LEVEL II

Skill Laboratory Clinical Experience

Skill Laboratory Clinical Experience Demo Return CI’s Date CI’s
Procedure Procedure
Demo Return CI’s Date Date Demo Date Signature Performed Signature
CI’s Signature
Date Demo Date Signature Performed Post-Delivery Care
Admitting Patient Cleaning the Perineal
Discharging Patient Area
Transferring Patient Checking the Vital
Preparing and Assisting with Diagnostic and Therapeutic Procedures Signs
Checking for
Cervical Biopsy
Lacerations
Endometrial Biopsy Checking for Perineal
Pelvic Ultrasound Bleeding
Labor Management Cleaning the Breast
Contraction Stress Test Performing a Post-
Ballard’s Estimation of Partum Fundal 07/11/19 07/11/19
Gestational Age and Massage
Maturity Rating Bimanual Compression
07/11/19 07/11/19
and Massage
Allen’s Test
Cerebellar Function
Caring for the Newborn
Test Stimulating the Baby
to Cry
Care of Patient During Normal Labor
Suctioning
Shaving of the Perineal Oropharyngeal
Area Secretions
Monitoring the Fetal Crede’s Prophylaxis 07/11/19 07/11/19
Heart Tone
Vitamin K Injection 07/11/19 07/11/19
External Vaginal
Douche Checking for Anal
Opening
Preparation and Care of Patient During Normal Delivery
Dressing the Cord
Draping
Keeping the Baby
Disinfecting the Warm
Perineal Area
Newborn Screening
Assisting with
Evaluating Respiratory
Delivery
Distress Using
Delivering the Placenta Silverman-Anderson
Administration of Index
Oxytocin Assisted Reproductive Techniques
Massaging the Uterus Therapeutic
insemination
LEVEL II
In Vito Fertilization Glucometry

COMMUNITY PROCEDURES
Skill Laboratory Clinical Experience
Procedure Demo Return Demo CI’s Date
CI’s Signature
Date Date Signature Performed
Home Visit 06/22/19 06/22/19
Donning of Sterile Gloves
Urine collection 06/28/19 06/28/19
Preparing Client for
Pregnancy Test
Leopold’s Maneuver 07/11/19 07/11/19
Estimating Gestational
Age: McDonald’s Rule
Promoting Comfort to the
Parturient
Partograph
Essential Intrapartum&
Newborn Care (EINC)
Kangaroo Care 07/11/19 07/11/19
Assisting in Initial Breast
07/11/19 07/11/19
Feeding
Measures to Promote
Uterine Involution
Skill Laboratory Clinical Experience
Procedure Demo Return Demo CI’s Date
CI’s Signature
Date Date Signature Performed
Hot Sitz Bath
Roll-Over Test Procedure
Magnesium Sulfate
07/12/19 07/12/19
Utilizing Z-Technique
Managing Cord Prolapse
Sputum Exam 06/28/19 06/28/19
Cord Care
Herbal Preparation
Bag Technique 06/22/19 06/22/19
Tourniquet Test 06/27/19 06/27/19