Band 7 Fetal Surveillance Midwife

To support and work with the teams across the Maternity department to develop a programme plan to facilitate the implementation of a clinically based teaching and competency based assessment package to aim towards achieving better birth outcomes.

To develop staff awareness in recognising pathophysiological factors that could contribute to misinterpretation of the fetal heart pattern. This will be relevant when using both intermittent auscultation plotted on a partogram and electronic monitoring using a cardiotocographs (CTGs). To develop and expand midwives' competence in undertaking intermittent auscultation of the fetal heart when caring for low risk women as per NICE guidelines, utilising the most current and robust evidence based practice

Ensure staff can intelligently auscultate the fetal heart in labour in the midwifery led unit and at home reflective in the documentation, and increase confidence in staff in auscultating the fetal heart intermittently using either a pinard or hand held sonicaid.

To further embed and develop the current competency testing for fetal monitoring to assess and improve the knowledge and skills of all staff providing intrapartum and antenatal care across all maternity settings.

To produce and cascade out and embed into practice an intelligent intermittent auscultation training package and lead on the use of this in training midwives who provide intrapartum care on the Delivery Suites, the Midwifery Led Unit and in the womans home.

Ensure that all midwives and obstetricians providing antenatal and intrapartum care undertake the competency test in assessing fetal wellbeing.

In conjunction with the midwifery education team provide enhanced teaching and additional support to staff who need to repeat the competency test to in order to achieve and demonstrate the expected levels of knowledge.

Lead weekly CTG workshops, maintaining an electronic database to evidence attendance registers and ensure compliance to the mandatory requirement for midwives and medical staff. Disseminate learning which emerges from workshops.

Organise CTG master classes on the monthly mandatory training week ensuring the attendance of all eligible staff.

Develop, in conjunction with the Maternity Matrons, Obstetric Lead for Delivery Suite and the Obstetric Lead for Risk, an audit form (on a daily basis) for case reviews all emergency deliveries i.e. instrumental and caesarean sections in the previous twenty-four hours to review the interpretation of CTGs and subsequent management of care. Use findings of such cases for reflective practice sessions, to cascade and evidence learning from good practice and identify areas for further development

Use every opportunity to facilitate teaching, learning and reflection within the clinical area.

When required to work as a practicing midwife within the maternity unit and undertake unit coordinator duties as required

Ensure staff are assessing fetal well-being in the context of the woman's health, pregnancy, gestation and stage of labour by observing how handover iscommunicated at change of shifts, midwife to doctor communication when referrals are made and listening to assessments made over the telephone (SBAR).

Ensure that interpretation of fetal assessment is undertaken with a structured approach, reflective of recommendations within our current guidelines and that all documentation reflects this approach.

Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community.

Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers' money, being safe and meeting our external duties, and building a strong organisation.

Artificial intelligence (AI) is a set of technology that can perform various tasks that typically required human intelligence. Your application is your opportunity to demonstrate to us how you meet the requirements of the role. We recognise that AI tools can support accessibility, equity and confidence for applicants.However, it's important that examples and responses genuinely reflect your own experience and abilities, as these will be explored further during the selection process. AI must not be used to provide misleading or false information during any stage of the application journey. Further guidance can be found in the NLPSS Applicant Toolkithttps://royalfree.pagetiger.com/cuuomnr/1.

This role is North Middlesex Hospital based.

Values

Essential: - Demonstrable ability to meet the Trust Values

Education and Qualifications

Essential: - Registered Midwife; - Educated to degree level or equivalent with evidence of further professional development

Desirable: - Teaching accreditation/experience; - Attended a clinical leadership program; - Human Factors Training

Skills and Abilities

Desirable: - Evidence of academic published work or research

Experience

Desirable: - Evidence of research participation

Personal Qualities

Other Requirements