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Perioperative Pediatric Conditions
Perioperative professionals must have a fundamental understanding of the anatomical, physiological, psychological, and emotional differences of children compared to adults and how these differences impact the care needs of pediatric patients in the perioperative period.
Identify anatomical, physiological, psychological, and emotional differences in pediatric patients and how those differences impact care needs in the perioperative setting.
Recognize strategies for preventing and responding to medication errors and adverse drug events involving children in the perioperative setting.
Recall surgical considerations for pediatric patients.
Perioperative Series: Communication in the OR
In the operating room, patient safety depends on high quality communication and shared knowledge among the surgical team. Several factors in this setting can contribute to communication failures like time constraints, shift changes, environmental barriers, the complex nature of surgical procedures, and clashing communication styles. All members of the surgical team must understand the risks to patient safety associated with communication failures, what information must be communicated and when, and how to use an assertive communication style.
The goal of this course is to equip nurses and CSTs with best practices for effectively communicating in the operating room.
Describe best practices for facilitating communication in the OR.
Identify four communication styles and which style is most effective for ensuring patient safety.
List common barriers to effective communication in the OR.
Perioperative Series: Emergencies in the OR
Perioperative providers can BEST prepare for emergencies in the operating room by knowing the responsibilities of each team member and rehearsing interventions ahead of time. When you are in the moment and your heart is racing, it’s easy to forget how to respond or even where supplies are located. Practicing your responsibilities and team interventions ahead of time will help to prepare you for the unexpected. This course provides you with an opportunity to participate in five emergency scenarios to test your knowledge. Time is of the essence when an emergency happens so you must think and act fast to save the patient!
The goal of this course is to equip nurses and STs with knowledge of the responsibilities of the team during a range of OR emergencies.
Recognize evidence-based strategies for treating and preventing a range of OR emergencies.
Describe the roles and responsibilities of members of the surgical team when emergencies occur.
Recall the best practices for improving patient outcomes during an emergency.
Perioperative Specimen Handling
Proper surgical specimen handling is essential for patient safety. This course covers best practices for intraoperative personnel to prepare, label, and transfer specimens accurately. Adhering to these protocols ensures that specimens are identified and handled appropriately, minimizing the risk of harm to the patient.
This course provides OR nurses and surgical technologists with knowledge of best practices for specimen handling.
Describe the considerations and methods of preparing specimens for various pathologic and examination types.
Recall care standards for the appropriate handling, labeling, and transportation of specimens.
Identify common mistakes made during specimen management and prevention methods to avoid these errors.
Postpartum Hemorrhage Management
Worldwide, postpartum hemorrhage (PPH) accounts for high rates of maternal morbidity and mortality. Early recognition is key to good outcomes. Recognizing PPH, its stages, and how to measure blood loss is essential since treatment is based on the stages of hemorrhage. Additionally, it is important to understand nursing interventions, treatments for PPH, and teamwork and communication needs to improve perinatal outcomes.
This course aims to enhance the knowledge of acute care nurses about postpartum hemorrhage, including its causes, risk factors, and medical and surgical management.
Identify the causes and risk factors for postpartum hemorrhage.
Indicate the stages of postpartum hemorrhage.
Recall nursing and medical interventions used during the management of postpartum hemorrhage.
Preceptor: An Overview of the Essentials
The role of a preceptor is vital to an organization’s ability to efficiently and effectively onboard an individual to a new department or work unit. This course is designed to include principles and practices for precepting new employees across healthcare settings. It introduces the learner to the fundamentals of the preceptor role and provides best practices for being an effective preceptor. Preceptors exhibit professionalism and best practices in their work units. Being a preceptor requires skill, talent, and preparation to yield the best outcomes.
Recognize the importance of interpersonal and communication skills for the preceptor role.
Identify the leadership principles and styles of leadership for the preceptor role.
Define self-care and resilience for the preceptor role.
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.
Preventing Medical Errors: Culture of Safety
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.
Describe how the culture of healthcare organizations and the roles of healthcare professionals affect patient safety.
Identify three examples of medical errors and how they may occur.
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.
Psychopharmacology in the Emergency Department
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.
Identify some of the most common medications in each major category, their indications, and their usage in treating mental health disorders.
Recall adverse reactions to psychiatric medications.
Quality Series: Safety First - Culture and Patient Impact
A ‘culture of safety’ is an often-heard term in clinical settings. Most patients require complex care, with many interprofessional teams working together. Large patient volumes, an expectation for rapid delivery of care, the consumer’s ability to choose providers, and government reimbursements all drive acute care facilities to invest in preventing or reducing errors. Improving safety is beneficial to the patient primarily, with less risk of injury or death, but also to the facility and staff, improving retention and job satisfaction, with the added benefit of extensive cost-savings.
Describe the identifying factors and benefits to a culture of safety.
Discuss organizations responsible for driving patient safety changes on a national level.
Evaluate barriers to patient safety, and how these can be reduced or eliminated.
Recognizing and Treating Stroke
By understanding the causes of stroke and how to treat and prevent it, you can make a significant difference in the lives of those you care for. This course will help you identify the symptoms of a stroke and provide you with the necessary knowledge to provide care during and after the stroke.
Recall the pathophysiology of a stroke.
Recognize at least three interventions for someone experiencing a stroke.
Identify strategies for achieving quality of life after a stroke.
Reducing Medical Errors in the Operating Room
Ensuring patient safety in the operating room (OR) requires effective communication, structured protocols, and teamwork. This course examines perioperative communication failures, preoperative verification, site marking, timeouts, and just culture in promoting accountability. Learners will explore evidence-based safety practices and apply structured handoff techniques to improve patient care transitions.
This course provides perioperative nurses and STs with tools to improve communication and safety protocols, fostering a just culture to reduce OR errors.
Explain how effective communication reduces medical errors and contributes to the safe transfer of patient care information.
Discuss evidence-based recommendations from key organizations that support improvements in perioperative safety.
Describe the principles of a just culture and the ten-step process for creating a culture of safety in the OR.
Review of Active Shooter Response
Though active shooter events are rare, it is practical and necessary to be well-prepared for the possibility, especially when you work with the public. Between 2010 and 2020, The Joint Commission (TJC) received 39 reports of active shootings that resulted in 39 deaths at accredited hospitals (TJC, 2021). As a result, the Center for Medicare Services (CMS) and TJC require hospitals to prepare for all hazards, including active shooter or hostage events, and to work with their local law enforcement and emergency response agencies to prepare for and respond to active shooter events. Understanding the risks and motivations behind active shooter events, how your body and mind may respond to stress, and how best to prepare for an active shooter event is the best way to protect yourself and others should the unthinkable occur in your facility.
Identify the definitions, signs, and trends of an active shooter event.
Discuss the appropriate response to an active shooter situation.
Evaluate ways in which training and preparation can be incorporated into institution protocols.
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.
Septic Joint: Diagnosis and Treatment
Septic arthritis is caused by infection and inflammation in the joint and can result in significant damage to the joints. Early recognition and treatment are critical to the preservation of joint function. This course will discuss how to quickly identify and treat septic arthritis.
The goal of this course is to provide physicians, nursing professionals, and radiologic technologists with information about septic arthritis.
Recall how septic arthritis is acquired and its typical presentation.
Identify the laboratory and radiological tests used to make a diagnosis of a septic joint.
Recognize the principles of septic joint treatment.
Sexual Assault and Rape for Healthcare Professionals
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.
Recall important aspects of sexual assault and its impact on the survivor.
Indicate the role of the healthcare provider in identifying and caring for survivors of sexual assault.
Shoulder Dystocia in the ED
Shoulder dystocia is an obstetric emergency. To prepare for this rare occurrence, your healthcare team should be knowledgeable about the risk factors, potential complications, and the management of shoulder dystocia. In addition, emergency professionals should develop strategies to help their healthcare team prepare for this rare event.
Identify the risk factors, potential complications, and interventions of shoulder dystocia.
Recall strategies to prepare your healthcare team for a shoulder dystocia emergency.
Shoulder Dystocia: Management and Prevention
Nearly half of all cases of shoulder dystocia occur in the absence of risk factors, making them largely unpredictable and unpreventable. Perinatal morbidity and mortality rates associated with shoulder dystocia are high, even when properly managed.
Although shoulder dystocia is considered an obstetric emergency, a well-trained obstetric provider and a team of nursing/resuscitation professionals can usually manage it well for the pregnant person and fetus.
Identify diagnosis criteria, risk factors, and complications associated with shoulder dystocia.
Recall management and prevention techniques for shoulder dystocia.
Indicate documentation needed following a birth involving shoulder dystocia.
Shoulder Dystocia: Primary Maneuvers
A review of clinical judgment related to the use of primary maneuvers for managing shoulder dystocia.
Identify the clinical signs of shoulder dystocia and appropriate initial interventions to resolve the complication safely.
Recall risk factors for shoulder dystocia and appropriate tasks to perform following the emergency.
SIADH Management
Syndrome of inappropriate antidiuretic hormone (SIADH) is a condition that occurs when the body produces too much antidiuretic hormone (ADH), which causes fluid retention and electrolyte imbalance. SIADH can have various causes and manifestations and can lead to serious complications if not recognized and treated promptly. This course will provide you with the knowledge to thoroughly assess and manage patients with SIADH in the hospital setting.
Explain the pathophysiology, causes, and diagnosis of SIADH.
Identify the signs and symptoms of SIADH and potential complications.
Review common treatments and nursing interventions for patients with SIADH.
Social and Community Context as Social Determinants of Health
Health outcomes are influenced in myriad ways by an individual’s social environment and their community. For example, community is linked to such outcomes as body mass index, homicide rates, and suicidal behavior (Diez Roux & Mair, 2010; Bharmal et al., 2015; Centers for Disease Control and Prevention [CDC], n.d.). Due to these strong influences on health outcomes, the U.S. Department Health and Human Services Healthy People 2030 campaign identifies social and community context as a domain of the social determinants of health. Social determinants of health are external conditions which exist with the potential to affect a patient’s current and future health, often beyond a patient’s direct control. Of particular importance, however, is how this domain fits into the larger picture of the social determinants of health. The elements in the social and community context have been shown to help negate potentially negative consequences of the other social determinants of health (Bharmal et al., 2015).
Define the components of social and community context in the social determinants of health.
Recognize how components in the social and community context affects overall health outcomes.
Identify problems related to the social and community context in the social determinants of health.
Social Determinants of Health: Impact and Quality of Education
Education access and quality is a pillar of the social determinants of health for Healthy People 2030 (U.S. Department of Health and Human Services, n.d.). This course outlines the effects of education on an individual’s health. The four components of education access and quality include early childhood education and development, high school graduation, enrollment in higher education, and language and literacy.
Identify the components of education access and quality and their effects on health.
Recall patient care and education related to education access and quality.
Substance Use in the Workplace for Managers
Substance use in the workplace carries a stigma, causing difficulties in seeking help and impacting employee satisfaction, turnover, productivity, and insurance claims. Supervisors play a unique role in the success of a drug-free workplace policy. They are often the first to identify a potential problem.
This course provides healthcare professionals, managers, and leaders with an understanding of the competencies needed to identify and manage employees with substance use issues.
Discuss specific indicators that an employee has substance use issues.
Recognize your responsibilities as a manager regarding substance use, including the legal aspects of substance use in the workplace.
Succession Planning: Excellence Series
Nursing remains a top occupation in the U.S., with strong job growth projected through 2032 (U.S. Bureau of Labor, 2024). As healthcare systems evolve, nurses will play an increasingly significant role. With many nurse leaders nearing retirement, preserving their professional and institutional knowledge is crucial. Despite the importance of succession planning for leadership roles, less than 10% of healthcare organizations have a formal process in place (LaCross et al. 2019).
This course provides nurses with knowledge of the importance and development of succession planning for nursing.
Identify the importance of nursing succession planning.
Discuss methods used to establish a succession plan in nursing.