Area |
Not Applicable |
Inexperienced |
Limited |
Experienced |
Highly Experienced |
ALabor and Delivery |
Cervical dilation and changes |
N/A
|
1
|
2
|
3
|
4
|
Cervical effacement and changes |
N/A
|
1
|
2
|
3
|
4
|
Duration, frequency, and quality of contractions |
N/A
|
1
|
2
|
3
|
4
|
Vaginal delivery |
N/A
|
1
|
2
|
3
|
4
|
Forceps vaginal delivery/vacuum extraction delivery |
N/A
|
1
|
2
|
3
|
4
|
Emergency delivery |
N/A
|
1
|
2
|
3
|
4
|
High risk delivery |
N/A
|
1
|
2
|
3
|
4
|
Placement of intrauterine pressure catheter |
N/A
|
1
|
2
|
3
|
4
|
Fetal scalp blood sampling procedure |
N/A
|
1
|
2
|
3
|
4
|
Artificial rupture of membranes procedure |
N/A
|
1
|
2
|
3
|
4
|
Vaginal exam |
N/A
|
1
|
2
|
3
|
4
|
Fundal assessment/height |
N/A
|
1
|
2
|
3
|
4
|
Use of fetalscope/doppler |
N/A
|
1
|
2
|
3
|
4
|
Interpretation of fetal monitoring |
N/A
|
1
|
2
|
3
|
4
|
Internal monitor/lead connection and calibration |
N/A
|
1
|
2
|
3
|
4
|
Foley catheter insertion or straight catheterization (cath) |
N/A
|
1
|
2
|
3
|
4
|
Perineal prep |
N/A
|
1
|
2
|
3
|
4
|
Abdominal shave/scrub prep |
N/A
|
1
|
2
|
3
|
4
|
Circulate for C-section |
N/A
|
1
|
2
|
3
|
4
|
Scrub for C-section |
N/A
|
1
|
2
|
3
|
4
|
Abruptio placenta |
N/A
|
1
|
2
|
3
|
4
|
Diabetes mellitus |
N/A
|
1
|
2
|
3
|
4
|
Infectious disease |
N/A
|
1
|
2
|
3
|
4
|
Malpresentations |
N/A
|
1
|
2
|
3
|
4
|
Multiple gestation |
N/A
|
1
|
2
|
3
|
4
|
Pregnancy-induced hypertension |
N/A
|
1
|
2
|
3
|
4
|
Preeclampsia |
N/A
|
1
|
2
|
3
|
4
|
Placenta previa |
N/A
|
1
|
2
|
3
|
4
|
Premature labor |
N/A
|
1
|
2
|
3
|
4
|
Prolapsed cord |
N/A
|
1
|
2
|
3
|
4
|
RH incompatibilities |
N/A
|
1
|
2
|
3
|
4
|
Sickle cell crisis |
N/A
|
1
|
2
|
3
|
4
|
Cytotec |
N/A
|
1
|
2
|
3
|
4
|
Prostaglandin |
N/A
|
1
|
2
|
3
|
4
|
Insulin drips |
N/A
|
1
|
2
|
3
|
4
|
Magnesium Sulfate |
N/A
|
1
|
2
|
3
|
4
|
Ritodrine |
N/A
|
1
|
2
|
3
|
4
|
Pitocin |
N/A
|
1
|
2
|
3
|
4
|
|
IV Therapy |
Start/maintenance of peripheral IV’s |
N/A
|
1
|
2
|
3
|
4
|
Use of saline/heparin lock |
N/A
|
1
|
2
|
3
|
4
|
Administration of IV fluids |
N/A
|
1
|
2
|
3
|
4
|
Administration of blood and blood products (precautions, recognizing transfusion reactions and taking appropriate actions) |
N/A
|
1
|
2
|
3
|
4
|
Hang IV piggybacks |
N/A
|
1
|
2
|
3
|
4
|
Use of infusion pumps |
N/A
|
1
|
2
|
3
|
4
|
IV calculations/titrate drip rates |
N/A
|
1
|
2
|
3
|
4
|
|
Postpartum Care |
Bladder status |
N/A
|
1
|
2
|
3
|
4
|
Episiotomy |
N/A
|
1
|
2
|
3
|
4
|
Fundal consistency and height |
N/A
|
1
|
2
|
3
|
4
|
Lochia amount and character |
N/A
|
1
|
2
|
3
|
4
|
Assess and foster parent-infant bonding |
N/A
|
1
|
2
|
3
|
4
|
Assist with breast feeding |
N/A
|
1
|
2
|
3
|
4
|
Bladder care |
N/A
|
1
|
2
|
3
|
4
|
Bowel care |
N/A
|
1
|
2
|
3
|
4
|
Breast care |
N/A
|
1
|
2
|
3
|
4
|
Fundal massage |
N/A
|
1
|
2
|
3
|
4
|
Perineal care |
N/A
|
1
|
2
|
3
|
4
|
Post C-section care |
N/A
|
1
|
2
|
3
|
4
|
Post-anesthesia recovery care (epidural, spinal and general) |
N/A
|
1
|
2
|
3
|
4
|
|
Newborn care |
Assign Apgar score |
N/A
|
1
|
2
|
3
|
4
|
Basic physical exam of newborn (Anomalies and respiratory status) |
N/A
|
1
|
2
|
3
|
4
|
Eye prophylaxis |
N/A
|
1
|
2
|
3
|
4
|
Suction newborn |
N/A
|
1
|
2
|
3
|
4
|
Collection of cord blood samples |
N/A
|
1
|
2
|
3
|
4
|
Transfer to newborn nursery |
N/A
|
1
|
2
|
3
|
4
|
Use of radiant warmers |
N/A
|
1
|
2
|
3
|
4
|
Apnea monitoring |
N/A
|
1
|
2
|
3
|
4
|
Phototherapy |
N/A
|
1
|
2
|
3
|
4
|
Circumcision care |
N/A
|
1
|
2
|
3
|
4
|
Umbilical cord care |
N/A
|
1
|
2
|
3
|
4
|
|