PRS Ob Ward

University of San Agustin
General Luna St., 5000, Iloilo City Philippines

www.usa.edu.ph
COLLEGE OF NURSING, NUTRITION AND DIETETICS
PERFORMANCE RATING SCALE

OB WARD
Name : _______________________________________________________ Yr & Sec:______________ Raw Score:________ Rating: _________________ Grade :

__________
Area of Exposure : ________________________________________ Date of Exposure : ______________
Instructions: Indicate your rating to the item by checking appropriate cell for each task:
Legend:
(5) Excellent: Performs task effectively and correctly without Clinical Instructor's supervision
(4) Very Satisfactory: Performs task effectively and correctly with minimal Clinical Instructor's supervision
(3) Satisfactory: Performs task effectively with full supervision
(2) Needs Improvement: Finds difficulty in performing task
(1) Poor: Initiated to do task but failed
I. BEGINNING PRACTITIONER ROLE (50%) 5 4 3 2 1

1. Practices in accordance with the Code of Ethics in making personal and professional judgment
1. Obtains obstetrical history including parity, gravid score, LMP, EDC, laboratory, past /present OB problems such as malposition
Malpresentations , Abortions, PIH and other related problems.
2.Checks vital signs
3. Conducts physical examination using the IPPA:
a. Inspection
b. Palpation
c. Percussion
d. Auscultation
4. Performs Leopold’s maneuver
5. Checks Fetal Heart Rate and Fundic Height
6.Assist in Internal examination
7. Coaches mother pre and post delivery
A Legacy of Excellent Education in Virtus et Scientia

Email: cnnd@usa.edu.ph | Contact No.: 0939-278-9080
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2. Utilizes the nursing process in the interdisciplinary care of client's that empowers the clients and promotes safe quality care
1. Establishes a nurse-client relationship

2. Introduces self and addresses clients, other individuals as they prefer to be addressed.
3. Performs correct patient identification by asking the client's full name, birthdate, and ID bands.
4. Shows respect to others regardless of background.
5. Determines the significance of laboratory and diagnostic findings in the care of the client.
6. Analyzes client's data utilizing the appropriate theoretical framework
7. Identify appropriate nursing diagnoses of clients in crisis
8 . Formulates a plan of care of clients in Critical Care/Crisis.
8.1. Identifies goals/objectives
8.2. Specifies appropriate nursing interventions
8.3. Defines evaluation criteria
Implements appropriate interventions for clients in Critical Care/Crisis.
9.1. Observes principles of safety, privacy, and comfort when providing care.
9.2. Gives full attention to the client when giving care.
9.3. Provides nursing care based on individual needs
9.4. Adapts to the environment to make it conducive for healing/pleasing to the client.
9.5. Performs evidence-based nursing procedures/activities safely and effectively.
a. With ease and confidence
b. Correctly
c. Systematically
d. Performs after-care
10. Evaluates client's response/outcomes of care
11. Adheres to policies, procedures, and protocols on prevention and control of infection especially to clients in Critical Care.
12. Observes proper waste disposal.

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3. Maintains a complete, accurate, and up-to-date recording and reporting system.
1. Demonstrate accuracy and honesty in recording and reporting.

1.1. Data is accurate
1.2. Data is complete
1.3. Shows honesty in documentation
2. Completes updated documentation of patient care.
3. Utilizes the use of KARDEX/Care Plan, patient's charts, therapeutic sheet, medication card and other hospital forms.
4. Maintains confidentiality in the safekeeping of records and other information.
5. Releases records and information based on protocol and principle of confidentiality.
4. Establishes collaborative relationship with colleagues and other members of the team to enhance nursing and other health care
services
1. Utilizes all forms of communication: verbal, non-verbal, use of electronics
2. Creates rapport, trust and confidence to client's significant others and members of the health team.
3. Works hand and hand with other members of the health team, family, and significant others
4. Acts as patient advocate/liaison to other members of the health team, family, and significant others
Total
II. Health Education (HE) (10%)
1. Demonstrates proper “latch-on” breast feeding technique
2. Gives instructions to parents regarding infant care before discharge
3. Provides discharge instructions as to feeding, bathing, administration of ordered medications, appointment dates for post natal and well
baby check up
4. Responds to questions of clients and relatives regarding expectations
Total
III. Legal Responsibilities (LR) (10%)
1. Secures informed consent in all procedures related to labor and delivery procedures
2. Reports accurately and honestly related data
3. Ensures proper identification of the mother and newborn
Total

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IV. Ethico-Moral Responsibilities (EMR) (10%)
1. Respects the religious, cultural and ethnic practices of the family of the woman in pre and post delivery
2. Promotes emotional security by supporting needs
3. Ensures privacy and confidentiality
Total
V. Personal and Professional Development (5%)

1. Updates oneself with the latest trends and development in pre and post labor and delivery
2. Projects a professional image of a OB room nurse
3. Accepts criticisms and recommendations
4. Performs functions according to standards
Total
VI. Quality Improvement (QI) (5%)
1. Identifies deviation of practice from the standards
2. Recommends corrective and preventive measures for the identified deviations
Total
VII. Research (R) (5%)
1. Identifies researchable problems related to gravid woman
2. Utilize findings of research studies in intra-partal care of gravid woman
Total

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VIII. Communication (5%)

(5) Displays appropriate communication skills with the client and significant others without supervision
(4) Displays appropriate communication skills with the client and significant others with minimal supervision
(3) Adequate acceptable competence with occasional supervision.
(2) Unable to display appropriate communication skills needing constant supervision.
(1) Unable to display appropriate communication skills even with supervision.
1. Utilizes appropriately all forms of communication; verbal, non-verbal, electronic

Total
Total
Comment:
Clinical Instructor Signature over printed name student's signature over printed name


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University of San Agustin

General Luna St., 5000, Iloilo City Philippines

COLLEGE OF NURSING, NUTRITION AND DIETETICS

PERFORMANCE RATING SCALE

Name : _______________________________________________________ Yr & Sec:______________ Raw Score:________ Rating: _________________ Grade :

I. BEGINNING PRACTITIONER ROLE (50%) 5 4 3 2 1

A Legacy of Excellent Education in Virtus et Scientia

COLLEGE OF NURSING, NUTRITION AND DIETETICS

1. Establishes a nurse-client relationship

A Legacy of Excellent Education in Virtus et Scientia

COLLEGE OF NURSING, NUTRITION AND DIETETICS

3. Maintains a complete, accurate, and up-to-date recording and reporting system.

1. Demonstrate accuracy and honesty in recording and reporting.

A Legacy of Excellent Education in Virtus et Scientia

COLLEGE OF NURSING, NUTRITION AND DIETETICS

V. Personal and Professional Development (5%)

A Legacy of Excellent Education in Virtus et Scientia

COLLEGE OF NURSING, NUTRITION AND DIETETICS

VIII. Communication (5%)

1. Utilizes appropriately all forms of communication; verbal, non-verbal, electronic

A Legacy of Excellent Education in Virtus et Scientia

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Name : _____________________________________ Yr & Sec: Raw Score: Rating: _ Grade :