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Bathing of Newborn Checklist 2

The document provides a performance checklist for assessing an individual performing infant basic life support. It includes 30 steps such as surveying the scene, checking responsiveness, checking breathing and providing rescue breaths or chest compressions based on whether the infant has a pulse. The individual is scored on completing each step correctly with a total possible score of 50.

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Mhel MG
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0% found this document useful (0 votes)
226 views8 pages

Bathing of Newborn Checklist 2

The document provides a performance checklist for assessing an individual performing infant basic life support. It includes 30 steps such as surveying the scene, checking responsiveness, checking breathing and providing rescue breaths or chest compressions based on whether the infant has a pulse. The individual is scored on completing each step correctly with a total possible score of 50.

Uploaded by

Mhel MG
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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PERFORMANCE CHECKLIST

BATHING OF THE NEWBORN

NOT
PROCEDURE DONE SCORE
DONE
1. Introduce yourself, Inform the parents about the 3
procedure.
2. Gather the materials needed. Lay out what you’ll 3
need after the bath.
3. Handwashing. Check the temperature of the 3
baby.
3
4. Set up the tub.
5. Fill the tub with 2-3 inches of warm water. Check
the temperature of the water by dipping the 3
elbows.
3
6. Clean the eyes starting to inner to outer canthus.
3
7. Clean the face and ears.
3
8. Wash and Shampoo the hair.
3
9. Remove the clothes.
3
10. Lay the baby in the tub feet first.
3
11. Begin washing the baby from neck downwards.
3
12. Lift the baby from the tub.
3
13. Pat dry the baby with a towel.
3
14. Apply alcohol/betadine to the cord if necessary.
3
15. Diaper first, and clothe the baby
3
16. Swaddle the baby.
TOTAL 50

Name: ____________________ Score: _______________


Section: ___________________ Date: _______________
Instructor:__________________
PERFORMANCE CHECKLIST

CHANGING DIAPER TO THE BABY

NOT
PROCEDURE DONE SCORE
DONE
1. Unfasten the diaper tabs and fasten them
back on themselves so they don't stick to your 3
baby, but don't remove the dirty diaper yet.
3
2. Wipe away any stool with the diaper.
3. Lift the baby's bottom off the table using 3
the graceless-yet-effective ankle hold.
4. Fold the dirty diaper in half under the baby, 3
clean side up.
5. Use a baby wipe, moistened cotton ball, or wet 3
cloth to clean your baby's front thoroughly.
6. Lift both of your baby's legs and clean his 3
bottom.
7. Swap a clean diaper for the dirty one.
The clean diaper's top half (the half with the
tabs) should go under your baby's rear, and
the bottom half should come up between his
legs (which should be spread as widely as is 3
comfortable for your baby).
8. For newborns, avoid covering the umbilical 3
cord.
9. Fasten the diaper at both sides with the tapes,
making sure it's snug, but not so tight that it 3
pinches his skin.
10. Dress the baby, and wash hands 3
thoroughly.
TOTAL 50

Name: ____________________ Score: _______________

Section: ___________________ Date: _______________

Instructor:__________________
PERFORMANCE CHECKLIST

INFANT BASIC LIFE SUPPORT

NOT
PROCEDURE DONE SCORE
DONE
3
1. Survey the scene
3
2. The scene is safe
3. Introduce yourself, hi I’m _______, a trained first 3
aider, I have my I.D. and my BSIP (PPE) can I help?
4. Check for the responsiveness of the baby “baby, 3
baby are you okay?” (3x)
5. The baby is unresponsive, Shout for help! Activate
medical assistance, Call 117 as I further assess the 3
baby.
3
6. Check the airway (no obstruction seen).
7. Check for breathing, LLF for 5 seconds (1001, 1002, 3
1003, 1004, 1005).
8. The baby is breathless, I will give 2 initial blows 3
(blow LLF, blow LLF).
9. Air bounces back, Re-activate medical assistance,
call 117 again as I perform 5 back blows and 5 chest 3
thrust. I suspect the baby is suffering from choking.
3
10. Put the baby in a stable area.
3
11. Check the airway again (obstruction seen).
3
12. Remove obstruction by using finger sweep.
3
13. Set aside for documentation.
14. Check the pulse or circulation (brachial pulse) count 3
10 seconds (1001-1010).
3
15. The baby has (-) negative pulse and (-) breathing.
16. Re-activate medical assistance, call 117 again while
I perform CPR, I suspect that the baby is having 3
cardiac arrest
3
17. Blow, LLF 2x (1-20) = (1-9=1) for 5 cycles.
18. Check for circulation or pulse for 10 secs. (1001- 3
1010).
3
19. The baby has positive pulse, negative breathing.
20. Re-activate medical assistance, call 117 again as I
perform rescue breathing. I suspect victim is 3
suffering from respiratory arrest.
21. Start with a BLOW
1, 1001, BLOW 3
1, 1002, BLOW (up to 40 cycles)
22. Check for pulse or circulation (brachial pulse) count 3
10 sec (1001-1010).
3
23. Baby is (+) pulse, (+) breathing.
24. The baby is revived! 3
25. Put the baby in a recovery position, burping, tummy 3
to tummy, tummy to lap.
3
26. Put the baby in stable area.
27. Do secondary survey (care for shock, check for vital 3
signs, rush the baby to the nearest hospital.)
3
28. Do documentation.
TOTAL 50

Name: ____________________ Score: _______________


Section: ___________________ Date: _______________
Instructor:__________________
PERFORMANCE CHECKLIST

INFANT FOREIGN BODY AIRWAY OBSTRUCTION (FBAO)

NOT
PROCEDURE DONE SCORE
DONE
3
1. Survey the scene
3
2. The scene is safe
3. Introduce yourself, hi I’m _______, a trained first aider, I 3
have my I.D. and my BSIP (PPE) can I help?
4. Check for the responsiveness of the baby “baby, baby are 3
you okay?” (3x)
5. The baby is unresponsive, Shout for help! Activate medical 3
assistance, Call 117 as I further assess the baby.
3
6. Check the airway (no obstruction seen).
3
7. LLF for 5 secs. (1001-1005).
8. The baby is breathless, I will give 2 initial blows (blow LLF, 3
blow LLF).
9. Air bounces back. Reactivate medical assistance, call 117
again. I suspect the baby is suffering from choking. I will 3
perform (5 back blows and 5 chest thrust).
3
10. Put the baby in a stable area.
3
11. Check the airway again (obstruction seen).
3
12. Remove obstruction by using finger sweep.
3
13. Set aside for documentation.
14. Check for the pulse or circulation (brachial pulse) count 10 3
secs (1001-1010).
3
15. (+) Pulse , (+) Breathing.
3
16. The baby is revived!
17. Put the baby in a recovery position. Burping, Tummy to 3
tummy, tummy to lap.
18. Do the secondary survey (care for shock, check the vital 3
signs, rush the baby in the nearest hospital).
3
19. Do documentation.
TOTAL 50

Name: ____________________ Score: _______________


Section: ___________________ Date: _______________
Instructor:__________________
PERFORMANCE CHECKLIST

ADULT FOREIGN BODY AIRWAY OBSTRUCTION (FBAO)

NOT
PROCEDURE DONE SCORE
DONE
3
20. Survey the scene
3
21. The scene is safe
22. Introduce yourself, hi I’m _______, a trained first aider, 3
I have my I.D. and my BSIP (PPE) can I help?
23. Check for the responsiveness of the baby “baby, baby 3
are you okay?” (3x)
24. The baby is unresponsive, Shout for help! Activate 3
medical assistance, Call 117 as I further assess the baby.
3
25. Check the airway (no obstruction seen).
3
26. LLF for 5 secs. (1001-1005).
27. The baby is breathless, I will give 2 initial blows (blow 3
LLF, blow LLF).
28. Air bounces back. Reactivate medical assistance, call
117 again. I suspect the baby is suffering from choking. I 3
will perform (5 back blows and 5 chest thrust).
3
29. Put the baby in a stable area.
3
30. Check the airway again (obstruction seen).
3
31. Remove obstruction by using finger sweep.
3
32. Set aside for documentation.
33. Check for the pulse or circulation (brachial pulse) count 10 3
secs (1001-1010).
3
34. (+) Pulse , (+) Breathing.
3
35. The baby is revived!
36. Put the baby in a recovery position. Burping, Tummy to 3
tummy, tummy to lap.
37. Do the secondary survey (care for shock, check the vital 3
signs, rush the baby in the nearest hospital).
3
38. Do documentation.
TOTAL 50

Name: ____________________ Score: _______________


Section: ___________________ Date: _______________
Instructor:__________________
PERFORMANCE CHECKLIST

CLEANING & STERILIZING BOTTLES, FORMULA MILK FEEDING AND BURPING

NOT
PROCEDURE DONE SCORE
DONE
Bottle cleaning 2
1. Handwashing.
2. Use of running water. 2
3. Sequence in cleaning: bottle, bottle cap, nipple 2
holder, nipple.
4. Sequence in soaping: bottle, bottle cap, nipple 3
holder, nipple.
5. Sequence in rinsing: nipple, nipple holder/teat 3
holder, bottle cap, nipple.
Sterilization 3
6. 3
1. 2
2. 3
3. 2
4. 2
5.
6.
7. 3
8. 3
9. 2
10. 3
11. 3
12. 3
50

Name: ____________________ Score: _______________


Section: ___________________ Date: _______________
Instructor:__________________
PERFORMANCE CHECKLIST

CLEANING & STERILIZING BOTTLES, FORMULA MILK FEEDING AND BURPING

NOT
PROCEDURE DONE SCORE
DONE
1. Do handwashing. 2
2. Gather all the necessary materials needed. 2
3. Introduce yourself & inform the parents about the 2
activity to be done.
7. 3
8. 3
Sterilization 3
9. 3
13. 2
14. 3
15. 2
16. 2
17.
18.
19. 3
20. 3
21. 2
22. 3
23. 3
24. 3
50

Name: ____________________ Score: _______________


Section: ___________________ Date: _______________
Instructor:__________________

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