ARELLANO UNIVERSITY College of Nursing PACUCOA Level II Re-Accredited Status 2600 Legarda St. Sampaloc, a!ila """.arella!o.edu.

p# SUMMARY PERFORMANCE EVALUATION ACHIEVING INTRA-PARTAL CARE COMPETENCY Signature over Printed Na e o! Student" ################################################ INTRA-PARTAL COMPETENCIES I( SAFE AN$ )UALITY NURSING CARE $. Provides %or sa%et& a!d privac&. 2. Prepares clie!t p#&sicall& a!d ps&c#ologicall& %or all assessme!t a!d i!terve!tio! activities. '. S#o"s respect %or di%%ere!ces i! practices duri!g deliver&. (. Prepares room, i!strume!ts a!d e)uipme!ts asepticall&. *. O+tai!s o+stetrical #istor& i!cludi!g parit&, gravida score, L P, ,-C, AO., /O0 o!set o% true la+or 6. C#ec1s vital sig!s2 3etal 4eart Rate, 3u!dic #eig#t 5. Co!ducts p#&sical e6ami!atio!. 7. Per%orms Leopold8s ma!euver 9. o!itors progress o% la+or a!d uteri!e co!tractio!. a.3re)ue!c& +.-uratio! c. I!te!sit& d.I!terval $0. O+serves time o% rupture o% +ag o% "ater. $$. Coac#es mot#er o! progress o% la+or PERFORMS FUNCTIONS $URING ACTUAL LA-OR $. :ra!sports clie!ts sa%el& "#ile providi!g privac& 2. Places clie!t i! Lit#otom& positio!. '. Per%orms perti!e!t care usi!g sterile tec#!i)ue. (. Per%orms proper #a!d scru+. *. 0ears go"! ; gloves accordi!g to #ospital polic&. 6. Coac#es mot#er o! +reat#i!g a!d +eari!g do"! tec#!i)ues. 5. Per%orms Ritge!8s a!euver sa%el& e!suri!g !o laceratio!s. 7. -elivers +a+& a!d place!ta correctl& a!d asepticall& ta1i!g !ote o! t#e %ollo"i!g2 a. C#ec1s a!d ma!ages cord coil +. Clamps a!d cuts cord correctl& c. Ide!ti%ies sig!s o% place!tal separatio! d. C#ec1s c#aracteristics a!d complete!ess o% place!ta 9. Assesses amou!t o% +lood loss. <=ormal > ?*00cc@ $0. ,mplo&s i!terve!tio!s to mai!tai! a "ell co!tracted uterus a!d to preve!t A co!trol #emorr#age. a. uteri!e massage +. cold compress $$. C#ec1 /lood Pressure a%ter place!tal separatio! to determi!e t&pe o% O6&toci! to admi!ister. $2. C#ec1s siBe a!d locatio! o% uterus. $'. Assesses prese!ce a!d degree o% laceratio!. $(. Assists i! episiorr#ap#&. $*. Per%orms peri!eal care a!d applies peri!eal pad correctl&. $6. ,valuates patie!t8s co!ditio! a!d record perti!e!t %i!di!gs accuratel&. $5. :ra!s%ers to recover& room or "ard. II( MANAGEMENT OF RESOURCES AN$ ENVIRONMENT $. Prepares room a!d i!strume!ts !eeded Sterile drape Sterile i!strume!ts 2 Cell& %orceps, scissors, !eedle #older, cord clamp, sutures, tissue %orceps Cell& pad Plastic +ag %or place!ta -isi!%ecta!t 2. Per%orms steriliBatio! procedure $e%ired Rating * * * * + , , , * * * * * , * * * * * , , * * * * , * * * * * * * * * * * * * * * A&tua' Rating

'. ai!tai!s ade)uac& o% supplies as deliver& progress. =ote2 Replace supplies a%ter ever& deliver&. (. ai!tai!s orderli!ess o% t#e sterile ta+le. *. Uses supplies dilige!tl&. 6. ,!sures proper disposal o% #ospital "aste i!cludi!g %lood a!d ot#er %luids. 5. ,!sures )uiet e!viro!me!t. III( HEALTH E$UCATION $. Coac#es clie!t o! +reat#i!g A pus#i!g or +eari!g do"! tec#!i)ue. 2. -emo!strates proper Dlatc#-o!E +reast %eedi!g tec#!i)ue <do!e i!side t#e -R@ '. .ives i!structio!s as to %eedi!g, +at#i!g, immu!iBatio!, !utritio!, sc#edule o% %ollo"-up o% mot#er a!d +a+& <do!e post-partum@. (. Respo!ds to )uestio!s o% clie!ts a!d relatives regardi!g e6pectatio!s IV( LEGAL RESPONSI-ILITIES $. Secures co!se!t i! all procedures related to la+or a!d deliver&. 2. ,!sures proper ide!ti%icatio! o% t#e mot#er a!d !e"+or!. '. Reports accuratel& t#e ge!der, time o% deliver& o% t#e +a+& a!d place!ta. (. -ocume!ts all perti!e!t data correctl& a!d completel&. V( ETHICO-MORAL RESPONSI-ILITIES $. Respects t#e religious, cultural a!d et#!ic practices o% t#e %amil& o% t#e "oma! i! la+or a!d deliver&. 2. Promotes emotio!al securit& +& supporti!g !eeds. '. ,!sures privac& a!d co!%ide!tialit&. VI( PERSONAL AN$ PROFESSIONAL $EVELOPMENT $. Updates o!esel% "it# t#e latest tre!ds a!d developme!t i! la+or a!d deliver&. 2. ProFects a pro%essio!al image o% a deliver& room !urse. '. Accepts criticisms a!d recomme!datio!s o% -R sta%%, cli!ical i!structors, superior a!d ot#ers. (. Per%orms %u!ctio!s accordi!g to sta!dards. VII( )UALITY IMPROVEMENT $. Ide!ti%ies deviatio! o% practice %rom t#e sta!dards. 2. Participates i! audit practices i! t#e deliver& roomAl&i!g i! '. Recomme!ds corrective a!d preve!tive measures %or t#e ide!ti%ied deviatio!. VIII( RESEARCH $. Ide!ti%ies researc#a+le pro+lems related to la+or a!d deliver&. 2. UtiliBes %i!di!gs +& researc# studies i! i!tra-partal care. I.( RECOR$S MANAGEMENT $. -ocume!ts accuratel& releva!t data a+out clie!t. 2. ai!tai!s a! orga!iBed s&stem o% %ili!g a!d 1eepi!g records o% t#e clie!t. .( COMMUNICATIONS $. UtiliBes appropriatel& all %orms o% commu!icatio!2 ver+al, !o!ver+al a!d electro!ics. 2. I!%orms clie!t8s sig!i%ica!t ot#ers o% t#e progress o% la+or a!d deliver&. '. Liste!s atte!tivel& to clie!ts a!d %amilies )ueries a!d re)uests. .I( COLLA-ORATION AN$ TEAM/OR0 $. 3u!ctio!s e%%ectivel& as a team pla&er i! t#e deliver& room A l&i!g-i!. 2. Commu!icates t#e progress o% la+or A deliver& to sig!i%ica!t ot#ers. '. ,sta+lis#es colla+orative relatio!s#ip "it# mem+ers o% t#e #ealt# team a!d %amil& mem+ers. Tota' Certi%ied :rue a!d Correct2

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3UANA P( $ELA CRU45 RN MAN Cli!ical I!structor PRC Lice!se =um+er2 09$5705* Galidit& -ate2 a& 2*, 20$' RO-ERTO C( SOM-ILLO5 RM5 RN MAN

LEONAR$O M( NUESTRO5 3R(5 RN MAN Cli!ical Coordi!ator PRC Lice!se =um+er2 0$90$97 Galidit& -ate2 arc# 2*, 20$' A&ade i& Year Graduated" ,2**-,2*,

-ea! PRC Lice!se =um+er2 0$527'2 Galidit& -ate2 August 2, 20$'