2Thank you for completing the Mentor Evaluation Form.
3On line informationTo support this presentation please access the link below for the information and guidance included in this presentation
4Embracing the “NHS Values” within mentoring Positive role modellingThe NHS Constitution ValuesThe 6 “C’s”The Essential Skills Clusters.
5Mentorship of Student Midwives Student midwives must have a named sign-off mentor to support them through each of their midwifery placements.Students must work with their sign-off mentor for 40% of their placement – minimum of 2 shifts a week or 15 hours.All midwifery mentors have to be a sign-off mentor or working towards becoming a sign-off mentor.Midwifery mentors working towards becoming a sign-off mentor must be supervised by a sign-off mentor when mentoring students.
6Entering and Remaining “Live” on the mentor register NMC approved mentor preparation programme.Been supervised mentoring students on 3 occasions ( or done 2 simulations and 1 supervised sign-off).Have completed the Midwifery Sign-off Verification Document to enter the register.Annual mentor update (within 12 months of last update)Triennial review (within 3 years of last triennial review.)Supported and summatively assessed two students within the three year cycle.
7Triennial ReviewThree yearly cycle of reflection of mentor practice against NMC standards.The process is a self assessment of your skills as a mentor.Complete “Triennial Review for Mentors” document available on the Mentor Portal or Trust equivalentThis provides evidence of your on-going updating of your mentoring skillsMeet with your line manager or appropriate other to review your evidence.The Mentor Register is then updated.
8Quality assuranceThe HEI and Placement Providers work together to assure the quality of the student practice learning experience through the process of:AuditsPractice Education CommitteesStudent/Mentor EvaluationsModeration of Practice AssessmentExternal reviews from CQC, Monitor, PQAF, Professional Body, NHSLA
9New Curriculum Sept 2014The September 2014 cohort will commence a new curriculum.New curriculum will have a new Practice Assessment Document.New curriculum has a new Grading in Practice Tool.September 2012 and 2013 cohorts will remain on the old curriculum, but will use the new curriculum’s Grading of Practice Tool.
10Content of New Curriculum Year One (Level 4)PROGRESSION POINT (NMC)Year Two (Level 5)PROGRESSION POINTYear Three (Level 6)Trimester OneFundamentals of Midwifery Practice 1(30 credits, Standard Module)Small Group Presentation(Fine graded) & 1800 word reflective account(pass/fail)Knowledge, research and evidence in midwifery practice4800 word critique of research paper (Fine graded)Midwifery Care for the woman and infant with complex needs2 hr Multiple choice exam (pass/fail) & 3 hr written exam (Fine graded)Promoting Health & Wellbeing in Midwifery Care5000 word essay(Fine graded)Undergraduate Major Project (30 credits, Project Module)10,000 word major project (Fine graded)Newborn Infant Physical Examination(30 credits, Theory/Practice Module)NIPE practice document Pass/failOSCE (Fine graded)Trimester TwoFundamentals of Midwifery Practice 2Breastfeeding OSCE(Fine graded)MCQ paper (including A&P/ Breastfeeding; Fine graded)Fundamental Midwifery Skills (30 credits, Placement Module)Practice Competencies (Pass/ Fail)Placement Assessment ( Fine Graded)Safe Medicate 80% pass Start case-loadEmergency Midwifery Skills (30 credits, Standard Module) OSCE NLS Pass/fail Random OSCE (Fine graded)Developing professional midwifery skills(30 credits, Placement Module)Collaborative professional working(30 credits, Standard module)Annotated PowerPoint (Fine graded)Advancing Midwifery Practice (30 credits, (Placement Module)Safe Medicate 100% passTrimester Three
11Placements Curriculum is 50% theory and 50% practice. During placements students will work 30 hours a week clinically. 7.5 hours will be for guided reflection, skills or theory sessions.Students will have the following placements through the course.YEARWEEKS OF PLACEMENTPLACEMENT AREASONE21 weeksMidwifery placementsTWO30 weeks2 weeks Gynae/acute care placement2 weeks neonatal unit placement2 weeks non- midwifery placements3 weeks elective placement.THREE24 weeksMidwifery placements.
12Practice Assessment Document Students will have a separate Practice Assessment Document for each year of their course.They are designed to enable the student to demonstrate achievement of the Standards for Pre-Registration Midwifery Education (NMC 2007) and the Essential Skills Clusters (NMC 2009) which will allow them entry onto the midwifery part of the NMC register.The Practice Assessment Document will be bound and should remain with the student at all times.
13Progression PointsThe NMC requires that there are progression points within midwifery course, where students have to pass all academic and practice assessments up to that point before they can proceed onto the next part of the course, or qualify as a midwife.The NMC state that the proficiency in practice needed to pass a progression point must to be assessed by a sign-off mentor in practice.
14Progression Point 1 & 2The sign-off mentor on the student’s last midwifery placement in the first year and second year needs to make a judgement of whether the student has achieved the level of proficiency for that year.They will do this through reviewing the student’s Practice Assessment Document and through their own observations of the student.The sign-off mentor will need to sign the Progression Point completion form to verify successful completion of the practice element of the progression point.
15Final progression point The student will be allocated a final sign-off mentor in the third year.The final sign-off mentor must work a placement with the student in their 3rd year and must meet with the student for at least 1 hour per week in their final placement.The final sign-off mentor is responsible and accountable for assessing the student against the NMC Final Progression Point Standards.The final sign-off mentor will need to sign the declaration to verify that the student has met the standards in order for the student to enter onto the midwifery register.
16Practice skillsEach year the students will have a set of practice skills in which they need to be able to demonstrate proficiency.These skills can be signed off by any midwife who the student works with and who observes their proficiency in the skill.
17Essential Skills Clusters The Essential Skills clusters (ESC’s) are a set of broad, woman-focused, midwifery skill statements introduced by the NMC (2009). The ESC’s cover five areas of midwifery practice:CommunicationInitial antenatal assessmentNormal labour and birthBreastfeedingMedicine management.ESC outcomes are assessed at 2 points; at the end of the first year and at the end of the third year. The Essential skills clusters must be signed off by the student’s sign-off mentor.
18NIPE assessments 1st year Students must complete 10 formative top to toe Examinations of the Newborn, which include examination of the TESTES (part of the NIPE check). A sign off- mentor can assess these examinations.· At the end of the year students MUST also undertake a summative assessment of a top to toe Examination of the Newborn. The summative assessment must be observed by a sign-off mentor who has done at least 3 of the student’s formative assessments.Students will be completing the Newborn Infant Physical Examination module (NIPE) as part of their midwifery course.This will be taken as a module in Year 3.However, students must prepare for the module throughout their midwifery course and keep a practice document of their progress.
19NIPE assessments continued 2nd yearStudents must complete 10 formative top to toe Examination of the Newborn examinations, which include the HEART (part of the NIPE check). These must be assessed by a practitioner with the NIPE qualification to ensure accuracy of the Heart examination. A further 10 formative top to toe Examination of the Newborn examinations are required, but could exclude the heart if assessed by a practitioner without the NIPE qualification.At the end of the year students MUST also undertake a summative assessment of a top to toe Examination of the Newborn.The summative assessment must to be observed by a sign-off mentor who is a NIPE practitioner who has done at least 3 of the student’s formative assessments.3rd yearStudents must complete the NIPE module. This includes:-· 10 formative Newborn Infant Physical Examination (NIPE) assessments with a NIPE qualified practitioner.· An OSCE- summative assessment which is undertaken in the University.· Producing a practice document with evidence of all assessments.
20Placement documents Mentor details Orientation to practice area Learning contractMid-placement/interim reviewGrading in Practice ToolFeed forward
21Grading in Practice Tool The Traffic Light SystemAny mark that falls inThe red is unsafe practice so the student will fail the assessment with an overall mark as 0In the amber column is satisfactoryIn the green column indicates good /excellent progress.Holistic assessment tool to be completed at the end of every midwifery placement of 4 weeks or more.Different grid for each year of the course.Marks contribute credits to the student’s degree.Follows a traffic light system.Pass mark for FGT is 40%
22Failing the Grading in Practice Tool – what happens? Inform the student’s personal tutor/link lecturer immediately.A tripartite meeting will be set up between the student, sign-off mentor and personal tutor to develop an action plan for remedial action for further placements.The student will need to repeat and pass the placement in the first trimester of the next year.
23Feedback and feed forward Feedback is important to help the student know how they are performing.Feed forward gives specific suggestions to the student on how they could improve their performance.To be effective feedback and feed forward needs to be:EarlySpecificWritten feedback is crucial forSign-off mentors decision at progression pointsContinuity and validity of summative assessmentStudent reflectionVerbal feedback should be honest and caringService users feedback is importantInterpersonal skillsConfidentiality
24The Old and the New New Curriculum Old Curriculum Learning contractMentor details & Orientation to practice areaMid-placement/interim reviewPractice SkillsEssential skills clustersExamination of the Newborn Skills formative & summative assessmentsGrading of Practice Tool & Feed forward.Interprofessional learningManagement practice assessmentSign-off of 3 progression pointsOld CurriculumLearning contractsPreliminary practice reviewsInterim practice reviewsMidwifery practice skillsMidwifery practice outcomesObserved practice assessmentsFine grading toolsInterprofessional Learning OpportunitiesSign-off of 2 progression points.
25Case loadingIt is an NMC requirement that students hold a small caseload during their course (NMC 2009).Students will carry a caseload of a minimum of 5 women over the 3 years of the course.Students can start to gather their caseload in the 3rd trimester of their 1st year.Students must gain consent from the woman and the woman can withdraw at any time.All care given must be fully supervised.
26Empathy for Students Make students feel welcome. Sensitive to students’ needsRespect student as you would a colleagueUnderstand that student has deadlinesConsider them as your future colleagueEnsure they feel a ‘valued’ member of the teamEncourage students to discuss potential improvements to standards of careMaintain student’s confidentiality
27Mentoring is Key to Student Learning Professional gatekeeperProfessional role modelPositive mentoring is valued by the studentYou may be the most inspirational figure in the student’s career
28References.NMC (2008) Standards to Support Learning and Assessment in Practice London: Nursing and Midwifery CouncilNMC (2009) Standards for Pre-Registration Midwifery education London: Nursing and Midwifery Council