Appendix 1: Supervisory review/fact finding event chronology Trigger: Name: Woman’s CHI: LSA: Maternity Unit: Medical/Social history: Past obstetric history: Present pregnancy: Action(s) Midwife(s), Student Date & time Evidence Supervisor of Midwives Event taken/Concern(s) Midwife(s), Medical of event Source Commentary raised/Care planned Staff involved Review of antenatal care provided (please keep brief if nil of note but highlight good practice) – Review of intranatal care provided (please keep brief if nil of note but highlight good practice) –
Appendix 1: Supervisory review/fact finding event chronology Trigger: Woman’s Name: CHI: LSA: Maternity Unit: Medical/Social history: Past obstetric history: Present pregnancy: Date & time of event Event Action(s) taken/Concern(s) raised/Care planned Midwife(s), Student Midwife(s), Medical Staff involved Evidence Source Supervisor of Midwives Commentary Review of antenatal care provided (please keep brief if nil of note – but highlight good practice) Review of intranatal care provided (please keep brief if nil of note – but highlight good practice)