On-Demand Portion
Course curriculum for the
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01
Welcome!
Show details- How To Take This Course, Including Ordering Your Supply Kit, and Scheduling Your Final Exam
- Before we go on...
- 1.1 Introduction
- 1.2 Language Matters
- Quiz 1
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02
Equipment and Safety
Show details- 2.1 Choosing The Right Instruments
- Bonus Section: Why Russian forceps? Q&A
- Bonus Section: Article on Left-handed Surgical Instruments
- Bonus Section: Review of Instruments for Left-handed Midwives
- Quiz 2.1
- 2.2 Proper Instrument Techniques
- Bonus Section: Why The Needle Spins
- Quiz 2.2
- 2.3 Choosing The Right Suture
- Quiz 2.3
- 2.4 Other Supplies
- Bonus Section: Lube on Suture Q&A
- Quiz 2.4
- 2.5 Safety and Sterilization
- Bonus Section: How Do You Pack Your Instruments?
- Bonus Section: A Guide to Your Supply Kit
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03
Before The Repair
Show details- 3.1 Mapping and Tear Prevention
- Quiz 3.1
- 3.2 Exam and Assessment Prep
- Bonus Section: Positioning the Client Q&A
- Bonus Section: Anesthetic Prior to Exam
- Quiz 3.2
- 3.3 Initial Exam and Assessment
- Quiz 3.3
- 3.4 Degree Determinations
- Bonus Section: Depth of Tear Q&A
- Quiz 3.4
- 3.5 OASIS Assessment
- Bonus Section: Dovetail Clarification Q&A
- Quiz 3.5
- Printable PDF: Methods for Assessing Anal and Rectal Injury (OASIS)
- 3.6 Planning the Repair
- Printable PDF: Suturing Do's and Don'ts
- Quiz 3.6
- 3.7 To Suture or Not To Suture?
- Bonus Section: To Suture or Not Q&A, Herbs Q&A
- Bonus Section: Articles and Studies on Outcomes of Suturing vs Not
- Bonus Section: Overview of Suturing vs Not Outcomes
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04
Anesthetics
Show details- 4.1 General Considerations for Anesthetic
- Quiz 4.1
- 4.2 Considerations for Lidocaine
- Bonus Section: Allergic Reaction to Lidocaine Q&A
- Quiz 4.2
- Printable PDF: Lidocaine Reference Card
- 4.3 Considerations for Ester Anesthetics
- Quiz 4.3
- 4.4 Methods of Anesthetic Administration
- 4.5 Tissue Adhesive
- Quiz 4.5
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05
Knot and Stitch Techniques
Show details- How To Use This Section
- 5.1 Talkthrough: From Anchoring Knot to End Knot
- Bonus Section: Why does the cross-over stitch NOT cross the wound? Q&A
- Quiz 5.1
- 5.2 Medical Model Walkthrough: Anchoring Knot/Surgeons Knot/Instrument Tie
- 5.3 Medical Model Walkthrough: Two Layer Suturing of the Vaginal Floor
- 5.4 Medical Model Walkthrough: Subcuticular Running Mattress to End Knot
- 5.5 Talkthrough: Labial Repairs
- No Supply Kit Yet? Skip to "Documentation"
- 5.6 Practice Makes Perfect: How to Use the Supplies
- 5.7 Practice Foam Walkthrough: Interrupted Stitches and Basic Technique Tips
- Bonus Section: Interrupted Stitches Q&A
- 5.8 Practice Foam Walkthrough: Assessment and Anchoring Knot
- 5.9 Practice Foam Walkthrough: Anchor Knot to End Knot of Double Layer Sutures (was 5.8)
- Bonus Section: Walkthrough of LEFTIE Suturing
- Bonus Section: Close-up of End Knot
- Bonus Section: Knot Placement Explanation
- 5.10 Practice Foam Walkthrough: Locked Blanket
- Bonus Video: Retrieving a Lost Needle
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06
Documentation
Show details- 6.1 Charting
- Printable PDF: OASIS Assessment Informed Choice Template
- Printable PDF: Checklist for Charting Postpartum Genital Injury Repair
- Printable PDF: Client Informed Choice Suturing
- Bonus Section: Using Herbs and Bee Things
- Bonus Section: How to Soothe Itching
- Bonus Section: Detecting Infection and Follow-up Care Q&A
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07
Tests, Evaluation, and Follow-Up
Show details- Link to Written Test
- Course Evaluation
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Instructor
Instructor Bio:
Terms and Conditions
Due to the small cohort format of this course, there are different terms and conditions than our purely on-demand online courses. These Terms and Conditions are needed in order for the course delivery process to be smooth for you, the fellow members of your cohort, and the next cohort (that will be using your supply kits once returned).
By enrolling in this course, you are agreeing to these Terms and Conditions, so please read them carefully:
1. Upon enrollment, you will have instant access to the on-demand portion. The on-demand portion (with the exception of portions marked as "bonus" content) must be completed by one half hour prior to your small group session.
2. You also must pass the written test with an 80% or greater by one half hour prior to your small group session.
3. Attendance and participation in the small group session is required. The small group session for this cohort is:
Friday, April 9th, 2021
Pacific: 10am to noon
If you cannot attend the small group session for any reason, including not completing 1 and 2 above, you may attend the make-up session listed below, for an additional $100. You may also choose to take this session in addition to the standard session, if you would like additional practice, and feedback from the instructor (same fee). The make-up session for this cohort is:
Friday, April 16th
Pacific: 10am to noon
(additional $100 fee applies)
4. After you attend a small group practice session, you must also attend a 1 hour private session with Holly Scholles, which will include a skills test. Sessions are available the same day as the small group session, and the same day as the make-up session. Upon enrollment, you will be able to sign up for a testing session using an online scheduler.
Private skills test sessions are available for this cohort (each private session is 1 hour - for example, 1pm to 2pm):
Friday, April 9th
and
Friday, April 16th
Pacific: 1pm to 4pm
We provide six test slots for the six students per cohort. If you cannot make any of the available times, you may request an alternate test time outside of those appointment slots, which may be arranged for an additional $100 fee.
If you are unable to pass your skills test, there will be a $100 fee for a second (or third) private skills test session.
Your skills test must be completed within 2 weeks of your original small group session date.
5. After completion of steps 1-4 above, you will be emailed a Priority Mail postage paid return label for your supply kit. You will need to print this label, and then arrange for a (free) USPS pick-up, or drop the package at any post office.
Supply kits not sent back within 2 weeks after your private session will incur $5/day late fees up to the replacement cost of the kit, unless an extension is granted. Any missing items, or items damaged beyond normal wear-and-tear, will be charged the following replacement costs:
- foam block or metal file - $10 per item
- needle holder, Russian style forceps, hemostat, or scissors - $20 per item
- clamp stand - $30
6. MEAC requires you complete a course evaluation. We'll send you a direct link and a reminder after your skills test.
7. Your MEAC CE Certificate for 8 hours of continuing education, will be sent via email once Steps 1-6 are complete, and any fees incurred during those steps have been paid in full. The date on the certificate, once sent, will be the date your passed your skills test.
(For example, if your small group cohort is on Thursday, September 17th, you sign-up for your skills test to be the same day, send your supply kit back the next day, the earliest you would receive your certificate would be Monday, September 21st. But your certificate would be dated for the 17th, as that was the day you passed your skills test.)
Refunds and Cohort Exchanges
A full refund is available if ALL the following conditions are met:
1. Less than 10% of the on-demand portion has been accessed.
2. It has been less than 30 days since enrollment.
3. It is more than 30 days until the small group cohort.
If it has been more than 30 days since enrollment, and/or more than 10% of the on-demand portion has been accessed, but still more that 30 days until the small group cohort, then you may switch to a different small group cohort, if available, at no additional fee.
This course is 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.
Approved by MEAC for 8 hours of CE. Approval number M1920-87-0529DE.