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Managing Category II Fetal Heart Rate Patterns: A Standardized Approach


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

Original release: September 2013
Expiration: September 2016

Accreditation
Physicians Insurance is accredited by the Washington State Medical Association CME Accreditation Committee to sponsor continuing medical education for physicians. Physicians Insurance designates this online 
enduring material for a maximum of 1 hour in Category I to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission. 

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

Disclosure
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 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.


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Additional Course Details
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.

Experix
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.

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