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Managing Category II Fetal Heart Rate Patterns: A Standardized Approach

Credits: 1.00

Specialty: Obstetrical providers and nurses
Best suited for: Obstetric physicians, general practice physicians, nurses and mid-level providers caring for pregnant patients

Course Description
As an obstetrical practitioner, you know the challenges inherent in managing Category II fetal heart rate patterns during labor. Interpreting these tracings remains one of the most critical issues in obstetrics. We are pleased to announce a new tool that can help! A simple, rational, evidence-based algorithm will be presented by obstetrical patient safety leader Steven L. Clark, MD.
This webinar will explain and demonstrate the algorithm, which reflects a synthesis of medical evidence and current scientific thought. You will learn through examples of challenging fetal strips how to achieve compliance with the current standard of care in managing this difficult clinical situation.
Developed in conjunction with other leading experts, Dr. Clark will highlight his article just published in the August 2013 American Journal of Obstetrics and Gynecology

Learning Objectives
Obstetrical practitioners who complete this webinar will be able to:
  • Discuss the benefits of standardized interpretation of terminology and protocols for management of category II fetal heart rate patterns.
  • Review and discuss the proposed algorithm for the management of category II fetal heart rate tracings.
  • Apply the algorithm to Category II tracings.

Faculty Information
Steven L. Clark, MD, is a maternal-fetal medicine specialist and is medical director of Women’s and Children’s Clinical Services for the Hospital Corporation of America. He was formerly professor of obstetrics and gynecology at the University of Utah. He has served as president of the Society for Maternal Fetal Medicine, chair of the ACOG Technical Bulletin Committee, and a board examiner. He has served on several ACOG task forces and committees, and as patient safety consultant to the U.S. Air Force Surgeon General. He currently serves on the Scientific Advisory Board for United Health Care and on the Joint Commission Perinatal Advisory Panel. He has published over 200 scientific articles and chapters, and he has edited several textbooks, including Critical Care Obstetrics. He serves as a peer reviewer for 23 national and international scientific journals.

Planning Group
Mary K. Ausenhus, RN, MSN, WHCNP-BC, Clinical Nurse Manager - Women's Services, EvergreenHealth, Kirkland 
Angela Chien, MD, Obstetrics and Gynecology, EvergreenHealth, Kirkland
Becky Fahey, RN, MPA:HA, CPHRM, Senior Healthcare Risk Management Consultant, Physicians Insurance, Portland
Peggy Hamernik, CME Specialist, EvergreenHealth, Kirkland
Kym Shepherd, Director of Complex Litigation, Physicians Insurance, Seattle
Celia Smith, CCMEP, Director, Continuing Medical Education, Physicians Insurance, Seattle
Jeanna Taylor, BSN, RN, Clinical Nurse Educator, EvergreenHealth Women’s Services
Cryss. Toycen, CME Specialist, Physicians Insurance, Seattle
Neil Vasquez-Solis, Risk Management Education Assistant, Physicians Insurance, Seattle

2014 Review Group
Angela Chien, MD, Obstetrics and Gynecology, EvergreenHealth, Kirkland
Kym Shepherd, Director of Complex Litigation, Physicians Insurance, Seattle
Celia Smith, CCMEP, Director, Continuing Medical Education, Physicians Insurance, Seattle

Original release: September 2013
Last reviewed: September 2014
Expiration: September 2016

CME Information
Estimated time to compete this activity: 1 hour

Category 1 credit is applicable throughout the United States.
Physicians Insurance members who complete this course will fulfill the risk management education requirement mandated by the Washington Health Services Act of 1993.

Physicians Insurance is accredited by the Washington State Medical Association CME Accreditation Committee to provide continuing medical education for physicians.

Physicians Insurance designates this enduring material for a maximum of 1 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for up to 1 hour of Category I CME to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

At the time this course was developed and presented, all faculty, planning and peer-review group members and their spouses/partners certified that they do not have, nor have had within the past year, any financial arrangements or affiliation with any commercial organization involved in health care goods or services consumed by or used on patients, with the exemption of non-profit or government organizations and non-health related companies.

All members of the 2014 review group certified that neither they nor their spouses/partners have (nor have had within the past year) any financial relationships per the above.
The content will not include mention of unapproved or investigational uses of products or devices.

Resolution of Conflicts of Interest
Physicians Insurance has implemented a process to resolve conflicts of interest for each continuing medical education activity, to help ensure content objectivity, independence, fair balance, and content that is aligned with the interest of the public. Conflicts, if any, are resolved through a peer-review process.

Member and Subscriber Access

Additional Course Details:
The course begins with a short online form intended to gauge a few of your current practices so that we might later measure changes you have implemented after completing the course. You will then be directed to the required reading, followed by a 10-question quiz. Links to sample documents have been included for quick access.

If you are interrupted and need to log out before you finish, you will be able to restart where you left off.

After You Complete the Course

Following completion of the quiz, you will be asked to fill out a brief online evaluation form, after which you may print your certificate of participation. Your participation is automatically recorded by Physicians Insurance without any additional steps on your part.

This course is offered through Experix, a wholly owned subsidiary of Physicians Insurance, and is based on more than 30 years' experience in providing continuing medical education. This course is complimentary for Physicians Insurance members.

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