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MID8075 Midwifery and Critical Care

Semester 1, 2013 External Toowoomba
Units : 1
Faculty or Section : Faculty of Sciences
School or Department : Nursing and Midwifery
Version produced : 20 April 2014

Contents on this page

Staffing

Examiner: Lyn Forrest
Moderator: Jill Scanlan

Requisites

Pre-requisite: MID8001 and MID8070 and MID8073 and MID8074 and be enrolled in Program: MMID

Rationale

Midwives need to safely care for women who have a co-morbid or pregnancy acquired condition which complicates their childbearing, be able to manage obstetric emergencies both as the lead professional and as a member of a multi-disciplinary team. Midwives provide immediate care for sick or premature infants, care for the infant as it is being transferred to an appropriate special care nursery, and to support continuity of care in the presence of complications for the mother or neonate.

Synopsis

The student will develop knowledge and skills in the assessment and clinical decision making for the culturally safe care of women who experience deviations from normal childbirth. The course extends students previous learning about the complications of childbearing to prepare them to diagnose and manage obstetric emergencies and maintain continuity of care. The students will extend their neonatal physical assessment skills and make clinical judgments about when and what kind of resuscitation is required for the neonate. They will provide care to the sick newborn that is an inpatient of a special care nursery unit and learn the principles of stabilizing and preparing the seriously ill newborn for transport to a referral hospital. Students will learn to establish and maintain lactation for mothers and neonates in the presence of complications. Attendance at the Residential School is compulsory to develop core emergency skills.

Objectives

On successful completion of this course students will be able to:

  1. Identify women who are experiencing obstetric emergencies and plan and implement culturally sensitive collaborative management to maintain continuity of care;
  2. Demonstrate evidence based psychosocial, physiological, procedural, and pharmacological knowledge to be able to safely advocate for, plan care and intervene for women experiencing co morbid or pregnancy acquired conditions during pregnancy, birth and postpartum period;
  3. Demonstrate capacity to competently perform assessment and management of the neonate including sick, abnormal and premature infants at birth in collaborative settings;
  4. Apply the principles of developmental care when caring for the preterm neonate;
  5. Prepare the sick neonate for transport to a referral hospital in a manner which is safe, effective and sensitive to parental needs;
  6. Promote establishment of lactation and maintenance of breastfeeding for neonates in the presence of complications.

Topics

Description Weighting(%)
1. MIDWIFERY EMERGENCIES Clinical decision making; planning and implementation of emergency care. Principles for Evaluation and review of practice in emergency situations. Review haemorrhage and shock in pregnant women;;Uterine rupture and inversion; Eclampsia; H.E.L.L.P.; D.I.C.; Amniotic Fluid; Embolus; Massive APH or PPH; Psycho-social spiritual impact of life-threatening illness; autonomy of the woman in emergent situations; Cultural safety principles applied in critical care. 30.00
2. Co morbidities or pregnancy acquired Medical Conditions - This section will review the following conditions and examine their effect on childbearing women and the fetus/neonate and the midwife’s role in sustaining woman centred care; pharmacological management Infectious Diseases and Sexually Transmitted Infections; Hypertensive disorders of pregnancy; venous thromboembolism; Asthma; Cardiac conditions; Diabetes; Rhesus Iso-immunisation; overview Haemorrhagic Disease of the Newborn; ABO incompatibilities; anaemia; renal disorders -early onset Group B streptococcal disease; prevalence in ATSI women. 30.00
3. Caring for the sick neonate - Assessment of the sick neonate; Neonatal resuscitation; Stabilisation and transport; Respiratory disorders; Birth injuries; The baby in an isolette ; Tube feeding the sick infant; Kangaroo care; cultural safety issues. 20.00
4. Challenges to establishing breast feeding in the complications of childbirth 20.00

Text and materials required to be purchased or accessed

ALL textbooks and materials available to be purchased can be sourced from USQ's Online Bookshop (unless otherwise stated). (https://bookshop.usq.edu.au/bookweb/subject.cgi?year=2013&sem=01&subject1=MID8075)

Please contact us for alternative purchase options from USQ Bookshop. (https://bookshop.usq.edu.au/contact/)

  • Davies, L & McDonald, S 2008, Examination of the newborn and neonatal health, Churchill Livingstone, Edinburgh.
  • Pairman, S & Pincombe, J & Thorogood, C & Tracy, SK (editors) 2010, Midwifery preparation for practice, 2nd edn, Elsevier Churchill Livingstone, Marrickville, N.S.W.
  • Pollard, M 2011, Evidence-based care for breastfeeding mothers, Routledge, London.
  • Stables, D & Rankin J (eds) 2010, Physiology in childbearing, 3rd edn, Elsevier Bailliere, Tindall, Edinburgh.

Reference materials

Reference materials are materials that, if accessed by students, may improve their knowledge and understanding of the material in the course and enrich their learning experience.
  • Cunningham, FG (Ed) 2010, Williams Obstetrics, 23rd edn, McGraw-Hill, New York.
    (Online.)
  • Dob, D, Cooper, G & Holdcroft, A 2007, Crises in childbirth-why mothers survive, Radcliffe, Oxford.
  • Freegard, H (editor) 2007, Ethical practice for health professionals, Thomson, South Melbourne.
  • Garland, D 2000, Waterbirth: An Attitude to Care, 2nd edn, Books for Midwives, Oxford, England.
  • Hansen, A & Puder, M 2009, Manual of neonatal surgical intensive care, 2nd edn, Decker, Hamilton.
    (Online.)
  • Jordon, S & Sherwood, K & Murphy, F & Whittaker, V 2002, Pharmacology for midwives, Palsare McMillan - Net library, New York.
  • Lantos, J & Meadow, W 2006, Neonatal bioethics: the moral challenges of medical innovation, Johns Hopkins university Press, Baltimore.
    (Online.)
  • Merenstein, GB & Gardner, SL 2006, Handbook of Neonatal Intensive Care, 6th edn, Mosby, St Louis.

Student workload requirements

Activity Hours
Assessments 36.00
Directed Study 15.00
Knowledge Application and Assessment Tasks 12.00
Private Study 35.00
Professional Experience 60.00
Residential Schools 15.00

Assessment details

Description Marks out of Wtg (%) Due Date Notes
BE THE MIDWIFE 50 45 15 Apr 2013
SEMINAR PREPARATION 30 19 17 May 2013 (see note 1)
PORTFOLIO 20 20 07 Jun 2013 (see note 2)
PROFESSIONAL PRACTICE 1 1 07 Jun 2013 (see note 3)
PEER EVALUATION 30 15 21 Jun 2013 (see note 4)

NOTES
  1. Seminar presentation will be run in conjunction with peer evaluation. Due dates for synchronous or asynchronous delivery during S1 2013 TBA.
  2. Continuity of care experiences online reflection.
  3. Details of the professional experiences required for MID8075 will be specified in the USQ MMID Professional Practice Portfolio. These will include evidence of completed industry packages. Details as per MID8075 Study Desk.
  4. Seminar presentation will be run in conjunction with peer evaluation. Due dates for synchronous or asynchronous delivery of seminar during S1 2013 TBA.

Important assessment information

  1. Attendance requirements:
    It is the students' responsibility to study all material provided to them or required to be accessed by them and to participate actively in discussion groups to maximize their chance of meeting the objectives of the course and to be informed of course-related activities and administration. Attendance at the two day Residential school is compulsory. Professional experience includes both paid professional practice and supernumerary, unpaid professional practice. The 60 hours professional experience in this course contributes to the continuity of care experience requirement of the program.Participation in online reflection on practice for continuity of care experiences is mandatory for Portfolio submission. During professional placement, students must follow hospital policy and procedure and maintain safe, professional practice as outlined by the practice guidelines of nursing and midwifery professional bodies. Students are required to attend women through continuity of care experiences and maintain contracted supervised professional experience with a USQ partner hospital. Students are required to follow twenty (20) women through in continuity of care. Students must have a total minimum of twenty (20) women recruited by completion of this semester (Concurrent with MID8076). If there is attrition of women in the continuity of care experience, Students may need to recruit a further 10 women to address this. Students must have participation with women in continuity of care which meets criteria outlined in the Professional Practice Portfolio. Details for ethical recruitment of women, commitment to continuity of care and documentation required for formative and summative assessment will be included in the Professional Practice Portfolio. The minimum requirement for Professional experience in this program is 800 hours, which is to be carried out overthe duration of the Program. Continuity of care hours average 20 hours per woman over the care continuum and may be incorporated into paid or unpaid hours.

  2. Requirements for students to complete each assessment item satisfactorily:
    a) To satisfactorily complete the "Be the Midwife" activity students must obtain at least 50% of the marks available for the item.

    b) To satisfactorily complete the ‘Seminar preparation ‘activity students must obtain at least 50% of the marks available for the item. The seminar will be formally presented in semester 1 2013. Presentation will be either face-to-face or through video conferencing. Students will receive an RN grade which will be converted to final grade following seminar presentation and completion of peer feedback in ‘Peer evaluation”.

    c) To satisfactorily complete the "Peer evaluation" activity students must obtain at least 50% of the marks available for the item. Students will evaluate the seminar when it is formally presented in orientation week, semester 1 2013.

    d) To satisfactorily complete the "Portfolio" activity students must obtain at least 50% of the marks available for the item.

    e) To satisfactorily complete the professional practice the student’s mandatory experiences must be signed off by a registered midwife or other lead maternity care professional, and key clinical skills, as outlined in the course objectives and in the Professional Practice Portfolio, must be assessed by a registered midwife and signed off as 'proficient', as measured by the relevant ANMC competency-based assessment tool (USQSCAT) for those key clinical skills.Verification of succesful completion of Industry Packages nominated for MID8075 must be included. The student will then be awarded 1 mark for this assessment item. Otherwise zero marks will be awarded and the student will not pass the course.

  3. Penalties for late submission of required work:
    If students submit assignments after the due date without (prior) approval of the examiner then a penalty of 5% of the total marks gained by the student for the assignment may apply for each working day late up to ten working days at which time a mark of zero may be recorded. No assignments will be accepted after model answers have been posted.

  4. Requirements for student to be awarded a passing grade in the course:
    To be assured of receiving a passing grade a student must - submit all of the assessment items and achieve at least 50% of the available weighted marks for the a)‘Be the Midwife’; b Portfolio; c) Seminar preparation and d) Peer evaluation and 100% for ‘Professional practice’.

    Students who do not qualify for a passing grade may, at the discretion of the examiner, be assigned additional work to demonstrate the examiner that they have achieved the required standard. It is expected that such students will have gained at least 45% of the total marks available for all summative assessment items.

  5. Method used to combine assessment results to attain final grade:
    The final grades for students will be assigned on the basis of the aggregate of the weighted marks obtained for each of the summative assessment items in the course.

  6. Examination information:
    There is no examination for this course.

  7. Examination period when Deferred/Supplementary examinations will be held:
    There is no examination for this course.

  8. University Student Policies:
    Students should read the USQ policies: Definitions, Assessment and Student Academic Misconduct to avoid actions which might contravene University policies and practices. These policies can be found at http://policy.usq.edu.au.

Assessment notes

  1. The due date for an assignment is the date by which a student must despatch the assignment to the USQ. The onus is on the student to provide proof of the despatch date, if requested by the Examiner.

  2. Students must retain a copy of each item submitted for assessment. If requested, students will be required to provide a copy of assignments submitted for assessment purposes. Such copies should be despatched to USQ within 24 hours of receipt of a request being made.

  3. The examiner may grant an extension of the due date of an assignment in extenuating circumstances.

  4. Students who do not have regular access to postal services or who are otherwise disadvantaged by these regulations may be given special consideration. They should contact the examiner of the course to negotiate such special arrangements.

  5. In the event that a due date for an assignment falls on a local public holiday in their area, such as a Show holiday, the due date for the assignment will be the next day. Students are to note on the assignment cover the date of the public holiday for the Examiner's convenience.

  6. Students who have undertaken all of the required assessments in a course but who have failed to meet some of the specified objectives of a course within the normally prescribed time may be awarded the temporary grade: IM (Incomplete - Make up). An IM grade will only be awarded when, in the opinion of the examiner, a student will be able to achieve the remaining objectives of the course after a period of non directed personal study.

  7. Students who, for medical, family/personal, or employment-related reasons, are unable to complete an assignment or to sit for an examination at the scheduled time may apply to defer an assessment in a course. Such a request must be accompanied by appropriate supporting documentation. One of the following temporary grades may be awarded IDS (Incomplete - Deferred Examination; IDM (Incomplete Deferred Make-up); IDB (Incomplete - Both Deferred Examination and Deferred Make-up).

  8. Students will require access to email and internet access to USQ Connect for this course.

Evaluation and benchmarking

Student evaluations will be compiled to evaluate the student experience, relevance of the course content and the effectiveness of course delivery. Clinical milieu data will be extrapolated to maintain Clinical contractual arrangements with appropriate and supportive clinical agencies. It is expected that all students undertaking this course will complete the online student evaluation.

Other requirements

  1. Students will require access to e-mail and internet access to UConnect for this course

  2. Harvard (AGPS) is the referencing system required in this course. Students should use Harvard (AGPS) style in their assignments to format details of the information sources they have cited in their work. The USQ library provides advice on how to format information sources using this system
    http://www.usq.edu.au/library/help/ehelp/ref_guides/harvard.htm
    http://www.usq.edu.au/library/help/ehelp/ref_guides/harvardonline.htm