Risk Management in EFM: Improving Outcomes, Decreasing Liability September 11th, 2023
Obstetrics continues to be a significant risk management concern, and allegations related to electronic fetal monitoring (EFM) and labor management remain the top issues for plaintiff’s attorneys. This program will provide insights into both risk reduction and risk mitigation, with a focus on standardization and underlying physiology. Physicians, nurses, and midwives will learn to improve outcomes while reducing the potential for liability using real life case examples and evidence-based approaches; the program also includes a multidisciplinary tracing practicum and ample time for questions and discussion.
Target Audience
This course is intended for Obstetrics and Gynecologic Physicians and Nurses, Certified Nurse Midwives, Family Practice Physicians who do OB; Labor and Delivery and Postpartum Nurses
Learning Objectives
At the end of this session, learners should be able to:
- Identify knowledge gaps in fetal monitoring & labor management.
- Apply an evidence-based approach of standardized interpretation and management to intrapartum electronic fetal monitoring.
- Discuss the relationship between uterine activity and fetal oxygenation.
- Utilize the NICHD terminology and 2 principles of interpretation in an FHR tracings review.
- Describe the relationship between documentation & deposition and discuss the legal implications of both.
Agenda:
7:30 – 8:00 a.m. | Registration & Breakfast |
8:00 – 8:45 a.m. | Current Legal Issues in EFM/Interactive Self-Assessment |
8:45 – 10:00 a.m. | Keys to EFM Interpretation & Management |
10:00 – 10:15 a.m. | Break |
10:15 – 10:45 a.m. | Keys to EFM Interpretation & Management (cont.) |
10:45 – 12:00 p.m. | Beyond Tachysystole: Uterine Activity, Fetal Acid-Base, and Labor Curves |
12:00 – 1:00 p.m. | Lunch |
1:00 – 2:30 p.m. | FHR Tracing Practicum & Interactive Group Review |
2:30 – 2:45 p.m. | Break |
2:45 – 3:30 p.m. | Documentation & Depositions: Tips for Safety & Success |
3:30 – 4:00 p.m. | Q & A, closing remarks, Evaluations |
Faculty
Lisa Miller, CNM, JD; Perinatal Risk Management & Education Services, LLC
Janet Finlon MA, BSN, RN, NEA-BC; Advocate Aurora Health
Valerie Swiatkowski, MD; Advocate Aurora Health
Jennifer Doerr MSN, RN, CPN, RNC-OB; Advocate Aurora Health
Tina Davis-Larkin APN, MSN, RNC-OB; Advocate Aurora Health
Megan Pignatari, MSN, RNC-OB, C-ONQS; Advocate Aurora Health
Sandy Cavazos, Administrative Assistant; Advocate Aurora Health
Disclosure
The planner(s) and speaker(s) have indicated that there are no relevant financial relationships with any ineligible companies to disclose.

Accreditation Statement
In support of improving patient care, Advocate Aurora Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit Statement(s)
American Medical Association (AMA)
Advocate Aurora Health designates this live activity for a maximum of 6.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
American Nurses Credentialing Center (ANCC)
Advocate Aurora Health designates this live activity for a maximum of 6.00 ANCC contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.
Available Credit
- 6.00 AMA PRA Category 1 Credit™Aurora Health Care is accredited by the Wisconsin Medical Society to provide continuing medical education for physicians. Aurora Health Care designates this activity for a maximum of 6.00 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- 6.00 AttendanceAttendance Credit
- 6.00 Approved AMA PRA Category 1 Credit™
- 6.00 Continuing Nursing Education (CE)Aurora Health Care is an approved provider of continuing nursing education by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 6.00 contact hours have been awarded to this activity by the Wisconsin Nursing Association. To receive contact hours, participants must attend the entire activity.
Price
Please click on the options above and then click "Add to Cart".
| Course Fees | Price |
| Advocate Christ/Advocate Trinity Clinicians | $75.00 |
| Advocate Christ/Advocate Trinity Nurses | $25.00 |
| All other Advocate Nurses and Clinicians | $100.00 |
Cancellation and refund policy: Conference Fees are non-refundable.
The content for this course is specific to Advocate Aurora Health Care providers.
This course is available to Advocate Aurora Health providers (employed and independent) and team members only. If you need help enrolling or logging in, contact Advocate Aurora Health CME Office at [email protected].

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