Shared Decision Making

We are POSITIVE that this is the class you’re most excited about for all of mentorship 😆JK! BUT surprise! It might actually be the most important! We encourage you to stick with this one as this will help you not only protect yourself, your license but also your patient’s birth experiences.

In this class, you will learn from different perspectives/experts to explain to us what shared decision-making and informed consent actually are, what it looks like in practice and what we are responsible for. Shared decision-making is the goal, and we believe that our role is right in the middle of that process, facilitating the needs of both the provider and patient. This is no easy task. We believe in you and believe you will do what’s right when it comes to shared decision-making. Baby steps. We are up against culture and system that doesn’t always do this perfectly, and that’s ok! You are accountable to yourself and your patients. Do your best! Utilize your resources, and speak up for what is right. Your influence in this process MATTERS, and you are not alone.

At the end of this course it is expected that the student can:

Objectives: 

1) The student can describe their role and responsibility in the informed consent process. 

2) The student can differentiate between verbal, written and implied consent. 

3) The student can recognize the difference between informed consent and shared decision-making.

This class features Julie Cantor MD, JD and Pamela Hetrick CNM, expert witness for added value and learning.

 

*4.75 CEs from the California BRN will be awarded upon completion of this class. Class access expires 2 yrs from purchase.

Physiologic Birth-Mentorship

We know that this is a module that many of you have been looking forward to – it’s your 101 entry into building your expertise in physiologic birth. In this class, we are going to teach you how to set the body up for labor progress, as well as what actually happens in the body during labor, so that you can recognize when it’s “working” vs. disrupted. 

As nurses we have power and influence over the birth room – we can negotiate more time with the doctor, and make a suggestion that can help move closer to a vaginal birth or get in the way. We are “experts” at birth; let’s then be experts at the anatomy and physiology of birth because when you understand what is and should happen, you can better anticipate, plan for and adjust to help achieve a vaginal birth. Knowing that position changes, in general, are our weapon in fighting the c-section. We have to keep them moving – so let’s understand what we’re doing and why it may help. We hope you are as inspired by this content as we are and that you walk away from this module feeling challenged, encouraged, and excited to go to work and help these birthing families bring life into the world.

At the end of this course it is expected that the student can:

  1. Summarize what physiologic birth is and what can disrupt it. 
  2. Distinguish different parts and levels of the female pelvis and how the fetus moves through it. 
  3. Create a care plan for a fetus that is asynclitic and occiput posterior.

*4.5 CEs from the California BRN will be awarded upon completion of this class. Class access expires two years  from purchase.

Bereavement Counseling

If taking care of a family that has or is about to have a baby born still makes you uncomfortable, we understand. 

Being the support person to a bereaved family is a huge responsibility that we bear as L&D nurses and birth workers. Our education in this field is lacking and this 4-hour class was created to help you take a deep breath and feel prepared to support these families. 

You will hear real stories, learn tips to build rapport, what to say, how to give baths, do certain mementos, and how to take care of yourself. 

Class includes 19 modules and a custom 44-page workbook.

This class was designed for Labor and Delivery nurses but any person can take and learn from it. 

Learning Objectives:

  1. List 3 causes of fetal death. 
  2. Describe the stages of grief and when they happen.
  3. Create a plan of nursing interventions that should be done for this family.

This class is a portion of the Bundle Birth Nurse Mentorship program and you may hear the instructors mention the program. If you want to know more about that program, click here.

*6 CEs from the California BRN will be awarded upon completion of this class. Class expires two years from the purchase date. 

Breastfeeding

Do you feel fully confident in your ability to help your patient start their breastfeeding journey?

If the answer is no, this class is for you. 

In this class, you will learn the basics of breastfeeding and how it works. Learn why and how skin-to-skin facilities breastfeeding and how to set your patient up for their first feed. Gain tools on how to educate on breastfeeding that is practical and makes sense.

Watch real-life demonstrations on how to latch a baby and assess the latch. Watch real-life demonstrations on how to operate and use a hospital-grade breast pump and manual pump.

Gain insight on alternative methods to feed and how to work with different nipples. Literally everything you need to know as someone who assists with initial breastfeeding.

Learning Objectives: 

1. Student will list the benefits of breastfeeding vs. formula feeding.

2. Student will recite the steps to hand expression and alternative feeding strategies.

3. Student will be able to implement and summarize the benefits of skin-to-skin.

4. Student will be able to assist their patient/client with breastfeeding.

This class is a portion of the Bundle Birth Nurse Mentorship program and you may hear the instructors mention the program. If you want to know more about that program, click here.

*7 CEs from the California BRN will be awarded upon completion of this class. Class expires two years from the purchase date. 

Preventing Birth Trauma – Level 1

We know birth matters

Those of us who support birth know that the experiences of our births stay with us and have a lasting impact. How we feel about our birth begins the story of our parenting. With the COVID-19 pandemic, birth has become an even more complex experience within the system.

As a birth professional…

Do you see your clients and patients develop trauma from their births? Do you feel overwhelmed or just need some clarity about it? Do you fear that you will see an increase in trauma with the recent developments and feel powerless?

While over 30% of those giving birth describe the experience as traumatic, up to 8% will go on to develop PTSD as a result of the experience. It’s my opinion that these numbers will increase over the coming months. As birth professionals, we will undoubtedly attend traumatic births (virtually or in-person) and yet we are given little if any information about best practices for preventing trauma to our clients. What are we supposed to do here?

Can we do anything?

Description

In this class, we will discuss:

  • What is birth trauma?
  • Who is most at risk for PTSD after birth?
  • What are the signs of birth trauma?
  • What can we do in the birth room (virtually or in-person) to minimize psychological trauma to our clients?

This class will emphasize therapeutic skills that can be adapted to the real world by an experienced licensed trauma therapist and certified doula who has been there.

Perfect for doulas, nurses, midwives and OBs

Goal

After this class, you will have a deeper understanding of the subject of birth trauma as well as five immediately applicable new skills for the birth room with your clients and patients. You will leave the class (finally!) equipped to grapple with this timely and important topic.

Learning Objectives:

  1. Define birth trauma and understand who is most at risk.
  2. Understand the most common reasons why birth trauma occurs.
  3. Learn ways that we can prevent or protect against birth trauma at the very next birth we support.
  4. Discuss specific strategies we can use to help our clients or patients prevent or lessen birth trauma symptoms they already have.

Course includes 14 lessons and a 20 pg workbook.

* 2.75 CEs from the California BRN are given for this course. Class expires two years from the purchase date. 

Some Scary Stuff – High Risk Perinatal Nursing

Take a quick minute and think about how confident and/or knowledgeable you feel when managing the scary stuff? After this class you will know the patho of why emergencies happen and what you can do about it. This course will go over 5 main OB emergencies: shoulder dystocia, hypertensive disorders of pregnancy, hemorrhage, prolapsed cord and sepsis. You will learn some pathophysiology, signs to look for and what to do as the primary or support RN so that you can function freely in your role as the nurse. 

At the end of this course it is expected that the student can:

  1. Demonstrate how to perform Macroberts and suprapubic pressure
  2. Interpret vital signs and clinical presentation to determine if a hypertensive patient is decompensating
  3. Identify sepsis criteria in a pregnant person 
  4. Summarize the 4 stages of blood loss in a postpartum hemorrhage and appropriate nursing interventions for each

*5.75 CEs from the California BRN will be awarded upon completion of this class. Class access expires 2 years from purchase.

Fetal Monitoring

Fetal monitoring takes up a big portion of our shifts, our brain space, and our stress! Whether your patient is on continuous fetal monitoring or intermittent, it is time-consuming and a lot to manage. We wanted to create a class that helped it all make sense, clarify your questions and give you a foundation or work from your foundation to continue to feel more and more confident in your FM interpretation and nursing interventions. We want you to walk away from this course feeling confident that you know what you are talking about, what you are charting, and how to keep your patients safe, all the while supporting their preferences and dignity.

We also wanted you to have a solid understanding of the legal implications of FM, how to protect yourself, what common pitfalls go to court and overall release you from some stress related to your fetal monitoring interpretation. You will learn from Pam Hetrick again as she goes over some real case studies that she has encountered as an expert nurse witness.

At the end of this course it is expected that the student can:

  1. Student will identify and label fetal heart rate characteristics 
  2. Student can create a care plan for fetal resuscitation 
  3. Student can describe the pathophysiology of decelerations.

*5 CEs from the California BRN will be awarded upon completion of this class. Class access expires 2 yrs from purchase.

Oh Baby! Care of the Neonate

The reality is, that we spend the majority of our time as nurses caring for the birthing person intrapartum and the fetus, not the newborn! The more we thought about it, though, the more we realized that if this process was going to be as thorough as possible, we had to include this topic. Whew! Everyone is scared of that floppy baby. We have, at bear minimum, heard awful stories of babies coming out blue, apneic, needing to run a full code, or having to give blood immediately. It does happen. The good news is, it’s NOT going to happen on every shift. The other good news is that you WILL have to use these skills at some point in your career, which is exactly why we included it! We want you to walk away from this module feeling like you know what is happening to your baby pathophysiology-wise so that you can identify what is normal from what is abnormal, respond appropriately and notify the right people for help. Remembering that you may be the link between this baby getting the help they need, preventing further complications and even death.
You got this.

At the end of this course it is expected that the student can:

  1. Student describes the pathology of the extrauterine steps newborns take upon delivery. 
  2. Student compares the different respiratory issues a newborn can have after delivery.
  3. Student can demonstrate the steps to resuscitation.

*4 CEs from the California BRN will be awarded upon completion of this class. Class access expires 2 yrs from purchase.

Healing Trauma in the Birth Professional

Birth professionals pour their heart and soul out for families. We see it all – many times beautiful, healing birth memories, and other times, we are left not knowing how to cope or what to do with the trauma we have experienced, witnessed or inadvertently participated in.

Whether you’re a L&D nurse, doctor, midwife, tech, doula or other birthing professional, we want to help you heal after a “bad birth”. We want you to have the tools to live a lasting, fulfilling career, and be able to continue to do what you love from a place of health and love.

Learning Objectives:

  1. Understand and describe PTSD as a central nervous system phenomenon
  2. Assess and identify trauma symptoms in themselves and colleagues
  3. Name at least 3 systemic solutions to the problem of professional trauma
  4. Prevent professional trauma with at least 3 specific strategies
  5. Implement a personal acute trauma self-treatment plan

This class is our support and love to you. You can do this, and now you have the tools to do so.

* 2 CEs from the California BRN are given for this course. Class expires two years from the purchase date. 

Launch

We have made it to your FINAL MONTH! As we send you off and launch you into your next semi-circle, we also want you to reflect on the last year. How have you transformed? How are you different? During this class, Sarah and Justine focus in on some final important topics to wrap up this season of your life. We’ll talk resilience, anger, precepting, and #teamunderwear and send you off to be the best nurse and human you can be – contributing to the change and creating positive ripples in your world. We are honored that you have trusted us and invited us into your life to shape you for the last year hopefully. 

We believe in you, we love you and are with you always.

Leading Change

We can DO and BE better. There is opportunity and possibility!

Have you noticed that literature doesn’t always support or inform our current practice? Maybe you’ve attended a conference or read an article suggesting we do things differently? Perhaps you just want to make things better, but aren’t sure where to start?

Implementing and sustaining change follows a pattern. Curiosity leads to reviewing the literature, using credible sources, mobilizing a team, proposing and testing change, and then sustaining a new normal. We’ll walk you through the change process, teach you how to navigate politics, culture, and people, and provide you with resources to keep the process simple, do-able, and efficient. Learn HOW to translate evidence into practice to improve outcomes.

Learn how to lead change.

It takes passion, perseverance, and work.

Who better to do it, than you!? 

Learning Objectives:

  1. Participants will identify one area of opportunity to change on their unit
  2. Participants will articulate and integrate 6 steps to change the game into their practice
  3. Participants will verbalize one SMART goal relevant to their area of change
  4. Participants will be able to identify 3 credible sources for lit review

*4.25 CEs from the California BRN will be awarded upon completion of this class. Class expires two years from the purchase date. 

Position Guide Demo

We are so grateful to you for purchasing our ©Bundle Birth Position Guide! As a supplement to your guide, watch this video to learn from Sarah, Bundle Birth’s founder, on how to use the guide!

Remember, this guide was created in conjunction with our Physiologic Birth Class for L&D Nurses HERE. We’d love to have you! Learn all the ways how the body works together to help birth the baby vaginally and safely, through positions and more!

Keep changing the game.

Grounding Techniques

Have you ever felt like your nervous system was on overdrive? Maybe it made sense to you or maybe there was no “logical” explanation? If you are wondering how to downregulate and redirect your brain from stressful and consuming thoughts, this class is for you.

Maybe you serve a population that experiences stress and you would like to bring your skills to the next level and be able to offer them resources to help them find calm in those moments – we got you here!

Grounding Techniques are body-based tools to help you or your patients/clients “ground” in difficult, stressful, or traumatic moments. In this class, Krysta Dancy teaches you how to ground yourself or another from the “top, down”.

What is Grounding? Taking the neuroscience of understanding the way our brain and body communicate with one another and using that knowledge to communicate a sense of safety and calm to our brain. They are specific techniques to regulate our nervous system so that our fight and flight (sympathetic nervous system) and rest and digest (parasympathetic nervous system) can respond appropriately to the scenario at hand so that ultimately your brain can rest.

This class is an excellent supplement to Preventing Trauma Level 1 & Level 2, as well as Healing Trauma in the Birth Professional.

BONUS Module: Responding to a Panic Attack – putting it all together

*8 Modules, 1.5 CE from the California BRN will be awarded upon completion of this class. Class expires two years from the purchase date. 

New Grad, No Job

Are you a senior nursing student or a new grad that wants Labor & Delivery?

Are you nervous about finding jobs and interviewing?

This class will guide you in building a resume and portfolio.

 

 

 

Preventing Birth Trauma – Level 2

Birth Professionals

I’m going to speak plainly: knowing what causes trauma is an important step in preventing and healing it- but it isn’t enough. We must learn how to help our clients access their innate resilience, strengths and growth if we want to make a difference. That’s what this course is about.

Back by popular demand! This is a sequel to the sell-out course Preventing Birth Trauma Level 1 (which is required for access to this class).

In this online class we will discuss:

  • What are the ‘two pathways” that lead to Postpartum trauma and how can you help?
  • Research updates on trauma
  • What is post-traumatic growth after a traumatic birth and what determines the lucky clients who experience it? (hint: you can help!)
  • Introducing Krysta’s brand new “Trauma-Informed Care Provider Model”- a 3 step model which helps you protect your clients’ psychological vulnerabilities to trauma, access their strengths and prevent the long-term formation of trauma.

This class will equip you with immediately useful skills, evidence-supported and clinically relevant information and more than that: it’s going to create a clear plan for prevention and healing that you can use to conceptualize your birth work right away.

Goal: After this class, you will have a deeper understanding of trauma in birth- but I want you to have more than that. This class is going to help you tap into the natural resilience, strength, and growth opportunities that your client already has.

Learning Objectives:

  1. Demonstrate updated knowledge of research literature related to birth trauma including COVID 19.
  2. Understand the systemic factors which influence and perpetuate the phenomenon of Postpartum PTSD.
  3. Understand Post-Traumatic Growth as it relates to Postpartum PTSD and gain concrete skills to improve clients’ resilience after trauma.
  4. Master two clinical models to serve Trauma-Informed Care and Develop Birth Trauma Resilience.

*2.5 CEs from the California BRN will be awarded upon completion of this class. Class expires two years from the purchase date. 

Deposition & Trial

Who is the plaintiff’s attorney and what exactly does the defense do?  The legal process in medical malpractice can sound very overwhelming and a land of the unknown.

There may be a time in your journey as a nurse that you witness an adverse outcome or are named as a fact witness in a lawsuit. This can be frightening and anxiety-provoking.

In this class, we will go step by step as to what to expect through the whole process of observing/being involved in the adverse event and what the typical steps are during the time when a lawsuit is filed. You will gather knowledge of the discovery phase of the process, who is your legal team, what they do to get you prepped for the case, and the deposition process and trial.

Spoiler alert!  You can be involved in a lawsuit without an adverse event that occurs if the family or patient alleges that an injury occurred during the patient’s care.


This class is pertinent to anyone who cares for patients whether you are an LPN, RN, APRN, CNM, CRNA, or PA

Learning Objectives

1.  Participants will understand key players involved in every lawsuit (defendant, plaintiff, witness)

2.  Participants will be able to identify the anatomy of a lawsuit

3.  Participant will be able to define the standard of care

4.  Participant will be able to identify key components to the deposition process

5.  Participants will be able to identify key components of the trial process

 

*2 CEs from the California BRN will be awarded upon completion of this class. Class expires two years from the purchase date.