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CENTRAL LUZON DOCTORS HOSPITAL

EDUCATIONAL INSTITUTION, INC.


(A wholly-owned Subsidiary of Central Luzon Doctors Hospital, Inc.)
Romulo Highway, San Pablo, Tarlac City
' (045) 982-5019 loc 262/982-5052/982-0264 ' (045) 982-0780/
cldhei@cldhei.edu.ph/www.cldhei.edu.ph
SUMMARY PERFORMANCE EVALUATION ACHIEVING
IMMEDIATE CARE OF THE NEWBORN COMPETENCY
In accordance wi! PRC Board o" N#r$in% Me&orand#& No' () Serie$ *((+
Si%na#re o,er Prined Na&e o" S#den- ..........................................
NEWBORN COMPETENCIES
De$ired
Rain%
Ac#a/
Rain%
)' SAFE AND 0UALITY NURSING CARE 1S0C2
1. Establishes and maintains patent airway 3
2. Puts the newborn in Trendelenburg position. )
3. Suctions mouth and nose of the newborn gently *
4. Dries newborn and wraps warmly.
Places under droplight as needed
)
. Performs and interprets !P"!# scoring correctly.
$mmediately after deli%ery
!fter minutes
*
*
&. Ensures proper identification of newborn 'name tag( name of mother) date and time of
deli%ery) gender and name of attending physician*. *
+. Performs physical assessment. *
,. Ta-es anthropometric measurements including weight) height) head) chest) abdominal
circumference.
*
.. Ta-es %ital signs/ Temperature per rectum to chec- patency* )
10. "i%es oil/ water and soap bath according to institutional policy. )
11. 1atches newborn to the mother2s breast immediately after birth. )
12. !pplies 3#EDE2s prophyla4is on the eyes. )
13. Performs cord dressing aseptically.
Disinfects area properly according to hospital policy
3lamps and cuts cord 1 inch from the abdomen
3hec-s for the presence of 2 arteries and 1 %ein
Dresses cord aseptically according to hospital policy
)
)
)
)
14. !dministers 5itamin 6 '1mg/7* into the lateral anterior thigh or %astus lateralis. )
1. 6eeps baby wrapped warmly under floor lamp or beside mother according to
institutional policy until discharge.
)
1&. #ecords pertinent obser%ations and nursing care done. )
1+. #eports any signs of de%iation/ abnormality to the pediatrician. )
II' MANAGEMENT OF RESOURCES4 ENVIRONMENT AND E0UIPMENT 1MRE2
1. Prepares instrument and e8uipment needed
Suction) cord clamp) gau9e) cotton balls) disinfectant) blan-et) droplight) 5itamin 6)
antimicrobial ophthalmic ointment.
5
2. Ensures use of sterile e8uipment during immediate care of the newborn. )
3. 7aintains ade8uacy of supplies as newborn care is rendered )
4. 7aintains orderliness of the wor-ing area. )
. :bser%es precautionary measures related to use of electrical e8uipment. )
&. Ensures a warm and 8uiet en%ironment. )
+. ;ses supplies diligently. )
,. Ensures proper disposal of hospital waste. )
III' HEALTH EDUCATION 1HE2
1. Pro%ides instructions to the mother on daily cord care and pre%ention of cord infection. *
2. Pro%ides discharge instructions to the mother on when to e4pect cord to fall off or to
report signs of cord infection.
)
3. Pro%ides information regarding newborn screening) immuni9ation) feeding etc. *
4. #esponds to 8uestions of mother and relati%es regarding e4pectations. )
IV' LEGAL RESPONSIBILITIES 1LR2
1. $dentifies newborn by comparing $D band with data in the chart. *
2. Documents all pertinent data correctly and completely )
3. #eports accurately any de%iations/ abnormal findings and nursing inter%entions rendered. )
4. Ensures that birth certificate and other ci%il registration forms are accomplished/ filled
out according to institutional policy
*
. Performs foot printing according to hospital policy. )
V' ETHICO6MORAL RESPONSIBILITIES 1EMR2
1. #espects the religious) cultural and ethnic practices of the family of the newborn. )
2. 7aintains pri%acy and confidentiality of findings of assessments. )
VI' PERSONAL AND PROFESSIONAL DEVELOPMENT 1PPD2
1. ;pdates oneself with the latest trends and de%elopments in newborn care. )
2. Pro<ects a professional image of the pediatric nurse. )
3. !ccepts criticisms and recommendations. )
4. Performs functions according to standards. )
VII' 0UALITY IMPROVEMENT 10I2
1. $dentifies de%iation of practice from the standards )
2. Participates in audit practices in the nursery )
3. #ecommends correcti%e and pre%enti%e measures for the identified de%iations. )
VIII' RESEARCH 1R2
1. $dentifies researchable problems related to immediate care of newborn )
2. $nitiates a research study on an identified researchable problem. )
3. Participates as a member of a research team in the conduction of a research study. )
4. ;tili9es findings of research studies in the immediate care of the newborn. )
I7' RECORDS MANAGEMENT 1RM2
1. Documents accurately rele%ant data about the newborn )
2. 7aintains an organi9ed system of filing and record -eeping. )
7' COMMUNICATION 1Co&&2
1. ;tili9es appropriately all forms of communications= %erbal) non>%erbal) electronic. )
2. 7aintains an open line of communication with the mother and other family members. )
3. $nforms mother of rele%ant information about the newborn. )
4. 1istens attenti%ely to 8ueries and re8uests of mothers and family members.
7I' COLLABORATION AND TEAMWOR8 1CTM2
1. ?unctions effecti%ely as a team player in the nursery )
2. 3ommunicates findings of assessment to all concerned )
3. Establishes a collaborati%e relationship with members of the health team and family of
the newborn.
)
TOTAL SCORE 9:
3ertified True and 3orrect(
'Signature o%er Printed @ames*
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3linical $nstructor 3linical 3oordinator
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DE!@ AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
1icense @umber( AAAAAAAAAAAAAAAAAAAAAAA !cademic Cear "raduated
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