OB/Labor & Delivery Skills Checklist

Fill Out and Submit your Skills Checklist
Skills Checklist
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.
Proficiency Scale:
1No Experience
2Need Training
3Able to perform with supervisione
4Able to perform independently
PATIENT RIGHTS
Communicates and obtains information while respecting the rights and privacy and confidentiality of information
0
Involves the patient and family and respects their role in determining the nature of care to be provided, including Advanced Directives
0
Complies with nursing staff responsibility include in the hospital policy related to Organ Donation
0
Meets patient and families needs regarding communication, including interpreter services
0
Provides accurate information to patient and families in a timely manner
0
LABOR AND DELIVERY
Assess cervical dilation
0
Assess labor status
0
Speculum examination
0
Obtaining vaginal/cervical cultures
0
Application of external ECG/TOCO EFM
0
Application of internal ECG
0
Interpretation of external/internal ECG
0
Assisting with insertion of IUPC
0
Conducting NST/BSST
0
IV insertion
0
Pitocin Titration for induction/augmentation
0
Assist with epidural
0
Assist/monitor amnioinfusion
0
Assist with scalp pH test
0
Assist with vacuum delivery
0
Assist with forceps delivery
0
Assist with vaginal delivery
0
Circulate for cesarean section delivery
0
Emergency cesarean section set up
0
Assist with twin deliveries
0
Assist with breech
0
Management of D&C
0
Management of fetal demise/stillborn
0
Adoption procedures
0
Management of diabetic mother
0
Procedures for the following:
Diabetic mother
0
PIH
0
Pre-eclamptic
0
Preterm labor
0
Prolapsed cord
0
Abruption
0
Placenta previa
0
Retained placenta
0
Herpes
0
Uterine prolapse
0
Hemorrhage
0
Shoulder dystocia
0
DIC
0
Accretia
0
Episiotomy
0
Delivery table set-up
0
MEDICATIONS
Magnesium
0
Pitocin
0
Terbutaline
0
Antibiotics
0
Narcotics
0
Hemabate
0
Methergine
0
Narcan
0
Insulin
0
Heparin
0
MATERNITY
Oobtain cord blood gas
0
Postpartum care
0
Nipple care
0
Episiotomy care
0
PIH
0
Pre-eclamptic
0
Postpartum hemorrhage
0
Care of newborn
0
Breastfeeding
0
Bottle feeding
0
Infant formulas
0
D10W
0
PKU Testing
0
Stabilize/admit to nursery
0
Care of newborn with anomaly
0
Heel sticks/dorsal sticks
0
Blood glucose monitoring
0
Phototherapy
0
Set up/care of newborn receiving phototherapy
0
Set up/assist with circumcision
0
Discharge of mother/baby
0
Age Specific Competencies
Infant (Birth - 1 year)
0
Preschooler (ages 2-5 years)
0
Childhood (ages 6-12 years)
0
Adolescents (ages 13-21 years)
0
Young Adults (ages 22-39 years)
0
Adults (ages 40-64 years)
0
Older Adults (ages 65-79 years)
0
Elderly (ages 80+ years)
0