatal period Initials Date
Is able to devise a plan of care in partnership with the woman and her family in normal pregnancy
Refers women to other members of the multidisciplinary team as appropriate.
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 154 Ongoing Achievement Record 2016-17
TRIPARTITE CRITERION 2 Ongoing Antenatal Care
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 155 Ongoing Achievement Record 2016-17
CRITERION 3 Normal Labour and Birth
1: Work in partnership with women to facilitate a birth environment that supports their needs
2:Be attentive to the needs of women before, during and after the birth Initials Date
Developing skills to ensure that women’s labour and birth is diversity sensitive, meeting individual needs and preferences
Developing skills to anticipate and provide for the needs of women
Learning to acknowledge the roles and relationships in families, dependent on religious and cultural beliefs, preferences and experiences
Is able to state the relevant legislation
Developing skills in listening to, watching for and responding to verbal and non-verbal cues
Starting to apply current knowledge of the physiology of labour and birth
Developing skills of observation and active listening
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 156 Ongoing Achievement Record 2016-17
3:Determine the onset of labour
4:Determine the wellbeing of women and their unborn babies (during labour)
5: Measure, assess and facilitate the progress of normal labour
Initials Date
Skills in identifying onset of labour developing
Able to reflect upon findings
With support, beginning to discuss findings with women
Skills in interpreting findings mostly accurate
Beginning to share this information with women
Able to discuss situations when women would benefit from the skills and knowledge of other individuals
Able to discuss measures to reduce or remove risk that could be detrimental to women, self and others
Beginning to recognise the latent and active phases of labour
Is developing the ability to assess progress of labour
Is developing the skills and knowledge to manage normal labour and birth
Beginning to recognise when interventions, i.e. continuous electronic fetal heart monitoring, urinary catheterisation are required
Knowledge and skills in undertaking interventions developing
Ability to discuss woman’s birth plan/written wishes
Ability to discuss with women the progress of labour in relation to birth plan / written wishes developing
Ability to seek informed consent prior to undertaking any procedure developing
Beginning to recognise deviations from the normal progress of labour or wellbeing of the woman or fetus
Assesses and monitors the woman’s condition throughout the third stage of labour, is able to assist in safe delivery of the placenta and membranes by physiological or active management
Refers women appropriately to other health professionals and continues to work within this multidisciplinary team
Evidence of achievement Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 157 Ongoing Achievement Record 2016-17
Comment if not achieved Sign-off Mentor…………………………… Date………………..
6:Support women and their partners in the birth of their babies
7:Facilitate the mother and baby to remain together Initials Date
Prepares the environment ready for birth
Safely and sensitively supports women in the birth of their baby
Accurately assesses the health and wellbeing of the newborn baby
Developing skills in promoting an environment that is protective of the maternal infant attachment process, such as minimal handling of the baby, discovering gender, fostering maternal infant eye contact, skin-to-skin contact
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 158 Ongoing Achievement Record 2016-17
8:Identify and safely manage appropriate emergency procedures
9:Works collaboratively with other practitioners Initials Date
Is able to recognise an emergency situation and seeks help appropriately
Developing role as an advocate for women
Able to discuss issues that require professionals to balance competing / conflicting priorities
Able to state the situations when other professional help required
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
10:Keep accurate records
Initials Date
Develops ability to keep accurate records, minimal support required
Developing evidence of reasoning behind any actions or interventions taken
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 159 Ongoing Achievement Record 2016-17
TRIPARTITE CRITERION 3 Normal Labour and Birth
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 160 Ongoing Achievement Record 2016-17
CRITERION 4 Postnatal and Neonatal Care
1:Be able to accurately monitor maternal wellbeing throughout postnatal period, taking action as appropriate Initials Date
With minimal supervision can assess, plan, implement and evaluate postnatal care for mothers who have had normal births, instrumental deliveries or caesarean sections
Recognises deviations from the normal, complications and /or problems during the postnatal period
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 161 Ongoing Achievement Record 2016-17
2:Be able to accurately monitor neonatal wellbeing throughout postnatal period, taking action as appropriate Initials Date
With minimal prompting, can assess, plan, implement and evaluate postnatal care of normal babies
Can detect and report common deviations from normal neonatal progress
Recognises when referral to other health professionals / agencies is required
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
3:Advise women on a range of health issues related to the postnatal period Initials Date
Able to discuss basic health information on a wide range of issues
Beginning to discuss more complex health issues with women
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 162 Ongoing Achievement Record 2016-17
4: Advises women on a range of health issues related to the neonate
Initials Date
Able to discuss basic health information on a wide range of issues
Beginning to discuss more complex health issues in relation to the neonate
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
5:Acknowledges women as individuals in a wider psychosocial context in the postnatal period Initials Date
Able to identify factors which contribute to a woman’s psychosocial wellbeing
Beginning to recognise when women have risk factors
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 163 Ongoing Achievement Record 2016-17
6:Provides seamless care in partnership with women and other care providers during the postnatal period Initials Date
Recognises when other health professionals / agencies are required
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 164 Ongoing Achievement Record 2016-17
TRIPARTITE CRITERION 4 Postnatal and Neonatal Care
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 165 Ongoing Achievement Record 2016-17
CRITERION 5 Initiation and Continuance of Breastfeeding
1:Understand and share information that is clear, accurate and meaningful at a level which women, their partners and family can understand
2:Respect social and cultural factors that may influence the decision to breastfeed Initials Date
Gaining confidence in communication skills, with an emphasis on listening to women and establishing understanding, when discussing breastfeeding issues
Participates in sharing information with women about the advantages and disadvantages of different infant feeding methods, in a variety of forums, demonstrating an understanding of the importance of exclusive breastfeeding
Applies knowledge of a variety of interventions to promote and support breastfeeding
Applies knowledge of relevant research when giving information to women
Maintains accurate records of care and interventions relating to infant feeding
Is beginning to develop knowledge of breastfeeding initiatives in the locality
Demonstrates sensitivity towards cultural traditions and beliefs when exploring women’s attitudes to breastfeeding
Is able to support women’s choice whilst promoting breast feeding, irrespective of own personal beliefs
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 166 Ongoing Achievement Record 2016-17
3: Supports women to breastfeed
Initials Date
Applies knowledge of the physiology of lactation to practical situations
Is able to advise women on correct positioning and attachment of their baby to the breast
Is able to assess the effectiveness of breastfeeding
Discusses options of pain relief in labour and the importance of skin-to-skin contact with women, taking into consideration the potential impact on the establishment of breastfeeding
Discusses with women other practices which may influence the establishment of breastfeeding (eg: bed-sharing and the use of dummies)
Is able to offer basic advice to women over the telephone regarding breastfeeding issues
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 167 Ongoing Achievement Record 2016-17
4:Recognise appropriate infant growth and development, including where referral for further advice/action is required
5:Work collaboratively with other practitioners and external agencies Initials Date
Is able to recognise deviations from normal infant growth and share this information with women and other health professional, as needed
Recognises limitations in own practice, and seeks to address these through the involvement of appropriate others
Able to discuss locally based community support networks for breastfeeding
Is aware of the referral process to these support networks / resources
Demonstrates knowledge of the weaning process when discussing with women the importance of exclusive breastfeeding for the first six months
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 168 Ongoing Achievement Record 2016-17
6:Support women to breastfeed in challenging circumstances
Initials Date
Recognises situations when specialised skills may be required to support women to successfully breastfeed
Recognises when deviations from normal infant growth require referral to appropriate health professionals
Participates in supporting women to initiate and maintain lactation when they are separated from their baby
Participates in feeding expressed breast milk to a baby, using a cup and/ or syringe as appropriate
Demonstrates knowledge of the use of a mechanical breast pump
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 169 Ongoing Achievement Record 2016-17
TRIPARTITE CRITERION 5 Initiation and Continuance of Breastfeeding
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 170 Ongoing Achievement Record 2016-17
CRITERION 6 Medical Products Management
1:Within the parameters of normal childbirth, ensure safe and effective practice through comprehensive knowledge of medicinal products, their actions, risks and benefits including the ability to recognise and respond safely to adverse drug reactions and adverse drug events
Initials Date
Has an understanding of basic pharmacology, how medicines act and interact in the systems of the body as well as their therapeutic action on a limited range of medicines in relation to midwifery practice
Can identify potential side effects and/or adverse reactions for a limited range of commonly administered medicinal products
Has successfully achieved the Plymouth University mandatory anaphylaxis test
Evidence of achievement Sign-off Mentor…………………………… Date……………………………..
Comment if not achieved Sign-off Mentor…………………………… Date…………………………….
BSc (Hons) Pre Registration Midwifery 171 Ongoing Achievement Record 2016-17
2:Undertake medicinal product calculations correctly and safely
3:In the course of their professional midwifery practice, supply and administer medicinal products safely and in a timely manner, including controlled drugs
4:Keep and maintain accurate records, which includes when working within a multi-disciplinary framework and as part of a team
Initials Date
Competent in calculating common dosages of medicinal products used in normal midwifery practice Please note – the NMC require that this assessment takes place in practice and a 100 per cent pass mark is required. This means that all calculations undertaken in clinical practice must be correctly calculated
Administers oral medication to women and safely monitors its effect, under direct supervision
Utilises and disposes of equipment needed to prepare/administer medication (e.g. needles, syringes, gloves) safely
Demonstrates an understanding of professional responsibility in maintaining accurate records including regulation, national and local policy and guidelines
Under supervision is able to take a medicine history
Evidence of achievement Sign-off Mentor…………………………… Date……………………………..
Comment if not achieved Sign-off Mentor…………………………… Date…………………………….
BSc (Hons) Pre Registration Midwifery 172 Ongoing Achievement Record 2016-17
5: Work within the legal and ethical framework that underpins safe and effective medicinal products management, as well in conjunction with national guidelines and local policies
Initials Date
Demonstrates an understanding of the legal and ethical frameworks relating to safe administration of medicinal products in practice
Evidence of achievement Sign-off Mentor…………………………… Date……………………………..
Comment if not achieved Sign-off Mentor…………………………… Date…………………………….
6:Work in partnership with women to share information in assisting them to make safe and informed choices about medicinal products related to themselves, their unborn children or their babies
Initials Date
Participates in involving women in administration and/or the self-administration of medicinal products
Evidence of achievement Sign-off Mentor…………………………… Date……………………………..
Comment if not achieved Sign-off Mentor…………………………… Date…………………………….
BSc (Hons) Pre Registration Midwifery 173 Ongoing Achievement Record 2016-17
7:Work in partnership with women to share information about alternative approaches to using medication, where appropriate
Initials Date
Demonstrates awareness of a range of commonly recognised approaches to supporting women throughout childbirth, e.g. relaxation, distraction, life style advice
Evidence of achievement Sign-off Mentor…………………………… Date……………………………..
Comment if not achieved Sign-off Mentor…………………………… Date…………………………….
8:Order, receive, store, transport and dispose of medicinal products safely and in accordance with relevant legislation, in any midwifery setting (including controlled drugs)
Initials Date
Applies knowledge of local policies to safe storage and transport of medicinal products
Demonstrates ability to store medicinal products safely
Evidence of achievement Sign-off Mentor…………………………… Date……………………………..
Comment if not achieved Sign-off Mentor…………………………… Date…………………………….
BSc (Hons) Pre Registration Midwifery 174 Ongoing Achievement Record 2016-17
9:Use and evaluate up-to-date information on medicinal products management and work within national and local policies and guidelines using appropriate reference
Initials Date
Is able to access commonly used evidence-based sources of information relating to the safe and effective management of medicinal products
Evidence of achievement Sign-off Mentor…………………………… Date……………………………..
Comment if not achieved Sign-off Mentor…………………………… Date…………………………….
10:Recognise and correctly respond to obstetric emergencies in the context of medicines management
Initials Date
Is able to state where a range of medicinal products required in an obstetric emergency are stored
Evidence of achievement Sign-off Mentor…………………………… Date……………………………..
Comment if not achieved Sign-off Mentor…………………………… Date…………………………….
BSc (Hons) Pre Registration Midwifery 175 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 6 Medical Products Management
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 176 Ongoing Achievement Record 2016-17
CRITERION 7 Personal and Professional Growth
1:Take responsibility for personal and professional growth
Initials Date
Self-evaluates through active reflection, and identifies appropriate goals for enhancing development of knowledge, skills and attitudes
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
2:Demonstrate assertiveness in clinical practice
3:Demonstrate autonomy and accountability for own clinical practice
Initials Date
Is able to appropriately: o express opinions o make requests o say no o allow others to express opinions
Is beginning to exercise professional judgement and can justify actions (seeking guidance where needed)
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 177 Ongoing Achievement Record 2016-17
TRIPARTITE CRITERION 7 Personal and Professional Growth
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 178 Ongoing Achievement Record 2016-17
CRITERION 8 Risk Assessment and Management Skills
1:Follows Trust guidelines and policies to meet service needs
2:Can manage workload and make decisions
3:Demonstrates the ability to manage risk Initials Date
Appropriately utilises policies and guidelines in the delivery of care for both low and high-risk women and their fetuses/ babies
Is able to prioritise and plan workload with minimal supervision when providing normal care, and under direct supervision when there are risk factors
Can state the role of the Supervisor of Midwives
Has attended one of the following and reflected upon the learning gained:
o Clinical audit meeting o Labour Ward case discussion meeting o Perinatal meeting o Other (please specify)
Understands the clinical risk reporting system:
o Incident reporting o Risk assessment o Risk management
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 179 Ongoing Achievement Record 2016-17
TRIPARTITE CRITERION 8 Risk Assessment and Management Skills
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 180 Ongoing Achievement Record 2016-17
CRITERION 9 Communication
1:Be attentive and share information that is clear, accurate and meaningful at a level which women, their partners and family can understand Initials Date
Demonstrates the ability to communicate sensitively and effectively with women in a variety of settings
Begins to plan care in partnership with women
Records information accurately and comprehensively, using a variety of methods
Beginning to challenge other professionals as required, in order to clarify the woman’s wishes and understanding
Applies effective communication skills in both individual and group settings
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 181 Ongoing Achievement Record 2016-17
2:Protect and treat as confidential all information relating to themselves and their care Initials Date
Maintains confidentiality and is beginning to apply these principles in more challenging situations
Demonstrates understanding of the principles of appropriate access to and sharing of information
Acts within the law relating to data protection
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 182 Ongoing Achievement Record 2016-17
3:Enable women to make choices about their care by informing women of the choices available to them and providing evidence-based information about benefits and risks of options so that women can make a fully informed decision
4:Ensure that consent will be sought from the woman prior to care being given and that the rights of women are respected Initials Date
Respects women and their partners’ right to make choices in their care
Explains evidence-based information in a way which women can understand
Demonstrates knowledge of a range of available sources of information when discussing options with women
Seeks consent for all procedures
Beginning to broaden explanations to women when seeking consent, to ensure that this is informed
Respects woman’s autonomy and right to refuse consent
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 183 Ongoing Achievement Record 2016-17
5:Treat women with dignity and respect them as individuals Initials Date
Is able to relate to and respect the differences between individuals
Maintains the dignity of women in all situations
Takes appropriate action to ensure that those with different languages, beliefs or abilities are respected and assisted to maintain their dignity
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 184 Ongoing Achievement Record 2016-17
6:Work in partnership with women in a manner that is diversity sensitive and is free from discrimination, harassment and exploitation Initials Date
Recognises diversity and works in partnership with women from a range of backgrounds
Beginning to actively protect women from discrimination, harassment and exploitation
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
7:Provide care that is delivered in a warm, sensitive and compassionate way Initials Date
Beginning to anticipate women’s needs through both verbal and non-verbal cues
Provides physical and emotional comfort to women and their families
Beginning to recognise how own values may impact on interactions with women
Beginning to recognise and manage appropriately own or others’ distress or discomfort
Evidence of achievement Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 185 Ongoing Achievement Record 2016-17
Comment if not achieved Sign-off Mentor…………………………… Date………………..
8:Be confident in their own role within a multi-disciplinary/multi-agency team Initials Date
Recognises and respects the differences in the roles of team members
Acknowledges the importance of maintaining good interprofessional relationships
Knows when to refer women to other members of the multi-professional team
Demonstrates the ability to reflect on own role within a team situation
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 186 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 9 Communication
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 187 Ongoing Achievement Record 2016-17
YEAR THREE
MENTOR ASSESSMENT OF PRACTICE
(MAP)
THIS SECTION MUST NOT BE COMPLETED UNTIL YEAR TWO OF THE PROGRAMME HAS BEEN SUCCESSFULLY COMPLETED AND PROGRESSION TO YEAR TWO HAS
BEEN CONFIRMED Please note that it is YOUR responsibility to ensure that all statements are fully
initialled and dated, and include written evidence and signature of the sign-off
mentor before you submit your OAR. The grading section for each
criterion must be signed and dated by all parties. The final ‘Proficiency’
statement must also be completed in full. Absence of any of these will result in
referral in the module. Attention to detail is a vitally important part of
midwifery practice and record-keeping.
BSc (Hons) Pre Registration Midwifery 188 Ongoing Achievement Record 2016-17
BSc (Hons) Pre Registration Midwifery
Mentor Assessment of Practice (MAP) Year 3
Based on the Standards for pre registration midwifery education (NMC 2009)
NOTE THAT THE LEVEL EXPECTED IN YEAR THREE IS
‘PROFICIENT AND COMPETENT, ACCURATE PERFORMANCE UNDER INDIRECT SUPERVISION’
CRITERION Page No.
1 Initial Consultation between the Woman and the
Midwife * 189
2 Ongoing Antenatal Care 193
3 Normal Labour and Birth * 196
4 Postnatal and Neonatal Care 202
5 Initiation and Continuance of Breastfeeding * 206
6 Medical Products Management* 211
7 Personal and Professional Growth 218
8 Risk Assessment and Management Skills 220
9 Communication* 222
*Indicates linked to Essential Skills Clusters
BSc (Hons) Pre Registration Midwifery 189 Ongoing Achievement Record 2016-17
CRITERION 1 Initial Consultation between the Woman and the Midwife
1: Be confident in sharing information about common antenatal screening tests
Initials Date
Acts professionally to ensure that personal judgements, prejudices, values, attitudes and beliefs do not compromise the provision of care
Facilitates informed choices regarding antenatal screening tests ensuring women fully understand the purpose of all tests before they are taken
Interprets data/results accurately and shares this information sensitively with women, including the ability to discuss any further action/ consequences as necessary
Conducts general information sharing eg: optimum times for testing as appropriate through a variety of multi-media channels, such as texting
Shares information effectively in challenging circumstances, such as a previous bereavement, or affected/high risk screening result
Discusses with women local/ national information to assist with making choices, including local and national voluntary agencies and websites
Is able to seek out required information about less common/ specialised antenatal screening tests
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 190 Ongoing Achievement Record 2016-17
2: Completes an initial consultation accurately, ensuring women are at the centre of care Initials Date
Shows the ability consistently to: o Share information with women o Assess maternal and fetal wellbeing relevant to gestation, and
acts upon the need to refer to appropriate individuals where necessary
o Plan, in partnership with women, a care pathway to ensure individual needs are met
Explores effectively social, religious and cultural factors that inform an individualised antenatal care pathway for women that is diversity sensitive
Is competent in recognising and advising women who would benefit from more specialist services
Empowers women to recognise normal pregnancy development and when to seek advice
Is skilled in providing the opportunity to women to disclose domestic abuse and is able to respond appropriately
Is competent in sharing information about the pregnancy care services and options available, lifestyle considerations, including dietary information, and screening tests
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 191 Ongoing Achievement Record 2016-17
3:Work collaboratively with other healthcare professionals and external agencies
4:Be the first point of contact when seeking advice and/or information about being pregnant Initials Date
Is competent to refer women who would benefit from more specialist services, such as a local substance misuse support unit
Is able to collaborate effectively with the wider healthcare team and agencies as required
Where available, is actively involved in being accessible for women in environments other than traditional NHS settings, such as shops, supermarkets, leisure centres
Is confident in working in a variety of models of service delivery which encourage early access to care
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 192 Ongoing Achievement Record 2016-17
TRIPARTITE CRITERION 1 Initial Consultation between the Woman and the Midwife
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 193 Ongoing Achievement Record 2016-17
CRITERION 2 Ongoing Antenatal Care
1:Be able to accurately monitor maternal and fetal wellbeing throughout pregnancy, taking action as appropriate Initials Date
Consistently assesses the progress of normal pregnancy with accuracy
Is able to interpret findings and refer appropriately if there are deviations from normal
Maintains all documentation relating to pregnancy clearly and professionally
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
2:Advises women on a range of health issues related to their pregnancy Initials Date
Provides sound and evidence-based information and explanation to women on a wide range of health issues
Respects individual beliefs and preferences, and works in partnership with women and their families to facilitate informed choice
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 194 Ongoing Achievement Record 2016-17
3:Acknowledge women as individuals in a wider psychosocial context in pregnancy
Initials Date
Accurately identifies factors which may contribute to a woman’s psychosocial wellbeing
Refers to appropriate professionals or agencies if there are concerns
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
4:Provide seamless care in partnership with women and other care providers during the antenatal period Initials Date
Demonstrates confidence in caring for a woman in normal pregnancy, working in partnership with her and her family
Collaborates with other members of the multidisciplinary team as required, and communicates effectively with them and the woman
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 195 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 2 Ongoing Antenatal Care
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 196 Ongoing Achievement Record 2016-17
CRITERION 3 Normal Labour and Birth
1: Work in partnership with women to facilitate a birth environment that supports their needs
2:Be attentive to the needs of women before, during and after the birth Initials Date
Supports the health, safety and wellbeing of women in a variety of birth settings other than the acute hospital environment
Ensures that women’s labour and birth is diversity sensitive, meeting individual needs and preferences
Inspires confidence, bases decisions on evidence and uses experience to guide decision making
Anticipates and provides for the needs of women
Acknowledges the roles and relationships in families, dependent upon religious and cultural beliefs, preferences and experiences
Practises in accordance with relevant legislation
Listens to, watches for and responds to verbal and non-verbal cues
Applies in-depth knowledge of the physiology of labour and birth
Uses skills of observation and active listening in order to analyse the effectiveness of care being provided
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 197 Ongoing Achievement Record 2016-17
3:Determine the onset of labour
4:Determine the wellbeing of women and their unborn babies (during labour)
5: Measure, assess and facilitate the progress of normal labour
Initials Date
Identifies the onset of labour, discusses the findings accurately and shares this information with women, including the ability to discuss any further action / consequences as necessary
Assesses maternal wellbeing, interprets the findings accurately and shares this information with women and has the ability to discuss any further action / consequences as necessary Identifies and manages risk safely
Refers women who would benefit from the skills and knowledge of other individuals
Assesses and implements measures to manage, reduce or remove risk that could be detrimental to women, self and others
Identifies and appropriately manages latent and active phase of labour
Makes an accurate assessment of the progress of labour, shares this information with women and has the ability to discuss any further action / consequences as necessary
Is able to discuss with women the progress of labour in relation to their birth plan/written wishes and modify in partnership with women, as need dictates
Critically appraises and justifies the use of any intervention, such as artificial rupture of membranes, continuous electronic fetal monitoring, urinary catheterisation, in order to facilitate a spontaneous vaginal birth
Seeks informed consent prior to undertaking any procedure
Recognises any deviation from the normal progress of labour or wellbeing of the woman or fetus
Initiates timely referral of women who would benefit from the skills and knowledge of others
As part of a multi-disciplinary team continues to provide care to women undergoing complications
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 198 Ongoing Achievement Record 2016-17
6:Support women and their partners in the birth of their babies
7:Facilitate the mother and baby to remain together Initials Date
Assesses accurately the progress of labour and shares this information with women and has the ability to discuss any further action / consequences as necessary
Prepares the environment ready for the birth
Cares for women sensitively and is attentive to the ‘moment of birth’, creating an environment that is responsive to the woman’s needs
Supports women safely in the birth of their baby
Initiates emergency measures if required, such as episiotomy
Initiates timely referral of women who would benefit from the skills and knowledge of others
As part of a multi-disciplinary team continues to provide care to women undergoing complications
Assesses and monitors the woman’s condition throughout the third stage of labour, facilitating safe delivery of the placenta and membranes by physiological or active management
Assesses accurately the health and wellbeing of the newborn baby
Initiates emergency measures if required
In a culturally sensitive manner, creates an environment that is protective of the maternal infant attachment process, such as minimal handling of the baby, discovering gender, fostering maternal infant eye contact , skin-to-skin contact
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 199 Ongoing Achievement Record 2016-17
8:Identify and safely manage appropriate emergency procedures
9:Works collaboratively with other practitioners Initials Date
Initiates emergency measures in both primary and secondary care settings
Sustains emergency measures until help arrives
Is an advocate for women
Negotiates with others in relation to balancing competing / conflicting priorities
Articulates professional limitations and boundaries
Is confident to call appropriate professional regardless of hierarchy, when care requires expertise beyond the midwife’s current practice, or the needs of the women or baby fall outside the scope of midwifery practice
Practises in accordance with the NMC Midwives rules and standards
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 200 Ongoing Achievement Record 2016-17
10:Keep accurate records
Initials Date
Details reasoning behind any actions or interventions taken
Evidence of achievement Sign-off Mentor………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………. Date………………..
BSc (Hons) Pre Registration Midwifery 201 Ongoing Achievement Record 2016-17
TRIPARTITE CRITERION 3 Normal Labour and Birth
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 202 Ongoing Achievement Record 2016-17
CRITERION 4 Postnatal and Neonatal Care
1:Be able to accurately monitor maternal wellbeing throughout postnatal period, taking action as appropriate Initials Date
Provides evidence-based midwifery care in the postnatal period in a variety of settings (eg: maternity unit, midwife-led unit, home).
Can articulate a clear plan of care for mothers who have had a normal birth, an instrumental delivery or a caesarean section
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
2:Be able to accurately monitor neonatal wellbeing throughout postnatal period, taking action as appropriate Initials Date
Without prompting can assess, plan, implement and evaluate postnatal care and progress of the healthy neonate
Recognises when there are deviations from the normal, and refers to other health professionals / agencies in a timely way
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 203 Ongoing Achievement Record 2016-17
3:Advise women on a range of health issues related to the postnatal period Initials Date
Provides health promotion to postnatal mothers based on current available evidence and government policy
Can discuss with postnatal mothers their future contraception choices in a culturally sensitive way
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
4: Advises women on a range of health issues related to the neonate
Initials Date
Skilled at communicating with mothers and their families issues about the baby’s health and progress
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 204 Ongoing Achievement Record 2016-17
5:Acknowledges women as individuals in a wider psychosocial context in the postnatal period Initials Date
Can empower postnatal mothers, taking into consideration their social, cultural and psychological needs
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
6:Provides seamless care in partnership with women and other care providers during the postnatal period Initials Date
Works in partnership with the woman and collaborates with other health professionals as appropriate
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 205 Ongoing Achievement Record 2016-17
TRIPARTITE CRITERION 4 Postnatal and Neonatal Care
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 206 Ongoing Achievement Record 2016-17
CRITERION 5 Initiation and Continuance of Breastfeeding
1:Understand and share information that is clear, accurate and meaningful at a level which women, their partners and family can understand
2:Respect social and cultural factors that may influence the decision to breastfeed Initials Date
Listens to, watches for and responds to verbal and non verbal cues
Uses skills of being attentive, open ended questioning and paraphrasing to support information sharing with women
Is able to lead a variety of forums where information is shared with women about the advantages and disadvantages of different infant feeding methods, without regarding breastfeeding and artificial feeding as ‘equal’ choices
Understands the importance of exclusive breastfeeding and the consequences of offering artificial milk to breastfed babies
Critically appraises the nature and strength of breastfeeding promotional and support interventions
Understands the nature of evidence and how to evaluate the strength of research evidence used to back information
Keeps accurate records of the woman and her baby relating to breastfeeding, including plans of care and any problems encountered or referrals made
Demonstrates a working knowledge of the local demographic area and explores strategies to support breastfeeding initiatives within the locality
Explores skilfully attitudes to breastfeeding
Takes into account differing cultural traditions, beliefs and professional ethics when communicating with women
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 207 Ongoing Achievement Record 2016-17
3: Supports women to breastfeed
Initials Date
Applies in-depth knowledge of the physiology of lactation to practical situations (BFI)
Recognises effective positioning, attachment, suckling and milk transfer
Empowers women to recognise effective positioning, attachment, suckling and milk transfer for themselves (BFI).
Uses skills of observation, active listening and ongoing critical appraisal in order to analyse the effectiveness of breastfeeding practices
Is confident at exploring with women the potential impact of delivery room practices, such as the effect of different pain relief methods and the importance of skin-to-skin contact, on the wellbeing of their baby and themselves and on the establishment of breastfeeding in particular (BFI)
Explores with women the evidence-base underpinning information, which may have an impact on breastfeeding such as bed-sharing and the use of dummies (BFI)
Uses appropriate skills to support women to be successful at breastfeeding for the first six months of life (BFI)
Is skilled at advising women over the telephone when contacted for advice on breastfeeding issues
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 208 Ongoing Achievement Record 2016-17
4:Recognise appropriate infant growth and development, including where referral for further advice/action is required
5:Work collaboratively with other practitioners and external agencies Initials Date
Acts upon the need to refer when there is a deviation from appropriate infant growth
Demonstrates skills to empower women to recognise appropriate infant growth and development and to seek advice when they have concerns
Practises within the limitations of their own competence, knowledge and sphere of professional practice, consistent with the legislation relating to midwifery practice
Works confidently, collaboratively and in partnership with women and others to ensure the needs of women are met
Understands the importance of community support for breastfeeding and refers women to community based support networks, both in supporting women to breastfeed and as a resource for health care professionals (BFI)
Works actively with other health professionals and external agencies to promote breastfeeding and support women in their choice to breastfeed
Is able to discuss with women the importance of exclusive breastfeeding for six months and timely introduction of complementary foods and continuing breastfeeding during the weaning period, into the second year of life and beyond
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 209 Ongoing Achievement Record 2016-17
6:Support women to breastfeed in challenging circumstances
Initials Date
Involves appropriate help, such as a lactation consultant, where specialised skills are required, in order to support women to successfully breastfeed
Acts upon the need to refer to appropriate health professionals where deviation from appropriate infant feeding and growth patterns are apparent
Supports women who are separated from their babies (on admissions to SCBU a special care baby unit, women receiving high dependency care in a separate environment) to initiate and maintain their lactation and feed their babies optimally (BFI)
Feeds expressed breast milk to a baby, using a cup and / or syringe as appropriate (BFI)
Teaches women how to express their breast milk by hand
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 210 Ongoing Achievement Record 2016-17
TRIPARTITE CRITERION 5 Initiation and Continuance of Breastfeeding
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 211 Ongoing Achievement Record 2016-17
CRITERION 6 Medical Products Management
1:Within the parameters of normal childbirth, ensure safe and effective practice through comprehensive knowledge of medicinal products, their actions, risks and benefits including the ability to recognise and respond safely to adverse drug reactions and adverse drug events Initials Date
Applies an understanding of basic pharmacology, how medicines act and interact in the systems of the body as well as their therapeutic action in all aspects related to midwifery practice
Uses knowledge and understanding of commonly supplied or administered medicinal products to the woman or baby in order to act promptly in cases where side effects and adverse reactions occur
Manages drug administration and safely monitors its effect
Reports adverse incidents and near misses and adverse drug reactions
Manages anaphylaxis safely
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 212 Ongoing Achievement Record 2016-17
2:Undertake medicinal product calculations correctly and safely
3:In the course of their professional midwifery practice, supply and administer
medicinal products safely and in a timely manner, including controlled drugs
4:Keep and maintain accurate records, which includes when working within a multi-
disciplinary framework and as part of a team
Initials Date
Calculates accurately the medicinal products frequently encountered within field of practice
Selects, acquire and administers medicinal products safely and efficiently via routes and methods commonly used within normal midwifery practice and maintains accurate records
Uses prescription charts correctly and maintains accurate records
Utilises and interprets medicine legislation related to midwives exemptions accurately
Demonstrates an understanding of roles and responsibilities within the multi-disciplinary team for medicinal products management, includes how and in what ways information is shared
Keeps effective records of information shared with women about the benefits and risks of relevant medication
Keeps effective records of medication supplied and/or administered and omitted, including controlled drugs
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 213 Ongoing Achievement Record 2016-17
5: Work within the legal and ethical framework that underpins safe and effective medicinal products management, as well in conjunction with national guidelines and local policies Initials Date
Is conversant with legislation related to midwives exemptions, Pharmacy only and General Sales Lists medicinal products, Midwives Supply Orders, destruction of controlled drugs and Patient Group Directions
Is aware of personal accountability in respect of supplying and administering unlicensed products
Demonstrates the ability to use relevant medicines legislation to support midwifery practice within the NHS in both the primary and secondary care settings as well as during self-employed practice
Applies legislation in practice to safe and effective ordering, receiving, storing, administering and disposal of medicinal products and drugs, including controlled drugs in both primary and secondary care settings
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 214 Ongoing Achievement Record 2016-17
6:Work in partnership with women to share information in assisting them to make safe and informed choices about medicinal products related to themselves, their unborn children or their babies Initials Date
Ensures information sharing is woman-centred and provides clear and accurate information
Assists women to make safe and informed choices about their medicinal products
Assesses the woman’s ability to self-administer their medicinal products safely
Gives clear instruction and explanation and checks understanding relating to use of medicinal products and treatment options
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 215 Ongoing Achievement Record 2016-17
7:Work in partnership with women to share information about alternative approaches to using medication, where appropriate Initials Date
Questions, critically appraises and uses evidence to support an argument in determining when medicinal products may or may not be an appropriate choice
Appropriately refers to a registered complementary therapist
Is aware of the dangers of giving complementary therapy advice when not qualified, e.g. raspberry leaf, over-the-counter herbal products
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
8:Order, receive, store, transport and dispose of medicinal products safely and in accordance with relevant legislation, in any midwifery setting (including controlled drugs) Initials Date
Orders, receives, stores and disposes of medicinal products safely, including controlled drugs
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 216 Ongoing Achievement Record 2016-17
9:Use and evaluate up-to-date information on medicinal products management and work within national and local policies and guidelines using appropriate reference Initials Date
Is confident in accessing commonly used evidence-based sources of information relating to the safe and effective management of medicinal products
Works within local and national policies
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
10:Recognise and correctly respond to obstetric emergencies in the context of medicines management Initials Date
Recognises and acts accordingly when confronted with obstetric emergencies, in both primary and secondary care settings
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 217 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 6 Medical Products Management
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 218 Ongoing Achievement Record 2016-17
CRITERION 7 Personal and Professional Growth
1:Take responsibility for personal and professional growth
Initials Date
Demonstrates commitment to lifelong learning. Actively seeks to continue development through reflection and/or audit of practice
Can foster an environment which promotes the continuing development of others including other health care students
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
2:Demonstrate assertiveness in clinical practice
3:Demonstrate autonomy and accountability for own clinical practice
Initials Date
Can interact effectively to challenge aspects of professional practice that arise from ethical or legal dilemmas
Deals constructively with criticism
Fulfils the role of autonomous practitioner, fully aware of the consequences of alternative actions and accepts responsibility for own actions
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 219 Ongoing Achievement Record 2016-17
TRIPARTITE
CRITERION 7 Personal and Professional Growth
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 220 Ongoing Achievement Record 2016-17
CRITERION 8 Risk Assessment and Management Skills
1:Follows Trust guidelines and policies to meet service needs
2:Demonstrates the ability to manage risk
3:Can manage workload and make decisions Initials Date
Supports the creation and maintenance of environments that promote the health, safety and wellbeing of women, babies and others
When need arises can interpret and undertake care prescribed by a medical practitioner
Is able to respond flexibly to change and alerts managers when difficulties in service arise
Knows when and how to call a Supervisor of Midwives
Efficiently manages and organises own workload
Delegates activities to colleagues effectively when necessary
Can take appropriate course of action on own initiative, applying evidence based procedures
Decision making process evident in documentation
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 221 Ongoing Achievement Record 2016-17
TRIPARTITE CRITERION 8 Risk Assessment and Management Skills
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 222 Ongoing Achievement Record 2016-17
CRITERION 9 Communication
1:Be attentive and share information that is clear, accurate and meaningful at a level which women, their partners and family can understand Initials Date
Consistently shows ability to communicate safely and effectively with women, providing guidance for juniors
Communicates effectively and sensitively in different settings, using a range of methods and styles in individual and group settings
Articulates a clear plan of care, that has been developed in partnership with the woman
Provides accurate and comprehensive written reports based on best available evidence
Is familiar with accessing and recording information other than in handwritten form, such as texting
Acts to reduce and challenge barriers to effective communication and understanding
Is proactive and creative in enhancing communication and understanding
Where appropriate uses the skills of active listening, questioning, paraphrasing, and reflection to assist in effective communication
Uses appropriate and relevant communication skills to deal with difficult and challenging circumstances in individual and group scenarios
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 223 Ongoing Achievement Record 2016-17
2:Protect and treat as confidential all information relating to themselves and their care Initials Date
Acts professionally and appropriately in situations where there may be limits to confidentiality eg: child protection, protection from harm
Recognises the significance of information and who does/does not need to know
Distinguishes between information that is relevant to care planning and that which is not
Acts appropriately in sharing information to enable and enhance care (multi-disciplinary team, across agency boundaries)
Works within the legal framework for data protection eg: access to and storage of records
Acts within the law when disclosing information without consent
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 224 Ongoing Achievement Record 2016-17
3:Enable women to make choices about their care by informing women of the choices available to them and providing evidence-based information about benefits and risks of options so that women can make a fully informed decision
4:Ensure that consent will be sought from the woman prior to care being given and that the rights of women are respected Initials Date
Respects the role of women as partners in their care and contributions they can make to it
Uses appropriate strategies to encourage and promote choice for all women
Provides accurate, truthful and balanced information that is presented in such a way as to make it easily understood
Respects women’s autonomy when making a decision, even where a particular choice may result in harm to themselves or their unborn child, unless a court of law orders the contrary
Discusses with women local/ national information to assist with making choices, including local and national voluntary agencies and websites
Works within legal frameworks when seeking consent
Seeks consent prior to sharing confidential information outside of the professional care team (subject to agreed safeguarding/ protection procedures)
Uses appropriate strategies to enable women to understand treatments and interventions in order to give informed consent
Demonstrates respect for client autonomy and the rights of women to withhold consent in relation to care and treatment within legal frameworks
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 225 Ongoing Achievement Record 2016-17
5:Treat women with dignity and respect them as individuals Initials Date
Acts professionally to ensure that personal judgements, prejudices, values, attitudes and beliefs do not compromise the care provided
Is proactive in maintaining dignity
Challenges situations/ others where the dignity of the woman may be
compromised
Shares information confidently with women who have physical, cognitive or sensory disabilities and those who do not speak or read English
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
6:Work in partnership with women in a manner that is diversity sensitive and is free from discrimination, harassment and exploitation Initials Date
Upholds the rights of the women and speaks out when these are at risk of being compromised
Takes into account UK legal frameworks and professional ethics when planning care
Is proactive in promoting care environments that are diversity sensitive and free from exploitation, discrimination and harassment
Manages challenging situations effectively
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 226 Ongoing Achievement Record 2016-17
7:Provide care that is delivered in a warm, sensitive and compassionate way Initials Date
Anticipates how a woman might feel in a given situation and responds with kindness and empathy to provide physical and emotional comfort
Makes appropriate use of touch
Listens to, watches for, and responds to verbal and non-verbal cues
Delivers care that recognises need and provides both practical and emotional support
Has insight into own values and how these may impact on interactions with women
Does not allow personal feelings towards a client or others to compromise care
Recognises and responds to emotional discomfort/ distress of self and others
Through reflection and evaluation demonstrates commitment to personal and professional development
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 227 Ongoing Achievement Record 2016-17
8:Be confident in their own role within a multi-disciplinary/multi-agency team Initials Date
Works within the NMC Midwives rules and standards
Consults and explores solutions and ideas appropriately with others to enhance care
Challenges the practice of self and others across the multi-professional team
Acts as an effective role model in decision making, taking action and supporting more junior staff
Works inter-professionally as a means of achieving optimum outcomes for women
Evidence of achievement Sign-off Mentor…………………………… Date………………..
Comment if not achieved Sign-off Mentor…………………………… Date………………..
BSc (Hons) Pre Registration Midwifery 228 Ongoing Achievement Record 2016-17
TRIPARTITE CRITERION 9 Communication
First attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student signature …………………………………………..………. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
Second attempt Grade ………….…..%
Sign-off mentor signature ……………..…………….……………. Date ……….…………… Student’s signature …………………………………………..……. Date ……….…………… Lecturer signature …………………………………………………… Date …………………… Comments and suggestions for improvement:
BSc (Hons) Pre Registration Midwifery 229 Ongoing Achievement Record 2016-17
BSc (HONS) PRE REGISTRATION MIDWIFERY
FINAL SIGN-OFF MENTOR STATEMENT OF PROFICIENCY COMPLETION OF PROGRAMME
TO BE COMPLETED BY SIGN-OFF MENTOR 1:
I confirm that ........................................................................... (insert student name) has met the defined Nursing and Midwifery Council (2009) Standards for pre registration midwifery education and is capable of safe and effective practice.
Sign-off Mentor Name
Sign-off Mentor Signature:
Mentorship Qualification
Date of most recent annual mentor update and triennial review
Update: Triennial review:
Date of signing statement:
TO BE COMPLETED BY SIGN-OFF MENTOR 2 (IF APPLICABLE):
I confirm that ........................................................................... (insert student name) has met the defined Nursing and Midwifery Council (2009) Standards for pre registration midwifery education and is capable of safe and effective practice.
Sign-off Mentor Name
Sign-off Mentor Signature:
Mentorship Qualification
Date of most recent annual mentor update and triennial review
Update: Triennial review:
Date of signing statement:
BSc (Hons) Pre Registration Midwifery 230 Ongoing Achievement Record 2016-17
FINAL RECORD OF EUROPEAN UNION REQUIREMENTS
Name of Student
Cohort
Name of Lecturer finally reviewing
Ongoing Achievement Record
European Union requirement Minimum
requirement
Number achieved (must have been signed
by midwife)
1 Advising pregnant women/ antenatal
examinations
100
2 Supervision and care of women in labour
40
3 Personal deliveries 40
4 Simulated/ active participation in breech
deliveries
Experience
5 Simulation/ active participation in
episiotomy
Experience
5 Simulation/ active participation in
perineal suturing
Experience
6 Supervision and care of women at risk
(in pregnancy, labour, postnatal periods)
40
7 Supervision and care (including
examination) of postnatal women and
healthy neonates
100
8 Observation and care of the newborn
requiring special care
Experience
9 Care of women with pathological
conditions in the fields of gynaecology
and obstetrics
Experience
10 Care of patients in the field of surgery
and medicine
Experience
Declaration by lecturer on student’s completion of programme: I can confirm that …………………………………........................................... has achieved all the Mentor Assessment of Practice (MAP) statements and EU requirements. A copy of the final caseloading “Completion of Caseloading” form is in the student’s electronic portfolio. Signature of lecturer: ………………………….…………..... Date:……………...........
Student to sign the following statement: I have returned (or arranged for the return of) all books, equipment (ie: dolls, pelves, fetal skulls) and caseloading equipment loaned to me. Signature of student:………………………………….…..... Date:…………………….
Please ensure this form is filed in student records and email midwifery programme administrator,
cohort leader and practice module leader that EU numbers have been achieved