Skill Checklists
Mother & Baby RN
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
Assessment
• Bladder distention
• Breast engorgement
• DVT (Deep vein thrombosis)
• Episiotomy
• Fluid Balance
• Fundal Height
• GI function post anesthesia
• Lochia Amount
• Maternal vital signs
• Parental/infant interaction/attachment
• Perineum
- Hematoma
- Hemorrhoids
Check urine for
• Glucose
• Ketones
• Proteins
• Specific Gravity
Adult cardiopulmonary resuscitation
Contraceptive counseling
Discharge teaching
Foster parental-infant interaction/attachment
Insert catheter
• Foley
• Straight
Post anesthesia care
• Epidural
• General
• Local
• Spinal
Post Cesarean care
Teach and assist with
Breast feeding/parent education
• Latch-on procedures
• Positioning
• Use of electric breast pump
• Use of manual breast pump
Formula preparation and feeding
Infant care restraint systems
Infant caretaking skills
Perineal care
Sitz Bath
Asthma
Cardiac disease
Cesarean section
Diabetes mellitus
Infectious disease
Known substance abuse
Multiple Births
Post tubal ligation
Pregnancy induced hypertension/preeclampsia
Spontaneous vaginal delivery
Antibiotics
Diluted oxytocin infusion
IM administration
Rhogam administration/teaching
SC medications, including narcotics
Assessment of pain level/tolerance
Care of the patient with:
• Epidural anesthesia/analgesia
• IV conscious sedation
• Patient controlled analgesia
Equipment & procedures
Administration of blood/blood products
• 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
• Ballard scale
• Circumference
• Dubowitz Scales
• Length
• Neonatal Jaundice
• Reflexes
• Vital Signs
• Weight
Administer injections to neonate
Assist with circumcision
• Assess site post op
• Teach circumcision care to parents
Bath Infant
Culture suspect infectious neonate
Discharge procedure
Incubator. isolettes
Infant identification
Monitor bladder and bowel patterns
• Obtain urine specimens via specimen bag
• Test stool for blood, reducing substances
Neonate cardiopulmonary resuscitation
Phototheraphy
Thermo-neutral environment to prevent cold stress
Newborn (Birth-30days)
Infant (30 Days – 1 year)
Toddler (1-3 years)
Preschooler (3-5 years)
School Age (5-12 years)
Adolescents (12-18 years)
Young Adult (18-39 years)
Middle Adult (39-64 years)
Older Adult (64 + years)
AllScript
Canopy
Epic
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration
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.
