This occupation is present in a variety of healthcare settings providing totally different fashions of care. Most midwives are employed by the NHS whereas others work within the non-public sector, social enterprise or independently. A midwife may match in the neighborhood equivalent to in a lady’s residence, neighborhood hubs, GP surgical procedures, clinics, midwife-led models and delivery centres or in hospital maternity models. Because of this they normally work shifts together with evenings, weekends and nights and could also be on-call to supply 24-hour care.
The broad goal of the occupation is be the primary and important contact for a lady, her accomplice and household, recognised as a accountable and accountable skilled, the midwife acts as an advocate for the girl, working in partnership along with her and giving the required help, care and recommendation throughout being pregnant, labour and the postnatal interval. Midwives are lead co-ordinators of care in addition to the primary level of contact for a lady, her child and household. They provide help, care and recommendation and are liable for facilitating births and offering take care of the new child. Midwives are specialists in regular physiological delivery and in supporting the girl by way of all delivery outcomes. The personalised care they supply consists of preventative measures, the detection of problems in mom and child, the promotion of regular delivery, the accessing of medical care or different acceptable help and the finishing up of emergency measures. The midwife has an essential position in public well being, providing well being counselling and schooling, not just for the girl, but additionally inside the household and the neighborhood. This work entails antenatal schooling and preparation for parenthood and will prolong to a lady’s well being, sexual or reproductive well being. A midwife offers full antenatal take care of the girl, finishing up medical examinations and screening. They provide antenatal and parenting lessons to assist the girl, her accomplice and household put together for the delivery of the child and to take care of it as soon as it has been born. The midwife screens and helps the girl, her accomplice and household throughout labour and the birthing course of, serving to the girl to delivery her child and assessing each the girl’s and the child’s total well being and wellbeing. Midwives can establish advanced pregnancies and know when to discuss with others or search acceptable help. They’re able to provide steering and help round points equivalent to stillbirth, miscarriage, termination, neonatal dying or different problems. Following delivery midwives provide help for toddler feeding, restoration and will refer the girl to different companies as required.
Of their every day work, an worker on this occupation interacts with girls and households from a variety of backgrounds. Midwives have to have wonderful communication expertise to help the girl, her accomplice and household by way of the emotional, bodily and psychological means of childbirth. Midwives are a part of the broader well being and social care multidisciplinary workforce, working in partnership with colleagues as required. A midwife should have wonderful situational consciousness and data of different human components.
An worker on this occupation might be liable for caring for a variety of girls and will handle a caseload (continuity of carer). Midwives are accountable and accountable autonomous practitioners who present girl and household centred built-in care. Midwives act as an advocate for the girl, enabling them and their households to make knowledgeable decisions in regards to the choices and companies out there all through being pregnant, labour and post-natal interval. The midwife is liable for the well being of each the mom and child and refers to others if there are medical, social or different problems. Midwives are regulated by the Nursing and Midwifery Council (NMC) and are liable for their very own observe and for conserving updated with present data and expertise.
Entry to the apprenticeship is ready domestically by particular person employers however apprentices can even want to fulfill the entry necessities for the extent 6 diploma as set by the college. In the event that they have already got diploma at stage 6 they might want to meet the entry necessities set by the college for the extent 7 masters diploma as a substitute. If an applicant is already a registered grownup nurse they might take a stage 7 qualification accepted by the NMC as a substitute of the extent 6 diploma. These necessities are primarily based on steering from the NMC and European legislation.
KSBs
Data
K1: The nationwide {and professional} requirements, tips and present laws that applies to midwives within the UK, native insurance policies and procedures
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K2: The bounds of your competence, expertise and coaching
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K3: The significance of confidentiality and acceptable conditions through which to reveal data
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K4: The significance of safeguarding, governance, moral points, an obligation of care and an obligation of candour
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K5: The significance of ongoing persevering with skilled improvement and being a reflective practitioner
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K6: The significance of constructing private resilience inside your skilled life
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K7: Methods to advertise a wholesome, secure and safe atmosphere
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K8: A spread of communication strategies and media, together with verbal and non-verbal, written, digital, listening expertise, frequent obstacles to communication, aides and companies out there to help with communication
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K9: Methods to allow the girl to suppose by way of their emotions, constructing belief by responding to their issues
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K10: The significance of performing in the perfect curiosity of the girl and her child, sustaining their rights, understanding their preferences, gaining legitimate knowledgeable consent and assessing their capability for choice making
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K11: The processes and procedures for coping with and managing complaints
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K12: Methods to substantiate being pregnant together with recognising the symptoms of the stage of development
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K13: the knowledge and methods wanted to diagnose a lady’s wants equivalent to: taking a historical past, remark, bodily examination, biophysical checks and social, cultural or emotional assessments
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K14: Anatomy and physiology related to midwifery together with the bodily, psychological, social, emotional, cultural and non secular components that will positively or adversely affect regular physiology
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K15: The significance of practising in a manner that respects, promotes and helps people’ rights, pursuits, preferences, beliefs and tradition
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K16: The best way to use greatest proof and medical judgment to find out and supply programmes of care
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K17: The significance of compassionate and woman-centred care
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K18: The significance of respecting a lady’s proper to just accept or refuse care and remedy
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K19: The best way to critically appraise data, analysis and observe to enhance the standard of care you provide
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K20: Midwifery care inside the context of public well being insurance policies equivalent to being conscious of a variety of programmes to enhance sexual and reproductive well being or scale back maternal and perinatal morbidity and mortality
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K21: Methods to contain customers and native communities in service improvement and enchancment
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K22: The best way to successfully analyse and share knowledge that has been collected together with the significance of searching for suggestions from the girl, her accomplice and household
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K23: Methods to establish and goal take care of teams with specific well being and maternity wants
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K24: Your position in relation to audit and multi-professional standard-setting
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K25: Methods to help mother and father and infants with further or advanced wants
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K26: A spread of recommendation and steering such because the fetus and child’s improvement, way of life, holistic well being and wellbeing, being pregnant, labour care, care of the new child and psychological wellbeing
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K27: What to do when physiological and psychological assessments are exterior of anticipated parameters
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K28: A spread of screening checks equivalent to sickle cell illness, thalassaemia, infectious ailments or anomalies
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K29: A spread of companies and help out there for a lady experiencing being pregnant loss, bereavement or advanced pregnancies together with recognising the ways in which tradition, context and preferences might have an effect on a lady’s choices
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K30: The significance of a well timed referral and the dangers of not doing so
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K31: A spread of companies and different professionals which have expertise and expertise to help the girl in your care equivalent to well being, social, monetary, psychological, safeguarding or authorized
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K32: Proof primarily based methods to facilitate all sorts of labour and childbirth and take care of the fetus and new child throughout a labour and delivery
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K33: Methods to recognise and reply appropriately to a lady who’s anxious, in ache or misery
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K34: The significance of an lively labour, methods to respect a lady’s decisions and preserve a secure and calm atmosphere
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K35: Approach to test indicators of regular and deteriorating bodily or psychological well being together with threat indicators
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K36: Indicators and signs that point out a possible emergency
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K37: Methods to recognise that an emergency wants additional help or further help
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K38: A spread of emergency procedures together with administration till additional help is offered
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K39: Danger evaluation and administration processes together with the significance of making certain your individual security in addition to that of these in your care
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K40: Physiology of the postnatal interval
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K41: A spread of indicators and signs referring to a lady’s well being, bodily, psychological and emotional wellbeing following delivery
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K42: A spread of indicators and signs referring to a lady’s well being, bodily, psychological and emotional wellbeing following delivery
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K43: A spread of points that will have an effect on a lady when contemplating resuming sexual activity following the delivery of a child and handle them, bearing in mind the girl’s rights, preferences, beliefs and tradition
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K44: Methods to handle the totally different phases of bereavement or grief, methods to care for a lady whose child has been eliminated on account of safeguarding intervention or who relinquish their child for adoption and a variety of companies or help teams out there
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K45: The bodily and behavioural assessments that must be carried out on a new child child
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K46: A spread of screening strategies and recognise and refer when outcomes are exterior of regular parameters
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K47: Frequent congenital problems and abnormalities
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K48: Methods to take care of preterm infants and infants requiring monitoring and invasive procedures
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K49: Safeguarding infants and youngsters as recognized as struggling or more likely to endure hurt, abuse or neglect together with report and act upon your issues
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K50: The ideas of the secure administration of medicines in midwifery together with medicines which are underneath midwives exemption or prescribed
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K51: A spread of strategies to manage medicine, together with oral, intravenous, intramuscular, topical and inhalation
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K52: The significance of finishing written and digital data precisely and in a well timed method, defending knowledge and sustaining confidentiality, and adhering to authorized and native necessities for recording, storage and retention
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K53: Methods to tell and develop the observe of self and others utilizing greatest out there proof and reflection methods
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K54: The best way to present sincere, correct and constructive suggestions, respecting the view of others and behaving professionally always
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K55: The significance of solely delegating duties and duties which are inside the different particular person’s scope of competence and that they absolutely perceive what they’re required to do
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K56: Perceive the roles and remit of the multi-disciplinary workforce, the broader healthcare workforce and different companies, figuring out who’s greatest positioned and in a position to present specific interventions to the girl and child
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K57: The best way to elevate and report issues with service supply together with working throughout workforce or organisational boundaries
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Expertise
S1: Practise in accordance with laws, requirements and code of conduct to help the girl, her accomplice and household by way of the being pregnant, labour, delivery and postnatal interval
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S2: Act as an advocate for the girl
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S3: Seek the advice of with and discuss with colleagues when care requires experience past personal competence or when the girl or child’s wants falls exterior the scope of midwifery observe
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S4: Determine, reply to and report any unsafe observe
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S5: Take duty and accountability for personal observe as a midwife, reviewing, growing and enhancing data, expertise and sustaining your health to observe
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S6: Handle and prioritise competing calls for
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S7: Create and preserve a wholesome and secure atmosphere, stopping and controlling an infection and selling well being and wellbeing
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S8: Talk in methods which are delicate and acceptable, bearing in mind emotional, psychological, cognitive, language, social and different circumstances, checking you may have been understood
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S9: Use interpersonal expertise to construct rapport with the girl, her accomplice and household
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S10: Facilitate knowledgeable choice making
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S11: Deal with points or complaints in step with nationwide and native course of and process
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S12: Undertake the preliminary session with the girl
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S13: Use a variety of methods to evaluate the bodily, social and psychological wants of the girl
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S14: Give data surrounding choices for screening and total well being and wellbeing
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S15: Work in partnership with girl to develop plans which are acceptable to the wants, contexts, tradition and decisions of the girl, her child and household
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S16: Allow and empower the girl to contemplate plans for pre-pregnancy, being pregnant care, delivery, hometown, plans for feeding infants, wants for postnatal help and preparation for parenthood
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S17: Allow and empower the girl to consider their very own well being and that of their child, accomplice and household and the way this may be improved
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S18: Contemplate greatest out there proof and modify programmes of care to enhance outcomes for the girl and her child
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S19: Contribute to enhancing the well being and social wellbeing of people and their communities
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S20: Contribute to audit in an effort to optimise the care of the girl, her child and household as required
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S21: Act as lead carer in regular pregnancies supporting the girl
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S22: Perform physiological measurement, psychological evaluation and screening checks and refer the girl as acceptable
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S23: Contribute to offering help to the girl when her being pregnant is advanced or if she has suffered being pregnant loss
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S24: Make vital choices in partnership with the girl, her accomplice and household to help the suitable referral of a lady or child to different well being professionals or companies when required
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S25: Talk about and negotiate with different professionals about additional interventions as acceptable
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S26: Use acceptable medical and technical means to observe the situation of the girl and the fetus to optimise delivery outcomes
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S27: Facilitate the consolation of the girl throughout labour and delivery
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S28: Promote belief with the mom and birthing accomplice to facilitate a optimistic delivery expertise
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S29: Look after the girl and the child as soon as she has given delivery together with assessing for threat indicators
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S30: Undertake acceptable emergency procedures to fulfill the well being wants of the girl, fetus or child
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S31: Elevate issues instantly within the occasion of an emergency
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S32: Put together for and handle dangers
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S33: Care for a lady within the postnatal interval, facilitating her to handle her bodily and psychological wellbeing and transition to motherhood
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S34: Care for a lady who’s recovering following delivery together with post-operative care for individuals who have caesarean or assisted births
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S35: Help and advise the girl on parenting, relationship constructing, feeding and caring for her child
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S36: Facilitate discussions about resuming intercourse and future reproductive decisions
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S37: Care for a lady, her accomplice and household who’re bereaved following being pregnant loss or dying of a child
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S38: Look at and take care of infants instantly following delivery, confirming very important indicators and finishing up an evaluation and bodily examination
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S39: Display infants and refer as required
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S40: Undertake persevering with assessments and take care of infants
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S41: Escalate and report safeguarding points as required
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S42: Administer and handle medicine and ache reduction to the girl and child safely, calculating precisely and in step with laws and the bounds of your competence and position
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S43: Full, retailer and retain correct and contemporaneous data, in step with laws and greatest observe
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S44: Act as a job mannequin for the occupation to colleagues, enabling them to mirror on and develop their observe
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S45: Delegate duties and duties appropriately
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S46: Work throughout skilled boundaries, growing skilled networks
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S47: Supervise or monitor the work of different members of the workforce
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Behaviours
B1: Deal with folks with dignity and respect
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B2: Be caring and compassionate
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B3: Have the braveness to talk up and problem
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B4: Be competent, dependable and committe
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B5: Show management qualities
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