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The Use of Telehealth in Clinical Practice
Telehealth offers numerous benefits and poses several challenges when used to treat behavioral health conditions. Many challenges can be addressed through specific problem-solving and communication strategies.
This course provides an overview of telehealth as well as a discussion of both benefits and challenges. You will learn the regulatory issues you should consider when preparing and implementing a telehealth practice. Lastly, this course highlights important strategies to develop rapport and promote engagement when treating clients via telehealth.
Describe telehealth, including the benefits and challenges for service delivery using different formats.
Identify three ways to address challenges and optimize service delivery via telehealth.
Explain at least three standards providers must follow to deliver telehealth services in compliance with federal and state regulations.
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.
Age-Specific Competencies in Patients
Age-specific competency is not only a regulatory requirement but a professional necessity. Patients of differing ages are prone to different risks and have specific needs. For instance, infants require lots of attention; toddlers require constant supervision; and older adults depend on healthcare professionals (HCPs) to help them avoid potentially life-threatening complications. Nurses who have developed age-specific competencies are sensitive to these needs and risks. They are also adept at assessing, diagnosing, planning, implementing, and evaluating the care for these patients. Ensuring staff members are competent in caring for patients of differing ages is one important way that healthcare organizations ensure safe, high-quality care.
The goal of this course is to provide nursing professionals and health educators in acute care with an overview of age-specific competency requirements needed when planning and delivering healthcare.
Discuss the importance of age-specific and cultural competence when caring for pediatric and adult patients.
Identify the stages of growth and development for pediatric and adult patients.
Indicate clinical considerations for pediatric and adult patients.
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.
Medication Error Prevention
Medication errors and substandard care occur often in today’s complex healthcare organizations. High-reliability organizations remain alert to potential errors and ways in which they can be prevented, regardless of how few adverse events occur. Healthcare organizations with a culture for patient safety focus on identifying the cause of errors and applicable prevention strategies rather than blaming or punishing the people involved in an error. Organizations that focus on patient safety in this manner have higher rates of error reporting and are better positioned to address problems at the systems level.
The goal of this course is to educate healthcare professionals about approaches to prevent medication errors.
Discuss how a culture of patient safety influences reporting and resolving errors.
Define the types of medical errors and their impact on healthcare.
Explain strategies to reduce medication errors.
Infection Prevention Strategies for Healthcare Professionals
Healthcare professionals are responsible for implementing infection prevention techniques. This course reviews how pathogenic organisms spread in healthcare settings, infection prevention strategies for healthcare professionals, and occupational health strategies to control the spread of infectious and communicable diseases.
The goal of this course is to provide nursing and medical assistant professionals in the healthcare setting with a general overview of infection prevention strategies.
Indicate how pathogenic organisms may be spread in healthcare settings.
Recall infection prevention strategies healthcare professionals should employ in the work setting.
List occupational health strategies specific to preventing human immunodeficiency virus (HIV), hepatitis B virus, and tuberculosis (TB) in healthcare providers, and resources for evaluation of healthcare professionals infected with these organisms.
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.
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.
IV Therapy Complications
Nurses deliver infusion therapy to millions of patients in hospitals, home healthcare settings, long-term care facilities, outpatient clinics, and physicians’ offices annually. Nursing professionals perform many daily activities involving peripheral catheter insertion and safe delivery of intravenous (IV) fluids and medications. The use of vascular access devices and IV therapy are commonplace in the acute care setting. With that said, clinicians must take caution due to the potentially serious and fatal complications that can occur from inappropriate IV fluid or drug delivery. Patient safety requires that nurses institute safeguards to avoid complications associated with IV treatment.
Discuss the maintenance and complications of peripheral IV (PIV) therapy.
Identify drugs that can cause tissue damage if extravasation occurs.
Recall the components for documenting a peripheral IV insertion.
Management of Needlestick Injuries
Needlestick injuries continue to pose a threat to all healthcare professionals (HCPs). While HIV was once the most concerning organism, today, hepatitis B and C take precedence (King & Strony, 2022). Regardless of circumstances, more than 90% of sharps injuries are preventable (International Safety Center [ISC], n.d.). Therefore, all healthcare clinicians must be diligent to avoid injury even in busy and stressful working conditions. This module will review the current literature on managing the most common bloodborne pathogens (BBP) transmitted by needlestick injuries and evaluating post-exposure prophylaxis.
Discuss procedures to follow after a needlestick or sharps injury.
Identify factors that can lead to a needlestick or sharps injury.
Identify factors that can prevent a needlestick or sharps injury.
The Impact of Psychedelics
This course will provide healthcare professionals in the acute care setting with an introduction to the use of psychedelics for the treatment of behavioral health conditions. Healthcare professionals will learn about the types of agents used, their indications, benefits, and their associated risks and side effects.
The goal of this course is to provide health care professionals in the acute care setting with an introductory review of novel therapeutic agents used to treat behavioral health conditions.
Recall how psychedelics are used to treat behavioral health disorders and how they impact symptoms of behavioral health disorder.
Identify the potential risks and side effects of psychedelics.
Recognize whether an individual is a good candidate for psychedelic treatment for behavioral health symptoms.
Culture and Women's Health
According to the U.S. Census Bureau, minority groups will outnumber what is now considered mainstream culture by the middle of this century. Healthcare professionals need to heighten their awareness about the importance of role, culture, and tradition in preventing and treating women’s unique healthcare problems. When there is a lack of cultural sensitivity in communication, patients are less likely to be content with their healthcare experience, increasing the likelihood of miscommunication and possible cultural disparities. These factors can also cause non-compliance with treatment, worse health outcomes, and a higher incidence of adverse events.
The goal of this course is to equip healthcare professionals with knowledge of the impact of culture on women’s health beliefs and practices and their responses to current approaches to care.
Recall different cultural practices that impact women in various stages of life. Identify two cultural practices that interfere with women’s health. Recognize ways to provide culturally competent care to women.
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.
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.
Central Arterial Aneurysms: Types and Management
Aneurysms can be deadly and can come on suddenly. Knowing what to do to help your patient with an aneurysm could be the difference between life and death for them. Early detection and management are the best tools to prevent a fatal outcome. Healthcare professionals should know what an aneurysm is, which of their patients are at highest risk, the signs and symptoms of an aneurysm, and how to manage an emergency rupture. This course focuses on central arterial aneurysms of the abdominal and thoracic aorta.
Recall concepts associated with vascular physiology and types of aneurysms.
Recognize clinical manifestations of central arterial aneurysms and associated risk factors.
Apply common techniques for managing patients with abdominal and thoracic aneurysms, pseudoaneurysms, and dissections.
Opioid Prescribing, Chronic Pain, and Opioid Use Disorder
The emphasis on pain management to improve quality of life and function has contributed to a significant increase in opioid prescriptions. As such, there has been a concurrent increase in risk of misuse and abuse. While opioids are highly effective for pain relief, closer attention to the risk versus benefit analysis has led to guidelines that prefer nonpharmacologic and nonopioid pharmacologic therapy over opioids, especially for chronic pain. Clinicians must carefully monitor the patient and be alert for signs that risks outweigh benefits of opioids. This course will address issues related to opioid prescribing, chronic pain, and opioid use disorder.
Discuss considerations and guidelines for prescribing controlled substances.
Describe patient evaluation and education for a safe and effective pain treatment plan.
Implicit Bias for the Healthcare Professional
Recent movement toward diversity, equity, and inclusion (DEI) is encouraging for historically overlooked individuals. It brings a variety of frequently ignored perspectives and experiences, but it has also uncovered the depth of implicit biases.
Biases are among the most significant factors for healthcare. This course presents the impact of implicit biases and other forms of discrimination on the provision of healthcare, as well as best practices to reduce implicit bias.
The goal of this course is to provide healthcare employees with training about implicit bias in healthcare.
Define implicit bias.
Describe the impact of historical discrimination on the provision of healthcare.
Identify methods of evaluating the presence and extent of implicit bias.
Describe measures that can be taken to reduce implicit bias.
Wellness Strategies that Support Addiction Recovery
Substance use is linked to millions of deaths worldwide each year (Ritchie & Roser, 2019). Supporting individuals’ long-term recovery from substance use can help save lives. Recovery is a lifelong process that aims to keep an individual substance-free while improving their overall quality of life. Wellness strategies enhance recovery outcomes by focusing on optimal health across all dimensions of an individual’s life.
Discuss how wellness approaches can positively impact recovery from substance use disorders.
Recognize the eight dimensions of wellness.
Identify wellness strategies to facilitate long-term recovery from substance use disorders.
Antibiotic Stewardship Programs: Core Elements
Antibiotic stewardship is a movement to improve antibiotic use through evidence-based practice. Team members become the stewards of antibiotics. This helps these medications continue to effectively fight infections. Antibiotic stewardship follows core elements to improve the use of antibiotics and their outcomes. This course discusses the core elements and benefits of an antibiotic stewardship program.
Describe the elements of an antibiotic stewardship program.
Identify at least three benefits of antibiotic stewardship.
An Update on Bariatric Surgery
The goal of this course is to equip nurses in the acute care setting with knowledge of the different bariatric surgical options and the psychosocial, metabolic, and physiological issues that patients may encounter before and after bariatric surgery.
Recall the different bariatric surgical options available for patients with obesity.
Identify psychosocial and quality-of-life issues affecting patients before bariatric surgery.
Recognize metabolic, physiological, and psychological changes that can occur in patients after bariatric surgery and the role nurses have in their care.
Cultural Competence: Values, Traditions, and Effective Practice
Culturally appropriate interventions must be utilized when working with culturally diverse clients and patients. Cultural competency goes beyond having knowledge of traditional cultures. This course discusses how cultural competency functions to deliver culturally competent care related to diet and nutrition.
The goal of this course is to educate fitness professionals, health education professionals, and nutrition and dietetics professionals with information on developing cultural competency.
Explain the importance of integrating cultural competence into individual and organizational practice.
Identify culturally competent strategies and incorporate them into practice.
Apply knowledge of traditional cultural diets into effective patient teaching.
Managing Coagulopathies
The focus of this course is coagulopathies. In general, the term coagulopathy refers to bleeding disorders. This course will provide a review of the components of a clot. It will also provide you with valuable information about how to care for those with coagulopathies such as immune thrombocytopenia (ITP), disseminated intravascular coagulopathy (DIC), heparin-induced thrombocytopenia (HIT), and warfarin-induced coagulopathy.
The goal of this course is to provide nurses in the critical care setting with a general overview of coagulopathies, including the recognition and nursing management of ITP, DIC, HIT, and warfarin-induced coagulopathy.
Describe the etiology and presentation of DIC, ITP, HIT, and warfarin-induced coagulopathy.
Identify proper nursing care for those with DIC, ITP, HIT, and warfarin-induced coagulopathies.
Identify emergency findings in those with coagulopathies and discuss the appropriate nursing interventions.
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.