Release Date: January 19, 2017
Expiration Date: January 31, 2020
Because of the prevalence of cardiovascular disease, nurses must be equipped with the knowledge and skills to aid in its reduction. Recognizing patients at risk for acute cardiovascular conditions and taking the initiative to educate patients of the behavioral and non-behavioral cardiovascular risk factors for these conditions can enhance prevention and management strategies aimed to control the prevalence of the disease. In addition to using nursing education as a primary prevention strategy, nurses must also be aware of initial assessment and management strategies for patients with cardiovascular disease in the acute phase.
This course provides information to support nurses working across all healthcare settings who care for patients with acute cardiovascular disease. This course can serve as a reference for nurses working in cardiovascular areas or provide those desiring to work in cardiovascular areas with an introduction to comprehensive acute cardiovascular care. Nursing application points in the clinical setting are highlighted throughout the course to assist learners in identifying key issues in the care of patients with acute cardiovascular disease.
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Release Date: December 27, 2016
Expiration Date: December 31, 2019
This course provides nurses with foundational information to caring for patients with cardiovascular disease. This course can serve as a reference for nurses working in cardiovascular care areas or desiring to work in cardiovascular care. The curriculum begins with a review of cardiovascular anatomy and physiology. Cardiac hemodynamic measurements and the principles of oxygen transport are discussed, as well as the burden of cardiovascular disease on the general population. Nursing application points in the clinical setting are highlighted throughout the text to assist in identifying key issues in the care of patients with cardiovascular disease.
Heightened awareness among clinicians and patients is the first step toward impacting cardiovascular disease. Nurses with comprehensive knowledge of cardiovascular anatomy and physiology have a key role in the early recognition and treatment of patients with cardiovascular disease. Foundational information of cardiovascular care helps initiate prevention discussions and lifestyle management interventions. Through patient education and quality care, nurses can prevent premature disease and death among patients with cardiovascular disease.
This course is an extract of, and should not be taken in conjunction with, N1724 - Cardiovascular Nursing: A Comprehensive Guide to Patient Care.
Studies show that millions of people each year in the United States are affected by mental illness, however only about half of these receive treatment. Approximately 40 million people (18%) of the population suffer from an anxiety disorder annually. The prevalence of bipolar disorders is projected to be at 2.6% of the adult population and 11.2% for 13 to 18 year olds. Depressive conditions are among the most frequently occurring mental health disorders in this country, 6.6% of adults aged 18 or older had a major depressive episode in 2014. The lifetime prevalence of schizophrenia is calculated to be about 1% of the population.
The National Center for Health Workforce Analysis estimates that the increase in supply of primary care physicians will fall short of the increased demand for primary care providers by 2025. Additionally, the NCHWA has estimated that the number of nurse practitioners providing primary care services will increase by 30% by the year 2020.
With the growing number of nurse practitioners entering the healthcare field as primary care providers, there is a demonstrated need for education on the ever- increasing number of new pharmaceutical agents available, to treat the wide spectrum of mental illness. The aim of this course is to address these needs by providing up-to-date information and a variety of case studies to illustrate practical application of the learning content.
This course should not be taken in conjunction with N1692 - Antidepressants, 2nd Edition, N1710 - Differentiating Antipsychotics: An Overview of Properties Impacting Drug Selection, or N1713 - Anxiolytics and Traditional Mood Stabilizers.
Kentucky APRNs - fuliflls pharmacology requirement
Cardiovascular disease (CVD) is the leading cause of death in the United States. Despite a decline in the death rate in 2013, nearly 1 in 3 deaths were attributed to CVD. Anticoagulant, antiplatelet, and thrombolytic medications are commonly utilized in the prevention and management of many common medical conditions, including cardiovascular disease (stable and unstable angina), ST-elevation myocardial infarction, percutaneous coronary interventions that include stent placement, cardiac dysrhythmias (atrial fibrillation), acute arterial occlusion, peripheral arterial disease, deep vein thrombosis, pulmonary embolism, and ischemic stroke.
Evidence-based nursing practice requires that nurses have the necessary knowledge base to assure competent and safe nursing care. The Joint Commission (2012) addresses the issue of patient safety within the context of anticoagulation therapy in National Patient Safety Goal 03.05.01, which advises healthcare providers to “reduce the likelihood of patient harm associated with the use of anticoagulant therapy.”
This course provides information on oral anticoagulants, with an emphasis on the novel oral anticoagulants, parenteral anticoagulants, antiplatelets, and thrombolytics. Their indications for treatment of cardiovascular disorders including atrial fibrillation, venous thromboembolism, acute coronary syndrome, heparin induced thrombocytopenia, acute ischemic stroke, acute myocardial infarctions and acute pulmonary embolism is review. In addition, monitoring guidelines and patient counseling is discussed. The need for healthcare providers to understand the pharmacokinetics, pharmacodynamics, and pharmacotherapeutic considerations is imperative to achieve optimal patient outcomes.
This course should not be taken in conjunction with N1712 - Parenteral Anticoagulants: Implications for Patient Management, N1718 - Oral Anticoagulant Therapy: Implications for Patient Management, N1743 - Antiplatelet Therapy: Implications for Advanced Practice Nursing, or N1749 - Thrombolytic Therapy: Implications for Advanced Practice Nursing.
Kentucky APRNs - fulfills pharmacology requirement
According to data from the Center for Disease Control, 610,000 people die from heart disease in the United States annually. One in every four deaths is due to cardiovascular disease. There are also 12 million yearly visits to physician’s offices and close to 4 million hospital discharges for cardiovascular disease. Treatment of cardiovascular disease and monitoring for therapeutic efficacy and side effects of the drugs used require a sound knowledge of the pharmacology of these agents.
Ongoing education is needed to keep pace with these evolving changes and to equip nursing professionals with the necessary knowledge and skills to implement the most recent advances in treatment. Nurses have an important responsibility in caring for patients who are receiving these medications. Knowledge of cardiovascular medications, their effects on the body, and their administration; assessment of therapeutic and adverse effects; and patient education are essential. The purpose of this course is to provide an overview of cardiovascular pharmacology. With an ever-increasing number of patients living longer, quality nursing care for those receiving drugs for cardiovascular disease will make this knowledge critical.
Because of the prevalence of cardiovascular disease, nurses must be equipped with the knowledge and skills to aid in its reduction. Recognizing patients at risk for cardiovascular disease and taking the initiative to educate patients of the behavioral and nonbehavioral cardiovascular risk factors can enhance other primary prevention strategies aimed to control the prevalence of the disease. In addition to nursing education used as a primary prevention strategy, nurses must also be aware of secondary prevention therapies aimed to minimize the burdens of known disease and complications associated with cardiovascular disease.
This course provides information to support nurses working across all healthcare settings who care for patients at risk for or who already have cardiovascular disease and chronic cardiovascular conditions. This course discusses nursing management associated with hypertension and hyperlipidemia and the pathophysiological processes associated with coronary heart disease and angina. Therapeutic strategies are discussed.
Release Date: January 10, 2017
Wound management and the promotion of healing are complicated and challenging to those suffering with such maladies. Whether wounds are acute or chronic, nurses are the clinicians most intimately involved with the assessment, care, and ongoing evaluation of wounds. Changes in care based on evidence from research, regulatory changes requiring quality outcomes to be measured, and a reimbursement culture that demands assessment, documentation, and progress for payment all affect nursing practice with the central goal of providing the best care for each patient. Clinicians must use evidence-based practices to promote healing and carry the responsibility to stay current regarding research and updated treatment modalities.
The cornerstone for success in wound healing and improving outcomes is possessing a fundamental knowledge of wound etiology and cofactors contributing to wound formation, understanding wound healing physiology, using critical assessment skills, managing barriers to healing, and implementing accepted evidence-based standards of care. This course provides nurses involved in the management of wounds with a comprehensive overview of wound care, including tangible knowledge they can apply to the various aspects of wound assessment and interventions that promote healing and comfort based on the goals of therapy.
Release Date: January 18, 2017
This course provides information to support nurses working across all healthcare settings who care for patients at risk for or who already have cardiovascular disease. This course can serve as a reference for nurses working in cardiovascular areas or provide those desiring to work in cardiovascular areas with an introduction to comprehensive cardiovascular care. The curriculum begins with a foundation of cardiovascular anatomy and physiology. When normal cardiovascular functioning is understood, the learner can then move forward to understanding pathophysiology. The content of the chapters on cardiovascular medications and risk factors is referenced throughout the rest of the text as cardiovascular disease processes are discussed. Nursing application points in the clinical setting are highlighted throughout the text to assist in identifying key issues in the care of patients with cardiovascular disease.
This course should not be taken in conjunction with N1748 - Fundamentals of Cardiovascular Nursing: Biology and Epidemiology, N1745 - Chronic Cardiovascular Conditions, or N1754 - Acute Cardiovascular Conditions
Release Date: December 23, 2016
The purpose of this course is to provide licensed practitioners with information concerning the current state of medical errors, the impact of medical errors on the safety of patients, and the importance of establishing and working in a culture of safety. Contributing causes and types of medical errors are reviewed. Strategies to reduce or prevent medical errors and improve patient outcomes are presented. Methods to identify, analyze, and report medical errors are reviewed, populations at risk for medical errors are identified, and patient safety initiatives including education for the public and healthcare professionals are explored.
This course provides information to licensed nurses and other members of the interprofessional team that can be readily applied to their practice, no matter what the setting, with the ultimate goal of providing safer care to all patients. Healthcare providers will demonstrate knowledge of medical errors and populations at risk, the impact on patient care outcomes, and the resources and initiatives available to promote a culture of safety as an integral part of healthcare delivery. This course meets the state of Florida licensure renewal requirements for nursing continuing education in the identification and prevention of medical errors and the promotion of patient safety.
Release Date: December 21, 2016
The role of the professional home health nurse encompasses skills beyond providing comprehensive clinical care to patients. Perhaps more so than in any other care delivery setting, the home health nurse is held accountable for providing patients with a clinically appropriate level of service in the context of understanding reimbursable care.
Nurses must be able to differentiate between the wants and needs of patients. They must create plans informed by evidence-based research and standards that meet the individual needs of patients, drive positive outcomes, and ensure quality. Nurses must also educate patients and families regarding the cost of care. It is important that the nurse, as care coordinator, engage in a positive synergy when creating a comprehensive, multidisciplinary/multiservice approach that can be reimbursed while also supporting the viability of the home health agency or Accountable Care Organization.
This course addresses current payment mechanisms under Medicare, Medicare Advantage plans, a description of fee-for-service payment systems, and an overview of the impact of the Affordable Care Act, focusing on upcoming changes in Medicare reimbursement for home care. This course prepares the nurse in coordinating and planning services in a cost effective and efficient manner and enables them to educate and support patients and families.
This course is an extract of, and should not be taken in conjunction with, Home Health Nursing: A Comprehensive Review of Practical and Professional Issues, 4th Edition (N1727).
Release Date: December 22, 2016
Thrombolytic medications are commonly used to treat thromboembolic disorders, including acute ischemic cerebrovascular accident, ST-elevation myocardial infarction, and pulmonary embolism. These patient populations represent individuals at high risk of morbidity and mortality. The treatment of these conditions is often time sensitive and requires quick action to be taken. Thus, a working knowledge of thrombolytic drugs is important for nurses who may manage these patients. In addition, there are critical differences in terms of the pharmacology and pharmacokinetics of these agents that leads one option to be superior to another or drives the patient monitoring that needs to occur.
All clinicians play an important role in managing patients with these conditions who are eligible for high-risk pharmacologic therapies, such as thrombolytics. Specific knowledge of the general information and caveats associated with thrombolytic therapy is vital for optimal patient care outcomes to be achieved. This course is designed for nurses (registered and advanced practice nurses) who prescribe for or provide care to patients being considered for thrombolytic medications. The purpose of this course is to increase nurses’ knowledge of thrombolytic medications so that they can identify the optimal therapy and safely use these medications.
This course is an extract of, and should not be taken in conjunction with N1752 - Anticoagulant, Antiplatelet, and Thrombolytic Therapies: Implications for Advanced Practice Nursing.
Home health nursing is built on the strong foundation of three important documents that guide all of nursing practice in the United States. Developed and published by the American Nurses Association (ANA), these documents include Nursing: Scope and Standards of Practice, Nursing’s Social Policy Statement, and the Code of Ethics for Nurses with Interpretive Statements.
Nurses deliver, manage, and super-vise care for the majority of home health patients. It is a critical requirement that the professional nurse understands and executes the guiding principles and standards of practice, as well as knows the expectations for professional performance and ethical guidelines in an ever-changing healthcare environment.
Nurses practicing in home health are challenged to provide accountable, independent nursing care that is continually evolving in response to healthcare innovations, evidence-based practice, and new payment structures.
The purpose of this course is to provide both new and experienced home health nurses with the critical information found in the ANA’s most up-to-date documentation on professional practice, ethics, principles, and evidence-based standards. After completion of this course, the learner will have knowledge relative to how the standards and guiding documents influence, direct, and guide professional performance and the practice of home health nursing.
This course is an extract of, and should not be taken in conjunction with, Home Health Nursing: A Comprehensive Review of Practical and Professional Issues, 4th Edition (N1727).
Release Date: December 19, 2016
Nurses have been educated to practice professional nursing and use their specialized skills to care for patients. Unfortunately, most nurses are not knowledgeable or skilled enough in leadership to effect the required changes in health care today. Nurses must expand their repertoire of knowledge and skills to practice in today’s multifaceted healthcare environment, especially their leadership skills.
Nurses provide and coordinate patient care, communicate and collaborate with other nursing staff and the interdisciplinary team, and solve problems and facilitate decisions to ensure that patients receive quality, safe care. Nurses are involved in healthcare delivery processes on an organizational level, such as serving on committees, task forces, and other healthcare teams that plan and make decisions. They work with patients from the preadmission phase of hospitalization, move them through the healthcare system, and manage them in their home communities. There is a great need to develop nurses who are knowledgeable about leadership and management topics, and able to apply this knowledge to their practice wherever it might be.
The purpose of this course is to provide nurses with a solid foundation for effective nursing leadership and management. Nurses practicing in any healthcare setting will gain new knowledge or enhance previously acquired knowledge regarding leadership and management concepts such as leadership theory and principles, healthcare policy, legal issues and ethics, change and decision making, organizational structure and effective care delivery, healthcare economics, staff recruitment and retention, and leadership tools and resources.
Release Date: December 6, 2016
Antiplatelet medications are a commonly used class of medications in the U.S. for the prevention and/or treatment of many cardiovascular disorders. The drugs are used alone or in combination to achieve optimal patient outcomes. Prescribers must utilize fundamental knowledge of pharmacokinetics, pharmacodynamics, and pharmacotherapeutic considerations of antiplatelet medications to ensure (a) the identification of appropriate patients for this therapy, (b) the selection of the best agent to prescribe, and (c) the initiation of proper patient monitoring of this therapy.
This course is designed for nurse practitioners who prescribe and provide care to patients taking antiplatelet medications. The purpose of this course is to increase clinicians’ knowledge of antiplatelet medications to identify the best choices for the safe use of these medications.
Diabetes mellitus is a complex, chronic metabolic disease that is becoming increasingly common. Both type 1 and type 2 diabetes are increasing in incidence in pediatric populations. There are excellent guidelines for the care of children with type 1 diabetes, but few research-based guidelines exist that are specific to the care of children with type 2 diabetes. Unfortunately, few interventions for type 2 diabetes in youth have been successful, making prevention of obesity by lifestyle interventions even more crucial.
The purpose of this course is to assist nurses in a variety of settings to understand the complex metabolic, developmental, emotional, and social implications for a child with diabetes and the family. Understanding the unique considerations for this population will assist the nurse to provide supportive and flexible care. Nurses in schools, clinics, primary care offices, and hospitals need to be knowledgeable caregivers and educators for these families to enhance diabetes care and provide much needed emotional support. The ongoing epidemic of obesity and type 2 diabetes in youth affords an opportunity for nurses to be involved in community-wide efforts to influence risk factors, promote lifestyle changes, and potentially prevent or delay the development of type 2 diabetes.
Victims of IPV are more likely than those with no history of victimization to seek health services. Healthcare visits provide an opportune time to identify patients with a history of IPV and to intervene. Identifying experiences of IPV among patients can also help healthcare providers tailor care to better meet their unique needs.
Despite recommendations developed by the National Academy of Medicine and the U.S. Preventive Services Task Force and the vital role providers play in the detection and early intervention of IPV, screening rates are low and the procedures are often not comprehensive. A systematic review found that numerous barriers, such as personal discomfort with the issue, lack of knowledge, and time constraints, prevented screenings from taking place. Another important barrier was patient unwillingness to disclose their experiences of abuse. Education is needed to support providers in overcoming these barriers to IPV screening and intervention.
The purpose of this course is to provide nurses in the clinical setting with information on appropriately caring for patients who may be affected by IPV. The target populations for this course are registered nurses and advanced practice registered nurses in all settings who may encounter patients with a history of IPV. After completion, the participant will be able to assess, document, intervene in, and refer patients to appropriate services in an evidence-based, trauma-informed manner. In addition, the participant will demonstrate current knowledge about the magnitude and dynamics of IPV and understand strategies to help implement IPV services in healthcare settings. This course meets the Kentucky state requirement for IPV continuing education for nurses.
Release Date: November 30, 2016
Expiration Date: November 30, 2019
Pain affects more than 100 million people in the United States. To address the multifactorial aspects of pain, a multimodal approach—using nonpharmacological, pharmacological, and supportive care modalities to manage different types of pain—has been the recommendation according to the most recent guidelines.
Challenges identified among healthcare providers, including advanced practice registered nurses (APRNs), are professional knowledge gaps on effective treatment for pain and practicing in professional silos when managing patients who suffer from pain. Collaboration among healthcare providers, interprofessional continuing education, and improved patient communication and empowerment are needed to manage pain appropriately. Furthermore, APRNs have a meaningful and growing opportunity to ensure patients are managed appropriately—balancing pain management and abuse—as they will always encounter those with pain, whether or not it is the patient’s primary issue.
The purpose of this course is to provide evidenced-based information of nonpharmacological and pharmacological therapies for appropriate pain management using a multimodal approach. This course is designed for APRNs practicing in any setting to be able to recommend different modalities to manage those suffering from different types of pain.
Release Date: November 17, 2016
Home health care is the fastest growing industry in the United States based on the projection period of 2014-2024. The anticipated employment growth for the period is more than 760,000 jobs, reaching a total of over 2 million. While some of these jobs are for home health aides and personal care aides, a wide variety of healthcare professionals will be needed, particularly registered nurses.
Home health services will only continue to grow in an aging society and with the increased prevalence of chronic illnesses. The pressure on home care agencies to provide sound, evidence-based care is great. With publicly reported outcomes and agency ratings that will affect payment for care, it is critical for the home care nurse to provide the best care and to optimize patient outcomes. With the continued growth of the home care industry coupled with an expectation of excellence in clinical outcomes, there is clearly a need for highly educated home care nurses.
This course provides the nurse with an understanding of the structure of home health agencies, the federal regulations and reimbursement system, and standards of care and professional practice. The home care nurse cannot “just” provide exceptional clinical care in terms of assessment and treatments but must also provide this care in the context of the larger healthcare and home care system. The course is designed for both new and experienced home health nurses as well as those nurses who may be interested in pursuing a career in home health or who may work closely with home health agencies.
Note: This course is an extract of, and should not be taken in conjunction with N1719 Ambulatory Surgical Care, 3rd Edition or N1739 Ambulatory Surgery: Anesthetic Management for Nurses.
Ambulatory surgery offers an evidence-based approach to perioperative care while maximizing convenience and safety. The ambulatory surgery nurse is a valuable member of the patient care team, managing preadmission findings, preoperative assessments, intraoperative patient care, and postoperative education needs. The nurse works as an advocate for the patient by reviewing relevant findings and creating a customized plan of care for each patient.
Due to the evolution of care and the varied procedures performed in the ambulatory setting, even the most experienced nurse needs to keep pace with the many changes in healthcare delivery based on updated evidence-based guidelines and criteria. Federal and state regulations prompt ambulatory surgery teams to consistently focus on quality assurance, performance improvement, and risk management in an effort to ensure reliable patient safety. As the demand for qualified professional nurses increases with the expansion of ambulatory surgical care services across the country, nurses must constantly adapt and integrate new knowledge into practice.
The purpose of this course is to share essential, evidence-based information about the care that professional nurses provide to patients in the ambulatory surgery environment. Although the same-day, short-stay timeframe is a clear benefit to patients undergoing surgery in the ambulatory setting, it places increased challenges on care providers, especially nurses. Nurses working in this environment must have up-to-date key knowledge and possess astute screening and assessment skills, knowledge of safety and regulatory requirements, emergency response skills, and the ability and compassion to educate patients and families to facilitate a safe and successful discharge from the unit.