OB Care in the ED

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Whether you are a new grad or an experienced Emergency Department nurse, caring for the pregnant patient can be terrifying. Consider the following questions. Are you an Emergency Department nurse who has little or no experience to the Obstetrics Department (OB)? Does the thought of an emergent delivery of a baby in the ED frighten you? Are you working for an organization that does not have an Obstetrical Department? Are you an ED nurse who wants to learn more about emergent OB conditions that you might present to your ED? If you answered yes to any of these questions, this on-line workshop is designed with you in mind! 

During this 9-module course we will explore emergency care for the pregnant patient, integrating real life case studies, overviewing OB/Newborn assessments/emergencies along with prioritizing interventions needed in each situation. This comprehensive course is designed to provide the ED nurse with a solid foundation of core principles and standards of care and practice. This workshop will ready the nurse to care for a variety of conditions that could present the Emergency Department including trauma, emergent delivery of a newborn, placental abruption, uterine rupture, pre-eclampsia/HELLP Syndrome, post-partum hemorrhage, just to name a few.

PROGRAM FEE

RWHC Members & Affiliate Members
$2,500 per facility*
for one-year access
*Each hospital and its hospital-owned clinics are defined as one facility. Each independently-owned clinic is defined as one facility. 
  • To renew an existing subscription, the program fee is
    $2,000 per facility for each additional one-year access.
Non-RWHC Members
$3,000 per facility*
for one-year access
*Each hospital and its hospital-owned clinics are defined as one facility. Each independently-owned clinic is defined as one facility.
  • To renew an existing subscription, the program fee is
    $2,400 per facility for each additional one-year access.

COURSE MODULES & OBJECTIVES

  • Define gravidity and parity/differentiating the terms
  • Review the anatomy and physiology of the pregnant woman with systemic review/considerations
  • Identify criteria for confirmation of pregnancy
  • Overview of the complications and common reasons for ED visits

  • Identifying differences in fetal circulation and changes an infant goes through as it is born
  • Differentiation between various alterations in fetal heart rate in conjunction with contractions
  • Assessment of fetal baseline heart rate and fluctuations seen while electronically monitoring
  • Prioritizing interventions when fetal decelerations are noted
  • Assessing contraction patterns
  • Prioritizing interventions for pre-term labor
  • Engaging in critical thinking through a case study

  • Describe common reasons for bleeding in pregnancy/post-partum
  • Determining multiple risk factors that can cause bleeding
  • Differentiates placenta previa, abruption, uterine rupture and valsa previa
  • Defines post-partum hemorrhage protocols/standards of care and practice
  • Prioritizing interventions needed when bleeding is present

  • Reviews the criteria for diagnosis of pre-eclampsia
  • Differentiates between pre-eclampsia and severe pre-eclampsia
  • Identifies pre-eclampsia risk factors
  • Discuss HELLP syndrome
  • Prioritizing interventions and nursing considerations for pre-eclampsia and eclampsia
  • Engaging in critical thinking through a case study

  • Identifies the signs and symptoms of a prolapsed cord
  • Prioritizing interventions for this emergency
  • Engaging in critical thinking through a case study

  • Reviews the classic turtling sign
  • Identifies emergent interventions utilizing the HELPER4 Mnemonic
  • Engaging in a critical thinking through a case study
  • Overviewing the debriefing outline of the shoulder dystocia event

  • Outlines the steps to an emergency deliver
  • Implements the initial steps of neonatal resuscitation
  • Reviews the required Apgar scoring system
  • Identifies the initial care of a pre-term infant
  • Differentiating between transient respiratory challenges vs. neonatal sepsis
  • Reviews steps for an umbilical line placement

  • Identifies considerations for monitoring trauma pregnant patients
  • Reviews common obstetric and non-obstetric reasons for cardiac arrest
  • Prioritizing interventions for such emergencies
  • Engaging in critical thinking through a case study

    • Review of the hands-on skills and priority interventions for the following emergencies:
    o Prolapsed cord
    o Emergency delivery/initial steps of neonatal resuscitation
    o Shoulder dystocia

    INSTRUCTORS

    Cella Hartline, RN, BSN, PCC Professional Certified Coach, Nursing & Leadership Development Senior Manager

    Cella brings her experience from over 40 years in various rural healthcare leadership positions to her work as she combines her passion for nursing, leadership, coaching and teaching. Named the 2018 Outstanding Educator through the National Rural Health Association, she engages healthcare participants across the country with her humorous, action-oriented and compassionate approach.


    Sarah Ewers, RN, BSN, Nursing Clinical Development Educator

    Sarah earned her Bachelor in Science of Nursing through Viterbo University, and continues to have a passion to hold herself accountable for multiple hours of continuing education. She brings a wealth of experience in providing quality care to patients in multiple settings including Intensive Care, Medical-Surgical, Rehabilitation, Assisted Living, and Long-Term Care. She brings a fresh approach that participants can relate to and bring back to their work practice to implement and grow in their career. She is excited to share her real-world experience to inspire and influence healthcare providers.

    Ronda Pennekamp, RN, BSN, Nursing Clinical Development Educator

    Ronda infuses energy and enthusiasm into every aspect of her work with the RWHC team. With Bachelor’s degrees in both Education and Nursing, she brings a unique blend of knowledge and nursing hands-on experience in rural healthcare. Ronda’s passion for learning, growth, and encouraging others to embrace new challenges shines through in every workshop she leads, as well as every interaction she participates in. Her engaging, dynamic and approachable style, paired with her “teaching-first” mindset, creates an inspiring environment where participants feel empowered to grow and succeed.

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