EFM Case Study #05: pH Implications

Expiration Date
Jul 25, 2021
Media Format
monograph
MOC Approved
Yes
Activity Type
Online
Est. Duration
1 Hour
Credits
CME/CNE: 1.00

$150

Quantity: 1

Target Audience

Obstetricians, family practice physicians, and pediatricians. Midwives, obstetric nurse practitioners, residents and other interested healthcare practitioners skilled in EFM or EFM stakeholders are also welcome to participate.

  • Perinatal

Description

Fetal pH values often remain a mystery until the time of birth. Determination of pH, blood gases, and base deficit in umbilical cord blood is commonly performed immediately after birth to assess the metabolic status of the newborn. Umbilical cord blood sampling is also used to determine if the cause of neonatal encephalopathy or cerebral palsy is linked to a peripartum or intrapartum event. Critical values are defined by ACOG & AAP in the second edition of Neonatal Encephalopathy & Neurologic Outcomes (2014). This monograph presents an overview of oxygen delivery, definitions of critical values, and analysis of EFM strips for pH interpretation in a case study format.

Learning Outcomes/Objectives

Upon completion, participants should be able to:

  1. Summarize the process of oxygen transport between mother and fetus and impact on pH.
  2. Recognize normal and abnormal acid-base parameters and values of respiratory, metabolic, or mixed acidosis in the fetus.
  3. Examine EFM strips and umbilical cord blood samples to determine pH values.

Release Date:
September 01, 2015
Last Review Date:
July 25, 2018
Expiration Date:
July 25, 2021

Copyright Information

Copyright © 2015-2018

CME Information

This activity is sponsored by LAMMICO/Medical Interactive.

LAMMICO/Medical Interactive designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Accreditation Statement

LAMMICO/Medical Interactive is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CNE Information

LAMMICO/Medical Interactive designates this enduring material for 1.00 contact hour(s). LAMMICO/Medical Interactive is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Learning Assessment

There will be a post test for this activity with a minimum performance requirement of 8 out of 10 correct answers.

Method and Medium

To obtain CME/CNE credit, view the entire online presentation, complete the evaluation and posttest and print your certificate online.

Resident Information

Residents will earn a certificate of completion.

State Requirements

This program may meet specific CME requirements for the following states. It is the user's responsibility to confirm whether content meets the user's state's specific requirements:

  • Connecticut - This activity includes content in Risk Management
  • Massachusetts - This activity includes content in Risk Management
  • Pennsylvania - This activity includes content in Risk Management / Patient Safety
  • Texas - This activity includes content in Ethics and/or Professional Responsibility

MOC Approval Statement

Through the American Board of Medical Specialties ("ABMS") ongoing commitment to increase access to practice relevant Maintenance of Certification ("MOC") Activities through the ABMS Continuing Certification Directory, EFM Case Study #05: pH Implications has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) and/or an MOC Part II Learner Assessment Activity for the following ABMS Member Boards:

MOC Part II CME Activity

  • American Board of Family Medicine
Note: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement (only). Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Learner Assessment Program Requirements.

Analyzing decades of medical malpractice claim data has led the MI faculty to narrow our focus to pinpoint the most important roots of patient safety issues across a host of medical specialties. When we boil down our collection of risk management education topics, these key concepts most keenly respond to the roots of patient safety issues: 

Risk Management Concept: Cognition - Icon of human head with cog for brain

Cognition

Error in the mental action or process of learning can lead to adverse events stemming from inaccurate or incomplete thinking, perceiving, experiencing, recognizing, remembering and judging. Courses marked with this designation indicate that information presented within that specific education activity will illuminate actionable ways to improve analysis and synthesis of information, diagnosis and clinical decision making. 


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Communication

Misunderstandings can lead to adverse events arising from errors in written, verbal and non-verbal information exchange. Courses marked with this designation indicate that concepts presented within that specific education activity will feature actionable ways to improve mutual understanding between healthcare providers and/or between medical professionals and their patients. 


Risk Management Concept: Performance - Icon of spedometer

Performance

Reactive behavior resulting in inaccuracy, incompletion, expensive and untimely tasks can lead to adverse events arising from poor execution of an action and/or fulfillment of a request. Courses marked with this designation indicate that the specific education activity will present realistic ways to apply learning, implement changes in a medical practice, improve competencies, critically assess performance, and utilize and incorporate evidence-based best practices. 


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Professionalism

Breach of competency standards and ethical values can result in adverse events stemming from a misunderstanding of professional expectations. Courses marked with this designation indicate that the education activity will clarify professional expectations in an effort to improve advocacy and participation, provider wellness, ethical decisions, cultural competence, professional organization participation, and adherence to patient care guidelines. 


Risk Management Concept: System - Icon of Cogs

System

System errors in medicine primarily consist of interrelated and interdependent components that habitually influence one another, and can often result in adverse consequences. Courses marked with this designation indicate that the education activity will present ways to address legal and regulatory issues, coordination of care and teamwork, electronic health record IT issues, policies and procedures, cost and risk benefits, and quality improvement activities. 

Disclosure Policy

LAMMICO requires planners, speakers, faculty and all those who influence the content of a CME/CNE activity to disclose any financial relationships they have with commercial interests that are relevant to the activity. The disclosures shall be reviewed for any conflict of interest and subject to a mechanism for resolution of conflict of interest. A disclosure statement of relevant financial relationships will be made to the audience prior to the activity.

Disclosure Statement

The authors, editors, reviewers and planning committee members for this activity have no relevant financial relationships with an ACCME/ANCC-defined commercial interest to disclose.

Author(s)

Kenneth E. Brown, MD, MBA, FACOG, FACHE - Read Bio

Carol A. Curran RNC, MS, OGNP - Read Bio

Managing Editor(s)

Dawer Azizi, MHA, BSN, RN, CPHRM, LAMMICO Director of Risk Management

Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Lead Nurse Planner

Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members (Education Council)

Dawer Azizi, MHA, BSN, RN, CPHRM, LAMMICO Director of Risk Management

Geri Cook, RHIA, CPHRM, LAMMICO Risk Management Manager

Carol A. Curran, RNC, MS, OGNP, LAMMICO Senior Perinatal Educator and Medical Interactive Business Specialist

Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Karen K. Davis, MA, CPHRM, LAMMICO CME/CNE Writer/Editor

Joseph Tran, Attorney at Law, Legal Counsel – Medical Interactive

Amanda Martin-Sanchez, MEd, BSN, RN, CNOR, LAMMICO CME/CNE Educator

Lynne Vega, RN, LAMMICO Hospital RM Specialist

Lynda Sanders, LAMMICO Continuing Education Specialist

Karen Tong, Patient Representative and LAMMICO Communication Strategist

Risk Management Committee Members

Kenneth E. Brown, MD, MBA

Thomas V. Bertuccini, MD, MBA

Stephen T. Jones, MD

Richard A. Spector, MD, JD

Randall Miller, MD

Pamela J. Parsons, MD

Karl N. Hanson, MD, FAAFP

Dawer Azizi, MHA, BSN, RN, CPHRM, LAMMICO Director of Risk Management

Joseph Tran, Attorney at Law, Legal Counsel – Medical Interactive

Geri Cook, RHIA, CPHRM, LAMMICO Risk Management Manager

Carol A. Curran, RNC, MS, OGNP, LAMMICO Senior Perinatal Educator & Medical Interactive Business Development Specialist

Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Karen K. Davis, MA, CPHRM, LAMMICO CME/CNE Writer/Editor

Amanda Martin-Sanchez, MEd, BSN, RN, CNOR, LAMMICO CME/CNE Educator

Lynda M. Sanders, LAMMICO Continuing Education Specialist

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Web Master Contact Information

For assistance, contact Shea Ivey at 866/398-1038 or help@medicalinteractive.com