intrapartal checklist (1)hjghjug

8/12/2019 Intrapartal Checklist (1)HJGHJUG

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LIPA CITY COLLEGESCollege of Nursing

(G.A. Solis St., Lipa City, (0!"#$%&$'#, .lipa)ity)olleges.net"PE*+O*ANCE E-ALATION AC/IE-ING INT*APA*TAL CA*E COPETENCY

In A))oran)e it1 P*C 2oar of Nursing e3oranu3 No. 04 Series 500'

Name of Student: SI2A/AN, 6ELA AG6AN

Year/Clinical Group: 5n year7 Group School Year: 5044&5045

Semester:/ Term: ______First Semester ____Second Semester _______SummerInclusive Dates of Clinical otation: 8anuary !4, +e9ruary 5, #, ', 5045

INT*APA*TAL COPETENCIES6ESI*E6*ATING

ACTAL*ATING

I. SA+E AN6 :ALITY N*SING CA*E (S:C"

!" #$tains o$stetrical histor% includin& parit%' &ravida score'()*' +DC' ,#G' -#. onset of true la$or"

" Chec0s vital si&ns" 41" Conducts ph%sical e2amination" 5

3" *erforms (eopold4s maneuver" 5

5" Chec0s Fetal 6eart ate and Fundic hei&ht" 5

7" )onitor pro&ress of la$or/ uterine contractions as to: Fre8uenc% Duration Intensit% Interval

4444

9" #$serves for the timel% rupture of mem$rane" 4

" Coaches mother on process of la$or" 5

PERFORMS FUNCTIONS DURING ACTUAL LABOR

!" Transports clients safel% ;hile providin& privac%" 4

" *laces mother in lithotom% position" 4

1" *erforms perineal care usin& sterile techni8ue correctl%" 4

3" *erforms proper hand scru$" 4

5" .ears &o;n and &loves accordin& to hospital polic%" 4

7" *erforms it&en4s maneuver safel%" 5

9" Coaches mother on $reathin& and pushin& techni8ues" 4

" Delivers $a$% and placenta carefull%"< Chec0s and mana&es cord recoil correctl%< Clamps and cuts the cord correctl%< Identif% si&ns of placental separation< Chec0s the characteristic/ completeness of the placenta

4444

=" ,ssesses amount of $lood loss >Normal: ?5@@ ccA 5

!@" +mplo%s interventions to achieve and maintain a ;ellcontracted uterus to prevent/control hemorrha&e" Bterine massa&e Correct administration of o2%tocin Cold compress

444

!!" ,ssesses presence and de&ree of laceration" 4!" ,ssists in episiorrhaph% 4

!1" Chec0s sie' consistenc% and location of uterus" 4

!3" *erforms perineal care and applies pad correctl%" 4

!5" *rovides emotional support to the mother throu&hout la$orand deliver%"

4

!7" +valuates patient4s condition and records pertinent data 5


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accordin&l%"

!9" *repares patient for transfer to recover% room/ ;ard" 4

II. ANAGEENT O+ *ESO*CES, EN-I*ONENT AN6 E:IPENT (*E"

!" *repares room' instruments and e8uipment needed" Sterile drape Sterile instruments and e8uipment Forceps' scissors'

$ul$ s%rin&e' &aue' suture' needle holder' catheter>optionalAE

ell% pad Disinfectant

44

44

" *erforms steriliation procedure" 4

1" )aintains ade8uac% of supplies as the deliver% pro&resses" 4

3" )aintains orderliness of the sterile ta$le" 4

5" #$serves precautionar% measures related to use of electricale8uipment"

4

7" +nsures a 8uiet environment" 4

9" Bses supplies dili&entl%" 4

" *erforms after care of the materials and e8uipments used" 4

=" +nsures proper disposal of hospital ;aste includin& $loodand other fluids"

4

III. /EALT/ E6CATION (/E"

!" Teaches client on $asic preparation durin& la$or and deliver>can $e done in the la$or roomA

4

" Coaches4 client on $reathin&/ $earin& do;n techni8ue" 5

1" Demonstrates proper latchHon $reast feedin& techni8ue>done postHpartum periodA"

4

3" Gives instructions to parents re&ardin& infant care $eforedischar&e >done postHpartum period"A

4

5" *rovides dischar&e instructions as to feedin&' $athin&'administration of ordered medications' appointment dates forpost natal and ;ell $a$% chec0 up >done postHpartum period"A

4

7" esponds to 8uestions of clients and relatives re&ardin&e2pectations"

4

I-. LEGAL *ESPONSI2ILITIES (L*"

!" Secures informed consent in all procedures related to la$orand deliver%"

4

" eports accuratel% and honestl% the &ender' time of deliver%of the $a$% and placenta"

5

1" +nsures proper identification of the mother and ne;$orn" 5

3" Documents all pertinent data correctl% and completel%" 4

-. ET/ICO&O*AL *ESPONSI2ILITIES (E*"

!" espects the reli&ious' cultural and ethnic practices of thefamil% of the ;oman in la$or and deliver%"

4

" *romotes emotional securit% $% supportin& needs" 4

1" +nsures privac% and confidentialit%" 4

-I. PE*SONAL AN6 P*O+ESSIONAL 6E-ELOPENT (PP6"

!" Bpdates oneself ;ith the latest trends and development inla$or and deliver%"

4

" *roJects a professional ima&e of a deliver% room nurse" 4

1" ,ccepts criticisms and recommendations" 4

3" *erforms functions accordin& to standards" 4

-II. :ALITY IP*O-EENT (:I" (prefera9ly one uring post )onferen)es"

!" Identifies deviation of practice from the standards" 4


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" *articipates in audit practices in the deliver% room/l%in& in" 4

1" ecommends corrective and preventive measures for theidentified deviations"

4

-III. *ESEA*C/ (*" (prefera9ly one uring post )onferen)es"

!" Identifies researcha$le pro$lems related to la$or and deliver%" 5

" Btilie findin&s of research studies in intraHpartal care" 5

I;. *ECO*6S ANAGEENT (*"

!" Documents accuratel% relevant data a$out client" 4

" )aintains an or&anied s%stem of filin& and 0eepin& recordsof the client"

4

;. CONICATION (Co33"

!" Btilies appropriatel% all forms of communicationK ver$al' nonHver$al' electronic"

4

" Inform client4s si&nificant others of the pro&ress of la$or anddeliver%"

4

1" (istens attentivel% to clients and families 8ueries andre8uests" 4

;I. COLLA2O*ATION AN6 TEA