Labor and Delivery

Information

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Assessment Section

Work Settings

✔ L and D *
★ ★ ★ ★ ★
✔ LDRP *
★ ★ ★ ★ ★
✔ Antepartum *
★ ★ ★ ★ ★
✔ Mother Baby *
★ ★ ★ ★ ★
✔ L and D *
★ ★ ★ ★ ★

Special Procedures

✔ Conduct Stress Test *
★ ★ ★ ★ ★
✔ General Anesthesia *
★ ★ ★ ★ ★
✔ Response to Pain Management *
★ ★ ★ ★ ★

Untitled Section

✔ Conduct Non-Stress Test *
★ ★ ★ ★ ★
✔ Assist with External Version *
★ ★ ★ ★ ★
✔ Assist with Umbilical Blood Sampling *
★ ★ ★ ★ ★
✔ Use of Nitrazine/Fern Test *
★ ★ ★ ★ ★

Pain Management

✔ Epidural Anesthesia *
★ ★ ★ ★ ★
✔ IUPC Placement/Monitoring *
★ ★ ★ ★ ★
✔ Spiral Electrode Placement *
★ ★ ★ ★ ★
✔ Identify, Document & Treat Abnormal FHR Patterns *
★ ★ ★ ★ ★

Fetal Monitoring

✔ External *
★ ★ ★ ★ ★
✔ Determine Fetal Position *
★ ★ ★ ★ ★
✔ Assess Contraction Characteristics *
★ ★ ★ ★ ★
✔ Assess Status of Membranes *
★ ★ ★ ★ ★
✔ Assess Station/Dilation/Effacement *
★ ★ ★ ★ ★
✔ Positioning *
★ ★ ★ ★ ★
✔ Leopold's Maneuver *
★ ★ ★ ★ ★
✔ Assess for Reflexes/Clonus *
★ ★ ★ ★ ★
✔ ladder Catheterization *
★ ★ ★ ★ ★
✔ Amnioinfusion (Assist or Perform) *
★ ★ ★ ★ ★
✔ Recognize Complications of AROM *
★ ★ ★ ★ ★

Labor Management

✔ Auscultate Fetal Heart Tones *
★ ★ ★ ★ ★
✔ Circulate Vaginal Delivery *
★ ★ ★ ★ ★
✔ Circulate C - Section *
★ ★ ★ ★ ★
✔ Scrub C - Section *
★ ★ ★ ★ ★

Delivery Management

✔ Delivery Table Set Up *
★ ★ ★ ★ ★
✔ PGAR Scores *
★ ★ ★ ★ ★
✔ Neonatal Vital Signs *
★ ★ ★ ★ ★
✔ Neonatal Resuscitation *
★ ★ ★ ★ ★
✔ Naso/Oropharyngeal Suctioning *
★ ★ ★ ★ ★
✔ Bulb Syringe Suction *
★ ★ ★ ★ ★

Neonatal Management

✔ Radiant Warmer *
★ ★ ★ ★ ★
✔ Asthma *
★ ★ ★ ★ ★
✔ Cardiac Disease *
★ ★ ★ ★ ★
✔ Chorioamnionitis *
★ ★ ★ ★ ★
✔ Diabetes *
★ ★ ★ ★ ★
✔ Pregnancy Induced Hypertension *
★ ★ ★ ★ ★
✔ HELLP *
★ ★ ★ ★ ★
✔ Hemolytic Anemia *
★ ★ ★ ★ ★
✔ Hemorrhage *
★ ★ ★ ★ ★
✔ HIV Positive *
★ ★ ★ ★ ★
✔ HBV Disease *
★ ★ ★ ★ ★
✔ Malpresentations *
★ ★ ★ ★ ★
✔ Multiple Gestation *
★ ★ ★ ★ ★
✔ Pre-Term Labor *
★ ★ ★ ★ ★
✔ Fetal Demise *
★ ★ ★ ★ ★
✔ Rh Disease *
★ ★ ★ ★ ★

Complications

✔ Placenta Previa/Abruptio *
★ ★ ★ ★ ★
✔ Cesarean Section *
★ ★ ★ ★ ★
✔ Anesthesia - General *
★ ★ ★ ★ ★
✔ Anesthesia - Spinal *
★ ★ ★ ★ ★
✔ Bladder Distention *
★ ★ ★ ★ ★
✔ Positioning *
★ ★ ★ ★ ★
✔ 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 *
★ ★ ★ ★ ★

Post Partum Care

✔ Vaginal Delivery *
★ ★ ★ ★ ★
✔ Antihypertensives *
★ ★ ★ ★ ★
✔ Antiseizure *
★ ★ ★ ★ ★
✔ Betamethasone *
★ ★ ★ ★ ★
✔ Insulin *
★ ★ ★ ★ ★
✔ Magnesium Sulfate *
★ ★ ★ ★ ★
✔ Methergine *
★ ★ ★ ★ ★
✔ Opioids and Reversal Agents *
★ ★ ★ ★ ★
✔ Pitocin *
★ ★ ★ ★ ★
✔ Terbutaline *
★ ★ ★ ★ ★

Medications

✔ Antibiotics/Antivirals *
★ ★ ★ ★ ★
✔ IV Management *
★ ★ ★ ★ ★
✔ Blood Product Administration *
★ ★ ★ ★ ★

IV Therapy

✔ Start IVs *
★ ★ ★ ★ ★
✔ 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 *
★ ★ ★ ★ ★

Newborn Care

✔ Newborn Assessment *
★ ★ ★ ★ ★
✔ 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 *
★ ★ ★ ★ ★

Professional Knowledge and Skills

✔ National Patient Safety Goals/Core Measures *
★ ★ ★ ★ ★
✔ Cerner *
★ ★ ★ ★ ★
✔ Eclipsys *
★ ★ ★ ★ ★
✔ McKesson *
★ ★ ★ ★ ★
✔ Meditech *
★ ★ ★ ★ ★
✔ Other Computerized System *
★ ★ ★ ★ ★
✔ Computerized Physician Order Entry *
★ ★ ★ ★ ★
✔ Bar Coding for Medication Administration *
★ ★ ★ ★ ★
✔ EMR Conversion *
★ ★ ★ ★ ★

EMR

✔ Epic *
★ ★ ★ ★ ★
✔ 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) *
★ ★ ★ ★ ★

Age Specific Competencies

✔ Infant (Birth - 1 year) *
★ ★ ★ ★ ★