Midwifery orientationcompetencies and education matrix
Fetal scalp electrode No Desirable No Desirable No MFM Umbilical Arterial Blood Flow No No No No Mandatory once commenced for permanent unit staff MFM Intravenous cannulation competency No Desirable Desirable Desirable Homebirth prerequisite No Lactation 3 hours annual education or 8 hours
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Guideline Intrapartum fetal surveillance IFS
FHR Fetal heart rate FSE Fetal scalp electrode GTN Glyceryl trinitrate Hb Haemoglobin IA Intermittent auscultation IFS Intrapartum fetal surveillance IV Intravenous MoM Multiples of Median PaPP–A Pregnancy associated plasma protein–A RANZCOG Royal Australian and New Zealand College of Obstetricians and Gynaecologists
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AOS #10 Prenatal/Intrapartum Care Revised 5/2018
The application of fetal scalp leads/electrodes for internal fetal monitoring based upon a documented order of the provider or a written medically approved protocol is within the scope of registered nursing practice provided that rupture of the membranes is documented and presentation is vertex and engaged
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SELF DIRECTED LEARNING PACKAGENova Scotia Home
cervix and attached to the fetal scalp or other presenting part SOGC 2007 For the purpose of this learning packet nursing should only apply to a fetal scalp 2 Indications The use of a fetal spiral electrode FSE for internal monitoring may be indicated when the external tracing is inadequate for interpretation This care will occur
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Fetal Scalp Electrodes PolicyOb/Gyn Nursingallnurses
Our L D nurses will begin inserting fetal scalp electrodes as soon as we can get a policy approved I would like some sample policies re when under what circumstances etc the nurse may independently insert the FSE If your hospital has a policy I would like to get a faxed copy Please fax policy to Thanks for help with this
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The education session and competency are available from the Clinical Development Midwives the use of a fetal scalp electrode mobility/skeletal issues that may prevent leaving the bath when necessary known HIV positive Hepatitis B or Hepatitis C BMI over 35kg/m2 at term
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Procedural TrackingCompetency Basic Skills
PROCEDURAL TRACKING COMPETENCY BASIC SKILLS QUALIFICATIONS LISA ANN ROURA RESIDENCY COORDINATOR ST PETER FAMILY MEDICINE CHEHALIS RURAL TRAINING TRACK CHEHALIS WA Fetal Scalp Electrode Intrauterine Pressure Catheter Amniotomy WHERE Anywhere Inpatient Outpatient ER Community physician offices
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Fetal Scalp Electrode PlacementANMC
Fetal Scalp Electrode Placement Guidelines for use and initiation of fetal scalp electrodes FSE to monitor fetal heart rates Purpose To obtain an accurate tracing of fetal heart rate variability and periodic changes during labor Only MDs CNMs and competency verified L D RNs may perform insertion Warnings
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Amniotomy and Placement of Internal Fetal Spiral
Fetal Spiral Electrode through Intact Membranes An official position statement of the Association of Women s Health Obstetric Neonatal Nursing Approved by the AWHONN Board of Directors March 30 2004 Reaffirmed June 2007 Revised and reaffirmedby the AWHONN Board June 2009 AWHONN 2000 L St N W Suite 740 Washington DC 20036 800
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Fetal Scalp Electrode FSE and Intrauterine Pressure
View the Fetal Scalp Electrode FSE and Intrauterine Pressure Catheter IUPC Module Learning Objectives Knowledge The indications contraindications benefits and risks of IUPC FSE placements and how to identify the appropriate stage in labor when these tools could be used for additional monitoring
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Women s Newborn Health Program
The fetal spiral electrode provides instantaneous and continuous recording in clear detail of the fetal heart rate and pattern The direct fetal scalp electrode FSE is the most accurate way to assess fetal heart rate FHR but is invasive and should not be used unless the cervix
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Fetal monitoring recommendationsRCOG
Fetal monitoring recommendations We are delighted to confirm the publication of the NGA developed NICE exceptional review of the fetal monitoring recommendations in CG190 Recommendations in CG190 have been exceptionally reviewed and adapted in response to stakeholder feedback and implementation issues taking account of new evidence
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Fetal Electrode ApplicationMinistry of Health
FETAL ELECTRODE APPLICATION 1 AIM Appropriate and correct application of a fetal electrode to ensure accurate monitoring of fetal heart rate 2 PATIENT Fetus with a cephalic/breech presentation who requires continuous electronic fetal monitoring and for whom accurate external monitoring is not possible Electrode Scalp Created Date
Get PriceFact sheetNon clinically practising nurses and midwives
Competency in safe medication administration including IV management Competency in performing general nursing procedures i e IDC and IVC insertion venepuncture fetal scalp electrode application Competency in patient assessment including escalation of care and interpretation of results Confidence in clinical communication and handover
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Fetal Scalp Electrode Basicsresidents fammed
Fetal Scalp Electrode Basics Objectives 1 List the indications for FSE placement 2 List the cautions/contraindications for FSE placement 3 Demonstrate FSE placement on ALSO mannequin Indications for FSE placement a Inability or difficulty in external fetal heart rate monitoring obese patients premature fetus or a lot of maternal movement b
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ACOG PRACTICE BULLETIN
Fetal heart rate monitoring may be performed exter nally or internally Most external monitors use a Doppler device with computerized logic to interpret and count the Doppler signals Internal FHR monitoring is accom plished with a fetal electrode which is a spiral wire placed directly on the fetal scalp or other presenting part
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Fetal Scalp Electrode Basicsresidents fammed
Fetal Scalp Electrode Basics Objectives 1 List the indications for FSE placement 2 List the cautions/contraindications for FSE placement 3 Demonstrate FSE placement on ALSO mannequin Indications for FSE placement a Inability or difficulty in external fetal heart rate monitoring obese patients premature fetus or a lot of maternal movement
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Competency Based Orientation
COMPETENCY BASED ORIENTATION The goals established in developing a competency based orientation program are To provide a process to assess individual nurse s current competence and learning needs To develop an orientation program that clearly defines expectations of the new staff member in their new position
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Subject Electronic Fetal MonitoringANMC
of the fetal scalp electrode FSE An appropriately certified RN may also apply the FSE 4 8 1 Insert the FSE wire into the internal monitor leg plate connect the leg plate to the leg securing sticker and secure the sticker to the patient s thigh Insert the FSE cable into the monitor 4 8 2
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educationandstaffdevelopment
Fetal scalp electrode FSE application is to be done only with an order from the physician or CNM Internal monitors can only be placed in a patient with ruptured amniotic membranes RN must be aware of contraindications for the placement of the FSE
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The following guidelines are intended only as a general
Guideline for Fetal Monitoring in Labor and DeliveryDecember 2012NNEPQIN Hospital units should develop methods of ensuring competency of perinatal staff and obstetrical care providers in fetal heart rate FHR monitoring and interpretation using the same educational An internal scalp electrode may facilitate monitoring once
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Fetal scalp electrode competency Keyword Found Websites
Fetal Scalp Electrode Placement Anmc DA 8 PA 50 MOZ Rank 58 Fetal Scalp Electrode Placement Guidelines for use and initiation of fetal scalp electrodes FSE to monitor fetal heart rates Purpose To obtain an accurate tracing of fetal heart rate variability and periodic changes during labor Only MDs CNMs and competency verified L D RNs may perform insertion
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Midwifery orientationcompetencies and education matrix
Midwifery Orientation Midwifery orientationcompetencies and education matrix Page 1 of 2 Version June 2017 Midwifery orientationcompetencies and education matrix Page 1 Monash Health maternity clinical competencies new or advanced skills for midwives Page 2 Monash Health organisational competencies and other required continued education to be referred to in
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Registered Nurse Initiated Activities Decision Support
Electronic fetal monitoring EFM the use of an electronic fetal heart rate monitor either externally or internally for the continuous evaluation of fetal heart rate pattern in labour Fetal scalp electrode FSE internal signal source for electronically monitoring the fetal heart rate inserted through vagina and cervix and
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is not available to apply fetal spiral electrode through intact membranes in urgent situations when fetal well being is in question or in the presence of an unreadable external fetal monitor tracing and the following requirements are met I GENERAL REQUIREMENTS A Written policy and procedures are maintained by the agency/employer B Only RNs
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Subject Electronic Fetal MonitoringANMC
of the fetal scalp electrode FSE An appropriately certified RN may also apply the FSE 4 8 1 Insert the FSE wire into the internal monitor leg plate connect the leg plate to the leg securing sticker and secure the sticker to the patient s thigh Insert the FSE cable
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Electronic Fetal Monitoring Documentation
reflects nursing character competency and care delivery 2 Conversely inadequate documentation potentially negatively impacts patient care professional accountability and hospital risk 3 Specific to obstetric practice is electronic fetal mon itoring EFM which incorporates both fetal heart rate FHR and uterine activity patterns
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6 Familiar with Fetal Scalp Electrode placement with description of indication and contraindications 7 Recognition of normal and abnormal/dystotic labor curves a Demonstrates understanding of when labor is prolonged at each stage and
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Fetal Scalp Electrode Application Basicmedical Key
CHAPTER 168 Fetal Scalp Electrode Application Beth A Choby Fetal heart rate monitoring is the most common obstetric procedure in the United States with approximately 85 of fetuses being assessed with internal or external monitoring during labor Electronic fetal monitoring EFM became possible in the 1950s with Edward Hon s design of an electrode that directly
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