LABOR & DELIVERY SKILLS CHECKLIST

Labor & Delivery Skills Checklist 

  • MM slash DD slash YYYY

  • ANTEPARTUM

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Assess for comfort
    Breathing/relaxation techniques
    Coaching
    Positioning
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Foley catheter insertion
    Straight catheter insertion
    Delivery table set up
    Positioning
    Sonogram:
    - Amniotic fluid index
    - Assist with sonogram
    - Biophysical profile
    - Perform sonogram

  • LABOR ASSESSMENT

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Assess for comfort
    Breathing/relaxation techniques
    Coaching
    Positioning
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Assess for comfort
    Breathing/relaxation techniques
    Coaching
    Positioning

  • LABOR ASSESSMENT

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Auscultate fetal heart rate:
    - Doppler
    - Fetoscope
    Determine fetal position
    Document FHR patterns
    Identify normal & tread abnormal FHR patterns:
    - Baseline
    - Early decelerations
    - Late decelerations
    - Prolonged deceleration
    - Variability
    - Variable decelerations
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    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 membrane: Fern test
    - Rupture of membrane: Nitrazine
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    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 states/assessment & interventions:
    - Anticonvulsants
    - Labor suppressants
    External fetal monitor application:
    - Doppler
    - Phono or abdominal, ECG transducer
    - Tocotransducer, ultrasound
    Internal Monitor - Assist/perform insertion:
    Intrauterine pressure catheter:
    - Fluid filled
    - Transducer tipped
    - Spinal electrode
    Perform Leopold's maneuvers
    Toxicology studies
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    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 suppositores

  • COMPLICATIONS OF PREGNANCY

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Identify common arrhythmias
    Normal cardiac rhythms
    Patient education - fetal movement counts
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Assist with external version
    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 for Cesarean delivery
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Abruptio placenta
    Asthma
    Cardiac disease
    Chorioanmionitis
    Chronic hypertenstion
    Collagen vascular disease
    Diabetes
    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
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Indomethacin
    Insulin
    Magnesium sulfate
    Procardia
    Ritodrine
    Terbutaline:
    - EV
    - PO
    - Pump
    - SC
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Identify common arrhythmias
    Normal cardiac rhythms
    Patient education - fetal movement counts
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Cesarean section
    Forceps vaginal delivery
    Vacuum extraction delivery
    Spontaneous vaginal delivery
    Monitor patients anesthesia:
    - General
    - Epidural
    - Spinal

  • INFANT INTERVENTIONS POST DELIVERY

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Apgar scoring
    Initial vital signs
    Intervention/risk factors for IDM
    Intervention/risk factors for LGA, SGA, IUGR
    Newborn physical assessment:
    - Ballard
    - Dubowitz
    - Finnegan scoring
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    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 hemotocrit
    Obtain neonatal toxicology screen
    Phototherapy
    Promote bonding behaviors
    Suctioning:
    - Bulb
    - Delee
    - Wall
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Eye prophylaxis
    Witamin K

  • POST PARTUM INETERVENTIONS

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    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

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Administration of blood/blood products:
    - Cryoprecipitate
    - Packed red blood cells
    - Plasma/albumin
    - Whole blood
    Drawing blood from central line
    Starting IV's:
    - Angiocath
    - Butterfly
    - Heparin lock
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Central line/catheter/dressing
    Peripheral line/dressing

  • PAIN MANAGEMENT

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Pain level/tolerance
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Epidural anesthesia/analgesia
    IV conscious sedation
    Patient controlled analgesia (PA Pump)
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Anesthesia toxicity
    Coaching patient
    Epidural block
    Fluid challenge
    Hypotension
    Intrathecal narcotics
    Positioning patient
    Signs/symptoms of dural puncture
    Spinal anesthesia
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Computer
    Flowchart

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