* = Required Information
Labor & Delivery Skills Checklist
A = Able to perform without any supervision
B = Perform Infrequently (would require some supervision)
C = No Experience
Medication Administration:
Interactions, Incompatibities, Side effects
A
B
C
Admin IN. SC Meds (narcotics, analgesics,anticonvulsants, insulin)
A
B
C
Monitor IV Drips
A
B
C
Oxytocin Indution, Augmentation
A
B
C
Magnesium Sulfate Therapy & (other anticonvs. For pre-eclampsia/ eclampsla)
A
B
C
Labor Supressants (e.g. Ritrodrine)
A
B
C
Antibiotics
A
B
C
Heparin
A
B
C
Intervention During Delivery:
Spontaneous Vaginal Deliver
A
B
C
Forceps Vaginal Delivery
A
B
C
Provide Care & Monitor after rupture of membranes (spontaneous/artificial)
A
B
C
Caesarean Section
A
B
C
Labor Room Delivery
A
B
C
Obstetric Anesthesia- monitor those requiring special surveillance
A
B
C
General Anesthesia
A
B
C
Regional anesthsia
A
B
C
Epidural
A
B
C
Spinal
A
B
C
Local Infiltraltion
A
B
C
Intervention During Delivery:
Provide physical comfort measures
A
B
C
Provide pemotional support
A
B
C
Support, Guide labor Coach, P>R>N>
A
B
C
Change Womans Position, as needed
A
B
C
Do a Perineal Prep
A
B
C
Coach in Psychoprophylactic Breathing and Relaxing Technique
A
B
C
Obstetric Techniques & Procedures:
Stress Test (oxytocin challenge test)
A
B
C
Conduct Fetal Activity Determinants
A
B
C
Perform Cardiopulmonary Resuscitation
A
B
C
Adult (umbilical arterty catheter)
A
B
C
Infant (assist intubation & umbilical artery cath.
A
B
C
Ins., mis resuscitation drugs, admin IM narcan)
A
B
C
Assess & Document Progress of labor
A
B
C
Contraction Characteristic
A
B
C
Changes in Women's Behavior, Appearance
A
B
C
Status of Membrances
A
B
C
Assess & Document Fetal Status
A
B
C
Determine Fetal Position
A
B
C
Determine Fetal Position
A
B
C
Ausculate FHR (fetal heart rate) using: Fetoscope
A
B
C
Ausculate FHR (fetal heart rate) using: Doptone (Doppler Ultrasound)
A
B
C
Monitor Uterine Activity & FHR Patterns using a fetal Monitor
A
B
C
External Monitor (tocotransducer, ultrasoung, phono or abdominal ECG transducer)
A
B
C
Internal Monitor (including connecting the leads and calibrating machine)
A
B
C
OB Techniques & procedures Cont'd
Identify FHR Patitems
A
B
C
Veriability Reactivity
A
B
C
Decelerations- early, late, variable
A
B
C
Tachycardia - Bradycardia
A
B
C
Assess & Document maternal Status:
A
B
C
Vital Signs (BP,P) Accordin to stage of labor & patient stability
A
B
C
Deviations from the norm (edema, deep refleces, clonus Intake & Output including urine for Glucose, Protein,Specific Gravity, Ketones
A
B
C
Escort patient to assist with Pelvimetry
A
B
C
Escort patient to assist with Ultrasound Scan
A
B
C
Postpartum Assessment:
Fundus Consistency
A
B
C
Lochia
A
B
C
Bladder Disgtension
A
B
C
Episiotomy
A
B
C
Incision (for caesarean delivery)
A
B
C
Vital Signs
A
B
C
Provide Intrapartum Care to Women With: With:
Pregnancy - Induced hypertension
A
B
C
Preeclampsia
A
B
C
Eclampsia (seizures)
A
B
C
Placenta Previa
A
B
C
Abruption placenta
A
B
C
Multiple Gestation
A
B
C
Premature Labor
A
B
C
Diabetes Melitus
A
B
C
Cardiac Disease
A
B
C
Asthma
A
B
C
Infectious Diseases
A
B
C
Hemorhage
A
B
C
Pyelonephritis
A
B
C
Cystitis
A
B
C
Sickle Cell Disease
A
B
C
Rh Incompatibilities
A
B
C
Immediate Care of Infant Post Birth: Assign Apgar Scores
Physically Examine Newborn (anomilies, respiratory status)
A
B
C
Suction Infant
A
B
C
Weigh Infant
A
B
C
Identify Infant using Bracelet, Footprints & Mother's Bands
A
B
C
Eye Prophylaxis
A
B
C
Collect Cord Blood Samples
A
B
C
Transfer to Newborn Nursery
A
B
C
IV Therapy:
Start IV Lines
A
B
C
Regulate IV's
A
B
C
Mix IV Infusion using additives
A
B
C
Discontinue Peripheral IV's
A
B
C
Use IV Infusion pumps
A
B
C
Use Heparin Locks
A
B
C
Institute/Montor Blood & Blood Products
A
B
C
Draw Blood for Lab Studies
A
B
C
Postpartum intervention:
Initiate Fundal Massage, if needed
A
B
C
Provide Perineal Care
A
B
C
Apply Ice to Perineum
A
B
C
Foster parent-Infant Bonding
A
B
C
Initiate post-Anesthesia Recovery Precautions
A
B
C
Epidural
A
B
C
General
A
B
C
Spinal
A
B
C
Aseptic Technique Relaltiv
Set up a Delivery Table
A
B
C
Set up a Caesarean Section Table
A
B
C
Circulate for Caesarean Section
A
B
C
Scrub for a Caesarean Section
A
B
C
Circulate, Scrub for Postpartum Tubal Lig.
A
B
C
Assist w/an AROM (artificial rupture of membranes) Procedure
A
B
C
Assist W/ Placement of Fetal Scalp Electrodes for Internal Monitoring
A
B
C
Assist W/Placement of an intrauterine Pressure
A
B
C
Catheter for internal Monitoring
A
B
C
Assist W/Fetal Scalp Blood Sample Procedure
A
B
C
Insert a Straight or Foley Catheter
A
B
C
Perform a Vaginal Exam and Assess Effacement Dilation, Station & Presentatuib
A
B
C
The information I have given is true and accurate to the best of my knowledge. I hereby authorize PACE Medical Staffing, Inc. to release this list to client health care facilities of Pace Medical Staffing, Inc.
Name
*
Signature
*
Date
Submit