Donna Weeks – PESI – High Risk Obstetrics: Current Trends, Treatments & Issues

Description

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Donna Weeks – PESI – High Risk Obstetrics: Current Trends, Treatments & Issues

Speaker: Donna Weeks, DNP, RNC-OB, C-EFM, APN
Format: Audio and Video
Media Type: Digital Seminar

Description
You do NOT want to be unprepared when the next high-risk OB patient comes through the door! Expert, Donna Weeks, will delve into the most common and complicated emergencies presenting in today’s obstetrical patients. Her extensive experiences in obstetrics have provided her with keen insight into these often challenging and frightening situations. She is eager to share with you effective interventions and treatment strategies that improve patient outcomes.

Through enlightening case studies, persuasive evidenced-based research, and an engaging presentation style, Donna will provide you with a comprehensive look at pre-eclampsia, eclampsia, HELLP, shoulder dystocia, sepsis and DKA in pregnancy, OB triage, hemorrhage complications, and so much more! Int his recording, you’ll learn new strategies and techniques that can immediately impact the maternal and fetal outcomes of your obstetrical patients.

Speaker
Donna Weeks, DNP, RNC-OB, C-EFM, APN, has over 30 years of maternal child nursing experience where she has held roles from staff nurse to manager, director, and educator and is currently practicing as a Clinical Nurse Specialist at JFK Medical Center. Donna’s experience includes high-risk OB, L&D, postpartum and newborn nursery. One of her unique experiences includes initialing, facilitating, and evaluating a support group for hospitalized antepartum women. Donna has been instrumental in leading AWHONN’s Postpartum Hemorrhage Project as well as the Baby Friendly Initiative at her facility. She also serves as a Part-Time Professor at Capella University.

Dr. Weeks’ nursing education includes a BSN through the State University of New York, an MSN from The College of New Jersey, and a DNP through Rutgers, The State University of New Jersey. Additionally, she is certified in Inpatient Obstetrics and Electronic Fetal Monitoring, is an AWHONN Fetal Heart Monitoring Instructor Trainer, and AWHONN Obstetrical Patient Safety Instructor Trainer.

Speaker Disclosures:
Financial: Donna Weeks has an employment relationship with Capella University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Donna Weeks is a member of the Association of Women’s Health Obstetrics and Neonatal Nursing.

Objectives

1. Analyze key assessment needs of high risk labor patients to know when care needs to be escalated.
2. Distinguish early warning signs in the obstetrical patient that may lead to maternal or infant morbidity or mortality.
3. Predict the management course and patient care needs in various clinical examples using sample evidence-based protocols.
4. Determine your level of readiness to respond to emergencies for high risk pregnancies.
5. Develop strategies for effective communication and teamwork during these most challenging times.
6. Interpret the possible causes of a post-partum hemorrhage and appropriate management for each.
7. Discuss the course of pre-eclampsia, eclampsia and HELLP and identify appropriate treatment.

Outline

Are YOU Ready?

• Preparing for the High-Risk Patient
• Guidelines, Tool Kits, Protocols & Policies
• Unit Readiness
• Ensuring Staff Preparedness for a Crisis
• Preventing Traumatic Birth & Poor Outcomes

OB Triage Challenges

• ED vs. OB – Deciphering Which Patient & Which Dept.
• Legal Pitfalls
  Disposition Decisions – Do you Agree?
• Maternal Fetal Triage Index
• Defining Best Practices

Hypertension in Pregnancy

• Pre-eclampsia: It’s Not Over Until it’s Over
• Eclampsia
  Diagnostic Criteria
  Effect on Body Systems
• HELLP
  Lab Tests & Expected Findings
  Critical Effects
• Medication Management
• Key Clinical Pearls

Obstetrical Hemorrhage

• Antepartum Causes: PPH is NOT the Diagnosis
• Postpartum Causes
  Invasive Placenta: Acreta, Increta, Percreta
  Emergency Management
  Recognize & Escalate
  Fluids & Blood Products
• Debriefing Process

Shoulder Dystocia

• Interventions You MUST Know
• Risk Factors: ADOPE
• Emergency Maneuvers
• Maternal Effects
• Newborn Effects
• Critical Points in Documentation

Diabetic Ketoacidosis in Pregnancy

• Diabetic Goals & Patient Management
• Care During Labor & Delivery
  Key Assessments
  Avoiding DKA
• Emergency Management

Amniotic Fluid Embolism

• Defined Criteria
• Symptoms & Causes
• Emergency Algorithm
• High Morbidity & Mortality
• Frequent Rehearsal of Critical Actions
• Critical Documentation Points

Perinatal Infections

• Group B Strep
• Decreasing or Still a Threat?
• Current Recommendations
• Chorioamnionitis
• Perinatal Transmission of HIV
• Update on ZIKA

Sepsis in Pregnancy

• Recognizing Signs & Symptoms
• Critical Lab Values
• Emergent Interventions
• Surviving Sepsis Bundle

Target Audience

• Nurses
• Clinical Nurse Specialists
• Nurse Practitioners
• Nurse Midwives
• Certified Childbirth Educators/Doulas

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