Dear Kate
Use the Children Act 1989. A neonate is a person in
his own right. When we count staff ratios we must
count mother and baby as 2 people. Therefore midwives
ratios on postnatal wards cannot be classified in the
same way as nurses.
In addition, use Birthrate Plus(Jean Ball and Marie
Washbrook). This is a unique workforce planning tool
that takes into account midwife 'hours' per type of
case. If you have not already participated in a pilot
for this see if you can arrange for your unit to get
involved. Invite Marie Washbrook to come and discuss
it with your HoM.
As midwives we need to get wise and use all the
avenues to ensure we are not left continually short of
staff so that we cannot deliver quality care .
Best wihses
Belinda
--- Kate Spenceley <[log in to unmask]> wrote:
---------------------------------
Hi Carolyn and Sue
I would also like any information about allocation of
midwives in the post-natal area. In the hospital where
I am employed, we are being questioned about our
staff/woman ratios as the babies do not feature in the
numbers. We are arguing that both the woman and the
baby should feature in the care ratios(logically!!) so
I would be very grateful for any information I can use
to support this.
IS
Kate Spenceley
>From: Sue Calvert
>Reply-To: "A forum for discussion on midwifery and
reproductive health research."
>To: [log in to unmask]
>Subject: Re: Numbers game
>Date: Thu, 26 Jun 2003 12:06:23 +1200
>
>Hi Carolyn
>
>There is a UK pulbication: Towards safer childbirth
minimum standards for organisation of labour wards
which also refers to audit commission report. First
class delivery.
>There the good practice standard was 1.15 midwives to
one woman in labour.
>Also there is a Victorian (OZ) publication that sets
standards for ante and postnatal care as well as
staffing levels throughout the hosptital. It is
distributed by the union i think.
>
>Cheers
>
>Sue
>
>Susan Calvert
>Clinical Midwife Specialist
>Capital & Coast District Health Board
>Women's Health Service
>Riddiford Street (Private Bag 7902)
>Wellington South
>
>Phone: +64 4 3855999 x 6187
>Fax +64 4 3855484
>Pager 2089
>
> >>> [log in to unmask] 06/26/03
11:51AM >>>
>Hello colleagues,
>
>I am wondering if anyone knows anywhere that
allocates women and
>midwives according to benchmark (and if there is a
benchmark written
>anywhere) figures of one to one care in active labour
and four women and
>babies (that is eight people) to one midwife within
post natal ward
>care.
>
>Apart from Jean Ball's work, has anyone any articles,
research
>information etc about the appropriate/ideal
allocation within a hospital
>setting? This is separate from the midwifery model of
care and
>caseload issue.
>
>All leads, comments, articles recommended gratefully
received.
>
>warmly, Carolyn
>
>Carolyn Hastie
>Midwifery Educator
>John Hunter Hospital
>Locked Bag No 1
>Newcastle Mail Exchange 2310
>Phone 02 49214462
>Mobile 0418 428 430
>Paging ring JHH 4921 3000, page # 5528
>Email [log in to unmask]
>
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> - Frances
>Willard
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