MATRIX PERSONNEL SERVICE, INC.
RN PROFICIENCY RECORD ( SKILLS CHECKLIST )
ANTEPARTUM/LABOR AND DELIVERY/POSTPARTUM

 


NAME DATE

E -MAIL ADDRESS

 

LEVEL OF PROFICIENCY
Theory - NO Experience
1
Minimal Experience
2
Competent and Experienced
3

SKILLS
1
2
3
CARE OF THE ANTEPARTUM PARTIENT
Substance Abuse
Asthma
Cardiac Disease
Pre-Eclampsia
Abruptio Placenta
Placenta Previa
PIH
Premature Labor
Malpresentation
Diabetes Mellitus
Infectious Disease
CARE OF THE LABORING PATIENT
Emergency Delivery
Assist with High-Risk Delivery
Vaginal Exams
Assist with Vaginal Delivery
CARE OF THE DELIVERING PATIENT
Forceps Vaginal Delivery
Circulate for C-Section
Scrub for C-Section
Abdominal Shave/Scrub Prep
Perineal Prep
Internal Monitor/Lead Connection and Calibration
Assist with Placement of Intrauterine Pressure Catheter
Assist with Fetal Scalp Blood Sampling
Fundal Assessment/Height
Use of Fetoscope/Doppler
Interpretation of Fetal Monitoring
Identify FHR Patterns
Pregnancy Induced Hypertension
Pre-eclampsia
Multi Gestation
Placenta Previa
Abruptio Placenta
Malpresentations
Premature Labor
Diabetes Mellitus
Infectious Disease
Sickle Cell Disease
RH Incompatibilities
HIV
Drug Addition/Withdrawal
Pitocin
Ritodrine
Magnesium Sulfate Therapy
Insulin Drips
CARE OF THE NEWBORN
Suctioning
Physical Exam
APGAR
Eye Prophylaxis
Collect Cord Specimens
Vitamin K Administration
Radiant Warmers
Weight
Apnea Monitoring
Phototherapy
Cord and Circumcision Care
POST-DELIVERY PATIENT
Fundus Consistency
Lochia
Perineal Care
Bladder Distention
Episiotomy
Post-Op C-Section
PAC Pump
Cardiac Disease
Neurological Disease
Tubal Ligation
Breast Feeding Teaching



Certification
Expiration Date
Certification
Expiration Date
ACLS
Other  
BLS
Other  
NRP
Other  


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