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Labor & Delivery/Postpartum/Newborn Nursery Skills Checklist

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Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

 1 = Never Performed     2 = Limited Experience     3 = Comfortable Performing     4 = Proficient


CARE OF PATIENTS WITH  1   2   3   4 
Abruptio Placenta
Asthma
Beta Strep
Breech
Cardiac Disease
Cesarean Section
Chorioamnionitis
Chronic Hypertension
Collagen Vascular Disease
Diabetes
Eclampsia
Episiotomy
Fetal Demise
Forceps Delivery
HELLP Syndrome
Hemolytic Anemia
Hemorrhage
Hepatitis B
HIV Positive
Hypertension
Infants
   a. IDM Protocol
   b. AGA Protocol
   c. LGA Protocol
   d. SGA Protocol
CARE OF PATIENTS WITH  1   2   3   4 
Malpresentations
Multiple Gestation
NSVD
Placentia Previa
Preeclampsia
Premature Labor
Prolapsed Cord
Pyelonephritis
Rh Disease/Incompatibilities
Seizure
Sickle Cell Disease
Stillborn
Substance Abuse
Trauma
Uterine Rupture
Vacuum Extraction Delivery
Vasa Previa
VBAC
Version
ANTEPARTUM CARE/PROCEDURES  1   2   3   4 
Triage of Obstetrical Patients
Non Stress Tests (NST)
Oxytocin Challenge Tests (OCT)
Assist with Ultrasound
ANTEPARTUM CARE/PROCEDURES  1   2   3   4 
Assist with Amniocentesis
Assist with Sterile Speculum Exam
Reflex Checks/Edema Assessment
Pelvimetry
L&D CARE/PROCEDURES  1   2   3   4 
Vaginal Delivery Set Up
Emergency Vaginal Delivery
Sterile Vaginal Exams
   a. Effacement
   b. Dilatation
   c. Station
   d. Presentation
Leopold's Maneuvers
Breathing/Relaxation Techniques
AROM - assist
Premature Membrane Rupturing
Ruptured Membrane Testing
   a. Fern test
   b. Nitrazine test
Foley/Straight Catheter Insertion
Assess/Document Labor Progression
Assess/Document Maternal Status
Administer Analgesics
Bladder Assessment
IUPC Placement/Calibration - assist
Assess/Document Fetal Status
External Fetal Monitor (EFM)
Fetal Scalp Electrode Placement
   a. Assist with FSE
   b. Perform FSE
FHR Pattern Recognition/Interventions
Fetal Scalp Blood Sampling - assist
Fetoscope/Doptone
L&D CARE/PROCEDURES  1   2   3   4 
Forceps/Vacuum Extraction
Shoulder Dystocia
Amnioinfusion
Oxygen Therapy
   a. Bag & Mask
   b. Face Mask
   c. Nasal Cannula
Intravenous Therapy
   a. Blood/Blood Products Transfusion
   b. Central Line Maintenance
   c. Peripheral insertion/maintenance
   d. Saline/Heparin Lock
Specimen Collection
   a. Vaginal Fluid
   b. Vaginal Swab
   c. Urine
   d. Venous Blood Draw
Cesarean Section Set Up
Emergency C-Section
Scrub C-Section
Circulate C-Section
Recovery Room Care after C-Section
Assist/Monitor Anesthesia Surveillance
General Anesthesia
Regional Anesthesia/Epidural/Spinal
Postpartum Tubal Ligations
Adult Resuscitation
POSTPARTUM CARE/PROCEDURES  1   2   3   4 
Couplet Care
Fundus Assessment
Fundal Massage
Lochia Assessment
Perineum Care
Foley Cath/Straight Cath
Incisional Care
Parent/Infant Bonding/Teaching
Breast Feeding Education/Support
Bereavement Support
POSTPARTUM CARE/PROCEDURES  1   2   3   4 
Post Anesthesia Recovery Care
Emergency Interventions
Hemorrhage
Sterile Dressing Changes
Surgical Wound Care
Pain Management
   a. Patient controlled analgesia (PCA)
   b. Narcotic Agents
   c. Non-narcotic agents
   d. Non-pharmacological measures
CARE OF NEWBORN  1   2   3   4 
Newborn Assessment/APGAR
Gestational Age Assessment
Suctioning
Meconium
ID/Security Banding
Cord Care
Circumcision
   a. Set-up
   b. Assist
Infant Feedings
   a. Breastfeeding - assist
      - latch-on
      - positioning
      - pumping and storage
   b. Bottle
CARE OF NEWBORN  1   2   3   4 
Phototherapy Treatment
Specimen Collection
   a. Heel Stick
   b. Percutaneous umbilical sampling
   c. Umbilical blood sampling
Temperature
   a. Axillary
   b. Oral
   c. Tympanic
   d. Rectal
Infant/Neonate Resuscitation
MEDICATION ADMINISTRATION  1   2   3   4 
Antibiotics
Antihypertensives
Cervical Ripening Agents
Epidural Anesthesia
Heparin
Indomethacin
Infant Meds
   a. Aquamephyton
   b. Erythromycin ointment
Insulin
Magnesium Sulfate
Narcotics
MEDICATION ADMINISTRATION  1   2   3   4 
Oxytocin
Procardia
Prostin Gel
Prostin Suppositories
Ritrodrine
Terbutaline
Continuous IV Administration
Eye Instillations
IM Injections
IV Push
SQ Injections
Z-Tract Injections
EQUIPMENT  1   2   3   4 
Breast Pump
   a. Electric
   b. Manual
Cardiac Monitor
Glucometer
Oxygen Flow Meter
Pulse Oximeter
Infusion Pumps (specific brands)
   -
   -
EQUIPMENT  1   2   3   4 
Defibrillator
Radiant Warmer
PCA Pump
Phototherapy Equipment
   a. Bili Lights
   b. Bili Meter
Transport Incubator
ASSESSMENT/OTHER  1   2   3   4 
Admission of patients to unit
Assess Breath Sounds
Assess Heart Sounds
Care Planning
Charge Nurse responsibilities
Circulation Checks
Computerized Charting
Fontanel Assessment
ASSESSMENT/OTHER  1   2   3   4 
Head circumference measurement
Neurological Assessments
Pain assessment using pain scales
Patient Teaching
Thermal Environment Maintenance
Use of Restraints
Vital Signs




   


Age Specific Skills

Check the box under EACH age
group that you have experience
with and are comfortable with for
each skill below.
Neonates
(0-30 days)
Infants
(1 mo-1 yr)
Toddlers
(1-3 yrs)
Preschool
(4-6 yrs)
School Age
(7-12 yrs)
Adolescent
(13-18 yrs)
Young Adult
(19-39 yrs)
Middle Adults
(40-64 yrs)
Older Adults
(65+ yrs)
Understands the different communication needs for the age group & changes communication methods and terminology accordingly
Understands the different medications, dosages and possible side effects for the age group and administers medications appropriately
Understands the different safety risks for the age group and alters the environment accordingly
Understands the normal growth and development for the age group and adapts care accordingly





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