Midwife's self-assessment form

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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 telephone discussion

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 on the phone?
    • 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
    • what support she is getting at home? Does she want to come to the birth unit for assessment?
    • reviews history and background from woman’s notes, exclude risk factors
  • Sharing information
    • signs of established labour
    • women do better in labour if they stay at home as long as possible
    • things to look out for that necessitate calling again eg ruptured membranes, vaginal bleeding, severe pain
  • Plan for ongoing care
    • rest as much as possible
    • eat and drink
    • relax in warm shower/bath
    • monitor baby’s movements
    • ring again if labour appears to be establishing or if the woman has any concerns
    • make sure bag is packed and there is petrol in the car
  • 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 contact you for further information/advice if needed
    • make sure she knows when to contact 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