RPHS-MORONG INSTITUTIONAL the patient’s need for hydration as well
GUIDELINES FOR THE DELIVERY ROOM as if there is a need to perform stat CS.
RELATED LEARNING EXPERIENCE
2.8. Secure the patient’s vital signs and the
FHT.
All students are expected to participate in the
care of the patient while inside the Delivery 2.9. While the labor is in progress, the patient’s
Room; have the initiative to be of assistance to vital signs and FHT are monitored every hour or
the patient in meeting their needs and ensuring as needed.
their safety. The same is expected in working
with the Staff, so as the needed nursing care is 2.10. Documentation of each patient’s
organized and delivered as required. Proper assessment data must include the date and
decorum and courtesy expected as well. time, as it occurs. Example, results of VS,
internal exam, rupture of bag of water etc.
I. ADMISSION CARE
1.Welcome the pregnant woman patient and II. STUDENT ASSIGNMENT
direct her to which bed she may occupy. Two
patients may occupy a bed at woman in labor a Student assignment rotates each time there is
time. Ensure that each of the patient’s name is a new patient. Sterile gloves are worn, unless
properly noted. Arrival inside the DR is noted as otherwise specified.
well as the contraptions, if there are any as well
as the IV + the incorporation if any. 1.Handle :
1.1.Prepares the instruments and supplies
2. Conduct an interview and secure the following needed. The sterile principle is observed and
data: maintained, with the use of the disposable drape
2.1. Patient’s complete name : to ensure the and instruments.
Accuracy of the information, please ask
the patient to spell their first, middle and Instruments: (1) Kelly curve or straight
last name. (1) Scissor
(1) Needle holder
2.2. Age: must be validated and rechecked (1) Suture: Chromic 2.0
With the relative if needed. (1)Cord clump
(2) Pcs. Sanitex
2.3. Status: the patient is considered married if
a marriage contract is signed between 1.2. Announce the:
her and her spouse. a. time of birth and the gender
In the event that her marriage is of the baby.
verified, the husband’s name must be b. time the placenta is delivered
secured, as well as the patient’s maiden
name.
If the patient is single, verify the 1.3. Apply the cord and the Kelly clamp in their
number of partners the patient had. proper location. (Milk the cord toward the
baby before applying the clamps.) Cut the
2.4. Address : must be specific. Include the cord. Ensure the baby’s safety in using these
House number, Block and the Lot number instruments.
(whichever is applicable) street, sitio and
Barangay and/or municipality. 1.4. Assist the practitioner during the episiotomy
repair.
2.5. Contact number: this is to ensure that
there is a way of communicating with the 1.5. With her gloves on, wash the tray and the
parents, should the need arise. instruments upon completion of the
episiotomy repair. (Detergent is available in
the Unit)
2.6. OB Score
Specifically ask for number of G,P, T, 1.6. Dries the tray and the instruments at the
P,A, and L/ multiple births. Places designated for this purpose.
Verify if the previous and current
Pregnancy is from the same
Father or not. 2. Assist
2.1. Upon transfer of the mother on the
2.7. Time of the patient’s last meal /contents: Delivery Table, dons her clean gloves and
This information is needed to determine perform perineal care. First with soap and water,
then shave; this is followed by the use of J.Swaddle the baby and show him/her to the
betadine solution. (Conservation of supplies is to mother.
be practiced).
K. Endorse the baby to the NICU for the
2.2. Place the cloth diaper on top of the assessment of the Pediatrician. State the
Mother’s abdomen. Dons her sterile gloves and following: Family Name, BB and gender, and the
receive the newborn onto the mother’s Mother’s name.
abdomen; the baby must be held securely. Must
stimulate the newborn to cry. 3. Circulating
3.1. Provides overall assistance as needed in
2.3. Assist in the clamping and/or cutting as the field.
needed. 3.2. Secure the Vital signs of the mother after
the delivery of the placenta.
2.4. Securely hold the newborn and transfer it to 3.3. Monitor the vital signs of the post partum
the radiant warmer for the cord dressing. woman every 15 minutes minutes for the
first hour. Note for signs of bleeding.
2.5.. As her gloves are now considered clean, Refer to the staff as needed.
s/he provides assistance to the field as needed. 3.4. Ensures the mother is wearing a pajama
i.e: replenish supplies as needed; hand the Prior to discharge from the Unit.
Lidocaine or suture. 3.5. Endorse properly upon transfer out of
the Unit.
3. Cord Care or Cord Dressing
3.1. Receives the newborn and render newborn
care:
A. Dry the baby with the new cloth diaper.
B. Cleanse the blood/meconium from the
baby’s head using the baby oil.
May use the comb.
C. Excluding the diaper, lift and place the baby
on the weighing scale. Announce the
weight.
D. Check for the anal patency using the
thermometer; check for the temperature.
E. Secure the anthropometric data accurately.
Use the cm as the unit of measure. Announce
the data secured, only after it has been
validated/rechecked.
Anthropometric data: Head circumference,
Chest circumference, abdominal circumference
and the length.
F. Apply the diaper and the baby clothes,
mittens, booties and pajama.
G. As the baby spontaneously open their eyes,
Apply the ophthalmic ointment in the
conjunctiva. NOT AT THE LOWER LID. ONLY
THE OINTMENT MUST COME IN CONTACT
WITH THE BABY’S EYES.
H. Attach the baby’s tag at either left or right
lower leg.
I. In performing injections, proper precautions
must be observed. After the procedure, Do not
recap; directly deposit the syringe to the sharps
collection container.
a. Inject the Vit K at the left thigh via I.M.
b. Inject the Hepa B vaccine at the right thigh
via IM.
