Performance Evaluation Achieving Newborn Care Competency

PERFORMANCE EVALUATION
ACHIEVING NEWBORN CARE COMPETENCY
Name of Student:___________________________________ Date: ___________________________
COMPETENCIES DESIRED SCORE

RATING
I. SAFE AND QUALITY NURSING CARE
1. Establishes and maintains patent airway. 3
2. Puts newborn in Trendelenburg position. 1
3. Suctions mouth and nose of the newborn gently. 2
4. Dries newborn and wraps warmly. 1

 Places under droplight as needed.
5. Performs and interprets APGAR scoring correctly. 2
2
 Immediately after delivery.
 After 5 minutes.
6. Ensures proper identification of newborn( name tag, name of mother, date & time of delivery, gender & 2
name of attending physician.
7. Performs physical assessment. 2
8. Takes anthropometric measurements including weight, height, head, chest, abdominal circumference. 2
9. Takes vital signs (temperature per rectum to check patency) 1
10. Gives oil bath according to institutional policy. 1
11. Latches newborn to the mother’s breast immediately after birth. 1
12. Applies CREDE’s prophylaxis on eyes. 1
13. Performs cord dressing aseptically.

 Disinfects area properly according to hospital policy. 1
 Clamps and cuts the cord 1 inch from the abdomen. 1
 Checks for the presence of 2 arteries and 1 vein. 1
 Dresses cord aseptically according to hospital policy. 1
14. Administers Vitamin K (1mg) into the lateral anterior thigh or vastus lateralis. 1
15. Keeps baby wrapped warmly under the floor lamp or beside the mother according to institutional 1
policy.
16. Records pertinent observations and nursing care done. 1
17. Reports any sign of deviation/abnormality to the pediatrician. 1
II. MANAGEMENT OF RESOURCES, ENVIRONMENTS, AND EQUIPMENTS.
1. Prepares instrument and equipment needed. 4

 Suction bulb, cord clamp, gauze, cotton balls disinfectant, blanket, droplight, Vitamin K, ophthalmic
ointment
2. Ensures use of sterile equipment during immediate care of the newborn 1
3. Maintains adequacy of supplies as newborn care is rendered. 1
4. Maintains orderliness of the working area. 1
5. Observes precautionary measures related to use of electrical equipment. 1
6. Ensures a warm and quiet environment. 1
7. Uses supplies diligently. 1
8. Ensures proper disposal of waste.
III. HEALTH EDUCATION:
1. Provides instruction to the mother on daily cord care and prevention of cord infection. 2
2. Provides discharge instructions to the mother on when to expect cord to fall off or to report signs of 1
cord infection.
3. Provides information regarding newborn screening, immunization, feeding , etc. 2
4. Responds to questions of other and relatives regarding expectations. 1
IV. LEGAL RESPONSIBILITY:
1. Identifies newborn by comparing ID band with data in the chart. 2
2. Documents all pertinent data correctly and completely. 1
3. Reports accurately any deviations/abnormal findings and nursing interventions rendered. 1

4. Ensures that birth certificate and other civil registration forms are accomplished/filled out according to 2
institutional policy.
5. Performs foot printing according to hospital policy. 1
V. ETHICO-MORAL RESPONSIBILITY:
1. Respects the religious, cultural, and ethnic practices of the family of the newborn. 1
2. Maintains privacy and confidentiality of findings of assessments. 1
VI. PERSONAL AND PROFESSIONAL DEVELOPMENT:
1. Updates oneself with the latest trends and developments in newborn care. 1
2. Projects a professional image of the pediatric nurse. 1
VII. QUALITY IMPROVEMENT:
1. Wear neat, clean and complete uniform (cap, gown, dress, nameplate/pin, stocking, shoes). 1
2. Reports promptly to duty. 1
3. Identifies deviation of practice from the standards 1
VIII. RESEARCH:
1. Identifies researchable problems related to immediate care of the newborn. 1
2. Initiates a research study on an identified researchable problem. 1
3. Participates as a member of the research team in the conduction of the research study. 1
4. Utilizes findings of research studies in the immediate care of the newborn. 1
IX. RECORDS MANAGEMENT:
1. Documents accurately relevant data about the newborn. 1
2. Maintains an organized system of filing and record keeping. 1
X. COMMUNICATION:
1. Utilizes appropriately all forms of communication; verbal, non-verbal and electronic. 1
2. Maintains an open line of communication with the mother and other family members. 1
3. Informs mother of relevant information about the newborn. 1
4. Listens attentively to queries and requests of mother and family members. 1
XI. COLLABORATION AND TEAM WORK:
1. Functions effectively as a team player in the nursery. 1
2. Communicates findings of assessment to all concerned. 1
3. Establishes a collaborative relationship with members of the health team and family of the newborn. 1
75
Evaluated by: Conforme:
_______________________________ _________________________
Name & Signature of Clinical Instructor Name & Signature of Student

Performance Evaluation Achieving Newborn Care Competency

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PERFORMANCE EVALUATION

ACHIEVING NEWBORN CARE COMPETENCY

Name of Student:___________________________________ Date: ___________________________

COMPETENCIES DESIRED SCORE

I. SAFE AND QUALITY NURSING CARE

1. Establishes and maintains patent airway. 3

2. Puts newborn in Trendelenburg position. 1

3. Suctions mouth and nose of the newborn gently. 2

4. Dries newborn and wraps warmly. 1

9. Takes vital signs (temperature per rectum to check patency) 1

10. Gives oil bath according to institutional policy. 1

11. Latches newborn to the mother’s breast immediately after birth. 1

12. Applies CREDE’s prophylaxis on eyes. 1

13. Performs cord dressing aseptically.

17. Reports any sign of deviation/abnormality to the pediatrician. 1

II. MANAGEMENT OF RESOURCES, ENVIRONMENTS, AND EQUIPMENTS.

1. Prepares instrument and equipment needed. 4

3. Maintains adequacy of supplies as newborn care is rendered. 1

4. Maintains orderliness of the working area. 1

5. Observes precautionary measures related to use of electrical equipment. 1

6. Ensures a warm and quiet environment. 1

7. Uses supplies diligently. 1

8. Ensures proper disposal of waste.

III. HEALTH EDUCATION:

4. Responds to questions of other and relatives regarding expectations. 1

IV. LEGAL RESPONSIBILITY:

1. Identifies newborn by comparing ID band with data in the chart. 2

2. Documents all pertinent data correctly and completely. 1

3. Reports accurately any deviations/abnormal findings and nursing interventions rendered. 1

2. Maintains privacy and confidentiality of findings of assessments. 1

VI. PERSONAL AND PROFESSIONAL DEVELOPMENT:

2. Projects a professional image of the pediatric nurse. 1

VII. QUALITY IMPROVEMENT:

2. Reports promptly to duty. 1

3. Identifies deviation of practice from the standards 1

1. Identifies researchable problems related to immediate care of the newborn. 1

2. Initiates a research study on an identified researchable problem. 1

4. Utilizes findings of research studies in the immediate care of the newborn. 1

IX. RECORDS MANAGEMENT:

1. Documents accurately relevant data about the newborn. 1

2. Maintains an organized system of filing and record keeping. 1

1. Utilizes appropriately all forms of communication; verbal, non-verbal and electronic. 1

3. Informs mother of relevant information about the newborn. 1

4. Listens attentively to queries and requests of mother and family members. 1

XI. COLLABORATION AND TEAM WORK:

1. Functions effectively as a team player in the nursery. 1

2. Communicates findings of assessment to all concerned. 1

Evaluated by: Conforme:

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