Shifting the Pitocin Paradigm DRAFT

Pitocin misuse is a root cause of the vast majority of birth injury lawsuits.

And was listed in 2007 as a High Alert Medication by the ISMP. Why?

“The designation by ISMP highlights the inability of technological safeguards, as currently utilized in the United States, to consistently prevent patient harm from oxytocin”And despite this, Pitocin use has only increased over the past decade in the US, with important implications for:
*Nursing care
*Patient safety
*Medical-legal liability
*And just as importantly: Nursing job satisfaction…despite an abundance of research that indicates that we might want to
think about using it less…

So even though our current paradigm is a 50% induction or augmentation rate, we have the ability to shift our practice as nurses. In a way that is safe AND feels good for nurses giving care
and the patients receiving care.

Objectives:
* Analyze trends in pitocin use and birth injury
* Determine the evidence-based practices that can decrease preventable harm (and therefore lawsuits) and increase nurse and patient satisfaction.

Physiologic Coping Class Recording On-Demand

Grab a notebook and a pen, this class is going to be the perfect addition to level up your practice!

Day 2 is going to be much more experiential and we suggest having a partner present for the first hour(ish) of class if possible to practice on. If not, no biggie, you can self-release your own fascia!

Course Objectives:

  1. Explain the pathophysiology of pain and how coping promotes physiologic birth.
  2. Practice and improve purposeful skills for helping patients cope with the physical, mental and emotional aspects of labor.
  3. Learn and model two therapeutic communication strategies.
  4. Explain three physiologic processes to regulate and impact pain perception during labor.
  5. Assess, modify and positively impact five senses for labor coping and progress.
  6. Discuss how the central nervous system affects the physiology of labor, including, but not limited to, its impact on disruptions in the labor process and how to promote vaginal birth.
  7. Implement three nursing interventions to encourage physiologic endogenous hormone release during labor.
  8. Adapt techniques learned for both patients with and without epidural anesthesia.
  9. Return demonstrate three breathing techniques to initiate calm in the body, aiding in physiologic birth.
  10. Return demonstrate three nursing interventions to help downregulate the nervous system and positively impact trauma responses.
  11. Practice and integrate trauma-informed practices into patient education, interactions and care.
  12. Predict and identify interruptions in patient coping and pain management and how the RN can actively respond to facilitate relief and optimal birth outcomes.
  13. Integrate 3 new techniques into practice.

You must fill out an evaluation to receive your CEs. Class is available for 1 year from date of purchase.

We also suggest that if you have purchased breathing beads, magnetic spikey balls or a Elle TENS unit (yes, we sell them!) please bring to class as well!

Questions? Don’t hesitate to reach out at [email protected]

Unleashing the Power of Physiologic Coping for a Successful Vaginal Birth

Spend an hour with Sarah Lavonne as she builds a case for how the physiology of coping is integrally connected to our patient’s ability to have a physiologic vaginal birth. Curious about what’s coming in our Physiologic Coping class? Get a sneak peek here!

Objectives:

  1. Participants will be able to define physiologic coping and its importance for the laboring person.
  2. Participants will understand how physiologic coping techniques are essential to the laboring person’s ability to achieve a physiologic birth.
  3. Participants will be able to describe what the brain needs to achieve physiologic coping.
  4. Participants will explain 3 magic elements necessary for the patient to cope.

Great for anyone working with birthing families, nurses, nursing students, doulas, aspiring L&D nurses, midwives; everyone welcome!

This class is the perfect primer for our upcoming Physiologic Coping Class! Great for doulas, nursing students or future L&D nurses.

Want the full class? Sign up HERE.

You’ll earn 1 CE during this 1 hour session:
45 mins of instruction + 15 mins of Q&A from the live class.

Extension Supporting Physiologic Birth for L&D Nurses – LIVE Online Class Recording

Thank you for attending our Live Physiologic Birth training! You have been granted an extension to view a recording of February’s Physiologic Birth trainings.  This recording viewing extension will provide you access for an additional 14 days. Please plan accordingly.

If you desire to retake the class, feel free to write us at [email protected] for a 50% off promo code. See you soon!

Thank you for attending our Live Physiologic Birth training!

Unleashing the Power of Physiologic Coping for a Successful Vaginal Birth – Live & Online

Spend an hour with Sarah Lavonne as she builds a case for how the physiology of coping is integrally connected to our patient’s ability to have a physiologic vaginal birth. Curious about what’s coming in our Physiologic Coping class? Get a sneak peek here!

Objectives:

  1. Participants will be able to define physiologic coping and its importance for the laboring person.
  2. Participants will understand how physiologic coping techniques are essential to the laboring person’s ability to achieve a physiologic birth.
  3. Participants will be able to describe what the brain needs to achieve physiologic coping.
  4. Participants will explain 3 magic elements necessary for the patient to cope.

Great for anyone working with birthing families, doulas, nurses, midwives welcome!

45 min of learning, 15 min Live Q&A, 1 CE earned from the CA BRN 🫶🏼

Grab a notebook and a pen, this class is a perfect primer for your Physiologic Coping class! Want the full class? Sign up HERE. Get all the tools in your toolbox to feel confident about your job and give your patients the best chance!

*You will receive an email with the link to your class 48 hrs before the class date as well as it will be added here:

ZOOM Link to use to register for the class and receive your link HERE  (please use your login email address)

Your class recording is below and available to for 2 weeks after the class date.

Physiologic Coping – LIVE Online 2-Day Class February 29 & March 1, 2024

Thank you for attending this class!

Grab a notebook and a pen, this class is going to be the perfect addition to level up your practice!

We also suggest that if you have purchased breathing beads, magnetic spikey balls or a Elle TENS unit (yes, we sell them!) please bring to class as well!

Day 2 (March 1) is going to be much more experiential and we suggest having a partner present for the first hour(ish) of class if possible to practice on. If not, no biggie, you can self-release your own fascia!

Course Objectives:

  1. Explain the pathophysiology of pain and how coping promotes physiologic birth.
  2. Practice and improve purposeful skills for helping patients cope with the physical, mental and emotional aspects of labor.
  3. Learn and model two therapeutic communication strategies.
  4. Explain three physiologic processes to regulate and impact pain perception during labor.
  5. Assess, modify and positively impact five senses for labor coping and progress.
  6. Discuss how the central nervous system affects the physiology of labor, including, but not limited to, its impact on disruptions in the labor process and how to promote vaginal birth.
  7. Implement three nursing interventions to encourage physiologic endogenous hormone release during labor.
  8. Adapt techniques learned for both patients with and without epidural anesthesia.
  9. Return demonstrate three breathing techniques to initiate calm in the body, aiding in physiologic birth.
  10. Return demonstrate three nursing interventions to help downregulate the nervous system and positively impact trauma responses.
  11. Practice and integrate trauma-informed practices into patient education, interactions and care.
  12. Predict and identify interruptions in patient coping and pain management and how the RN can actively respond to facilitate relief and optimal birth outcomes.
  13. Integrate 3 new techniques into practice.

* CEs are released after the second day of class. You must fill out an evaluation to receive them.

Questions? Don’t hesitate to reach out at [email protected]

Supporting Physiologic Birth for L&D Nurses – LIVE Online Class – November 15, 2024

Thank you for attending this class! Please see the Materials tab for supplemental resources, as well as the courses tab for a recap clip of the “baby rules” portion of the class. If you have come to this page before the class date, hold tight!

Return here after you’ve taken the class to access your evaluation. Once you submit your eval, your CE certificate will be available to you and saved under your Courses tab on your account home.

Thank you, sincerely, from all of us at the Bundle Birth team, for all of your hard work and heart that you put into your work. Each one matters, together we’re changing the game in obstetrics.

If you loved this class be sure to share it with your friends and coworkers! We also have other ways to help support your growth and learning! ♥️

 

NOTE: as of right now, just skip to the end of the baby rules video, let it run to the end and then “mark as complete”. Then, you should be able to take the quiz.

Supporting Physiologic Birth for L&D Nurses – LIVE Online Class – August 20, 2024

Thank you for attending this class! Please see the Materials tab for supplemental resources, as well as the courses tab for a recap clip of the “baby rules” portion of the class. If you have come to this page before the class date, hold tight!

Return here after you’ve taken the class to access your evaluation. Once you submit your eval, your CE certificate will be available to you and saved under your Courses tab on your account home.

Thank you, sincerely, from all of us at the Bundle Birth team, for all of your hard work and heart that you put into your work. Each one matters, together we’re changing the game in obstetrics.

If you loved this class be sure to share it with your friends and coworkers! We also have other ways to help support your growth and learning! ♥️

 

NOTE: as of right now, just skip to the end of the baby rules video, let it run to the end and then “mark as complete”. Then, you should be able to take the quiz.

Supporting Physiologic Birth for L&D Nurses – LIVE Online Class – February 21, 2024

Thank you for attending this class! Please see the Materials tab for supplemental resources, as well as the courses tab for a recap clip of the “baby rules” portion of the class. If you have come to this page before the class date, hold tight!

Return here after you’ve taken the class to access your evaluation. Once you submit your eval, your CE certificate will be available to you and saved under your Courses tab on your account home.

Thank you, sincerely, from all of us at the Bundle Birth team, for all of your hard work and heart that you put into your work. Each one matters, together we’re changing the game in obstetrics.

If you loved this class be sure to share it with your friends and coworkers! We also have other ways to help support your growth and learning! ♥️

NOTE: as of right now, just skip to the end of the baby rules video, let it run to the end and then “mark as complete”. Then, you should be able to take the quiz.

Supporting Physiologic Birth for L&D Nurses – LIVE Online Class – May 15, 2024

Thank you for attending this class! Please see the Materials tab for supplemental resources, as well as the courses tab for a recap clip of the “baby rules” portion of the class. If you have come to this page before the class date, hold tight!

Return here after you’ve taken the class to access your evaluation. Once you submit your eval, your CE certificate will be available to you and saved under your Courses tab on your account home.

Thank you, sincerely, from all of us at the Bundle Birth team, for all of your hard work and heart that you put into your work. Each one matters, together we’re changing the game in obstetrics.

If you loved this class be sure to share it with your friends and coworkers! We also have other ways to help support your growth and learning! ♥️

 

NOTE: as of right now, just skip to the end of the baby rules video, let it run to the end and then “mark as complete”. Then, you should be able to take the quiz.

Understanding the Enneagram: Discovering Yourself

Are you looking to gain a deeper understanding of who you are and how you operate in the world? Are you tired of being put into a box by traditional personality tests? This class is designed for you!

In this class, we will explore the nine Enneagram types and delve into what makes them each unique. You’ll learn how to break out of traditional personality test limitations and discover more about yourself in a personal and authentic way.

Jess McGrail, Bundle Birth Nurse Mentor and professional Enneagram Coach, explains and helps you discover which of the 9 types you are dominant in so that you can improve your self-awareness and build more fulfilling relationships. You’ll learn each type’s core desire, fear, what motivates them and how you can best support those around you that resemble each type.

Join us as we unveil the Enneagram to help you deepen your understanding of your true self.

Class includes a supplemental workbook. No CEs will be awarded for this class – it’s for your own personal growth!

Supporting Physiologic Birth for L&D Nurses – LIVE Online Class – November 16, 2023

Post registration, you should have been sent the Zoom link for this LIVE Online Class via email and as a calendar invite! No worries if not, it is linked HERE for you to access on Thursday, November 16. The class will open and you will be admitted at 0745, ready to start right at 0800 PST.

Thank you for attending this class! Please see the Materials tab for supplemental resources, as well as the courses tab for a recap clip of the “baby rules” portion of the class. If you have come to this page before the class date, hold tight!

Return here after you’ve taken the class to access your evaluation. Once you submit your eval, your CE certificate will be available to you and saved under your Courses tab on your account home.

Thank you, sincerely, from all of us at the Bundle Birth team, for all of your hard work and heart that you put into your work. Each one matters, together we’re changing the game in obstetrics.

If you loved this class be sure to share it with your friends and coworkers! We also have other ways to help support your growth and learning! ♥️

 

NOTE: as of right now, just skip to the end of the baby rules video, let it run to the end and then “mark as complete”. Then, you should be able to take the quiz.

Supporting Physiologic Birth for L&D Nurses – LIVE Online Class – September 9, 2023

Thank you for attending this class! Please see the Materials tab for supplemental resources, as well as the courses tab for a recap clip of the “baby rules” portion of the class. If you have come to this page before the class date, hold tight!

Return here after you’ve taken the class to access your evaluation. Once you submit your eval, your CE certificate will be available to you and saved under your Courses tab on your account home.

Thank you, sincerely, from all of us at the Bundle Birth team, for all of your hard work and heart that you put into your work. Each one matters, together we’re changing the game in obstetrics.

If you loved this class be sure to share it with your friends and coworkers! We also have other ways to help support your growth and learning! ♥️

 

NOTE: as of right now, just skip to the end of the baby rules video, let it run to the end and then “mark as complete”. Then, you should be able to take the quiz.

Supporting Physiologic Birth for L&D Nurses – LIVE Online Class

Thank you for attending this class! Please see the Materials tab for supplemental resources, as well as the courses tab for a recap clip of the “baby rules” portion of the class. If you have come to this page before the class date, hold tight!

Return here after you’ve taken the class to access your evaluation. Once you submit your eval, your CE certificate will be available to you and saved under your Courses tab on your account home.

Thank you, sincerely, from all of us at the Bundle Birth team, for all of your hard work and heart that you put into your work. Each one matters, together we’re changing the game in obstetrics.

If you loved this class be sure to share it with your friends and coworkers! We also have other ways to help support your growth and learning! ♥️

 

NOTE: as of right now, just skip to the end of the baby rules video, let it run to the end and then “mark as complete”. Then, you should be able to take the quiz.

Supporting Physiologic Birth Class for L&D Nurses – Rental

We’re excited to support you with this 8-hour, LIVE ONLINE class viewing for your entire group. This training will provide information necessary to promote physiologic birth and/or interact with various labor patterns/interruptions through nonpharmacological nursing interventions.

We promote birth as a normal, physiologic process for the majority of birthing people, but recognize that there are common interruptions in the birth process that can have an impact on the ultimate mode of delivery. Upon successful completion of the workshop, the participant will be able to educate, triage, and better facilitate physiologic birth to meet the desires of the laboring person and accomplish a vaginal birth.

Please download the guides presented here to supplement your experience.

At the end of the class, a QR Code will be displayed on the screen for your audience to scan (also provided in your facilitator guide), take their evaluation and submit for CEs.

Everyone attending needs to fill out a class evaluation in order to receive their CEs.

*8 CEs from the California BRN will be awarded upon completion of this class.  

Download the class Agenda HERE.

*Once played, class is nonrefundable and current BBN refund policy does not apply.

Welcome to Mentorship! Foundations

You did it!!! You took the plunge and committed to your own growth, development, having the support for you to be the absolute best L&D nurse you can. YOU (yes, you) are going to CHANGE THE GAME on your unit, in your hospital and ultimately in the world. We really do believe in you THAT MUCH! The amazing part about you committing to the BBN GROUP Mentorship program is that I am here for you every step of the way! We are going to get started SOON!

WHAT’S NEXT?

  1. Save our email: [email protected]. If you have any questions along the way, we are here for you!
  2. Join our private FB group! https://www.facebook.com/groups/bundlebirthmentorship
  3. Your introduction kick-off call will be emailed to you with the link and will be different than your standard call time!
  4. Your cohort calls will begin on the closest subsequent month to when you signed up (signed up in September, you’ll have an October start date) and be the same each month
    • January start: 1800 PST on the 2nd Wed of the month CALL LINK
    • April start: 1630 PST on the 2nd Wed of the month CALL LINK
    • July start: 1630 PST on the 2nd Tues of the month – CALL LINK
    • October start: 1800 PST on the 2nd Tues of the month CALL LINK
  5. Check out your Welcome Workbook! It is in the materials tab on this page.
  6. You can see your modules below! Feel free to watch the welcome video now, but you don’t need to start your class until after your welcome call.
  7. Each month has its own workbook under the Materials tab. You can print them out as you go and place them in a 3-ring binder! 
  8. If you would like to order a printed workbook you can do so HERE. This is for mentees only.
  9. Our pre-assessment is HERE. This is different than your intake assessment. We will be using this data to watch for trends and evaluate your growth.
  10. After completing each course, your CE certificates will appear under “Your Courses” tab
  11. Come back to this site and login to access each class. Your next class will appear under “Your Courses” tab each month on the date of purchase.
  12. Get excited!!! We can’t wait to connect with you!

Your mentorship officially begins when you choose (keep in mind you have access to the content for 2 years). Calls start quarterly, we encourage you to choose a start time and join your cohort to follow the process together! You will get an email with your introduction call time (unique each quarter), no need to have anything completed before then. Until then, check out the Welcome Packet and familiarize yourself with the community & process. We recommend not starting the videos until the 1st, but they’re yours for the learning! We will discuss Month 1 on your second call.

LET’S DO THIS.

BONUS: with this purchase, you get 10% off our Physiologic Birth Class! Use MENTORSHIP10 at checkout AND

Healing Trauma in the Birth Professional for FREE with code HEALINGMENTORSHIP21 – be sure to “purchase” so that it can be added to your courses. Be blessed! xo


FOUNDATIONS

We put our hearts and souls into this course for you. Understanding your why and building your mission statement will build a solid foundation for a lasting career. Setting a solid foundation will help you on hard days. It will help you during a demise. It will help you when your patient ends up in the OR. It will help you when you feel like you have an unfair assignment. It will help you care for a patient with different beliefs. It will help you when working with difficult coworkers. It will help you see what really matters. 

This course will cover topics such as ethics, advocacy, patient rights, nurse’s rights, the essence of nursing, HIPAA and more. We know, the stuff you learn in nursing school, but our hope is that this is a fresh take on each topic, that you can actually apply what you learn in this class and that it helps continue to grow your roots deep. It IS important and we know you’ll especially see why after this class.

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

  1. Explain what human dignity, self-determination and advocacy are and how they pertain to our field of nursing
  2. Develop personal goals for continued professional development, self-care, and lifelong learning.
  3. Practice safe, evidence-based and ethical care

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

Patient Education

We carry so much responsibility most days, and educating our patients can seem like a very daunting and impossible task to fit in at times. In this class, our goal is to give you practical tools to educate your patient and their support team effectively. You may be thinking; I don’t have all the time to do this! Especially when you are new, you can barely keep up with all the tasks and charting… but we find repeatedly that the better, the more clearly you provide education to your patients, the easier your job is in the long run. 

When we discussed building rapport, trust, advocating and giving them the right to self-determination in your Foundations class; patient education is the gateway to achieving all those things for your care. You get there quicker and easier when you provide this education. The goal would be for the patient to completely understand what’s happening with their body/health and that they get to participate in that process! Think of patient education as preventive medicine. Sarah will go over topics like education versus informed consent, how to talk through EFM, how to explain pushing and inductions, and more! You will learn all of Sarah’s tips and by the end of this class, you will have tons of scripts you can incorporate into your practice.

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

  1. Explain the nurses role in patient education 
  2. Develop a plan to implement 2 teaching tools at the bedside
  3. Summarize the three components of patient education
  4. Formulate a plan to assess, teach and verify

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

Coping with Labor

Do you feel helpless when your patient is looking at you for support through contractions? 

Are you in a constant battle with yourself for offering pharmacological solutions too early because you don’t know how to help?

Do you wish you had easy things to teach your patient and their support person to do while you are out of the room so they can cope and ultimately progress?

This is the 5-hour course that you need to feel confident in helping your patients learn how to cope in labor with and without an epidural. This class is a mix of lectures and hands-on in a hospital room to give you realistic and practice tips. Learn the art of breath, instincts, positions, touch, how to adjust, mood and encouragement. Sarah teaches a strategic process as well as the “why” behind how to help your patients cope in labor. 

This class is one month 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. It includes a custom 38-page workbook to guide and facilitate learning. 

Learning Objectives:

  1. Demonstrate 3 different tools to help a patient cope in labor
  2. Create individualized plans for coping based on each stage of labor.
  3. Discuss how to implement BIPTAME in their practice.

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

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