This course provides a review of umbilical cord prolapse, its causes, presentation, diagnosis, and management.

This course reviews common risk factors and clinical features of uterine rupture to enhance early recognition and timely delivery, emphasizing diagnosis and treatment.

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. 

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.

Almost 95% of all maternal mortalities happen in low and lower middle-income countries (World Health Organization, 2023). However, the U.S. has the highest maternal mortality rate among all developed countries. Approximately 700 patients die each year in the U.S. due to pregnancy complications and nearly 85% of those deaths are preventable (Hill et al., 2022). Furthermore, the AMA and CDC state that Black and AIAN patients are 3 to 5 times more likely to die from maternal complications than White patients (AMA, 2023). Indigenous, immigrant, refugee, and low-income populations are also at significantly greater risk of poorer maternal outcomes. However, in the past few years, global and national advocacy initiatives have set their philanthropic and financial radar on improving maternal outcomes in these vulnerable communities.

Alcohol use disorder is a primary health condition that interacts with and complicates many other health problems and psychiatric disorders. Unfortunately, only a small number of people with alcohol use disorder receive appropriate treatment for substance use issues. The incorporation of screening for alcohol use disorders in a general medical setting can significantly increase the number of individuals with alcohol use disorders who are identified and treated. The U.S. Food and Drug Administration (FDA) has approved 4 medications to treat alcohol use disorder, making treatment in primary care and other general medical settings a viable alternative to specialty care. This course will give you valuable information about these medications as well as several medications used off-label.

This course explains the factors involved in medical errors and ways that organizations and individuals can prevent them. It reviews how organizations can minimize medical errors by adopting the right culture and implementing the right interventions.

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.
 

Documenting care is just as important as providing care. This course discusses the purpose of the medical record and documentation. It also describes documentation practices and legal standards that affect the certified nursing assistant.
This course provides direct care workers in post-acute care education on documentation and legal aspects of care.

Medication errors and substandard care occur often in today’s complex healthcare organizations. High-reliability organizations remain alert to potential errors and ways in which they can be prevented, regardless of how few adverse events occur. Healthcare organizations with a culture for patient safety focus on identifying the cause of errors and applicable prevention strategies rather than blaming or punishing the people involved in an error. Organizations that focus on patient safety in this manner have higher rates of error reporting and are better positioned to address problems at the systems level.

The goal of this course is to educate healthcare professionals about approaches to prevent medication errors.

This course is designed to enhance the skills of healthcare professionals in conducting effective medication reconciliation with the aim of avoiding medication errors. Learners will explore core concepts of medication reconciliation, review common sources of medication reconciliation discrepancies, and learn practical strategies to minimize errors in the medication reconciliation process.

In this course, you will learn about Motivational Interviewing, an intervention to help people discover their own desire and ability to make difficult changes. Motivational Interviewing (MI) is a way of communicating that draws out people’s own thoughts and beliefs in order to help them address their ambivalence about making a change.

The course uses a blend of instructive information and interactive exercises to help you understand and apply its core concepts. The goal of this course is to provide addictions, behavioral health counseling, marriage and family therapy, nursing, psychology, and social work professionals in health and human service settings with the skills to define and demonstrate the core concepts of Motivational Interviewing.

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.

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.

Floods and landslides can occur in many locations throughout the U.S. This course provides basic information about these hazards and the destruction they can cause. This course emphasizes the importance of being informed about flooding and landslide risks and hazards around you and various protective actions you could consider taking.

The goal of this course is to provide employees with a foundation for staying safe during flooding and landslides.

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.

Failing to properly onboard employees results in poor performance and unnecessarily high turnover. In this course, we’ll cover best practices and lay out a plan for the first 6 months of a new employee’s orientation and performance expectations. We’ll also explore the importance of culture development as it relates to onboarding.

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.

The nursing profession is fraught with anxiety and intimidation, which hinders the ability of nurses to assert themselves, voice their needs, and advocate for their patients. New or inexperienced nurses may encounter significant challenges related to their work environment and may need support and education to learn how to recognize unhealthy work environments and affect positive change. 

The goal of this course is to teach new nurses how to recognize unhealthy work environments, as well as how to advocate for themselves and practice self-care.

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. 

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.

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.

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.

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.