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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.
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.
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.
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.
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.
Managing Pain Amid the Opioid Crisis
Pain management in the emergency department relies heavily on the use of opioid analgesics, which generates risk for patients to develop long term opioid use or an opioid use disorder. Multimodal analgesia can improve the patient experience and reduce the risks of opioid use if emergency providers approach pain with a more critical mindset.This activity is designed to help emergency providers improve management of pain while decreasing patient exposure to opioids. It is also designed to help providers navigate how to manage patients with opioid use disorder.
Identify different types of pain (acute pain, chronic pain, chronic cancer pain, and social pain) and the neurobiological origins of this pain.
Describe the risks associated with opioid analgesia.
Demonstrate knowledge of multimodal analgesia regimens to manage pain in the emergency department.
Describe the characteristics of opioid use disorder and the effectiveness of medication assisted therapy.
EMTALA Requirements
The Emergency Medical Treatment and Active Labor Act (EMTALA) was enacted to prevent patient dumping by hospitals seeking to avoid unrecoverable costs of care for patients without insurance or the ability to pay for medical services. Language within the statute has led to inconsistencies in how it has been interpreted. Patient dumping and inappropriate medical screening examinations (MSEs) are the most common reasons for EMTALA violations (Ladd & Gupta, 2021). This course will describe how key terms are currently interpreted and how they apply to hospitals with a dedicated emergency department (ED). In addition, learners will have an opportunity to review cases where EMTALA violations were alleged and judgments applied by the courts.
Define key terms and requirements associated with EMTALA.
Describe how EMTALA applies to certain situations.
Assessing and Treating Opioid Use Disorder
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.