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Objectives

Outline

Have a seminar idea? A manuscript to publish? The nation’s top speakers and authors contact PESI HealthCare first. If you are interested in becoming a speaker, or have a new topic idea, please contact Missy Bertrang at mbertrang@pesi.com or call (715) 855-6366.

• Pre-eclampsia, Eclampsia, and HELLP

• Equipment, Tools, Communication, Supplies….Are YOU Ready?

• The Perils of Shoulder Dystocia

• Avoiding Severe Hemorrhage Complications

• OB Triage Challenges

• High Risk Pregnancy . . . The Aftermath

• DKA in Pregnancy

• Placenta Accreta

• Orientation Success for Critical Thinking in an OB Crisis

• Amniotic Fluid Embolism

• Thought Provoking Case Studies

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. Implement a healthcare orientation that stimulates critical thinking skills to identify

complications in the high risk patient.

Preparing for the High Risk Ob Patient Guidelines, tool kits, protocols, & policies: Are your resources ready for use? examine your unit’s readiness Hints to ensure staff are ready to respond in a crisis

Preeclampsia: It’s Not Over Until it is Over The course of preeclampsia Plan of care to provide the best care practices Case study presentations

Hemorrhage Various causes of obstetrical hemorrhage Compare the latest in plans of care Case study presentations

Amniotic Fluid Embolism AFe defined What are the current steps in YOUR emergency response? Case study presentations

OB Triage Challenge Tips for the most significant challenges in OB triage Best practices in OB triage Compete as teams on disposition decisions Case study presentations

DKA in Pregnancy What are the key aspects to look for on presentation? Treatment protocols to incorporate Case study presentation

Shoulder Dystocia Interventions you mUST know Case study presentation

Sepsis in Pregnancy Special care needs for treatment: Are you ready? Case study presentationHigh Risk Pregnancy . . . The Aftermath Support for the patient What is your role Case study presentationIncorporate High Risk Care into Orientation methods of orientation Use of simulation The coaching role Giving constructive and useful feedback

A NoN-Profit orgANizAtioN CoNNeCtiNg KNowledge with Need SiNCe 1979

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ANNAPOlIS, mD Tuesday

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EllICOTT CITy, mD Wednesday

June 10, 2015

ARlINgTON, vA monday

June 8, 2015

ANNAPOlIS, mD Tuesday

June 9, 2015

EllICOTT CITy, mD Wednesday

June 10, 2015

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High Risk Obstetrics Current Trends, Treatments & Issues

Nurses • Advanced Practice Nurses • Clinical Nurse Specialists Nurse Educators • Nurse Practitioners • Nurse Midwives • Physician Assistants

Certified Childbirth Educators/Doulas

High Risk Obstetrics Current Trends, Treatments & Issues

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■ ARlINgTON, vA June 8, 2015 35221ARl Holiday Inn Rosslyn at Key Bridge 1900 North Fort myer drive • 22209 (703) 807-2000

■ ANNAPOlIS, mD June 9, 2015 35221APS doubleTree Hotel Annapolis 210 Holiday Court • 21401 (410) 224-3150

■ EllICOTT CITy, mD June 10, 2015 35221ell Turf Valley Resort & Conference Center 2700 Turf Valley Rd • 21042 (410) 465-1500

Credits listed below are for full attendance at the live event only. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact cepesi@pesi.com or 800-844-8260 before the event. Full attendance is required to receive full credit. Partial credit may be awarded if your board allows. Please check approvals below for full attendance requirements. At the conclusion of the seminar, each qualified attendee will be handed a certificate of attendance.

PeSI, Inc. offers continuing education programs and products under the brand names PeSI, PeSI Healthcare, PeSI Rehab, medS-PdN, Healthed and ed4Nurses.

NURSES/NURSE PRACTITIONERS/CLINICAL NURSE SPECIALISTS: PeSI, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses in full attendance will earn 6.3 contact hours. PARTIAl CONTACT HOURS WIll Be AWARded FOR PARTIAl ATTeNdANCe.

PHYSICIAN ASSISTANTS: “This program is not yet approved for Cme credit. Conference organizers plan to request 6.25 hours of AAPA Category 1 Cme credit from the Physician Assistant Review Panel. Total number of approved credits yet to be determined.”

CERTIfIEd CHILdbIRTH EdUCATORS/dOULAS: This course has been approved by the ICeA for 6.0 contact hours. Program identification number: CNTC11-1814.

MIdwIvES: ACNm specialty credit has been applied for.

OTHER PROfESSIONS: This seminar qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

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HIGH RISK OBSTeTRICS: CURReNT TReNdS, TReATmeNTS & ISSUeS

Seminar on Cd or dvd Package: If you cannot attend this seminar, you can purchase a self-study package on the subject. You will receive a set of dVds or Cds that include a digital copy of the seminar manual and post-test/evaluation. Colleagues can also receive Ces for a nominal fee. To determine if homestudy credits are available for your profession go to www.pesi.com or call 800-844-8260. Check with your licensing board to verify acceptance of self-study credits for license renewal. Order today by using the order form on this brochure or by calling 800-844-8260.

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■ $82.99* AWHONN Perinatal Nursing Fourth Edition book (distributed at seminar—FRee SHIPPING!)

■ $69.95* High Risk Pregnancy & Delivery, 5th Edition book (distributed at seminar—FRee SHIPPING!)

■ $19.99* Neonatal Pocket Guide for NICU Nurses book (distributed at seminar—FRee SHIPPING!)

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Questions? Visit www.pesihealthcare.com/faqs, or call 800-844-8260AWHONN Perinatal Nursing Fourth EditionBy Kathleen R. Simpson, RNC, PHD, FAAN & Pat A. Creehan, MSN, RNC, RNAn official publication of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), Perinatal Nursing, Fourth Edition presents up-to-date information based on the most rigorous evidence and offers suggestions for best practices. This new edition of the authoritative, comprehensive text used by perinatal nurses worldwide features a wealth of new content to keep practice current.

High Risk Pregnancy & Delivery, 5th EditionBy Elizabeth Stepp GilbertTopics include assessment of fetal well-being, pregnancy loss and perinatal grief, ethical decision making, legal issues and risk management, sexually transmitted infections, substance abuse, health disorders complicating pregnancy and complications in pregnancy. New features include patient safety and risk management strategies, a chapter on Venous Thromboembolic Disease and standardized terminology and definitions.

Neonatal Pocket Guide for NICU NursesBy Pamela Ann Harris-Haman, BSN, CRNP, NNP-BC, RNC-NICA collection of quick point-of-care reference materials. Topics include: prenatal factors, cultural indicators, resuscitation methods, endotracheal tubes, thermoregulation, respiratory medications, cardiology, fluids, electrolytes & nutrition, infectious disease, pharmacology, bilirubin/neonatal lab values.

The high risk labor patient can and will arrive at any hospital at any time without regard for the level of perinatal

care offered. The registered nurse from labor and delivery has different resources available depending on her work setting to help her care for the complicated pregnancy. Once the patient needs are identified in any setting, readiness to manage these patients in a predictable way can make all the difference in the outcome, including:

• developing on-the-spot assessment skills to identify the complicated patient.

• Current protocols at your fingertips to guide your care.

• Practicing with your team to ensure effective communication principles, environmental readiness and on hand supplies.

developing the skills and critical thinking to identify and manage a high risk patient begins with a firm knowledge base of pregnancy and childbirth. diabetic ketoacidosis management, best practices for accreta, emergency steps in amniotic fluid embolism or septic shock are rare occurrences where checklists can help ensure up to date care. more familiar problems such as preeclampsia, VTe and hemorrhage may already have safety bundles developed with protocols and equipment ready for an emergent need.

Predetermined protocols are published and available but need to be adapted to your setting and your resources. Collaboration between disciplines is necessary to incorporate protocols and practice through simulation scenarios in your setting to ensure readiness for different complications. Peggy will highlight the importance of preparation through a variety of high risk patient cases based on evidence based protocols. You definitely do NOT want to be lacking in preparation when the next high risk ob case comes through the door. Allow Peggy to share her respected insights throughout this day of learning that is sure to offer some improvements to your own practice.

Peggy Cowling, APN, CNS, RN, is an Advanced Practice Nurse/Clinical Nurse Specialist with experience in labor and delivery, mother baby and neonatal intensive care for over 30 years. Peggy graduated from loyola University in Chicago with her mSN in maternal Child Nursing. She is certified by the National Certification Corporation in electronic Fetal monitoring, Inpatient Obstetrics, and Childbirth education and remains an active member of AWHONN, AORN, and ANA.

Peggy has a clinical nursing background in tertiary and community settings and although resources at times are different, high risk patients are a regular event in both settings. Communication skills, nursing readiness and predetermined protocols for the high risk patient are essential tools to ensure optimal outcomes for both baby and mom. Peggy has accumulated a wealth of knowledge throughout her career, including such responsibilities as: serving as an ed nurse to triage patients when outpatients exceed deliveries, lactation services, teaching baby care to families, and the very unfortunate times when special support is required for families following perinatal loss.

As a respected and requested presenter, she has organized training events for a large hospital system, co-hosted a national conference on mother-baby nursing, and has spoken at national conferences on support and care of the mother undergoing critical care.

Responsible for competency of staff for many years, Peggy provides staff with tools to apply the knowledge taught in this course, including competency records to track learning and follow up experiences.

Speaker disclosure:Financial: Peggy Cowling has an employment relationship with Advocate South Suburban Hospital. She receives a speaking honorarium from PeSI, Inc.Nonfinancial: Peggy Cowling has no relevant nonfinancial relationship to disclose.

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High Risk Obstetrics: Current Trends, Treatments & Issues___ Seminar on Cd* (audio) $139.99 (RNA010945)

___ Seminar on dVd* (video) $169.99 (RNV010945)

___ AWHONN Perinatal Nursing Fourth Edition book* $82.99 (SAm012465)

___ High Risk Pregnancy & Delivery, 5th Edition book* $69.95 (SAM012150)

___ Neonatal Pocket Guide for NICU Nurses book* $19.99 (PUB075180)

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Live Seminar Schedule7:30 Registration/morning Coffee & Tea8:00 Program begins11:50-1:00 lunch (on your own)

4:00 Program ends

10 – 15 minute mid-morning and mid-afternoon breaks

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Designed For: Nurses • Nurse Practitioners • Clinical Nurse Specialists Telemetry Technicians • Cardiovascular Technology Professionals

CANCEllATION POlICy: If you contact us before the event date, you can exchange for a Cd/digital manual package on the subject (self-study continuing education credit may be available), a certificate to attend another seminar, or receive a tuition refund less a $30 cancel fee. Substitutions are permitted at any time.

High Risk Obstetrics Current Trends, Treatments & Issues