Full Course Description
Electronic Fetal Monitoring Certification Review Course
- No matter what stage you are in your career, it’s time for you to take the next step.
- Learn an incredible skill to be able to take care of the external laboring woman and … the hidden, internal baby.
- Become proficient with the most current electronic fetal monitoring recommendations, language, and definitions!
- Hold yourself to a nationally recognized standard!
- Gain confidence in what you can see about the fetal heart tracing so you can provide the best care to the invisible and visible patient.
- Work effectively as a team, using a systematic approach to identify and manage clinical situations, caring for two patients at a time.
- Prep for the Certification for Electronic Fetal Monitoring exam and pass the first time!
As a labor and delivery clinician you have not one, but two patients. When clinicians are not current in fetal monitoring, there is a risk for adverse maternal and neonatal outcomes.
Maternal-fetal safety is of the utmost importance…and electronic fetal monitoring is an important tool to ensure safety and positive outcomes for both mother and baby.
When you are nationally certified in EFM you understand what the baby is communicating by using your special knowledge to assess the fetal condition – especially during labor.
Expand your fetal monitoring clinical skills with PESI’s EFM Certification Review. During this six-hour course you will learn everything you need to know about fetal monitoring and gain the information you need to be successful on the exam and to enhance clinical practice.
The EFM Review course provides a comprehensive and up-to-date review of the electronic fetal monitoring based on the C-EFM exam outline. Gain the information you need to be successful on the exam and to enhance clinical practice.
Fully prepare to pass the EFM certification exam! This comprehensive EFM certification exam prep course offers the knowledge you need to pass the NCC® Certified EFM Nurse exam and get certified!
- Fetal heart rate pattern interpretation and management
- EFM documentation utilizing NICHD terminology
- Fetal assessment testing
- Comprehensive review following the current test blueprint
You will increase your ability to interpret data and care for your families, enhancing the outcomes for mothers and newborns. You will also gain valuable test-taking strategies and tips that are certain to aid in your quest for success on the Certified EFM Nurse exam!
Certification Exam Prep Package Includes:
- Live Webcast or Self-Study Package (6 hours of review)
- Comprehensive course manual
- Practice questions to assess your readiness to sit for the actual exam
- Plus, additional links for further reference
Program Information
Objectives
- Understand the examination including cost, testing time, and passing requirements
- Apply knowledge of maternal-fetal assessment methods when selecting electronic fetal monitoring or intermittent auscultation to evaluate fetal status.
- Interpret data from the electronic fetal monitor to differentiate between actual fetal data and equipment failure.
- Use knowledge of the advantages and disadvantages of electronic fetal monitoring to provide information to the pregnant patient and her support person(s).
- Apply knowledge of fetal heart rate regulation to the interpretation of electronic fetal monitoring data.
- Identify and interpret the significance of fetal heart rate patterns.
- Interpret data from electronic fetal monitoring to differentiate between normal and abnormal fetal heart rate patterns.
- Apply knowledge of common pregnancy complications to the development of a comprehensive plan of care based on Electronic fetal monitoring data.
- Apply knowledge of uteroplacental and maternal-fetal physiology as they relate to fetal oxygenation.
- Identify indications for adjunct fetal assessment and incorporate findings into the plan of care.
- Incorporate knowledge of current practice and legal practices into nursing care.
Outline
Welcome, Course and Exam Overview and Test Taking
- Exam Eligibility
- Exam Content
- Competency Statements
- Study Resources
- Scoring
Fetal Assessment Technique
- Electronic Monitoring Equipment
- External and Internal
- Artifact
- Signal Ambiguity
- Failure
- Troubleshooting
FHR Pattern Recognition, Dysrhythmias and Other Variant Patterns
- Fetal Heart Rate Baseline
- Fetal Heart Rate Variability
- Abnormal Uterine Activity
- Fetal Dysrhythmias
Pregnancy Complications and Effect on Fetal Heart Patterns
- Maternal Complications
- Uteroplacental Complications
- Fetal Complications
- Fetal Heart Rate Accelerations
- Fetal Heart Rate Decelerations
- Normal Uterine Activity
Adjunct Methods of Fetal Surveillance
- Auscultation
- Fetal Movement and Stimulation
- Nonstress Testing
- Biophysical Profile
- Cord Blood
- Acid Base Balance
Professional Issues
- Legal
- Ethics
- Patient Safety
- Quality Improvement
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Nurse Midwives
- Physician Assistants
- Physicians
Copyright :
02/28/2023
Electronic Fetal Monitoring: A Standardized Approach
Obstetric clinicians with their knowledge and skills, remain one of most important elements in high-quality intrapartum care. Unfortunately, after several decades of clinical use, many uncertainties continue to surround intrapartum monitoring including interpretation, management, and other related decision-making processes. When clinicians are not current in fetal monitoring or do have a firm grasp of basic concepts, there is a risk for adverse maternal and neonatal outcomes. This can have a significant negative impact on families and the healthcare system. Therefore maternal-fetal safety is of the utmost importance. Thus, continuous learning that includes contemporary research is fundamental for patient safety and for optimizing perinatal outcomes. An overview of fetal monitoring principles as well as updated research will be presented in this 2-hour recorded session.
Program Information
Objectives
- Define FHR characteristics using NICHD standardized terminology.
- Distinguish between the 3 elements of EFM standardization.
- Evaluate an organized, systematic ABCD approach to FHR management.
- Critique research related to Category II FHR management.
Outline
ABCD approach
- Assess the oxygen pathway a. Lungs, heart, vasculature, uterus, placenta, umbilical cord
- Begin corrective measures as previously outlined
- Clear obstacles to delivery
- Facility
- Staff
- Patient
- Fetus
- Labor
- Determine decision to delivery time
- Facility response time
- Staff
- Surgical, medical and obstetric considerations
- Other considerations (e.g., EFW, presentation)
Terminology
- What is it called
- Consensus statement by NICHD
- Adopted by AWHONN, ACOG, and ACNM
- Interpretation
- What does it mean
- What information does the FHR tracing provide regarding oxygen transfer
- Head compression, cord compression, uteroplacental dysfunction
- All decelerations have the exact same triggers
- Interruption of oxygen transfer from the environment to the fetus at one or more points along the oxygen pathway
- moderate variability and/or accelerations exclude ongoing hypoxic injury
- Management
- What do we do about it
- Corrective measures
- IV fluid bolus
- Lateral positioning
- Correct hypotension
- Decrease uterine activity
- Amnioinfusion
- Tocolytic administration
- Alter pushing technique
- Oxygen administration for maternal pulse ox <96%
- Introduction to ABCD approach to management
ABCD approach
- Assess the oxygen pathway
- Lungs, heart, vasculature, uterus, placenta, umbilical cord
- Begin corrective measures as previously outlined
- Clear obstacles to delivery
- Facility
- Staff
- Patient
- Fetus
- Labor
- Determine decision to delivery time
- Facility response time
- Staff
- Surgical, medical and obstetric considerations
- Other considerations (e.g., EFW, presentation)
“Intrapartum management of Category II FHR tracings towards standardization of care” 2013 article
- Algorithm
- Expert Opinions a. Not evidence based
- Definition of Significant Decelerations
- Key components of algorithm that are missing
- Precise cervical dilation
- When to notify primary clinician
- “A standardized approach for Category II fetal heart rate with significant decelerations: Maternal and neonatal outcomes”. 2018 article
- Prospective interventional trial: 29 hospitals
- Comparison between 2013 expert opinion and this trial algorithm
- Published results related to maternal and neonatal outcomes
- Only research conducted with a research protocol
Target Audience
- Nurses
- Nurse Practitioners
- Physicians
- Physician Assistants
- Midwives
- Doulas
Copyright :
01/03/2023
Sepsis in Pregnancy
Pregnancy-related sepsis is a life-threatening medical emergency infection that can take place during pregnancy, childbirth, post-abortion, miscarriage, or the postpartum period. It is the second leading cause of pregnancy-related deaths in the US. Fast recognition and treatment of sepsis is key, which means you need to know the signs and symptoms of sepsis in pregnancy, as well as how to screen for sepsis early and initiate treatment. You will learn the unique physiology during and following pregnancy and the challenges healthcare providers face when identifying and managing pregnancy-related sepsis.
Program Information
Objectives
- Evaluate the national and global issue of mortality and morbidity surrounding sepsis in pregnancy.
- Determine the risk factors for sepsis in pregnancy.
- Integrate understanding of physiologic changes during pregnancy as they relate to sepsis.
- Analyze key challenges related to identification and treatment of sepsis in pregnancy.
- Apply screening and management guidelines for sepsis in pregnancy into practice.
Outline
National and global issue of mortality and morbidity surrounding sepsis in pregnancy
- Leading cause of maternal morbidity and mortality
Risk factors for sepsis in pregnancy
- Common sources of infection
- Preterm labor and preterm delivery
- Fetal infection
Physiologic changes during pregnancy as they relate to sepsis
- Immunological adaptations of pregnancy
- Cardiovascular adaptations of pregnancy
- Impact on the maternal response to infection
Key challenges related to identification and treatment of sepsis in pregnancy
- Antibiotic resistance patterns
AVOG and SMFM guidelines
- Screening
- Management guidelines for sepsis in pregnancy
Target Audience
- Nurses
- Nurse Practitioners
- Physicians
- Physician Assistants
- Midwives
- Doulas
Copyright :
03/10/2023
OB Medication Update: The Latest Pharmacological Options for Pregnancy and Birth
There have been big changes in everything from FDA medication labeling, recommendations for treating many of the major complications of pregnancy, and Covid 19 infection in pregnancy.
Jamie Otremba, MSN, RN, CNM, a practicing full scope nurse-midwife with extensive maternal child nursing experience, will break down the latest recommendations for the safest, most effective drugs to treat pregnant and laboring patients to improve outcomes, reduce risk, and improve patient satisfaction. Watch this comprehensive one-day event….and earn up to 6.3 pharmacology CE hours!
You will take away the necessary tools to reduce complications related to Covid-19 in pregnancy. Did you know that recent Covid-19 infection is a contraindication to some drugs? Or that the thresholds and medications to treat pregnant patients with Covid-19 are different? Update your Covid-19 understanding on the vaccines, fetal and maternalnewborn transmission, when and how to treat, when to consider ventilation, and talking points for a quick and effective conversation.
But that’s not all! Jamie will also deliver the latest from evidence on over-the counter products that patients are using, hemorrhagic prevention and the best meds to treat the ‘Top 10’ pregnancy indications seen your own practice!
Program Information
Objectives
- Evaluate the new FDA pregnancy safety labeling information to treatment conversations with pregnant patients.
- Analyze evidence-based recommendations for the best medication options to treat pregnant patients, while considering gestational age and comorbidities.
- Analyze safety of patient’s pre-pregnancy medications in pregnancy.
- Develop a plan of care with pregnant patients, to pharmacologically manage pregnancy complications, considering safety, alternatives, risk, benefit.
- Distinguish between risks of Covid 19 infection and vaccine in pregnant women.
- Assess medication appropriateness for a patient with a Covid 19 infection in pregnancy.
- Develop a nonbiased dialogue for discussing vaccines in pregnancy.
- Evaluate patient’s pain control needs and apply evidence-based recommendations for narcotic alternatives.
Outline
New FDA Pregnancy Safety Labeling
- Risk summary explained
- Examples
Teratogenicity
- Highest risk medications
- Historical poor outcomes
- Risk reduction strategies
Top 10 Pregnancy Indications & Medications to Treat
- How to decide on safest, most effective option
- Current preferred drugs for each diagnosis
- Consenting the patient
- Preexisting diagnosis
- Depression/anxiety preferred medications
- Asthma/allergies
- Chronic hypertension, including new BP parameters & rational for treatment Pregnancy complications
- Nausea/vomiting: New FDA approved medications, when you need IV treatment &what to use
- Gestational diabetes: oral medications vs insulin & best insulin formulations in pregnancy
- GI reflux: If not Zantac—what’s next?
- Insomnia: OTC and prescription medication compatible with pregnancy
- Vaginitis: Safest medication by gestational age
- Pain: Including opioid prescription reduction strategies
- Preterm labor: Prevention mediation recommendations just changed
Vaccines in Pregnancy
- Latest info on pros, cons & safety
- Pearls on quick but effective patient teaching/interactions
- Flu shot
- TDAP
- Covid 19 vaccine
Latest Labor and Delivery Medications News
- VTE prevention and Covid 19: Aspirin, lovenox, heparin- when, how much, how long
- Hemorrhage prevention and Covid 19: to TXA or not to TXA
- Treatments for pregnant women with Covid 19
- Medications
- Monoclonal antibodies
- Ventilation
Over-the-Counter Products in Pregnancy
- Overview of uses and safety
- Essential oils: Routes, indications, evidence on effectiveness
- Homeopathics
- Supplements
Putting It All Together
- Case Studies
- Healthcare Provider/ Patient Resource List
Target Audience
Health care providers who work with childbearing aged women, pregnant women, and on labor and delivery. Appropriate for nurses, nurse practitioners, nurse midwives, family practice providers. Both inpatient and outpatient information will be addressed.
Copyright :
10/11/2022