Clinical Practice 3: Delivery Room (B-TM-Z25267)

This is a translated version. Original version in Dutch.
13 ECTSDutch390 Both termsBoth termsCannot be taken as part of an examination contract
Eelen Eva (coordinator) |  De Sagher Rudy |  N.
POC PBA VROEDKUNDE LIER TMK

Physiology, care and guidance

Learning outcome

Diagnoses, supervises, monitors and promotes physiological pregnancy, labour, childbirth, childbirth, parenthood and care for the young child. Promotes, supports and supervises breastfeeding. Carries out midwifery acts autonomously and with full right of decision and carries out childbirth within the medical and legal competence of the midwife.

Behavioral indicators

1.    Accompanies, monitors, autonomously promotes a low-risk pregnancy. Stimulates awareness of a physiological approach.

2.    Autonomously performs a prenatal consultation in low-risk pregnancies.

3.    Autonomously accompanies and monitors low-risk delivery. Stimulates awareness of a physiological approach.

4.    Autonomously performs low-risk childbirth.

5.    Autonomously accompanies and monitors low-risk childbirth. Stimulates awareness of a physiological approach.

6.    Monitors and stimulates optimal care for the healthy child up to the age of 1 year.

7.    Autonomously prescribes the necessary medicines within the competence of the midwife.

Risk detection and risk selection

Learning outcome

Autonomously detects risks and complications within the professional domains, acts adequately, consults doctors and other healthcare providers, and makes timely referrals.

Behavioural indicators

1.    Evaluates each situation and diagnoses possible risks and/or complications autonomously in terms of pre-conception, fertility, obstetrics (pregnancy, labour, childbirth, puerperium), neonatology and gynaecology.

2.    Is able to request and perform laboratory tests and functional ultrasound scans, interpret results, report and take action if necessary.

3.    Referrals to doctors and other healthcare providers in a timely manner.

4.    Take the necessary urgent measures until the doctor takes over.

Pathology, care and guidance

Learning outcome

Provides adequate care and guidance in high-risk situations or in the event of complications, on prescription by and in collaboration with doctors and other healthcare providers, within the fields of obstetrics, reproductive medicine, gynaecology and neonatology. Provides the necessary care, autonomously if necessary.   

Behavioural indicators

1.    Actively participates in medical decisions, provides adequate care and takes delegated tasks within the competence.

2.    In consultation with the physician, adjusts the frequency and nature of follow-up according to the risks and/or complications.

3.    Carries out the admission of a pregnant woman with risks and/or complications.

4.    Provides adequate care and supervision in collaboration with doctors and other healthcare providers in the event of a pregnancy involving risks and/or complications.

5.    Provides adequate care and supervision in collaboration with doctors and other healthcare providers in the event of work involving risks and/or complications.

6.    Provides adequate care and supervision in collaboration with doctors and other healthcare providers in the event of childbirth at risk and/or complications.

7.    Provides adequate care and supervision in collaboration with doctors and other healthcare providers in the event of risks and/or complications in childbirth.

8.    Regulates the discharge and guarantees the continuity of care in the event of risks and/or complications.

9.    Carries out the admission of the child with risks and/or complications in cooperation with doctors and other healthcare providers.

10. Provides adequate care and guidance to the child with risks and/or complications in cooperation with doctors and other healthcare providers.

11. Provides adequate guidance to parents and family in the admission phase, hospitalisation phase, preparation for discharge and in the event of death.

12. Carries out the admission of a woman with gynaecological problems in collaboration with doctors and other health care providers.

13. Provides adequate care and guidance in the event of gynaecological problems in cooperation with doctors and other healthcare professionals.

14. Regulates dismissal and ensures continuity of care in the event of gynaecological problems in collaboration with doctors and other healthcare professionals.

Psychosocial context

Learning outcome

Situates the woman and her environment in the family, social, societal and cultural context and responds to this, taking into account diversity and intercultural experience. Recognises psychosocial crisis situations and refers them to other doctors and other care providers.

Behavioural indicators

1.    Recognises and respects the psychosocial uniqueness of the woman, her family and environment.

2.    Monitors and promotes psychosocial care for the (un)born child up to the age of 1 year.

3.    Recognises psychosocial crisis situations, provides support and makes appropriate referrals.

4.    Recognises and respects diversity and intercultural experience.

Ethics and legislation

Learning outcome

Acts in an ethically responsible manner within the boundaries of deontology and legislation.

Behavioral indicators

1.    Acts in accordance with the legal and deontological standards and rules governing the exercise of the profession.

2.    Defends the welfare of mother and child within the legal, deontological and ethical framework.

Health promotion

Learning outcome

Works autonomously and in cooperation in a targeted way on prevention and promotes health according to the principles of health promotion.

Behavioural indicators

1.    Provides information and advice within the field of obstetrics, fertility, neonatology and gynaecology.

2.    Organizes autonomous intervention methods and evaluates the impact on health behaviour.

3.    Adopts specific preventive measures to maintain and promote the health of mother and child.

4.    Applies pelvic floor education.

Collaborates and communicates with caregivers and caregivers

Learning outcome

Ensures optimal interdisciplinary cooperation and an adapted and up-to-date organisation of the practice. Communicates both verbally and in writing in an expert and adequate manner to colleagues, doctors, other healthcare providers and the general public.

Behavioural indicators

1.    Communicates correctly with users and caregivers.

2.    Knows the structures of the health care system and other organisations concerned with health, social and educational matters.

3.    Consults and collaborates interdisciplinarily to ensure continuity and efficiency of care.

4.    Carries out administrative, organisational and coordinating tasks in an intra- and/or extramural structure.

5.    Reports correctly, both verbally and in writing.

Professionalisation

Learning outcome

Works on permanent profiling of the profession and professionalisation by continuously questioning one's own functioning and by following training initiatives. Reflects on one's own practice and incorporates these reflections into professional practice.

Behavioural indicators

1.    Reflects critically on one's own professional expertise.

2.    Draws up and implements an adequate development plan.

3.    Follows professionalisation activities that prepared for lifelong learning.

Evidence based care

Learning outcome

Provides evidence-based care by integrating new scientific insights and by participating in practice-based scientific research.

Behavioural indicators

1.    Is able to formulate an answer to demarcated problems on the basis of the research cycle.

2.    Reflects and acts on the basis of 'evidence-based midwifery practice'.

3.    Participates in the registration of data with the aim of optimising perinatal care provision.

4.    Participates in scientific research projects aimed at optimising perinatal care provision.

Quality care

Learning outcome

Provides autonomously professional, high quality and safe care. Develops a vision with regard to monitoring and promoting the quality of care and contributes to the implementation of innovations.

Behavioural indicators

1.    Is aware of the quality standards and acts accordingly.

2.    Profiles himself correctly as a midwife within society.

A strict sequence applies to the OPO clinical education in the 3rd phase of the training due to possible damage to people, material damage or possible damage to the organization.   This OPO can only be included if students have obtained a credit for the OPO clinical education non-delivery room and OPO Clinical education delivery room of the 2nd phase of the training.

The OPO clinical education non-delivery room (3VR) can be recorded together and/or separately with the OPO clinical education (3VR) delivery room.

Concurrency:

If a student only takes one of the two OPOs clinical education in a certain academic year, the OPO clinical education 3 VR non - delivery room must be taken first.

Mixed prerequisite:
You may only take this course if you comply with the prerequisites. Prerequisites can be strict or flexible, or can imply simultaneity. A degree level can be also be a prerequisite.
Explanation:
STRICT: You may only take this course if you have passed or applied tolerance for the courses for which this condition is set.
FLEXIBLE: You may only take this course if you have previously taken the courses for which this condition is set.
SIMULTANEOUS: You may only take this course if you also take the courses for which this condition is set (or have taken them previously).
DEGREE: You may only take this course if you have obtained this degree level.


SIMULTANEOUS(Z25266) AND ((STRICT(Z26224) AND STRICT(Z26225)) OR (STRICT(Z25264) AND STRICT(Z25265)) OR STRICT(Z12130))

The codes of the course units mentioned above correspond to the following course descriptions:
Z26224 : Clinical Education 2: Non-Delivery Room
Z26225 : Clinical Education 2: Delivery Room
Z25264 : Clinical practice (VR-2) (No longer offered this academic year)
Z25265 : Clinical practice (VR-2) Delivery room (No longer offered this academic year)
Z12130 : Clinical practice (VR-2) (No longer offered this academic year)
Z25266 : Clinical Practice 3: Non-Delivery Room

This course unit is a prerequisite for taking the following course units:
Z25266 : Clinical Practice 3: Non-Delivery Room

This course unit is a non-tolerable course unit in the following study programme(s):

Activities

13 ects. Clinical practice (VR-3) Delivery room (B-TM-Z62372)

13 ECTSDutchFormat: Internship390 Both termsBoth terms
De Sagher Rudy |  N.
POC PBA VROEDKUNDE LIER TMK

Internships:

For this course, students complete an internship of 9 to 10 weeks at 34 hours/week. 
The student is responsible for ensuring that the total number of internship hours performed on an annual basis is correct.
 

Me time & We time:

Me-time and We-time guide the student through his study process. To this end, a number of individual guidance moments with the program counselor (ME-time) are provided. Attendance is mandatory.
Group moments with the learning path counselor (WE-time) are scheduled throughout the academic year. The student is expected to be present and actively participate.
Your hours of WE-time are only valid if you can prove your presence. You can find this document on Canvas. Don't forget the date, the number of hours attended and the signature of your counselor! Present this document at the start of the supervision so that your counselor can sign for your presence. You are responsible for this document yourself. If the student returns from internship only for supervision, the student will be given 1.5 hours for this.
 

In-depth physiology assignment:

The physiology assignment is part of the OPO Clinical education. With this assignment, the student attempts to provide additional insight into all physiological actions and observations that may or may not be performed in the context of childbirth.
The formal requirements for this assignment can be found on Canvas.
The assignment must be uploaded digitally on Canvas 

Assessment center:

The assessment center confronts the students (as a group), in a simulation environment, with a (complicated) (acute) obstetric situation. They prove that they can respond adequately as a team and provide comprehensive care. The total care required will consist of various technical skills. There are 2 exam opportunities provided in the first examination period.

Social Needs Project

Logbook according to European guidelines
Medbook
Introductory bundle for internship placement
'Stappenplannen' Thomas More Lier

Assignments - Intervision - Practical lecture - Skills training

Delivery room internship for 9 to 10 weeks 
Me & We time
Assignment Physiology
Assessment center
Social needs project

Evaluation

(B-TM-Z95267)

Type : Partial or continuous assessment with (final) exam during the examination period
Description of evaluation : Practical exam, Paper/Project, Self assessment/Peer assessment, Participation during contact hours, Process evaluation
Learning material : None

AssessmentGrading scale
TOTAL1-20/20 scale

If one of the components below is part of the OPO KO VK 3, the student will receive NA (= not present). The opo manager can decide differently about this.

  • all internship hours were performed
  • All achievements as determined at European level and recorded in the logbook have been achieved 
  • All internship documents were submitted on time in accordance with the agreements
  • The student was present at all mandatory guidance moments/integration moments from clinical education (unless legitimately absent, and/or in order with a replacement assignment if applicable)

See the key available on the digital learning platform.

All activities scheduled under the OPO KO are mandatory activities.

Internships:

When awarding a point for the internships, the final evaluation(s) that the student achieved during the internships within this OPO are taken into account. Please note: the grade is not a summative calculation of the various parts of the evaluation.

The point for internships counts for 70% of the result for clinical education. Given the unique learning objectives and work on the work floor cannot be tested elsewhere, a student who does not pass the internships can achieve a maximum of 9/20 for the OPO.

In-depth physiology assignment:

The result of the physiology assignment counts for 10% of the OPO. The student must achieve several learning objectives for this assignment. This assignment is developed in a sufficiently critical manner by using the documents mentioned and by substantiating everything with scientific literature.

The assignment must be uploaded digitally on Canvas 

Assessment center:

During the assessment center in phase 3, the students as a group are confronted with a (complicated) (acute) obstetric situation (simulation environment). They prove that they can respond adequately as a team and provide comprehensive care. The total care required will consist of various technical skills. The aim is for an equivalent assessment for all participants.

There are 2 exam opportunities provided in the first examination period. The result of the assessment center counts for 20% of the result of the OPO Clinical education. Given the specific learning objectives that are tested, a student who does not pass the assessment center at the OPO can still achieve a maximum of 9/20

Social Needs Project

In accordance with the OER, a second examination period is not possible for the OPO KO, the OPO KO is a non-tolerable OPO.

No 2nd examination opportunity.
This course unit does not allow partial mark transfers.

There is no second exam for this OPO, this OPO is not tolerable