CANTERBURY CHRIST CHURCH UNIVERSITY FACULTY OF HEALTH AND SOCIAL CARE BSc (Hons) Midwifery Interprofessional Learning Programme MIDWIFERY TRANSCRIPT – Including Sign off Mentor end of year summary NAME: ___________________________________________ COHORT: ____________________ CLINICAL BASE: _____________________________________ PROGRAMME COMMENCED: _________________ PROGRAMME COMPLETED: ___________________ A comprehensive and accurate record of your clinical experience is a statutory requirement of your Midwifery Education Programme. It is the responsibility of the student to fill in the record daily, and to make it available to your personal tutor, mentor and sign off mentor INSTRUCTIONS TO THE STUDENT: - You are responsible for seeing that: Confidentiality is maintained. Consent is gained from women to document their care in the Transcript and share this information with your tutors. You store this document appropriately since the information is confidential. You photocopy pages if more space is required and secure these into the Transcript. You provide your sign off mentor with this document at the end of each year. 1
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CANTERBURY CHRIST CHURCH UNIVERSITY BSc …CANTERBURY CHRIST CHURCH UNIVERSITY FACULTY OF HEALTH AND SOCIAL CARE BSc (Hons) Midwifery Interprofessional Learning Programme MIDWIFERY
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CANTERBURY CHRIST CHURCH UNIVERSITY FACULTY OF HEALTH AND SOCIAL CARE
BSc (Hons) Midwifery
Interprofessional Learning Programme
MIDWIFERY TRANSCRIPT – Including Sign off Mentor end of year summary
NAME: ___________________________________________ COHORT: ____________________ CLINICAL BASE: _____________________________________ PROGRAMME COMMENCED: _________________ PROGRAMME COMPLETED: ___________________ A comprehensive and accurate record of your clinical experience is a statutory requirement of your Midwifery Education Programme. It is the responsibility of the student to fill in the record daily, and to make it available to your personal tutor, mentor and sign off mentor
INSTRUCTIONS TO THE STUDENT: - You are responsible for seeing that: Confidentiality is maintained. Consent is gained from women to document their care in the Transcript and share this information with your tutors. You store this document appropriately since the information is confidential. You photocopy pages if more space is required and secure these into the Transcript. You provide your sign off mentor with this document at the end of each year.
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European Union Midwifery Directive (80/155/EEC Article 4) lists the following clinical experience which you are required to achieve and record at least:
• Parent Education • Booking histories taken • 100 pre-natal examinations • Witness up to 5 ‘low risk’ labours • Conduct 40 ‘low risk’ labours • Episiotomies and suturing experience • Women cared for with epidurals in situ • Women assisted with inhalation analgesia and TENS • 40 newborn baby checks. • 100 postnatal checks (women) • 100 postnatal checks (babies) • Involvement in the care of 40 ‘high risk’ women in the antenatal, intranatal or postnatal period.
Please continue to record your experiences once the minimum requirement achieved.
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PRACTICE LEARNING FACILITATORS (MENTORS) Print name PLF’s signature Area of practice Print name PLF’s signature Area of practice
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FINAL GRADE FOR PRACTICE – End of Year One
LINK LECTURER AND SIGN OFF MENTOR
Community/Hospital Year 1 MARK AWARDED Community/Hospital Year 1 MARK AWARDED
TOTAL = %
2 Hospital Trust.................................................................................... Sign off mentor signature................................................................. Link Lecturer signature...................................................................... Student signature.............................................................................. Date...........................................
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YEAR ONE-
Student reflection of Year 1 practice experience.
Signature:
Date:
5
SIGN OFF MENTOR END OF YEAR SUMMARY – (suggestions- comment on progression through the year, considering strengths & challenges, overall clinical grade and suggestions for the coming year)
Signature:
Date:
6
Year 1 Feedback from service users. This section is intended for feedback from the service user / or their family. The mentor should identify a suitable client who the student has been working with and ask if they would mind giving the student feedback on their performance. This can be written by the service user or if they would prefer it, a summary of their feedback can be written by the mentor.
Signature:
Date:
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FINAL GRADE FOR PRACTICE- End of Year Two
LINK LECTURER AND SIGN OFF MENTOR
Community/Hospital Year 2 MARK AWARDED Community/Hospital Year 2 MARK AWARDED
TOTAL = %
2 Hospital Trust.................................................................................... Sign off mentor signature................................................................. Link Lecturer signature...................................................................... Student signature.............................................................................. Date...........................................
8
YEAR TWO-
Student reflection of year 2 practice experience.
Signature:
Date:
9
SIGN OFF MENTOR END OF YEAR SUMMARY-(suggestions- comment on progression through the year, considering strengths & challenges, overall clinical grade and suggestions for the coming year)
Signature:
Date:
10
Year 2 Feedback from service users. This section is intended for feedback from the service user /or their family. The mentor should identify a suitable client who the student has been working with and ask if they would mind giving the student feedback on their performance. This can be written by the service user or if they would prefer it, a summary of their feedback can be written by the mentor.
Signature:
Date:
11
FINAL GRADE FOR PRACTICE - End of Year Three
LINK LECTURER AND SIGN OFF MENTOR
Community/Hospital Year 3 MARK AWARDED Community/Hospital Year 3 MARK AWARDED
TOTAL = %
2 Hospital Trust.................................................................................... Sign off mentor signature................................................................. Link Lecturer signature...................................................................... Student signature.............................................................................. Date...........................................
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YEAR THREE-
Student reflection of year 3 practice experience.
Signature:
Date:
13
SIGN OFF MENTOR END OF YEAR SUMMARY-(suggestions- comment on progression through the year, considering strengths & challenges, overall clinical grade and suggestions for future learning once qualified)
Signature:
Date:
14
Year 3 Feedback from service users. This section is intended for feedback from the service user / or their family. The mentor should identify a suitable client who the student has been working with and ask if they would mind giving the student feedback on their performance. This can be written by the service user or if they would prefer it, a summary of their feedback can be written by the mentor. Signature:
Date:
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ANTENATAL BOOKINGS
DATE & TIME Of EVENT
CLI
ENT
INIT
IALS
Consent to use data √
GESTATION
PARITY
ALTERED HEALTH CONDITIONS OR OTHER FACTORS
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OTHER CLINICAL EXPERIENCE PAEDIATRIC FOLLOW-UP CHILD HEALTH CLINICS FAMILY PLANNING OUTPATIENT CLINICS DATE
NUMBER OF CASES SEEN
DATE NUMBER OF CASES SEEN
DATE NUMBER OF CASES SEEN
DATE Type of clinics
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PARENT/HEALTH EDUCATION
Record group and individual teaching/education incidences for example: parent craft, aerobics, aquarobics, children centres, preparation and support for breastfeeding/artificial feeding.
SUPERVISION AND CARE OF BABIES IN THE NEONATAL UNIT OR TRANSITIONAL CARE DATE
HISTORY DESCRIPTION OF CONDITION √ =Consent given to use data
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GYNAECOLOGY AND OTHER AREAS
NO. √ =Consent given to use data
CLIENT INITIALS & CONDITION
OUTCOME/CARE GIVEN Record cases of interest that are directly related to childbearing women. Include medical and surgical cases
Example Ectopic Pregnancy Prepared for theatre, post-operative care, pain relief given. Observed discharge advice
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APPLICATION OF FSE or STAN (YEAR 3)
DATE √ =Consent given to use data
SUPERVISORS SIG.
Induction (Yr 2 & 3)
DATE √ =Consent given to use data
SUPERVISORS SIG.
Theoretical instruction Lecturer: Theoretical
instruction
Lecturer:
Practical 1.
2.
3.
4.
5.
SPECULUM EXAMINATION (not for IOL)
√ =Consent given to use data
SUPERVISORS
SIG.
Theoretical instruction Lecturer:
1.
2.
3.
4.
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SUTURING OF THE PERINEUM NO. EXPERIENCE DATE EXTENT OF REPAIR √ =Consent given
to use data SUPERVISORS SIGNATURE
1 Theoretical Instruction
1 Practice on Model
2 Practice on Model
1 Supervised Suturing
2 Supervised Suturing
3 Supervised Suturing
4 Supervised Suturing
5 Supervised Suturing
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Please record any experience that you feel has contributed to you development as a student midwife. For example, water birth or physiological third stage
DATE/TIME OF EVENT
CLIENT INITIALS AND EVENT √ =Consent given to use data