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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.
Abuse: Preventing, Recognizing, and Reporting
All caregivers are responsible for ensuring the safety of those in their care. This includes protecting them from abuse. Unfortunately, incidents of abuse and neglect often go unrecognized and unreported. This is why it is critical for all caregivers to be able to recognize potential abuse, know how to respond, and take steps to prevent abuse. This course aims to educate direct care professionals on how to recognize and prevent abuse.
Identify the types of abuse. Discuss at least three strategies to prevent abuse.
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.
Advancing Quality Improvement Methods
This course focuses on 2 continuous quality improvement strategies that can be used to change complex systems—the plan-do-study-act (PDSA) method and Six Sigma’s define, measure, analyze, improve, and control (DMAIC) method. These simple, but effective, methods of making minor changes in systems can transform ambiguous and error-prone processes into tested, clear processes designed to reduce errors.
Understand the systems approach to medical errors, including how it relates to quality improvement measures and the appropriate application of SMART (specific, measurable, achievable, relevant, time-based) goals.
Describe the quality improvement strategies most commonly employed in healthcare organizations, including the PDSA and DMAIC methods, as well as common roadblocks to system changes in healthcare organizations.
Adverse Events and Medical Errors: Response and Analysis
This course will address the importance of reporting errors for prevention of future adverse events and improved patient safety, as well as the role of root cause analysis (RCA) as an investigation tool for identifying the underlying systems failures that may have led to the error. It will also examine the benefits and barriers to reporting and the role of healthcare culture in reporting. Finally, it will explain the basic process of reporting that is common in most healthcare organizations.
Describe the systems approach to medical errors and how it increases the likelihood that errors are reported.
Understand the benefits of reporting errors, especially the importance of reporting errors for patient safety improvements.
Identify the barriers to reporting errors and the role that healthcare culture plays.
Explain the basic process of reporting errors in a healthcare organization.
Explain the purpose of RCA, and describe the guidelines for the use of this investigation tool.
Change Management: Navigating Change
Supervisors and managers are challenged by change every day and must consistently demonstrate self-confidence to their teams in the face of these challenges. In this course, you will explore the characteristics, behaviors, and actions of being an effective “change agent,” (one who guides, supports, or leads change) which is a critical role in guiding your teams through change. The goal of this course is to provide managers and supervisors with an understanding of the common reasons for resistance to change and learn ways to counteract it.
Recognize the reasons people resist change and learn ways to overcome resistance.
Identify the characteristics, behaviors, and actions required to be an effective agent of change.
Learn communication actions to help people adapt to change.
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.
Family Violence: Awareness, Detection, and Support in Healthcare
Family violence affects people across all demographics and occurs in a variety of relationships, including between intimate partners, family members, and household members. While progress has been made, it remains a serious issue in the U.S. and globally. Healthcare professionals in all settings play a critical role in identifying and supporting individuals experiencing family violence. This course provides nurses and social workers with information on how to identify and treat people experiencing family violence.
Explain the risk factors, signs, and symptoms associated with abuse and neglect across the lifespan.
Describe the role of intimate partner advocacy in helping people experiencing family violence understand that physical, sexual, or emotional abuse is not their fault.
Identify the steps to ensure the safety of those affected by abuse who decide to leave an abusive environment.
Discuss the direct and indirect questions that broach the subject of violence and abuse with patients, partners, and family members to screen for abuse.
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.
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.
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.
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.
Implementing Shared Governance: Excellence Series
This course focuses on the role that shared governance plays in the nursing profession. Participants will learn what shared governance is and how it can benefit nurses. They will also learn how to implement shared governance programs and enhance programs that already exist. Learners will explore strategies to enhance decision-making processes, promote nursing engagement, and improve patient outcomes through shared governance.
Indicate the foundational principles of a shared governance system.
Recognize strategies for implementing shared governance and overcoming barriers to participation.
Recall the advantages of a shared governance system.
Improve Patient Outcomes with Team-Based Care
Team-based healthcare is provided by two or more people who represent different professions with the common goal of improving the well-being of a patient. Interprofessional (IP) collaboration may improve outcomes such as pain relief, improved access to healthcare services, and early recognition of treatment failure. Effective team-based, patient-centered care should be tailored to the population served and the needs of those individuals. This course outlines the components of team-based care and provides examples in different settings.
This course aims to help healthcare team members identify core principles of team-based IP healthcare in all settings.
Identify the core principles and competencies of an effective healthcare team.
Recall two examples of team-based care.
Insights into 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.
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.