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ADAMSON UNIVERSITY College of Nursing 900, San Marcelino Street, Ermita, Manila 1000 Telefax (632) 536-20-99, Website:

www.adamson.edu.ph SUMMARY PERFORMANCE EVALUATION ACHIEVING INTRA-PARTAL CARE COMPETENCY In Accordance with PRC Board of Nursing Memorandum No. 01 Series 2009 Signature over Printed Student:_______________________________________
INTRAPARTAL COMPETENCIES I. SAFE AND QUALITY NURSING CARE (SQC)
1. Obtains obstetrical history including parity, gravida score, LMP, EDC, AOG. BOW onset of true labor 2. Checks vital signs 3. Conducts physical examination 4. Performs Leopolds maneuver 5. Checks Fetal Heart Rate and Fundic Height 6. Monitor progress of labor/uterine contraction as to: Frequency Duration Intensity Interval 7. Observes for the timely rupture of membrane 8, Coaches mother on the process of labor

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ACTUAL RATING

of

DESIRED RATING

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PERFORMS FUNCTIONS DURING ACTUAL LABOR


1. Transports client safely while providing privacy 2. Places mother on lithotomy position 3. Performs perineal care using sterile technique correctly 4. Performs proper hand scrub 5. Wears gown and gloves according to hospital policy 6. Performs Ritgens maneuver correctly 7. Coaches on mother on breathing and pushing technique 8. Delivers baby and placenta carefully. Checks and manages cord coil correctly Clamps and coils the cord correctly Identify signs of placental separation Checks the characteristic/completeness of the placenta 9. Assesses amount of blood loss (Normal <500cc) 10. Employs interventions to achieve and maintain a well contracted uterus to prevent/control

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hemorrhage Uterine massage Correct administration of oxytocin Cold compress 11. Assesses presence and degree of laceration 12. Assesses episiorrhaphy 13. Checks size, consistency and location of uterus 14. Performs perineal care and applies pad correctly 15. Provides emotional support to the mother throughout labor and delivery 16. Evaluates patients condition and records pertinent data Accordingly 17. Prepares patient for transfer to recovery room/ward

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II. MANANGEMENT OF RESOURCES, ENVIRONMENT AND EQUIPMENT (MRE)


1. Prepares room, instruments, and equipment needed. Sterile drape Sterile instruments and equipment [Forceps. scissors, bulb syringe, gauze, suture, needle holder, catheter (optional)] Kelly pad Disinfectant 2. Performs sterilization procedure. 3. Maintains adequacy of supplies as the delivery progresses. 4. Maintains orderliness of the sterile table. 5. Observes precautionary measures related to use of sterile Equipment 6. Ensures a quiet environment. 7. Uses supplies diligently. 8. Performs after care of the materials and equipment used. 9. Ensures proper disposal of hospital waste including blood and other fluids

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III. HEALTH EDUCATION (HE)


1. Teaches client on basic preparation during labor and deliver (can be done in the labor room). 2. Coaches client on breathing/bearing down technique. 3. Demonstrate proper latch-on breast feeding technique (done post-partum period) 4. Gives instructions to parents regarding infant care before discharge (done post-partum period) 5. Provides discharge instructions as to feeding, bathing, administration of ordered medications,

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appointment dates, for post-natal and well baby checkup (done postpartum period) 6. Responds to questions of clients and relatives regarding expectations.

IV. LEGAL RESPONSIBILITIES (LR)


1.Secures informed consent in all procedures related to labor and delivery 2. Reports accurately and honestly the gender, time o f delivery of the baby and placenta. 3. Ensures proper identification of the mother and newborn. 4. Documents all pertinent data correctly and completely.

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V. ETHICO-MORAL RESPONSIBILITIES (EMR)


1. Respects the religious, cultural and ethnic practices of the family of the woman in labor and delivery. 2. Promotes emotional security by supporting needs. 3. Ensures privacy and confidentiality

1 VI. PERSONAL AND PROFESSIONAL DEVELOPMENT (PPD) 1. Updates oneself with the latest trends and 1
development in labor and delivery. 2. Projects a professional image of a delivery room nurse. 3. Accepts criticism and recommendations. 4. Performs functions according to standards.

1 1 VII. QUALITY IMPROVEMENT (QI) (preferably done during post conference) 1. Identifies deviation of practice from the 1
standards. 2. Participates in audit practices in the delivery/lying-in. 3. Recommends corrective and preventive measures for the identified outcome.

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VIII. RESEARCH (R) (preferably done during post conference) 1. Identifies researchable problems related to 2
labor and delivery.

2. Utilize findings of research studies in intrapartal care. IX. RECORDS MANAGEMENT (RM)
1. Documents accurately relevant data about client. 2. Maintains an organized system of filing and keeping records of the client.

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X. COMMUNICATION (Comm)
1. Utilizes appropriately all forms of communication; verbal, non-verbal, electronic. 2. Inform clients significant others of the progress of labor and delivery. 3. Listens attentively to clients and families queries and requests.

XI. COLLABORATION AND TEAMWORK (CTW)


1. Functions effectively as a team player in the delivery/lying

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in. 2. Communicates the progress of the labor/delivery to significant others. 3. Establishes collaborative relationship with members of the health team and family members.

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90

TOTAL SCORE

Certified True and Correct:

(Signature over Printed Names)


____________________________________ __

DONATO, MSN, RN Clinical Instructor Coordinator License number:_____________________ number:_______________________ PRC Card-Validity Date:_______________ Date:_________________

MARIA FLORDELIZA U. Clinical License PRC Card-Validity

NARESSIA SELUDO-BALLENA EdD., MAN DEAN ____________________________________ License number:____________________ Academic Year Graduated PRC Card-Validity Date:_______________

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