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NCC EFM Certification Review Course (15 hour Video)

Hours: 15.00

Best suited for: Obstetricians, Family Practice physicians, midwives, obstetric nurse practitioners, OB nurses, and other interested healthcare practitioners are also welcome to participate.

Original Release Date: July 28, 2015
Review Date: January 1, 2017
Expiration Date: July 28, 2018

General Description: This is a preparatory course for perinatal practitioners skilled in electronic fetal monitoring (EFM) who want to successfully complete the National Certification Center (NCC) EFM Certification Exam. Each lesson provides content in direct correlation with the NCC exam outline. Sample exam questions are provided to improve testing skills while increasing retention. NICHD terms and guidelines, as well as, ACOG and AWHONN practice recommendations are included in each EFM case study.

Learning Objectives: Upon completion, participants should be able to
Lesson 1: EFM Equipment
1.    Compare and contrast the indications, benefits, and limitations of external and internal EFM
2.    List troubleshooting techniques for equipment failure.
3.    Describe how to perform Leopold’s Maneuvers.
4.    List and explain rationale for abnormal data and troubleshooting techniques.
Lesson 2: Physiology
1.    Identify key aspects of uteroplacental physiology.
2.    Define normal and abnormal characteristics of uterine contraction activity.
3.    List and discuss internal & external factors affecting fetal oxygenation.
Lesson 3: Pattern Recognition, Interpretation, & Intervention
1.    Discuss how to apply current NICHD terms and guidelines into the interpretation of UA &
       FHR data.
2.    Identify early and late clinical triggers of FHR evolution.
3.    Discuss how to apply noninvasive and invasive intrauterine resuscitation interventions and
       discuss benefits and limitations of each.
4.    Identify common FHR dysrhythmias, implications on fetal oxygenation, and treatment
5.    Review common complications of pregnancy, implications on maternal-fetal oxygenation,
       impact on UA and FHR data, and incorporate best practice management
Lesson 4: Adjunct Fetal Assessment
1.    Describe how to perform AP tests used in common antepartum fetal assessments and
       describe the implications, benefits and limitations of each.
2.    Explain five clinical parameters and implications of scoring a Biophysical Profile.
3.    Explain the implication of fetal acid-base analysis.
Lesson 5: Legal Aspects of Fetal Monitoring
1.    List four elements of documentation that will decrease common errors and improve patient
       safety and verbal and written communication.
2.    Describe the Chain of Command communication pathways.
3.    List EFM limitations of use.

Learning Assessment: There will be a post test for this activity with a minimum performance requirement of 20 out of 25 correct answers.

Estimated time to complete activity: 15 hours

Residents will earn a certificate of completion. Physicians will earn CME credit. 

CME Information - Read

Method and Medium: To obtain CME credit, view the entire presentation, complete the evaluation and post test and print your certificate online.

CME Credit: 15


MOC Approved: Through the American Board of Medical Specialties ("ABMS") and Association of American Colleges' ("AAMC") joint initiative to create a wide array of Maintenance of Certification ("MOC") Activities, 'NCC EFM Certification Review Course' has met the MOC requirements as a Part II activity by the following ABMS Member Boards:

  • American Board of Family Medicine

State Requirements:
Based on information from state licensing authorities published by the AMA, this program meets specific CME requirements for the following states:
Florida -  This activity includes content in Preventing Medical Errors
Connecticut - This activity includes content in Risk Management
Massachusetts - This activity includes content in Risk Management
Pennsylvania - This activity includes content in Risk Management / Patient Safety
Texas - This activity includes content in Ethics and/or Professional Responsibility

Disclosure Policy - Read

About the Author/Speaker: Carol A. Curran RNC, MS, OGNP - Read Bio

About the Expert Reviewer: Dr. Kenneth Brown - Read Bio

Disclosure Statement: The speaker, author and planning committee members for this activity have no relevant financial relationships to disclose.

Managing Editor: Dawer Azizi, MHA, CPHRM, LAMMICO Director of Risk Management

Editor: Sharon Cusanza MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members - Read

Electronic Hardware and Software Requirements - Read

Web Master Contact Information: For assistance, contact Shea Ivey at 866/398-1038 or help@medicalinteractive.com

Disclaimer: This activity is presented by LAMMICO as risk management education. It is not legal advice, nor does it establish medical standards of care. Standards of care vary depending on the unique presentation of each patient. The information contained herein is not a substitute for the reasonable discretion of skilled and informed clinicians.

Copyright Information: This course contains some pictures that were reprinted with permission from McGraw-Hill Education. McGraw-Hill makes no representations or warranties as to the accuracy of any information contained in the McGraw-Hill material, including any warranties of merchantability or fitness for a particular purpose. In no event shall McGraw-Hill have any liability to any party for special, incidental, tort, or consequential damages arising out of or in connection with the McGraw-Hill material, even if McGraw-Hill has been advised of the possibility of such damages.

Copyright Information: Copyright © 2015

Bibliography: To view and download References & Resources for this presentation, please select the References tab/link below.

Member and Subscriber Access
Interested in a CME program like this for your team or facility? Contact us to schedule it and talk about pricing.

This course is offered through Experix, a wholly owned subsidiary of Physicians Insurance, and is based on more than 30 years' experience in providing continuing medical education. This course is complimentary for Physicians Insurance members.

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