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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.
Documentation: The Legal Side
As a professional nurse, you are expected to be familiar with many aspects of care. You are not exempt from malpractice or negligence claims because you were following orders. You are responsible for assessing, planning, implementing, and evaluating appropriate nursing care. What you document can and does reflect the care provided and the outcomes of that care. Documentation that is factual, complete, timely, and detailed is required. In this course, you will learn about concepts and rules regarding documentation in the medical record. Legal aspects to be aware of while practicing will also be discussed. The goal of this course is to educate nursing professionals in post-acute care settings about the legal implications of documentation.
Discuss malpractice, negligence, and compensatory and punitive damages as they relate to healthcare. Explain four intentional torts that a healthcare professional may be held liable for. Describe four documentation techniques to use to avoid legal issues.
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.
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.
Assessing and Treating Opioid Use Disorder
Ambulatory Preceptor: Communication and Teamwork
No matter how much we know, there is always something more to learn about communication, teamwork, and interprofessional/interpersonal work relationships. Healthcare is a continuously evolving, fast-paced, multigenerational, and multicultural work environment. Communication and teamwork are vital components of safe and effective healthcare. Preceptors must incorporate these elements into preceptorships to successfully transition new staff into ambulatory care and clinical patient care arenas. This becomes particularly important when transitioning preceptees into specialty practice that requires them to work interdependently, such as in ambulatory care. The goal of this course is to provide nurses and nurse preceptors in ambulatory care settings with information about communication and teamwork in preceptorships.
Identify professional attributes of a preceptor, various communication styles, and effective communication techniques in ambulatory settings.
Recognize important elements of teamwork and the role of the preceptor in team building.
In Session: Practicing Clinical Skills to Prevent Suicide in Adults
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 opportunity to apply your existing knowledge to assess and intervene with an at-risk adult.
Identify risk factors and warning signs for suicidality in adults.
Indicate the appropriate steps to assess an individual’s level of suicide risk.
State the essential interventions to implement based on the level of identified risk.
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.
Addressing Trauma and Stressor Related Disorders
About 70% of adults in the U.S. have experienced at least one traumatic event (Sidran Institute, 2018). Most overcome their trauma responses without formal intervention. Others, however, experience persistent symptoms that need formal intervention. The goal of this course is to provide addiction, behavioral health counseling, marriage and family therapists, nursing, psychology, and social work professionals in health and human services settings with information on how to assess and treat trauma- and stressor-related disorders.
Recognize common symptoms that individuals may have in response to experiencing trauma.
Identify at least three tools that can help screen and assess for trauma-related disorders.
Determine which interventions would be most relevant for someone with a trauma-related disorder.
Impact of Substance Use Disorders on Families and Approaches to Treatment
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 service settings with information about how substance use disorders can impact family systems and approaches to help the family system.
Identify how family dynamics impact the development of a substance use disorder.
Recognize how substance use impacts the family members of individuals with substance use disorders.
Indicate evidence-based interventions that you can use to successfully address the relationship between the dynamics of family systems and substance use.
The Grief Process for Health Professionals
Grief is a normal and natural response to loss. It is not a problem to be solved, but rather a way of coping. This course discusses the basics of the grief process, the different types of grief, and ways of expressing grief. It also discusses tools to help you stay present and resilient as a healthcare professional supporting individuals and families.
Apply at least two grief models to individual circumstances.
Define three types of grief and their contexts.
Recognize two gifts of grief that apply to the general population.
Boundaries in the Treatment Relationship
This course explains the concept of a professional therapeutic boundary and how it differs from a personal relationship. You will learn about the ethical role of the clinical practitioner in establishing appropriate roles and boundaries, the difference between boundary crossings and boundary violations, how to appropriately use social media and other technology, and how to recognize situations with high potential for harmful boundary violations. As you master these skills, you will become more effective in maintaining an appropriate relationship between you and your clients.
Recall the meaning of a therapeutic boundary and the difference between boundary crossings and boundary violations.
Indicate how to avoid the red flags of boundary violations.
Discuss current standards for use of social media and other technology pertaining to maintaining therapeutic boundaries.
Best Practices for Interviewing Patients
The patient interview is the most important part of your exam. Gaining the patient’s perspective and learning more about issues important to them can guide you in developing patient-specific care plans. This course will discuss how to conduct patient-centered interviews. You will learn interviewing methods to effectively elicit the important details about a patient's reason for presenting to the clinic. Information will also be presented on how to approach challenging situations that arise during patient encounters.
Recall at least four ways you can facilitate rapport, engage patients in effective interviews, and facilitate discussions that guide quality treatment for your patients.
Indicate at least three strategies you can use to overcome common challenges that arise when interviewing patients.
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.
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.
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.
Assessment and Treatment of Depressive Disorders in Children & Adolescents
In this course, you will learn to identify different depressive disorders, as well as the unique ways depression manifests in children and adolescents. Additionally, you will learn to recognize risk factors for both depression and suicidality in youth.
An integrated care model treats the whole child by combining primary care and mental healthcare in one setting. Within this model, treatment providers understand how to screen for depression and suicidality in order to coordinate care. You will learn about specific instruments useful for detecting depression and suicidality among youth. An understanding of the root causes of depression will highlight the rationale for various treatment approaches. Lastly, you will be able to describe the best practices available to help children and adolescents manage depression.
Identify three different types of depressive disorders and common symptoms of depression in children and adolescents.
Identify at least five causes and risk factors of clinical depression and how to screen for depressive disorders in children and adolescents.
Describe three interventions to treat child and adolescent depressive disorders.
Improving Clinical Competency Through an Understanding of Military Culture
Military cultural competence is essential to effectively engage, understand, and support active duty service members, reservists, and veterans in behavioral health treatment. Those in the military represent a specific cultural group. This course will provide you with an introduction to military culture. You will learn about the overall structure of the military, the core values of the primary branches, and the unique experiences of specific sub-populations within the military. This information will help you more effectively engage with, understand, respect, and support the military service members who seek your services.
The goal of this course is to provide addiction, behavioral health counseling, case management/care management, marriage and family therapy, nursing, psychologist, and social worker professionals in health and human services settings with information about military culture in general, the effects of military culture on sub-populations, and how behavioral health concerns affect military service members and veterans.
Describe key aspects of military culture, the sub-populations within military culture, and the unique needs and experiences of those groups.
Describe the overall structure of the military and its primary branches.
Recall two perceived consequences by service members and veterans of receiving a behavioral health disorder diagnosis.
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.
Identifying and Responding to Child Abuse and Neglect
This course will teach you about the various types of child abuse and neglect that are currently the most common, and the physical and behavioral warning signs that may accompany different kinds of child maltreatment. You will learn some general guidelines for mandatory reporting and how you can find out the specific reporting requirements of your particular state.
Identify the behavioral and physical signs of abuse and neglect.
Describe the role of the mandated reporter and where to access state-specific rules related to mandated reporting in your state.
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.
Identifying and Responding to Intimate Partner Violence
Intimate partner violence (IPV) affects thousands of people each year. It affects people from all social and economic backgrounds, ages, sex, genders, sexual orientations, race, and ethnicities. Those who experience IPV often suffer adverse social and health outcomes that make early recognition, identification, and response a priority for professionals working in healthcare and health and human services.
Identify five types of IPV and five dynamics of survivor and perpetrator relationships.
Recall at least four types of risk factors and protective factors of IPV.
Identify best practices and key considerations for the assessment and treatment of IPV.
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.
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.
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.