A childcare vest is comprised of a central portion and first and second wing portions, each having, inner and outer surfaces. A first plurality of pockets is fixed to the outer surface of the wing portions where individual pockets are sized to accommodate childcare items, including baby bottles, utensils, eating accessories, specially packaged foods, and small toys. At least one second pocket that is large relatively to the first plurality of pockets is fixed across the outer surface of the central portion and sized to accommodate clothing accessories and to serve as a temporary holding for refuse. A third plurality of pockets is fixed to the wing portions and sized to accommodate diapers and diaper changing accessories. A resilient changing surface is carried by the central portion to provide a comfortable, stable, and sanitary surface for changing a baby at remote locations.