CHILDCARE
Introduction:
Good afternoon, Ma’am. My name is _________, a candidate for Caregiving NCII. Today I am going to
demonstrate the Competency-based Skills on Child Care.
IDENTIFICATION OF MATERIALS:
HAND WASHING:
a soap dish holder germicidal soap
nail brush and hand towel
PREPARATION/STERILIZATION OF FEEDING BOTTLES:
bottle brush nipple brush
liquid detergent basin
clean container feeding bottle
bottle sterilizer 2 tongs
doctor’s prescribed formula milk sterile gloves
VITAL SIGNS:
a medical tray consisting of 6 medical containers:
for cotton balls soaked in pre-boiled water
dry cotton balls
cotton balls with alcohol
empty glass for soiled cottons
a digital thermometer and holder
forceps and holder
cotton buds
lubricant
vitamins
SPONGING AND BATHING:
5 towelettes (face, upper extremities, chest & back, lower extremities, genitals)
2 basins
Baby soap
3 towels (pat dry towel, bath towel, restraining blanket)
SHAMPOOING: FINAL RINSING
baby shampoo a baby bath tub
DRESSING UP:
a complete set of baby clothes diaper
burping towel bib
OTHER MATERIALS:
hamper trash bin
chair 2 pails
dipper (1 clean warm water, 1 soiled water)
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PROCEDURE
Handwashing (prevent spread of microorganisms, infection, and cross contamination)
put towel on the shoulder
first, regulate room temperature by switching off the AC and fans
assess and prepare hands>> remove jewelries (because they can harbor microorganism) and cut long fingernails
stand 1-2 inches away from the sink as it is considered contaminated
turn on the faucet and regulate the flow >>> wet hands from cleanest to dirtiest
get soap, form a lather
using friction: paying attention to your palm, back of the palm, inter-digitals, inter-laces, and inter-locking
using your fingertip, rub the palm of your hand in circular motion, do the same with the other
clean 2-3 inches above your wrist and brush your nails
rinse from cleanest to dirtiest >>> pat dry
use hand towel to switch of the faucet >>> discard hand towel into the hamper
Preparation/sterilization of feeding bottles
(to avoid contaminating the baby’s food and eliminate harmful bacteria)
pre-clean nipples, tits, and feeding bottle >> rinse
set aside in a clean container
prepare sterilizer: open and fill tank with water >>> plug in >> open
put the feeding bottle, nipple, and tits with the tong
close: sterilize small parts for 10-15min; feeding bottle for 25-30 minutes
assuming it is already 15 minutes: get the tong first and set aside for a second
use sterile tong to get the small items
close sterilizer >>> assuming another 15 minutes passed by,
get the feeding bottle >>> switch off sterilizer >>> wear sterile gloves
put boiled water into the feeding bottle >>> put milk as prescribed by the doctor
assemble tits and nipple >>> close feeding bottle tightly
shake (without creating bubbles) and tilt >>> set aside together with the vitamins
Remove gloves and discard into the trash bin
Vital signs (to determine baby’s overall health, plan intervention if needed before bathing, determine readiness for a
bath, and avoid hypothermia)
Get the digital thermometer from the case
wipe with cotton ball soaked in pre-boiled water from bulb to stem >> discard
Wipe using dry cotton ball from the bulb to the stem; discard cotton ball
Disinfect with cotton ball with alcohol from the bulb to the stem; discard
Put lubricant on the cotton buds and apply onto the tip of the thermometer
Discard cotton bud >>> Switch on and wait for ready sign
Expose lower part of the baby and insert tip into the anus
Remove thermometer when it beeps and restrain the baby
Read and record the result >>> switch off
Disinfect using cotton ball with alcohol from stem to bulb >>> discard
Put thermometer back in the case
Sponging/Bathing (to maintain skin integrity, freshen the baby, remove irritants from the body, improve
circulation)
EYES
Get the baby from the crib >>> Restrain baby properly
Get cotton ball soaked in pre-boiled water and wipe the far side eye from inner canthus to outer canthus and
discard do the same with the other eye
Repeat 2-3 times and then pat dry
FACE – towelette 1
Put water into the basin>> check temperature (back of palm or elbow)
Remove baby’s hoodie and discard in the hamper
Get 1st towelette: wet – squeeze – make a mitt
Start from the far side: in circular motion, wipe from the forehead, nose bridge, cheeks, chin, ears, and back of the
ears
wet – squeeze – make a mitt
do the same on the near side face
Repeat 2-3 times then pat dry >>> Discard towelette into the basin
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UPPER EXTREMITIES (towelette 2)
expose far side arm of the baby
Remove the mitten and undo the dress; discard mitten into the hamper >> restrain
Discard water; apply warm water >> check temperature
Get the 2nd towelette: wet – squeeze – make a mitt
Expose arm >>> wipe palm – back of the palm – between fingers
Wipe using 4 long strokes 1,2,3,4 up to the armpit >>> Restrain
Apply soap: wet – squeeze – make a mitt
Expose: Wipe palm – back of the palm – between fingers, 4 long strokes 1,2,3,4 up to the armpit
Restrain
Replace water, apply warm water: check the temperature: wet – squeeze – make a mitt
Expose arm: wipe from the palm – back of the palm – between fingers, using 4 long strokes 1,2,3,4 up to the
armpit
Repeat 2-3 times and on the 3rd time,
Replace water, apply warm water: check the temperature: wet – squeeze – make a mitt
Expose arm: wipe from the palm – back of the palm – between fingers, using 4 long strokes 1,2,3,4 up to the
armpit >>> pat dry >>> restrain
Do the same on the near arm side
Discard towelette into the basin
CHEST OF THE BABY – towelette 3
Insert the sleeves of the shirt between the arms >>> Restrain the baby
Discard water, apply warm water: check the temperature
Get the 3rd towelette: wet – squeeze – make a mitt
Expose the chest of the baby: wipe from the neck, chest, pay attention to skin folds, down to the navel in circular
motion >>> Restrain
Apply soap: wet - squeeze – make a mitt
Expose: wipe from the neck, chest, pay attention to skin folds, down to the navel in circular motion >>> Restrain
Discard water, apply warm water: check the temperature: wet – squeeze – make a mitt
Expose: wipe from the neck, chest, pay attention to skin folds, down to the navel in circular motion
Repeat 2 – 3 times and on the 3rd
Discard water, apply warm water: check the temperature: wet – squeeze – make a mitt
Wipe the neck, chest, pay attention to skin folds, down to the navel in circular motion >>> Pat dry
BACK OF THE BABY – towelette 3
Remove dress completely and discard into the hamper >>> Restrain baby
Discard water, Apply warm water: check the temperature
Using the same towel: wet – squeeze – make a mitt
Turn baby on the side: wipe from nape down to the buttocks in circular motion >>> Restrain
Apply soap: wet - squeeze – make a mitt
Turn baby on the side: wipe from nape down to the buttocks in circular motion >>> Restrain
Discard water, apply warm water: check the temperature: wet – squeeze – make a mitt
Turn baby on the side: wipe from the nape down to the back, and buttocks
Repeat 2-3 times and on the 3rd
Discard water, apply warm water: check the temperature: wet – squeeze – make a mitt
Turn baby on the side: wipe from the nape down to the back, and buttocks
pat dry >>> discard towelette into the basin
LOWER EXTREMITIES (far side leg)– towelette 4
Expose baby’s far side leg and remove booties; discard into the hamper >>> Restrain
Discard water, apply warm water: check the temperature
Get the 4th towelette: wet – squeeze – make a mitt
Expose far side leg: wipe from foot – foot’s sole – between the toes – using 4 long strokes 1,2,3,4 up to the groin
>>> Restrain
Apply soap: wet - squeeze – make a mitt
Expose leg: wipe from the foot – foot’s sole – between the toes – 4 long stroke up to the groin >>> Restrain
Discard water, apply warm water: check the temperature: wet – squeeze – make a mitt
Expose far side leg: wipe from the foot – foot’s sole – between the toes – 4 long strokes up to the groin
Repeat 2-3 times and on the 3rd,
Discard water, apply warm water: check the temperature: wet – squeeze – make a mitt
Expose far side leg: wipe from the foot – foot’s sole – between the toes – 4 long strokes up to the groin
pat dry >>> Restrain
Do the same on the near side leg
Discard towelette into the basin
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GENITALS – towel 5
Expose the lower part of the baby >>> undo the diaper
If there is poop, use cotton ball soaked in pre-boiled water to wipe the anus until the poop is gone
Insert the soiled cotton ball in the diaper, roll and discard into the trash bin >>> Restrain
Discard water, apply warm water: check the temperature
Get the 5th towelette: wet – squeeze – make a mitt
Sponge genitals of the baby without soap >>> Wipe from front to back 2-3 times
after the 3rd time: wet – squeeze – make a mitt
wipe from front to back down to the anus then pat dry >>> restrain
if the baby is a boy: discard water, apply warm water: check the temperature
Get the 5th towelette: wet – squeeze – make a mitt
Expose genitals: retract the skin of the penis – wipe from tip – shaft – scrotum
Repeat 2-3 times
after the 3rd time: Wet – Squeeze – Make a Mitt
retract the skin of the penis: wipe from tip – shaft – scrotum down to the anus
discard towelette >>> pat dry >>> Restrain properly
Remove pat dry towel and discard into the hamper
DISCARD TOWELETTTES IN PAIL WITH SOILED WATER
Shampooing (maintain hygiene, promote hair development)
Discard soiled towelettes into the pail with soiled water
Discard water – Apply warm water on both basins: check the temperature
carry the baby in football hold
Expose the head above the basin, wet, apply diluted shampoo
Massage scalp gently to remove cradle cap and rinse on another basin
Put the baby back on flat surface and pat dry head with bath towel
Restrain
Final Rinsing
Put warm water into the tub: check the temperature
Expose the baby >>> Discard soiled restraining blanket
Carry baby into the tub (sitting position) >>> Rinse body thoroughly
Lay baby back and pat dry >>> Discard bath towel >>> restrain
Cleaning the Umbilicus (to prevent infection and promote healthy healing)
Expose umbilicus >>> Get cotton ball with alcohol
Using aseptic technique: clean from cleanest to dirtiest
(circular motion from outside going in)
Discard cotton ball
Dressing Up (for baby’s comfort, warmth, and protection)
Last to remove, first to put on
Put on diaper – bonnet – dress (from the far side) – mittens – socks
RESTRAIN neatly >>> Put on the bib
Administration of Vitamins and Formula Milk
(elevate head to prevent choking; check temperature of milk to prevent burns)
get milk and vitamins
Sit and cuddle the baby: elevate the head
Get the vitamins: check expiration date
Feed the baby with vitamins: wipe lip with bib
Put towel on the shoulder >>> Get feeding bottle: shake and tilt >>> check temperature
Feed the baby half way and let the baby burp
Finish feeding the remaining milk and let the baby burp again
Put the burping towel into the hamper
Sing a lullaby >>> when the baby is asleep, put baby into the crib
Remove the bib and discard it into the hamper
Do after care: collect soiled linens; collect materials and return them to their proper place
Clean and sanitize the area
Assessor, I am done performing the competency-based skills on Childcare.
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