Lyceum of the Philippines University College of Nursing CLINICAL FOCUS INTENSIVE NURSING PRACTICUM DELIVERY ROOM Day 1 30 minutes

Objectives Activities 1. Acquaint students with hospital 1. Orientation to the hospital, LR/DR setup, staff, personnel and setup, staff, personnel and policies standard operating procedures. Admitting patient in LR unit from the ward 2. Assess the different 2. Intrapartal Assessment obstetrical/ gynecological Obtain OB history (LMP, conditions Gravida, Parity, TPALM, AOG and BOW) 3. Enhance students 3. Checks vital signs assessment skills on mothers Fetal Assessment ( auscultate during labor and delivery & record FHT, assess intensity of contraction by manual palpation of the uterine fundus) Determine fetal presentation, position, station and attitude Maternal Assessment (Leopold s Maneuver , fundic height measurement, IE, physiologic changes preceeding labor, tru vs. false labor and mechanism of labor 4. Apply concepts in intrapartal 4. Patient Care Accomplish the ff procedure: care Positioning the client in the DR Performs the function of a table Labor Room nurse to enhance capability on Preparation of the medication; preparing client for labor and administration of medications delivery Perineal preparation/ Abdomino perineal Preparation Instructing the client on breathing technique Coaching mother to push during contractions Prepationof sterile table ( NSD set, D&C set, forcep delivery set, and instrumentas for Pap smear) 5. Enhance skills in providing 5. Intrapartal Care immediate newborn Surgical hand scrubbing assessment and care Gowning and gloving Assisting the doctor in the

delivery of the baby Cord Care Facilitate delivery of the placenta Identify signs of placental separation Checks the characteristics/ completion of the placenta Proper handling and serving of sharps, sponges and needles Accurate counting documentation of instruments, sharps, sponges & needles Assess amount of blood loss Postpartum Care Monitor vital signs Assessment of uterine involution Assessment of lochia Monitor signs of bleeding immediate newborn 6. Develop responsibility in 6. Perform assessment preserving the unit APGAR Scoring Perform immediate newborn care Call out time of birth Establish clearance of airway Immediate thorough drying ( 20 seconds) Early skin to skin contact Properly timed clamping and cutting of the cord Non- separation of newborn & mother for breastfeeding (within 90 minutes) Eye prophylaxis within the first hour Administration of Vitamin K, Hepa B, BCG after 90 minutes of uninterrupted skin to skin contact 7. Document patient care upon 7. After care of the instruments and admission to labor room until DR theatre the post partal period 8. Documentation Transfer & proper endorsement of mother and newborn (Rooming In ) Post Conference: Giving assignments ( Case Study, Drug Study - Anesthetics, Common DR

30 minutes

Drugs and Journal) Skills Performed: Competencies Acquired: Objectives Activities 1. Enhance knowledge skills in 1. Endorsement endorsement 2. Receiving patient from ward; admitting patient in LR unit 3. Patient Care (same activities as the first day) 4. Discussion of assignment/ bedside conference Post Conference: Assignment DAY 2 (Postnatal Care Assessment, Complication, Intervention and Case Study) DAY 3 (Case Analysis, Case Reading, Current Trends and Issues in DR, Research in DR Nursing) DAY 4 (Legal, Ethico- Moral Responsibilities, Code of Ethics in DR, Journal) Day 4 Objectives Activities 1. Endorsement 2. Patient Care 3. Bedside Conference 4. Evaluation: Post Test ( Paper & Pencil Test) Oral Test Post Conference: Discussion of Evaluation Grade; Completion and Signing of Cases Skills Performed: Day 2: Day 3: Day 4: Competencies Acquired: Day 2: Day 3: Day 4: ADDENDUM (NO CASE): 1. Drug Study 2. Discussion: Commonly used terms and abbreviations and review of female reproductive organ, Pregnancy, Complication, Labor and Delivery 3. Refer to Clinical Teaching Plan 4. Skills Enhancement 5. Case Study Discussion/ Analysis 6. Discussion of Assignment Day 2 - 3

FOR STANDBY STUDENTS: 1. Follow up handled patient in ward 2. Film viewing of different kind of surgeries and OR nursing skills 3. Critiquing of film reviewed Note: All activities must have evaluation either written or oral ( quiz, recitation, demonstration, etc)

Prepared By: Level IV Clinical Instructors Noted By: Ruel Yaba RN,MN Level IV Coordinator Approved By: Dr. Cecilia C. Pring RN, MAN Dean