Labor and Delivery

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

(PROFICIENCY)
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
(FREQUENCY)
1 = Never performed observed only
2 = Less than 6 times per year
3 = 1-2 times per month
4 = Daily or Weekly
PROFICIENCY / FREQUENCY
PROFICIENCY
FREQUENCY
Skill Level
1
2
3
4
1
2
3
4
WORK SETTINGS
L and D
LDRP
Antepartum
Mother Baby
ANTEPARTUM
Diabetes
Fetal Demise
HELLP Syndrome
Hyperemesis
Immunologic Disorder
Infectious Disease
Multiple Gestation
Placenta Previa/Abruptio
Pre-Term Labor
Premature Rupture of Membranes
SPECIAL PROCEDURES
Conduct Stress Test
Conduct Non-Stress Test
Assist with External Version
Assist with Umbilical Blood Sampling
Use of Nitrazine/Fern Test
PAIN MANAGEMENT
Epidural Anesthesia
General Anesthesia
Spinal Anesthesia
Response to Pain Management
FETAL MONITORING
External
IUPC Placement/Monitoring
Spiral Electrode Placement
Identify, Document & Treat Abnormal FHR Patterns
LABOR MANAGEMENT
Auscultate Fetal Heart Tones
Determine Fetal Position
Assess Contraction Characteristics
Assess Status of Membranes
Assess Station/Dilation/Effacement
Positioning
Leopold's Maneuver
Assess for Reflexes/Clonus
Bladder Catheterization
Amnioinfusion (Assist or Perform)
Recognize Complications of AROM
DELIVERY MANAGEMENT
Delivery Table Set Up
Circulate Vaginal Delivery
Circulate C - Section
Scrub C - Section
NEONATAL MANAGEMENT
Radiant Warmer
APGAR Scores
Neonatal Vital Signs
Neonatal Resuscitation
Naso/Oropharyngeal Suctioning
Bulb Syringe Suction
COMPLICATIONS
Placenta Previa/Abruptio
Asthma
Cardiac Disease
Chorioamnionitis
Diabetes
Pregnancy Induced Hypertension
HELLP
Hemolytic Anemia
Hemorrhage
HIV Positive
HBV Disease
Malpresentations
Multiple Gestation
Pre-Term Labor
Fetal Demise
Rh Disease
POST PARTUM CARE
Vaginal Delivery
Cesarean Section
Anesthesia - General
Anesthesia - Spinal
Bladder Distention
Breast Milk Collection and Storage
Breast Pump
Breastfeeding - Latch Score
Breastfeeding - Supplemental Feeding
Breastfeeding Support
Contraceptive Education
Epidural/PCA
Homan's Sign
Multiple Births
Parent/Infant Interaction/Attachment
Post Partum Hemorrhage
Pregnancy Induced Hypertension
MEDICATIONS
Antibiotics/Antivirals
Antihypertensives
Antiseizure
Betamethasone
Insulin
Magnesium Sulfate
Methergine
Opioids and Reversal Agents
Pitocin
Terbutaline
IV THERAPY
Start Ivs
IV Management
Blood Product Administration
NEWBORN CARE
Newborn Assessment
Infant Vital Signs
Ballard Scale/Dubowitz
Car Seat Education
Circumcision Care/Teach to Parents
Cord Care/Teach to Parents
Immunizations - Infant
Infant Caretaking Skills
Infant Identification and Security
Metabolic Screen
Jaundice/Bilirubin
Phototherapy
Thermoregulation
PROFESSIONAL KNOWLEDGE AND SKILLS
National Patient Safety Goals/Core Measures
Experience in a 'Baby Friendly' Facility
Fall Risk Assessment/Prevention
Restraints/Use of Least Restrictive Device
Parent/Family Teaching
Age Specific/Population-Based Care
Isolation Precautions
Infection Prevention
Charge Experience
Interpretation and Communication of Lab Values
EMR
Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration
Age Specific Competencies
Infant (Birth - 1 year)
Preschooler (ages 2-5 years)
Childhood (ages 6-12 years)
Adolescents (ages 13-21 years)
Young Adults (ages 22-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)
Elderly (ages 80+ years)