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Medical Management of Operative/Assisted Vaginal Delivery
This course discusses best practices in operative vaginal delivery techniques—forceps-assisted delivery and vacuum-assisted delivery (OAVD), as well as episiotomy.
The course is case-based, so you will have an opportunity to apply the principles covered to particular patient scenarios. The cases are branched, with different outcomes based on different choices.
Use of OAVD techniques vary from organization to organization. You may, for example, work in a hospital in which forceps techniques are no longer taught to residents. Each section has been organized so that you can move through it quickly or delve into it more deeply, depending on its relevance to your clinical practice.
Discuss the steps, indications, contraindications, and potential complications associated with vacuum-assisted vaginal delivery, forceps-assisted vaginal delivery, and episiotomies.
Describe the circumstances in which an episiotomy is and is not an appropriate intervention.
Explain the importance of the flexion point when placing a vacuum cup and how it is located. Identify the criteria for correct placement of the forceps during a non-rotational delivery, as well as guidelines regarding the number of pulls.
Neonatal Resuscitation
Neonatal emergencies are frightening and challenging to almost all acute care providers. This course will focus on the neonate and provide a succinct review of resuscitation issues pertinent to clinical practice and board preparation/review.
Understand the role of thermoregulation in neonatal distress and instability.
Recognize and interpret relevant monitoring studies for neonates in distress.
Plan the key steps and recognize the complications associated with performing neonatal resuscitation.
Plan the key steps and know the pitfalls in the prevention and management of meconium aspiration.
Obstetric Hemorrhage: Mitigating Risk to Improve Outcomes
Two cases are presented. Risk factors, including recurring and nonrecurring, for obstetrical hemorrhage, are reviewed. Delivery preparations and preventative strategies are discussed. Methodologies that better quantify blood loss, allowing for earlier recognition of excessive blood loss, are presented. Management of the patient experiencing obstetric hemorrhage, including a review of current guidelines for blood component replacement therapy, are reviewed.
List recurring and nonrecurring risk factors for obstetrical hemorrhage. List the four Ts of OH.
Identify low, medium and high risk patients for OH.
Review blood component therapy for large volume blood loss.
Obstetric Medical Emergencies: Category III FHR Tracing Management
This course is intended to provide a summary of the key nursing interventions and considerations when caring for a laboring patient who is experiencing Category III FHR patterns. Whereas this may not be a daily occurrence, it is important for the labor and delivery nurse to refresh their knowledge of this critical situation, as well as have a source for quick reference in the future. This promotes ongoing efforts to maintain the highest levels of patient safety and care.
Select appropriate management interventions to respond to a Category III tracing.
Obstetric Medical Emergencies: Delayed Postpartum Hemorrhage
This course is intended to provide a summary of the key nursing interventions and considerations when caring for a patient who has a delayed postpartum hemorrhage. Whereas this may not be a daily occurrence, it is important for the postpartum nurse to refresh their knowledge of the critical situation, as well as have a source for quick reference in the future. This promotes ongoing efforts to maintain the highest levels of patient safety and care.
Recall the factors indicating increased risk for the development of a delayed PPH.
Recognize, prevent, and assess secondary PPH.
Determine management strategies and interventions for delayed PPH.
Obstetric Medical Emergencies: Eclampsia
This course is intended to provide a summary of the key nursing interventions and considerations when caring for a pregnant patient with eclampsia. Whereas this may not be a daily occurrence, it is important for the labor and delivery and postpartum nurse to refresh their knowledge of this critical situation, as well as have a source for quick reference in the future. This promotes ongoing efforts to maintain the highest levels of patient safety and care.
Identify key nursing interventions during and after eclamptic seizure.
Recall the warning signs and typical presentation of eclamptic seizure.
Obstetric Medical Emergencies: Hypertensive Diseases of Pregnancy
This course is intended to provide a summary of the key nursing interventions and considerations when caring for a pregnant patient who has severe hypertension. It is important for the labor and delivery and postpartum nurse to refresh their knowledge of the critical situation, as well as have a source for quick reference in the future. This promotes ongoing efforts to maintain the highest levels of patient safety and care.
Describe the signs and symptoms indicating increased risk for severe hypertension during pregnancy.
Identify key nursing interventions during and after delivery for a patient with severe hypertension in pregnancy.
Obstetric Medical Emergencies: Postpartum Maternal Sepsis Management
This course is intended to provide a summary of the key nursing interventions and considerations when caring for a postpartum patient who is experiencing sepsis. Whereas this may not be a daily occurrence, it is important for the labor and delivery nurse to refresh their knowledge of this critical situation, as well as have a source for quick reference in the future. This promotes ongoing efforts to maintain the highest levels of patient safety and care.
Identify signs and symptoms of postpartum maternal sepsis.
Recall the 4 initial measures for the treatment of postpartum sepsis.
Obstetric Medical Emergencies: Shoulder Dystocia — Team Response
This course is intended to provide a summary of the key nursing interventions and considerations when a shoulder dystocia is identified and there is a team response needed. Whereas this may not be a daily occurrence, it is important for the labor and delivery nurse to refresh their knowledge of this critical situation, as well as have a source for quick reference in the future. This promotes ongoing efforts to maintain the highest levels of patient safety and care.
Recognize key components and team roles of a coordinated interdisciplinary response to shoulder dystocia.
Recall tools for effective team communication and skill-building.
The Use of Opioids During Pregnancy
Americans are using opioids at an alarming rate, whether through prescriptions or illegal means. Parallel to this problem is the use of opioids during pregnancy.
The goal for this course is to present RNs, PAs, physicians, and entry-level drug and alcohol counselors in inpatient or outpatient settings with best practices for identifying and managing pregnant women who are using opioids.
Recognize the risks and complications related to opioid use disorder during pregnancy.
Identify evidence-based treatment recommendations for opioid use disorder during pregnancy.
Pediatric Pain Management: Assessment and Treatment
Pain is often underestimated and undertreated in the pediatric population due to many factors. As a result, children’s health outcomes are directly impacted without proper recognition and pain management, and quality of life is reduced. Physicians and nursing professionals must learn to assess and treat pediatric pain appropriately while caring for hospitalized children. This course describes the past and future status of pain management in children, pharmacological and non-pharmacological management options, and the complexities of managing pain in special populations.
Discuss the past and future status of pain management in children. Describe non-pharmacologic, pharmacologic, and adjuvant treatment options for pain in children. Explain some of the complexities involved in treating the child with chronic pain, cognitive impairments, or a need for palliative care.
Pediatric Patients and Concussion Management
Concussion is a form of mild traumatic brain injury that is common in children and adolescents. Despite increased awareness about the injury, concussion remains under-reported and under-diagnosed. Nurses and Radiology Technicians must be aware of the identification, diagnosis, and management of concussions in pediatric patients.
Identify signs and symptoms of concussions in pediatric patients.
Recognize the evaluation, diagnosis, and management of concussions in pediatric patients.
Recall the complications of concussions in pediatric patients.
Pediatric Problems in Ambulatory Care
Pediatric ambulatory care consists of well-child checks, preventive care, and the treatment and management of acute and chronic health conditions. Nurses provide holistic care to the pediatric patient by synthesizing their nursing assessments with parent/caregiver concerns. Nurses collaborate with the healthcare team to identify and address common pediatric health problems encountered in the ambulatory care setting.
Recognize the causes, diagnosis, and management for common conditions in pediatric ambulatory care.
Recall nursing considerations for common conditions in pediatric ambulatory care.
Perioperative Pediatric Conditions
Perioperative professionals must have a fundamental understanding of the anatomical, physiological, psychological, and emotional differences of children compared to adults and how these differences impact the care needs of pediatric patients in the perioperative period.
Identify anatomical, physiological, psychological, and emotional differences in pediatric patients and how those differences impact care needs in the perioperative setting.
Recognize strategies for preventing and responding to medication errors and adverse drug events involving children in the perioperative setting.
Recall surgical considerations for pediatric patients.
Postpartum Hemorrhage Management
Worldwide, postpartum hemorrhage (PPH) accounts for high rates of maternal morbidity and mortality. Early recognition is key to good outcomes. Recognizing PPH, its stages, and how to measure blood loss is essential since treatment is based on the stages of hemorrhage. Additionally, it is important to understand nursing interventions, treatments for PPH, and teamwork and communication needs to improve perinatal outcomes.
This course aims to enhance the knowledge of acute care nurses about postpartum hemorrhage, including its causes, risk factors, and medical and surgical management.
Identify the causes and risk factors for postpartum hemorrhage.
Indicate the stages of postpartum hemorrhage.
Recall nursing and medical interventions used during the management of postpartum hemorrhage.
Shoulder Dystocia in the ED
Shoulder dystocia is an obstetric emergency. To prepare for this rare occurrence, your healthcare team should be knowledgeable about the risk factors, potential complications, and the management of shoulder dystocia. In addition, emergency professionals should develop strategies to help their healthcare team prepare for this rare event.
Identify the risk factors, potential complications, and interventions of shoulder dystocia.
Recall strategies to prepare your healthcare team for a shoulder dystocia emergency.
Shoulder Dystocia: Management and Prevention
Nearly half of all cases of shoulder dystocia occur in the absence of risk factors, making them largely unpredictable and unpreventable. Perinatal morbidity and mortality rates associated with shoulder dystocia are high, even when properly managed.
Although shoulder dystocia is considered an obstetric emergency, a well-trained obstetric provider and a team of nursing/resuscitation professionals can usually manage it well for the pregnant person and fetus.
Identify diagnosis criteria, risk factors, and complications associated with shoulder dystocia.
Recall management and prevention techniques for shoulder dystocia.
Indicate documentation needed following a birth involving shoulder dystocia.
Shoulder Dystocia: Primary Maneuvers
A review of clinical judgment related to the use of primary maneuvers for managing shoulder dystocia.
Identify the clinical signs of shoulder dystocia and appropriate initial interventions to resolve the complication safely.
Recall risk factors for shoulder dystocia and appropriate tasks to perform following the emergency.