Detailed job description and main responsibilities

Administrative Duties

Ensure that all clinical documentation written or electronic is accurately and confidentially, collected, updated, stored and filed in accordance with local information governance and record keeping policy and guidance.

Provide administrative support to the maternity team, both in the hospital and community settings.

Participate in tracking, obtaining, and filing clinical records as required in line with local policy and guidance.

Professional Attitudes and responsibilities

Convey an approachable and professional manner to all mothers and their families and demonstrates an awareness of discriminatory attitudes and challenges this behavior to promote equality. This will appreciate protected characteristics and recognize how to support these people from these groups. This includes age, disability, gender reassignment, Marriage and civil partnership, race, religion or belief, Sex and Sexual orientation (Equality Act 2010)

Ensure that knowledge of local safeguarding policy and procedure is maintained.

To be vigilant of Child Protection issues and refer issues of concern in a timely manner to registered midwife complying with legal requirements.

Training Responsibilities

Attend all statutory and mandatory training as and when required.

Identify own training and development needs and undertake appropriate training/education as required to ensure a contemporaneous knowledge base and skill set is maintained.

Participate in annual individual performance review process, whereby objectives will be agreed, performance monitored, and personal development needs discussed.

To act as a role model and participate in training for their colleagues and peers, recognising the impact of personal behavior on the culture and performance of the department, and the experience of service users.

Safe Environment

Be conversant with the local infection control policy, whilst ensuring mandates are always adhered to.

Act responsibly in respect of colleague’s health, safety and welfare following safety at work practices including lone working, whilst working in compliance with local health and safety policy and guidance.

Ensure the cleanliness of equipment in all clinical and non-clinical areas and assist the midwife in appropriately preparing the birthing environment.

Ensure adequate stock levels are maintained in all clinical settings, and equipment is available; escalate any depletion of stock or resources in a timely manner.

Assist in stocking up and cleaning all home birth team equipment if required.

Ensure the working order of equipment, reporting any concerns, faults or breakages to the appropriate person in a timely manner.

Report any incidents or concerns using the local risk management reporting system and escalate such concerns or incidents appropriately and in a timely manner.

Participate in the audit of standards within the unit if appropriate.

Care of the Woman – MSW’s

Manage own time and caseload effectively whilst prioritising care needs for women and their babies under care under the direction and supervision of the midwife in antenatal, postnatal clinics, community hubs or home settings to ensure if appropriate the principles of continuity of carer are applied.

Escort women and their families between clinical areas as required

Assist with the admission, orientation and discharge of women and their babies in accordance with local policy and guidance.

Communicate effectively and clarifies understanding with women and their families in all settings and is able to select appropriate methods to communicate when a disability or complexity may exist.

Understand and gains valid consent prior to action or providing care.

Undertake baseline/routine observations and measurements (and escalate any deviation from the normal range) to the named midwife or appropriate member of the multi-professional team.

Support women during clinical procedures and act as chaperone when requested to do so by the midwifery or obstetric team.

Provide support to labouring women if asked to do so, and under the supervision of the midwife, this may include application of TENS machine or teaching breathing and Massage techniques.

Perform venipuncture or capillary blood sampling in line with national standards and local policy and guidance following completion of the appropriate competencies.

Assist in the maintenance and understand the principles of good bladder care, removal of catheter and disposal of equipment following infection control policy and to document accurately the fluid balance.

Assist in the nutrition and hydration needs of women.

Assist women with mobilisation following surgical procedures and remove of dressings or cannula under direction of the midwife.

·       Assist with the transportation of blood products if asked to do so and have an awareness of the storage requirements.

Obstetric and Neonatal Emergencies

Assist /act as a runner in obstetric theatres including:

To support and assist the midwife in the woman’s preparation for transfer to theatre

To document times and personnel present in theatre records for each procedure

To undertake WHO checklist

To Count swabs and needles in instrumental/operative delivery

Recognises and acts upon within own parameters of competence any abnormal events or emergencies, escalating to the multidisciplinary team through the appropriate means, in a timely manner.

Assist the midwife/nurse with neonatal resuscitation where required, this may include collecting and/or passing equipment.

Health Promotion and Screening

Maintains a contemporary knowledge base about local and national antenatal and newborn screening services and signposts women and their families to appropriately qualified practitioners if they are undecided or have concerns.

Has an understanding and can advise families about newborn blood spot screening, immunisations and can produce GROW Charts following successful completion of the appropriate competencies.

Recognises and promotes the principles of behavior changes required in health promotion activities including diet, food hygiene, exercise, personal hygiene and smoking cessation. (For example, assess CO levels and signposting to local service appropriately as per policy guidance).

To complete the relevant documentation for screening test performed in the maternity records.

To recognise any deterioration in mental and emotional wellbeing and respond appropriately, escalating to midwife to enable an appropriate care pathway.

To be aware of and understand the current policy and service frameworks for mental health (e.g. Capacity Act, Deprivation of Liberty Safeguards and Mental Health Act).

To be aware of perinatal mental health issues and the appropriate referral pathway and to escalate to multi-disciplinary team and concerns noted within home or hospital setting.

Infant Feeding

Be aware of the main constituents of human milk and their function, including Colostrum and Mature breastmilk.

Appreciate the importance and the role of human milk and breastfeeding to improve the health and wellbeing outcomes for infants, their mothers and the wider family and in promoting and protecting public health.

Understand the functional anatomy and physiology of lactation and hormonal influences on milk production and mothering. Aswell as the role of the Feedback Inhibitor of Lactation (FIL)

Be able to describe the key practices that facilitate the initiation and have the knowledge and skills to support maintenance of breastfeeding.

Understand and have an overview of circumstances which can affect lactation and breastfeeding and be able to support mothers to overcome common challenges and make appropriate referrals when necessary (e.g. midwife/health visitor/infant feeding lead)

Be able to support parents who formula feed to do so responsively and as safely as possible including minimising the risks, to make up feeds as safely as possible, how to sterilise equipment, how to hold a baby and pace the feeds.

Importance of skin-to-skin contact to support infant feeding and how to facilitate this within practice promoting responsive feeding to feeding cues.

Understanding principles and mechanisms of attachment and positioning for effective feeding in line with BFI standards

Understands how to protect breastfeeding should supplementation be required.

Expression and storage of breastmilk to include hand and pump expression technique and the use of cup feeding.

Develop an understanding of the importance of secure mother-infant attachment and the impact this has on health and emotional wellbeing, irrespective of feeding method.

Understand the importance of the WHO International Code of Marketing of Breastmilk Substitutes and subsequent WHA Resolutions (the Code) and how it impacts on practice.

Care of the Newborn

 Undertake neonatal observations under direct and indirect supervision and escalate any deviations from the normal range appropriately and in a timely manner, following the completion of competency practical and theoretical training.

Observe the overall wellbeing of the newborn and escalate any concerns to named midwife or multi-professional team in a timely manner.

Provide practical support and transition to parenthood for new parents when caring for their newborn, whilst promoting safety, bonding and teaching parenting skills in both the hospital and home settings.

To assist or perform neonatal blood sampling including tests such as newborn blood spot and Serum bilirubin ratio (SBR) test, following successful completion of appropriate competency as directed by the midwife/nurse.