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PROCEDURE On Amniocentesis

This document outlines the 27 step procedure for assisting with an amniocentesis. Key steps include: 1) explaining the procedure to the patient and obtaining consent; 2) preparing the patient and equipment; 3) assisting the physician in locating the placenta and amniotic sac with ultrasound; 4) helping insert the needle under ultrasound guidance to withdraw amniotic fluid for analysis; 5) monitoring the patient during and after the procedure and ensuring the sample is sent promptly for investigation. The checklist is used to evaluate nursing students on correctly following the amniocentesis procedure.

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174 views2 pages

PROCEDURE On Amniocentesis

This document outlines the 27 step procedure for assisting with an amniocentesis. Key steps include: 1) explaining the procedure to the patient and obtaining consent; 2) preparing the patient and equipment; 3) assisting the physician in locating the placenta and amniotic sac with ultrasound; 4) helping insert the needle under ultrasound guidance to withdraw amniotic fluid for analysis; 5) monitoring the patient during and after the procedure and ensuring the sample is sent promptly for investigation. The checklist is used to evaluate nursing students on correctly following the amniocentesis procedure.

Uploaded by

Mansi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ROHILKHAND COLLEGE OF NURSING, BAREILLY

Procedure Checklist
Assisting with an Amniocentesis
Check (√) Yes or No
S.No. Procedure steps 1 2 3 4 5
1. Explain to patient the need/purpose of procedure and how it will be done.
2. Ensure that informed consent is signed.
3. Have the woman empty her bladder, if the fetus is more than 20 weeks
gestation.
4. Assemble equipment’s.
5. Provide privacy.
6. Assist patient to lie in dorsal position.
7. Check the maternal vital signs and fetal heart rate.
8. Wash hands and don sterile gloves.
9. Start I/V fluids in accordance with institutional policy.
10. Administer terbutaline SC or IV or ritodrine IV per institutional policy.
11. An ultrasound examination is performed and the placenta localized and a
pool of liquor found.
12. Drape the area with sterile towels.
13. Prepare abdominal wall aseptically.
Assist the physician in infiltration the proposed site of puncture with 2ml
14. of 1% of lignocaine.
Ensure adequate time between infiltration of local anesthetic and
15. introduction of needle into the amniotic sac.
Assist physician while inserting the needle and stylette through the
16. abdominal wall into the uterus, under direct ultrasound guidance. The
stillette is then withdrawn and few drops of liquor are discarded.
Physician withdraws 10-20ml of amniotic fluid for analysis or a smaller
17. amount if the amniocentesis is performed in the first trimester.
As physician withdraws the needle, keep dressing gauze and place an
18. adhesive bandage over the puncture site.
Monitor the woman during the procedure for signs of premature labor,
19. bleeding or fetal distress.
20. Discard the used materials.
21. Remove and discard the gloves.
22. Wash hands.
23. Replace articles in the utility room
24. Obtain maternal vital signs and a 20 mint fetal heart tracing.
Instruct the woman to report signs of bleeding, unusual fetal activity,
25. abdominal pain, cramping or fever while at home after the procedure.
Label the specimen container adequately, including the estimated weeks
26. of gestation and EDD. Send the specimen to laboratory for investigation
immediately.
Record the procedure done, date, time, name of physician who perform
27. the test, maternal and fetal response and details of specimen taken.
Total Score
Obtained Score
Percentage
Remark
Name of the student_____________________________ Date_________________ 

Course__________________________________ Class ________________

Name of Instructor/Evaluator: _______________________ Ward/Unit________________

Signature: __________________________

6- Highly Satisfactory – 85-100 Percentage


5 -Satisfactory – 69 – 84 Percentage
4 -Moderately Satisfactory- 52 to 68 Percentages
3 - Moderately Unsatisfactory- 35 to 51 Percentages
2 -Unsatisfactory – 18 to 34 Percentages
1 - Highly Unsatisfactory – 0-17 Percentage

Note:
1. 1, 2, 3, 4, 5 denoting attempt made by the students
2. Each statement will be score by Yes/No and yes contain 1 point & no contain zero point
3. Students who get 85 % or above will get full satisfactory and below will have to make attempt till the candidate
get 85% or above

Remarks by Evaluator:________________________________________________________

PRINCIPAL

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