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Managing Peripheral Artery Disease
The goal of this course is to provide the clinician with up-to-date best practices for identifying and treating patients with PAD. It includes symptoms, complications, risk factors, and modifications of PAD. In addition, diagnostic tests, assessment, and treatment strategies will be discussed.
Identify risk factors and complications related to PAD.
Discuss two assessment findings and tools used to diagnose PAD.
Describe two disease management and education techniques for patients with PAD.
Medical Approaches to Identifying and Treating Alcohol Use Disorder
Alcohol use disorder is a primary health condition that interacts with and complicates many other health problems and psychiatric disorders. Unfortunately, only a small number of people with alcohol use disorder receive appropriate treatment for substance use issues. The incorporation of screening for alcohol use disorders in a general medical setting can significantly increase the number of individuals with alcohol use disorders who are identified and treated. The U.S. Food and Drug Administration (FDA) has approved 4 medications to treat alcohol use disorder, making treatment in primary care and other general medical settings a viable alternative to specialty care. This course will give you valuable information about these medications as well as several medications used off-label.
Identify strategies you can use to more effectively identify alcohol use disorder in a medical setting.
Recall factors that indicate someone may be a good candidate for medication-assisted treatment of alcohol use disorder as well as factors that suggest this approach is contraindicated.
Discuss the common medications used to treat alcohol use disorder, their benefits, and potential side effects.
Medical Management of Operative/Assisted Vaginal Delivery
This course discusses best practices in operative vaginal delivery techniques—forceps-assisted delivery and vacuum-assisted delivery (OAVD), as well as episiotomy.
The course is case-based, so you will have an opportunity to apply the principles covered to particular patient scenarios. The cases are branched, with different outcomes based on different choices.
Use of OAVD techniques vary from organization to organization. You may, for example, work in a hospital in which forceps techniques are no longer taught to residents. Each section has been organized so that you can move through it quickly or delve into it more deeply, depending on its relevance to your clinical practice.
Discuss the steps, indications, contraindications, and potential complications associated with vacuum-assisted vaginal delivery, forceps-assisted vaginal delivery, and episiotomies.
Describe the circumstances in which an episiotomy is and is not an appropriate intervention.
Explain the importance of the flexion point when placing a vacuum cup and how it is located. Identify the criteria for correct placement of the forceps during a non-rotational delivery, as well as guidelines regarding the number of pulls.
Medical Record Documentation and Legal Information for CNAs
Documenting care is just as important as providing care. This course discusses the purpose of the medical record and documentation. It also describes documentation practices and legal standards that affect the certified nursing assistant.
This course provides direct care workers in post-acute care education on documentation and legal aspects of care.
Discuss the purpose of the medical record and documentation.
Identify at least two documentation practices used to avoid errors.
Explain the legal standards that affect the certified nursing assistant.
Medical Risk Factors and Lifestyle Risks for Stroke
This course is designed to deepen understanding of stroke risk factors and stroke prevention strategies. Learners will explore key medical and lifestyle risk factors that increase the likelihood of stroke. The course emphasizes the importance of prevention and guides healthcare professionals in implementing practical strategies tailored to diverse patient needs.
Identify key medical and lifestyle risk factors for stroke.
Recognize strategies for prevention to reduce the likelihood of stroke.
Medication Administration
This course will cover an overview of topics surrounding medication administration including pharmacology, pharmacokinetics, safety standards, and legal and ethical guidelines for practice. The learner will use case scenarios to gain a deeper understanding of the foundational practice.
Apply and differentiate between basic pharmacology principles.
Infer and separate various ethical principles and patient safety considerations.
Accurately perform computational pharmacology.
Discern the implications of proper storage, handling, and disposal of medications, and delegation of medication practices.
Medication Error Prevention
Medication errors and substandard care occur often in today’s complex healthcare organizations. High-reliability organizations remain alert to potential errors and ways in which they can be prevented, regardless of how few adverse events occur. Healthcare organizations with a culture for patient safety focus on identifying the cause of errors and applicable prevention strategies rather than blaming or punishing the people involved in an error. Organizations that focus on patient safety in this manner have higher rates of error reporting and are better positioned to address problems at the systems level.
The goal of this course is to educate healthcare professionals about approaches to prevent medication errors.
Discuss how a culture of patient safety influences reporting and resolving errors.
Define the types of medical errors and their impact on healthcare.
Explain strategies to reduce medication errors.
Mesina test
Minimizing Trips, Slips, and Falls
This course is about workplace slip, trip, and fall hazards. It alerts you to the serious consequences that can result even from a simple fall or a near fall and provides information about measures that can help you prevent these incidents and reduce potential injuries.
Identify common hazards that might lead to trips, slips, and falls.
Explain how to prevent injuries from trips, slips, and falls.
Motivational Interviewing and Lifestyle Changes
Healthcare professionals witness the impact on patients’ quality of life and also see how hard it is for people to make changes in their health. Motivational interviewing is a patient-centered way to have a conversation that supports those struggling to make behavioral changes. The provider helps the patient explore personal motivators and identify their own goals. The approach is based on what matters to the patient. When each member of an interprofessional team practices from this point of view, the results can be positive for the patient and for the practitioners.
Identify how the spirit and the four processes of Motivational Interviewing help patients consider their own reasons for change. Recall at least three specific Motivational Interviewing skills you can use to help patients resolve ambivalence in favor of making change.
Motivational Interviewing: An Introduction
In this course, you will learn about Motivational Interviewing, an intervention to help people discover their own desire and ability to make difficult changes. Motivational Interviewing (MI) is a way of communicating that draws out people’s own thoughts and beliefs in order to help them address their ambivalence about making a change.
The course uses a blend of instructive information and interactive exercises to help you understand and apply its core concepts. The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals in health and human service settings with the skills to define and demonstrate the core concepts of Motivational Interviewing.
Describe the overall purpose of Motivational Interviewing and how it impacts the change process.
Recall the key elements of the MI spirit and how these can support clients in the change process.
Define ambivalence, change talk, and sustain talk, and how these concepts relate to MI.
MRI Safety
Healthcare professionals working in magnetic resonance (MR) environments must be aware of warnings and contraindications for MRI examinations and know the requirements for careful initial patient screening, accurate determination, and characterization of permanently implanted or temporary devices. Medical devices and ferromagnetic objects may malfunction in a magnetic field or pose a projectile risk, which could cause harm or injury to patients and staff. Controlling access to the environment and properly screening patients can help prevent accidents and injury. Only properly trained personnel are authorized to perform final patient screening and access equipment. Proper safety and security require plans for facility design and emergency preparedness.
The goal of this course is to present information related to industry standards for safe operation and optimal patient care in an MRI environment.
Identify the basic principles of MRI technology.
List the potential hazards and risks associated with MRI.
Recognize guidelines and recommendations associated with MRI safety.
Multiple Sclerosis: Treatment and Care Considerations
It is estimated that there are more than 2.8 million people worldwide living with multiple sclerosis (MS). In the United States, there are almost 1 million people living with the disease (National Multiple Sclerosis Society [NMSS], 2020). MS is a chronic, progressive autoimmune disease of the central nervous system (CNS) caused by damage to the protective myelin sheath covering neurons. MS lesions, or plaques, disrupt electrical impulses from neurons in the CNS to muscles that can affect mobility, elimination, energy, vision, and other functions (DynaMed, 2022).
Recall the overarching disease pathophysiology and main symptoms with discernable interventions of MS.
Identify the disease classifications and the diagnostic algorithm, including the McDonald Criteria for MS.
Review therapeutic approaches for treating the underlying disease of MS.
Natural Disasters and Workplace Emergencies: Earthquakes and Tsunamis
Earthquakes and tsunamis unleash powerful forces of nature. They cause catastrophic infrastructure and property damage and can result in tremendous loss of life. This course presents some basic facts about earthquakes and tsunamis, including considerations for preparedness and protective actions.
The goal of this course is to provide all staff with a basic overview of earthquakes and tsunamis.
Explain where and how earthquakes and tsunamis occur.
Identify potential hazards before an earthquake.
Employ protective actions to enhance safety during and after an earthquake or tsunami.
Neonatal Respiratory Emergencies
Neonatal emergencies are frightening and challenging to almost all acute care providers. Recognizing the presentation of common neonatal respiratory emergencies is essential to acute care providers. This issue will focus on the neonate and provide a succinct review of respiratory emergencies pertinent to clinical practice and board preparation/review.
The goal of this course is to present healthcare providers in the acute care setting with a succinct review of neonatal respiratory emergencies.
Know the anatomy and pathophysiology relevant to emergency management of neonatal respiratory emergencies.
Know the indications and contraindications for acute management options for neonatal respiratory emergencies.
Plan the key steps and know the potential pitfalls in the acute management of neonatal respiratory emergencies.
Recognize the complications associated with the acute management of neonatal respiratory emergencies.
NIH Stroke Scale
This course is designed to provide nursing professionals with a comprehensive understanding of the NIH stroke scale. The course will cover the purpose of the NIH stroke scale, how to administer the scale, and how to interpret the results. The course will also include case studies that illustrate the use of the NIH stroke scale in clinical practice.
Identify the purpose of the NIHSS and how it is used in clinical practice.
Recall the significance of NIHSS scores to patient outcomes.
Apply the NIHSS to assess patients with stroke or stroke-like symptoms including how to score each section of the NIHSS.
Nurse Self-Advocacy in Perilous Working Conditions
The nursing profession is fraught with anxiety and intimidation, which hinders the ability of nurses to assert themselves, voice their needs, and advocate for their patients. New or inexperienced nurses may encounter significant challenges related to their work environment and may need support and education to learn how to recognize unhealthy work environments and affect positive change.
The goal of this course is to teach new nurses how to recognize unhealthy work environments, as well as how to advocate for themselves and practice self-care.
Identify barriers to a healthy work environment and differentiate between different forms of violence.
Apply strategies to promote a healthy work environment.
Recognize signs of burnout and practical self-care strategies.
Nursing Assessment of the Pediatric Patient
In this course, you will learn about pediatric anatomical and physiological differences, which will help you recognize normal variations throughout your assessment. Additionally, you will learn communication methods to help children feel more at ease during your assessment. Finally, you will understand essential warning signs that require immediate referral to additional medical professionals using the available resources and tools.
Choose at least three strategies to help ensure success during an exam of the infant, child, and adolescent. Identify the proper way to perform a pediatric head-to-toe assessment using appropriate resource tools. Recognize signs in the infant, child, and adolescent that are concerning.
Nursing Documentation: Challenging Situations
Nurses are required to document everything of significance that happens on their shift. This can be a straightforward process, but there are often challenges. There are all kinds of scenarios that present documentation difficulties. Patients may refuse treatment or want to leave the hospital against medical advice. Your unit may be understaffed, and you want to document a complaint. The computer system can go down and you have to document on paper. Or maybe your documentation just takes too long, and you are wondering how to document faster. This course reviews strategies for documentation in challenging situations and how to document more efficiently.
Apply documentation strategies for challenging patient care and coworker situations.
Apply documentation strategies for challenging situations related to hospital systems.
Identify ways to save time when documenting.
Nursing Documentation: Legal Aspects
To know documentation principles and to apply them in daily practice are musts for every nurse. These are essential to protect patients and to safeguard every nurse’s license. Documentation is the foundational proof that care was provided to a patient. Requirements and methods of documenting are ever-changing amongst a variety of documentation modalities. Although nurses sometimes view documentation as a process that takes precious time away from direct patient care, it is one of the most critical skills they perform. In fact, appropriate and effective documentation is at the core of nursing practice.
The goal of this course is to provide nurses working in acute care settings with information about the value of laws and standards governing nursing documentation, legal basics for appropriate documentation, and provide awareness of documentation practices that can lead to legal issues.
Describe four characteristics of legally-credible charting.
Discuss the legal definition of nursing negligence.
Describe two charting practices that can lead to legal issues.
Nursing Ethics: Fundamentals
Although medical care can be often concrete, healthcare professionals, including nurses, are faced with ethical dilemmas that are not as clear-cut. In healthcare, sometimes situations arise where there is an “area of gray.” In those moments, thoughtful analysis using reason and ethical principles is needed. Many healthcare institutions have developed ethics committees to navigate patient care in difficult situations.
The goal of this course is to equip nurses in the acute care setting with knowledge of key terms, theories, and principles of bioethics, as well as the procedures, functions, roles, and responsibilities associated with an ethics committee in the acute care setting.
Name five major ethical theories.
Recognize the four major bioethical principles.
Define paternalism, veracity, fidelity, confidentiality, futile treatment, living will, durable power of attorney for healthcare, and “medical assistance in dying.”
List the roles and responsibilities of an ethics committee and its ethicist in the acute care setting.
Obstetric Hemorrhage: Mitigating Risk to Improve Outcomes
Two cases are presented. Risk factors, including recurring and nonrecurring, for obstetrical hemorrhage, are reviewed. Delivery preparations and preventative strategies are discussed. Methodologies that better quantify blood loss, allowing for earlier recognition of excessive blood loss, are presented. Management of the patient experiencing obstetric hemorrhage, including a review of current guidelines for blood component replacement therapy, are reviewed.
List recurring and nonrecurring risk factors for obstetrical hemorrhage. List the four Ts of OH.
Identify low, medium and high risk patients for OH.
Review blood component therapy for large volume blood loss.
Opioid Prescribing, Chronic Pain, and Opioid Use Disorder
The emphasis on pain management to improve quality of life and function has contributed to a significant increase in opioid prescriptions. As such, there has been a concurrent increase in risk of misuse and abuse. While opioids are highly effective for pain relief, closer attention to the risk versus benefit analysis has led to guidelines that prefer nonpharmacologic and nonopioid pharmacologic therapy over opioids, especially for chronic pain. Clinicians must carefully monitor the patient and be alert for signs that risks outweigh benefits of opioids. This course will address issues related to opioid prescribing, chronic pain, and opioid use disorder.
Discuss considerations and guidelines for prescribing controlled substances.
Describe patient evaluation and education for a safe and effective pain treatment plan.
Opioid Use During Pregnancy
Americans are using opioids at an alarming rate, whether through prescriptions or illegal means. Parallel to this problem is the use of opioids during pregnancy.
The goal for this course is to present RNs, PAs, physicians, and entry-level drug and alcohol counselors in inpatient or outpatient settings with best practices for identifying and managing pregnant women who are using opioids.
Recognize the risks and complications related to opioid use disorder during pregnancy.
Identify evidence-based treatment recommendations for opioid use disorder during pregnancy.
Opioids and Chronic Pain Management
The increased emphasis on pain management to improve functionality and quality of life has contributed to significantly more opioid prescriptions. Their availability led to widespread misuse across the nation. This course will address regulation and misuse of opioids and evidence-based management of chronic pain.
Discuss chronic pain and opioid use in the U.S.
Review the regulatory influences and evidence-based guidelines associated with prescribing controlled substances for pain management.
Describe evaluation and monitoring of the patient with pain.
Identify pharmacologic and non-pharmacologic pain management strategies.