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    Skill 23 Perform and Repair An Episiotomy

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    Thulasi tootsie
    _____________________________ Assessor: _____________________________

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    Skill 23 Perform and Repair An Episiotomy

    Uploaded by

    Thulasi tootsie
    697 views2 pages
    _____________________________ Assessor: _____________________________

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    Original Title

    Skill 23 Perform and Repair an Episiotomy

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    _____________________________ Assessor: _____________________________

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    697 views2 pages

    Skill 23 Perform and Repair An Episiotomy

    Uploaded by

    Thulasi tootsie
    _____________________________ Assessor: _____________________________

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    CSSC, Seremban

    Name: ______________________________________ ID: ________________________

    Batch: ____________

    DIRECT OBSERVATION PROCEDURAL SKILLS (DOPS)

    Skill: Perform and Repair an Episiotomy

    Objectives:
    1. Types of episiotomy.
    2. Steps of performing episiotomy.
    3. Steps in repair of episiotomy.
    4. Complications of episiotomy.

    Checklist
    No Expected action (steps) Date (1) Date (2) Date (3)

    1. Preparation Check the medication to be given (lidocaine


    0.5% or 1%).
    2. Select sterile syringes and needles of appropriate
    sizes.
    3. Prepare the episiotomy scissors.
    4. Inform patient of the procedure.
    5. Disinfect top of drug vial.
    6. Draw out the medication into the syringe using a
    needle, and use forceps to discard the needle into
    the sharp bin.
    7. Attach a new needle with its cover to the
    syringe, and place into a receiver.
    8. To protect the fetal head, two fingers are inserted
    into the vagina.
    9. Insert needle into the perineal tissue at the centre
    of the fourchette and should be directed towards
    the proposed line of incision.
    10. Confirm that needle has not penetrated a blood
    vessel by withdrawing the syringe piston.
    11. Once again, insert two fingers into the vagina to
    protect the fetal head.
    12. A single cut is made from the centre of the
    fourchette in a mediolateral direction avoiding
    damage to the anal sphincter.
    13. On completion of the third stage, the vagina,
    perineum and rectal areas are assessed for any
    missed tears.
    14. Repairing Inform patient of the procedure.
    episiotomy
    wound
    CSSC, Seremban
    15. Clean and drape the perineum and prepare for
    repairing of the wound.
    16. Local anesthesia is given by inserting needle
    under the perineal tissue around the wound.
    17. Place the first suture 1 cm above the apex.
    18. Bring together the vaginal edges by continuous
    sutures placed 1 cm apart.
    19. Oppose the divided levator ani muscle by 2-3
    interrupted sutures.
    20. Close skin by continuous subcuticular sutures or
    interrupted sutures.
    21. Inspect the vagina to ensure completeness of
    repair.
    22. Complete the procedure by doing per rectal (PR)
    examination.
    23. Clean the patient and ensure comfort.
    24. Remove gloves, face mask and apron, dispose in
    appropriate bin and wash hands.
    25. Documentation.
    26. Communication skills
    27. Professionalism
    28. Overall
    Assessed by: Pass / Fail Pass / Fail Pass / Fail

    Key: (√) Competent


    (X) Incompetent
    (*) Pass - must be competent in all sections

    Comments:

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