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Acute Stroke: Treatment and Outcomes
The Centers for Disease Control and Prevention (CDC) states that approximately 795,000 people within the U.S. experience a stroke annually, and among these individuals, over 75% experience a stroke for the first time (National Center for Chronic Disease Prevention and Health Promotion, 2021). Stroke, a national and international neurological problem, is the fifth leading cause of death in the U.S. and the second leading cause of death globally (World Health Organization [WHO], 2020; American Stroke Association [ASA], n.d.). Nurses need to be informed about the urgency of early treatment to be proactive in educating their communities. They also need to understand the resulting behavioral differences created in right- versus left-hemispheric strokes, and how a lack of knowledge can negatively impact immediate post-stroke care.
Identify the risk factors, causes, and acute treatment strategies of strokes.
Recognize the neurologic deficits associated with left- and right-sided strokes, the significance of post-stroke depression, and the importance of depression screening.
Care Management: Increasing Access and Decreasing Readmissions
Utilizing care management can improve and assist in managing patients with chronic health conditions. Care management provides the opportunity to deliver various medical services to patients recently discharged from the hospital. In addition, care management models in a primary care setting can increase a patient’s access to providers, decrease hospital visits, and reduce readmission.
The goal of this course is to educate case managers, nurses, care managers, and social workers in ambulatory care, acute care, patient-centered medical homes, and behavioral health homes on care management.
Discuss how care management decreases hospital readmissions.
Identify strategies for creating a successful care management program.
Recognize strategies in care management that increase access to healthcare providers.
Recovery Principles and Practices in Behavioral Health Treatment
This is an exciting time to work in the field of behavioral health treatment. The field has changed dramatically in the direction of operating on the principles of recovery. Recovery treatment involves changing our attitudes and beliefs about serious mental illness and the long-term effects of these illnesses over the lifespan to reflect the belief that recovery is the expected outcome. The field continues to expand into areas of advancing the integration of mental health to physical health, connecting to multiple dimensions of wellness and alternative medicine, as well as incorporation of peer recovery specialists. Each of these areas supports the recovery of persons with behavioral health issues.
Recall the defining principles of the wellness and recovery movement in the treatment of persons with serious mental illness (SMI).
Indicate at least three ways you can align your practices with the guiding principles of recovery when working with individuals with SMI.
Identify three things you can do to help individuals overcome the stigma of diagnosis of SMI.
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.
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.
The Role of Risk Management: A Quality Perspective
The role of risk management has a significant impact on the quality outcomes of acute care organizations. It includes systems and validated processes aimed at assessing and developing interventions to mitigate risk factors and optimize quality outcomes. HCPs are stakeholders in the risk management process and can benefit from understanding risk management strategies and objectives. In this course, you will learn about risk management in the acute care setting.
The goal of this course is to provide healthcare professionals in acute care settings with information to enhance their understanding of the role they play in risk management along with proven strategies for ensuring quality outcomes in their professional practice in acute care settings.
Identify the importance of risk management, the processes, and tools used in risk management in the acute care setting.
Identify at least two concrete strategies for enhancing quality outcomes.
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.
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.
Bowel Ischemia, Perforation, and Obstruction
Bowel ischemia, infarctions, perforations, and obstructions are serious conditions that require prompt recognition and interventions to prevent severe complications and death. There are several underlying conditions that predispose patients to these conditions, for which education and risk modifications are crucial.
The goal of this course is to equip nursing professionals in acute care with knowledge of risk factors, signs and symptoms, and management strategies for bowel ischemia, infarction, perforation, and obstruction.
Identify anatomical and physiological aspects of the intestines associated with bowel ischemia, infarctions, perforations, and obstructions.
Describe risk factors, causes, signs/symptoms, management, treatment, and complications of bowel ischemia, infarctions, perforations, and obstructions.
Multiple Sclerosis: Treatment and Care Considerations
It is estimated that there are more than 2.8 million people worldwide living with multiple sclerosis (MS). In the United States, there are almost 1 million people living with the disease (National Multiple Sclerosis Society [NMSS], 2020). MS is a chronic, progressive autoimmune disease of the central nervous system (CNS) caused by damage to the protective myelin sheath covering neurons. MS lesions, or plaques, disrupt electrical impulses from neurons in the CNS to muscles that can affect mobility, elimination, energy, vision, and other functions (DynaMed, 2022).
Recall the overarching disease pathophysiology and main symptoms with discernable interventions of MS.
Identify the disease classifications and the diagnostic algorithm, including the McDonald Criteria for MS.
Review therapeutic approaches for treating the underlying disease of MS.