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Surgery and Anesthesia
Telehealth
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Workplace Violence

Courses

Title Duration CME Certified Sort ascending
1.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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. 

Instructor
Juan Armando Rojas Joo, Ph.D.


Staff Writer
Kimberly Workman, MA

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Instructor
Stephanie M. Smith MS, BSN, RN, CPN

1.25

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

Regardless of discipline or setting, routine behavioral health screening will allow you to provide the best care possible. This course will provide a review of some of the most widely used behavioral health screening tools currently available to support collaborative care. In addition, we will explore important factors for consideration when integrating such screening tools into the workflow of your practice. 

The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals in community health settings with information on how to screen clients for behavioral health conditions.

Identify two examples that demonstrate the impact behavioral health disorders have on chronic health conditions.

Recall three factors that are important to consider when incorporating behavioral health screening tools into integrated healthcare settings.

Recognize at least three screening tools that can be used to identify behavioral health disorders that may impact a person’s overall wellness or chronic health condition.

Staff Writer
Bryn Davis, LPC, MAC

Instructor
Bridgett Ross, PsyD

 

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

Recognizing, understanding, and addressing patient behaviors, as well as the rationales behind these behaviors, is critical to successfully manage patients and protect practitioners and their practices. This course will review three major areas complicating patient care: Drug diversion, SUD, and pain management considerations in patients with SUD.

The goal of this course is to equip nurses, social workers, counselors, and physicians in both acute and post-acute care with how to prevent, identify, and manage substance abuse among residents and/or patients.

Define drug diversion and identify various classifications of medications that are diverted or abused.

Recognize rationales for prescription drug diversion.

Recognize and prevent drug diversion behaviors and activities.

Identify tools to detect and deter drug diversion. Define key terms necessary to understand SUD.

Name common controlled and noncontrolled medications that are abused.

Describe screening and assessment tools helpful in identifying SUD.

Describe the nonpharmacological and pharmacological treatments of SUD.

Define specific types of pain.

Identify options for pain management using the most recent CDC guidelines.

Instructor
Doug Raiff, PharmD, BCPS

Johnny J. Bethea, II, BSPharm

2.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

This course discusses the factors that contribute to health disparities as they relate to emergency care as well as strategies to reduce disparities and improve public health.

None

Instructor
Ava Pierce, MD
Marquita Norman, MBA, MD
Juan Rendon, MD
Danielle Rucker, MD
Larissa Velez, MD

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Reviewed: Expiration:

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.

Expert Reviewer
Catie Hart

2.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

Do no harm: A fundamental principle of medical care, yet thousands of patients suffer harm from medical errors every day. Some reports estimate annual deaths from medical errors in the U.S. to be as high as 250,000, but a more recent study revealed that number may be highly inflated (Rodwin et al., 2020). The actual number of preventable deaths estimated by a meta-analysis was 22,165, with most occurring in people expected to have less than 3 months to live. For those who were expected to live longer than 3 months, 7,150 deaths occurred. The difference may be due to over-estimation or from initiatives to reduce errors since initial values were released. Regardless, healthcare professionals are obliged to do no harm, so continued efforts are needed to reduce medical errors.

This course is intended to educate nurses, physicians, and physician assistants on the causes and strategies for preventing medical errors.

Identify definitions related to patient safety, medical errors, and adverse events.

Discuss risk factors, prevention strategies, and populations most vulnerable to medical errors.

Describe the root cause analysis process for medical errors.

List factors that contribute to the five most misdiagnosed medical conditions.

Expert Reviewer
Rebecca Smallwood, MBA, RN

Instructor
Cathryn Ayers, RN

 

1.00

Launch Course

AMA PRA Category 1 Credit™, MOC, and ANCC

Origination: Reviewed: Expiration:

Thoracentesis is an invasive procedure that requires knowledge from multiple healthcare professionals. A thorough understanding of the physiological and procedural principles surrounding thoracentesis allows proper patient management throughout all stages of the procedure. This results in improved patient outcomes and satisfaction. This course will explore the lung anatomy, pathophysiology, and conditions requiring thoracentesis. In addition, the course will discuss key healthcare team interventions and potential thoracentesis complications.

                                                         

The goal of this course is to educate providers and nurses in the acute care setting on basic thoracentesis principles. 

Identify the anatomy and pathophysiology of the respiratory system. Describe pleural effusion, thoracentesis, indications, and relative contraindications. Recall elements of a thoracentesis procedure, important patient interventions, and post-procedure complications.

Subject Matter Expert
Zeliha Ozen, MSN, RN, CCRN, CNL

2.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Expert Reviewer
Catie Hart

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Staff Writer
Zeliha Ozen, MSN, RN, CCRN, CNL

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

This course provides an overview of the autonomic nervous system and its functions, with a focus on the cardiac effects of certain therapeutic agents.

Recognize the difference between the sympathetic and parasympathetic nervous systems.

Indicate the differences in receptors and their functions when attached to an agonist or antagonist.

Identify cardiac electrophysiology and general classes for the treatment of arrhythmias.

Instructor
Robert Smith, PharmD

Staff Writer
Kimberly Workman, MA

 

1.50

Launch Course

AMA PRA Category 1 Credit™, MOC, and ANCC

Origination: Reviewed: Expiration:

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.

Subject Matter Expert
Stephanie Whitfield, MSN, RN, CPN

1.25

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

In just over a year, COVID-19 has changed how healthcare is delivered in the U.S. Guidelines governing preventive measures, including how we interact with everyone from patients to members of our own families, have undergone a process of near-constant evolution. Treatment recommendations have been regularly updated as scientists and providers have learned more about how the virus affects the human body. This course provides an overview of the latest information about the virus, preventing transmission, illness classification and treatment of patients with symptomatic disease, and currently authorized vaccines.

List signs and symptoms of COVID-19 infection, including post-viral long haul syndrome.

Describe how the SARS-CoV-2 virus is transmitted in community and healthcare settings and how it is prevented, diagnosed, and treated.

Differentiate vaccinations for COVID-19 approved in the U.S. and list guidelines, side effects, and contraindications for vaccination against COVID-19.

Instructor
Carrie Furberg, BSN, RN, CRN

Expert Reviewer
Johnny J. Bethea, II, BSPharm
Crystal Dunlevy, EdD, RRT, RCP
Daniel Migliaccio, MD
Catherine J. Swift, MT(ASCP)

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

In patients with symptoms of stroke, early recognition and intervention have been identified as critical factors in stroke outcomes. This includes an initial assessment, a thorough neurological exam, and stabilization of hemodynamic changes. In addition, distinguishing ischemic from hemorrhagic strokes requires time-sensitive assessment parameters, interventions, and diagnostic procedures. Timely diagnoses allow the healthcare team to administer the appropriate treatment options accurately and effectively.

Describe the physiologic and symptomatic differences in ischemic and hemorrhagic stroke.

Discuss assessment tools, management strategies, and complications related to acute stroke.

Staff Writer
Zeliha Ozen, MSN, RN, CCRN, CNL

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Staff Writer
Claire Hartman, RN, IBCLC

1.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Reviewed: Expiration:

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.

Subject Matter Expert
Jennifer Niles, MSW, LCSW, LCAS

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

In patients recovering from a stroke, post-hospital care and interventions have been identified as critical factors in favorable stroke outcomes. Improving patient care by managing stroke complications can significantly improve recovery. Given this, nurses and physicians must understand the different types of stroke complications, appropriate interventions, and identify risk factors for recurrent stroke.

Describe two interventions to decrease the reoccurrence of a secondary stroke.

Identify complications and their appropriate interventions after a stroke.

Describe two-stroke risk factors.

Staff Writer
Zeliha Ozen, MSN, RN, CCRN, CNL

0.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

Prostatitis is a common genitourinary complaint in men that spans all age groups between adolescence to late adulthood. Simply described, it’s an inflammation of the prostate gland, sometimes with infection present. Symptoms may be absent, mild, or severe and life-threatening. The constellation of symptoms associated with this poorly understood condition can be straightforward or obscure, perplexing both providers and patients. This educational activity helps you distinguish between the various causes, treatments, and care for the condition.

Describe the major differences among acute bacterial prostatitis, chronic bacterial prostatitis, chronic prostatitis/chronic pelvic pain syndrome, and asymptomatic prostatitis.

Discuss specimen collection for the pre- and post-massage test.

Identify treatments and clinical care measures for patients with prostatitis.

Instructor
Elizabeth Kellerman, MSN, RN

Expert Reviewer
Christopher Reist, MD, MBA

1.25

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Instructor
Ashley M. Coffey, RN

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

Heart blocks, junctional rhythms, and ST-segment elevated myocardial infarctions (STEMIs) are abnormal rhythms that can develop into life-threatening medical emergencies. Patient assessment along with electrocardiogram (ECG) interpretation are both essential tools for diagnosing patients, so that they can be treated appropriately. As part of a healthcare providers (HCPs) scope of practice, it is important to recognize the clinical presentation of heart blocks, junctional rhythms, and STEMIs, and identify the characteristics of abnormal rhythms on an ECG.

Describe the etiology and signs and symptoms of heart blocks, junctional rhythms, and STEMIs.

Identify the ECG characteristics and treatment options for heart blocks, junctional rhythms, and STEMIs.

Staff Writer
Alia Lutz, BSN, RN

0.75

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

Three different obstetrical scenarios, complicated by a Category II Fetal Heart Rate pattern, are presented to illustrate the importance of clinical context when formulating management plans. Emphasis, characteristics, and potential etiologies of Category II fetal heart rate tracings are reviewed. Management of the patient with a Category II fetal heart rate pattern is discussed, with special emphasis on the importance of the clinical context and fetal heart rate pattern evolution.

Describe characteristics of Category II FHR tracings.

Identify common etiologies for Category II FHR tracings during labor.

Examine clinical interventions for Category II FHR tracings.

Review the etiology-based management of Category II FHR tracings.

Expert Reviewer
William Cusick, MD, MFM, FACOG
Dr. Patricia Hensley, DNP, MHA, BSN, RNC-OB
Catherine McGovern, MSN, WHNP-BC, CNM, IBCLC, RN

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Subject Matter Expert
Rhoda Phillips, MSN, RN, CEN

Reviewer
Daniel Migliaccio, MD, FPD, FAAEM

2.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

An approach that prevents and treats acute pain while avoiding unnecessary exposure to opioids is the goal of pain management (U.S. Department of Health and Human Services [DHHS], 2019b). Clinicians should integrate patient-centered approaches, therapies, technology, and self-care strategies while collaborating with other professionals to manage pain (Cohen et al., 2020). However, barriers to the use of best practices for pain management are prevalent at the patient-provider, practice, and systems levels. Resolution of stigma and structural inequalities that limit access to evidence-based pain treatments is required to eliminate barriers.

The goal of this course is to provide healthcare professionals with evidence-based guidance for managing pain while weighing the risks and benefits of pain medications with functional improvement and harm prevention.

Describe the need for and methods to balance harms associated with uncontrolled pain with potential harms associated with pain treatment.

Select appropriate tools to assess pain.

Discuss the physiologic processes and terminology related to pain.

Identify components of pain treatment that can be combined to form multimodal treatment plans.

Instructor
Paul Arnstein, PhD, RN, FAAN

Staff Writer
Cathryn Ayers, RN

Expert Reviewer
Johnny J. Bethea, II, BSPharm

1.25

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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

Instructor
Ashley M. Coffey, RN


Disclosure: Ashley M. Coffey, RN discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee
Relevant Non-Financial Relationship with No Entities Exists as a Contributor

0.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

A case of obstetrical hemorrhage due to uterine atony, requiring medical and surgical interventions and blood component replacement therapy is presented. Emphasis: A review of obstetrical hemorrhage, etiologies, and treatments is provided. The importance of early recognition and response to excessive blood loss is stressed. Medical and surgical interventions for uterine atony are reviewed. Current recommendations for blood component replacement therapy for massive hemorrhage are discussed.

List common risk factors for OH.

Review medical treatments for uterine atony.

Identify pre-surgical and surgical treatments for uterine atony.

Describe blood component therapy for massive hemorrhage.

Expert Reviewer
William Cusick, MD, MFM, FACOG
Dr. Patricia Hensley, DNP, MHA, BSN, RNC-OB
Susan Hale, DNP, RNC-OB, C-EFM

0.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

Opioid use and misuse has become a significant problem within the United States. Each year, more and more people die from opioid overdose. As a healthcare provider, you play a critical role in addressing the opioid epidemic. This course will provide an overview of the opioid use and misuse trends in the U.S. A relatable story of a patient who has opioid use disorder will be used to explore fundamental information regarding opioid use and misuse. This course will also discuss how opioid prescribing has contributed to an epidemic and guidelines for opioid prescribing and use.

Describe opioid use disorder, its relationship to prescription opioids, and patient outcomes that result from opioid use and misuse.

Identify federal and state laws regarding prescription and dispensation of opioid analgesics and CDC guidelines for appropriate use of these medications.

Staff Writer
Carrie Furberg, BSN, RN, CRN

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

Uncontrolled hypertension can cause multiple complications ranging from a myocardial infarction (MI) to stroke. Diagnosing and managing this chronic condition involves a team approach to improve a patient's outcome. There continues to be a global and national push to manage hypertension. There are various evidence-based approaches and strategies when treating patients who have or are at risk for developing hypertension. This course aims to educate nurses, registered dietitian nutritionists, pharmacists, physical therapists, physicians, and radiologic technologists about current guidelines and drug therapy for the management of hypertension.

Recall blood pressure goals for various stages of hypertension.

Recall lifestyle modification strategies in managing patients with hypertension.

Discuss major concerns related to the four classes of antihypertensive drugs.

Staff Writer
Johnny J. Bethea, II, BSPharm
Zeliha Ozen, MSN, RN, CCRN, CNL
Meredith Moyers MS, RD, LDN

2.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

This article discussed pediatric bony injuries in detail by outlining the mechanisms, physical exam findings, imaging modality recommendations, and initial treatment for pediatric knee fractures.

Discuss conditions that should increase suspicion for traumatic injuries in pediatric patients.

Describe the various modalities used to identify different traumatic conditions.

Cite methods of quickly stabilizing and managing pediatric patients.

Identify possible complications that may occur with traumatic injuries in children.

Instructor
Jillian Merica, MD

Instructor
Daniel Migliaccio, MD, FAAEM

0.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

Nearly 10% of U.S. population does not have health insurance (U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion [ODPHP], n.d.a). Healthy People 2030 is a national population and public health initiative endorsed by top U.S. government health agencies, setting health goals for the U.S. healthcare system to improve the overall wellbeing of patients in their communities. This course provides an in-depth and interactive analysis of one of the five Healthy People 2030’s domains of social determinants of health (SDOH), healthcare access and quality, and its impact on patient outcomes. 

Review what SDOH are and how they impact both healthcare access and quality of care.

Identify barriers to healthcare access and care quality, how these barriers negatively impact patient outcomes, and some strategic interventions to improve these patient outcomes.

Subject Matter Expert
Shalla Newton, MSN, RN, NE-BC

0.25

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

The National Institute of Child Health and Human Development (NICHD) workgroup standard for fetal heart rate monitoring assessment and categorization, first proposed in 1997 and subsequently updated in 2008 was meant to promote commonality of FHR tracing nomenclature and interpretation. Based on these recommendations, a three-tiered categorization pattern based on the visual assessment of the fetal heart rate pattern was adopted. This module aims to review and apply essential FHR content in several clinical scenarios to highlight an important Clinical Pearl: The Category III tracing is a rare intrapartum FHR pattern that is highly associated with fetal acidemia and adverse neonatal outcomes.

Consistently apply 1997 and 2008 NICHD definitions and terminology when describing intrapartum fetal heart rate patterns.

Identify intrapartum fetal heart rate tracings using the 2008 NICHD 3-tiered system.

Recognize the fetal heart rate characteristics that define a Category III pattern.

Review the diagnostic imprecision and clinical significance of minimal fetal heart rate variability.

Expert Reviewer
William Cusick, MD, MFM, FACOG
Dr. Patricia Hensley, DNP, MHA, BSN, RNC-OB
Catherine McGovern, MSN, WHNP-BC, CNM, IBCLC, RN

0.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Instructor
William Cusick, MD, MFM, FACOG

1.25

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

In this course, you will learn to identify different depressive disorders, as well as the unique ways depression manifests in children and adolescents. Additionally, you will learn to recognize risk factors for both depression and suicidality in youth.  

An integrated care model treats the whole child by combining primary care and mental healthcare in one setting. Within this model, treatment providers understand how to screen for depression and suicidality in order to coordinate care. You will learn about specific instruments useful for detecting depression and suicidality among youth. An understanding of the root causes of depression will highlight the rationale for various treatment approaches. Lastly, you will be able to describe the best practices available to help children and adolescents manage depression.  

Identify three different types of depressive disorders and common symptoms of depression in children and adolescents.

Identify at least five causes and risk factors of clinical depression and how to screen for depressive disorders in children and adolescents.

Describe three interventions to treat child and adolescent depressive disorders.

Staff Writer
Pamela Green, LCSW RPT

2.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

This course focuses specifically on early interventions that are designed to reduce suicide risk. You will learn how these early interventions impact suicide risk. You will also learn of examples and the role that programs highlighting connectedness, life skills, and resilience play in preventing suicide. The goal of this course is to provide social work, psychology, nursing, alcohol and drug counseling, marriage and family therapy, and counseling professionals in health and human services with information about community-based, upstream suicide prevention approaches. 

Explain what upstream suicide prevention means and why it is important.

Summarize the impact of connectedness as an upstream suicide prevention approach.

Describe how fostering life skills and resilience can help to prevent suicide.

Monique Kahn, Psy.D.
Kathryn Falbo-Woodson, MSW, LCSWA

1.25

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

Cerebrovascular accidents (CVAs), or strokes, are a    leading cause of death in the U.S. (Centers for Disease Control [CDC], 2021). Patient prognosis and the preservation of functional status are highly dependent on receiving prompt, timely treatment. A thorough understanding of stroke pathophysiology is crucial, as is assessing, diagnosing, and determining the appropriate plan of care. With this understanding, clinicians will be better equipped to make the best possible decisions in the provision of care for their patients.

Identify types of strokes, their etiologies, and symptoms.

Recall components of the American Heart Association and the American Stroke Association guidelines for the care of the stroke patient.

Describe treatment options for ischemic stroke and hemorrhagic stroke.

Instructor
Daniel Migliaccio, MD
Elizabeth Kellerman, MSN, RN

0.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

Intrapartum fetal heart rate monitoring is an integral part of modern day obstetrics and when properly interpreted, may provide valuable insight into the fetal metabolic state. During labor, the physiologic stress posed by regular uterine contractions and maternal expulsive efforts may adversely impact the fetal acid-base status, leading to changes in the fetal heart rate pattern.

This module aims to review and apply essential FHR content in several clinical scenarios to highlight an important Clinical Pearl: Management of the laboring patient requires that the FHR pattern trends are interpreted in context with the clinical scenario and progress of labor.

Consistently apply 1997 and 2008 NICHD definitions when describing intrapartum fetal heart rate patterns.

Identify the importance of FHR variability evolution when assessing the FHR pattern.

Review the importance of FHR tracing trend assessment when managing the abnormal intrapartum FHR tracing.

Recognize the importance of clinical scenario, FHR pattern evolution, and stage of labor when managing the Category II tracing in labor.

1.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

A diagnosis of major neurocognitive disorder can be devastating due to the losses associated with the disease. Neurocognitive disorders affect every part of a person’s life, and as behavioral health professionals, we have an opportunity to offer support, comfort, and care. The goal of this course is to provide education to beginner and intermediate addiction specialists, behavioral health counselors, marriage and family therapists, nursing, psychology, and social work professionals working in health and human services settings on how to evaluate, assess, and treat older adults with major neurocognitive disorder.

Identify at least two important aspects of care planning for older adults diagnosed with major neurocognitive disorder.

Recall at least three challenging behaviors that commonly occur among older adults with major neurocognitive disorder.

Indicate non-pharmacological and pharmacological strategies you can use to manage challenging behaviors among older adults with major neurocognitive disorder.

Instructor
Jennifer Niles, MSW, LCSW, LCAS

Expert Reviewer
Dr. Jennifer Reynolds, Ph.D.

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

Chronic pain is a common condition for which healthcare providers often prescribe controlled substances, such as opioids. Prescription opioids can alleviate pain in certain patients, but the risk of misuse, abuse, and overdose means providers need to evaluate the risks and benefits for each patient. This course will educate healthcare providers on the role of prescription opioids along with other therapies for chronic pain, using recommendations from current national guidelines.

The goal of this course is to educate healthcare providers on methods for the safe and responsible use of controlled substances for the management of chronic pain.

Indicate treatment options for patients with chronic pain. 

Identify safe strategies to initiate or change opioid analgesics. 

Name patient factors and characteristics that can make prescribing opioids unsafe.

Subject Matter Expert
Sooa Devereaux, MSN, RN

2.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

This course will provide you with information about the numerous risk and protective factors of suicide. You will learn effective screening approaches you can use to identify elevated risk. You will also learn how to follow a positive screening with an in-depth clinical assessment, including several different models you can use to guide your assessment. The goal of this course is to provide alcohol and drug counseling, marriage and family therapy, counseling, psychology, and social work professionals in health and human services with skills to identify individuals at increased risk of suicide.

Recognize risk and protective factors for suicide.

Explain how to effectively screen to identify individuals at risk of suicide.

Summarize the major components of a comprehensive suicide assessment.

Monique Kahn, Psy.D.

2.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Writer
William Cusick, MD, MFM, FACOG

Reviewer
Ahizechukwu C. Eke, MD, PhD, MPH

1.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

This course will focus on the biological and psychosocial factors that are unique to adolescents and that impact their vulnerability to the negative effects of opioid use. You will increase your understanding of the scope of opioid use disorders among adolescents and young adults and improve your ability to effectively identify and treat problematic, nonmedical use of prescription and other opioids. 

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 13-25.

Discuss the unique characteristics of opioid use and barriers to treatment among adolescents and young adults.

List evidence-based practices for treating opioid use disorders in adolescents and young adults.

Identify comorbidities common to opioid use disorders, such as other types of substance use, co-occurring mental health disorders, or physical health ailments.

Instructor
Bryn Davis, LPC, MAC

2.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

You will learn about the three different presentations of ADHD along with key behaviors of each. In addition to specific diagnostic criteria of ADHD, you will learn how to identify typical symptoms, particularly how symptoms manifest differently in individuals of different ages.

This course also discusses some of the possible causes of ADHD as well as current treatment options for children, teenagers, and young adults, including both pharmacological and non-pharmacological interventions. A series of experiential lessons and interactive exercises will help you practice and apply what you have learned.

Describe the symptoms of the three different presentations of ADHD and how they may manifest differently in children, teenagers, and young adults.

Identify the current theories on the etiology of ADHD.

Discuss some of the conditions that may hinder accurate diagnosis of ADHD, as well as the other disorders that commonly co-occur with ADHD.

Explain the different treatment options for ADHD, including medications and therapeutic interventions.

Instructor
Pamela Green, LCSW RPT

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

The goal of this course is to provide education to entry-level professional counselors, marriage and family therapists, alcohol and drug counselors, psychologists, nurses, and social workers working in the health and human services field about types, prevalence, causes, and consequences of medical and treatment errors in the behavioral health setting, as well as how to address them and reduce risk of future errors.

Discuss types and prevalence of medical and treatment errors in behavioral health.

Describe causes and consequences of medical and treatment errors.

Identify strategies to address an error and reduce the risk of future errors.

Staff Writer
Jennifer Niles, MSW, LCSW, LCAS

Instructor
Cecelia Garritt, RN, BAS, BSN, MPH

 

 

1.25

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Subject Matter Expert
Dr. Alina Vrinceaunu-Hamm, MD


Writer
Jacob Helton, Psy.D.

 

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Subject Matter Expert
Cathryn Ayers, RN

Reviewers
Johnny J. Bethea, II, RPh
Daniel Migliaccio, FDP, FAAEM

 

0.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Reviewed: Expiration:

Neonatal emergencies are frightening and challenging to almost all acute care providers. Recognizing the presentation of common neonatal respiratory emergencies is essential to acute care providers. This issue will focus on the neonate and provide a succinct review of respiratory emergencies pertinent to clinical practice and board preparation/review.

The goal of this course is to present healthcare providers in the acute care setting with a succinct review of neonatal respiratory emergencies.

Know the anatomy and pathophysiology relevant to emergency management of neonatal respiratory emergencies.

Know the indications and contraindications for acute management options for neonatal respiratory emergencies.

Plan the key steps and know the potential pitfalls in the acute management of neonatal respiratory emergencies.

Recognize the complications associated with the acute management of neonatal respiratory emergencies.

Instructor
Ann Dietrich, MD, FAAP, FACEP

1.75

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

This course provides an overview of how anxiety impacts children and adolescents. You will learn about the specific types of anxiety disorders and the multiple pathways by which anxiety can develop. As you progress through this course, you will learn assessment strategies and evidence-based interventions that you can implement to identify and treat these disorders in children and adolescents.

Identify three common symptoms of anxiety disorders in children and adolescents.

Describe three of the possible origins of anxiety based on the research accumulated to date.

List assessment tools and practices to use when evaluating anxiety symptoms in children and adolescents.

Identify three evidence-based interventions for treating problematic anxiety in children and adolescents.

Instructor
Bridgett Ross, PsyD


Staff Writer
Pamela Green, LCSW RPT

2.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Staff Writer
Cathryn Ayers, RN

1.25

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Subject Matter Expert
Jacob Helton, Psy.D.

2.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Subject Matter Expert
Cathryn Ayers, RN

Reviewers
Johnny J. Bethea, II, RPh
Daniel Migliaccio, FDP, FAAEM

1.25

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

The National Institutes of Health Stroke Scale (NIHSS) is a tool used to measure the severity of stroke symptoms and aid in identifying the location of the injury. The NIHSS has been shown to strongly predict the likelihood of a patient’s recovery after stroke. 

The goal of this course is to equip clinicians with the knowledge necessary to apply the NIHSS to patients experiencing an acute stroke.

State the primary purpose of the National Institutes of Health Stroke Scale (NIHSS).

List all NIHSS items and areas of assessment that are used to test for stroke severity.

Calculate NIHSS scores that correspond to levels of stroke severity.

Instructor
Cathryn Ayers, RN

0.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Instructor
Stephanie M. Smith MS, BSN, RN, CPN

Staff Writer
Rebecca Smallwood, MBA, RN

0.75

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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

Writer
Claire Hartman, RN, IBCLC


Subject Matter Expert
Daisy Goodman, DNP, MPH, APRN, CNM

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Instructor
Jacob Helton, Psy.D.

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

A traumatic brain injury (TBI) is a complex condition that may have short- or long-term effects on a patient. Often difficult to treat, TBIs have a wide array of associated symptoms and disabilities, all of which may have a significant impact on the lives of patients and their families. In 2017, there were approximately 224,000 hospitalizations in the U.S. related to TBIs, mostly older adults over 75 years (CDC, 2021b). Nurses who care for patients experiencing a TBI should be ready to rapidly assess the patient so that they can be treated in a timely manner.

Discuss the pathophysiology of a TBI and review the principles of nursing care activities for patients with a TBI.

Identify surgical, medical, and emergency interventions for patients with a TBI.

Identify and plan for the educational needs of individuals with a TBI.

Staff Writer
Alia Lutz, BSN, RN

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

There are external conditions which exist with the potential to affect a patient’s current and future health, often beyond a patient’s direct control. These conditions, referred to as social determinants of health, encompass where a patient lives and works, socioeconomic policies, systems, and norms, and more. These factors and many other contribute to health inequity and inequalities at local, state, national, and international levels. The social determinants of health impact the daily delivery, accessibility, and engagement of health improvement efforts. The conceptual framework behind social determinants of health, current inequalities and inequities in healthcare are important for clinicians to consider when while caring for patients and improving  the health of individuals and communities.   Clinicians must explore how to increase awareness and interest in the determinants, as well as ways to engage patients, stakeholders, and other clinicians in addressing social determinants of health.

Recognize 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.

Recall the five domains of social determinants of health.

Instructor
Stephanie M. Smith MS, BSN, RN, CPN

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Subject Matter Expert
Shalla Newton, MSN, RN, NE-BC

Elizabeth Vaccaro, BSN RN, MSCN

0.50

Launch Course

AMA PRA Category 1 Credit™, MOC, and ANCC

Origination: Reviewed: Expiration:

Recent research and healthcare reform efforts highlight the central importance of engaging patients in treatment as a key factor in improving patient outcomes. The high costs of patients’ lack of engagement include inadequately addressed existing health problems, the emergence of new health issues, non-adherence to medication regimens, medical errors, deaths, disability, and more frequent use of high-cost services such as emergency department (ED) visits and hospitalizations, versus preventive and routine care.

The goal of this course is to equip nurses and physicians in the acute care setting with strategies to engage patients in treatment prior to discharge from the ED, promote greater follow-through with discharge recommendations, and reduce the high utilization of costly treatment approaches.

Recall strategies to facilitate patients’ active involvement in healthcare discussions and decisions, assess patient readiness to change, and tailor treatment recommendations to those factors. Name communication strategies that support patient engagement and approaches to maintain patient engagement when collaborating with or transitioning care to other providers.

Subject Matter Expert
Andrea Powell, RN, BSN

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

This course provides information on child, elder, and dependent adult abuse, as well as intimate partner violence. You will learn about each type of abuse, signs of abuse among these groups, and your reporting responsibilities and procedures. The goal of this course is to provide general staff in health and human services settings with skills for recognizing and responding to abuse and neglect.

State abuse reporting responsibilities under mandated reporting laws.

Identify risk factors, protective factors, and signs of child abuse, intimate partner violence, and elder or dependent adult abuse.

Determine how you should respond in situations involving suspected abuse or intimate partner violence.

Instructor
Bridgett Ross, PsyD

Staff Writer
Monique Kahn, Psy.D.

0.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

Economic stability is defined as a domain of social determinants of health in the Healthy People 2030 campaign. In this course, you will learn how economic stability relates to an individual’s ability to access resources, such as food, adequate housing, and healthcare. Income and health are strongly, positively correlated (Khullar & Chockshi, 2018). Each of the components of economic stability, which include poverty, employment, food security, and housing stability, are linked to individual health outcomes.

Describe the four components of economic stability.

Explain how economic stability affects health and health outcomes.

Describe strategies for helping patients overcome barriers to economic stability and how they positively impact health outcomes.

Instructor
Stephanie M. Smith MS, BSN, RN, CPN

0.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

The goal of this course is to educate nurses and physicians about key social determinants of health (SDOH) and health disparities affecting maternal and fetal outcomes.

Identify at least four social determinants/disparities of health impacting maternal-fetal health outcomes.

Describe at least two clinical and/or social support interventions to be used in clinical practice to decrease bias regarding social determinants and improve maternal-fetal health outcomes.

Subject Matter Expert
Dr. Patricia Hensley, DNP, MHA, BSN, RNC-OB
Jean Salera-Vieira, DNP, APRN-CNS, RNC

Writer
Jennifer Denis-Hill, BA, MSN, RNC-NIC

2.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Reviewed: Expiration:

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.

Subject Matter Expert
Jennifer Niles, MSW, LCSW, LCAS
 

1.75

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

HIPAA rules underlie every service related to behavioral health, and they change to meet evolving trends. There are potentially catastrophic organizational and individual consequences if the current HIPAA rules are not followed. This course will help you to identify potential legal and ethical issues related to HIPAA, improve your compliance approach, and develop more effective risk management strategies.

The goal of this course is to assist alcohol and drug counselors, marriage and family therapists, professional counselors, psychologists, social workers, and nurses in health and human services settings in understanding and applying current HIPAA regulations.

Indicate the purpose of HIPAA and how it applies to behavioral healthcare providers.

Recall at least three ways that the Privacy Rule impacts the day-to-day responsibilities of behavioral health providers.

Identify at least three steps that behavioral health providers need to take to ensure compliance with the Security Rule.

Instructor
Stephanie L. Furness-Kraft, LCSW, CCTP

1.25

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Staff Writer
Rebecca Smallwood, MBA, RN

Instructor
Cathryn Ayers, RN

0.50

Launch Course

ANCC Accreditation

Origination: Reviewed: Expiration:

This content is intended for all members of the obstetric team and is based on the educational theory that team performance is enhanced when all members of the team have the same understanding of the task and procedure to be performed.

Enhance situational awareness for patients at increased risks for shoulder dystocia (SD). Design a team-based SD simulation drill. Improve obstetrical team performance through enhanced cooperation in deliveries complicated by SD. Review methods to enhance communications with teams.

Writer
Dr. Patricia Hensley, DNP, MHA, BSN, RNC-OB

0.50

Launch Course

AMA PRA Category 1 Credit™

Origination: Reviewed: Expiration:

The management of the female who presents to the emergency department (ED) in active labor is stressful and overwhelming. Ideally, the ED has a plan in place, based on hospital resources, for the imminent delivery of a newborn. Decisions regarding delivery in the ED or transferring the patient to labor and delivery are based on a variety of factors. Knowledge of the possible complications of delivery will provide anticipatory guidance to improve maternal and fetal outcomes.

Know the clinical presentation and physical exam findings associated with pregnancy.

Recognize the common complications associated with pregnancy. Plan the steps to prepare the process of delivery of a newborn.

Recognize common complications of delivery of a newborn.

Subject Matter Expert
Ann Dietrich, MD, FAAP, FACEP

1.00

Launch Course

Origination: Reviewed: Expiration:

Treatment for HIV/AIDS has significantly improved over the last few decades and has reduced morbidity and mortality rates in patients living with HIV/AIDS. The use of highly active antiretroviral therapy (ART) slows the progression of the disease by reducing the amount of HIV in the blood. Determining the most effective treatment regimen is a complex process and will require the use of several medications. The goal of this course is to provide pharmacists in acute care settings with an overview of HIV medication classes and factors influencing treatment decisions.

Discuss the different classes of antiretroviral drugs used for the treatment of HIV.

Explain the guidelines for initiation of antiretroviral therapy, its use in pre-exposure prophylaxis, and its implication for opportunistic infections.

Instructor
Robert Smith, PharmD

1.00

Launch Course

Origination: Expiration:

In this course, you will learn the essential telehealth components necessary to conduct a clinical assessment, risk assessment, and utilize formal assessment instruments. You will also learn what hardware and software technological resources are needed to connect with clients via telehealth.

The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, psychology, and social work professionals in health and human services with information on conducting clinical assessments via telehealth.

Identify at least three essential components of the intake process and best practices, methodology, and frequency of completing risk assessments via telehealth.

Determine the benefits and limitations of using clinical assessment tools for telehealth services.

Recognize software and hardware requirements for assessing clients remotely.

Instructor
Bryn Davis, LPC, MAC

1.25

Launch Course

ANCC Accreditation

Origination: Expiration:

The state of healthcare in the U.S. is poor when compared to other developed countries and the need to balance cost and quality has become apparent (The Commonwealth Fund, 2019). Utilization management helps ensure the most optimal care is being provided and waste of resources or services is reduced when possible. Clinicians in utilization management perform a variety of functions to help achieve a balance between quality and cost of care. Utilization reviews are one method to reveal areas where cost or quality can be improved and can serve as a basis for quality improvement initiatives in all healthcare settings. Thus, the importance of utilization management will continue to grow as regulatory bodies and healthcare professionals strive to improve the state of U.S. healthcare.

Describe the role of utilization management in balancing cost-effective and high-quality services.

Summarize the appeals and review process.

Instructor
Cathryn Ayers, RN

Expert Reviewer
Barbara A Fuchs, RN, MS, CPHQ, FNAHQ, FACEHP

 

1.75

Launch Course

ANCC Accreditation

Origination: Expiration:

Data is being applied in ways never before seen by payers and providers to drive healthcare improvement through an analytic approach. Data can be applied to improve healthcare costs, quality, and outcomes. To understand how data is being utilized, you must first understand the broad perspective of what experts are calling the “data revolution” in healthcare, or the “age of big data.” It is also important to know what this means from a technology perspective.

There is also a micro-level of healthcare data application within the payer setting that has different ways in which data is helping payers to improve overall population health, manage healthcare costs, and inform the creation of innovative pilot programs. For those working in a healthcare setting, it is important to know how healthcare data is applied from a payer’s perspective. This includes member case management selection, the intersection of healthcare data and member preference, and how data is being used to inform best practices through medical necessity criteria (MNC) and clinical guidelines.

Discuss the background and implications of big data in healthcare.

Describe how data is utilized by case managers within different areas of the payer setting to improve care outcomes, measure case management performance, and identify fraud, waste, and abuse.

Explain how data drives better healthcare through evidence-based decision-making, application of medical necessity criteria, and utilization management.

Instructor
Wendy Waltrip, MSN, RN, CCM

Staff Writer
Alia Lutz, BSN, RN

1.25

Launch Course

ANCC Accreditation

Origination: Expiration:

Concussions are head injuries that are caused by a traumatic, biomechanical force. The symptoms of concussion are primarily the result of functional disturbances, not structural injuries, and may include headache, dizziness, changes in mood or behavior, and changes in sleep patterns. Despite increased awareness of the injury, concussion remains under-reported and under-diagnosed. Diagnosis of a concussion is based largely on the presence of clinical symptoms as there is no quantitative test for concussion. Neuroimaging is considered to be overused in the acute evaluation of concussions since imaging technologies, such as CT, cannot diagnose concussion. CT can only identify more serious injuries, such as hemorrhages or contusions. In the future, serum biomarkers may be helpful in stratifying patients at increased risk of related injuries or complications from concussion.

Identify signs and symptoms of a concussion in the pediatric patient.

Discuss the evaluation, diagnosis, and management of concussion in the pediatric patient.

List the complications of concussion in the pediatric patient.

Staff Writer
Stephanie M. Smith MS, BSN, RN, CPN

Expert Reviewer
Olive Peart, MS,RT(R)(M)

 

0.75

Launch Course

Origination: Expiration:

Boundaries are important in guiding acceptable and unacceptable interactions. People working in service or care professions are often in situations where the lines between a professional and social relationship become blurred. Setting and keeping professional boundaries are key to protecting your clients, yourself, and the service or care process. The goal of this course is to provide paraprofessionals in health and human services settings with information about professional boundaries, boundary crossings and violations, and situations when crossing a boundary may be acceptable.

Define professional boundaries.

Differentiate between a social relationship and professional relationship.

Explain three differences between a boundary crossing and a boundary violation.

Identify three considerations when deciding whether it is appropriate to intentionally cross a professional boundary.

Staff Writer
Kimberly Cobb, MS

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

Obesity rates in the U.S. have risen to the level of an epidemic, as 1 in 3 adults are affected by this disease. Obesity is a disease that significantly affects a person’s health and is not simply due to poor diet and lack of exercise. This course introduces healthcare professionals to the causes, management, and treatment options for adult obesity.

The goal of this course is to familiarize healthcare professionals with the growing epidemic of obesity among adults in the U.S.

Identify the current problem and contributing factors of obesity in the U.S.

Describe the management and treatment options for obesity.

Subject Matter Expert
Sooa Devereaux, MSN, RN

1.00

Launch Course

Origination: Expiration:

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.

Instructor
Felicia Sadler, MJ BSN RN CPHQ
Scott McConnell, BSN, RN, MICN, PHRN, CEN, NRP, EMS-I

Staff Writer
Kimberly Workman, MA

0.50

Launch Course

AMA PRA Category 1 Credit™, MOC, and ANCC

Origination: Reviewed: Expiration:

This course will give a high-level overview of the Quality Payment Program (QPP). Historically, the provider payment system was flawed, focusing on volume vs. quality of care. This course will further define the QPP and its two-track pathways for Medicare-eligible participants, known as Qualifying Participants (QPs). The two QPP pathways, Merit-based Incentive Payment Systems (MIPS) and Alternative Payment Models (APMs) will be discussed, including enrollment stipulations and 2023 proposed payment changes. Lastly, this course will briefly discuss the COVID-19 implications affecting the QPP.

Recall the overarching concept of the QPP and the CMS 2023 proposed changes. Identify how both the MIPS and APM QPP tracks work, the CMS 2023 proposed changes, and COVID-19 implications.

Subject Matter Expert
Shalla Newton, MSN, RN, NE-BC

0.50

Launch Course

ANCC Accreditation

Origination: Reviewed: Expiration:

Recent research and healthcare reform efforts highlight the central importance of engaging patients and their families in treatment as a key factor in improving patient outcomes. In family-centered care, collaborative relationships between healthcare providers and the patient’s family members are emphasized for their benefits to quality care. In contrast, lack of engagement of the patient and their family members in treatment is associated with inadequately addressed existing health problems, the emergence of new health issues, treatment complications, medical errors, deaths, disability, and more frequent use of high-cost services such as emergency department (ED) visits and hospitalizations vs. preventive and routine care.

 

This course will provide an overview of strategies you can use to engage your patient’s family members in treatment to promote greater follow-through with discharge recommendations from the ED and reduce high utilization of costly treatment approaches.

Identify strategies to facilitate shared decision-making and active collaboration with your patients’ family members. Employ communication strategies that support engagement of family members. Identify potential barriers to engaging family members in treatment and strategies for overcoming these barriers.

Subject Matter Expert
Elizabeth Vaccaro, BSN RN, MSCN

0.50

Launch Course

ANCC Accreditation

Origination: Expiration:

Pediatric patients experience pain from minor procedures on a regular basis in acute care settings. To help reduce pain in these children, nurses must be knowledgeable about the typical minor procedures and procedural sedation performed. In addition, they must have knowledge regarding validated pain assessments, medications and adjuncts, and non-pharmacological management of pediatric pain.

The goal of this course is to equip nurses with knowledge of evidence-based practices for nursing management of pediatric pain associated with minor procedures.

Recall minor procedures, procedural sedation, and pain assessment scales used in pediatric patients.

Identify medications, adjuncts, and non-pharmacologic management of pediatric pain during minor procedures.

Subject Matter Expert
Stephanie M. Smith MS, BSN, RN, CPN

0.50

Launch Course

ANCC Accreditation

Origination: Expiration:

This course provides an overview about the safety of patients undergoing a trial of labor after cesarean (TOLAC) to attempt a vaginal birth after cesarean delivery (VBAC). Research evidence has influenced where VBACs are performed, which women are eligible and how the practice is conducted, including the safe use of induction/augmentation medications. The safety of VBAC for mother and newborn always remains the primary underlying principle that guides care.

Identify three risk factors and benefits associated with TOLAC and recommendations for safe TOLAC.

Recall essential components of nursing education, informed consent, safe medication administration, and fetal assessment related to TOLAC.

Writer
Claire Hartman, RN, IBCLC

1.50

Launch Course

ANCC Accreditation

Origination: Expiration:

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.

Subject Matter Expert
Bridgett Ross, PsyD

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

A common complication of pregnancy is gestational diabetes mellitus (GDM). GDM is a type of diabetes that develops in pregnant women who normally do not have diabetes. Proper diet, exercise, and pharmacological interventions can help your patient have a healthy pregnancy and baby. The goal of this course is to educate nurses and registered dietitians in acute care settings on current screening recommendations, diagnostic criteria, blood glucose goals, and treatment interventions for GDM. 

Recognize risk factors for gestational diabetes mellitus.

Define at least one fetal and one maternal complication resulting from gestational diabetes mellitus.

Recall three interventions to achieve target blood glucose goals and improve outcomes for women with gestational diabetes mellitus.

Writer
Meredith Moyers MS, RD, LDN

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

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.

Instructor
Stephanie M. Smith MS, BSN, RN, CPN

0.50

Launch Course

Origination: Reviewed: Expiration:

Opioid dependence can be caused by the use of prescription opioids (obtained legally or illegally) or the use of illicit opioids (e.g., heroin). It continues to be a growing problem in the United States with opioid-related deaths occurring daily. Often, patients who discontinue opioid use require treatment to prevent relapse or the extreme effects of withdrawal. Buprenorphine is a partial mu-opioid agonist used for the treatment of patients with opioid dependence. It is available as a sublingual tablet, sublingual or buccal soluble film strip, and injection and is used in formulations with or without naloxone. The goal of this course is to educate nurses, pharmacists, and pharmacy technicians in acute care settings about opioid dependence and the therapeutic use of buprenorphine to treat the condition.

Describe the key differences among the three drugs approved for the treatment of opioid dependence.

Summarize the pharmacology, dosing, formulations, adverse effects, and interactions of buprenorphine.

Explain the regulations that govern the prescribing and dispensing of buprenorphine for the treatment of opioid dependence.

Instructor
Robert Smith, PharmD

2.00

Launch Course

Non-accredited Education

Origination: Expiration:

Abdominal pain is the single most common ED complaint (up to 10% of visits) and is in the top four for emergency medicine litigation. Emergency providers must be proficient in diagnosing abdominal pain to provide excellent care to patients and reduce their risk of being named in litigation. This course will address abdominal pain diagnosis and treatment in the ED for the elderly, adults, children, and young women (of childbearing potential).

State the evaluation of abdominal pain in the elderly.

Recognize the approach to abdominal pain in the post-bariatric surgery patient.

Discuss the presentation of testicular torsion.

Describe the scoring systems for appendicitis in adults and children.

Assess the non-abdominal causes of abdominal pain.

Presenter

Stephen Colucciello, MD, FACEP

 

Planner/Reviewer

Edward Boudreau, DO, FACEP

 

1.00

Launch Course

Origination: Expiration:

 To care for a child with a tracheostomy tube, clinicians must understand the reason the child requires a tracheostomy, the functional status of the child’s upper airway, and the child’s medical condition. Children with tracheostomies routinely receive care in both home and healthcare settings. Patients with tracheostomies can experience complications and there is an increased risk of death associated with tracheostomy-related emergencies. The management of a child with a tracheostomy requires clinicians to be skilled in routine and emergency tracheostomy care.

Discuss the history, and anatomy and pathophysiology of the pediatric respiratory system.

Describe tracheostomy management and care for a child.

Identify tracheostomy emergency prevention and response strategies in the home for a pediatric patient with a tracheostomy.

Staff Writer
Stephanie M. Smith MS, BSN, RN, CPN

1.25

Launch Course

ANCC Accreditation

Origination: Expiration:

Nurses working with older adults will likely encounter wounds. Both acute and chronic wounds are more likely to occur in older adults than their younger counterparts because of the chronic conditions associated with the wounds, such as vascular disease, venous insufficiency, and diabetes mellitus. This course discusses the effects aging has on the skin’s function. It also discusses common wounds seen in older adults. 

Discuss the three primary layers and functions of the skin.

Describe the criteria to include in a wound assessment, including proper measurements.

Explain at least one difference between arterial, venous stasis, and neuropathic ulcers and pressure injuries.

Instructor
Bobbi Whittington, RN, BSN

Expert Reviewer
Laura Anderson, MSN RN, WCC

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

More than 20% of hospital-acquired infections (HAIs) are obtained in intensive care units (ICUs) even though ICU beds make up less than 10% of the total beds in most hospitals (Marchaim & Kaye, 2021). Sepsis and infections account for 40% of all expenditures in this setting and are the leading cause of death in noncardiac ICUs. However, the incidence of sepsis in the ICU population continues to rise. Patients in ICUs have a multitude of factors that put them at high risk for infection. Critical care nurses play a vital role in preventing ICU-acquired infections but must have the right knowledge and skills to do so.

Describe factors that contribute to the high incidence of ICU-acquired infections and associated poor patient outcomes.

Describe evidence-based practices for preventing ICU-acquired infections.

Staff Writer
Cathryn Ayers, RN

0.50

Launch Course

ANCC Accreditation

Origination: Expiration:

Data must be presented in a way that is quick and easy for the target audience to understand and facilitates timely and effective decision-making about how best to respond. Interpreting and using data are essential components of evidence-based nursing practice, which has been linked to improved patient outcomes and quality of care. However, many nurses do not use evidence-based practice (EBP) or participate in nursing research efforts. Understanding data collection and presentation methods are an important first step to greater nurse participation in EBP and quality improvement (QI) initiatives.

Describe data collection and presentation methods that are best for understanding quality of care performance and making decisions that are timely and actionable.

Recognize the relationship between nursing research, data presentation, and evidence-based practice.

Instructor
Carrie Furberg, BSN, RN, CRN

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

Heart failure (HF) treatment is costly and requires a multidisciplinary approach. Evidence-based treatment guidelines improve patient outcomes, and it is essential to become familiar with these guidelines to reduce patient mortality. Healthcare team members play a significant role in treating acute HF (AHF), helping to reduce the morbidity and mortality of the disease and decrease the use and costs associated with care. This course aims to educate nurses and nutrition and dietetics professionals in the acute care setting about evidence-based heart failure treatment guidelines.

Describe heart failure, including its classification systems, presentation, treatment, and evidence-based therapies.

Describe strategies for patient self-management.

Writer
Zeliha Ozen, MSN, RN, CCRN, CNL

Subject Matter Expert
Kristine Anne Scordo, Ph.D., ACNP-BC, FAANP

Reviewer
Meredith Moyers MS, RD, LDN

1.75

Launch Course

ANCC Accreditation

Origination: Expiration:

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.

Instructor
Nicole Strickland, BA, BSN, RN, CPAN

1.25

Launch Course

ANCC Accreditation

Origination: Reviewed: Expiration:

Dependent and older adults are a population who are vulnerable to abuse from someone they know, such as family members, service or care providers, and others. There are hundreds of thousands of investigated reports of cases of abuse each year. And yet, it is well known that dependent adult abuse and elder abuse are significantly under-reported. This type of abuse has a significant impact on the adult victim’s health, safety, emotional well-being, and ability to engage in daily life. The first step to addressing the problem is to heighten awareness of abuse of dependent and older individuals, in particular among those who serve them or have frequent contact with them. Individuals working with dependent and older adults must be knowledgeable about the common types of abuse perpetrated against these adults. They should also be familiar with the responsibilities related to reporting suspected or known dependent adult abuse or elder abuse.

Indicate three possible signs that an older or dependent adult may be experiencing abuse. Recall the appropriate steps you should take as a mandated reporter when abuse toward an older or dependent adult is identified. Identify ways that you can support older and dependent adults and their families through specific interventions when abuse has been identified.

Subject Matter Expert
Amanda Gayle, Ph.D.

0.50

Launch Course

ANCC Accreditation

Origination: Reviewed: Expiration:

Workplace-related stressors can have a negative impact on both nurses and the patients under their care. The effect of these stressors has led to intensifying burnout and compromising safe patient care. Nurses must be knowledgeable about how to deal with stress effectively.

Recognize the impact of stress on mental and physical health. Identify strategies for improving self-care and stress responses.

Subject Matter Expert
Emily Allen

Reviewer
Connie Vogel PhD, RN, CNE

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

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.

Writer
Monica Caicedo Orellana, MS, RN, OCN, CNE

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

Maternal death is increasing in the U.S., with cardiovascular disease (CVD) being a primary cause of mortality in pregnancy (Lindley et al., 2021). Patients with CVD who are pregnant require a multidisciplinary approach, such as a cardio-obstetrics team, and close monitoring to preserve maternal and fetal health. Nurses who work in gynecology and obstetrics should have a basic understanding of the effects of pregnancy on cardiovascular health. They should also be aware of common CVD pathologies seen in pregnancy.

The goal of this course is to provide nursing professionals in acute care with a general overview of cardiovascular disease in pregnancy.

Recognize common effects of pregnancy on the cardiovascular system, as well as risk factors and signs and symptoms for CVD in pregnancy.

Discuss the pathologies and management of acquired, congenital, or inherited CVD and hypertensive disorders in pregnancy.

Subject Matter Expert
Alia Lutz, BA, BSN, RN

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

Substance use is linked to millions of deaths worldwide each year (Ritchie & Roser, 2019). Supporting individuals’ long-term recovery from substance use can help save lives. Recovery is a lifelong process that aims to keep an individual substance-free while improving their overall quality of life. Wellness strategies enhance recovery outcomes by focusing on optimal health across all dimensions of an individual’s life.

 

 

Discuss how wellness approaches can positively impact recovery from substance use disorders.

Recognize the eight dimensions of wellness.

Identify wellness strategies to facilitate long-term recovery from substance use disorders.

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

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.

Writer
Sarah Hunter, RN, SCRN, CNRN, CMSRN

0.50

Launch Course

ANCC Accreditation

Origination: Expiration:

Life-threatening dysrhythmias can occur in an inpatient setting, even more so in an intensive care unit. Changes to the electrical conduction system can cause sudden hemodynamic instability and cardiac death. Given this, critical care nurses must understand the different types of dysrhythmias, their causes, ECG characteristics, defibrillation, pacing, and nursing interventions.

Describe at least three lethal dysrhythmias commonly encountered in the critical care setting.

Identify the etiology, clinical presentation, and management of some of the lethal dysrhythmias.

Staff Writer
Zeliha Ozen, MSN, RN, CCRN, CNL

1.25

Launch Course

ANCC Accreditation

Origination: Expiration:

While strokes can be fatal, symptoms of stroke can be abetted if the patient is treated early enough. Educating patients on stroke prevention is vital for those who are at risk to avoid a medical emergency. In addition, it is important for healthcare providers (HCPs) to understand the etiological risk factors for stroke, as well as management techniques for patients who have already suffered a stroke.

Recognize medical and lifestyle risk factors that can lead to a stroke.

Identify diagnostic measures used to assess stroke risk.

Recall stroke prevention strategies and lifestyle changes.

Staff Writer
Alia Lutz, BSN, RN
Julie Stefanski, MEd, RDN, CSSD, LDN, CDCES, FAND

0.50

Launch Course

ANCC Accreditation

Origination: Expiration:

Healthcare providers are constantly challenged to quickly adapt to organizational change and respond to turbulent environments with many interconnected and moving parts. Experts maintain that interprofessional healthcare teams can improve the quality of care, problem-solve more effectively, and improve outcomes. Building a team with diverse backgrounds and unique perspectives has been shown to have a positive impact on performance. Nurses can make a distinct impact by influencing the design of care delivery and improving the practice environment as part of strategic interprofessional planning . 

Identify your new strengths for contributing to interprofessional team strategic planning sessions.

Apply good enough, push on (GEPO), SWOT, and simple rules when designing strategic plans.

Instructor
Deborah Zastocki, DNP, EdM, MA, RN, NEA-BC, FACHE®

Staff Writer
Julie Stefanski, MEd, RDN, CSSD, LDN, CDCES, FAND

 

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

The focus of this course is coagulopathies. In general, the term coagulopathy refers to bleeding disorders. This course will provide a review of the components of a clot. It will also provide you with valuable information about how to care for those with coagulopathies such as immune thrombocytopenia (ITP), disseminated intravascular coagulopathy (DIC), heparin-induced thrombocytopenia (HIT), and warfarin-induced coagulopathy.

The goal of this course is to provide nurses in the critical care setting with a general overview of coagulopathies, including the recognition and nursing management of ITP, DIC, HIT, and warfarin-induced coagulopathy. 

Describe the etiology and presentation of DIC, ITP, HIT, and warfarin-induced coagulopathy.

Identify proper nursing care for those with DIC, ITP, HIT, and warfarin-induced coagulopathies.

Identify emergency findings in those with coagulopathies and discuss the appropriate nursing interventions.

Instructor
Tracy Garrison, BSN,RN

0.50

Launch Course

Origination: Expiration:

This course provides information on the Occupational Health and Safety Administration (OSHA)  regulations regarding hazardous chemical hazards and toxic substances in the workplace, and the Hazard Communication Standard (HCS)  as aligned with the Globally Harmonized System (GHS).  

The goal of this course is to provide all staff with an overview of how to work safely with hazardous materials and what to do in the event of a hazardous chemical spill.

Define a hazardous chemical.

Discuss the OSHA standard for hazardous chemicals.

Writer

Anthony A. Barone, M.P.S., M.P.H., CBCP, CEM, CHMM, NRP, PMP, and Chief Executive Officer and Protective Paramedic at EMERGILITY, LLC.

 

0.50

Launch Course

Origination: Expiration:

eams with talented people and a skilled leader are often unable to maintain optimum results over a long period of time. Team leaders must continually assess, evaluate, and monitor the team’s motivation level toward achieving its goals. They must also facilitate emotional buy-in and commitment. This course provides healthcare staff with an overview of how to motivate and enhance a team.

Explain the difference between a team and a group. 

Apply motivational approaches to facilitate an effective team environment and engaged workforce. 

Recognize the importance of assessing and evaluating the current state of your team.

Subject Matter Expert
Linda M. Wantuch, MSM, SPHR, SHRM-CP

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

Computed tomography (CT) scans are essential for emergent and urgent diagnosis of brain injuries. CT scans are preferred over other forms of imaging due to their availability, lower comparable costs, and the brief amount of time it takes to perform. According to the American Heart Association/American Stroke Association guidelines, a patient presenting with stroke-like symptoms should have a CT scan or magnetic resonance imaging (MRI) completed within 20 minutes of arriving to the emergency department (ED) (Powers et al., 2019). Understanding the anatomy of the normal, injured, or diseased brain can help improve awareness of common brain injuries that can be diagnosed with a CT scan. The goal of this course is to educate nursing and radiology professionals in the acute care setting on common disorders that affect the brain and the role of the CT scan.

Describe the basic anatomy of the brain and the changes that occur after injury.

List the common types of injuries that can be diagnosed with a head CT scan and the basic medical or surgical management of those injuries.

Recognize the differences between a normal CT scan and a CT scan of an injured brain.

Writer
Amy Bonadies, RN, BSN

Subject Matter Expert
Hayley Johnson, BS, RT(R)(CT)(ARRT)

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

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.

Instructor
Brandy Verton, BSN, RN
Brian C Sheridan, CST

1.25

Launch Course

ANCC Accreditation

Origination: Reviewed: Expiration:

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.

Editor
Jacob Helton, Psy.D.

Subject Matter Expert
Alison Shely

1.25

Launch Course

ANCC Accreditation

Origination: Expiration:

Healthcare and behavioral health professionals providing services on the front lines of a sustained health crisis are exposed to traumatic events on a regular basis. Staff deemed essential have little escape from the grueling demands of their daily work. Professional self-care routines are often insufficient or seemingly impossible during times of heavy demand. Without healthy work-life balance, effective self-care practices, and social connection, maladaptive coping mechanisms may surface or return. Many professionals experience feelings of helplessness when, despite their best efforts, they are unable to provide clinical solutions for their clients or patients. Based on what is known about trauma, it is imperative for professionals to effectively address self-care needs in a timely manner, for themselves and for those they serve.

Define the psychological and biological effects associated with trauma and stress reactions.

Identify signs and symptoms of moral injury, vicarious trauma, secondary traumatic stress or compassion fatigue, and burnout.

Recall methods to enhance psychological resilience via self-care practices that can be applied to work and/or home.

Subject Matter Expert
Jacob Helton, Psy.D.

1.00

Launch Course

AMA PRA Category 1 Credit™

Origination: Expiration:

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.

Subject Matter Expert
Juan Armando Rojas Joo, Ph.D.

0.50

Launch Course

ANCC Accreditation

Origination: Expiration:

The goal of this course is to provide nurses and prescribing providers (physicians) in all healthcare settings with best practices to improve their care team approach to patients with depression and anxiety.

Recall care team best practices, including collaboration, communication, and roles.

Identify how care team best practices can improve outcomes for patients with depression and anxiety.

Subject Matter Expert
Shalla Newton, MSN, RN, NE-BC

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

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.

Subject Matter Expert
Nicole Strickland, BA, BSN, RN, CPAN

2.00

Launch Course

ANCC Accreditation

Origination: Reviewed: Expiration:

The perioperative nurse plays a primary role in the operative process. Knowledge of procedures, appropriate patient assessment, and care management guidelines will positively impact patient outcomes. Patients consider anesthesia to be a major risk of surgery and expect perioperative team members to be their advocates by caring for their pre-, intra-, and post-operative needs and providing safe and effective care. This course discusses anesthetics and adjuvant medications used in the clinical setting, anesthesia-related complications, and the nurse’s role in management of perioperative patients.

Identify the stages and types of anesthesia, and medications commonly used in the perioperative setting.

Recognize important assessment areas for the post-anesthesia patient.

Describe complications of anesthesia and their treatments.

Instructor
Nicole Strickland, BA, BSN, RN, CPAN

0.75

Launch Course

ANCC Accreditation

Origination: Expiration:

Therapeutic communication between the nurse, patient, and family can be challenging in high-stress environments. Typically, critical care units have higher acuity levels and intense time constraints, thus hindering effective interactions. However, nurses who receive education in communication methods are more prepared to effectively communicate with their patients and families. Given this, critical care nurses must understand communication barriers, cultural influences, the importance of patient-centered communication, and strategies to increase therapeutic interactions. 

Describe three therapeutic communication techniques and strategies to address the needs of patients in the critical care setting.

Describe patient and family-centered communication, cultural differences, and communication barriers inherent to the critical care environment.

Staff Writer
Zeliha Ozen, MSN, RN, CCRN, CNL

1.00

Launch Course

ANCC Accreditation

Origination: Reviewed: Expiration:

Being healthcare providers, we 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, whether you work in a skilled nursing facility or an assisted living community, recognize error-prone situations and the factors that impact medical errors in an effort to prevent them.

Identify at least two types of medical errors.

Describe the use of root cause analysis in the prevention of medical errors.

Describe what risk management is and how it is used to prevent medical errors

Instructor
Kim Matthews, RN

0.50

Launch Course

Origination: Expiration:

Establishing an effective corporate compliance program helps healthcare organizations prevent, detect, and correct unlawful and unethical behavior. This course discusses the laws and behaviors related to ethics. It also discusses your responsibilities in preventing and identifying unlawful and unethical behavior. The goal of this course is to familiarize general staff in healthcare settings with the most common types of fraudulent and improper conduct.

Identify common high-risk areas for fraudulent conduct.

Recall at least three types of fraudulent or other improper conduct.

Staff Writer
Annette Brownlee BSN, RN

1.00

Launch Course

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Having sound critical thinking, clinical reasoning, and clinical judgment skills makes the difference between keeping patients safe and putting them in harm‘s way. This educational activity addresses the knowledge, skills, and attitudes needed for critical thinking and clinical reasoning. It reviews results from key studies and gives strategies for developing the thinking skills needed to function as a 21st century healthcare professional.

Determine critical thinking, clinical reasoning, and clinical judgement in the context of your practice.

Select characteristics and skills that demonstrate critical thinking, clinical reasoning, and clinical judgment.

Choose strategies to improve your critical thinking and clinical reasoning skills as part of the interprofessional team.

Instructor
Rosalinda Alfaro-LeFevre, MSN, RN, ANEF
Monica Caicedo Orellana, MS, RN, OCN, CNE

0.25

Launch Course

Origination: Expiration:

You have probably heard about an “IQ” score that measures intelligence, but have you ever heard of “emotional intelligence” or EQ? Emotional intelligence is your ability to understand, express, and manage your emotions, as well as your insight into what the people around you are feeling. EQ can add to your quality of life and contribute to career success. In this course, you’ll learn about developing emotional awareness, which is the foundation of emotional intelligence.

Describe emotional intelligence.

Explain how to recognize your feelings and the feelings of others.

Subject Matter Expert
Jennifer W. Burks, M.S.N., R.N.

0.50

Launch Course

Origination: Expiration:

Healthcare supervisors and managers are presented daily with challenges. These challenges present as process failures or those surrounding staff behaviors. An organization’s management team maps a path to support their supervisor’s success in dealing with these challenges. The approach is defined by proven characteristics, skills, and experiences. This course discusses the basic tools needed for supervisors and managers to be successful in their roles. 

Identify two qualities of good leaders, motivators, and coaches.

Describe at least three approaches used to enhance communication.

Writer
Edward Bartels, RN, BSN, MICN

1.25

Launch Course

ANCC Accreditation

Origination: Expiration:

Pediatric patients are not small adults and medical errors and patient harm in the pediatric population differ in many ways from those associated with adults. For example, one study estimated that adverse drug events occur three times more often in pediatric patients than adults, due in large part to their smaller physical size, early developmental stages, and dependence on others for care (Mueller et al., 2019). All perioperative nurses and surgical technologists should 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 pre-, intra-, and postoperative phases.

Identify anatomical, physiological, psychological, and emotional differences in pediatric patients and how those differences impact care needs in the perioperative setting.

Recall the developmental stages and needs of pediatric patients and how those stages impact care needs in the perioperative setting.

Recognize strategies for preventing and responding to medication errors and adverse drug events in children in the perioperative setting.

List surgical considerations for pediatric patients.

Staff Writer
Stephanie M. Smith MS, BSN, RN, CPN

Instructor
Brian C Sheridan, CST

1.00

Launch Course

ANCC Accreditation

Origination: Reviewed: Expiration:

As a professional nurse, you are expected to be familiar with many aspects of care. You are not exempt from malpractice or negligence claims because you were following orders. You are responsible for assessing, planning, implementing, and evaluating appropriate nursing care. What you document can and does reflect the care provided and the outcomes of that care. Documentation that is factual, complete, timely, and detailed is required. In this course, you will learn about concepts and rules regarding documentation in the medical record. Legal aspects to be aware of while practicing will also be discussed. The goal of this course is to educate nursing professionals in post-acute care settings about the legal implications of documentation.

Discuss malpractice, negligence, and compensatory and punitive damages as they relate to healthcare. Explain four intentional torts that a healthcare professional may be held liable for. Describe four documentation techniques to use to avoid legal issues.

Subject Matter Expert
Tameka N. Warren, MSN, RN, CLC

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

Diabetes is a chronic health condition that affects millions of people all over the world. This course presents the basics of diabetes, current medical treatments, and nursing care for people with diabetes. 

The goal of this course is to educate nursing professionals in all settings on basic pathophysiology, diagnosis, complications, and management of diabetes.

Describe the pathophysiology and diagnosis of the three main types of diabetes.

Recognize the common complications associated with uncontrolled diabetes.

Identify at least three diabetes management interventions for an individual with diabetes.

Subject Matter Expert
Tameka N. Warren, MSN, RN, CLC

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

The Certified Emergency Nurse (CEN®) is required to demonstrate competency in the domain of emergency nursing which includes knowledge of gynecological and obstetrical conditions and diseases, their signs and symptoms, management, and applicable nursing interventions.

Identify signs and symptoms of gynecological and obstetrical emergencies and injuries.

Describe a comprehensive plan for the care of gynecological and obstetrical conditions including diagnostic and treatment interventions, and patient education.

Instructor
Rhoda Phillips, MSN, RN, CEN

1.00

Launch Course

ANCC Accreditation

Origination: Expiration:

Antibiotic stewardship is a movement to improve antibiotic use through evidence-based practice. Team members become the stewards of antibiotics. This helps these medications continue to effectively fight infections. Antibiotic stewardship follows core elements to improve the use of antibiotics and their outcomes. This course discusses the core elements and benefits of an antibiotic stewardship program.
 

Describe the elements of an antibiotic stewardship program.

Identify at least three benefits of antibiotic stewardship.

Subject Matter Expert
Kathleen Koopmann, RN, BSN, PCCN

1.25

Launch Course

Origination: Expiration: