Job summary
Fetal Monitoring Lead Midwife
The lead midwife for fetal monitoring, alongside the obstetric lead, will be responsible for developing and implementing a programme of education, a competency assessment and a culture of on-going risk assessment and support, in relation to fetal well being assessment and clinical management in pregnancy, labour and birth. The post holder will provide expertise to the service and support the implementation of national policy and national guidance/ evidence in relation to fetal monitoring.As a lead midwife for fetal monitoring, the post holder will work as part of a dynamic team in delivering an effective service supporting managers and colleagues to meet the objectives of SVBLv3, Ockenden IEAs, Maternity Incentive scheme and Maternity and Neonatal three-year plan, to deliver the local transformation plan to achieve better outcomes for women and babies.
Main duties of the job
- Blackpool Teaching Hospital requires an innovative and enthusiastic Fetal monitoring lead midwife.
- Lead and facilitate a programme of education and support for clinicians responsible for fetal assessment, which will increase their knowledge and competence in the interpretation of cardiotocography and intermittent auscultation in line with the core competency framework v2. This will include antenatal CTG interpretation, the use of computerised CTG as well as intrapartum fetal monitoring.
- Support staff in clinical practice to consolidate clinical skills relating to fetal heart rate monitoring and supporting staff in their management/decision making of fetal heart rate monitoring in all clinical areas.
- Be a visible and proactive leader in the clinical area
- Reports to Maternity Matrons.
About us
Blackpool, Fylde & Wyre and North Lancashire, as well as specialist tertiary care for Cardiac and Haematology patients. We employ more than 6,500 staff, have approximately 900 beds.
As one of the United Kingdom's largest coastal resort, Blackpool has plenty to offer its residents -it's not just a good place to work; it's a great place to live. In addition to its bustling centre and historic seafront, the town is world famous for its many attractions, including the famous Blackpool Tower. Blackpool also offers a number of scenic cycling routes round our local parks and across the surrounding countryside, as well as boasting panoramic views of the coast on its picturesque Promenade. Further afield, Blackpool also benefits from less than three-hour connections via rail to Edinburgh in the north and London in the south.
Job description
Job responsibilities
JOB ROLE
- Lead and facilitate a programme of education and support for clinicians responsible for fetal assessment, which will increase their knowledge and competence in the interpretation of cardiotocography and intermittent auscultation in line with the core competency framework v2. This will include antenatal CTG interpretation, the use of computerised CTGs as well as intrapartum fetal monitoring.
- Ensure that all midwives and obstetricians providing antenatal and intrapartum care undertake the Trust approved Cardiotocograph (CTG) and Intermittent Auscultation (AIA) competency assessment within the required time frame.
- Provide enhanced teaching and additional support to staff who need to repeat the competency test to achieve and demonstrate the expected levels of knowledge, or who are identified as requiring further support through the risk management process.
- Maintain the electronic database to evidence attendance registers and ensure compliance to the mandatory requirement for midwives and obstetric staff in collaboration with the practice development midwife and to provide a monthly report on this compliance data.
- Work within the Local Maternity Neonatal System (LMNS) to act as a conduit for information sharing between the Trust and the region.
- Ensure that interpretation of fetal assessment is undertaken with a structured approach, reflective of recommendations within our current guidelines and that all documentation reflects this approach.
- Be visible and proactive on Delivery Suite, Birth Centre and in antenatal areas to initiate and/or lead discussion regarding fetal assessment, embed and promote the Fresh Eyes approach with associated documentation.
- Support staff in clinical practice to consolidate clinical skills relating to fetal heart rate monitoring and supporting staff in their management/decision making of fetal heart rate monitoring in all clinical areas.
- Assist in the implementation, teaching and auditing of the use of computerised CTG (Dawes Redman). Participate and lead in weekly CTG teaching in the maternity unit.
- To develop in conjunction with the midwifery team leaders, an Audit form to be used for daily reviews for all emergency deliveries in the previous 24 hours focusing on CTG interpretation and subsequent management of care. Use findings for case reviews and for reflective practice sessions, to cascade and evidence learning from good practice and identify areas for further development.
- Attend and assist in the investigation of incidents pertaining to poor birth outcomes (incident review or PMRT), implementing any recommendations arising from these investigations.
- Ensure that staff are assessing fetal wellbeing in the context of the womans personalised care plan, current risk assessment, gestation and stage in labour, by observing how handover is communicated at change of shifts, midwife to doctor communication when referrals are made (SBAR)
- Use every opportunity to provide positive feedback and identify and disseminate learning from good outcomes. Work collaboratively with the Delivery Suite band 7 leaders.
- Identify problems, variations or areas of concern relating to clinical practice and liaise with the lead professionals to agree remedial action where appropriate and assist in the setting and maintaining of standards.
- Participate in the development, implementation and update of maternity guidelines that relate to fetal monitoring.
AMENDING THE JOB DESCRIPTION: It is expected that as the organisation develops and changes, it may be necessary to vary the tasks and/or the responsibilities of the post holder. This will be done in consultation by the Maternity management team with the post holder and it is hoped that agreement can be reached to any reasonable changes.
This post can be considered in partnership with another substantive post, ie practising midwife to ensure pro rota hours are correct for the post holder.
Job description
Job responsibilities
JOB ROLE
- Lead and facilitate a programme of education and support for clinicians responsible for fetal assessment, which will increase their knowledge and competence in the interpretation of cardiotocography and intermittent auscultation in line with the core competency framework v2. This will include antenatal CTG interpretation, the use of computerised CTGs as well as intrapartum fetal monitoring.
- Ensure that all midwives and obstetricians providing antenatal and intrapartum care undertake the Trust approved Cardiotocograph (CTG) and Intermittent Auscultation (AIA) competency assessment within the required time frame.
- Provide enhanced teaching and additional support to staff who need to repeat the competency test to achieve and demonstrate the expected levels of knowledge, or who are identified as requiring further support through the risk management process.
- Maintain the electronic database to evidence attendance registers and ensure compliance to the mandatory requirement for midwives and obstetric staff in collaboration with the practice development midwife and to provide a monthly report on this compliance data.
- Work within the Local Maternity Neonatal System (LMNS) to act as a conduit for information sharing between the Trust and the region.
- Ensure that interpretation of fetal assessment is undertaken with a structured approach, reflective of recommendations within our current guidelines and that all documentation reflects this approach.
- Be visible and proactive on Delivery Suite, Birth Centre and in antenatal areas to initiate and/or lead discussion regarding fetal assessment, embed and promote the Fresh Eyes approach with associated documentation.
- Support staff in clinical practice to consolidate clinical skills relating to fetal heart rate monitoring and supporting staff in their management/decision making of fetal heart rate monitoring in all clinical areas.
- Assist in the implementation, teaching and auditing of the use of computerised CTG (Dawes Redman). Participate and lead in weekly CTG teaching in the maternity unit.
- To develop in conjunction with the midwifery team leaders, an Audit form to be used for daily reviews for all emergency deliveries in the previous 24 hours focusing on CTG interpretation and subsequent management of care. Use findings for case reviews and for reflective practice sessions, to cascade and evidence learning from good practice and identify areas for further development.
- Attend and assist in the investigation of incidents pertaining to poor birth outcomes (incident review or PMRT), implementing any recommendations arising from these investigations.
- Ensure that staff are assessing fetal wellbeing in the context of the womans personalised care plan, current risk assessment, gestation and stage in labour, by observing how handover is communicated at change of shifts, midwife to doctor communication when referrals are made (SBAR)
- Use every opportunity to provide positive feedback and identify and disseminate learning from good outcomes. Work collaboratively with the Delivery Suite band 7 leaders.
- Identify problems, variations or areas of concern relating to clinical practice and liaise with the lead professionals to agree remedial action where appropriate and assist in the setting and maintaining of standards.
- Participate in the development, implementation and update of maternity guidelines that relate to fetal monitoring.
AMENDING THE JOB DESCRIPTION: It is expected that as the organisation develops and changes, it may be necessary to vary the tasks and/or the responsibilities of the post holder. This will be done in consultation by the Maternity management team with the post holder and it is hoped that agreement can be reached to any reasonable changes.
This post can be considered in partnership with another substantive post, ie practising midwife to ensure pro rota hours are correct for the post holder.
Person Specification
Qualifications
Essential
- Registered midwife with at least 5 years post qualification experience
- Evidence of ongoing professional development.
- Additional CTG education
- Mentorship qualification
Desirable
- Evidence of post graduate study
Experience
Essential
- Ability to work on own initiative and prioritise work load.
- Evidence of a successful collaboration with multi-disciplinary teams at senior level.
- Up to date K2 compliance
- Demonstrates speciality CTG knowledge
- Evidence of excellent interpersonal skills
- Demonstrates skills in leadership
- Significant Intrapartum experience
Desirable
- Evidence of implementation of innovation, service change and development
- Awareness of clinical governance agenda
Knowledge
Essential
- Understanding and knowledge of current issues in Midwifery and NHS
- Demonstrates a high level of personal and professional autonomy and an understanding of professional accountability.
- Incorporate high quality evidence in women centred care.
- Demonstrate an understanding of any current maternity reports in relation to fetal monitoring
- Is aware of responsibility in relation to NMC Professional Code of Conduct and Midwives Rules
- Excellent communication skills
- Excellent IT skills
- Ability to lead, influence and motivate others
- Understanding and participation in Risk Management Strategy
Desirable
- Presentation and teaching skills.
- Experience in guideline development and implementation.
- Experience in audit
Personal Attributes
Essential
- Positive attitude to change and inspires confidence.
- Actively seeks Quality Improvement opportunities within the service
- Ability to deal with difficult situations.
- Promotes a psychological safe culture
- Acts as a role model incorporating all the values of the trust
- Flexibility in shift/working patterns to meet the needs of the service
- Ability to work in all areas of midwifery
Person Specification
Qualifications
Essential
- Registered midwife with at least 5 years post qualification experience
- Evidence of ongoing professional development.
- Additional CTG education
- Mentorship qualification
Desirable
- Evidence of post graduate study
Experience
Essential
- Ability to work on own initiative and prioritise work load.
- Evidence of a successful collaboration with multi-disciplinary teams at senior level.
- Up to date K2 compliance
- Demonstrates speciality CTG knowledge
- Evidence of excellent interpersonal skills
- Demonstrates skills in leadership
- Significant Intrapartum experience
Desirable
- Evidence of implementation of innovation, service change and development
- Awareness of clinical governance agenda
Knowledge
Essential
- Understanding and knowledge of current issues in Midwifery and NHS
- Demonstrates a high level of personal and professional autonomy and an understanding of professional accountability.
- Incorporate high quality evidence in women centred care.
- Demonstrate an understanding of any current maternity reports in relation to fetal monitoring
- Is aware of responsibility in relation to NMC Professional Code of Conduct and Midwives Rules
- Excellent communication skills
- Excellent IT skills
- Ability to lead, influence and motivate others
- Understanding and participation in Risk Management Strategy
Desirable
- Presentation and teaching skills.
- Experience in guideline development and implementation.
- Experience in audit
Personal Attributes
Essential
- Positive attitude to change and inspires confidence.
- Actively seeks Quality Improvement opportunities within the service
- Ability to deal with difficult situations.
- Promotes a psychological safe culture
- Acts as a role model incorporating all the values of the trust
- Flexibility in shift/working patterns to meet the needs of the service
- Ability to work in all areas of midwifery
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
