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
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06
Knot and Stitch Techniques
Show details- It's Time To Order Your Supply Kit!
- 6.1 Tissue Adhesive
- Quiz 6.1
- 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 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
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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.
Terms and Conditions
You are enrolling Hands-On Suturing Instant Access, 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 participants of this course.
~ If you haven't already, scroll up and watch the video at the top of this page. ~
By enrolling in this course, you are agreeing to these Terms and Conditions, so please read them carefully. ALL of the following will need to be completed to receive your CE Certificate:
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 live Zoom practice session. (The cost for that session is included in your Instant Access course fee, but you will need to sign up for that session down the road.)
2. You also must pass the written test with an 80% or greater, by one half hour prior to your live Zoom practice session.
3. Attendance and participation in a live Zoom practice session is required. When you see a session date you'd like to attend, email [email protected]. You will be sent a special code to use to enroll for "free." Space is limited, and once you are enrolled in a session date, you will also need to follow all the Terms for that session date.
4. After you attend a small group practice session, you must also pass a skills test via a private Zoom 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.
Refund Policy
If BOTH 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.
...then you may 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).
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.
Instant Access
Instant access to the on-demand portion, your supply kit, and a seat in a future small group live Zoom session
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$399.00
Regular price (USD)
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$199.50 x 2
Half now, half next month
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$99.75 x 4
4 month payment plan