* = Required Information
Labor & Delivery Skills Checklist
A = Able to perform without any supervision
B = Perform Infrequently (would require some supervision)
C = No Experience
Medication Administration:
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
Intervention During Delivery:
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
Intervention During Delivery:
A B C
A B C
A B C
A B C
A B C
A B C
Obstetric Techniques & Procedures:
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
OB Techniques & procedures Cont'd
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
Postpartum Assessment:
A B C
A B C
A B C
A B C
A B C
A B C
Provide Intrapartum Care to Women With: With:
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
Immediate Care of Infant Post Birth: Assign Apgar Scores
A B C
A B C
A B C
A B C
A B C
A B C
A B C
IV Therapy:
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
Postpartum intervention:
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
Aseptic Technique Relaltiv
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
A B C
The information I have given is true and accurate to the best of my knowledge. I hereby authorize PACE Medical Staffing, Inc. to release this list to client health care facilities of Pace Medical Staffing, Inc.