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Dr Simulation Checklist

The document is a simulation checklist for nursing students at Notre Dame of Midsayap College, detailing the steps and procedures for assisting in childbirth and newborn care. It includes tasks such as patient communication, preparation for delivery, cord care, and post-delivery assessments. A scoring system is provided to evaluate the performance of the students based on the completion and correctness of the procedures.

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Kristine Joy Toquero
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15 views4 pages

Dr Simulation Checklist

The document is a simulation checklist for nursing students at Notre Dame of Midsayap College, detailing the steps and procedures for assisting in childbirth and newborn care. It includes tasks such as patient communication, preparation for delivery, cord care, and post-delivery assessments. A scoring system is provided to evaluate the performance of the students based on the completion and correctness of the procedures.

Uploaded by

Kristine Joy Toquero
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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NOTRE DAME OF MIDSAYAP COLLEGE

COLLEGE OF NURSING

DR SIMULATION CHECKLIST

NAME:_________________________________-DATE:_______SCORE:_____

5 4 3 2 1
STEPS/PROCEDURES

1. Explain the woman and her support


person what will be done and encourage
questions.
2. Check significant information about the
patient.
3. Introduce yourself to the patient.
4. Ensure that the delivery area is draft-
free. Room temperature must be between 25-
28 °C.
5. If normal vaginal delivery is indicated
with full cervical dilatation, assist the patient
in comfortable lithotomy position on the DR
table.
6. Prepare the needed material/equipment
for the delivery.
7. Wash hands and wear clean gloves.
Perform external douching and cleanse the
perineum if indicated.
8. Properly don sterile gloves just before
the delivery. (Do double-gloving if necessary)
9. Assist in giving correct instruments for
the course of delivery.
10. Assist in doing Ritgen’s Maneuver.
11. Assist in the delivery of the fetus.
Observe for the mechanisms of labor.
12. Call out the time of birth.
13. Do proper Brandt-Andrew’s maneuver
to facilitate placental separation and
expulsion.
14. Assist in episiorrhaphy, if indicated.
15. Palpate the uterus if it is firm and
contracted.
16. Check for persistent bleeding.
17. Do perineal care and assist in donning
the diaper.
18. Document any observations.
CORD CARE
19. Don sterile gloves (double-gloving).
Assist in placing the newborn on the mother’s
abdomen, if necessary.
20. Dry and provide warmth to the baby.
Use a clean, dry cloth to thoroughly dry the
baby by wiping the eyes, face, head, front
and back, arms, and legs.
21. Do a quick check of the newborn’s
breathing while drying. Remove the wet cloth.
22. Do skin-to-skin contact. If the baby is
crying and breathing normally, avoid any
manipulation, such as routine suctioning, that
may cause trauma or introduce infection.
23. Place the newborn prone on the
mother’s abdomen or chest skin-to-skin.

24. Cover newborn’s back with a blanket


and head with a bonnet.
25. Remove the first set of gloves
immediately prior to cord clamping.
26. Clamp and cut the cord: wait for 2-3
minutes after birth or until the cord ceases to
pulsate, whichever comes first, before
clamping and cutting the cord.
27. Place one clamp at 2 cm and another
clamp at 5 cm from the newborn’s abdomen.
Cut the cord in between the clamps with a
sterile instrument.
28. Observe for oozing blood. Do not milk
the cord towards the newborn.
29. Care of the eyes: Instill eye drops
(tetracycline or erythromycin), one drop each
eye. If using an ointment, depress the lower
eyelid and place a length/strip of the ointment
from the inner to outer canthus (edge) of the
eye. Do the same for the other eye.
30. Identification of the baby: Place an
identification band at ankle and/or wrist. Note
the name of the mother and/or father, the sex
of the baby, and date and time of the
delivery.
31. Maintain the baby’s body
temperature: Keep the baby warm, ideally by
keeping him/her in skin-to-skin contact on the
mother’s chest or abdomen, with the body
and head covered with a cloth and a hat.
32. Check the baby’s rectal temperature
with a thermometer.
33. Administer Vitamin K: Explain to the
mother that an injection will be required to
prevent hemorrhage for the baby.
34. Collect all the necessary supplies:
disposable syringe (1 cc) with needle, vitamin
K, alcohol, pieces of gauze/cotton (preferably
sterile)
35. Wipe the injection site with alcohol
soaked cotton or gauze.
36. Inject the drug intramuscularly into the
antero-lateral part of the thigh (vastus
lateralis): 1 mg for a normal baby weight and
0.5 mg for a baby weighing less than 1500
grams.
37. Dispose the needle and syringe in an
appropriate and safe manner.
38. Perform anthropometric
measurements to the baby: Measure the
baby’s head circumference, chest
circumference, abdominal circumference,
height/length, and weight.
39. Document the findings.
ASSIST
40. Monitor vital signs of the mother.
41. Provide necessary assistance to the
handle and cord care in providing needed
equipment/materials during the course of
delivery and cord care.
42. Check the blood pressure of the
mother immediately after the placental
expulsion.
43. Do after care.

Legend: 5- 100 (Procedures mentioned and done correctly with rationale; Highly
Evident)
4- 90 (Procedures mentioned and done correctly without rationale; Often
Evident)
3- 80 (Procedures missed but done after being reminded; Sometimes
Evident)
2- 70 (Procedures mentioned but done incorrectly; Low Evidence)
1- 60 (Procedures not mentioned and done incorrectly; Not evident)

Remarks:
_________________________________________________________________
_______________________________________________________________

Student’s Signature: ________________________ Date: __________


CIs’ Name and Signature: ____________________ Date: __________

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