LDRP RN 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

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.)
End of Life Care
Care of Patient in Restraints
Patient and Family Teaching
Knowledge of "Do Not Use Abbreviations"
Coaching Needs: Physical and Emotional
Fetal Monitoring - Basic
Fetal Monitoring - Advanced
Adult Cardiac/Respiratory Arrest
Infant/Neonatal Cardiac/Respiratory Arrest
Administration of Blood/Blood Products
Knowledge of Normal Lab Values(Newborn)
Knowledge of Normal Lab Values(Labor Patient)
Do you have charge/supervisor experience?
Knowledge of current Joint Commission National Patient Safety Goals
Knowledge/familiarity with HCAHPS scores

Care Of The Patient W/ Pre-existing Conditions/high Risk Ob

Cardiac Disease
Neurological Disease
Pregnancy Induced Diabetes Mellitus
Asthma
Chronic Hypertension
Pregnancy-Induced Hypertension
Infectious Disease
HBV
HIV
Sickle Cell Disease
RH Incompatibilities
Hemolytic Anemia
Collagen Vascular Disease
Hemorrhage
Drug Addiction/Withdrawal
Pyelonephritis
Abruptio Placenta
Placenta Previa
Placenta Acreta
Preeclampsia
Eclampsia
HELLP Syndrome
DIC
Premature Labor
Malpresentations
Breech
Transverse Lie/Shoulder
Face Presentation
Brow Presentation
Multiple Gestation
PROM
Chorioamnionitis
Poly/Oligohydramnios
Prior Tubal Ligation
VBAC Management/Trial of Labor
Uterine Rupture
Incompetent Cervix (Shirodkar Suture/Cerclage)
Spontaneous Abortions - Complete/Incomplete
Intrauterine Growth Retardation (IUGR)
Postdate Pregnancy
Fetal Demise

Antepartum:

Triage of Obstetrical Patients
Assessment of Birth Plan
Perform Admission Risk Assessment
Non-Stress Test (NST)
Induction of Labor
Oxytocin Challenge Tests (OCT)
Assist with Amniocentesis
Deep Tendon Reflex Checks (DTR's)
Edema Assessment
Clonus
Breathing/Relaxation Techniques

Knowledge And Use Of

Analgesics
Ritodrine
Magnesium Sulfate
Terbutaline
Indomethacin
Procardia
Pitocin
Cervidil
Cytotec
Prostin Suppositories
Assist with Prostin Gel
Antibiotics
Antihypertensives
Heparin
Insulin Drips
Insulin Pumps
Insulin SC
AZT/Other Antiviral Medications
Rhogam

Iv Therapy/procedures

Invasive Hemodynamic Monitoring
Blood/Fluid Warmers

Labor Assessment/procedures (Maternal):

Assist with Sterile Speculum Exam
Perform Sterile Speculum Exam
Vaginal Exam - Manual
Status of Membranes
Assist with Rupture of Membranes
Fern Test
Nitrazine
Presence of Clonus
DTR's
Edema

Progression Of Labor

Assess Station/Dilation/Effacement
Determine Fetal Position/Presentation
Contraction Characteristics
Determination of Fetal Head Position
Documentation of Labor Status and Interventions
Labor Suppressants

Collect And Label Vaginal Cultures

Fluid
Herpes
Chlamydia
Group B Strep
Perform Leopold's Maneuvers
Amnioinfusion (assist or perform) for:
Variable Decelerations
Meconium
Prolapsed Cord
Vasa Previa
Catheter Insertion

Labor Assessment/procedures (Fetal):

Fetal Heart Rate - Doppler
Fetal Heart Rate - Auscultate

Fetal Heart Rate Patterns (Identify & Treat):

Variability
Variable Decelerations
Early Decelerations
Late Decelerations
Prolonged Decelerations
External Fetal Monitor Application
Internal Fetal Monitor Application (Assist)
Internal Fetal Monitor Application (Perform)
Spiral Electrode
Intrauterine Pressure Catheter (IUPC)
Placement
Calibration
Fluid Filled
Transducer Tipped

Delivery/c-section

Assist with Vaginal Delivery
Forceps Extraction
Vacuum Extraction
Assist with High Risk Delivery
Shoulder Dystocia
Hemorrhage/Shock
Emergency Delivery
Perineal Prep
Circulate for C-Section
Scrub for C-Section
Patient with General Anesthesia
Patient with Epidural Anesthesia
Circulate for Tubal Ligation
Scrub for Tubal Ligation
Assist with Placenta Delivery
Assist with Cervical Laceration Repair
Assist with Uterine Laceration Repair
Assist with Episiotomy Repair

Immediate Care Of Newborn In Delivery Room

Newborn Assessment

Ballard
Dubowitz
Finnegan/Abstinence Scoring
Apgar Scores

Initial Care

Bulb
Delee
Wall
Meconium Aspiration
Collect Cord Samples
Assist with UAC/UVC Insertion
Insertion of IV, Including Scalp IV
Radiant Warmer/Thermoregulation
Interventions for LGA, SGA, IUGR
Interventions for Infant of Diabetic Mother
Oxygen Administration
Bag/Mask Ventilation of the Newborn
Assist with Intubation
Transport Isolette
Heelstick Glucose

Postpartum Care

Fundal Height
Fundal Massage
Lochia
Episiotomy Care
Maternal Vital Signs
Recovering Post-Op C-Section Patient
Recovering Post-Op Tubal Ligation Patient
Fluid Balance
Assessment for DVT
Couplet Care
Breastfeeding

Newborn Care

Cord Care

Assist With Breastfeeding

Latch on
Positioning

Care Of The Infant With

Assist with Lumbar Puncture
Administration of IV Antibiotics
Drug Addiction/Withdrawal
Cystic Fibrosis
Meconium Aspiration
Pulmonary Edema
RDS
NEC
Cardiac Anomalies
Neuromuscular Disease
Spina Bifida
Seizure Activity
Tracheoesophageal Fistula
Sepsis
Sickle Cell Disease
Low Birth Weight Infants

Pain Management/anesthesia

Assess Pain Level/Acceptable Level of Pain
Intranasal Pain Medications
Oral Pain Medications
IV Pain Medications
PCA
IV Moderate/Conscious Sedation
Epidural Pain Management
Intervention for Anesthesia Toxicity

Assist With Epidural Insertion

Positioning of Patient
Signs of a Dural Puncture
Coaching Patient
Fluid Challenge
Hypotension
Intrathecal Narcotics

My Experience

Fetal Monitoring Course - Basic?
Fetal Monitoring Course - Intermediate?
Fetal Monitoring Course - Advanced?