Labor & Delivery

skills checklist

Please rank the following skills on a scale of 1 to 4

1 = No theory and/or experience
2 = Limited experience
3 = Experienced/minimal support needed to perform
4 = Proficient

General Skills
Patient and Family Teaching*
- 1
- 2
- 3
- 4
Coaching Needs*
- 1
- 2
- 3
- 4
Universal Precautions*
- 1
- 2
- 3
- 4
Isolation Precautions*
- 1
- 2
- 3
- 4
Care of Patient in Restraints*
- 1
- 2
- 3
- 4
Cardiac Monitoring*
- 1
- 2
- 3
- 4
Pulse Oximetry*
- 1
- 2
- 3
- 4
Ventilator Management (Adult)*
- 1
- 2
- 3
- 4
Ventilator Management (Newborn)*
- 1
- 2
- 3
- 4
Prep and Administration of Emergency Meds*
- 1
- 2
- 3
- 4
Infant/Neonatal Cardiac/Respiratory Distress*
- 1
- 2
- 3
- 4
Adult Cardiac/Respiratory Distress*
- 1
- 2
- 3
- 4
End of Life Care*
- 1
- 2
- 3
- 4
Fetal Monitoring – Basic*
- 1
- 2
- 3
- 4
Fetal Monitoring – Advanced*
- 1
- 2
- 3
- 4
IV Therapy*
- 1
- 2
- 3
- 4
Administration of Blood and Blood Products*
- 1
- 2
- 3
- 4
Knowledge of Normal Lab Levels*
- 1
- 2
- 3
- 4
Newborn*
- 1
- 2
- 3
- 4
Labor Patient*
- 1
- 2
- 3
- 4
Pain Management*
- 1
- 2
- 3
- 4
Automated Med Dispensing System*
- 1
- 2
- 3
- 4
List Types
Electronic Documentation*
- 1
- 2
- 3
- 4
List Types
Care of Patients with Pre-Existing Conditions/High Risk OB
Cardiac Disease*
- 1
- 2
- 3
- 4
Neurological Disease*
- 1
- 2
- 3
- 4
Seizure Disorder*
- 1
- 2
- 3
- 4
Chronic Diabetes Mellitus*
- 1
- 2
- 3
- 4
Pregnancy Induced Diabetes*
- 1
- 2
- 3
- 4
Asthma*
- 1
- 2
- 3
- 4
Chronic Hypertension*
- 1
- 2
- 3
- 4
Pregnancy-Induced Hypertension*
- 1
- 2
- 3
- 4
Infectious Disease*
- 1
- 2
- 3
- 4
HBV*
- 1
- 2
- 3
- 4
HIV*
- 1
- 2
- 3
- 4
Sickle Cell Disease*
- 1
- 2
- 3
- 4
RH Incompatibilities*
- 1
- 2
- 3
- 4
Hemolytic Anemia*
- 1
- 2
- 3
- 4
Collagen Vascular Disease*
- 1
- 2
- 3
- 4
Hemorrhage*
- 1
- 2
- 3
- 4
Drug Addiction/Withdrawal*
- 1
- 2
- 3
- 4
Pyelonephritis*
- 1
- 2
- 3
- 4
Abruptio Placenta*
- 1
- 2
- 3
- 4
Placenta Previa*
- 1
- 2
- 3
- 4
Placenta Acreta*
- 1
- 2
- 3
- 4
Preeclampsia*
- 1
- 2
- 3
- 4
Eclampsia*
- 1
- 2
- 3
- 4
Premature Labor*
- 1
- 2
- 3
- 4
Malpresentations*
- 1
- 2
- 3
- 4
Breech*
- 1
- 2
- 3
- 4
Transverse Lie/Shoulder*
- 1
- 2
- 3
- 4
Face Presentation*
- 1
- 2
- 3
- 4
Brow Presentation*
- 1
- 2
- 3
- 4
Multiple Gestation*
- 1
- 2
- 3
- 4
PROM*
- 1
- 2
- 3
- 4
Chorioamnionitis*
- 1
- 2
- 3
- 4
Poly/Oligohydramnios*
- 1
- 2
- 3
- 4
Prior Tubal Ligation*
- 1
- 2
- 3
- 4
VBAC Management/Trial of Labor*
- 1
- 2
- 3
- 4
Uterine Rupture*
- 1
- 2
- 3
- 4
Incompetent Cervix (Shirodkar Suture/Cerclage)*
- 1
- 2
- 3
- 4
Spontaneous Abortions-Complete/Incomplete*
- 1
- 2
- 3
- 4
Intrauterine Growth Retardation (IUGR)*
- 1
- 2
- 3
- 4
Postdate Pregnancy*
- 1
- 2
- 3
- 4
HELLP Syndrome*
- 1
- 2
- 3
- 4
DIC*
- 1
- 2
- 3
- 4
Fetal Demise*
- 1
- 2
- 3
- 4
Antepartum
Triage of Obstetrical Patients*
- 1
- 2
- 3
- 4
Assessment of Birth Plan*
- 1
- 2
- 3
- 4
Preform Admission Risk Assessment*
- 1
- 2
- 3
- 4
Non-Stress Test (NST)*
- 1
- 2
- 3
- 4
Induction of Labor*
- 1
- 2
- 3
- 4
Oxytocin Challenge Tests (OCT)*
- 1
- 2
- 3
- 4
Biophysical Profile*
- 1
- 2
- 3
- 4
Assist with Sonogram*
- 1
- 2
- 3
- 4
Preform Sonogram*
- 1
- 2
- 3
- 4
Assist with Amniocentesis*
- 1
- 2
- 3
- 4
Normal Perinatal Vital Signs*
- 1
- 2
- 3
- 4
Deep Tendon Reflex Checks*
- 1
- 2
- 3
- 4
Edema Assessment*
- 1
- 2
- 3
- 4
Clonus*
- 1
- 2
- 3
- 4
Asses for Comfort*
- 1
- 2
- 3
- 4
Breathing/Relaxation Techniques*
- 1
- 2
- 3
- 4
Coaching*
- 1
- 2
- 3
- 4
Positioning*
- 1
- 2
- 3
- 4
Medications
Ritodrine*
- 1
- 2
- 3
- 4
Magnesium Sulfate*
- 1
- 2
- 3
- 4
Terbutaline*
- 1
- 2
- 3
- 4
Indomethacin*
- 1
- 2
- 3
- 4
Procardia*
- 1
- 2
- 3
- 4
Pitocin*
- 1
- 2
- 3
- 4
Oxytocin*
- 1
- 2
- 3
- 4
Cervidil*
- 1
- 2
- 3
- 4
Cytotec*
- 1
- 2
- 3
- 4
Prostin Suppositories*
- 1
- 2
- 3
- 4
Assist with Prostin Gel*
- 1
- 2
- 3
- 4
Antibiotics*
- 1
- 2
- 3
- 4
Antihypertensives*
- 1
- 2
- 3
- 4
Heparin*
- 1
- 2
- 3
- 4
Stadol*
- 1
- 2
- 3
- 4
Nubain*
- 1
- 2
- 3
- 4
Morphine*
- 1
- 2
- 3
- 4
Demerol*
- 1
- 2
- 3
- 4
Fentanyl*
- 1
- 2
- 3
- 4
Insulin Drips*
- 1
- 2
- 3
- 4
Insulin Pumps*
- 1
- 2
- 3
- 4
Insulin SC*
- 1
- 2
- 3
- 4
AZT/Other Antiviral Medications*
- 1
- 2
- 3
- 4
Rhogam*
- 1
- 2
- 3
- 4
IV Therapy/Procedures
Starting IV’s*
- 1
- 2
- 3
- 4
PICC Lines-Care and Maintenance*
- 1
- 2
- 3
- 4
Central Venous Lines – Care and Maintenance*
- 1
- 2
- 3
- 4
Invasive Hemodynamic Monitoring*
- 1
- 2
- 3
- 4
Blood Draw from PICC/CVL*
- 1
- 2
- 3
- 4
Administration of Blood Products*
- 1
- 2
- 3
- 4
IV Infusion Pumps*
- 1
- 2
- 3
- 4
Blood/Fluid Warmers*
- 1
- 2
- 3
- 4
Labor Assesment/Procedures: Maternal
Normal Vital Signs – Baseline*
- 1
- 2
- 3
- 4
Identify Common Cardiac Arrhythmia*
- 1
- 2
- 3
- 4
Assist with Sterile Speculum Exam*
- 1
- 2
- 3
- 4
Preform Sterile Speculum Exam*
- 1
- 2
- 3
- 4
Vaginal Exam – Manual*
- 1
- 2
- 3
- 4
Status of Membranes*
- 1
- 2
- 3
- 4
Assist with Rupture of Membranes*
- 1
- 2
- 3
- 4
Fern Test*
- 1
- 2
- 3
- 4
Nitrazine*
- 1
- 2
- 3
- 4
Presence of Clonus*
- 1
- 2
- 3
- 4
DTR’s*
- 1
- 2
- 3
- 4
Edema*
- 1
- 2
- 3
- 4
Progression of Labor*
- 1
- 2
- 3
- 4
Dilation*
- 1
- 2
- 3
- 4
Effacement*
- 1
- 2
- 3
- 4
Fetal Position*
- 1
- 2
- 3
- 4
Fetal Presentation*
- 1
- 2
- 3
- 4
Station*
- 1
- 2
- 3
- 4
Contraction Characteristics*
- 1
- 2
- 3
- 4
Determination of Fetal Head Position*
- 1
- 2
- 3
- 4
Documentation of Labor Status and Interventions*
- 1
- 2
- 3
- 4
Labor Suppressants*
- 1
- 2
- 3
- 4
Collection of Blood Specimens*
- 1
- 2
- 3
- 4
Collect Urine Specimens*
- 1
- 2
- 3
- 4
Toxicology Studies*
- 1
- 2
- 3
- 4
Collect Vaginal Cultures*
- 1
- 2
- 3
- 4
Fluid*
- 1
- 2
- 3
- 4
Herpes*
- 1
- 2
- 3
- 4
Chlamydia*
- 1
- 2
- 3
- 4
Group B Strep*
- 1
- 2
- 3
- 4
Preform Leopold’s Maneuvers*
- 1
- 2
- 3
- 4
Amnioinfusion
Variable Decelerations*
- 1
- 2
- 3
- 4
Meconium*
- 1
- 2
- 3
- 4
Prolapsed Cord*
- 1
- 2
- 3
- 4
Vasa Previa*
- 1
- 2
- 3
- 4
Catheter Insertion
Straight Cath*
- 1
- 2
- 3
- 4
Foley*
- 1
- 2
- 3
- 4
Labor Assesment/Procedures: Fetal
Fetal Heart Rate – Doppler*
- 1
- 2
- 3
- 4
Fetal Heart Rate – Auscultate*
- 1
- 2
- 3
- 4
Document Fetal Position*
- 1
- 2
- 3
- 4
Fetal Heart Rate Patterns: Identify and Treat Baseline
Variability*
- 1
- 2
- 3
- 4
Variable Decelerations*
- 1
- 2
- 3
- 4
Early Decelerations*
- 1
- 2
- 3
- 4
Late Decelerations*
- 1
- 2
- 3
- 4
Prolonged Decelerations*
- 1
- 2
- 3
- 4
External Fetal Monitor Application*
- 1
- 2
- 3
- 4
Internal Fetal Monitor Application (Assist)*
- 1
- 2
- 3
- 4
Internal Fetal Monitor Application (Preform)*
- 1
- 2
- 3
- 4
Spiral Electrode*
- 1
- 2
- 3
- 4
Intrauterine Pressure Catheter (IUPC)
Placement*
- 1
- 2
- 3
- 4
Calibration*
- 1
- 2
- 3
- 4
Fluid Filled*
- 1
- 2
- 3
- 4
Transducer Tipped*
- 1
- 2
- 3
- 4
Delivery/C-Section
Assist with Vaginal Delivery*
- 1
- 2
- 3
- 4
Forceps Extraction*
- 1
- 2
- 3
- 4
Vacuum Extraction*
- 1
- 2
- 3
- 4
Assist with High Risk Delivery*
- 1
- 2
- 3
- 4
Shoulder Dystocia*
- 1
- 2
- 3
- 4
Hemorrhage/Shock*
- 1
- 2
- 3
- 4
Emergency Delivery*
- 1
- 2
- 3
- 4
Abdominal Shave/Scrub Prep*
- 1
- 2
- 3
- 4
Perineal Prep*
- 1
- 2
- 3
- 4
Circulate C-Section*
- 1
- 2
- 3
- 4
Scrub C-Section*
- 1
- 2
- 3
- 4
Patient with General Anesthesia*
- 1
- 2
- 3
- 4
Patient with Epidural Anesthesia*
- 1
- 2
- 3
- 4
Circulate Tubal Ligation*
- 1
- 2
- 3
- 4
Scrub Tubal Ligation*
- 1
- 2
- 3
- 4
Assist with Placentia Delivery*
- 1
- 2
- 3
- 4
Fundus Massage*
- 1
- 2
- 3
- 4
Assist with Cervical Laceration Repair*
- 1
- 2
- 3
- 4
Assist with Uterine Laceration Repair*
- 1
- 2
- 3
- 4
Assist with Episiotomy Repair*
- 1
- 2
- 3
- 4
Immediate Care of Newborn in Delivery Room Newborn Assesment
Ballard*
- 1
- 2
- 3
- 4
Dubowitz*
- 1
- 2
- 3
- 4
Finnegan/Abstinence Scoring*
- 1
- 2
- 3
- 4
Apgar Scores*
- 1
- 2
- 3
- 4
Initial Vital Signs*
- 1
- 2
- 3
- 4
Bulb Suctioning*
- 1
- 2
- 3
- 4
Delee Suctioning*
- 1
- 2
- 3
- 4
Wall Suctioning*
- 1
- 2
- 3
- 4
Meconium Aspiration*
- 1
- 2
- 3
- 4
Collect Cord Samples*
- 1
- 2
- 3
- 4
Assist with UAC/UVC Insertion*
- 1
- 2
- 3
- 4
Insertion of IV, Including Scalp IV*
- 1
- 2
- 3
- 4
Radiant Warmer/Thermoregulation*
- 1
- 2
- 3
- 4
Interventions of LGA, SGA, IUGR*
- 1
- 2
- 3
- 4
Intervention of Infant of Diabetic Mother*
- 1
- 2
- 3
- 4
Oxygen Administration*
- 1
- 2
- 3
- 4
Bag/Mask Ventilation of the Newborn*
- 1
- 2
- 3
- 4
Assist with Intubation*
- 1
- 2
- 3
- 4
Transport Isolette*
- 1
- 2
- 3
- 4
Heelstick*
- 1
- 2
- 3
- 4
Eye Prophylaxis*
- 1
- 2
- 3
- 4
Vitamin K*
- 1
- 2
- 3
- 4
ID/Security Banding*
- 1
- 2
- 3
- 4
Promote Bonding Behaviors*
- 1
- 2
- 3
- 4
Lead Placement for Cardiac Monitoring*
- 1
- 2
- 3
- 4
Apnea Monitoring*
- 1
- 2
- 3
- 4
Oxyhood*
- 1
- 2
- 3
- 4
Post Partum Care
Fundal Height*
- 1
- 2
- 3
- 4
Fundal Massage*
- 1
- 2
- 3
- 4
Lochia*
- 1
- 2
- 3
- 4
Episiotomy Care*
- 1
- 2
- 3
- 4
Perineum Care*
- 1
- 2
- 3
- 4
Maternal Vital Signs*
- 1
- 2
- 3
- 4
Recovering Post-Op C-Sections Patients*
- 1
- 2
- 3
- 4
Recovering Post-Op Tubal Litigation Patient*
- 1
- 2
- 3
- 4
Fluid Balance*
- 1
- 2
- 3
- 4
Assessment for DVT*
- 1
- 2
- 3
- 4
Couplet Care*
- 1
- 2
- 3
- 4
Breast Care*
- 1
- 2
- 3
- 4
Breastfeeding*
- 1
- 2
- 3
- 4
Newborn Care
Cord Care*
- 1
- 2
- 3
- 4
Circumcision Care*
- 1
- 2
- 3
- 4
Bath Demonstration*
- 1
- 2
- 3
- 4
Assist with Lumbar Puncture*
- 1
- 2
- 3
- 4
Administration of IV Antibiotics*
- 1
- 2
- 3
- 4
Newborn Vital Signs*
- 1
- 2
- 3
- 4
Assist with Breastfeeding
Latch On*
- 1
- 2
- 3
- 4
Positioning*
- 1
- 2
- 3
- 4
Care of Infant with:
Cardiac Anomalies*
- 1
- 2
- 3
- 4
Drug Addiction/Withdrawal*
- 1
- 2
- 3
- 4
Cystic Fibrosis*
- 1
- 2
- 3
- 4
Meconium Aspiration*
- 1
- 2
- 3
- 4
Pneumonia*
- 1
- 2
- 3
- 4
Pulmonary Edema*
- 1
- 2
- 3
- 4
RDS*
- 1
- 2
- 3
- 4
NEC*
- 1
- 2
- 3
- 4
Neuromuscular Disease*
- 1
- 2
- 3
- 4
Spina Bifida*
- 1
- 2
- 3
- 4
Seizure Activity*
- 1
- 2
- 3
- 4
Tracheoesophageal Fistula*
- 1
- 2
- 3
- 4
Sepsis*
- 1
- 2
- 3
- 4
Sickle Cell Disease*
- 1
- 2
- 3
- 4
Low Birth Weight Infants*
- 1
- 2
- 3
- 4
Pain Management
Asses Pain Level*
- 1
- 2
- 3
- 4
Asses Acceptable Level of Pain*
- 1
- 2
- 3
- 4
Intranasal Pain Medication*
- 1
- 2
- 3
- 4
Oral Pain Medications*
- 1
- 2
- 3
- 4
IV Pain Medication*
- 1
- 2
- 3
- 4
PCA*
- 1
- 2
- 3
- 4
IV Conscious Sedation*
- 1
- 2
- 3
- 4
Epidural Pain Management*
- 1
- 2
- 3
- 4
Intervention for Anesthesia Toxicity*
- 1
- 2
- 3
- 4
Assist with Epidural Insertion
Positioning of Patient*
- 1
- 2
- 3
- 4
Signs of Dural Puncture*
- 1
- 2
- 3
- 4
Fluid Challenge*
- 1
- 2
- 3
- 4
Hypotension*
- 1
- 2
- 3
- 4
Intrathecal Narcotics*
- 1
- 2
- 3
- 4
Age of Patients Cared for
Newborn/Neonate (Birth to 30 days)*
- 1
- 2
- 3
- 4
Infant (1 month to 1 year)*
- 1
- 2
- 3
- 4
Toddler (1 year to 3 years)*
- 1
- 2
- 3
- 4
Preschooler (3 years to 5 years)*
- 1
- 2
- 3
- 4
School Age Child (5 years to 12 years)*
- 1
- 2
- 3
- 4
Adolescents (12 years to 18 years)*
- 1
- 2
- 3
- 4
Young Adults (18 years to 39 years)*
- 1
- 2
- 3
- 4
Middle Adults (39 years to 64 years)*
- 1
- 2
- 3
- 4
Older Adults (64 years to 79 years)*
- 1
- 2
- 3
- 4
Elderly Adults (79 years and up)*
- 1
- 2
- 3
- 4
Experience/Setting
Labor and Delivery*
- 1
- 2
- 3
- 4
LDR*
- 1
- 2
- 3
- 4
LDPR*
- 1
- 2
- 3
- 4
Post-Partum/Mother Baby*
- 1
- 2
- 3
- 4
Antepartum*
- 1
- 2
- 3
- 4
Rural Hospital*
- 1
- 2
- 3
- 4
Community Hospital*
- 1
- 2
- 3
- 4
0-50 Births per Month*
- 1
- 2
- 3
- 4
50-100 Births per Month*
- 1
- 2
- 3
- 4
100-200 Births per Month*
- 1
- 2
- 3
- 4
200-300 Births per Month*
- 1
- 2
- 3
- 4
300+ Birth per Month*
- 1
- 2
- 3
- 4
Additional Skills:
Additional Training:
*
I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified within the last 2 years.
*
The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Magnet Medical to release this Skills Checklist to staffing clients of Magnet Medical. Submit this skills evaluation with your initial application. To be updated annually.
Name*
First Last
Email*
Signature
Date*
MM slash DD slash YYYY

skills checklist

Labor & Delivery

General Skills

Care of Patients with Pre-Existing Conditions/High Risk OB

Antepartum

Medications

IV Therapy/Procedures

Labor Assesment/Procedures: Maternal

Amnioinfusion

Catheter Insertion

Labor Assesment/Procedures: Fetal

Fetal Heart Rate Patterns: Identify and Treat Baseline

Intrauterine Pressure Catheter (IUPC)

Delivery/C-Section

Immediate Care of Newborn in Delivery Room Newborn Assesment

Post Partum Care

Newborn Care

Assist with Breastfeeding

Care of Infant with:

Pain Management

Assist with Epidural Insertion

Age of Patients Cared for

Experience/Setting

Travelers

Providers

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