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Hudson Staffing Travel Nurses| Post-partum/Nursery Online Checklist
Post-partum/Nursery Online Checklist
Thank you for your decision to apply for a travel nursing position with
Hudson Staffing
! Before we can offer you a nursing employment opportunity in the Post-partum/Nursery field, an electronic skills assessment must be completed. Please, complete the nursing skills checklist below, and be sure to review your information thoroughly before clicking the submit button.
GENERAL INFORMATION
Note:
*
Denotes a required field.
Please enter your full name as it appears on your Social Security Card:
First Name
Middle Name
Last Name
*
Please enter the Last Four digits of your Social Security Number:
-
-
*
Please check here if you do not hold a valid social security card.
Please provide your contact information:
Phone Number
*
E-mail Address
*
Confirm E-mail Address
*
Type your e-mail address again above.
This profile is for use by healthcare professionals in the Post-partum/Nursery discipline and specialty.
It will not be a determining factor for the program.
CHECKLIST INSTRUCTIONS
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
WORK SETTINGS
1
2
3
4
Couplet Care
Antepartum
Postpartum
Newborn Nursery
LDRP
POST PARTUM
1
2
3
4
Vaginal Delivery
Cesarian Section
Anesthesia - General
Anesthesia - Local
Anesthesia - Spinal
Bladder Distention
Breast Milk Collection and Storage
Breast Pump
Breastfeeding - Latch Score
Breastfeeding - Supplemental Feeding
Breastfeeding Support
Contraceptive Education
Epidural/PCA
Homan's Sign
Multiple Births
Parent/Infant Interaction/Attachment
Post Partum Hemorrhage
Pregnancy Induced Hypertension
Tubal Ligation
ANTEPARTUM
1
2
3
4
Amniocentesis
Cardiac Disorders
Diabetes
Hyperemesis
Multiple Gestation
Non-Stress Test
PIH/HELLP
Placenta Previa/Abruptio
Post- Trauma
Pre-Term Labor/Premature Rupture of Membranes
Substance Abuse
FHM Interpretaton and Management
Fetal Assessment
Labor Assessment
Assist with Ultrasound
MEDICATIONS
1
2
3
4
Antibiotics/Antivirals
Antihypertensives
Antiseizure
Cervical Ripening Agents
Immunizations - Mother
Insulin
Magnesium Sulfate
Methergine
Opioids and Reversal Agents
Pitocin
Terbutaline
IV THERAPY
1
2
3
4
Starting IVs
IV Management
Blood Product Administration
NEWBORN CARE
1
2
3
4
Newborn Assessment
Ballard Scale/Dubowitz
Car Seat Education
Circumcision Care/Teach to Parents
Cord Care/Teach to Parents
Immunizations - Infant
Infant Caretaking Skills
Infant Identification and Security
Metabolic Screen
Phototherapy
Thermoregulation
PROFESSIONAL KNOWLEDGE AND SKILLS
1
2
3
4
National Patient Safety Goals/Core Measures
Experience in a "Baby Friendly" Facility
Fall Risk Assessment/Prevention
Pressure Ulcer Risk Assessment/Prevention
Restraints/Use of Least Restrictive Device
Parent/Family Teaching
Age Specific/Population-Based Care
Isolation Precautions
Infection Prevention
Pain Assessment & Management - Adult
Pain Assessment & Management - Neonate
Charge Experience
Interpretation and Communication of Lab Values
EMR
1
2
3
4
EPIC
Cerner
Eclipsys
McKesson
Meditech
Other Computerized System
Computerized Physician Order Entry
Bar Coding for Medication Administration
EMR Conversion
Yes
No
Certifications
1
2
3
4
BLS
NRP
AWHONN FHM - Intermediate
AWHONN FHM - Advanced
FHM
Lactation Consultant - IBCLC
S.T.A.B.L.E.
Please read and agree to the statements below by marking the checkbox.
You will not be able to submit until you have marked the checkbox.
*
I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize Hudson Staffing to release this Post-partum/Nursery Skills Checklist to the client facilities in relation to consideration of employment as a healthcare professional with those facilities.
Privacy Note:
Hudson Staffing will record anonymous electronic information about your connection when you click on the submit button. This information is used for security purposes only. This information will include your IP Address (34.230.84.215) which will be used as a digital signature.
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Hudson Staffing
Phone:
1(866)256-8773
E-mail:
info@hudsonstaffing.net
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Copyright (C) 2013 Hudson Staffing. All rights reserved.
