Continuity of Care Midwives Sample Clauses

Continuity of Care Midwives. ‌ a. In order for optimum midwifery care to be maintained, a midwife offering full midwifery care must ensure realistic caseload levels. The NZCOM recommends a guideline of 40- 50 women per year if the midwife is the Lead Maternity Carer. b. The number of cases per FTE per year that constitute a full-time caseload will be agreed between the continuity of care midwives and the employer locally (at each DHB), having consideration for: − the guidelines established by the New Zealand College of Midwives (NZCOM); and − the setting within which the midwife is practising (i.e. rural or urban); and − the extent to which the DHB requires the continuity of care midwife to assist in providing midwifery care in the unit. c. There are no standard hours of work. Continuity of care midwives are expected to organise their working hours to ensure provision of a complete, 24-hour midwifery service within the limits specified below. d. Midwives will not be required, nor will they elect to practice continually for any length of time that they consider professionally and/or clinically unsafe. The determination of professional and/or clinical safety will be made by the midwives affected by the decision and the employer. e. The hours of work of continuity of care midwives should not exceed 160 hours in any four-week period nor 100 in any two-week period. The continuity of care team is to organise their roster to allow each midwife four periods of 24 hours off, in every two-week period, with cover provided by an appropriate team member if required. These hours are not to be taken as four single days off, unless this arrangement is self-rostered by the midwife concerned and agreed to by the employer. Midwives may elect to be on-call for births during their time off. f. Continuity of care midwives will not be required to work more than 12 consecutive hours, but may choose to do so at their discretion, having regard for professional and/or clinical safety. The employer would not expect that midwives would work more than 16 consecutive hours, or more than 24 hours intermittently without having an eight-hour break. g. Caseload midwifes shall qualify for the full entitlement of shift leave (5 days) specified in clause 17.0 of the MECA.
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