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    St. Therese - MTC Colleges: College of Nursing

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    Jem Tellain
    This document contains a performance evaluation for a nursing student achieving intra-partal care competencies during their clinical rotation. It evaluates the student across 11 areas of competency involving safe nursing care during labor and delivery, management of resources and equipment, patient education, documentation, communication, and more. The student received ratings of 1 to 4 in over 100 criteria and achieved a total score of 90. The evaluation was verified and signed by their clinical instructor, coordinator, and dean.

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    St. Therese - MTC Colleges: College of Nursing

    Uploaded by

    Jem Tellain
    38 views4 pages
    This document contains a performance evaluation for a nursing student achieving intra-partal care competencies during their clinical rotation. It evaluates the student across 11 areas of competency involving safe nursing care during labor and delivery, management of resources and equipment, patient education, documentation, communication, and more. The student received ratings of 1 to 4 in over 100 criteria and achieved a total score of 90. The evaluation was verified and signed by their clinical instructor, coordinator, and dean.

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    This document contains a performance evaluation for a nursing student achieving intra-partal care competencies during their clinical rotation. It evaluates the student across 11 areas of competency involving safe nursing care during labor and delivery, management of resources and equipment, patient education, documentation, communication, and more. The student received ratings of 1 to 4 in over 100 criteria and achieved a total score of 90. The evaluation was verified and signed by their clinical instructor, coordinator, and dean.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    38 views4 pages

    St. Therese - MTC Colleges: College of Nursing

    Uploaded by

    Jem Tellain
    This document contains a performance evaluation for a nursing student achieving intra-partal care competencies during their clinical rotation. It evaluates the student across 11 areas of competency involving safe nursing care during labor and delivery, management of resources and equipment, patient education, documentation, communication, and more. The student received ratings of 1 to 4 in over 100 criteria and achieved a total score of 90. The evaluation was verified and signed by their clinical instructor, coordinator, and dean.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 4

    ST.

    THERESE - MTC COLLEGES


    College of Nursing
    La Fiesta Site, M.H. del Pilar St., Molo, Iloilo City

    SUMMARY PERFORMANCE EVALUATION ACHIEVING INTRA-PARTAL CARE COMPETENCY In Accordance with PRC Board of Nursing Memorandum No. 1 Series of 2009

    Signature over Printed Name of Student: JEREMY GACUMA TELLAIN

    INTRA-PARTAL COMPETENCIES RLE Exposure No. 1 2 3

    DESIR ED RATIN G 4 1 2 2 2 1 1 1 1 1 2 1 1 1 1 1 2 1 1 1 1 1 2 1 1 1

    ACTU AL RATIN G

    I. SAFE AND QUALITY NURSING CARE (SQC) 1. Obtains obstetrical history including parity, gravida score, LMP, EDC, AOG, BOW, Onset of true labor 2. Checks vital signs 3. Conducts physical examination 4. Performs leopold's maneuver 5. Checks fetal heart rate and fundic height 6. Monitor progress of labor/ uterine contractions as to: Frequency Duration Intensity Interval 7. Observes for the timely rupture of membrane 8. Coaches mother on process of labor PERFORM FUNCTIONS DURING ACTUAL LABOR 1. Transport client safely while providing privacy 2. Places mother in lithotomy position 3. Performs perineal care using sterile technique correctly 4. Performs proper hand scrub 5. Wears gown and gloves according to hospital policy 6. Performs ritgen's maneuver safely 7. Coaches mother on breathing and pushing techniques 8. Delivers baby and placenta carefully Checks and manages cord coil correctly Clamps and cut the cord correctly Identify signs of placental separation Checks the characteristics/completeness of the placenta 9. Assesses amount of blood loss (Normal: <500cc) 10.Employs interventions to achieve and maintain a well contracted uterus to prevent/control hemorrhage Uterine massage Correct administration of oxytocin Cold compress

    11.Assesses presence of degree of laceration 12.Assist in episiorrhaphy 13.Checks size, consistency and location of uterus INTRAPARTAL COMPETENCIES 14.Performs perineal care and applies pad correctly 15.Provides emotional support to the mother throughout labor and delivery. 16.Evaluates patient's condition and records pertinent data accordingly. 17.Prepares patient for transfer to recovery room/ward II. MANAGEMENT OF RESOURCES, ENVIRONMENT AND EQUIPMENT (MRE) 1. Prepares room, instruments and equipment needed Sterile drape Sterile instruments and equipment (forces, scissors, bulb syringe, gauze, suture, needle holder, catheter (optional) Kelly pad Disinfectant 2. Performs sterilization procedure 3. Maintains adequacy of supplies as delivery progresses 4. Maintain orderliness of the sterile table 5. Observes precautionary measure related to use of electrical equipment 6. Ensures a quiet environment 7. Uses supplies diligently 8. Performs after care of materials and equipment used 9. Ensures proper disposal of hospital waste including blood and body fluids III. HEALTH EDUCATION (HE) 1. Teaches client on basic preparation duringdelivery 2. Coaches client on breathing/baring down technique 3. Demonstrate proper "Latch - on" breastfeeding technique 4. Gives instruction to parents regarding infant care before discharge 5. Provides discharge instructions as to feeding, bathing, administration of ordered medication, appointment dates for post natal and well-baby check up 6. Responds to question to clients and relatives regarding expectations IV. LEGAL RESPONSIBILITIES (LR) 1. Secures informed consent in all the procedures related to labor and delivery 2. Reports accurately and honestly the gender, TOD of the baby and placenta 3. Ensures proper identification of the mother and the newborn 4. Document all pertinent data correctly and completely V. ETHICO-MORAL RESPONSIBILITIES (EMR) 1. Respects the religious, cultural, and ethnic practices of the family and the woman in labor and delivery 2. Promotes emotional security by supporting needs 3. Ensures privacy and confidentiality VI. PERSONAL AND PROFESSIONAL DEVELOPMENT (PPD) 1. Updates oneself with the latest trends and development in labor and delivery INTRAPARTAL COMPETENCIES 2. Projects a professional image of a delivery room nurse 3. Accepts criticisms and recommendations

    1 1 1 1 1 2 1

    1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 2 2 1 1 1 1 1 1 1

    4. Performs function according to standard VII. QUALITY IMPROVEMENT (QI) 1. Identifies deviations of the practices from the standard 2. Participates in audit practices in delivery room/lying in 3. Recommends corrective and preventive measure for the identified deviations VIII. RESEARCH ( R ) 1. Identifies researchable problems r/t to labor & delivery 2. Initiates research study on identified researchable problem 3. Participates as member of research team in the conduction of a research study 4. Utilizes findings of research studies in intra-partal care IX. RECORDS MANAGEMENT (RM) 1. Documents accurately electronic data about client 2. Maintains and organized system of filing and keeping records of client X. COMMUNICATIONS (COM) 1. Utilizes appropriately all forms of communication, verbal, non-verbal, electronic 2. Inform client's SO of the progress of labor and delivery 3. Listens attentively to clients/families query and request XI. COLLABORATION AND TEAM WORK (CTW) 1. Functions effectively as a team player in the DR/lying in 2. Communicates the progress of labor/delivery to SO 3. Establishes collaborative relationship with members of the health team and family member TOTAL SCORE

    1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 90

    Graded RLE: Academic Year _________________ Summer_____ Supervised by: Name: Signature: PRC No.: Valid Until:

    1stSem_____ 2ndSem_____

    _________________________________ (Clinical Instructor) _________________________________ _________________________________ _________________________________

    Verified True and Correct: Name: _________________________________ (Clinical Coordinator) Signature: PRC No.: Valid Until: Approved by: Name: Signature: PRC No.: Valid Until: _________________________________ _________________________________ _________________________________

    _________________________________ (Dean) _________________________________ _________________________________ _________________________________

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