Upload
others
View
9
Download
0
Embed Size (px)
Citation preview
1
UNIVERSITY CAMPUS SUFFOLK
FACULTY OF HEALTH, WELLBEING & SCIENCE
SCHOOL OF INTERPROFESSIONAL STUDIES AND MIDWIFERY
BSc (Hons) MIDWIFERY
STUDENT RECORD OF ACHEIVEMENT
Student Name Cohort Base Site
2
CONTENTS PAGE
Introduction to the passport 04
Manual Handling Training form 05
Resuscitation Training form 06
Year one – Certificate Level
Responsibilities in placement forms
…….Practice Placement Meetings
Long practice placement forms
Short practice placement forms
Midwifery Practice 1 –Learning Outcomes
Action Plans
Tripartite meetings
………………………Practice Grading
Year Two – Intermediate Level
Responsibilities in placement forms
…….Practice Placement Meetings
Long practice placement forms
07
08 - 13
14
15 - 34
35 – 37
38
39 and 47
40 - 41 and 48 - 49
42 – 46 and 50 – 54
55
56 – 65
66
67 – 74
3
Short practice placement forms
Midwifery Practice 2 –Learning Outcomes
Action Plans
Tripartite meetings
………………………Practice Grading
75 – 81
82
83 and 91
84 – 85 and 92 - 93
86 – 90 and 94 – 98
Year three – Honours level
Responsibilities in placement forms
…….Practice Placement Meetings
Long practice placement forms
Short practice placement forms
Midwifery Practice 3 –Learning Outcomes
Action Plans
Tripartite meetings
………………………Practice Grading
99
100 - 107
108
109 – 128
129
130
131 and 139
132 -133 and 140 – 141
134 – 138 and 142 -146
Overall summary of placements 147
Specimen Signature sheet 148
4
Introduction
What is a student record of achievement? All students who commence courses from September 2007 will be required to keep an up-to-date Student Midwife Passport (Record of Achievement) This document is an overall record of the student’s practice assessment and will be taken from one placement to the next, so sign off mentors have an opportunity to see how the student has progressed through the course. • Students are expected to keep a record of their learning experiences, identifying evidence to support achievement of NMC outcomes and competencies and
where further support and supervision is required. This record should be made available to their sign off mentor at the beginning of a new experience to enable discussion of strengths and areas for improvement
• The final assessment of proficiency draws on evidence of assessment over a sustained period of time. The sign-off mentor may use the student record of achievement and other evidence to assess proficiency at the point of registration.
• The sign-off mentor will review all of the sheets at the end of the course, check all proficiencies have been achieved and will sign a “Statement of proficiency at the Point of Registration” confirming that the student has successfully completed all practice requirements
• Students must submit a copy of the “Statement of Proficiency at the Point of Registration” to their University in order that their registration with the NMC can be processed
This document contains all the information that you require to maintain a record of your achievement in practice throughout the course. This document must not be dismantled under any circumstances and to do so may result in your practice being referred.
5
Record of Mandatory Training: Manual Handling. Student Name:……………………. Student ID: ……………………… Manual Handling. Initial training takes place BEFORE THE FIRST PLACEMENT IN YEAR ONE, followed by an annual update in SEMESTER 3 and 5. This record is to be signed each year by the senior trainer on completion. Failure to complete each stage will result in withdrawal from placement. I certify that the student named above has completed the training to the required stage: Year One: ……………………….. Date:………………………………. Year Two: ………………………. Date:………………………………. Year Three: ……………………….. Date:………………………………. To be signed as fully completed by the Personal Tutor on completion of SEMESTER 6 Personal Tutor Name: …………………….. Signature: ………………………… Date:………………………
6
Record of Mandatory Training: Resuscitation Training. Student Name:……………………. Student ID: ……………………… Resuscitation Training. Training in the recognition of collapse and life support techniques takes place during the first year and all students must attend a refresher during each subsequent year. This will be as timetabled by your course leader. The record must be signed each year on completion. Year One: ……………………….. Date:………………………………. Year Two: ………………………. Date:………………………………. Year Three: ……………………….. Date:………………………………. To be signed as fully completed by the Personal Tutor on completion of SEMESTER 6. Personal Tutor Name: …………………….. Signature: ………………………… Date:………………………
7
Certificate Level
Forms Required for Year One
The forms in this section must be completed for all placements in year one. Included within is the documentation for
• Student accepting responsibility for their own actions
• Long placement records (duration four weeks or greater)
• Short placement records (duration three weeks or less)
• Action Plans
• Tripartite meeting documentation forms
• Practice Grading
For each placement that the student attends the form below MUST be completed
8
For each placement that the student attends the form below MUST be completed Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
9
For each placement that the student attends the form below MUST be completed Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
10
For each placement that the student attends the form below MUST be completed Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
11
For each placement that the student attends the form below MUST be completed Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
12
For each placement that the student attends the form below MUST be completed Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
13
For each placement that the student attends the form below MUST be completed Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
14
PRACTICE PLACEMENT MEETINGS
– 4 weeks duration or longer.
For each placement of 4 weeks duration or longer you must meet with your mentor at least three occasions as detailed below. The record of these meetings must be completed. INFORMATION:
Initial meeting To familiarise the learner with the practice setting; Discuss learning needs and learning opportunities in the placement; Agree roles, responsibilities and teaching, learning and assessment strategy
Mid-point meeting Update on progress with Practice Assessment Document; Ensure documentation is on target; Provide a mid-point mentor report, with action plan if necessary
End-point meeting Provide a final mentor report with recommendations for assessment of the practice component of the module. In conjunction with the student and the Practice Assessment Document, consider the focus for future learning.
PRACTICE PLACEMENT MEETINGS
- Short placements
For each placement of 1-3 week’s duration you must meet with your mentor to discuss learning opportunities. You are not required to complete other interviews.
15
Long placement Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Initial Report Objectives student wishes to achieve on this placement: Areas to work on identified from previous placement: Placement Area: Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
16
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Mid-point Report
Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
17
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. End-point Report
Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
18
Summary Report on student development during this placement: (overall comments) Overall this student is safe to practice YES/NO (Delete as applicable) Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
19
Long Placement Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Initial Report Objectives student wishes to achieve on this placement: Areas to work on identified from previous placement: Placement Area: Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
20
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Mid-point Report Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
21
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. End-point Report
Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
22
Summary Report on student development during this placement: (overall comments) Overall this student is safe to practice YES/NO (Delete as applicable) Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
23
Long Placement Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Initial Report Objectives student wishes to achieve on this placement: Areas to work on identified from previous placement: Placement Area: Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
24
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Mid-point Report Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
25
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. End-point Report
Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
26
Summary Report on student development during this placement: (overall comments) Overall this student is safe to practice YES/NO (Delete as applicable) Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
27
Long Placement Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Initial Report Objectives student wishes to achieve on this placement: Areas to work on identified from previous placement: Placement Area: Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
28
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Mid-point Report Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
29
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. End-point Report
Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
30
Summary Report on student development during this placement: (overall comments) Overall this student is safe to practice YES/NO (Delete as applicable) Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
31
Long Placement Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Initial Report Objectives student wishes to achieve on this placement: Areas to work on identified from previous placement: Placement Area: Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
32
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Mid-point Report Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
33
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. End-point Report
Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
34
Summary Report on student development during this placement: (overall comments) Overall this student is safe to practice YES/NO (Delete as applicable) Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
?
35
SHORT PLACEMENT MEETINGS Section 1 To be completed by student What do I want to achieve during this placement? Section 2 To be completed by the Mentor Please comment: Placement area: Student Signature: Print Name: Date: Mentor Signature: Print Name: Date:
36
SHORT PLACEMENT MEETINGS Section 1 To be completed by student What do I want to achieve during this placement? Section 2 To be completed by the Mentor Please comment: Placement area: Student Signature: Print Name: Date: Mentor Signature: Print Name: Date:
37
SHORT PLACEMENT MEETINGS Section 1 To be completed by student What do I want to achieve during this placement? Section 2 To be completed by the Mentor Please comment: Placement area: Student Signature: Print Name: Date: Mentor Signature: Print Name: Date:
38
MIDWIFERY PRACTICE 1
ACTION PLANS
TRIPARTITE MEETINGS
PRACTICE GRADING
The following are records of tripartite meetings held between the student and their personal tutor and mentor. These meetings will normally take place during assessment week towards the end of each semester. It is the student’s responsibility to arrange these meetings.
At the outset of the semester the student is required to complete an action plan of learning for the semester. This learning should be agreed with the mentor.
The action plan will be reviewed at the tripartite meeting. Comments at tripartite should be used to inform the next action plan.
Midwifery Practice 1 Learning Outcomes
On completion of the module the student will be able to:
1. Demonstrate a woman centred approach to a care based on partnerships that are both ethical and non discriminatory
2. Demonstrate a range of communication and interpersonal skills with women and other professionals in a range of practice settings
3. Identify theoretical concepts and begin to apply these to practice
4. Demonstrate ability to reflect on practice
5. Develop the required level of competency in achieving the skills to enable progression to intermediate level
39
Year 1 - Semester 1 – Student Action Plan What do you want to achieve?
By when? Who can offer support? What activities will you undertake?
How will you evidence achievement
40
INTERVIEW WITH PERSONAL TUTOR AND MENTOR (TRIPARTITE MEETING) To be completed by the Personal Tutor Name of Personal Tutor: Name of Interviewer (if different to Personal Tutor): Date of Interview: Placement: Year of course :1 Semester :1 Has the student completed their Action Plan? Yes No Has the student brought their Practice Assessment Document with them? Yes No Has the student brought their Clinical Record Book with them Yes No If the answer to above is No, the interview will be halted and a new interview date arranged (NB, please sign this form as a record of this decision).
Total number of essential skills completed to date: Total number of desirable skills completed to date: Evidence of progression through clinical record book
41
Is there a completed: Initial Interview? Yes No Mid Point Interview? Yes No Final Interview? Yes No Form for each placement: Yes No
Comments by student on their overall progression – to be used to identify / inform future learning needs.
42
Year 1 Semester 1 Formative Practice Grading Midwifery Practice 1 Learning Outcomes On completion of the module the student will be able to:
1. Demonstrate a woman centred approach to a care based on partnerships that are both ethical and non discriminatory
2. Demonstrate a range of communication and interpersonal skills with women and other professionals in a range of practice settings
3. Identify theoretical concepts and begin to apply these to practice
4. Demonstrate ability to reflect on practice
5. Develop the required level of competency in achieving the skills to enable progression to intermediate level
Practice Grading can only be completed once all skills within the Practice Assessment Document have been achieved at the level of Internalisation Confirmed by Student:………………………………………………………………………..Date:…………………………….. Confirmed by Mentor…………………………………………………………………………Date:……………………………..
43
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Effective Midwifery Practice Excellent links made
between knowledge and practice
Very good links made between knowledge and practice
Good links made between knowledge and practice
Limited links made between knowledge and practice
Excellent understanding of the midwife’s role
Very good understanding of the midwife’s role
Good understanding of the midwife’s role
Limited understanding of the midwife’s role
Consistently adapts language to ensure effective
communication with women/families and the multidisciplinary team
In most circumstances adapts language
appropriately. Occasional prompting required to ensure
effective communication
In some circumstances able to adapt language
appropriately. Needs prompting to ensure effective
communication
Frequent prompting required to adapt language to ensure effective communication
Excellent ability to assess the woman’s needs and plan and
participate in care appropriately
Very good ability to assess the woman’s needs and plan
and participate in care appropriately
Good ability to assess the woman’s needs and plan and
participate in care appropriately
Frequently requires support to assess the woman’s
needs and plan and participate in care
appropriately
Consistently demonstrates a women-centred approach to care based on partnership
On most occasions demonstrates a women-centred approach to care
based on
Sometimes demonstrates a women-centred approach to care based on partnership
Requires ongoing support to demonstrate a women-
centred approach to care based on partnership
Dexterity demonstrated in skill development expected
at level 1
Good skill development at level 1 though scope for
refinement in some areas
Skill development satisfactory for level 1
student
Some skills would benefit from further refinement for a
level 1 student
Comments
44
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Professional and Ethical Practice Excellent ability to express
personal feelings and identify learning from experience
Very good ability to express personal feelings and identify
learning from experience
Good ability to express personal feelings and identify
learning from experience
Support required to express feelings and identify learning
from experience
Consistently displays an understanding of the
concepts of professionalism
Frequently displays an understanding of the
concepts of professionalism
On some occasions demonstrates an understanding of professionalism
Understanding of professionalism requires
development in some areas
Consistently promotes ethical and non discriminatory
practices
Typically practices in accordance with ethical and
non-discriminatory frameworks
Demonstrates an understanding of practice
within ethical and non-discriminatory frameworks
Has understanding but demonstrates some
hesitancy in attending to the individual rights, interests,
beliefs and cultures of women
Consistently creates an environment of care to
promote the health, safety and wellbeing of women
Frequently able to create an environment of care to
promote the health, safety and wellbeing of women
Is able in some circumstances to creates an
environment of care to promote the health, safety and wellbeing of women
Attempts to create an environment of care to
promote the health, safety and wellbeing of women
Performs effectively within a multidisciplinary team
Usually works well within a multidisciplinary team
Aware of own contribution to multidisciplinary team
working
Some hesitancy of involvement within
multidisciplinary team
Demonstrates understanding and application of relevant
legislation to practice commensurate with level 1
Understands relevant legislation to practice
commensurate with level 1
Is able to identify some areas of relevant legislation
commensurate with level 1
Needs support to identify legislative framework for
practice commensurate with level 1
Comments
45
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Developing the Individual Midwife and Others
Proactively identifies and engages in learning
opportunities within the practice environment for a
level 1 student
Actively engaged in learning within the practice
environment for a level 1 student
Seeks out learning opportunities with some
encouragement for a level 1 student
Requires support to identify appropriate learning
opportunities for a level 1 student
Well motivated within the practice arena
Shows enthusiasm in most practice areas
In some circumstances willing to engage in practice
Encouragement needed to engage in practice
Consistently displays a mature attitude to receiving constructive criticism and
adapts performance accordingly
Able to accept and use constructive criticism to improve performance
Accepts constructive criticism and makes efforts to improve
performance
Requires support to interpret constructive criticism
Consistently displays confidence appropriate for
level 1
On most occasions shows confidence in practice appropriate for level 1
Confident in some situations appropriate for level 1
Level of confidence may adversely inhibit performance
appropriate for level 1
Consistently displays an empathetic approach to care
In most circumstances demonstrates an empathetic
approach to care
In some circumstances demonstrates an empathetic
approach to care
Needs help to demonstrate empathetic responses to
care
Makes good use of assertiveness skills to
effectively care for women,
Frequently uses assertiveness skills to
effectively care for women,
In some situations demonstrates assertiveness skills to effectively care for
women
Care for women would be enhanced if assertiveness
skills were developed
Comments
46
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Achieving Quality Care Through Evaluation and Research Explains methods used to monitor and evaluate care
and performance
Identifies methods to monitor and evaluate
care and performance
Needs encouragement to recognise methods used to monitor and
evaluate care and performance
Limited ability to recognise methods used to monitor and
evaluate care and performance
Frequently draws on evidence to support care
decisions
Sometimes draws on evidence to support
care decisions
Needs some encouragement to consider evidence to practice
Limited recall on evidence to support practice
Comments
TOTAL OF AGREED MARKS AWARDED
47
Year 1 - Semester 2 – Student Action Plan What do you want to achieve?
By when? Who can offer support? What activities will you undertake?
How will you evidence achievement
48
INTERVIEW WITH PERSONAL TUTOR AND MENTOR (TRIPARTITE MEETING) To be completed by the Personal Tutor Name of Personal Tutor: Name of Interviewer (if different to Personal Tutor): Date of Interview: Placement: Year of course :1 Semester :2 Has the student completed their Action Plan? Yes No Has the student brought their Practice Assessment Document with them? Yes No Has the student brought their Clinical Record Book with them Yes No If the answer to above is No, the interview will be halted and a new interview date arranged (NB, please sign this form as a record of this decision).
Total number of essential skills completed to date: Total number of desirable skills completed to date: Evidence of progression through clinical record book
49
Is there a completed: Initial Interview? Yes No Mid Point Interview? Yes No Final Interview? Yes No Form for each placement: Yes No
Comments by student on their overall progression – to be used to identify / inform future learning needs.
50
End of Year 1 Practice Grading Midwifery Practice 1 Learning Outcomes On completion of the module the student will be able to:
1. Demonstrate a woman centred approach to a care based on partnerships that are both ethical and non discriminatory
2. Demonstrate a range of communication and interpersonal skills with women and other professionals in a range of practice settings
3. Identify theoretical concepts and begin to apply these to practice
4. Demonstrate ability to reflect on practice
5. Develop the required level of competency in achieving the skills to enable progression to intermediate level
Practice Grading can only be completed once all skills within the Practice Assessment Document have been achieved at the level of Internalisation Confirmed by Student:………………………………………………………………………..Date:…………………………….. Confirmed by Mentor…………………………………………………………………………Date:……………………………..
51
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Effective Midwifery Practice Excellent links made
between knowledge and practice
Very good links made between knowledge and practice
Good links made between knowledge and practice
Limited links made between knowledge and practice
Excellent understanding of the midwife’s role
Very good understanding of the midwife’s role
Good understanding of the midwife’s role
Limited understanding of the midwife’s role
Consistently adapts language to ensure effective
communication with women/families and the multidisciplinary team
In most circumstances adapts language
appropriately. Occasional prompting required to ensure
effective communication
In some circumstances able to adapt language
appropriately. Needs prompting to ensure effective
communication
Frequent prompting required to adapt language to ensure effective communication
Excellent ability to assess the woman’s needs and plan and
participate in care appropriately
Very good ability to assess the woman’s needs and plan
and participate in care appropriately
Good ability to assess the woman’s needs and plan and
participate in care appropriately
Frequently requires support to assess the woman’s
needs and plan and participate in care
appropriately
Consistently demonstrates a women-centred approach to care based on partnership
On most occasions demonstrates a women-centred approach to care
based on
Sometimes demonstrates a women-centred approach to care based on partnership
Requires ongoing support to demonstrate a women-
centred approach to care based on partnership
Dexterity demonstrated in skill development expected
at level 1
Good skill development at level 1 though scope for
refinement in some areas
Skill development satisfactory for level 1
student
Some skills would benefit from further refinement for a
level 1 student
Comments
52
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Professional and Ethical Practice Excellent ability to express
personal feelings and identify learning from experience
Very good ability to express personal feelings and identify
learning from experience
Good ability to express personal feelings and identify
learning from experience
Support required to express feelings and identify learning
from experience
Consistently displays an understanding of the
concepts of professionalism
Frequently displays an understanding of the
concepts of professionalism
On some occasions demonstrates an understanding of professionalism
Understanding of professionalism requires
development in some areas
Consistently promotes ethical and non discriminatory
practices
Typically practices in accordance with ethical and
non-discriminatory frameworks
Demonstrates an understanding of practice
within ethical and non-discriminatory frameworks
Has understanding but demonstrates some
hesitancy in attending to the individual rights, interests,
beliefs and cultures of women
Consistently creates an environment of care to
promote the health, safety and wellbeing of women
Frequently able to create an environment of care to
promote the health, safety and wellbeing of women
Is able in some circumstances to creates an
environment of care to promote the health, safety and wellbeing of women
Attempts to create an environment of care to
promote the health, safety and wellbeing of women
Performs effectively within a multidisciplinary team
Usually works well within a multidisciplinary team
Aware of own contribution to multidisciplinary team
working
Some hesitancy of involvement within
multidisciplinary team
Demonstrates understanding and application of relevant
legislation to practice commensurate with level 1
Understands relevant legislation to practice
commensurate with level 1
Is able to identify some areas of relevant legislation
commensurate with level 1
Needs support to identify legislative framework for
practice commensurate with level 1
Comments
53
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Developing the Individual Midwife and Others
Proactively identifies and engages in learning
opportunities within the practice environment for a
level 1 student
Actively engaged in learning within the practice
environment for a level 1 student
Seeks out learning opportunities with some
encouragement for a level 1 student
Requires support to identify appropriate learning
opportunities for a level 1 student
Well motivated within the practice arena
Shows enthusiasm in most practice areas
In some circumstances willing to engage in practice
Encouragement needed to engage in practice
Consistently displays a mature attitude to receiving constructive criticism and
adapts performance accordingly
Able to accept and use constructive criticism to improve performance
Accepts constructive criticism and makes efforts to improve
performance
Requires support to interpret constructive criticism
Consistently displays confidence appropriate for
level 1
On most occasions shows confidence in practice appropriate for level 1
Confident in some situations appropriate for level 1
Level of confidence may adversely inhibit performance
appropriate for level 1
Consistently displays an empathetic approach to care
In most circumstances demonstrates an empathetic
approach to care
In some circumstances demonstrates an empathetic
approach to care
Needs help to demonstrate empathetic responses to
care
Makes good use of assertiveness skills to
effectively care for women,
Frequently uses assertiveness skills to
effectively care for women,
In some situations demonstrates assertiveness skills to effectively care for
women
Care for women would be enhanced if assertiveness
skills were developed
Comments
54
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Achieving Quality Care Through Evaluation and Research Explains methods used to monitor and evaluate care
and performance
Identifies methods to monitor and evaluate care and
performance
Needs encouragement to recognise methods used to monitor and evaluate care
and performance
Limited ability to recognise methods used to monitor and
evaluate care and performance
Frequently draws on evidence to support care
decisions
Sometimes draws on evidence to support care
decisions
Needs some encouragement to consider
evidence to practice
Limited recall on evidence to support practice
Comments
TOTAL OF AGREED MARKS AWARDED
55
Intermediate Level
Forms Required for Year Two
The forms in this section must be completed for all placements in year two. Included within is the documentation for
o Student accepting responsibility for own actions
o Long placement records (duration four weeks or greater)
o Short placement records (duration three weeks or less)
o Action Plans
o Tripartite meeting documentation
o Practice Grading
For each placement that the student attends the form below MUST be completed
56
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
57
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
58
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
59
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
60
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
61
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
62
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
63
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
64
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
65
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
• Number of days sick/absent during the placement
Days: Occasions:
66
PRACTICE PLACEMENT MEETINGS
– 4 weeks duration or longer.
For each placement of 4 weeks duration or longer you must meet with your mentor at least three occasions as detailed below. The record of these meetings must be completed. INFORMATION:
Initial meeting To familiarise the learner with the practice setting; Discuss learning needs and learning opportunities in the placement; Agree roles, responsibilities and teaching, learning and assessment strategy
Mid-point meeting Update on progress with Practice Assessment Document; Ensure documentation is on target; Provide a mid-point mentor report, with action plan if necessary
End-point meeting Provide a final mentor report with recommendations for assessment of the practice component of the module. In conjunction with the student and the Practice Assessment Document, consider the focus for future learning.
PRACTICE PLACEMENT MEETINGS
- Short placements
For each placement of 1-3 week’s duration you must meet with your mentor to discuss learning opportunities. You are not required to complete other interviews
67
Long Placement Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Initial Report Objectives student wishes to achieve on this placement: Areas to work on identified from previous placement: Placement Area: Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
68
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Mid-point Report Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
69
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. End-point Report
Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
70
Summary Report on student development during this placement: (overall comments) Overall this student is safe to practice YES/NO (Delete as applicable) Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
71
Long Placement Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Initial Report Objectives student wishes to achieve on this placement: Areas to work on identified from previous placement: Placement Area: Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
72
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Mid-point Report Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
73
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. End-point Report
Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
74
Summary Report on student development during this placement: (overall comments) Overall this student is safe to practice YES/NO (Delete as applicable) Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
75
SHORT PLACEMENT MEETINGS Date From to
Section 1 To be completed by student What do I want to achieve during this placement? Section 2 To be completed by the Mentor Please comment: Placement area: Student Signature: Print Name: Date: Mentor Signature: Print Name: Date:
76
SHORT PLACEMENT MEETINGS Date From to Section 1 To be completed by student What do I want to achieve during this placement? Section 2 To be completed by the Mentor Please comment: Placement area: Student Signature: Print Name: Date: Mentor Signature: Print Name: Date:
77
SHORT PLACEMENT MEETINGS Date From to Section 1 To be completed by student What do I want to achieve during this placement? Section 2 To be completed by the Mentor Please comment: Placement area: Student Signature: Print Name: Date: Mentor Signature: Print Name: Date:
78
SHORT PLACEMENT MEETINGS Date From to Section 1 To be completed by student What do I want to achieve during this placement? Section 2 To be completed by the Mentor Please comment: Placement area: Student Signature: Print Name: Date: Mentor Signature: Print Name: Date:
79
SHORT PLACEMENT MEETINGS Date From to Section 1 To be completed by student What do I want to achieve during this placement? Section 2 To be completed by the Mentor Please comment: Placement area: Student Signature: Print Name: Date: Mentor Signature: Print Name: Date:
80
SHORT PLACEMENT MEETINGS Date From to Section 1 To be completed by student What do I want to achieve during this placement? Section 2 To be completed by the Mentor Please comment: Placement area: Student Signature: Print Name: Date: Mentor Signature: Print Name: Date:
81
SHORT PLACEMENT MEETINGS Date From to Section 1 To be completed by student What do I want to achieve during this placement? Section 2 To be completed by the Mentor Please comment: Placement area: Student Signature: Print Name: Date: Mentor Signature: Print Name: Date
82
MIDWIFERY PRACTICE 2
ACTION PLANS
TRIPARTITE MEETINGS
PRACTICE GRADING
The following are records of tripartite meetings held between the student and their personal tutor and mentor. These meetings will normally take place during assessment week towards the end of each semester. It is the student’s responsibility to arrange these meetings.
At the outset of the semester the student is required to complete an action plan of learning for the semester. This learning should be agreed with the mentor.
The action plan will be reviewed at the tripartite meeting. Comments at tripartite should be used to inform the next action plan.
Midwifery Practice 2 Learning Outcomes
On completion of the module the student will be able to: 1. Refer women who would benefit from the skills and knowledge of other professionals 2. Demonstrate effective working across professional boundaries and develop professional networks 3. Participate in the care of women and babies with specific health and social care needs 4. Continue to make appropriate links between theory and practice and base practice on the best available evidence. 5. Recognise emergency situations and take appropriate action to assist in meet the health needs of women and babies
83
Year 2 - Semester 1 – Student Action Plan What do you want to achieve?
By when? Who can offer support? What activities will you undertake?
How will you evidence achievement
84
INTERVIEW WITH PERSONAL TUTOR AND MENTOR (TRIPARTITE MEETING) To be completed by the Personal Tutor Name of Personal Tutor: Name of Interviewer (if different to Personal Tutor): Date of Interview: Placement: Year of course : 2 Semester : 1 Has the student completed their Action Plan? Yes No Has the student brought their Practice Assessment Document with them? Yes No Has the student brought their Clinical Record Book with them Yes No If the answer to above is No, the interview will be halted and a new interview date arranged (NB, please sign this form as a record of this decision).
Total number of essential skills completed to date: Total number of desirable skills completed to date: Evidence of progression through clinical record book
85
Is there a completed: Initial Interview? Yes No Mid Point Interview? Yes No Final Interview? Yes No Form for each placement: Yes No
Comments by student on their overall progression – to be used to identify / inform future learning needs.
86
Year 2 Semester 2 Formative Practice Grading Midwifery Practice 2 Learning Outcomes On completion of the module the student will be able to:
1. Refer women who would benefit from the skills and knowledge of other professionals
2. Demonstrate effective working across professional boundaries and develop professional networks
3. Participate in the care of women and babies with specific health and social care needs
4. Continue to make appropriate links between theory and practice and base practice on the best available evidence.
5. Recognise emergency situations and take appropriate action to assist in meet the health needs of women and babies Practice Grading can only be completed once all skills within the Practice Assessment Document have been achieved at the level of Internalisation
Confirmed by Student:………………………………………………………………………..Date:…………………………….. Confirmed by Mentor…………………………………………………………………………Date:……………………………..
87
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Effective Midwifery Practice Consistently able to apply appropriate links between knowledge and practice
On most occasions applies appropriate knowledge and understanding to practice
Sometimes applies appropriate knowledge to
practice
Application of knowledge to practice needs to be
developed to enhance care
Consistently able to demonstrate the role of the
midwife
On most occasions demonstrates the role of the
midwife
Occasional prompting required to demonstrate the
role of the midwife
Frequent prompting required to demonstrate the role of the
midwife
Consistently adapts language to ensure effective
communication with women/families and the multidisciplinary team
In most circumstances adapts language
appropriately. Occasional prompting required to ensure
effective communication
In some circumstances able to adapt language
appropriately. Needs prompting to ensure effective
communication
Frequent prompting required to adapt language to ensure effective communication
Consistently demonstrates ability to assess, determine
and plan programmes of care for women based on needs from preconception to the
postnatal period.
On most occasions demonstrates ability to
assess, determine and plan programmes of care for
women based on needs from preconception to the
postnatal period.
Sometimes demonstrates ability to assess, determine
and plan programmes of care for women based on needs from preconception to the
postnatal period.
Frequently requires support to assess, determine and
plan programmes of care for women based on needs from
preconception to the postnatal period.
Consistently demonstrates a women-centred approach to care based on partnership
which respects the individuality of women
On most occasions demonstrates a women-centred approach to care
based on partnership which respects the individuality of
women
Sometimes demonstrates a women-centred approach to care based on partnership
which respects the individuality of women
Requires ongoing support to demonstrate a women-
centred approach to care based on partnership which respects the individuality of
women
Dexterity demonstrated in skill development expected
at level 2
Good skill development at level 2 though scope for
refinement in some areas
Skill development satisfactory for level 2
student
Some skills would benefit from further refinement for a
level 2 student
Comments
88
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0
Student Mentor Award
Professional and Ethical Practice Uses structured reflection on
practice to enhance care delivery
Frequently uses structured reflection to consider how
care can be improved
Occasionally uses structured reflection to consider how
care can be improved
Support required to engage in reflection on practice
Consistently displays an understanding of the
concepts of professionalism for a level 1 student
Frequently displays an understanding of the
concepts of professionalism for a level 1 student
On some occasions demonstrates an understanding of
professionalism for a level 1 student
Understanding of professionalism requires
development in some areas for a level 1 student
Consistently promotes ethical and non discriminatory
practices for a level 1 student
Typically practices in accordance with ethical and
non-discriminatory frameworks for a level 1
student
Demonstrates an understanding of practice
within ethical and non-discriminatory frameworks for
a level 1 student
Has understanding but demonstrates some
hesitancy in attending to the individual rights, interests,
beliefs and cultures of women for a level 1 student
Usually creates an environment of care to
promote the health, safety and wellbeing of women for a
level 1 student
Frequently able to create an environment of care to
promote the health, safety and wellbeing of women for a
level 1 student
Is able in some circumstances to creates an
environment of care to promote the health, safety
and wellbeing of women for a level 1 student
Attempts to create an environment of care to
promote the health, safety and wellbeing of women for a
level 1 student
Consistently works well within the team
Usually works well within the team
Aware of own contribution to working within the team
Some hesitancy of involvement within the team
Demonstrates understanding and application of relevant
legislation to practice
Understands relevant legislation to practice
Is able to identify some areas of relevant legislation
Needs support to identify legislative framework for
practice
Comments
89
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Developing the Individual Midwife and Others
Proactively identifies and engages in learning
opportunities within the practice environment for a
level 2 student
Actively engaged in learning within the practice
environment for a level 2 student
Seeks out learning opportunities with some
encouragement for a level 2 student
Requires support to identify appropriate learning
opportunities for a level 2 student
Well motivated within the practice arena
Shows enthusiasm in most practice areas
In some circumstances willing to engage in practice
Encouragement needed to engage in practice
Consistently displays a mature attitude to receiving constructive criticism and
adapts performance accordingly
Able to accept and use constructive criticism to improve performance
Accepts constructive criticism and makes efforts to improve
performance
Requires support to interpret constructive criticism
Consistently displays confidence appropriate for
level 2
On most occasions shows confidence in practice appropriate for level 2
Confident in some situations appropriate for level 2
Level of confidence may adversely inhibit performance
appropriate for level 2
Consistently displays an empathetic approach
In most circumstances demonstrates an empathetic
approach to care
In some circumstances demonstrates an empathetic
approach to care
Needs help to demonstrate empathetic responses to
care
Consistently utilises assertiveness skills to
effectively care for women,
Frequently uses assertiveness skills to
effectively care for women,
In some situations demonstrates assertiveness skills to effectively care for
women
Care for women would be enhanced if assertiveness
skills were developed
Comments
90
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Achieving Quality Care Through Evaluation and Research Explains how monitoring can
enhance care and performance
Conversant with methods to monitor and evaluate care
and performance
Identify methods to monitor and evaluate care and
performance
Needs encouragement to recognise processes that
contribute to the monitoring and evaluation of care and
performance
Incorporates best available evidence into practice
Frequently draws on evidence to support care
decisions
Sometimes draws on evidence to support care
decisions
Needs encouragement to consider evidence for
practice
Comments
TOTAL OF AGREED MARKS AWARDED
91
Year 2 - Semester 2 – Student Action Plan What do you want to achieve?
By when? Who can offer support? What activities will you undertake?
How will you evidence achievement
92
INTERVIEW WITH PERSONAL TUTOR AND MENTOR (TRIPARTITE MEETING) To be completed by the Personal Tutor Name of Personal Tutor: Name of Interviewer (if different to Personal Tutor): Date of Interview: Placement: Year of course :2 Semester :2 Has the student completed their Action Plan? Yes No Has the student brought their Practice Assessment Document with them? Yes No Has the student brought their Clinical Record Book with them Yes No If the answer to above is No, the interview will be halted and a new interview date arranged (NB, please sign this form as a record of this decision).
Total number of essential skills completed to date: Total number of desirable skills completed to date: Evidence of progression through clinical record book
93
Is there a completed: Initial Interview? Yes No Mid Point Interview? Yes No Final Interview? Yes No Form for each placement: Yes No
Comments by student on their overall progression – to be used to identify / inform future learning needs.
94
End of Year 2 Practice Grading Midwifery Practice 2 Learning Outcomes On completion of the module the student will be able to:
1. Refer women who would benefit from the skills and knowledge of other professionals
2. Demonstrate effective working across professional boundaries and develop professional networks
3. Participate in the care of women and babies with specific health and social care needs
4. Continue to make appropriate links between theory and practice and base practice on the best available evidence.
5. Recognise emergency situations and take appropriate action to assist in meet the health needs of women and babies Practice Grading can only be completed once all skills within the Practice Assessment Document have been achieved at the level of Internalisation
Confirmed by Student:………………………………………………………………………..Date:…………………………….. Confirmed by Mentor…………………………………………………………………………Date:……………………………..
95
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Effective Midwifery Practice Consistently able to apply appropriate links between knowledge and practice
On most occasions applies appropriate knowledge and understanding to practice
Sometimes applies appropriate knowledge to
practice
Application of knowledge to practice needs to be
developed to enhance care
Consistently able to demonstrate the role of the
midwife
On most occasions demonstrates the role of the
midwife
Occasional prompting required to demonstrate the
role of the midwife
Frequent prompting required to demonstrate the role of the
midwife
Consistently adapts language to ensure effective
communication with women/families and the multidisciplinary team
In most circumstances adapts language
appropriately. Occasional prompting required to ensure
effective communication
In some circumstances able to adapt language
appropriately. Needs prompting to ensure effective
communication
Frequent prompting required to adapt language to ensure effective communication
Consistently demonstrates ability to assess, determine
and plan programmes of care for women based on needs from preconception to the
postnatal period.
On most occasions demonstrates ability to
assess, determine and plan programmes of care for
women based on needs from preconception to the
postnatal period.
Sometimes demonstrates ability to assess, determine
and plan programmes of care for women based on needs from preconception to the
postnatal period.
Frequently requires support to assess, determine and
plan programmes of care for women based on needs from
preconception to the postnatal period.
Consistently demonstrates a women-centred approach to care based on partnership
which respects the individuality of women
On most occasions demonstrates a women-centred approach to care
based on partnership which respects the individuality of
women
Sometimes demonstrates a women-centred approach to care based on partnership
which respects the individuality of women
Requires ongoing support to demonstrate a women-
centred approach to care based on partnership which respects the individuality of
women
Dexterity demonstrated in skill development expected
at level 2
Good skill development at level 2 though scope for
refinement in some areas
Skill development satisfactory for level 2
student
Some skills would benefit from further refinement for a
level 2 student
Comments
96
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0
Student Mentor Award
Professional and Ethical Practice Uses structured reflection on
practice to enhance care delivery
Frequently uses structured reflection to consider how
care can be improved
Occasionally uses structured reflection to consider how
care can be improved
Support required to engage in reflection on practice
Consistently displays an understanding of the
concepts of professionalism for a level 1 student
Frequently displays an understanding of the
concepts of professionalism for a level 1 student
On some occasions demonstrates an understanding of
professionalism for a level 1 student
Understanding of professionalism requires
development in some areas for a level 1 student
Consistently promotes ethical and non discriminatory
practices for a level 1 student
Typically practices in accordance with ethical and
non-discriminatory frameworks for a level 1
student
Demonstrates an understanding of practice
within ethical and non-discriminatory frameworks for
a level 1 student
Has understanding but demonstrates some
hesitancy in attending to the individual rights, interests,
beliefs and cultures of women for a level 1 student
Usually creates an environment of care to
promote the health, safety and wellbeing of women for a
level 1 student
Frequently able to create an environment of care to
promote the health, safety and wellbeing of women for a
level 1 student
Is able in some circumstances to creates an
environment of care to promote the health, safety
and wellbeing of women for a level 1 student
Attempts to create an environment of care to
promote the health, safety and wellbeing of women for a
level 1 student
Consistently works well within the team
Usually works well within the team
Aware of own contribution to working within the team
Some hesitancy of involvement within the team
Demonstrates understanding and application of relevant
legislation to practice
Understands relevant legislation to practice
Is able to identify some areas of relevant legislation
Needs support to identify legislative framework for
practice
Comments
97
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Developing the Individual Midwife and Others
Proactively identifies and engages in learning
opportunities within the practice environment for a
level 2 student
Actively engaged in learning within the practice
environment for a level 2 student
Seeks out learning opportunities with some
encouragement for a level 2 student
Requires support to identify appropriate learning
opportunities for a level 2 student
Well motivated within the practice arena
Shows enthusiasm in most practice areas
In some circumstances willing to engage in practice
Encouragement needed to engage in practice
Consistently displays a mature attitude to receiving constructive criticism and
adapts performance accordingly
Able to accept and use constructive criticism to improve performance
Accepts constructive criticism and makes efforts to improve
performance
Requires support to interpret constructive criticism
Consistently displays confidence appropriate for
level 2
On most occasions shows confidence in practice appropriate for level 2
Confident in some situations appropriate for level 2
Level of confidence may adversely inhibit performance
appropriate for level 2
Consistently displays an empathetic approach
In most circumstances demonstrates an empathetic
approach to care
In some circumstances demonstrates an empathetic
approach to care
Needs help to demonstrate empathetic responses to
care
Consistently utilises assertiveness skills to
effectively care for women,
Frequently uses assertiveness skills to
effectively care for women,
In some situations demonstrates assertiveness skills to effectively care for
women
Care for women would be enhanced if assertiveness
skills were developed
Comments
98
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Achieving Quality Care Through Evaluation and Research Explains how monitoring can
enhance care and performance
Conversant with methods to monitor and evaluate care
and performance
Identify methods to monitor and evaluate care and
performance
Needs encouragement to recognise processes that
contribute to the monitoring and evaluation of care and
performance
Incorporates best available evidence into practice
Frequently draws on evidence to support care
decisions
Sometimes draws on evidence to support care
decisions
Needs encouragement to consider evidence for
practice
Comments
TOTAL OF AGREED MARKS AWARDED
99
Honours Level
Forms Required for Year Three
The forms in this section must be completed for all placements in year three. Included within is the documentation for
• Student accepting responsibility for their own actions
• Long placement records (duration four weeks or greater)
• Short placement records (duration three weeks or less)
• Action Plans
• Tripartite meeting documentation forms
• Practice Grading
For each placement that the student attends the form below MUST be completed
100
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
101
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed to
102
Name of Placement: Dates of placement: from The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
103
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
104
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
105
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
106
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
For each placement that the student attends the form below MUST be completed
107
Name of Placement: Dates of placement: from to The MENTOR should tick whether the student has demonstrated the ability to accept RESPONSIBILITY for their own action in the areas identified, PROVIDE COMMENTS AND SIGN, DATE AND PRINT THEIR NAME YES NO COMMENTS SIGNATURE &
DATE PRINT NAME
Demonstrates ability to accept responsibility for their own actions
• Arriving on duty on time
• Wears uniform in line with trust policy
• Responds appropriately to constructive feedback
• Identification of fire points
• Reports sickness/absence in line with University Campus Suffolk/Trust policy
N/A
• Number of days sick/absent during the placement
Days: Occasions:
108
PRACTICE PLACEMENT MEETINGS – 4 weeks duration or longer.
For each placement of 4 weeks duration or longer you must meet with your mentor at least three occasions as detailed below. The record of these meetings must be completed. INFORMATION:
Initial meeting To familiarise the learner with the practice setting; Discuss learning needs and learning opportunities in the placement; Agree roles, responsibilities and teaching, learning and assessment strategy
Mid-point meeting Update on progress with Practice Assessment Document; Ensure documentation is on target; Provide a mid-point mentor report, with action plan if necessary
End-point meeting Provide a final mentor report with recommendations for assessment of the practice component of the module. In conjunction with the student and the Practice Assessment Document, consider the focus for future learning.
PRACTICE PLACEMENT MEETINGS
- Short placements
For each placement of 1-3 week’s duration you must meet with your mentor to discuss learning opportunities. You are not required to complete other interviews.
109
Long Placement Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Initial Report Objectives student wishes to achieve on this placement: Areas to work on identified from previous placement: Placement Area: Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
110
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Mid-point Report Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
111
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. End-point Report
Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
112
Summary Report on student development during this placement: (overall comments) Overall this student is safe to practice YES/NO (Delete as applicable) Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
113
Long Placement Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Initial Report Objectives student wishes to achieve on this placement: Areas to work on identified from previous placement: Placement Area: Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
114
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Mid-point Report Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
115
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. End-point Report
Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
116
Summary Report on student development during this placement: (overall comments) Overall this student is safe to practice YES/NO (Delete as applicable) Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
117
Long Placement Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Initial Report Objectives student wishes to achieve on this placement: Areas to work on identified from previous placement: Placement Area: Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
118
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Mid-point Report Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
119
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. End-point Report
Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
120
Summary Report on student development during this placement: (overall comments) Overall this student is safe to practice YES/NO (Delete as applicable) Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
121
Long Placement Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Initial Report Objectives student wishes to achieve on this placement: Areas to work on identified from previous placement: Placement Area: Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
122
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Mid-point Report Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
123
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. End-point Report
Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
124
Summary Report on student development during this placement: (overall comments) Overall this student is safe to practice YES/NO (Delete as applicable) Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
125
Long Placement Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Initial Report Objectives student wishes to achieve on this placement: Areas to work on identified from previous placement: Placement Area: Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
126
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. Mid-point Report Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
127
Recording of meetings It is helpful for these to be recorded as notes for the purposes of the overall learning plan for individual students. Please indicate significant future learning needs as part of this report. End-point Report
Strengths: Areas to work on:
1. Effective Midwifery Practice 2. Professional & ethical practice 3. Developing the individual midwife & others 4. Achieving quality care through evaluation & research
128
Summary Report on student development during this placement: (overall comments) Overall this student is safe to practice YES/NO (Delete as applicable) Mentor Signature: Print Name: Date: Student Signature: Print Name: Date:
129
SHORT PLACEMENT MEETINGS Date From to Section 1 To be completed by student What do I want to achieve during this placement? Section 2 To be completed by the Mentor Please comment: Placement area: Student Signature: Print Name: Date: Mentor Signature: Print Name: Date:
130
MIDWIFERY PRACTICE 3
ACTION PLANS
TRIPARTITE MEETINGS
PRACTICE GRADING
The following are records of tripartite meetings held between the student and their personal tutor and mentor. These meetings will normally take place during assessment week towards the end of each semester. It is the student’s responsibility to arrange these meetings.
At the outset of the semester the student is required to complete an action plan of learning for the semester. This learning should be agreed with the mentor.
The action plan will be reviewed at the tripartite meeting. Comments at tripartite should be used to inform the next action plan.
Midwifery Practice 3 Learning Outcomes
On completion of the module the student will be able to:
1. Use critical reflection monitor and evaluate practice and its contribution to the improvement of outcomes for women, babies and their families
2. Recognise emergency situations and take appropriate action to meet the health needs of women and babies 3. Select, acquire and administer safely a range of permitted drugs consistent with legislation, applying knowledge and skills in context. 4. Manage a small caseload under indirect supervision and prioritise competing demands. 5. Demonstrate an understanding of the quality dimension of care contributing to effective care provision.
131
Year 3 - Semester 1 – Student Action Plan What do you want to achieve?
By when? Who can offer support? What activities will you undertake?
How will you evidence achievement
132
INTERVIEW WITH PERSONAL TUTOR AND MENTOR (TRIPARTITE MEETING) To be completed by the Personal Tutor Name of Personal Tutor: Name of Interviewer (if different to Personal Tutor): Date of Interview: Placement: Year of course :3 Semester :1 Has the student completed their Action Plan? Yes No Has the student brought their Practice Assessment Document with them? Yes No Has the student brought their Clinical Record Book with them Yes No If the answer to above is No, the interview will be halted and a new interview date arranged (NB, please sign this form as a record of this decision).
Total number of essential skills completed to date: Total number of desirable skills completed to date: Evidence of progression through clinical record book
133
Is there a completed: Initial Interview? Yes No Mid Point Interview? Yes No Final Interview? Yes No Form for each placement: Yes No
Comments by student on their overall progression – to be used to identify / inform future learning needs.
134
Year 3 Semester 2 Formative Practice Grading Midwifery Practice 3 Learning Outcomes Upon completion of the module the student will be able to:
1. Using critical reflection monitor and evaluate practice and its contribution to the improvement of outcomes for women, babies and their
families
2. Recognise emergency situations and take appropriate action to meet the health needs of women and babies
3. Select, acquire and administer safely a range of permitted drugs consistent with legislation, applying knowledge and skills in context.
4. Manage a small caseload under indirect supervision and prioritise competing demands.
5. Demonstrate an understanding of the quality dimension of care contributing to effective care provision.
Practice Grading can only be completed once all skills within the Practice Assessment Document have been achieved at the level of Internalisation Confirmed by Student:………………………………………………………………………..Date:…………………………….. Confirmed by Mentor…………………………………………………………………………Date:……………………………..
135
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Effective Midwifery Practice Outstanding application of
theory to practice Very good application of
theory to practice On most occasions good application of theory to
practice
Sometimes applies appropriate knowledge to
practice
Excellent understanding of the midwife’s scope of
practice
Consistently demonstrates understanding of the
midwife’s scope of practice
On most occasions demonstrates the midwife’s
scope of practice
Occasional prompting required to demonstrate the midwife’s scope of practice
Excellent ability to adapt language to ensure effective
communication with women/families and the multidisciplinary team
Consistently adapts language to ensure effective
communication with women/families and the multidisciplinary team
In most circumstances adapts language
appropriately. Occasional prompting required to ensure
effective communication
In some circumstances able to adapt language
appropriately. Needs prompting to ensure effective
communication
Outstanding ability to assess, determine and plan
programmes of care for women based on needs from
preconception to the postnatal period
Consistently demonstrates ability to assess, determine
and plan programmes of care for women based on needs from preconception to the
postnatal period.
On most occasions demonstrates ability to
assess, determine and plan programmes of care for
women based on needs from preconception to the
postnatal period.
Sometimes demonstrates ability to assess, determine
and plan programmes of care for women based on needs from preconception to the
postnatal period.
Outstanding ability to provide a women-centred approach to care based on partnership
which respects the individuality of women
Consistently demonstrates a women-centred approach to care based on partnership
which respects the individuality of women
On most occasions demonstrates a women-centred approach to care
based on partnership which respects the individuality of
women
Sometimes demonstrates a women-centred approach to care based on partnership
which respects the individuality of women
Dexterity demonstrated in skill development expected
at level 3
Good skill development at level 3 though scope for
refinement in some areas
Skill development satisfactory for level 3
student
Some skills would benefit from further refinement for a
level 3 student
Comments
136
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Professional and Ethical Practice Consistently uses structured
reflection on practice to enhance care delivery
Uses structured reflection on practice to enhance care
delivery
Frequently uses structured reflection to consider how
care can be improved
Occasionally uses structured reflection to consider how
care can be improved
Consistently displays an understanding of the
concepts of professionalism
On most occasions displays an understanding of the concepts of professionalism
Frequently displays an understanding of the
concepts of professionalism
On some occasions demonstrates an understanding of professionalism
Always promotes ethical and non discriminatory practices
Consistently promotes ethical and non discriminatory
practices
Typically practices in accordance with ethical and
non-discriminatory frameworks
Demonstrates an understanding of practice
within ethical and non-discriminatory frameworks
Always creates an environment of care to
promote the health, safety and wellbeing of women
Consistently creates an environment of care to
promote the health, safety and wellbeing of women
Frequently able to create an environment of care to
promote the health, safety and wellbeing of women
Is able in some circumstances to creates an
environment of care to promote the health, safety and wellbeing of women
Performs effectively within a multidisciplinary team
and across professional boundaries
Usually works effectively within a multidisciplinary
team and across professional boundaries
Can work well within a multidisciplinary team
requires support to work across professional
boundaries
Aware of own contribution to multidisciplinary team working and requires
encouragement to work across professional
boundaries
Excellent understanding and application of relevant legislation to practice
Very good understanding and application of relevant
legislation to practice
Good understanding and application of relevant legislation to practice
Demonstrates understanding and application of relevant
legislation to practice
Comments
137
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Developing the Individual Midwife and Others
Proactively identifies and engages in learning
opportunities within the practice environment for a
level 3 student
Actively engaged in learning within the practice
environment for a level 3 student
Seeks out learning opportunities with some
encouragement for a level 3 student
Requires support to identify appropriate learning
opportunities for a level 3 student
Outstanding use of initiative and strongly motivated to
participate in all aspects of care
High level of initiative and well motivated to participate
in all aspects of care
Reasonable use of initiative and motivation to participate
in all aspects of care
Some encouragement and support required to
participate in all aspects of care
Consistently displays a mature attitude to receiving constructive criticism and
adapts performance accordingly
Able to accept and use constructive criticism to improve performance
Accepts constructive criticism and makes efforts to improve
performance
Requires support to interpret constructive criticism
Consistently displays confidence appropriate for
level 3
On most occasions shows confidence in practice appropriate for level 3
Confident in some situations appropriate for level 3
Level of confidence may adversely inhibit performance
Consistently demonstrates an empathetic approach to
care
In most circumstances demonstrates an empathetic
approach to care
In some circumstances demonstrates an empathetic
approach to care
Needs help to demonstrate empathetic responses to
care
Consistently utilises assertiveness skills to
effectively support women and colleagues
Frequently uses assertiveness skills to
effectively support women and colleagues
In some situations demonstrates assertiveness skills to effectively support
women and colleagues
Support for women and colleagues would be
enhanced if assertiveness skills were developed
Comments
138
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Achieving Quality Care Through Evaluation and Research Utilises methods of
monitoring and evaluation to enhance care and
performance
Explains how monitoring and evaluation can enhance care
and performance
Conversant with methods to monitor and evaluate care
and performance
Identifies methods to monitor and evaluate care and
performance
Consistently utilises best available evidence to inform
practice
Incorporates best available evidence into practice
Frequently draws on evidence to support care
decisions
Sometimes draws on evidence to support care
decisions
Comments
TOTAL OF AGREED MARKS AWARDED
139
Year 3 - Semester 2 – Student Action Plan What do you want to achieve?
By when? Who can offer support? What activities will you undertake?
How will you evidence achievement
140
INTERVIEW WITH PERSONAL TUTOR AND MENTOR (TRIPARTITE MEETING) To be completed by the Personal Tutor Name of Personal Tutor: Name of Interviewer (if different to Personal Tutor): Date of Interview: Placement: Year of course :3 Semester :2 Has the student completed their Action Plan? Yes No Has the student brought their Practice Assessment Document with them? Yes No Has the student brought their Clinical Record Book with them Yes No If the answer to above is No, the interview will be halted and a new interview date arranged (NB, please sign this form as a record of this decision).
Total number of essential skills completed to date: Total number of desirable skills completed to date: Evidence of progression through clinical record book
141
Is there a completed: Initial Interview? Yes No Mid Point Interview? Yes No Final Interview? Yes No Form for each placement: Yes No
Comments by student on their overall progression – to be used to identify / inform future learning needs.
142
End of Year 3 Practice Grading Midwifery Practice 3 Learning Outcomes Upon completion of the module the student will be able to:
1. Using critical reflection monitor and evaluate practice and its contribution to the improvement of outcomes for women, babies and their
families
2. Recognise emergency situations and take appropriate action to meet the health needs of women and babies
3. Select, acquire and administer safely a range of permitted drugs consistent with legislation, applying knowledge and skills in context.
4. Manage a small caseload under indirect supervision and prioritise competing demands.
5. Demonstrate an understanding of the quality dimension of care contributing to effective care provision.
Practice Grading can only be completed once all skills within the Practice Assessment Document have been achieved at the level of Internalisation Confirmed by Student:………………………………………………………………………..Date:…………………………….. Confirmed by Mentor…………………………………………………………………………Date:……………………………..
143
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Effective Midwifery Practice Outstanding application of
theory to practice Very good application of
theory to practice On most occasions good application of theory to
practice
Sometimes applies appropriate knowledge to
practice
Excellent understanding of the midwife’s scope of
practice
Consistently demonstrates understanding of the
midwife’s scope of practice
On most occasions demonstrates the midwife’s
scope of practice
Occasional prompting required to demonstrate the midwife’s scope of practice
Excellent ability to adapt language to ensure effective
communication with women/families and the multidisciplinary team
Consistently adapts language to ensure effective
communication with women/families and the multidisciplinary team
In most circumstances adapts language
appropriately. Occasional prompting required to ensure
effective communication
In some circumstances able to adapt language
appropriately. Needs prompting to ensure effective
communication
Outstanding ability to assess, determine and plan
programmes of care for women based on needs from
preconception to the postnatal period
Consistently demonstrates ability to assess, determine
and plan programmes of care for women based on needs from preconception to the
postnatal period.
On most occasions demonstrates ability to
assess, determine and plan programmes of care for
women based on needs from preconception to the
postnatal period.
Sometimes demonstrates ability to assess, determine
and plan programmes of care for women based on needs from preconception to the
postnatal period.
Outstanding ability to provide a women-centred approach to care based on partnership
which respects the individuality of women
Consistently demonstrates a women-centred approach to care based on partnership
which respects the individuality of women
On most occasions demonstrates a women-centred approach to care
based on partnership which respects the individuality of
women
Sometimes demonstrates a women-centred approach to care based on partnership
which respects the individuality of women
Dexterity demonstrated in skill development expected
at level 3
Good skill development at level 3 though scope for
refinement in some areas
Skill development satisfactory for level 3
student
Some skills would benefit from further refinement for a
level 3 student
Comments
144
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Professional and Ethical Practice Consistently uses structured
reflection on practice to enhance care delivery
Uses structured reflection on practice to enhance care
delivery
Frequently uses structured reflection to consider how
care can be improved
Occasionally uses structured reflection to consider how
care can be improved
Consistently displays an understanding of the
concepts of professionalism
On most occasions displays an understanding of the concepts of professionalism
Frequently displays an understanding of the
concepts of professionalism
On some occasions demonstrates an understanding of professionalism
Always promotes ethical and non discriminatory practices
Consistently promotes ethical and non discriminatory
practices
Typically practices in accordance with ethical and
non-discriminatory frameworks
Demonstrates an understanding of practice
within ethical and non-discriminatory frameworks
Always creates an environment of care to
promote the health, safety and wellbeing of women
Consistently creates an environment of care to
promote the health, safety and wellbeing of women
Frequently able to create an environment of care to
promote the health, safety and wellbeing of women
Is able in some circumstances to creates an
environment of care to promote the health, safety and wellbeing of women
Performs effectively within a multidisciplinary team
and across professional boundaries
Usually works effectively within a multidisciplinary
team and across professional boundaries
Can work well within a multidisciplinary team
requires support to work across professional
boundaries
Aware of own contribution to multidisciplinary team working and requires
encouragement to work across professional
boundaries
Excellent understanding and application of relevant legislation to practice
Very good understanding and application of relevant
legislation to practice
Good understanding and application of relevant legislation to practice
Demonstrates understanding and application of relevant
legislation to practice
Comments
145
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Developing the Individual Midwife and Others
Proactively identifies and engages in learning
opportunities within the practice environment for a
level 3 student
Actively engaged in learning within the practice
environment for a level 3 student
Seeks out learning opportunities with some
encouragement for a level 3 student
Requires support to identify appropriate learning
opportunities for a level 3 student
Outstanding use of initiative and strongly motivated to
participate in all aspects of care
High level of initiative and well motivated to participate
in all aspects of care
Reasonable use of initiative and motivation to participate
in all aspects of care
Some encouragement and support required to
participate in all aspects of care
Consistently displays a mature attitude to receiving constructive criticism and
adapts performance accordingly
Able to accept and use constructive criticism to improve performance
Accepts constructive criticism and makes efforts to improve
performance
Requires support to interpret constructive criticism
Consistently displays confidence appropriate for
level 3
On most occasions shows confidence in practice appropriate for level 3
Confident in some situations appropriate for level 3
Level of confidence may adversely inhibit performance
Consistently demonstrates an empathetic approach to
care
In most circumstances demonstrates an empathetic
approach to care
In some circumstances demonstrates an empathetic
approach to care
Needs help to demonstrate empathetic responses to
care
Consistently utilises assertiveness skills to
effectively support women and colleagues
Frequently uses assertiveness skills to
effectively support women and colleagues
In some situations demonstrates assertiveness skills to effectively support
women and colleagues
Support for women and colleagues would be
enhanced if assertiveness skills were developed
Comments
146
Mark Awarded by 20 - 16 15 - 11 10 - 6 5 -0 Student Mentor Agreed
Achieving Quality Care Through Evaluation and Research Utilises methods of
monitoring and evaluation to enhance care and
performance
Explains how monitoring and evaluation can enhance care
and performance
Conversant with methods to monitor and evaluate care
and performance
Identifies methods to monitor and evaluate care and
performance
Consistently utilises best available evidence to inform
practice
Incorporates best available evidence into practice
Frequently draws on evidence to support care
decisions
Sometimes draws on evidence to support care
decisions
Comments
TOTAL OF AGREED MARKS AWARDED
147
Overall Summary of placements
Year Semester Placement area Dates from and to
Long / short placement
No of sick days
Paperwork complete
Relative Page in passport
Tripartite meeting dates
148
Specimen signature sheet Please ensure that any person who signs an entry within the clinical record book has provided a specimen signature on this page.
Name
Signature Initials Designation Place of work