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(Washington) Abuse Prevention, Investigation, and Reporting
This course discusses how to recognize, prevent, and report abuse, neglect, and exploitation of vulnerable adults in the state of Washington.
The goal of this course is to educate direct care workers in post-acute care settings on how to identify, prevent, and report suspected or witnessed abuse, neglect, or exploitation in the state of Washington.
Identify the different types of abuse, neglect, and exploitation.
Recall the legal responsibilities of a mandated reporter to report suspected or witnessed abuse, neglect, or exploitation.
Recognize the physical and emotional signs or indicators of abuse, neglect, and exploitation.
Describe ways to support victims of abuse, neglect, and exploitation.
Identify at least two ways to prevent abuse, neglect, and exploitation.
A Look at Malignant Hyperthermia
Malignant hyperthermia (MH) is a life-threatening syndrome associated with an anesthetic trigger. Awareness of MH by all perioperative team members, from those working in the preoperative holding area to those in the Post Anesthesia Care Unit (PACU), is important in preventing negative patient outcomes.
Define risk factors for MH and preventive measures for improving patient outcomes.
Identify the signs and symptoms of MH along with diagnostic and genetic considerations.
Describe the best practices for managing and treating MH.
A Review of medical Error Prevention
Do no harm: A fundamental principle of medical care, yet thousands of patients suffer harm from medical errors every day. Some reports estimate annual deaths from medical errors in the U.S. to be as high as 250,000, but a more recent study revealed that number may be highly inflated (Rodwin et al., 2020). The actual number of preventable deaths estimated by a meta-analysis was 22,165, with most occurring in people expected to have less than 3 months to live. For those who were expected to live longer than 3 months, 7,150 deaths occurred. The difference may be due to over-estimation or from initiatives to reduce errors since initial values were released. Regardless, healthcare professionals are obliged to do no harm, so continued efforts are needed to reduce medical errors.
This course is intended to educate nurses, physicians, and physician assistants on the causes and strategies for preventing medical errors.
Identify definitions related to patient safety, medical errors, and adverse events.
Discuss risk factors, prevention strategies, and populations most vulnerable to medical errors.
Describe the root cause analysis process for medical errors.
List factors that contribute to the five most misdiagnosed medical conditions.
A Review of Traumatic Brain Injury (TBI)
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.
Indicate how to assess and diagnose traumatic brain injuries, using both clinical examination and diagnostic tools, recognizing the signs and symptoms that distinguish mild, moderate, and severe TBI.
Apply management strategies for TBI, including immediate interventions, pharmacological treatments, and monitoring techniques, to optimize patient care from acute to rehabilitative stages.
Discuss the importance of using a multidisciplinary approach in the management of TBI to support recovery, minimize complications, and facilitate patient and family education.
Acute Stroke and the Latest Information
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.
Acute Stroke: Treatment and Outcomes
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.
Addressing Trauma and Stressor Related Disorders
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.
Adult Obesity in the U.S.
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.
Age-Specific Competencies in Patients
Age-specific competency is not only a regulatory requirement but a professional necessity. Patients of differing ages are prone to different risks and have specific needs. For instance, infants require lots of attention; toddlers require constant supervision; and older adults depend on healthcare professionals (HCPs) to help them avoid potentially life-threatening complications. Nurses who have developed age-specific competencies are sensitive to these needs and risks. They are also adept at assessing, diagnosing, planning, implementing, and evaluating the care for these patients. Ensuring staff members are competent in caring for patients of differing ages is one important way that healthcare organizations ensure safe, high-quality care.
The goal of this course is to provide nursing professionals and health educators in acute care with an overview of age-specific competency requirements needed when planning and delivering healthcare.
Discuss the importance of age-specific and cultural competence when caring for pediatric and adult patients.
Identify the stages of growth and development for pediatric and adult patients.
Indicate clinical considerations for pediatric and adult patients.
Ambulatory Preceptor: Communication and Teamwork
No matter how much we know, there is always something more to learn about communication, teamwork, and interprofessional/interpersonal work relationships. Healthcare is a continuously evolving, fast-paced, multigenerational, and multicultural work environment. Communication and teamwork are vital components of safe and effective healthcare. Preceptors must incorporate these elements into preceptorships to successfully transition new staff into ambulatory care and clinical patient care arenas. This becomes particularly important when transitioning preceptees into specialty practice that requires them to work interdependently, such as in ambulatory care. The goal of this course is to provide nurses and nurse preceptors in ambulatory care settings with information about communication and teamwork in preceptorships.
Identify professional attributes of a preceptor, various communication styles, and effective communication techniques in ambulatory settings.
Recognize important elements of teamwork and the role of the preceptor in team building.
Ambulatory Preceptor: Integrity, Ethics, and Legal Considerations
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.
An Overview of Substance Use Disorders
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.
An Overview of Trial of Labor After Cesarean Section
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.
An Update on Bariatric Surgery
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.
Anesthesia: Perioperative
The perioperative nurse plays a primary role in the anesthesia experience. Knowledge of techniques, patient assessment, and care management for the patient receiving or recovering from anesthesia positively impacts patient outcomes. This course discusses anesthetics and adjuvant medications used in the perioperative setting, anesthesia-related complications, and the nurse’s role in assisting with anesthesia management.
This course provides nursing professionals with information about the principles and practices of anesthesia care in the perioperative setting.
Identify the stages and types of anesthesia, and associated medications commonly used in the perioperative setting.
Recognize important assessment areas and nursing interventions for the perioperative patient receiving or recovering from anesthesia.
Describe complications of anesthesia and their treatments.
Antibiotic Stewardship Programs: Core Elements
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.
Approaches to Community-based Suicide Prevention
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.
Assessing and Treating Opioid Use Disorder
Best Practices in Documentation for Rehab Providers
Documentation is a critical component of therapy services. Your documentation is used to communicate with other healthcare professionals, evaluate the effectiveness of treatment, and substantiate billing by justifying the care provided. Individuals who review your documentation in the medical record will never see the therapy sessions, so you have to “tell the story” by including the necessary components to justify services for reimbursement. This course covers general guidelines for documentation, components to improve documentation, and special considerations. Practical examples are provided to help you incorporate best practices into your documentation.
Identify five required components of therapy goals.
Determine at least three ways to improve documentation through the use of evidence-based practice and demonstration of skilled need and medical necessity.
Recall at least four documentation requirements across all settings.
Best Practices in Suicide Screening and Assessment
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.
Bias in Healthcare
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.
Boundaries in the Treatment Relationship
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.
Boundary Risks for Behavioral Health Paraprofessionals
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.
Bowel Ischemia, Perforation, and Obstruction
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.
The goal of this course is to equip nursing professionals in acute care with knowledge of risk factors, signs and symptoms, and management strategies for bowel ischemia, infarction, perforation, and obstruction.
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.
Care for Individuals with End-Stage Neurological Diseases
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.