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Care Management: Increasing Access and Decreasing Readmissions
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.
Care of Sexual and Gender Diverse Populations
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.
Care Teams: Depression and Anxiety
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.
CEN: Cardiovascular Emergencies
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.
CEN: Communicable Diseases
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.
CEN: Environmental and Toxicological Emergencies
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.
CEN: Gastrointestinal and Genitourinary Emergencies
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.
CEN: Gynecological and Obstetrical Emergencies
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.
CEN: Maxillofacial and Ocular Emergencies
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.
CEN: Medical Emergencies
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.
CEN: Orthopedic and Wound Emergencies
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.
CEN: Professional Issues in Emergency Nursing
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.
CEN: Psychosocial Emergencies
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.
CEN: Respiratory Emergencies
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.
Central Arterial Aneurysms: Types and Management
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.
Clinical Management of Category II Fetal Heart Tracing
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.
Clinical Management of Category III Fetal Heart Rate Tracings
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.
Clinical Management of Uterine Atony
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.
Collecting and Preserving Evidence in a Healthcare Setting
Whenever a crime occurs, evidence can be transferred among the perpetrator, victim, and the crime scene. Law enforcement personnel collect and preserve crime scene evidence. Healthcare professionals can simultaneously assist with a crime investigation and provide good healthcare to patients by collecting and preserving evidence from the patient’s body. It is imperative to understand that the collection and preservation of evidence from a patient should never compromise the patient’s safety, autonomy, or legal rights. This course provides an overview of interviewing, collecting, and preserving forensic evidence, toxicology, and documentation.
Recognize how nurses and other healthcare professionals can impact the outcome of criminal investigations.
Describe how to document information regarding the collection of evidence and forensic findings while providing patient-centered, high-quality healthcare.
Identify the measures necessary to preserve forensic evidence and maintain the proper chain of custody.
Common Brain Disorders and CT Scans
Computed tomography (CT) scans of the head are essential for diagnosing brain disorders in the acute care setting. This course will cover the different types of CT scans indicated for a person with a brain disorder and the signs of abnormalities in those CT scans. A review of brain anatomy will help improve awareness of common brain disorders that can be diagnosed with a CT scan. This course also reviews how to prepare patients for CT scans and basic techniques for performing CT scans. By the end of this course, learners will be able to apply knowledge of CT scans and brain disorders to provide appropriate patient care.
Recall the basic anatomy of the brain and the changes that occur after brain disorders.
Identify the different types of CT scans indicated for a person with a brain disorder and the preparation and care for patients undergoing CT scans.
Apply knowledge of common brain disorders and CT scans' role in managing brain disorders.
Common Substances and Treatment of Substance Use Disorders
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
Communicating Effectively
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.
Communicating with Patients
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.
Identify at least three specific elements of effective communication and how communication affects the patient and family experience.
Recall important components of cultural competence and inclusivity when communicating with patients and families.
Communicating with Patients with Limited English Proficiency
Within healthcare, a patient with limited English proficiency (LEP) is an individual whose primary means of communication is not English and who has a limited command of the language in reading, writing, speaking, or understanding (Office for Civil Rights, 2016). These patients need the careful attention of healthcare personnel to ensure the safety and quality of care. Healthcare professionals should understand regulations and standards related to patients with LEP, such as the use of an interpreter for communication.
The goal of this educational program is to improve the ability of the healthcare team to provide quality care and better outcomes for patients with limited English proficiency (LEP).
Recall the importance of medical interpretation services for patients with LEP.
Identify regulatory, accreditation, and evidence-based standards related to patients with LEP and linguistic services.
Choose strategies for effectively communicating with patients with LEP, including best practices when using an interpreter.
Controlled Substances: Chronic Pain Management
Chronic pain is a common condition for which healthcare providers often prescribe controlled substances, such as opioids. Prescription opioids can alleviate pain in certain patients, but the risk of misuse, abuse, and overdose means providers need to evaluate the risks and benefits for each patient. This course will educate healthcare providers on the role of prescription opioids along with other therapies for chronic pain, using recommendations from current national guidelines.
The goal of this course is to educate healthcare providers on methods for the safe and responsible use of controlled substances for the management of chronic pain.
Indicate treatment options for patients with chronic pain.
Identify safe strategies to initiate or change opioid analgesics.
Name patient factors and characteristics that can make prescribing opioids unsafe.