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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.
HCAHPS: Patient Care Experience
Hospitals and providers currently receive reimbursement by meeting criteria established by the Centers for Medicare & Medicaid Services (CMS). Quality measures and length of stay data are measures that affect hospital reimbursement. Yet the patient’s experience of care also remains a key factor in hospital reimbursement models. CMS uses the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to measure the patient’s experience, and nursing care is one part of the survey. Hospitals that perform well on the HCAHPS ratings are more likely to receive better reimbursement and bonuses. Nurses impact hospital ratings and reimbursement by providing the patient with a positive care experience.
Describe the impact of patients’ perception of their care experience on hospital reimbursement.
Discuss HCAHPS survey questions about staff responsiveness and strategies for improving survey ratings for these items.
Discuss the HCAHPS survey questions about medications and strategies for improving survey ratings for these items.
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.
Implementing a Quality Improvement System
While most health centers have some quality improvement (QI) functions established, many have not implemented a comprehensive, organization-wide QI program. Improving patient care and outcomes is the primary goal of QI programs. There are also financial benefits to providing quality care, especially as our healthcare system, including the Centers for Medicare and Medicaid Services (CMS), moves towards a “pay for performance” model (NEJM Catalyst, 2018b). This course will explain a comprehensive approach to implementing QI systems. You will learn about the essential elements of a QI program, including principles, program infrastructure, and process components. You will also learn how you can put the Model for Improvement QI methodology into action. Finally, you will learn how to identify quality-related problems using proactive and reactive strategies.
Recall the key components of a successful quality improvement program. Describe models and national initiatives for quality improvement and how they can benefit individuals receiving care from your organization. Indicate at least three specific actions you can implement in your setting to improve the quality of care provided.
Pediatric Pain Management: Pathophysiology and Assessment
The experience of pain affects people of all ages, including children. Many factors contribute to the undertreatment of pain in this age group. Children’s health outcomes and quality of life are adversely affected without proper recognition and pain management. The course examines the pathophysiology of pain and pain assessment strategies appropriate for different ages and developmental levels. The course will also review pediatric pain assessment tools.
Define pain, clarify commonly misused terms, and develop an understanding of how pain works.
Recognize the signs and symptoms of pain in children.
Identify pain assessment tools in children of different ages and developmental levels.
Diversity, Equity, and Inclusion for the Healthcare Employee
Ensuring that a healthcare system is culturally competent can reduce health disparities. Healthcare employees who have effective interpersonal and working relationships are essential to successful healthcare outcomes. Healthcare staff provide care to individuals from many backgrounds, so it is essential that they get proper Diversity, Equity, and Inclusion (DEI) training. DEI training should be integrated into the standard hiring and onboarding process for the entire healthcare workforce. The goal of this course is to provide healthcare employees with training about Diversity, Equity, and Inclusion (DEI).
Define cultural competence, implicit bias, and indirect discrimination.
Describe at least two assumptions and myths related to stereotypes.
Explain best practices when working with people from different races, cultures, values, and sexual orientations.
List at least three barriers to providing quality healthcare.
Identify at least two ways to make the healthcare environment welcoming for all people.
FMLA: What Supervisors Need to Know
The Family and Medical Leave Act (FMLA) is a federal law that mandates unpaid leave, job protection, and other benefits for eligible employees who face specific family or medical challenges. As an employer or supervisor, you need to know what obligations the FMLA imposes on your organization when an employee requests leave from their job. This course introduces you to key provisions of the FMLA such as which employees have rights under the FMLA and the circumstances under which they are eligible to take protected leave.
The goal of this course is to educate administrators and human resource (HR) professionals in all healthcare settings about the Family Medical Leave Act.
Discuss the FMLA mandates regarding employee leave and reinstatement.
Determine whether the FMLA applies to employees at your organization.
Identify at least two FMLA-qualifying events.
Improving Clinical Competency Through an Understanding of Military Culture
Military cultural competence is essential to effectively engage, understand, and support active duty service members, reservists, and veterans in behavioral health treatment. Those in the military represent a specific cultural group. This course will provide you with an introduction to military culture. You will learn about the overall structure of the military, the core values of the primary branches, and the unique experiences of specific sub-populations within the military. This information will help you more effectively engage with, understand, respect, and support the military service members who seek your services.
The goal of this course is to provide addiction, behavioral health counseling, case management/care management, marriage and family therapy, nursing, psychologist, and social worker professionals in health and human services settings with information about military culture in general, the effects of military culture on sub-populations, and how behavioral health concerns affect military service members and veterans.
Describe key aspects of military culture, the sub-populations within military culture, and the unique needs and experiences of those groups.
Describe the overall structure of the military and its primary branches.
Recall two perceived consequences by service members and veterans of receiving a behavioral health disorder diagnosis.
Reducing Suicide Risk in Adolescents and Transition-Age Youth
In 2020, suicide was the third leading cause of death for young people ages 15 to 24 (Centers for Disease Control and Prevention [CDC], National Center for Injury Prevention and Control [NCIPC], 2020). Rates of suicide among youth continue to increase, making it essential for behavioral health clinicians and other professionals working with adolescents and transition-age youth to understand the dynamics of suicide among young people.
After providing a foundation on how widespread the problem is and the prevailing theories about the drivers of suicidal behaviors, this course will teach you about how to effectively screen potentially suicidal youth and ways you can intervene to lower their risk.
Identify warning signs as well as risk and protective factors that affect vulnerability to suicide in youth.
State three assessment strategies to identify suicide risk in adolescents and transition-age youth.
Describe interventions that reduce the risk of suicide in adolescents and transition-age youth.
Nursing Ethics: Fundamentals
Although medical care can be often concrete, healthcare professionals, including nurses, are faced with ethical dilemmas that are not as clear-cut. In healthcare, sometimes situations arise where there is an “area of gray.” In those moments, thoughtful analysis using reason and ethical principles is needed. Many healthcare institutions have developed ethics committees to navigate patient care in difficult situations.
The goal of this course is to equip nurses in the acute care setting with knowledge of key terms, theories, and principles of bioethics, as well as the procedures, functions, roles, and responsibilities associated with an ethics committee in the acute care setting.
Name five major ethical theories.
Recognize the four major bioethical principles.
Define paternalism, veracity, fidelity, confidentiality, futile treatment, living will, durable power of attorney for healthcare, and “medical assistance in dying.”
List the roles and responsibilities of an ethics committee and its ethicist in the acute care setting.
Managing Pediatric Trauma: Assessment
This course is intended to provide nurses with knowledge of pediatric stages of development, mechanisms of injury, and assessment best practices including the pediatric assessment triangle as they relate to trauma.
Describe pediatric trauma care and stages of development as they relate to trauma.
Identify common mechanisms of injury in the pediatric population.
Recall assessment techniques and emergency interventions for pediatric patients who experience trauma.
Managing Pediatric Trauma: Interventions
This course is intended to provide nurses with knowledge on interventions for pediatric trauma, including injuries to the head, chest, abdominal cavity, and extremities. Interventions for asphyxiation, drowning, burns, and electrical shock will also be presented. This course is the second part of the Managing Pediatric Trauma series. The first course in this series is Managing Pediatric Trauma: Assessment.
Recall prehospital care and field triage of pediatric trauma patients.
Describe interventions for pediatric patients who have experienced asphyxiation, drowning, burns, and electrical injuries.
Describe interventions for pediatric patients who have experienced trauma to the head, thorax, abdomen, and extremities.
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.
Weight Loss Medications: A Comprehensive Review
When lifestyle modifications such as improving nutrition and increasing physical activity do not achieve adequate weight loss, pharmacotherapies may be needed. Pharmacotherapy is used as a supplement to lifestyle modifications and should only be implemented in patients who meet certain criteria and have a need to reduce their risk of obesity-related comorbidities. This course will review candidate criteria for weight management drugs, which drugs have been approved by the Food and Drug Administration (FDA), and their safety or effectiveness. It will also review dietary supplements used for weight loss and the lifestyle behaviors needed to increase the efficacy of pharmacotherapies. The goal of this course is to educate the healthcare team in the acute care setting on weight loss medications.
Indicate the criteria for weight loss drug therapy in patients affected by obesity.
Recognize the safety and effectiveness of prescription drugs and devices, and dietary supplements used for weight loss.
Recall lifestyle behaviors that are needed in conjunction with weight loss drugs, devices, and supplements.
Substance Use Treatment for Women
In this course, you will learn about how substance use impacts women differently. You will learn ways that you can provide gender-responsive treatment to women struggling with substance use or at risk of developing a substance use disorder.
The goal of this course is to provide addiction, behavioral health counseling, marriage and family counseling, nursing, psychology, and social work professionals in health and human services settings with information about substance use treatment for women at various stages of development.
Discuss the unique aspects of substance use and substance use disorders among women.
Explain how the use of specific substances, as well as the impact of those substances, changes across the lifespan.
Describe ways to address the biological/psychological, social, and developmental needs of women with substance use disorders.
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.
Overview of Evidence-Based, Suicide-Specific Interventions
It was once assumed that addressing underlying conditions was the best way to treat suicidality. We now know that suicidal people need interventions that directly target suicidal thoughts and behaviors. Suicide-specific interventions will give you the tools to help clients manage suicide risk.
In this course, you will learn about specific evidence-based and research-informed interventions that directly target suicidal thoughts and behaviors. Through case examples, you will gain a better understanding of ways to implement these strategies.
The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals with knowledge about evidence-based, suicide-specific interventions.
Describe three evidence-based interventions for treating individuals at risk for suicide or who have made a recent attempt.
Summarize the process for completing a safety plan and for reducing access to lethal means.
Recall the factors you should consider when determining what interventions may be needed for suicidal individuals.
MRI Safety
Healthcare professionals working in magnetic resonance (MR) environments must be aware of warnings and contraindications for MRI examinations and know the requirements for careful initial patient screening, accurate determination, and characterization of permanently implanted or temporary devices. Medical devices and ferromagnetic objects may malfunction in a magnetic field or pose a projectile risk, which could cause harm or injury to patients and staff. Controlling access to the environment and properly screening patients can help prevent accidents and injury. Only properly trained personnel are authorized to perform final patient screening and access equipment. Proper safety and security require plans for facility design and emergency preparedness.
The goal of this course is to present information related to industry standards for safe operation and optimal patient care in an MRI environment.
Identify the basic principles of MRI technology.
List the potential hazards and risks associated with MRI.
Recognize guidelines and recommendations associated with MRI safety.
Preventing Suicide Among Veteran Populations
Veterans are 1.5 times more likely to die by suicide than non-veterans (U.S. Department of Veterans Affairs [VA], 2022). This course will explain the specific factors that increase suicide risk in veterans. You will also learn about assessment and intervention approaches used to manage suicide risk in this population.
The goal of this course is to provide knowledge to addictions, behavioral health counseling, case management/care management, marriage and family therapy, nursing, psychology, social work professionals, and physicians in health and human services settings about suicide prevention strategies for veterans.
Identify three factors that specifically increase suicide risk in veterans.
Recall screening and assessment strategies to identify veterans at risk for suicide.
Define three effective ways to intervene to reduce suicide risk among veterans.
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.
Management of Respiratory Emergencies in Children
Nurses, respiratory therapists, and emergency medical professionals who care for children must have the requisite skills and training on the unique characteristics of a pediatric patient’s respiratory system. Children have significant respiratory system differences compared to adults. These include, but are not limited to: Anatomy, physiology, signs and symptoms of respiratory distress, and respiratory emergencies. In children, the leading cause of cardiopulmonary arrest occurs from etiologies within the respiratory system. Clinicians must understand these differences and be prepared to work collaboratively to quickly respond and provide safe and competent care to any child who is in respiratory distress.
Describe the anatomy and physiology of the pediatric respiratory system and differences vs. adults.
Recall techniques for conducting a focused assessment of the respiratory system in pediatric patients and interventions for facilitating assessments and treatments.
Identify clinical manifestations of respiratory distress in pediatric patients.
Recognize conditions associated with respiratory emergencies in pediatric patients including treatments and interventions.
Management of Obstetric Hemorrhage
Worldwide, postpartum hemorrhage (PPH) accounts for high rates of maternal morbidity and mortality. It is important to understand the definitions and causes of PPH, as well as the many risk factors associated with PPH and how to assess a woman’s risk. Early recognition is key to have good outcomes. Recognizing PPH, the stages of PPH, and how to measure blood loss is essential, since treatment is based upon the stages of hemorrhage. Additionally, it is important to understand nursing interventions, treatments for PPH (including medication, surgical procedures, and blood products), and teamwork and communication needs to improve perinatal outcomes.
Identify causes and risk factors for postpartum hemorrhage.
Classify the stages of obstetric hemorrhage.
Recall nursing and medical interventions used during the management of postpartum hemorrhage.
Perioperative Series: Anesthesia and Medication Management
Anesthesia administration has become increasingly safer, but is not without risk. Patient- and family-centered care and the desire to save costs has led to a shift in perioperative care needs from “stabilize and admit” to “stabilize and discharge.” Each patient undergoing anesthesia requires competent, professional nursing staff to assist in timely and safe medication administration, maintenance, and recovery. Knowledge of anesthetic techniques, agents, and adjuvants is vital to this competence.
Define the different types and stages of anesthesia.
Describe anesthetic agents and adjuvants commonly used for the perioperative patient.
Identify perioperative preparation, complications, and nursing interventions.
Evidence-Based Approaches to Pain Control
This course is designed to teach healthcare professionals effective pain management methods that do not rely on opioids. It encourages the use of patient-centered approaches, various therapies, technology, and self-care strategies while collaborating with the interprofessional team. Overcoming obstacles, such as stigma and unequal access to pain treatments, is emphasized to improve pain management practices.
Recognize the need to balance the harms of uncontrolled pain with the potential harms of pain treatment.
Select appropriate tools to assess pain.
Recall physiologic processes and terminology related to pain.
Identify pain treatments that can be combined to form multimodal treatment plans.