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Checklist - Handling Delivery

This document outlines the steps for handling a delivery as a nursing procedure. It includes 15 steps from handwashing and labor monitoring to cleaning instruments and documenting the procedure. The nurse prepares supplies and drapes, assists the obstetrician during delivery, supports the perineum, anticipates needed instruments, handles the cord and placenta, assists with repairs if needed, cleans the patient and area, and documents the outcome. The purpose is to safely assist with and support the delivery process.

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Lue Vigiem M. Guias
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172 views

Checklist - Handling Delivery

This document outlines the steps for handling a delivery as a nursing procedure. It includes 15 steps from handwashing and labor monitoring to cleaning instruments and documenting the procedure. The nurse prepares supplies and drapes, assists the obstetrician during delivery, supports the perineum, anticipates needed instruments, handles the cord and placenta, assists with repairs if needed, cleans the patient and area, and documents the outcome. The purpose is to safely assist with and support the delivery process.

Uploaded by

Lue Vigiem M. Guias
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NAME: _______________________________________________ DATE: ____________________

INSTRUCTOR/EVALUATOR: _______________________________ SECTION: __________________

NURSING PROCEDURE: HANDLING DELIVERY


DEFINITION:

PURPOSE:

PRINCIPLE/S:

EQUIPMENT/SUPPLIES NEEDED:

STEP by STEP PROCEDURE


Rate:
Rating: 5 - Excellent 4 - Very satisfactory 3 - Satisfactory 2 - Needs improvement 1 - Poor

1. Do handwashing

Rationale:

2. Do labor watch the laboring/pregnant patient.

Rationale:

3. Assist the circulating nurse in mounting the patient in the delivery table.

Rationale:

4. Prepare the mayo table. Open the OB Set (1 kidney basin, 1 kelly curve forcep, 1 kelly straight
forcep, 1 needle holder, 1 tissue forcep, 1 ovum forcep, 1 mayo scissor) & OB Pack ( 1 Abdominal
drape, 2 leggings and 1 buttocks drape). Count instruments. Do gloving.

Rationale:

5. Drape patient (Apply abdominal drape, leggings and buttocks drape)

Rationale:

6. Anticipate needed instrument by the obstetrician by hand it over.

Rationale:

7. Once the baby’s head is crowning, the obstetrician will perform episiotomy ( for primi), Support
the perineum (Ritgen’s Maneuver - applying upward pressure from the coccygeal region to extend
the head during actual delivery, thereby protecting the musculature of the perineum from

HANDLING DELIVERY 1
tearing.) With OS.

Do not release support until the baby is completely delivered.

Rationale:

8. Offer cord clamp ( to INC In-charge) Kelly forcep to obstetrician then scissor.

Rationale:

9. Anticipate placental delivery. Once eminent, hold the kidney basin closer to the perineum to catch
the delivered placenta. Offer ovum forcep to the obstetrician. Hand kidney basin with placenta to
circulating nurse for weighing.

10. (If patient is not primi, Proceed to #9). Offer syringe with anesthesia to obstetrician, then prepare
suture (ask if he/she is right or left-handed) and assist during episiorrhaphy (Hold suture, wipe
bleeder site and cut as instructed).

Rationale:

11. Clean patient’s perineum and thigh; Apply adult diaper (Assisted by circulating nurse)

Rationale:

12. Position the patient comfortably in the delivery table.

Rationale:

13. Do after care of the instruments (soak for 10 mins, then brush with soap and rinse with water.) Dry
instruments properly. Dispose soiled materials properly (observe color-coded waste disposal
system).

Rationale:

14.Prepare the area for the next delivery. (Prepare OB Pack and set in the mayo table; Place kelly pad
and pail in the DR table.

Rationale:

15. Document date and time of the newborn and placenta delivery procedure performed and patient’s
reaction/postpartum condition.

Rationale:

HANDLING DELIVERY 2
TOTAL SCORE: /75

COMMENTS/SUGGESTIONS:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________

HANDLING DELIVERY 3

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