OB/Labor & Delivery Skills Checklist

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(OB/Labor & Delivery)

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I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

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:

1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

Patient Rights

Communicates and obtains information while respecting the rights and privacy and confidentiality of information:

★★★★

Involves the patient and family and respects their role in determining the nature of care to be provided, including Advanced Directives:

★★★★

Complies with nursing staff responsibility include in the hospital policy related to Organ Donation:

★★★★

Meets patient and families needs regarding communication, including interpreter services:

★★★★

Provides accurate information to patient and families in a timely manner:

★★★★

Labor and Delivery

Assess Cervical Dilation:

★★★★

Assess Labor Status:

★★★★

Speculum Examination:

★★★★

Obtaining Vaginal/Cervical Cultures:

★★★★

Application of External ECG/TOCO EFM:

★★★★

Application of Internal ECG:

★★★★

Interpretation of External/Internal ECG:

★★★★

Assisting with Insertion of IUPC:

★★★★

Conducting NST/BSST:

★★★★

IV Insertion:

★★★★

Pitocin Titration for Induction/Augmentation:

★★★★

Assist with Epidural:

★★★★

Assist/Monitor Amnioinfusion:

★★★★

Assist with Scalp pH Test:

★★★★

Assist with Vacuum Delivery:

★★★★

Assist with Forceps Delivery:

★★★★

Assist with Vaginal Delivery:

★★★★

Circulate for Cesarean Section Delivery:

★★★★

Emergency Cesarean Section Set Up:

★★★★

Assist with Twin Deliveries:

★★★★

Assist with Breech:

★★★★

Management of D&C:

★★★★

Management of Fetal Demise/Stillborn:

★★★★

Adoption Procedures:

★★★★

Management of diabetic mother:

★★★★

Procedures for the Following:

Diabetic Mother:

★★★★

PIH:

★★★★

Pre-eclamptic:

★★★★

Preterm Labor:

★★★★

Prolapsed Cord:

★★★★

Abruption:

★★★★

Placenta Previa:

★★★★

Retained Placenta:

★★★★

Herpes:

★★★★

Uterine Prolapse:

★★★★

Hemorrhage:

★★★★

Shoulder Dystocia:

★★★★

DIC:

★★★★

Accretia:

★★★★

Episiotomy:

★★★★

Delivery Table Set-up:

★★★★

Medications

Magnesium:

★★★★

Pitocin:

★★★★

Terbutaline:

★★★★

Antibiotics:

★★★★

Narcotics:

★★★★

Hemabate:

★★★★

Methergine:

★★★★

Narcan:

★★★★

Insulin:

★★★★

Heparin:

★★★★

Maternity

Obtain Cord Blood Gas:

★★★★

Postpartum Care:

★★★★

Nipple Care:

★★★★

Episiotomy Care:

★★★★

PIH:

★★★★

Pre-eclamptic:

★★★★

Postpartum Hemorrhage:

★★★★

Care of Newborn:

★★★★

Breastfeeding:

★★★★

Bottle Feeding:

★★★★

Infant Formulas:

★★★★

D10W:

★★★★

PKU Testing:

★★★★

Stabilize/Admit to Nursery:

★★★★

Care of Newborn with Anomaly:

★★★★

Heel Sticks/Dorsal Sticks:

★★★★

Blood Glucose Monitoring:

★★★★

Phototherapy:

★★★★

Set up/Care of Newborn Receiving Phototherapy:

★★★★

Set up/Assist with Circumcision:

★★★★

Discharge of Mother/Baby:

★★★★

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):

★★★★