Checklist Pedia NCM 107 Einc

Republic of the Philippines_______________________________________________
NUEVA ECIJA UNIVERSITY OF SCIENCE AND

Cabanatuan City, Nueva Ecija, Philippines
ISO 9001:2015 CERTIFIED
COLLEGE OF NURSING
CARE OF MOTHER, CHILD & ADOLESCENT (WELL CLIENT)

(NCM 107) CHECKLIST: SKILLS LABORATORY
Essential Immediate Newborn Care
PROCEDURES SCORE YES NO REMARKS
1. Prepares material and equipment:

3 surgical gloves
2 warm blankets
1 bonnet
cord care set ( Kelly, scissor & cord clamp)
ophthalmic eye ointment
Vitamin K
Hepatitis B
Functional resuscitation equipment
Droplight
2. Wash Hands
3. Put on both set of gloves (double gloving technique)
Time Band: With first 30 seconds
Immediate and Thorough Drying

4. Call out the time of birth (once the baby is delivered from
the perineum)
5. Do rapid assessments while drying the newborn
thoroughly (at least 30 seconds) wipe the eyes, face, head,
front and back, arms and legs.
Time Band: after 30 seconds
Early Skin to Skin contact
6. Remove the wet cloth position the newborn prone on the
mother`s abdomen or chest
7. Position the newborn prone on the mother`s abdomen or
chest
8. Cover the newborn`s back with a dry blanket and
newborn`s head with a bonnet and identification band on
the right ankle
Time Band 1 to 3 minutes
Properly-timed cord clamping
9. Remove the first set of gloves
10. Allow the cord pulsations to stop without milking the
cord
N C M 107: SKILLS LABORATORY “Unauthorized reproduction is

punishable by Law” - NEUST
COLLEGE OF NURSING
11. Clamp the cord at 2 cm from the umbilical base
12. Apply the second clamp 5 cm from the base of the
umbilicus.
13. Cut the cord close to the plastic clamp
Time Band: Within 90 minutes
Non-separation of Newborn from Mother for Early
Breastfeeding
14. Leave the newborn in skin-to-skin contact
15. Observe for feeding cues, (including, sucking, licking
and rooting reflex) point these out to mother and
encourage her to nudge the newborn towards the breast
(counsel on positioning, attachment and sucking)
16. Weighing, bathing, eye care, examinations, injections
(hepatitis B, BCG ,vit K) should be done after the first full
breastfeeding is completed
17. Postpone washing /bathing until at least 6 hours.
Reference: WHO and DOH. Newborn Care until the First Week of Life Clinical Practice Pocket Guide 2009. And Galutira, E. Essential
Newborn Care February 2010
NAME : ______________________________________________________________SCORE : _____________________

BLOCK : __________ DATE : _____________________
Remarks:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Rating Scale:
Excellent : 96 – 100%
Very Satisfactory : 90 – 95%
Very Good : 85 – 89%
Good : 80 – 84%
Fair : 75 – 79%
Poor : 74 and below
__________________________________________________
Student’s Printed Name and Signature
__________________________________________________
Skills Laboratory Instructor
Printed Name and Signature

COLLEGE OF NURSING
R, CHILD & ADOLESCENT

CARE
(WELL
OF MOTHER,
CLIENT) CHILD & ADOLESCENT (WELL CLIENT)
CHECKLIST: SKILLS LABORATORY
(NCM 107) CHECKLIST: SKILLS LABORATORY
Essential Newborn Care
REMAR
PROCEDURES SCORE YES NO
KS

Prepares material and equipment:
3 surgical gloves
2 warm blankets
1 bonnet
baby cloths and diaper
4 swaddling cloth
cord care set ( kelly, scissor & cord clamp)
opthalmic eye oitment
Vitamin K
Hepatitis B
Droplight
Basin, soap and warm water
Wash Hands

Put on both set of gloves (double gloving technique)

Call out the time of birth (once the baby is delivered
from the perineum)
initiate respiration, suction gently and quickly using a
bulb syringe or suction catheter starts in the mouth
then, the nose to prevent aspiration
Stimulate crying by rubbing the back of the baby

Do rapid assessments while drying the newborn
thoroughly ( at least 30 seconds ) wipe the eyes,
face ,head ,front and back ,arms and legs.
Remove the wet cloth position the newborn prone on
the mother`s abdomen or chest

COLLEGE OF NURSING
Position the newborn prone on the mother`s abdomen
or chest
Cover the newborn`s back with a dry blanket and
newborn`s head with a bonnet and identification band
on the right ankle
Establishes and maintains patent airway.
Puts newborn in side lying position.
Dries newborn and wraps warmly.
Places under droplight as needed.
Performs and interprets APGAR scoring correctly
Immediately after delivery
After 5 minutes take the anthropometric
measurements
Carefully place the baby on the scale naked. Wait for
the baby to settle to get the accurate weight.
Takes anthropometric measurements including
weight, height, head, chest, abdominal circumference
and length

Check for the length of the baby, hold the tape
measure at the sole of the feet then gently run it
through the body until the crown to get the length
(heel to crown straightens the body) Normal Length;
19.5 – 21 in – 20 inches and 47.5 – 52.75 cm – 50 cm

Put the tape measure around the head of the baby on
top of the eyebrow. Take care that the side of the tape
measure marked in centimeters is on the outside for
the reading, with the zero end in the
inferior position.13 – 14 inch – 13 inch and 33.35 cm – 34 cm
Normal

Slip the tape measure down to the back of the baby ,
loop the tape measure around the chest of the baby
nipple level and make sure that the centimeter
marked is outside for reading .12-13 inch – 13 inch and 31
– 33 cm – 32 cm Normal

Slip down the tape measure on the abdomen to get the
abdominal circumference. Loop the tape measure
around the abdomen just above the umbilical cord and
make sure that the tape measure is place correctly
that the centimeter marked is outside
Gives oil/water and soap bath according to
institutional policy.
Bathing the Infant
prepare a basin of warm water, check the temperature
using your elbow.

COLLEGE OF NURSING
pour water on the head of the baby, put soap and
gently brush the hair and head of the baby to remove
debris. Then rinse
gently pour water on the body of the baby then apply
soap, clean the neck, armpit and other skin folds. Then
rinse
place the baby on a dry blanket to dry and place under
the droplight
Remove the first set of gloves

Performs cord dressing aseptically.
Dresses cord aseptically according to hospital policy.

• 1st cotton ball with betadine– from the base ,semi-
circular stroke using the 3 sided of the cotton ball
• 2nd cotton ball with betadine – cord up , stroke upward
using the three side of the cotton ball
• 3rd cotton ball with alcohol – same with 1st and 2nd
cotton ball. Clamps and cuts cord 1 inch from the abdomen
•5th cotton ball with betadine (cleanest to the dirties )
from on top of the cord clamp wipe it with the cotton with
betadine
• 6th cotton ball with alcohol – (cleanest to the dirties )
from on top of the cord clamp wipe it with the cotton with
betadine
Applies CREDE’s prophylaxis on the eyes.

Administers Vitamin K (1mg/M) into the lateral
anterior thigh or vastus lateralis.
Disinfects area properly according to hospital policy

Ensures proper identification of newborn (name
tag:name of mother, date and time of delivery, gender
and name of attending physician).
Keeps baby wrapped warmly under the floor lamp or
beside mother according to institutional policy until
discharge.
Performs physical assessment.

Takes vital signs (temperature per rectum to check
patency)
Latches newborn to the mother’s breast immediately
after birth.
Records pertinent observations and nursing care
done.
Reports any signs of deviation/abnormality to the
pediatrician.
NAME:__________________________________________________________SCORE:_____
BLOCK: ________________________ DATE: _______________
Remarks:
_____________________________________________________________________________________________

COLLEGE OF NURSING
Rating Scale:
Good : 80 – 84%
Fair : 75 – 79%
Poor : 74 and below
__________________________________________________
__________________________________________________
CLINICAL LEARNING SKILLS LABORATORY

Checklist for Skill: Suctioning of the Newborn
PROCEDURE
Performed Comments
YES NO
ASSESSMENT
Assess newborns breathing while drying.
Ventilate when the baby is floppy/limp and not breathing

1
Suction when the mouth/nose are blocked with secretions or
other materials
PLANNING
Prepare the equipment and materials.
Suction Machine (Electrical or Foot/Hand Operated)

1
Disposable Suction Catheter
Surgical Gloves
IMPLEMENTATION
Use of the suction machine (electrical)

1 Connect to the mains
2 Switch on the unit
3 Identify the pressure gauge

COLLEGE OF NURSING
4 Occlude the distal end to check the pressure reading
Adjust the pressure knob to keep suction pressure in the range
5
80–100 mmHg
6 Wash hands correctly and wear gloves
7 Take disposable suction catheter and connect to suction tubing
Position the newborn (Side lying slightly trendelenburg,
8
Trendelenburg, Side Lying or Supine with head flex on side)
Perform gentle suction, first mouth and then nose. Close one of
9 the nostrils and mouth when suctioning one side of the nose. Do
suctioning 5 to 10 seconds.
10 Switch off the suction machine
Use of the suction machine (foot/hand operated)
Place the foot suction machine on floor in front of resuscitation
1 trolley, with bellows on right side (if you use your right foot)
and fluid collection jar on left side.
Place right foot on bellows and press down, ensuring that it
2
slides down in contact with the central vertical metal plate
Block the suction tubing, press the bellows and check for
3
suction pressure
Wash hands, wear gloves and connect suction catheter to
patient end of suction tubing of the machine and position the
4 newborn. Perform gentle suction, first mouth and then nose.
Close one of the nostrils and mouth when suctioning one side of
the nose. Do suctioning 5 to 10 seconds.
5 Switch off the suction machine
EVALUATION
• Evaluate newborns breathing
• For safety of the newborn, maximum suction pressure is
limited to 100 mmHg, irrespective of foot pressure.
• If the suction inlet becomes blocked by a thick mucus
plug, switch the suction tubing to an alternative suction
inlet provided on the rubber stopper.
• The foot suction machine must be cleaned
immediately after use. Empty the fluid jar
immediately when filled more than half and wash
with soap and water
1
• The fluid collection jar and silicon tubing should be
autoclaved
• The rubber lid of the fluid collection jar cannot be
autoclaved. Wash thoroughly with soap and water,
rinse, reassemble when dry
• If the fluid jar is full and cannot be emptied
immediately, open the alternative suction inlet to
prevent outflow of fluid into bellow
• Change bottle solution (0.5% hypochlorite
solution) every day in the electric suction machine
DOCUMENTATION
1 Document the findings.
TOTAL:

COLLEGE OF NURSING
NAME:__________________________________________________________SCORE:_____
BLOCK: ________________________ DATE: _______________
Remarks:
_______________________________________________________________________________________
Rating Scale:
Good : 80 – 84%
Fair : 75 – 79%
Poor : 74 and below
__________________________________________________
__________________________________________________


Checklist Pedia NCM 107 Einc

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Checklist Pedia NCM 107 Einc

Uploaded by

Copyright:

Available Formats

Republic of the Philippines_______________________________________________

NUEVA ECIJA UNIVERSITY OF SCIENCE AND

CARE OF MOTHER, CHILD & ADOLESCENT (WELL CLIENT)

Essential Immediate Newborn Care

PROCEDURES SCORE YES NO REMARKS

1. Prepares material and equipment:

N C M 107: SKILLS LABORATORY “Unauthorized reproduction is

NAME : ______________________________________________________________SCORE : _____________________

N C M 107: SKILLS LABORATORY “Unauthorized reproduction is

R, CHILD & ADOLESCENT

Essential Newborn Care

N C M 107: SKILLS LABORATORY “Unauthorized reproduction is

N C M 107: SKILLS LABORATORY “Unauthorized reproduction is

Dresses cord aseptically according to hospital policy.

Applies CREDE’s prophylaxis on the eyes.

Disinfects area properly according to hospital policy

Performs physical assessment.

N C M 107: SKILLS LABORATORY “Unauthorized reproduction is

CLINICAL LEARNING SKILLS LABORATORY

Ventilate when the baby is floppy/limp and not breathing

Prepare the equipment and materials.

Suction Machine (Electrical or Foot/Hand Operated)

Use of the suction machine (electrical)

N C M 107: SKILLS LABORATORY “Unauthorized reproduction is

N C M 107: SKILLS LABORATORY “Unauthorized reproduction is

N C M 107: SKILLS LABORATORY “Unauthorized reproduction is

You might also like

NAME : __________________________________________SCORE : _