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Curious how this course works, and your options for enrollment?
12.5 HOURS OF CE FOR MIDWIVES AND NURSES (CNMs, RNFAs, and other nurses for whom this skill is within scope)
What are participants saying?
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By Delanie Aguilar
“This was the best course I've ever had for suturing! Very clear and thorough tutorials and explanations. I keep recommending it to everyone. Very well done and I can't wait for the Advanced version!”
“This was the best course I've ever had for suturing! Very clear and thorough tutorials and explanations. I keep recommending it to everyone. Very well done and I can't wait for the Advanced version!”
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By Nicole Kedzie
“This was such a great class! The on demand videos were very thorough and easy to follow. The hands on portion was so helpful to bring it all together and pinpoint areas I needed more help. I HIGHLY recommend this course!”
“This was such a great class! The on demand videos were very thorough and easy to follow. The hands on portion was so helpful to bring it all together and pinpoint areas I needed more help. I HIGHLY recommend this course!”
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By Ashley Bennett
“This is BY FAR the most methodical, quantifiable way to understand when and how to suture straightforward first and second-degree tears, as well as, identify third and fourth-degree tears. My training up until this class didn't feel inadequate u...”
→Read More“This is BY FAR the most methodical, quantifiable way to understand when and how to suture straightforward first and second-degree tears, as well as, identify third and fourth-degree tears. My training up until this class didn't feel inadequate until I missed a third-degree tear and felt the deep regret of not knowing what I needed to know in time for my client to receive the best care. It was only after learning from Holly that I realized how much I didn't know. Now, I feel reassured that I have the tools and skills to avoid that from every happening again! Thank you, Holly! ”
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By Dawn Dana
“I LOVED this course, and found it extremely applicable to my practice. I've been a midwife and suturing for a looooooong time, but somehow never got the fundamentals in such a concise, understandable, practical way. The didactic and hands-on por...”
→Read More“I LOVED this course, and found it extremely applicable to my practice. I've been a midwife and suturing for a looooooong time, but somehow never got the fundamentals in such a concise, understandable, practical way. The didactic and hands-on portions gave me a foundation upon which to base my suturing decisions, and scaffolding for going about the actual process. I appreciated being able to do the tapes sessions and practice on my own time, and then join for a Zoom practice session before the individual testing. Thank you thank you thank you!”
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By Darai Robins
“Love this course! I really appreciate this course, starting from the beginning it was the best.”
“Love this course! I really appreciate this course, starting from the beginning it was the best.”
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By Aubree Parker
“Best suturing course ever! I came into Holly’s course having taken several in-person suturing courses, but feeling like I still didn’t have any skills or confidence. After just the first few lessons, I was blown away at the detail that was given f...”
→Read More“Best suturing course ever! I came into Holly’s course having taken several in-person suturing courses, but feeling like I still didn’t have any skills or confidence. After just the first few lessons, I was blown away at the detail that was given for every step in the suturing process. Holly is very clear, yet thorough, in her teaching, and I was shocked by how much that I didn’t know beforehand! Now that I have finished the course, I feel well-equipped with the tools and knowledge that I need to provide this service to my clients. The zoom class and 1 on 1 with Holly was invaluable, and I’m thrilled to know that I have access to the materials for so much longer even though I’ve now finished the course! I am raving to everyone I know about this class. If you are on the fence about it, JUST TAKE IT! You won’t regret it, and instead, you’ll be thanking yourself for making that investment.”
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By Abigail Lindstrom
“This class was awesome! I learned so much and am thankful to have gotten to learn good suturing habits as a student midwife. Holly has a great sense of humor and explains things calmly and clearly. I will definitely be recommending this class to o...”
→Read More“This class was awesome! I learned so much and am thankful to have gotten to learn good suturing habits as a student midwife. Holly has a great sense of humor and explains things calmly and clearly. I will definitely be recommending this class to other midwives and students. ”
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By Peggy Vetter
“I just wanted to thank you for the incredible hands-on suturing class! The instructions were so clear and easy to follow, and I truly appreciated how you tailored the techniques specifically for midwives. The opportunity to practice with such high...”
→Read More“I just wanted to thank you for the incredible hands-on suturing class! The instructions were so clear and easy to follow, and I truly appreciated how you tailored the techniques specifically for midwives. The opportunity to practice with such high-quality materials made a huge difference, and your practical tips really boosted my confidence. It was such a helpful and empowering experience—thank you for creating such a supportive learning environment! I’m so grateful and would absolutely recommend this class to others. Hands-On Suturing 10/10”
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By Maressa Shepard
“I loved the hands-on aspect of this course with the luxury of staying home. I felt that the way the course is laid out, you get even more feedback than you would attending an in-person workshop. Very informative and has lots of bonus sections for ...”
→Read More“I loved the hands-on aspect of this course with the luxury of staying home. I felt that the way the course is laid out, you get even more feedback than you would attending an in-person workshop. Very informative and has lots of bonus sections for left-handers like myself. ”
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By Elizabeth Baer
“I cannot recommend the Hive suturing class highly enough for midwives or students. I think they did a great job of making the material understandable without being boring (which is hard to do in an online class!). When I first signed up, it had...”
→Read More“I cannot recommend the Hive suturing class highly enough for midwives or students. I think they did a great job of making the material understandable without being boring (which is hard to do in an online class!). When I first signed up, it hadn't quite registered that there was a three hour in person portion in addition to the test (done via Zoom), but but it was great to have that time with Holly and Jesica both answering questions and walking us through suturing during that time. I bought the keeper kit, which I totally recommend so you can keep it to practice with while watching the videos, which you have access to for [at least] a year after taking the class. ”
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By brooke prudhomme
“SO FUN! I had the very best time refining my technique with Holly. She is so very knowledgeable. I felt very cared for in this space of learning. I have felt that in every class I have taken through HiveCE. I feel lucky to have access to such an i...”
→Read More“SO FUN! I had the very best time refining my technique with Holly. She is so very knowledgeable. I felt very cared for in this space of learning. I have felt that in every class I have taken through HiveCE. I feel lucky to have access to such an incredible teacher. ”
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By Susanah Smith
“The course was done so well. It helped me look at tears differently and EASILY. I am much more confident in my ability to suture now! I was unsure about an online course but it was even better than an in person course I took before. So very helpful!”
“The course was done so well. It helped me look at tears differently and EASILY. I am much more confident in my ability to suture now! I was unsure about an online course but it was even better than an in person course I took before. So very helpful!”
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By Asatu Hall
“This was an excellent extremely thorough and informative class. The practice time with the instructor gave me the confidence that I need to assess a tear and make a plan on how to repair if needed.”
“This was an excellent extremely thorough and informative class. The practice time with the instructor gave me the confidence that I need to assess a tear and make a plan on how to repair if needed.”
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By Charlene Tate
“I would have never imagined that I could learn so much and improve my skills in such little time. I highly recommend this class.”
“I would have never imagined that I could learn so much and improve my skills in such little time. I highly recommend this class.”
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By Anne Monson
“This course really gives the tools, literally, I love the Russian Forceps, to become confident and successful in your skills by way of teaching a standard that is often missed in our Apprenticeships. I once “hated” to suture but now I think I can ...”
→Read More“This course really gives the tools, literally, I love the Russian Forceps, to become confident and successful in your skills by way of teaching a standard that is often missed in our Apprenticeships. I once “hated” to suture but now I think I can say I’m looking forward to doing a repair😊 ”
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By Lisa Marie Sanchez Oxenham
“It may seem counterintuitive to take a course online for suturing but as a midwife who has been practicing 10 years, I wanted to keep myself learning this fine art. Holly is amazing and very thorough! Once you do the Zoom cohort test it does not...”
→Read More“It may seem counterintuitive to take a course online for suturing but as a midwife who has been practicing 10 years, I wanted to keep myself learning this fine art. Holly is amazing and very thorough! Once you do the Zoom cohort test it does not feel intimidating. I am suggesting my students takes this as well. It can only add to how you may do things. ”
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By Janell Moore
“I cannot recommend this course enough! The communication and organization of the course - including shipment of materials-was flawless. The videos were so clear and easy to follow. The instructor thoroughly explained not only how to suture but the...”
→Read More“I cannot recommend this course enough! The communication and organization of the course - including shipment of materials-was flawless. The videos were so clear and easy to follow. The instructor thoroughly explained not only how to suture but the rationale behind various techniques. I HIGHLY recommend this course!”
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By Kelly Miller
“Holly has included a lot of GREAT information and tips on techniques in this class. I really like the visual aids in the suturing process. Thanks, Holly, for another great class!”
“Holly has included a lot of GREAT information and tips on techniques in this class. I really like the visual aids in the suturing process. Thanks, Holly, for another great class!”
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By Rebecca Walker
“This was a great class. Lots of information. ”
“This was a great class. Lots of information. ”
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By Ashley Collie
“This course was very thorough and comprehensive. I learned quite a bit and look forward to adding it to my suturing process!”
“This course was very thorough and comprehensive. I learned quite a bit and look forward to adding it to my suturing process!”
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By Nicole Werner
“This was a well-organized and informative course on basic suturing techniques. I learned so much!”
“This was a well-organized and informative course on basic suturing techniques. I learned so much!”
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By Jolene Finley
“This course was so thorough and has provided me with the right tools and confidence to take care of my clients properly. I recommend this class if you really want to know how to suture and become efficient at the details. It includes charting, Do'...”
→Read More“This course was so thorough and has provided me with the right tools and confidence to take care of my clients properly. I recommend this class if you really want to know how to suture and become efficient at the details. It includes charting, Do's and Don'ts, everything a midwife needs. If you suture, you should take this course! ”
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This course is offered entirely by distance...
...but specifically approved by the NARM board to qualify as a "hands-on" Category 1 course for their Midwifery Bridge Certificate!
The format includes:
- on-demand videos and quizzes
- printable PDFs to use in your practice
- a supply kit at your doorstep (included in registration - details below)
- a live, small-group Zoom practice session and Q&A w/the instructor
- a live, one-on-one Zoom final exam w/the instructor
Taught by Holly Scholles, MA, CPM, LDM, this course provides both lecture, and ample hands-on skills practice.
Upon completion of Hands-On Suturing I, the learner will be able to:
- Follow OSHA protocol for suturing
- Identify relevant anatomy
- Assess post-childbirth genital injuries
- Rule out OASIS (third and fourth degree injuries)
- Plan the repair
- Determine the appropriate local anesthetic, and administer local anesthetic
- Perform instrument ties
- Perform the following stitches: interrupted, basting stitch, locked blanket stitch, and locked mattress stitch
- Proper charting for suturing
- Provide clients with aftercare options
This course was designed to meet the requirements of the hands-on Category 1 course for the NARM Midwifery Bridge Certificate, and for the new "LD&D Renewal" for Oregon LDMs.
If you are a midwife in Colorado, please email jesica@HiveCE. We have a low-cost supplemental course you will need to take along with Hands-On Suturing in order to meet the requirements for your state.
This course is appropriate for APRNs, CNMs, RNFAs, and other nurses who perform post-childbirth perineal repairs. It is not appropriate for all nurses. Course completion does not authorize the learner to use skills outside their scope. Please refer to your state guidelines for determining scope of care.
HiveCE is an approved provider of continuing education by the California Board of Nursing, and this course meets the California Board of Nursing criteria for 12.5 hours of continuing education. Provider approved by the California Board of Registered Nursing, Provider Number 17686, for 12.5 contact hours.
Approved by MEAC for 10* hours of CE, approval number M2324-75-0701.
*We just upped the CE for this course, and we will submit a new MEAC application for the upgraded course. However, the nursing CE may be used as Category I CE for CPM renewals through NARM (same as MEAC!) and is also accepted the same as MEAC CE for every CPM state license we have encountered. Questions? Confused? [email protected]
Midwives of Color/Student Midwives of Color may receive a partial scholarship for this course. Please email [email protected] to request this scholarship.
On-Demand Portion
Preview of the
You will be sent a supply kit that includes the following:
- Foam block w/"tears"
- Instruments: a needle holder, Russian style forceps, hemostat, and scissors
- 5 packets of CT-1 3-0 Polyglactin 910 suture (similar to Vicryl brand)
- A clear ruler to measure the tear and your stitches
- A clamp stand for your phone, to use during the Zoom sessions, so we can see your stitches up close (clamp stand that will fit a tablet available upon request)
Supply Kit
Tour of the...
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Holly Scholles
Instructor Bio:
Jesica Dolin Gutierrez
Assistant instructor:
Jesica Dolin Gutierrez spent nearly a decade in a busy birth center, and another five years as a homebirth midwife. She created HiveCE in 2015, and co-created the Hands-On Suturing program with Holly Scholles in 2020.
Find your answer here.
Questions about Hands-On Suturing?
YOU'VE GOT OPTIONS...
Ready to enroll?
Small Group Session
Option #1:
If you want to attend a small group session, the best way to do that is to sign up on the interest list! Signing up on the interest list does not enroll you nor obligate you in any way, and does not require any payment information.
Private Small Group Session
Option #2:
Private Session for 1 or 2 Participants
Option #3:
Importance of Muscle Memory
Holly Scholles on the...
Course Evaluation Comments
Shared with permission from our
“Thank you, Holly and Jesica! Beautifully organized... Not only the course material and the learning objectives, but every step of the way I felt honored and valued as a participant. It was really fun (and so helpful) for me to learn so systematically and update my skills and knowledge base. The quizzes were a great way to check myself and make sure I retained the important details. Thank you, too, for taking the extra time to answer my specific questions~ invaluable. It's also great to have access to the lessons~ I will definitely be going back to rewatch some of the lessons. I also am grateful to you for offering a BIPOC discount. As an Asian and indigenous woman, it made the course feel that much more attainable and welcoming. Thank you for your time, energy, skill and commitment to the midwifery community. Love the marked thumb forceps~ my new favorite addition to my bags ; )”
“The course was excellent and I was incredibly impressed with how well the topic was covered for an online course. I really appreciated the one on one sessions and how through the education was.”
“It was a great course and I’ll be recommending it to my colleagues! ”
“I’m so happy I jumped in after eyeballing your course offerings for so long. I learned so much and loved the stories, humor and organization of the course. You are both very knowledgeable and calming and great teachers! Great course! Can’t actually wait to suture now!! Yay! ”
“Worked amazingly well for an online class. Only technical problems were mine! I learned a lot even as an experienced midwife.”
“Great course. I was brand new to suturing--loved it!”
“Excellent course and very appreciative of what I learned! Thank you for your patience. ”
“This is BY FAR the best course I’ve ever taken! Organized, well-paced, informative, evidence-based and fun! Bless you for bringing my suturing confidence back. I feel more confident than I ever have. I am looking forward to Suturing II and to all other Hive classes.”
“Best suturing class ever!!”
“This course was amazing! Organized presentations with lots of different angles were helpful. ”
“This course was excellent! The best suturing course/workshop I've ever taken! The On-Demand portion was clear and well laid out. The Zoom portion was also clear to understand and Holly was an excellent teacher. I've been recommending this course to all midwives and students that I know.”
“This course really bought home suturing principals that were abstract. I really appreciated the gentle guidance and assurance during the live test, it made me feel that my learning the skill was the PRIORITY! I really enjoyed the course and would recommend it to others who may be interested.”
“Thoroughly enjoyed this course! Will definitely do another course soon. :)”
“It was a great course and I’ll be recommending it to my colleagues! ”
“I’m so happy I jumped in after eyeballing your course offerings for so long. I learned so much and loved the stories, humor and organization of the course. You are both very knowledgeable and calming and great teachers! Great course! Can’t actually wait to suture now!! Yay! ”
“Worked amazingly well for an online class. Only technical problems were mine! I learned a lot even as an experienced midwife.”
“This course met all my expectations and more! I learned so much that I have already applied like covering the needle head, keeping both instruments in my hands at all times and putting the needle in the middle for ties! Thank you so much!!”
“Very informative and immediately applicable! Thank you!”
“Excellent course and very appreciative of what I learned! Thank you for your patience. ”
“This course was SO helpful! Thank you both! I now feel like I have the scaffolding/basics of go-to suturing techniques, and can go confidently into my first births in this new practice. ”
“I really liked the scored forceps!”
“Excellent structure, communication, and clarity. The approach was perfectly gradual so that going into it and beginning the course, I felt like I had a lot of ground to cover, and by the end, I felt like I had had enough time to integrate the information and to feel competent. Thank you for putting this together, and I look forward to the advanced suturing skills class.”
“This course was wonderful and i will definitely (and have already) be recommending it to other midwives and student midwives that i know that do not feel confident with their suturing skills. Doing the hands on practice and then receiving direct feedback during the group sessions as well as the exam was very helpful for me. It increased my confidence and skill with suturing, even though i have a ways to go still. I feel that suturing is an area in which many midwives lack confidence and skill and therefore this course is very valuable and i appreciate how thorough both the content, the preparation (including sending us kits) as well as the instruction and constructive feedback was. Thank you so much!”
“I have taken two other suturing workshops and this one is in a league of its own! After complete this class, I feel much more confident in my ability to precisely assess tears, suture with excellence, and chart the procedure clearly and accurately.”
“I am so grateful that you provide such an excellent learning opportunity. The level of experience and expertise is extraordinary.”
“This was a great course. Learned a lot and feel this course should be taken to midwifery education programs and can be foundational in establishing a standardized way for midwives to learn to suture. ”
“I absolutely loved this course! I have been telling all of my midwife friends and student midwives about it. I rarely give such high marks for any kind of survey, the thought being there is always room for improvement. In this case they were well deserved! This was my first class through HiveCE, and I will absolutely be taking more!”
“Course was very useful; gave me a good framework and 'equation' with which to approach suturing which is very useful. I love the surgical knot technique, this was invaluable. The overall approach and techniques taught have changed the way I suture. Also really appreciate the guidance provided on charting. I wish there had been more info on some more complicated issues that arise sometimes with suturing, hematoma's and managing sutures that fail - hoping this is in the advance class or a followup workshop. ”
“It was excellent and I will be recommending it to my peers.”
“I loved the instruction, it was very clear and gave definitive measures to use when evaluating and repairing that I have not been exposed to previously.”
“Great course! I really felt a huge shift in my confidence level. The explanations and videos were clear. I can replay them in my mind before I sleep :). The practice session and exam were really helpful. Can’t rate it any higher!”
“This course was great! I'm really grateful of coming across this course and being able to actually put into practice what was learned in the videos and being evaluated. ”
“I don't know if I missed it but I was not prepared for how much time of prep work / studying was involved. All of it was fantastic information, and well worth doing. I just missed this so felt I was scrambling a bit before the in-person class. Having a handout / information about the saline recipe suggested, and also a handout on sterilization techniques would be great. Overall, absolutely fantastic class! I highly recommend to anyone. I wish I had taken this class when I began suturing. I have taken several in person, online and courses with my midwifery preceptors. However, none of them were as in depth and well-rounded as this class. It covers everything! I finally feel proficient in suturing. ”
“I am so grateful for all the time and effort you all put into this! Thank you thank you! There truly isn't anything I would change :). I started this course feeling totally overwhelmed and knowing NOTHING - and I now feel like I have a solid foundation to practice and move forward. I cannot thank you enough!!”
“I learned so much! I recently took a class [from another site] and their videos were very long and not clearly identified by title. I found this class’s online portion SO much easier. They were broken down into smaller parts with clear titles. Which made it easy to go back when I came across questions I had, that I had missed. Or just to go back to figure out which instruments I might buy now etc. The one on one instruction was super helpful for me and very worth the small extra cost. Thanks again so much to both of you for this opportunity! Hugs! ”
“Just want to congratulate the organizers/teachers of this course for their excellent work. Thank you! ”
“I was so grateful for the content and the way in which it was presented. Holly is so smart as is Jesica. My communication with Jesica was prompt and the course allowed for the perfect flexibility of having to attend a birth on the day of my cohort with a reasonable make up date of exactly one week later. I have a much deeper understanding of the double decker interrupted stitch and feel more confident.”
“Holly is an excellent teacher. I've taken many other suturing classes but none of them have come close to helping me with my suturing skills as much as this course has.”
“This was such an incredible opportunity and I learned so so much from Holly and the other participants. I am hoping for more opportunities for practice. It could look like a monthly/bi-monthly practice session where folks come in and trouble shoot with Holly and have her expert eyes on their sutures. I know I would surely join! Thank you Jesica for all of the work you put into making registration so smooth and organised. I really do appreciate it.”
“I am so appreciative of this course! It has built my confidence in suturing in so many ways! Once I’m a preceptor I will pay for my students to take this course 😊”
“I just want to say again how thoroughly impressed I am with this course. I have recommended it to all of my classmates & the CNM’s I work with for CEU’s. Thank you for what you both do!”
“I really enjoyed the Hands-on Suture class with Holly and Jesica. I am a young in my midwifery practice and suturing is a skill that I had little confidence. I had many questions, but the class videos exposed me to terminology, techniques, and gave me tools to better me in the midwifery field. The classes answered my questions and whys. After taking the Hands-on Suture class I went from insecure feelings to secure feelings that I can do a good suture. Thank you, Holly and Jesica, for pouring hours of hard work into the videos and literature. Thank you for giving me a solid education in suturing. ”
“This is one of the best CEU opportunities I've experienced - an excellent course!”
“It was extremely well put together, informative, thorough, easy to use, and incorporated so many different ways to make sure we got it.”
“Best course and most in depth suturing course I have ever taken!! I so appreciated the detail and measurements at assessment time. Really showed myself where I needed to improve and it also gave me confidence that I can do this well!!”
“I really, really appreciated the videos showing left handed suturing.”
“Really loved this course, I feel so much more confident.”
“I loved this course! So glad that I took it. Absolutely worth it. Thank you! ”
“I was pleasantly surprised by how detailed this course was. I learned way more than I expected.”
“This is the first time Ive actually used instruments to suture and tie knots with throws. I am SO grateful to have this skill now, thank you SO very much for facilitating this course over zoom. It was nothing short of fantastic!”
“This course was excellent! Holly and Jessica were highly educated, professional, skilled and patient while educating both the novice and experienced midwife. ”
“The suturing course was excellent. The information and the way the course is designed was thorough and really covered all learning styles. I really appreciated being able to watch the instructional videos multiple times as I was practicing suturing. I appreciate the group learning class because I was able to watch others and learn from them as they were suturing. I really appreciate the time Holly took with us individually and answered all our questions and gave valuable tips and tools as we are learning this skill. I went into this course really nervous about suturing. After completing the course I feel like I have learned so much and it has given me the confidence that I need as I continue learning and practicing this important skill.”
“The course was great! It did much more than teaching me HOW to suture; it increased my confidence in an area that has intimidated for a long time. Holly was super calming, CLEARLY a boss in suturing and broke it down in a way that was logical.”
“Thank you Jesica and Holly I appreciated this class and learned a lot! Your time and attention is invaluable! I would like to see more classes for different circumstances like: other types of tears or using numbing medications. Also, I want to say thank you for offering a BIPOC discount!! The discount makes this class more accessible.”