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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.
Addressing Trauma and Stressor Related Disorders
About 70% of adults in the U.S. have experienced at least one traumatic event (Sidran Institute, 2018). Most overcome their trauma responses without formal intervention. Others, however, experience persistent symptoms that need formal intervention. The goal of this course is to provide addiction, behavioral health counseling, marriage and family therapists, nursing, psychology, and social work professionals in health and human services settings with information on how to assess and treat trauma- and stressor-related disorders.
Recognize common symptoms that individuals may have in response to experiencing trauma.
Identify at least three tools that can help screen and assess for trauma-related disorders.
Determine which interventions would be most relevant for someone with a trauma-related disorder.
Bias in Healthcare
All healthcare professionals must be aware of bias and the challenges that bias can create in healthcare. This includes knowing some of the challenges people face with the healthcare system. In this course, you will learn best practices to help recognize and manage bias.
Define bias.
Identify how biases can affect healthcare.
Describe steps that can help decrease barriers created by bias.
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.
Communicating with Patients with Limited English Proficiency
Within healthcare, a patient with limited English proficiency (LEP) is an individual whose primary means of communication is not English and who has a limited command of the language in reading, writing, speaking, or understanding (Office for Civil Rights, 2016). These patients need the careful attention of healthcare personnel to ensure the safety and quality of care. Healthcare professionals should understand regulations and standards related to patients with LEP, such as the use of an interpreter for communication.
The goal of this educational program is to improve the ability of the healthcare team to provide quality care and better outcomes for patients with limited English proficiency (LEP).
Recall the importance of medical interpretation services for patients with LEP.
Identify regulatory, accreditation, and evidence-based standards related to patients with LEP and linguistic services.
Choose strategies for effectively communicating with patients with LEP, including best practices when using an interpreter.
Cultural Competence and Healthcare
Cultural competence in healthcare refers to the delivery of quality care. It refers to meeting the needs of people with disabilities, members of the LGBTQ+ community, and those from diverse socioeconomic and cultural backgrounds. Cultural competence must be a two-way system to benefit people with differing beliefs, attitudes, values, and behaviors. This course discusses cultural competence and how organizations can use cultural competency to create an atmosphere of inclusion.
Define cultural competency.
Describe the role of cultural competency in healthcare.
Cultural Perspectives in Childbearing
As the population of the U.S. soars in diversity, healthcare professionals must be prepared to care for childbearing families from many different cultures. All cultures and families should be given the same respect, be assured of the highest quality of care, have their religious, ethnic, and cultural values respected and integrated into their care, and have their physical and educational needs met in a way that honors their spiritual beliefs and individuality. Knowledge of the cultures one is serving and the influence they have on women’s perceptions of childbirth are important for achieving positive outcomes. Equally and perhaps more important is applying the principles of cultural humility to nursing care.
The goal of this continuing education course is to improve the ability of nurses and health educators in acute care settings to assess and meet the sociocultural needs of childbearing families of diverse cultural and social groups.
Recall the relationship of culture, subculture, acculturation, assimilation, ethnocentrism, cultural relativism, and cultural humility to healthcare practice.
Recognize elements of cultural assessment and respectful maternity care that can improve quality of care and meet the unique needs of culturally diverse families.
Culture and Mental Health
Culture affects how individuals talk about and recognize their mental health symptoms. It also affects how providers conceptualize and work with individuals with diverse backgrounds. It is important to recognize how culture influences the ways individuals and providers approach mental health. Healthcare providers should be encouraged to use interventions and strategies that assist in delivering culturally competent care.
This course will examine the reasons for healthcare disparities among culturally diverse individuals, how both the cultural backgrounds of patients and their providers can impact patients’ mental health outcomes, and what kinds of actions providers can take to provide more effective care to patients of diverse cultures.
Distinguish between some of the different assumptions and values that mental health providers and individuals hold, which influence their approaches to mental health. Explain why patients of diverse cultures with mental health needs are encountering disparities. Select assessment and intervention strategies that promote culturally competent care.
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.
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.
DEI: An Introduction to Multicultural Care
Increasing awareness of cultural diversification has challenged traditional institutions and practices. This includes the delivery of treatment services. Outcome studies have consistently demonstrated the need for change in the way that healthcare and other services operate. Awareness of and sensitivity to cultural issues are critical to establishing a positive relationship with the people you are serving and ensuring beneficial treatment outcomes.
Identify three primary reasons why a commitment to diversity, equity, and inclusion is critical for providing quality care and improving outcomes for individuals with behavioral health needs.
Summarize ways you can identify and mitigate the impact of bias in your professional interactions.
Indicate at least three approaches you can use to demonstrate cultural humility and a commitment to diversity, equity, and inclusion.
Domestic Violence Awareness for Healthcare Personnel
Nurses encounter victims of domestic violence or intimate partner violence regardless of where they work. Those who practice in offices, hospitals, clinics, homes, or facilities must be aware that living with domestic violence may be part of a person’s daily life. Even though education for healthcare professionals and routine screening in EDs is mandated, many abused people do not receive needed support. Nurses are able to recognize and help victims, yet do not necessarily receive education about domestic violence. This updated CE module provides information nurses need to increase their understanding of and provide support to people experiencing domestic and intimate partner violence.
Disclaimer: Images in this course depict violence that has been inflicted on children and adults. They may be disturbing to some learners.
List steps ensuring the safety of abused women who decide to leave an abusive environment Identify the role of intimate partner advocacy in helping victims or survivors to understand that physical, sexual, or emotional abuse is not their fault but an issue of power and control. Relate direct and indirect questions that broach the subject of violence and abuse with patients, partners, and family members to screen for abuse. Identify risk factors, signs, and symptoms associated with abuse and neglect across the lifespan.
Economic Stability: Social Determinants of Health
Economic stability is defined as a domain of social determinants of health in the Healthy People 2030 campaign. It relates to an individual’s ability to access resources such as food, adequate housing, and healthcare. Each component of economic stability, including poverty, employment, food security, and housing stability, is linked to individual health outcomes.
Describe the four components of economic stability.
Explain how economic stability affects health and health outcomes.
Identify strategies for helping patients overcome barriers to economic stability and how they positively impact health outcomes.
Forensic Evidence Collection
Forensic evidence connects the scene, the survivor, and the suspect together to assist the justice system in solving crimes. Crucial parts of evidence collection include knowing the correct procedures to preserve evidence and prevent contamination. Patients presenting to the emergency department with injuries requiring forensic evidence collection are often afraid and distressed. Healthcare professionals should know how to care for their emotional needs as well as their physical ones.
Identify the fundamentals of survivor-centered care. Recall important elements of documentation in forensic medical care. Define the essential components of forensic evidence collection.
Human Trafficking: A Growing Epidemic
Human trafficking is a significant issue in the U.S. and worldwide. 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.
Identify the two major types of human trafficking. Recall how force, coercion, and fraud relate to human trafficking.
Recognize federal laws regarding human trafficking.
Select at least three barriers to identifying human trafficking.
Identify at least three signs that someone may be a trafficking victim.
Prioritize steps to take if you suspect a person is being trafficked.
Identifying and Responding to Child Abuse and Neglect
This course will teach you about the various types of child abuse and neglect that are currently the most common, and the physical and behavioral warning signs that may accompany different kinds of child maltreatment. You will learn some general guidelines for mandatory reporting and how you can find out the specific reporting requirements of your particular state.
Identify the behavioral and physical signs of abuse and neglect.
Describe the role of the mandated reporter and where to access state-specific rules related to mandated reporting in your state.
Identifying and Responding to Intimate Partner Violence
Intimate partner violence (IPV) affects thousands of people each year. It affects people from all social and economic backgrounds, ages, sex, genders, sexual orientations, race, and ethnicities. Those who experience IPV often suffer adverse social and health outcomes that make early recognition, identification, and response a priority for professionals working in healthcare and health and human services.
Identify five types of IPV and five dynamics of survivor and perpetrator relationships.
Recall at least four types of risk factors and protective factors of IPV.
Identify best practices and key considerations for the assessment and treatment of IPV.
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.
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.
Lockout/Tagout Procedures
Every year, workers are injured or killed when the equipment they are working with unexpectedly turns on or the residual energy stored in the equipment is released. Lockout/Tagout, or LOTO, is a set of procedures used to control hazardous energy during the service or maintenance of machine and equipment. The aim of LOTO procedures is to protect workers from the release of hazardous energy.
The goal of this course is to provide all staff with an overview of lockout/tagout procedures.
Explain key principles of lockout/tagout and why they were implemented.
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.
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.
Minimizing Trips, Slips, and Falls
This course is about workplace slip, trip, and fall hazards. It alerts you to the serious consequences that can result even from a simple fall or a near fall and provides information about measures that can help you prevent these incidents and reduce potential injuries.
Identify common hazards that might lead to trips, slips, and falls.
Explain how to prevent injuries from trips, slips, and falls.
Natural Disasters and Workplace Emergencies: Earthquakes and Tsunamis
Earthquakes and tsunamis unleash powerful forces of nature. They cause catastrophic infrastructure and property damage and can result in tremendous loss of life. This course presents some basic facts about earthquakes and tsunamis, including considerations for preparedness and protective actions.
The goal of this course is to provide all staff with a basic overview of earthquakes and tsunamis.
Explain where and how earthquakes and tsunamis occur.
Identify potential hazards before an earthquake.
Employ protective actions to enhance safety during and after an earthquake or tsunami.
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.