Maternal Safety
The Maternal Safety Program offers 20 modules covering various topics such as medically significant events, to ethical situations in pregnancy. Upon completion of the course the participant will be awarded up to 20 AMA PRA Category 1 Credits™ or 20 AOA Category 1-B credits for physicians and 20 credits for nurses from Michigan State University College of Osteopathic Medicine.
Included Modules
Amniotic Fluid Embolism (AFE) is a high acuity, low occurring process that when recognized may be lifesaving. The module will help by giving understanding of the disease and its management. AFE is a detrimental disease process that is life threatening for the women it affects. The AFE module will provide knowledge for this low occurring process.
This module focuses on participants gaining a better understanding of Disseminated Intravascular Coagulation (DIC), the issues it brings to health care organizations while providing participants with a practice setting to examine and develop their own skills. DIC is a detrimental disease process that is life threatening for the women it effects. Participants will learn the signs and symptoms of DIC along with treatment regimens.
This module will help participants differentiate between a reassuring and nonreassuring fetal heart rate (FHR) pattern. Accurate interpretation is essential to guide appropriate health care delivery to reduce fetal acidosis, hypoxemia, and promote a safe outcome for the fetus.
This module is intended for health care providers who do not perform obstetric deliveries as part of their usual practice, educating them to assist the patient in the process of giving birth. This module will help resolve issues with availability of necessary equipment, appropriate training for the clinical care of these patients before, during, and following a vaginal birth; and knowledge of documentation of the labor and delivery process, including disposition documentation.
Induction of labor (IOL) refers to any technique used to stimulate uterine contractions during pregnancy to accomplish a vaginal delivery. This is performed prior to the onset of spontaneous labor. A successful IOL results in a vaginal birth. This module will help by giving an understanding of IOL and its management.
Operative vaginal birth is a method in which the vaginal delivery is assisted using forceps or a vacuum extractor. This module will address the key points about operative vaginal delivery; purpose, instruments, indications, risks and benefits so all providers are knowledgeable prior to an actual assisted delivery.
Leaking fluid? We have problems! Preterm Premature Rupture of Membranes (PPROM) continues to be a leading cause of neonatal morbidity and mortality. This module will help to develop a knowledge base to further the care of a woman with PPROM.
This module will provide knowledge to assist in identifying when preterm labor (PTL) is happening. PTL and birth can result in a great number of health risks including long-term mental and physical disabilities for the neonate. Health care providers who identify PTL is happening will have the knowledge to implement additional steps to reduce the risk of delivery.
The postpartum hemorrhage (PPH) module will help health care providers identify when this serious and potentially fatal condition is occurring. Identifying the cause of the bleeding and stopping the source of bleeding as fast as possible and replacing blood volume are the goals of this life-threatening situation. Participants will be better prepared when this event occurs.
Vaginal bleeding in the second and third trimester is an event that is life threatening to both the mother and fetus. This module will help participants gain an understanding of the issues involved with this bleeding and better communicate the situation with other providers, the patient and her family.
Hypertensive disorders in pregnancy remains a leading cause of maternal death. The Maternal 911 module will give you a basis of knowledge to better recognize and treat hypertension in pregnancy.
Shoulder dystocia (SD) cannot be predicted, as there are no signs or way to prevent it, but health care professionals can be prepared for this obstetrical emergency. This module will explain how to recognize when this event occurs and what can be done to help relieve the impacted shoulder.
This module educates health care providers on what to do when an umbilical cord prolapse (UCP) occurs. This is a rare but serious complication that occurs during labor, usually just before or during delivery. Umbilical cord prolapse can occur without any risk factors. However, certain conditions or factors may increase the chances of a prolapse occurring and this module will educate on this situation so prompt health care delivery can reduce umbilical cord compression and fetal death.
Venous thromboembolism (VTE) is a high acuity, low occurring event when recognized can be managed. VTE is a leading cause of maternal death and morbidity in pregnancy. The diagnosis and treatment of VTE in pregnancy are challenging because of the need to balance the risks and benefits for both the mother and the fetus. This module will provide information to prepare the health care professional when this condition presents.
Intrahepatic Cholestasis of Pregnancy (ICP) is the most common liver disorder exclusive to pregnancy. The incidence rate varies worldwide. ICP interferes with the flow of bile acid and the cells are unable to transport bile acid normally, which leads to bile acids building up the bloodstream. There is increased risk to the unborn baby with elevated bile acids in the maternal blood. This module will provide details on ICP for early recognition and lead to appropriate care for the pregnant woman.
In the United States and the United Kingdom, maternal sepsis is considered to be the leading cause of death in the peripartum period. Sepsis is not a specific illness; rather it is a syndrome that encompasses an uncertain pathobiology. The Maternal 911 module will provide education and treatment plans to help reduce or eliminate maternal and infant morbidity and mortality when sepsis is present.
A psychologically safe work environment has proven to increase employee retention, facilitate discussion, diversify idea sharing, and leadership becomes more effective. This module will help individuals and health care teams create a work environment where everyone feels safe to verbalize their concerns, suggestions, ideas, and questions about what is happening to improve patient outcomes.
This module will bring recognition to provider and intuitional biases that impact health disparity. In all of the United States’ public health, pregnancy-related mortality has the widest and most persistent racial and ethnic disparity (inequality). Alarming is the fact that African-American women have a 3 to 4-fold greater risk of maternal mortality than women of other ethnic or racial groups.
Cardiomyopathy is the leading cause of maternal mortality with cardiovascular disease accounting for one-third of all pregnancy-related deaths. Terrorizing is the fact that only a small fraction of these women had a known diagnosis of heart disease prior to death. This module will help professionals identify symptoms consistent with cardiomyopathy and implement treatment to prevent mortality.
The ethical situations in pregnancy module will evaluate situations that require the health care professional to put his or her personal values and beliefs aside and come to an understanding of what the patient desires. Disagreements between the health care provider and the patient, on the choice of therapy, can be a tremendous challenge in medical practice and cause tension in the patient and health care provider’s relationship. This course will help the provider work through situations when the patient does not accept the recommended treatment or requests treatment that is deemed unsafe for her and/or her unborn fetus.
Maternal 911 in Action simulation creates a situation to allow health care persons to experience a representation of a real health care event for the purpose of practice, learning, evaluation, testing, and to gain an understanding of symptoms and human actions prior to a real-life emergency event. Simulation practice is to help health care professionals prepare in a safe setting which will likely uncover system gaps and or gaps in individual performance.
Simulation may be performed as tabletop discussion among a group representative of the team that would respond at the bedside. In situ training refers to simulation located in the actual area the pregnant woman would receive care. The benefit of in situ training is the location exactly replicates the space constraints and room design in which actual patient care will be delivered. This allows the staff to utilize the same equipment and practice how to best position equipment in the patient room for effective team performance. Simulation has proven that clinical teams respond more effectively and efficiently when an actual event occurs.
Completing the Fetal Well Being module allows one credit which may be applied to the yearly certification many facilities require.
Modules included in the Emergency Personnel Course.
Modules included in the Midwifery Course.