Notice

1.

spend a minimum of six months practicing as a conditional registrant under the direct supervision of a general registered midwife approved by the supervision panel of the Registration Committee, providing midwifery care to a minimum of 20 women and their newborns and focusing on antenatal assessment, intrapartum management and care, and emergency management. Five of the 20 courses of care provided must be out-of-hospital births. The supervision will address:

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thorough and accurate assessments, including external palpation and vaginal exams;

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communication with other health professionals, including reviewing and discussing with the principal supervisor the CMBC’s Indications for Discussion, Consultation and Transfer of Care and Indications for Planned Place of Birth and appropriate physician consultation throughout the childbearing cycle;

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critical thinking as a primary care provider with a focus on the larger picture of planning and managing care, integrating clinical assessments and timely and appropriate action, both during the antenatal and intrapartum periods;

2.

review hypertensive disorders of pregnancy and write a paper describing relevant anatomy and physiology, the risks for mother and baby, and evidence-based best practices for care, including appropriate monitoring, diagnostic testing and therapeutics, appropriate midwifery management and medical consultation, with an annotated bibliography, for submission to the College for review and approval within six months of signing the Consent Agreement;

3.

thoroughly, appropriately and contemporaneously chart client care in a way that shows an intellectual footprint and demonstrates her critical thinking, consideration of risks factors and appropriate plans of care, including appropriate consultations;

4.

have an initial chart review with a reviewer approved by the College within two months of signing the Consent Agreement to get feedback on her charting, followed by completing a documentation course approved by the College, and have a further chart review six months after completion of the documentation course;

5.

complete a full NRP certification course with a midwife instructor approved by the College, including addressing timing and decision making for out-of-hospital births, within six months of signing the Consent Agreement;

6.

complete the Midwives Emergency Skills Program offered by Midwives Association of British Columbia within six months of signing the Consent Agreement; and

7.

complete a Fetal Health Surveillance course to improve her fetal monitoring skills within a year of signing the Consent Agreement.