Basic Fetal Heart Monitoring

Provider #46 REGISTRATION FORM BASIC FETAL HEART MONITORING

th (Please Print) July 12 , 2016 Program Title: BASIC FETAL HEART MONITORING PRINCIPLES/PRACTICES 9:00 am -3:00 pm UnityPoint Health - St. Luke’s Hospital Date: Tuesday, July 12, 2016 9 am -3 pm 1026 A Ave NE Center for Women’s & Children’s Health Classroom A Name: ______

Address: ______Purpose: This workshop is to provide basic information for nurses in the use of fetal City: ______State: ______Zip: ______monitoring. It will include methods, basic interpretation of fetal monitor strips, and nursing interventions to assist with the care of monitored patients. Phone: ______Antepartum testing and documentation will also be presented. (HOME) (WORK) CEUs: 0.57  R.N.  L.P.N.  Other ______Faculty: R.N./L.P.N. License Number ______Rachel Petersen, BSN, RNC,C-EFM, AWHONN Fetal Monitoring Instructor

Employer:  St. Luke’s Associate: Unit: ______Target Audience:  Other: ______Nurses and healthcare professionals who are new to OB or have minimal fetal monitoring experience. An introduction to the equipment, Enclosed is $ ______Check # ______terminology and strip review will be included.

Please complete the registration form and send along with your check made Cost: payable to If requesting CEU’s: $10 for St. Luke’s associates and $25 for outside St. Luke’s Nursing Continuing Education attendees. to: St. Luke’s Hospital, Nursing Continuing Education 1026 A Avenue NE P.O. Box 3026 Cedar Rapids, Iowa 52406-3026 Objectives:

Upon completion of this program, the participant will be able to: Fees/Cancellation/Refund - The registration fee includes workshop materials, processing fee, 1. Discuss external and internal methods of monitoring fetal heart and a certificate of attendance. rate and uterine activity. - We reserve the right to cancel this program due to insufficient 2. List the components of a fetal monitor strip used in a systematic registration or inclement weather. If cancellation occurs, we will review. attempt to reach you. If the weather causes cancellation, 3. Review terminology. announcements will be made on area radio stations. In either event a 4. Describe physiology of maternal/fetal unit. full refund will be given to you. 5. Discuss documentation/legal responsibilities, NICHD - If maximum registration has been reached, your check will be nomenclature. returned in full. You may withdraw your registration if we receive a 6. Review fetal heart rate and uterine activity patterns and discuss written request three business days before the program. A $3.00 appropriate assessments and interventions. processing charge will be retained. For more information please 7. Review of antepartum testing methods. contact: Staff Development/Continuing Education Department at 319- 369-8750. Schedule Continuing Education Credit 0900-0915 Registration - 0915-1045 Overall introduction/terminology/physiology/pattern St. Luke’s Nursing Continuing Education will award credit only recognition/equipment on the basis of full completion of the program. Each participant will 1045-1100 Break receive a certificate of attendance. A record of your participation will 1100-1215 Pattern recognition/nursing interventions be on file at St. Luke’s Hospital for 4 years following the program 1215-1245 Lunch (on your own) completion. 1245-1345 Pattern recognition/nursing interventions (cont.) - Duplicate copies of your CEU certificate are available upon 1345-1445 Antepartum testing/documentation/legal responsibilities/case examples written request to Nursing Continuing Education for a minimal charge. 1445-1500 Evaluation and adjourn Please send us your name, license number, and a $3.00 processing fee for the duplicate certificate. A certificate of attendance will be mailed to you within two weeks of your request.

Grievance The Nursing Continuing Education Dept. should be contacted for any problems or concerns. A copy of the grievance policy is available upon written request.

It is St. Luke’s Hospital policy to provide healthier services to all persons regardless of race, color, creed, age, sex, national origin, ancestry, religion or handicap.