Topic outline
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Students will write their learning objectives in their ELA workbooks on the PebblePad platform in a template that prompts them to expand on the learning objective statement they have developed.
We want students to consider the specific knowledge and attitudes that relate to the skill they intend to learn. We want them to identify resources that they will use to support their learning and to develop a plan by considering relevant activities and strategies they can engage in. We want them to link to our NMBA Midwife Standards for Practice as this provides a benchmark that they can perform to. Students need to reflect on how they will demonstrate their learning - it's not good enough to say that you've learned something so we want students to provide valid evidence of their learning. The outcome statement will be written at the end of their placement or when they achieve the objective. This is an important part of the process, and one that you can help with through having conversations with students on placement and helping them to identify specific episodes of care where perhaps they met the objectives they set. - Help them to link their learning to a specific 'Ah ha' moment.Learning Objective
To perform abdominal assessment by understanding the rationale for the procedure, providing clear explanation in order to gain informed consent, by gathering all required equipment correctly, and undertaking the procedure using a systematic approach to correctly identify fetal position, growth and wellbeing and identifying any findings that are outside of normal parameters, and collaborating and referring as needed. I will aim to achieve this objective by the end of my placement in antenatal clinic. What are you going to learn? Include knowledge, skills, attitude.
To undertake an abdominal assessment using a safe manner, a systematic technique and be able to accurately articulate findings, by the end of my placement in antenatal clinic. In undertaking each of the steps highlighted in the learning objective, I will be able to demonstrate that I can perform an abdominal assessment in a way that is safe and accurate and I will be sure to ask questions when unsure to work within my scope of practice.
How do you plan to learn it? Resources, strategies, activities. Use the knowledge and skills from Primary Midwifery Practice course. Access the HHHS video resources showing a simulated abdominal assessment. Refer to my Johnson and Taylor text book (Insert chapter name and page numbers for easy reference). Watch my supervising midwives and ask for tips and feedback. Ask women for feedback about their comfort. Refer to the SAPPG 2021 Antenatal Care guideline (Add link). Course objectives/NMBA Midwife Standards for Practice
1.3 uses health assessment and health education to support birth and reproductive health, and minimise the potential for complications
3.5 engages in timely consultation, referral and documentation
4.2 uses assessment techniques to systematically collect relevant and accurate information
4.4 analyses information and data and communicates assessments and anticipated outcomes as the basis for midwifery practice
4.4 assesses the resources that are available to inform planning.
5.1 interprets assessment data and best available evidence to develop a plan for practice
6.3 is responsible for consultation and referral and/or escalation in situations that are outside the individual’s scope of practice
How will I demonstrate my learning? What evidence will be included?
Gain daily feedback from supervising midwives. Successfully complete CAT 3 (Abdominal Examination). Identify the fetal heart easily which will confirm accurate assessment of position. I will ask women if they felt comfortable with my examination of their abdomen. Outcome statement - provide evidence of how you achieved your objectives
During my final day of placement I performed an abdominal assessment on a woman at 38 weeks and was unsure about what I was feeling. There was a hard round feeling at the fundus and I wondered if the fetus was presenting breech. On pelvic palpation I couldn't feel a head. I mentioned this to the midwife and she asked me to complete the assessment and to auscultate the fetal heart. I placed the doppler where I thought the anterior shoulder would be and heard the fetal heart straight away. The midwife confirmed that the baby was breech and commended me for my accuracy. We then had to discuss with the woman about the options for the mode of birth.
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