Labor and Delivery Checklist


Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Total Stars:

Obtained Stars:

Ranking: 0%

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

  WORK SETTINGS         Rating Stars (Click) 1 2 3 4
  L and D  
  LDRP  
  Antepartum  
  Mother Baby  
  ANTEPARTUM         Rating Stars (Click) 1 2 3 4
  Diabetes  
  Fetal Demise  
  HELLP Syndrome  
  Hyperemesis  
  Immunologic Disorder  
  Infectious Disease  
  Multiple Gestation  
  Placenta Previa/Abruptio  
  Pre-Term Labor  
  Premature Rupture of Membranes  
  SPECIAL PROCEDURES         Rating Stars (Click) 1 2 3 4
  Conduct Stress Test  
  Conduct Non-Stress Test  
  Assist with External Version  
  Assist with Umbilical Blood Sampling  
  Use of Nitrazine/Fern Test  
  PAIN MANAGEMENT         Rating Stars (Click) 1 2 3 4
  Epidural Anesthesia  
  General Anesthesia  
  Spinal Anesthesia  
  Response to Pain Management  
  FETAL MONITORING         Rating Stars (Click) 1 2 3 4
  External  
  IUPC Placement/Monitoring  
  Spiral Electrode Placement  
  Identify  
  Document & Treat Abnormal FHR Patterns  
  LABOR MANAGEMENT         Rating Stars (Click) 1 2 3 4
  Auscultate Fetal Heart Tones  
  Determine Fetal Position  
  Assess Contraction Characteristics  
  Assess Status of Membranes  
  Assess Station/Dilation/Effacement  
  Positioning  
  Leopold\'s Maneuver  
  Assess for Reflexes/Clonus  
  Bladder Catheterization  
  Amnioinfusion (Assist or Perform)  
  Recognize Complications of AROM  
  DELIVERY MANAGEMENT         Rating Stars (Click) 1 2 3 4
  Delivery Table Set Up  
  Circulate Vaginal Delivery  
  Circulate C - Section  
  Scrub C - Section  
  NEONATAL MANAGEMENT         Rating Stars (Click) 1 2 3 4
  Radiant Warmer  
  APGAR Scores  
  Neonatal Vital Signs  
  Neonatal Resuscitation  
  Naso/Oropharyngeal Suctioning  
  Bulb Syringe Suction  
  COMPLICATIONs         Rating Stars (Click) 1 2 3 4
  Placenta Previa/Abruptio  
  Asthma  
  Cardiac Disease  
  Chorioamnionitis  
  Diabetes  
  Pregnancy Induced Hypertension  
  HELLP  
  Hemolytic Anemia  
  Hemorrhage  
  HIV Positive  
  HBV Disease  
  Malpresentations  
  Multiple Gestation  
  Pre-Term Labo  
  Fetal Demise  
  Rh Disease  
  POST PARTUM CARE         Rating Stars (Click) 1 2 3 4
  Vaginal Delivery  
  Cesarean Section  
  Anesthesia - General  
  Anesthesia - Spinal  
  Bladder Distention  
  Breast Milk Collection and Storage  
  Breast Pump  
  Breastfeeding - Latch Score  
  Breastfeeding - Supplemental Feeding  
  Breastfeeding Support  
  Contraceptive Education  
  Epidural/PCA  
  Homan\'s Sign  
  Multiple Births  
  Parent/Infant Interaction/Attachment  
  Post Partum Hemorrhage  
  Pregnancy Induced Hypertension  
  MEDICATIONS         Rating Stars (Click) 1 2 3 4
  Antibiotics/Antivirals  
  Antihypertensives  
  Antiseizure  
  Betamethasone  
  Insulin  
  Magnesium Sulfate  
  Methergine  
  Opioids and Reversal Agents  
  Pitocin  
  Terbutaline  
  IV THERAPY         Rating Stars (Click) 1 2 3 4
  Start Ivs  
  IV Management  
  Blood Product Administration  
  NEWBORN CARE         Rating Stars (Click) 1 2 3 4
  Newborn Assessment  
  Infant Vital Signs  
  Ballard Scale/Dubowitz  
  Car Seat Education  
  Circumcision Care/Teach to Parents  
  Cord Care/Teach to Parents  
  Immunizations - Infant  
  Infant Caretaking Skills  
  Infant Identification and Security  
  Metabolic Screen  
  Jaundice/Bilirubin  
  Phototherapy  
  Thermoregulation  
  PROFESSIONAL KNOWLEDGE AND SKILLS         Rating Stars (Click) 1 2 3 4
  National Patient Safety Goals/Core Measures  
  Experience in a Baby Friendly Facility  
  Fall Risk Assessment/Prevention  
  Restraints/Use of Least Restrictive Device  
  Parent/Family Teaching  
  Age Specific/Population-Based Care  
  Isolation Precautions  
  Infection Prevention  
  Charge Experience  
  Interpretation and Communication of Lab Values  
  EMR         Rating Stars (Click) 1 2 3 4
  Epic  
  Cerner  
  Eclipsys  
  McKesson  
  Meditech  
  Other Computerized System  
  Computerized Physician Order Entry  
  Bar Coding for Medication Administration  
  EMR Conversion  
  Age Specific Competencies         Rating Stars (Click) 1 2 3 4
  Infant (Birth - 1 year)  
  Preschooler (ages 2-5 years)  
  Childhood (ages 6-12 years)  
  Adolescents (ages 13-21 years)  
  Young Adults (ages 22-39 years)  
  Adults (ages 40-64 years)  
  Older Adults (ages 65-79 years)  
  Elderly (ages 80+ years)