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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* +eo&an$u No. 1, e&ies 2/  Name of Student Signatue !ate " Time of !e#i$e% INTRAPARTAL COMPETENCIES !ESIRE! RATING ACTUAL RATING I& SAFE AN! 'UALITY NURSING CARE (S'C) 1. 0btains obstet&ical isto&y inclu$in* !a&ity, *&avi$a sco&e, +', C, A0, B0W, onset o) t&ue labo&. * 2. Cec5s vital si*ns. + 3. Con$ucts !ysical eaination. , 4. 'e&)o&s eo!ol$s aneuve&. , 8. Cec5s 9etal ea&t (ate an$ 9un$ic ei*t. , 6. +onito& !&o*&ess o) labo&" ute&ine cont&actions as to: 9&e;uency u&ation %ntensity %nte&val + + + + 7. 0bse&ves )o& te tiely &u!tu&e o) eb&ane. + <. Coaces ote& on !&ocess o) labo&. , PERFORMS FUNCTIONS !URING ACTUAL LAOR 1. T&ans!o&ts clients sa)ely ile !&ovi$in* !&ivacy. + 2. 'laces ote& in litotoy !osition. + 3. 'e&)o&s !e&ineal ca&e usin* ste&ile tecni;ue co&&ectly. + 4. 'e&)o&s !&o!e& an$ sc&ub. + 8. Wea&s *on an$ *loves acco&$in* to os!ital !olicy. + 6. 'e&)o&s (it*ens aneuve& sa)ely. , 7. Coaces ote& on b&eatin* an$ !usin* tecni;ues. + <. elive& baby an$ !lacenta ca&e)ully. Cec5s an$ ana*es co&$ &ecoil co&&ectly. Cla!s an$ cuts te co&$ co&&ectly. %$enti)y si*ns o) !lacental se!a&ation. Cec5s te ca&acte&istic" co!leteness o) te !lacenta. + + + + /. Assesses aount o) bloo$ loss =No&al: >8 cc? , 1. !loys inte&ventions to acieve an$ aintain a ell cont&acte$ ute&us to !&event" cont&ol eo&&a*e. @te&ine assa*e Co&&ect a$inist&ation o) oytocin Col$ co!&ess + + + 11. Assesses !&esence an$ $e*&ee o) lace&ation. + 12. Assists in e!isio&&a!y. + 13. Cec5s sie, consistency an$ location o) ute&us. + 14. 'e&)o&s !e&ineal ca&e an$ a!!lies !a$ co&&ectly. + 18. '&ovi$es eotional su!!o&t to te ote& t&ou*out labo& an$ $elive&y. + 16. valuates !atients con$ition an$ &eco&$s !e&tinent $ata acco&$in*ly. , 17. '&e!a&es !atient )o& t&ans)e& to &ecove&y &oo" a&$. + II& MANAGEMENT OF RESOURCES. ENVIRONMENT AN! E'UIPMENT (MRE) 1. '&e!a&es &oo, inst&uents an$ e;ui!ent nee$e$. te&ile $&a!e te&ile inst&uents an$ e;ui!ent 9o&ce!s, scisso&s, bulb sy&in*e, *au*e, sutu&e, nee$le ol$e&, catete& =o!tional? Delly !a$ isin)ectant + + + + 2. 'e&)o&s ste&iliation !&oce$u&e. + 3. +aintains a$e;uacy o) su!!lies as te $elive&y !&o*&esses. + 4. +aintains o&$e&liness o) te ste&ile table. + 8. 0bse&ves !&ecautiona&y easu&es &elate$ to use o) elect&ical e;ui!ent. + 6. nsu&es a ;uiet envi&onent. +

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CEBU INSTITUTE OF TECHNOLOGY - UNIVERSITY

COLLEGE OF NURSING

N. Bacalso Avenue, Cebu CityTel # 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* +eo&an$u No. 1, e&ies 2/

 Name of Student Signatue !ate " Time of !e#i$e%

INTRAPARTAL COMPETENCIES!ESIRE!RATING

ACTUALRATING

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

1. 0btains obstet&ical isto&y inclu$in* !a&ity, *&avi$a sco&e, +', C, A0, B0W, onset o) t&ue labo&. *

2. Cec5s vital si*ns. +3. Con$ucts !ysical eaination. ,

4. 'e&)o&s eo!ol$s aneuve&. ,

8. Cec5s 9etal ea&t (ate an$ 9un$ic ei*t. ,

6. +onito& !&o*&ess o) labo&" ute&ine cont&actions as to:

9&e;uency

u&ation

%ntensity

%nte&val

++++

7. 0bse&ves )o& te tiely &u!tu&e o) eb&ane. +

<. Coaces ote& on !&ocess o) labo&. ,

PERFORMS FUNCTIONS !URING ACTUAL LAOR

1. T&ans!o&ts clients sa)ely ile !&ovi$in* !&ivacy.+2. 'laces ote& in litotoy !osition. +

3. 'e&)o&s !e&ineal ca&e usin* ste&ile tecni;ue co&&ectly. +

4. 'e&)o&s !&o!e& an$ sc&ub. +

8. Wea&s *on an$ *loves acco&$in* to os!ital !olicy. +

6. 'e&)o&s (it*ens aneuve& sa)ely. ,

7. Coaces ote& on b&eatin* an$ !usin* tecni;ues. +

<. elive& baby an$ !lacenta ca&e)ully.

Cec5s an$ ana*es co&$ &ecoil co&&ectly.

Cla!s an$ cuts te co&$ co&&ectly.

%$enti)y si*ns o) !lacental se!a&ation.

Cec5s te ca&acte&istic" co!leteness o) te !lacenta.

++++

/. Assesses aount o) bloo$ loss =No&al: >8 cc? ,

1. !loys inte&ventions to acieve an$ aintain a ell cont&acte$ ute&us to !&event" cont&ol eo&&a*e.

@te&ine assa*e

Co&&ect a$inist&ation o) oytocin

Col$ co!&ess

+++

11. Assesses !&esence an$ $e*&ee o) lace&ation. +

12. Assists in e!isio&&a!y. +

13. Cec5s sie, consistency an$ location o) ute&us. +

14. 'e&)o&s !e&ineal ca&e an$ a!!lies !a$ co&&ectly. +

18. '&ovi$es eotional su!!o&t to te ote& t&ou*out labo& an$ $elive&y. +

16. valuates !atients 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&uents an$ e;ui!ent nee$e$.

te&ile $&a!e te&ile inst&uents an$ e;ui!ent 9o&ce!s, scisso&s, bulb sy&in*e, *au*e, sutu&e, nee$le

ol$e&, catete& =o!tional?

Delly !a$

isin)ectant

++

++

2. 'e&)o&s ste&iliation !&oce$u&e. +

3. +aintains a$e;uacy o) su!!lies as te $elive&y !&o*&esses. +

4. +aintains o&$e&liness o) te ste&ile table. +

8. 0bse&ves !&ecautiona&y easu&es &elate$ to use o) elect&ical e;ui!ent. +

6. nsu&es a ;uiet envi&onent. +

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

INTRAPARTAL COMPETENCIES!ESIRE!RATING

ACTUALRATING

<. 'e&)o&s a)te& ca&e o) te ate&ials an$ e;ui!ents use$. +

/. nsu&es !&o!e& $is!osal o) os!ital aste inclu$in* bloo$ an$ ote& )lui$s. +

III& HEALTH E!UCATION (HE)

1. Teaces client on basic !&e!a&ation $u&in* labo& an$ $elive&y. (can be done in the labor room) +

2. Coaces client on b&eatin*" bea&in* $on tecni;ue. ,

3. eonst&ates !&o!e& Elatc-onF b&east )ee$in* tecni;ue. (done post- partum period) +

4. ives inst&uctions to !a&ents &e*a&$in* in)ant ca&e be)o&e $isca&*e. (done post- partum period) +

8. '&ovi$es $isca&*e inst&uctions as to )ee$in*, batin*, a$inist&ation o) o&$e&e$ e$ications,a!!ointent $ates )o& !ost natal an$ ell baby cec5 u!. (done post- partum period)

+

6. (es!on$s to ;uestions o) clients an$ &elatives &e*a&$in* e!ectations. +

IV& LEGAL RESPONSIILITIES (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 te *en$e&, tie o) $elive&y o) te baby an$ !lacenta. ,

3. nsu&es !&o!e& i$enti)ication o) te ote& an$ nebo&n. ,

4. ocuents all !e&tinent $ata co&&ectly an$ co!letely. +

V& ETHICO- MORAL RESPONSIILITIES (EMR)

1. (es!ects te &eli*ious, cultu&al an$ etnic !&actices o) te )aily o) te oan in labo& an$ $elive&y. +

2. '&ootes eotional secu&ity by su!!o&tin* nee$s. +

3. nsu&es !&ivacy an$ con)i$entiality. +

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

1. @!$ates onesel) it te latest t&en$s an$ $evelo!ent in labo& an$ $elive&y. +

2. '&oGects a !&o)essional ia*e o) a $elive&y &oo nu&se. +

3. Acce!ts c&iticiss 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 $eviation o) !&actice )&o te stan$a&$s. +

2. 'a&tici!ates in au$it !&actices in te $elive&y &oo" lyin* in. +

3. (ecoen$s co&&ective an$ !&eventive easu&es )o& te i$enti)ie$ $eviations. +VIII& RESEARCH (R)  (preferably done during post conferences)

1. %$enti)ies &esea&cable !&obles &elate$ to labo& an$ $elive&y. ,

2. @tilie )in$in*s o) &esea&c stu$ies in int&a- !a&tal ca&e. ,

I/& RECOR!S MANAGEMENT (RM)

1. ocuents accu&ately &elevant $ata about client. +

2. +aintains an o&*anie$ syste o) )ilin* an$ 5ee!in* &eco&$s o) te client. +

/& COMMUNICATION (Comm)

1. @tilies a!!&o!&iately all )o&s o) counicationH ve&bal, non-ve&bal, elect&onic. +

2. %n)o& clients si*ni)icant ote&s o) te !&o*&ess o) labo& an$ $elive&y. +

3. istens attentively to clients an$ )ailies ;ue&ies an$ &e;uests. +

/I& COLLAORATION AN! TEAM0OR1 (CT0)1. 9unctions e))ectively as a tea !laye& in te $elive&y &oo" lyin* in. +

2. Counicates te !&o*&ess o) labo&" $elive&y to si*ni)icant ote&s. +

3. stablises collabo&ative &elationsi! it ebe&s o) te ealt tea an$ )aily ebe&s. +

TOTAL SCORE2 34

Wen *&a$e$ ( !e&)o&e$ =!eci)y Aca$eic Iea& an$ eeste&?:

Aca$eic Iea& : 1st eeste& = ? 2n$ eeste& = ? ue& = ?Nae o) Clinical %nst&ucto& : i*natu&e

icense Nube& : Jali$ity

Veified Tue and Coe5t2 

M6& Lu5e##e C& Va#en5ia !& 7udit8 !& I6mae#i*natu&e ove& !&inte$ nae o) Clinical Coo&$inato& i*natu&e ove& !&inte$ nae o) eanicense Nube& : <631< icense Nube& : </124

Jali$ity : 9eb&ua&y 14, 218 Jali$ity : e!tebe& 22, 214

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ai5adu 4*9,4+:

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