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Clinical Management of Uterine Atony
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.
List common risk factors for OH.
Review medical treatments for uterine atony.
Identify pre-surgical and surgical treatments for uterine atony.
Describe blood component therapy for massive hemorrhage.
Collecting and Preserving Evidence in a Healthcare Setting
Whenever a crime occurs, evidence can be transferred among the perpetrator, victim, and the crime scene. Law enforcement personnel collect and preserve crime scene evidence. Healthcare professionals can simultaneously assist with a crime investigation and provide good healthcare to patients by collecting and preserving evidence from the patient’s body. It is imperative to understand that the collection and preservation of evidence from a patient should never compromise the patient’s safety, autonomy, or legal rights. This course provides an overview of interviewing, collecting, and preserving forensic evidence, toxicology, and documentation.
Recognize how nurses and other healthcare professionals can impact the outcome of criminal investigations.
Describe how to document information regarding the collection of evidence and forensic findings while providing patient-centered, high-quality healthcare.
Identify the measures necessary to preserve forensic evidence and maintain the proper chain of custody.
Communicating with Patients
Effective communication with patients and families is the foundation for a therapeutic, safe, and positive patient experience. The patient‘s experience of care is greatly influenced by what is communicated and observed. It is also a vital component of obtaining an accurate history and physical assessment, providing informed, comprehensive care, and educating patients and families to achieve optimal outcomes. The goal of this course is to provide information about how to effectively communicate with patients in healthcare settings.
Identify at least three specific elements of effective communication and how communication affects the patient and family experience.
Recall important components of cultural competence and inclusivity when communicating with patients and families.
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.
Cultural Perspectives in Childbearing
As the population of the U.S. soars in diversity, healthcare professionals must be prepared to care for childbearing families from many different cultures. All cultures and families should be given the same respect, be assured of the highest quality of care, have their religious, ethnic, and cultural values respected and integrated into their care, and have their physical and educational needs met in a way that honors their spiritual beliefs and individuality. Knowledge of the cultures one is serving and the influence they have on women’s perceptions of childbirth are important for achieving positive outcomes. Equally and perhaps more important is applying the principles of cultural humility to nursing care.
The goal of this continuing education course is to improve the ability of nurses and health educators in acute care settings to assess and meet the sociocultural needs of childbearing families of diverse cultural and social groups.
Recall the relationship of culture, subculture, acculturation, assimilation, ethnocentrism, cultural relativism, and cultural humility to healthcare practice.
Recognize elements of cultural assessment and respectful maternity care that can improve quality of care and meet the unique needs of culturally diverse families.
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.
Introduction to Multicultural Care
Multicultural care helps reduce behavioral health disparities, build trust, and improve outcomes for marginalized clients. This course explains key concepts that support multicultural care and core components of culturally responsive care. It also indicates how to address personal and institutional bias in healthcare settings.
Define at least four key concepts that support multicultural care.
Indicate how to address personal and institutional bias in healthcare settings.
Identify at least three core components of culturally responsive care.
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.
Drug Diversion, SUD, and Pain Management
Safely managing pain for the people in your care requires you to be knowledgeable about pain management recommendations. It is important to understand the risk factors for misuse and substance use disorder (SUD) as well as the signs that someone has a SUD and how to treat it. Unfortunately, SUD is one of the drivers of drug diversion. Therefore, it is also critical that you understand drug diversion tactics and behaviors so you can help prevent it. The goal of this course is to educate healthcare providers in all settings on pain management and preventing substance use disorder and diversion.
Discuss drug diversion and related drug diversion behaviors and activities.
Identify various classifications of medications that are diverted or misused.
Describe screening and assessment tools helpful in identifying substance use disorders.
Recognize nonpharmacological and pharmacological treatments of substance use disorders.
Explain options for pain management.
Economic Stability: Social Determinants of 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.
Describe the four components of economic stability.
Explain how economic stability affects health and health outcomes.
Identify strategies for helping patients overcome barriers to economic stability and how they positively impact health outcomes.
Emergency Department: HIPAA and CFR42
In an emergency department, information often flows amongst providers and patients quickly because of urgent, sometimes life-threatening, situations. Due to the volume of information being shared, as well as the need for it to be shared quickly and accurately, emergency department providers must be especially careful to safeguard patient information.
The goal of this course is to update nursing professionals in the acute care setting with basic information about the Health Insurance Portability and Accountability Act (HIPAA) and 42 CFR Part 2.
Identify information sharing standards under HIPAA and 42 CFR Part 2.
Define the concept of consent, when you must obtain it to share or receive information, and the types of information that may not be available to you.
Emergent Delivery of Infant
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.
Know the clinical presentation and physical exam findings associated with pregnancy.
Recognize the common complications associated with pregnancy. Plan the steps to prepare the process of delivery of a newborn.
Recognize common complications of delivery of a newborn.
Ethics for Licensed Professionals: 1 Hour
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.
Identify definitions, similarities, and differences of common ethics terminology and concepts.
Describe the four healthcare ethical principles and their implications for clinical practice.
Apply an ethical decision-making model to ethical issues and dilemmas.
Family Violence: Awareness, Detection, and Support in Healthcare
Family violence affects people across all demographics and occurs in a variety of relationships, including between intimate partners, family members, and household members. While progress has been made, it remains a serious issue in the U.S. and globally. Healthcare professionals in all settings play a critical role in identifying and supporting individuals experiencing family violence. This course provides nurses and social workers with information on how to identify and treat people experiencing family violence.
Explain the risk factors, signs, and symptoms associated with abuse and neglect across the lifespan.
Describe the role of intimate partner advocacy in helping people experiencing family violence understand that physical, sexual, or emotional abuse is not their fault.
Identify the steps to ensure the safety of those affected by abuse who decide to leave an abusive environment.
Discuss the direct and indirect questions that broach the subject of violence and abuse with patients, partners, and family members to screen for abuse.
Fetal Heart Tracing Pattern Evolution
This course is intended to review the identification and management of various fetal heart rate patterns in a clinical context to prevent or address potential physiologic stress imposed on the fetus during labor, as evidenced by the fetal heart rate tracing.
Consistently apply National Institute of Child Health and Human Development (NICHD) definitions when describing intrapartum FHR patterns.
Recognize the importance of clinical context, FHR pattern evolution or trend, and stage of labor when managing a Category II tracing.
Identify the importance of the evolution of FHR variability when assessing the FHR pattern.
Forensic Evidence Collection
Forensic evidence connects the scene, the survivor, and the suspect together to assist the justice system in solving crimes. Crucial parts of evidence collection include knowing the correct procedures to preserve evidence and prevent contamination. Patients presenting to the emergency department with injuries requiring forensic evidence collection are often afraid and distressed. Healthcare professionals should know how to care for their emotional needs as well as their physical ones.
Identify the fundamentals of survivor-centered care. Recall important elements of documentation in forensic medical care. Define the essential components of forensic evidence collection.
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.
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.
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.
Implementing Shared Governance: Excellence Series
This course focuses on the role that shared governance plays in the nursing profession. Participants will learn what shared governance is and how it can benefit nurses. They will also learn how to implement shared governance programs and enhance programs that already exist. Learners will explore strategies to enhance decision-making processes, promote nursing engagement, and improve patient outcomes through shared governance.
Indicate the foundational principles of a shared governance system.
Recognize strategies for implementing shared governance and overcoming barriers to participation.
Recall the advantages of a shared governance system.
Improve Patient Outcomes with Team-Based Care
Team-based healthcare is provided by two or more people who represent different professions with the common goal of improving the well-being of a patient. Interprofessional (IP) collaboration may improve outcomes such as pain relief, improved access to healthcare services, and early recognition of treatment failure. Effective team-based, patient-centered care should be tailored to the population served and the needs of those individuals. This course outlines the components of team-based care and provides examples in different settings.
This course aims to help healthcare team members identify core principles of team-based IP healthcare in all settings.
Identify the core principles and competencies of an effective healthcare team.
Recall two examples of team-based care.
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.
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.
Innovation in Acute Care: Excellence Series
The goal of the course is to discuss how innovations can be recognized, developed, adopted, and disseminated amongst staff, as well as review areas where innovations are likely to change the provision of care. We will also explore the patient’s role in innovation, and how patient and family-centered care will drive ongoing changes.
Review the process of innovation development and dissemination.
Summarize innovations that are modifying the current healthcare environment.
Discuss the nurse, patient, and family roles in the future of care delivery.
Introduction to Fetal Heart Monitoring
This course provides an introductory overview of intrapartum fetal monitoring, including the maternal-fetal oxygenation pathway, assessing uterine activity, and recognizing, interpreting, and managing FHR patterns.
Define the characteristics of FHR and uterine activity obtained via auscultation, palpation, and EFM methods.
Interpret electronic FHR and uterine patterns.
Recall key physiological and anatomical aspects of maternal-fetal circulation and select risk management strategies related to fetal monitoring.