ASSISTING DELIVERY

Name: ________________________________________________________Grade:_________________

Year and Section:_______________________________ _Date:___________________________

Legend:
1- Excellent
2- Very Satisfactory
3- Satisfactory
4- Needs Improvement
5- Poor
PROCEDURE RATIONALE 1 2 3 4 5
STEPS
Preparation and Action of a student nurse Assisting the Delivery:
Assisting Nurse:
Preparation of equipment

Get OB pack
o Place it in the mayo table
o
Open the outer lining of the OB pack
o Use bare hands in opening the outer lining
Open the inner lining of the pack
o Use sterile picking forceps facing down when
opening the inner lining of the OB pack.
Check the OB pack
o Check if the instruments are complete
Prepare additional equipment
o Drop the additional materials to the open OB
pack (sterile field)
- 10 cc disposable syringe
- Sutures
- 10 pieces sterile OS
- Umbilical cord clamp
- Bulb syringe
Actions:
2.2 Do surgical hand washing
2.3 Do gowning and gloving technique

o Strictly follow the principles of gowning and

gloving technique
2.4 Arrange the materials according to use: from right
to left
- 10 Sterile OS
- 10 cc disposable syringe (lower
part/below – bulb syringe)
- Bandage scissors
 - Cord clamp
- Kelly curve
- Kelly straight
- Umbilical cord cutter (optional)
- Surgical scissors
- Needle holder with sutures
- Tissue forceps without teeth
- Tissue forceps with teeth
- Ovum forceps clamp with 1 sterile OS
- (Lower part/below)- placental bowl)
Assist the doctor during the delivery of the baby
Do after care
- Counting of instruments together with the
circulating nurse
- Clean the instruments and make sure it is
complete
ATTITUDE:
Accept constructive criticism and suggestion
Accept responsibility of his/her action
Scoring:
1x ____________ = __________
2x ____________ = __________
3x ____________ = __________
4x ____________ = __________
5x ____________ = __________
Total divided by no. of items = __________

Comments:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_______________________________________

_______________________________________ _______________________________________

Student’s Signature over Printed Name Clinical Instructor’s Signature and Date over printed name
 HANDLING DELIVERY

Name:________________________________________________ Grade:__________________

Year and Section: _______________________________ Date:___________________________

Legend:
1- Excellent
2- Very Satisfactory
3- Satisfactory
4- Needs Improvement
5- Poor
PROCEDURE RATIONALE 1 2 3 4 5
PREPARATION AND ACTION OF A STUDENT NURSE ASSISTING
THE DELIVERY:
Handling Nurse:
1. Preparation

 Prepare the OB pack

 Open the outer lining with your bare hands
 Open the inner lining using a sterile forceps
 Drop the surgical gloves in the sterile field
(prepare sterile gloves for the surgeon, handle
nurse and assisting nurse)

2. Action

2.1 Do surgical handwashing

2.2 Perform gowning and gloving technique

2.3 Do draping
Drape the patient accordingly:
1. legging (right and left)
2. abdominal drapes (2 drapes)
3. perineal drape and prepare perineal support
4. get ready with the delivery

4.1 handle the delivery of the fetus

 Slide your hands to the neck and the baby of

the fetus as it delivered smoothly and easily.

4.2 Place the baby to the mother’s abdomen

4.3 Clamp the cord 8-10 inches away from the umbilicus
with Kelly forceps one-inch apart clamp and cut with
 scissors in between.

4.4. Proceed with the delivery of placenta

 Hold the forceps connecting the placenta and

wait 3-5 mins for sign of placenta separation
 Slowly pull cord while the other hand exerts a
slight pressure above the mons pubis.

4.5 Once delivered, place placenta on the bowl and inspect the
completeness of its part.

 Take note of the methods of separation

 Circulating nurse to get the blood pressure of
the mother

4.6 Assist in suturing the episiotomy

 Anticipate doctor’s need during suturing

4.7 Flush site with normal saline.

4.8 Apply betadine antiseptic

4.9 Apply sanitary pad/adult diaper

4.10 Do after care:

 Position the mother comfortably-legs closed

 Remove stained draper
 Take vital signs immediately
 Check the instruments if complete
 Wash the instrument and let these dry
 Pack clean equipment and autoclave
ATTITUDE
1. Accepts constructive suggestions and criticisms
2. Assume responsibility of his or her actions.

Scoring:

1x ____________ = __________

2x ____________ = __________

3x ____________ = __________

4x ____________ = __________
 5x ____________ = __________

Total divided by no. of items = __________

Comments:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

_____________________________________ _______________________________________

Student’s Signature over Printed Name Clinical Instructor’s Signature and Date over printed name

Printed name