Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

GYNAECOLOGY Rating Stars (Click) 1 2 3 4  
Management of -  
Ectopic pregnancy 
Genito-urinary Tract Infection 
Perineal Repairs 
Uterine and ovarian tumorsfibroids 
Utero-vaginal prolapse 
OBSTETRICS Rating Stars (Click) 1 2 3 4  
Management of -  
Antepartum hemorrhage 
Caesarian section 
- Elective 
- Emergency 
Cervical suture 
High Risk Pregnancy: 
- Communicable Dieseases with Pregnancy 
- Gestational diabetes 
- Grand multiparity 
- Pregnancy induced hypertension (Pre-eclampsia, eclampsia) 
- Polyhydramnios 
- Intrauterine death 
- Intrauterine growth retardation 
Hyperemesis gravidarum 
Normal pregnancy 
Normal spontaneous delivery 
Perineal block 
Head to Toe Physical Examination of pregnant Woman 
Post instrumental delivery 
Post-Partum hemorrhage 
Premature rupture of Membranes 
Knowledge of Drugs commonly used in Obstetrics 
Foetal Monitoring Techniques 
Assess and Manage Newborn -  
- Initiation and Maintenance of CPR 
- Suctioning of airways 
- Mask and bagging Technique 
- Dosage and administration of resuscitation drugs (bicarb, adrenaline, narcan, etc) 
Perform initial critical newborn management -  
- Maintenance of body temperature 
- Resuscitation 
Perform complete examination of the newborn 
Collection of Cord Blood for TSH 
Teach mother to breast feed 
Assist with Ante-natal classes and Post-natal exercises 
Care of pre and post operative obstetrical and gynaecological patients 
Manage nursing aspects of iinfertility patients 
Working knowledge of specialized equipment common to obstetrical areas -  
- Infusion control devices, IV AC, IMED, Abbott, Syringe pump 
- CTG 
- Foetal monitor 
- Doppler 
- Ultrasound 
- Isolette/incubator/resuscitaire 
- Vacuum extractor, forceps 
- Fetal scalp blood sampling machine 
Insert/establish IV 
Perform Venepuncture for blood sampling 
Assist doctors with performing fetal blood sampling 
Assist with taking pap smear 
Function as Charge Nurse 
CERTIFICATION Rating Stars (Click) 1 2 3 4