DMC COLLEGE FOUNDATION

Sta. Filomena, Dipolog City

Midwifey Depatment
MID 102- RLE
CLINICAL TEACHING PLAN ON CARE OF MOTHERS DURING LABOR AND DELIVERY (Intraparta Car!"
De!"iption # T$i! "lini"al tea"$ing plan will !e%e a! a g&ide fo t$e fa"&lty'Clini"al In!t&"to and !t&dent! in de%eloping t$e "oe "ompeten"ie!
e(&ied of deli%ey oom midwife d&ing a"t&al la)o and deli%ey.
Aea of E*po!&e # Deli%ey +oom' Lying In
D&ation # ,- $o&!
Enty Competen"ie! # .nowledge in MID /01 e!pe"ially in t$e "ae of mot$e d&ing la)o and deli%ey, 2&man Anatomy and 3$y!iology, A!epti" Te"$ni(&e and
3in"iple!, D+ In!t&ment, S&pplie! and E(&ipment, D&g! and Sol&tion!, Ane!t$e!ia, 3in"iple! of 4io5Et$i"!, S6ill! in doing t$e N&!ing po"e!!
e!pe"ially a!!e!!ment !6ill! 7 Leopold8! Man&e%e, F2T detemination et". leaned d&ing penatal "ae, S&gi"al a!epti" te"$ni(&e, $and !"&),
gowning and glo%ing, peineal "ae, po!itioning and daping, enema admini!tation, "at$etei9ation, !6ill! in doing +itgen8! man&e%e and Cede8!
man&e%e, de"i!ion5 ma6ing !6ill!' "iti"al t$in6ing !6ill!, pope attit&de of p&den"e, patien"e, a""&a"y and gentlene!! in $andling "lient8! in
!te!!:.
D+ Oientation A"ti%itie! fo Clini"al In!t&"to # M&!t $a%e )een "ompleted pio to !t&dent! e*po!&e and done in "oodination wit$ t$e affiliating $o!pital taining offi"e o D+ $ead n&!e
fo a wee6 depending on $o!pital poli"ie!.
D+ Oientation a"ti%itie! fo !t&dent! 7done )efoe t$e a"t&al e*po!&e o on t$e /
!t
day of "lini"al e*peien"e:
Oientation on t$e following#
/. D+ pe!onnel'ogani9ational "$at
;. D+ !et5&p< !&pplie!, in!t&ment! and e(&ipment!
1. D+ poto"ol!, poli"ie! and g&ideline!
,. D+ e"od! and fom! 7 fo do"&mentation, e(&i!ition! et":
=. 3a"ti"e of !6ill!5 7 e.g. 2and !"&), gowning,. Glo%ing
Setting &p of D+ ta)le, mayo ta)le
>. Gading !y!tem and e(&iement!5 attendan"e, D&g St&dy, pefoman"e E%al&ation C$e"6li!t on Intapatal Cae
?. O)!e%ation of an a"t&al deli%ey 7 d&ing o)!e%ation, CI di!"&!!e! po"ed&e! and po"e!!e!:
Daily 3oto"ol afte oientation#
3e5"onfeen"e
A"t&al "lini"al e*peien"e
@&i99e!
3o!t Confeen"e
La!t Day of E*peien"e# Final e%al&ation of St&dent 3efoman"e t$o&g$ Compe$en!i%e e*am o !6ill! in%entoy.
Int!r#!$%at! C&#p!t!n'%!(
C%n%'a A't%)%t%!(
M!t*&$ &+ E)a,at%&n
Fa',t- St,$!nt(
I. Sa+! an$ /,a%t- N,r(%n0 Car!
A. Utili9e! t$e n&!ing po"e!! in
t$e "ae of D+ "lient!
/. 3efom! "ompe$en!i%e
and !y!temati" n&!ing
a!!e!!ment
;. Implement! planned n&!ing
"ae to a"$ie%e identified
o&t"ome!
4. 3omote! !afety and "omfot of
patient! in!ide t$e D+
C. 3o%ide! $ealt$ "ae
t$eape&ti"ally and !afely.
/. E%al&ate! poge!! towad
e*pe"ted o&t"ome!
A!!ign! !t&dent! to a pati"&la patient in
la)o oom
S&pe%i!e! !t&dent! in a!!e!!ment of
"lient!.
A!!i!t! t$e !t&dent in %alidating
"ompletene!! and %ea"ity of
a!!e!!ment data.
In!t&"t! !t&dent! to monito t$e
poge!! of la)o.
S&pe%i!e! !t&dent! a! t$ey pefom
n&!ing inte%ention !afely
Gi%e! appopiate feed)a"6 a! ne"e!!ay.
Di!"&!!e! wit$ t$e !t&dent! e!&lt! of
e%al&ation and e%iew! data )efoe
final e"oding
+e"ei%e! a "lient fo "ae
O)tain! o)!teti"al $i!toy in"l&ding paity, ga%ida !"oe,
LM3, EDC, AOG, 4OA on!et of t&e la)o.
O)tain! data fom t$e Client8! "$at
C$e"6! %ital !ign!
Cond&"t! 3$y!i"al E*amination
C$e"6! Fetal 2eat +ate and F&ndi" $eig$t
Monito! poge!! of la)o' &teine "onta"tion! a!
to#
Fe(&en"y
D&ation
Inten!ity
Inte%al
O)!e%e! fo t$e timely &pt&e of 4OA
3efom! appopiate n&!ing inte%ention! )a!ed on
identified po)lem' diagno!i!
Tan!pot! "lient! !afely w$ile po%iding
pi%a"y
3la"e! mot$e in lit$otomy po!ition
3efom! peineal "ae &!ing !teile te"$ni(&e
"oe"tly
3efom! pope $and !"&)
Aea! gown and glo%e! a""oding to $o!pital
poli"y
3efom! +itgen8! mane&%e !afely
Coa"$e! mot$e on )eat$ing and p&!$ing
te"$ni(&e!
Deli%e! )a)y and pla"enta "aef&lly
C$e"6! and manage! "od e"oil "oe"tly
E%al&ation of A!!e!!ment
+e"od
3efoman"e E%al&ation
C$e"6li!t
@&i99e!
II. Management of
Resources,
Environment and Equipment
Organize work load to facilitate
patient care.
A.Utilizes adequate and appropriate
resources to support patient care
4. En!&e! f&n"tioning of D+
e!o&"e!
C. Maintain! a !afe en%ionment at
t$e D+
+e%iew! wit$ t$e !t&dent! t$e "on"ept of
management of e!o&"e! and
en%ionment petaining to D+
g&ideline!
Familiai9e! !t&dent! wit$ t$e diffeent
in!t&ment!, !&pplie! and e(&ipment
in t$e D+.
A!!i!t! !t&dent! in pefoming !teili9ation
po"ed&e and pepaation of !&pplie!
needed.
S&pe%i!e! !t&dent! in pope wa!te
di!po!al' di!"&!!e! ationale of
po"ed&e!
Clamp! and "&t! t$e "od "oe"tly
Identifie! !ign! of pla"ental !epaation
C$e"6! t$e "$aa"tei!ti"!' "ompletene!! of
t$e pla"enta
A!!e!!e! t$e amo&nt of )lood lo!! 7Nomal le!! t$an=00
"":
Employ! inte%ention! to a"$ie%e and maintain a well
"onta"ted &te&! to pe%ent' "ontol $aemo$age
Uteine ma!!age
Coe"t admini!tation of
o*yto"in
Cold Compe!!
A!!i!t! in epi!io$apy a! needed
C$e"6! !i9e, "on!i!ten"y and lo"ation of &te&!
3efom! peineal "ae and applie! pad "oe"tly
3o%ide! emotional !&ppot to t$e mot$e t$o&g$o&t
la)o and deli%ey
O)!e%e! &ni%e!al pe"a&tion! in $andling )ody fl&id!
E%al&ate! patient8! "ondition and e"od petinent data
A""odingly.
3epae! patient fo tan!fe to e"o%ey oom' wad
3epae! oom, in!t&ment! and e(&ipment needed
Steile dape
Steile in!t&ment! and e(&ipment
7fo"ep!, !"i!!o!, )&l) !yinge, ga&9e,
!&t&e, needle $olde, "at$ete:
.elly pad
Di!infe"tant
3efom! !teili9ation po"ed&e
Maintain! ade(&a"y of !&pplie! a! t$e deli%ey
poge!!e!
O)!e%e! pe"a&tionay mea!&e! elated to &!e of
ele"ti"al e(&ipment

III. H!at* E$,'at%&n I#p!#!nt(
appr&pr%at! *!at* !$,'at%&n
a't%)%t%!( t& '%!nt 1a(!$ &n
t*! r!(,t &+ t*! a((!((#!nt
II. L!0a R!(p&n(%1%%t- A$*!r!(
pra't%'!( %n a''&r$an'! 2%t*
t*! #%$2%+!r- a2 an$ &t*!r
r!!)ant !0%(at%&n %n',$%n0
'&ntra't(3 %n+&r#!$ '&n(!nt
A. Ad$ee! to ogani9ational
poli"ie! and po"ed&e!
4. Do"&ment! "ae endeed to
patient!
+e%iew! tea"$ing plan of !t&dent!
S&pe%i!e! !t&dent! d&ing "oa"$ing in
a"t&al la)o noting w$en to )ea
down and w$en to ela*
S&pe%i!e! !t&dent! w$en doing $ealt$
ed&"ation on )ea!tfeeding, )at$ing,
diapeing and admini!tation of
odeed medi"ation!
A!!i!t! t$e !t&dent! in !e"&ing infomed
"on!ent in all po"ed&e!
Balidate! wit$ t$e !t&dent! a""&a"y of
t$e data gat$eed.
C$e"6! pope identifi"ation of mot$e and
t$e new)on
C$e"6! "oe"tne!! and "ompletene!! of
do"&ment!.
En!&e! a (&iet en%ionment
U!e! !&pplie! diligently
3efom! afte "ae of mateial! and e(&ipment &!ed
En!&e! pope di!po!al of $o!pital wa!te in"l&ding
)lood and ot$e fl&id!.
Tea"$e! "lient on )a!i" pepaation d&ing la)o and
deli%ey
Coa"$e! "lient on )eat$ing' )eaing down te"$ni(&e
Gi%e! in!t&"tion! to patient and !ignifi"ant ot$e! a! to
)at$ing, pope $ygiene and +OM e*e"i!e!
Demon!tate! pope Clat"$ D onE )ea!t feeding
te"$ni(&e
Gi%e! in!t&"tion! to paent! egading infant "ae
)efoe di!"$age'
3o%ide! di!"$age in!t&"tion! a! to feeding, )at$ing,
admini!tation of odeed medi"ation!,
appointment date! fo po!t natal and well )a)y
"$e"6 &p
+e!pond! to (&e!tion! of "lient! and elati%e! egading
e*pe"tation!
E%al&ation of Tea"$ing
3lan