OB/Labor and Delivery
Proficiency Scale
1 =
No Experience
2 =
Need Training
3 =
Able to perform with supervision
4 =
Able to perform independently
| Patient Rights | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Magnesium | |||||
| Pitocin | |||||
| Terbutaline | |||||
| Antibiotics | |||||
| Narcotics | |||||
| Hemabate | |||||
| Methergine | |||||
| Narcan | |||||
| Insulin | |||||
| Heparin |
| Maternity | Rating Stars (Click) | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|
| 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 | 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) |