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    NCM 107 RLE Checklists To Send 2023

    Uploaded by

    Keltian Laurente
    1. The document provides an OSCE (Objective Structured Clinical Examination) checklist for nursing students to be evaluated on their skills in caring for a woman during the late stages of labor and childbirth. 2. The 31-step checklist covers skills like positioning the woman, monitoring the fetal heart rate, perineal cleansing and draping, managing the birth of the head and shoulders, clearing the airway, cutting the umbilical cord, and postpartum care of both mother and newborn. 3. Students are scored on a scale from 0-3 on their performance of each step and their total score determines if they pass the clinical skills evaluation.

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    Download as DOCX, PDF, TXT or read online from Scribd

    NCM 107 RLE Checklists To Send 2023

    Uploaded by

    Keltian Laurente
    25 views3 pages
    1. The document provides an OSCE (Objective Structured Clinical Examination) checklist for nursing students to be evaluated on their skills in caring for a woman during the late stages of labor and childbirth. 2. The 31-step checklist covers skills like positioning the woman, monitoring the fetal heart rate, perineal cleansing and draping, managing the birth of the head and shoulders, clearing the airway, cutting the umbilical cord, and postpartum care of both mother and newborn. 3. Students are scored on a scale from 0-3 on their performance of each step and their total score determines if they pass the clinical skills evaluation.

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    NCM 107 RLE checklists to send 2023 (1)

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    1. The document provides an OSCE (Objective Structured Clinical Examination) checklist for nursing students to be evaluated on their skills in caring for a woman during the late stages of labor and childbirth. 2. The 31-step checklist covers skills like positioning the woman, monitoring the fetal heart rate, perineal cleansing and draping, managing the birth of the head and shoulders, clearing the airway, cutting the umbilical cord, and postpartum care of both mother and newborn. 3. Students are scored on a scale from 0-3 on their performance of each step and their total score determines if they pass the clinical skills evaluation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    25 views3 pages

    NCM 107 RLE Checklists To Send 2023

    Uploaded by

    Keltian Laurente
    1. The document provides an OSCE (Objective Structured Clinical Examination) checklist for nursing students to be evaluated on their skills in caring for a woman during the late stages of labor and childbirth. 2. The 31-step checklist covers skills like positioning the woman, monitoring the fetal heart rate, perineal cleansing and draping, managing the birth of the head and shoulders, clearing the airway, cutting the umbilical cord, and postpartum care of both mother and newborn. 3. Students are scored on a scale from 0-3 on their performance of each step and their total score determines if they pass the clinical skills evaluation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    COLEGIO DE SAN ANTONIO DE PADUA

    Supervised by the Lasallian School Supervision Office


    Ramon M. Durano Foundation Compound
    Guinsay, Danao City
    Tel. No. (032)344-4709

    College of Nursing/Midwifery

    NCM 107 Care of Mother, Child and Adolescent (Well Clients)


    OSCE CHECKLIST

    Student’s Name:_______________________________ Instructor’s Name & Signature:__________________


    ALLOTTED TIME : 10-15 MINUTES DATE:

    SKILL: NURSING CARE DURING THE LATE INTRAPARTUM PERIOD

    PROCEDURE STEPS POSSIBLE SCORE SCORE REMARKS

    3 EXCELLENT PERFORMANCE
    2 BORDERLINE PERFORMANCE
    1 GOOD PERFORMANCE
    0 FAILED PERFORMANCE
    3/0 CRITICAL ACTION

    1 Purpose:

    ▪ To have a safe and effective delivery of the mother and her


    baby. ▪ To prepare the delivery table

    ▪ To provide perineal cleansing

    ▪ To support the woman with final pushing efforts

    2 Equipment:

    ▪ Watch with second hand, V/S machine, CTG, sterile gloves, clean
    gloves, gel, betadine solution & skin cleanser
    delivery set (2 artery forceps, 1 bandage scissors, 1 surgical
    scissors, gauze, kidney basin, bowl, 3 ml syringe with needle)
    episiotomy set (tissue forceps, needle holder, suture scissor,
    gauze, 10 ml syringe with needle, lidocaine, suture)

    3 Transfer and position the woman in the birthing bed (lithotomy position),
    when it is almost ready to give birth. The exact time varies with several
    factors such as overall speed of labor and descent of the fetal head.

    4 Continue observing the perineum while making final preparations for


    birth.

    5 Continue observing the fetal heart rate with a continuous monitoring


    device or intermittent auscultation.

    6 Elevate the woman’s back, shoulders, and head with a wedge (on a
    delivery table) or by raising the head of the birthing bed.
    7 Place the woman’s legs in stirrups simultaneously. Do not separate her
    legs widely.

    8 Do handwashing and don sterile gloves

    9 Prepping and Draping:

    After the woman is in position. cleanse the perineal area with a sterile
    iodophor ( povidone) and water preparation unless she is allergic. Use
    warm water to dilute the iodophor scrub. Take a fresh sponge to begin
    each new area, and do not return to a clean area with a used sponge.

    Six sponges are needed. The proper order and motions are as follows:

    1st sponge - use a zigzag motion from clitoris to lower abdomen


    just above the public hairline.
    2nd & 3rd sponges – use a zigzag motion on the inner thigh from
    the labia majora to about halfway between the jhip and knee.
    Repeat for the other inner thigh.
    4th & 5th sponges – apply a single stroke on one side from clitoris
    over labia, perineum and anus. Repeat for the other side. 6th
    sponge – use a single stroke in the middle from the clitoris over
    the vulva and perineum.

    10 Apply sterile drapes if desired

    11 Birth of the head:

    Physician may perform episiotomy if needed, it should be done when


    the head is well crowned

    12 As the vaginal orifice encircles the fetal head, apply a gentle pressure
    to the woman’s perineum with one hand while applying a counter
    pressure to the fetal head with the other hand (RITGEN’S
    MANEUVER). Ask the mother to blow so that she avoids pushing, or
    to push gently.

    13 Wipe the secretion from the infant’s face and suction the nose and
    mouth with a bulb syringe

    14 Feel for a cord around the fetal neck (nuchal cord). If it is loose,
    slipped it over the head. If tight, clamped and cut between two clamps
    before the rest of the baby’s body is born

    15 Birth of the shoulders

    a. After external rotation, apply a gentle traction on the fetal head


    on the direction of the mother’s perineum
    b. Lift the baby’s head toward the mother’s symphysis pubis

    16 Clearing of the infant’s Airway and Cutting the Cord

    The rest of the infant’s body is born quickly after the shoulders are born.
    Maintain the infant’s head in a slightly head – dependent position while
    suctioning excess secretions with a bulb syringe.

    17 Use two artery forceps to clamp the cord and cut between the forceps;
    or use a disposable plastic cord clamp then cut the cord above the
    clamp (distal portion). The father can also cut the cord.
    18 Collect sample of cord blood.

    19 Monitor for signs of placental separation

    20 Delivery of the Placenta


    After the placenta separates, apply gentle traction on the cord to aid
    expulsion of the placenta while applying firm suprapubic pressure to
    support the lower uterine segment. Ask the mother to bear down.

    21 Inspect both sides of the placenta

    22 Administer prophylactic oxytocics as ordered

    23 Prepare necessary supplies and instruments for episiorraphy and assist


    physician during the procedure.

    24 Clean the perineal area

    25 Apply new perineal pad

    26 Position patient supine and keep warm with blanket.

    27 Checks the vital signs and monitors for excessive bleeding.

    28 Resume feeding for patients who have vaginal birth (<6 hours)

    29 Administer prescribed prophylactic antibiotics for women who sustained


    third to fourth degree of perineal tear during delivery as ordered by the
    physician

    30 Remove equipment. Wash and clean equipment.

    31 Remove gloves and additional PPE, if used. Perform handhygiene

    Performance checklist grade: ( 93 / 93 ) x 90 marks

    Documentation: 10 marks

    Total Score: 100 Marks

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