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IV Therapy Complications
Nurses deliver infusion therapy to millions of patients in hospitals, home healthcare settings, long-term care facilities, outpatient clinics, and physicians’ offices annually. Nursing professionals perform many daily activities involving peripheral catheter insertion and safe delivery of intravenous (IV) fluids and medications. The use of vascular access devices and IV therapy are commonplace in the acute care setting. With that said, clinicians must take caution due to the potentially serious and fatal complications that can occur from inappropriate IV fluid or drug delivery. Patient safety requires that nurses institute safeguards to avoid complications associated with IV treatment.
Discuss the maintenance and complications of peripheral IV (PIV) therapy.
Identify drugs that can cause tissue damage if extravasation occurs.
Recall the components for documenting a peripheral IV insertion.
Management of Needlestick Injuries
Needlestick injuries continue to pose a threat to all healthcare professionals (HCPs). While HIV was once the most concerning organism, today, hepatitis B and C take precedence (King & Strony, 2022). Regardless of circumstances, more than 90% of sharps injuries are preventable (International Safety Center [ISC], n.d.). Therefore, all healthcare clinicians must be diligent to avoid injury even in busy and stressful working conditions. This module will review the current literature on managing the most common bloodborne pathogens (BBP) transmitted by needlestick injuries and evaluating post-exposure prophylaxis.
Discuss procedures to follow after a needlestick or sharps injury.
Identify factors that can lead to a needlestick or sharps injury.
Identify factors that can prevent a needlestick or sharps injury.
Managing Coagulopathies
The focus of this course is coagulopathies. In general, the term coagulopathy refers to bleeding disorders. This course will provide a review of the components of a clot. It will also provide you with valuable information about how to care for those with coagulopathies such as immune thrombocytopenia (ITP), disseminated intravascular coagulopathy (DIC), heparin-induced thrombocytopenia (HIT), and warfarin-induced coagulopathy.
The goal of this course is to provide nurses in the critical care setting with a general overview of coagulopathies, including the recognition and nursing management of ITP, DIC, HIT, and warfarin-induced coagulopathy.
Describe the etiology and presentation of DIC, ITP, HIT, and warfarin-induced coagulopathy.
Identify proper nursing care for those with DIC, ITP, HIT, and warfarin-induced coagulopathies.
Identify emergency findings in those with coagulopathies and discuss the appropriate nursing interventions.
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 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.
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.
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.
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.
Perioperative Series: Emergencies in the OR
Perioperative providers can BEST prepare for emergencies in the operating room by knowing the responsibilities of each team member and rehearsing interventions ahead of time. When you are in the moment and your heart is racing, it’s easy to forget how to respond or even where supplies are located. Practicing your responsibilities and team interventions ahead of time will help to prepare you for the unexpected. This course provides you with an opportunity to participate in five emergency scenarios to test your knowledge. Time is of the essence when an emergency happens so you must think and act fast to save the patient!
The goal of this course is to equip nurses and STs with knowledge of the responsibilities of the team during a range of OR emergencies.
Recognize evidence-based strategies for treating and preventing a range of OR emergencies.
Describe the roles and responsibilities of members of the surgical team when emergencies occur.
Recall the best practices for improving patient outcomes during an emergency.
Perioperative Specimen Handling
Proper surgical specimen handling is essential for patient safety. This course covers best practices for intraoperative personnel to prepare, label, and transfer specimens accurately. Adhering to these protocols ensures that specimens are identified and handled appropriately, minimizing the risk of harm to the patient.
This course provides OR nurses and surgical technologists with knowledge of best practices for specimen handling.
Describe the considerations and methods of preparing specimens for various pathologic and examination types.
Recall care standards for the appropriate handling, labeling, and transportation of specimens.
Identify common mistakes made during specimen management and prevention methods to avoid these errors.
Psychopharmacology in the Emergency Department
As a healthcare professional transporting patients to the ED, you may serve patients with symptoms indicative of behavioral health disorders, such as depressive, bipolar, and anxiety disorders. In some situations, the ED provider must administer psychiatric medications. However, if possible, it is prudent to defer their use until the patient is admitted to an inpatient mental health facility or seen as an outpatient. In many instances, the reason for presentation in the ED is an adverse reaction to psychiatric medications.
Identify some of the most common medications in each major category, their indications, and their usage in treating mental health disorders.
Recall adverse reactions to psychiatric medications.
Recognizing and Treating Stroke
By understanding the causes of stroke and how to treat and prevent it, you can make a significant difference in the lives of those you care for. This course will help you identify the symptoms of a stroke and provide you with the necessary knowledge to provide care during and after the stroke.
Recall the pathophysiology of a stroke.
Recognize at least three interventions for someone experiencing a stroke.
Identify strategies for achieving quality of life after a stroke.
Septic Joint: Diagnosis and Treatment
Septic arthritis is caused by infection and inflammation in the joint and can result in significant damage to the joints. Early recognition and treatment are critical to the preservation of joint function. This course will discuss how to quickly identify and treat septic arthritis.
The goal of this course is to provide physicians, nursing professionals, and radiologic technologists with information about septic arthritis.
Recall how septic arthritis is acquired and its typical presentation.
Identify the laboratory and radiological tests used to make a diagnosis of a septic joint.
Recognize the principles of septic joint treatment.
Shoulder Dystocia: Teamwork and Training
This content is intended for all members of the obstetric team and is based on the educational theory that team performance is enhanced when all members of the team have the same understanding of the task and procedure to be performed.
Enhance situational awareness for patients at increased risks for shoulder dystocia (SD). Design a team-based SD simulation drill. Improve obstetrical team performance through enhanced cooperation in deliveries complicated by SD. Review methods to enhance communications with teams.
Stroke Care: From Onset to Rehab
This course provides a comprehensive understanding of stroke care from onset to rehab. Details of stroke care in the acute care setting and rehabilitation for stroke are reviewed. Stroke prevention strategies are explained.
Apply knowledge of assessment, diagnosis, and treatment for stroke in the hyperacute and acute phase.
Identify secondary prevention strategies, including lifestyle changes and drug therapies.
Recall interventions for rehabilitation from stroke in the acute and post-acute setting.
Stroke: Recognition and Management
This course equips healthcare professionals with essential knowledge and skills to promptly and effectively manage stroke in the acute care setting. Participants will gain insight into how to recognize an acute stroke and the initial steps to take for emergency treatment of stroke. In addition, learners will know the different acute treatment options for ischemic and hemorrhagic stroke as well as patient care for acute stroke.
Recall the benchmark diagnosis and treatment times for acute stroke.
Differentiate the treatment of ischemic stroke and hemorrhagic stroke.
Indicate interventions in the care of a patient presenting with an acute stroke.
The Impact of Psychedelics
This course will provide healthcare professionals in the acute care setting with an introduction to the use of psychedelics for the treatment of behavioral health conditions. Healthcare professionals will learn about the types of agents used, their indications, benefits, and their associated risks and side effects.
The goal of this course is to provide health care professionals in the acute care setting with an introductory review of novel therapeutic agents used to treat behavioral health conditions.
Recall how psychedelics are used to treat behavioral health disorders and how they impact symptoms of behavioral health disorder.
Identify the potential risks and side effects of psychedelics.
Recognize whether an individual is a good candidate for psychedelic treatment for behavioral health symptoms.
Weight Loss Medications: A Comprehensive Review
When lifestyle modifications such as improving nutrition and increasing physical activity do not achieve adequate weight loss, pharmacotherapies may be needed. Pharmacotherapy is used as a supplement to lifestyle modifications and should only be implemented in patients who meet certain criteria and have a need to reduce their risk of obesity-related comorbidities. This course will review candidate criteria for weight management drugs, which drugs have been approved by the Food and Drug Administration (FDA), and their safety or effectiveness. It will also review dietary supplements used for weight loss and the lifestyle behaviors needed to increase the efficacy of pharmacotherapies. The goal of this course is to educate the healthcare team in the acute care setting on weight loss medications.
Indicate the criteria for weight loss drug therapy in patients affected by obesity.
Recognize the safety and effectiveness of prescription drugs and devices, and dietary supplements used for weight loss.
Recall lifestyle behaviors that are needed in conjunction with weight loss drugs, devices, and supplements.
Wellness Strategies that Support Addiction Recovery
Substance use is linked to millions of deaths worldwide each year (Ritchie & Roser, 2019). Supporting individuals’ long-term recovery from substance use can help save lives. Recovery is a lifelong process that aims to keep an individual substance-free while improving their overall quality of life. Wellness strategies enhance recovery outcomes by focusing on optimal health across all dimensions of an individual’s life.
Discuss how wellness approaches can positively impact recovery from substance use disorders.
Recognize the eight dimensions of wellness.
Identify wellness strategies to facilitate long-term recovery from substance use disorders.