Antepartum/Postpartum Nursery

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Antepartum/Postpartum/Nursery Skills Checklist

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1 - 2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

AGE OF PATIENTS CARED FOR

Newborn/Neonate (birth to 30 days)

1

2

3

Infant (31 days to 12 months)

1

2

3

Toddler/Preschool (13 months to 5 years)

1

2

3

School Age Child/adolescent (6 years to 18 years)

1

2

3

Young Adults/Middle Adult (19 years to 64 years)

1

2

3

Older Adults/Elderly (65+ years)

1

2

3

Automated Med Dispensing Systems

Accudose

Omnicell

Pyxis

Metro

Promanager Rx

N/A

Other Automated Med Dispensing Systems:

Electronic Documentation

Allscripts

eCLinicalWorks

McKesson

Soarian

Care360

EPIC

Meditech

N/A

Cerner

MACLAB

PACS

Knowledge of "Do Not Use Abbreviations"

1

2

3

GENERAL SKILLS

Care of Patient in Restraints

1

2

3

IV Pumps

Alaris

Alibaba

Bard

Baxter

Braun

CADD

IVAC

Zynomed

N/A

Other IV Pumps:

Peripheral IV Insertion, Care and Maintenance

1

2

3

Access/Management of Implanted Ports

1

2

3

Access/Management of Central Lines (CVL, Hickman, Broviac, Groshong, etc.)

1

2

3

Access/Management of Implanted Ports

1

2

3

PCA/Epidural pumps

1

2

3

Titration of drips

1

2

3

Administration of Blood/Blood Products

1

2

3

Infant/Neonatal Cardiac/Respiratory Arrest

1

2

3

Adult Respiratory/Cardiac Arrest

1

2

3

Care of Patient in Restraints

1

2

3

Knowledge of "Do Not Use Abbreviations"

1

2

3

Do you have charge/supervisor experience?

Yes

No

Knowledge of current Joint Commission National Patient Safety Goals

1

2

3

Knowledge/familiarity with HCAHPS scores

1

2

3

ANTEPARTUM ASSESSMENT/CARE

Non Stress Test

1

2

3

Fetal Heart Rate Interpretation and Management

1

2

3

Contraction Patterns

1

2

3

Preterm Labor

1

2

3

Premature Rupture of Membranes

1

2

3

Cardiac disease

1

2

3

Diabetes

1

2

3

PIH/HELLP

1

2

3

Placenta Previa/Abruptio

1

2

3

Fetal Assessment

1

2

3

Labor Assessment

1

2

3

Substance abuse

1

2

3

Hyperemesis

1

2

3

Multiple births

1

2

3

MEDICATIONS KNOWLEDGE AND USE OF

Oxytocin/Pitocin

1

2

3

Terbutaline

1

2

3

Magnesium Sulfate

1

2

3

Cervical Ripening Agents

1

2

3

POST PARTUM MATERNAL ASSESSMENT/CARE

Vital Signs/Pulse Oximetry

1

2

3

Care of Post-Op Tubal Ligation Patient

1

2

3

Care of Post C-section Patient

1

2

3

Care of Post Vaginal Delivery Patient

1

2

3

Care of Patient with Postpartum Hemorrhage

1

2

3

Care of Patient with Fetal Demise

1

2

3

Care of patient with epidural

1

2

3

Post anesthesia care (Epidural, General, Local, Spinal)

1

2

3

Breast Care

1

2

3

Fundal Assessment

1

2

3

Lochia Assessment

1

2

3

Episiotomy Assessment/Care

1

2

3

Perineum Assessment/Care

1

2

3

Bowel Function Assessment

1

2

3

Bladder distention Assessment

1

2

3

Insertion of catheter (foley or straight)

1

2

3

Assessment for DVT

1

2

3

POSTPARTUM CARE OF THE MOTHER WITH

Asthma

1

2

3

Cardiac disease

1

2

3

Diabetes

1

2

3

PIH

1

2

3

Substance abuse

1

2

3

Infectious disease

1

2

3

Multiple births

1

2

3

NEWBORN ASSESSMENT/CARE

Infant identification

1

2

3

Vital signs

1

2

3

Length/Weight/Chest/Head

1

2

3

Ballard scale score

1

2

3

Dubowitz scale score

1

2

3

Administer injections to neonate

1

2

3

Bathe infant

1

2

3

Reflexes

1

2

3

Thermal-neutral environment to prevent stress

1

2

3

Incubator/Isolettes

1

2

3

Respiratory Distress

1

2

3

Bulb Suction

1

2

3

Monitor bladder and bowel patterns

1

2

3

Bonding Behaviors (Mother/Infant)

1

2

3

Assist with circumcision

1

2

3

Assess post op circumcision

1

2

3

CARE OF THE INFANT WITH

Possible Infectious Process

1

2

3

Neonatal Jaundice/Phototherapy

1

2

3

Drug Addiction/Withdrawal

1

2

3

Temperature Regulation Problems

1

2

3

PHLEBOTOMY AND IV THERAPY

Insertion, Care and Maintenance of Peripheral IV

1

2

3

Care of the patient with central line

1

2

3

Drawing venous blood

1

2

3

Heelstick

1

2

3

Drawing blood from central line

1

2

3

Administration of Blood/Blood Products

1

2

3

MEDICATIONS KNOWLEDGE AND USE OF

Antibiotics

1

2

3

Insulin (IV and SQ)

1

2

3

Oxytocin

1

2

3

Rhogam

1

2

3

Analgesics

1

2

3

Reversal Agents

1

2

3

PCA for Analgesia

1

2

3

POSTPARTUM CARE OF THE MOTHER WITH

Breastfeeding

1

2

3

Latch-on procedures

1

2

3

Positioning

1

2

3

Use of electric breast pump

1

2

3

Use of manual breast pump

1

2

3

Formula preparation and feeding

1

2

3

Infant caretaking skills

1

2

3

Teach circumcision care to parents

1

2

3

Contraceptives

1

2

3

Discharge Planning and Infant Requirements

1

2

3

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