Presented by Cindy Parke, RNC, C-EFM, CNM, MSN


 

Course Information:  

  •  Review labor physiology, pathophysiology, and components of effective labor progress and develop effective patient assessment, care, and management techniques that assist birth physiology.
    • Develop policies/strategies for labor induction and augmentation based on respect for physiology, safety, evidence and NICHD recommendations.
    • Recognize and respond to abnormal labor patterns including tachysystole and dystocia.
    • Review pain assessment and management in labor including non-pharmacologic and pharmacologic care techniques.
    • Identify adverse fetal response to labor, causation, clinical observations, interventions, and intrauterine resuscitation.
    • Review new NICHD definitions, categories, and necessary nursing actions.
    • Recognize a variety of pathologic and emergent labor situations including GH, Diabetes, Uterine Rupture, Hemorrhage, DIC, and appropriate management and documentation issues.
  • Identify normal and abnormal parameters in the second stage; explore new research-based second stage management.
  • Describe risk factors for shoulder dystocia noting clinical interventions and techniques to improve outcomes, and decrease liability.
  • Describe indicators of stage III-IV labor emergency situations.
  • Develop essential documentation and chart review skills for safer patient care.
  • Locate and utilize key web resources for L&D skill building to enhance safe maternity and newborn care.

Program Details:

This seminar is another opportunity for Labor & Delivery nurses in need of orientation, practice enhancement, and/or NCC Test Prep for the InPatient OB Nursing Certification Exam.

The L&D Review seminar has the same content as our InPatient OB Review, but these locations/dates are taught by Cindy Parke, RNC, C-EFM, CNM, MSN.  Cindy is a skilled lecturer with a wealth of clinical, legal, and teaching experience. 

These additional locations and dates are an extra opportunity to meet your scheduling needs. 

Join Cindy for an exciting seminar, Learn from the Best and Pass the Test! 

OUTLINE OF DAY ONE AND TWO

Day One

7:30 Check-In Continental Breakfast

8:00 RESPECTING PHYSIOLOGY FOR SAFER
CARE
• Maternal Mortality

• Resources exist

TRIAGE & ONGOING EVALUATION IN
LABOR
• What is Physiologic Labor?

• Essential Assessment Skills to Recognize Normal and the
“Unexpected”

INDUCTION & AUGMENTATION
• Cervical Ripening – Methods and Rx

• Risks – Hazards – Tachysystole -Failure to Progress
Dealing With Drugs… Cervidil – Cytotec – Pitocin

• Nursing Care Essentials

• Determining Candidates

• Ensuring Safety with Drug Use

LACK OF PROGRESS – TAKING INITIATIVE…
• Recognizing Dystocia & ‘Lack of Progress’

• Friedman vs Albers vs Zhang

• Clinical Intervention

PAIN MANAGEMENT IN LABOR…
• Labor Support

• Nitrous Oxide Use

• Managing

Epidurals: Timing – Precautions – Dosing

• Relieving Back Labor & Converting OP Positions
GROUP B STREP: Protocols & Procedures
STAGE II LABOR – Fetal Response/Reaction

• Pushing for Fetal Well-being

• Laboring Down

4:30 Adjourn

Day Two 

7:30 Check-In Continental Breakfast

8:00 ASSESSING FETAL HEALTH – Monitoring The
Fetus:
• NICHD Terminology and Categories
• Identification

• Management

• Documentation
• Intrauterine Resuscitation

MATERNAL RISKS = FETAL HAZARDS• Hypertension – Pre-eclampsia – Eclampsia

• Diabetes: Managing Labor: Maternal/Fetal Response

• Preterm Labor: Evaluation – Tocolytics – Steroids

MANAGING & DOCUMENTING EMERGENCIES
• Vaginal Bleeding Triage: Placenta Previa – Abruption

• Uterine Rupture

• Hemorrhage

• DIC

• AFE

SHOULDER DYSTOCIA – Labor Clues
• Recognition, Management & Responsibilities

• Fundal Pressure & Your Day in Court

 

VACUUM EXTRACTION: Do’s & Don’ts
• Protocols

• Nursing Responsibilities

• Double Set-Up…

STAGE III-IV LABOR & POSTPARTUM
EMERGENCIES
• Retained Placenta – Accreta/Increta/Percent

Uterine Inversion – Why it Happens – What to Do…
• PPH: Assessing Maternal Status: Recognizing & Responding

• Quantification of Blood Loss

4:30 Adjourn