Title: Implications for Supervisors of Midwives Julie Maddocks julie.maddocks@cmft.nhs.uk
1Implications for Supervisors of
MidwivesJulie Maddocksjulie.maddocks_at_cmft.nhs
.uk
- Supervisor of Midwives
- RGN RM BA MSc
2Acknowledgements
- All healthcare professionals who assisted with
collation of the medical records and information
used in the enquiry - With special thanks to
- Nicola Parry
- Sharron Brown
- Hilary Jackson
- Debbie Garrod
3(No Transcript)
4Upholding quality and safety responsibility of
all midwives
Upholding quality and safety responsibility of
all midwives- high quality, best
practice/evidence-based, safe care- confidently
advocating for midwifery and for mothers-
acting as role models / mentor
- high quality, best practice/evidence-based, safe
care - confidently advocating for midwifery and for
mothers - acting as role models / mentor rolepromoting
trusting relationships - upholding reputation of the profession
- making our concerns knownNMC (2008) Code
5Statutory Supervision
- Promoting best practice
- preventing poor practice
- Intervening in unacceptable practice
6Challenges for Midwives and Supervisors of
Midwives
- Raising birth rate
- Increase in non foreign mothers
- Increase in complex cases
- Capacity and Workforce
- Reconfiguration of services making it better
- NHS reforms
- Financial climate
- Increase in Quality
- Public confidence
7The Supervisory Toolkit
- Philosophy and Vision
- Pro-active model
- Evidence based
- Policy and Guidelines
- Challenging debate
- Visibility
- Reflective Diary
- Records Audit
- Change Agent
- Supervision in Focus
8- Interface with Supervision as a student
- Intention to Practise
- Named Supervisor of Midwives
- Guidance on PREP
- Policies and Guidance
- Supervision input in to Committees
- Reflector for advice or corrector of Practice
- Pro-active change agent for Practice initiatives
9Back to basics
- Improving basic medical and midwifery practice,
such as taking a history, undertaking basic
observations and understanding normality - Attributing signs and symptoms of emerging
serious illness to commonplace symptoms of
pregnancy - Improving communication and referrals.
10Midwifery Practice specific recommendations
- Carry out, record and act upon basic observations
for both women at low and higher risk of
complications. - Provide pregnant women and new mothers with
information about the prevention and signs and
symptoms of possible genital tract sepsis and the
need to seek advise early if concerned, as well
as the importance of good personal hygiene. - Assess the mothers risk adequately throughout
the continuum of pregnancy and the post natal
period, reassessing as needed if circumstances
change
11Cont-
- Refer and escalate concerns to a medical
colleague of appropriate seniority. - Make early referral to psychiatric services of
women with serious mental health problems. - Ensure the availability and use of professional
interpreting services for women who need them - Provide continuity of care for vulnerable women
to promote engagement with the service
12Risk assessment and booking visit
- Investment by trusts
- Senior professional input
- Accountability
- Communication (SBAR. CHAPS)
- Documentation
13Holistic approach
- Continual risk assessment
- Think further than Bump
- Increasing complex pregnancies
- Are we equipped?
- Are we competent?
14Education and training
15- Workshop
- Skills drills
- Scenario based training
- E learning
- IPoD training
- Multidisciplinary ward rounds
16How can we learn from tragedy ?
- As individuals
- Individual learning takes place only when new
knowledge is translated into different behaviour
that is replicable (Argyris and Schon 1978) - As organisations
- Adeptness at translating new knowledge into new
ways of behaving (Loh 1997). - The learning organisation is a journey rather
than a destination (Burdett 1993)
17Knowing is not enoughwe must applywilling is
not enoughwe must do