Essential Intrapartum Care: Delivery Room Rating Sheet Guide
School
St. Scholastica's College Manila**We aren't endorsed by this school
Course
NURSING BS NCM109
Subject
Nursing
Date
Dec 12, 2024
Pages
2
Uploaded by lovelovie05
Colegio de Sta. Lourdes of Leyte Foundation, Inc.COLLEGE OF NURSINGBrgy. 1 Quezon, Tabontabon, Leyte 6504RELATED LEARNING EXPERIENCEDELIVERY ROOM RATING SHEETName: RATING: Group.: DATE: Course and Year: Legend:5 – Excellent -Carries out the procedure efficiently, systematically and independently.4 – Very Satisfactory - Carries out the procedure efficiently and systematically but requires minimal guidance and supervision.3 – Satisfactory - Carries out the procedure efficiently, systematically but requires moderate guidance andsupervision.2 – Fair - Carries out the procedure efficiently, systematically but requires close guidance and supervision.1 – Needs Improvement - Carries out the procedure inefficiently, unsystematically and requires close guidance and supervision.ESSENTIAL INTRAPARTUM AND NEWBORN CARE54321CI’s RemarksIn advance, prepare decontamination solution by mixing 1 part 5 chlorine bleach to 9 parts water to make 0.5% chlorine solution. Change chlorine solution at the beginning of each day or whenever solution is verycontaminated or cloudy.PRIOR TO WOMAN TRANSFER TO THE DELIVERY ROOM (DR)Ensure that the mother is in her position of choice while in labor.Asked the mother if she wishes to drink.Communicate with the mother – informed her of the progress of labor,gave reassurance and encouragement.WOMAN ALREADY IN THE DELIVERY ROOM (DR)PREPARE FOR DELIVERYTemperature in the DR area to be 25-28 OC; eliminated air draft.Ask woman if she is comfortable in semi-upright position (the defaultposition of delivery table)Ensures the woman’s privacyRemoved all jewelry then washed hands thoroughly observing the WHO1-2-3-4-5 procedure.Prepare a clear clean new born resuscitation area. Checked theEquipment if clean, functional and within easy reach.Arrange materials or supplies in a linear sequence:Gloves, dry linen, bonnet, oxytocin injection, plastic, clamp, instrument clamp, scissors, 2 kidney basins in a separate sequence,for after 1stbreast feed:Eye ointment, (Stethoscope to symbolize PE), vit k, Hepatitis B and BCG vaccines, tape measure, 2 syringe 1cc,cotton balls)Clean the perineum with antiseptic solution.Washed hands and put on 2 pairs of sterile gloves aseptically (if sameworker handles perineum and cord)AT THE TIME OF DELIVERYEncouraged woman to push as desired.Draped the clean, dry linen over the mother’s abdomen or arms inpreparation for drying the baby.Applied perineal support and did controlled the delivery of the head.Called out time of birth.FIRST 30 SECONDS
Thoroughly dried baby for at least 30 seconds, starting from the faceand head, going down to the trunk and extremities while performing a quick check for breathing.1 -3 MINUTESRemove the wet cloth.Placed baby skin-to-skin contact on the mother’s abdomen or chest.Covered baby with the dry cloth and baby’s head with bonnet.Excluded a 2ndbaby by palpating the abdomen in preparation forgiving oxytocin.Used wet cloth to wipe the soiled gloves. Gave IM oxytocin with oneminute of the baby’s birth. Disposed of wet cloth.Removed first set of gloves and decontaminate them properly (in 0.5%chlorine solution for at least 10 mins.)Palpate umbilical cord to check for pulsation.After pulsation stop for 1-3 minutes, clamped cord using plastic clampor cord tie 2 cm from the base.Cut near plastic clamp (midway)Performed the remaining steps of the AMTSLWaited for strong uterine contractions then applied controlled cord traction and counter traction on the uterus, continue until placentawas delivered.Massaged the uterus until it is firmed.Inspect the lower vagina and perineum for lacerations / tears, asnecessary.Examine the placenta for completeness and abnormalities.Cleaned the mother, flushed perineum and applied perineal pad /napkin / cloth.Checked newborn’s color and breathing; checked that mother wascomfortable, uterus contracted.Disposed of placenta in a leak-proof container or plastic bag.Decontaminated (soaked in 0.5% chlorine solution) instruments before cleaning; decontaminate 2ndpair of gloves before disposal, stating thatdecontamination last for at least 10 mins.Advised mother to maintain skin-to-skin contact. Baby should beprone on mothers chest / in between the breasts with head turn on to one side.15-90 MINUTESAdvised mother to observe for feeding cues and cited examples offeeding cues.Supported mother, instruct her on positioning and attachment.Waited for FULL BREASTFEEDING to be completed.Signed by: Clinical Instructor