Antepartum/Postpartum/Nursery Skills Checklist

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1-2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

MM slash DD slash YYYY

Age Of Patients Cared For

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler/Preschool (13 months to 5 years)
School Age Child/adolescent (6 years to 18 years)
Young Adults/Middle Adult (19 years to 64 years)
Older Adults/Elderly (65+ years)

General Skills

Care of Patient in Restraints
Automated Med Dispensing Systems
Electronic Documentation
IV Pumps
Peripheral IV Insertion, Care and Maintenance
Access/Management of Implanted Ports
Access/Management of Central Lines (CVL, Hickman, Broviac, Groshong, etc.)
Cardiac Monitoring/Interpretation
PCA/Epidural pumps
Titration of drips
Administration of Blood/Blood Products
Infant/Neonatal Cardiac/Respiratory Arrest
Adult Respiratory/Cardiac Arrest
Care of Patient in Restraints
Knowledge of "Do Not Use Abbreviations"
Do you have charge/supervisor experience?
Knowledge of current Joint Commission National Patient Safety Goals
Knowledge/familiarity with HCAHPS scores

Antepartum Assessment/care

Non Stress Test
Fetal Heart Rate Interpretation and Management
Contraction Patterns
Preterm Labor
Premature Rupture of Membranes
Cardiac disease
Diabetes
PIH/HELLP
Placenta Previa/Abruptio
Fetal Assessment
Labor Assessment
Substance abuse
Hyperemesis
Multiple births

Medications Knowledge And Use Of

Oxytocin/Pitocin
Terbutaline
Magnesium Sulfate
Cervical Ripening Agents

Post Partum Maternal Assessment/care

Vital Signs/Pulse Oximetry
Care of Post-Op Tubal Ligation Patient
Care of Post C-section Patient
Care of Post Vaginal Delivery Patient
Care of Patient with Postpartum Hemorrhage
Care of Patient with Fetal Demise
Care of patient with epidural
Post anesthesia care (Epidural, General, Local, Spinal)
Breast Care
Fundal Assessment
Lochia Assessment
Episiotomy Assessment/Care
Perineum Assessment/Care
Bowel Function Assessment
Bladder distention Assessment
Insertion of catheter (foley or straight)
Assessment for DVT

Postpartum Care Of The Mother With

Asthma
Cardiac disease
Diabetes
PIH
Substance abuse
Infectious disease
Multiple births

Newborn Assessment/care

Infant identification
Vital signs
Length/Weight/Chest/Head
Ballard scale score
Dubowitz scale score
Administer injections to neonate
Bathe infant
Reflexes
Thermal-neutral environment to prevent stress
Incubator/Isolettes
Respiratory Distress
Bulb Suction
Monitor bladder and bowel patterns
Bonding Behaviors (Mother/Infant)
Assist with circumcision
Assess post op circumcision

Care Of The Infant With

Possible Infectious Process
Neonatal Jaundice/Phototherapy
Drug Addiction/Withdrawal
Temperature Regulation Problems

Phlebotomy And Iv Therapy

Insertion, Care and Maintenance of Peripheral IV
Care of the patient with central line
Drawing venous blood
Heelstick
Drawing blood from central line
Administration of Blood/Blood Products

Medications Knowledge And Use Of

Antibiotics
Insulin (IV and SQ)
Oxytocin
Rhogam
Analgesics
Reversal Agents
PCA for Analgesia

Patient Education

Breastfeeding
Latch-on procedures
Positioning
Use of electric breast pump
Use of manual breast pump
Formula preparation and feeding
Infant caretaking skills
Teach circumcision care to parents
Contraceptives
Discharge Planning and Infant Requirements