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Managing Category II Fetal Heart Rate Patterns: A Standardized Approach

Hours: 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
When this webinar was originally produced in 2013, obstetrical patient safety leader Steven L. Clark, MD had just designed an algorithm reflecting the synthesis of medical evidence and current scientific thought on interpreting  category II fetal heart rate tracings. Early in 2016, the American Journal of Obstetrics and Gynecology published a study substantiating that this algorithm has resulted in earlier delivery of infants with significant metabolic acidosis. 

In his webinar, Dr. Clark explains and demonstrates the algorithm.  Through examples of challenging fetal strips you will learn how to use this simple tool to make your best decisions and achieve compliance with the standard of care in managing these difficult deliveries.  

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 algorithm for the management of category II fetal heart rate tracings.
  • Apply the algorithm to Category II tracings.

Course Materials
The video-recorded presentation is divided into chapters so that you can return to your approximate stopping point if you are interrupted.

The course begins with a short online survey to gauge a few of your current practices. You will then be directed to the webinar, where you'll be able to download the slides and supplemental reading.

Faculty Information
Steven L. Clark, M.D. is a maternal-fetal medicine specialist and is professor of Obstetrics and Gynecology at Baylor College of Medicine in Houston. He was formerly Medical Director of Women’s and Children’s Clinical Services for the Hospital Corporation of America. He has served as president of the Society for Maternal Fetal Medicine, Chair of the ACOG Technical Bulletin Committee and as 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 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, CHCP, 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

Original release: September 2013
Last reviewed: September 2016
Expiration: September 2017

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

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

Physicians Insurance/Experix 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.

All planning and peer-review group members and their spouses/partners have 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, patient, with the exemption of non-profit or government organizations and non-health care related companies.

The content of this CME activity does not include discussion of unapproved or investigational uses of products or devices.

Resolution of Conflicts of Interest
Physicians Insurance/Experix 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

The course begins with a short online form intended to gauge current practices so that we might later measure changes you have implemented since completing the course. You will then be directed to the required reading, followed by a 10-question quiz.

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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