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Discussion

EFM certification advice

Hello - I'm a CNM student and I need to attain my EFM certification - I've already registered for the report proxied test, but I'm unsure how to study for it. What has everyone else done? I found a few different books, but that seems overwhelming if I don't have direction as to what to focus on. There are also quizzlets, but as far as I understand, there's no real 'course' or preparation for this? (I'm a new RN as well, and woking in pediatrics, so I have no experience to base this off of). 

 

Thanks!!

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If you haven't looked into it already AWOHNN has an introductory EFM course that is all online to get you started. 

Additionally, if you are on the Apple ecosystem, you can download an app called EFM Guide that my preceptors told me about while I was in integration.

VEAL CHOP MINE is also your friend.

Is your school also providing class time to teach you how to read EFM before you have to take the test?

Hello, I am currently preparing for the c-efm exam and saw this post. Can I ask what worked for you and how it went for you? Thanks in advance!

Hello!

Taking that exam without any clinical experience in interpreting fetal monitoring sounds like a nightmare. I'm sorry you have to do this for school. The requirement I had to do for CNM school was either have my certification or take an AWHONN course. 

I recommend Mosby's Pocket Guide to Fetal Monitoring 9th ED. (Miller, Miller & Cypher). Also be sure to take a basic fetal monitoring course (AWHONN is a good one, I honestly don't know what else I'd use to take a basic course). 

Best of luck!

Just to clarify, you are taking the C-EFM as a requirement for graduation from your midwifery program or because your employer is requesting that you complete the C-EFM certification as a newly licensed CNM?

Normally taking the basic and intermediate EFM training and receiving the certification from AWOHNN is enough, you can be certified and receive the C-EFM but normally completing and passing the basic and intermediate EFM with AWOHNN is sufficient.  You will need at least the intermediate certification to be able to officially call categories on the L&D floor as a CNM.

There is also the advanced EFM training with AWOHNN if you want to go into the nitty gritty of the physiology of EFM.

Sounds like the OP is an WHNP, not CNM, and it's required for NSTs in clinic. Overkill and a completely unreasonable requirement, if you ask me.

Even inpatient L&D RNs, who literally manage EFM as their job, are not required to the get the C-EFM (generally speaking, I have heard of a few places that require it after X years in L&D).

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