K ________________

S ________________
PERFORMANCE CHECKLIST
ESSENTIAL NEWBORN CARE (ENC) and
A ________________
ORONASOPAHRYNGEAL SUCTIONING

Name: ________________________________________________ Date: _________ Rating: _______

Instruction: Rate the student properly after the student practiced the procedure & ready to perform
the return demonstration.

Legend: 4 – Action is correct, complete & performed in proper action & timing
3 – Action is correct, complete but not in order & performed action very slowly
2 – Action is in correct & incomplete & performed action very slowly or very fast
1 – Action is not performed but mentioned
0 – Did not perform & did not mention the step in the procedure.

Performance Criteria 4 3 2 1 0 CI’s Remarks

Knowledge 30%
1. Define Suctioning and Essential Newborn Care (ENC)
2. Enumerate the purpose/s of Suctioning and Essential
Newborn Care
3. Enumerate the 4 Time-bound Interventions of ENC.
4. Explain the rationale of the steps of the procedures.
Skills 35%

Preparation:
1. Assemble/ Gather all the materials needed for
suctioning and newborn care.
2. Connect the collection bottle to the suction machine.
3. Position the NB/Infant/Child on a supine position with
head turn to side.
4. Prepare the suction apparatus. Turn the device on and
set to an appropriate negative pressure on the suction
gauge.
5. Perform handwashing
6. Don sterile gloves.

Implementation
1. Attach the sterile suction catheter to the suction
apparatus and test the suction and the patency of the
catheter by applying your sterile gloved finger/thumb
to the port open branch of the Y-connector.
2. Lubricate the catheter in sterile water and without
suction, insert the suction catheter into the mouth
first.
3. After the catheter is properly positioned, place your
thumb over the suction control port and begin to
suction gently by slowly rotating the suction tip around
the mouth, along the sides of the mouth and up.
4. Rinse the catheter in the sterile water container and
repeat suctioning as necessary.
5. Do steps 7-10 into the nose till the pharynx doing it
slowly and carefully.
6. Repeat the procedure until the secretions are cleared
and aspirated but no longer than 10 to 15 secs.
7. Stop the suction machine. Detach the suction catheter
to the suction machine and discard according to
hospital policy.
8. Clean the mouth and nose of the NB with a sterile
gauze.
9. Change sterile gloves (if soiled) for the newborn care.
10. Weigh the newborn.
11. Take the Vital Signs (HR, RR, and Temp.) of the
Newborn.
12. Take the anthropometric measurements (HC, CC, and
AC) of the newborn on supine position.
13. Place the NB on a side-lying position towards you and
take the length from the head to the heel of the NB.
Follow the contour of the NB’s body.
14. Change the cap/bonnet on the baby’s head.
15. Apply Erythromycin/ Terramycin eye ointment on both
eyes of the NB from inner to outer canthus, farther
eye first.
16. Inject 0.1ml. of Vit. K on the left Vastus lateralis of the
NB.
17. Place the diaper, the dress, the mittens and the socks
of the NB.
18. Swaddle/wrap the NB.
19. Place the NB on the side of the mother for continuing
of breastfeeding. If not yet possible, place the NB in a
crib/ bassinet under droplight.
20. Discard all used materials properly including the
gloves.
21. Perform handwashing.

DOCUMENTATION
1. Document everything you have done. Report any
untoward observations to your Clinical
Instructor/Nurse on duty.
ATTITUDE (35%)
1. Reports to RD area on time.
2. Greets the CI and introduces self.
3. Presents self for return demonstration with properly
fixed hair, short unpolished nails and in complete
school uniform.
4. Has initiative in preparing materials for the procedure,
resourceful with the available materials and manages
time effectively.
5. Observe proper decorum and maintains a respectful
and calm atmosphere throughout the procedure.
6. Listen attentively to comments/suggestions of CI and
accept criticism well.
7. Performs the procedure confidently.
8. Communicate concerns politely and tactfully to CI.
9. Performs after care of materials.

Student’s Remarks: ____________________________________________________________________

________________________________________________________________________________.

________________________________ ________________________________
Student’s Signature Printed Name & Signature of CI