The following article is a personal reflection on becoming an OT expert witness, by...
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Professional Midwifery Advocate Level 7, MSc Midwifery, BSc Midwifery, Dip Nursing
I qualified as a registered nurse in 2003 and then as a midwife in 2005. During my career as a midwife, I have developed a wealth of experience across a number of aspects of midwifery care. More recently, I have specialised in community and midwifery led care. My current post is a Senior midwife on the midwifery led unit.
Previously on the midwifery led unit, I carried out a 12-month secondment as a Band 7 Senior midwife. I was responsible for the delivery of care from a team of midwives for which I was manager too. My role now remains a Senior midwife and includes these managerial aspects but largely I am clinical. I coordinate the unit of 12 rooms and all staï on duty, providing support and direction, and instruction to junior staï as required. I provide all areas of care during labour, this includes, CTG (Cardiotocograph) interpretation and management and extensive experience of suturing skills.
Alongside this my skills include all aspects antenatal and postnatal, hospital antenatal care, triage - telephone and face to face, intrapartum (labour) care which includes low risk midwifery on the MLU as well as high risk labour care on the delivery suite so experience in high risk CTG interpretation and use of Oxytocin etc. I provide postnatal care to women and babies both low and high risk and I am trained in the newborn examination of the neonate.
In the community I held a caseload of women with full responsibility for their care from booking, throughout their pregnancy, including all health screening needed to identify category of risk. I also held responsibility to liaise with the ante natal clinic within the hospital setting. Care is provided within both clinic and in-home environment providing women centred support, ensuring safe delivery for mum and baby.
I covered the home birth on call rota. This includes going to women’s homes to provide intrapartum and post-natal care during their labour and following. This includes safe delivery of the baby whilst monitoring both maternal and foetal observations and detecting normal and abnormal boundaries and acting quickly and competently when these arise.
Within my role, both within the community and hospital setting, I have involvement in safeguarding women and babies within my care and have a varied social and cultural community caseload.
I have extensive experience in the mentorship of student midwives, for which I am a senior assessor. I am a preceptor of midwifery colleagues and students and regularly provide constructive feedback to promote improvements to processes, procedures and behaviours. In addition, I was previously a Supervisor of Midwives.
Recently, I have undertaken medico-legal training on the NHSR Early Notification Scheme and I am in a position to assist with casework of this nature.
I accept instructions from both claimant and defendant solicitors and insurers. I have undergone formal training in the medico-legal process and am fully aware of my responsibilities under Civil Procedure Rules (CPR) pertaining to expert witnesses.