Midwife's self-assessment form
From WikiEducator
Use these questions to assess your performance, reflect on what you did well and what you can improve in the future
Guidelines to help you assess your performance
- Facilitates Relationship
- takes responsibility for negotiating an effective partnership
- maintains comfortable rapport with the woman
- establishes trust
- is responsive to the needs expressed by the woman
- maintains professional manner and presentation
- Assesses
- assesses woman’s own knowledge and experience
- identifies woman’s needs and responds
- recognises woman’s social, cultural and health context
- Shares Information
- displays an accurate knowledge base
- provides quality evidence based information
- appropriate options offered
- communicates clearly and effectively
- establishes woman’s understanding
- Conclusion
- brief summary of information provided
- establishes availability for ongoing discussion/advice
- documents discussions, assessments and actions
Specific guidelines to help you assess your actions
- Assesses woman’s condition
- general condition and how she is coping
- history of contractions: when they started, how often they are, how long they last, how strong they are, can she talk through them?
- has she had a show, what does it look like?
- has she ruptured her membranes? what colour is the liquor?
- is she managing to eat and drink?
- is she passing urine and normal had bowel movements in the last 24 – 48 hours
- how the baby has been moving in the last 24 hours
- physical assessment including blood pressure, respiration, temperature, pulse
- abdominal palpation to include assessment of contraction length, strength and frequency.
- abdominal palpation to assess lie, presentation, position and decent of baby
- vaginal assessment to include cervical dilatation, effacement, position, consistency and application. Presentation part, position, station and attitude. Presence of moulding, caput, liquor and cord.
- assessment of baby's health to include monitoring baby's heart rate
- what support does she need?
- reviews history and background from woman’s notes, exclude risk factors
- reviews careplan
- Sharing information
- possible need for vaginal examination
- findings of all assessments
- ongoing monitoring of health of mother and baby, as well as progress of labour
- need for food and drink
- how to stay comfortable and mobile
- show mother around birth unit
- things that will necessitate further assessment eg ruptured membranes, vaginal bleeding, severe pain
- Plan for ongoing care
- mother to rest as much as possible
- mother to eat and drink
- mother to relax in warm shower/bath
- mother to mobilize at will
- monitor baby's heart rate every 15-30 minutes
- assess mother's progress and health as required
- provide support, comfort measures and reassurance as required
- Concludes discussion appropriately
- briefly summarize advice and plan of action
- ensure woman’s understanding
- emphasize her choice about plan of action
- make sure she knows how to call you for further information/advice if needed
- make sure she knows when to call you for further information/advice
- Documents discussion including advice and plan for ongoing care
- date, time, signature
- information woman shared with you
- advice you gave woman
- plan of action