Midwifery Student Practice Portfolio

Bachelor of Midwifery

Midwifery Student Practice Portfolio

Experiential Learning Activity: Midwifery Practice Development Practicum 3

(Nurs 2036)

Midwifery Student:………………………………………………….

ID:…………………………………………………………………………...

Year Level: ………………………………………………………………

Venue(s):…………………………………………………………………

Experience Area(s):………………………………………………….

Date:……………………………………………………………………….

If found, please return to:

University of South Australia

School of Nursing and Midwifery

City East campus

Frome Road

Adelaide 5000

Introduction

Before you begin you must ensure that you have read through the following resources:

· Midwifery Students Practice Portfolio Guidelines

· Clinical Assessment Tool for the Midwifery Student (CAT)

· ELA 3 Course Outline

· ELA 3 Quick Guide

As explained in the Professional Practice Guidelines, the Experiential Learning Activities (ELAs) in this program provide opportunity for you to develop your professional and clinical skills. During the ELA’s you will also participate in pre-clinical workshops in the school’s Horizon Hospital and Health Service (HHHS) and will engage with the Clinical Assessment Tool (CAT) for Midwifery Students. You will be expected to successfully undertake an Objective Structured Clinical Activity (OSCA) in the simulated environment HHHS and pass the Medicine Calculations assessment online in order to satisfy the requirements for clinical placement. Any student who receives a fail grade for an OSCA will not be eligible to proceed to the clinical placement of the course.

If you do not pass the OSCA on the first attempt you will be given a further opportunity to be reassessed, this will be arranged through your Course Coordinator.

ELA 3 consists of 1 pre-clinical day, 4 weeks x 5 days/ week, rostered across a 7 day roster (this may include early, late and night shifts), and a post-clinical workshop. Please refer to the course objectives for ELA 3 in the Course Outline, along with the assessment requirements.

Compiling the Portfolio

This portfolio is to be taken with you on placement and while attending your COCE. It is important to show this portfolio to your Clinical Facilitator and the midwives you work with. For all ELA’s you will be required to provide and appropriately detail the following as outlined:

· DCSI Criminal History Check

· Nursing and Midwifery Student Clinical Placement Orientation, SA Health

*Please note you need to ensure you have met orientation requirements for each venue; please review orientation details under Clinical Experiences on your Learnonline site

· Senior First Aid

· CPR certificate

· Manual Handling

· Medicine Calculations Certificate

· Learning Plan

· Record of Clinical attendance

· Clinical assessment Tool for the Midwifery Student (CAT)

o Completed specified Learning Tools

o Competency Assessment for each area

· Midwifery Student Venue Feedback (daily)

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

· Critical Reflection

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

No identification in any way may be made of women, babies or their families. Pseudonyms should be used to de-identify women and their families.

Students are responsible for compiling and maintaining their portfolio. It is your responsibility to keep it safe and to ensure it is available for review by ANMAC if required for auditing purposes.

Assessment of your portfolio

All records for this ELA should be compiled in a folder along with the clinical experiences including COCE that you have documented during this ELA and since your previous ELA completion. Please ensure you update the cumulative record for each experience and the ongoing cumulative record of minimum experiences for your program. Please include this record at the beginning of your folder to be signed off by your Course Coordinator. Please submit original paperwork.

Portfolios will be marked through an interview process. You will be required to attend an appointment with the Course Coordinator or assigned marker to review your portfolio and provide feedback and receive a grade.

· Internal students will undertake this interview face-to-face and bring their completed portfolio with them. Interview time will be available on the learnonline site.

· External students may opt to undertake a virtual interview; however the portfolio will need to be submitted prior to the organised interview time. Interview time will be available on the learnonline site.

If a student’s portfolio does not meet the required standard it will be returned and a further appointment scheduled to review and ascertain the grade. Any student that does not return the amended portfolio in the agreed timeframe will receive a fail grade.

Once this ELA has been marked, you must keep all documentation in a larger portfolio for evidence of meeting the clinical requirements for the program.

Passport to Placement

Please ensure that you have your Passport to Placement folder completed and available on placement.

DSCI Criminal History Check

Your DCSI certificate must be available as this may be check at the venue you attend.

Nursing and Midwifery Student Clinical Placement Orientation, SA Health

Nursing and Midwifery Student Clinical Placement Orientation 2014, Nursing Office Department of Health, South Australia, this is applicable for SA Public Health venues, http://www.sahealth.sa.gov.au/wps/wcm/connect/ffbb7a8044f901d5b31df3005ba75f87/Nursing+and+Midwifery+Student+Clinical+Placement+Orientation+Package+V2.pdf?MOD=AJPERES&CACHEID=ffbb7a8044f901d5b31df3005ba75f87

Please make sure you have worked through the online package and have completed the check list and signed this form. Keep a copy of the signed checklist in your portfolio as some venues will request to site this. They may also request to site a record of your vaccinations so please have these available as well

First Aid and CPR certificate

These are a requirement for placement and it is advisable that you keep a record of these in your portfolio.

Manual handling

You can do an on line manual handling session by accessing this link through the Practice Based Laboratory button on your Learnonline site

http://resource.unisa.edu.au/course/view.php?id=187

Learning Plan

Please review your reflections from previous ELA placements to assist you develop your Learning Plan. You will need to develop this learning plan as outlined in your Course. This is to be discussed with your Clinical Facilitator at the beginning of placement and should guide your placement experience. You can share this with any midwives or doctors you work with in order to help them understand your learning needs for this placement. At the end of your placement you will need to demonstrate how you have achieved your learning plan and submit it with your portfolio. An electronic copy of the learning plan template can be found on the course site.

Medicine Calculations Certificate

You must undertake the learning package online and gain 100% for your ELA 3 Medicine Calculations assessment. Please upload the certificate on the Learnonline site and present a hard copy at your preclinical.

Attendance Record

You will be required to keep an attendance record that will need to be signed each day of your placement by the midwife you work with or the Clinical Facilitator. Please note if you cannot attend placement for any reason you must notify the manager of the area you are working in as well as contact your Clinical Facilitator. This can be done by email so it is a good idea to ask for the contact phone and email for your Clinical Facilitator and also for the area manager. You will need to make up all missed shifts, you may be able to make up 1 or 2 days while on placement but this is not always possible, please communicate with your Clinical Facilitator. If you are going to be late or leave early due to COCE appointments you also need to communicate, however this should be an exception as being punctual is a professional responsibility. Communication is a key skill in midwifery practice and it is important that you communicate your absence to ensure that you facilitate a positive work environment.

*If you miss more than 1 day in this placement you will need to contact your Course Coordinator to discuss. It is difficult to organise make up placements and this will only be done in extenuating circumstances.

Clinical Assessment Tool for the Midwifery Student

Learning Tools

While on clinical placement or through the Continuity of Care Experience (COCE), the CAT for Midwifery Students will be utilised to inform the clinical assessment component. You will be expected to complete each of the clinical skills learning tool assessments detailed in the CAT for Midwifery Students as outline below:

· Learning tool number 10: Epidural analgesia in labour

· Learning tool number 11: Insertion of a urinary catheter

· Learning tool number 15: Vaginal examination

· Learning tool number 16: Mother and baby wellbeing assessment following birth

* Learning tool 4 will be undertaken as the OSCA and this can be signed off at this point. Tools can be downloaded from the learnonline site.

*It is expected that students will attain a minimum rating of assisted (A) for all tools

Any student who does not achieve the minimum rating for the specified skill will require ongoing support and reassessment. This will be undertaken in consultation with the student, Clinical Facilitator and academic staff at the University responsible for the course.

All nominated tools for ELA 3 and ELA 4 must be completed by the end of your second year of your program at the required level. We recommend that you complete all tools for ELA 3 during this placement. You will need to work with your Clinical Facilitator to achieve this as there will be very limited opportunity to assist any student except for very exceptional circumstances.

Competency Assessment

You will also be required to engage in 2 Competency Assessments, these assessments are usually undertaken at 2 weeks intervals. The Clinical Facilitator assigned to you for the associated ELA will be responsible for undertaking this assessment.

*It is expected that students will attain a minimum rating of Assisted (A) for the Competency Assessment for ELA 3

Students who do not achieve a pass grade in the first assessment will be required to undertake a clinical challenge either while on placement or in the HHHS with the Clinical Midwife. Upon successful completion of the clinical challenge, students will be able to continue the clinical placement and undertake a final summative assessment. Students who do not achieve a pass grade for the final summative assessment will not pass the ELA course. This may impact on their progression throughout the program.

The method of assessment chosen for both the learning tools and the competency assessment component is a modified Bondy scale. You will need to be familiar with the scales used to rate your practice and you may need to provide the midwife or facilitator with a copy of these prior to completing your learning tool.

Independent (I): / Refers to being safe knowledgeable; proficient coordinated and appropriately confident and timely. Does not require supporting cues
Proficient (P): / Refers to being safe knowledgeable; efficient coordinated; displays some
confidence and undertakes activities within a reasonably timely manner. Requires occasional supporting cues.
Assisted (A): / Refers to being safe and knowledgeable most of the time; skillful in parts however is inefficient with some skill areas; takes longer than would be expected to complete the task. Requires frequent verbal and some physical cues
Supported (S): / Refers to being safe when closely supervised and supported; unskilled and inefficient; uses excess energy and takes a prolonged time period. Continuous
verbal and physical cues.
Dependent (D): / Refers to concerns about being unsafe and being unable to demonstrate
behaviour or articulate intention; lacking in confidence, coordination and efficiency. Continuous verbal and physical cues/interventions necessary.

Bondy, K, N. (1983). Criterion-referenced definitions for rating scales in clinical evaluation. Journal of Nursing Education 22(9) 376-382

Venue Feedback

You are required to collect daily feedback from the midwives that directly supervise you while on clinical placement. This feedback is important and can be used to support your application in 3rd year when applying for a graduate position. You must obtain daily written feedback for each area that you are placed.

The portfolio is your responsibility; you must consider the clinical assessment requirements for this ELA and ensure that you have undertaken them. If you have difficulty fulfilling these requirements please discuss this with your Clinical Facilitator. If this cannot be resolved you should contact the Course Coordinator.

Critical Reflection

Your critical reflection should be submitted with your portfolio as a hard copy. Please refer to the Course Outline as each ELA.

Experiential Learning Activity 3, 2017

Learning Plan ELA 3
Learning Objective / Course objectives/ANMC competencies / Resources, Strategies, Activities / Time-line / Evidence / Outcome
What are you going to learn? Include knowledge/skills/attitude / To which course objective/s, ANMC competencies does your learning objective relate? / How do you plan to learn? / When and where do you plan to learn? / How will you demonstrate your learning? What evidence will be included in your portfolio? / Provide evidence of how you achieved your objectives?

Acknowledgement: This resource is based upon previous material compiled by A. Gardner (2011).

Experiential Learning Activity 3, 2017

Attendance Record for Clinical Placement