Fetal Wellbeing Midwife

**Detailed job description and main responsibilities**:
**Main Duties and Responsibilities / Key Results Areas**
- To further embed and develop the current competency testing for fetal monitoring to assess and improve the knowledge and skills of all staff providing intrapartum and antenatal care across all maternity settings.
- To produce, cascade out and embed into practice an “intelligent intermittent auscultation” training package, and to lead on the use of this in training midwives who provide intrapartum care in EGA and/or in the woman’s home.
- To ensure that all midwives and obstetricians providing antenatal and intrapartum care undertake the competency test in assessing fetal wellbeing.
- In conjunction with the Lead Midwife for Education, to provide enhanced teaching and additional support to staff who need to repeat the competency test to in order to achieve and demonstrate the expected levels of knowledge.
- To lead weekly CTG workshops, maintaining an electronic database to evidence attendance registers and ensure compliance to the mandatory requirement for midwives and medical staff, and to disseminate learning which emerges from workshops.
- To organise CTG master classes on the monthly mandatory training week ensuring the attendance of all eligible staff as per CNST recommendations.
- Maintain a database of training compliance including action planning for staff who fall out compliance with training or competency assessment.
- To maintain, in conjunction with the Inpatient Maternity Matron, Obstetric Lead for Delivery Suite and the Obstetric Lead for Risk an audit form (on a daily basis) of case reviews of all emergency deliveries (i.e. instrumental and caesarean sections) in the previous twenty-four hours to review the interpretation of CTGs and subsequent management of care.
- To use findings of such cases for reflective practice sessions, to cascade and evidence learning from good practice and identify areas for further development.
- To use every opportunity to facilitate teaching, learning and reflection within the clinical area.
- To ensure staff are assessing fetal well-being in the context of the woman's health, pregnancy, gestation and stage of labour by observing how handover is communicated at change of shifts, midwife to doctor communication when referrals are made and listening to assessments made over the telephone (SBAR).
- To 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.
- To use every opportunity to provide positive feedback and identify and disseminate learning from good outcomes.
- To be visible and proactive on Delivery Suite, Birth Centre and in antenatal areas to initiate and/or lead discussion regarding fetal assessment, and to embed and promote the “Fresh Eyes” approach with associated documentation evidenced.
- To ensure ongoing audit across to monitor (the improvements and subsequently maintained standards) in fetal assessment.
- To assist in the investigation of incidents pertaining to poor birth outcomes, implementing any recommendations arising from these investigations.
- To promote evidence based practice throughout the maternity service.

**Person specification**:
**Knowledge and Qualifications**:
**Essential criteria**:

- Registered Midwife
- Recognised leadership qualification or equivalent experience
- Graduate or equivalent qualification/or experience
- Mentoring qualification

**Desirable criteria**:

- Recognised teaching qualification
- ALSO/NLS/PROMPT Instructor

**Experience**:
**Essential criteria**:

- Experience as a midwife in all clinical settings
- Experience in changing clinical practice
- Experience in developing people
- Evidence of significant experience in midwifery practice and leadership
- Evidence of innovative practice that involves developing staff, teaching and assessing within the clinical area
- Experience in reviewing or being involved in the review of serious clinical incidents

**Desirable criteria**:

- Evidence of research
- Evidence of participation in regional and national networks.
- Previous experience in a clinical teaching or class room teaching role

**Skills and Abilities**:
**Essential criteria**:

- Expert knowledge of midwifery and physiological birth agenda
- Expert knowledge of caring for women in the acute labour ward
- Expert knowledge of interpretation of CTG readings in all clinical settings
- Expert knowledge on facilitation of physiological birth
- Expert knowledge on intermittent auscultation of the fetal heart. Knowledge of health policy
- Demonstrable leadership skills
- Organisation and management skills
- Ability to influence, motivate and inspire others
- Negotiating skills and ability to resolve conflict
- Ability to manage change
- Team building skills
- Ability to work effectively under pressure and to meet deadlines
- Ability to network a