ADEX Medical Staffing - Mother & Baby Skills Checklist

Mother & Baby Skills Checklist

This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application for employment with ADEX Medical Staffing, LLC.

Proficency Scale:

1 = No Experience - Theory only

2 = Limited Experience - Infrequent

3 = Moderate Experience - Able to perform independently

4 = Proficient - Able to perform proficiently and instruct

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Care of the Newborn	1	2	3	4
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	1	2	3	4
Reflexes
Skin Care -Bathe
Test Stool for Blood
ThermoNeutral Environment
Urine Output/Collect Specimens
Vital Signs
Weight

Postpartum Assessment	1	2	3	4
Bladder Distention
Breast Engorgement
Deep Vein Thrombosis
Edema
Fundus Consistency/Location

Meds/IV Therapy (Mother)	1	2	3	4
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	1	2	3	4
Administer Blood/PRBC's
Administer Plasma/Albumin
Antibiotics
Assess Pain Level
Care of Central Line
Discontinue Peripheral IV's
Draw Blood From Central Line
Draw Perip. Blood for Labs
Heparin
Oxytocin induction/augmentation

Postpartum Care	1	2	3	4
Maternal History
Maternal Vital Signs
Lochia
Manage Postpartum Pain
Perineum

Initiate Post-Anesthesia Care	1	2	3	4
Adult CPR / Assist with Code
Apply Ice to Perineum
Blood Glucose Monitoring
C-Section Incision Care
Epidural
Episiotomy Care
General
Insert Straight/Foley Catheter
Intake and Output
Provide/Instruct Perineal Care
Pulse Oximetry Setup/Monitoring
Sitz Baths
Spinal
Urine Dipstick
Vital Sign Monitoring

Care of Patient with	1	2	3	4
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
Conscious Sedation
Epidural Anesthesia
Patient Controlled Anesthesia (PCA)

Age Specific Competency	1	2	3	4
Newborn (birth-30 days)
Infant (30 days-1 yrs)
Toddler (1-3 yrs)
Preschooler (3-5 yrs)
School Age (5-12 yrs)
Adolescents (12-18 yrs)
Young Adults (18-39 yrs)
Middle Adults (39-64 yrs)
Older Adults (64 yrs +)

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The information represented above is true and correct to the best of my knowledge. I authorize ADEX Medical Staffing, LLC to share this skills checklist with its clients.
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Form Reviewed by ADEX Clinician - 10/14/2009