Einc New Checklist

Republic of the Philippines
TARLAC STATE UNIVERSITY

COLLEGE OF SCIENCE
NURSING DEPARTMENT
Villa Lucinda Campus, Brgy. Binauganan, Tarlac City Philippines 2300
Tel. No.: (045) 493-1865 Fax: (045) 982-0110 website: www/tsu.edu.ph
PERFORMANCE EVALUATION CHECKLIST

ESSENTIAL INTRAPARTUM AND NEWBORN CARE PRACTICE (EINC)
Name of Student: ___________________________

Year and Clinical Group: ______________________
School year: ________Term: __1st Sem ___2nd Sem _____Summer
Inclusive dates of Clinical Rotation: ________________
Instructor: _________________
Description:
The EINC (Essential Intrapartum And Newborn Care) practices are evidenced-based
standards for safe and quality care of birthing mothers and their newborns, within the 48
hours of Intrapartum period (labor and delivery) and a week of life for the newborn.
Purposes:
1. To provide safe and quality nursing care to birthing mothers and their newborns.
2. To practice the recommended practices during the antepartum, intrapartum and
immediate postpartum period.
3. To follow the recommended practices in newborn care.
Equipment/Materials:
Decontamination Solution Umbilical cord clamp
Kellies/forceps Baby towels (2-3)
Mayo scissor Baby’s blanket
Sterile gauze Baby dress/layette
Cotton balls Adult and baby Diaper
Sterile gloves Under pad
Syringes Vitamin K
Weighing scale Eye ointment
Dummies Hepatitis B vaccine
Tape measure BCG vaccine
Pale Plaster
kelly pad
SCORE Remarks
PROCEDURES
2 1 0
In advance, prepare decontamination solution by mixing 1 part 5%
chlorine bleach to 9 parts water to make 0.5% chlorine solution.
1 Change chlorine solution at the beginning of each day or whatever
solution is very contaminated or cloudy.
PRIOR TO WOMAN’S TRANSFER TO THE DR
2 Ensure that the mother is in her position of choice while in labor.
3 Ask mother if she wishes to eat/drink or void.
Communicate with the mother –informed her of progress of labor,
4 give reassurance and encouragement.
WOMAN ALREADY IN THE DR
PREPARING FOR DELIVERY
5 Check temperature in DR area to be 25-28 Celsius; eliminate air
draft.
6 Ask woman if she is comfortable in the semi-upright position (the
default position of delivery table).
7 Ensure the woman’s privacy.
8 Remove all jewelry then wash hands thoroughly observing the
WHO 1-2-3-4-5 procedure.
9 Prepare a clear, clean newborn resuscitations area. Check the
equipment if clean, functional and within easy reach.
10 Arrange materials/supplies in a linear sequence.
11 Gloves, dry linen, bonnet, oxytocin injection, plastic clamp,
instrument clamp, scissors, 2 kidney basins.
(In a separate sequence for after the 1st breastfeed.)
12 Eye ointment, (stethoscope to symbolize PE), Vitamin k, hepatitis B
and BCG vaccines (plus cotton balls, etc).
13 Clean the perineum with antiseptic solution.
14 Wash hands and put it on 2 pairs of sterile gloves aseptically. (if
same worker handles perineum and cord)
AT THE TIME OF DELIVERY
15 Encourage woman to push as desired.
16 Drape clean, dry linen over the mother’s abdomen or arms in
preparation for drying the baby.
17 Apply perineal support and did controlled delivery of the head.
18 Call out time of birth and sex of baby.
19 Inform the mother of outcome.
FIRST 30 SECONDS
20 Thoroughly dry the baby at least 30 seconds, starting from the face
and the head, going down to the trunk and extremities while
performing a quick check for breathing.
1-3 MINUTES
21 Remove the wet cloth.
22 Place the baby in skin-to-skin contact on the mother’s abdomen or
chest.
23 Cover baby with the dry cloth and the baby’s head with a bonnet.
24 Exclude a 2nd baby by palpating the abdomen in preparation for
giving oxytocin.
25 Use wet cloth to wipe the soiled gloves. Give IM oxytocin within one
minute of baby’s birth. Dispose wet cloth properly.
26 Remove 1st set of gloves and decontaminate them properly (in 0.5%
chlorine solution for at least 10 minutes).
27 Palpate umbilical cord to check for pulsations.
28 After pulsations stopped, clamp cord using the plastic clamp /cord
tie 2 cm from the base.
29 Place instrument clamp 5 cm from the base.
30 Cut near plastic clamp (not midway).
31 Perform the remaining steps of AMTSL (Active Management of the
Third Stage of the Labor)
32 Wait for the strong uterine contractions then controlled cord traction
and counter traction on the uterus, continuing until placenta is
delivered.
33 Massage the uterus until its firm.
34 Inspect the lower vagina and perineum for lacerations/tears and
repair lacerations/tears, as necessary.
35 Examine the placenta for completeness and abnormalities.
36 Dispose the placenta in leak-proof container or plastic bag.
37 Clean the mother: flush perineum and apply perineal
pad/napkin/cloth.
38 Check the baby’s color and breathing; check that mother is
comfortable, uterus contracted.
39 Decontaminate (soak in 0.5% chlorine solution) instruments before
cleaning; decontaminate 2nd pair of gloves before disposal, stating
that decontamination lasts for at least 10 minutes.
15-90 MINUTES
40 Advise mother to observe for feeding cues and cite examples of
feeding cues.
41 Support mother, instruct her on positioning and attachment.
42 Wait for FULL BREASTFEED to be completed.
43 After a completed breastfeed, administer eye ointment (first).
44 Do thorough physical examination.
45 and then do Vitamin K, Hepatitis B and BCG injections
(simultaneously explain purpose of each intervention)
46 Advise OPTIONAL/DELAYED bathing of baby (and able to explain
the rationale).
47 Advise breastfeeding per demand.
48 In the first hour: check baby’s breathing and color, and check
mother’s vital signs and massage uterus every 15 minutes.
49 In the second hour: check mother-baby dyad every 30 minutes to 1
hour.
50 Complete all RECORDS.
TOTAL SCORE
TRANSMUTED GRADE
Descriptive Interpretation for Actual Score:

2- Very Good
1- Good
0- Not Performed
Shown to me:
________________________________
Signature over Printed Name
Student
Shown to me by:
___PROF. MARY JANE N. RIGOR
Signature over Printed Name
Clinical Instructor

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Republic of the Philippines

TARLAC STATE UNIVERSITY

PERFORMANCE EVALUATION CHECKLIST

Name of Student: ___________________________

Descriptive Interpretation for Actual Score:

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