Q&A: I want to know if I should trust the accuracy on an ultrasound to date a pregnancy.


Extract posterior arm There’s an excellent review article on Shoulder Dystocia in the Journal of Nurse-Midwifery, March-April Supplement I wait until the shoulders have completely rotated and entered into the pelvis — this is the next contraction after the head has been born, and might be 30 seconds to 2 or 3 minutes! If you envision the last times you had ‘slow shoulders”, what “usually” happens is we get the mom pushing as soon as the head is out, nothing happens, we change her position and get her ankles up by her ears or whatever is the latest fad[Grin] and she pushes and — the baby comes as she pushes WITH THE NEXT contraction! Pushing before the contraction might not bring the baby, might impact the shoulders, and if it’s going to take till the next contraction anyway — then maybe we can relax a moment, mom can catch her breath, we can get a clean chux down, the camera fellow can get in position and voila! Next contraction a baby is born! Now, I gotta give the usual disclaimers about baby’s condition, signs of distress etc — and if it looks like the baby is trying to breathe then I’d probably have mom push anyway. Monitoring a baby on the perineum is no different from monitoring while he’s in the uterus –there’s actually more to observe!

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Faculty Development Interest Group: Surgery Surgical Train the Trainer provides an overview of the Lapco surgical training model. Participants will review best practices in coaching delivery, practical coaching rehearsal in a skills lab setting, as well as participate in an interactive discussion of effective hands-on and interactive training techniques specifically focused on the surgical environment. Preconference Course Onsite Track: Program Administration Interest Group:

Perfect as a resource in the field or for exam preparation, this authoritative reference from the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) includes in-depth coverage of the most common neonatal disorders and their management.

AlisonCummins Yes, but not trivially to dismiss her arguments. As a genuine contribution to improving clarity of a post. You incorrectly used a hyphen – instead of an em-dash — in your comment. If I draw attention to your typography I am changing the subject, not helping you improve your comment. Bombshellrisa If you can tell me which button to push on phone to use the correct typography I would change it. It seems to be the only option I have to use. I like to know what errors I am making.

Since the language on this blog is conveyed via typing, being corrected helps me so I can communicate. I do this with my family too, somebody uses the wrong word or whatever, we correct. Someone needs to point out her exploitation articles also.

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Unfortunately, many novice academicians cannot avail themselves of mentoring opportunities, because formal mentoring programs are not common in the nursing education organizational culture. The purpose of this paper is to provide an overview of a model for excellence in establishing a formal mentoring program for academic nurse educators. The model is intended to be generalizable for faculty teaching in a variety of academic nursing institution types and sizes.

Methods The authors participated in a formal distance mentoring program and determined to engage in a heuristic inquiry to study mentoring. Initially, the authors used an inductive process to identify mentoring themes. At a face-to-face meeting, each participant shared lived experiences good or bad of either being mentored or mentoring someone and described the significance of the experience.

– Stress free convenient certification for BLS, CPR, ACLS, PALS, EKG, NRP, CCRN, by Dr. Carlos Rendon. Contact Lyssa Marie Calero () Home Instead Senior Care – Home Care for Seniors is committed to providing a wide-array of in-home care to meet the needs of the elderly and debilitated adults.

This scan will also show if you are expecting a multiple pregnancy. What to Tell us? If you have recently experienced painful cramping or PV bleeding How to Prepare? Please drink 1 litre of water and hold for one hour prior to your appointment. Do not empty your bladder until after the examination. What does the procedure involve?

The sonographer will tuck a piece of tissue into your underwear to protect your clothes, then drop some gel onto your abdomen. This helps the scanning head to glide smoothly over your skin to get a clear image. Most dating scans are done with a trans-abdominal transducer and require a full bladder.


Use the first day of the last menstrual period to calculate the due date. The quick way to do it in your head is to count backwards 3 months from the first day of the LMP, then add 7 days. The second trimester is from weeks until 28 weeks. The third trimester is from 28 weeks until delivery. The mother has had a previous Cesarean delivery but has now delivered vaginally.

New OB visits must have a preceptor verify the resident’s dating exam and firmly establish the EDC or pursue methods to do so. New OB patients and outcomes for current OB patients must be reported to the faculty responsible for tracking OB (Dr. Nwosu).

The College has been affiliated with Columbia Hospital since and serves a vital role in the education of competent nurses. Undergraduate students transfer general education courses from other accredited colleges and universities, and they complete their BSN degree at CCON. Graduate students take courses in 8- or week blocks and complete their program of study in less than 17 months. For more information on the Columbia School of Nursing click here.

Family Medicine Residency Medicine is visionary. Your residency training should be, too! Mary’s Family Medicine Residency program are excited about the future of family medicine.

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Licensed midwives who are members of MAWS are being asked to contribute very basic data for out-of-hospital births occurring between January and August You’ll have the option of submitting data electronically or on paper and it is estimated that each entry should take no more than minutes of your time or the time of the lucky person in your practice who does your MANA stats.

We’re hoping that the MAWS community will enthusiastically embrace this chance to put our data alongside hospital-based data to demonstrate not only that licensed midwifery care in Washington State results in excellent maternal and neonatal outcomes but that these results can be achieved without a heavy reliance on costly medical interventions.

Our participation in OB-COAP is being regarded by the Foundation for Healthcare Quality as part of a strategy to affect change in hospital-based birth practices, lower costs, and improve outcomes for moms and babies. You will be rewarded for your time and effort!

NRP 5th Edition Updates Class For NRP Instructors • June 22, Norman Regional Hospital • Contact: () AWHONN National Convention June 24 through 28, Baltimore, MD Visit for more information Oklahoma Institute for Child Advocacy Fall Forum.

Overview Overview The delivery of a full-term newborn refers to delivery at a gestational age of weeks, as determined by the last menstrual period or via ultrasonographic dating and evaluation. The Naegel rule is a commonly used formula to predict the due date based on the date of the last menstrual period. This rule assumes a menstrual cycle of 28 days and mid-cycle ovulation. Ultrasonographic dating can be more accurate, especially when it is performed early in pregnancy and is used to corroborate or modify a due date based on the last menstrual period.

In the first stage, the cervix dilates as a result of progressive rhythmic uterine contractions. This is typically the longest stage of labor. The first stage of labor is divided into the latent and active phases. The latent phase can last for many hours. The cervix dilates, usually slowly, from closed to approximately cm. The active phase lasts from the end of the latent phase until delivery.

Shoulder Dystocia

This happened with episiotomy in the last few decades. Most recently trained physicians cannot imagine doing routine episiotomy with every delivery, yet it was not so long ago that this was common practice. Episiotomy was supported in Medline indexed publications as early as the s 1 , and many publications followed in support of this procedure. But by as early as the s, publications began to appear that argued that episiotomy was not such a good thing 2.

Over the years the mix of publications changed, now the vast majority of recent publications on episiotomy focus on the problems with the procedure, and lament why older physicians are still doing them 3 4.

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Simulation-based training is recommended as an effective modality for instructing neonatal resuscitation and both low and high-fidelity manikin simulators are used. There is limited research that has compared the effect of low and high-fidelity manikin simulators for NRP learning outcomes, and more specifically on teamwork performance and confidence. The purpose of this study was to examine the effect of using low versus high-fidelity manikin simulators in NRP instruction.

A randomized posttest-only control group study design was conducted. Third year undergraduate medical students participated in NRP instruction and were assigned to an experimental group high-fidelity manikin simulator or control group low-fidelity manikin simulator. Integrated skills station megacode performance, participant satisfaction, confidence and teamwork behaviour scores were compared between the study groups.

Low and high-fidelity manikin simulators facilitate similar levels of objectively measured NRP outcomes for integrated skills station and teamwork performance. Keywords This is a preview of subscription content, log in to check access Notes Acknowledgments NRP training offered in conjunction with the study was only possible due to the collaborative efforts of: Darlene Toope neonatal educator ; Ms. Paula Mullins-Richards and Ms. Joanne Hapgood and Ms.

Resources & Links for Students & Instructors

Once the transcripts are available to the public, anyone who wishes to will be welcome to check the veracity of my version. I am carefully avoiding exact quotes and any manipulation of content because I know that my best defense against libel is that everything here is a true and accurate representation. Anything in brackets is my clarification or commentary.

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For more information, click here. AAP Point-of-Care Solutions Four essential AAP resources now share an integrated platform, with quick, easy access to well-care guides, acute-care answers, patient education, and pediatric coding. AAP journals and periodicals are now on Gateway , a seamless, pleasurable, relevant reading experience on any mobile device. An annual site license gives your entire organization access to the essential Neonatal Resuscitation eBook Collection , which includes the following 6 titles: Guidelines for Air and Ground Transport of Neonatal and Pediatric Patients, 4th Edition AAP Section on Transport Medicine The latest guidelines for health care professionals and hospital systems interested in developing transport systems and improving the transport care they deliver.

Chisholm, MD, FACOG This best-selling book, featuring 10 units covering information and skills for assessment and initial management of frequently encountered neonatal illnesses, ties all neonatal therapies and skills together for management of sick and at-risk newborns. Chisholm, MD, FACOG This popular book features 6 units dealing with complex neonatal therapies, such as assisted ventilation, plus continuing care for at-risk babies and those with special problems, following intensive care.

To learn more about the Neonatal Resuscitation eBook Collection, contact institutions aap.


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