On-Demand Portion
Course curriculum for the
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01
Welcome!
Show details- Need To Know Course Details
- Before we go on...
- 1.1 Introduction
- 1.2 Informed Choice for Genital Repair
- Quiz 1
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02
Anatomy of Repair
Show details- 2.1 Tour of the Vulva
- 2.2 Need to Know Muscles
- Special Note for CPMs in Colorado
- Quiz 2
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03
Equipment and Safety
Show details- 3.1 Choosing The Right Instruments
- Q&A Why Russian forceps?
- Quiz 3.1
- Bonus Section: Article on Left-handed Surgical Instruments
- 3.2 Proper Instrument Techniques
- Q&A: Why The Needle Spins
- Quiz 3.2
- 3.3 Choosing The Right Suture
- Quiz 3.3
- 3.4 Other Supplies
- Q&A Lube on Suture
- Quiz 3.4
- 3.5 Safety and Sterilization
- Q&A How Do You Pack Your Instruments?
- Q&A How Long Do Instruments STAY Sterile?
- 3.6 Setting Up A Sterile Field
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04
Before The Repair
Show details- 4.1 Mapping and Tear Prevention
- Quiz 4.1
- 4.2 Exam and Assessment Prep
- Q&A Positioning the Client
- Q&A Anesthetic Prior to Exam
- Quiz 4.2
- 4.3 Initial Exam and Assessment
- Quiz 4.3
- 4.4 Degree Determinations
- Q&A Depth of Tear
- Quiz 4.4
- 4.5 OASIS Assessment
- Q&A Dovetail Clarification
- Quiz 4.5
- Printable PDF: Methods for Assessing Anal and Rectal Injury (OASIS)
- Printable PDF: OASIS Assessment Informed Choice Template
- 4.6 Planning the Repair
- Printable PDF: Suturing Do's and Don'ts
- Quiz 4.6
- 4.7 To Suture or Not To Suture?
- Q&A To Suture or Not? Herbs for Healing?
- Overview of Research on Suturing vs Not Outcomes
- Bonus Section: Articles and Studies on Outcomes of Suturing vs Not
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05
Anesthetics
Show details- 5.1 General Considerations for Anesthetic
- Quiz 5.1
- 5.2 Considerations for Lidocaine
- Q&A Allergic Reaction to Lidocaine
- Quiz 5.2
- Printable PDF: Lidocaine Reference Card
- 5.3 Considerations for Ester Anesthetics
- Quiz 5.3
- 5.4 Methods of Anesthetic Administration
- Quiz 5.5
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06
Knot and Stitch Techniques
Show details- 6.1 Tissue Adhesive
- How To Use This Section
- 6.2 Talkthrough: From Anchoring Knot to End Knot
- Q&A Why does the cross-over stitch NOT cross the wound?
- Quiz 6.2
- 6.3 Medical Model Walkthrough: Anchoring Knot/Surgeons Knot/Instrument Tie
- 6.4 Medical Model Walkthrough: Two Layer Suturing of the Vaginal Floor
- 6.5 Medical Model Walkthrough: Subcuticular Running Mattress to End Knot
- 6.6 Locked Blanket Walkthrough
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07
Practice Makes Perfect Suture-Along (Supply kit needed!)
Show details- Guide to Your Supply Kit
- 7.1 Practice Makes Perfect: How to Use the Supplies
- 7.2 Practice Makes Perfect: Curving, Curving, Curving
- 7.3 Doing The Two-Step
- 7.4 Practice Makes Perfect: 1 cm Down, and Straight Across
- 7.5 The Optical Illusion
- 7.6 Practice Foam Walkthrough: Interrupted Stitches and Basic Technique Tips
- Q&A Interrupted Stitches
- 7.7 Practice Foam Walkthrough Part 1: Assessment and Anchoring Knot
- Q&A Anchor Knot Placement Explanation
- 7.8 Practice Foam Walkthrough Part 2: Anchor Knot to End Knot of Double Layer Sutures
- Bonus Section: Walkthrough of LEFTIE Suturing
- Close-up of End Knot
- 7.9 Practice Foam Walkthrough: Locked Blanket
- Retrieving a Lost Needle
- Q&A Swelling, Adjusting Tension, and Timing of Repair
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08
Documentation & Aftercare
Show details- 8.1 Charting
- Printable PDF: OASIS Assessment Informed Choice Template
- Printable PDF: Checklist for Charting Postpartum Genital Injury Repair
- Printable PDF: Client Informed Choice Suturing
- Q&A Using Herbs and Bee Things
- Q&A Soothing Itching
- Q&A Detecting Infection and Follow-up Care
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09
Tests, Evaluation, and Follow-Up
Show details- Link to Written Test
Upon completion of this program, 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
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Instructor Bio:
Terms and Conditions
You are enrolling in a small group session for a specific date, with 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 small group session.
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 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. You are enrolling in the session on:
Wednesday, July 30th, 2025
Pacific: 9:15am to 12:30pm
Late entry more than 15 mins past the start time is not permitted for any reason.
Make-up sessions:
If you cannot attend this small group session for any reason, including not completing 1 and 2 above, you may attend a make-up session. These will be offered three times per year, and the first make-up session enrollment is available at no additional fee. There will be a $100 fee for enrollment in a second make-up session.
You may also choose to arrange for a private make-up session, which is also a $100 fee.
4. After you attend a small group practice session, you must also pass a skills test via a private Zoom session. Testing slots are available the same day as the small group session, and the same day of the week one week after. Upon enrollment, you will be able to sign up for a testing session using an online scheduler.
Private skills test sessions for this session are available:
Wednesday, July 30th, 2025
Pacific: 1pm to 4pm
and
Wednesday, August 6th, 2025
Pacific: 10am to 12pm
We provide six test slots for the six students per session. 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.
5. Certain supplies are required to participate in the live portions of this course, and a supply kit is included with the course fee for all participants in the United States. Supplies for participants outside the United States are handled on a case-by-case basis, please email [email protected] to discuss.
In addition to the supply kit we provide, you will need the following at your live Zoom sessions:
- Gloves (non-sterile is fine)
- TWO devices to join the Zoom with, one of which is a phone (or tablet)
- A workspace to practice suturing while attending the Zoom
6. CE certifications require that you complete a course evaluation. We'll send you a direct link after you pass your skills test.
7. Your CE Certificate for 12.5 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 Exchanges
REFUND
If ALL of the following conditions are met:
- Less than 10% of the on-demand portion has been accessed.
- It has been less than 30 days since enrollment.
- It is more than 30 days until the small group session.
...then you may:
- Exchange your enrollment in a Small Group Session for Instant Access (no processing fee)
- Receive a full refund less a 3% processing fee (that is what the card companies charge us when you pay, and we don't get it back if we refund)
EXCHANGE ONLY
If ALL of the following conditions are met:
- Any amount of the on-demand portion has been accessed.
- Any amount of time since enrollment.
- At least two weeks until your Small Group Session
...then you may:
- Exchange your enrollment in a Small Group Session for Instant Access (no processing fee)
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.
Wednesday, July 30th, 2025
Instant access to the on-demand portion, and a seat in the small group Zoom session on
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Enroll
$399.00
Regular price (USD)