OB WARD TIMELINE OF ACTIVITIES

DAYS/TIME ACTIVITIES
 Getting to know
DAY 1  Virtual tour OB Ward ( To Request )
(8:00–4:00pm)  Discussion on the following:
- DOH & Hospital Guidelines on COVID – 19
- Timeline activities
 Orientation of Chart content

 Discussion on the following:

- Post-Partum Assessment and Care (History & Physical Exam.)
DAY 2 CLIENT’ S POSTPARTUM DATA
(8:00–4:00pm)  You receive a Primi patient post NSD from D.R. with ongoing IVF of D5LR 1L
at the level of 640cc, regulated at 25gtts per min. hooked at the right hand and
infusing well.
 Upon receiving, you are going to have a quick check on the following:
- General appearance of the mother (findings should be healthy)
- Check the fundus (approximately one hour post-delivery, the fundus is
firm and at the level of the umbilicus. The fundus continues to descend into
the pelvis at the rate of 1 cm or fingerbreadth per day and should be non-
palpable by 14 days (about 2 weeks) postpartum.
- Assess the breasts for signs of engorgement, including fullness.
- Assess vaginal discharge.
- Vital Signs checked upon admission at 8am then every 2hours.
8am 10am 12pm 2pm
BP 120/9 120/80 110/80 110/80
PR 91bpm 86bpm 87bpm 85bpm
RR 18cpb 17cpm 17cp 16cpm
T. 36.4’C 36.8’C 37.1’C 36.8’C

Documentation/Charting (SOPIE)
 Patient Carol is feeling well except for the pain she felt in her perineum due to
episioraphy
 Patient Carol is taking oral medication (mefenamic 500 mg 3x a day,
amoxicillin500 mg 3x a day, ferrous sulfate 325 mg 3x a day and ascorbic
acid 500 mg once a day)
 She is advised by the physician to do breastfeeding, but she has difficulty
doing it since this is her first time to have a baby and claiming there is no
breast milk that comes out and the baby looks uncomfortable when she carries
and try to nudge on her breast.
 During interview, you asked the patient to rate the pain she felt in her
perineum using the pain scale of 1 – 10 (1 as the lowest and 10 as the highest
rate) the patient verbalizes 7/10 and she is not comfortable about it and feels
afraid to move. During the last part of your interview, she verbalizes that she
wants to know whether she should start using contraception now, as she does
not want to become pregnant again for at least 2 years.
 All other aspects of her history are normal
 Identify 2 priority Nx Dx (to be mentioned towards the end of your video)
 All output shall be submitted until 11:55pm on same day,

EXPECTED OUTPUT
 TPR/I&O/MEDICATION/IVF Record/V/SFlowSheet
 SOAPIE

 NOTE: Pre-con and Post-con will be maintained virtually.

 DAY 3  Giving of Instructions to students regarding their 2nd Week activities:
(8:00–4:00pm)  OB Ward Setting – After 24 hours with Patient at the Ward
 Total Patient Care
- Students will look for 2 trusted individuals to act as a patient and as a
colleague
- Endorsement (student will receive the patient from the outgoing
nurse).
- V/S taking and recording
- Administration of oral medication with teachings
- Charting: SOPIE
 After the meeting – students will simulate the given scenario

 NOTE: Pre-con and Post-con will be maintained virtually.

DAY 4  Students' preparation

(8:00–4:00pm)  Simulation of Scenario
 Completion and Submission of Requirements for 1st week

 Students are to simulate the following: OB Ward Setting – Postpartum

Assessment &Care
As the nurse assigned to the Patient You are expected to do the following:
 Receive the patient from the outgoing nurse
 Check and record vital signs
 Administer oral medication
 Do nurse-patient interaction:
 You noticed that during your interaction, the patient did not yet change
her clothes and did not take a bath yet.
 Patient is feeling well but has sore nipples. During observation of
breastfeeding, it was found that the baby was not latching well to the
breast.
 Patient report that the baby breastfeeds approximately every 2 hours but
now that her nipples are sore, she is afraid to breastfeed her baby
regularly.
 You delivered health teachings on proper hygiene (but patient verbalizes that
she was instructed by her mother not to take a bath at least for 3days to avoid
having post-partum complications.
 Documentation/Charting (SOPIE)
 Identify 2 priority Nx Dx and formulate Nursing Care Plan

EXPECTED OUTPUT
 Record of Simulated Scenario
 TPR
 SOPIE
 2 NCP

 NOTE: Pre-con and Post-con will be maintained virtually.

 DAY 5  Giving of instructions for the 3rd week’s activities
(8:00–4:00pm)  You are going to simulate the following:
 Your patient is for discharge.
 As the nurse assigned to Patient Carol you are in charge of discharging her.
 Before the patient leaves the ward, you are going to give your discharge
plan and teaching to patient which includes the following:
 Diet
 Medication
 Proper Hygiene
 Breastfeeding
 Follow up check up
 Newborn Care at home
 Student’s Preparation

 NOTE: Pre-con and Post-con will be maintained virtually.

DAY 6  Students monitoring

(8:00–4:00pm)  Students will simulate and record their output
 Students’ submission of output

EXPECTED OUTPUT
 Record of Simulated Scenario (discharge plan & teaching)

 NOTE: Pre-con and Post-con will be maintained virtually.

DAY 7  Based on the scenario, you are going to identify a health education topic and
(8:00–4:00pm) create an infomercial.
 Time frame for recording - (5-10mins).

 NOTE: Pre-con and Post-con will be maintained virtually.

DAY 8  Submission of output
(8:00–4:00pm)  Feedbacking
 Rotational Quiz (25 items)