LIPA CITY COLLEGES College of Nursing (G.A. Solis St., Lipa City, (0 !"#$%&$'# , (((.lipa)ity)olleges.net" PE*+O*,ANCE E-AL.

ATION AC/IE-ING INT*APA*TAL CA*E CO,PETENCY In A))or0an)e (it1 P*C 2oar0 of Nursing ,e3oran0u3 No. 04 Series 500' Name of Student: SI,2A/AN, 6EL,A AG6AN Year/Clinical Group: 5n0 year7 Group School Year: 5044&5045 Semester:/ Term: ______First Semester ____Second Semester _______Summer Inclusive Dates of Clinical otation: 8anuary !4, +e9ruary 5, #, ', 5045

INT*APA*TAL CO,PETENCIES I. SA+E AN6 :.ALITY N.*SING CA*E (S:C"

6ESI*E6 *ATING

ACT.AL *ATING

!" #$tains o$stetrical histor% includin& parit%' &ravida score' ()*' +DC' ,#G' -#. onset of true la$or" /" Chec0s vital si&ns" 1" Conducts ph%sical e2amination" 3" *erforms (eopold4s maneuver" 5" Chec0s Fetal 6eart ate and Fundic hei&ht" 7" )onitor pro&ress of la$or/ uterine contractions as to: Fre8uenc% Duration Intensit% Interval 9" #$serves for the timel% rupture of mem$rane" :" Coaches mother on process of la$or" PERFORMS FUNCTIONS DURING ACTUAL LABOR !" Transports clients safel% ;hile providin& privac%" /" *laces mother in lithotom% position" 1" *erforms perineal care usin& sterile techni8ue correctl%" 3" *erforms proper hand scru$" 5" .ears &o;n and &loves accordin& to hospital polic%" 7" *erforms it&en4s maneuver safel%" 9" Coaches mother on $reathin& and pushin& techni8ues" :" 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 =" ,ssesses amount of $lood loss >Normal: ?5@@ ccA !@" +mplo%s interventions to achieve and maintain a ;ell contracted uterus to prevent/control hemorrha&e" Bterine massa&e Correct administration of o2%tocin Cold compress !!" ,ssesses presence and de&ree of laceration" !/" ,ssists in episiorrhaph% !1" Chec0s siCe' consistenc% and location of uterus" !3" *erforms perineal care and applies pad correctl%" !5" *rovides emotional support to the mother throu&hout la$or and deliver%" !7" +valuates patient4s condition and records pertinent data 4 4 4 4 4 5 4 4 4 4 4 5 4 5 5 5 4 4 4 4 4 5

4 4 4 4 4 4 4 4 5

accordin&l%" !9" *repares patient for transfer to recover% room/ ;ard" II. !" *repares room' instruments and e8uipment needed" Sterile drape Sterile instruments and e8uipment DForceps' scissors' $ul$ s%rin&e' &auCe' suture' needle holder' catheter >optionalAE Fell% pad Disinfectant /" *erforms steriliCation procedure" 1" )aintains ade8uac% of supplies as the deliver% pro&resses" 3" )aintains orderliness of the sterile ta$le" 5" #$serves precautionar% measures related to use of electrical e8uipment" 7" +nsures a 8uiet environment" 9" Bses supplies dili&entl%" :" *erforms after care of the materials and e8uipments used" =" +nsures proper disposal of hospital ;aste includin& $lood and other fluids" III. /EALT/ E6.CATION (/E" 4 5 4 4 4 !" Teaches client on $asic preparation durin& la$or and deliver >can $e done in the la$or roomA /" Coaches4 client on $reathin&/ $earin& do;n techni8ue" 1" Demonstrates proper GlatchHonI $reast feedin& techni8ue >done postHpartum periodA" 3" Gives instructions to parents re&ardin& infant care $efore dischar&e >done postHpartum period"A 5" *rovides dischar&e instructions as to feedin&' $athin&' administration of ordered medications' appointment dates for post natal and ;ell $a$% chec0 up >done postHpartum period"A 7" I-. esponds to 8uestions of clients and relatives re&ardin& e2pectations" LEGAL *ESPONSI2ILITIES (L*" 4 5 5 4 4 4 4 4 4 4 4 4 4 ,ANAGE,ENT O+ *ESO.*CES, EN-I*ON,ENT AN6 E:.IP,ENT (,*E" 4 4 4 4 4 4 4 4 4 4 4 4

!" Secures informed consent in all procedures related to la$or and deliver%" /" eports accuratel% and honestl% the &ender' time of deliver% of the $a$% and placenta"

1" +nsures proper identification of the mother and ne;$orn" 3" Documents all pertinent data correctl% and completel%" -. !" ET/ICO&,O*AL *ESPONSI2ILITIES (E,*" espects the reli&ious' cultural and ethnic practices of the famil% of the ;oman in la$or and deliver%"

/" *romotes emotional securit% $% supportin& needs" 1" +nsures privac% and confidentialit%" -I. PE*SONAL AN6 P*O+ESSIONAL 6E-ELOP,ENT (PP6" !" Bpdates oneself ;ith the latest trends and development in la$or and deliver%" /" *roJects a professional ima&e of a deliver% room nurse" 1" ,ccepts criticisms and recommendations" 3" *erforms functions accordin& to standards" -II. !" Identifies deviation of practice from the standards"

:.ALITY I,P*O-E,ENT (:I" (prefera9ly 0one 0uring post )onferen)es"

/" *articipates in audit practices in the deliver% room/l%in& in" 1" -III. ecommends corrective and preventive measures for the identified deviations" *ESEA*C/ (*" (prefera9ly 0one 0uring post )onferen)es"

4 4

!" Identifies researcha$le pro$lems related to la$or and deliver%" /" BtiliCe findin&s of research studies in intraHpartal care" I;. *ECO*6S ,ANAGE,ENT (*," !" Documents accuratel% relevant data a$out client" /" )aintains an or&aniCed s%stem of filin& and 0eepin& records of the client" ;. CO,,.NICATION (Co33" !" BtiliCes appropriatel% all forms of communicationK ver$al' nonH ver$al' electronic" /" Inform client4s si&nificant others of the pro&ress of la$or and deliver%" 1" (istens attentivel% to clients and families 8ueries and re8uests" ;I. COLLA2O*ATION AN6 TEA,<O*= (CT<" !" Functions effectivel% as a team pla%er in the deliver% room/l%in& in" /" Communicates the pro&ress of la$or/deliver% to si&nificant others" 1" +sta$lishes colla$orative relationship ;ith mem$ers of the health team and famil% mem$ers" TOTAL SCO*E>

5 5 4 4

4 4 4

4 4 4 '0

E?aluate0 2y> LA-INIA T. ,ALA2.YOC *N, ,AN Clini)al Instru)tor Li)ense Nu39er> 054$#0' P*C Car0 & -ali0ity 6ate> +e9ruary 4#, 504#

Confor3e> SI,2A/AN, 6EL,A A. Signature o?er Printe0 Na3e Student