Competency Assessment Explanation At the time of submission of this substantive change application, every individual question in every NCM course has been linked with its corresponding Essential Competency using a numbering system. This applies to both knowledge competencies and skills competencies addressed within the academic curriculum. An initial curriculum review has been accomplished to sufficiently update the current version of the curriculum. Once a final curriculum review is achieved simultaneously with the development of the online courses (see description below), NCM will be entirely assured that every Essential Competency is thoroughly and efficiently covered in its curriculum. Please Note: Skills competencies are ultimately evaluated in person in clinical settings by clinical preceptors. This will continue to be achieved through documentation of student mastery of NARM skills and completion of required clinical experience. However, the academic information linked to the skills competencies are an integral part of NCM’s curriculum and will be taught and assessed in the online courses. These “skills competencies” (as they are referred to in the MEAC Curriculum Checklist) will be evaluated in the same manner as the knowledge competencies. (Please see Competency Assessment Examples Document). Acquisition of these competencies will be documented in the form of a final grade submitted online by academic instructors. The student transcripts with final grades are kept on a cloud based system and also within student files at the administrative office. NARM skills documentation is also kept in student files. Before launch of the online program, NCM plans to also link each NARM skill with the Essential Competencies so that when clinical preceptors verify students’ successful demonstration of the skill to mastery level, they will simultaneously be ensuring that the student has achieved competency in the linked Essential Skills Competency. Once NCM hires and trains its online academic instructors, these instructors will be asked to begin the process of course development. The numbering system which links individual questions within each course to their corresponding Essential Competencies will be extremely helpful not only in ensuring that all Essential Competencies are thoroughly covered within the curriculum but also in consolidating areas of the curriculum that currently contain redundancies. This will improve focused attention on achievement of the competencies. Academic instructors will take responsibility for entire modules whenever possible. This way they can help ensure that this process works effectively within each grouping of courses.
Benchmark II.C1 (2.10) Action: Provide examples of all tools and or rubrics used to assess competency for ONE knowledge competency and ONE skill competency in at least one course with a distance education component. For each competency, please include: a) Description of the formative and summative assessment methods that are used b) Didactic and/or supervised practice courses in which assessment will occur c) Individuals responsible for ensuring that assessment occurs
A Knowledge Competency: MEAC Essential Competency #3.15: The midwife has the knowledge and/or understanding of: Normal progression of pregnancy: body changes, common discomforts, expected fundal growth patterns, weight gain Competency Rubric: Exceeds Expectations
Meets Expectations
Does Not Meet Expectations
Total Points
5 Points
4 Points
0 Points
5 Points
Mastery: 4 Points Calculation Method: Decaying Average of all grades from assignments and tests that are linked to this Essential Competency (see items listed below)
Tools and or rubrics used to assess this competency: QUICK SUMMARY: a. Description of the formative and summative assessment methods that are used: ➢ Formative Assessments: Instructor feedback on Learning Objective Essay Questions and opportunity to correct responses, Participation in Discussions, Enrichment Activities ➢ Summative Assessments: • Final assessment of answers to LO Questions • Final assessment of Enrichment Activities that function as summative assessments. Test Questions Note: Whether Enrichment Activities are applied throughout the course as formative or summative assessments will be at the discretion of the preceptor.
However, final assessments of student competency (and the portion of the final grade which reflects student participation in Enrichment Activities) must be done through application of the Enrichment Activity as a summative assessment. b. Didactic and/or supervised practice courses in which assessment will occur: MW303-AP Provision of Care, MW302- Antepartum Physical Assessment c. Individuals responsible for ensuring that assessment occurs: Academic Course Instructor EXAMPLES: Examples for Formative Assessments for this competency: For a description of all Enrichment Activities, please see Enrichment Activities document. Example group discussion topic: Case study: A pregnant woman in her XX month comes to the midwife complaining of XX. What could cause this? What questions should you ask her? What instructions would you give her? Should she be referred to higher care? Why or why not? Expected outcomes? Learning Objectives linked to this Competency: Essay Questions: Course:MW302- Antepartum Physical Assessment: MW302-019- Discuss breast changes that are normal during pregnancy. MW302-024- Name some causes of amenorrhea and three methods of diagnosing whether amenorrhea is due to pregnancy. MW302-026- What are normal changes that can occur in the cervix during pregnancy? Course: MW303- Antepartum Provision of Care: MW303-001 - Discuss how to approach the following topics with your client during your initial visit: a. What their relationship status is (single, married, partnered, etc) and the expected involvement of their significant other in pregnancy, birth and parenting b. Why they are seeking midwifery care and/or an out-of-hospital birth c. What other health care providers they have seen in this pregnancy or would like to see in this pregnancy
MW303-002 - List at least four factors that should be discussed when facilitating a pregnant woman’s decision on where to give birth. MW303-003 - Discuss what social/psychological factors might make a hospital birth the best choice for some women. MW303-005 - Discuss the difference between normal physiological function and pathology in pregnancy and how to explain this difference to a client seeking midwifery care. MW303-027- Explain the difference between presumptive and probable signs of pregnancy. MW303-028- Give an example of two positive signs of pregnancy MW303-034- Explain the areas of teaching that should be covered at the following prenatal visits: a. Initial visit b. Late first trimester/early second trimester visit c. week visit d. 36 week visit MW303-035- Describe five normal symptoms of pregnancy and their causes. MW303-036- Name the approximate week when the mother will begin to feel fetal movement. MW303-037- Name a cause of morning sickness, how it can be relieved, and how long it lasts. MW303-038- Describe normal changes you might expect in skin pigmentation during pregnancy MW303-039- Discuss some causes of urinary frequency in the first and third trimesters and describe some relief measures. MW303-040- Discuss some causes of heartburn and what can be done to alleviate it. MW303-041- Discuss some causes of constipation and what can be done to relieve it. MW303-042-Explain why women are more likely to get hemorrhoids during pregnancy and what can be done to relieve these. MW303-043- Discuss the measures that can be used to relieve leg cramps. MW303-044-Discuss the causes and symptoms of round ligament pain MW303-045-Explain why it is normal for pregnant women to have some dependent edema. MW303-046- Explain why some women are more prone to varicose veins and what can be done for them. MW303-048- Discuss the causes of hyperventilation and shortness of breath. MW303-049-Discuss the causes of tingling and numbness of fingers during pregnancy. MW303-050- Explain why supine hypotension in pregnancy is dangerous. MW303-063-Explain what range of birth weight is optimum for an infant to reach its greatest potential for intelligence and minimizes the potential for physical disability.
Examples for Summative Assessment for this competency: Sample Essay Question Rubric:
Criteria
Ratings
Pts
Exceeds Expectations: Answers reflect the student's firm understanding of the question 5 pts Meets Expectations: Answers are accurate 4 pts Not Yet Competent: Answers are not correct or misinterpret the meaning of the information 0 pts
5 pts
Exceeds Expectations: Answers make connections to implications of the topic in a midwifery setting. 5 pts Meets Expectations: Answers make connections to and explore the implications of the information in a midwifery setting, but do not explore them. 4 pts Not Yet Competent: Answers do not make connections to the topics as they pertain to midwifery and health care 0 pts
5 pts
Exceeds Expectations: Answers are consistently precise and unambiguous explanation of the information. If applicable, quotation/citations from resources well chosen and appropriate. 5 pts Meets Expectations: Answers are mostly precise and unambiguous explanation of the information. Citations and quotations when necessary. 4 pts Not Yet Competent: Answers do not address the Learning Objective, or focuses on minor, rather than key ideas. Consistently imprecise or ambiguous. 0 pts
5 pts
Exceeds Expectations: Resources used for answers very reliable, current sources for information. Resources correctly cited. 5 pts Meets Expectations: Resources not required OR Mostly reliable and current resources, cited appropriately. 4 pts Not Yet Competent: No resources used, or inappropriate or out of date resources. 0 pts
5 pts
Exceeds Expectations Meets Expectations: Student can describe the scope of Direct Entry Midwifery, core LuminaASM 5 pts principles and philosophy, terminology, as well as the same within other related and intersecting SpecKnow1 fields of study. threshold: 4 pts 4 pts Does Not Meet Expectations 0 pts
5 pts
Accuracy threshold: 4 pts
Argument threshold: 4 pts
Clarity threshold: 4 pts
Resources threshold: 4 pts
Total: 25
Sample Test Questions: MOD3-MW302-Antepartum Physical Assessment: 1. An example of a physiological cause of nausea during pregnancy is:
a. b. c. d.
Hyperemesis Food poisoning Falling levels of thyroid hormone Low-blood sugar
2. ____________ is a pathological cause of edema during pregnancy” a. Movement of fluid into the interstitial space due to impaired kidney function. b. Increased fluid volume in the circulatory system c. Impaired venous circulation and increased venous pressure in the lower extremities d. Pressure on the inferior vena cava from time spent in the supine position 3. The thyroid gland can be palpated: a. Just behind the hyoid bone b. Directly below the larynx c. At the base of the hypothalamus d. In the postauricular region 4. If a woman has CVA tenderness it means that: a. She reports pain when the heel of the hand is pressed into the lower left sternal border b. She reports pain during a pelvic exam c. She reports pain when the heel of the hand is pressed into the region defined by the lowermost rib and the spine d. She reports pain when the region to the right of the cervical vertebrae is examined for rebound tenderness 5. Which of the following changes in breast tissue is NOT normal during pregnancy: a. Increase in breast size accompanied by tenderness b. Spontaneous discharge of clear fluid c. Broadening and increased pigmentation of the areola d. Skin retraction such as dimpling or furrows 6. The following features are assessed during a bimanual exam: a. Uterus, ovaries, and rectum b. Uterus, ovaries and cervix c. Uterus, Ovaries, cervix and adnexal area d. All of the above are included in the bimanual exam 7. The diagonal conjugate is measured as: a. The distance between the ischial spines b. The degree of the angle formed by the pubic arch c. The distance between the sacral promontory and posterior side of the symphysis pubis
d. The distance between the ischial tuberosity and the highest point of the pubic arch 8. The true pelvis is defined as: a. The iliac crests and pelvic brim b. The saggital diameter and the linea terminalis c. The Curve of Carus and the pelvic brim d. The pelvic inlet, cavity and outlet 9. When palpating a women’s fundus who is 16 weeks pregnant, you would except to find it: a. Midway between the top of the pubic bone and the umbilicus b. Two fingerbreadths above the pubic bone c. At the umbilicus d. One finger breadth below the umbilicus 10. Which of the following fetal features is felt closest to the pubic bone when palpating a well-flexed cephalic presentation: a. The mentum b. The sacrum c. The occiput d. The parietal
MOD3-MW303-Antepartum Provision of Care: 1. When facilitating a client’s decision on where to give birth, you should take into consideration: a. Physiological considerations only b. The comfort level of the client and her family with the idea of home birth c. A combination of physiological, lifestyle and emotional considerations d. Whether or not a clients has ever used illicit drugs 2. An informed consent document should include: a. Risks to mother and baby of choosing a homebirth b. A description of the education and training of the midwife c. The names and contact info for all other midwives in the area d. Both a and b are correct 3. An example of individualized care is: a. Giving the same care to everyone b. Taking into consideration the unique factors in each client’s life and counseling to the needs of the individual
c. Practicing in a solo practice d. Asking the individual client to set the parameters of their care based on their needs and desires. 4. Lab tests that are routinely done during the early part of prenatal care include: a. Syphilis and Rubella immunity b. Group B strep and Direct Coombs c. Blood type and HGB/HCT d. Both a and c are correct 5. An example of an occupational hazard that might be dangerous to a pregnant woman or fetus is: a. Physical stress due to sitting in a small cubicle all day with poor light b. Emotional stress due to an abusive partner c. Physical stress due to a diet low in fresh fruits and vegetables d. Exhaust from a car used to commute to work 6. The recommended amount of protein to be consumed per day by the average pregnant woman is: a. 70-90 grams b. 70-90 micrograms c. 50-80 grams d. 50-80 micrograms 7. Dietary sources of folic acid include: a. Citrus fruits and strawberries b. Rare steak and sunflower seeds c. Blackstrap molasses and sweet potatoes d. Dark green leafy vegetables and organ meats 8. A 24-year old woman comes to you and reports that her last menstrual period was over 10 weeks ago and she has had a positive pregnancy test. She reports that she has also experienced nausea, breast tenderness, fatigue, and a can now feel her uterus just above her pubic bone. Which of the signs reported by this woman are probable signs on pregnancy? a. Positive pregnancy test and abdominal enlargement? b. Positive pregnancy test and nausea? c. Breast tenderness and Nausea d. Nausea and fatigue 9. What is NOT a common cause of nausea in early pregnancy? a. Hypoglycemia b. Hyperglycemia c. Rising hormone levels
d. Inadequate dietary adjustment to pregnancy 10. Which factors are LEAST important in assessing fetal well-being at term? a. Fetal movement and fundal height growth b. Fundal height growth and fetal heart tone patterns c. Maternal weight gain and fundal height growth d. Fetal movement and fetal heart tone patterns
A Skills Competency: Please Note: Although skills competencies are evaluated in clinical
settings rather than in academics, skills competencies often have academic information linked to them. In these cases, the academic information may be introduced in an online course or courses. The information for clinical assessment of this competency are NOT listed here, as they are not effected by the substantive change to online program. MEAC Essential Competency #3.40: The midwife has the skill and/or ability to: Draw blood and collect urine and vaginal culture specimens for laboratory testing
Competency Rubric for the ACADEMIC Portion of this competency, taught online: Exceeds Expectations
Meets Expectations
Does Not Meet Expectations
Total Points
5 Points
4 Points
0 Points
5 Points
Mastery: 4 Points Calculation Method: Decaying Average of all grades from assignments and tests that are linked to this Essential Competency (see items listed below). For this course, the clinical skills completion is NOT included. However, the student cannot have their linked NARM skills signed off until they have demonstrated them to Mastery Level and assessed by the CLINICAL INSTRUCTOR.
Tools and or rubrics used to assess this competency: QUICK SUMMARY:
For the academic requirements for this Skills Competency (academic portions are taught in online courses; clinical ones are not) a. Description of the formative and summative assessment methods that are used: ➢ Formative Assessments: Instructor feedback on Learning Objective Essay Questions and opportunity to correct responses, Participation in Discussions, Enrichment Activities ➢ Summative Assessments: • Final assessment of answers to LO Questions • Final assessment of Enrichment Activities that function as summative assessments. • Test Questions Note: Whether Enrichment Activities are applied throughout the course as formative or summative assessments will be at the discretion of the preceptor. However, final assessments of student competency (and the portion of the final grade which reflects student participation in Enrichment Activities) must be done through application of the Enrichment Activity as a summative assessment. Note: In the case where online skills demonstration through video is used as an Enrichment Activity in an academic course, this will only be counted towards fulfillment of the academic requirements for the competency. All NARM skills must be demonstrated to mastery level and assessed in person by the clinical preceptor. b. Didactic and/or supervised practice courses in which assessment will occur: MW300- Antepartum Basic Skills c. Individuals responsible for ensuring that Academic Online assessment occurs: The Online instructor. (Please note that clinical assessments are not part of the courses listed here, but done separately in a clinical setting and assessed by the clinical preceptor) EXAMPLES: Examples for Formative Assessments for this competency: For a description of all Enrichment Activities, please see Enrichment Activities document. Learning Objectives Essay Questions: MW300- Antepartum Basic Skills Course: MW300-028 Describe how to obtain a capillary blood sample for a glucose analysis with glucometer. MW300-029 Discuss three tests that require a venous blood sample
MW300-030 Describe how to locate a suitable vein for venipuncture. MW300-031 What anatomical structures should be avoided in locating a vein suitable for venipuncture? MW300-032 Name three suitable veins in the arm for venipuncture. MW300-033 List equipment needed for venipuncture of an adult. MW300-034 Discuss how a Vacutainer/needle system functions in venipuncture. MW300-036 Define urinalysis and why this is used as a screening tool in pregnancy. MW300-037 What are the three physical characteristics of a urine sample that should be assessed? MW300-038 List 6 substances that may be found by urinalysis and the significance of each during pregnancy. MW300-039 Discuss the steps of urinalysis and the equipment needed to perform it. MW300-040 Describe in minute detail how to obtain a clean catch urine specimen as if you were giving instructions to the mother. MW300-041 Describe the importance of midstream urine specimens when screening for infection. MW300-043 Describe the method for visualizing the cervix with a speculum. Include proper technique for insertion, positioning and withdrawal of the speculum. MW300-044 Discuss ways to reduce discomfort during a speculum exam. MW300-045 Describe the steps for doing a sterile speculum exam and when this is indicated. MW300-046 Describe three tests for which a speculum exam is needed to collect a specimen. MW300-047 Explain the difference between obtaining a “high” and “low” vaginal culture. Give examples of lab tests that require each. Examples for Summative Assessment for this competency(ONLY ACADEMIC PORTIONS OF THE TRAINING): Sample Essay Question Rubric:
Criteria
Accuracy threshold: 4 pts
Argument threshold: 4 pts
Ratings
Pts
Exceeds Expectations: Answers reflect the student's firm understanding of the question 5 pts Meets Expectations: Answers are accurate 4 pts Not Yet Competent: Answers are not correct or misinterpret the meaning of the information 0 pts
5 pts
Exceeds Expectations: Answers make connections to implications of the topic in a midwifery setting. 5 pts Meets Expectations: Answers make connections to and explore the implications of the information in a midwifery setting, but do not explore them. 4 pts Not Yet Competent: Answers do not make connections to the topics as they pertain to midwifery and health care 0 pts
5 pts
Criteria
Clarity threshold: 4 pts
Resources threshold: 4 pts
Ratings
Pts
Exceeds Expectations: Answers are consistently precise and unambiguous explanation of the information. If applicable, quotation/citations from resources well chosen and appropriate. 5 pts Meets Expectations: Answers are mostly precise and unambiguous explanation of the information. Citations and quotations when necessary. 4 pts Not Yet Competent: Answers do not address the Learning Objective, or focuses on minor, rather than key ideas. Consistently imprecise or ambiguous. 0 pts
5 pts
Exceeds Expectations: Resources used for answers very reliable, current sources for information. Resources correctly cited. 5 pts Meets Expectations: Resources not required OR Mostly reliable and current resources, cited appropriately. 4 pts Not Yet Competent: No resources used, or inappropriate or out of date resources. 0 pts
5 pts
Exceeds Expectations Meets Expectations: Student can describe the scope of Direct Entry Midwifery, core LuminaASM 5 pts principles and philosophy, terminology, as well as the same within other related and intersecting fields SpecKnow1 of study. threshold: 4 pts 4 pts Does Not Meet Expectations 0 pts
5 pts
Total: 25
Sample Test Questions: MOD3-MW300-Antepartum Basic Skills 4. An example of when a capillary blood sample might be taken is: a. To test for a UTI b. To test glucose levels with a glucometer c. To test for HIV d. To test for Gonorrhea and Chlamydia 5. Which of the following equipment is most commonly used in performing venipuncture? i. Alcohol swabs ii. Vacutainer iii. Needle with protective sheath iv. Winged infusion set a. i and ii b. ii and iii c. All but iv d. i, ii, iii, iv 6. Which substances cannot be found by urinalysis? a. glucose b. Yeast c. Protein
d. Blood
7. During a sterile speculum exam the midwife should be sure that which of the following is sterile? a. Speculum b. Gloves and speculum c. Lubricant d. Gloves, speculum and lubricant
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
1 | COMPETENCY IN SOCIAL, EPIDEMIOLOGIC AND CULTURAL CONTEXT OF MATERNAL AND NEWBORN CARE
Midwives have the requisite knowledge and skills from obstetrics, neonatology, the social sciences, public health, and ethics that form the basis of high quality, culturally relevant, appropriate care for women, newborns, and childbearing families. Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
Written exam, laboratory exam
No response required here – these cells are only for skills/abilities -- note dark gray shading below.
Preceptor observation and evaluation against rubric
Preceptor signature on form XXX
EXAMPLE RESPONSE for a knowledge competency: female and male anatomy and physiology related BIOL 104: Anatomy to conception and reproduction and Physiology EXAMPLE RESPONSE for a skill/ability competency: take and order cervical cytology(Pap) test
CLIN 315: Wellwoman clinical care
Student clinical experience files stored in Clinical Dean’s office.
The midwife has the knowledge and/or understanding of...
1
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
1.
the community and social determinants of health (e.g., income, literacy and education, water supply and sanitation, housing, environmental hazards, food security, disease patterns, common threats to health)
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
How is competency in this skill documented? (Skills/abilities only)
Community Health
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
No response required in the dark gray shaded boxes.
WW Provision of Care AP Risk Screening IP Risk Screening
Where is this documentatio n kept? (Skills/ abilities only)
PP Risk Screening Human Sexuality Cultural Issues 2.
principles of community-based primary Community Health care using health promotion and disease prevention and control strategies Cultural Issues
2
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
3.
direct and indirect causes of maternal and neonatal mortality and morbidity and strategies for reducing them
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
Community Health
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Out of Hospital Birth Postpartum Complications Newborn Risk Screening
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
Newborn Complications Cultural Issues Genetic Screening 4.
methodology for conducting maternal death review and near miss audits
5.
principles of epidemiology, community diagnosis (including water and sanitation), and how to use these in care provision
Statistics Cultural Issues
3
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
6.
7.
8.
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
methods of infection prevention and control, appropriate to the service being provided
Protocols
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
principles of research, evidenced-based practice, critical interpretation of professional literature, and the interpretation of vital statistics and research findings
Statistics
indicators of quality health care services
Community Health
WW Risk Screening
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
Out of Hospital Birth Cultural Issues
Out of Hospital Birth Protocols Laws and Regulations Cultural Issues
4
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
9.
principles of health education
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
Perinatal Education
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Ethics Protocols Laws and Regulations AP Provision of Care
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
IP Provision of Care PP Provision of Care NB Provision of Care WW Provision of Care PP Complications Communication and Counseling Cultural Issues
5
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
10.
national and local health services and infrastructures supporting the continuum of care (organization and referral systems), how to access needed resources for midwifery care
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
Out of Hospital Birth
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Laws and Regulations Cultural Issues
11.
relevant national or local programs or initiatives (provision of services or knowledge of how to assist community members to access services, such as immunization and prevention or treatment of health conditions prevalent in the country or locality )
AP Nutrition
12.
the concept of alarm (preparedness), the protocol for referral to higher health facility levels, and appropriate communication during transport [emergency care]
Protocols
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
6
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
13.
the legal and regulatory framework governing reproductive health for women of all ages, including laws, policies, protocols and professional guidelines
14.
policies, protocols, laws and regulations WW Family Planning related to therapeutic abortion (TAB) care services WW Provision of Care
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
Protocols
Please see Competency Laws and Assessment Regulations Examples Document for a WW Family Planning full description of methods for PP Provision of Care assessing student achievement
WW Pharmacology WW Observational Charting
7
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
15.
human rights and their effects on health Ethics of individuals, including but not limited to: health disparities, domestic partner Protocols violence and female genital mutilation [cutting] Laws and Regulations WW Provision of Care
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
WW Risk Assessment
8
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
16.
advocacy and empowerment strategies for women
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
Ethics
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Protocols Laws and Regulations WW Diagnostic Labs WW Family Planning
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
WW Observational Charting AP Provision of Care IP Provision of Care PP Basic Skills PP Provision of Care PP Diagnostic Labs Communication and Counseling
9
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
17.
the history of childbirth practices and the midwifery profession
18.
unique healthcare needs of women from Ethics distinct ethnic or cultural backgrounds, or a variety of family structures and Protocols sexual orientations Laws and Regulations
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
History of Midwifery Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
WW Provision of Care Human Sexuality Cultural Issues AP Risk Screening Communication and Counseling
10
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
19.
culturally sensitive care
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
Communication and Counseling
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Cultural Issues Ethics Protocols Laws and Regulations
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
Human Sexuality WW Family Planning AP Provision of Care IP Provision of Care PP Provision of Care NB Provision of Care WW Provision of Care AP Risk Screening
11
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
20.
21.
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
traditional and modern health practices (beneficial, neutral and harmful)
Ethics
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
benefits and risks of available birth settings
Out of Hospital Birth
Cultural Issues
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
Protocols Laws and Regulations AP Provision of Care IP Risk Screening PP Complications NB Risk Screening
12
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
22.
strategies for advocating with women for a variety of safe birth settings
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
Out of Hospital Birth
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Protocols Laws and Regulations AP Provision of Care
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
IP Provision of Care IP Risk Screening 23.
the purpose and role of national and local midwifery organization
Protocols Laws and Regulations
Professional Behaviors. The midwife: 24.
is responsible and accountable for clinical decisions and actions
Out of Hospital Birth Protocols Laws and Regulations
13
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
25.
acts consistently in accordance with professional ethics, values and human rights as defined by national and local professional midwifery organizations
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
Ethics
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Protocols Laws and Regulations Communication and Counseling
26.
27.
acts consistently in accordance with standards of practice as defined by national and local professional midwifery organizations
Ethics
maintains and updates knowledge and skills, in order to remain current in practice
Ethics
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
Protocols Laws and Regulations
Protocols Laws and Regulations
14
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
28.
uses standard/universal precautions, infection prevention and control strategies, and clean technique
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
WW Diagnostic Labs
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
WW Physical Assessment AP Basic Skills IP Basic Skills PP Basic Skills
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
NB Basic Skills PP Complications PP Diagnostic Labs 29.
behaves in a courteous, nonjudgmental, non-discriminatory, and culturally appropriate manner with all clients
Cultural Issues Communication and Counseling Ethics Protocols Laws and Regulations
15
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
30.
is respectful of individuals and of their culture and customs, regardless of socioeconomic status, race, ethnic origin, sexual orientation, gender, physical ability, cognitive ability, or religious belief
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
Cultural Issues
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Communication and Counseling Ethics Protocols Laws and Regulations
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
Human Sexuality WW Provision of Care WW Physical Assessment AP Provision of Care IP Provision of Care PP Provision of Care NB Provision of Care
16
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
31.
maintains the confidentiality of all information shared by the woman; communicates essential information between/among other health providers or family members only with explicit permission from the woman and in situations of compelling need
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
Ethics
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Protocols Laws and Regulations Communication and Counseling
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
NB Observation and Charting WW Provision of Care
17
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
32.
uses shared decision-making in partnership with women and their families; enables and supports them in making informed choices about their health, including the need or desire for referral or transfer to other health care providers or facilities for continued care when health care needs exceed the abilities of the midwife provider and their right to refuse testing or intervention
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
Ethics
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Protocols Laws and Regulations Communication and Counseling
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
WW Provision of Care WW Diagnostic Labs WW Observation and Charting WW Family Planning AP Provision of Care IP Complications IP Provision of Care PP Basic Skills PP Provision of Care PP Diagnostic Labs 18
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
33.
works collaboratively with other health care workers to improve the delivery of services to women and families
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
Ethics
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Out of Hospital Birth Protocols Laws and Regulations
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
Communication and Counseling WW Provision of Care WW Diagnostic Labs WW Observation and Charting AP Risk Screening AP Provision of Care IP Provision of Care PP Basic Skills PP Risk Screening 19
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
34.
follows appropriate protocol and Ethics etiquette for transport/ transfer of care of the mother or newborn from home or Out of Hospital birth center to the hospital during Birth pregnancy, in labor, or postpartum Protocols Laws and Regulations
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
WW Diagnostic Labs AP Risk Screening AP Provision of Care IP Provision of Care PP Basic Skills PP Risk Screening 35.
provides opportunity for client feedback Ethics Protocols Laws and Regulations
The midwife has the skill and/or ability to... 20
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
36.
engage in health education discussions with and for women and their families
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
How is competency in this skill documented? (Skills/abilities only)
Ethics
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Clinical Competency AssessmePlease see Competency Assessment Explanation Documentnt Document
Protocols Communication and Counseling Laws and Regulations
Where is this documentatio n kept? (Skills/ abilities only)
WW Family Planning AP Provision of Care Perinatal Ed IP Provision of Care PP Provision of Care NB Provision of Care PP Complications Cultural Issues
21
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
37.
use appropriate communication and listening skills across all domains of competency
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
How is competency in this skill documented? (Skills/abilities only)
Ethics
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
Protocols Communication and Counseling Laws and Regulations
Where is this documentatio n kept? (Skills/ abilities only)
AP Provision of Care 38.
assemble, use, and maintain equipment and supplies appropriate to setting of practice
Out of Hospital Birth Protocols Laws and Regulations AP Basic Skills IP Basic Skills PP Basic Skills NB Basic Skills
22
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
39.
document and interpret relevant findings for services provided across all domains of competency, including what was done and what needs follow-up according to current best practices
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
How is competency in this skill documented? (Skills/abilities only)
Protocols
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
Laws and Regulations WW Observation and Charting AP Observation and Charting
Where is this documentatio n kept? (Skills/ abilities only)
IP Observation and Charting PP Observation and Charting NB Observation and Charting Statistics 40.
comply with all local regulations for birth and death registration, mandatory reporting for physical abuse, and infectious disease reporting
Protocols Laws and Regulations
23
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
41.
42.
take a leadership role in the practice arena based on professional beliefs and values
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
How is competency in this skill documented? (Skills/abilities only)
Out of Hospital Birth
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
Protocols
Where is this documentatio n kept? (Skills/ abilities only)
assume administration and management tasks and activities, including but not limited to: a.
b.
compliance with privacy and protected health information regulations (i.e., HIPAA compliance)
Laws and Regulations AP Observation and Charting
compliance with work place safety WW Diagnostic Labs regulations (i.e., OSHA compliance) AP Basic Skills IP Basic Skills PP Basic Skills
Additional Skills (Not Required). The midwife may:
24
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
NOTE: Additional Skills are not required for graduation from a MEAC-accredited program or institution. Rather, the International Confederation of Midwives has defined these skills for midwives who elect to engage in a broader scope of practice and for midwives who may be required to have certain skills to make the difference in maternal and neonatal outcomes in their country.
43.
assume administration and management tasks and activities, including but not limited to:
a.
quality control
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
Statistics Business and Professional Communications
b.
human resource management
Business and Professional Communications
c.
third party billing
Business and Professional Communications
d.
business practices appropriate for level of health facility and midwifery scope of practice
Business and Professional Communications 25
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
44.
take a leadership role in policy arenas
Where taught in the curriculum?
Method(s) used to assess student achievement of this competency. Please list final, summative assessment only.
How is competency in this skill documented? (Skills/abilities only)
Protocols
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
Where is this documentatio n kept? (Skills/ abilities only)
26
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
2 | COMPETENCY IN PRE-PREGNANCY CARE AND FAMILY PLANNING Midwives provide high quality, culturally sensitive health education and services to all in the community in order to promote healthy family life, planned pregnancies, and positive parenting.
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
The midwife has the knowledge and/or understanding of... 1.
growth and development related to sexuality, sexual development and sexual activity
Human Sexuality
2.
female and male anatomy and physiology related to conception and reproduction
Human Sexuality
3.
cultural norms and practices Cultural Issues surrounding sexuality, sexual practices, marriage and childbearing Human Sexuality
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
27
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
4.
components of a health history, family history and relevant genetic history
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
WW Risk Screening
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
WW Provision of Care WW Observation and Charting Genetic Screening
5.
physical examination content and investigative laboratory studies that evaluate potential for a healthy pregnancy
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
WW Physical Assessment
28
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
6.
health education content targeted to sexual and reproductive health (e.g., sexually transmitted infections, HIV, newborn and child health)
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
Human Sexuality
Please see Competency WW Risk Screening Assessment Examples WW Observation Document for a and Charting full description of methods for WW Family Planning assessing student achievement WW Pharmacology WW Provision of Care Perinatal Education NB Risk Screening NB Basic Skills NB Provision of Care
7.
basic principles of pharmacokinetics of family planning drugs and agents
WW Pharmacology
8.
natural family planning methods
WW Family Planning
29
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
9.
all currently available methods of family planning, including medical eligibility criteria and appropriate timeframes for method use
WW Family Planning Please see Competency WW Diagnostic Labs Assessment Examples WW Pharmacology Document for a full description of WW Observation methods for and Charting assessing student achievement WW Provision of Care
10.
methods and strategies for guiding women and/or couples needing to make decisions about methods of family planning
WW Family Planning
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
WW Diagnostic Labs WW Pharmacology WW Observation and Charting
11.
signs and symptoms of urinary tract infection and sexually transmitted infections commonly occurring in the community/country
WW Physical Assessment
30
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
12.
indicators of common acute and chronic disease conditions specific to a geographic area of the world that present risks to a pregnant woman and the fetus (e.g., HIV, TB, malaria) and referral process for further testing and treatment including post-exposure preventive treatment
AP Provision of Care Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
13.
indicators and methods for advising and referral of dysfunctional interpersonal relationships, including sexual problems, gender-based violence, emotional abuse and physical neglect
Human Sexuality
principles of screening methods for cervical cancer, (e.g., Pap test, and colposcopy) and interpretation of test results
WW Provision of Care
14.
How is competency in this skill documented? (Skills/abilities only)
Where is this documentatio n kept? (Skills/ abilities only)
WW Provision of Care WW Risk Screening
WW Risk Screening WW Diagnostic Labs
The midwife has the skill and/or ability to:
31
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
15.
take a comprehensive health and WW Risk Screening obstetric, gynecologic and reproductive health history WW Provision of Care WW Observation and Charting
16.
engage the woman and her family in WW Diagnostic Labs preconception counseling, based on the individual situation, needs and interests
17.
perform a physical examination, including clinical breast examination, focused on the presenting condition of the woman
WW Physical Assessment
order and/or perform and interpret laboratory tests used in providing well woman care including, but not limited to: CBC, thyroid function tests, urinalysis, chemistry panels
WW Diagnostic Labs
18.
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
Where is this documentatio n kept? (Skills/ abilities only)
WW Observation and Charting
WW Observation and Charting
32
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
19.
request and/or perform and interpret selected screening tests including, but not limited to: screening for HIV, STIs, and PAP tests
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
WW Diagnostic Labs
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
WW Physical Assessment WW Observation and Charting Antepartum Basic Skills
20.
provide collaborative care, support and referral for treatment for the HIV positive woman and HIV counseling and testing for women who do not know their status (however authorized to do so in the jurisdiction of practice)
Human Sexuality
21.
dispense, furnish or administer (however authorized to do so in the jurisdiction of practice) locally available and culturally acceptable methods of family planning
WW Provision of Care
22.
advise women about management of side effects and problems with use of family planning methods
WW Pharmacology
Where is this documentatio n kept? (Skills/ abilities only)
WW Provision of Care WW Diagnostic Labs
33
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
23.
take and order cervical cytology(Pap) test
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
WW Physical Assessment
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
WW Observation and Charting AP Basic Skills
24.
use the microscope to perform simple screening tests including, but not limited to: amniotic fluid ferning, candida, trichomonas, and bacterial vaginosis
Where is this documentatio n kept? (Skills/ abilities only)
WW Diagnostic Labs (Amniotic Fluid ferning found in AP and IP)
Additional Skills (Not Required). The midwife may: NOTE: Additional Skills are not required for graduation from a MEAC-accredited program or institution. Rather, the International Confederation of Midwives has defined these skills for midwives who elect to engage in a broader scope of practice and for midwives who may be required to have certain skills to make the difference in maternal and neonatal outcomes in their country.
25.
insert and remove intrauterine contraceptive devices
26.
insert and remove contraceptive implants
34
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
27.
perform acetic acid visualization of the cervix and interpret the need for referral and treatment
28.
perform colposcopy for cervical cancer screening and interpret the need for referral and treatment
29.
dispense, furnish or administer (however authorized to do so in the jurisdiction of practice) emergency contraception medications, in accord with local policies, protocols, law or regulation
30.
provide commonly available methods of barrier, steroidal, mechanical, and chemical methods of family planning
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
Where is this documentatio n kept? (Skills/ abilities only)
3 | COMPETENCY IN PROVISION OF CARE DURING PREGNANCY Midwives provide high quality antenatal care to maximize health during pregnancy and that includes early detection and treatment or referral of selected complications.
35
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
The midwife has the knowledge and/or understanding of... 1.
anatomy and physiology of the human body
Anatomy and Physiology
2.
the biology of human reproduction, the menstrual cycle, and the process of conception
Anatomy and Physiology
3.
the growth and development of the unborn baby
AP Provision of Care
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Fetal Development 4.
signs and symptoms of pregnancy
AP Physical Assessment AP Provision of Care
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
36
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
5.
examinations and tests for confirmation of pregnancy
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
AP Physical Assessment AP Diagnostic Labs
6.
signs and symptoms and methods for diagnosis of an ectopic pregnancy
AP Complications
principles of dating pregnancy by menstrual history, size of uterus, fundal growth patterns and use of ultrasound
AP Basic Skills
8.
components of a health history and focused physical examination for antenatal visits
AP Basic Skills
9.
manifestations of various degrees of female genital mutilation (cutting) and their potential effects on women’s health, including the birth process
AP Risk Screening
10.
factors involved in decisions relating to unintended or mistimed pregnancies
AP Provision of Care
7.
AP Diagnostic Labs
AP Diagnostic Labs Please see Competency AP Risk Screening Assessment Examples AP Provision of Document for a Care full description of methods for AP Observation and assessing student Charting achievement
37
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
11.
all currently available methods of therapeutic abortion (TAB) and their medical eligibility criteria
AP Provision of Care
12.
pharmacotherapeutic basics of drugs recommended for use in medical abortion
AP Pharmacology
13.
principles of uterine evacuation via manual vacuum aspiration (MVA)
AP Provision of Care
14.
normal findings [results] of basic screening laboratory tests including, but not limited to:
AP Provision of Care
a.
AP Provision of Care
routine pregnancy bloodwork
AP Diagnostic Labs
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
AP Diagnostic Labs b.
urine dipstick
AP Provision of Care
c.
fetal screening (i.e., genetic testing, biophysical profile, 1st and 2nd trimester screen, NST, U/S)
AP Diagnostic Labs Genetic Screening 38
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
d.
glucose tolerance screen
AP Diagnostic Labs
e.
pre-eclampsia screening tests
AP Diagnostic Labs
f.
GBS vaginal/rectal culture
AP Diagnostic Labs
15.
normal progression of pregnancy: body AP Physical changes, common discomforts, expected Assessment fundal growth patterns, weight gain AP Provision of Care
16.
implications of deviation from expected fundal growth patterns, including intrauterine growth retardation/ restriction, oligo- and polyhydramnios, multiple fetuses
AP Complications
fetal risk factors requiring transfer of women to higher levels of care prior to labor and birth
AP Complications
17.
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
AP Provision of Care AP Diagnostic Labs
AP Provision of Care AP Diagnostic Labs
39
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
18.
19.
20.
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
normal psychological changes in pregnancy, indicators of psychosocial stress, and impact of pregnancy on the woman and the family
AP Risk Screening
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
safe, locally available nonpharmacological methods for the relief of common discomforts of pregnancy
AP Provision of Care
AP Nutrition AP Provision of Care
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
AP Pharmacology
how to determine fetal well-being during AP Provision of pregnancy including fetal heart rate and Care activity patterns, amniocentesis and ultrasound technology AP Diagnostic Labs Genetic Screening
21.
components of a healthy diet and the AP Risk Screening nutritional requirements of the pregnant woman and fetus, including the AP Nutrition appropriate use of vitamin and mineral supplements AP Provision of Care
40
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
22.
health education needs in pregnancy AP Provision of (e.g., information about relief of Care common discomforts, hygiene, sexuality, work inside and outside the home)
23.
basic principles of pharmacokinetics of drugs prescribed, dispensed or furnished to women during pregnancy
AP Pharmacology
24.
effects of prescribed medications, ultrasound, street drugs, traditional medicines, and over-the-counter drugs on pregnancy and the fetus
AP Risk Screening
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
AP Provision of Care AP Observation and Charting AP Pharmacology NB Risk Screening Genetic Screening
41
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
25.
effects of smoking, alcohol abuse and illicit drug use on the pregnant woman and fetus
26.
effects of environmental exposures, AP Risk Screening food-borne illnesses, or certain activities on the pregnant woman and fetus, (e.g., AP Provision of heavy metals, listeriosis, pesticides, Care food additives, saunas, toxoplasmosis) AP Observation and Charting
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
AP Provision of Care
Please see Competency Assessment AP Observation and Examples Charting Document for a full description of Newborn Risk methods for Screening assessing student achievement
Genetic Screening 27.
28.
the essential elements of birth planning (preparation for labor and birth, emergency preparedness)
AP Provision of Care
the physical preparation for labor
AP Provision of Care
Perinatal Education
Perinatal Education
42
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
29.
the components of preparation of the home/family for the newborn
30.
signs and symptoms of the onset of labor AP Provision of (including women’s perceptions and Care symptoms)
31.
techniques for increasing relaxation and pain relief measures available for labor
AP Provision of Care
32.
signs, symptoms and potential effects of conditions that are life- threatening to the pregnant woman and/or her fetus, including but not limited to:
AP Physical Assessment
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
AP Provision of Care
Please see Competency Assessment Perinatal Education Examples Document for a full description of methods for assessing student achievement
AP Complications AP Provision of Care AP Diagnostic Labs
43
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
a.
pre-eclampsia/eclampsia
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
AP Basic Skills
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
AP Physical Assessment AP Complications
b.
vaginal bleeding
AP Complications
c.
premature labor
AP Complications
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
IP Complications IP Diagnostic Labs d.
Rh isoimmunisation
AP Complications AP Diagnostic Labs
e.
syphilis
AP Complications AP Diagnostic Labs
33.
means and methods of advising about care, treatment and support for the HIV positive pregnant woman including measures to prevent maternal-to-child transmission (PMTCT) (including feeding options)
AP Complications AP Diagnostic Labs
44
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
34.
signs, symptoms and indications for AP Complications referral of selected complications and conditions of pregnancy that affect AP Provision of either mother or fetus, including but not Care limited to: AP Diagnostic Labs
a.
anemia
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
AP Provision of Care AP Diagnostic Labs
b.
asthma
AP Provision of Care
c.
HIV infection
AP Complications AP Diagnostic Labs
d.
thyroid disorders
AP Physical Assessment
e.
diabetes
AP Complications AP Diagnostic Labs
f.
cardiac conditions
AP Complications
g.
malpresentations/abnormal lie
AP Complications 45
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)? Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
h.
placental disorders
AP Complications
i.
pre-term labor
AP Complications
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
AP Diagnostic Labs IP Complications j.
post-dates pregnancy
AP Complications AP Diagnostic Labs
k.
Hydatidiform mole
AP Complications AP Diagnostic Labs
35.
the prenatal methods for encouraging optimal positioning at term, including external manual version
AP Complications AP Provision of Care
46
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
36.
the physiology of lactation and methods to prepare women for breastfeeding
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
AP Provision of Care
Please see Competency Assessment Perinatal Education Examples Document for a full description of methods for assessing student achievement
The midwife has the skill and/or ability to... 37.
take an initial history and perform ongoing history each antenatal visit
AP Basic Skills AP Risk Screening AP Provision of Care
Please see Competency Assessment Explanation Document
AP Observation and Charting 38.
perform a complete physical examination and explain findings to the woman
AP Basic Skills AP Risk Screening AP Physical Assessment AP Observation and Charting 47
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
39.
take and assess maternal vital signs including temperature, blood pressure, pulse
40.
draw blood and collect urine and vaginal AP Basic Skills culture specimens for laboratory testing
41.
assess maternal nutrition and its relationship to fetal growth; give appropriate advice on nutritional requirements of pregnancy and how to achieve them
AP Nutrition
perform a complete abdominal assessment including measuring fundal height, lie, position, and presentation
AP Basic Skills
assess fetal growth using manual measurements
AP Physical Assessment
42.
43.
AP Basic Skills
Method used to assess student achievement of this competency (final, summative assessment only)?
Please see Competency AP Physical Assessment Assessment Examples Document for a AP Observation and full description of Charting methods for assessing student achievement
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency Assessment Explanation Document
AP Provision of Care Perinatal Education
AP Physical Assessment
AP Provision of Care
48
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
evaluate fetal growth, placental location, and amniotic fluid volume using manual measurements or techniques, and by referring for ultrasound visualization and measurement
AP Physical Assessment
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
45.
listen to the fetal heart rate; palpate uterus for fetal activity and interpret findings
AP Basic Skills
46.
monitor fetal heart rate with Doppler
AP Basic Skills
47.
perform a pelvic examination, including sizing the uterus, if indicated and when appropriate during the course of pregnancy
AP Basic Skills
44.
AP Provision of Care AP Diagnostic Labs
Where is this documentation kept? (Skills/ abilities only)
AP Physical Assessment AP Observation and Charting
49
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
48.
perform clinical pelvimetry [evaluation of bony pelvis] to determine the adequacy of the bony structures
AP Physical Assessment
49.
calculate the estimated date of birth and assess gestational period through query about LMP, bimanual exam, and/or urine pregnancy testing
AP Basic Skills
50.
provide health education to adolescents, AP Provision of women and families about normal Care pregnancy progression, danger signs and symptoms, and when and how to contact Perinatal Education the midwife
51.
teach and/or demonstrate measures to decrease common discomforts of pregnancy
AP Provision of Care
provide guidance and basic preparation for labor, birth and parenting
AP Provision of Care
52.
Method used to assess student achievement of this competency (final, summative assessment only)?
Please see Competency Assessment AP Observation and Examples Charting Document for a full description of methods for assessing student achievement
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency Assessment Explanation Document
Perinatal Education
Perinatal Education
50
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
53.
provide education regarding avoidance of potentially harmful environmental exposures, food-borne illnesses or activities
AP Provision of Care
54.
identify variations during the course of the pregnancy and institute appropriate first-line independent or collaborative management based upon evidence-based guidelines, local standards and available resources for:
AP Risk Screening
Where is this documentation kept? (Skills/ abilities only)
AP Physical Assessment AP Complications AP Provision of Care
a.
low and or inadequate maternal AP Physical nutrition, including eating disorders Assessment and pica AP Nutrition
b.
anemia
AP Physical Assessment AP Nutrition AP Complications 51
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
c.
ectopic pregnancy
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
AP Complications
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
AP Diagnostic Labs
d.
hyperemesis
AP Complications
e.
genital herpes
AP Complications
Where is this documentation kept? (Skills/ abilities only)
AP Diagnostic Labs f.
inadequate or excessive uterine growth, including suspected oligoor polyhydramnios, molar pregnancy
AP Complications
g.
gestational diabetes
AP Complications
h.
insufficient cervix
AP Complications
i.
elevated blood pressure, AP Complications proteinuria, presence of significant edema, severe frontal headaches, visual changes, epigastric pain associated with elevated blood pressure
52
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
j.
vaginal bleeding (with or without cramping)
AP Complications
k.
multiple gestation, abnormal lie/ malpresentation at term
AP Complications
l.
intrauterine fetal death
AP Complications
m.
rupture of membranes prior to term
AP Complications
Where is this documentation kept? (Skills/ abilities only)
IP Complications IP Pharmacology
n.
post term pregnancy
AP Complications AP Diagnostic Labs
o.
exposure to or contraction of infectious disease (e.g. HIV, Hep B & C, Varicella, Rubella, cytomegalovirus)
AP Complications AP Provision of Care AP Diagnostic Labs 53
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
p.
GBS positive vaginal rectal culture
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
AP Complications
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
AP Diagnostic Labs
q.
Toxoplasmosis
Where is this documentation kept? (Skills/ abilities only)
AP Complications AP Diagnostic Labs
r. 55.
Depression
identify deviations from normal during the course of pregnancy and initiate the referral process for conditions that require higher levels of intervention
AP Complications AP Physical Assessment AP Complications AP Diagnostic Labs
56.
inform women who are considering AP Provision of therapeutic abortion about available Care services for those keeping the pregnancy and for those proceeding with abortion, methods for obtaining therapeutic abortion, and to support women in their choice
54
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
57.
dispense, furnish or administer (however AP Provision of authorized to do so in the jurisdiction of Care practice) selected, life-saving drugs (e.g., antibiotics, anticonvulsants, AP Pharmacology antimalarials, antihypertensives, antiretrovirals) to women in need because of a presenting condition
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
58.
provide individualized care according to the needs and desires of each woman
Where is this documentation kept? (Skills/ abilities only)
AP Provision of Care AP Observation and Charting
Additional Skills (Not Required). The midwife may: NOTE: Additional Skills are not required for graduation from a MEAC-accredited program or institution. Rather, the International Confederation of Midwives has defined these skills for midwives who elect to engage in a broader scope of practice and for midwives who may be required to have certain skills to make the difference in maternal and neonatal outcomes in their country.
59.
measures for prevention and control of malaria in pregnancy, according to country disease pattern, including intermittent preventive treatment (IPT) and promotion of insecticide treated bed nets (ITN)
60.
pharmacologic basis of de-worming in pregnancy (if relevant to the country of practice) 55
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
61.
perform external version of the fetus presenting breech or transverse
Method used to assess student achievement of this competency (final, summative assessment only)?
How is competency in this skill documented? (Skills/abilities only)
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
Where is this documentation kept? (Skills/ abilities only)
4 | COMPETENCY IN PROVISION OF CARE DURING LABOR AND BIRTH Midwives provide high quality, culturally sensitive care during labor, conduct a clean and safe birth and handle selected emergency situations to maximize the health of women and their newborns. Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
The midwife has the knowledge and/or understanding of...
56
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
1.
physiology of first, second and third stages of labor
IP Provision of Care Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
2.
anatomy of fetal skull, critical diameters and landmarks
IP Physical Assessment
3.
psychological and cultural aspects of labor and birth
IP Provision of Care
indicators of the latent phase and the onset of active labor
IP Physical Assessment
4.
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
IP Risk Screening
IP Provision of Care IP Basic Skills IP Risk Screening
57
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
5.
indications for stimulation of the onset of labor, and augmentation of uterine contractility
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
IP Physical Assessment
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
IP Complications IP Basic Skills
6.
normal progression of labor
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
IP Physical Assessment IP Provision of Care IP Basic Skills IP Risk Screening
7.
how to use the partograph (ie., complete the record, interpret information to determine timely and appropriate labor management
IP Provision of Care
58
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
8.
measures to assess fetal well-being in labor
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
IP Physical Assessment
Please see Competency Assessment IP Complications Examples Document for a IP Provision of Care full description of methods for IP Basic Skills assessing student achievement IP Risk Screening IP Diagnostic Labs
9.
measures to assess maternal well-being in labor
IP Physical Assessment IP Complications IP Provision of Care IP Basic Skills IP Risk Screening IP Diagnostic Labs
59
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
10.
process of fetal passage [descent] through the pelvis during labor and birth; mechanisms of labor in various fetal presentations and positions
IP Physical Assessment
11.
comfort measures in first and second stages of labor (e.g., family presence/ assistance, positioning for labor and birth, hydration, emotional support, non-pharmacological methods of pain relief)
IP Provision of Care
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency Assessment IP Provision of Care Examples Document for a IP Risk Screening full description of methods for assessing student achievement
IP Basic Skills IP Risk Screening IP Pharmacology IP Diagnostic Labs
12.
pharmacological measures for management and control of labor pain, including the relative risks, disadvantages, safety of specific methods of pain management, and their effect on the normal physiology of labor
IP Provision of Care IP Pharmacology IP Diagnostic Labs
60
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
13.
signs and symptoms of complications in labor, including but not limited to:
IP Complications
a.
IP Basic Skills
bleeding
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency IP Provision of Care Assessment Examples IP Risk Screening Document for a full description of methods for assessing student achievement
IP Risk Screening b.
labor arrest or dysfunction
IP Complications IP Provision of Care IP Risk Screening
c.
malpresentation
IP Physical Assessment IP Risk Screening
d.
eclampsia
IP Risk Screening
61
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
e.
maternal distress
IP Complications
f.
fetal distress
IP Complications
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency IP Provision of Care Assessment Examples IP Diagnostic Labs Document for a full description of IP Basic Skills methods for assessing student achievement
IP Provision of Care IP Risk Screening IP Basic Skills g.
infection
IP Complications IP Diagnostic Labs IP Basic Skills
h. 14.
prolapsed cord
IP Complications
the benefits, risks, criteria for risk IP Complications assessment, and midwifery management of vaginal birth after a cesarean IP Risk Screening
62
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only) Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
15.
indicators, risk factors, special needs and prenatal management of the pregnant woman with a multiple gestation
AP Provision of Care
16.
principles of prevention of pelvic floor damage and perineal tears
IP Provision of Care
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
IP Basic Skills IP Risk Screening
17.
indications for performing an episiotomy IP Provision of Care IP Basic Skills
18.
19.
20.
principles of expectant (physiologic) management of the 3rd stage of labor
IP Provision of Care
principles of active management of 3rd stage of labor
IP Provision of Care
principles underpinning the technique for repair of perineal tears and episiotomy
IP Provision of Care
IP Basic Skills
IP Basic Skills
IP Basic Skills
63
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
21.
indicators of need for emergency IP Complications management, referral or transfer for obstetric emergencies, including but not IP Risk Screening limited to: cord prolapse, shoulder dystocia, placental abruption, uterine IP Pharmacology rupture, uterine bleeding, retained placenta
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
22.
indicators of need for operative deliveries, vacuum extraction, use of forceps, including but not limited to fetal distress and cephalo-pelvic disproportion
IP Risk Screening
Indicators of need for and appropriate administration of the following pharmacologic agents: lidocaine/ xylocaine for suturing, oxygen, methergine, Pitocin for postpartum hemorrhage, rhogam, vitamin K, antibiotics for group B strep prophylaxis, IV fluids, newborn eye prophylaxis
IP Pharmacology
23.
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
NB Risk Screening
PP Basic Skills PP Complications PP Pharmacology PP Diagnostic Labs NB Pharmacology
The midwife has the skill and/or ability to...
64
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
24.
take a specific history and maternal vital signs in labor
IP Risk Screening Please see IP Provision of Care Competency Assessment Examples Document for a full description of methods for assessing student achievement
25.
perform a focused physical examination in labor
IP Provision of Care
26.
perform a complete abdominal assessment for fetal position and descent
IP Physical Assessment
27.
time and assess the effectiveness of uterine contractions
IP Physical Assessment
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency Assessment Explanation Document
IP Provision of Care IP Basic Skills IP Risk Screening IP Diagnostic Labs
65
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
28.
perform a complete and accurate pelvic examination for dilatation, effacement, descent, presenting part, position, status of membranes, and adequacy of pelvis for birth of baby vaginally
IP Physical Assessment
29.
monitor and chart progress of labor
IP Diagnostic Labs
Method used to assess student achievement of this competency (final, summative assessment only)
Please see Competency Assessment IP Provision of Care Examples Document for a IP Basic Skills full description of methods for IP Risk Screening assessing student achievement IP Diagnostic Labs
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency Assessment Explanation Document
IP Observation and Charting 30.
provide physical and psychological support for woman and family and promote normal birth, including encouragement of adequate rest and sleep
IP Complications IP Provision of Care IP Basic Skills IP Risk Screening IP Pharmacology
31.
facilitate the presence of a support person during labor and birth
IP Complications IP Provision of Care
66
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
32.
provide adequate hydration, nutrition and non-pharmacological comfort measures during labor and birth
IP Physical Assessment
33.
provide for bladder care including performance of urinary catheterization when indicated
IP Provision of Care
Method used to assess student achievement of this competency (final, summative assessment only)
Please see Competency Assessment IP Provision of Care Examples Document for a IP Basic Skills full description of methods for IP Pharmacology assessing student achievement IP Diagnostic Labs
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency Assessment Explanation Document
IP Basic Skills IP Diagnostic Labs PP Basic Skills PP Risk Screening
67
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
34.
promptly identify abnormal labor patterns or progress and initiate appropriate and timely intervention and/or referral, including but not limited to: OP position, asyclitism, pendulous abdomen, maternal exhaustion/ dehydration)
IP Physical Assessment
Method used to assess student achievement of this competency (final, summative assessment only)
Please see Competency Assessment IP Complications Examples Document for a IP Provision of Care full description of methods for IP Basic Skills assessing student achievement IP Risk Screening
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency Assessment Explanation Document
IP Pharmacology 35.
stimulate or augment uterine contractility, using non-pharmacologic agents
IP Complications IP Basic Skills IP Pharmacology
36.
37.
administer local anaesthetic to the perineum when episiotomy is anticipated or perineal repair is required
PP Basic Skills
perform an episiotomy if needed
IP Provision of Care
PP Pharmacology
IP Basic Skills 38.
perform appropriate hand maneuvers for IP Provision of Care a vertex birth IP Basic Skills
68
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
39.
perform appropriate hand maneuvers for IP Provision of Care Please see face and breech deliveries Competency IP Basic Skills Assessment Examples IP Complications Document for a full description of methods for assessing student achievement
40.
manage the birth of multiples
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency Assessment Explanation Document
IP Basic Skills IP Complications
41.
42.
Recognize the various severities of meconium stained amniotic fluid and perform suctioning of the airway as appropriate
IP Complications
clamp and cut the cord
PP Basic Skills
IP Basic Skills IP Risk Screening
NB Basic Skills 43.
institute immediate, life-saving interventions in obstetrical emergencies to save the life of the fetus while requesting medical attention and/or awaiting transfer, including but not limited to:
69
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
44.
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/abilities only)
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
a.
prolapsed cord
IP Complications
b.
placental abruption
IP Complications
c.
uterine rupture
IP Complications
d.
malpresentation
IP Complications
e.
shoulder dystocia
IP Complications
f.
fetal distress
IP Complications
manage a nuchal cord or arm at birth
Where is this documentation kept? (Skills/ abilities only)
IP Complications IP Basic Skills IP Risk Screening
70
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
45.
support expectant (physiologic) management of the 3rd stage of labor
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/abilities only)
PP Basic Skills
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
PP Provision of Care
46.
assess the need for, and conduct, active PP Basic Skills management of the third stage of labor, following the most current evidencePP Provision of based protocol Care
47.
inspect the placenta and membranes for PP Basic Skills completeness PP Provision of Care
Where is this documentation kept? (Skills/ abilities only)
PP Complications 48.
perform fundal massage to stimulate postpartum uterine contraction and uterine tone
PP Basic Skills PP Complications
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
49.
provide a safe environment for mother and infant to promote attachment (bonding)
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/abilities only)
PP Provision of Care
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
PP Complications NB Provision of Care
50.
estimate and record maternal blood loss
Where is this documentation kept? (Skills/ abilities only)
PP Basic Skills PP Complications
51.
inspect the vagina and cervix for lacerations
IP Provision of Care PP Basic Skills PP Complications
52.
repair an episiotomy if needed
IP Provision of Care PP Basic Skills PP Complications
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
53.
repair 1st and 2nd degree perineal or vaginal lacerations
IP Provision of Care Please see Competency PP Basic Skills Assessment Examples PP Complications Document for a full description of methods for assessing student achievement
54.
manage postpartum bleeding and hemorrhage, using appropriate techniques and uterotonic agents as indicated
PP Basic Skills
How is competency in this skill documented? (Skills/abilities only)
Where is this documentation kept? (Skills/ abilities only)
Please see Competency Assessment Explanation Document
PP Risk Screening PP Complications PP Pharmacology
55.
dispense, furnish or administer (however IP Basic Skills authorized to do so in the jurisdiction of practice) selected, life-saving drugs, IP Pharmacology including antibiotics and antihemorrhagics, to women in need PP Complications because of a presenting condition PP Pharmacology
56.
perform manual removal of placenta
PP Basic Skills PP Complications
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/abilities only)
perform internal and external bimanual compression of the uterus to control hemorrhage
PP Basic Skills
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
58.
perform aortic compression
PP Complications
59.
identify and manage shock
IP Basic Skills
57.
PP Complications
Where is this documentation kept? (Skills/ abilities only)
PP Risk Screening PP Complications PP Pharmacology 60.
insert intravenous line and administer fluids, draw blood for laboratory testing
IP Basic Skills IP Pharmacology IP IV Therapy PP Complications PP Pharmacology
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/abilities only)
61.
arrange for and undertake timely IP Complications referral and transfer of women with serious complications to a higher level PP Basic Skills health facility, taking appropriate drugs and equipment and arranging for a PP Complications companion care giver on the journey, in order to continue giving emergency care as required
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
62.
perform adult cardio-pulmonary resuscitation
Where is this documentation kept? (Skills/ abilities only)
PP Complications
Additional Skills (Not Required). The midwife may: NOTE: Additional Skills are not required for graduation from a MEAC-accredited program or institution. Rather, the International Confederation of Midwives has defined these skills for midwives who elect to engage in a broader scope of practice and for midwives who may be required to have certain skills to make the difference in maternal and neonatal outcomes in their country.
63.
identify and repair cervical lacerations
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
5 | COMPETENCY IN PROVISION OF CARE FOR WOMEN DURING THE POSPARTUM PERIOD Midwives provide comprehensive, high quality, culturally sensitive postpartum care for women. Where taught in the curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/ abilities only)
Where is this documentation kept? (Skills/ abilities only)
The midwife has the knowledge and/or understanding of... 1.
physical and emotional changes that occur following childbirth, including the normal process of involution
PP Basic Skills PP Risk Screening PP Physical Assessment PP Provision of Care PP Complications
2.
the normal process of involution and PP Provision of Care physical and emotional healing following SAB or TAB
3.
signs and symptoms of sub-involution and/or incomplete SAB or TAB (e.g., persistent uterine bleeding)
PP Complications
4.
signs and symptoms of SAB or TAB complications and life threatening conditions (e.g., persistent vaginal bleeding, infection)
PP Complications
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
5.
physiology and process of lactation and common variations including engorgement, lack of milk supply, etc.
PP Risk Screening PP Physical Assessment PP Provision of Care NB Basic Skills
6.
the importance of immediate/early/ exclusive breastfeeding for mother and child
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
PP Complications NB Provision of Care Perinatal Education
7.
8.
maternal nutrition, rest, activity and physiological needs (e.g., bowel and bladder) in the immediate postpartum period
PP Provision of Care
principles of parent-infant bonding and attachment (e.g., how to promote positive relationships)
PP Provision of Care
PP Pharmacology
PP Complications NB Provision of Care
9.
indicators of subinvolution (e.g., persistent uterine bleeding, infection)
PP Basic Skills PP Risk Screening PP Physical Assessment PP Complications
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
10.
indicators of maternal breastfeeding problems or complications, including mastitis
PP Risk Screening PP Provision of Care PP Complications PP Pharmacology PP Diagnostic Labs
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
NB Basic Skills NB Provision of Care 11.
signs and symptoms of life threatening PP Risk Screening conditions that may first arise during the postpartum period, including but not limited to: a.
persistent vaginal bleeding
PP Complications
b.
endometritis/sepsis
PP Physical Assessment PP Complications PP Diagnostic Labs
c.
postpartum pre-eclampsia and eclampsia
PP Physical Assessment
d.
embolism
IP Complications
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
12.
signs and symptoms of selected complications in the postnatal period including but not limited to:
PP Basic Skills PP Risk Screening PP Physical Assessment PP Complications PP Diagnostic Labs
a.
persistent anemia
IP Physical Assessment
b.
hematoma
IP Complications
c.
depression and other postpartum emotional disorders
PP Complications
d.
thrombophlebitis
PP Complications
e.
incontinence of feces or urine, cystocele/rectocele
PP Physical Assessment
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
PP Diagnostic Labs
PP Complications
13.
f.
urinary retention
PP Physical Assessment
g.
obstetric fistula
PP Complications
the unique postpartum course of recovery and care needs for the woman who gave birth by cesarean
PP Complications
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
14.
principles of interpersonal communication with and support for women and/or their families who are bereaved such as maternal death, stillbirth, pregnancy loss, neonatal death, congenital abnormalities, transport
PP Physical Assessment
15.
approaches and strategies for providing special support for adolescents, victims of gender- based violence (including rape)
Communication and Counseling
16.
principles of manual vacuum aspiration of the uterine cavity to remove retained products of conception
PP Complications
17.
principles of prevention of maternal to child transmission of HIV, tuberculosis, hepatitis B and C in the postpartum period
PP Complications
18.
methods of family planning appropriate for use in the immediate postpartum period, including but not limited to progestin-only oral contraceptives
PP Risk Screening
19.
care, information and support that is PP Provision of Care needed during and after SAB or TAB (physical and psychological) and services available in the community
20.
community-based postpartum services available to the woman and her family, and how they can be accessed
PP Provision of Care
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
PP Risk Screening
The midwife has the skill and/or ability to... 80
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
21.
take a selective history, including details PP Basic Skills of pregnancy, labor and birth
22.
perform a focused physical examination of the mother
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
PP Basic Skills PP Physical Assessment PP Diagnostic Labs
23.
provide information and support for women and/or their families who are bereaved (maternal death, stillbirth, pregnancy loss, neonatal death, congenital abnormalities)
PP Physical Assessment
24.
assess for uterine involution and healing of lacerations and/or repairs and educate on ways to promote healing
PP Risk Screening PP Physical Assessment PP Complications PP Diagnostic Labs
25.
provide postpartum care for the mother who gave birth by cesarean
PP Provision of Care
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
26.
initiate and support uninterrupted [immediate and exclusive]breastfeeding
PP Risk Screening PP Physical Assessment PP Provision of Care PP Pharmacology NB Basic Skills
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
NB Provision of Care 27.
teach mothers how to express breast milk, and how to handle and store expressed breast milk
Perinatal Education
28.
educate mother on care of self and infant after childbirth including signs and symptoms of impending complications, and community- based resources
PP Basic Skills PP Risk Screening PP Physical Assessment PP Provision of Care PP Complications NB Basic Skills NB Provision of Care Perinatal Education
29.
educate a woman and her family on sexuality and family planning following childbirth
PP Risk Screening PP Provision of Care
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
30.
provide appropriate and timely first-line treatment for any complications detected during the postpartum examination (e.g., anemia, hematoma, maternal infection), and refer for further management as necessary
PP Risk Screening
provide emergency treatment of late post-partum hemorrhage, and refer if necessary
PP Risk Screening
32.
provide education and guidance on exercise in the postpartum period, including Kegel exercises and abdominal muscle strengthening
PP Provision of Care
33.
educate and advise women (and family members, when appropriate), on sexuality and family planning post SAB and TAB
PP Provision of Care
34.
assess for uterine involution following a SAB or TAB; treat or refer as appropriate
PP Provision of Care
35.
educate mother on care of herself following a SAB or TAB, including rest and nutrition and how to identify complications such as hemorrhage
PP Provision of Care
31.
PP Complications PP Pharmacology PP Diagnostic Labs
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
PP Complications
Additional Skills (Not Required). The midwife may: NOTE: Additional Skills are not required for graduation from a MEAC-accredited program or institution. Rather, the International Confederation of Midwives has defined these skills for midwives who elect to engage in a broader scope of practice and for midwives who may be required to have certain skills to make the difference in maternal and neonatal outcomes in their country.
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
36.
provide family planning services concurrently as an integral component of postpartum care
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
6 | COMPETENCY IN POSTNATAL CARE OF THE NEWBORN
Midwives provide high quality, comprehensive care for the essentially healthy infant from birth to two months of age. Where taught in curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/ abilities only)
Where is this documentation kept? (Skills/ abilities only)
The midwife has the knowledge and/or understanding of... 1.
elements of assessment of the NB Risk Screening immediate and subsequent condition of newborn (e.g., APGAR scoring system for breathing, heart rate, reflexes, muscle tone and color)
2.
principles of newborn adaptation to extrauterine life (e.g., physiologic changes that occur in pulmonary and cardiac systems)
NB Provision of Care
3.
basic needs of newborn: established breathing, warmth, nutrition, attachment (bonding)
NB Basic Skills
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
NB Provision of Care
4.
advantages of various methods of NB Provision of Care newborn warming, including skin- to-skin contact
5.
methods and means of assessing the gestational age of a newborn
NB Physical Assessment
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in curriculum?
Method used to assess student achievement of this competency (final, summative assessment only) Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
6.
characteristics of low birth weight infants and their special needs
NB Physical Assessment
7.
characteristics of healthy newborn (appearance and behaviors)
NB Basic Skills
How is competency in this skill documented? (Skills/ abilities only)
Where is this documentation kept? (Skills/ abilities only)
NB Physical Assessment NB Provision of Care
8.
normal growth and development of the preterm infant
NB Physical Assessment
9.
normal newborn and infant growth and development
NB Physical Assessment
10.
selected variations in the normal newborn (e.g., caput, molding, Mongolian spots)
NB Physical Assessment
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
elements of health promotion and prevention of disease in newborns and infants (HIV, Hepatitis B & C), including essential elements of daily care (e.g., cord care, nutritional needs, patterns of elimination, care of the uncircumcised penis)
NB Risk Screening
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
12.
immunization needs, risks and benefits from infancy through young childhood
NB Provision of Care
13.
traditional or cultural practices related to the newborn
Cultural Issues
14.
principles of infant nutrition, feeding cues, and infant feeding options for babies (including those born to HIV positive mothers)
NB Risk Screening
11.
15.
NB Basic Skills NB Provision of Care
How is competency in this skill documented? (Skills/ abilities only)
Where is this documentation kept? (Skills/ abilities only)
NB Provision of Care
signs, symptoms, and indications for referral or transfer, for selected newborn complications, including but not limited to:
87
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
a.
respiratory distress
Where taught in curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
NB Basic Skills
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
NB Physical Assessment NB Complications NB Diagnostic Labs b.
meconium aspiration syndrome
NB Complications
c.
hypoxia
NB Diagnostic Labs
How is competency in this skill documented? (Skills/ abilities only)
Where is this documentation kept? (Skills/ abilities only)
NB Complications d.
jaundice
NB Basic Skills NB Complications NB Diagnostic Labs
e.
hematoma
NB Complications
f.
adverse molding of the fetal skull
NB Complications
g.
cerebral irritation (seizures)
NB Complications
h.
non-accidental injuries
NB Complications
i.
hemangioma
NB Complications
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
j.
hypoglycemia
Where taught in curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
NB Complications
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
NB Diagnostic Labs
k.
hypothermia
NB Complications
l.
hyperthermia
NB Complications
m.
dehydration
NB Complications
n.
infection
NB Complications
How is competency in this skill documented? (Skills/ abilities only)
Where is this documentation kept? (Skills/ abilities only)
NB Diagnostic Labs o.
congenital syphilis
NB Complications
p.
alcohol and drug withdrawal
NB Complications
q.
thrush
NB Provision of Care
r.
colic
NB Provision of Care
s.
birth anomalies
NB Complications
t.
failure to thrive
NB Complications
u.
vitamin K deficiency bleeding
NB Complications
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
v.
polycythemia
Where taught in curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
NB Complications
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
NB Diagnostic Labs
How is competency in this skill documented? (Skills/ abilities only)
Where is this documentation kept? (Skills/ abilities only)
The midwife has the skill and/or ability to... 16.
provide immediate care to the newborn, NB Basic Skills including drying, warming, ensuring that breathing is established, and cord NB Provision of Care clamping and cutting when pulsing ceases
17.
assess the immediate condition of the NB Risk Screening newborn (e.g., APGAR scoring, other method for assessing breathing and heart rate)
18.
promote and maintain normal newborn body temperature through covering (blanket, cap), environmental control, and promotion of skin- to-skin contact
19.
Please see Competency Assessment Explanation Document
NB Risk Screening NB Provision of Care NB Physical Assessment
begin emergency measures for:
90
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
a.
respiratory distress (newborn resuscitation, suctioning in case of obstruction)
Where taught in curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/ abilities only)
NB Basic Skills
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
NB Risk Screening NB Complications NB Pharmacology
b.
hypothermia
NB Complications
c.
hypoglycemia
NB Complications
Where is this documentation kept? (Skills/ abilities only)
NB Diagnostic Labs 20.
give appropriate care to the low birth weight baby, and arrange for referral if potentially serious complications arise, or very low birth weight
NB Complications
21.
perform a routine full-body newborn exam and refer for medical care with any abnormal findings
NB Basic Skills NB Provision of Care NB Physical Assessment
22.
perform a gestational age assessment
NB Physical Assessment
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
23.
Where taught in curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/ abilities only)
provide routine care of the newborn, in accord with local guidelines and protocols including:
NB Provision of Care
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
d.
birth registration
NB Basic Skills
e.
administration of Vitamin K
NB Basic Skills
Where is this documentation kept? (Skills/ abilities only)
NB Pharmacology
24.
25.
f.
screening tests
NB Diagnostic Labs
g.
eye prophylaxis
NB Pharmacology
h.
Identification
NB Basic Skills
position infant to initiate breast feeding as soon as possible (within one hour) after birth and support exclusive breastfeeding
NB Basic Skills
recognize indications of need, stabilize, and transfer the at-risk newborn to emergency care facility
NB Basic Skills
NB Risk Screening NB Provision of Care
NB Complications
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Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/ abilities only)
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
26.
educate parents about danger signs in the newborn and when to bring infant for care
NB Provision of Care
27.
educate parents about normal growth and development of the infant and young child, and how to provide for dayto-day needs of the normal child
NB Physical Assessment
28.
assist parents to access community resources available to the family
NB Provision of Care
29.
support parents during grieving process for loss of pregnancy, stillbirth, congenital birth defects or neonatal death
NB Provision of Care
30.
support parents during transport/ transfer of newborn or during times of separation from infant (e.g., NICU admission)
NB Complications
Where is this documentation kept? (Skills/ abilities only)
93
Curriculum Checklist of Essential Competencies Adopted by Midwifery Education Accreditation Council, July 2013; Revised December 2014 Based on the ICM Essential Competencies, NARM Knowledge and Skills List, and MANA Core Competencies
Where taught in curriculum?
Method used to assess student achievement of this competency (final, summative assessment only)
How is competency in this skill documented? (Skills/ abilities only)
Please see Competency Assessment Examples Document for a full description of methods for assessing student achievement
Please see Competency Assessment Explanation Document
31.
support and educate parents who have given birth to multiple babies (e.g., twins, triplets) about special needs and community resources
NB Complications
32.
provide well-baby care up for a minimum of 6 weeks of age
NB Basic Skills
Where is this documentation kept? (Skills/ abilities only)
NB Physical Assessment NB Pharmacology NB Diagnostic Labs
94
