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Nurse Self-Advocacy in Perilous Working Conditions
The nursing profession is fraught with anxiety and intimidation, which hinders the ability of nurses to assert themselves, voice their needs, and advocate for their patients. New or inexperienced nurses may encounter significant challenges related to their work environment and may need support and education to learn how to recognize unhealthy work environments and affect positive change.
The goal of this course is to teach new nurses how to recognize unhealthy work environments, as well as how to advocate for themselves and practice self-care.
Identify barriers to a healthy work environment and differentiate between different forms of violence.
Apply strategies to promote a healthy work environment.
Recognize signs of burnout and practical self-care strategies.
Nursing Assessment of the Pediatric Patient
In this course, you will learn about pediatric anatomical and physiological differences, which will help you recognize normal variations throughout your assessment. Additionally, you will learn communication methods to help children feel more at ease during your assessment. Finally, you will understand essential warning signs that require immediate referral to additional medical professionals using the available resources and tools.
Choose at least three strategies to help ensure success during an exam of the infant, child, and adolescent. Identify the proper way to perform a pediatric head-to-toe assessment using appropriate resource tools. Recognize signs in the infant, child, and adolescent that are concerning.
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.
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.
Obstetric Hemorrhage: Mitigating Risk to Improve Outcomes
Two cases are presented. Risk factors, including recurring and nonrecurring, for obstetrical hemorrhage, are reviewed. Delivery preparations and preventative strategies are discussed. Methodologies that better quantify blood loss, allowing for earlier recognition of excessive blood loss, are presented. Management of the patient experiencing obstetric hemorrhage, including a review of current guidelines for blood component replacement therapy, are reviewed.
List recurring and nonrecurring risk factors for obstetrical hemorrhage. List the four Ts of OH.
Identify low, medium and high risk patients for OH.
Review blood component therapy for large volume blood loss.
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.
Opioid Use During Pregnancy
Americans are using opioids at an alarming rate, whether through prescriptions or illegal means. Parallel to this problem is the use of opioids during pregnancy.
The goal for this course is to present RNs, PAs, physicians, and entry-level drug and alcohol counselors in inpatient or outpatient settings with best practices for identifying and managing pregnant women who are using opioids.
Recognize the risks and complications related to opioid use disorder during pregnancy.
Identify evidence-based treatment recommendations for opioid use disorder during pregnancy.
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.
Outpatient Risk Identification and Stratification for Opioid Misuse
This course explores the risk factors for opioid misuse and reviews the classification of opioid use disorder. It also provides an overview of assessment and management tools and strategies that can be employed to ensure safe and effective pain management for patients using opioid medications.
Recognize the prevalence of and risk factors for opioid misuse.
Identify three evidence-based assessment tools to determine risks for individual patients
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.
Overview of Medications for Opioid Use Disorder
The current opioid use epidemic has had devastating consequences for those impacted by it. Medication for opioid use disorder (MOUD) is an effective, yet underused, approach to the treatment of opioid use disorder. By taking this course, you will have information that you can share with your clients and their family members about what MOUD is, its risks and benefits, and the types of medications used in MOUD. 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 settings with an overview of what MOUD is, how it can help individuals with opioid use disorder (OUD), and the medications used by providers that treat OUD.
Describe how opioids affect the brain and can become habit-forming.
Discuss the role of medications to treat opioid use disorder.
List the medications typically prescribed to treat opioid use disorder and the side effects and risks associated.
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.
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.
Pediatric Patients and Concussion Management
Concussion is a form of mild traumatic brain injury that is common in children and adolescents. Despite increased awareness about the injury, concussion remains under-reported and under-diagnosed. Nurses and Radiology Technicians must be aware of the identification, diagnosis, and management of concussions in pediatric patients.
Identify signs and symptoms of concussions in pediatric patients.
Recognize the evaluation, diagnosis, and management of concussions in pediatric patients.
Recall the complications of concussions in pediatric patients.
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.
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.
Perioperative Series: Common Obstetrics and Gynecological Procedures
Obstetrical and gynecological surgery is a vast field that involves surgical intervention to manage and treat disorders of the female reproductive system. About 1 out of every 3 women will undergo a hysterectomy by the age of 60 and more than 70% of American women will develop uterine fibroids by the age of 50 (The Center for Innovative GYN Care, n.d.). The demand for knowledgeable perioperative providers who can care for these patients undergoing obstetrical and gynecological surgery continues to grow.
The goal of this course is to educate nurses and STs about common gynecological and obstetrical procedures and perioperative considerations for this specialty.
Discuss anatomy, physiology, and pathological conditions most encountered during common gynecological and obstetrical procedures.
Describe indications and complications of gynecological and obstetrical surgery.
Identify perioperative considerations and interventions for common gynecological and obstetrical procedures.
Perioperative Series: Communication in the OR
In the operating room, patient safety depends on high quality communication and shared knowledge among the surgical team. Several factors in this setting can contribute to communication failures like time constraints, shift changes, environmental barriers, the complex nature of surgical procedures, and clashing communication styles. All members of the surgical team must understand the risks to patient safety associated with communication failures, what information must be communicated and when, and how to use an assertive communication style.
The goal of this course is to equip nurses and CSTs with best practices for effectively communicating in the operating room.
Describe best practices for facilitating communication in the OR.
Identify four communication styles and which style is most effective for ensuring patient safety.
List common barriers to effective communication in the OR.
Perioperative Series: Emergencies in the OR
Perioperative providers can BEST prepare for emergencies in the operating room by knowing the responsibilities of each team member and rehearsing interventions ahead of time. When you are in the moment and your heart is racing, it’s easy to forget how to respond or even where supplies are located. Practicing your responsibilities and team interventions ahead of time will help to prepare you for the unexpected. This course provides you with an opportunity to participate in five emergency scenarios to test your knowledge. Time is of the essence when an emergency happens so you must think and act fast to save the patient!
The goal of this course is to equip nurses and STs with knowledge of the responsibilities of the team during a range of OR emergencies.
Recognize evidence-based strategies for treating and preventing a range of OR emergencies.
Describe the roles and responsibilities of members of the surgical team when emergencies occur.
Recall the best practices for improving patient outcomes during an emergency.
Perioperative Series: Intro to Perioperative Nursing
As defined by the Association of periOperative Registered Nurses (AORN) (2019), the perioperative nurse’s goal is to help patients achieve or exceed the level of well-being they had at the pre-procedural baseline. The nurse is required to have the clinical knowledge, judgment, and clinical reasoning skills necessary to safely plan, deliver, and evaluate care for surgical patients.
The goal of this course is to equip perioperative nurses with knowledge of the nursing process and the roles and responsibilities within the perioperative team.
Identify the perioperative nursing process throughout the phases of surgery.
Define the roles and responsibilities of the members within the surgical team and the AORN standards of perioperative practice.
Perioperative Specimen Handling
Proper surgical specimen handling is essential for patient safety. This course covers best practices for intraoperative personnel to prepare, label, and transfer specimens accurately. Adhering to these protocols ensures that specimens are identified and handled appropriately, minimizing the risk of harm to the patient.
This course provides OR nurses and surgical technologists with knowledge of best practices for specimen handling.
Describe the considerations and methods of preparing specimens for various pathologic and examination types.
Recall care standards for the appropriate handling, labeling, and transportation of specimens.
Identify common mistakes made during specimen management and prevention methods to avoid these errors.
Practice Scenarios for Social Determinants of Health
The Healthy People 2030 campaign categorizes social determinants of health (SDOH) into five domains and each one has an impact on health outcomes and informs best practices in the delivery of healthcare (U.S. Department of Health and Human Services, n.d.). This course provides practice scenarios for use of a rapid assessment tool for screening patients for social determinants that impact their health.
Describe social determinants of health, including the five domains within each of them.
Discuss the use of rapid assessment tools for understanding patients’ barriers and risks to optimal health associated with social/environmental conditions where people live, work, and play.
Preceptor Essentials
The role of a preceptor is vital to an organization’s ability to efficiently and effectively onboard an individual to a new department or work unit. This course is designed to include principles and practices for precepting new employees across healthcare settings. It introduces the learner to the fundamentals of the preceptor role and provides best practices for being an effective preceptor. Preceptors exhibit professionalism and best practices in their work units. Being a preceptor requires skill, talent, and preparation to yield the best outcomes.
Recognize the importance of interpersonal and communication skills for the preceptor role.
Identify the leadership principles and styles of leadership for the preceptor role.
Define self-care and resilience for the preceptor role.
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.