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Labor and Delivery Skills Checklist
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
WORK SETTINGS
1
2
3
4
L and D
1
2
3
4
LDRP
1
2
3
4
Antepartum
1
2
3
4
Mother Baby
1
2
3
4
ANTEPARTUM
1
2
3
4
Diabetes
1
2
3
4
Fetal Demise
1
2
3
4
HELLP Syndrome
1
2
3
4
Hyperemesis
1
2
3
4
Immunologic Disorder
1
2
3
4
Infectious Disease
1
2
3
4
Multiple Gestation
1
2
3
4
Placenta Previa/Abruptio
1
2
3
4
Pre-Term Labor
1
2
3
4
Premature Rupture of Membranes
1
2
3
4
SPECIAL PROCEDURES
1
2
3
4
Conduct Stress Test
1
2
3
4
Conduct Non-Stress Test
1
2
3
4
Assist with External Version
1
2
3
4
Assist with Umbilical Blood Sampling
1
2
3
4
Use of Nitrazine/Fern Test
1
2
3
4
PAIN MANAGEMENT
1
2
3
4
Epidural Anesthesia
1
2
3
4
General Anesthesia
1
2
3
4
Spinal Anesthesia
1
2
3
4
Response to Pain Management
1
2
3
4
FETAL MONITORING
1
2
3
4
External
1
2
3
4
IUPC Placement/Monitoring
1
2
3
4
Spiral Electrode Placement
1
2
3
4
Identify, Document & Treat Abnormal FHR Patterns
1
2
3
4
LABOR MANAGEMENT
1
2
3
4
Auscultate Fetal Heart Tones
1
2
3
4
Determine Fetal Position
1
2
3
4
Assess Contraction Characteristics
1
2
3
4
Assess Status of Membranes
1
2
3
4
Assess Station/Dilation/Effacement
1
2
3
4
Positioning
1
2
3
4
Leopold's Maneuver
1
2
3
4
Assess for Reflexes/Clonus
1
2
3
4
Bladder Catheterization
1
2
3
4
Amnioinfusion (Assist or Perform)
1
2
3
4
Recognize Complications of AROM
1
2
3
4
DELIVERY MANAGEMENT
1
2
3
4
Delivery Table Set Up
1
2
3
4
Circulate Vaginal Delivery
1
2
3
4
Circulate C - Section
1
2
3
4
Scrub C - Section
1
2
3
4
NEONATAL MANAGEMENT
1
2
3
4
Radiant Warmer
1
2
3
4
APGAR Scores
1
2
3
4
Neonatal Vital Signs
1
2
3
4
Neonatal Resuscitation
1
2
3
4
Naso/Oropharyngeal Suctioning
1
2
3
4
Bulb Syringe Suction
1
2
3
4
COMPLICATIONS
1
2
3
4
Placenta Previa/Abruptio
1
2
3
4
Asthma
1
2
3
4
Cardiac Disease
1
2
3
4
Chorioamnionitis
1
2
3
4
Diabetes
1
2
3
4
Pregnancy Induced Hypertension
1
2
3
4
HELLP
1
2
3
4
Hemolytic Anemia
1
2
3
4
Hemorrhage
1
2
3
4
HIV Positive
1
2
3
4
HBV Disease
1
2
3
4
Malpresentations
1
2
3
4
Multiple Gestation
1
2
3
4
Pre-Term Labor
1
2
3
4
Fetal Demise
1
2
3
4
Rh Disease
1
2
3
4
POST PARTUM CARE
1
2
3
4
Vaginal Delivery
1
2
3
4
Cesarean Section
1
2
3
4
Anesthesia - General
1
2
3
4
Anesthesia - Spinal
1
2
3
4
Bladder Distention
1
2
3
4
Breast Milk Collection and Storage
1
2
3
4
Breast Pump
1
2
3
4
Breastfeeding - Latch Score
1
2
3
4
Breastfeeding - Supplemental Feeding
1
2
3
4
Breastfeeding Support
1
2
3
4
Contraceptive Education
1
2
3
4
Epidural/PCA
1
2
3
4
Homan's Sign
1
2
3
4
Multiple Births
1
2
3
4
Parent/Infant Interaction/Attachment
1
2
3
4
Post Partum Hemorrhage
1
2
3
4
Pregnancy Induced Hypertension
1
2
3
4
MEDICATIONS
1
2
3
4
Antibiotics/Antivirals
1
2
3
4
Antihypertensives
1
2
3
4
Antiseizure
1
2
3
4
Betamethasone
1
2
3
4
Insulin
1
2
3
4
Magnesium Sulfate
1
2
3
4
Methergine
1
2
3
4
Opioids and Reversal Agents
1
2
3
4
Pitocin
1
2
3
4
Terbutaline
1
2
3
4
IV THERAPY
1
2
3
4
Start IVs
1
2
3
4
IV Management
1
2
3
4
Blood Product Administration
1
2
3
4
NEWBORN CARE
1
2
3
4
Newborn Assessment
1
2
3
4
Infant Vital Signs
1
2
3
4
Ballard Scale/Dubowitz
1
2
3
4
Car Seat Education
1
2
3
4
Circumcision Care/Teach to Parents
1
2
3
4
Cord Care/Teach to Parents
1
2
3
4
Immunizations - Infant
1
2
3
4
Infant Caretaking Skills
1
2
3
4
Infant Identification and Security
1
2
3
4
Metabolic Screen
1
2
3
4
Jaundice/Bilirubin
1
2
3
4
Phototherapy
1
2
3
4
Thermoregulation
1
2
3
4
PROFESSIONAL KNOWLEDGE AND SKILLS
1
2
3
4
National Patient Safety Goals/Core Measures
1
2
3
4
Experience in a "Baby Friendly" Facility
1
2
3
4
Fall Risk Assessment/Prevention
1
2
3
4
Restraints/Use of Least Restrictive Device
1
2
3
4
Parent/Family Teaching
1
2
3
4
Age Specific/Population-Based Care
1
2
3
4
Isolation Precautions
1
2
3
4
Infection Prevention
1
2
3
4
Charge Experience
1
2
3
4
Interpretation and Communication of Lab Values
1
2
3
4
COMPUTERIZED CHARTING
1
2
3
4
Epic
1
2
3
4
Cerner
1
2
3
4
Eclipsys
1
2
3
4
McKesson
1
2
3
4
Meditech
1
2
3
4
Other Computerized System
1
2
3
4
Computerized Physician Order Entry
1
2
3
4
Bar Coding for Medication Administration
1
2
3
4
Yes
No
EMR Conversion
Yes
No
First Name
*
Last Name
*
Phone Number
*
Last 4 of Social Security Number
*
Email Address
*
Date Completed:
*
+
By checking the "Agree" box and clicking “Submit” below you certify and acknowledge the information provided on this checklist is accurate to the best of your knowledge and an accurate representation of your abilities.
*
Agree