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. 

A review of clinical judgment related to the use of primary maneuvers for managing shoulder dystocia.

The following content is intended for all members of the obstetric team and is based on the educational theory that team performance is enhanced when all members of the team have the same understanding of the task and procedure to be performed. 

Syndrome of inappropriate antidiuretic hormone (SIADH) is a condition that occurs when the body produces too much antidiuretic hormone (ADH), which causes fluid retention and electrolyte imbalance. SIADH can have various causes and manifestations and can lead to serious complications if not recognized and treated promptly. This course will provide you with the knowledge to thoroughly assess and manage patients with SIADH in the hospital setting.

Health outcomes are influenced in myriad ways by an individual’s social environment and their community. For example, community is linked to such outcomes as body mass index, homicide rates, and suicidal behavior (Diez Roux & Mair, 2010; Bharmal et al., 2015; Centers for Disease Control and Prevention [CDC], n.d.). Due to these strong influences on health outcomes, the U.S. Department Health and Human Services Healthy People 2030 campaign identifies social and community context as a domain of the social determinants of health. Social determinants of health are external conditions which exist with the potential to affect a patient’s current and future health, often beyond a patient’s direct control. Of particular importance, however, is how this domain fits into the larger picture of the social determinants of health. The elements in the social and community context have been shown to help negate potentially negative consequences of the other social determinants of health (Bharmal et al., 2015).

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. 

Education access and quality is a pillar of the social determinants of health for Healthy People 2030 (U.S. Department of Health and Human Services, n.d.). This course outlines the effects of education on an individual’s health. The four components of education access and quality include early childhood education and development, high school graduation, enrollment in higher education, and language and literacy.

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.

Social determinants of health impact the daily delivery, accessibility, and engagement of health improvement efforts. Healthcare professionals must learn how to increase awareness and interest in the determinants and find ways to engage patients, stakeholders, and other clinicians in addressing social determinants of health.

This course equips nurses and providers in acute care settings with the knowledge and strategies to recognize how social and structural determinants of health impact maternal-fetal outcomes. Through real-world scenarios, learners will explore structural vulnerability, respectful maternity care, and evidence-based approaches to reduce disparities and improve equitable care.

Behavioral health professionals are involved in multiple disciplines, all of which are responsible for the safety of the clients in their care. Although each discipline has its own set of ethics to guide practice, they are generally similar in terms of the importance of avoiding harm to the client. 

Client safety requires careful planning and consistent vigilance. Any behavioral health professional can jeopardize client safety by committing a medical or treatment error. While it is unrealistic to think that you can prevent all errors, there are steps you can take to reduce occurrences.

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. 

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.

In this course, you will learn about how substance use impacts women differently. You will learn ways that you can provide gender-responsive treatment to women struggling with substance use or at risk of developing a substance use disorder. 
The goal of this course is to provide addiction, behavioral health counseling, marriage and family counseling, nursing, psychology, and social work professionals in health and human services settings with information about substance use treatment for women at various stages of development.
 

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.

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

By taking this course, you will gain a comprehensive understanding of surgical site infections (SSIs), their various types, and the risk factors involved. Additionally, you will learn about the best preventive measures to keep these infections at bay, including specific components of the surgical care improvement project. With this knowledge, you will be better equipped to provide top-quality care to your patients and ensure their safety during surgical procedures.

Addictive disorders were once seen mainly as medical issues. However, this view overlooked other important factors. The biopsychosocial model offers a more complete perspective by considering biological, social, and psychological aspects. This course will explain the main ideas of this model, how it differs from other views, and how it can help treat addictive disorders. 

This course provides nurses with information regarding safety concerns associated with alarm fatigue along with evidence-based research strategies to reduce the fatigue.

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.  

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. 

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.

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.

Within any healthcare organization, there are systems, policies, and procedures that can be improved or events that could have been prevented. A root cause analysis is a tool that helps healthcare organizations improve their systems by using a team process of discovery. When you understand how to use a root cause analysis, you can apply it to create better solutions, prevent adverse events, and create more effective and efficient systems. This course discusses what a root cause analysis is and how to use it.