NCM Student Disk

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ASM CLINICALS

ASM Clinicals consist of two parts: individual clinical skills (NARM Skills), and comprehensive coverage of all aspects of clinical care to mothers and babies, including Antepartum, Intrapartum, Postpartum, Newborn, and Well Woman. Both clinical skills and the clinical visits are completed in an apprenticeship setting under the direct supervision of a preceptor, concurrently with academic study. Clinical traning must take place over a time period of at least 1 year.

Print out the clinical record sheets below and use them to document your clinical experiences.
Preceptor must sign and date (on the clinical record sheets) every clinical experience she/he directly supervised in which the student acheived mastery* (see definition below).
Student and preceptor must sign name or initial for every clinical experience in patient chart in case of audit (see Instructions for Documentation of Clinical Records).
Send copies of your clinical record sheets to NCM at the end of each trimester.
Keep copies for your records
Always have preceptor sign mastered clinicals as soon as they are completed, and in case of moving or transferring to a new preceptor, ALWAYS have your preceptor sign and date your clinical records before you leave.

Individual Clinical Skills (NARM Skills)

Comprehensive Clinical Care

MEAC Abbreviated NARM Skills Form

Clinical Skills Training takes place throughout the program; during the academic and clinical portions, and individual NARM skills are repeated many times throughout the academic modules, however both academic and clinical portions are necessary for learning to take place: # 1 below is completed at home, #2 below is completed in a classroom setting, and #'s 3-7 below take place in a clinical setting. The student is exposed to the skill at least 7 times during training/learning:

1. Student reads about the skill in the textbook : Practical Skills Guide for Midwifery by Pam Weaver and Sharon K. Evans.
2. Preceptor elaborates about the skill.
3. Preceptor demonstrates skill.
4, 5, & 6. Student practices skill at least 3 times to gain mastery*(see definition below).
7. Preceptor evaluates student's demonstration of the skill.
As these take place in a clinical setting, these are awarded clinical contact hours.

The average Approximate Clinical time for each of the 151 NARM skills:

Preceptor Demonstration: 40 minutes
Student Practice (at least 3 times): 120 minutes
Student Evaluation by Preceptor: 40 minutes.

The total average time spent clinically on each NARM Skill every time it is introduced in an academic course is approximately 204 minutes (200 minutes x 154 NARM skills + 2nd evaluation for 4 NARM Skills = 517.5 clinical contact hours). Times are approximate, based on the fastest a skill is usually learned by a student. The students are required to repeat each skill an average of 15 times throughout academic courses and apprenticeship, so actual clinical hours may be greater, however clinical contact hours are awarded only for minimum.

Academic courses CAN be completed without the student achieving mastery* of each skill, however each skill on the MEAC Abbreviated NARM Skills Form is not filled in until the student achieves Mastery* of the skill. Explanation of Clinical Contact Hours awarded for NARM Skills

Instructions for Documentation of Clinical Records

Clinical Care training and experience takes place throughout the apprenticeship and is made up of at least 832.5 hours of clinical encounters (30 Well woman exams, 20 Initial Prenatal Visits, 55 Prenatal visits, 20 Labor Assists, 20 Deliveries of Newborn and Placenta as primary, 20 Newborn Exams, 40 Postpartum Mother and Baby Exams) The student must perform the clinical skills in the capacity of a primary midwife, to the level of “mastery” (defined as confidence and competence), all while under the direct supervision of the preceptor. These clinicals are logged on Clinical Record Sheets and are signed off by the preceptor who directly supervised the experience.

Print out the record forms below and submit updated forms at the end of each trimester to document progress.

Well Woman / Family Planning	Microsoft Excel Worksheet (.xls)	Adobe Acrobat (.pdf)
Initital Visits	Microsoft Excel Worksheet (.xls)	Adobe Acrobat (.pdf)
Prenatals	Microsoft Excel Worksheet (.xls)	Adobe Acrobat (.pdf)
Labor Observations	Microsoft Excel Worksheet (.xls)	Adobe Acrobat (.pdf)
Delivery of Newborn & Placenta as Primary	Microsoft Excel Worksheet (.xls)	Adobe Acrobat (.pdf)
Newborn Exams	Microsoft Excel Worksheet (.xls)	Adobe Acrobat (.pdf)
Postpartum Mother & Baby	Microsoft Excel Worksheet (.xls)	Adobe Acrobat (.pdf)
NARM Continuity of Care	Please use most current from NARM website	Adobe Acrobat (.pdf)
NARM Out of Hospital Births	Please use most current from NARM website	Adobe Acrobat (.pdf)

• *Mastery of a clinical skill consists of the competent and confident provision of safe, evidence-based midwifery care for the individual Clinical Skills including: Etiology, sequelae, appropriate management and follow-up for the individual patient, appropriate times and reasons for consult and referral, access to relevant resources and information, complete, thorough and timely record keeping, appropriate, professional, and compassionate management of every task involved, receptiveness and responsiveness to patient's concerns, explanation of midwifery decisions and actions as they relate to possible outcomes and their wider impact, based on the Midwives Model of Care®.

National College of Midwifery, 209 State Road 240, Taos, NM 87571.
Tel: (575) 758-8914 Fax:(575) 758-0302.
Email: info@midwiferycollege.org

www.midwiferycollege.org

The information on this disk was valid as of January 25, 2010. In order to avoid using out-dated forms and information, please contact us for the most current version.

The National College of Midwifery is accredited by the Midwifery Education Accreditation Council: P.O. Box 984 La Conner, WA 98257
Phone: 360-466-2080 Fax: 480.907.2936 info@meacschools.org . The National College of Midwifery is licensed as a Postsecondary Institution by the New Mexico Commission on Higher Education, 5301 Central NE, Suite 1500, Albuquerque, NM 87108. Tel: (505) 841-6611.