
Step Up Together Drill Kit: Shoulder Dystocia with Neonatal Resuscitation
Program Information
The following sessions on Shoulder Dystocia with Neonatal Resuscitation have been approved for CME/CE credits:
- Partial Transfer Drill (prep before hand-off to the hospital)
- This session is eligible for 2.0 credits.
- Partial Transfer Drill (after hospital hand-off)
- This session is eligible for 2.0 credits.
- Full Transfer Drill (combination of before and after hospital hand-off)
- This session is eligible for 4.0 credits.
Step Up Together Drill Kits support interdisciplinary clinical teams to run emergency drills involving patient hand-offs and/or transport to a higher level facility. Each Drill Kit can be used to run a Full Transfer Drill that tests the full, interdisciplinary process of care or a Partial Transfer Drill that involves running just one segment of the scenario (e.g. before transfer or after hospital hand-off). Toolkits include a standardized high-fidelity case designed to test the process of transferring a birthing person or newborn from one location to another with an interdisciplinary team involved in the care. Teams will use observation criteria and a Debriefing and Action Guide to elicit continuous improvement of interdisciplinary care processes and promote respectful care along the continuum. As part of the Action Collaborative, teams from hospitals, home birth practices, and birth centers will engage EMS to implement drill kits of their choice: Breech presentation in labor (intrapartum transfer), Immediate postpartum hemorrhage (postpartum transfer), or Shoulder dystocia with neonatal resuscitation (newborn transfer).
Acknowledgement of Support
Primary Maternity Care would like to thank the Skyline Foundation for providing a grant via contract with National Association of Certified Professional Midwives to help develop and execute this program.
Target Audience
This activity is appropriate for the following audiences:
- Nurse Practitioners
- Nurses
- Physicians
- Physician Associates/Assistants
- Other members of the care team such as Certified Nurse Midwives, Certified Professional Midwives, and Certificate Midwives
Learning Objectives
Upon completion of this activity, participants should be able to do the following:
- Identify and respond to risk factors and signs of a shoulder dystocia in the community setting.
- Perform maneuvers to resolve a shoulder dystocia.
- Review ways to promote person-focused care during emergencies.
- Identify and respond to neonatal distress immediately following birth in the community setting.
- Identify need for higher level of care and initiate appropriate hospital transfer.
- Communicate effectively, and with dignity to the patient, support people, and additional healthcare personnel in the event of neonatal transfer.
AMA Designation Statement
Moses/Weitzman Health System Inc. designates this Enduring material for a maximum of 4.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Schedule
This activity includes three (3) drills:
- Partial Transfer Drill (prep before hand-off to the hospital) - 2.0 credits
- Partial Transfer Drill (after hospital hand-off) - 2.0 credits
- Full Transfer Drill (combination of before and after hospital hand-off) - 4.0 credits
Weitzman Institute Disclosure Statement
It is the policy of the Weitzman Institute to ensure that Continuing Education (CE) activities are independent and free of commercial bias. To ensure educational content is objective, balanced, and guarantee content presented is in the best interest of its learners' and the public, the Weitzman Institute requires that everyone in a position to control educational content disclose all financial relationships with ineligible companies within the prior 24 months. An ineligible company is one whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients. Examples can be found at accme.org.
Faculty participating in a Weitzman Institute-sponsored activity must disclose to the planning committee and audience all financial or other relationship(s) with ineligible companies.
Planners & Presenters
- Amy Romano, MBA, MSN, CNM, FACNM, Founder and CEO - Series planner/developer and Subject Matter Expert
- Alexa Dougherty, MSN, PHN, CNM, Associate Program Director and Faculty, Step Up Together, and Subject Matter Expert
- Jennifer Johnson, MS, CNM - Faculty, Step Up Together, Clinical Operations Specialist, and Subject Matter Expert
Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by Primary Maternity Care and Moses/Weitzman Health System, Inc./Weitzman Institute. Moses/Weitzman Health System, Inc. is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credential Center (ANCC) to provide continuing education for the healthcare team. Additional credits are available for Physician Assistants/Associates.
By completing this activity, you provide Moses/Weitzman Health System Inc. the permission to share completion data with the ACCME and the certifying board(s).

Please note that continuing education credit requirements differ by state, jurisdiction, and licensing agency. It is your responsibility to confirm if your licensing/credentialing agency will accept the credits offered by this activity.
Available Credit
- 4.00 AAPA Category I CMEThrough Joint Accreditation, Moses/Weitzman Health Center, Inc./Weitzman Institute is able to provide American Academy of PAs (AAPA) credit to physician assistants at its activities. Participants should only claim commensurate credit with the extent of their participation in the activity.
- 4.00 AMA PRA Category 1 Credit™Through Joint Accreditation, Moses/Weitzman Health Center, Inc./Weitzman Institute is able to provide AMA PRA Category 1 Credit™ to physicians at its activities via Accreditation Council for Continuing Medical Education (ACCME).
- 4.00 ANCCThrough Joint Accreditation, Moses/Weitzman Health Center, Inc./Weitzman Institute is able to provide American Nurses Credentialing Center (ANCC) nursing credit to nurses at its activities.
- 4.00 Participation Hour(s)You are able to download an unaccredited Participation Certificate for your records if you are not able to use any of the credit types provided for this activity or if this activity does not offer accredited CME/CE credits.
Select the Continue button to navigate to the session evaluation and information about claiming your credits. You'll have the opportunity to select which session you attended in the first question of the session evaluation.
You must claim credit and download your certificate by the activity expiration date. For compliance reasons, the Weitzman Institute cannot modify this deadline. If you need any technical support, submit a ticket to our Support Center.
Required Hardware/Software
This online activity requires use of a device connected to the Internet, such as a computer tablet or mobile device.

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