PPT-­ Advanced Fetal Monitoring: A Multidisciplinary Approach

to Promote Patient Safety and Reduce Risk for Litigation 2016 Conference Outcomes and Survey Results Joan E Edwards PhD RNC CNS FAAN jedwards3twuedu Objectives A Explain the research purpose . Paul G. . Tomich. , M.D.. Department of Obstetrics and Gynecology . University of Nebraska College of Medicine . Learning Objectives. Evolution. Examples. Descriptions. Reassuring patterns. Concerning patterns. Fred Hill, MA, RRT. Ultrasound. Ultrasound. Ultrasound Applications. Identification of pregnancy. Identification of multiple fetuses. Determination of fetal age, growth, maturity. Observance of polyhydramnios or oligohydramnios. ANTE AND INTRAPARTUM. DR. OSHINOWO. M.B;B.S, FRCOG. OBSTETRICIAN/GYNAECOLOGIST. INTRODUCTION. The aim of ANC . Ensure maternal well being. Ensure Fetal well being. Identifying risks factors. Monitoring of certain parameters . ANTE AND INTRAPARTUM. DR. OSHINOWO. M.B;B.S, FRCOG. OBSTETRICIAN/GYNAECOLOGIST. INTRODUCTION. The aim of ANC . Ensure maternal well being. Ensure Fetal well being. Identifying risks factors. Monitoring of certain parameters . Sharon Fickley, BSN, RNC-OB. Laura Hall, ADN, RNC-OB. January 24. th. , 2011. Objectives. Provide brief review of National Institute of Child Health and Human Development (NICHD) 2008 Electronic Fetal Monitoring (EFM) Terminology Update. 2008 . NICHD. Workshop. Definitions for . Electronic Fetal Monitoring. Dione Ganser, BSN, . RNC. Walden University. NURS. 6320. objectives. Students will be able to. . -Discuss types of monitoring- external vs. . 134. M. Johnston, RN-BC, M.Ed.. Types of Monitoring. Auscultation-. listen to fetal. heart rate (FHR). Electronic Fetal Monitoring . – use of instruments to record FHR and uterine contractions(U/Cs). Tracing. . analysis. 2015 FIGO CONSENSUS GUIDELINES ON. INTRAPARTUM FETAL MONITORING. Mean level . of the . most horizontal . and . less oscillatory FHR segments. . Estimated in . 10-min periods, . expressed in bpm. Expanded. NUR 231. M. Johnston, RN-BC, M.Ed.. Cindy Irwin , RNC, MN. Types of Monitoring. Auscultation-. listen to fetal. heart rate (FHR). Electronic Fetal Monitoring . – use of instruments to record FHR and uterine contractions(U/Cs). ).. Dr Rehana Raja. King Khalid University. Abha, KSA. Format. History. The methods available. Basic physiology. Indications. Features of CTG – Normal & Abnormal. Management of abnormal CTG. Fetal Blood Sampling. . Agarwal. Professor. Dept of . Obs. & . gyn. KGMU, Lucknow. Objectives. Understand aims of fetal monitoring. Understand methods of fetal monitoring. Understand limitations of fetal . monitoring. 1. Beckmann and Ling’s Obstetrics and Gynecology/8. th. edition. Netter’s Obstetrics and Gynecology/3. rd. edition . Overview. 2. Indications. Although there is no optimal time to initiate . fetal testing. Instantly access the latest information on evaluating fetal status in a practical, portable format perfect for use in the clinical environment! Using an evidence-based approach, Pocket Guide to Fetal Monitoring and Assessment provides detailed guidance on standardized interpretation and management, incorporating patient safety concepts throughout. As the first multidisciplinary text on fetal monitoring, this resource is geared towards the busy clinician.Portable and practical information for evaluating intrapartum and antepartum fetal statusSingle source of information for care designed specifically for use in the clinical environmentConsistent, two-color outline format includes the description, characteristics, etiology, clinical significance, and intervention for each situation or conditionDetailed review of the National Institute of Child Health & Human Development (NICHD) standardized terminologyA new approach to fetal assessment based on the oxygen pathway and fetal response to hypoxemiaCurrent information on excessive uterine activity and fetal acidemia, with suggestions for oxytocin managementStandardized interpretation and management of fetal heart rate response using an evidence-based algorithmPatient safety and risk management strategies with case study illustrationPractical information on documentation in electronic fetal monitoring, including legal issuesInformation on neonatal encephalopathy and intrapartum eventsDeposition excerpts from actual malpractice cases related to EFMAdjunct fetal assessment using analysis of the fetal ST segment Evaluate intrapartum and antepartum fetal status with this portable, practical guide! Mosby\'s Pocket Guide to Fetal Monitoring, 7th Edition provides a multidisciplinary, evidence-based approach model that\'s ideal for use in the clinical environment. It offers a single definitive source on fetal heart rate monitoring, with the description, characteristics, etiology, clinical significance, and intervention for every tracing. Written by an expert team including nurse-midwife and attorney Lisa Miller, perinatologist David Miller, and RN Susan Martin Tucker, this reference may be used in any location where electronic monitoring is employed for fetal surveillance, such as the labor and delivery suite, the antepartum inpatient unit or ambulatory care setting, and emergency departments and intensive care units caring for pregnant women.Pocket-sized, colorful design offers portability and easy access to information.Patient safety and risk management strategies with case study illustrations and legal commentary include guidelines for providing safe and competent care.Prioritization of fetal monitoring elements helps you make clinical decisions in areas such as fetal heart rate assessment, evaluation, interpretation, and action planning, all supported by evidence-based practice and literature.Descriptions of the relationship between various fetal heart rate patterns and fetal acidemia alert you to important considerations in the care of specific conditions.Coverage of innovative practices supports patient safety and improved quality outcomes in high-reliability perinatal units addressing: Use of a common language for fetal heart rate patterns with a common construct for interpretation Emergency preparedness (multidisciplinary mock emergencies, simulations, debriefing after critical events, and exemplary practice) Human factor issues (step-by-step process to improve communication, situational awareness, no-fault/just culture, teamwork, and collegiality)Consensus guidelines from the 2008 National Institute of Child Health and Human Development (NICHD) workshop report show how to interpret and manage intrapartum FHR patternsprovide standardized terminology, updates on nomenclature for uterine activity and also include interpretive categories.NEW content on fetal dysrhythmias outlines the incidence, identification, and management of this important condition.NEW monitor strips throughout the book enhance usability.NEW Selected FHR Tracings and Cases: Interpretation and Documentation appendix provides an important reference tool for all clinicians.NEW Obstetric Models and Intrapartum Fetal Monitoring in Europe chapter addresses global issues, including variations in terminology, practice, and interpretation.