University of Cebu-Banilad College of Nursing Governor Cuenco Ave., Banilad, Cebu City Tel. 233.8888 loc. 104 www.uc.edu.

ph SUMMARY PERFORMANCE EVALUATION ACHIEVING INTRA-PARTAL CARE OF THE NEWBORN COMPETENCY In Accordance with PRC Board of Nursing Memorandum No. 01 Series 2009 Signature over Printed name of Student:
INTRAPARTAL COMPETENCIES I. SAFE AND QUALITY NURSING CARE(SQC) 1.)Obtains obstetrical history including parity, gravid score, LMP, EDC, AOG, BOW, onset of true labor 2.) Checks vital signs. 3.) 4.) 5.) 6.) Conducts physical examination. Performs Leopolds Maneuver. Checks Fetal Heart Rate and Fundic Height Monitors progress of labor/uterine contractions as to: Frequency Duration Intensity Interval 7.) Observes the timely rupture of membrane. 8.) Coaches mother on process of labor. PERFORMS FUNCTIONS DURING ACTUAL LABOR 1.) Transports client safely while providing privacy. 2.) Places mother in 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 safely. 7.) Coaches mother on breathing and pushing techniques. 8.) Delivers baby and placenta carefully, Checks and manages cord recoil correctly. Clamps and cuts the cord correctly. Identify signs of placenta separation. Checks the characteristic / completeness of placenta. 9.) Assesses amount of blood loss. (Normal: < 500cc) 10.) Employs interventions to achieve and maintain well contracted uterus to prevent / control hemorrhage. Uterine massage Correct administration of oxytocin Cold compress 11.) Assesses presence and degree of laceration. 12.) Assists in episorrhaphy. 13.) Checks size, consistency and location of uterus. 14.) Performs perineal care and applies pad correctly. 4 1 2 2 2 1 1 1 1 1 2 1 1 1 1 1 2 1 1 1 1 1 2 DESIRED RATING ACTUAL RATING

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Board of Nursing

15.) Provides emotional support to the mother throughout labor and delivery. 16.) Evaluates patients condition. 17.) Prepare patient for transfer to recovery room / ward. II. MANAGEMENT OF RESOURCES, ENVIRONMENT, AND EQUIPMENT (MRE) 1.) Prepares room, instruments and equipments needed. Sterile drape Sterile instruments and equipments (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 electrical equipment. 6.) Ensures a quiet environment. 7.) Uses supplies diligently. 8.) Performs aftercare of the materials and equipments used. 9.) Ensures proper disposal of hospital waste including blood and other fluids. III. HEALTH EDUCATION (HE) 1.) Teaches client on basic preparation during labor and delivery.(can be done in the labor room) 2.) Coaches client on breathing / bearing down technique. 3.) Demonstrates proper latch-on breastfeeding 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, administering of ordered medications, appointment dates for post natal and well baby check up (done post-partum 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 of delivery of the baby and placenta. 3.) Ensures proper identification of the mother and the newborn. 4.) Documents all pertinent data correctly and completely. V. ETHICO-MORAL RESPONSIBILITY (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. VI. PERSONAL AND PROFESSIONAL DEVELOPMENT (PPD) 1.) Updates oneself with the latest trends and 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. VII. QUALITY IMPROVEMENT (QM) (preferably done during post conference)

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1.) Identifies aviation of practice from standards. INTRA-PARTAL COMPETENCIES 2.) Participates in audit practices in the delivery room/lying in. 3.) Recommends corrective and preventive measures for the identified deviations. VIII. RESEARCH (preferably done during post conference) 1.) Identifies researchable problems related to labor and delivery. 2.) Initiates a research study on an identified researchable problem. XI. RECORDS MANAGEMENT (RM) 1.) Documents accurately relevant data about client. 2.) Maintains an organized system of filing and keeping records of the client. X. COMMUNICATION (Comm) 1.) Utilizes appropriately all forms of communication; verbal, nonverbal, 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 room / lying in. 2.) Communicates the progress of labor / delivery to significant others. 3.) Establishes collaborative relationship with members of the health team and family members. TOTAL SCORE: . Certified True and Correct: (Signature over Printed Names)

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___________________________________ Clinical Instructor License Number: _____________________ PRC Card-Validity Date: _______________

___________________________________ Clinical Coordinator License Number: _____________________ PRC Card-Validity Date: _______________

___________________________________ Dean License Number: _____________________ PRC Card-Validity Date: _______________

___________________________________ Academic Year Graduated

Board of Nursing