BECOMING AN AUTONOMOUS PRACTITIONER - 2023/4

Module code: NUR3180

Module Overview

Students will consolidate the learning and they have undertaken in the preceding two years to demonstrate they have the skills and understanding to gain entry onto the midwifery part of the NMC register. They will develop the skills and knowledge required for the recognition and care of obstetric patients experiencing critical ill health and understand the importance of early detection to reduce maternal mortality and morbidity.

Module provider

School of Health Sciences

Module Leader

GREENACRE Rebecca (Health Sci.)

Number of Credits: 60

ECTS Credits: 30

Framework: FHEQ Level 6

Module cap (Maximum number of students): N/A

Overall student workload

Personal Tutorial Hours: 1

Workshop Hours: 2

Clinical Placement Hours: 825

Independent Learning Hours: 168

Lecture Hours: 4

Seminar Hours: 17

Tutorial Hours: 1

Practical/Performance Hours: 20

Module Availability

Crosses academic years

Prerequisites / Co-requisites

None

Module content

Indicative content includes:


  • Perineal Repair

  • Cannulation

  • Infant feeding (breastfeeding and bottle feeding)

  • Building close and loving relationships between mother and infant

  • BLS and NLS

  • Preceptorship

  • Interviewing

  • RCM Support

  • Creating a Portfolio / Evidence for Revalidation

  • Human Factors

  • Duty of Candor

  • A-Equip model of midwifery clinical supervision

  • The future of Midwifery practice

  • Clinical skills


  • Maternal mortality and mordibity after critical illness


  • Psychological care of the critically ill women and her family


  • A to F assessment of the mother

  • Assessment of the respiratory system and management of any concerns (including decisions surrounding oxygen therapy, airway adjuncts and the use of basic drugs to assist with respiration)


  • Assessment and management of the cardiovascular system (including fluid replacement, invasive monitoring, shock, basic assessment of cardiac rhythms, drugs commonly used to manage hypertension and magnesium sulphate infusions)


  • Assessment and management of those women who may have or be at risk of acute renal injury (including fluid balance, catheter care)


  • Assessment and management of women who may be neurologically compromised using AVPU system.


  • Blood results, interpretation/differential diagnosis and action


  • Documentation and referral to the wider MDT using MEOWS and SBAR

  • Involvement of the multidisciplinary team to optimise care.


Assessment pattern

Assessment type Unit of assessment Weighting
Coursework CLINICAL GRADING TOOL 50
Coursework ESC DOCUMENTATION Pass/Fail
Practical based assessment INFANT FEEDING VIVA 25
Coursework Essay 25

Alternative Assessment

None as all are core to meet NMC Standards.

Assessment Strategy

The assessment strategy is designed to provide students with the opportunity to demonstrate successful completion of the ESCs for NMC Registration and achievement of the module learning outcomes.

Thus, the summative assessment for this module consists of:


  • Practice Portfolio 50% (Addresses learning outcomes: 1, 2 & 3)

  • Infant Feeding VIVA 25% (Addresses learning outcome 3)

  • Essay 25% (Addresses learning outcomes 4 & 5)



Formative assessment

Mentor formative feedback within the practice setting

Formative VIVA

Discussion of essay plan in a tutorial

Feedback

Through portfolio progress meetings with mentors and at final summative practice assessment meeting.

Module aims

  • This module aims to:
    • Focus on the final practice placement and the consolidation of learning as a student midwife, prior to registration as a midwife in line with NMC Regulations (2009).
    • Prepare student midwives for the early recognition of, and to care for, women experiencing critical ill health as a consequence of a pre-existing medical condition or pregnancy related condition.

Learning outcomes

Attributes Developed
001 Complete all elements of the NMC competencies and essential skills clusters and demonstrate completion of the required experience to meet the EU directives to enable entry to the midwifery part of the NMC register KCPT
002 Begin to take a leadership role in the management of a ward area including carrying out a drug round with the associated assessment of the patient and detailed understanding of the common medicines used, and, organising and prioritising care for a group of women KCPT
003 Provide confident and flexible advice, support and management plans for women experiencing frequently occurring infant feeding issues using contemporary evidence and effective communication skills KCPT
004 4. Demonstrate they meet the ‘Enhanced Maternity Care: a Competency Framework for Midwives Caring for Ill and Acutely Ill Women’ requirements for an entry level midwife; including carrying out a comprehensive A-F assessment and acting appropriately on the findings based on a systematic understanding of altered physiology of the respiratory, cardiovascular and renal system during pregnancy and relate this to complications experienced by obstetric patients KCPT
005 5. Use primary research to explore and critically analyse the role of the midwife and the multi-disciplinary team in the provision of effective care for women experiencing critical illness, which meets the physical and psychological needs of women and their families KCPT

Attributes Developed

C - Cognitive/analytical

K - Subject knowledge

T - Transferable skills

P - Professional/Practical skills

Methods of Teaching / Learning

The learning and teaching strategy is designed to:

Enable successful completion of the essential skills required for midwifery practice.

The learning and teaching methods include:


  • Taught classroom-based theory & case discussion – 12hrs x 1 week, 9hrs x 1 week, 8hrs x 2 weeks, 3 hours x 1 week

  • Experiential learning in simulation suite – 3 hrs x 1 week, 9 hours x 1 week, 4 hours x 2 weeks, 3 hrs x 1 week

  • Mentor supported learning and formative feedback - 37 ½ hours x 22 weeks

  • Formative OSCE and summative OSCE – 1 hour x 2 weeks

  • Formative feedback tutorial – 1 hr x 1 week


Indicated Lecture Hours (which may also include seminars, tutorials, workshops and other contact time) are approximate and may include in-class tests where one or more of these are an assessment on the module. In-class tests are scheduled/organised separately to taught content and will be published on to student personal timetables, where they apply to taken modules, as soon as they are finalised by central administration. This will usually be after the initial publication of the teaching timetable for the relevant semester.

Reading list

https://readinglists.surrey.ac.uk
Upon accessing the reading list, please search for the module using the module code: NUR3180

Please note that the information detailed within this record is accurate at the time of publishing and may be subject to change. This record contains information for the most up to date version of the programme / module for the 2023/4 academic year.