S03: Tranexamic Acid (TXA) for the Management of Postpartum Hemorrhage

Defense Health Agency Clinical Communities Speaker Series Women’s Health: A Review of Current Issues and Trends: 

Tranexamic Acid (TXA) for the Management of Postpartum Hemorrhage 

Target Audience

This activity is designed to meet the educational needs of Physicians, Nurses, Pharmacists, Pharmacy Technicians, Physician Assistants, Optometrists, Social Workers, Psychologists, Counselors, Occupational Therapists, Physical Therapists, Kinesiotherapists, Healthcare Executives, , and other health care professionals who support/ care for U.S. active-duty service members, reservists, National Guardsmen, military veterans and their families

.

Learning Objectives

  1. Define Tranexamic Acid’s (TXA) role during the management of a postpartum hemorrhage (PPH).
  2. Describe TXA’s efficacy in decreasing postpartum bleeding when administered appropriately.
  3. Identify how to integrate TXA into current postpartum hemorrhage protocol.
Course summary
Available credit: 
  • 1.00 AAPA
    DHA J-7 CEPO has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.00 hours of AAPA Category 1 CME credits. Physician assistants should only claim credit commensurate with the extent of their participation.
  • 1.00 ACHE
    DHA J-7 CEPO is authorized to award a maximum of 1.00 hours of pre-approved American College of Healthcare Executives (ACHE) Qualified Education credit for this program toward advancement, or recertification in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants must log into their MyACHE account and select ACHE Qualified Education Credit.
  • 1.00 ACPE Pharmacist
    UAN JA4008136-0000-19-041-H04-P
    No valid paper/electronic statement of credit will be offered. DHA J-7 CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacists. This knowledge based activity will provide a maximum of 1.00 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.
  • 1.00 ACPE Pharmacy technician
    UAN JA4008136-0000-19-041-H04-T
    No valid paper/electronic statement of credit will be offered. DHA J-7 CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacy Technicians. This knowledge based activity will provide a maximum of 1.00 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.
  • 1.00 AMA PRA Category 1 Credit™
    DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. DHA J-7 CEPO designated this Enduring Material (Home Study) activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 1.00 ANCC
    DHA J-7 CEPO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. DHA J-7 CEPO designated this Enduring Material (Home Study) activity. Continuing Nursing Education activity for a maximum of 1.00 contact hours Nurses should only claim credit commensurate with the extent of their participation in the activity.
  • 1.00 APA
    Continuing Education (CE) credits for psychologists are provided through the co- sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibly for the content of the programs. DHA J-7 CEPO designated this activity for a maximum of 1.00 CE credits. The instructional level of this activity is intermediate. There is no cost to participate.
  • 1.00 ASWB
    As a Jointly Accredited Organization, DHA J-7 CEPO is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. DHA J-7 CEPO maintains responsibility for this course. Social workers completing this course receive a maximum of 1.00 ASWB continuing education credits.
  • 1.00 Certificate of Attendance
  • 1.00 CCMC
    This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for up to 1.00 CE contact hours.
    Activity Code: 100036188 Approval Number: 190000713
  • 1.00 IPCE
    This activity was planned by and for the healthcare team, and learners can receive up to 1.00 Interprofessional Continuing Education (IPCE) credits for learning and change. In support of improving patient care, this activity has been planned and implemented by DHA, J-7, CEPO. DHA, J-7, CEPO is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), the American Academy of Physician Assistants (AAPA), the Association of Regulatory Boards of Optometry's Council on Optometric Practitioner Education (ARBO/COPE), the Association of Social Work Boards (ASWB), the American Psychological Association (APA), the American Dental Association’s Continuing Education Recognition Program (ADA CERP), and Commission on Dietetic Registration (CDR) to provide continuing education for the health care team.
  • 1.00 Occupational Therapists (ACCME Non-Physician CME Credit)
    DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. For the purpose of recertification, the National Board for Certification in Occupational Therapy (NBCOT) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME. Occupational Therapists may receive a maximum of 1.00 hours for completing this Enduring Material (Home Study) activity.
  • 1.00 Physical Therapists (ACCME Non-Physician CME Credit)
    DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. Physical Therapists will be provided a certificate of participation for educational activities certified for AMA PRA Category 1 Credit™. Physical Therapists may receive a maximum of 1.00 hours for completing this Enduring Material (Home Study) activity.
Course opens: 
08/19/2019
Course expires: 
10/15/2019

1LT Rose L. Clark, USA, BSN, RN, RNC-OB
Labor and Delivery Staff Nurse
Womack Army Medical Center

Ft. Bragg, NC


After completing her Bachelor of Science degree in Nursing in 2015 at Point Loma Nazarene University, San Diego, CA, First Lieutenant Clark commissioned into the United States Army Nurse Corps. First Lieutenant Clark worked as the Gold Bar Recruiter for Baylor University, Waco, TX before attending the Army Nurse Crops Basic Officer Leadership Course. Upon her arrival to Carl R. Darnall Army Medical Center, Fort Hood, TX, she completed a 6 month Nurse Residency Program and was then assigned as a Postpartum Nurse on the Mother Baby Unit from 2017-2018. From there, she graduated from the 66G OB/GYN course in December, 2018 where she also earned her RNC-OB. Although her career is young, First Lieutenant Clark is excited about Obstetric medicine and hopes to advance her education in the near future.


MAJ Kimberly Rosenbaum, MSN, RNC-OB, IBCLC, ANC
Deputy Director 66G Obstetrics & Gynecology Nursing Course

Ft. Hood, TX


MAJ Kimberly Rosenbaum earned her Associates degree from Saint Petersburg College in 1996. In 1997, she joined the Army as a medic and shortly after got accepted into the AECP program and graduated magna cum laude with her BSN from Hawaii Pacific University in 2003. After attending the Army Medical Officer Basic Course, MAJ Rosenbaum was assigned to the Medical/Surgical/Pediatric Unit at Fort Riley, Kansas. During her time at Fort Riley, she progressed to working in Same Day Surgery and the PACU. In 2006, MAJ Rosenbaum attended the OB/GYN Specialty Nursing Course in Hawaii and then was assigned to Fort Benning, GA. During her Fort Benning assignment, she worked as the Charge Nurse on the Mother/Baby Unit, the Charge Nurse on Labor and Delivery, and the Head Nurse on the Mother/Baby Unit. In 2010, she was accepted into LTHET and went to George Mason University where she graduated as a Perinatal Clinical Nurse Specialist (CNS) with her degree in Advanced Clinical Nursing in 2012. In 2013, she was assigned to Fort Bliss, TX where she served as a Perinatal CNS. As CNS, she created and ran a hospital wide Bereavement Program, established the hospital as a Mother Friendly certified workplace, and moved the hospital from initiation to the 3rd out of 4 stages in the Baby Friendly designation. At Fort Bliss, she also served as the Interim Clinical Nurse Officer in Charge of the Labor & Delivery Unit and Interim Chief of OB/GYN Nursing. In 2016, she was selected for and assigned to Carl R. Darnall Army Medical Center as the Deputy Director for the OB/GYN Nursing Specialty Course. During her tenure, she has taught and mentored over 50 registered nurses and proudly continues to mentor many of them today.

MAJ Rosenbaum is nationally certified in Inpatient Obstetrics, is an International Board Certified Lactation Consultant, is a published author, and a reviewer for Nursing for Women’s Health. Some of her awards include the Meritorious Service Medal with one oak leaf cluster, Army Commendation Medal, Army Achievement Medal with one oak leaf cluster, and the Army Superior Unit Award.

 

Disclosure

  • 1LT Rose L. Clark, USA, BSN, RN, RNC-OB has no relevant financial or non-financial relationships to disclose relating to the content of this activity.
  • MAJ Kimberly Rosenbaum, MSN, RNC-OB, IBCLC, ANC has no relevant financial or non-financial relationships to disclose relating to the content of this activity.
  • The views expressed in this presentation are those of the author and do not necessarily reflect the official policy or position of the Department of Defense (DoD), nor the U.S. Government.
  • This continuing education activity is managed and accredited by the Defense Health Agency J-7 Continuing Education Program Office (DHA J-7 CEPO). DHA J-7 CEPO and all accrediting organizations do not support or endorse any product or service mentioned in this activity.
  • DHA J-7 CEPO staff, as well as activity planners and reviewers have no relevant financial or non-financial interest to disclose.
  • Commercial support was not received for this activity.

This CE activity is provided by the DHA J-7 Continuing Education Program Office (CEPO). This activity provides continuing education for physicians, nurses, physician assistants, pharmacists, pharmacy technicians, occupational therapists, physical therapists, psychologists, social workers, kinesiotherapists, case managers, and healthcare executives. A certificate of attendance is available for other attendees. 

Available Credit

  • 1.00 AAPA
    DHA J-7 CEPO has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.00 hours of AAPA Category 1 CME credits. Physician assistants should only claim credit commensurate with the extent of their participation.
  • 1.00 ACHE
    DHA J-7 CEPO is authorized to award a maximum of 1.00 hours of pre-approved American College of Healthcare Executives (ACHE) Qualified Education credit for this program toward advancement, or recertification in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants must log into their MyACHE account and select ACHE Qualified Education Credit.
  • 1.00 ACPE Pharmacist
    UAN JA4008136-0000-19-041-H04-P
    No valid paper/electronic statement of credit will be offered. DHA J-7 CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacists. This knowledge based activity will provide a maximum of 1.00 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.
  • 1.00 ACPE Pharmacy technician
    UAN JA4008136-0000-19-041-H04-T
    No valid paper/electronic statement of credit will be offered. DHA J-7 CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacy Technicians. This knowledge based activity will provide a maximum of 1.00 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.
  • 1.00 AMA PRA Category 1 Credit™
    DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. DHA J-7 CEPO designated this Enduring Material (Home Study) activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 1.00 ANCC
    DHA J-7 CEPO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. DHA J-7 CEPO designated this Enduring Material (Home Study) activity. Continuing Nursing Education activity for a maximum of 1.00 contact hours Nurses should only claim credit commensurate with the extent of their participation in the activity.
  • 1.00 APA
    Continuing Education (CE) credits for psychologists are provided through the co- sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibly for the content of the programs. DHA J-7 CEPO designated this activity for a maximum of 1.00 CE credits. The instructional level of this activity is intermediate. There is no cost to participate.
  • 1.00 ASWB
    As a Jointly Accredited Organization, DHA J-7 CEPO is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. DHA J-7 CEPO maintains responsibility for this course. Social workers completing this course receive a maximum of 1.00 ASWB continuing education credits.
  • 1.00 Certificate of Attendance
  • 1.00 CCMC
    This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for up to 1.00 CE contact hours.
    Activity Code: 100036188 Approval Number: 190000713
  • 1.00 IPCE
    This activity was planned by and for the healthcare team, and learners can receive up to 1.00 Interprofessional Continuing Education (IPCE) credits for learning and change. In support of improving patient care, this activity has been planned and implemented by DHA, J-7, CEPO. DHA, J-7, CEPO is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), the American Academy of Physician Assistants (AAPA), the Association of Regulatory Boards of Optometry's Council on Optometric Practitioner Education (ARBO/COPE), the Association of Social Work Boards (ASWB), the American Psychological Association (APA), the American Dental Association’s Continuing Education Recognition Program (ADA CERP), and Commission on Dietetic Registration (CDR) to provide continuing education for the health care team.
  • 1.00 Occupational Therapists (ACCME Non-Physician CME Credit)
    DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. For the purpose of recertification, the National Board for Certification in Occupational Therapy (NBCOT) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME. Occupational Therapists may receive a maximum of 1.00 hours for completing this Enduring Material (Home Study) activity.
  • 1.00 Physical Therapists (ACCME Non-Physician CME Credit)
    DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. Physical Therapists will be provided a certificate of participation for educational activities certified for AMA PRA Category 1 Credit™. Physical Therapists may receive a maximum of 1.00 hours for completing this Enduring Material (Home Study) activity.
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