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Shoulder Dystocia: Teamwork and Training
This content is intended for all members of the obstetric team and is based on the educational theory that team performance is enhanced when all members of the team have the same understanding of the task and procedure to be performed.
Enhance situational awareness for patients at increased risks for shoulder dystocia (SD). Design a team-based SD simulation drill. Improve obstetrical team performance through enhanced cooperation in deliveries complicated by SD. Review methods to enhance communications with teams.
Social Determinants of Maternal-Fetal Health
The goal of this course is to educate nurses and physicians about key social determinants of health (SDOH) and health disparities affecting maternal and fetal outcomes.
Identify at least four social determinants/disparities of health impacting maternal-fetal health outcomes.
Describe at least two clinical and/or social support interventions to be used in clinical practice to decrease bias regarding social determinants and improve maternal-fetal health outcomes.
CEN: Communicable Diseases
he purpose of this course is to inform the emergency nurse of communicable diseases, including a comprehensive assessment and appropriate interventions.
Identify alterations in the biological, physiological, and psychological status of patients experiencing communicable disease emergencies.
Describe a comprehensive plan for the care of communicable disease conditions including diagnostic and treatment interventions, and patient education.
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.
Neonatal Respiratory Emergencies
Neonatal emergencies are frightening and challenging to almost all acute care providers. Recognizing the presentation of common neonatal respiratory emergencies is essential to acute care providers. This issue will focus on the neonate and provide a succinct review of respiratory emergencies pertinent to clinical practice and board preparation/review.
The goal of this course is to present healthcare providers in the acute care setting with a succinct review of neonatal respiratory emergencies.
Know the anatomy and pathophysiology relevant to emergency management of neonatal respiratory emergencies.
Know the indications and contraindications for acute management options for neonatal respiratory emergencies.
Plan the key steps and know the potential pitfalls in the acute management of neonatal respiratory emergencies.
Recognize the complications associated with the acute management of neonatal respiratory emergencies.
Outpatient Risk Identification and Stratification for Opioid Misuse
This course explores the risk factors for opioid misuse and reviews the classification of opioid use disorder. It also provides an overview of assessment and management tools and strategies that can be employed to ensure safe and effective pain management for patients using opioid medications.
Recognize the prevalence of and risk factors for opioid misuse.
Identify three evidence-based assessment tools to determine risks for individual patients
Boundary Risks for Behavioral Health Paraprofessionals
Boundaries are important in guiding acceptable and unacceptable interactions. People working in service or care professions are often in situations where the lines between a professional and social relationship become blurred. Setting and keeping professional boundaries are key to protecting your clients, yourself, and the service or care process. The goal of this course is to provide paraprofessionals in health and human services settings with information about professional boundaries, boundary crossings and violations, and situations when crossing a boundary may be acceptable.
Define professional boundaries.
Differentiate between a social relationship and professional relationship.
Explain three differences between a boundary crossing and a boundary violation.
Identify three considerations when deciding whether it is appropriate to intentionally cross a professional boundary.
Clinical Management of Category II Fetal Heart Tracing
Three different obstetrical scenarios, complicated by a Category II Fetal Heart Rate pattern, are presented to illustrate the importance of clinical context when formulating management plans. Emphasis, characteristics, and potential etiologies of Category II fetal heart rate tracings are reviewed. Management of the patient with a Category II fetal heart rate pattern is discussed, with special emphasis on the importance of the clinical context and fetal heart rate pattern evolution.
Describe characteristics of Category II FHR tracings.
Identify common etiologies for Category II FHR tracings during labor.
Examine clinical interventions for Category II FHR tracings.
Review the etiology-based management of Category II FHR tracings.
Perioperative Series: Intro to Perioperative Nursing
As defined by the Association of periOperative Registered Nurses (AORN) (2019), the perioperative nurse’s goal is to help patients achieve or exceed the level of well-being they had at the pre-procedural baseline. The nurse is required to have the clinical knowledge, judgment, and clinical reasoning skills necessary to safely plan, deliver, and evaluate care for surgical patients.
The goal of this course is to equip perioperative nurses with knowledge of the nursing process and the roles and responsibilities within the perioperative team.
Identify the perioperative nursing process throughout the phases of surgery.
Define the roles and responsibilities of the members within the surgical team and the AORN standards of perioperative practice.
Nurse Self-Advocacy in Perilous Working Conditions
The nursing profession is fraught with anxiety and intimidation, which hinders the ability of nurses to assert themselves, voice their needs, and advocate for their patients. New or inexperienced nurses may encounter significant challenges related to their work environment and may need support and education to learn how to recognize unhealthy work environments and affect positive change.
The goal of this course is to teach new nurses how to recognize unhealthy work environments, as well as how to advocate for themselves and practice self-care.
Identify barriers to a healthy work environment and differentiate between different forms of violence.
Apply strategies to promote a healthy work environment.
Recognize signs of burnout and practical self-care strategies.
Perioperative Series: Common Obstetrics and Gynecological Procedures
Obstetrical and gynecological surgery is a vast field that involves surgical intervention to manage and treat disorders of the female reproductive system. About 1 out of every 3 women will undergo a hysterectomy by the age of 60 and more than 70% of American women will develop uterine fibroids by the age of 50 (The Center for Innovative GYN Care, n.d.). The demand for knowledgeable perioperative providers who can care for these patients undergoing obstetrical and gynecological surgery continues to grow.
The goal of this course is to educate nurses and STs about common gynecological and obstetrical procedures and perioperative considerations for this specialty.
Discuss anatomy, physiology, and pathological conditions most encountered during common gynecological and obstetrical procedures.
Describe indications and complications of gynecological and obstetrical surgery.
Identify perioperative considerations and interventions for common gynecological and obstetrical procedures.
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.
An Overview of Substance Use Disorders
Substance use is a growing problem across populations. As a helping professional, you need a basic understanding of how substance use affects your clients. This information will help you to provide support and resources to help clients seek treatment and recovery. In this course, you will explore substance use disorders, how they develop, and their impact on individuals. The course also explains your role as a paraprofessional when working with individuals with substance use disorders. You will be provided an overview of evidence-based interventions and the types of substance use treatment programs available, when additional treatment may be necessary. Detailed examples will help you to apply this information in your own work. The goal of this course is to provide paraprofessionals and peer support specialists in health and human service settings with information on substance use disorders and evidence-based interventions.
Explain what a substance use disorder is, how it develops, and how it impacts individuals.
Identify strategies that paraprofessionals can use when working with individuals diagnosed with substance use disorders to encourage behavior change.
Describe the types of treatment that exist for people diagnosed with substance use disorders.
Care for Individuals with End-Stage Neurological Diseases
This course provides detailed information about the pathophysiology, disease trajectory, and unique symptoms experienced by patients with advanced neurological diseases. Learners will identify the clinical features of advanced Parkinson's disease, amyotrophic lateral sclerosis, and Huntington’s disease as well as best practices for symptom management. In addition, the key clinical indicators and symptoms that should serve as triggers to optimally transition a patient with advanced neurological diseases to palliative and hospice care are presented. The unique disease-related stressors for family caregivers are discussed. The goal of this course is to provide nurses in hospice with knowledge of caring for people with end-stage neurological diseases.
Identify specific patterns of progression for three neurological disorders.
Identify five complications related to neurological disorders, including disease-related stressors for family caregivers.
Describe interventions related to end-stage neurological diseases.
Identify triggers to optimally transition a patient with advanced neurological disease to palliative care and hospice.
Understanding Human Trafficking
Human trafficking victims are often concealed by their traffickers; however, studies show that many victims interact with healthcare professionals while they are being victimized. This places healthcare professionals in a unique position to recognize the signs and risk factors of human trafficking and take steps if they suspect a person may be a victim of human trafficking.
The goal of this course is to provide healthcare staff with critical steps to recognize and respond to human trafficking.
Identify the two major types of human trafficking.
Explain how force, coercion, and fraud relate to human trafficking.
Discuss federal laws regarding human trafficking.
Describe at least three barriers to identifying human trafficking.
Identify at least three signs that someone may be a trafficking victim.
Discuss steps to take if you suspect a person is being trafficked.
Treating Opioid Use Disorders Among Adolescents and Young Adults
Opioid misuse is a leading cause of unintentional injury and death among adolescents and young adults (Hudgins et al., 2019). More than 80% of adolescents who die from an opioid overdose do so accidentally, reflecting in part their lack of understanding and underestimation of the dangers inherent in the misuse of opioid medications (World Health Organization [WHO], 2023).
Along with the increased risk of lethal overdose, adolescents who misuse prescription opioids are at increased risk of severe medical complications that necessitate emergency treatment, progression to drugs with even greater potential for lethality such as heroin, and the development of a substance use disorder (Davis et al., 2020).
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 with information on the development, prevalence, and treatment of opioid use disorders in adolescent and young adult populations.
Define the scope of opioid use and opioid use disorders among individuals aged 13 to 25.
Recognize the unique characteristics of screening, assessment, and treatment planning for adolescents and young adults who use opioids.
List evidence-informed practices for treating opioid use disorders in adolescents and young adults.
Improving Practice in the Delivery of Telehealth
Throughout this course, you will gain knowledge about common challenges encountered during telehealth appointments and learn ways to overcome those challenges. You also will learn about effective techniques to communicate, interact, build rapport, and engage with your clients via telehealth. The course will also explore how to improve clinical effectiveness and client outcomes through the use of telehealth within integrated care. Information and vignettes will be blended to offer practical strategies that you can apply in your own setting to use telehealth for adults with behavioral health issues.
Identify common challenges encountered during telehealth appointments and ways to overcome them.
Select effective communication and presentation techniques for providers to build rapport and engage with clients via telehealth.
List at least three ways using telehealth within an integrated care model can improve the efficiencies and client outcomes in behavioral healthcare.
Strategies for Decreasing Medical and Treatment Errors in Behavioral Health
Behavioral health professionals are involved in multiple disciplines, all of which are responsible for the safety of the clients in their care. Although each discipline has its own set of ethics to guide practice, they are generally similar in terms of the importance of avoiding harm to the client.
Client safety requires careful planning and consistent vigilance. Any behavioral health professional can jeopardize client safety by committing a medical or treatment error. While it is unrealistic to think that you can prevent all errors, there are steps you can take to reduce occurrences.
Discuss types of medical and treatment errors in behavioral health.
Describe the causes and consequences of medical and treatment errors.
Identify strategies to address an error and reduce the risk of future errors.
A Review of Traumatic Brain Injury (TBI)
A traumatic brain injury (TBI) is a complex condition that may have short- or long-term effects on a patient. TBIs have a wide array of associated symptoms and disabilities. These may have a significant impact on the lives of patients and their families. Healthcare professionals should be ready to rapidly assess patients with TBIs so that they can be treated promptly.
This course provides strategies to enhance the knowledge and skills of physicians, registered nurses, and physician assistants in recognizing, assessing, and managing traumatic brain injuries, contributing to improved patient outcomes and interdisciplinary collaboration.
Indicate how to assess and diagnose traumatic brain injuries, using both clinical examination and diagnostic tools, recognizing the signs and symptoms that distinguish mild, moderate, and severe TBI.
Apply management strategies for TBI, including immediate interventions, pharmacological treatments, and monitoring techniques, to optimize patient care from acute to rehabilitative stages.
Discuss the importance of using a multidisciplinary approach in the management of TBI to support recovery, minimize complications, and facilitate patient and family education.
Gestational Diabetes: Clinical Management
Increasingly more gravid patients in the U.S. are getting gestational diabetes mellitus (GDM). If well managed, they can still have a healthy pregnancy. It is important for those who work in maternal child health to know all about this condition, what causes it, and how to manage it.
This course provides acute care professionals with basic guidelines for the clinical management of gestational diabetes mellitus.
Discuss pathophysiology, screening, and risk factors for developing GDM.
Determine glucose monitoring and medication management strategies to use intrapartum and postpartum for a gravid patient with GDM.
Identify lifestyle modifications needed for a patient with GDM.
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.
Motivational Interviewing: An Introduction
In this course, you will learn about Motivational Interviewing, an intervention to help people discover their own desire and ability to make difficult changes. Motivational Interviewing (MI) is a way of communicating that draws out people’s own thoughts and beliefs in order to help them address their ambivalence about making a change.
The course uses a blend of instructive information and interactive exercises to help you understand and apply its core concepts. 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 the skills to define and demonstrate the core concepts of Motivational Interviewing.
Describe the overall purpose of Motivational Interviewing and how it impacts the change process.
Recall the key elements of the MI spirit and how these can support clients in the change process.
Define ambivalence, change talk, and sustain talk, and how these concepts relate to MI.
Social Determinants of Health: Overview
Social determinants of health impact the daily delivery, accessibility, and engagement of health improvement efforts. Healthcare professionals must learn how to increase awareness and interest in the determinants and find ways to engage patients, stakeholders, and other clinicians in addressing social determinants of health.
Describe how social determinants of health impact health inequities and inequalities.
Identify strategies to assess social determinants of health that may be affecting the patient population.
Discuss the five domains of social determinants of health.
Social Determinants of Health: Neighborhood and Built Environment
The physical environment in which individuals live has a direct impact on their health and wellness and their ability to access healthcare. Healthy People 2030 identifies neighborhoods and the built environment as a domain of the social determinants of health tied to health outcomes. This course provides an in-depth analysis of this domain and how it affects the health and well-being of patient populations. The four components of neighborhood and built environment include access to healthy foods, quality of housing, crime and violence, and environmental conditions. Clinicians can leverage this knowledge to improve treatment planning for patients and health outcomes.
Identify the four components of neighborhood and built environment domain of social determinants of health.
Recall how neighborhood and the built environment affect overall health outcomes.
Define how clinicians can address issues related to the neighborhood and built environment.
Preventing Medical Errors
You know the medical error statistics all too well, and, at times, they occur too close to home. The purpose of this course is to help you recognize error-prone situations and the factors that impact medical errors so you can prevent them.
Identify at least two types of medical errors.
Describe what risk management is and how it is used to prevent medical errors.
Explain how to use root cause analysis in the prevention of medical errors.