Labor & Delivery Admission Assessment Checklist
Comprehensive labor and delivery admission assessment including maternal and fetal evaluation, risk assessment, and birth plan review.
- Industry: Healthcare
- Frequency: At admission
- Estimated Time: 30-45 minutes
- Role: L&D Nurse
- Total Items: 25
- Compliance: AWHONN Standards, ACOG Practice Guidelines, Joint Commission Perinatal Care
Maternal Assessment
Mother's status
- Vital signs documented?
- Contraction pattern assessed?
- Cervical exam documented?
- Membrane status documented?
- GBS status verified?
Fetal Assessment
Fetal status
- Fetal heart rate documented?
- EFM initiated?
- Fetal position documented?
Risk Assessment
Risk factors
- Prenatal records reviewed?
- Risk factors identified?
- Allergies verified?
Birth Preferences
Birth plan
- Birth plan/preferences reviewed?
- Pain management preferences discussed?
- Support persons identified?
Maternal Assessment & History
Complete maternal health assessment on admission
- Prenatal records reviewed?
- Gestational age confirmed?
- Blood type and Rh factor documented?
- GBS status documented?
Fetal Assessment & Monitoring
Verify fetal monitoring protocols initiated
- Fetal heart rate assessed and documented?
- Electronic fetal monitoring initiated if indicated?
- Fetal presentation confirmed?
Safety Protocols & Documentation
Complete safety protocols for labor and delivery
- Patient and newborn ID bands prepared?
- Consent forms signed and filed?
- IV access established if indicated?
- Admitting Nurse Signature
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Why Use This Labor & Delivery Admission Assessment Checklist?
This labor & delivery admission assessment checklist helps healthcare teams maintain compliance and operational excellence. Designed for l&d nurse professionals, this checklist covers 25 critical inspection points across 7 sections. Recommended frequency: at admission.
Ensures compliance with AWHONN Standards, ACOG Practice Guidelines, Joint Commission Perinatal Care. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Labor & Delivery Admission Assessment Checklist cover?
This checklist covers 25 inspection items across 7 sections: Maternal Assessment, Fetal Assessment, Risk Assessment, Birth Preferences, Maternal Assessment & History, Fetal Assessment & Monitoring, Safety Protocols & Documentation. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed at admission. Each completion takes approximately 30-45 minutes.
Who should use this Labor & Delivery Admission Assessment Checklist?
This checklist is designed for L&D Nurse professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.