Pre-Conference - Crash Course: Advanced Electronic Fetal Monitoring Certification Prep
Tuesday, May 6, 2014 from 8:00 a.m. to 4:00 p.m.
Featured Speaker: Pat Bielecki, MSN, RNC-OB, APN/CNS
Session Description:
Unsure of how to prepare for the AEFM certification exam? Attend this session and learn the key concepts and strategies to successfully pass the exam! You will learn how to focus your study to maximize your results. You know that you have the expertise . . . make plans now to demonstrate it through this certification recognition!
Session Objectives
- Apply knowledge of uteroplacental and maternal-fetal physiology as they relate to fetal oxgenation.
- Interpret complex EFM data in relationship to the FHR regulation and umbilical artery cord gases.
- Differentiate between normal fetal acid-base status vs. abnormal acid-base status.
- Choose the optimal management strategies for various FHR patterns and uterine tachysystole.
- Analyze fetal assessment methods to determine fetal well-being.
- Use knowledge of NCC test question format to prepare for NCC Fetal Monitoring Exam.
Session Outline
Methods of Assessing Fetal Well Being
Intermittent Auscultation, Electronic Fetal Monitoring, Problems Encountered with EFM
EFM NICHD Terminology
Baseline, Accelerations, Periodic and Episodic Decelerations, Variability
Maternal/Fetal Physiology
Blood Flow to the Fetus: Oxygenation, Blood Flow, Fetal Physiologic Response to changes in Blood Flow, Acid-Base regulation by the fetus
Management of FHR EFM Patterns:
Intrauterine Resuscitation, Progressive Hypoxia, Interpretation of EFM and Pregnancy Complications
Determining when Delivery should be expedited
Using Additional Methods to Determine the Well Being of the Fetus:
Fetal acoustic stimulation, fetal scalp stimulation, fetal kick counts, Biophysical Profile
Using test taking "smarts" to answer the questions
Session #1 – Best Practices in OB Care
Wednesday, May 7, 2014 from 8:00 a.m. to 11:00 a.m.
Featured Speaker: Michelle Quale, RN, MSN, CNM, FNP-BC
Session Description:
Best practices in OB care are constantly and swiftly evolving. Attend this session to update on the hot topics in pregnancy care, and labor and delivery, as well as postpartum assessment. Michelle will give you the latest regarding alternative comfort measures, how to screen for and treat infections in pregnancy and tips on assessment of the newborn so you don't miss anything significant during those initial hours. You will leave with the most cutting-edge strategies to immediately improve outcomes for mom and baby!
Session Objectives
- Analyze the most effective non-pharmacologic methods to reduce pain.
- Implement interventions to enhance a woman's feeling of control during labor and delivery.
- Compare infections in pregnancy and implications on maternal and fetal outcomes.
- Determine the essential components that comprise newborn care.
Session Outline
Alternative Comfort Measures in Pregnancy & Labor
Maternal positioning and movement, hydration therapy, Touch, massage, acupressure, Hypnosis
Infections in Pregnancy: Understanding Maternal and Fetal Risks
Screening during pregnancy and initial evaluation, Maternal and fetal outcomes, TORCH: Toxoplasmosis, Other (Syphilis), Rubella, Cytomegalovirus, Herpes simplex virus
Updates in Assessment of the Newborn
Anticipating the Newborn: Implications of maternal history and known risk factors
Initial care in the delivery room
Transitional care: The first four to six hours of life
Session #2 - Medications in Pregnancy
Wednesday, May 7, 2014 from 1:00 p.m. to 4:00 p.m.
Featured Speaker: Jamie Otremba, CNM, RN, MSN
Session Description:
Which medications are safe during pregnancy? Which are most effective for sleep disturbance, weight gain, libido, post-partum depression . . . and so many more common pregnancy ailments? When it comes to hypertensive disorders in pregnancy, it's imperative you understand the latest practice guidelines when it comes to screening, prevention and treatment. You will learn new pharmacological strategies to best address the most challenging cases.
Session Objectives
- Compare anticipated newborn behaviors secondary to maternal use of SSRIs in the 3rd trimester.
- Evaluate the signs or symptoms that make a patient 'severely' pre-eclamptic and warrant emergency action.
- Select the rationale behind the latest preferred antihypertensive agents to consider during pregnancy.
- Explain the role of magnesium sulfate and when it should be discontinued.
Session Outline
Antidepressants and Anxiolytics in Pregnancy - A Case-Based Approach
Proposed FDA category changes
How to choose the best SSRI for the symptoms
Insomnia in pregnancy: Tips to help her sleep
Commonly-Used Medications in Pregnancy and Non-pharmacologic Alternatives
Pain, nausea, smoking cessation, GI Reflux (GERD), vaginitis, allergies
Hypertensive Disorders in Pregnancy
Medication guidelines: Prevent CVA and seizure
New ACOG position on what makes her 'SEVERE'
Role of MgSO4
Session #3 - Complications and Legal Implications
Thursday, May 8, 2014 from 8:00 a.m. to 11:00 a.m.
Featured Speaker: Michelle Quale, RN, MSN, CNM, FNP-BC
Session Description:
This session offers insight into the multitude of antenatal testing options – who to test and important implications to consider. Shoulder dystocia will be fully explored as it still continues to be one of the "worst" emergencies. We will look at current evidence, methods to facilitate an optimal delivery and the key documentation details to include. We will end the session focusing on what is legally impacting obstetrical practice, including areas of risk: forceps use, vacuums, cerebral palsy, and Pitocin. You can plan to gain insightful tips and some cautionary strategies to apply in your own work setting.
Session Objectives
- Interpret the current recommendations for antenatal testing available to pregnant women.
- Determine an optimal plan of care when an inherited disorder is present.
- Explain adverse maternal and fetal outcomes following a shoulder dystocia.
- Analyze the interventions that can place the healthcare team at higher risk for legal jeopardy.
Session Outline
Updates in Antenatal Testing: What Should We Be Doing?
ACOG recommendations in pregnancy: Screening and diagnostic testing, tests and timing
Identification of a patient at risk for complications: Indications for genetic counseling
Shoulder Dystocia: Emergency!
Current management standards of shoulder dystocia
Defensible documentation
Optimizing maternal and fetal outcomes
Legal Concerns in Obstetrics: What Can Lead to Legal Jeopardy?
The risks: Cost of litigation, timeline of litigation, effects on your future practice, high-risk situations for malpractice, responsibility for standards of care
Session #4 – Bleeding Extremes in Pregnancy
Thursday, May 8, 2014 from 1:00 p.m. to 4:00 p.m.
Featured Speaker: Jamie Otremba, CNM, RN, MSN
Session Description:
This conference segment will prepare you to optimally manage the most extreme of bleeding emergencies during pregnancy. DVTs, PEs, and hemorrhage are very real and can certainly be very frightening – for the patient and healthcare provider alike. Is your "toolkit" ready to save her life? Do you have the proactive management strategies in place already? Are you familiar with the new algorithm for evaluation of suspected PE?
Session Objectives
- Determine the items your hospital needs in your emergency PPH kit.
- Analyze the latest innovative radiologic strategies for controlling uterine bleeding.
- Choose the best nursing actions that can decrease the patient's risk for a postpartum VTE.
- Explain the tests to consider if evaluating a pregnant woman for a PE.
Session Outline
Post-Partum Hemorrhage
What you need in your emergency PPH toolkit
When to contact the doctor or midwife & what to do before they arrive
Algorithm for management: Meds, techniques, interventions
Innovative approaches: Arterial embolization, balloon catheters, blood products . . . and more!
Venous Thromboembolic Events: DVT & PE in Pregnancy
Blood clotting disorders simplified: Who to test, how, and what it actually means
New evidence on aggressive prevention in your highest risk patients: surgical, obese, and others
Anticoagulation risks/benefits on the fetus and newborn
Session #5 – Journey to Breastfeeding Success
Friday, May 9, 2014 from 8:00 a.m. to 11:00 a.m.
Featured Speaker: Cheryl Scott, PhD, RN, IBCLC, RLC
Session Description:
Follow the path of breastfeeding success for Jenny and her late preterm twins. Journey to Breastfeeding Success clearly identifies the top clinically evidenced-based practices supporting today's breastfeeding families through prenatal care traversing through Jenny's hospital course. You will learn optimal breastfeeding support for today's antepartum, post-partum and pediatric pathways.
Session Objectives
- Apply positive prenatal OB/GYN provider messages to assure optimal breastfeeding support.
- Design effective strategies to support breastfeeding success before and during the Golden Hour.
- Implement post-partum breastfeeding strategies to ensure optimal success for exclusive breastfeeding rates.
- Evaluate key outpatient safety nets for your breastfeeding families.
Session Outline
Prenatal OB/GYN
Key educational strategies to support breastfeeding interest before baby's arrival
Antepartum Support
High-risk mothers
Weekly IBCLC consultation education: Encouragement & support
Labor & Delivery
Preparing the laboring patient for the Golden Hour
Supportive Golden Hour practices
Family-centered cesarean
Post-partum Breastfeeding Support
Positioning, latching, hand expression, continuous skin-to-skin practices, pumping
Outpatient Support
Lactation clinics, support groups, WIC and home visit programs