Labor and Delivery, Post Partum Skills Checklist

Personal Information
Name
E-Mail address

Please indicate your overall practical experience level with each skill using the key below. All fields are required.

Key
None	No experience
Limited	Requires additional training
Moderate	Have performed and able to do without supervision
Well Skilled	Very experienced and able to perform independently
Proficient	Able to teach and supervise

Labor and Delivery	None	Limited	Moderate	Well Skilled	Proficient
Assist with Vaginal Delivery
Forceps Vaginal Delivery
Emergency Delivery
Assist with High Risk Delivery
Circulate for C-Section
Scrub for C-Section
Abdominal Shave/Scrub Prep
Perineal Prep
Internal Monitor/Lead Connection and Calibration
Assist with Placement of Intrauterine Pressure Catheter
Assist with Fetal Scalp Blood Sampling
Sterile Vaginal Exams
Fundal Assessment/Height
Use of Fetoscope/Doppler
Interpretation of Fetal Monitoring
Identify FHR Patterns
Abortion Procedures
Care of a patient with:
Pregnancy Induced Hypertension
Preeclampsia
Multiple Gestation
Placenta Previa
Abruptio Placenta
Malpresentations
Premature Labor
Diabetes Mellitus
Infectious Disease
Sickle Cell Disease
RH Incompatibilities
HIV
Drug Addiction/Withdrawal
Psychiatric Crisis Intervention
Use and administration of:
Pitocin
Ritodrine
Magnesium Sulfate Therapy
Insulin Drip
Immediate care of baby in the delivery room	None	Limited	Moderate	Well Skilled	Proficient
Apgar Scores
Suctioning
Eye Prophylaxis
Collect Cord Samples
Post-partum Care	None	Limited	Moderate	Well Skilled	Proficient
Fundus Consistency
Lochia
Bladder Distention
Episiotomy
Post-Op C-Section
Care of a patient with:
Diabetes Mellitus
Sickle Cell Disease
Infectious Disease
Cardiac Disease
Neurological Disease
Tubal Ligation
Newborn/Pediatric Care	None	Limited	Moderate	Well Skilled	Proficient
Newborn Nursery
Obtain Specimens from UAC and UVC
Radiant Warmers
Apena Monitoring
Phototherapy
Cord and Circumcision Care
Post-Mortem
Age-Specific Competence	None	Limited	Moderate	Well Skilled	Proficient
Neonates/Newborns (birth - 30 days)
Infants (30 days - 1 year)
Toddler (1-3 years)
Preschooler (3 - 5- years)
Older Children (5 - 12 years)
Adolescents (12 - 18 years)
Young Adults (18 - 39 years)
Middle Adults (39 - 64 years)
Older Adults/Geriatrics (64+ years of age)

Preserving Higher Standards of Patient Care