Mother/Baby Skills Checklist | Health Hybrid Medical Staffing

Date:*

Name: (First, MI, Last)*

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Care of the Newborn

Ballard Scale*

Blood Glucose Monitoring*

Bulb Suction*

Circumcision Care*

Circumferences*

Collect Heelstick Blood Samples*

Cord Care*

CPR - Neonate*

Culture Suspect Infectious Neonate*

Discharge Procedures*

Dubowitz Scale*

Eye Prophylaxis*

Identifying Infant*

Incubator/Isolettes*

Jaundice/Phototherapy Treatment*

Length*

Mother/Baby Skills Self Evaluation*

Newborn Assessment*

Reflexes*

Skin Care - Bathe*

Test stool for Blood*

ThermoNeutral Environment*

Urine Output/Collect Specimens*

Vital Signs*

Weight*

Postpartum Assessment

Bladder Distention*

Breast Engorgement*

Deep Vein Thrombosis*

Edema*

Fundus Consistency/Location*

Meds/IV Therapy (Mother)

Administer IM & SQ Meds*

Administer IV Medications*

Administer PO Medications*

Administer RhoGAM*

Mix IV Infusion w/ Additives*

Needle-Less Systems*

Neonatal Injections*

Peripheral IV Insertion*

Use of Heparin/Saline Locks*

Administer/Monitor IV Infusions

Administer Blood/PRBC's*

Administer Plasma/Albumin*

Antibiotics*

Asses Pain Level*

Care of Central Line*

Discontinue Peripheral IV's*

Draw Blood From Central Line*

Draw Perip. Blood for Labs*

Heparin*

Oxytocin induction/augmentation*

Care of Patient with

Conscious Sedation*

Epidural Anesthesia*

Patient Controlled Anesthesia (PCA)*

Postpartum Care

Maternal History*

Maternal Vital Signs*

Lochia*

Manage Postpartum Pain*

Perineum*

Initiate Post-Anesthesia Care

Adult CPR / Assist with Code*

Apply Ice to Perineum*

Blood Glucose Monitoring*

C-Section Incision Care*

Epidural*

Episiotomy Care*

General

Inset Straight/Foley Catheter

Intake and Output

Provide/Instruct Perineal Care

Pulse Oximetry Setup/Monitoring

Sitz Baths

Spinal

Urine Dipstick

Vital Sign Monitoring

Care of the Patient with

Assist/Instruct Bottlefeeding*

Assist/Instruct Breastfeeding*

Assist/Instruct Use of Breast Pumps*

Asthma*

Cardiac Disease*

Contraceptive Counseling*

Diabetes*

Discharge Teaching*

Family-Centered Maternity Care*

Infant Safety / Car Seats*

Infectious Disease*

Known Substance Abuse*

Multiple Births*

Parent/Infant Bond*

Post-Tubal Ligation*

Pregnancy Induced HTN/Preeclampsia*

My experience is primarily in the following settings

Labor & Delivery: Deliveries

Labor & Delivery: Month

LDRP: Deliveries

LDRP: Month

Antepartum: Deliveries

Antepartum: Month

Mother/Baby: Deliveries

Mother/Baby: Month

LD-OR: Deliveries

LD-OR: Month

Other: Deliveries

Other: Month

Certifications/Licensures/Registrations:

ACLS:

BLS:

AWHONN Fetal Monitoring - Intermediate:

AWHONN Fetal Monitoring - Advanced:

Other

NRP:

S.T.A.B.L.E.:

Areas of Expertise:

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