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A Primer on Antiretroviral Drugs to Treat HIV
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Duration: 1.00
Origination: February 2021 Reviewed: February 2021 Expiration: January 2024 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 |
About Advance Directives
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Advance directives are legal documents with instructions that apply if an adult is not able to make decisions about their own healthcare. They are meant to ensure that a person’s values related to dying, quality of life, and other relevant matters are honored. The goal of this course is to inform all healthcare staff about the basics of advance directives. Identify the most common types of advance directives and find out if a person has made them. Explain how advance directives can improve quality of life, even at the end of life. Subject Matter Expert |
About Diabetes
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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 |
About Privacy and Confidentiality for Non-HIPAA Covered Entities
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Non-accredited Education
Duration: 0.25
Origination: April 2023 Expiration: December 2027 You work for a company that provides services to many people. You may need to discuss personal information about the people you serve, but this must be done thoughtfully. Everyone’s personal information must be kept safe. Explain how to protect confidential information. Recall what to do when confidential information is shared without consent. Subject Matter Expert |
About Renal Disease
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According to the National Institute of Diabetes and Digestive and Kidney Diseases (2021), an estimated 37 million people in the U.S. are currently living with renal disease. It ranks among the top causes of death. Often caused by hypertension or diabetes, chronic kidney disease, which is the most prevalent type of kidney disease, is treatable with medication and lifestyle modification. Unfortunately, an estimated 90% of people with chronic kidney disease do not know they have it and therefore do not receive the necessary care to prolong or improve their quality of life. When you understand the underlying risk factors, you can better recognize symptoms, educate, treat, and prevent further kidney damage. This course discusses the pathophysiology of renal disease. It also discusses a nurse’s role in assessing, managing, and educating people with a diagnosis of renal disease. Describe the pathophysiology of renal disease. Discuss the nurse's role in assessing, managing, and educating individuals with renal disease. Staff Writer |
Actions and Interactions of Common Medications
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Polypharmacy is a widespread problem in older adults as a direct result of chronic conditions requiring an individual to take five or more daily medications. It often leads to adverse drug events that can range from mild to severe or even death. This course discusses polypharmacy, pharmacokinetics, and pharmacodynamics. It also discusses basic medication actions and interactions with a focus on the physiological changes and potential reactions seen in older adults. Understanding the pharmacokinetics and pharmacodynamics of how medications work on and within the body is important in preventing adverse drug events from polypharmacy. Identify three classifications of medications. Discuss pharmacokinetics and pharmacodynamics and their relationship to medication toxicity in older adults. Explain why polypharmacy increases the potential for adverse drug events and who is at risk. Staff Writer |
Active Shooter Response
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Understanding the risks for and motivations behind active shooter events, how your body and mind may respond to stress, and how best to prepare for an active shooter event is the best way to protect yourself and others, should the unthinkable occur in your facility. The goal of this course is to educate healthcare professionals in all settings about specific actions for assessing the risks for, preventing, and responding to an active shooter event. Review definitions, statistics, and trends of active shooter events. Explain the natural responses of the human body when exposed to danger. Evaluate and discuss ways in which training and preparation can be incorporated into institution protocols. Instructor |
Acute Heart Failure
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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 Subject Matter Expert Reviewer |
Acute Stroke: Initial Onset and the First 24 Hours
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AMA PRA Category 1 Credit™
Duration: 1.00
CME certified:
Origination: October 2021 Expiration: August 2024 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 |
Acute Stroke: Post-Hospital Care Coordination
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AMA PRA Category 1 Credit™
Duration: 1.00
CME certified:
Origination: October 2021 Expiration: August 2024 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 |
Acute Stroke: The Latest Medical Information
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AMA PRA Category 1 Credit™
Duration: 1.00
CME certified:
Origination: October 2021 Expiration: August 2024 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 |
Acute Stroke: Treatment and Outcomes
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The Centers for Disease Control and Prevention (CDC) states that approximately 795,000 people within the U.S. experience a stroke annually, and among these individuals, over 75% experience a stroke for the first time (National Center for Chronic Disease Prevention and Health Promotion, 2021). Stroke, a national and international neurological problem, is the fifth leading cause of death in the U.S. and the second leading cause of death globally (World Health Organization [WHO], 2020; American Stroke Association [ASA], n.d.). Nurses need to be informed about the urgency of early treatment to be proactive in educating their communities. They also need to understand the resulting behavioral differences created in right- versus left-hemispheric strokes, and how a lack of knowledge can negatively impact immediate post-stroke care. Identify the risk factors, causes, and acute treatment strategies of strokes. Recognize the neurologic deficits associated with left- and right-sided strokes, the significance of post-stroke depression, and the importance of depression screening. Instructor |
Acute Stroke: Understanding and Using the NIHSS
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AMA PRA Category 1 Credit™
Duration: 1.25
CME certified:
Origination: November 2021 Expiration: October 2024 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 |
Addressing Trauma and Stressor Related Disorders
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About 70% of adults in the U.S. have experienced at least one traumatic event (Sidran Institute, 2018). Most overcome their trauma responses without formal intervention. Others, however, experience persistent symptoms that need formal intervention. The goal of this course is to provide addiction, behavioral health counseling, marriage and family therapists, nursing, psychology, and social work professionals in health and human services settings with information on how to assess and treat trauma- and stressor-related disorders. Recognize common symptoms that individuals may have in response to experiencing trauma. Identify at least three tools that can help screen and assess for trauma-related disorders. Determine which interventions would be most relevant for someone with a trauma-related disorder. Subject Matter Expert
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Adult Obesity in the U.S.
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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 |
Advance Care Planning Communication Skills for Success: The Five Wishes Framework
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This course provides an overview of essential skills and considerations for engaging in sensitive and effective advance care planning conversations. You will learn the most important decision domains to address as outlined in the FIVE WISHES® framework, how to demonstrate compassionate communication, and conversation skills specific to eliciting values-based end-of-life care decisions. The goal of this course is to provide healthcare professionals in all settings with enhanced communication skills related to advance care planning. Identify the five most important decision domains to discuss with people during advance care planning conversations as outlined in the Five Wishes conversation framework. Define the benefits of compassionate communication and identify the skills involved. Define and apply specific skills necessary for conducting effective and sensitive advance care planning conversations. Identify general considerations to keep in mind when conducting advance care planning conversations. Instructor |
Advance Care Planning: Program Implementation with Five Wishes
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This course will help you determine the steps you need to take to build and implement an effective advance care planning program and describe how resources from the FIVE WISHES framework program can help. You will learn how to build support, determine goals and measures, and identify processes and standards to ensure your program is making a difference for your care recipients and your healthcare organization. Describe the basic components of advance care planning and the benefits for care recipients and healthcare providers. Define meaningful goals, measures, and processes for an advance care planning program. Describe education and training options for training clinicians to facilitate advance care planning conversations. Identify standards of practice for an advance care planning program. Discuss the importance of community engagement as part of an advance care planning program. Instructor |
All About Personal Protective Equipment (PPE)
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Personal protective equipment, or PPE, is special clothing or equipment that protects employees from infectious diseases. When worn properly, PPE protects your skin, mouth, nose, and eyes from infectious materials such as viruses and bacteria. This course will review how to choose the correct PPE. It will also provide educational resources for commonly used chemicals. The goal of this course is to teach all staff in all post-acute settings how to choose the correct PPE. Identify hazards that require personal protective equipment (PPE). Recall situations that require PPE and the proper order for donning and doffing PPE. Identify hazardous chemical resources. Subject Matter Expert |
Ambulatory Preceptor: Integrity, Ethics, and Legal Considerations
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ANCC Accreditation
Duration: 0.50
Origination: November 2021 Expiration: September 2024 The world of legalities, red tape, and ethics can be a daunting one. We have all heard about the importance of confidentiality and trust in healthcare. How do these issues apply to preceptorships? This educational activity addresses integrity in preceptorships and gives you information you can share with preceptees to enhance professional and personal character, confidence, and wisdom in nursing practice. It also reviews important ethical and legal considerations that should be reviewed and incorporated into a preceptorship. The goal of this course is to provide nurses and nurse preceptors in ambulatory care settings with information about integrity, ethical conduct, and legal considerations in nursing practice and preceptorships. Identify core competencies of preceptors, ethical principles, and potential boundaries to ethical practice in preceptoring others. Recall at least three legal considerations important for preceptorships in ambulatory care settings. Instructor
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An Overview of Bipolar and Related Disorders
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ANCC Accreditation
Duration: 1.75
Origination: January 2020 Reviewed: December 2022 Expiration: December 2025 People with bipolar and related disorders often have work, school, and relationship problems. Up to 40% of people with bipolar disorders are misdiagnosed with other conditions (Hashimoto et al., 2018; Stiles et al., 2018). Misdiagnosis can lead to delays in treatment and worse consequences for the client, such as cognitive impairment, hospitalization, disability, and medical issues. People with bipolar disorders also have a 20 to 30 times greater suicide risk than the general population (American Psychiatric Association [APA], 2022; Overs et al., 2021). It is important that professionals are able to recognize, assess, and treat bipolar and related disorders to help decrease the negative effects of delayed diagnosis. The goal of this course is to provide skills for addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals in the health and human services setting to gain knowledge about recognizing and addressing symptoms of bipolar and related disorders. Discuss recent research on risk factors and etiology of bipolar and related disorders. Recall the primary symptoms of the different types of bipolar and related disorders. Indicate medications and psychosocial interventions used to treat bipolar and related disorders. Subject Matter Expert |
An Overview of Medical Imaging Tests
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This course will provide nurses and imaging professionals with an overview of the diagnostic options in imaging. Diagnostic tests should be ordered in order of the least invasive following the ACR Appropriateness Criteria. In this course, you will learn about diagnostic imaging, ultrasounds, routine x-rays, computed tomography (CT), magnetic resonance imaging (MRI), and nuclear imaging. Recognize the importance of clinical history documentation. Define the diagnostic options of the various modalities. Identify the difference between the various contrast agents used in imaging modalities. Instructor Subject Matter Expert |
An Overview of Substance Use Disorders
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Duration: 1.00
Origination: October 2020 Reviewed: November 2020 Expiration: September 2026 Substance use is a growing problem across populations. As a helping professional, you need a basic understanding of how substance use affects your clients. This information will help you to provide support and resources to help clients seek treatment and recovery. In this course, you will explore substance use disorders, how they develop, and their impact on individuals. The course also explains your role as a paraprofessional when working with individuals with substance use disorders. You will be provided an overview of evidence-based interventions and the types of substance use treatment programs available, when additional treatment may be necessary. Detailed examples will help you to apply this information in your own work. The goal of this course is to provide paraprofessionals and peer support specialists in health and human service settings with information on substance use disorders and evidence-based interventions. Explain what a substance use disorder is, how it develops, and how it impacts individuals. Identify strategies that paraprofessionals can use when working with individuals diagnosed with substance use disorders to encourage behavior change. Describe the types of treatment that exist for people diagnosed with substance use disorders. Instructor |
An Overview of the Social Determinants of Health
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AMA PRA Category 1 Credit™
Duration: 1.00
CME certified:
Origination: December 2021 Expiration: October 2024 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 |
An Overview of Trial of Labor After Cesarean Section
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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 |
An Update on Bariatric Surgery
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ANCC Accreditation
Duration: 1.00
Origination: February 2022 Expiration: December 2025 The goal of this course is to equip nurses in the acute care setting with knowledge of the different bariatric surgical options and the psychosocial, metabolic, and physiological issues that patients may encounter before and after bariatric surgery. Recall the different bariatric surgical options available for patients with obesity. Identify psychosocial and quality-of-life issues affecting patients before bariatric surgery. Recognize metabolic, physiological, and psychological changes that can occur in patients after bariatric surgery and the role nurses have in their care. Subject Matter Expert |
Analytical and Data-Based Decision Making in Case Management
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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 Staff Writer |
Anesthesia in the Perioperative and Postoperative Settings
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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 |
Antibiotic Stewardship Programs: Core Elements
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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 |
Application of HIPAA in Behavioral Health
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AMA PRA Category 1 Credit™
Duration: 1.75
CME certified:
Origination: October 2021 Expiration: August 2024 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 |
Approaches to Community-based Suicide Prevention
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AMA PRA Category 1 Credit™
Duration: 2.00
CME certified:
Origination: February 2023 Expiration: December 2025 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. |
Assessing and Treating Anxiety in Children and Adolescents
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AMA PRA Category 1 Credit™
Duration: 1.75
CME certified:
Origination: August 2021 Expiration: June 2024 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
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Assessing and Treating Opioid Use Disorder
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Assessment and Treatment of Depressive Disorders in Children & Adolescents
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AMA PRA Category 1 Credit™
Duration: 1.25
CME certified:
Origination: July 2021 Expiration: May 2024 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 |
Bacterial Meningitis
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Members of the healthcare team must be able to recognize symptoms of bacterial meningitis to expedite testing and treatment, and advocate for preventive vaccination among appropriate age groups. With knowledge of preventive measures and awareness of early symptoms, the impact of meningitis can be greatly reduced. Define meningitis and identify meningitis classifications. List common causes, symptoms, and complications of bacterial meningitis. Identify treatment and prevention strategies for bacterial meningitis and associated complications. Instructor |
Best Practices for Documenting the Treatment Planning Process
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Treatment planning documentation is a critical link between the client, the services you provide, and the client’s progress. This course will reinforce what you already know about plans of care while offering you direction and structure for capturing the real therapeutic relationship on paper. You will learn how to better represent the care process by incorporating the core principles for clinical documentation. You will take a fresh look at ways to record your client’s strengths, goals, and treatment objectives, while also evaluating methods to accurately represent interventions, outcomes, and discharge plans. The goal of this course is to provide professionals in addictions, behavioral health counseling, case management, care management, marriage and family therapy, psychology, social work, and nurses in a health and human services setting with current strategies and recommendations for effective and person-centered treatment planning documentation. Recall the seven core principles of effective treatment planning documentation and three effective ways to document client strengths and barriers to treatment during the planning process. Describe how to develop measurable, client-focused, and culturally sensitive goals and objectives for treatment planning. Instructor |
Best Practices for Interviewing Patients
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AMA PRA Category 1 Credit™
Duration: 1.25
CME certified:
Origination: August 2022 Expiration: December 2025 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 |
Best Practices in Suicide Screening and Assessment
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AMA PRA Category 1 Credit™
Duration: 2.00
CME certified:
Origination: February 2023 Expiration: December 2025 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. |
Bias in Healthcare
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All healthcare professionals must be aware of bias and the challenges that bias can create in healthcare. This includes knowing some of the challenges people face with the healthcare system. In this course, you will learn best practices to help recognize and manage bias. Define bias. Identify how biases can affect healthcare. Describe steps that can help decrease barriers created by bias. Subject Matter Expert |
Biopsychosocial Model of Substance-Related and Addictive Disorders
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The biopsychosocial model takes a more holistic perspective, emphasizing biological, sociocultural, and psychological factors that relate to the risk of these disorders. This course will present an overview of this model’s primary assumptions, how it differs from other perspectives on substance-related and addictive behaviors, and how it can inform your approach to treatment. The goal of this course is to provide social workers, psychologists, alcohol and drug counselors, marriage and family therapists, professional counselors, and nurses in health and human services with information on how the biopsychosocial model is used in treatment for substance-related and addictive disorders. Explain how substance-related and addictive disorders develop according to the primary assumptions of the biopsychosocial model. State how the biopsychosocial model differs from other perspectives on substance-related and addictive disorders, such as the biomedical/ disease model. Describe how the biopsychosocial model impacts treatment approaches for substance-related and addictive disorders. Instructor |
Boundaries in the Treatment Relationship
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This course explains the concept of a professional therapeutic boundary and how it differs from a personal relationship. You will learn about the ethical role of the clinical practitioner in establishing appropriate roles and boundaries, the difference between boundary crossings and boundary violations, how to appropriately use social media and other technology, and how to recognize situations with high potential for harmful boundary violations. As you master these skills, you will become more effective in maintaining an appropriate relationship between you and your clients. Recall the meaning of a therapeutic boundary and the difference between boundary crossings and boundary violations. Indicate how to avoid the red flags of boundary violations. Discuss current standards for use of social media and other technology pertaining to maintaining therapeutic boundaries. Instructor |
Boundary Risks for Behavioral Health Paraprofessionals
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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 |
Bowel Ischemia, Perforation, and Obstruction
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Bowel ischemia, infarctions, perforations, and obstructions are serious conditions that require prompt recognition and interventions to prevent severe complications and death. There are several underlying conditions that predispose patients to these conditions, for which education and risk modifications are crucial.
Identify anatomical and physiological aspects of the intestines associated with bowel ischemia, infarctions, perforations, and obstructions. Describe risk factors, causes, signs/symptoms, management, treatment, and complications of bowel ischemia, infarctions, perforations, and obstructions. Instructor |
Bronchoscopy: Maximizing Outcomes
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Bronchoscopy is a valuable procedure with diagnostic and therapeutic benefits. However, it accompanies risks for potential complications, some of which can be life-threatening. In addition, patients commonly experience anxiety and stress before and during the procedure. In fact, some patients have even described it as traumatic. Nurses play an important role in preparing patients for a bronchoscopy both physically and mentally. Describe types of bronchoscopies performed along with the anatomy and conditions involved. Discuss potential complications and risks associated with bronchoscopy as well as preventive strategies. Identify nursing responsibilities and interventions before, during, and after a bronchoscopy. Instructor |
Bullying in the Workplace
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We have all seen bullies in our lifetime, often as one child picking on another on the playground or teenagers not allowing a student to sit with them at lunchtime. You do not expect to see bullies at work; but, sadly, they are there. The goal of this course is to educate all employees on how to recognize, respond to, and prevent bullying. Explain how bullying differs from appropriate professional behavior. Identify ways to deal with and stop bullying on the job. Recognize bullying in your own behavior. Expert Reviewer |
Buprenorphine
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Duration: 0.50
Origination: February 2021 Reviewed: March 2021 Expiration: January 2024 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 |
Cardiovascular Disease and Pregnancy
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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 |
Cardiovascular Pharmacological Agents
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AMA PRA Category 1 Credit™
Duration: 1.00
CME certified:
Origination: November 2021 Expiration: October 2024 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 Staff Writer
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Care Coordination and Case Management: An Introduction
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The healthcare system is becoming increasingly complex. Therefore, care coordination and case management (CM) are integral to producing optimal member outcomes, decreasing the cost of care, and ensuring effective use of healthcare services. In this course, you will learn about the function, need, goals, and principles of care coordination and CM within the payor setting as well as common challenges that may be encountered. Finally, you will learn about the care coordination and CM process and the benefits to providers, members, and payer organizations. The goal of this course is to equip nurses and CM professionals with education about the functions and benefits of the care coordination and CM process. Summarize two key functions and benefits of care coordination and case management in the payer setting. Describe how effective care coordination and case management surpass clinical perspectives to facilitate more encompassing healthcare improvement. Describe two key components involved in the care coordination and case management process. Instructor |
Care for Individuals with End-Stage Neurological Diseases
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ANCC Accreditation
Duration: 1.50
Origination: January 2021 Reviewed: February 2021 Expiration: November 2023 This course provides detailed information about the pathophysiology, disease trajectory, and unique symptoms experienced by patients with advanced neurological diseases. Learners will identify the clinical features of advanced Parkinson's disease, amyotrophic lateral sclerosis, and Huntington’s disease as well as best practices for symptom management. In addition, the key clinical indicators and symptoms that should serve as triggers to optimally transition a patient with advanced neurological diseases to palliative and hospice care are presented. The unique disease-related stressors for family caregivers are discussed. The goal of this course is to provide nurses in hospice with knowledge of caring for people with end-stage neurological diseases. Identify specific patterns of progression for three neurological disorders. Identify five complications related to neurological disorders, including disease-related stressors for family caregivers. Describe interventions related to end-stage neurological diseases. Identify triggers to optimally transition a patient with advanced neurological disease to palliative care and hospice. Instructor |
Care Management: Increasing Access and Decreasing Readmissions
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Utilizing care management can improve and assist in managing patients with chronic health conditions. Care management provides the opportunity to deliver various medical services to patients recently discharged from the hospital. In addition, care management models in a primary care setting can increase a patient’s access to providers, decrease hospital visits, and reduce readmission. The goal of this course is to educate case managers, nurses, care managers, and social workers in ambulatory care, acute care, patient-centered medical homes, and behavioral health homes on care management. Discuss how care management decreases hospital readmissions. Identify strategies for creating a successful care management program. Recognize strategies in care management that increase access to healthcare providers. Writer |
Care of Sexual and Gender Diverse Populations
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All healthcare staff must be aware of the challenges that people in minority groups may experience. This includes knowing the effects of those challenges on how people seek and receive healthcare services. This course discusses sexual and gender minorities and their healthcare experiences. Identify various terms used to describe sexual and gender minority populations. Describe current health trends related to the sexual and gender minority population. Choose best practices for improving the healthcare experience for sexual and gender minority populations. Writer Subject Matter Expert |
Care Teams: Depression and Anxiety
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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 |
Caring for Women Experiencing Hysterectomy
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ANCC Accreditation
Duration: 1.00
Origination: May 2019 Reviewed: February 2021 Expiration: February 2024 This course explains the indications for hysterectomy, a commonly performed surgical procedure. You will learn the different approaches and the areas of special learning needs for women experiencing this procedure. Also covered is post-operative nursing care for women who undergo a hysterectomy, whether that care takes place in a surgery center, a hospital, or at home. List three indications for a hysterectomy Identify three areas of special learning needs for women experiencing a hysterectomy Outline the nursing care in the surgery center or hospital and at home for women who undergo a hysterectomy Instructor |
CEN: Cardiovascular Emergencies
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The Certified Emergency Nurse (CEN®) is required to demonstrate competency in the domain of emergency nursing which includes knowledge of cardiovascular conditions and emergencies, such as acute coronary syndrome, aortic aneurysm/dissection, and cardiopulmonary arrest. Identify signs and symptoms of cardiovascular emergencies and conditions. Describe a comprehensive plan for the care of cardiovascular emergencies, including diagnostic and treatment interventions, and patient education. Instructor |
CEN: Communicable Diseases
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he purpose of this course is to inform the emergency nurse of communicable diseases, including a comprehensive assessment and appropriate interventions. Identify alterations in the biological, physiological, and psychological status of patients experiencing communicable disease emergencies. Describe a comprehensive plan for the care of communicable disease conditions including diagnostic and treatment interventions, and patient education. Instructor |
CEN: Environmental and Toxicological Emergencies
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The Certified Emergency Nurse (CEN®) is required to demonstrate competency in the domain of emergency nursing which includes knowledge of cardiovascular conditions and emergencies, such as acute coronary syndrome, aortic aneurysm/dissection, and cardiopulmonary arrest. The goal of this course is to inform the emergency nurse of cardiovascular conditions and emergencies, including a comprehensive assessment and appropriate intervention. Identify signs and symptoms of cardiovascular emergencies and conditions. Describe a comprehensive plan for the care of cardiovascular emergencies, including diagnostic and treatment interventions, and patient education. Instructor |
CEN: Gastrointestinal and Genitourinary Emergencies
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The Certified Emergency Nurse (CEN®) is required to demonstrate competency in the domain of emergency nursing which includes knowledge of gastrointestinal (GI) and genitourinary (GU) conditions and diseases, their signs and symptoms, management, and applicable nursing interventions. Identify signs and symptoms of gastrointestinal and genitourinary emergencies and injuries. Describe a comprehensive plan for the care of gastrointestinal and genitourinary conditions including diagnostic and treatment interventions, and patient education. Instructor |
CEN: Gynecological and Obstetrical Emergencies
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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 |
CEN: Maxillofacial and Ocular Emergencies
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The Certified Emergency Nurse (CEN®) is required to demonstrate competency in the domain of emergency nursing which includes knowledge of maxillofacial and ocular emergencies, their signs and symptoms, management, and applicable nursing interventions. The goal of this course is to review the knowledge domains specific to maxillofacial and ocular emergencies included as a part of the Certified Emergency Nurse (CEN®) exam. This course is not affiliated with the Board of Certification for Emergency Nursing (BCEN). Identify signs and symptoms and the management of life-threatening maxillofacial illnesses and injuries. Analyze strategies to manage ocular conditions and emergencies. Instructor |
CEN: Medical Emergencies
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The purpose of this program is to inform the emergency nurse of medical emergencies, including a comprehensive assessment and appropriate intervention. Identify signs and symptoms of medical conditions and injuries. Describe a comprehensive plan for the care of medical conditions including diagnostic and treatment interventions, and patient education. Instructor |
CEN: Orthopedic and Wound Emergencies
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The purpose of this program is to inform the emergency nurse of common orthopedic emergencies, including a comprehensive assessment and appropriate interventions. Identify signs and symptoms of orthopedic and wound emergencies. Describe a comprehensive plan for the care of orthopedic and wound emergencies including diagnostic and treatment interventions, and patient education. Instructor |
CEN: Professional Issues in Emergency Nursing
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The purpose of this program is to describe the impact of professional practice issues as they relate to the emergency nurse, their patients, and the health care system. Recognize vulnerable patient populations and sensitive care situations facing emergency nurses. Identify professional practice issues across the health care system that support high-quality patient care and satisfaction. Instructor |
CEN: Psychosocial Emergencies
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The Certified Emergency Nurse (CEN®) is required to demonstrate competency in the domain of emergency nursing which includes knowledge of psychosocial emergencies, their signs and symptoms, their management, and the nursing interventions that are needed. The goal of this course is to review the knowledge domains specific to psychosocial emergencies included as a part of the Certified Emergency Nurse (CEN®) exam. Recognize signs and symptoms of specific psychosocial emergencies. Identify strategies to manage psychosocial emergencies. Instructor |
CEN: Respiratory Emergencies
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The Certified Emergency Nurse (CEN®) is required to demonstrate competency in the domain of emergency nursing which includes knowledge of respiratory emergencies, their signs and symptoms, their management, and the nursing interventions. The goal of this course is to review the knowledge domains specific to respiratory emergencies included as a part of the Certified Emergency Nurse (CEN®) exam. This course is not affiliated with the Board of Certification for Emergency Nursing (BCEN). Identify signs and symptoms of life-threatening respiratory illnesses and injuries. Analyze strategies to manage respiratory conditions and emergencies that present to the emergency department. Instructor |
Central Arterial Aneurysms: Types and Management
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Aneurysms can be deadly and can come on suddenly. Knowing what to do to help your patient with an aneurysm could be the difference between life and death for them. Early detection and management are the best tools to prevent a fatal outcome. Healthcare professionals should know what an aneurysm is, which of their patients are at highest risk, the signs and symptoms of an aneurysm, and how to manage an emergency rupture. This course focuses on central arterial aneurysms of the abdominal and thoracic aorta. Recall concepts associated with vascular physiology and types of aneurysms. Recognize clinical manifestations of central arterial aneurysms and associated risk factors. Apply common techniques for managing patients with abdominal and thoracic aneurysms, pseudoaneurysms, and dissections. Writer |
Chronic Disease Management in the Emergency Department
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While the demand for emergency department (ED) care remains high, EDs continue to decline in number nationwide. Those that remain are overcrowded and at capacity, often having patients wait hours or even days to be admitted. Although many seek care in the ED for an acute injury or illness, others seek treatment for acute exacerbations of poorly managed chronic illness, such as diabetes, or management of a chronic illness in the absence of an acute problem, such as for blood pressure control and cardiac or asthma medication refills. The ED has become the largest provider of unscheduled primary care visits, seriously stressing the healthcare safety net. Patients in the ED are staying longer for prolonged observation and complex diagnostic workups. There is an increasing number of critically ill patients being treated and cared for in the ED rather than the critical and intensive care unit. Additionally, chronic mental and psychiatric patients often seek treatment in the ED rather than with individual providers. This has resulted in overcrowding in the ED, putting strain on its personnel. Identify the common chronic physical and mental health conditions for which patients seek care in the ED. Determine the financial impact of patients seeking chronic care in the ED and measures to mitigate it. Define how chronic care in the emergency setting differs from that in traditional primary care settings. Instructor
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Clinical Management of Category II Fetal Heart Tracing
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AMA PRA Category 1 Credit™
Duration: 0.75
CME certified:
Origination: August 2021 Expiration: December 2024 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 |
Clinical Management of Category III Fetal Heart Rate Tracings
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AMA PRA Category 1 Credit™
Duration: 0.25
CME certified:
Origination: August 2021 Expiration: December 2024 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 |
Clinical Management of Gestational Diabetes
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The prevalence of gestational diabetes mellitus (GDM) is increasing in the U.S. and worldwide. However, if the condition is well managed, it can result in a healthy pregnancy. Maternal child health professionals must understand the condition, risk factors, and how to treat it. Identify the pathophysiology of and risk factors for developing gestational diabetes mellitus. Identify lab tests and values that guide the diagnosis and treatment of gestational diabetes mellitus. Discuss monitoring and treatment of patients with gestational diabetes mellitus. Instructor Staff Writer
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Clinical Management of Uterine Atony
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AMA PRA Category 1 Credit™
Duration: 0.50
CME certified:
Origination: September 2021 Expiration: December 2024 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 |
Common Substances and Treatment of Substance Use Disorders
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People have used substances since ancient times. Sometimes substances were used as a medicine to treat an ailment, for recreation, or to support spiritual practices. The desire to find ways to feel or think differently is a normal part of the human experience. However, some people who use drugs develop patterns of compulsive use that are hard for them to control due to how the drug impacts their brain. They can experience harmful, even fatal, consequences. In 2019, the results from the National Survey on Drug Use and Health estimated that 20.4 million people, or 7.4% of the population of the U.S. had a substance use disorder (SAMHSA, 2020a). As behavioral health providers, we have opportunities in our interactions with clients to address thoughts, beliefs, and behaviors around substance use. We can support clients around learning about substances, the impact of substances, work to prevent or identify problematic use and substance use disorders, as well as offer information about treatment or provide treatment to clients. Identify at least four types of substances used and how they affect the body. Recognize aspects of problematic use and elements of the diagnosis of a substance use disorder. Recall at least three evidence-based treatments of substance use disorders Instructor |
Communicable Diseases in Children
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Symptoms such as fever, cough, and chills can alert you to the presence of an infectious or communicable disease in a child. When identified, these symptoms can alert you to potential concerns in your environment. Some symptoms are less obvious and may require careful inspection of the child to determine potential risk factors. Children are exposed to a variety of environments. Caregivers working with families must have the ability to identify health care concerns quickly to stop the spread of disease. Identify common signs and symptoms of communicable diseases in children. Indicate effective prevention and management strategies for reducing the occurrence and impact of communicable diseases. Instructor Expert Reviewer |
Communicating Effectively
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Good communication can be challenging because of the many distractors in today’s workplace, such as technology, stress, and multitasking. If communication is weak, it can lead to poor work relationships and decreased satisfaction for everyone. It is essential for you to learn how to communicate effectively with everyone you come into contact with. This course discusses how to communicate clearly, concisely, and professionally. Identify the key elements of communication. Subject Matter Expert |
Communication and People with Dementia
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Dementia gradually destroys the areas of the brain responsible for sending and receiving messages, making communication difficult. There are guidelines that you can follow to ensure effective communication with persons with dementia, even those who have severe cognitive impairments. In this course, you will learn how to understand the person with dementia by knowing them as an individual and recognizing common speech patterns, how persons with dementia use behaviors for communicating discomfort, and the communication strategies you can employ to ensure the person receives your message. Give two examples of common communication changes people with dementia exhibit. Describe how knowing the person with dementia as an individual, not as a disease, promotes effective communication. Describe the techniques for communicating more effectively with people with dementia. Instructor |
Concussion Evaluation and Management in Pediatric Patients
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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 Expert Reviewer
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Conducting Clinical Assessment via Telehealth
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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 |
Conflict Resolution
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Non-accredited Education
Duration: 0.50
Origination: September 2012 Reviewed: May 2018 Expiration: March 2024 Conflict in the workplace is inevitable, because every person is different. However, handling it the right way leads to better relationships, an improved work environment, a stronger team, and personal goal achievement. This course presents techniques essential to handling conflict in the workplace. Identify different types of conflict. Explain how to handle conflict appropriately. Describe strategies for dealing with difficult people appropriately. Instructor Expert Reviewer |
Controlled Substances: Drug Diversion, SUD, and Pain Management
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AMA PRA Category 1 Credit™
Duration: 1.00
CME certified:
Origination: December 2021 Expiration: October 2024 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 Johnny J. Bethea, II, BSPharm |
CPR Refresher
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After completing this refresher course on the key action steps in CPR, you will have a grasp on the essential components of cardiopulmonary resuscitation (CPR), including the initial first aid steps you can take prior to performing CPR. Through didactic, interactive exercises and vignettes, you will be able to apply this material when you need it most. This course does not replace formalized training and return demonstration that must be completed for competency according to the American Heart Association. This course should only be used as a “refresher” to remind the learner of the key action steps in CPR. Define the importance of timeliness in performing CPR. Describe the signs and symptoms of a person in need of CPR. Review the correct procedure for performing CPR correctly. Instructor |
Crisis Intervention
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ANCC Accreditation
Duration: 1.00
Origination: August 2020 Reviewed: February 2021 Expiration: January 2024 Crisis is broadly defined as an exceptional event that is disruptive and beyond a person‘s usual coping skills. The goal of crisis intervention is to return individuals or families to the optimum level of functioning they experienced before the crisis. In addition, a potential for growth exists when people develop new and effective coping skills. Nurses need to understand crises and assessment and intervention strategies because they are often the first medical personnel to spend enough time with patients to recognize the signs of crisis. Identify types and phases of crises Describe comorbidities and other limiting factors that affect crisis outcomes Discuss assessment strategies and intervention techniques for crisis management Instructor |
Critical Care Series: Infection Prevention
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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 |
Critical Care Series: Life-Threatening Dysrhythmias
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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 |
Critical Care Series: Patient and Family Communication and Support
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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 |
Critical Care Series: Sepsis
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Sepsis is the result of a dysregulated host response to severe infection that can result in systemic inflammation, immune system dysfunction, coagulopathies, multi-organ system failure, and death (Rhodes et al., 2017). The signs and symptoms of sepsis can vary in onset and presentation and depend on many individual patient factors. Early recognition and intervention is key to improving patient outcomes. Nurses are vital in this role as they are readily at the bedside and able to continually assess the patient and communicate changes in patient condition to providers. The goal of this course is to challenge the learner’s ability to identify key risk factors for sepsis and recognize signs and symptoms of early and progressive sepsis. It will also challenge the learner to accurately anticipate management strategies in the treatment of sepsis and sepsis-related complications. Identify key risk factors for sepsis. Recognize the signs and symptoms for early and progressive sepsis. Identify management strategies and in the treatment of sepsis and potential sepsis-related complications. Instructor |
Critical Thinking, Clinical Reasoning, and Clinical Judgment
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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 |
CT Scan and Common Brain Injuries
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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 Subject Matter Expert |
Cultural Competence
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Non-accredited Education
Duration: 0.50
Origination: September 2003 Reviewed: May 2016 Expiration: December 2024 This introductory overview of cultural diversity will help enable you to interact with others of diverse cultures and effectively perform your job responsibilities. Explain the importance of understanding a person's culture when providing services. Examine common issues in cultural diversity. Identify appropriate responses to cultures that differ from your own. Benjamin Reese, Jr., Psy.D. |
Cultural Competence and Healthcare
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Cultural competence in healthcare refers to the delivery of quality care. It refers to meeting the needs of people with disabilities, members of the LGBTQ+ community, and those from diverse socioeconomic and cultural backgrounds. Cultural competence must be a two-way system to benefit people with differing beliefs, attitudes, values, and behaviors. This course discusses cultural competence and how organizations can use cultural competency to create an atmosphere of inclusion. Define cultural competency. Describe the role of cultural competency in healthcare. Writer Subject Matter Expert |
Cultural Competence: The Cultural Factor in Pain Management
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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 |
Cultural Competency: Values, Traditions, and Effective Practice
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Duration: 1.00
Origination: December 2020 Reviewed: October 2023 Expiration: December 2023 Healthcare professionals must go beyond simply recognizing that there are different cultural norms and practices. Culturally appropriate interventions must be utilized when working with culturally diverse clients and patients. Cultural competency goes beyond having knowledge of traditional cultural eating patterns. A lack of cultural competency creates divisions between healthcare professionals and their clients or patients. This course discusses how cultural competency functions to deliver culturally competent care related to diet and nutrition. Explain the importance of integrating cultural competence into individual and organizational practice. Identify culturally competent strategies and incorporate them into practice. Apply knowledge of traditional cultural diets into effective patient teaching. Staff Writer Expert Reviewer |
Cultural Perspectives in Childbearing
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As the population of the U.S. soars in diversity, healthcare professionals must be prepared to care for childbearing families from many different cultures. All cultures and families should be given the same respect, be assured of the highest quality of care, have their religious, ethnic, and cultural values respected and integrated into their care, and have their physical and educational needs met in a way that honors their spiritual beliefs and individuality. Knowledge of the cultures one is serving and the influence they have on women’s perceptions of childbirth are important for achieving positive outcomes. Equally and perhaps more important is applying the principles of cultural humility to nursing care. The goal of this continuing education course is to improve the ability of nurses and health educators in acute care settings to assess and meet the sociocultural needs of childbearing families of diverse cultural and social groups. Recall the relationship of culture, subculture, acculturation, assimilation, ethnocentrism, cultural relativism, and cultural humility to healthcare practice. Recognize elements of cultural assessment and respectful maternity care that can improve quality of care and meet the unique needs of culturally diverse families. Writer |
Culture and Mental Health
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ANCC Accreditation
Duration: 0.50
Origination: December 2022 Reviewed: January 2023 Expiration: December 2025 Culture affects how individuals talk about and recognize their mental health symptoms. It also affects how providers conceptualize and work with individuals with diverse backgrounds. It is important to recognize how culture influences the ways individuals and providers approach mental health. Healthcare providers should be encouraged to use interventions and strategies that assist in delivering culturally competent care. This course will examine the reasons for healthcare disparities among culturally diverse individuals, how both the cultural backgrounds of patients and their providers can impact patients’ mental health outcomes, and what kinds of actions providers can take to provide more effective care to patients of diverse cultures. Distinguish between some of the different assumptions and values that mental health providers and individuals hold, which influence their approaches to mental health. Explain why patients of diverse cultures with mental health needs are encountering disparities. Select assessment and intervention strategies that promote culturally competent care.
Subject Matter Expert |
Culture and Women's Health
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AMA PRA Category 1 Credit™, MOC, and ANCC
Duration: 1.00
Origination: May 2019 Reviewed: March 2023 Expiration: December 2025 According to the U.S. Census Bureau, minority groups will outnumber what is now considered mainstream culture by the middle of this century. Healthcare professionals need to heighten their awareness about the importance of role, culture, and tradition in preventing and treating women’s unique healthcare problems. When there is a lack of cultural sensitivity in communication, patients are less likely to be content with their healthcare experience, increasing the likelihood of miscommunication and possible cultural disparities. These factors can also cause non-compliance with treatment, worse health outcomes, and a higher incidence of adverse events. The goal of this course is to equip healthcare professionals with knowledge of the impact of culture on women’s health beliefs and practices and their responses to current approaches to care. Recall different cultural practices that impact women in various stages of life. Identify two cultural practices that interfere with women’s health. Recognize ways to provide culturally competent care to women. Subject Matter Expert |
Cyber Security Awareness Training
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Employee Cyber Security Awareness Training is more important now than it has ever been. Data breaches and hacking may sound unlikely, but cyber-attacks occur daily. In many cases, businesses are unprepared, because management does not understand the risk. Many companies believe they will not be the target of an attack. The truth is that all companies must prepare for a cyber-attack by having an individual or team in place to protect from such an attack. Provide an overview of the risk associated with cybercrime. Understand risk of computer malware and how to protect your organization. Understand cyber threats and ways to protect against these crimes. Understand social engineering methods and day-to-day security practices. Understand how passwords may be exploited and how to maximize password security. Learn how to recognize the threat of social engineering. Understand how to safely handle email phishing scams. Learn how to recognize computer viruses, spyware, keyloggers, and other malicious code. Expert Reviewer |
Decreasing Medical and Treatment Errors in Behavioral Health
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AMA PRA Category 1 Credit™
Duration: 1.00
CME certified:
Origination: October 2021 Expiration: August 2024 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 Instructor
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DEI: An Introduction to Multicultural Care
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ANCC Accreditation
Duration: 1.00
Origination: November 2022 Expiration: December 2025 Increasing awareness of cultural diversification has challenged traditional institutions and practices. This includes the delivery of treatment services. Outcome studies have consistently demonstrated the need for change in the way that healthcare and other services operate. Awareness of and sensitivity to cultural issues are critical to establishing a positive relationship with the people you are serving and ensuring beneficial treatment outcomes. Identify three primary reasons why a commitment to diversity, equity, and inclusion is critical for providing quality care and improving outcomes for individuals with behavioral health needs. Summarize ways you can identify and mitigate the impact of bias in your professional interactions. Indicate at least three approaches you can use to demonstrate cultural humility and a commitment to diversity, equity, and inclusion. Subject Matter Expert Writer |
Depression and Suicidality in Older Adults
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Depression and suicide are among the top public health concerns facing older adult populations. Older adults encounter changes physically, cognitively, and psychosocially that often contribute to the onset of depression. Further, older adult populations have among the highest incident rates of suicide than any other age group, which makes appropriate diagnosis and treatment of depression in this population even more critical. This course will provide an overview of some physical, cognitive, and psychosocial factors that could be contributing to depression in an older adult, as well as important information on recognizing risk factors and warning signs of depression in this population. Additionally, information related to evidence-based treatment strategies for older adult populations will be discussed along with the importance of monitoring treatment adherence. Recall common indicators of depression, as well as risk factors and warning signs for suicide in older adult populations. Indicate strategies to use to assess depressive symptoms and risk of suicide among older adults. Describe evidence-based interventions for adults with depressive symptoms or those at heightened risk for suicide. Instructor |
Diabetes Management: A Payer's Perspective
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Diabetes is not an uncommon condition in today’s healthcare systemthe U.S.. This high-volume condition can be managed very effectively, but diabetes disease management can also become very complicated. How can patients learn to manage their own diabetes? What strategies are most effective in teaching patient self-care? By creating an action plan with their patients, primary care providers can not only help to improve patient outcomes, but they can also empower the patients to take a bigger role in their own their disease management. When patients take on more responsibility for their care, resources (both time and economic) are freed up and can be allocated to other patients or areas of need. However, creating an action plan requires input from both the primary care provider and the patient, and no two plans are likely to be the same. Factors such as finances, living situation, or other social determinants of health must all must be considered when putting together a plan. A patient’s diet may also play a role. In this module, the topics of action plans, the social determinants of health, and nutritional counseling will be explored. The goal of this course is to provide case/care management, nursing, and social work professionals with information about diabetes management. Identify challenges to the successful and cost-effective management of diabetes for patients and providers. Differentiate the components of a diabetes action plan and the information it provides. Select ways healthcare professionals can help patients become more comfortable with and adept at self-management of diabetes. Instructor |
Diagnosing and Treating Anxiety Disorders
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AMA PRA Category 1 Credit™
Duration: 1.25
CME certified:
Origination: April 2020 Expiration: February 2023 Anxiety disorders, the most common psychiatric illnesses, affect millions of American adults, filling their lives with overwhelming anxiety, fear, and uncertainty out of proportion to any actual danger. These symptoms often persist for significant periods of time, and if not treated, can grow progressively worse. Anxiety disorders frequently occur in conjunction with other psychiatric or physical illnesses, making symptoms even worse. This course provides an overview of signs and symptoms as well as the most effective psychopharmacological and psychotherapeutic treatments available. New and improved therapies can help most people with anxiety disorders lead productive, fulfilling lives. This course will help you recognize anxiety disorders in those you serve and implement the most appropriate form of treatment. Identify the signs and symptoms of anxiety disorders. List three common psychopharmacological treatments for anxiety disorders. Explain three of the psychotherapeutic interventions for anxiety disorders. Instructor |
Discrimination in the Workplace for Supervisors
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ANCC Accreditation
Duration: 1.00
Origination: September 2019 Reviewed: January 2023 Expiration: December 2025 The U.S. Equal Employment Opportunity Commission (EEOC) is responsible for enforcing federal laws that make it illegal to discriminate against a job applicant or an employee because of the person's race, color, religion, sex, national origin, age, disability, or genetic information. The federal laws are very specific about the ways in which you, as an employer, are expected to select, promote, and accommodate your employees. You can be held liable for discrimination whether or not you intentionally discriminated against your employee, so it is imperative that you understand the federal laws prohibiting discrimination. Identify at least five employment practices that may constitute discrimination. Identify at least three examples of “reasonable accommodation” of employees and “undue hardship” to an organization. Subject Matter Expert |
Discussing Grief, Loss, Death, and Dying
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End-of-life issues are difficult to face. The decisions to be made are challenging for everyone involved including the dying person, their loved ones, and the healthcare team. Individuals will have their own unique needs and concerns and will cope in their own way. But this can also be an opportunity for personal growth. These events will often provide people with the opportunity to self-reflect and gain insight into what is most valuable to them. Identify the goals of end-of-life care. Discuss the ethical issues surrounding end-of-life decisions. Explain best practices for supporting individuals' end-of-life decisions. Subject Matter Expert |
Diversity, Equity, and Inclusion for the Healthcare Employee
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AMA PRA Category 1 Credit™
Duration: 1.50
CME certified:
Origination: June 2021 Expiration: May 2024 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
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Documentation for Managers
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In healthcare there is a saying that if it was not documented, it did not happen. While this saying is typically used by healthcare providers and nursing staff, it is also true for managers and human resource professionals. Your goal for documentation is to officially record agreements with employees, actions taken, goals set, and employee issues. Documentation not only helps protect your organization, it also helps make important staff decisions. When you understand your documentation responsibility and when documentation is necessary and helpful, you will be in a better position to lead your staff. Good documentation promotes clarity and understanding. This course discusses when and what people managers should document. It also discusses documentation best practices. Describe the manager’s role and responsibility in documentation. Indicate at least three personnel matters that require manager documentation. Subject Matter Expert |
Documentation: The Legal Side
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ANCC Accreditation
Duration: 1.00
Origination: October 2021 Reviewed: February 2023 Expiration: December 2025 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. |