Prevention of Postpartum Hemorrhage: Implementing ... - POPPHI

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Checklist for Clinical Demonstration Skills(To be completed by Facilitator)Place a in case box if step/task is performed satisfactorily, an ”X” if it isnot performed satisfactorily, or N/O if not observed.Satisfactory: Performs the step or task according to standard procedure orguidelines.Unsatisfactory: Does not perform the step or task according to standardprocedure or guidelines.Not Observed: Step or task not performed by facilitator during evaluationby a peer facilitator.Checklist for Clinical Demonstration SkillsSTEP/TASK1. Uses facilitator's notes or a personalized referencemanual.2. States the objective(s) as part of the introduction.3. Presents an effective introduction.4. Arranges demonstration area so that participantsare able to see each step in the procedure clearly.5. Never demonstrates an incorrect procedure orshortcut.6. Communicates with the model or client duringdemonstration of the skill/activity.7. Asks questions and encourages participants to askquestions.8. Demonstrates or simulates appropriate infectionprevention practices.9. When using model, positions model as an actualclient.10. Maintains eye contact with participants as much aspossible.11. Projects voice so that all participants can hear.12. Provides participants opportunities to practice theskill/activity under direct supervision.Presented an effective clinical demonstrationOBSERVATIONS6 Prevention of Postpartum Hemorrhage: Implementing Active Management of the Third Stage of Labor
Facilitator’s GuideAdministrative DocumentsPOPPHI: ACTIVE MANAGEMENT OF THETHIRD STAGE OF LABOR TRAINING PROGRAMRegistration FormGeneral InformationName______________________________________________________Surname First MiddleTitle: Mrs. ( ) Miss ( ) Ms. ( ) Mr. ( ) Dr. ( )Sex: Male____ Female_____Contact Address ___________________________________________________________________________________________________________Home or mobile telephone_______________ E-mail________________Place of work ________________________________________________Address____________________________________________________Telephone__________________Work E-mail__________________Professional QualificationPlease tick all that applyRegistered Nurse____Registered Midwife____ Public Health Nurse____Obstetrical Nurse ____Obstetrician/Gynecologist____ Physician____ Clinical Officer______Medical Assistant____Other (please specify) _________________________________________Prevention of Postpartum Hemorrhage: Implementing Active Management of the Third Stage of Labor 7
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