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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.
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.
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.
Pediatric Patients and Concussion Management
Concussion is a form of mild traumatic brain injury that is common in children and adolescents. Despite increased awareness about the injury, concussion remains under-reported and under-diagnosed. Nurses and Radiology Technicians must be aware of the identification, diagnosis, and management of concussions in pediatric patients.
Identify signs and symptoms of concussions in pediatric patients.
Recognize the evaluation, diagnosis, and management of concussions in pediatric patients.
Recall the complications of concussions in pediatric patients.
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 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.
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.
Recognizing and Treating Stroke
By understanding the causes of stroke and how to treat and prevent it, you can make a significant difference in the lives of those you care for. This course will help you identify the symptoms of a stroke and provide you with the necessary knowledge to provide care during and after the stroke.
Recall the pathophysiology of a stroke.
Recognize at least three interventions for someone experiencing a stroke.
Identify strategies for achieving quality of life after a stroke.
Septic Joint: Diagnosis and Treatment
Septic arthritis is caused by infection and inflammation in the joint and can result in significant damage to the joints. Early recognition and treatment are critical to the preservation of joint function. This course will discuss how to quickly identify and treat septic arthritis.
The goal of this course is to provide physicians, nursing professionals, and radiologic technologists with information about septic arthritis.
Recall how septic arthritis is acquired and its typical presentation.
Identify the laboratory and radiological tests used to make a diagnosis of a septic joint.
Recognize the principles of septic joint treatment.
Shoulder Dystocia in the ED
Shoulder dystocia is an obstetric emergency. To prepare for this rare occurrence, your healthcare team should be knowledgeable about the risk factors, potential complications, and the management of shoulder dystocia. In addition, emergency professionals should develop strategies to help their healthcare team prepare for this rare event.
Identify the risk factors, potential complications, and interventions of shoulder dystocia.
Recall strategies to prepare your healthcare team for a shoulder dystocia emergency.
Shoulder Dystocia: Management and Prevention
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.
Identify diagnosis criteria, risk factors, and complications associated with shoulder dystocia.
Recall management and prevention techniques for shoulder dystocia.
Indicate documentation needed following a birth involving shoulder dystocia.
Shoulder Dystocia: Primary Maneuvers
A review of clinical judgment related to the use of primary maneuvers for managing shoulder dystocia.
Identify the clinical signs of shoulder dystocia and appropriate initial interventions to resolve the complication safely.
Recall risk factors for shoulder dystocia and appropriate tasks to perform following the emergency.
SIADH Management
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.
Explain the pathophysiology, causes, and diagnosis of SIADH.
Identify the signs and symptoms of SIADH and potential complications.
Review common treatments and nursing interventions for patients with SIADH.
Stroke: Recognition and Management
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.
Recall the benchmark diagnosis and treatment times for acute stroke.
Differentiate the treatment of ischemic stroke and hemorrhagic stroke.
Indicate interventions in the care of a patient presenting with an acute stroke.