Posted on February 9th, 2021 by Bill Sivarais
While concerns about the opioid epidemic are paramount, many other controlled substances are being misused and abused. This course describes the best practices and special considerations necessary for prescribing any controlled dangerous substance. Medication reconciliation and the dangers of polypharmacy,…
Posted on February 9th, 2021 by Bill Sivarais
A shift in the care of low-risk pregnant women has occurred. Moving away from a high-interventional approach towards a low-interventional approach has started, but universal adoption by providers and hospitals is lagging. Intermittent Auscultation (IA) should be included in the…
Posted on February 9th, 2021 by Bill Sivarais
After decades of rigorous comparison in 13 randomized controlled trials, continuous electronic fetal monitoring (CEFM) shows no clinical benefit over intermittent auscultation (IA) but it remains the primary method of fetal surveillance during labor. There is a current disconnect between…
Posted on February 9th, 2021 by Bill Sivarais
Prolonged periods of uninterpretable or absent fetal heart rate data (FHR) or uterine contraction (UC) data on the EFM strip can lead to legal complications. Failing to maintain a continuous EFM strip can imply that the perinatal team was inattentive…
Posted on February 9th, 2021 by Bill Sivarais
Cannabis is one of the world’s oldest cultivated plants, yet federal and state laws have greatly hindered the research and study of cannabis and its products. The goal of this activity is to provide an overview of the current issues,…
Posted on November 13th, 2020 by Bill Sivarais
Preterm birth (PTB) is one of the most challenging issues in perinatal medicine today. The preterm birth rate in the United States is one of the worst among all developed countries and it is on the rise. Failing to monitor…
Posted on November 13th, 2020 by Bill Sivarais
Preterm birth (PTB) is one of the most challenging issues in perinatal medicine today. The preterm birth rate in the United States is one of the worst among all developed countries and it is on the rise. Failing to monitor…
Posted on September 9th, 2020 by Bill Sivarais
Urinary tract infections are one of the five most common types of healthcare-associated infections. In fact, they account for one-fourth of all hospital healthcare-associated infections. Catheter-associated urinary tract infections (CAUTIs) have been associated with increased morbidity, mortality, hospital cost, and…
Posted on September 9th, 2020 by Bill Sivarais
Prescriptions for proton pump inhibitors (PPIs) for infants and children have risen steeply and disproportionately to the incidence of severe cases, such as GERD with erosive esophagitis, for which they are intended. Pediatricians and other pediatric healthcare professionals should be…
Posted on September 9th, 2020 by Bill Sivarais
A patient can end his or her relationship with a physician instantaneously, but physicians do not have the same option. Their professional responsibility to an established patient requires them to continue to provide care to the best of their ability….