Post Partum 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
  Couplet Care  
  Antepartum  
  Postpartum  
  Newborn Nursery  
  LDRP  
  POST PARTUM         Rating Stars (Click) 1 2 3 4
  Vaginal Deliver  
  Cesarian Section  
  Anesthesia - General  
  Anesthesia - Local  
  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  
  Tubal Ligation  
  ANTEPARTUM         Rating Stars (Click) 1 2 3 4
  Amniocentesis  
  Cardiac Disorders  
  Diabetes  
  Hyperemesis  
  Multiple Gestation  
  Non-Stress Test  
  PIH/HELLP  
  Placenta Previa/Abruptio  
  Post- Trauma  
  Pre-Term Labor/Premature Rupture of Membranes  
  Substance Abuse  
  FHM Interpretaton and Management  
  Fetal Assessment  
  Labor Assessment  
  Assist with Ultrasound  
  MEDICATIONS         Rating Stars (Click) 1 2 3 4
  Antibiotics/Antivirals  
  Antihypertensives  
  Antiseizure  
  Cervical Ripening Agents  
  Immunizations - Mother  
  Insulin  
  Magnesium Sulfate  
  Methergine  
  Opioids and Reversal Agents  
  Pitocin  
  Terbutaline  
  IV THERAPY         Rating Stars (Click) 1 2 3 4
  Starting Ivs  
  IV Management  
  Blood Product Administration  
  NEWBORN CARE         Rating Stars (Click) 1 2 3 4
  Newborn Assessment  
  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  
  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  
  Pressure Ulcer Risk Assessment/Prevention  
  Restraints/Use of Least Restrictive Device  
  Parent/Family Teaching  
  Age Specific/Population-Based Care  
  Isolation Precautions  
  Infection Prevention  
  Pain Assessment & Management - Adult  
  Pain Assessment & Management - Neonate  
  Charge Experience  
  Interpretation and Communication of Lab Values  
  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) 0  
  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  
  Other: Specify  
  Other: Specify  
  FHM - Other Specify