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FAR EASTERN UNIVERSITY Institute of Nursing

1 st Sem SY: 2011 - 2012

Performance Evaluation Checklist

Immediate Newborn Care

Name: _____________________________________________ Score: _____________ Section: _______________________ Group: ____________ Date:

______________

Criteria 2 1 0 RemarksI. Attendance / Attitude (5%)

1. Reports on time and attends toactivities punctually

2. Displays proper grooming and wearscomplete uniform

3. Behaves appropriately towardsteacher, classmates, and client

4. Accepts constructive criticismsTOTALII. Skill Performance (95%)

Preparation1. Arrange needed supplies2. Check resuscitation equipment

3. Proper hand hygiene4. Double glove just before deliveryProcedure

*Immediate and Thorough Drying1. Call out the time of birth2. Dry the newborn thoroughly for at

least 30 seconds- Wipe the eyes, face, head, front

and back, arms and legs- Do not wipe off the vernix

3. Do a quick check of breathing whiledrying

4. Remove the wet cloth*Early Skin to Skin Contact

5. Position the newborn prone on themothers abdomen or chest(promoting skin to skin contact)

6. Cover the newborns back with a dryblanket

7. Cover the newborns head with a

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bonnet8. Place identification band on ankle9. Perform 1 st APGAR scoring

*Properly timed Cord Clamping10.Remove the first set of gloves11.After the umbilical pulsations have

stopped, clamp the cord using asterile plastic clamp or tie at 2 cmfrom the umbilical base- Do not milk the cord towards the

baby12.Clamp again (using kelly forceps)at 5

cm from the base- You may strip the cord of blood

before applying the 2 nd clamp13.Cut the cord close to the plastic clamp

- Cut properly to ensure that there

will be no need for a 2nd

trim- Do not apply any substance ontothe cord

* Non-separation of Newborn from Mother for Early Breastfeeding

14.Leave the newborn in skin-to-skincontact- 2 nd APGAR scoring may be

performed15.Observe for feeding cues, including

tonguing, licking, rooting16.Point these out to the mother and

encourage her to nudge the newborntowards the breast17.Counsel on positioning18.Counsel on attachment and suckling

After the 1 st breastfeed19.Perform credes prophylaxis20.Give BCG21.Give Hepatitis B vaccine22.Perform measurements

- Weight- Length- Head circumference- Chest circumference- Do footprinting

23.Postpone washing/bathing until atleast 6 hours

24.Counsel mother on exclusivebreastfeeding

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