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    1 Evaluation, Intrapartal Individual

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    Arnulfo Armamento
    This document contains a performance evaluation form for a nursing student achieving intrapartal care competency at the Cebu Institute of Technology - University College of Nursing. The form evaluates the student's desired rating and actual rating on various competencies related to labor and delivery care, including obtaining an obstetrical history, monitoring labor progress, performing a physical exam, assisting with delivery, providing postpartum care and education, ensuring documentation and privacy, and collaborating as part of the healthcare team. The student receives an overall score out of 34 and the evaluation is signed by instructors and coordinators to verify accuracy.

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    1 Evaluation, Intrapartal Individual

    Uploaded by

    Arnulfo Armamento
    35 views3 pages
    This document contains a performance evaluation form for a nursing student achieving intrapartal care competency at the Cebu Institute of Technology - University College of Nursing. The form evaluates the student's desired rating and actual rating on various competencies related to labor and delivery care, including obtaining an obstetrical history, monitoring labor progress, performing a physical exam, assisting with delivery, providing postpartum care and education, ensuring documentation and privacy, and collaborating as part of the healthcare team. The student receives an overall score out of 34 and the evaluation is signed by instructors and coordinators to verify accuracy.

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    Evaluation for intrapartal for Cebu Institute of Technology- University

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    This document contains a performance evaluation form for a nursing student achieving intrapartal care competency at the Cebu Institute of Technology - University College of Nursing. The form evaluates the student's desired rating and actual rating on various competencies related to labor and delivery care, including obtaining an obstetrical history, monitoring labor progress, performing a physical exam, assisting with delivery, providing postpartum care and education, ensuring documentation and privacy, and collaborating as part of the healthcare team. The student receives an overall score out of 34 and the evaluation is signed by instructors and coordinators to verify accuracy.

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    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    35 views3 pages

    1 Evaluation, Intrapartal Individual

    Uploaded by

    Arnulfo Armamento
    This document contains a performance evaluation form for a nursing student achieving intrapartal care competency at the Cebu Institute of Technology - University College of Nursing. The form evaluates the student's desired rating and actual rating on various competencies related to labor and delivery care, including obtaining an obstetrical history, monitoring labor progress, performing a physical exam, assisting with delivery, providing postpartum care and education, ensuring documentation and privacy, and collaborating as part of the healthcare team. The student receives an overall score out of 34 and the evaluation is signed by instructors and coordinators to verify accuracy.

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    Attribution Non-Commercial (BY-NC)
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    of 3

    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* +e,o&an$u, No. -1, .e&ies 2--/

    Name of Student

    Signatu e

    !ate " Time of !e#i$e %


    !ESIRE! RATING ACTUAL RATING

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


    1. 0btains obstet&ical isto&y inclu$in* !a&ity, *&avi$a sco&e, 1+', 23C, A04, B0W, onset o) t&ue labo&. 2. C ec5s vital si*ns. 3. Con$ucts ! ysical e6a,ination. 4. 'e&)o&,s 1eo!ol$7s ,aneuve&. 8. C ec5s 9etal :ea&t (ate an$ 9un$ic ei* t. 6. +onito& !&o*&ess o) labo&" ute&ine cont&actions as to: 9&e;uency 3u&ation %ntensity %nte&val 7. 0bse&ves )o& t e ti,ely &u!tu&e o) ,e,b&ane. <. Coac es ,ot e& on !&ocess o) labo&.

    * + , , , + + + + + , + + + + + , + + + + + , + + + + + + + + , +

    PERFORMS FUNCTIONS !URING ACTUAL LA-OR


    1. T&ans!o&ts clients sa)ely # ile !&ovi$in* !&ivacy. 2. 'laces ,ot e& in lit oto,y !osition. 3. 'e&)o&,s !e&ineal ca&e usin* ste&ile tec ni;ue co&&ectly. 4. 'e&)o&,s !&o!e& an$ sc&ub. 8. Wea&s *o#n an$ *loves acco&$in* to os!ital !olicy. 6. 'e&)o&,s (it*en7s ,aneuve& sa)ely. 7. Coac es ,ot e& on b&eat in* an$ !us in* tec ni;ues. <. 3elive& baby an$ !lacenta ca&e)ully. C ec5s an$ ,ana*es co&$ &ecoil co&&ectly. Cla,!s an$ cuts t e co&$ co&&ectly. %$enti)y si*ns o) !lacental se!a&ation. C ec5s t e c a&acte&istic" co,!leteness o) t e !lacenta. /. Assesses a,ount o) bloo$ loss =No&,al: >8-- cc? 1-. 2,!loys inte&ventions to ac ieve an$ ,aintain a #ell cont&acte$ ute&us to !&event" cont&ol e,o&& a*e. @te&ine ,assa*e Co&&ect a$,inist&ation o) o6ytocin Col$ co,!&ess 11. Assesses !&esence an$ $e*&ee o) lace&ation. 12. Assists in e!isio&& a! y. 13. C ec5s siAe, consistency an$ location o) ute&us. 14. 'e&)o&,s !e&ineal ca&e an$ a!!lies !a$ co&&ectly. 18. '&ovi$es e,otional su!!o&t to t e ,ot e& t &ou* out labo& an$ $elive&y. 16. 2valuates !atient7s con$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&u,ents an$ e;ui!,ent nee$e$. .te&ile $&a!e .te&ile inst&u,ents an$ e;ui!,ent B9o&ce!s, scisso&s, bulb sy&in*e, *au*e, sutu&e, nee$le ol$e&, cat ete& =o!tional?C Delly !a$ 3isin)ectant 2. 'e&)o&,s ste&iliAation !&oce$u&e. 3. +aintains a$e;uacy o) su!!lies as t e $elive&y !&o*&esses. 4. +aintains o&$e&liness o) t e ste&ile table. 8. 0bse&ves !&ecautiona&y ,easu&es &elate$ to use o) elect&ical e;ui!,ent. 6. 2nsu&es a ;uiet envi&on,ent. Page 1 of 3 + + + + + + + + +

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

    INTRAPARTAL COMPETENCIES
    <. 'e&)o&,s a)te& ca&e o) t e ,ate&ials an$ e;ui!,ents use$. /. 2nsu&es !&o!e& $is!osal o) os!ital #aste inclu$in* bloo$ an$ ot e& )lui$s.

    !ESIRE! RATING

    ACTUAL RATING

    + + + , + + + + + , , + + + + + + + + + + + , , + + + + + + + +

    III& HEALTH E!UCATION (HE)


    1. Teac es client on basic !&e!a&ation $u&in* labo& an$ $elive&y. (can be done in the labor room) 2. Coac es client on b&eat in*" bea&in* $o#n tec ni;ue. 3. 3e,onst&ates !&o!e& Elatc -onF b&east )ee$in* tec ni;ue. (done post- partum period) 4. 4ives inst&uctions to !a&ents &e*a&$in* in)ant ca&e be)o&e $isc a&*e. (done post- partum period) 8. '&ovi$es $isc a&*e inst&uctions as to )ee$in*, bat in*, a$,inist&ation o) o&$e&e$ ,e$ications, a!!oint,ent $ates )o& !ost natal an$ #ell baby c ec5 u!. (done post- partum period) 6. (es!on$s to ;uestions o) clients an$ &elatives &e*a&$in* e6!ectations.

    IV& LEGAL RESPONSI-ILITIES (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 t e *en$e&, ti,e o) $elive&y o) t e baby an$ !lacenta. 3. 2nsu&es !&o!e& i$enti)ication o) t e ,ot e& an$ ne#bo&n. 4. 3ocu,ents all !e&tinent $ata co&&ectly an$ co,!letely.

    V& ETHICO- MORAL RESPONSI-ILITIES (EMR)


    1. (es!ects t e &eli*ious, cultu&al an$ et nic !&actices o) t e )a,ily o) t e #o,an in labo& an$ $elive&y. 2. '&o,otes e,otional secu&ity by su!!o&tin* nee$s. 3. 2nsu&es !&ivacy an$ con)i$entiality.

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


    1. @!$ates onesel) #it t e latest t&en$s an$ $evelo!,ent in labo& an$ $elive&y. 2. '&oGects a !&o)essional i,a*e o) a $elive&y &oo, nu&se. 3. Acce!ts c&iticis,s acco&$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 $eviation o) !&actice )&o, t e stan$a&$s. 2. 'a&tici!ates in au$it !&actices in t e $elive&y &oo," lyin* in. 3. (eco,,en$s co&&ective an$ !&eventive ,easu&es )o& t e i$enti)ie$ $eviations.

    VIII& RESEARCH (R) (preferably done during post conferences)


    1. %$enti)ies &esea&c able !&oble,s &elate$ to labo& an$ $elive&y. 2. @tiliAe )in$in*s o) &esea&c stu$ies in int&a- !a&tal ca&e.

    I/& RECOR!S MANAGEMENT (RM)


    1. 3ocu,ents accu&ately &elevant $ata about client. 2. +aintains an o&*aniAe$ syste, o) )ilin* an$ 5ee!in* &eco&$s o) t e client.

    /& COMMUNICATION (Comm)


    1. @tiliAes a!!&o!&iately all )o&,s o) co,,unicationH ve&bal, non-ve&bal, elect&onic. 2. %n)o&, client7s si*ni)icant ot e&s o) t e !&o*&ess o) labo& an$ $elive&y. 3. 1istens attentively to clients an$ )a,ilies ;ue&ies an$ &e;uests.

    /I& COLLA-ORATION AN! TEAM0OR1 (CT0)


    1. 9unctions e))ectively as a tea, !laye& in t e $elive&y &oo," lyin* in. 2. Co,,unicates t e !&o*&ess o) labo&" $elive&y to si*ni)icant ot e&s. 3. 2stablis es collabo&ative &elations i! #it ,e,be&s o) t e ealt tea, an$ )a,ily ,e,be&s.

    TOTAL SCORE2

    34

    W en *&a$e$ (12 !e&)o&,e$ =.!eci)y Aca$e,ic Iea& an$ .e,este&?: Aca$e,ic Iea& Na,e o) Clinical %nst&ucto& 1icense Nu,be& Ve ified T ue and Co e5t2 M 6& Lu5e##e C& Va#en5ia .i*natu&e ove& !&inte$ na,e o) Clinical Coo&$inato& 1icense Nu,be& : --<631< Jali$ity : 9eb&ua&y 14, 2-18 ! & 7udit8 !& I6mae# .i*natu&e ove& !&inte$ na,e o) 3ean 1icense Nu,be& : --</124 Jali$ity : .e!te,be& 22, 2-14 : : : 1st .e,este& = ? .i*natu&e Jali$ity 2n$ .e,este& = ? .u,,e& = ?

    Page 2 of 3

    ai5adu 4*9,4+:

    Page 3 of 3

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