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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.
Differential Diagnosis and Treatment of Dizziness in Emergency Medicine
Dizziness is common in pre-hospital and emergency department (ED) settings. Most patients will have a benign condition. However, up to 25% of patients presenting with dizziness complaints will have a life-threatening condition. It is imperative that emergency medical services (EMS) professionals, emergency nurses, and providers promptly identify and treat life-threatening causes of dizziness.
Recognize the potential causes of dizziness using comprehensive history-taking and examination techniques.
Identify an effective treatment plan for a patient presenting with dizziness, using interprofessional collaboration and evidence-based guidelines to optimize patient outcomes.
Fetal Heart Tracing Pattern Evolution
This course is intended to review the identification and management of various fetal heart rate patterns in a clinical context to prevent or address potential physiologic stress imposed on the fetus during labor, as evidenced by the fetal heart rate tracing.
Consistently apply National Institute of Child Health and Human Development (NICHD) definitions when describing intrapartum FHR patterns.
Recognize the importance of clinical context, FHR pattern evolution or trend, and stage of labor when managing a Category II tracing.
Identify the importance of the evolution of FHR variability when assessing the FHR pattern.
Health Risks of Obesity and Metabolic Syndrome
This course is designed for healthcare professionals in acute care settings. Learners will learn to recall complications of obesity, equipping them with knowledge on metabolic syndrome and its associated conditions such as cardiovascular disease, insulin resistance, and type 2 diabetes mellitus. Additionally, they will be able to indicate appropriate treatments for the management of obesity-related comorbidities, such as lifestyle modifications, pharmacologic interventions, and bariatric surgery.
Through this education, providers will be better prepared to assess, diagnose, and treat obesity and MetS while improving patient outcomes and reducing associated healthcare costs.
Recognize the relationship between obesity and metabolic syndrome. Identify the complications of obesity and metabolic syndrome on a person’s health. Indicate the appropriate therapies for the management of obesity and metabolic syndrome.
Improve Patient Outcomes with Team-Based Care
Team-based healthcare is provided by two or more people who represent different professions with the common goal of improving the well-being of a patient. Interprofessional (IP) collaboration may improve outcomes such as pain relief, improved access to healthcare services, and early recognition of treatment failure. Effective team-based, patient-centered care should be tailored to the population served and the needs of those individuals. This course outlines the components of team-based care and provides examples in different settings.
This course aims to help healthcare team members identify core principles of team-based IP healthcare in all settings.
Identify the core principles and competencies of an effective healthcare team.
Recall two examples of team-based care.
Improving Clinical Competency Through an Understanding of Military Culture
Military cultural competence is essential to effectively engage, understand, and support active duty service members, reservists, and veterans in behavioral health treatment. Those in the military represent a specific cultural group. This course will provide you with an introduction to military culture. You will learn about the overall structure of the military, the core values of the primary branches, and the unique experiences of specific sub-populations within the military. This information will help you more effectively engage with, understand, respect, and support the military service members who seek your services.
The goal of this course is to provide addiction, behavioral health counseling, case management/care management, marriage and family therapy, nursing, psychologist, and social worker professionals in health and human services settings with information about military culture in general, the effects of military culture on sub-populations, and how behavioral health concerns affect military service members and veterans.
Describe key aspects of military culture, the sub-populations within military culture, and the unique needs and experiences of those groups.
Describe the overall structure of the military and its primary branches.
Recall two perceived consequences by service members and veterans of receiving a behavioral health disorder diagnosis.
Innovation in Acute Care: Excellence Series
The goal of the course is to discuss how innovations can be recognized, developed, adopted, and disseminated amongst staff, as well as review areas where innovations are likely to change the provision of care. We will also explore the patient’s role in innovation, and how patient and family-centered care will drive ongoing changes.
Review the process of innovation development and dissemination.
Summarize innovations that are modifying the current healthcare environment.
Discuss the nurse, patient, and family roles in the future of care delivery.
Introduction to Fetal Heart Monitoring
This course provides an introductory overview of intrapartum fetal monitoring, including the maternal-fetal oxygenation pathway, assessing uterine activity, and recognizing, interpreting, and managing FHR patterns.
Define the characteristics of FHR and uterine activity obtained via auscultation, palpation, and EFM methods.
Interpret electronic FHR and uterine patterns.
Recall key physiological and anatomical aspects of maternal-fetal circulation and select risk management strategies related to fetal monitoring.
IV Therapy Complications
Nurses deliver infusion therapy to millions of patients in hospitals, home healthcare settings, long-term care facilities, outpatient clinics, and physicians’ offices annually. Nursing professionals perform many daily activities involving peripheral catheter insertion and safe delivery of intravenous (IV) fluids and medications. The use of vascular access devices and IV therapy are commonplace in the acute care setting. With that said, clinicians must take caution due to the potentially serious and fatal complications that can occur from inappropriate IV fluid or drug delivery. Patient safety requires that nurses institute safeguards to avoid complications associated with IV treatment.
Discuss the maintenance and complications of peripheral IV (PIV) therapy.
Identify drugs that can cause tissue damage if extravasation occurs.
Recall the components for documenting a peripheral IV insertion.
Maternal Hemorrhage in the ED
This is a brief review of how nurses and providers should address maternal hemorrhage in the ED. All emergency departments must be prepared for obstetric hemorrhage, which can cause severe issues or death.
Recognize signs of maternal hemorrhage in the ED.
Recall the management of maternal hemorrhage in the ED.
Maternal Obesity: Mortality and Treatment Focused Care
Maternal obesity has significant implications for both the parent and fetus. This course discusses the risks associated with maternal obesity, updated care guidelines regarding BMI, and maternal, fetal, and neonatal complications associated with increased morbidity and mortality risk. You will also learn about how biases and perceptions related to BMI can affect the quality of care that patients receive and patient outcomes. Strategies to mitigate these risks through interprofessional care involving providers, nurses, and RDNs will also be reviewed.
Recognize how biases and perceptions associated with BMI and maternal obesity can affect patient care and outcomes.
Recall updated guidelines regarding BMI and maternal obesity-related complications for the patient, fetus, and neonate.
Identify interprofessional healthcare team approaches for mitigating maternal obesity-related morbidity and mortality.
Medical Management of Operative/Assisted Vaginal Delivery
This course discusses best practices in operative vaginal delivery techniques—forceps-assisted delivery and vacuum-assisted delivery (OAVD), as well as episiotomy.
The course is case-based, so you will have an opportunity to apply the principles covered to particular patient scenarios. The cases are branched, with different outcomes based on different choices.
Use of OAVD techniques vary from organization to organization. You may, for example, work in a hospital in which forceps techniques are no longer taught to residents. Each section has been organized so that you can move through it quickly or delve into it more deeply, depending on its relevance to your clinical practice.
Discuss the steps, indications, contraindications, and potential complications associated with vacuum-assisted vaginal delivery, forceps-assisted vaginal delivery, and episiotomies.
Describe the circumstances in which an episiotomy is and is not an appropriate intervention.
Explain the importance of the flexion point when placing a vacuum cup and how it is located. Identify the criteria for correct placement of the forceps during a non-rotational delivery, as well as guidelines regarding the number of pulls.
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: 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.
Obstetric Hemorrhage: Mitigating Risk to Improve Outcomes
Two cases are presented. Risk factors, including recurring and nonrecurring, for obstetrical hemorrhage, are reviewed. Delivery preparations and preventative strategies are discussed. Methodologies that better quantify blood loss, allowing for earlier recognition of excessive blood loss, are presented. Management of the patient experiencing obstetric hemorrhage, including a review of current guidelines for blood component replacement therapy, are reviewed.
List recurring and nonrecurring risk factors for obstetrical hemorrhage. List the four Ts of OH.
Identify low, medium and high risk patients for OH.
Review blood component therapy for large volume blood loss.
Obstetric Medical Emergencies: Category III FHR Tracing Management
This course is intended to provide a summary of the key nursing interventions and considerations when caring for a laboring patient who is experiencing Category III FHR patterns. Whereas this may not be a daily occurrence, it is important for the labor and delivery nurse to refresh their knowledge of this critical situation, as well as have a source for quick reference in the future. This promotes ongoing efforts to maintain the highest levels of patient safety and care.
Select appropriate management interventions to respond to a Category III tracing.
Obstetric Medical Emergencies: Delayed Postpartum Hemorrhage
This course is intended to provide a summary of the key nursing interventions and considerations when caring for a patient who has a delayed postpartum hemorrhage. Whereas this may not be a daily occurrence, it is important for the postpartum nurse to refresh their knowledge of the critical situation, as well as have a source for quick reference in the future. This promotes ongoing efforts to maintain the highest levels of patient safety and care.
Recall the factors indicating increased risk for the development of a delayed PPH.
Recognize, prevent, and assess secondary PPH.
Determine management strategies and interventions for delayed PPH.
Obstetric Medical Emergencies: Eclampsia
This course is intended to provide a summary of the key nursing interventions and considerations when caring for a pregnant patient with eclampsia. Whereas this may not be a daily occurrence, it is important for the labor and delivery and postpartum nurse to refresh their knowledge of this critical situation, as well as have a source for quick reference in the future. This promotes ongoing efforts to maintain the highest levels of patient safety and care.
Identify key nursing interventions during and after eclamptic seizure.
Recall the warning signs and typical presentation of eclamptic seizure.
Obstetric Medical Emergencies: Hypertensive Diseases of Pregnancy
This course is intended to provide a summary of the key nursing interventions and considerations when caring for a pregnant patient who has severe hypertension. It is important for the labor and delivery and postpartum nurse to refresh their knowledge of the critical situation, as well as have a source for quick reference in the future. This promotes ongoing efforts to maintain the highest levels of patient safety and care.
Describe the signs and symptoms indicating increased risk for severe hypertension during pregnancy.
Identify key nursing interventions during and after delivery for a patient with severe hypertension in pregnancy.
Obstetric Medical Emergencies: Postpartum Maternal Sepsis Management
This course is intended to provide a summary of the key nursing interventions and considerations when caring for a postpartum patient who is experiencing sepsis. Whereas this may not be a daily occurrence, it is important for the labor and delivery nurse to refresh their knowledge of this critical situation, as well as have a source for quick reference in the future. This promotes ongoing efforts to maintain the highest levels of patient safety and care.
Identify signs and symptoms of postpartum maternal sepsis.
Recall the 4 initial measures for the treatment of postpartum sepsis.
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.
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.