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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.
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.
Overview of Evidence-Based, Suicide-Specific Interventions
It was once assumed that addressing underlying conditions was the best way to treat suicidality. We now know that suicidal people need interventions that directly target suicidal thoughts and behaviors. Suicide-specific interventions will give you the tools to help clients manage suicide risk.
In this course, you will learn about specific evidence-based and research-informed interventions that directly target suicidal thoughts and behaviors. Through case examples, you will gain a better understanding of ways to implement these strategies.
The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals with knowledge about evidence-based, suicide-specific interventions.
Describe three evidence-based interventions for treating individuals at risk for suicide or who have made a recent attempt.
Summarize the process for completing a safety plan and for reducing access to lethal means.
Recall the factors you should consider when determining what interventions may be needed for suicidal individuals.
Overview of Medications for Opioid Use Disorder
The current opioid use epidemic has had devastating consequences for those impacted by it. Medication for opioid use disorder (MOUD) is an effective, yet underused, approach to the treatment of opioid use disorder. By taking this course, you will have information that you can share with your clients and their family members about what MOUD is, its risks and benefits, and the types of medications used in MOUD. 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 services settings with an overview of what MOUD is, how it can help individuals with opioid use disorder (OUD), and the medications used by providers that treat OUD.
Describe how opioids affect the brain and can become habit-forming.
Discuss the role of medications to treat opioid use disorder.
List the medications typically prescribed to treat opioid use disorder and the side effects and risks associated.
Pediatric Pain Management: Treatment
Pain is often underestimated and undertreated in the pediatric population due to many factors. As a result, children’s health outcomes are directly impacted without proper recognition and pain management, and quality of life is reduced. Physicians and nursing professionals must learn to assess and treat pediatric pain appropriately while caring for hospitalized children. This course describes the past and future status of pain management in children, pharmacological and non-pharmacological management options, and the complexities of managing pain in special populations.
Discuss the past and future status of pain management in children. Describe non-pharmacologic, pharmacologic, and adjuvant treatment options for pain in children. Explain some of the complexities involved in treating the child with chronic pain, cognitive impairments, or a need for palliative care.
Pediatric Patients and Concussion Management
Concussion is a form of mild traumatic brain injury that is common in children and adolescents. Despite increased awareness about the injury, concussion remains under-reported and under-diagnosed. Nurses and Radiology Technicians must be aware of the identification, diagnosis, and management of concussions in pediatric patients.
Identify signs and symptoms of concussions in pediatric patients.
Recognize the evaluation, diagnosis, and management of concussions in pediatric patients.
Recall the complications of concussions in pediatric patients.
Perioperative Pediatric Conditions
Perioperative professionals must have a fundamental understanding of the anatomical, physiological, psychological, and emotional differences of children compared to adults and how these differences impact the care needs of pediatric patients in the perioperative period.
Identify anatomical, physiological, psychological, and emotional differences in pediatric patients and how those differences impact care needs in the perioperative setting.
Recognize strategies for preventing and responding to medication errors and adverse drug events involving children in the perioperative setting.
Recall surgical considerations for pediatric patients.
Perioperative Series: Anesthesia and Medication Management
Anesthesia administration has become increasingly safer, but is not without risk. Patient- and family-centered care and the desire to save costs has led to a shift in perioperative care needs from “stabilize and admit” to “stabilize and discharge.” Each patient undergoing anesthesia requires competent, professional nursing staff to assist in timely and safe medication administration, maintenance, and recovery. Knowledge of anesthetic techniques, agents, and adjuvants is vital to this competence.
Define the different types and stages of anesthesia.
Describe anesthetic agents and adjuvants commonly used for the perioperative patient.
Identify perioperative preparation, complications, and nursing interventions.
Perioperative Series: Communication in the OR
In the operating room, patient safety depends on high quality communication and shared knowledge among the surgical team. Several factors in this setting can contribute to communication failures like time constraints, shift changes, environmental barriers, the complex nature of surgical procedures, and clashing communication styles. All members of the surgical team must understand the risks to patient safety associated with communication failures, what information must be communicated and when, and how to use an assertive communication style.
The goal of this course is to equip nurses and CSTs with best practices for effectively communicating in the operating room.
Describe best practices for facilitating communication in the OR.
Identify four communication styles and which style is most effective for ensuring patient safety.
List common barriers to effective communication in the OR.
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 Series: Intro to Perioperative Nursing
As defined by the Association of periOperative Registered Nurses (AORN) (2019), the perioperative nurse’s goal is to help patients achieve or exceed the level of well-being they had at the pre-procedural baseline. The nurse is required to have the clinical knowledge, judgment, and clinical reasoning skills necessary to safely plan, deliver, and evaluate care for surgical patients.
The goal of this course is to equip perioperative nurses with knowledge of the nursing process and the roles and responsibilities within the perioperative team.
Identify the perioperative nursing process throughout the phases of surgery.
Define the roles and responsibilities of the members within the surgical team and the AORN standards of perioperative practice.
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.
Preventing and Handling Crisis Situations
Healthcare professionals often encounter patients experiencing agitation or displaying hostile behavior during their careers. De-escalation is a set of approaches and techniques used to assist patients in self-calming to avoid incidents of harm to self, others, or property. Professionals should understand escalation and physiological responses to threats. After determining the risk of escalation, healthcare professionals can use various aspects of verbal communication, such as tone and pitch, and nonverbal communication skills to defuse potentially hostile situations and apply the least restrictive interventions.
Describe what de-escalation is and why it is important.
Recall how to use de-escalation to prevent a crisis from developing.
Indicate specific approaches you can use during a crisis to help individuals return to pre-crisis levels of functioning and prevent harm.
Preventing Medical Errors: Culture of Safety
Medical errors and substandard care occur often in today’s complex healthcare organizations. Errors are usually due to multiple factors at the system-level rather than a single factor from an individual. Healthcare organizations that are committed to patient safety are high-reliability organizations. These organizations remain alert for ways to protect patients from harm even though they have few adverse events. This course will offer suggestions for reducing medical errors and maintaining a culture of safety.
Describe how the culture of healthcare organizations and the roles of healthcare professionals affect patient safety.
Identify three examples of medical errors and how they may occur.
Preventing Suicide Among Veteran Populations
Veterans are 1.5 times more likely to die by suicide than non-veterans (U.S. Department of Veterans Affairs [VA], 2022). This course will explain the specific factors that increase suicide risk in veterans. You will also learn about assessment and intervention approaches used to manage suicide risk in this population.
The goal of this course is to provide knowledge to addictions, behavioral health counseling, case management/care management, marriage and family therapy, nursing, psychology, social work professionals, and physicians in health and human services settings about suicide prevention strategies for veterans.
Identify three factors that specifically increase suicide risk in veterans.
Recall screening and assessment strategies to identify veterans at risk for suicide.
Define three effective ways to intervene to reduce suicide risk among veterans.
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.
Quality Series: Safety First - Culture and Patient Impact
A ‘culture of safety’ is an often-heard term in clinical settings. Most patients require complex care, with many interprofessional teams working together. Large patient volumes, an expectation for rapid delivery of care, the consumer’s ability to choose providers, and government reimbursements all drive acute care facilities to invest in preventing or reducing errors. Improving safety is beneficial to the patient primarily, with less risk of injury or death, but also to the facility and staff, improving retention and job satisfaction, with the added benefit of extensive cost-savings.
Describe the identifying factors and benefits to a culture of safety.
Discuss organizations responsible for driving patient safety changes on a national level.
Evaluate barriers to patient safety, and how these can be reduced or eliminated.
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.
Reducing Medical Errors in the OR
The OR is a complex environment. Highly trained individuals interact in a specialized setting with sophisticated and technically complicated devices, instruments, and equipment. There are also substantial differences among team members related to education, experience, skill level, influence, and formal and informal power. This course will inform nurses and surgical technologists of the evidence-based steps to take to create a culture of safety in the OR.
Identify the communication processes that aid in reducing medical errors and review recommendations for the safe transfer of patient care information.
Name organizations that are helping to create a culture of patient safety and their recommendations to meet this goal.
Determine the components of a just culture that promote trust and accountability and recall a 10-step process for creating a culture of safety in the OR.
Review of Active Shooter Response
Though active shooter events are rare, it is practical and necessary to be well-prepared for the possibility, especially when you work with the public. Between 2010 and 2020, The Joint Commission (TJC) received 39 reports of active shootings that resulted in 39 deaths at accredited hospitals (TJC, 2021). As a result, the Center for Medicare Services (CMS) and TJC require hospitals to prepare for all hazards, including active shooter or hostage events, and to work with their local law enforcement and emergency response agencies to prepare for and respond to active shooter events. Understanding the risks and motivations behind active shooter events, how your body and mind may respond to stress, and how best to prepare for an active shooter event is the best way to protect yourself and others should the unthinkable occur in your facility.
Identify the definitions, signs, and trends of an active shooter event.
Discuss the appropriate response to an active shooter situation.
Evaluate ways in which training and preparation can be incorporated into institution protocols.
Screening and Prevention for Cervical Cancer
Self-Care Strategies for Frontline Professionals
Healthcare and behavioral health professionals providing services on the front lines of a sustained health crisis are exposed to traumatic events on a regular basis. Staff deemed essential have little escape from the grueling demands of their daily work. Professional self-care routines are often insufficient or seemingly impossible during times of heavy demand. Without healthy work-life balance, effective self-care practices, and social connection, maladaptive coping mechanisms may surface or return. Many professionals experience feelings of helplessness when, despite their best efforts, they are unable to provide clinical solutions for their clients or patients. Based on what is known about trauma, it is imperative for professionals to effectively address self-care needs in a timely manner, for themselves and for those they serve.
Define the psychological and biological effects associated with trauma and stress reactions.
Identify signs and symptoms of moral injury, vicarious trauma, secondary traumatic stress or compassion fatigue, and burnout.
Recall methods to enhance psychological resilience via self-care practices that can be applied to work and/or home.