MABINI COLLEGES

College of Nursing and Midwifery

DR/ LABOR ROOM

IMMEDIATE CARE OF NEWBORN COMPETENCY CHECKLIST

Name of Student: ________________________________________________________________

Year/ Clinical Group: ______________School Year: _____________________________________
Semester/Term: First Semester _________ Second Semester ________ ____Summer _________
Inclusive Dates of Clinical Rotation: __________________________________________________

Rate of Competency:

0 = 70-74 – No experience. Theory only

1 = 75-80 – limited competency
2 = 81-84 – Acceptable competency
3 = 85-90 – Competent

0 1 2 3
I. SAFE AND QUALITY NURSING CARE
1. Establishes and maintain patent airway
2. Puts the newborn in Trendelenburg’s position
3. Suctions mouth and nose of the newborn gently
4. Dress the newborn and wraps warmly.
- Places under droplight as needed
5. Performs and interpret APGAR scoring correctly
- Immediate after delivery
- After 5 minutes
6. Ensures proper identification of newborn (name tag: name
of mother, date and time of delivery, gender and name of
attending physician
7. Performs physical assessment
8. Takes anthropometric measurements including weight,
height, head, chest, abdominal circumference
9. Takes vital signs (temperature per rectum to check patency)
10. Give oil/water and soap bath according to institutional policy
11. Latches newborn to the mother’s breast immediately after
birth
12. Applies CREDE’S prophylaxis on the eyes
13. Performs cord dressing aseptically
- Disinfects area properly according to hospital policy
- Clamps and cuts cord 1 inch from the abdomen
- Checks the presence of 2 arteries and 1 vein
- Dresses cord aseptically according to hospital policy
14. Administers Vit. K (1mg/IM) into the lateral anterior thigh or
vastus lateralis
15. Keeps baby wrapped warmly under floor lamp or bedside
mother according to institutional policy until discharge
16. Records pertinent observation and nursing care done
II. MANAGEMENT OF RESOURCES, ENVIRONMENT, AND
EQUIPMENT
1. Prepares instrument and equipment needed
- Suction bulb, cord clamp, gauze, cotton balls,
disinfectant, blanket, droplight, Vit. K, antimicrobial
ophthalmic ointment

Leilani A. Lim, RN.MAN Page 1

 2. Ensures use of sterile equipment during immediate care of
the newborn
3. Maintain adequacy of supplies as newborn care is rendered
4. Maintains orderliness of working area
5. Observes precautionary measures related to use of electrical
equipment
6. Ensures warm and quiet environment
7. Uses supplies diligently
8. Ensures proper disposal of hospital wastes
III. HEALTH EDUCATION
1. Provides instructions to the mother on daily cord care and
prevention of cord infection
2. Provides discharge instructions to the mother on when to
expect cord to fall off or to report signs of cord infection
3. Provides information regarding newborn screening,
immunization, feeding, etc.
4. Responds to questions of mother and relatives regarding
expectations
IV. LEGAL RESPONSIBILITY
1. Identifies newborn by comparing ID band with data in the
chart
2. Documents all pertinent data correctly and completely
3. Reports accurately any deviations /abnormal findings and
nursing interventions
4. Ensures that birth certificate and other civil registration
forms are accomplished/filled out according to institutional
policy
5. Performs foot printing according to hospital policy
V. ETHICO-MORAL RESPONSIBILITY
1. Respects the religious, cultural, and ethnic practices of the
family of the newborn
2. Maintains privacy and confidentiality of findings of
assessments
VI. PERSONAL AND PROFESSIONAL DEVELOPMENT
1. Updates oneself with the latest trends and developments in
newborn care
2. Projects a professional image of pediatric nurse
3. Accepts criticisms and recommendations
4. Performs functions according to standards
VII. QUALITY IMPROVEMENT
1. Identifies deviation of practice from the standards
2. Participates in audit practices in the nursery
3. Recommends corrective and preventive measures for the
identified deviations
VIII. RESEARCH
1. Identifies researchable problems related to immediate care
of newborn
2. Initiates a research study on an identified researchable
problem
3. Participates as a member of a research team in the
conduction of a research study
4. Utilizes findings of research studies in the immediate care of
the newborn
IX. RECORDS MANAGEMENT
1. Documents accurately relevant data about the newborn
2. Maintains an organized system of filing and record keeping
X. COMMUNICATION
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 1. Utilizes appropriately all forms of communication: verbal,
non-verbal, electronic
2. Maintains an open line of communication with the mother
and other family members
3. Informs mother of relevant information about the newborn
4. Listens attentively to queries and requests of mothers and
family members
XI. COLLABORATION AND TEAMWORK
1. Function attentively as a team player in the nursery
2. Communicates findings of assessment to all concerned
3. Establishes a collaborative relationship with the members of
the health team and family of the newborn
Overall results Rating Remarks

EVALUATED BY :

__________________________ __________________________
Signature over Printed Name Signature over Printed Name
Clinical Instructor Student

Leilani A. Lim, RN.MAN Page 3