Identify key terms as defined under EMTALA. 

Identify provider obligations under EMTALA and penalties for violating EMTALA statutes. 

Recognize how EMTALA guidelines apply to different emergency situations, including patient screening, stabilization, and appropriate transfer.

A traumatic brain injury (TBI) is a complex condition that may have short- or long-term effects on a patient. TBIs have a wide array of associated symptoms and disabilities. These may have a significant impact on the lives of patients and their families. Healthcare professionals should be ready to rapidly assess patients with TBIs so that they can be treated promptly.

This course provides strategies to enhance the knowledge and skills of physicians, registered nurses, and physician assistants in recognizing, assessing, and managing traumatic brain injuries, contributing to improved patient outcomes and interdisciplinary collaboration.

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.

This course focuses on 2 continuous quality improvement strategies that can be used to change complex systems—the plan-do-study-act (PDSA) method and Six Sigma’s define, measure, analyze, improve, and control (DMAIC) method. These simple, but effective, methods of making minor changes in systems can transform ambiguous and error-prone processes into tested, clear processes designed to reduce errors.

This course focuses on two continuous quality improvement strategies that can be used to change complex systems—the plan-do-study-act (PDSA) method and Six Sigma’s define, measure, analyze, improve, and control (DMAIC) method. These simple, but effective, methods of making minor changes in systems can transform ambiguous and error-prone processes into tested, clear processes designed to reduce errors.

This course will address the importance of reporting errors for prevention of future adverse events and improved patient safety, as well as the role of root cause analysis (RCA) as an investigation tool for identifying the underlying systems failures that may have led to the error. It will also examine the benefits and barriers to reporting and the role of healthcare culture in reporting. Finally, it will explain the basic process of reporting that is common in most healthcare organizations.  

Facilitating change for quality outcomes is the cornerstone of any successful organization. Change is necessary for organizational growth and development and for creating a robust organizational culture. In this course, you will explore the trends and change models for quality improvement, barriers to system change, problem-solving, crisis management, and how to incorporate quality measures that support change facilitation in the acute care setting.

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.

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.

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.

Effective communication with patients and families is the foundation for a therapeutic, safe, and positive patient experience. The patient‘s experience of care is greatly influenced by what is communicated and observed. It is also a vital component of obtaining an accurate history and physical assessment, providing informed, comprehensive care, and educating patients and families to achieve optimal outcomes. The goal of this course is to provide information about how to effectively communicate with patients in healthcare settings.

Most healthcare professionals strive to provide equitable treatment, but unconscious biases can still influence clinical decisions, leading to disparities in diagnosis, treatment, and outcomes. This course explores how implicit bias develops, its impact on healthcare delivery, and strategies for recognizing and reducing bias in practice. The goal of this course is to educate healthcare professionals in all settings on implicit bias.

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.

This course examines diagnostic failure and delayed diagnosis in emergency medicine. It is designed to enhance understanding of the common causes and implications of diagnostic failures and delays and provide strategies for improving diagnostic accuracy in emergency settings.

Dizziness is common in pre-hospital and emergency department (ED) settings. Most patients will have a benign condition. However, up to 25% of patients presenting with dizziness complaints will have a life-threatening condition. It is imperative that emergency medical services (EMS) professionals, emergency nurses, and providers promptly identify and treat life-threatening causes of dizziness.  

Medical errors and unanticipated outcomes not only have the potential for devastating consequences, but they are a relatively common occurrence in healthcare. Accordingly, providers must be well-versed in understanding the basic steps of disclosing these events to patients and their families, as well as the legal ramifications of such action. Fortunately, there are models and ethical frameworks that help guide these decisions and conversations, but every provider must determine the approach that is best for their practice.  

Safely managing pain for the people in your care requires you to be knowledgeable about pain management recommendations. It is important to understand the risk factors for misuse and substance use disorder (SUD) as well as the signs that someone has a SUD and how to treat it. Unfortunately, SUD is one of the drivers of drug diversion. Therefore, it is also critical that you understand drug diversion tactics and behaviors so you can help prevent it. The goal of this course is to educate healthcare providers in all settings on pain management and preventing substance use disorder and diversion.
 

Economic stability is defined as a domain of social determinants of health in the Healthy People 2030 campaign. It relates to an individual’s ability to access resources such as food, adequate housing, and healthcare. Each component of economic stability, including poverty, employment, food security, and housing stability, is linked to individual health outcomes.

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

Family violence affects people across all demographics and occurs in a variety of relationships, including between intimate partners, family members, and household members. While progress has been made, it remains a serious issue in the U.S. and globally. Healthcare professionals in all settings play a critical role in identifying and supporting individuals experiencing family violence. This course provides nurses and social workers with information on how to identify and treat people experiencing family violence.

This course is intended to review the identification and management of various fetal heart rate patterns in a clinical context to prevent or address potential physiologic stress imposed on the fetus during labor, as evidenced by the fetal heart rate tracing. 

Improving hospital processes surrounding discharge and transitions of care can reduce adverse events and readmissions. Process improvements may also lead to better patient adherence to the treatment plan and their overall experience with care. Healthcare professionals must understand care coordination and transitions of care and how they impact HCAHPS survey results.

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is a national standardized survey required for hospitals participating in Centers for Medicare & Medicaid Services (CMS) programs. Survey results are linked to hospital reimbursement from CMS. 

Healthcare practitioners greet, assess, screen, treat, and refer LGBTQIA+ individuals every day. Some may understand the unique needs of this population. However, more information and education are needed to ensure that people are represented in research and are treated with respect and dignity when receiving healthcare. This course discusses barriers LGBTQIA+ people face in accessing healthcare, along with the physical, mental, psychosocial, and cultural factors that affect their health. It provides practical strategies for providing sensitive, informed, and inclusive care. The goal of this course is to provide healthcare professionals with education on health disparities in the LGBTQIA+ community.

This course is designed for healthcare professionals in acute care settings. Learners will learn to recall complications of obesity, equipping them with knowledge on metabolic syndrome and its associated conditions such as cardiovascular disease, insulin resistance, and type 2 diabetes mellitus. Additionally, they will be able to indicate appropriate treatments for the management of obesity-related comorbidities, such as lifestyle modifications, pharmacologic interventions, and bariatric surgery.

Through this education, providers will be better prepared to assess, diagnose, and treat obesity and MetS while improving patient outcomes and reducing associated healthcare costs.