CIRCULATING NURSE HANDLE NURSE NEWBORN CARE

1. Give Handle nurse sterile gauze using forceps. 1. Prepare: 1 wrapping: (sterile inside) 1. Warm the baby- from abdomen
2. Stand by while delivery is going on. - gauze 2. Clean the baby- blood and meconium
3. Get layette from watcher for the baby’s clothes - 10 cc Syringe 3. Secure ID band (ankle)- bed tag/ name tag- chest
(roll, plaster, tape with name) - Suture 4. Eye care (use one cotton)
4. Take note of date, time, sex and BP once placenta - Lidocaine 5. Measure weight, measure abdomen, head, chest
is delivered 2. Don sterile gloves circumference
5. Don clean gloves 3. Get pack of sterile gauze from mayo tray 6. Change the linen to layette
6. After care: through circulating nurse. 7. Cord care
- Put all equipment sa pail, wipe, then put sa 4. Apply 2 sponges to support fourchette 8. Rectal temp- put lubricant
swing door 5. Discard the sponges 9. Genital Care- water only
- Get instruments and and put all instruments 6. Change gloves PRN 10. Put clothes on
sa DR (wash room) 7. Open 2 pean- straight/ curved *dip in 11. Diaper
- Wash instruments then dry betadine before clamping* 12. Injection:
- Change to new gloves 8. Wait for pulsations to stop/ mo white ang - 0.5 Hepa B. – right
- Put new set of (2) pail and kelly pad. color before you clamp the cord - 0.1 Vit. K (Phytomenadione) – left
Measurements: 13. Endorse to the mother
2 inches- (white clamp)
PERINEAL SHAVE 6 inches- (pean forcep) from white clamp
1. Prepare: 2 inches- (pean forcep) from 1st forcep To put in the pocket:
 Razor with blade *cut in between the forceps*  BP
 Betadine with water 9. Cut the cord- bet clamp  Steth
 Gauze 10. Roll the cord with pean for placental delivery  3 clean gloves
2. Pour betadine solution to perineal area 11. Placenta will delivery itself  2 Sterile gloves
3. Start shaving (remember direction from 12. Ritgen’s maneuver- up, down, side to side  Bandage scissors
retdem) 13. Make patient ready for repair  Plaster
4. Wipe with gauze both area and razor from 14. Assist with episiotomy: Get ready with  Tickler
time to time scissors to cut the suture- for doctor  ballpen
5. Do after care 15. After care:
- Soak sterile sponges with betadine
solution
- Paint it on the suture
- Remove Kelly pad put diaper on
16. Put mother in comfortable position:
- Take out legs together
- Raise together
- Then position the legs on top of the table
17. Rest legs on table