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
