Seeking ED education on Labor/Delivery in the ER

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Specializes in pediatrics, ed, public health.

This is for the EDs that are in a hospital that DO NOT have Labor and Delivery Services. While our main hospital is only 1/2 hour away, we have had deliveries in our ED and I would like to formalize the training.

I have been asked to do a 1/2 educational day on this topic. It has been done before at this hospital but the resources are no longer available. I am currently working with a Perinatal Services Educator and she wants the specifics as to what to teach. Any one out there have any great resources? How do you train your staff, requirements? etc?

I will repost on the OB site as well as EDUCATOR site.

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Specializes in OB, Surgical, ER.

I live/work in Ontario, Canada. The resources I personally go to regularly are: SOGC website, NRP, AWHONN, WHO website as well as the CNO and RNAO. Your facility should have developed policies and procedures for dealing with imminent birth, fetal monitoring, preterm labour, eclampsia, etc. On our unit, you have to be a University educated RN with a current NRP certification and at least level 1 of the maternity certificate.

Our OB dept is currently taking the MOREOB program. It is great for dealing with obstetrical emergencies, things that you will probably see in the ER with no OB department: shoulder dystocia, postpartum hemorrhage, forceps and vacuum deliveries, etc. We were fortunate enough to have a local business fund enough training for 36 staff: doctors, nurses, midwives and RT's. Part of the training includes lots of skills drills, as well as pre and post tests. I recommend it highly.

Good luck.

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Specializes in ER.

I work in a hospital with L&D but as an ED nurse I would need you to repeat the basics of delivery. Sure I learned it in school, but I've forgotten. I would go over equipment needed for delivery, what to do immediately after birth, APGAR scores, etc. because these are some of the things I have long forgotten.

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I caught a newborn once in the field. That part wasn't so hard. It kind of came naturally, lol. However, at the time, I didn't have a clue what to do with it once I had it. Fun times. At any rate, I'd imagine that type of thing would be a good refresher for emergeny nurses as well.

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Specializes in Emergency Dept, ICU.

Don't forget what to do after the newborn is out! The neonatal resus provider course is very helpful in that category.

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Specializes in pediatrics, ed, public health.

OMG~this is so funny because I decided to do another search on this topic and here I end up finding myself again. This is what I ended up doing.

In collaboration with OB services including a CNMW and a nursery nurse I had the nurses for 4 hours. One hour was spend with the midwife discussing L and D basics and the second hour was with the nursery nurse reviewing care of the neonate (APGARS) and the basics on NRP with some STABLE facts. The next 30 minutes was on equipment review, specifically the infant warmer. So many nurses did not understand how to use the warmer and it had been sitting in the ED for over a year. We then talked about simulation as we used the Sim Newbie baby. The fun part was to simulate a deliver with a PROMPT (an OB pelvis simulator (just from the sternum to the knees). We had a model come in with a pillow under her shirt in labor and the nurses had to quickly set up and catch the baby and then the second group of nurses took the baby to the warmer and did some basic resuscitation with positive pressure. We then did a debrief and wrote down our concerns/questions for follow up. The nurses had a lot of fun doing it and said that we need to do it annually if not more. I now need to put together a module for the new nurses who are hired in between trainings. I would have to say that NRP and STABLE were great resources and now I will review the OB ones as well.

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