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.

Every year, workers are injured or killed when the equipment they are working with unexpectedly turns on or the residual energy stored in the equipment is released. Lockout/Tagout, or LOTO, is a set of procedures used to control hazardous energy during the service or maintenance of machine and equipment. The aim of LOTO procedures is to protect workers from the release of hazardous energy.  

The goal of this course is to provide all staff with an overview of lockout/tagout procedures.

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.

A case of obstetrical hemorrhage due to uterine atony, requiring medical and surgical interventions and blood component replacement therapy is presented. Emphasis: A review of obstetrical hemorrhage, etiologies, and treatments is provided. The importance of early recognition and response to excessive blood loss is stressed. Medical and surgical interventions for uterine atony are reviewed. Current recommendations for blood component replacement therapy for massive hemorrhage are discussed.

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.

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.

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.

This course provides nurses with information regarding safety concerns associated with alarm fatigue along with evidence-based research strategies to reduce the fatigue.

This course provides an overview about the safety of patients undergoing a trial of labor after cesarean (TOLAC) to attempt a vaginal birth after cesarean delivery (VBAC). Research evidence has influenced where VBACs are performed, which women are eligible and how the practice is conducted, including the safe use of induction/augmentation medications. The safety of VBAC for mother and newborn always remains the primary underlying principle that guides care.