DR Tabulation

8/3/2019 DR Tabulation

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Name (Optional):________________________ Affiliating Hospital: _________________

Length of Service: ____________________ Position: ________________________

Clinical Area/Ward:___________________

1. Please place a check mark on the factors that affect the clinical competence of Graduating Nursingstudents at Delivery Room (DR) at affiliating hospitals: Bethany Hospital, EVRMC, RTRH and LPH as

identified by the clinical instructors. Always for very much implemented, Very Often for much

implemented, Sometimes for moderately implemented, Rarely for least implemented and Never for

Non-compliance.

Procedures Always(5)

Very

Often

(4)

Sometimes

(3)

Rarely

(2)

Never

(1)

1a. INTRA-PARTAL COMPETENCIES

I. SAFE AND QUALITY NURSING CARE

1. Obtains obstetrical history including parity, gravidscore, LMP, EDC, AOG, BOW, onset of true labor

1 1 3

2. Checks vital signs 4 13. Conducts physical examination 2 2 14. Performs Leopolds maneuver 3 25. Checks fetal heart rate and fundic height 2 36. Monitor progress of labor/ uterine contractions as to:

Frequency, Duration, Intensity and Interval

1 2 1 1

7. Observes for timely rupture of membrane 1 2 18. Coaches mother on process of labor 3 1

SUB-TOTAL: 7 16 11 3 1

II. PERFORMS FUNCTIONS DURING ACTUAL LABOR1. Transports clients safety while providing privacy 2 2 12. Places mother in lithotomy position 3 23. Performs perineal care using sterile technique correctly 2 34. Performs proper hand scrub 1 1 25. Wears gown and gloves according to hospital policy 2 1 1 16. Performs Ritgensmaneuver safely 2 1 17. Coaches mother on deep breathing and pushing

techniques3 1

8. Delivers baby and placenta carefully- Checks and manages cord recoil correctly 1 2 1 1- Clamps and cuts the cord correctly 1 3 1- Identify signs of placental separation 1 3 1- Check the characteristics/ completeness of the

placenta1 1 3

9. Assesses amount of blood loss (Normal:


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- Cold compress 2 311.Assesses the presence and degree of laceration 3 212.Assists in episiorraphy 4 113.Checks size, consistency, and location of uterus 3 1 114.Performs perineal care and applies pad correctly 1 415.Provides emotional support to the mother throughout

labor and delivery

4 1

16.Evaluates patients condition and records pertinent dataaccordingly

4 1

17.Prepares patient transfer to recovery room/ ward 3 2

SUB-TOTAL: 17 57 28 4 1

III. MANAGEMENT OF RESOURCES, ENVIRONMENT,

AND EQUIPMENT

1. Prepares room, instruments, and equipments needed:- Sterile drape 3 1 1- Sterile instruments and equipments [forceps,

scissors, bulb syringe, gauze, suture, needleholder, catheter (optional)]

4 1

- Kelly pad 2 2 1- Disinfectant 4 1

2. Performs sterilization procedure 3 23. Maintains adequacy of supplies as the delivery

progresses3 2

4. Maintains orderliness of the sterile table 4 15. Observes precautionary measures related to the use of

electrical equipment

4 1

6. Ensure a quiet environment 2 1 1 17. Uses supplies diligently 4 18. Performs after care of the materials and equipments

used

2 3

9. Ensure proper disposal of hospital waste includingblood and other fluids

2 2 1

SUB-TOTAL: 6 37 14 1 2

IV. HEALTH EDUCATION

1. Teaches client on basic preparation during labor anddelivery

1 1 3

2. Coaches client on breathing/ bearing down technique 4 13. Demonstrates proper latch-on breastfeeding technique 1 2 24. Gives instructions to parents regarding infant care

before discharge3 2

5. Provides discharge instructions as to feeding, bathing,administration of ordered medications, appointmentsdates for post natal and well baby check up

2 2 1

6. Responds to questions of clients and relatives regardingexpectation

3 2

SUB-TOTAL: 2 15 12 1


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V. LEGAL RESPONSIBILITY

1. Secured informed consent in all procedures related tolabor and delivery

2 3

2. Reports accurately and honestly the gender, time ofdelivery of the baby and placenta

2 2 1

3. Ensures proper identification of the mother andnewborn

2 3

4. Documents all pertinent data correctly and completely 1 3 1SUB-TOTAL: 7 11 2

VI. ETHICAL-MORAL RESPONSIBILITY

1. Respect the religious, cultural, and ethnic practices ofthe family of the newborn in labor and delivery

2 1 2

2. Promotes emotional security by supporting needs 1 1 2 13. Ensures privacy and confidentiality 1 3 1

SUB-TOTAL: 4 5 4 2

VII. PERSONAL AND PROFESSIONAL DEVELOPMENT

1. Updates oneself with the latest trends and developmentin labor and delivery

1 3 1

2. Projects a professional image of a delivery room nurse 1 43. Accepts criticisms and recommendations 2 34. Performs functions according to standards 2 3

SUB-TOTAL: 6 13 1

VIII. QUALITY IMPROVEMENT

1. Identifies deviation of practice from the standards 2 2 1INTRA-PARTAL COMPETENCIES

2. Participates in audit practices in the delivery room/lying in

3 1 1

3. Recommends corrective and preventive measures forthe identified deviations

2 1 1 1

SUB-TOTAL: 7 4 2 2IX. RESEARCH

1. Identifies researchable problems related to labor anddelivery

2 1 1 1

2. Initiates a research study on an identified researchableproblem

2 1 1 1

3. Participates as a member of a research team in theconduction of a research study

2 1 1 1

4. Utilizes findings of research studies in intra-partal care 1 2SUB-TOTAL: 7 3 5 3

X. RECORD MANAGEMENT

1. Documents accurately relevant data about the client 2 2 12. Maintains an organized system of filling and keeping

records of the client3 2

SUB-TOTAL: 2 5 3

XI. COMMUNICATION

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

2 2 1

2. Informs clients significant others of the progress oflabor and delivery

2 3


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3. Listens attentively to clients and families queries andrequests

3 2

SUB-TOTAL: 7 7 1

XII. COLLABORATION AND TEAMWORK

1. Functions effectively as a team player in the deliveryroom/ lying-in

3 2

2. Communicates in the progress of labor and delivery tosignificant others

3 2

3. Establishes collaborative relationship with members ofthe health team and family members

2 3

SUB-TOTAL: 8 7

DR Tabulation

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