OB Emergencies: Current Trends, Treatments & Issues

Credit

Handouts/Brochure

Speaker

Jamie Otremba, MSN, RN, CNM Related seminars and products

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Jamie Otremba, MSN, RN, CNM, has over 25 years of maternal child nursing experience and is currently practicing full-scope nurse-midwifery at a progressive OB/GYN clinic in suburban Minnesota. Jamie has been active in program development and benchmarking in both clinic and hospital settings. She is also one of the medical directors for the Women’s and Children’s Service Line at a large hospital and medical center in Minnesota. Jamie served as an assistant professor at Minnesota State University and has practiced in women’s health care in a variety of settings, including labor and delivery, postpartum, antenatal, and community health nursing.

She has consulted area healthcare facilities on clinical and legal practice topics, and she continues as an investigator for several medication trials pertinent to obstetric and gynecologic issues. Additionally, Jamie has enjoyed sharing her vast knowledge and experiences as a preceptor for both medical and advanced practice nursing students. Her goal is to provide you with the latest pharmacological options for pregnancy and birth to ultimately improve the maternal and fetal outcomes of your own patients!

 

Speaker Disclosures:
Financial: Jamie Otremba has an employment relationship with Allina Health and receives compensation as a national speaker. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Jamie Otremba is a member of the American College of Nurse-Midwives and the Network for LGBT Health Equity.

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Objectives

1. Explain the two phase process that results in pre-eclampsia. 

2. Compare the two blood pressure parameters that require treatment and how those treatments differ. 

3. List criteria for the diagnosis of preterm labor and the pharmacologic management options. 

4. Determine the two most important factors to assess appropriateness for elective induction.  

5. Explain the most effective way to change medical staff practices.  

6. Evaluate the possible causes of a post-partum hemorrhage and appropriate management of each.  

7. Analyze strategies for collaborative care with the ICU and Emergency Department 

8. Explain why a d-dimer is no longer recommended as part of the evaluation for pulmonary embolism in pregnancy.  

9. Evaluate the latest ACOG recommendations for preventing blood loss during delivery.  

10. Explain why neurological outcomes with AFE are so poor and the rapid interventions that could make a difference. 

Outline

Preeclampsia Eclampsia and HELLP 

• Tips for timely intervention: Know when you MUST intervene 
• Why have we gotten so aggressive? 
• Latest available medical treatments & nursing interventions 
• Morbidly and mortality associated with diagnosis 

Preterm Labor: Rapid Diagnosis and Intervention Can Make All the Difference 

• Who Is at the highest risk and strategies to lower the risk 
• Preterm labor or just contractions? Make your diagnosis! 
• Beta-mimetics, Mag, Calcium Channel Blockers, NSAIDS, progesterone, Antibiotics: Who get what? 

The Perils of Shoulder Dystocia 

• Can we predict shoulder dystocia? 
• The latest legal outcomes for patients with shoulder dystocia 
• When a shoulder dystocia occurs: The essentials of management 

Post Partum Hemorrhage 

• Patients at risk for postpartum hemorrhage 
• New tips for assessing blood loss accurately 
• Most recent clinical practice guidelines 
• New medications and old meds with new protocols 

High Risk Induction 

• Trends in elective and medical inductions 
• The newest options for inductions 
• Risks and benefits for induction patients 
• How to change your hospital policies 
• Examples of informed consent 

VTE in Pregnancy and Postpartum 

• #1 cause of Maternal death in the US (...and why the ICU nurse is running from me) 
• New recommendations for evaluation and prevention 
• Treatment in pregnancy 
• Timing delivery 

Catastrophic Events 

• AFE 
• Cardiac and respiratory arrest 
• Loss of fetal heart tones 
• Recognition 
• What really goes wrong - and how? 
• Be prepared for aggressive resuscitation! 

Target Audience

• Nurses
• Nurse Practitioners
• Physicians
• Physician Assistants
• Midwives
• Other Professions