Download Record of Personal Clinical Experience BSc Midwifery Studies with Registration PDF

TitleRecord of Personal Clinical Experience BSc Midwifery Studies with Registration
LanguageEnglish
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Total Pages160
Table of Contents
                            Record of Personal Clinical Experience
BSc Midwifery Studies
with Registration
Reflective activity and meetings with supervisor of midwives
Year 1          10
Year 2          11
Year 3          12
Learning contacts and placement evaluation       14
Example of learning contract          15-16
Learning contracts
Antenatal           17-22
Intrapartum           23-28
Postnatal           29-34
Community           35-40
Theatres           41-42
Gynaecology           43-44
Neonatal           45-46
Clinical skills
Year 1           79-80
Year 2           81-82
Year 3           83-85
Instrumental or operative deliveries witnessed      99-100
Women cared for in labour but not delivered by you    101-102
	Perineal suturing – witnessed and performed     121-122
	Verification of mentor signatures        153-155
2. Summary of placement details
It is useful to keep this up to date as you will be able to show employers, on qualification, a history of your training. It also supports your transcript which is produced at the end of your training with an hourly breakdown of your placements.
4. Summary of reflective activities and meetings with Supervisor of Midwives
Summary of Personal Details
Summary of Placement Details Year 1
Summary of Placement Details Year 2
Summary of Placement Details Year 3
Reflective activity and meetings with Mentor/Assessor, Supervisor of Midwives or Clinical Practice Facilitator Year 1
Reflective activity and meetings with Mentor/Assessor, Supervisor of Midwives or Clinical Practice Facilitator Year 2
Reflective activity and meetings with Mentor/Assessor, Supervisor of Midwives or Clinical Practice Facilitator Year 3
Reflective activity and meetings with Mentor/Assessor, Supervisor of Midwives or Clinical Practice Facilitator
Photocopy this page if you require extra pages for any years
Learning contracts and placement evaluation
	EXAMPLE OF A LEARNING CONTRACT
	LEARNING CONTRACT - ANTENATAL
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs?  Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - ANTENATAL
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs?  Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - ANTENATAL
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs?  Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - ANTENATAL
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs?  Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - INTRAPARTUM
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs?  Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - INTRAPARTUM
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs?  Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - INTRAPARTUM
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs?  Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - POSTNATAL
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs?  Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - POSTNATAL
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs?  Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - POSTNATAL
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs?  Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - COMMUNITY
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs? Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - COMMUNITY
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs?  Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - COMMUNITY
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs?  Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - THEATRES
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs?  Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - GYNAECOLOGY
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs? Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	LEARNING CONTRACT - NEONATAL
	Clinical Area………………………
	Dates from ……………..to……………….
What are your learning needs?  Include aims and objectives
Identify resources you will need to achieve your learning needs (e.g. specialist midwives, access to books)
Action plan – How you will achieve your aims and objectives using your identified resources (e.g. work with a specialist midwife, visit a clinic).
	General element of this skill will include introducing yourself to the woman; explaining what you are going to do and why; ensuring the woman has emptied her bladder and you have gained consent to perform the examination.
	General element of this skill will include introducing yourself to the woman; explaining what you are going to do and why; ensuring the woman has emptied her bladder and you have gained consent to perform the examination.
	Assessment after birth
	Assessment after birth
Observation of abdomen
Palpation
Fundal palpation finding
	Observation of abdomen
	Palpation
Fundal palpation finding
	Physical examination
BP                                          Urinalysis                             Other
	Physical examination
BP                                          Urinalysis                             Other
	Physical examination
BP…
	NOTES
	Physical examination
BP…
	NOTES
	History
	Assessment
		Membranes
Observations
	Abdominal examination
	Also ask the women about foetal movements
		Vaginal examination
		History
	Assessment
		Membranes
Observations
	Abdominal examination
	Also ask the women about foetal movements
		Vaginal examination
		Maternal wellbeing
		Foetal Wellbeing
		(DR C. BRAVDO)
		Progress in Labour
		Maternal wellbeing
		Foetal Wellbeing
		(DR C. BRAVDO)
		Progress in Labour
		Assessment of the woman
		Assessment of baby immediately after the birth
		Assessment of the woman
		Assessment of baby immediately after the birth
		Physical examination
	Psychological assessment  (with the support of mentor)
		NOTES
		Physical examination
	Psychological assessment  (with the support of mentor)
		NOTES
			General appearance
			Examination
		Screening / blood tests (if any taken)
		NOTES
			General appearance
			Examination
		Screening / blood tests (if any taken)
		NOTES
			Comments
			Comments
	17. Care of an immobile client
	18. Aseptic techniques
		1. Assess and care for high risk women in the AN Ward/day assessment unit
		3. Interpret:          Antenatal CTG
		8. Apply foetal scalp electrode
		11. Perform an episiotomy (under supervision of a qualified mentor)
			27. Articulates and demonstrates the ability to safely and accurately undertake capillary heel prick sampling
			28. Articulates and demonstrates the need for universal precautions
	Date
	Type of birth
	Date
	Type of birth
	Date
	Type of birth
	Date
	Type of delivery
	Date & woman’s first name
	Date & woman’s first name
	Date & woman’s first name
	Date & woman’s first name
		Apgar score
		Apgar score
		Apgar score
		Apgar score
		Apgar score
		Apgar score
		Date
		Apgar score
		Apgar score
		Apgar score
		Apgar score
		Date
		Apgar score
		Apgar score
		Apgar score
		Apgar score
		Date
		Apgar score
		Apgar score
		Apgar score
		Apgar score
		Date
		Apgar score
		Apgar score
		Apgar score
		Apgar score
		Date
		Apgar score
		Apgar score
		Apgar score
		Apgar score
		Date
		Apgar score
		Apgar score
		Apgar score
		Apgar score
		Date
		Apgar score
		Apgar score
		Apgar score
		Apgar score
		Date
		Apgar score
		Apgar score
		Apgar score
		Apgar score
		Date
		Apgar score
		Apgar score
		Apgar score
		Apgar score
		Date
		Apgar score
		Apgar score
		Apgar score
		Date
		Apgar score
		Apgar score
			Date
				Name
Please photocopy this page to continue to add women to your records.   SPONTANEOUS VAGINAL BIRTHS WITNESSED
INSTRUMENTAL OR OPERATIVE BIRTHS WITNESSED
INSTRUMENTAL OR OPERATIVE BIRTHS WITNESSED
WOMEN CARED FOR IN LABOUR BUT NOT BIRTHED BY YOU
WOMEN CARED FOR IN LABOUR BUT NOT BIRTHED BY YOU
Women birthed by you, but have a retained placenta or are too pre-term (under 36 weeks) to be included in numbers
Women birthed by you, but have a retained placenta or are too pre-term (under 36 weeks) to be included in numbers
	‘At least 40 deliveries personally carried out by the student’ (WHO Europe 2005 and NMC 2009)
	(Preterm babies < 36 weeks are not to be counted, twins = one birth)
		PERINEAL SUTURING – WITNESSED AND PERFORMED
		PERINEAL SUTURING – WITNESSED AND PERFORMED
		Verification of mentor signatures
		Verification of mentor signatures
		Verification of mentor signatures
		Personal Tutor Review Year 1
		Personal Tutor Review Year 2
		Personal Tutor Review Year 3
                        
Document Text Contents
Page 1

Florence Nightingale School of Nursing & Midwifery
King’s College London





Record of Personal Clinical
Experience


BSc Midwifery Studies

with Registration











Name..........................................................

Page 80

King’s College London, BSc Midwifery Studies with Registration as a Midwife (3 year course)


78

Hand Expression Checklist
Below is a checklist summarising the practical technique involved in teaching hand expression. This is
what all breastfeeding mothers should be shown, whether or not it is expected that they will need to
use it. Extra information, depending on the mother’s situation (e.g. how to assist the oxytocin reflex
when the mother and baby are separated, how much milk needs to be expressed and how [if at all] to
collect and store it) is not covered here, but should be provided in addition to the information below.
Tick the box to confirm that you have given the mother this information.


Stages of the technique of hand expression Tick


A: STIMULATING THE HORMONAL REFLEXES
• Breast massage assists the release of oxytocin. Several methods are possible:
– The fist may be gently rolled over the breast. □

– The flat of the hand (or fingers) may be used to press or stroke gently. □

– There should be no rubbing, or pulling of the skin. □

– The technique should feel pleasant to the mother. □

• Rolling the nipple gently between thumb and forefinger stimulates prolactin release. □

B: LOCATING THE LACTIFEROUS SINUSES
(Note: This usually needs to be taught only once)
The mother needs to:
1. Cup the breast with the palm of her hand and fingers; □

2. Use her thumb to ‘walk’ down the breast, feeling the underlying tissue; □

3. Stop at the place where she notices a difference in texture; □

4. Describe to you what she feels. □

C: EXPRESSING THE MILK
The mother needs to:
1. Compress the lactiferous sinuses, if necessary pressing backwards □
slightly before she does so;

2. Avoid sliding her fingers on the skin; □

3. Release and repeat as often as wished, or until the milk flow subsides; □

4. Rotate her fingers and thumb to a new position around the areola and □
repeat the process.


Copyright BFI

Page 81

King’s College London, BSc Midwifery Studies with Registration as a Midwife (3 year course)


79

CLINICAL SKILLS
Year 1


These skills are to support your learning. It is recommended that you use them to support your
learning in the clinical area. It is recommended that you work towards getting them signed off by a Sign
Off Mentor, a Mentor or Co-mentor. These skills can be achieved in any suitable clinical placement. By
achieving these you will be adding to your portfolio and you can use them as a discussion point and to
support achieving the essential skills in the Midwifery Practice assessment Document.




Signature and date

Comments

1. Accurately explain the procedure
to obtain a MSU specimen from a
woman



2. Is able to auscultate the foetal
heart using a Pinard Stethoscope



3. Is able to auscultate foetal heart
using a Sonicaid



4. Discuss physiological changes of
pregnancy and symptomatic relief
with women



5. Perform venepuncture under
direct supervision



6. Giving advise on diet and exercise


7. Apply CTG


8. Accurately weigh Baby


9. Give advice on perineal healing
and hygiene



10. Undertake perineal assessment
including healing



11. Provide pain management in the
post-natal period with support from
mentor



12. Is able to record fluid input and
output accurately

Page 159

King’s College London, BSc Midwifery Studies with Registration as a Midwife (3 year course)



157

Personal Tutor Review Year 2


Date Summary of discussion Days to
make up



Signature of
personal

lecturer /CPF or Sign off
Mentor

Page 160

King’s College London, BSc Midwifery Studies with Registration as a Midwife (3 year course)



158

Personal Tutor Review Year 3


Date Summary of discussion Days to
make up



Signature of
personal

lecturer/CPF or Sign off
Mentor

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