Managing Risk in Shoulder Dystocia and Appropriate Documentation
Hours: 0.50
Emphasis: Neonatal injuries related to alleged negligent management of shoulder dystocia is a common cause for medical malpractice litigation. Frequently, the clinician is accused of failing to consider the potential for this complication when the medical record lacks documentation of clinical screening and/or maternal counseling for shoulder dystocia. Incomplete documentation of the events surrounding a shoulder dystocia delivery may impair the team’s ability to recall specific details of the delivery complicating the team member’s ability to defend their actions. Inconsistencies or discrepancies in the medical record may arouse suspicion of the team’s effectiveness and performance in the minds of third-party reviewers. This supplemental module will focus on a clinical scenario of shoulder dystocia to highlight a well-prepared, team-based response to this obstetrical emergency to highlight an important clinical pearl. Complete and accurate medical record documentation is an invaluable resource when defending an alleged malpractice claim involving a shoulder dystocia delivery.
Emphasis: Neonatal injuries related to alleged negligent management of shoulder dystocia is a common cause for medical malpractice litigation. Frequently, the clinician is accused of failing to consider the potential for this complication when the medical record lacks documentation of clinical screening and/or maternal counseling for shoulder dystocia. Incomplete documentation of the events surrounding a shoulder dystocia delivery may impair the team’s ability to recall specific details of the delivery complicating the team member’s ability to defend their actions. Inconsistencies or discrepancies in the medical record may arouse suspicion of the team’s effectiveness and performance in the minds of third-party reviewers. This supplemental module will focus on a clinical scenario of shoulder dystocia to highlight a well-prepared, team-based response to this obstetrical emergency to highlight an important clinical pearl. Complete and accurate medical record documentation is an invaluable resource when defending an alleged malpractice claim involving a shoulder dystocia delivery.
Accreditation Council for Continuing Medical Education
In support of improving patient care, Relias LLC 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.
Relias LLC designates this enduring activity for a maximum of 0.50 AMA PRA category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
American Nurses Credentialing Center
In support of improving patient care, Relias LLC 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.
Nurses will receive 0.50 Nursing Contact Hours after successfully completing this course.
Explain the importance of universal screening and counseling for shoulder dystocia.
Explain the importance of adopting a standard definition for shoulder dystocia.
List the key components of a comprehensive shoulder dystocia delivery note.
How is a diagnosis of newborn brachial plexus injury (BPI) best established?
Outline:
Introduction
A. Summary
Managing Risk in Shoulder Dystocia and Appropriate Documentation
A. Managing Risk in Shoulder Dystocia and Appropriate Documentation
Instructor: William Cusick, MD, MFM, FACOG
Expert Reviewer: Ronald Iverson, MD, MPHDr. Cusick earned his medical degree from the Medical College of Ohio. He completed his residency at the University of Connecticut School of Medicine. Post-residency, he completed a fellowship in Maternal-Fetal Medicine at the University of Connecticut. Dr. Cusick is board-certified in OB/GYN and Maternal-Fetal Medicine, is an ARDMS-accredited sonographer, and is certified in first-trimester screening through the Fetal Medicine Foundation. He is an assistant clinical professor in Obstetrics and Gynecology at the University of Connecticut School of Medicine and at the Quinnipiac University Frank Netter School of Medicine. Dr. Cusick holds membership in the Alpha Omega Alpha Honor Medical Society, American College of Obstetricians and Gynecologists, Society of Maternal Fetal Medicine, and American Institute of Ultrasound in Medicine, and serves on the board of The Fetal Medicine Foundation.
Disclosure: William Cusick, MD, MFM, FACOG has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Disclosure: Ronald Iverson, MD, MPH has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Expert Reviewer: Nancy Irland, DNP, RN, CNM
Disclosure: Nancy Irland, DNP, RN, CNM has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.Expert Reviewer: Sandhya Gardner, MD, FACOG
Sandhya Gardner serves as Chief Medical Officer of Relias. She joined Relias in December 2016 with the acquisition of Advanced Practice Strategies (APS), a Boston-based healthcare education and technology company where she served as Chief Content Officer. APS has partnered with over 100 major US health systems to improve patient care and outcomes through the delivery of assessment-driven, adaptive learning solutions to physicians and nurses. Using a data-driven approach and innovative solutions designed to reduce variation in practice & improve the reliability of care, the company transformed the way that learning is leveraged in the healthcare space.
Prior to her role at APS, Sandhya was as a practicing physician, specializing in Obstetrics & Gynecology. She worked in private practice in the greater Boston area for over 10 years, serving a diverse population of women of all ages, demographics, and needs. The relationships that she fostered with her patients and the impact that she was able to make on their health remains one of the greatest privileges of her life. Sandhya earned both a BS in Psychology and her M.D. from Brown University. She completed her Obstetrics and Gynecology residency at the University of Massachusetts. She is a board-certified physician and Fellow of the American College of Obstetricians & Gynecologists.
Disclosure: Sandhya Gardner, MD, FACOG has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
The target audience for this course is: Nurses; Physicians; in the following settings: Acute Care Facility.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
