FAR EASTERN UNIVERSITY Institute of Nursing 1st Sem SY: 2011 - 2012 Performance Evaluation Checklist Immediate Newborn

Care Name: _____________________________________________ _____________ Section: _______________________ Group: ____________ ______________ Score: Date:

Criteria I. Attendance / Attitude (5%) 1. Reports on time and attends to activities punctually 2. Displays proper grooming and wears complete uniform 3. Behaves appropriately towards teacher, classmates, and client 4. Accepts constructive criticisms TOTAL II. Skill Performance (95%) Preparation 1. Arrange needed supplies 2. Check resuscitation equipment 3. Proper hand hygiene 4. Double glove just before delivery Procedure *Immediate and Thorough Drying 1. Call out the time of birth 2. Dry the newborn thoroughly for at least 30 seconds - Wipe the eyes, face, head, front and back, arms and legs - Do not wipe off the vernix 3. Do a quick check of breathing while drying 4. Remove the wet cloth *Early Skin to Skin Contact 5. Position the newborn prone on the mothers abdomen or chest (promoting skin to skin contact) 6. Cover the newborns back with a dry blanket 7. Cover the newborns head with a

Remarks

bonnet 8. Place identification band on ankle 9. Perform 1st APGAR scoring *Properly timed Cord Clamping 10.Remove the first set of gloves 11.After the umbilical pulsations have stopped, clamp the cord using a sterile plastic clamp or tie at 2 cm from the umbilical base - Do not milk the cord towards the baby 12.Clamp again (using kelly forceps)at 5 cm from the base - You may strip the cord of blood before applying the 2nd clamp 13.Cut the cord close to the plastic clamp - Cut properly to ensure that there will be no need for a 2nd trim - Do not apply any substance onto the cord * Non-separation of Newborn from Mother for Early Breastfeeding 14.Leave the newborn in skin-to-skin contact - 2nd APGAR scoring may be performed 15.Observe for feeding cues, including tonguing, licking, rooting 16.Point these out to the mother and encourage her to nudge the newborn towards the breast 17.Counsel on positioning 18.Counsel on attachment and suckling After the 1st breastfeed 19.Perform credes prophylaxis 20.Give BCG 21.Give Hepatitis B vaccine 22.Perform measurements - Weight - Length - Head circumference - Chest circumference - Do footprinting 23.Postpone washing/bathing until at least 6 hours 24.Counsel mother on exclusive breastfeeding

______________________________ Signature of Clinical Instructor Student

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