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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.
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.
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.
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.
HCAHPS: Transitions of Care and Discharge
Improving hospital processes surrounding discharge and transitions of care can reduce adverse events and readmissions. Process improvements may also lead to better patient adherence to the treatment plan and their overall experience with care. Healthcare professionals must understand care coordination and transitions of care and how they impact HCAHPS survey results.
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is a national standardized survey required for hospitals participating in Centers for Medicare & Medicaid Services (CMS) programs. Survey results are linked to hospital reimbursement from CMS.
Identify the impacts of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and Hospital Value-Based Purchasing (HVBP) programs on healthcare organizations.
Categorize transitions of care, care coordination, and discharge planning.
Select strategies to improve interprofessional teamwork.
Foundations of Care Coordination in Healthcare
Healthcare in the U.S. is fragmented and exorbitantly expensive. Many patients find themselves developing one or more chronic diseases but have little knowledge of how to navigate the healthcare system to receive appropriate care. Many times, these same patients have no insurance or are underinsured, making them less likely to have access to the resources needed.Care coordination is a deliberate process shown to decrease healthcare costs while improving the health of the patient. This course will provide additional information on the process of care coordination including the various components of care coordination, ideas on how to initiate a care coordination process, and practical applications for current practice.
Recall the meaning of care coordination and the primary types of activities that it encompasses. Indicate at least three ways that effective care coordination benefits your clients. Identify strategies you can use to enhance care coordination to maximize the benefits of services for your clients.
HIPAA and Confidentiality for Licensed Professionals
The federal Health Insurance Portability and Accountability Act (HIPAA) was implemented in 1996 and has evolved significantly. While HIPAA regulations have many varying components, the part of HIPAA most relevant to healthcare professionals, however, centers around the protection of an individual’s healthcare information. Because you play a key role in the production of healthcare information, you play a key role in its protection.
The goal of this course is to provide licensed professionals with an understanding of HIPAA, privacy, and security.
Describe the intent of HIPAA. Apply professional practices that protect privacy. Recognize practices that protect the security of electronic protected health information.
Managing Peripheral Artery Disease
The goal of this course is to provide the clinician with up-to-date best practices for identifying and treating patients with PAD. It includes symptoms, complications, risk factors, and modifications of PAD. In addition, diagnostic tests, assessment, and treatment strategies will be discussed.
Identify risk factors and complications related to PAD.
Discuss two assessment findings and tools used to diagnose PAD.
Describe two disease management and education techniques for patients with PAD.
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
EMTALA Requirements
The Emergency Medical Treatment and Active Labor Act (EMTALA) was enacted to prevent patient dumping by hospitals seeking to avoid unrecoverable costs of care for patients without insurance or the ability to pay for medical services. Language within the statute has led to inconsistencies in how it has been interpreted. Patient dumping and inappropriate medical screening examinations (MSEs) are the most common reasons for EMTALA violations (Ladd & Gupta, 2021). This course will describe how key terms are currently interpreted and how they apply to hospitals with a dedicated emergency department (ED). In addition, learners will have an opportunity to review cases where EMTALA violations were alleged and judgments applied by the courts.
Define key terms and requirements associated with EMTALA.
Describe how EMTALA applies to certain situations.
Medical Approaches to Identifying and Treating Alcohol Use Disorder
Alcohol use disorder is a primary health condition that interacts with and complicates many other health problems and psychiatric disorders. Unfortunately, only a small number of people with alcohol use disorder receive appropriate treatment for substance use issues. The incorporation of screening for alcohol use disorders in a general medical setting can significantly increase the number of individuals with alcohol use disorders who are identified and treated. The U.S. Food and Drug Administration (FDA) has approved 4 medications to treat alcohol use disorder, making treatment in primary care and other general medical settings a viable alternative to specialty care. This course will give you valuable information about these medications as well as several medications used off-label.
Identify strategies you can use to more effectively identify alcohol use disorder in a medical setting.
Recall factors that indicate someone may be a good candidate for medication-assisted treatment of alcohol use disorder as well as factors that suggest this approach is contraindicated.
Discuss the common medications used to treat alcohol use disorder, their benefits, and potential side effects.
Best Practices for Interviewing Patients
The patient interview is the most important part of your exam. Gaining the patient’s perspective and learning more about issues important to them can guide you in developing patient-specific care plans. This course will discuss how to conduct patient-centered interviews. You will learn interviewing methods to effectively elicit the important details about a patient's reason for presenting to the clinic. Information will also be presented on how to approach challenging situations that arise during patient encounters.
Recall at least four ways you can facilitate rapport, engage patients in effective interviews, and facilitate discussions that guide quality treatment for your patients.
Indicate at least three strategies you can use to overcome common challenges that arise when interviewing patients.
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.
Pediatric Pain Management: Treatment
Pain is often underestimated and undertreated in the pediatric population due to many factors. As a result, children’s health outcomes are directly impacted without proper recognition and pain management, and quality of life is reduced. Physicians and nursing professionals must learn to assess and treat pediatric pain appropriately while caring for hospitalized children. This course describes the past and future status of pain management in children, pharmacological and non-pharmacological management options, and the complexities of managing pain in special populations.
Discuss the past and future status of pain management in children. Describe non-pharmacologic, pharmacologic, and adjuvant treatment options for pain in children. Explain some of the complexities involved in treating the child with chronic pain, cognitive impairments, or a need for palliative care.
Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+): An Introduction
Sexuality and gender identity have received significant attention in the last few decades across the spectrum of health and human services. This module presents a brief overview of the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community and its history within society and healthcare systems. It offers definitions of key concepts related to sexuality and gender identity, as well as general implications for clinical education, practice, and research. This topic is constantly evolving, requiring healthcare professionals to continually need education on this topic. The goal of this course is to provide nursing, occupational therapy, pharmacy, physical therapy, social work, speech-language, and pathology/audiology professionals with education around the historical context of the LGBTQ+ population and best practices when interacting with and providing care for the LGBTQ+ population.
Sexuality and gender identity have received significant attention in the last few decades across the spectrum of health and human services. This module presents a brief overview of the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community and its history within society and healthcare systems. It offers definitions of key concepts related to sexuality and gender identity, as well as general implications for clinical education, practice, and research. This topic is constantly evolving, requiring healthcare professionals to continually need education on this topic. The goal of this course is to provide nursing, occupational therapy, pharmacy, physical therapy, social work, speech-language, and pathology/audiology professionals with education around the historical context of the LGBTQ+ population and best practices when interacting with and providing care for the LGBTQ+ population.
Indicate historical events and context affecting the LGBTQ+ community. Define key terminology related to sexual orientation and gender. Identify general interprofessional practice guidelines in the care of LGBTQ+ healthcare recipients.
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.
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.
Medical Management of Operative/Assisted Vaginal Delivery
This course discusses best practices in operative vaginal delivery techniques—forceps-assisted delivery and vacuum-assisted delivery (OAVD), as well as episiotomy.
The course is case-based, so you will have an opportunity to apply the principles covered to particular patient scenarios. The cases are branched, with different outcomes based on different choices.
Use of OAVD techniques vary from organization to organization. You may, for example, work in a hospital in which forceps techniques are no longer taught to residents. Each section has been organized so that you can move through it quickly or delve into it more deeply, depending on its relevance to your clinical practice.
Discuss the steps, indications, contraindications, and potential complications associated with vacuum-assisted vaginal delivery, forceps-assisted vaginal delivery, and episiotomies.
Describe the circumstances in which an episiotomy is and is not an appropriate intervention.
Explain the importance of the flexion point when placing a vacuum cup and how it is located. Identify the criteria for correct placement of the forceps during a non-rotational delivery, as well as guidelines regarding the number of pulls.
Opioids and Chronic Pain Management
The increased emphasis on pain management to improve functionality and quality of life has contributed to significantly more opioid prescriptions. Their availability led to widespread misuse across the nation. This course will address regulation and misuse of opioids and evidence-based management of chronic pain.
Discuss chronic pain and opioid use in the U.S.
Review the regulatory influences and evidence-based guidelines associated with prescribing controlled substances for pain management.
Describe evaluation and monitoring of the patient with pain.
Identify pharmacologic and non-pharmacologic pain management strategies.
Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+): Health Disparities
The Health and Medicine Division’s (HMD) Healthy People 2030 and the Agency for Healthcare Research and Quality have highlighted the health disparities affecting LGBTQ+ populations. As evidence of health-illness patterns continues to be reported in the literature, this module presents the complex social determinants of health unique among the LGBTQ+ community. Information will be analyzed based on the six conceptual perspectives for understanding LGBTQ+ health suggested by the HMD: stigma, social constructionism, identity affirmation, life course, intersectionality, and social ecology. The goal of this course is to provide social workers, nurses, occupational therapists, pharmacists, speech-language pathologists and audiologists, physical therapists, and physicians with education regarding the issues of the LGBTQ+ community within the healthcare system.
Identify the lifespan health considerations of LGBTQ+ individuals (childhood, adolescence, adulthood, and older adulthood), including coming out and family systems. Identify social determinants of health and health disparities among LGBTQ+ populations. Define LGBTQ+ health risk factors, including physical, mental, psychosocial, and cultural. Analyze barriers faced by LGBTQ+ people in accessing healthcare and why these barriers exist. Identify strategies for providing sensitive and informed healthcare for the LGBTQ+ community.
Drug Diversion, SUD, and Pain Management
Safely managing pain for the people in your care requires you to be knowledgeable about pain management recommendations. It is important to understand the risk factors for misuse and substance use disorder (SUD) as well as the signs that someone has a SUD and how to treat it. Unfortunately, SUD is one of the drivers of drug diversion. Therefore, it is also critical that you understand drug diversion tactics and behaviors so you can help prevent it. The goal of this course is to educate healthcare providers in all settings on pain management and preventing substance use disorder and diversion.
Discuss drug diversion and related drug diversion behaviors and activities.
Identify various classifications of medications that are diverted or misused.
Describe screening and assessment tools helpful in identifying substance use disorders.
Recognize nonpharmacological and pharmacological treatments of substance use disorders.
Explain options for pain management.