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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 Orthopedic Procedures: Perioperative
Orthopedic surgery treats conditions, diseases, and injuries of the musculoskeletal system. While many conditions can be managed with conservative methods, surgical intervention is sometimes necessary. This course offers a review of common orthopedic procedures, along with the anatomy, physiology, and pathological conditions of the musculoskeletal system. It includes perioperative considerations and surgical techniques used in orthopedic surgeries.
Identify the musculoskeletal system's anatomy, physiology, and pathological conditions most encountered during orthopedic surgery.
Recall indications, contraindications, and complications of orthopedic surgery.
Identify perioperative considerations and interventions for common orthopedic surgeries.
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.
Continuous Quality Improvement: An Overview
Front-line healthcare providers are often recruited to lead quality improvement activities. Thus, they must have knowledge of quality improvement science and concepts that underpin continuous quality improvement strategies, such as Plan-Do-Study-Act, Lean, Six Sigma, and Root Cause Analysis. The goal of this course is to educate healthcare providers in acute care settings on continuous quality improvement and associated methodologies. It will use review questions and story-based learning to promote active learning.
Recall the goal and concept of continuous quality improvement.
Recognize how continuous quality improvement supports evidence-based practices among the healthcare team.
Identify continuous quality improvement methodologies.
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.
Creating a Welcoming and Safe Healthcare Environment
All staff must be aware of the importance of creating a welcoming and safe healthcare environment. This includes knowing what must be present for such an environment to exist. In this course, you will learn best practices for creating a healthcare environment that best serves the safety needs of the people who are receiving services and makes them feel welcome.
Describe a welcoming and safe healthcare environment.
Explain how a welcoming and safe healthcare environment can improve the healthcare experience.
Identify at least three practices that promote a welcoming and safe healthcare environment.
Cultivating Awareness: Implicit Bias for Healthcare Professionals
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.
Recognize the impact of historical discrimination on the provision of healthcare.
Identify methods of evaluating the presence and extent of implicit bias.
Recall measures that can be taken to reduce implicit bias.
Cultural Competence and Healthcare
Cultural competence in healthcare refers to the delivery of quality care. It refers to meeting the needs of people with disabilities, members of the LGBTQ+ community, and those from diverse socioeconomic and cultural backgrounds. Cultural competence must be a two-way system to benefit people with differing beliefs, attitudes, values, and behaviors. This course discusses cultural competence and how organizations can use cultural competency to create an atmosphere of inclusion.
Define cultural competency.
Describe the role of cultural competency in healthcare.
Cultural Competence: Values, Traditions, and Effective Practice
Culturally appropriate interventions must be utilized when working with culturally diverse clients and patients. Cultural competency goes beyond having knowledge of traditional cultures. This course discusses how cultural competency functions to deliver culturally competent care related to diet and nutrition.
The goal of this course is to educate fitness professionals, health education professionals, and nutrition and dietetics professionals with information on developing cultural competency.
Explain the importance of integrating cultural competence into individual and organizational practice.
Identify culturally competent strategies and incorporate them into practice.
Apply knowledge of traditional cultural diets into effective patient teaching.
Cultural Perspectives in Childbearing
As the population of the U.S. soars in diversity, healthcare professionals must be prepared to care for childbearing families from many different cultures. All cultures and families should be given the same respect, be assured of the highest quality of care, have their religious, ethnic, and cultural values respected and integrated into their care, and have their physical and educational needs met in a way that honors their spiritual beliefs and individuality. Knowledge of the cultures one is serving and the influence they have on women’s perceptions of childbirth are important for achieving positive outcomes. Equally and perhaps more important is applying the principles of cultural humility to nursing care.
The goal of this continuing education course is to improve the ability of nurses and health educators in acute care settings to assess and meet the sociocultural needs of childbearing families of diverse cultural and social groups.
Recall the relationship of culture, subculture, acculturation, assimilation, ethnocentrism, cultural relativism, and cultural humility to healthcare practice.
Recognize elements of cultural assessment and respectful maternity care that can improve quality of care and meet the unique needs of culturally diverse families.
Culture and Pain Management: Cultural Competence
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.
Identify cultural factors influencing the patient’s perception and expression of pain.
Recall strategies for reducing barriers in pain assessment and promoting management decisions to respond to a patient’s pain in a culturally sensitive manner.
Diagnostic Failure and Delayed Diagnosis in Emergency Medicine
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.
Recognize the impact of diagnostic errors and contributing factors to diagnostic failures and delays.
Identify strategies for improving diagnostic accuracy and preventing errors and delays through interprofessional collaboration.