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Maternal Emergencies: OB Provider - Hemorrhage and Hypovolemic Shock
This course provides OB and ED providers with a review of hypovolemia in pregnancy with emphasis on early recognition, prompt resuscitation, and identification and control of the causative etiology.
Recognizing the clinical signs of hypovolemia in pregnancy.
Apply clinical screening tools to identify patients experiencing hypovolemia.
List common etiologies for hypovolemia in pregnancy.
Review clinical management of hypovolemia in pregnancy.
Maternal Emergencies: OB Provider - Sepsis Management
This course provides an overview of sepsis in pregnancy, with a focus on screening tools to facilitate early recognition and timely treatment.
Define sepsis and septic shock.
Review sepsis screening tools used in pregnancy.
Review common etiologies for sepsis in pregnancy.
Review treatment approach to sepsis, sepsis bundle.
Maternal Emergencies: OB Provider - Umbilical Cord Prolapse
This course provides a review of umbilical cord prolapse, its causes, presentation, diagnosis, and management.
List obstetric and iatrogenic risk factors for umbilical cord prolapse.
Distinguish between overt and occult umbilical cord prolapse.
Review the clinical presentation of umbilical cord prolapse.
Outline the clinical management of overt umbilical cord prolapse.
Maternal Emergencies: OB Provider - Uterine Rupture
This course reviews common risk factors and clinical features of uterine rupture to enhance early recognition and timely delivery, emphasizing diagnosis and treatment.
Define risk factors for uterine rupture.
Identify the most common signs and symptoms of uterine rupture.
Recall prevention and response measures for uterine rupture.
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.
Maternal Outcomes Advocacy Initiatives
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.
Identify the most vulnerable populations at greatest risk for poor maternal outcomes and the various health disparities and factors putting them at risk.
Recall global and national advocacy initiatives, including healthcare policy reform, and their focus on improving maternal outcomes in these vulnerable populations.
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.
Nursing Management of Operative/Assisted Vaginal Delivery
This course provides labor and delivery nurses with practical guidance on preparing for, supporting, and managing vacuum-assisted and forceps-assisted births. It covers indications, contraindications, teamwork, documentation, postpartum care, and recognition of maternal and neonatal complications.
Explain the nurse’s role in supporting operative vaginal birth, including preparation, communication, documentation, and postpartum assessment.
Identify common maternal and neonatal complications associated with operative vaginal delivery and appropriate nursing interventions.
Describe the clinical indications, prerequisites, and contraindications for vacuum-assisted and forceps-assisted vaginal delivery.
Pediatric Pain Management: Assessment and Treatment
Pain is often underestimated and undertreated in the pediatric population due to many factors. As a result, children’s health outcomes are directly impacted without proper recognition and pain management, and quality of life is reduced. Physicians and nursing professionals must learn to assess and treat pediatric pain appropriately while caring for hospitalized children. This course describes the past and future status of pain management in children, pharmacological and non-pharmacological management options, and the complexities of managing pain in special populations.
Discuss the past and future status of pain management in children. Describe non-pharmacologic, pharmacologic, and adjuvant treatment options for pain in children. Explain some of the complexities involved in treating the child with chronic pain, cognitive impairments, or a need for palliative care.
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 Pediatric Conditions
Perioperative professionals must have a fundamental understanding of the anatomical, physiological, psychological, and emotional differences of children compared to adults and how these differences impact the care needs of pediatric patients in the perioperative period.
Identify anatomical, physiological, psychological, and emotional differences in pediatric patients and how those differences impact care needs in the perioperative setting.
Recognize strategies for preventing and responding to medication errors and adverse drug events involving children in the perioperative setting.
Recall surgical considerations for pediatric patients.
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.
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.
Preeclampsia: Unusual Presentation
This course is intended to utilize scenario-based learning to review and reinforce training for caregivers in all obstetric practice areas on identifying and managing atypical presentations of preeclampsia.
Review clinical laboratory assessment for preeclampsia.
List contraindications to expectant management of preeclampsia with severe features.
Review evaluation of shortness of breath in the postpartum patient.
Identify normal BP trends and proper measurement during pregnancy.
Reducing Medical Errors in the Operating Room
Ensuring patient safety in the operating room (OR) requires effective communication, structured protocols, and teamwork. This course examines perioperative communication failures, preoperative verification, site marking, timeouts, and just culture in promoting accountability. Learners will explore evidence-based safety practices and apply structured handoff techniques to improve patient care transitions.
This course provides perioperative nurses and STs with tools to improve communication and safety protocols, fostering a just culture to reduce OR errors.
Explain how effective communication reduces medical errors and contributes to the safe transfer of patient care information.
Discuss evidence-based recommendations from key organizations that support improvements in perioperative safety.
Describe the principles of a just culture and the ten-step process for creating a culture of safety in the OR.
Reducing Risk of Suicide in Adolescents and Transition Age Youth
Suicide is the second leading cause of death for adolescents and transition age youth (TAY). This course provides an overview of risk factors, protective factors, and warning signs of suicide specific to this population. It also describes suicide assessment strategies and interventions that reduce the risk of suicide in adolescents and TAY.
Identify risk factors, protective factors, and warning signs of suicide in adolescents and transition age youth.
State three assessment strategies to identify suicide risk in adolescents and transition age youth.
Describe interventions that reduce the risk of suicide in adolescents and transition age youth.
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: 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.
Surgical Site Infections: Surgical Care Improvement Project
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.
Identify the types of surgical site infections.
Discuss the risk factors for surgical site infections.
Describe performance measures and strategies to prevent surgical site infections.