Dr. Yangas Colleges Inc.

Wakas, Bocaue, Bulacan The Learning Experience in the Delivery Room of the Students Nurses in the Dr. Yangas Colleges Inc. at Selected Hospitals in Bulacan (Questionnaire for the Student Nurses) Part I. Respondents Profile Name of Student (Optional): Gender: (_) Male (_)Female Part II. Learning Experience in the Delivery Room Below are the items of clinical procedures that can be experienced in the Delivery Room. On the space provided, please check whether the items are experienced or performed to your patient at delivery room. The following scales will be used: Legend: (5) - ALWAYS (4) - OFTEN (3) - SOMETIMES (2) - RARELY (1) NEVER A. Skills I am able to: 1. 2. 3. 4. 5. 6. 7. 8. 9. Apply the principles of aseptic technique. Prepare patients physically and physiologically. Prepare the instruments. Demonstrate appropriate decision on the priority and nursing care. Perform Leopolds maneuver correctly. Apply the principles of aseptic technique when performing or assessing with pelvic examination. Perform Perineal care frequently. Aseptically cut and clamp the cord. Perform Ritgens maneuver by placing a towel over the rectum and press forward in the fetal chin while the other hand is pressing downward on the occiput. Age: Year Level:

10. Assess the vital signs, especially blood pressure. 11. Assess the amount of vaginal discharge and fundal consistently, monitor pad count. 12. Perform the essential newborn care. 13. Deliver safe care that is flexible to help the clients meet their needs. 14. Document all date/ interventions following the facilities protocol every clinical experience.

B. Knowledge I am able to: 1. 2. 3. 4. 5. 6. 7. 8. Describe the common theories explaining the onset of labor. Discuss the role of the components of labor, passenger, passage and power. Make through assessment of the clients condition during labor and delivery. Assess correctly the newborn utilizing the APGAR scoring chart. State the action, side effects contraindications of common drugs used in labor and delivery and its nursing responsibilities. Discuss delivery procedures and their significance to patients well-being. Formulate nursing diagnosis related to the physiologic and psychological aspects of labor. Establish expected outcomes meet the needs of a woman throughout the labor process.

Part III. Services Provided by Clinical Instructors This evaluation is to appraise the services performed by the Clinical Instructors. Please rank in the basis of your current knowledge and most objective assessment by checking the appropriate score in the box denoting the extent by which the Clinical Instructor has performed. 5 1. Observes punctuality in at all times and in all conditions. Reports on duty immediately after the allotted break. 2. 3. 4. Observes strictly the eight hour duty. Responds to questions or queries regarding a particular clinical task properly. Shares his or her knowledge willingly and enthusiastically. Cooperates willingly with other hospital staff in the achievement of the goals in the hospital. Follows the procedure of a particular clinical task carefully. Exhibits awareness on cases which need immediately attention while in duty. Conducts and attends pre duty orientation conference and discusses rules and regulations imposed by the hospital. Shows assertiveness and displays initiative in doing a clinical task. Empowers herself/himself through continuous reading of related medical references to further his/ her knowledge. Exhibits confidence in performing clinical task but quick to correct his/her mistakes at once. 4 3 2 1

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Students Signature