POSTPARTUM SKILLS CHECKLIST

Postpartum Skills Checklist 

  • MM slash DD slash YYYY

  • POST PARTUM INTERVENTIONS

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Bladder Distention
    Breast Engorgement
    DVT
    Episiotomy
    Fluid Balance
    Fundal Height
    GI Function post anesthesia
    Lochia Amount
    Maternal Vital Signs
    Parental/infant interaction/attach:
    Perineum
    - a. Hematoma
    - b. Hemorrhoids
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Check urine for:
    - a. Glucose
    - b. Ketones
    - c. Protein
    - d. Specific gravity
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Adult cardiopulmonary resuscitation
    Contraceptive counseling
    Discharge teaching
    Foster parental infant interaction
    Insert catheter:
    - a. Foley
    - b. Straight
    Post Anesthesia Care:
    - a. Epidural
    - b. General
    - c. General
    - d. Spinal
    Post Cesarean Care:
    - a. Breast-feeding/parent educate
    1. Latch on procedure
    2. Positioning
    3. Use of electric breast pump
    4. Use of manual breast pump
    - b. Formula preparation & feeding
    - c. Infant care restraint system
    - d. Infant caretaking skills
    - e. Sitz bath
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Asthma
    Cardiac Disease
    Diabetes mellitus
    Infectious Disease
    Known substance abuse
    Multiple births
    Post tubal ligation
    Pregnancy induced hypertension/preeclampsia
    Spontaneous vaginal delivery
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Antibiotics
    Diluted oxytocin infusion
    IM administration
    Rhogan administration/ teaching
    IV medications, including narcotics

  • NORMAL NEONATAL CARE

  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Ballard scale
    Circumference
    Dubowitz scale
    Length
    Neonatal Jaundice
    Reflexes
    Vital Signs
    Weight
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Administer injections to neonate
    Assist with circumcision
    - a. Assess site post op
    - b. Teach circumcision care
    Bathe infant
    Culture suspect infectious neonate
    Discharge procedure
    Incubator/isolettes
    Monitor bladder and bowel patterns
    - a. Obtain urine specimens via specimen bag
    - b. Test stool for blood, reducing substnaces
    Neonate cardiopulmonary resuscitation
    Phototherapy
    Thermo-neutral environment to prevent cold stress
    Phlebotomy/ IV Therapy
    Administration of blood/blood products
    - a. Packed red blood cells
    - b. Plasma/ albumin
    - c. Whole blood
    Drawing venous blood
    Starting IV'S
    - a. Angiocath
    - b. Butterfly
    - c. Heparin lock
  • 1 = No Experience2 = Little Experience3 = Moderate Experience4 = Extensive Experienced
    Central line/catheter/dressing
    Peripheral line/dressing
    Assessment of pain level/ tolerance
    Epidural anesthesia/analgesia
    IV conscious sedation
    Patient controlled analgesia PCA pump

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