HOSPITAL DUTY LR/ DR

GENERAL OBJECTIVES:
At the end of second year, the student shall have acquired the holistic understanding of
the human person as a bio psycho cultural being focusing on the concept of health and
illness as it is related to the care of the mother and child in varied settings
Specifically, the student shall:
1. describe the health care delivery system .
2. demonstrate ethico moral, legal responsibilities in the care of the individual,
family and community as a whole
. demonstrate the beginning s!ills in the provision of independent and
collaborative nursing function
". discuss the role of economics as it impacts on health and illness
#. relate the stages of growth and development in the care of clients
$. demonstrate beginning a!ills in the preparation of healthy and therapeutic diets
in varied client cases
%. e&plain the dynamics of the disease process cause by microbes and parasites
and the environment
'. imbibe the core values cherished by the nursing profession such as love of (od,
caring, love of country and of people
). design a plan that will focus on health promotion and ris! reduction to clients
1*. utili+e the nursing process in the care of high ris! mother and child in the family
ACTIVITIES:
pre conference with ,linical -nstructor
house!eeping
gather. prepare supplies. instruments for delivery, initial newborn care and for /,
as needed
Mother:
0 1onitor progress of labor.
0 2a!es 342 and 56 of the parturient.
0 7otes and record the duration, interval, frequency and intensity of uterine
contractions.
0 ,hec! if S2A2 medications are available o&ytocin, methergin and
sutures
0 4andle delivery with /8 staff
0 Aftyer care of instruments including !elly pad and placenta
0 ,hart 7urse9s 7otes, 268 sheet and 56 of the mother. ,harting must be
chec!ed by ,- and countersigned by staff nurse
0 2ransport the mother safely to :5 ward with the infant
Assist:
0 ,hec! the mother9s chart is at the labor room with 342 and 56 properly
recorded
0 6repare mother9s clothing asnd adult diaper
0 coaches the mother to bear down during contractions
0 chec! 56 and ;S of the mother after delivery of placenta
0 administer prescribed drugs <methergin -1= to mother
0 applies pac!s over the mother9s hypogastrium
0 goes to the :5 resident on duty for post partum doctor9s order
0 after care of /8 table and mops the floor
Ne!or":
0 ,ord ,are
perform initial newborn care < suctioning, initial bathing, cord care,
ta!e v.s and anthropometric measurements: head, chest and
abdominal circumference, ,rede9s prophyla&is, administering vitamin
> and 4epa 5 through -1 as ordered, !eeping newborn warm with
adequate clothing and linen=
assist in latching 0 on
,hart in newborn9s chart 268, 4,, ,,, length, weight, apgar score<1
and # minutes after delivery=, footprint and meds given. ,harting must
be chec!ed by ,- and countersigned by staff nurse
8ecording of data in the logboo! < 7ewborn, /elivery and
-mmuni+ation=
After care of used equipment and supplies
,onduct a post conference and case discussion
(ive post test
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C&i"i'(& I"str)'tor