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    CL Midterm Oxytocin Admin

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    kristianneden
    The document is a performance evaluation checklist for administering oxytocin during labor and delivery. It rates nursing students on 16 steps of oxytocin administration including preparing equipment, starting an IV line, monitoring the fetus and uterus, increasing oxytocin dosage safely, and documenting vital signs and fetal/uterine monitoring. The student is rated on a scale of 1 to 5 and must achieve an average score of at least 2.51 to pass.

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    CL Midterm Oxytocin Admin

    Uploaded by

    kristianneden
    11 views2 pages
    The document is a performance evaluation checklist for administering oxytocin during labor and delivery. It rates nursing students on 16 steps of oxytocin administration including preparing equipment, starting an IV line, monitoring the fetus and uterus, increasing oxytocin dosage safely, and documenting vital signs and fetal/uterine monitoring. The student is rated on a scale of 1 to 5 and must achieve an average score of at least 2.51 to pass.

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    Cl Midterm Oxytocin Admin

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    The document is a performance evaluation checklist for administering oxytocin during labor and delivery. It rates nursing students on 16 steps of oxytocin administration including preparing equipment, starting an IV line, monitoring the fetus and uterus, increasing oxytocin dosage safely, and documenting vital signs and fetal/uterine monitoring. The student is rated on a scale of 1 to 5 and must achieve an average score of at least 2.51 to pass.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    11 views2 pages

    CL Midterm Oxytocin Admin

    Uploaded by

    kristianneden
    The document is a performance evaluation checklist for administering oxytocin during labor and delivery. It rates nursing students on 16 steps of oxytocin administration including preparing equipment, starting an IV line, monitoring the fetus and uterus, increasing oxytocin dosage safely, and documenting vital signs and fetal/uterine monitoring. The student is rated on a scale of 1 to 5 and must achieve an average score of at least 2.51 to pass.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    CALAMBA DOCTORS’ COLLEGE

    Performance Evaluation Checklist

    Name: ________________________ Date: _______________


    Year and Section: _______________

    Instruction: Rate the nursing skill performance of the student based as follows: 5 = Perfect (91-100), 4 = Very
    Satisfactory (85-90), 3 = Satisfactory (80-84), 2 = Poor (79-75), 1 = Need Improvement (74 and below)

    Oxytocin Administration

    Preparation 5 4 3 2 1 Comments
    Explain the procedure to the patient
    Provide privacy
    Wash your hands.
    Describe the equipment
    Forewarn the patient that she may feel a pinch from the venipuncture
    Equipment
    Administration set for primary I.V. line
    Infusion pump and tubing
    I.V. solution as ordered
    External or internal fetal monitoring equipment
    Oxytocin
    20G needle
    Label
    Preparation of equipment
    1 Prepare the oxytocin solution as ordered
    2 Rotate the I.V. bag to disperse the drug throughout the solution.
    3 Label the I.V. container with the name of the medication.
    4 Attach the infusion pump tubing to the I.V. container, and connect
    the tubing to the pump
    5 Attach the 20G needle to the tubing to piggyback it to the primary
    I.V. line, or use an autosyringe connected to the primary I.V. line
    6 Then set up the equipment for internal or external fetal monitoring.
    Procedure
    Administering oxytocin during labor and delivery
    1 Help the patient to a lateral-tilt position, and support her hip
    with a pillow
    In the supine position, the gravid uterus presses on the maternal
    great vessels, producing maternal hypotension and reduced uterine
    perfusion.
    2 Identify and record the fetal heart rate (FHR), and assess uterine
    contractions
    To establish baseline fetal status and evaluate spontaneous
    maternal uterine activity.
    3 Start the primary I.V. line using an 18G through-the-needle
    catheter
    This line to deliver not only oxytocin but also fluids, blood, or other
    medications as needed.
    4 Piggyback the oxytocin solution (metered by the infusion
    pump) to the primary I.V. line at the Y injection site closest to
    the patient. Piggybacking maintains I.V. line patency (which you'll
    need to preserve if you discontinue the oxytocin infusion).
    5 Begin the oxytocin infusion as ordered
    6 Be prepared to start monitoring uterine contractions. Because
    oxytocin begins acting immediately
    7 Increase the oxytocin dosage as ordered.
    8 Before each increase, be sure to time the frequency and
    duration of contractions, palpate the uterus to identify
    contraction intensity, and assess maternal vital signs and fetal
    heart rhythm and rate to ensure safety and to anticipate possible
    complications.
    9 Assist with comfort measures, such as repositioning the patient
    on her other side, as needed.
    10 To reduce uterine irritability, try to increase uterine blood flow.
    Do this by changing the patient's position and increasing the infusion
    rate of the primary I.V. line
    11 To manage hyperstimulation, discontinue the infusion, administer
    oxygen, and notify the physician.
    12 After hyperstimulation resolves, resume the oxytocin infusion.
    13 Monitor and record intake and output. Output should be at least
    30 ml/hour. Oxytocin has an antidiuretic effect, so you may need to
    administer an electrolyte-containing I.V. solution to maintain
    electrolyte balance.
    14 Watch for signs of oxytocin hypersensitivity such as elevated blood
    pressure
    15 Record maternal response to contractions, blood pressure, pulse
    rate and pattern, and respiratory rate and quality on the labor
    progression chart
    16 Document FHR, oxytocin infusion rate, and intake and output
    amounts. Describe uterine activity as well.
    Ave. Score =

    Grade: __________

    Evaluated by:

    __________________________
    Clinical Instructor

    Rating Scale
    Range Descriptive Rating
    4.51 - 5.00 Perfect
    3.51 - 4.50 Very Satisfactory
    2.51 - 3.50 Satisfactory
    1.51 - 2.50 Poor
    1.00 - 1.50 Need Improvement

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