Diversity in Perinatal Practice: Appreciating and Accepting Our Differences

Course Expiration Date: 1/31/19

If you are a member of SC AHEC this course is free with an enrollment key which you may obtain from the AHEC contact person within your organization.

 If you are purchasing this course the cost is $50 payable through PayPal when you enroll.

 Once you have the enrollment key, enter it at the bottom of the page and then click on the Enroll Me box.

Course Description:  This course is designed to help nurses understand diverse cultural experiences in the perinatal period. 

Instructor:  Debby Mills, MS, CNS, RNC-OB

Target Audience: Licensed Nurses and other interested healthcare workers

Learning Outcomes: After completing this activity, the participant will be able to:

•Discuss the universality of the birth experience.
•Identify how cultural competence and health literacy impact perinatal care.
•Describe the different needs for modesty by diverse cultures.
•Explain the experience of pregnancy and birth for the major cultural groups in the US.
•Summarize the differences for post partum depression and treatment among ethnic groups.
•Describe the perinatal experience for patients with diverse sexual orientation.
•Discuss the cultural and social influence on infertility, childlessness, family size, family balancing, care decisions, and female circumcision.
•Compare the differences in cultural response to perinatal loss.

 Length of Course: 2 hours

Credit Statements:

Licensed Nurses:  Upstate AHEC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Upon successful completion of this program, participants will receive 2 contact hours.

Other: This educational offering provides 0.2 CEUs (2 clock hour) by Upstate AHEC and meets SC AHEC Best Practice Standards.

Disclosure Statement:

Upstate AHEC's conflict of interest policy requires faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials.

The speaker(s) has/have signed a vested interest form declaring no conflict of interest in educational activities.

Provisions of this educational activity by Upstate AHEC does not imply endorsement by Upstate AHEC or ANCC of any commercial products displayed in conjunction with this activity.

Labor and Delivery:  Fast and Furious and Full of Pitfalls and Special Considerations in Labor and Delivery

Course Expiration Date: 12/31/17

If you are a member of SC AHEC this course is free with an enrollment key which you may obtain from the AHEC contact person within your organization.

 If you are purchasing this course the cost is $75.00 payable through PayPal when you enroll.

 Once you have the enrollment key, enter it at the bottom of the page and then click on the Enroll Me box.

Course Description: At the completion of this activity, participants will be able to discuss how obstetrical triage came into use, common errors in obstetric triage, antepartum testing, image testing in pregnancy, and other methods of determining time of birthing a baby.  In addition, this course discusses special considerations in labor and delivery such as fetal monitoring, hemodynamic changes in labor, phases of labor, and monitoring in labor.  Complications of anesthesia and delivery emergencies are also discussed.

Instructor: Debby Mills MS, CNS, RNC-OB

Target Audience: Licensed Nurses and other interested healthcare workers

Learning Outcomes: After completing this activity, the participant will be able to:

1.  Identify the challenges of nursing practice in obstetrical triage.

2.  Discuss the more common antepartum tests utilized for fetal evaluation.

3.  Describe the hemodynamic changes during labor and their implications for patient care.

4.  Discuss the care provided to patients receiving obstetrical anesthesia.

5.  Discuss the role of the placenta and umbilical cord on pregnancy outcomes.

6.  Discuss the most commonly encountered obstetrical emergencies in labor and delivery.

7.  Describe the care provided to a patient experiencing cardiac arrest in pregnancy.

8.  Identify strategies for safety in perinatal care.

Length of Course: 180 minutes

Credit Statements:

Licensed Nurses:  Upstate AHEC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Upon successful completion of this program, participants will receive 3.0 contact hours.

Other: This educational offering provides 3.0 CEUs ( 3.0 clock hour) by Upstate AHEC and meets SC AHEC Best Practice Standards.

Disclosure Statement:

Upstate AHEC's conflict of interest policy requires faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials.

The speaker(s) has/have signed a vested interest form declaring no conflict of interest in educational activities.

Provisions of this educational activity by Upstate AHEC does not imply endorsement by Upstate AHEC or ANCC of any commercial products displayed in conjunction with this activity.

More Pieces to the Puzzle: Special Considerations in Pregnancy

Course Expiration Date: 12/31/17

If you are a member of SC AHEC this course is free with an enrollment key which you may obtain from the AHEC contact person within your organization.

 If you are purchasing this course the cost is $40.00 payable through PayPal when you enroll.

 Once you have the enrollment key, enter it at the bottom of the page and then click on the Enroll Me box.

Course Description: At the completion of this activity, participants will be able to discuss pregnancy loss, infertility, age and pregnancy, pre-gestational medical disorders and pregnancy, obesity and pregnancy, intimate partner violence and pregnancy, tattoos and piercings and pregnancy and hypertensive disorders and pregnancy.

Instructor: Debby Mills MS, CNS, RNC-OB

Target Audience: Licensed Nurses and other interested healthcare workers

Learning Outcomes: After completing this activity, the participant will be able to:

1. Discuss the implications for caring for patients who have experienced  pregnancy loss.

2.  Identify the challenges of achieving successful pregnancy for couples experiencing infertility.

3.  Identify pre-gestational medical conditions that will increase their patient's risk for complications in the prenatal, intrapartum and postpartum period.

4.  Identify the impact of intimate partner violence on pregnancy.

5.  Plan anticipatory guidance to pregnant patients regarding tattoos and piercings in pregnancy.

6.  Identify women whose age impacts pregnancy outcomes.

7.  Apply the knowledge about hypertension in pregnancy to the care of the patient.

Length of Course: 102 minutes

Credit Statements:

Licensed Nurses:  Upstate AHEC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Upon successful completion of this program, participants will receive 1.7 contact hours.

Other: This educational offering provides 1.7 CEUs (1.7  clock hour) by Upstate AHEC and meets SC AHEC Best Practice Standards.

Disclosure Statement:

Upstate AHEC's conflict of interest policy requires faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials.

The speaker(s) has/have signed a vested interest form declaring no conflict of interest in educational activities.

Provisions of this educational activity by Upstate AHEC does not imply endorsement by Upstate AHEC or ANCC of any commercial products displayed in conjunction with this activity.

Newborn Hypoxia and Cyanosis: Your Baby's Blue Clues

Course Expiration Date: 3/31/18

If you are a member of SC AHEC this course is free with an enrollment key which you may obtain from the AHEC contact person within your organization.

If you are purchasing this course the cost is $25.00 payable through PayPal when you enroll.

Once you have the enrollment key, enter it at the bottom of the page and then click on the Enroll Me box.

Course Description: This course explores reasons for newborn hypoxia and cyanosis from congenital heart disease and persistent pulmonary hypertension, pulmonary causes, neurological causes and sepsis. It also discusses various treatment options for hypoxia and cyanosis in the newborn.

Instructor: Debby Mills MS, CNS, RNC-OB

Target Audience: Licensed Nurses and other interested healthcare workers

Learning Outcomes: After completing this activity, the participant will be able to:

1. Explain fetal circulation and metabolism as it relates to newborn hypoxia and cyanosis.
2. Describe the physiologic changes that occur during the newborn transition to the extrauterine environment.
3. Identify the key components for assessment and physical examination of the infant exhibiting hypoxia.
4. Compare and contrast the differences in presentation for congenital heart disease and persistent pulmonary hypertension of the newborn (PPHN).
5. Discuss the pulmonary causes for newborn hypoxia and cyanosis.
6. Describe the difference in presentation for common neurologic causes of hypoxia.
7. Identify the difference between early and late onset neonatal sepsis as well as describe the presentation, laboratory evaluation and treatment .
8. Explain the current indications for use of hypothermia therapy in newborns.
9. Examine the risks associated with late preterm birth as it relates to newborn cyanosis and hypoxia.

Length of Course: 75 minutes

Credit Statements:

Licensed Nurses: Upstate AHEC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Upon successful completion of this program, participants will receive 1.25 contact hours.

Respiratory Care Practitioners:1.25 clock hours will be awarded by Upstate AHEC, an approved provider of continuing education for respiratory care practitioners by the SC Board of Medical Examiners.

Other: This educational offering provides 0.125 CEUs ( 1.25 clock hour) by Upstate AHEC and meets SC AHEC Best Practice Standards.

Disclosure Statement:
Upstate AHEC's conflict of interest policy requires faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials.

The speaker(s) has/have signed a vested interest form declaring no conflict of interest in educational activities.

Provisions of this educational activity by Upstate AHEC does not imply endorsement by Upstate AHEC or ANCC of any commercial products displayed in conjunction with this activity.

Perinatal Emergencies: Immediate or Imminent Do You Know How to Respond?

Course Expiration Date: 3/31/18

If you are a member of SC AHEC this course is free with an enrollment key which you may obtain from the AHEC contact person within your organization.

 If you are purchasing this course the cost is $115.00 payable through PayPal when you enroll.

 Once you have the enrollment key, enter it at the bottom of the page and then click on the Enroll Me box.

Course Description:  This course is designed to help obstetric nursing know how to respond to common obstetrical emergencies such as placental abruption, eclamptic seizures, umbilical cord proloapses, amniotic fluid emboli, DVT, shoulder dystocia, postpartum hemorrhage, uterine rupture, and precipitous delivery in the absence of a physician and some other OB emergencies.. 

Instructor:  Debby Mills, MS, CNS, RNC-OB

Target Audience: Licensed Nurses and other interested healthcare workers

Learning Outcomes: After completing this activity, the participant will be able to:

  • discuss the clinical and laboratory presentation for placental abruption.
  • describe appropriate management to prevent seizure recurrent and prepare for delivery.
  • identify the 3 different types of umbilical cord prolapse and associated risk factors.
  • discuss appropriate intrauterine resuscitation to prevent fetal compromise an current outcomes.
  • describe the pathophysiology for DIC related to clinical presentation and laboratory testing.
  • discuss strategies for management of massive hemorrhage and DIC.
  • describe the significant pathophysiology for the clinical presentation of amniotic fluid embolism.
  • discuss the differential diagnosis and management.
  • describe the differences in presentation and treatment of DVT in the antepartum and post partum period.
  • identify risk factors for shoulder dystocia and appropriate nursing interventions.
  • discuss common causes of postpartum hemorrhage with treatment goals and interventions.
  • identify common clinical findings, management and sequelae in uterine rupture.
  • discuss the subsequent delivery options for a patient who has undergone cesarean delivery.
  • identify the patient with uterine inversion and implement appropriate management strategies.
  • discuss the steps necessary for delivery of a precipitous birth in the absence of a physician.

 Length of Course: 4 hours 15 minutes

Credit Statements:

Licensed Nurses:  Upstate AHEC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Upon successful completion of this program, participants will receive 4.25 contact hours.

Other: This educational offering provides 0.0425 CEUs (4.25 clock hour) by Upstate AHEC and meets SC AHEC Best Practice Standards.

Disclosure Statement:

Upstate AHEC's conflict of interest policy requires faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials.

The speaker(s) has/have signed a vested interest form declaring no conflict of interest in educational activities.

Provisions of this educational activity by Upstate AHEC does not imply endorsement by Upstate AHEC or ANCC of any commercial products displayed in conjunction with this activity.

Postpartum: Busier Than Ever

Course Expiration Date:  12/31/17

If you are a member of SC AHEC this course is free with an enrollment key which you may obtain from the AHEC contact person within your organization.

 If you are purchasing this course the cost is $25.00 payable through PayPal when you enroll.

 Once you have the enrollment key, enter it at the bottom of the page and then click on the Enroll Me box.

Course Description: At the completion of this activity, participants will be able to discuss physiological changes to the body after pregnancy, how to focus the assessment, postpartum complications, what to teach new parents and a beginning approach to breastfeeding.

Instructor: Debby Mills MS, CNS, RNC-OB

Target Audience: Licensed Nurses and other interested healthcare workers

Learning Outcomes: After completing this activity, the participant will be able to:

1.  Identify physiologic changes that occur after the delivery of the fetus.

2.  Describe the assessment process for the postpartum patient.

3.  Discuss the  most common postpartum complications encountered by nurses.

4. Identify the important topics for postpartum education.

5.  Discuss introductory guidance to postpartum patients about lactation.

 Length of Course: 60 minutes

Credit Statements:

Licensed Nurses:  Upstate AHEC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Upon successful completion of this program, participants will receive contact hours.

Other: This educational offering provides CEUs ( clock hour) by Upstate AHEC and meets SC AHEC Best Practice Standards.

Disclosure Statement:

Upstate AHEC's conflict of interest policy requires faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials.

The speaker(s) has/have signed a vested interest form declaring no conflict of interest in educational activities.

Provisions of this educational activity by Upstate AHEC does not imply endorsement by Upstate AHEC or ANCC of any commercial products displayed in conjunction with this activity.

Preterm Labor and Birth: Not Time to Be Born

Course Expiration Date: 12/31/17

If you are a member of SC AHEC this course is free with an enrollment key which you may obtain from the AHEC contact person within your organization.

 If you are purchasing this course the cost is $50.00 payable through PayPal when you enroll.

 Once you have the enrollment key, enter it at the bottom of the page and then click on the Enroll Me box.

Course Description: At the completion of this activity, participants will be able to discuss preterm labor, risk factors for preterm labor and birth, signs and symptoms, the impact and current treatments and medications.  The course also discusses counseling patients and current research being implemented to prevent preterm birth.

Instructor:  Debby Mills, MS, CNS, RNC-OB

Target Audience: Licensed Nurses and other interested healthcare workers

Learning Outcomes: After completing this activity, the participant will be able to:

  • Describe the occurrence of preterm birth in both the U.S. and South Carolina and neonatal morbidity associated with prematurity.
  • Discuss risk factors for preterm birth.
  • Identify the role of inflammation in preterm labor and birth.
  • Discuss common signs and symptoms of preterm labor and the approach for initial assessment.
  • Identify the role of the cervix and uterus in preterm labor and current treatment options.
  • Identify the impact of preterm premature rupture of membranes at both early and late preterm gestation.
  • Describe the current medications utilized for tocolysis and other management strategies.
  • Discuss the role of progesterone and antenatal steroids in improving preterm outcomes.
  • Discuss the limits of viability and their importance in counseling patients about neonatal outcomes.
  • Describe current research being implemented to prevent  preterm birth.

 Length of Course: 106  minutes

Credit Statements:

Licensed Nurses:  Upstate AHEC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Upon successful completion of this program, participants will receive 1.8 contact hours.

Other: This educational offering provides .018 CEUs ( 1.8 clock hour) by Upstate AHEC and meets SC AHEC Best Practice Standards.

Disclosure Statement:

Upstate AHEC's conflict of interest policy requires faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials.

The speaker(s) has/have signed a vested interest form declaring no conflict of interest in educational activities.

Provisions of this educational activity by Upstate AHEC does not imply endorsement by Upstate AHEC or ANCC of any commercial products displayed in conjunction with this activity.

Puzzled About Your OB Patient? Putting the Pieces Together

Course Expiration Date: 12/31/17

If you are a member of SC AHEC this course is free with an enrollment key which you may obtain from the AHEC contact person within your organization.

 If you are purchasing this course the cost is $25.00 payable through PayPal when you enroll.

 Once you have the enrollment key, enter it at the bottom of the page and then click on the Enroll Me box.

Course Description: At the completion of this activity, participants will be able to discuss the fertility cycle, early pregnancy care, prenatal assessment procedures, including lab tests, and physiological changes associated with pregnancy.

Instructor: Debby Mills MS, CNS, RNC-OB

Target Audience: Licensed Nurses and other interested healthcare workers

Learning Outcomes: After completing this activity, the participant will be able to:

1. Discuss the fertility cycle and early indications of pregnancy.

2.  Identify the important aspects of prenatal care, including evaluation of laboratory results.

3.  Relate how the physiologic changes that occur in pregnancy relate to their clinical practice.

4.  Present guidance to your patients regarding safety of vaccinations in pregnancy.

 Length of Course: 60 minutes

Credit Statements:

Licensed Nurses:  Upstate AHEC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Upon successful completion of this program, participants will receive 1.0 contact hours.

Other: This educational offering provides1.0 CEUs ( 1.0 clock hour) by Upstate AHEC and meets SC AHEC Best Practice Standards.

Disclosure Statement:

Upstate AHEC's conflict of interest policy requires faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials.

The speaker(s) has/have signed a vested interest form declaring no conflict of interest in educational activities.

Provisions of this educational activity by Upstate AHEC does not imply endorsement by Upstate AHEC or ANCC of any commercial products displayed in conjunction with this activity.

Supporting the Breastfeeding Couplet

Course Expiration Date: 8/30/18

If you are a member of SC AHEC this course is free with an enrollment key which you may obtain from the AHEC contact person within your organization.

 If you are purchasing this course the cost is $50 payable through PayPal when you enroll.

 Once you have the enrollment key, enter it at the bottom of the page and then click on the Enroll Me box.

Course Description: With approximately 80% of US mothers intending to breastfeed their newborns in the hospital.  In South Carolina, 75% of mothers are breastfeeding at birth with only 37% are still breastfeeding at 6 months and only 13% are still exclusively breastfeeding at 6 months.   Learn skills and techniques on how to assist and counsel mothers in the hospital, overcoming difficulties and removing barriers by exploring a "new" method: Biological Nurturing to help mothers reach their breastfeeding goals.  Also learn about the BabyFriendly Hospital Initiative, the designation process and how to utilize the Ten Steps to Successful Breastfeeding in supporting all mothers and their newborns.  This course is designed with the hospital nurse  (L&D, newborn, or mother/baby) or breastfeeding/healthcare professional in mind.

Instructor: Starla J. McGorty, BSN RNC-LRN, IBCLC, RLC

Target Audience: Licensed Nurses and other interested healthcare workers

Learning Outcomes: After completing this activity, the participant will be able to:

  • Discuss biological nursing as it applies to breastfeeding in the hospital setting.
  • Examine the criteria for a hospital's Baby-Friendly designation.

 Length of Course: 2.5 hours

Credit Statements:

Licensed Nurses:  Upstate AHEC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Upon successful completion of this program, participants will receive 2.5 contact hours.

Other: This educational offering provides 0.25 CEUs (2.5 clock hour) by Upstate AHEC and meets SC AHEC Best Practice Standards.

Disclosure Statement:

Upstate AHEC's conflict of interest policy requires faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials.

The speaker(s) has/have signed a vested interest form declaring no conflict of interest in educational activities.

Provisions of this educational activity by Upstate AHEC does not imply endorsement by Upstate AHEC or ANCC of any commercial products displayed in conjunction with this activity.