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Multifactor Bias in Diagnosis and Treatment in the ED
The ED is a pressurized environment created by time constraints, cognitive stressors, limited patient relationships, minimal clinical data, and a vast range of patient complaints and acuity, which all prime biases. However, despite these findings, often bias education is not currently embedded into emergency medicine training. Biases have been linked to altered clinical decision‐making, misdiagnoses, medical errors, and potentially life-threatening and lethal outcomes (Zeidan et al., 2018).
In this course, you will learn about biases in the ED from a pressurized environmental lens throughout the course. You will first be introduced to biases, then learn more about different contributing factors to the causes, dig deeper into the types of biases with relevant examples and their overarching negative systemic impact on the ED. Lastly, you’ll learn about strategies to debias and “release that pressure valve” to help improve diagnostic and treatment outcomes for patients.
Define the classes of biases, including implicit, cognitive, and explicit biases seen in the ED. Identify the causes of and types of implicit, explicit, and cognitive biases, as well as negative outcomes seen in the ED. Recall strategies to debias diagnostic and treatment outcomes in the ED.
Neonatal Resuscitation
Neonatal emergencies are frightening and challenging to almost all acute care providers. This course will focus on the neonate and provide a succinct review of resuscitation issues pertinent to clinical practice and board preparation/review.
Understand the role of thermoregulation in neonatal distress and instability.
Recognize and interpret relevant monitoring studies for neonates in distress.
Plan the key steps and recognize the complications associated with performing neonatal resuscitation.
Plan the key steps and know the pitfalls in the prevention and management of meconium aspiration.
Optimizing Patient Outcomes in Acute Heart Failure
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.
Patient Safety 101
This course is intended to give healthcare providers the information necessary to identify the relationship between patient-centered care and patient safety as well as to understand the key concepts of patient-centered care and systems that improve patient safety to enhance patient outcomes.
Identify the core elements of patient-centered care.
Understand the relationship between patient-centered care and patient safety and outcomes.
Understand key concepts of quality improvement (QI) and patient-centered care and safety.
Identify organizational systems to improve patient safety
Pediatric Pain Management: Assessment and Treatment
Pain is often underestimated and undertreated in the pediatric population due to many factors. As a result, children’s health outcomes are directly impacted without proper recognition and pain management, and quality of life is reduced. Physicians and nursing professionals must learn to assess and treat pediatric pain appropriately while caring for hospitalized children. This course describes the past and future status of pain management in children, pharmacological and non-pharmacological management options, and the complexities of managing pain in special populations.
Discuss the past and future status of pain management in children. Describe non-pharmacologic, pharmacologic, and adjuvant treatment options for pain in children. Explain some of the complexities involved in treating the child with chronic pain, cognitive impairments, or a need for palliative care.
Preeclampsia: Unusual Presentation
This course is intended to utilize scenario-based learning to review and reinforce training for caregivers in all obstetric practice areas on identifying and managing atypical presentations of preeclampsia.
Review clinical laboratory assessment for preeclampsia.
List contraindications to expectant management of preeclampsia with severe features.
Review evaluation of shortness of breath in the postpartum patient.
Identify normal BP trends and proper measurement during pregnancy.
Prescription Drug Misuse and Diversion
This course equips healthcare professionals with essential knowledge and practical skills to address the growing concern of prescription drug misuse and diversion. Controlled substances such as opioids, sedatives/tranquilizers, and stimulants are the most misused and diverted drugs. Strategies for reducing misuse and diversion will be presented.
The goal of this course is to inform healthcare team members about their role in the recognition and prevention of drug misuse and diversion in the acute care setting.
Identify signs of prescription drug misuse.
Name at least three drug diversion scenarios and prevention strategies the healthcare team can implement.
Prevention of Adverse Events and Medical Errors
The prevalence of medical errors correlates with increased risk of patient harm in the healthcare setting. Since most errors are related to systems issues/failures and not to inadequate care by providers, it is critical to understand the breadth of the problem and the best ways to prevent adverse events and medical errors to improve patient safety.
Examine the relationship between adverse events, medical errors, and patient safety.
Identify the barriers to improving patient safety through reducing errors.
Psychopharmacology in the Emergency Department
As a healthcare professional transporting patients to the ED, you may serve patients with symptoms indicative of behavioral health disorders, such as depressive, bipolar, and anxiety disorders. In some situations, the ED provider must administer psychiatric medications. However, if possible, it is prudent to defer their use until the patient is admitted to an inpatient mental health facility or seen as an outpatient. In many instances, the reason for presentation in the ED is an adverse reaction to psychiatric medications.
Identify some of the most common medications in each major category, their indications, and their usage in treating mental health disorders.
Recall adverse reactions to psychiatric medications.
Sexual Assault Response: Best Practices for Healthcare Providers
Survivors of rape and sexual assault will experience a variety of physical and emotional comorbidities as a direct result of their experience. This means survivors will enter the healthcare system through a variety of specialty clinics in addition to their primary care provider. It is important healthcare providers of all disciplines, be familiar with the signs that a patient may have been raped or sexually assaulted in their past. This course will provide the legal aspects of rape and sexual assault, the emotional and physical trauma associated with the experience, and how to identify and care for survivors.
Recall important aspects of sexual assault and its impact on the survivor.
Indicate the role of the healthcare provider in identifying and caring for survivors of sexual assault.
Shoulder Dystocia: Management and Prevention
Nearly half of all cases of shoulder dystocia occur in the absence of risk factors, making them largely unpredictable and unpreventable. Perinatal morbidity and mortality rates associated with shoulder dystocia are high, even when properly managed.
Although shoulder dystocia is considered an obstetric emergency, a well-trained obstetric provider and a team of nursing/resuscitation professionals can usually manage it well for the pregnant person and fetus.
Identify diagnosis criteria, risk factors, and complications associated with shoulder dystocia.
Recall management and prevention techniques for shoulder dystocia.
Indicate documentation needed following a birth involving shoulder dystocia.
Shoulder Dystocia: Primary Maneuvers
A review of clinical judgment related to the use of primary maneuvers for managing shoulder dystocia.
Identify the clinical signs of shoulder dystocia and appropriate initial interventions to resolve the complication safely.
Recall risk factors for shoulder dystocia and appropriate tasks to perform following the emergency.
Social Determinants of Health: Healthcare Access and Quality
Nearly 10% of U.S. population does not have health insurance (U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion [ODPHP], n.d.a). Healthy People 2030 is a national population and public health initiative endorsed by top U.S. government health agencies, setting health goals for the U.S. healthcare system to improve the overall wellbeing of patients in their communities. This course provides an in-depth and interactive analysis of one of the five Healthy People 2030’s domains of social determinants of health (SDOH), healthcare access and quality, and its impact on patient outcomes.
Review what SDOH are and how they impact both healthcare access and quality of care.
Identify barriers to healthcare access and care quality, how these barriers negatively impact patient outcomes, and some strategic interventions to improve these patient outcomes.
Social Determinants of Health: Neighborhood and Built Environment
The physical environment in which individuals live has a direct impact on their health and wellness and their ability to access healthcare. Healthy People 2030 identifies neighborhoods and the built environment as a domain of the social determinants of health tied to health outcomes. This course provides an in-depth analysis of this domain and how it affects the health and well-being of patient populations. The four components of neighborhood and built environment include access to healthy foods, quality of housing, crime and violence, and environmental conditions. Clinicians can leverage this knowledge to improve treatment planning for patients and health outcomes.
Identify the four components of neighborhood and built environment domain of social determinants of health.
Recall how neighborhood and the built environment affect overall health outcomes.
Define how clinicians can address issues related to the neighborhood and built environment.
Stroke: Recognition and Management
This course equips healthcare professionals with essential knowledge and skills to promptly and effectively manage stroke in the acute care setting. Participants will gain insight into how to recognize an acute stroke and the initial steps to take for emergency treatment of stroke. In addition, learners will know the different acute treatment options for ischemic and hemorrhagic stroke as well as patient care for acute stroke.
Recall the benchmark diagnosis and treatment times for acute stroke.
Differentiate the treatment of ischemic stroke and hemorrhagic stroke.
Indicate interventions in the care of a patient presenting with an acute stroke.
Structured Communication for Healthcare Providers
This lesson will describe, in detail, 1 of the structured communication strategies that is used frequently in high-stakes situations: The ISBAR+R method. Appropriate use of this method can help healthcare providers avoid preventable errors by improving the effective communication of timely, accurate, and pertinent information among all members of the healthcare team.
Define the steps of ISBAR+R. Outline the benefits of structured communication tools.
Explain the inherent risks of poor communication among healthcare teams. Identify barriers to effective communication.
Organize patient information using the ISBAR+R format in routine, urgent, and emergent situations.
Suicide Prevention Strategies for Veterans
Veterans die by suicide at higher rates than non-veterans and often have unique factors that impact their risk. This course explains factors that specifically increase suicide risk in veterans. It also reviews screening and assessment strategies to identify veterans at risk of suicide. Lastly it describes effective interventions and treatment options to reduce suicide risk in this population.
Identify three factors that specifically increase suicide risk in veterans.
Apply screening and assessment strategies to identify veterans at risk for suicide.
Define at least three effective ways to intervene to reduce suicide risk among veterans.
Suicide Prevention: At-Risk Populations Assessment, Treatment, and Risk Management (WA)
This multi-lesson module provides suicide training according to the state of Washington requirements. The four lessons cover:
Lesson 1: Assessing and Screening for Suicide Risk: provides skills to identify individuals at increased risk of suicide
Lesson 2: Overview of Evidence-Based, Suicide-Specific Interventions: provides knowledge about evidence-based, suicide-specific interventions
Lesson 3: Community-Based Interventions to Reduce Suicide Risk: provides information about community-based, upstream suicide prevention approaches
Lesson 4: Preventing Suicide Among Veteran Populations: provides skills in assessment and intervention to reduce suicide risk among veterans
Recognize three risk and three protective factors for suicide.
Discuss how to effectively screen to identify individuals at risk for suicide.
Identify three components of a comprehensive suicide assessment.
Recall the factors you should consider when determining what interventions may be needed for suicidal individuals.
Describe three evidence-based interventions for treating individuals at risk for suicide or who have made a recent attempt.
Summarize the process for completing a safety plan and reducing access to lethal means. E
Explain what upstream suicide prevention means and why it is important.
Describe how fostering life skills and resilience can help to prevent suicide.
Summarize the impact of connectedness as an upstream suicide prevention approach.
Identify three factors that specifically increase suicide risk in veterans.
Recall screening and assessment strategies to identify veterans at risk for suicide.
Define three effective ways to intervene to reduce suicide risk among veterans.
The Impact of Psychedelics
This course will provide healthcare professionals in the acute care setting with an introduction to the use of psychedelics for the treatment of behavioral health conditions. Healthcare professionals will learn about the types of agents used, their indications, benefits, and their associated risks and side effects.
The goal of this course is to provide health care professionals in the acute care setting with an introductory review of novel therapeutic agents used to treat behavioral health conditions.
Recall how psychedelics are used to treat behavioral health disorders and how they impact symptoms of behavioral health disorder.
Identify the potential risks and side effects of psychedelics.
Recognize whether an individual is a good candidate for psychedelic treatment for behavioral health symptoms.
The Opioid Epidemic: Implications for Healthcare
The Opioid Epidemic is a major public health crisis, leading to widespread addiction, overdose, and death. This course provides a comprehensive overview of the epidemic, covering the classification and pharmacology of opioids, the mechanisms of addiction, and the societal impact of opioid misuse.
Participants will learn how opioids interact with the nervous system, the progression from prescription misuse to illicit drug use, and key public health interventions aimed at mitigating the crisis. The course will also explore clinical management strategies, including opioid overdose response, withdrawal treatment, and harm reduction approaches like naloxone distribution and treatment.
Describe the historical and societal impact of the opioid epidemic.
Recognize the presentation and management of patients with opioid use disorder.
Explain the classification and pharmacology of key opioids.
The Reality of Human Trafficking: Awareness and Response
Human trafficking is a significant issue in the U.S. and worldwide. Human trafficking victims are often concealed by their traffickers; however, many victims interact with healthcare professionals while they are being victimized. This places healthcare professionals in a unique position to recognize the signs and risk factors of human trafficking and take steps if they suspect a person may be a victim of human trafficking.
The goal of this course is to provide healthcare staff with critical steps to recognize and respond to human trafficking.
Recall federal laws regarding human trafficking.
Indicate how force, coercion, and fraud contribute to human trafficking.
Identify key signs of human trafficking and barriers to recognizing those affected by it.
Determine steps to take if you suspect a person is being trafficked.
The Role of Risk Management: A Quality Perspective
The role of risk management has a significant impact on the quality outcomes of acute care organizations. It includes systems and validated processes aimed at assessing and developing interventions to mitigate risk factors and optimize quality outcomes. HCPs are stakeholders in the risk management process and can benefit from understanding risk management strategies and objectives. In this course, you will learn about risk management in the acute care setting.
The goal of this course is to provide healthcare professionals in acute care settings with information to enhance their understanding of the role they play in risk management along with proven strategies for ensuring quality outcomes in their professional practice in acute care settings.
Identify the importance of risk management, the processes, and tools used in risk management in the acute care setting.
Identify at least two concrete strategies for enhancing quality outcomes.
The Use of Opioids During Pregnancy
Americans are using opioids at an alarming rate, whether through prescriptions or illegal means. Parallel to this problem is the use of opioids during pregnancy.
The goal for this course is to present RNs, PAs, physicians, and entry-level drug and alcohol counselors in inpatient or outpatient settings with best practices for identifying and managing pregnant women who are using opioids.
Recognize the risks and complications related to opioid use disorder during pregnancy.
Identify evidence-based treatment recommendations for opioid use disorder during pregnancy.
Trauma-Informed Care
Trauma-informed care recognizes and responds to the effects of trauma. All clients should receive trauma-informed care.
Define at least three trauma types and their effects.
Identify strategies for trauma-informed care strategies and their implementation at individual and organizational levels.
Recognize at least two ways trauma affects healthcare staff and strategies to support their well-being.
Triage: Reliable System for Assessing Acuity
This course covers the essentials of emergency department (ED) triage, including triage strategies, systems, and scales used to prioritize patient care. Learners will explore key concepts such as the ESI system, vertical split flow, and the impact of accurate triage on patient safety and ED efficiency. Focus is also placed on the importance of ongoing education, reassessment, and collaboration within healthcare teams.
This course provides ED nurses and providers with a comprehensive understanding of the triage process.
Recall the history and purpose of triage, the various triage methods and systems used in emergency departments, including creative strategies, and the importance of accurately determining triage levels for optimal patient care.
Recognize how to accurately assign ESI levels by assessing clinical severity, resource needs, and the patient's ability to wait, while understanding the risks of under-triage and over-triage and their impact on patient safety and care outcomes.