Labor Delivery Skills Checklist Back to   This checklist will be used to assess your suitability for placement.   Experience Guide 1 - Not Applicable - minimal or no exposure to clinical aspect or care. 2 - Beginner - sufficient knowledge to understand the contextual nature of the function, able to perform routine functions independently, requires assistance when setting priorities in complex situations, needs to gain speed and flexibility to be competent. 3 - Competent - perceives situations and functions as a whole, has knowledge of the typical events to expect in a given situation and the appropriate responses, flexible in decision making. 4 - Proficient - considerable background and experience, can grasp situations intuitively, mastery in performance, incorporates elements of innovation and creativity in clinical experience.    Management Of Patient During First Stage Of Labor  General   Experience   1    2    3    4   Administration Of Emergency Drugs        Administration Of Oxygen        Assess For Condition And Dilation Of Cervix        Assess For Position Of Presenting Part        Assess For Ruptured Membranes        Assess For Station        Assess Strength Of Contractions        Assist With Amniotomy        Assist With Epidural Placement        Assist With Fetal Blood Sampling Procedure        Assist With Regional Blocks (pudental Paracervical)        Assist With Speculum Exam/vaginal Cultures        Breathing And Relaxation Techniques        Care Of Fetal Demise        Care Of Pt Post Amniotomy        Distinguish True And False Labor        Epidural Infusion Pumps        Fetal Scalp Stimulation/audiostimulation        General Assessment Of The Pelvis        Internal Fetal Monitoring With Scalp Electrode        Internal Monitoring With Intrauterine Catheter        Interpretation Of Fht Patterns        Leopold’s Maneuvers        Obtain Sterile Specimens        Pitocin Induction/augmentation        Relationship Of Fetus To The Pelvis        Telemetry Monitoring Of Fetal Ecg And Intrauterine Pressure        Timing Of Uterine Contractions        Urine Check For Protein        Use Of Doppler (intermittent Or Continuous)        Use Of Fetal Electrocardiography        Use Of Fetoscope To Assess Fht        Use Of Prostaglandins        Use Of Tocodynamometer        Wet Prep         Care Of Patient During Second Stage Of Labor  General   Experience   1    2    3    4   Assisting With Forceps Delivery        Assisting With High Risk Delivery        Assisting With Vaginal Delivery        Cleansing The Perineum Prior To Delivery        Emergency (precipitous) Delivery        Mcrobert’s Maneuver        Set Up Of Equipment For Delivery        Set Up Of Equipment For Newborn         Care Of Patient During Third Stage Of Labor  General   Experience   1    2    3    4   Able To Distinguish If Placenta Is Intact        Assist With Delivery Of Placenta        Assist With Manual Exploration Of Uterus        Assist With Manual Removal Of Placenta        Assist With Repair Of Uterine Or Cervical Lacerations        Cord Blood, Placenta Care        Massage Of Uterine Fundus        Specimem Collection         Care Of Mother Undergoing C-section  General   Experience   1    2    3    4   Abdominal/perineal Shave        Apply Monitors/saftey Strap/bolvie Pad        Assess Dressing/fundus/urine Output/and Lochia        Assess Level Of Consciousness        Assess Respiratory/cardiac Function        Care Of Post-op Patient        Circulate        C-section Or Setup        Foley        Initiate Maintain Caad Pump        Monitoring Of Patient During Surgical Procedure        Monitor Vital Signs        Perform Cricoid Pressure If Requested        Prep Patient For Surgical Procedure        Scrub         Complications Of Labor  Care Of Patient With   Experience   1    2    3    4   Dysfunctional Labor        Hypertonic Labor Pattern        Hypotonic Labor Pattern        Postdate Pregnancy        Precipitous Labor        Premature Rupture Of Membranes        Preterm Labor        Prolonged Labor         Care Of Mother And Fetus At Risk Due To   Experience   1    2    3    4   Abruptio Placenta        Amniotic Fluid Embolism        Care Of Family At Risk Due To Fetal Demise        Care Of Mother And Fetus In The Presence Of Fetal Distress.        Care Of The Mother With A Multiple Pregnancy        Developmental Abnormalities        Fetal Malposition        Fetal Malpresentation        Inversion Of The Uterus        Lacerations        Oligohydramnios        Placenta Accreta        Placental Dysfunctions        Placenta Previa        Polyhydramnios        Prolapsed Umbilical Cord         Care Of Mother With   Experience   1    2    3    4   Aids        Assess Dtr’s        Care Of Patient On Magnesium Sulfate        Cephalopelvic Disproportion        Diabetes Mellitus        Dic        Drug Addiction/withdrawal        Eclampsia        Heart Disease        Infectious Disease        Neurological Disease        Pih        Preeclampsia        Risk For Rh Sensitivation        Sickle Cell Disease        Signs And Symptoms Of Hypertoxicity         Administration Of The Following   Experience   1    2    3    4   Calcuim Gluconate        Celestone (bethamethasone)        Demerol        Fentanyl        Hemotocin        Indocin        Labetalol        Methergine        Morphine        Nubain        Oxytocin (pitocin, Syntocinon        Phenergan        Procardia        Rhogham        Ritodrine        Seconal        Stadol        Vistaril         Post Natal Care  General   Experience   1    2    3    4   Breast Care        Discharge Teaching/care Of Newborn        Episiotomy        Fundus Massage        Perineal Care        Perineal Laceration         Immediate Care Of Newborn  General   Experience   1    2    3    4   Apgar Score        Assessment Of The Newborn        Assist With Breast Feeding        Care Of The Umbilical Cord        Infant Security & Abduction Prevention        Monitor Blood Sugar        Newborn Identification Procedures        Newborn Suctioning (bulb Syringe)        Promotion Of Maternal /infant Bonding        Promotion Of Warmth In Newborn        Warmers         Administration Of Newborn Meds   Experience   1    2    3    4   Erythromycin        Opthalmic Ointment        Vitamin K         Additional Skills  General   Experience   1    2    3    4   Cardioversion/defibrillation        Care Of Premature Labor        Care Of The Undelivered Mother        Ekg Interpretation        Insertion Of Foley Catheter/in & Out Catheter        Intravenous Venipuncture        Iv Pushes        Magnesium Sulfate        Pubic Prep        Setup And Maintenance Of Iv Fluid        Terbutaine        Age Specific Practice Criteria Please check the boxes below for each age group for which you have expertise in providing age-appropriate nursing care.   A. New Born/Neonate (Birth - 30 days) B. Infant (30 days - 1 Year) C. Toddler (1 - 3 Years) D. Preschooler (3 - 5 Years) E. School age children (5 - 12 Years)   F. Adolescents (12 - 18 Years) G. Young Adults (18 - 39 Years) H. Middle Adults (39 - 64 Years) I. Older Adults ( +64 Years)    Experience With Age Groups   Able to adapt care to incorporate normal growth and development A  B  C  D  E  F  G  H  I    Able to adapt method and terminology of patient information to their age, comprehension and maturity level. A  B  C  D  E  F  G  H  I    Can ensure a safe environment reflecting specific needs of varying age groups. A  B  C  D  E  F  G  H  I    By submitting this checklist you agree to the following: I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a per diem nurse with those facilities.