POST PARTUM/NURSERY NURSING KNOWLEDGE & SKILLS

CHECKLIST_______
NAME:       DESCRIPTION 1 2 3 4
ID #:       d. Foster parental-infant
DATE:       interaction/attachment
e. Insert catheter:
(1) Foley
This Skills Checklist is for use by nurses with more than (2) Straight
one year experience in their discipline and specialty. f. Post anesthesia care
Please be accurate with your assessment. (1) Epidural
DIRECTIONS: Please indicate your level of experience by (2) General
placing a check (√) in the box. Experience level: (3) Local
1 THEORY, NO PRACTIC (4) Spinal
2 INTERMITTENT EXPERIENCE-requires supervision/ g. g. Post Cesarean care
h. Teach and assist with:
assistance
(1) Breastfeed/parent education
3 1-2 YEARS EXPERIENCE
(a) Latch-on procedures
4 2+ YEARS EXPERIENCE
(b) Positioning
(c) Use of electric breast pump
DESCRIPTION 1 2 3 4 (d) Use of manual breast pump
POST PARTUM INTERVENTIONS (2) Formula preparation & feeding
1. Assessment: (3) Infant care restraint systems
a. Bladder distention (4) Infant caretaking skills
b. Breast engorgement (5) Perineal care
c. DVT (deep vein thrombosis) (6) Sitz bath
d. Episiotomy 4. Care of the patient with:
e. Fluid balance b. a. Asthma
f. Fundal Height b. Cardiac disease
g. GI function post anesthesia c. Cesarean section
h. Lochia amount c. d. Diabetes mellitus
i. Maternal vital signs e. Infectious disease
j. Parental/infant interaction/ f. Known substance abuse
attachment d. g. Multiple births
k. Perineum h. Post tubal ligation
(1)Hematoma i. Pregnancy induced
(2)Hemorrhoids hypertension/preeclampsia
2. Interpretation of lab results: e. j. Spontaneous vaginal delivery
a. a. Check urine for: 5. 5. Medications
(1)Glucose a. Antibiotics
(2)Ketones b. Diluted oxytocin infusion
(3)Protein c. IM administration
(4)Specific gravity d. Rhogam administration/teaching
3. Equipment & procedures: e. SC medications, including narcotics
a. a. Adult cardiopulmonary resuscitation NORMAL NEONATAL CARE
b. Contraceptive counseling 1. Assessment:
c. Discharge teaching a. Ballard scale

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 POST PARTUM/NURSERY NURSING KNOWLEDGE & SKILLS
CHECKLIST_______
b. Circumference
NAME:       (3) Heparin lock
ID #:       DESCRIPTION 1 2 3 4
DATE:       2. Care of the patient with:
a. Central line/catheter/dressing
b. Peripheral line/dressing
DESCRIPTION 1 2 3 4 PAIN MANAGEMENT
NORMAL NEONATAL CARE (CONT) 1.Assessment of pain level/tolerance
c. Dubowitz scale 2. Care of the patient with:
d. Length a. Epidural anesthesia/analgesia
e. Neonatal jaundice b. IV conscious sedation
f. Reflexes c. Patient controlled analgesia (PCA
g. Vital signs pump)
h. Weight COMPUTERIZED CHARTING
2. Equipment & procedures 1. Cerner
a. Administer injections to neonate 2. Eclipsys
b. Assist with circumcision 3. Epic
(1) Assess site post op 4. McKesson
(2) Teach circumcision care to parents 5. Meditech
c. Bathe infant 6. Other:
d. Culture suspect infectious neonate
e. Discharge procedure
f. Incubator/isolettes
g. Infant identification
h. Monitor bladder and bowel patterns
(1) Obtain urine specimens via
specimen bag
(2) Test stool for blood, reducing
substances
i. Neonate cardiopulmonary
resuscitation
j. Phototherapy
k. Thermo-neutral environment to
prevent cold stress
PHLEBOTOMY/IV THERAPY
1. Equipment & procedures
b. a. Administration of blood/blood products
(1) Packed red blood cells
(2) Plasma/albumin
(3) Whole blood
b. Drawing blood from central line
c. Drawing venous blood
d. Starting IVs
(1) Angiocath
(2) Butterfly

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 POST PARTUM/NURSERY NURSING KNOWLEDGE & SKILLS
CHECKLIST_______

Name:       MY EXPERIENCE IS PRIMARILY IN:

Please check the boxes below for each age group for COUPLET (mother/baby)       years
which you have expertise in providing age-appropriate NEWBORN NURSERY       years
nursing care. POST PARTUM       years

A. Newborn/Neonatal (birth – 30 days) I HAVE CURRENT CERTIFICATIONS FOR:

B. Infant (30 days – 1 year)
C. Toddler (1 – 3 years) TYPE EXPIRATION DATE (MM/DD/YY)
D. Preschool (3 – 5 years) ARRHYTHMIA      
E. School Age Children (5 – 12 years) CRITICAL CARE      
F. Adolescent (12 – 18 years) ACLS      
G. Young Adults (18 – 39 years) BLS      
H. Middle Adults (40 – 64 years) TNCC      
I. Older Adults (64 + years) NRP      
PALS      
EXPERIENCE WITH AGE GROUPS: NALS      
1. Able to assess age appropriate behavior, motor skills BTLS      
and physiological norms. CCRN      
Other            
A B C D E F G H I Other            

2. Able to adapt care according to normal growth and The information I have provided in this knowledge and
development. skills checklist it true and accurate to the best of my
knowledge.
A B C D E F G H I
           
Signature (Written/Electronic) Date
3. Able to communicate and instruct patient according to ID #:      
their age, maturity and comprehension ability.
This skills checklist has been reviewed and approved by
A B C D E F G H I Nicole Bloxham, RN.

           
4. Able to provide a safe environment according to the Signature (Written/Electronic) Date
specific needs of various age groups. ID #:      

A B C D E F G H I Please return to: Northwest Nurse Staffing Company, PA

ATTN: Records Dept.
Fax: (866) 352-4338

Email: records@nns-ic.com

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