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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.
Managing Mechanical Ventilation
Mechanical ventilation is a cornerstone of critical care, offering life-saving therapy for patients experiencing respiratory failure for many disease processes. Before 2020, it was estimated that over 300,000 patients receive mechanical ventilation in the U.S. per year (NHSN, 2019). That number is now likely much higher considering the COVID-19 pandemic.
Although it is a lifesaving intervention, patients who receive mechanical ventilation are at an increased risk for complications, such as ventilator-associated pneumonia, sepsis, volutrauma/barotrauma, acute respiratory distress syndrome (ARDS), and others. These complications may lead to longer ICU and hospital stays, increased risk of disability and death, and increased healthcare costs. For these reasons, clinicians at every level need to understand the concepts, theories, and practices guiding the management of patients receiving mechanical ventilation.
Describe the underlying physiology that is supported by mechanical ventilation.
Discuss two principles of managing the mechanically ventilated patient
Managing Pediatric Trauma: Interventions
This course is intended to provide nurses with knowledge on interventions for pediatric trauma, including injuries to the head, chest, abdominal cavity, and extremities. Interventions for asphyxiation, drowning, burns, and electrical shock will also be presented. This course is the second part of the Managing Pediatric Trauma series. The first course in this series is Managing Pediatric Trauma: Assessment.
Recall prehospital care and field triage of pediatric trauma patients.
Describe interventions for pediatric patients who have experienced asphyxiation, drowning, burns, and electrical injuries.
Describe interventions for pediatric patients who have experienced trauma to the head, thorax, abdomen, and extremities.
Managing Pediatric Trauma: Assessment
This course is intended to provide nurses with knowledge of pediatric stages of development, mechanisms of injury, and assessment best practices including the pediatric assessment triangle as they relate to trauma.
Describe pediatric trauma care and stages of development as they relate to trauma.
Identify common mechanisms of injury in the pediatric population.
Recall assessment techniques and emergency interventions for pediatric patients who experience trauma.
Management of Respiratory Emergencies in Children
Nurses, respiratory therapists, and emergency medical professionals who care for children must have the requisite skills and training on the unique characteristics of a pediatric patient’s respiratory system. Children have significant respiratory system differences compared to adults. These include, but are not limited to: Anatomy, physiology, signs and symptoms of respiratory distress, and respiratory emergencies. In children, the leading cause of cardiopulmonary arrest occurs from etiologies within the respiratory system. Clinicians must understand these differences and be prepared to work collaboratively to quickly respond and provide safe and competent care to any child who is in respiratory distress.
Describe the anatomy and physiology of the pediatric respiratory system and differences vs. adults.
Recall techniques for conducting a focused assessment of the respiratory system in pediatric patients and interventions for facilitating assessments and treatments.
Identify clinical manifestations of respiratory distress in pediatric patients.
Recognize conditions associated with respiratory emergencies in pediatric patients including treatments and interventions.
Perioperative Series: Anesthesia and Medication Management
Anesthesia administration has become increasingly safer, but is not without risk. Patient- and family-centered care and the desire to save costs has led to a shift in perioperative care needs from “stabilize and admit” to “stabilize and discharge.” Each patient undergoing anesthesia requires competent, professional nursing staff to assist in timely and safe medication administration, maintenance, and recovery. Knowledge of anesthetic techniques, agents, and adjuvants is vital to this competence.
Define the different types and stages of anesthesia.
Describe anesthetic agents and adjuvants commonly used for the perioperative patient.
Identify perioperative preparation, complications, and nursing interventions.
Emergency Management of Abdominal Pain
Abdominal pain is the single most common ED complaint (up to 10% of visits) and is in the top four for emergency medicine litigation. Emergency providers must be proficient in diagnosing abdominal pain to provide excellent care to patients and reduce their risk of being named in litigation. This course will address abdominal pain diagnosis and treatment in the ED for the elderly, adults, children, and young women (of childbearing potential).
State the evaluation of abdominal pain in the elderly.
Recognize the approach to abdominal pain in the post-bariatric surgery patient.
Discuss the presentation of testicular torsion.
Describe the scoring systems for appendicitis in adults and children.
Assess the non-abdominal causes of abdominal pain.
Anesthesia: Perioperative
The perioperative nurse plays a primary role in the anesthesia experience. Knowledge of techniques, patient assessment, and care management for the patient receiving or recovering from anesthesia positively impacts patient outcomes. This course discusses anesthetics and adjuvant medications used in the perioperative setting, anesthesia-related complications, and the nurse’s role in assisting with anesthesia management.
This course provides nursing professionals with information about the principles and practices of anesthesia care in the perioperative setting.
Identify the stages and types of anesthesia, and associated medications commonly used in the perioperative setting.
Recognize important assessment areas and nursing interventions for the perioperative patient receiving or recovering from anesthesia.
Describe complications of anesthesia and their treatments.
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.