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Post-partum/Nursery 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
Couplet Care
1
2
3
4
Antepartum
1
2
3
4
Postpartum
1
2
3
4
Newborn Nursery
1
2
3
4
LDRP
1
2
3
4
POST PARTUM
1
2
3
4
Vaginal Delivery
1
2
3
4
Cesarian Section
1
2
3
4
Anesthesia - General
1
2
3
4
Anesthesia - Local
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
Tubal Ligation
1
2
3
4
ANTEPARTUM
1
2
3
4
Amniocentesis
1
2
3
4
Cardiac Disorders
1
2
3
4
Diabetes
1
2
3
4
Hyperemesis
1
2
3
4
Multiple Gestation
1
2
3
4
Non-Stress Test
1
2
3
4
PIH/HELLP
1
2
3
4
Placenta Previa/Abruptio
1
2
3
4
Post- Trauma
1
2
3
4
Pre-Term Labor/Premature Rupture of Membranes
1
2
3
4
Substance Abuse
1
2
3
4
FHM Interpretaton and Management
1
2
3
4
Fetal Assessment
1
2
3
4
Labor Assessment
1
2
3
4
Assist with Ultrasound
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
Cervical Ripening Agents
1
2
3
4
Immunizations - Mother
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
Starting 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
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
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
Pressure Ulcer 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
Pain Assessment & Management - Adult
1
2
3
4
Pain Assessment & Management - Neonate
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