CEBU INSTITUTE OF TECHNOLOGY - UNIVERSITY COLLEGE OF NURSING

N. Bacalso Avenue, Cebu City Tel # 261-7741 local 134 Website: tt!:""###.cit.e$u"

SUMMARY PERFORMANCE EVALUATION ACHIEVING INTRA- PARTAL CARE COMPETENCY

%n Acco&$ance #it '(C Boa&$ o) Nu&sin* +e,o&an$u, No. -1, .e&ies 2--/

Name of Student

Signatu e

!ate " Time of !e#i$e %

!ESIRE! RATING ACTUAL RATING

INTRAPARTAL COMPETENCIES I& SAFE AN! 'UALITY NURSING CARE (S'C)

1. 0btains obstet&ical isto&y inclu$in* !a&ity, *&avi$a sco&e, 1+', 23C, A04, B0W, onset o) t&ue labo&. 2. C ec5s vital si*ns. 3. Con$ucts ! ysical e6a,ination. 4. 'e&)o&,s 1eo!ol$7s ,aneuve&. 8. C ec5s 9etal :ea&t (ate an$ 9un$ic ei* t. 6. +onito& !&o*&ess o) labo&" ute&ine cont&actions as to: 9&e;uency 3u&ation %ntensity %nte&val 7. 0bse&ves )o& t e ti,ely &u!tu&e o) ,e,b&ane. <. Coac es ,ot e& on !&ocess o) labo&.

* + , , , + + + + + , + + + + + , + + + + + , + + + + + + + + , +

PERFORMS FUNCTIONS !URING ACTUAL LA-OR

1. T&ans!o&ts clients sa)ely # ile !&ovi$in* !&ivacy. 2. 'laces ,ot e& in lit oto,y !osition. 3. 'e&)o&,s !e&ineal ca&e usin* ste&ile tec ni;ue co&&ectly. 4. 'e&)o&,s !&o!e& an$ sc&ub. 8. Wea&s *o#n an$ *loves acco&$in* to os!ital !olicy. 6. 'e&)o&,s (it*en7s ,aneuve& sa)ely. 7. Coac es ,ot e& on b&eat in* an$ !us in* tec ni;ues. <. 3elive& baby an$ !lacenta ca&e)ully. C ec5s an$ ,ana*es co&$ &ecoil co&&ectly. Cla,!s an$ cuts t e co&$ co&&ectly. %$enti)y si*ns o) !lacental se!a&ation. C ec5s t e c a&acte&istic" co,!leteness o) t e !lacenta. /. Assesses a,ount o) bloo$ loss =No&,al: >8-- cc? 1-. 2,!loys inte&ventions to ac ieve an$ ,aintain a #ell cont&acte$ ute&us to !&event" cont&ol e,o&& a*e. @te&ine ,assa*e Co&&ect a$,inist&ation o) o6ytocin Col$ co,!&ess 11. Assesses !&esence an$ $e*&ee o) lace&ation. 12. Assists in e!isio&& a! y. 13. C ec5s siAe, consistency an$ location o) ute&us. 14. 'e&)o&,s !e&ineal ca&e an$ a!!lies !a$ co&&ectly. 18. '&ovi$es e,otional su!!o&t to t e ,ot e& t &ou* out labo& an$ $elive&y. 16. 2valuates !atient7s con$ition an$ &eco&$s !e&tinent $ata acco&$in*ly. 17. '&e!a&es !atient )o& t&ans)e& to &ecove&y &oo," #a&$.

II& MANAGEMENT OF RESOURCES. ENVIRONMENT AN! E'UIPMENT (MRE)

1. '&e!a&es &oo,, inst&u,ents an$ e;ui!,ent nee$e$. .te&ile $&a!e .te&ile inst&u,ents an$ e;ui!,ent B9o&ce!s, scisso&s, bulb sy&in*e, *au*e, sutu&e, nee$le ol$e&, cat ete& =o!tional?C Delly !a$ 3isin)ectant 2. 'e&)o&,s ste&iliAation !&oce$u&e. 3. +aintains a$e;uacy o) su!!lies as t e $elive&y !&o*&esses. 4. +aintains o&$e&liness o) t e ste&ile table. 8. 0bse&ves !&ecautiona&y ,easu&es &elate$ to use o) elect&ical e;ui!,ent. 6. 2nsu&es a ;uiet envi&on,ent. Page 1 of 3 + + + + + + + + +

7. @ses su!!lies $ili*ently.

INTRAPARTAL COMPETENCIES
<. 'e&)o&,s a)te& ca&e o) t e ,ate&ials an$ e;ui!,ents use$. /. 2nsu&es !&o!e& $is!osal o) os!ital #aste inclu$in* bloo$ an$ ot e& )lui$s.

!ESIRE! RATING

ACTUAL RATING

+ + + , + + + + + , , + + + + + + + + + + + , , + + + + + + + +

III& HEALTH E!UCATION (HE)

1. Teac es client on basic !&e!a&ation $u&in* labo& an$ $elive&y. (can be done in the labor room) 2. Coac es client on b&eat in*" bea&in* $o#n tec ni;ue. 3. 3e,onst&ates !&o!e& Elatc -onF b&east )ee$in* tec ni;ue. (done post- partum period) 4. 4ives inst&uctions to !a&ents &e*a&$in* in)ant ca&e be)o&e $isc a&*e. (done post- partum period) 8. '&ovi$es $isc a&*e inst&uctions as to )ee$in*, bat in*, a$,inist&ation o) o&$e&e$ ,e$ications, a!!oint,ent $ates )o& !ost natal an$ #ell baby c ec5 u!. (done post- partum period) 6. (es!on$s to ;uestions o) clients an$ &elatives &e*a&$in* e6!ectations.

IV& LEGAL RESPONSI-ILITIES (LR)

1. .ecu&es in)o&,e$ consent in all !&oce$u&es &elate$ to labo& an$ $elive&y. 2. (e!o&ts accu&ately an$ onestly t e *en$e&, ti,e o) $elive&y o) t e baby an$ !lacenta. 3. 2nsu&es !&o!e& i$enti)ication o) t e ,ot e& an$ ne#bo&n. 4. 3ocu,ents all !e&tinent $ata co&&ectly an$ co,!letely.

V& ETHICO- MORAL RESPONSI-ILITIES (EMR)

1. (es!ects t e &eli*ious, cultu&al an$ et nic !&actices o) t e )a,ily o) t e #o,an in labo& an$ $elive&y. 2. '&o,otes e,otional secu&ity by su!!o&tin* nee$s. 3. 2nsu&es !&ivacy an$ con)i$entiality.

VI& PERSONAL AN! PROFESSIONAL !EVELOPMENT (PP!)

1. @!$ates onesel) #it t e latest t&en$s an$ $evelo!,ent in labo& an$ $elive&y. 2. '&oGects a !&o)essional i,a*e o) a $elive&y &oo, nu&se. 3. Acce!ts c&iticis,s acco&$in* to stan$a&$s. 4. 'e&)o&,s )unctions acco&$in* to stan$a&$s.

VII& 'UALITY IMPROVEMENT ('I) (preferably done during post conferences)

1. %$enti)ies $eviation o) !&actice )&o, t e stan$a&$s. 2. 'a&tici!ates in au$it !&actices in t e $elive&y &oo," lyin* in. 3. (eco,,en$s co&&ective an$ !&eventive ,easu&es )o& t e i$enti)ie$ $eviations.

VIII& RESEARCH (R) (preferably done during post conferences)

1. %$enti)ies &esea&c able !&oble,s &elate$ to labo& an$ $elive&y. 2. @tiliAe )in$in*s o) &esea&c stu$ies in int&a- !a&tal ca&e.

I/& RECOR!S MANAGEMENT (RM)

1. 3ocu,ents accu&ately &elevant $ata about client. 2. +aintains an o&*aniAe$ syste, o) )ilin* an$ 5ee!in* &eco&$s o) t e client.

/& COMMUNICATION (Comm)

1. @tiliAes a!!&o!&iately all )o&,s o) co,,unicationH ve&bal, non-ve&bal, elect&onic. 2. %n)o&, client7s si*ni)icant ot e&s o) t e !&o*&ess o) labo& an$ $elive&y. 3. 1istens attentively to clients an$ )a,ilies ;ue&ies an$ &e;uests.

/I& COLLA-ORATION AN! TEAM0OR1 (CT0)

1. 9unctions e))ectively as a tea, !laye& in t e $elive&y &oo," lyin* in. 2. Co,,unicates t e !&o*&ess o) labo&" $elive&y to si*ni)icant ot e&s. 3. 2stablis es collabo&ative &elations i! #it ,e,be&s o) t e ealt tea, an$ )a,ily ,e,be&s.

TOTAL SCORE2

34

W en *&a$e$ (12 !e&)o&,e$ =.!eci)y Aca$e,ic Iea& an$ .e,este&?: Aca$e,ic Iea& Na,e o) Clinical %nst&ucto& 1icense Nu,be& Ve ified T ue and Co e5t2 M 6& Lu5e##e C& Va#en5ia .i*natu&e ove& !&inte$ na,e o) Clinical Coo&$inato& 1icense Nu,be& : --<631< Jali$ity : 9eb&ua&y 14, 2-18 ! & 7udit8 !& I6mae# .i*natu&e ove& !&inte$ na,e o) 3ean 1icense Nu,be& : --</124 Jali$ity : .e!te,be& 22, 2-14 : : : 1st .e,este& = ? .i*natu&e Jali$ity 2n$ .e,este& = ? .u,,e& = ?

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