The Healthy People 2030 campaign categorizes social determinants of health (SDOH) into five domains and each one has an impact on health outcomes and informs best practices in the delivery of healthcare (U.S. Department of Health and Human Services, n.d.). This course provides practice scenarios for use of a rapid assessment tool for screening patients for social determinants that impact their health.

Economic stability is defined as a domain of social determinants of health in the Healthy People 2030 campaign. It relates to an individual’s ability to access resources such as food, adequate housing, and healthcare. Each component of economic stability, including poverty, employment, food security, and housing stability, is linked to individual health outcomes.

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.

Nearly 10% of U.S. population does not have health insurance (U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion [ODPHP], n.d.a). Healthy People 2030 is a national population and public health initiative endorsed by top U.S. government health agencies, setting health goals for the U.S. healthcare system to improve the overall wellbeing of patients in their communities. This course provides an in-depth and interactive analysis of one of the five Healthy People 2030’s domains of social determinants of health (SDOH), healthcare access and quality, and its impact on patient outcomes. 

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.

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.

The goal of this course is to educate nurses and physicians about key social determinants of health (SDOH) and health disparities affecting maternal and fetal outcomes.

The management of the female who presents to the emergency department (ED) in active labor is stressful and overwhelming. Ideally, the ED has a plan in place, based on hospital resources, for the imminent delivery of a newborn. Decisions regarding delivery in the ED or transferring the patient to labor and delivery are based on a variety of factors. Knowledge of the possible complications of delivery will provide anticipatory guidance to improve maternal and fetal outcomes.

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.

Three different obstetrical scenarios, complicated by a Category II Fetal Heart Rate pattern, are presented to illustrate the importance of clinical context when formulating management plans. Emphasis, characteristics, and potential etiologies of Category II fetal heart rate tracings are reviewed. Management of the patient with a Category II fetal heart rate pattern is discussed, with special emphasis on the importance of the clinical context and fetal heart rate pattern evolution.

Human trafficking victims are often concealed by their traffickers; however, studies show that many victims interact with healthcare professionals while they are being victimized. This places healthcare professionals in a unique position to recognize the signs and risk factors of human trafficking and take steps if they suspect a person may be a victim of human trafficking.

The goal of this course is to provide healthcare staff with critical steps to recognize and respond to human trafficking.

A traumatic brain injury (TBI) is a complex condition that may have short- or long-term effects on a patient. TBIs have a wide array of associated symptoms and disabilities. These may have a significant impact on the lives of patients and their families. Healthcare professionals should be ready to rapidly assess patients with TBIs so that they can be treated promptly.

This course provides strategies to enhance the knowledge and skills of physicians, registered nurses, and physician assistants in recognizing, assessing, and managing traumatic brain injuries, contributing to improved patient outcomes and interdisciplinary collaboration.

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.

The physical environment in which individuals live has a direct impact on their health and wellness and their ability to access healthcare. Healthy People 2030 identifies neighborhoods and the built environment as a domain of the social determinants of health tied to health outcomes. This course provides an in-depth analysis of this domain and how it affects the health and well-being of patient populations. The four components of neighborhood and built environment include access to healthy foods, quality of housing, crime and violence, and environmental conditions. Clinicians can leverage this knowledge to improve treatment planning for patients and health outcomes.

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.

Ethics are a significant part of high-quality clinical practice. This one hour course presents ethical principles and responsibilities of healthcare professionals. The goal of this course is to provide healthcare professionals with an awareness of how ethics impact clinical practice and an approach for analyzing ethical issues in clinical practice. 

Survivors of rape and sexual assault will experience a variety of physical and emotional comorbidities as a direct result of their experience. This means survivors will enter the healthcare system through a variety of specialty clinics in addition to their primary care provider. It is important healthcare providers of all disciplines, be familiar with the signs that a patient may have been raped or sexually assaulted in their past. This course will provide the legal aspects of rape and sexual assault, the emotional and physical trauma associated with the experience, and how to identify and care for survivors. 

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.

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.  

According to the U.S. Census Bureau, minority groups will outnumber what is now considered mainstream culture by the middle of this century. Healthcare professionals need to heighten their awareness about the importance of role, culture, and tradition in preventing and treating women’s unique healthcare problems. When there is a lack of cultural sensitivity in communication, patients are less likely to be content with their healthcare experience, increasing the likelihood of miscommunication and possible cultural disparities. These factors can also cause non-compliance with treatment, worse health outcomes, and a higher incidence of adverse events.

The goal of this course is to equip healthcare professionals with knowledge of the impact of culture on women’s health beliefs and practices and their responses to current approaches to care.

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.

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.