Health Medical Homework Help

Post Clinical

 

Fill out the labor and delivery form, except the delivery summary, the patient is on 26 weeks of pregnancy, delivery date is December 3rd, she was eventually discharged after the ultrasound shows the baby was okay. PLEASE FOLLOW THE RUBRIC.

EFM skills checklist. You will complete the rest of the document the day you are assigned to L&D.

Download EFM And L&D Assessment.pdf

Rubric

EFM and L&D Assessment

EFM and L&D Assessment

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeComplete Post Conference Delivery Summary Sections

0.1 pts

Proficient

Correctly completes the post conference form and delivery summary. Has less 5 errors, omissions or blanks.

0 pts

Progressing or Needs Improvement

Does not correctly complete the post conference form and delivery summary. Or has more than 5 errors, omissions or blanks.

0.1 pts

This criterion is linked to a Learning OutcomeMajor Focus or Concern

0.1 pts

Proficient

Accurately identifies correct major focus or concern. Concern/focus identified is the correct priority finding for patient’s current condition.

0 pts

Progressing or Needs Improvement

Does not accurately identify correct major focus or concern. Or Concern/focus identified is not the correct priority finding for patient’s current condition.

0.1 pts

This criterion is linked to a Learning OutcomeSystems Assessment

0.2 pts

Proficient

System assessment documented thoroughly with less than 5 errors, omissions or blanks.

0 pts

Progressing or Needs Improvement

System assessment documented with 5 or more errors, omissions or blanks.

0.2 pts

This criterion is linked to a Learning OutcomeBonding Behaviors Noted or Concerns

0.1 pts

Proficient

Bonding behaviors noted or bonding concerns documented appropriately. (Documents behaviors, comments or concerns even if patient not delivered)

0 pts

Progressing or Needs Improvement

Does not document bonding behaviors noted or bonding concerns. (Fails to documents behaviors, comments or concerns even if patient not delivered)

0.1 pts

This criterion is linked to a Learning OutcomeL&D Complications

0.1 pts

Proficient

Complications documented appropriately. Or documents “none” if appropriate.

0 pts

Progressing or Needs Improvement

Not documented if appropriate.

0.1 pts

This criterion is linked to a Learning OutcomeBreastfeeding/Bottle Feeding/Skin to Skin in Recovery

0.1 pts

Proficient

All elements documented appropriately.

0 pts

Progressing or Needs Improvement

Any of the element not documented appropriately.

0.1 pts

This criterion is linked to a Learning OutcomeIVs/ Meds/GBS status and treatment

0.1 pts

Proficient

IV’s, medications and GBS status well documented.

0 pts

Progressing or Needs Improvement

Any of the elements not documented appropriately.

0.1 pts

This criterion is linked to a Learning OutcomeEducation Topics

0.1 pts

Proficient

Topics specific to current patient condition. Topics and content appropriate to L&D pt. Content appropriate to topic.

0 pts

Progressing or Needs Improvement

Topics not L&D specific or not specific to content. Or Inappropriate topics. Or Topics/content very general. Or Less than 5 topics.

0.1 pts

This criterion is linked to a Learning OutcomeL&D FLowsheet

0.1 pts

Proficient

Complete. Documentation Accurate. Assessment Documented at least hourly. Completes L&D information, and recovery assessments as appropriate.

0 pts

Progressing or Needs Improvement

Missing hourly assessments, incomplete or incorrect assessment findings, didn’t complete delivery information or recovery assessments correctly.

0.1 pts

Total Points: 1