RN - OBSTETRICS /GYNAECOLOGY Checklist

NAME

LAST 4 OF SSN

Date of application

E-MAIL

I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

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.

Ranking: 0%

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

GYNAECOLOGY	Rating Stars (Click)	1	2	3	4
Management
Abortion
Ectopic pregnancy
Genito-urinary Tract Infection
Infertility
Perineal Repairs
Uterine and ovarian tumorsfibroids
Utero-vaginal prolapse
OBSTETRICS	Rating Stars (Click)	1	2	3	4
Management
Antepartum hemorrhage
Caesarian section
Elective
Emergency
Cervical suture
High Risk Pregnancy:
Communicable Dieseases with Pregnancy
Gestational diabetes
Grand multiparity
Pregnancy induced hypertension (Pre-eclampsia
eclampsia)
Polyhydramnios
Intrauterine death
Intrauterine growth retardation
Hyperemesis gravidarum
Normal pregnancy
Normal spontaneous delivery
Perineal block
Head to Toe Physical Examination of pregnant Woman
Post instrumental delivery
Post-Partum hemorrhage
Premature rupture of Membranes
Knowledge of Drugs commonly used in Obstetrics
Foetal Monitoring Techniques
Assess and Manage Newborn
Initiation and Maintenance of CPR
Suctioning of airways
Mask and bagging Technique
Dosage and administration of resuscitation drugs (bicarb
adrenaline
narcan
etc)
Perform initial critical newborn management
Maintenance of body temperature
Resuscitation
Perform complete examination of the newborn
Collection of Cord Blood for TSH
Teach mother to breast feed
Assist with Ante-natal classes and Post-natal exercises
CERTIFICATION	Rating Stars (Click)	1	2	3	4
BLS
ACLS
NRP
PALS
IV THERAPY