Skill Checklists

Maternal Factors - General

Follow procedures to ensure correct patient and newborn Identification at admission.during delivery.and throughout entire hospital stay

Perform initial risk assessment

Maternal Factors - Recognize patients with signs/ symptoms of

Suicide risk

Withdrawal Toxicities

Drug/alcohol dependence

Abuse/neglect

Maternal Factors - Implement patient Safety interventions for

Aspiration precautions

Suicide precautions

Bleeding precautions

High risk Falls

Maternal Factors -Perform comprehensive maternal nursing assessments

Bowel Sounds

Vital signs

Palpating for utenne contractions

Lung sounds

Level of consciousness

Heart sounds

Fluid status Intake/output

Deep Tendon reflexes(DTR's)

Cranial nerves

Maternal Factors - Assess and care for common acute illnesses

Influenza

Gallbladder disease

Diabetes

Asthma

Appendicitis

Maternal Factors - Perform/complete

Obtains blood specimens from peripherally inserted or central access device

Admission.transfer. and discharge process

Suicide risks

Social service referral. as appropriate

Multiple referral screenings

Medication reconciliation

Immunization screenings

Hand-off communication

Follow up care

Flu screenings

Education to patient/family

Advanced directives

Maternal Factors - Perform , evaluate and record the results of diagnostic testing and intervene as needed

Sterile speculum exams

Pulse oximeter

Occult blood test

Non stress test

Lab Results

Electrocardiogram

Blood glucose meter results

Amni-sure

Maternal Factors -Knowledge of appropriate interventions when abnormal signs and symptoms are present

Oxygen administration

IV bolus

Communicate appropriate and timely information to Physician}Licensed Independent Provider

Changing patient position

Maternal Factors -Recognize the need for and communicate results of expected obstetrical diagnostic procedures

EKG

Doppler flow studies

Ultrasound studies

Fetal Assessment - Knowledge of how to perform routine bedside nursing procedures

External fetal heart monitor

Fetal scalp electrode

Fetal Assessment - Troubleshooting

Operate and troubleshoot equipment common to the Labor & Delivery area

Fetal Assessment - Interpret fetal heart strips

Non-reassuring fetal heart tradng

Normal/Abnormal

Category 1, 11, 111

Fetal Assessment - Auscultate Fetal Heart Rate

Fetoscope

Doppler

Fetal Assessment - Assess and

Monitor fetal movements

Determine fetal position/presentation

Fetal Assessment - Recognize signs and symptoms of non-reassuring fetal heart rate pattern

Minimal variability

Prolonged decelerations

Late decelerations

Variables

Fetal Assessment - Implement

Appropriate interventions when abnormal signs and symptoms are present

Fetal Assessment - Identify uterine contraction patterns

Abnormal

Normal

Labor and Delivery - Perform routine bedside nursing procedures

Perform Nasogastnc tube Insertion

Assess or perform Leopold's maneuver as Indicated

Perform oral or nasopharyngeal suctioning

Performs set up and ongoing maintenance of gastric irrigation, lavage and suction

Amnio Infusion

Assist with Rupture of Membranes

Foley catheter

Insertion of peripheral IV catheter

Labor and Delivery - Application of

Intrauterine pressure catheter

Pulse Oximeter

Tocotransducer

SCD's

Anti-embolic stockings

Labor and Delivery - Ability to operate and troubleshoot equipment common to the Labor & Delivery area

Vacuum extractors

Non-invasive hemodynamic monitor

Labor beds

Infant warmers

Fetal heart monitors

Electrocautery unit

Dopplers

Bedside cardiac monitor

Labor and Delivery - Ability to perform Basic Life Support measures

Use of AED

NRP

Manual ventilation

Heimlich maneuver

CPR

Labor and Delivery - Follow and implement facility policy and procedure for blood product administration

Interventions used dunng and after transfusion reaction

Signs and symptoms of transfusion reaction

Frequency of vital sign assessment

Verifying information with another nurse

Timeframe for administration (beginning with pick up from lab)

Labor and Delivery - Ability to

Coach patient through each stage of labor

Identify patient’s current stage of labor

Perform a sterile vaginal exam with speculum

Perform a sterile digital vaginal exam

Function as the circulating OR nurse during other operative procedures

Function as the circulating OR nurse during a Cesarean delivery

Labor and Delivery - Perform tasks during procedures such as

Participate in and document a time out per facility protocol

Maintain sterile field

Sterile abdominal prep

Instrument and towel counts

Assist anesthesiologist

Labor and Delivery - Assess for Stage 4 of labor and assist client in recovery after delivery of placenta

Promote and Assist with Infant Bonding

Assess perineum for discharge ,dots and tears, hematomas ,swelling or brusing

Bladder status for distention

Lochia and amount of bleeding

Assess fundal height and position

Measure Quantitative Blood Loss (QBL),Including weight to volume conversion, 1gm= 1ml

Labor and Delivery - Implements

Facility read back policies for verbal andlor telephone order from a Physician or Ucensed Independent Provider

Biohazardous waste disposal(proper)

Personal protective equipment

Isolation precautions

Universal precautions

Labor and Delivery - Use different types of electronic devices

Dopplers

Electronic fetal monitoring device

Glucometers

Hand held tablets

Computers

Labor and Delivery - General

Assist with patient positioning during epidural placement

Perform facility-speafic diagnostic testing to confirm ruptured membrane

Verify informed consent and patient's understanding of planned use of inductive/augmentive medications

Independently and collaboratively solve complex problems seen in Labor and Delivery

Interpret multiple types of charts and graphs used during routine care of the Labor and Delivery patient and neonates

Implement problem solving and conflict resolution techniques

Determine cervical dilatation, effacement station.and presentation by use of landmarks.assessment data.and other information presented by the patient

Adhere to regulations(state and federal)applicable the Labor and Delivery specialty setting

Adhere to HIPAA laws specific to the Labor and Delivery specialty setting

Labor and Delivery -Proper collection , handling, and labeling of specimens

Vaginal Cultures

Amniotic fluid

Stool

Urine

Blood

Cord blood

Placenta

Labor and Delivery - Identify and interpret normal and abnormal laboratory values/results

Toxicology Studies

Arterial blood gases

HCG

Blood glucose

Urinalysis

Occult blood

Magnesium

Hematocrit

Hemoglobin

Serum Chemistries

CBC

Labor and Delivery - Implements interventions (non-pharmacologic) used as adjunct for pain management

Relaxation methods

Breathing techniques

Repositioning

Music and massage therapy

Labor and Delivery - Performs and documents multiple tasks associated with epidural catheters

Removal of epidural catheter when indicated

Determine equipment required when epidural is in place i.e pump

Assess Drug infusion rates associated with epidural

Assess Patient response

Frequent assessment of catheter & insertion site

Labor and Delivery - Assess and manage during Stage 2 progression of labor

Assists in delivery of baby

Notify physician of imminent delivery

Cephalic positioning or orientation

Progression of descent

Checking for position in relation to ischial spines

Labor and Delivery - Assess Stage 3 Labor

Provide fundal care by locating and massaging the fundus

Administer and titrate medication(s), as ordered to decrease incidence of bleeding and pain

Monitor for delivery of placenta

L&D Medication Admin/Pharmacology - Evaluate indication for and/or effectiveness of medications

Pain medications

Medications used for labor Induction

Medications to uterine contractions

Blood pressure medications

Antibiotic

Rhogam

L&D Medication Admin/Pharmacology - Implement appropriate measures/interventions for patient experiencing pre-term labor

Tocolytics ie.. Magnesium Sulfate

Steroids

Oxytoan

Narcotic

IV fluid hydration

Heparin

Assist With Prostin Gel

Antihypertensives

Antibiotics

L&D Medication Admin/Pharmacology - Procedures regarding controlled substances

Waste

Storage

Shift counts

PCA pumps

Opioid conversion chart

Documentation

New Born Care - Perform

Procedures to ensure correct patient and newborn identification

Actions that facilitate Infant bonding, Induding assisting With breastfeeding

Assessment for microcephaly, anencephaly ,etc

Administration of medications for the newborn.such as Vitamin K erythromycin ointment. etc

Infant safety protocols

Appropriate APGAR score assignment to neonates immediately post delivery and at specific time intervals

Interventions per NRP guidelines , induding suctioning, stimulation respiratory support of newborn

Obstetric Complications - lmplement facility specific obstetrical emergency response

OB hemorrhage protocol

Maternal death

Shoulder dystocia protocol

Obstetric Complications - Recognize signs/symptoms for high risk conditions and medical emergencies

Abruption

Amniotic fluid disorders

Diabetes

DIC

Eclampsia

Fetal demise

High-Risk Delivery

Malpresentation

Non-reassuring fetal heart rate patterns

Multiple gestation

Placenta previa

Post partum hemorrhage

Pre-eclampsia

Preterm labor

Prolapsed cord

Teen pregnancy

Uterine prolapse

Vaginal Birth After Cesearan (VBAC)

Obstetric Complications - Perform

Effective communication techniques to ensure calm ,competent care under a vanety of conditions.Including emergency and stressful events

Post-mortem care for mother.fetus andlor Infant per facility protocol

Tasks/ proceduresAnterventions necessary to deliver newbom wrthout the presence of a Physician/Licensed Independent

Professional / Ethical Issues - Adherence to emergency response plans

Bomb threat

Fire

Inclement weather

Infant/child abduction

Professional / Ethical Issues - Participate

Data collection for Performance Improvement Program/ PI process

Professional / Ethical Issues - Follows acceptable guidelines in supervision and delegation of tasks/duties

LPN/LVN's

CNA's

Ensure completion of delegated tasks/duties under applicable scope of practice and organizational policy and procedure

Professional / Ethical Issues - Professional Considerations

Clearly. and concisely document patient information and nursing documentation in the patients medical record

Make appropriate referrals to communrty resources available to patient and / or family

Assess pat1ent/fam1ly educational needs.educational aptitude ,and Identification of appropriate learning methods

Assess for and obtain Interpretive services appropnate for effective patient/family communication

Adhere to the Emergency Medical Treatment and Labor Act (EMTALA) with regards to admission.transfer.and discharge of patients

Adapt interventions based upon client response

Professional / Ethical Issues - Adhere to facility specific procedures regarding obstetrical patients with specialty circumstances

Adoption

Multiple gestation

Surrogacy

Termination of pregnancy

Age Specific

Infant (Birth to 1 year)

Toddler (1-3 years)

Pre-school (3-6 years)

School Age (6-12 years)

Adolescent (12-18 years)

Young Adult (18-30 years)

Mature Adult (30-60 years)

Elderly (>60 years)