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Preventing and Handling Crisis Situations
Healthcare professionals often encounter patients experiencing agitation or displaying hostile behavior during their careers. De-escalation is a set of approaches and techniques used to assist patients in self-calming to avoid incidents of harm to self, others, or property. Professionals should understand escalation and physiological responses to threats. After determining the risk of escalation, healthcare professionals can use various aspects of verbal communication, such as tone and pitch, and nonverbal communication skills to defuse potentially hostile situations and apply the least restrictive interventions.
Describe what de-escalation is and why it is important.
Recall how to use de-escalation to prevent a crisis from developing.
Indicate specific approaches you can use during a crisis to help individuals return to pre-crisis levels of functioning and prevent harm.
An Overview of Substance Use Disorders
Substance use is a growing problem across populations. As a helping professional, you need a basic understanding of how substance use affects your clients. This information will help you to provide support and resources to help clients seek treatment and recovery. In this course, you will explore substance use disorders, how they develop, and their impact on individuals. The course also explains your role as a paraprofessional when working with individuals with substance use disorders. You will be provided an overview of evidence-based interventions and the types of substance use treatment programs available, when additional treatment may be necessary. Detailed examples will help you to apply this information in your own work. The goal of this course is to provide paraprofessionals and peer support specialists in health and human service settings with information on substance use disorders and evidence-based interventions.
Explain what a substance use disorder is, how it develops, and how it impacts individuals.
Identify strategies that paraprofessionals can use when working with individuals diagnosed with substance use disorders to encourage behavior change.
Describe the types of treatment that exist for people diagnosed with substance use disorders.
Care for Individuals with End-Stage Neurological Diseases
This course provides detailed information about the pathophysiology, disease trajectory, and unique symptoms experienced by patients with advanced neurological diseases. Learners will identify the clinical features of advanced Parkinson's disease, amyotrophic lateral sclerosis, and Huntington’s disease as well as best practices for symptom management. In addition, the key clinical indicators and symptoms that should serve as triggers to optimally transition a patient with advanced neurological diseases to palliative and hospice care are presented. The unique disease-related stressors for family caregivers are discussed. The goal of this course is to provide nurses in hospice with knowledge of caring for people with end-stage neurological diseases.
Identify specific patterns of progression for three neurological disorders.
Identify five complications related to neurological disorders, including disease-related stressors for family caregivers.
Describe interventions related to end-stage neurological diseases.
Identify triggers to optimally transition a patient with advanced neurological disease to palliative care and hospice.
Understanding Human Trafficking
Human trafficking victims are often concealed by their traffickers; however, studies show that many victims interact with healthcare professionals while they are being victimized. This places healthcare professionals in a unique position to recognize the signs and risk factors of human trafficking and take steps if they suspect a person may be a victim of human trafficking.
The goal of this course is to provide healthcare staff with critical steps to recognize and respond to human trafficking.
Identify the two major types of human trafficking.
Explain how force, coercion, and fraud relate to human trafficking.
Discuss federal laws regarding human trafficking.
Describe at least three barriers to identifying human trafficking.
Identify at least three signs that someone may be a trafficking victim.
Discuss steps to take if you suspect a person is being trafficked.
The Biopsychosocial Model of Substance-Related and Addictive Disorders
Addictive disorders were once seen mainly as medical issues. However, this view overlooked other important factors. The biopsychosocial model offers a more complete perspective by considering biological, social, and psychological aspects. This course will explain the main ideas of this model, how it differs from other views, and how it can help treat addictive disorders.
Explain how addictive disorders develop according to the three primary areas of the biopsychosocial model.
State how the biopsychosocial model differs from other perspectives on addictive disorders.
Describe how the biopsychosocial model impacts treatment approaches for addictive disorders.
Treating Opioid Use Disorders Among Adolescents and Young Adults
Opioid misuse is a leading cause of unintentional injury and death among adolescents and young adults (Hudgins et al., 2019). More than 80% of adolescents who die from an opioid overdose do so accidentally, reflecting in part their lack of understanding and underestimation of the dangers inherent in the misuse of opioid medications (World Health Organization [WHO], 2023).
Along with the increased risk of lethal overdose, adolescents who misuse prescription opioids are at increased risk of severe medical complications that necessitate emergency treatment, progression to drugs with even greater potential for lethality such as heroin, and the development of a substance use disorder (Davis et al., 2020).
The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals in health and human services with information on the development, prevalence, and treatment of opioid use disorders in adolescent and young adult populations.
Define the scope of opioid use and opioid use disorders among individuals aged 13 to 25.
Recognize the unique characteristics of screening, assessment, and treatment planning for adolescents and young adults who use opioids.
List evidence-informed practices for treating opioid use disorders in adolescents and young adults.
Improving Practice in the Delivery of Telehealth
Throughout this course, you will gain knowledge about common challenges encountered during telehealth appointments and learn ways to overcome those challenges. You also will learn about effective techniques to communicate, interact, build rapport, and engage with your clients via telehealth. The course will also explore how to improve clinical effectiveness and client outcomes through the use of telehealth within integrated care. Information and vignettes will be blended to offer practical strategies that you can apply in your own setting to use telehealth for adults with behavioral health issues.
Identify common challenges encountered during telehealth appointments and ways to overcome them.
Select effective communication and presentation techniques for providers to build rapport and engage with clients via telehealth.
List at least three ways using telehealth within an integrated care model can improve the efficiencies and client outcomes in behavioral healthcare.
Acute Stroke and the Latest Information
In patients with symptoms of acute stroke, early recognition and interventions have been identified as critical factors in stroke outcomes. Evidence-based care can identify, manage, and prevent stroke-related complications. Nurses and physicians must understand stroke management to prevent disability and death. This course aims to present the most up-to-date practices for managing patients with acute stroke.
Discuss current diagnostic practices in patients with acute stroke.
Recall best practice protocols for early identification of acute stroke.
Stroke: Recognition and Management
This course equips healthcare professionals with essential knowledge and skills to promptly and effectively manage stroke in the acute care setting. Participants will gain insight into how to recognize an acute stroke and the initial steps to take for emergency treatment of stroke. In addition, learners will know the different acute treatment options for ischemic and hemorrhagic stroke as well as patient care for acute stroke.
Recall the benchmark diagnosis and treatment times for acute stroke.
Differentiate the treatment of ischemic stroke and hemorrhagic stroke.
Indicate interventions in the care of a patient presenting with an acute stroke.
Strategies for Decreasing Medical and Treatment Errors in Behavioral Health
Behavioral health professionals are involved in multiple disciplines, all of which are responsible for the safety of the clients in their care. Although each discipline has its own set of ethics to guide practice, they are generally similar in terms of the importance of avoiding harm to the client.
Client safety requires careful planning and consistent vigilance. Any behavioral health professional can jeopardize client safety by committing a medical or treatment error. While it is unrealistic to think that you can prevent all errors, there are steps you can take to reduce occurrences.
Discuss types of medical and treatment errors in behavioral health.
Describe the causes and consequences of medical and treatment errors.
Identify strategies to address an error and reduce the risk of future errors.
NIH Stroke Scale
This course is designed to provide nursing professionals with a comprehensive understanding of the NIH stroke scale. The course will cover the purpose of the NIH stroke scale, how to administer the scale, and how to interpret the results. The course will also include case studies that illustrate the use of the NIH stroke scale in clinical practice.
Identify the purpose of the NIHSS and how it is used in clinical practice.
Recall the significance of NIHSS scores to patient outcomes.
Apply the NIHSS to assess patients with stroke or stroke-like symptoms including how to score each section of the NIHSS.
A Review of Traumatic Brain Injury (TBI)
A traumatic brain injury (TBI) is a complex condition that may have short- or long-term effects on a patient. TBIs have a wide array of associated symptoms and disabilities. These may have a significant impact on the lives of patients and their families. Healthcare professionals should be ready to rapidly assess patients with TBIs so that they can be treated promptly.
This course provides strategies to enhance the knowledge and skills of physicians, registered nurses, and physician assistants in recognizing, assessing, and managing traumatic brain injuries, contributing to improved patient outcomes and interdisciplinary collaboration.
Indicate how to assess and diagnose traumatic brain injuries, using both clinical examination and diagnostic tools, recognizing the signs and symptoms that distinguish mild, moderate, and severe TBI.
Apply management strategies for TBI, including immediate interventions, pharmacological treatments, and monitoring techniques, to optimize patient care from acute to rehabilitative stages.
Discuss the importance of using a multidisciplinary approach in the management of TBI to support recovery, minimize complications, and facilitate patient and family education.
Gestational Diabetes: Clinical Management
Increasingly more gravid patients in the U.S. are getting gestational diabetes mellitus (GDM). If well managed, they can still have a healthy pregnancy. It is important for those who work in maternal child health to know all about this condition, what causes it, and how to manage it.
This course provides acute care professionals with basic guidelines for the clinical management of gestational diabetes mellitus.
Discuss pathophysiology, screening, and risk factors for developing GDM.
Determine glucose monitoring and medication management strategies to use intrapartum and postpartum for a gravid patient with GDM.
Identify lifestyle modifications needed for a patient with GDM.
Psychopharmacology in the Emergency Department
As a healthcare professional transporting patients to the ED, you may serve patients with symptoms indicative of behavioral health disorders, such as depressive, bipolar, and anxiety disorders. In some situations, the ED provider must administer psychiatric medications. However, if possible, it is prudent to defer their use until the patient is admitted to an inpatient mental health facility or seen as an outpatient. In many instances, the reason for presentation in the ED is an adverse reaction to psychiatric medications.
Identify some of the most common medications in each major category, their indications, and their usage in treating mental health disorders.
Recall adverse reactions to psychiatric medications.
Motivational Interviewing: An Introduction
In this course, you will learn about Motivational Interviewing, an intervention to help people discover their own desire and ability to make difficult changes. Motivational Interviewing (MI) is a way of communicating that draws out people’s own thoughts and beliefs in order to help them address their ambivalence about making a change.
The course uses a blend of instructive information and interactive exercises to help you understand and apply its core concepts. The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals in health and human service settings with the skills to define and demonstrate the core concepts of Motivational Interviewing.
Describe the overall purpose of Motivational Interviewing and how it impacts the change process.
Recall the key elements of the MI spirit and how these can support clients in the change process.
Define ambivalence, change talk, and sustain talk, and how these concepts relate to MI.
Social Determinants of Health: Overview
Social determinants of health impact the daily delivery, accessibility, and engagement of health improvement efforts. Healthcare professionals must learn how to increase awareness and interest in the determinants and find ways to engage patients, stakeholders, and other clinicians in addressing social determinants of health.
Describe how social determinants of health impact health inequities and inequalities.
Identify strategies to assess social determinants of health that may be affecting the patient population.
Discuss the five domains of social determinants of health.
Social Determinants of Health: Neighborhood and Built Environment
The physical environment in which individuals live has a direct impact on their health and wellness and their ability to access healthcare. Healthy People 2030 identifies neighborhoods and the built environment as a domain of the social determinants of health tied to health outcomes. This course provides an in-depth analysis of this domain and how it affects the health and well-being of patient populations. The four components of neighborhood and built environment include access to healthy foods, quality of housing, crime and violence, and environmental conditions. Clinicians can leverage this knowledge to improve treatment planning for patients and health outcomes.
Identify the four components of neighborhood and built environment domain of social determinants of health.
Recall how neighborhood and the built environment affect overall health outcomes.
Define how clinicians can address issues related to the neighborhood and built environment.
Preventing Medical Errors
You know the medical error statistics all too well, and, at times, they occur too close to home. The purpose of this course is to help you recognize error-prone situations and the factors that impact medical errors so you can prevent them.
Identify at least two types of medical errors.
Describe what risk management is and how it is used to prevent medical errors.
Explain how to use root cause analysis in the prevention of medical errors.
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.
Nursing Documentation: Challenging Situations
Nurses are required to document everything of significance that happens on their shift. This can be a straightforward process, but there are often challenges. There are all kinds of scenarios that present documentation difficulties. Patients may refuse treatment or want to leave the hospital against medical advice. Your unit may be understaffed, and you want to document a complaint. The computer system can go down and you have to document on paper. Or maybe your documentation just takes too long, and you are wondering how to document faster. This course reviews strategies for documentation in challenging situations and how to document more efficiently.
Apply documentation strategies for challenging patient care and coworker situations.
Apply documentation strategies for challenging situations related to hospital systems.
Identify ways to save time when documenting.
Nursing Documentation: Legal Aspects
To know documentation principles and to apply them in daily practice are musts for every nurse. These are essential to protect patients and to safeguard every nurse’s license. Documentation is the foundational proof that care was provided to a patient. Requirements and methods of documenting are ever-changing amongst a variety of documentation modalities. Although nurses sometimes view documentation as a process that takes precious time away from direct patient care, it is one of the most critical skills they perform. In fact, appropriate and effective documentation is at the core of nursing practice.
The goal of this course is to provide nurses working in acute care settings with information about the value of laws and standards governing nursing documentation, legal basics for appropriate documentation, and provide awareness of documentation practices that can lead to legal issues.
Describe four characteristics of legally-credible charting.
Discuss the legal definition of nursing negligence.
Describe two charting practices that can lead to legal issues.
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.
A Look at Malignant Hyperthermia
Malignant hyperthermia (MH) is a life-threatening syndrome associated with an anesthetic trigger. Awareness of MH by all perioperative team members, from those working in the preoperative holding area to those in the Post Anesthesia Care Unit (PACU), is important in preventing negative patient outcomes.
Define risk factors for MH and preventive measures for improving patient outcomes.
Identify the signs and symptoms of MH along with diagnostic and genetic considerations.
Describe the best practices for managing and treating MH.