Patient safety experts know that reliance on memory can lead to errors.
In electronic fetal monitoring, clinicians of all backgrounds and levels of training must be able to work together effectively and efficiently whether at the bedside or during an educational opportunity. In addition to the Fetal Monitoring Pocket Guide, I’ve developed a number of tools that support clinicians in applying the NICHD terminology and utilizing the standardized approach to intrapartum EFM taught by myself and my co-author, Dr. David Miller.
While clinicians must of course use individual clinical judgment to evaluate EFM in context, the textbook and tools are provided to serve as adjuncts to individual clinical decision-making and can be used by preceptors and EFM instructors as part of an ongoing education and/or competency assessment program.
The tools can also be helpful at the bedside, used as part of a checklist approach to safety in EFM. Please note that orders can only be shipped to addresses within the United States.
Now Available! The 9th Edition of Mosby’s Pocket Guide to Fetal Monitoring: A Multidisciplinary Approach
by Lisa A. Miller, David A. Miller, Rebecca L. Cypher
The 9th edition of the pocket guide is now available. Each and every chapter has been updated and will provide an evidence and consensus based approach to fetal monitoring, with new information regarding management of Category 2 tracings, evaluation and management of uterine activity, and best practice tips for documentation. Meanwhile, please download the core management model for your reference. Available on Amazon. 
FREE DOWNLOAD: Miller Management Model
Download the free Intrapartum FHR Monitoring Management Decision Model here.
The EFM Workbook – A Practical Guide to EFM Definitions & Interpretation
by Janice Denny Gibbs and Lisa A. Miller
Developed as a companion workbook to the Mosby Pocket Guide, this workbook provides students and educators with much-needed practice tracings, full size and in color, all in a convenient ring bound format that will accommodate individual and group instruction. Introductory material covers the NICHD nomenclature, standardized interpretation and management, and conservative corrective measures (intrauterine resuscitation) followed by 30 practice tracings and corresponding answer sheets.
Each FHR tracing page provides 11 minutes (perfect for identifying a 10-minute window for baseline FHR assessment) of full sized EFM tracing with practice questions for applying both the NICHD nomenclature and the standardized principles of interpretation. Use the tracings in combination with the ReadRight EFM ruler for clarification and practice. Each answer sheet is a reproduction of the original tracing with graphic illustrations and expert commentary, including discussion of common sources of disagreement for clinicians. Review includes baseline FHR, baseline FHR variability, accelerations, decelerations, evaluation of uterine activity, and standardized interpretation for every tracing.
Make copies for group lessons, create competency assessment tests, provide practice for orientees, and study for the EFM certification exam – this workbook is a must for all clinicians involved in EFM!
The EFM Workbook : A Practical Guide to EFM Definitions and Interpretation $59.95
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ReadRight EFM Ruler
Developed to assist clinicians in applying the NICHD terminology to actual FHR tracings, the ruler is designed as a visual aid to determine:
- Baseline rate
- Baseline variability
- Deceleration type based on onset to nadir (gradual vs. abrupt)
Watch a video to learn how to use the EFM Ruler.