Skills REQ: Antepartum, Facility births/month 100-200, Facility births/month 200-300, Labor and Delivery, Low risk, Assist with sterile speculum exam (effacement, dilation, station, presentation), Reflex checks / edema assessment / clonus, Sterile vaginal exam, Triage of obstetrical patients, Use of EFM (External Fetal Heart Monitoring), Asthma, Diabetes mellitus, HELLP Syndrome, Infectious disease, Malpresentations (breech / face / brow), Multiple Gestation, Pre-eclampsia / eclampsia, Premature Rupture of Membranes, Preterm labor, RH incompatibilities, VBAC management / trial of labor, Use of Rapid Response/Code teams, Telemetry Interpretation, Spiral Electrode Placement, Use of External Fetal Monitoring, Use of Internal Fetal Monitoring, Use of IUPC (Intrauterine pressure catheter) placement and calibration, Recognition and Treatment of abnormal fetal heart rate patterns, Administration of blood & blood products, Drawing Venous Blood, Starting and maintaining IVs, Use of infusion pumps / drips / IV monitoring, Antiseizure, Antihypertensives, Insulin drips, Magnesium Sulfate therapy, Pitocin (oxytocin), Prostaglandins, Terbutaline, Amnioinfusion, Assist with high risk delivery, Assist with vaginal delivery, Circulate for C-section, Forceps/vacuum extraction, Hemorrhage/shock, Recover C-Section, Sterile vaginal exam, ID/Security Banding, Neonatal Resuscitation, Radiant Warmers/Thermoregulation, Epidural Anesthesia, General Anesthesia, Opioids, Pain assessment & management, Use of PCA (IV), Breastfeeding Support/lactation support, Episiotomy/Incisional Care, Foley catheter insertion/management, Fundus / lochia / perineum care, Wound Assessment and Care, Vaginal Delivery, Cesarean Section, Bladder Distension, Multiple Births, Postpartum Hemorrhage, Pregnancy induced hypertension, Isolation Precautions/PPE, Vaccine Administration. There are also 5 rooms that be converted into adult med/surg overflow but those patients would be cared for by med/surg staff, NOT OB RNs.