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College of Nursing

Perinatal Education Program

Joint Program of the Colleges of Nursing and Medicine

Program offerings

Conferences and seminars are planned in consultation with associations, facilities or Health Regions that have identified needs in perinatal care.

Pediatrics, Obstetrics and Gynecology (POGO) – Women’s & Children’s Health

This two-day provincial conference provides an update in pediatrics, maternal-newborn and women's health care. The conference, held each year in February (alternating between Regina and Saskatoon) is presented by Continuing Medical Education and the Perinatal Education Program.  Planned by an interprofessional planning committee, the conference is designed to meet the learning needs of physicians, nurses, nurse practitioners, midwives, pharmacists and other health professionals working in a range of acute and community practice environments, including those working in rural and remote sites.

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Fetal Health Surveillance Course - 1 day

Offered yearly or by request by facilities or health regions

FHS

The Fetal Health Surveillance (FHS) course is designed to provide an evidence-based approach to the fundamental concepts of knowledge in fetal health surveillance and complements the SOGC Fetal Health Surveillance: Antepartum and Intrapartum Consensus Guideline (2007).  The one-day interdisciplinary workshop provides an overview of the SOGC guidelines for Antepartum and Intrapartum assessments, with the main focus on the two major modes of FHS during labour, intermittent auscultation (IA) and electronic fetal monitoring (EFM).

Topics include fetal heart assessment using intermittent auscultation and electronic FHR monitoring, assessing uterine activity, interpretation of the EFM tracing, appropriate interventions in response to assessment finding, and legal / risk management issues including verbal communication and written documentation. Practice exercises and case studies provide an interactive learning environment.  The course includes the Fundamentals of Fetal Health Surveillance: A Self-Learning Manual produced by the Canadian Perinatal Program Coalition, Canada and is endorsed by the Society of Obstetricians and Gynecologists of Canada, the Canadian Association of Midwives and the College of Family Physicians of Canada.

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Best Practices in Intrapartum Care Workshop – 2-days

Offered yearly or by request by facilities or health regions

Intrapartum

Best Practices in Intrapartum Care is a two day workshop for providers of maternal newborn care whose current clinical practice includes the care of labouring women. Participants review maternal assessment in labour, comfort measures and supportive care, management of labour, managing the birth in the absence of the primary care provider, shoulder dystocia and obstetric emergencies. Participants have an opportunity to discuss guidelines for clinical practice and legal issues in perinatal care. The workshop also provides participants with small group sessions that use a 'hands-on' approach to facilitate learning.

The target audience for the course is Registered Nurses and Licensed Practical Nurses who work with pregnant and labouring women, however physicians are also welcome to attend as an update.  The course also provides an introduction to intrapartum care for those physicians in which obstetrics was not included as a component of their undergraduate medical curriculum.

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Essentials in Obstetrical Care Workshop - 1-day workshop

Offered by request for facilities or health regions

Essentials in Obstetrical Care provides staff with the basic knowledge and skills to provide safe obstetrical and newborn care on an emergent, episodic basis in facilities in which planned, elective obstetrical services are not provided.  The course can also serve as an update for care providers who work in obstetrics that do provide services for low risk mothers and at relatively low volumes.  The course includes:

-       Maternal Assessments in Labour, including practice skills stations using teaching models for abdominal palpation and vaginal examination

-       Fetal Health Surveillance – Intermittent Auscultation and Practice Exercises

-       Management of the delivery in the absence of the Primary Care Provider - including practice skills stations

-       Post Delivery Stabilization of Mother & Infant 

-       Key Complications you need to know about: preterm labour, hypertension, postpartum hemorrhage and shoulder dystocia

-       Overview of Post-partum and Newborn Care

The target audience for the course is Registered Nurses and Licensed Practical Nurses who work with pregnant and labouring women, however physicians are also welcome to attend as an update.  The course also provides an introduction to intrapartum care for those physicians in which obstetrics was not included as a component of their undergraduate medical curriculum.  The course content can be adapted in response to the learning needs of the participants and the facility / Health Region.

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Nurse-Assisted Emergency Delivery – 4 ½ hours

Offered by request for facilities or health regions

The Nurse-Assisted  Emergency Delivery is a 4 ½ hour workshop which provides staff with the basic knowledge and skills to safely provide care to women who present to the emergency room in advanced labour and where planned, elective obstetrical services are not provided.  The course covers:

-       Rapid Assessment of the Labouring Patient

-       Management of the Delivery in the Absence of the Primary Care Provider including practice skills stations

-       Post Delivery Stabilization of Mother & Infant

-       Overview of Post-partum and Newborn Care for those facilities who provide postnatal care.

The target audience is registered nurses and LPNs in facilities where they may be required to provide care for pregnant and labouring women on an emergent basis.  It can also be opened up to EMS staff at your discretion.

 

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S.T.A.B.L.E. Assessment and Stabilization Care of Sick Newborns Post-Resuscitation & Pre-Transport

STABLE

The 2-day S.T.A.B.L.E workshop was developed for health care professionals who provide post-resuscitation and pre-transport care to sick newborns. The goal of this international educational program is to provide a concise guideline of neonatal pre-transport stabilization activities to be employed by community hospital caregivers in a format that optimizes retention and recall. Caregivers learn to anticipate, promptly recognize and effectively manage newborn problems. Included in the workshop are sessions on physical and gestational age assessment of the newborn. Completion or review of the Neonatal Resuscitation Program (NRP®) course is recommended prior to attending the S.T.A.B.L.E. program.  The Course includes the 325 page S.T.A.B.L.E. manual plus Physical & Gestational Age Assessment Guide (coloured PowerPoint® slides ). Further information about S.T.A.B.L.E. can also accessed from the program website at http://www.stableprogram.org/

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Neonatal Resuscitation Program (NRP)

The national goal of the Neonatal Resuscitation Program (NRP) is to have a trained person capable of performing a complete and competent resuscitation at every birth. The NRP is recommended for health care professionals who provide care for infants at birth and during the early neonatal period; physicians, nurses, midwives, registered respiratory therapists and paramedics are eligible to take the NRP.

NRP is administered in Canada by the Canadian Pediatric Society and the Canadian NRP Steering Committee. The Perinatal Education Program provides direction for NRP in Saskatchewan which includes the Saskatchewan NRP Provincial Advisory Committee, through representation on the National NRP Steering Committee and through education and support for NRP Instructors. 

The NRP is taught by instructors affiliated with institutions across the province in which NRP is considered a standard of care for neonatal resuscitation. The Perinatal Education Program also offers courses on a “as needed” basis for individual care providers who may have difficulty accessing local courses.

Neonatal Resuscitation Program Provider Course

The Provider course includes opportunities to learn cognitive, technical and behavioral skills of neonatal resuscitation focusing in on a team based approach to best practice. NRP is designed in 9 lessons that allow participants to complete the program to the level of their position of responsibility in a newborn resuscitation.

Participants who complete the course successfully receive a course completion card issued by the Canadian Pediatric Society (CPS) which is recognized throughout North America. It is recommended that providers update their skills by taking the Provider course every 2 years; institutions, health regions or professional regulatory bodies may require completion at more frequent intervals depending on their level of experience, frequency of use of resuscitation skills and scope of practice. Course completion is recognized throughout North America. NRP introduces the concepts and basic skills of neonatal resuscitation in a simulated environment. NRP is NOT a certification course nor does successful completion of the NRP course indicate that an individual is competent to perform neonatal resuscitation

The 3 components of the NRP consist of:

  • Pre-study of the “Textbook of Neonatal Resuscitation” 6th ed.  with DVD –ROM
  • Participants are responsible for acquiring the textbook, which is not included in the cost of the NRP courses offered by the Perinatal Education Program. 
  • The manual can be ordered from the Canadian Pediatric Society at https://bookstore.cps.ca/stock/details/neonatal-resuscitation-textbook-with-dvd-6th-edition or by phone at (613) 526-9397, ext 221or ext 249. Manuals may also be available for purchase through the University of Saskatchewan bookstore or other merchants.
  • Completion of the NRP On-line exam.
    • Participants must take and successfully pass the exam within a 30 day window preceding the course.  The “Basic” Provider level consists of completing Lessons 1-4, 9 of the On-Line exam; the “Advanced” Provider level requires completion of all 9 lessons. 
    • Successful completion of the On-Line exam is a required prerequisite to attending the on-site course.
    • Participants are required to pay the On-line exam fee (approx. $25.00 USD) which is not included in the cost of the course.
    • Information about the online exam can be found at www.cps.ca/en/nrp-prn/online-examination  and will also be sent out with your confirmation letter.  Please do not take the exam until you have confirmed your registration in a Provider course.
    • The 1-day NRP On-site course.
      • Skills stations provide opportunities to build skills in the technical aspects of NRP, and the “Integrated Skills Station” with inclusive Megacode assesses the ability of individual participants to apply the skills to a specific clinical scenario.
      • An essential component of the course is the team-based simulation and video assisted debriefing that facilitates team learning.
      • A low teacher student ratio of 1:4 allows for a high level of interaction amongst participants
    • The Canadian Pediatric Society has a number of important reference materials including Frequently Asked Questions (FAQ’s) , eligibility criteria for Provider and Instructor courses and resources such as wall charts and code cart cards.  In addition, the CPS National Steering Committee has adapted some aspects of the NRP for the Canadian context.  Please go the CPS Website to access the Canadian Addendum and Canadian Medication Table at http://www.cps.ca/en/nrp-prn

Instructor and Instructor Update Courses

Yearly instructor courses are provided in April of each year to keep NRP instructors updated and to train new instructors. Providers of NRP who meet eligibility criteria may apply to become Instructors.  Information regarding eligibility, pre-requisites, registration and monitoring as a new Instructor, maintaining NRP status and roles and responsibilities can be found at the CPS NRP website at   http://www.cps.ca/nrp/RegistrationGuidelines.pdf 

Following successful completion of the NRP Instructor course and Team-Teach requirement will be registered with the Canadian Pediatric Society.

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