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Controlled Substances: Chronic Pain Management
Chronic pain is a common condition for which healthcare providers often prescribe controlled substances, such as opioids. Prescription opioids can alleviate pain in certain patients, but the risk of misuse, abuse, and overdose means providers need to evaluate the risks and benefits for each patient. This course will educate healthcare providers on the role of prescription opioids along with other therapies for chronic pain, using recommendations from current national guidelines.
The goal of this course is to educate healthcare providers on methods for the safe and responsible use of controlled substances for the management of chronic pain.
Indicate treatment options for patients with chronic pain.
Identify safe strategies to initiate or change opioid analgesics.
Name patient factors and characteristics that can make prescribing opioids unsafe.
Cultural Competence and Healthcare
Cultural competence in healthcare refers to the delivery of quality care. It refers to meeting the needs of people with disabilities, members of the LGBTQ+ community, and those from diverse socioeconomic and cultural backgrounds. Cultural competence must be a two-way system to benefit people with differing beliefs, attitudes, values, and behaviors. This course discusses cultural competence and how organizations can use cultural competency to create an atmosphere of inclusion.
Define cultural competency.
Describe the role of cultural competency in healthcare.
Cultural Competence: Values, Traditions, and Effective Practice
Culturally appropriate interventions must be utilized when working with culturally diverse clients and patients. Cultural competency goes beyond having knowledge of traditional cultures. This course discusses how cultural competency functions to deliver culturally competent care related to diet and nutrition.
The goal of this course is to educate fitness professionals, health education professionals, and nutrition and dietetics professionals with information on developing cultural competency.
Explain the importance of integrating cultural competence into individual and organizational practice.
Identify culturally competent strategies and incorporate them into practice.
Apply knowledge of traditional cultural diets into effective patient teaching.
Cultural Perspectives in Childbearing
As the population of the U.S. soars in diversity, healthcare professionals must be prepared to care for childbearing families from many different cultures. All cultures and families should be given the same respect, be assured of the highest quality of care, have their religious, ethnic, and cultural values respected and integrated into their care, and have their physical and educational needs met in a way that honors their spiritual beliefs and individuality. Knowledge of the cultures one is serving and the influence they have on women’s perceptions of childbirth are important for achieving positive outcomes. Equally and perhaps more important is applying the principles of cultural humility to nursing care.
The goal of this continuing education course is to improve the ability of nurses and health educators in acute care settings to assess and meet the sociocultural needs of childbearing families of diverse cultural and social groups.
Recall the relationship of culture, subculture, acculturation, assimilation, ethnocentrism, cultural relativism, and cultural humility to healthcare practice.
Recognize elements of cultural assessment and respectful maternity care that can improve quality of care and meet the unique needs of culturally diverse families.
Culture and Mental Health
Culture affects how individuals talk about and recognize their mental health symptoms. It also affects how providers conceptualize and work with individuals with diverse backgrounds. It is important to recognize how culture influences the ways individuals and providers approach mental health. Healthcare providers should be encouraged to use interventions and strategies that assist in delivering culturally competent care.
This course will examine the reasons for healthcare disparities among culturally diverse individuals, how both the cultural backgrounds of patients and their providers can impact patients’ mental health outcomes, and what kinds of actions providers can take to provide more effective care to patients of diverse cultures.
Distinguish between some of the different assumptions and values that mental health providers and individuals hold, which influence their approaches to mental health. Explain why patients of diverse cultures with mental health needs are encountering disparities. Select assessment and intervention strategies that promote culturally competent care.
Culture and Pain Management: Cultural Competence
Health inequities in pain management are prevalent across different healthcare settings. The cultural, ethnic, and social differences influence patients’ and providers’ perceptions and responses to pain. Several studies report higher incidences of pain, disability, and suffering in women and people of color compared to non-Hispanic White people. This course covers influential sociocultural factors grouped into the patient, the provider, and systemic factors. This course helps healthcare professionals become familiar with cultural differences associated with pain perceptions and management. Pain variables such as culture, religion or ethnicity are not part of standardized pain scales. Healthcare workers need to provide culturally competent care to their patients by asking about specific practices, beliefs, and values regarding pain that impacts the patient’s quality of life.
The goal of this course is to provide nurses, physicians, and social workers with an overview of cultural sensitivity in the management of pain.
Identify cultural factors influencing the patient’s perception and expression of pain.
Recall strategies for reducing barriers in pain assessment and promoting management decisions to respond to a patient’s pain in a culturally sensitive manner.
Culture and Women's Health
According to the U.S. Census Bureau, minority groups will outnumber what is now considered mainstream culture by the middle of this century. Healthcare professionals need to heighten their awareness about the importance of role, culture, and tradition in preventing and treating women’s unique healthcare problems. When there is a lack of cultural sensitivity in communication, patients are less likely to be content with their healthcare experience, increasing the likelihood of miscommunication and possible cultural disparities. These factors can also cause non-compliance with treatment, worse health outcomes, and a higher incidence of adverse events.
The goal of this course is to equip healthcare professionals with knowledge of the impact of culture on women’s health beliefs and practices and their responses to current approaches to care.
Recall different cultural practices that impact women in various stages of life. Identify two cultural practices that interfere with women’s health. Recognize ways to provide culturally competent care to women.
Depression and Suicidality in Older Adults
Depression and suicide are among the top public health concerns facing older adult populations. Older adults encounter changes physically, cognitively, and psychosocially that often contribute to the onset of depression. Further, older adult populations have among the highest incident rates of suicide than any other age group, which makes appropriate diagnosis and treatment of depression in this population even more critical. This course will provide an overview of some physical, cognitive, and psychosocial factors that could be contributing to depression in an older adult, as well as important information on recognizing risk factors and warning signs of depression in this population. Additionally, information related to evidence-based treatment strategies for older adult populations will be discussed along with the importance of monitoring treatment adherence.
Recall common indicators of depression, as well as risk factors and warning signs for suicide in older adult populations.
Indicate strategies to use to assess depressive symptoms and risk of suicide among older adults.
Describe evidence-based interventions for adults with depressive symptoms or those at heightened risk for suicide.
Discussing Grief, Loss, Death, and Dying
End-of-life issues are difficult to face. The decisions to be made are challenging for everyone involved including the dying person, their loved ones, and the healthcare team. Individuals will have their own unique needs and concerns and will cope in their own way. But this can also be an opportunity for personal growth. These events will often provide people with the opportunity to self-reflect and gain insight into what is most valuable to them.
Identify the goals of end-of-life care.
Discuss the ethical issues surrounding end-of-life decisions.
Explain best practices for supporting individuals' end-of-life decisions.
Diversity, Equity, and Inclusion for the Healthcare Employee
Ensuring that a healthcare system is culturally competent can reduce health disparities. Healthcare employees who have effective interpersonal and working relationships are essential to successful healthcare outcomes. Healthcare staff provide care to individuals from many backgrounds, so it is essential that they get proper Diversity, Equity, and Inclusion (DEI) training. DEI training should be integrated into the standard hiring and onboarding process for the entire healthcare workforce. The goal of this course is to provide healthcare employees with training about Diversity, Equity, and Inclusion (DEI).
Define cultural competence, implicit bias, and indirect discrimination.
Describe at least two assumptions and myths related to stereotypes.
Explain best practices when working with people from different races, cultures, values, and sexual orientations.
List at least three barriers to providing quality healthcare.
Identify at least two ways to make the healthcare environment welcoming for all people.
Documentation: The Legal Side
As a professional nurse, you are expected to be familiar with many aspects of care. You are not exempt from malpractice or negligence claims because you were following orders. You are responsible for assessing, planning, implementing, and evaluating appropriate nursing care. What you document can and does reflect the care provided and the outcomes of that care. Documentation that is factual, complete, timely, and detailed is required. In this course, you will learn about concepts and rules regarding documentation in the medical record. Legal aspects to be aware of while practicing will also be discussed. The goal of this course is to educate nursing professionals in post-acute care settings about the legal implications of documentation.
Discuss malpractice, negligence, and compensatory and punitive damages as they relate to healthcare. Explain four intentional torts that a healthcare professional may be held liable for. Describe four documentation techniques to use to avoid legal issues.
Domestic Violence Awareness for Healthcare Personnel
Nurses encounter victims of domestic violence or intimate partner violence regardless of where they work. Those who practice in offices, hospitals, clinics, homes, or facilities must be aware that living with domestic violence may be part of a person’s daily life. Even though education for healthcare professionals and routine screening in EDs is mandated, many abused people do not receive needed support. Nurses are able to recognize and help victims, yet do not necessarily receive education about domestic violence. This updated CE module provides information nurses need to increase their understanding of and provide support to people experiencing domestic and intimate partner violence.
Disclaimer: Images in this course depict violence that has been inflicted on children and adults. They may be disturbing to some learners.
List steps ensuring the safety of abused women who decide to leave an abusive environment Identify the role of intimate partner advocacy in helping victims or survivors to understand that physical, sexual, or emotional abuse is not their fault but an issue of power and control. Relate direct and indirect questions that broach the subject of violence and abuse with patients, partners, and family members to screen for abuse. Identify risk factors, signs, and symptoms associated with abuse and neglect across the lifespan.
Drug Diversion, SUD, and Pain Management
Safely managing pain for the people in your care requires you to be knowledgeable about pain management recommendations. It is important to understand the risk factors for misuse and substance use disorder (SUD) as well as the signs that someone has a SUD and how to treat it. Unfortunately, SUD is one of the drivers of drug diversion. Therefore, it is also critical that you understand drug diversion tactics and behaviors so you can help prevent it. The goal of this course is to educate healthcare providers in all settings on pain management and preventing substance use disorder and diversion.
Discuss drug diversion and related drug diversion behaviors and activities.
Identify various classifications of medications that are diverted or misused.
Describe screening and assessment tools helpful in identifying substance use disorders.
Recognize nonpharmacological and pharmacological treatments of substance use disorders.
Explain options for pain management.
Economic Stability: Social Determinants of Health
Economic stability is defined as a domain of social determinants of health in the Healthy People 2030 campaign. It relates to an individual’s ability to access resources such as food, adequate housing, and healthcare. Each component of economic stability, including poverty, employment, food security, and housing stability, is linked to individual health outcomes.
Describe the four components of economic stability.
Explain how economic stability affects health and health outcomes.
Identify strategies for helping patients overcome barriers to economic stability and how they positively impact health outcomes.
Emergency Management of Abdominal Pain
Abdominal pain is the single most common ED complaint (up to 10% of visits) and is in the top four for emergency medicine litigation. Emergency providers must be proficient in diagnosing abdominal pain to provide excellent care to patients and reduce their risk of being named in litigation. This course will address abdominal pain diagnosis and treatment in the ED for the elderly, adults, children, and young women (of childbearing potential).
State the evaluation of abdominal pain in the elderly.
Recognize the approach to abdominal pain in the post-bariatric surgery patient.
Discuss the presentation of testicular torsion.
Describe the scoring systems for appendicitis in adults and children.
Assess the non-abdominal causes of abdominal pain.
Emergent Delivery of Infant
The management of the female who presents to the emergency department (ED) in active labor is stressful and overwhelming. Ideally, the ED has a plan in place, based on hospital resources, for the imminent delivery of a newborn. Decisions regarding delivery in the ED or transferring the patient to labor and delivery are based on a variety of factors. Knowledge of the possible complications of delivery will provide anticipatory guidance to improve maternal and fetal outcomes.
Know the clinical presentation and physical exam findings associated with pregnancy.
Recognize the common complications associated with pregnancy. Plan the steps to prepare the process of delivery of a newborn.
Recognize common complications of delivery of a newborn.
Employee Wellness: Caregiving Side Effects
Caregiving demands a tremendous amount of compassion and empathy. While this can be incredibly rewarding, it can cause some adverse side effects. The goal of this course is to provide all staff with an overview of caregiving side effects.
Recognize the signs and symptoms of caregiver stress.
Apply practical methods to address the symptoms of caregiver stress.
Ethical and Legal Considerations for Telehealth
This course will offer a blend of ethical and legal information, clinical vignettes, and strategies that can later be applied in therapeutic settings. The content of this course includes information about informed consent, confidentiality, privacy, boundaries, mandatory reporting, and rules for sharing information. The course assumes the learner has a basic understanding of telehealth technologies and formats. To learn more, you can search the Relias library for additional courses related to telehealth.
The goal of this course is to provide addictions professionals, behavioral health counselors, marriage and family therapists, psychologists, social workers, and nurses in health and human services settings with strategies and information for competent and ethical telehealth practice.
Name the key sources of information that inform ethical and legal telehealth service delivery.
Identify at least two competencies required for delivering telehealth services.
List specific steps for ensuring confidentiality, informed consent, appropriate boundaries, mandated reporting, and sharing of information within telehealth service delivery.
Describe common ethical missteps and legal problems that arise with telehealth service delivery and how providers can avoid these issues.
Ethics for Licensed Professionals: 1 Hour
Ethics are a significant part of high-quality clinical practice. This one hour course presents ethical principles and responsibilities of healthcare professionals. The goal of this course is to provide healthcare professionals with an awareness of how ethics impact clinical practice and an approach for analyzing ethical issues in clinical practice.
Identify definitions, similarities, and differences of common ethics terminology and concepts.
Describe the four healthcare ethical principles and their implications for clinical practice.
Apply an ethical decision-making model to ethical issues and dilemmas.
Evidence-Based Approaches to Pain Control
This course is designed to teach healthcare professionals effective pain management methods that do not rely on opioids. It encourages the use of patient-centered approaches, various therapies, technology, and self-care strategies while collaborating with the interprofessional team. Overcoming obstacles, such as stigma and unequal access to pain treatments, is emphasized to improve pain management practices.
Recognize the need to balance the harms of uncontrolled pain with the potential harms of pain treatment.
Select appropriate tools to assess pain.
Recall physiologic processes and terminology related to pain.
Identify pain treatments that can be combined to form multimodal treatment plans.
Fetal Heart Tracing Pattern Evolution
Intrapartum fetal heart rate monitoring is an integral part of modern day obstetrics and when properly interpreted, may provide valuable insight into the fetal metabolic state. During labor, the physiologic stress posed by regular uterine contractions and maternal expulsive efforts may adversely impact the fetal acid-base status, leading to changes in the fetal heart rate pattern.
This module aims to review and apply essential FHR content in several clinical scenarios to highlight an important Clinical Pearl: Management of the laboring patient requires that the FHR pattern trends are interpreted in context with the clinical scenario and progress of labor.
Consistently apply 1997 and 2008 NICHD definitions when describing intrapartum fetal heart rate patterns.
Identify the importance of FHR variability evolution when assessing the FHR pattern.
Review the importance of FHR tracing trend assessment when managing the abnormal intrapartum FHR tracing.
Recognize the importance of clinical scenario, FHR pattern evolution, and stage of labor when managing the Category II tracing in labor.
Forensic Evidence Collection
Forensic evidence connects the scene, the survivor, and the suspect together to assist the justice system in solving crimes. Crucial parts of evidence collection include knowing the correct procedures to preserve evidence and prevent contamination. Patients presenting to the emergency department with injuries requiring forensic evidence collection are often afraid and distressed. Healthcare professionals should know how to care for their emotional needs as well as their physical ones.
Identify the fundamentals of survivor-centered care. Recall important elements of documentation in forensic medical care. Define the essential components of forensic evidence collection.
Gestational Diabetes: Clinical Management
Increasingly more gravid patients in the U.S. are getting gestational diabetes mellitus (GDM). If well managed, they can still have a healthy pregnancy. It is important for those who work in maternal child health to know all about this condition, what causes it, and how to manage it.
This course provides acute care professionals with basic guidelines for the clinical management of gestational diabetes mellitus.
Discuss pathophysiology, screening, and risk factors for developing GDM.
Determine glucose monitoring and medication management strategies to use intrapartum and postpartum for a gravid patient with GDM.
Identify lifestyle modifications needed for a patient with GDM.
HCAHPS: Transitions of Care and Discharge
Improving hospital processes surrounding discharge and transitions of care can reduce adverse events and readmissions. Process improvements may also lead to better patient adherence to the treatment plan and their overall experience with care. Healthcare professionals must understand care coordination and transitions of care and how they impact HCAHPS survey results.
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is a national standardized survey required for hospitals participating in Centers for Medicare & Medicaid Services (CMS) programs. Survey results are linked to hospital reimbursement from CMS.
Identify the impacts of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and Hospital Value-Based Purchasing (HVBP) programs on healthcare organizations.
Categorize transitions of care, care coordination, and discharge planning.
Select strategies to improve interprofessional teamwork.
High Reliability Organization: Excellence Series
Despite great strides in the reduction of medical errors, mistakes that result in patient harm remain too frequent in American healthcare institutions. In recent years, healthcare systems and institutions have sought to emulate the model of the high reliability organization or HRO. HROs are known for their safe operation and limited degree of failure despite engaging in potentially hazardous and highly complex activities. Researchers have identified several distinctive qualities specific to HROs that may be applied to healthcare contexts, with some caveats. Due to their unique and ubiquitous role within healthcare institutions, nurses have the potential to make significant contributions to this process.
The goal of this course is to equip nurses with knowledge of the characteristics and principles of high reliability organizations and the role of nurses in supporting high reliability.
Describe the characteristics and principles of high reliability organizations.
Describe the role and responsibilities of nursing in supporting high reliability organizations.