| CRITERIA |
SCORE |
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|
| ANTEPARTUM |
| Assessment | |
| Assess for comfort |
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| Breathing/relaxation techniques |
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| Coaching |
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| Positioning |
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| Equipment & Procedures | |
| Catheter insertion |
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| Foley catheter |
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| Straight catheter |
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| Delivery table set-up | |
| Amniotic fluid index |
|
| Assist with sonogram |
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| Biophysical profile |
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| Perform sonogram |
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| LABOR ASSESSMENT |
| Fetal assessment | |
| Auscultation of fetal heart rate |
|
| Doppler |
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| Fetoscope |
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| Determine fetal position |
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| Document FHR patterns |
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| Identify normal & treat abnormal FHR patterns | |
| Baseline |
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| Early decelerations |
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| Late decelerations |
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| Prolonged decelerations |
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| Variability |
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| Variable decelerations |
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| Maternal Assessment | |
| Deep tendon reflexes (DTR's) |
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| Edema |
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| Norms for prenatal vital signs |
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| Perform admission risk assessment |
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| Presence of clonus |
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| Progression of Labor | |
| Contraction characteristics |
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| Dilation |
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| Effacement |
|
| Fetal presentation/position |
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| Station |
|
| Status of membranes |
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| Sterile speculum exam |
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| Vaginal exam |
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| Rupture of membranes | |
| Fern test |
|
| Nitrazine |
|
| Equipment & Procedures | |
| Amnion fusion (assist or perform) | |
| For meconium |
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| For variable decelerations |
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| Artificial rupture of membranes (assist) | |
| Prolapsed cord |
|
| Recognize potential complications |
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| Vasa Previa |
|
| Collect blood/urine specimens |
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| Collect vaginal cultures | |
| Chlamydia |
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| Fluid |
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| Group B Strep |
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| Herpes |
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| Document labor status/assessment & interventions | |
| Anticonvulsants |
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| Labor suppressants |
|
| External fetal monitor application | |
| Doppler |
|
| Phono or abdominal, ECG transducer |
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| Tocotransducer, ultrasound |
|
| Internal monitoring (assist or perform insertion) | |
| Intrauterine pressure catheter |
|
| Fluid filled |
|
| Transducer tipped |
|
| Spiral electrode |
|
| Medications | |
| Administer IM/SC |
|
| Administer IV meds/monitor IV drips | |
| Antibiotics |
|
| Antihypertensive |
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| Heparin |
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| Magnesium sulfate |
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| Narcotics |
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| Oxytocin |
|
| Assist with prostin gel |
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| Cervidil insertion |
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| Use of Cytotec |
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| Use of prostin suppositories |
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| COMPLICATIONS OF PREGNANCY |
| Assessment | |
| Identify common arrhythmias |
|
| Normal cardiac rhythms |
|
| Patient education - fetal movement counts |
|
| Equipment & Procedures | |
| Assist with external version |
|
| Assist with fetal scalp sampling |
|
| Assist with percutaneous umbilical sampling |
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| Circulate for Cesarean delivery |
|
| Circulate, scrub for bilateral tubal ligation |
|
| Conduct contraction stress test | |
| Breast stimulation |
|
| Oxytocin challenge |
|
| Conduct non-stress test | |
| Stimulate fetus |
|
| Vibroacoustic stimulation |
|
| Draw umbilical blood samples |
|
| Glucose reflectometer |
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| Lines/monitoring | |
| Central venous lines |
|
| Invasive hemodynamic monitoring |
|
| PICC lines |
|
| Pulmonary artery catheters |
|
| Scrub for Cesarean delivery |
|
| Set-up Cesarean deliver |
|
| Care of the patient with | |
| Abruptio placenta |
|
| Asthma |
|
| Cardiac disease |
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| Chorioamnionitis |
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| Chronic hypertension |
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| Collegen vascular disease |
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| Diabetes |
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| Eclampsia |
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| HBV |
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| HELLP syndrome |
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| Hemolytic anemias |
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| Hemmorrhage |
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| HIV positive |
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| Hypertension |
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| Malpresentations |
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| Multiple gestation |
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| Other infections |
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| Placenta previa |
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| Preeclampsia |
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| Premature labor |
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| Pyelonephritis |
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| RH disease |
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| Sickle cell disease |
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| Medcications | |
| Indomethacin |
|
| Insulin |
|
| Magnesium sulfate |
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| Procardia |
|
| Ritodrine |
|
| Terbutalint | |
| IV |
|
| PO |
|
| Pump |
|
| SC |
|
| INTERVENTIONS DURING PREGNANCY |
| Cesarean Section |
|
| Forceps vaginal delivery |
|
| Monitor patients with anesthesia | |
| General anesthesia |
|
| Regional anesthesia |
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| Epidural |
|
| Local infiltration |
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| Spinal |
|
| Spontaneous vaginal delivery |
|
| Vacuum extraction delivery |
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| INFANT INTERVENTIONS POST DELIVERY |
| Assessment | |
| Apgar scoring |
|
| Initial vital signs |
|
| Intervention/risk factors for | |
| IDM |
|
| LGA, SGA, IUGR |
|
| Newborn physical assessment | |
| Ballard |
|
| Dubowitz |
|
| Finnegan scoring |
|
| Equipment & Procedures | |
| Assist with initial breast feeding |
|
| Assist with interventions for meconium staining |
|
| Bath-perform and teach |
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| Cardiac-respiratory monitor placement |
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| Circumcision care |
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| Cord Care |
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| Discharge teaching |
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| Heelstick glucose determination |
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| Infant identification |
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| Neonatal resuscitation |
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| Obtain hemotocrit |
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| Obtain neonatal toxicology screen |
|
| Phototherapy |
|
| Promote bonding behaviors |
|
| Suctioning | |
| Bulb |
|
| Delee |
|
| Wall |
|
| Medications | |
| Eye prophylazis |
|
| Vitamin K |
|
| POST PARTUM INTERVENTIONS |
| Assessment | |
| Bladder distention |
|
| Breast feeding | |
| Latch-on |
|
| Positioning |
|
| DVT (Deep vein thrombosis) |
|
| Episiotomy |
|
| Fluid balance |
|
| Fundal height |
|
| Fundal massage |
|
| Lochia amount |
|
| Maternal vital signs |
|
| PHLEBOTOMY/IV THERAPY |
| Equipment & Procedures | |
| Administration of blood/blood products | |
| Cryoprecipitate |
|
| Packed red blood cells |
|
| Plasma/albumin |
|
| Whole blood |
|
| Drawing blood from central line |
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| Drawing venous blood |
|
| Starting IV's | |
| Angiocath |
|
| Butterfly |
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| Heparin lock |
|
| Care of the Patient with | |
| Central line/catheter/dressing |
|
| Peripheral line/dressing |
|
| PAIN MANAGEMENT & ANESTHESIA |
| Assessment of pain level/tolerance | |
| Care of Patient with | |
| Epidural anesthesia/analgesia |
|
| IV Conscious sedation |
|
| Patient controlled analgesia (PCA pump) |
|
| Assist with delivery of anesthesia | |
| Anesthesia toxicity |
|
| Coaching patient |
|
| Epidural block |
|
| Fluid challenge |
|
| Hypotension |
|
| Intrathecal narcotics |
|
| Intravascular injection |
|
| Positioning patients |
|
| Signs/symptoms of dural puncture |
|
| Spinal anesthesia |
|
| Documentation of anesthesia | |
| Computer |
|
| Flowchart |
|