Clinical Education 2: Delivery Room (B-TM-Z26225)

This is a translated version. Original version in Dutch.
11 ECTSDutch320 Both termsBoth termsCannot be taken as part of an examination contract
Grauwels Katleen (coordinator) |  Lippens Kristien |  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.

The OPO clinical education in the 2nd phase of the program is subject to strict sequentiality due to possible harm to people, material damage or possible damage to the organization.   This OPO can be taken only if students obtained credit for the OPO clinical education of the 1st phase of the program. 
The OPO clinical education (2-VR) can be taken together and/or separately with the OPO clinical education (2-VR) delivery room.

Simultaneity
If a student takes only one of the two OPO 's clinical education in a given academic year then the OPO clinical education 2 VR without delivery room must be taken first.  Thus, there is strict concurrency with the OPO clinical education delivery room phase 2 (Z26225)
If a student takes the OPO clinical education non-obstetric room then there is also strict concurrency with subsequent OPOs:

- Z 12120: obstetric care in the second line: prenatal (part 1)
- Z 12121: obstetric care in the second line: intrapartum and postpartum (part 1)
- Z12122: low risk neonatology
- Z12124: gynecology

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(Z26224) AND STRICT(Z13169)

The codes of the course units mentioned above correspond to the following course descriptions:
Z13169 : Clinical Practice 1
Z26224 : Clinical Education 2: Non-Delivery Room

This course unit is a prerequisite for taking the following course units:
Z25267 : Clinical Practice 3: Delivery Room
Z26224 : Clinical Education 2: Non-Delivery Room

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

Activities

11 ects. Clinical education (MW 2) delivery room (B-TM-Z64267)

11 ECTSDutchFormat: Internship320 Both termsBoth terms
Lippens Kristien |  N.
POC PBA VROEDKUNDE LIER TMK

Students complete 7 to 8 weeks of internship at 34h/week for this OPO. 

The student is responsible for ensuring that the total number of internship hours is correct on a yearly basis.

The student does an internship in a midwifery department in a Belgian hospital where the student integrates the material seen into practice. Here students make an integration assignment: birthing report. Moreover, they set learning goals and work points on which they reflect weekly. During internship, the student completes the logbook for midwifery skills.   

During the year, you participate in (mandatory) skills training or supervised practice sessions (free) for nursing and midwifery skills.   Finally, your nursing and midwifery skills are tested at the end of the year.

Students  share their midwifery and personal internship experiences with fellow students during supervision. From their own experiences and those of fellow students, students become increasingly professional under the guidance of a teacher.  Here, mandatory attendance and cooperation is expected both for students taking both OPOs clinical education and for those students taking either OPO clinical education.

Students are also required to be present in the school for the PIM moments. Various obstetric cases are used, both for discussing obstetric theory and the obstetric thought process, and for practicing various (obstetric) skills, project social needs

Study cost: More than 100 euros (The information about the study costs as stated here gives an indication and only represents the costs for purchasing new materials. There might be some electronic or second-hand copies available as well. You can use LIMO to check whether the textbook is available in the library. Any potential printing costs and optional course material are not included in this price.)

Course Clinical Education 2 Midwifery

- Introductory bundle/traineeship

- Style Guide of the Thomas More (2019)

- Roadmaps Thomas More Healthcare Lier

Logbook

Intervision - Skills training - Traditional lecture

Internship

Test skills

Trajectory guidance

PIM moments

Supervision

Evaluation

(B-TM-Z96225)

Type : Continuous assessment without exam during the examination period
Description of evaluation : Report, Self assessment/Peer assessment, Participation during contact hours, Process evaluation, Skills test
Learning material : None

AssessmentGrading scale
TOTAL1-20/20 scale

If any of the following items of the OPO clinical education midwifery, the student will receive NA (= not present).  The OPO leader may decide otherwise. 

All internship hours were performed 
All internship documents were submitted on time as agreed 
The student was present at all mandatory supervision/integration moments from clinical education (unless legitimately absent, and/or in order with replacement assignment if applicable) 
See key which is available on the digital learning platform.

Various components

In accordance with the Education and Examination Regulations, no 2nd sitting time is possible for the OPO Clinical Education. The use of tolerances is also not possible. Since, in accordance with the Education and Examination Regulations, no 2nd sitting is possible for the OPO Clinical Education, the commencement of a bis year OPO Clinical Education can only take place from the start of the following academic year.

1Stages

When giving a point for internships, the final evaluation(s) obtained by the student on the internships within this OPO are considered.

The point for internships counts for 80% of the total result of the OPO. Because this section tests learning objectives that are unique, a student must pass it. If a student does not pass this part, he can still obtain a maximum of 9/20 for the OPO.

Note that the grade is not a summative settlement of the various components of the assessment.

Barring report

The result of the birthing report is counted for 10% of the OPO. For this assignment, the student should achieve several learning objectives, including data collection, description of labour and delivery with a focus on the midwife's task. This assignment is sufficiently critically developed by using the listed documents as well as substantiating everything with scientific literature.

A student who submits the assignment late or not can receive a maximum of 10/20 for the OPO.

Summative skills test

At a previously communicated time (see timetable) in the skills centre, the student must demonstrate the following skills under the supervision of a lecturer: a partus in the occipital position on the birth robot and resuscitation of the neonate.

The result of these skills counts for 10% of the result for the OPO.

Translated with DeepL.com (free version)

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