OB/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

Patient Rights

  • ✔ Communicates and obtains information while respecting the rights and privacy and confidentiality of information *
  • ✔ Involves the patient and family and respects their role in determining the nature of care to be provided, including Advanced Directives *
  • ✔ Complies with nursing staff responsibility included in the hospital policy related to Organ Donation *
  • ✔ Meets patient and families needs regarding communication, including interpreter services *
  • ✔ Provides accurate information to patient and families in a timely manner *

Labor and Delivery

  • ✔ Assess cervical dilation *
  • ✔ Assess labor status *
  • ✔ Speculum examination *
  • ✔ Obtaining vaginal/cervical cultures *
  • ✔ Application of external ECG/TOCO EFM *
  • ✔ Application of internal ECG *
  • ✔ Interpretation of external/internal ECG *
  • ✔ Assisting with insertion of IUPC *
  • ✔ Conducting NST/BSST *
  • ✔ IV insertion *
  • ✔ Pitocin Titration for induction/augmentation *
  • ✔ Assist with epidural *
  • ✔ Assist/monitor amnioinfusion *
  • ✔ Assist with scalp pH test *
  • ✔ Assist with vacuum delivery *
  • ✔ Assist with forceps delivery *
  • ✔ Assist with vaginal delivery *
  • ✔ Circulate for cesarean section delivery *
  • ✔ Emergency cesarean section set up *
  • ✔ Assist with twin deliveries *
  • ✔ Assist with breech *
  • ✔ Management of D&C *
  • ✔ Management of fetal demise/stillborn *
  • ✔ Adoption procedures *
  • ✔ Management of diabetic mother *
  • ✔ Diabetic mother *
  • ✔ PIH *
  • ✔ Pre-eclamptic *
  • ✔ Preterm labor *
  • ✔ Prolapsed cord *
  • ✔ Abruption *
  • ✔ Placenta previa *
  • ✔ Retained placenta *
  • ✔ Herpes *
  • ✔ Uterine prolapse *
  • ✔ Hemorrhage *
  • ✔ Shoulder dystocia *
  • ✔ DIC *
  • ✔ Accretia *
  • ✔ Episiotomy *
  • ✔ Delivery table set-up *

Medications

  • ✔ Magnesium *
  • ✔ Pitocin *
  • ✔ Terbutaline *
  • ✔ Antibiotics *
  • ✔ Narcotics *
  • ✔ Hemabate *
  • ✔ Methergine *
  • ✔ Narcan *
  • ✔ Insulin *
  • ✔ Heparin *

Maternity

  • ✔ Obtain cord blood gas *
  • ✔ Postpartum care *
  • ✔ Nipple care *
  • ✔ Episiotomy care *
  • ✔ PIH *
  • ✔ Pre-eclamptic *
  • ✔ Postpartum hemorrhage *
  • ✔ Care of newborn *
  • ✔ Breastfeeding *
  • ✔ Bottle feeding *
  • ✔ Infant formulas *
  • ✔ D10W *
  • ✔ PKU Testing *
  • ✔ Stabilize/admit to nursery *
  • ✔ Care of newborn with anomaly *
  • ✔ Heel sticks/dorsal sticks *
  • ✔ Blood glucose monitoring *
  • ✔ Phototherapy *
  • ✔ Set up/care of newborn receiving phototherapy *
  • ✔ Set up/assist with circumcision *
  • ✔ Discharge of mother/baby *

Age Specific Competencies

  • ✔ 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) *