Labor Delivery Skills Checklist




Key - for each box mark:
  1. Limited or no experience
  2. Somewhat experienced but may need review
  3. Can function independently
  4. Competent to supervise
 
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ANTEPARTUM
Assessment
   Assess for comfort
   Breathing/relaxation techniques
   Coaching
   Positioning
Equipment & procedures
Catheter insertion
   Foley catheter
   Straight catheter
Delivery table set-up
Sonogram
   Amniotic fluid index
   Assist with sonogram
   Biophysical profile
   Perform sonogram
LABOR ASSESSMENT
Fetal assessment
Auscultate fetal heart rate
   Doppler
   Fetoscope
Determine fetal position
Document FHR patterns
Identify normal & treat abnormal FHR patterns
   Baseline
   Early decelerations
   Late decelerations
   Prolonged decelerations
   Variability
   Variable decelerations
Mental assessment
   Deep tendon reflexes (DTRs)
   Edema
   Norms for perinatal vital signs
   Perform admission risk assessment
   Presence of clonus
Progression of labor
   Contraction characteristics
   Dilation
   Effacement
   Fetal presentation/position
   Station
   Status of membranes
   Sterile speculum exam
   Vaginal exam
Rupture of membranes
   Fern test
   Nitrazine
Equipment & procedures
Amnioinfusion (assist or perform)
   For meconium
   For variable decelerations
Artificial rupture of membranes (assist)
   Prolapsed cord
   Recognize potential complications
   Vasa previa
Collect blood/urine specimens
Collect vaginal cultures
   Chlamydia
   Fluid
   Group B strep
   Herpes
Document labor status/assessment & interventions
   Anticonvulsants
   Labor suppressants
External fetal monitor application
   Doppler
   Phono or abdominal, ECG transducer
   Tocotransducer, ultrasound
Internal monitoring (assist or perform insertion)
Intrauterine pressure catheter
   Fluid filled
   Transducer tipped
Spiral electrode
Perform Leopold's maneuvers
Toxicology studies
Medications
Administer IM/SC
Administer IV meds/monitor IV drips
   Antibiotics
   Antihypertensives
   Heparin
   Magnesium sulfate
   Narcotics
   Oxytocin
Assist with prostin gel
Cervidil insertion
Use of Cytotec
Use of prostin suppositories
COMPLICATIONS OF PREGNANCY
Assessment
Identify common arrhythmias
Normal cardiac rhythms
Patient education - fetal movement counts
Equipment & procedures
Assist with external version
Assist with fetal scalp sampling
Assist with percutaneous umbilical sampling
Assist with umbilical blood sampling
Circulate for Cesarean delivery
Circulate, scrub for bilateral tubal ligation
Conduct contraction stress test
   Breast stimulation
   Oxytocin challenge
Conduct non-stress test
   Stimulate fetus
   Vibroacoustic stimulation
Draw umbilical blood samples
Glucose reflectometer
Lines/monitoring
   Central venous lines
   Invasive hemodynamic monitoring
   PICC lines
   Pulmonary artery catheters
Scrub for Cesarean delivery
Set up Cesarean delivery
Care of the patient with:
Abruptio placenta
Asthma
Cardiac disease
Chorioamnionitis
Chronic hypertension
Collagen vascular disease
Diabetes
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Eclampsia
HBV
HELLP syndrome
Hemolytic anemias
Hemorrhage
HIV positive
Hypertension
Malpresentations
Multiple gestation
Other infections
Placenta previa
Preeclampsia
Premature labor
Pyelonephritis
RH disease
Sickle cell disease
Medications
Indomethacin
Insulin
Magnesium sulfate
Procardia
Ritodrine
Terbutaline
   IV
   PO
   Pump
   SC
INTERVENTIONS DURING PREGNANCY
Cesarean section
Forceps vaginal delivery
Monitor patients with anesthesia
General anesthesia
Regional anesthesia
   Epidural
   Local infiltration
   Spinal
Spontaneous vaginal delivery
Vacuum extraction delivery
INFANT INTERVENTIONS POST DELIVERY
Assessment
Apgar scoring
Initial vital signs
Intervention/risk factors for
   IDM
   LGA, SGA, IUGR
Newborn physical assessment
   Ballard
   Dubowitz
   Finnegan scoring
Equipment & procedures
Assist with initial breast feeding
Assist with interventions for meconium staining
Bath-perform and teach
Cardiac-respiratory monitor placement
Circumcision care
Cord care
Discharge teaching
Heelstick glucose determination
Infant identification
Neonatal resuscitation
Obtain hematocrit
Obtain neonatal toxicology screen
Phototherapy
Promote bonding behaviors
Suctioning
   Bulb
   Delee
   Wall
Medications
Eye prophylaxis
Vitamin K
POST PARTUM INTERVENTIONS
Assessment
Bladder distention
Breast feeding
   Latch-on
   Positioning
DVT (Deep vein thrombosis)
Episiotomy
Fluid balance
Fundal height
Fundal massage
Lochia amount
Maternal vital signs
PHLEBOTOMY/IV THERAPY
Equipment & procedures
Administration of blood/blood products
   Cryoprecipitate
   Packed red blood cells
   Plasma/albumin
   Whole blood
Drawing blood from central line
Drawing venous blood
Starting IVs
   Angiocath
   Butterfly
   Heparin lock
Care of the patient with:
Central line/catheter/dressing
Peripheral line/dressing
PAIN MANAGEMENT & ANESTHESIA
Assessment of pain level/tolerance
Care of the patient with:
Epidural anesthesia/analgesia
IV conscious sedation
Patient controlled analgesia (PCA pump)
Assist with delivery of anesthesia
Anesthesia toxicity
Coaching patient
Epidural block
Fluid challenge
Hypotension
Intrathecal narcotics
Intravascular injection
Positioning patient
Signs/symptoms of dural puncture
Spinal anesthesia
Documentation of anesthesia
Computer
Flowchart

Age Specific Experiences and Certifications

Age Specific Experiences Infants and Toddlers (birth-2 years) Children (3-12 years) Adolescent (13-18 years) Young Adult (19-39 years) Middle Adults (40-64 years) Older Adult (65+ years)
1. Knows the normal growth and development for each age group and adapts care accordingly.
2. Knows the different communication needs for each age group and changes communication methods and terminology accordingly.
3. Knows the different safety risks for each age group and alters the environment accordingly.
4. Knows the different medications, dosages, and possible side effects for each age group and administers medications accordingly.

My Experience is Primarily in:

Year(s)
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Year(s)
Year(s)

Certifications

Expiration Date (mm/yyyy)
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Other: Expiration Date (mm/yyyy)
Computerized charting system: Expiration Date (mm/yyyy)
Medication Administration system: Expiration Date (mm/yyyy)

The information I have provided in this skills checklist is true and accurate to the best of my knowledge. I hereby authorize Fortus Group to release this information to client facilities in relation to consideration of my employment.