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0571-1_SHU_Labor & Delivery Transition in Practice-Cohort 25.07_Live
Description:
This program is designed for an experienced RN new to Labor & Delivery or a new graduate RN just beginning their career in labor and delivery. The employee participates in 10 days of didactic, hands-on skills, and simulation training over 7 weeks. This program offers evidence-based content and is modeled after AWHONNs principles as a framework. Topics covered include: Physiology of pregnancy and labor, labor support, electronic fetal monitoring, caring for the intrapartum patient, complications and emergencies occurring during pregnancy and delivery, OR circulating and recovery, immediate care of the postpartum patient and newborn and lastly, birth equity. This program is intended to provide foundational knowledge and improve competency for common Labor & Delivery skills.
Target Audience
Nurse, Registered (RN)
Learning Objectives
At the end of course, participants will be able to:
1. Describe maternal physiologic changes that occur during pregnancy.
2. Summarize the nursing care provided during the four stages of labor.
3. Differentiate between normal and dysfunctional labor progress.
4. Demonstrate supportive, non-pharmacologic methods of pain relief used during labor that may also facilitate labor progress.
5. Differentiate between induction and augmentation of labor and describe the various agents used.
6. Prioritize the nursing interventions utilized during an umbilical cord prolapse.
7. Review postpartum hemorrhage etiology and demonstrate appropriate management.
8. Discuss maternal and fetal conditions requiring cesarean birth.
9. Describe the nursing care provided for a cesarean birth in the preoperative, intraoperative, post-operative and post anesthesia care recovery phases.
10. Identify pharmacologic methods of pain relief.
11. Discuss risk factors, theories of etiology, and management of preterm labor and preterm premature rupture of membranes.
12. Describe the prevalence, physiology, risk factors and management for multiple gestation, including the nursing care of women with twins.
13. Explain theories of etiology, pathophysiology, and management of hypertensive disorders in pregnancy.
14. Differentiate the types of diabetes and their risk factors and management in pregnancy.
15. Employ the guidelines for care of the obstetrical patient requiring transport.
16. Review the appropriate assessment and care of the obese woman in labor and delivery.
17. Examine the impact of sexually transmitted infections and perinatal infections on the mother and newborn.
18. Identify risk factors and implement interventions for shoulder dystocia at delivery.
19. Describe the basic physiology of normal lactation and supportive techniques to facilitate early breastfeeding.
20. Demonstrate interventions for the preeclamptic/eclamptic patient.
21. Prepare for the process of immediate newborn assessment and stabilization.
22. Describe newborn physical assessment and routine care for the low-risk newborn in the first two hours after birth.
23. Demonstrate safe delivery practices for a precipitous (attended only by the RN) vaginal delivery.
24. Discuss the effect of perinatal loss on mothers, partners and hospital staff.
25. Appraise sources of perinatal liability and risk.
26. Conceptualize birth equity, identify key factors contributing to disparities in maternal and infant health outcomes, and apply strategies to promote equitable care and outcomes for all individuals, particularly those from marginalized communities
Assembly Bills 1195 & 241- Culturally Appropriate Care which is Free of Implicit Biases:
Learners are strongly encouraged to engage in self-directed learning related to the impact of implicit biases in this clinical area via the references provided below:
Implicit Bias:
Saluja, B., & Bryant, Z. (2021). How implicit bias contributes to racial disparities in maternal morbidity and mortality in the United States. Journal of Womens Health, 30(2), 270–273. https://doi.org/10.1089/jwh.2020.8874
CLC:
Vogel TM, Coffin E. Trauma-Informed Care on Labor and Delivery. Anesthesiol Clin. 2021 Dec;39(4):779-791. doi: 10.1016/j.anclin.2021.08.007. PMID: 34776109.
Disclosure of Financial or In-Kind Commercial Support & Conflict of Interest
No one involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity.
– Provider Designee/Verification: Fozia Ferozali, Ed.D.
Naomi Bragg, RN, RNC-OB
Heidi Panella, MS, RN, PHN
Cheryl Ronald, RN
Accreditation
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
Credit Designation Statement
Sutter Health designates this LIVE activity for a maximum of 62.75 continuing professional development contact hours for nurses. Learners should claim only the credit commensurate with the extent of their participation in the activity.
Attendance & Credit Claiming
Text the 6-letter attendance verification code to (916) 866-7913 to claim credit.
Available Credit
- 62.75 ANCC
Nursing Credit - American Nurses Credentialing Center (ANCC)
Sutter Health designates this Live activity for a maximum of 62.75 ANCC contact hour(s). Nurses should claim only the credit commensurate with the extent of their participation in the activity.
- 62.75 CA BRN
Nursing Credit - California Board of Registered Nursing (CA BRN)
This activity is approved for 62.75 contact hour(s) by Sutter Health, which is an approved provider by the California Board of Registered Nursing. (Provider Number 17182). Nurses should claim only the credit commensurate with the extent of their participation in the activity.