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WORKING AS A COORDINATOR MIDWIFE IN A TERTIARY ...

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eginning of January so she was brand new. She replied “Well, I don’t really<br />

have one”. I remember saying to her “Well you must have some kind of back up<br />

in place”. I ended up ringing the midwife whose name she gave me and said<br />

“Look your extremely new colleague is in here and needs the support that we<br />

cannot provide. She basically said to me “Well, I’m at the beach and I’m not<br />

coming back so you lot have to deal with it.”<br />

I thought that was really unfair. First of all it was hugely unfair for that poor new<br />

grad LMC, and awfully unfair for the woman who probably hadn’t got a clue. I<br />

remember that particular incident because we didn’t have time, so you just pray<br />

that it is going to go okay because you don’t have any staff to put into that room.<br />

Sally as a coordinator reveals her professional allegiance to the new graduate LMC<br />

midwife and her frustration managing the busyness of the unit in a situation where her<br />

lack of staff means a lack of time to support this midwife. She knows these consequences<br />

may impact on the safety of the mother and baby being cared for. Sally can rationalise the<br />

midwife is an autonomous practitioner but recognises that she has been asked for support.<br />

Sally can rationalise she holds no legislative responsibility to provide support but<br />

recognises how vulnerable this midwife will be feeling. She can tell herself the midwife<br />

should have arranged LMC support but the reality is this was not done.<br />

This leaves Sally knowing on that particular shift, because it was busy, she could not<br />

support the midwife and all she could do was ‘pray’. Van Manen (1990) discusses “lived<br />

126

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