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MRI Safety
Healthcare professionals working in magnetic resonance (MR) environments must be aware of warnings and contraindications for MRI examinations and know the requirements for careful initial patient screening, accurate determination, and characterization of permanently implanted or temporary devices. Medical devices and ferromagnetic objects may malfunction in a magnetic field or pose a projectile risk, which could cause harm or injury to patients and staff. Controlling access to the environment and properly screening patients can help prevent accidents and injury. Only properly trained personnel are authorized to perform final patient screening and access equipment. Proper safety and security require plans for facility design and emergency preparedness.
The goal of this course is to present information related to industry standards for safe operation and optimal patient care in an MRI environment.
Identify the basic principles of MRI technology.
List the potential hazards and risks associated with MRI.
Recognize guidelines and recommendations associated with MRI safety.
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.
Natural Disasters and the Workplace: Earthquakes and Tsunamis
Earthquakes and tsunamis unleash powerful forces of nature. They cause catastrophic infrastructure and property damage and can result in tremendous loss of life. This course presents some basic facts about earthquakes and tsunamis, including considerations for preparedness and protective actions.
Discuss protective actions to enhance safety during and after an earthquake or tsunami.
Explain where and how earthquakes and tsunamis occur.
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.
NIH Stroke Scale
This course is designed to provide nursing professionals with a comprehensive understanding of the NIH stroke scale. The course will cover the purpose of the NIH stroke scale, how to administer the scale, and how to interpret the results. The course will also include case studies that illustrate the use of the NIH stroke scale in clinical practice.
Identify the purpose of the NIHSS and how it is used in clinical practice.
Recall the significance of NIHSS scores to patient outcomes.
Apply the NIHSS to assess patients with stroke or stroke-like symptoms including how to score each section of the NIHSS.
Nursing Management of Operative/Assisted Vaginal Delivery
This course provides labor and delivery nurses with practical guidance on preparing for, supporting, and managing vacuum-assisted and forceps-assisted births. It covers indications, contraindications, teamwork, documentation, postpartum care, and recognition of maternal and neonatal complications.
Explain the nurse’s role in supporting operative vaginal birth, including preparation, communication, documentation, and postpartum assessment.
Identify common maternal and neonatal complications associated with operative vaginal delivery and appropriate nursing interventions.
Describe the clinical indications, prerequisites, and contraindications for vacuum-assisted and forceps-assisted vaginal delivery.
Nursing: Peer Review Practices
Peer review is essential for being a part of a profession, but few healthcare organizations have meaningful nursing peer review. Nursing has lagged behind other professional groups, especially physicians, in creating a peer-review agenda. Authentic nursing peer review requires evidence-based standards by all nurses, regardless of role or practice setting.
Recall the importance of using peer review in professional nursing practice.
Recognize evidence-based practice principles for nursing peer-review activities for safe patient outcomes and professional development.
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.
Outpatient Opioid Misuse: Risk Identification and Stratification
This course explores the risk factors for opioid misuse and reviews the classification of opioid use disorder. It also provides an overview of assessment and management tools and strategies that can be employed to ensure safe and effective pain management for patients using opioid medications.
Recognize the prevalence of and risk factors for opioid misuse.
Identify three evidence-based assessment tools to determine risks for individual patients
Overview of Evidence-Based, Suicide-Specific Interventions
It was once assumed that addressing underlying conditions was the best way to treat suicidality. We now know that suicidal people need interventions that directly target suicidal thoughts and behaviors. Suicide-specific interventions will give you the tools to help clients manage suicide risk.
In this course, you will learn about specific evidence-based and research-informed interventions that directly target suicidal thoughts and behaviors. Through case examples, you will gain a better understanding of ways to implement these strategies.
The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals with knowledge about evidence-based, suicide-specific interventions.
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 for reducing access to lethal means.
Recall the factors you should consider when determining what interventions may be needed for suicidal individuals.
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.
Pediatric Problems in Ambulatory Care
Pediatric ambulatory care consists of well-child checks, preventive care, and the treatment and management of acute and chronic health conditions. Nurses provide holistic care to the pediatric patient by synthesizing their nursing assessments with parent/caregiver concerns. Nurses collaborate with the healthcare team to identify and address common pediatric health problems encountered in the ambulatory care setting.
Recognize the causes, diagnosis, and management for common conditions in pediatric ambulatory care.
Recall nursing considerations for common conditions in pediatric ambulatory care.
Perioperative Pediatric Conditions
Perioperative professionals must have a fundamental understanding of the anatomical, physiological, psychological, and emotional differences of children compared to adults and how these differences impact the care needs of pediatric patients in the perioperative period.
Identify anatomical, physiological, psychological, and emotional differences in pediatric patients and how those differences impact care needs in the perioperative setting.
Recognize strategies for preventing and responding to medication errors and adverse drug events involving children in the perioperative setting.
Recall surgical considerations for pediatric patients.
Perioperative Series: Communication in the OR
In the operating room, patient safety depends on high quality communication and shared knowledge among the surgical team. Several factors in this setting can contribute to communication failures like time constraints, shift changes, environmental barriers, the complex nature of surgical procedures, and clashing communication styles. All members of the surgical team must understand the risks to patient safety associated with communication failures, what information must be communicated and when, and how to use an assertive communication style.
The goal of this course is to equip nurses and CSTs with best practices for effectively communicating in the operating room.
Describe best practices for facilitating communication in the OR.
Identify four communication styles and which style is most effective for ensuring patient safety.
List common barriers to effective communication in the OR.
Perioperative Series: Emergencies in the OR
Perioperative providers can BEST prepare for emergencies in the operating room by knowing the responsibilities of each team member and rehearsing interventions ahead of time. When you are in the moment and your heart is racing, it’s easy to forget how to respond or even where supplies are located. Practicing your responsibilities and team interventions ahead of time will help to prepare you for the unexpected. This course provides you with an opportunity to participate in five emergency scenarios to test your knowledge. Time is of the essence when an emergency happens so you must think and act fast to save the patient!
The goal of this course is to equip nurses and STs with knowledge of the responsibilities of the team during a range of OR emergencies.
Recognize evidence-based strategies for treating and preventing a range of OR emergencies.
Describe the roles and responsibilities of members of the surgical team when emergencies occur.
Recall the best practices for improving patient outcomes during an emergency.
Perioperative Specimen Handling
Proper surgical specimen handling is essential for patient safety. This course covers best practices for intraoperative personnel to prepare, label, and transfer specimens accurately. Adhering to these protocols ensures that specimens are identified and handled appropriately, minimizing the risk of harm to the patient.
This course provides OR nurses and surgical technologists with knowledge of best practices for specimen handling.
Describe the considerations and methods of preparing specimens for various pathologic and examination types.
Recall care standards for the appropriate handling, labeling, and transportation of specimens.
Identify common mistakes made during specimen management and prevention methods to avoid these errors.
Postpartum Hemorrhage Management
Worldwide, postpartum hemorrhage (PPH) accounts for high rates of maternal morbidity and mortality. Early recognition is key to good outcomes. Recognizing PPH, its stages, and how to measure blood loss is essential since treatment is based on the stages of hemorrhage. Additionally, it is important to understand nursing interventions, treatments for PPH, and teamwork and communication needs to improve perinatal outcomes.
This course aims to enhance the knowledge of acute care nurses about postpartum hemorrhage, including its causes, risk factors, and medical and surgical management.
Identify the causes and risk factors for postpartum hemorrhage.
Indicate the stages of postpartum hemorrhage.
Recall nursing and medical interventions used during the management of postpartum hemorrhage.
Preceptor: An Overview of the Essentials
The role of a preceptor is vital to an organization’s ability to efficiently and effectively onboard an individual to a new department or work unit. This course is designed to include principles and practices for precepting new employees across healthcare settings. It introduces the learner to the fundamentals of the preceptor role and provides best practices for being an effective preceptor. Preceptors exhibit professionalism and best practices in their work units. Being a preceptor requires skill, talent, and preparation to yield the best outcomes.
Recognize the importance of interpersonal and communication skills for the preceptor role.
Identify the leadership principles and styles of leadership for the preceptor role.
Define self-care and resilience for the preceptor role.
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.
Preventing and Handling Crisis Situations
Healthcare professionals often encounter patients experiencing agitation or displaying hostile behavior during their careers. De-escalation is a set of approaches and techniques used to assist patients in self-calming to avoid incidents of harm to self, others, or property. Professionals should understand escalation and physiological responses to threats. After determining the risk of escalation, healthcare professionals can use various aspects of verbal communication, such as tone and pitch, and nonverbal communication skills to defuse potentially hostile situations and apply the least restrictive interventions.
Describe what de-escalation is and why it is important.
Recall how to use de-escalation to prevent a crisis from developing.
Indicate specific approaches you can use during a crisis to help individuals return to pre-crisis levels of functioning and prevent harm.
Preventing Medical Errors
You know the medical error statistics all too well, and, at times, they occur too close to home. The purpose of this course is to help you recognize error-prone situations and the factors that impact medical errors so you can prevent them.
Identify at least two types of medical errors.
Describe what risk management is and how it is used to prevent medical errors.
Explain how to use root cause analysis in the prevention of medical errors.
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.