Labor & Delivery Skills Checklist

Name(Required)

Proficiency:

1 = Minimal Experience
2 = Limited Experience
3 = Competent
4 = Highly Skilled

General Skills

Patient and Family Teaching(Required)
Coaching Needs: Physical and Emotional(Required)
Universal Precautions(Required)
Care of the Patient in Isolation(Required)
Care of the Patient in Restraints(Required)
Cardiac Monitoring(Required)
Pulse Oximetry(Required)
Ventilator Management (Adult)(Required)
Ventilator Management (Newborn)(Required)
Prep and Administration of Emergency Meds(Required)
Infant / Neonatal Cardiac / Respiratory Arrest(Required)
Adult Cardiac / Respiratory Arrest(Required)
End of Life Care(Required)
Fetal Monitoring - Basic(Required)
Fetal Monitoring - Advanced(Required)
IV Therapy(Required)
Administration of Blood / Blood Products(Required)
Knowledge of Normal Lab Values(Required)
Newborn(Required)
Labor Patient(Required)
Pain Management(Required)
Automated Medication Dispensing System(Required)

Care of the Patient with Pre-existing Conditions / High Risk OB

Cardiac Disease(Required)
Neurological Disease(Required)
Seizure Disorder(Required)
Chronic Diabetes Mellitus(Required)
Asthma(Required)
Chronic Hypertension(Required)
Pregnancy-Induced Hypertension(Required)
Infectious Disease(Required)
HBV(Required)
HIV(Required)
Sickle Cell Disease(Required)
RH Incompatibilities(Required)
Hemolytic Anemia(Required)
Collagen Vascular Disease(Required)
Hemorrhage(Required)
Drug Addiction / Withdrawal(Required)
Pyelonephritis(Required)
Abruptio Placenta(Required)
Placenta Previa(Required)
Placenta Accreta(Required)
Preeclampsia(Required)
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Premature Labor(Required)
Malpresentations(Required)
Breech(Required)
Transverse Lie / Shoulder(Required)
Face Presentation(Required)
Brow Presentation(Required)
Multiple Gestation(Required)
PROM(Required)
Chorioamnionitis(Required)
Poly / Oligohydramnios(Required)
Prior Tubal Ligation(Required)
VBAC Management / Trial of Labor(Required)
Uterine Rupture(Required)
Incompetent Cervix (Shirodkar Suture / Cerclage)(Required)
Spontaneous Abortions - Complete / Incomplete(Required)
Intrauterine Growth Retardation (IUGR)(Required)
Postdate Pregnancy(Required)
HELLP Syndrome(Required)
DIC(Required)
Fetal Demise(Required)

Antepartum

Triage of Obstetrical Patients(Required)
Assessment of Birth Plan(Required)
Perform Admission Risk Assessment(Required)
Non-Stress Test (NST)(Required)
Induction of Labor(Required)
Oxytocin Challenge Test (OCT)(Required)
Biophysical Profile(Required)
Assist with Sonogram(Required)
Perform Sonogram(Required)
Assist with Amniocentesis(Required)
Deep Tendon Reflex Check (DTR's)(Required)
Edema Assessment(Required)
Clonus(Required)
Assess for Comfort(Required)
Breathing / Relaxation Techniques(Required)
Coaching(Required)
Positioning(Required)

Medications

Ritodrine(Required)
Magnesium Sulfate(Required)
Terbutaline(Required)
Indomethacin(Required)
Procardia(Required)
Pitocin(Required)
Oxytocin(Required)
Cervidil(Required)
Cytotec(Required)
Prostin Suppositories(Required)
Assist with Prostin Gel(Required)
Antibiotics(Required)
Antihypertensives(Required)
Heparin(Required)
Stadol(Required)
Nubain(Required)
Morphine(Required)
Demerol(Required)
Fentanyl(Required)
Insulin Drips(Required)
Insulin Dumps(Required)
Insulin SC(Required)
AZT / Other Antiviral Medications(Required)
Rhogam(Required)

IV Therapy / Procedures

Starting PIV's(Required)
PICC Lines-Care and Maintenance(Required)
Central Venous Lines-Care and Maintenance(Required)
Invasive Hemodynamic Monitoring(Required)
Blood Draw from PICC / CVL(Required)
Administration of Blood / Blood Products(Required)
Packed Red Blood Cells(Required)
Platelets(Required)
IV Infusion Pumps(Required)
Blood / Fluid Warmers(Required)

Pain Management / Anesthesia

Assess Pain Level(Required)
Assess Acceptable Level of Pain(Required)
Intranasal Pain Medications(Required)
Oral Pain Medications(Required)
IV Pain Medications(Required)
PCA(Required)
IV Conscious Sedation(Required)
Epidural Pain Management(Required)
Intervention for Anesthesia Toxicity(Required)
Assist with Epidural Insertion(Required)
Positioning of Patient(Required)
Signs of a Dural Puncture(Required)
Coaching Patient(Required)
Fluid Challenge(Required)
Hypotension(Required)
Intrathecal Narcotics(Required)

Labor Assessment / Procedures: Fetal

Fetal Heart Rate - Doppler(Required)
Fetal Heart Rate - Auscultate(Required)
Document Fetal Position(Required)
Fetal Heart Rate Patterns: Identify Baseline(Required)
Fetal Heart Rate Patterns: Identify & Treat(Required)
Variability(Required)
Variable Decelerations(Required)
Early Decelerations(Required)
Late Decelerations(Required)
Prolonged Decelerations(Required)
External Fetal Monitor Application(Required)
Internal Fetal Monitor Application (Assist)(Required)
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Internal Fetal Monitor Application (Perform)(Required)
Spiral Electrode(Required)
Intrauterine Pressure Catheter (IUPC)(Required)
Placement(Required)
Calibration(Required)
Fluid Filled(Required)
Transducer Tipped(Required)

Deliver / C-Section

Assist with Vaginal Delivery(Required)
Forceps Extraction(Required)
Vacuum Extraction(Required)
Assist with High Risk Delivery(Required)
Shoulder Dystocia(Required)
Hemorrhage / Shock(Required)
Emergency Delivery(Required)
Abdominal Shave / Scrub Prep(Required)
Perineal Prep(Required)
Circulate for C-Section(Required)
Scrub for C-Section(Required)
Patient with General Anesthesia(Required)
Patient with Epidural Anesthesia(Required)
Circulate for Tubal Ligation(Required)
Scrub for Tubal Ligation(Required)
Assist with Placenta Delivery(Required)
Fundus Massage(Required)
Assist with Cervical Laceration Repair(Required)
Assist with Uterine Laceration Repair(Required)
Assist with Episiotomy Repair(Required)

Immediate Care of Newborn in Delivery Room

Newborn Assessment(Required)
Ballard(Required)
Dubowitz(Required)
Finnegan / Abstinence Scoring(Required)
Apgar Scores(Required)
Initial Vital Signs(Required)
Suctioning(Required)
Bulb(Required)
Delee(Required)
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Wall(Required)
Meconium Aspiration(Required)
Collect Cord Samples(Required)
Assist with UAC / UVC Insertion(Required)
Insertion of IV, Including Scalp IV(Required)
Radiant Warmer / Thermoregulation(Required)
Interventions for LGA, SGA, IUGR(Required)
Interventions for Infant of Diabetic Mother(Required)
Oxygen Administration(Required)
Bag / Mask Ventilation of the Newborn(Required)
Assist with Intubation(Required)
Transport Isolette(Required)
Heel Stick Glucose(Required)
Medications(Required)
Eye Prophylaxis(Required)
Vitamin K(Required)
ID / Security Banding(Required)
Promote Bonding Behaviors(Required)
Lead Placement for Cardiac Monitor(Required)
Apnea Monitoring(Required)
Oxyhood(Required)

Postpartum Care

Fundal Height(Required)
Fundal Massage(Required)
Lochia(Required)
Episiotomy Care(Required)
Perineum Care(Required)
Maternal Vital Signs(Required)
Recovering Post-Op C-Section Patient(Required)
Recovering Post-Op Tubal Ligation Patient(Required)
Fluid Balance(Required)
Assessment for DVT(Required)
Couplet Care(Required)
Breast Care(Required)
Breastfeeding(Required)

Newborn Care

Cord Care(Required)
Circumcision Care(Required)
Bath Demonstration(Required)
Assist with Breastfeeding(Required)
Latch on(Required)
Assist with Lumbar Puncture(Required)
Administration of IV Antibiotics(Required)
Newborn Vital Signs(Required)

Care of Infant with

Drug Addiction / Withdrawl(Required)
Cystic Fibrosis(Required)
Meconium Aspiration(Required)
Pneumonia(Required)
Pulmonary Edema(Required)
RDS(Required)
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NEC(Required)
Cardiac Anomalies(Required)
Neuromuscular Disease(Required)
Spina Bifida(Required)
Seizure Activity(Required)
Tracheoesophageal Fistula(Required)
Sepsis(Required)
Sickle Cell Disease(Required)
Low Birth Weight Infants(Required)

Labor Assessment / Procedures: Maternal

Normal Vital Signs - Baseline(Required)
Identify Common Cardiac Arrhythmias(Required)
Assist with Sterile Speculum Exam(Required)
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Perform Sterile Speculum Exam(Required)
Vaginal Exam - Manual(Required)
Status of Membranes(Required)
Assist with Rupture of Membranes(Required)
Fern Test(Required)
Nitrazine(Required)
Presence of Clonus(Required)
DTR's(Required)
Edema(Required)
Progression of Labor(Required)
Dilation(Required)
Effacement(Required)
Fetal Position(Required)
Fetal Presentation(Required)
Station(Required)
Contraction Characteristics(Required)
Determination of Fetal Head Position(Required)
Documentation of Labor Status and Interventions(Required)
Labor Suppressants(Required)
Collect Blood Specimens(Required)
Collect Urine Specimens(Required)
Toxicology Studies(Required)
Collect Vaginal Cultures(Required)
Fluid(Required)
Herpes(Required)
Chlamydia(Required)
Group B Strep(Required)
Perform Leopold's Maneuvers(Required)
Amnioinfusion (assist or perform) for(Required)
Variable Decelerations(Required)
Meconium(Required)
Prolapsed Cord(Required)
Vasa Previa(Required)
Catheter Insertion(Required)
Straight Cath(Required)
Foley(Required)
Pregnancy Induced Diabetes Mellitus(Required)
Eclampsia(Required)
Normal Perinatal Vital Signs(Required)

Age Specific Competency

Newborn / Neonate (Birth - 30 days)(Required)
Infant (1 month - 1 year)(Required)
Toddler (1 - 3 years)(Required)
Preschooler (3 - 5 years)(Required)
School Age Child (5 - 12 years)(Required)
Adolescents (12 - 18 years)(Required)
Young Adults (18 - 39 years)(Required)
Middle Adults (39 - 64 years)(Required)
Older Adults (64 - 79 years)(Required)
Elderly Adults (Over 79+ years)(Required)

Texas Licensing Information

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