Labor and Delivery Skills Checklist
   NAME  
   Email-Id
   DATE    
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

 
Rating Stars (Click)
WORK SETTINGS 1
2
3
4
L and D
LDRP
Antepartum
Mother Baby
Rating Stars (Click)
ANTEPARTUM 1
2
3
4
Diabetes
Fetal Demise
HELLP Syndrome
Hyperemesis
Immunologic Disorder
Infectious Disease
Multiple Gestation
Placenta Previa/Abruptio
Pre-Term Labor
Premature Rupture of Membranes
Rating Stars (Click)
SPECIAL PROCEDURES 1
2
3
4
Conduct Stress Test
Conduct Non-Stress Test
Assist with External Version
Assist with Umbilical Blood Sampling
Use of Nitrazine/Fern Test
Rating Stars (Click)
PAIN MANAGEMENT 1
2
3
4
Epidural Anesthesia
General Anesthesia
Spinal Anesthesia
Response to Pain Management
Rating Stars (Click)
FETAL MONITORING 1
2
3
4
External
IUPC Placement/Monitoring
Spiral Electrode Placement
Identify, Document & Treat Abnormal FHR Patterns
Rating Stars (Click)
LABOR MANAGEMENT 1
2
3
4
Auscultate Fetal Heart Tones
Determine Fetal Position
Assess Contraction Characteristics
Assess Status of Membranes
Assess Station/Dilation/Effacement
Positioning
Leopolds Maneuver
Assess for Reflexes/Clonus
Bladder Catheterization
Amnioinfusion (Assist or Perform)
Recognize Complications of AROM
Rating Stars (Click)
DELIVERY MANAGEMENT 1
2
3
4
Delivery Table Set Up
Circulate Vaginal Delivery
Circulate C - Section
Scrub C - Section
Rating Stars (Click)
NEONATAL MANAGEMENT 1
2
3
4
Radiant Warmer
APGAR Scores
Neonatal Vital Signs
Neonatal Resuscitation
Naso/Oropharyngeal Suctioning
Bulb Syringe Suction
Rating Stars (Click)
COMPLICATIONS 1
2
3
4
Placenta Previa/Abruptio
Asthma
Cardiac Disease
Chorioamnionitis
Diabetes
Pregnancy Induced Hypertension
HELLP
Hemolytic Anemia
Hemorrhage
HIV Positive
HBV Disease
Malpresentations
Multiple Gestation
Pre-Term Labo
Fetal Demise
Rh Disease
Rating Stars (Click)
POST PARTUM CARE 1
2
3
4
Vaginal Delivery
Cesarean Section
Anesthesia - General
Anesthesia - Spinal
Bladder Distention
Breast Milk Collection and Storage
Breast Pump
Breastfeeding - Latch Score
Breastfeeding - Supplemental Feeding
Breastfeeding Support
Contraceptive Education
Epidural/PCA
Homans Sign
Multiple Births
Parent/Infant Interaction/Attachment
Post Partum Hemorrhage
Pregnancy Induced Hypertension
Rating Stars (Click)
MEDICATIONS 1
2
3
4
Antibiotics/Antivirals
Antihypertensives
Antiseizure
Betamethasone
Insulin
Magnesium Sulfate
Methergine
Opioids and Reversal Agents
Pitocin
Terbutaline
Rating Stars (Click)
IV THERAPY 1
2
3
4
Start Ivs
IV Management
Blood Product Administration
Rating Stars (Click)
NEWBORN CARE 1
2
3
4
Newborn Assessment
Infant Vital Signs
Ballard Scale/Dubowitz
Car Seat Education
Circumcision Care/Teach to Parents
Cord Care/Teach to Parents
Immunizations - Infant
Infant Caretaking Skills
Infant Identification and Security
Metabolic Screen
Jaundice/Bilirubin
Phototherapy
Thermoregulation
Rating Stars (Click)
PROFESSIONAL KNOWLEDGE AND SKILLS 1
2
3
4
National Patient Safety Goals/Core Measures
Experience in a "Baby Friendly" Facility
Fall Risk Assessment/Prevention
Restraints/Use of Least Restrictive Device
Parent/Family Teaching
Age Specific/Population-Based Care
Isolation Precautions
Infection Prevention
Charge Experience
Interpretation and Communication of Lab Values
Rating Stars (Click)
EMR 1
2
3
4
Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration
Rating Stars (Click)
Age Specific Competencies 1
2
3
4
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