Skill Checklists
Labor & Delivery Nurse
Name
Email
LAST 4 OF SSN
This checklist was electronically signed on (Today’s date)
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
L and D
LDRP
Antepartum
Mother Baby
Diabetes
Fetal Demise
HELLP Syndrome
Perform Pulses/Circulation Checks
Hyperemesis
Immunologic Disorder
Infectious Disease
Multiple Gestation
Placenta Previa/Abruptio
Pre-Term Labor
Premature Rupture of Membranes
Conduct Stress Test
Conduct Non-Stress Test
Assist with External Version
Assist with Umbilical Blood Sampling
Use of Nitrazine/Fern Test
Epidural Anesthesia
General Anesthesia
Spinal Anesthesia
Response to Pain Management
External
IUPC Placement/Monitoring
Spiral Electrode Placement
Identify, Document & Treat Abnormal FHR Patterns
Auscultate Fetal Heart Tones
Determine Fetal Position
Assess Contraction Characteristics
Assess Status of Membranes
Assess Station/Dilation/Effacement
Positioning
Leopold's Maneuver
Assess for Reflexes/Clonus Tones
Bladder Catheterization
Amnioinfusion (Assist or Perform)
Recognize Complications of AROM
Delivery Table Set Up
Circulate Vaginal Delivery
Circulate C - Section
Scrub C - Section
Radiant Warmer
APGAR Scores
Neonatal Vital Signs
Neonatal Resuscitation
Naso/Oropharyngeal Suctioning
Bulb Syringe Suction
Asthma
Cardiac Disease
Chorioamnionitis
Pregnancy Induced Hypertension
HELLP
Hemolytic Anemia
Hemorrhage
HIV Positive
HBV Disease
Malpresentations
Pre-Term Labo
Rh Disease
Vaginal Delivery
Cesarean Section
Anesthesia - Spinal)
Bladder Distention
Breast Milk Collection and Storage
Breast Pump
Breastfeeding - Latch Score
Breastfeeding - Supplemental Feeding
Breastfeeding Support
Contraceptive Education
Epidural/PCA
Homan's Sign
Multiple Births
Parent/Infant Interaction/Attachment
Post Partum Hemorrhage
Antibiotics/Antivirals
Antihypertensives
Antiseizure
Betamethasone
Insulin
Methergine
Opioids and Reversal Agents
Pitocin
Terbutaline
Start Ivs
IV Management
Blood Product Administration
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
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
Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Bar Coding for Medication Administration
EMR Conversion
BLS
5
CNRN
ACLS
CCRN
Other:
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)
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.
