This course provides 1.50 credits of prescribed CME, and is also provider approved by the California Board of Registered Nursing for 1.5 contact hours.

This 1.5 hour CE/CME course is a condensed version of our full IPE course, Transfer Tools for Midwives, EMS, and Receiving Providers. This version is designed specifically for those providing in-hospital care. 

CE for RNs: This course is provider approved by the California Board of Registered Nursing, Provider Number 17686, for 1.5 Contact Hours. 

CME for MDs: This activity has been approved for 1.50 Enduring Materials Self-Study Prescribed credits. AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 Credit™ toward the AMA Physician's Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed credit, not as Category 1.

CE for CNMs: CME credit awarded for this course is also accepted as CE for the Certificate Maintenance Program by the American Midwifery Certification Board (AMCB).

Transfers from home births and birth centers to hospitals happen regularly and are an important part of safe care for birthing people and babies. We know that approximately 10% of planned community births (homebirth and birth center births) transfer to the hospital when pain medication or labor augmentation is needed, or when complications arise. 

Yet midwives, emergency services personnel, nurses, and receiving hospital providers don't receive training on how to work together as a care team. We often find ourselves trying to provide care in stressful emergency situations without the information or skills we need to do so effectively.

We're ready to change that and work together to improve care! This one-of-a-kind course:

  • is a curriculum designed by midwives, emergency services personnel, nurses, and receiving hospital providers
  • shares new collaborative methods for improving home birth and birth center to hospital transfers 
  • teaches communication skills critical to keep calm and clear during stressful situations
  • includes clinical best practices
  • models scenarios demonstrating these best practices for communication and care
  • teaches creative tools for bridging relationships with other provider types
  • includes everything you need to know about the other providers involved to support optimal care and smooth transfer across all settings of a community birth transfer

This course will help all provider types work together smoothly so we can improve outcomes and the experience of care for mothers and babies.

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 1.5 hours of continuing education. Provider approved by the California Board of Registered Nursing, Provider Number 17686, for 1.5 contact hours. (This is widely accepted nationwide as continuing education for nurses and midwives. For information about nursing CE in your state, please refer to our state-by-state guide.)

This course was previously approved by ACNM for 1.5 hours of continuing education, approval number 2021-125, exp 12/14/23. (CNMs may now use the CME approval instead.)

Note: Course completion does not authorize the learner to use skills outside their scope. Please refer to your state guidelines for determining scope of care.

For information regarding our refund policy and other Frequently Asked Questions, please refer to our FAQ. If you have additional questions, please email [email protected].

  • Silke Akerson

    Instructor Bio:

    Silke Akerson, CPM, LDM, MPH is a midwife and herbalist in Portland, Oregon. She has been in home birth practice since 2000, has worked in midwifery leadership and policy since 2010, and is currently the executive director of the Oregon Midwifery Council. She has been working collaboratively with emergency services personnel and receiving hospital providers on transfer improvement for the past 9 years. She is passionate about continuing education for midwives and allied providers as ways of ensuring quality care for all families and encouraging continued growth for ourselves as practitioners.

    Silke Akerson, CPM, LDM, MPH

    Midwife & Herbalist

Course curriculum

  • 01
    1: The Problem
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    • Intro
    • The Problem
    • What is community birth?
    • Midwives
  • 02
    2. Solutions for Smooth Transfer
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    • Working Together
    • Home Birth Summit Model Practices for Midwives
    • Home Birth Summit Model Practices for Hospital Providers
    • Quality Improvement and Home Birth Summit Policy Development
  • 03
    3. Best Practices for Communication During Community Birth Transfers
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    • Best Practices for Improving Transfer
    • Best Practices for Communication: Prenatal Planning and Education
    • Communication: Midwives and Receiving Providers
    • Model Practices Role-Play: Maternal Hemorrhage Scenario (short version)
    • When Conflict Arises
    • Model Practices Role-Play: Newborn Resuscitation Scenario (short version)
  • 04
    4. Conclusion, Evaluation, and Post-Test for CE Certificate
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    • Conclusion
    • Post-test
    • Course Evaluation Questions
  • 05
    Bonus Section: References and Resources
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    • Home Birth Summit Best Practice Guidelines: Transfer from Planned Home Birth to Hospital
    • Home Birth Summit Maternal Transfer Form
    • Home Birth Summit Newborn Transfer Form
    • Homebirth: An Annotated Guide To The Literature
    • Baby Friendly Hospital Initiative - Baby Friendly USA
    • Midwives Model of Care™
    • Philosophy of the American College of Nurse-Midwives
    • ACOG Committee Opinion #664: Refusal of Medically Recommended Treatment During Pregnancy
    • Articles
    • Further Resouces
  • 06
    Bonus Section: Videos
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    • Interview with Dr. Wendy Smith, OB Hospitalist
    • Model Practices Role-Play: Maternal Hemorrhage Scenario (Expanded Length)
    • Model Practices Role-Play: Newborn Resuscitation Scenario (Expanded Length)

Enrollment with 1.5 hours CE

Take the course, print your completion certificate, retain access for later reference.

  • $40.00

    for RNs and other nurses

Enrollment with 1.50 CME Credit


Do you have a group of 4 or more people who wish to take this course? Email [email protected] for discount options.