Scribd
Upload
100 views

Einc Actual Delivery

This document outlines the performance points and steps for a student nurse to correctly perform essential intrapartum and newborn care during the actual delivery of a baby. It includes 20 steps such as preparing needed supplies, assisting with delivery following Ritgen's Maneuver, clamping and cutting the umbilical cord, checking the placenta for completeness, and documenting the procedure. The student's knowledge, skills, attitude, and overall performance are evaluated against these points by a clinical instructor.

Uploaded by

Gewel Bardaje Amboy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
100 views

Einc Actual Delivery

This document outlines the performance points and steps for a student nurse to correctly perform essential intrapartum and newborn care during the actual delivery of a baby. It includes 20 steps such as preparing needed supplies, assisting with delivery following Ritgen's Maneuver, clamping and cutting the umbilical cord, checking the placenta for completeness, and documenting the procedure. The student's knowledge, skills, attitude, and overall performance are evaluated against these points by a clinical instructor.

Uploaded by

Gewel Bardaje Amboy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

ST. SCHOLASTICA’S COLLEGE TACLOBAN, INC.

Maharlika Highway, Brgy. Campetic, Palo, Leyte


COLLEGE OF NURSING

Name: _____________________________________ Year/Section_________


Date: ___________________ Score: ______________
PROCEDURE: ESSENTIAL INTRAPARTUM AND NEWBORN CARE
(ACTUAL DELIVERY)

PERFORMANCE POINTS
A. KNOWLEDGE 2 1 0 CI’s
REMARKS
1 1. Concept of EINC
2. Thermoregulation
(Mechanism of Heat loss)
3. APGAR Scoring
4. Ballard’s Scoring
5. Naegele’s Rule

B. SKILLS/ABILITY CORRECTLY INCORRECTLY NOT CI’s


DONE (2) DONE (1) DONE (0) REMARKS
2 ✓ Perform hand hygiene
3 ✓ As per hospital’s
protocol, arrange needed
supplies/instruments in
linear fashion on the
Mayo table.
-gauze/ cherry
-umbilical cord clamp (1)
-clamp forceps (1)
-umbilical cord scissors/surgical
scissors (1)
-needle holder (1)
-tissue forceps (1)
-suture (chromic 2.0) (1)
-5 cc syringe (for Lidocaine) (1)
4 ✓ At perineal bulging,
wear sterile gloves.

5 ✓ Observe for cardinal


movements of labor.
Encourage the mother to
bear down.
6 ✓ Deliver the baby
following the modified
Ritgen’s Maneuver.
7 ✓ Call out the time of
birth, seconds included.

8 ✓ Place the newborn on


the mother’s abdomen
for skin to skin contact.

9 ✓ Palpate for cord


pulsations. Allow the
cord pulsations to stop.

10 ✓ Clamp the cord at 2


centimeters from the
umbilical base.

11 ✓ Apply the 2nd clamp at 5


centimeters from the
base of the umbilicus.

12 ✓ Cut the umbilical cord.


13 ✓ Observe for signs of
placental separation.

❖ Student must recite the


signs of placenta
separation.
14 ✓ Deliver the placenta and
check for its
completeness. Call out
the time placenta is out.
15 ✓ Check on the mother’s
condition. Observe for
vaginal bleeding.
16 ✓ Assist the physician for
episiotomy/laceration
repair as needed.

17 ✓ Perform perineal care to


the mother.

18 ✓ Clean the instruments


used.

19 ✓ Perform hand hygiene.


20 ✓ Document the
procedure.
C. ATTITUDE
✓ Demonstrate
preparedness, readiness
and confidence in the
performance of the
procedure.
✓ Answers questions
politely and tactfully.
✓ Observe proper decorum
and behave as a mature
student nurse.
✓ Accepts corrections /
suggestions and shows
willingness to improve
performance.

Score/ 40 x 50 + 50 = grade

Evaluated by: Conforme:

___________________________ _______________________________
Clinical Instructor Name and Signature of Student

You might also like