Midwifery Ongoing Record of Achievement (MORA)

2 - Portfolio - 40

Oral practical exam

1 - Oral assessment and presentation - 60

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The following areas will be covered: 
 
Systematic communication, communicating to enable choice, the role of the midwife in consent, supporting women with additional mental health needs, recognition of deterioration in women and babies, transition to life for babies at birth. 
 
Assessment of congenital abnormalities of a baby, examination and referral of a baby with conditions related to his eyes, heart, testes and hips within 72 hours of birth, and then once again between 6-8 weeks. 
 
Learning in a variety of practice areas, including out of maternity settings, will develop your confidence in the delivery of safe, well-rounded and highly effective practice to mothers and their babies. You will also gain a sense of collective professionalism both within the midwifery profession as well as the wider multi-disciplinary team

Feedback is provided in a number of ways throughout your module. This includes feedback you receive during teaching from both peers and lecturers and that provided for formative assessment. Following an assessment, you will be given your marks and feedback in line with the assessment regulations and policy. More information on the timing and type of feedback that will be provided for each assessment will be available from the module leader. <a href='https://www.citystgeorges.ac.uk/about/governance/policies/student-policies-and-regulations'>https://www.citystgeorges.ac.uk/about/governance/policies/student-policies-and-regulations</a>

This module will support the development of all the graduate attributes. Your module leader will provide you with information about how your learning, teaching and assessment activities support your development of these attributes. The graduate attributes are: - Always learning - Engaged in the world - Technical and digital - Connected Professional - Creating Impact

Hybrid - 

Placement - 

Self-directed - 

Making it Better: For Mother and Baby, London: Department of Health.  

Decision Making in Midwifery Practice. 

White Ribbon Alliance. The Universal Rights of Women and Newborns.

Avery's Diseases of the Newborn

Royal Marsden Manual of Clinical Nursing Procedures: 

Obstetrics by ten teachers.

Birth Centres: A Social Model of Maternity Care.

Gynaecology by Ten Teachers.

The code: Professional standards of practice and behaviour for nurses, midwives and nursing associates.

Critical Care in Childbearing for Midwives

Exploring the Dirty side of Women’s Health.

Pharmacology for Midwives: The Evidence Base for Safe Practice.

MBRRACE-UK Perinatal Mortality Surveillance Report UK Perinatal Deaths for Births from January to

Maternity matters: choice, access and continuity of care in a safe service.

EBOOK: Normalizing Challenging or Complex Childbirth.

MW2012 - Midwife as Skilled Practitioner 2: Developing Principles and Practice

MW2012-PRD1-ALV1

This module’s contact hours will be delivered using a number of different approaches. As an example, you may have a combination of in-person sessions (i.e. face to face on campus), and/or online synchronous sessions (participants are engaged at the same time online) and online asynchronous guided activities (you need to plan time to engage with these so you are prepared for the in person and synchronous sessions. These may include viewing recorded lectures and/or other online resources, reading materials, undertaking quizzes, completing exercises and chatting on forums.) In addition to these teaching delivery approaches, you will undertake your own independent study, which may involve wider reading, independent research, skills practice and preparation for assessment. Please see this module’s Moodle page and/or handbook for further information. 
 
Lectures 
 
Lectures are used to communicate core material and as a foundation for further reading. A lecture can help you to feel secure in the foundational knowledge required and point you to significant areas for further study. Lectures provide a basis for discussion in seminars or tutorials. Lecture notes are provided on the virtual learning environment Moodle. However, you are expected to take your own notes too. Lectures may be on campus (in person) or online. Online lectures may be synchronous (in ‘real time’) or asynchronous (pre-recorded). Interaction in synchronous lectures (online or on campus) is encouraged. Lectures will usually be delivered by university staff, and there will also be a range of external experts and service users who will provide their unique perspectives on the topics covered in the lectures. 
 
Seminars 
These small group sessions are essential supplements to the lectures and give you the opportunity to apply the material covered in the lectures and your independent reading. Seminars will enable you to reflect on and discuss material related to a subject or case study. The seminars will extend the depth and breadth of your knowledge and encourage team working; they are designed to motivate, enhance your communication skills and develop your powers of reasoning.  
 
Small group work  
Small group work will encourage you to apply theory to practice and extend the depth and breadth of your knowledge, providing opportunities for debate, exploration of personal thoughts and ideas and practice experiences. Small group work may entail: 1) giving a presentation, to demonstrate that you have achieved a set task, or 2) engaging in a debate, which will encourage you to develop group discussions around contemporary issues or inspire you to pursue specific lines of enquiry.  
 
Learning through simulation 
 
You will learn via high fidelity simulated scenarios using models, role play and a simulated birth setting and clinical environments. This will enable you to undergo experiential learning in a safe setting. You will further enhance and deepen your knowledge on effective team management of a variety of maternity situations as well as develop the associated practical skills.  
 
Learning through simulation will be supported both in the university and placement settings. It will be supported by the tutelage team made up of practice supervisors, midwifery academics and clinical practice facilitators. 
 
Placement Experience (direct and indirect supervision) 
The aim of supervised clinical practice experience is for you to observe, participate in and practice providing care to women, their babies and their families, in a variety of contexts. Through the development of knowledge and skills, this experience will facilitate the integration of theory and practice in both maternity and other related health care settings. As your experience develops, you will require less observation and direct supervision but will always have indirect supervision and support available. You will consolidate your progression will include delivering high quality care as one to one care in the intrapartum period to caring for groups of women in other contexts such as antenatal and postnatal care. Other experience will include providing care as part of a continuity model as well as to women, babies and their families with identified additional needs and complexities. As you develop your autonomy and prepare for entry onto the midwifery professional register, you will undertake activities to further develop your understanding of inter-professional practice. 
 
Tutorials 
Tutorials provide you with the opportunity to work on problems and exercises connected with the course material. Tutorials develop problem-solving skills in an environment that encourages an interactive approach to learning.  
 
Self-directed learning  
Your studies will involve a number of hours of self-directed learning. This time will be spent reading course material and recommended books, articles or other sources and time spent on your personal study-skills development. The Module Leaders will direct you to the relevant teaching materials available on Moodle for you to prepare for lectures, seminars and tutorials. Reading lists are provided on module specifications and on Moodle. You will be expected to access the resources before the teaching in order to maximise your learning. During self-directed learning you should explore areas of interest, read widely and prepare for assessments. Whilst this time counts towards the total hours allocated to the programme, it will be up to you to decide exactly how you spend this time and which areas of learning you wish to pursue. 
 
Guided independent study 
During the programme you will be allocated time to undertake prescribed activities individually or in study groups. These activities may form part of the formative assessment strategy to help you to complete the summative assessment or may be set tasks which you should complete prior to attending a taught session. 
 
Moodle 
Moodle is City St George’s Online Learning Environment. Lecturers design Moodle modules to enhance your learning experience by providing online access to module content, activities, communication tools and assessments. This increases opportunities for you to interact with module content and your peers, through on-going discussions and reflection. Your main module reading list will also be available via Moodle’s electronic reading list facility.

400 further practice hours to meet PRSB requirements.  
Please note: the number of learning hours exceed the normal calculation for professional body purposes.

Midwife as Skilled Practitioner 2: Developing Principles and Practice

Demonstrate woman/person-centred, evidence-based and impartial midwifery practice in which you apply theory to practice to deliver competent and respectful care to women and their families with universal and additional health and social needs (K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3) (NMC 2019: 1.6, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.21, 3.24, 3.25, 3.26, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Values and attitudes

Apply your bio-psycho-social knowledge in facilitating the initiation and maintenance of breastfeeding for mothers and their babies (K3, K4, K5, K6, S1, S2, S5, S8, V1, V2, V3) (NMC 2019: 2.10, 3.6) 

Skills

Appraise the role of the midwife in communicating choice and seeking informed consent (K1, K3, S1, S2, S4, V1, V2, V3, V4) (NMC 2019: 1.10, 1.11, 1.12, 1.13, 1.14, 1.15, 1.16, 1.18, 1.19, 1.20, 1.21, 1.22, 1.23, 1.24, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.4, 3.6, 3.7, 3.11, 3.12, 3.23, 3.24, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Knowledge

Recognise and discuss the value and relevance of making links between theory and practice (K1, K3, S1, S2, S4, V1, V2, V3, V4) (NMC 2019: 1.10, 1.11, 1.12, 1.13, 1.14, 1.15, 1.16, 1.18, 1.19, 1.20, 1.21, 1.22, 1.23, 1.24, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.4, 3.6, 3.7, 3.11, 3.12, 3.23, 3.24, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Demonstrate competency within complex situations and establish effective working relationships with health professionals and women (K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3, V4) K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3, V4) (NMC 2019: 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.21, 3.24, 3.25, 3.26, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Practise in a way that respects, promotes and supports individual's rights, interests, preferences, beliefs and cultures. (K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3) (NMC 2019: 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.21, 3.24, 3.25, 3.26, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Assess, plan, implement and appraise care to facilitate the woman throughout her maternity journey with supervision. (NMC 2019::  1.10, 1.11, 1.12, 1.13, 1.14, 1.15, 1.16, 1.18, 1.19, 1.20, 1.21, 1.22, 1.23, 1.24, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.4, 3.6, 3.7, 3.11, 3.12, 3.23, 3.24, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Communicate with women to provide evidence-based information and recommendations (K1, K2, K3, K5, K7, S1, S2, S8, V1, V2, V3) (NMC 2019:  1.10, 1.11, 1.12, 1.13, 1.14, 1.15, 1.16, 1.18, 1.19, 1.20, 1.21, 1.22, 1.23, 1.24, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.4, 3.6, 3.7, 3.11, 3.12, 3.23, 3.24, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Use structured reflective processes and best available evidence to improve and evolve your midwifery skills and knowledge already achieved and construct future learning needs (S4, V4). (NMC 2019: 1.27, 3.21, 4.10, 4.11) 

Demonstrate an understanding of the significance of social inequalities in the experience of childbirth, health and illness across the life course, and apply this to practice (K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3) (NMC 2019: 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.21, 3.24, 3.25, 3.26, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Demonstrate knowledge and understanding of the principles of safe and effective administration and optimisation of prescription and non-prescription medicines and midwives' exemptions, demonstrating the ability to progress to a prescribing qualification following registration (K6, S2, S6, S7) ( NMC2019: 3.18, 3.19) 

Take responsibility for your own learning through the development of a portfolio of practice and recognise when further learning is required (V4)  (NMC 2019: 5.5, 5.6, 5.9, 51.2, 5.13, 5.15)  

Demonstrate a competent level of practice including the ability to evaluate and apply theoretical concepts, in order to provide safe and effective delivery of professional practice that is sensitive to women as service users, their families and other carers (K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3, V4) (NMC 2019: 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.21, 3.24) 

Make the care of women/parents, babies and their families your priority, treating them as individuals and respecting their dignity  (K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3) (NMC 2019:  1.10, 1.11, 1.12, 1.13, 1.14, 1.15, 1.16, 1.18, 1.19, 1.20, 1.21, 1.22, 1.23, 1.24, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.4, 3.6, 3.7, 3.8)  

You will also focus on EU Directives in achieving the required numbers of cases in your care and document them in your MORA document and undertake activities to develop your understanding of interprofessional practice. This experience will be recorded in a Midwifery Inter Professional Education booklet. (S1, S2, S3, S5, S6, S7, S8). (NMC 2019: 1.10, 1.11, 1.12, 1.13, 1.14, 1.15, 1.16, 1.18, 1.19, 1.20, 1.21, 1.22, 1.23, 1.24, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.4, 3.6, 3.7, 3.11, 3.12, 3.23, 3.24, 4.1, 4.2, 4.3, 4.4, 4.5, 4.6, 4.7, 4.8, 4.9, 4.10, 4.11) 

Demonstrate your competency in: facilitating the Initial Consultation (booking appointment), provision of holistic intrapartum care, assessment of maternal and fetal wellbeing, recognition of deviations from the norm, recognition of deterioration in the woman and newborn infant, facilitating the initiation and continuance of breast feeding, promoting safe and effective infant feeding, assessing capacity, perinatal mental health, recognising a deterioration in a woman’s mental health, following appropriate referral pathways including escalation and medicines management.  (K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3) (NMC 2019:  1.10, 1.11, 1.12, 1.13, 1.14, 1.15, 1.16, 1.18, 1.19, 1.20, 1.21, 1.22, 1.23, 1.24, 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10, 3.4, 3.6, 3.7, 3.11, 3.12, 3.23, 3.24) 

Demonstrate communication skills required to practice safely and effectively and develop high quality relationships with women (S1, S2, S8, V1, V2, V3)  (NMC 2019: 1.10, 1.11, 1.12, 1.13, 1.14, 1.15, 1.16, 1.18, 1.19, 1.20, 1.21, 1.22, 1.23, 1.24) 

Engage in multi-professional working to ensure individuals, families and communities are able to access, utilise and participate in health and social care appropriate to their situation. (K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3) 

Recognise and discuss the evidence that informs clinical guidance and apply this to practice (K1, K2, K3, K5, K6, K7, S1, S2, S3, S4, S5, S6, S7x S8, V1, V2, V3) (NMC 2019: 2.1, 2.2, 2.3, 2.4, 2.5, 2.62.7, 2.8, 2.9, 2.10) 

Demonstrate systematic communication within the clinical setting . (S1, S2, S3, S5, S6, S7, S8). (NMC 2019: 1.10, 1.11, 1.12, 1.13, 1.14, 1.15, 1.16, 1.18, 1.19, 1.20, 1.21, 1.22, 1.23, 1.24) 

Demonstrate knowledge and understanding of pharmacology and the ability to recognise the positive and adverse effects of medicines across the continuum of care; to include allergies, drug sensitivities, side effects, contraindications, incompatibilities, adverse reactions, prescribing errors and the impact of polypharmacy and over the counter medication usage (K6, S2, S6, S7) (NMC 2019: 3.18, 3.19,  