Cord Care
Cord Care
EVALUATION TOOL
NAME:
INSTRUCTION:
1 0 REMARKS
Mark the appropriate column
1. Able to state the objectives of the procedures
2. Wash hands
7. Able to give rationale why 70% Isopropyl alcohol or refined alcohol is use for cord care
8. Soak sterile cotton pledget or sterile cotton buds with 70% isopropyl alcohol
Able to give rationale why sterile cotton pledget or sterile cotton buds is used for
9.
cleaning
Clean umbilicus with sterile cotton pledget or sterile cotton buds in circular motion or
10.
rotary motion from inner to outer portion of the cord
11. Able to give rationale why umbilical stump is cleaned using circular or rotary motion
12. Discard used cotton pledget or cotton bud is waste receptacle /kidney basin
Drop refined or 70% isopropyl alcohol or refined alcohol to the umbilicus by avoiding
13.
dripping of solution to the genitalia or circumcision area
Able to give rationale for covering and avoiding dripping of alcohol to the genitalia or
14.
circumcised area
15. Dry the umbilical cord by open dressing
Able to give rationale for not covering umbilical stump right after cord care has been
16.
performed
17. Remove the cord clamp after 48 hours
18. Able to describe the condition of the umbilical cord after procedure
19. Do aftercare
TOTAL
________________________________
CI’s Signature over printed name
LEGEND:
1 SKILLED
0 UNSKILLED
Cord Care Evaluation Tool Page 1 of 1