Job responsibilities
Clinical
- You will be responsible for a caseload of vulnerable women with complex social needs, specifically vulnerable migrant women, Your role will include the planning and implementation of individualised midwifery led care offered in partnership with the woman and the multidisciplinary team. Using continual assessment and analysis you will provide continuity of care throughout the womans pregnancy, birth(where appropriate) and the postnatal period to ensure her medical, psychological and social needs are assessed and holistically cared for.
- You will be working alongside multi professional teams providing the most appropriate care for women whilst breaking down barriers that can inhibit women with socially complex lives accessing high quality maternity care. Working in a variety of settings including community, hospital and womens homes including confidential addresses.
- Have an in depth understanding of barriers which may impact or inhibit women from accessing timely and regular antenatal care.
- Have increased knowledge of and interest in, the impact that immigration status and ethnicity has on pregnancy outcomes. Have awareness and knowledge around other complexities including domestic abuse, homelessness and poor mental health. Work in partnership with other members of the Specialist team to ensure a joint plan of care and management of risks
- Have sound knowledge of safeguarding procedures and access regular safeguarding supervision.
- Promote both short-term and long-term health through evidence-based education. Support women and their families to make sustainable changes to improve health outcomes and decrease the generational impact.
- Provide and perform accurate assessments and procedures during the antenatal period, labour care and in the postnatal period.
- Support womens choices regarding feeding their infant, whilst encouraging and promoting UNICEF Baby Friendly Initiatives.
- Administer medications under the scope of Midwifery Exemptions/Patient Group Directives when required or appropriate.
- Participate in and support the development of evidence based clinical practice, ensuring agreed policies, guidelines and standards are implemented and monitored.
- Maintain a safe working environment for own professional practice as well as the wider team.
- Develop individualised care pathways for vulnerable women and families affected by complex needs, supported by the specialist team.
- Fulfil Trust health and safety policies and procedures when performing risk associated procedures including dealing with hazardous substances
- Ensure effective communications between professionals and women (and families) by initiating, attending, and presenting information to safeguarding and multi-agency meetings.
Act as an advocate for vulnerable women and their families and ensure due regard is given to customs, values, and spiritual belief.
Adhere to and encourage others to utilise appropriate NMC and local standards for record keeping and all written documentation, ensuring client and colleague confidentiality at all times.
Education and development
- Have up to date knowledge of local services available to pregnant women in relation to their mental, physical and social needs.
- Provide a visible and accessible presence, acting as a professional role model working within multidisciplinary and midwifery teams.
- Link and liaise with the Safeguarding Team and Named Midwife for Safeguarding on safeguarding issues to recognise and respond appropriately and effectively to concerns relating to both children and the unborn baby.
- Contribute to audit processes that are in place within The Specialist Midwifery team.
- Contribute to policies and guidelines relating to women with complex needs and support colleagues to access and adhere to the policies.
- Contribute and participate in providing evidence based training for staff in line with national and local policies.
- Participate in the induction of new midwifery staff, sharing your knowledge and upskilling them.
Provide evidence-based advice, support and information with regards to the appropriate management and referral of women with complex needs and their families to appropriate services
- Seek advice and support from the Line Manager and the Band 7 midwives in The Specialist Midwifery Team whenever necessary. Working closely and in conjunction with Band 7 Midwife for Vulnerable pregnant migrants.
- Maintain professional conduct including appearance at all times.
- Act as a resource for all staff involved in maternity care (including obstetricians, midwives, student midwives and maternity support workers). Provide evidence-based advice, support and information with regards to the appropriate management and referral of pregnant women with complex needs.
Service Development/Quality Assurance
Work with colleagues to ensure that there is awareness and knowledge about pregnant women with social complexities and their needs are identified and risks mitigated using appropriate support and referral pathways
Support and assure the implementation of guidelines by statutory and professional bodies when delivering midwifery care to women with complex needs.
Use research to support evidence-based practice
Contribute to the wider public health agenda by delivering a flexible high quality midwifery service and contribute to service evaluation and implementation of quality improvement initiatives.
To improve the experience of childbirth for Nottingham women offering choice of place of birth and involving women in decisions regarding their care
Knowledge & Communication
- Ensure processes are in place to facilitate effective communication with all disciplines, patients and relatives that meets individual needs.
- Work as a supportive team member to develop a working environment that encourages team working amongst staff. Identify and minimise interpersonal conflicts that may affect team or individual performance
- Participate in multi-agency meetings such as Child Protection Conferences, Team around the Child meetings and holding Multi-Disciplinary Meetings as appropriate depending on the needs of the family.
- Understand the MARAC process. Researching and preparing reports, presenting and receiving midwifery Information at conference. Being involved in setting and completing actions from MARAC to optimise women and childrens safety.
- The post holder will make safeguarding children referrals and be familiar with The signs of safety scaling. Carry out domestic abuse risk assessments (DASH RIC) when appropriate.
Support, assist and advise women and their families, making appropriate timely referrals to other specialties as required. Have up to date knowledge of local services available to pregnant women in relation to their needs.
Have up to date knowledge of local services available to support pregnant women
- Help prepare legal statements for use in court proceedings ensuring they are accurate, comprehensive and timely.
- Provide local knowledge for the maternity service in the Trust in relation to complex social needs.
- Maintain clinical expertise and knowledge, identifying personal learning and development.
- Ensure actions are consistent with NUH and statutory policies and guidelines for practice.
- Undergo mandatory training relevant to safe midwifery practice