Managing Students with Seizures: A Training for School Nurses- Describe classifications of seizures and epilepsy, potential triggers, and risk factors for seizures and emergencies.  Describe common treatments for epilepsy, potential side effects, and when referral to epilepsy specialist is necessary.  Provide appropriate first aid for a student during and after a seizure.  Implement a Seizure Action Plan in a school environment utilizing safe practices for medication administration.  Implement strategies to alleviate psychosocial aspects of epilepsy for students, parent and teachers. Utilize resources to train school personnel on safe care and assistance in students with seizures.  3.2 Free CEUs

An Integrated Approach to the Prevention and Treatment of Surgical Site Infection- Recognize the impact of surgical care complications as it relates to postoperative infections: pre-op to wound maturation/closure. Assess the prevalence and implications of antimicrobial resistance and implement principles of antimicrobial stewardship when managing surgical site infections. Employ an advanced therapy approach for the reduction and management of surgical site infection (e.g. the use of silver and antimicrobial dressings,negative pressure wound therapy and installation).  1.25 Free CEUs

Preventive Health Care- Screening is an effective method for detecting and preventing acute and chronic diseases. In the United States healthcare tends to be provided after someone has become unwell and medical attention is sought. Poor health habits play a large part in the pathogenesis and progression of many common, chronic diseases. Conversely, healthy habits are very effective at preventing many diseases. The common causes of chronic disease and prevention are discussed with a primary focus on the role of health professionals to provide preventive healthcare and to educate patients to recognize risk factors and to avoid a chronic disease.  4.0 Free CEUs

Bacterial Infections in the Outpatient Setting: Avoiding Hospital Admissions with Appropriate Antibiotic Prescribing- Discuss the role of clinicians in primary and urgent care settings in the diagnosis and treatment of acute bacterial infections in order to prevent hospitalization. Demonstrate an understanding of the mechanisms underlying antibiotic effectiveness and duration of therapy. Describe strategies to optimize initial antimicrobial therapy to ensure effectiveness of antibiotics and reduce the development of resistance. Summarize the features and critical differences amongst available and emerging antibiotics in the treatment of acute and bacterial infections.  1.0 Free CEUs  (+MD) 

Achieving Earlier Entry to Hospice Care: Issues and Strategies – Describe the benefits of hospice. List at least three barriers to early hospice care. List at least two strategies to early hospice admission.  1.0 Free CEUs

Describing the DASH Diet- Define the JNC-8 guidelines for lifestyle management of hypertension. Describe the research implications of DASH Diet and the potential impact on hypertension. Assess the amount of dietary sodium consumed. Analyze the underlying reasons for a high sodium American diet. Identify the impacts of the DASH Diet that lead to sodium reduction and improved cardiovascular health. Determine how to help patients improve health through lifestyle change.  1.0  Free CEUs  (+MD, PA, RPh, RD) 

Zika Virus Infection- Relate the virology of ZIKV including group, family, genus and species.Describe the hypothesized pathogenesis of the mosquito-borne flaviviruses. Describe the modes of transmission of the Zika virus and factors which are hypothesized to be causing its rapid spread. Describe potential complications of Zika virus infection. Discuss the clinical assessment and management of Zika virus infection in terms of health history, signs and symptoms, differential diagnosis, laboratory/diagnostic tests, perinatal diagnosis, fetal/infant diagnosis and treatment. Describe local, state and national reporting procedures for Zika virus infection. Describe personal and environmental measures being implemented to control the spread of Zika virus infection.   2.0 Free CEUs

Understanding Chest Drainage:Chest Drainage as a Therapeutic Intervention–Topics include: Normal Anatomy and Physiology including-Chest Wall, Mediastinum, Lungs & Respiration. Thoracic System Pathology- Pneumothorax & Pleural Effusion. Chest Drainage Systems- Traditional and New Generation Chest Drains, Gravity Drainage. To Clamp or not to Clamp? Special Considerations for Newborns or Massive Pleural Air Leaks. Nursing Considerations and Trouble shooting  (online course & test submission, certificate is mailed)  2.0  Free CEUs

Diabetic Kidney Disease- Define diabetic kidney disease.List risk factors and clinical signs in individuals at risk for developing diabetic kidney disease. Describe the imprecision associated with tests used to assess renal function and diabetic kidney disease. Increase awareness of the uncertainty associated with equations that estimate GFR. Identify management strategies to modify risk factors to prevent the development of diabetic kidney disease. Characterize renal outcomes associated with persistent and severe urinary albumin excretion. Develop and implement into clinical practice a management strategy to proactively screen, assess, and follow-up patients with diabetic kidney disease.  3.75  Free CEUs  (+MD, DO, PA, CDE, RPh, RD) 

Improving Medication Safety in the Perioperative Setting- Describe how medications are ordered, stored, prepared, and utilized in the perioperative setting. Identify system-based causes of medication errors associated with the use of medications in the perioperative setting. Describe current regulatory and accreditation requirements related to perioperative medication safety. Describe practical approaches currently used by hospitals and health systems to improve medication safety. Prioritize selected strategies to prevent harm and improve medication safety in the surgical setting.   1.5 Free CEUs   (+RPh)

Environmental Health: An Integrative Approach - Appraise the emerging research links between environmental toxins and the documented rise of complex chronic illness; such as obesity, metabolic syndrome, cancers, neurodevelopmental disorders and reproductive health, and identify how an integrative medicine model may be applied in both prevention and treatment. Identify the primary categories of chemical toxins present in the environment, and interpret how their mechanism of actions may impact human health. Recognize and identify the range of toxins known to demonstrate endocrine disruptor activity in humans. Identify vulnerable patient populations in terms of environmental toxin exposures. Apply a structured approach to taking an environmental medicine history that includes consideration of potential toxins in air, land, and water. Acquire familiarity with consumer resources that can help individuals reduce unnecessary environmental toxin exposures, and recognize how cultural and socioeconomic status may influence their number of exposures and ability to limit exposure. Assess the impact of some of the emerging technologies and agricultural practices on environmental medicine and how they are affecting human health. Identify several resources for patients and clinicians interested in environmental advocacy.  
6.0 Free CEUs  (+MD) 
 
Exploring Biofilms- Define biofilm bacteria and related terms. Explain the origin of biofilm theory, including traditional views of bacteria. List the three stages of biofilm growth. List current methods of detection and treatment for biofilms, as well as methods in development. Apply appropriate protocols for managing biofilms to clinical practice. Provide accurate and appropriate counsel as part of the treatment team.
Provide appropriate care and counsel for patients and their families. 1.0 Free CEUs   (+MD, RPh)

1.6 Free CEUs Nursing Leadership– Coaching in Nursing Workbook- Published by The Honor Society of Nursing, Sigma Theta Tau International and the International Council of Nurses & available to nurses around the world. This tool is a hands-on guide that can be used to teach nurses coaching principles and skills in order to develop individual professional competencies and to improve nurse staffing retention.

Game-Changing Procedures in Stroke Management: Maximizing the Effectiveness of Endovascular Treatment-  Interpret the latest clinical trial data evaluating endovascular therapy in the management of acute ischemic stroke and how this data applies to current practice. Implement evidence-based care consistent with American Heart Association (AHA) and other pertinent guidelines. Develop regional systems of care to optimize pre-hospital, between-hospital, and in-hospital workflows to improve patient outcomes. 1.0  Free CEUs  (+MD)

NEW!  West Nile Virus Infection- The purpose of this course is to prepare healthcare professionals to recognize the signs and symptoms of West Nile virus fever and diseases and to educate patients and the general public using evidence-based, up-to-date information about its symptoms, treatment, and prevention. Explain the mechanism of transmission of infections of West Nile virus. Describe the signs and symptoms of West Nile virus fever and diseases. Discuss the treatment of West Nile virus infections. Identify measures for the prevention of West Nile virus infections.
1.0  Free CEUs

Multidrug Resistant Bacteria – An Ongoing Global Healthcare Challenge- Demonstrate an understanding of the molecular epidemiology of antibiotic resistance in bacterial pathogens. Summarize the salient features and critical differences amongst available antibiotics and those in development for use against multidrug resistant gram-negative bacteria. Describe strategies to optimize initial antimicrobial therapy to ensure effectiveness of antibiotics and reduce the development of resistance. Discuss the interventions with the potential to reduce inappropriate use of antibiotics and improve outcomes in patients with resistant bacterial infections.    1.0 Free CEUs   (+MD, RPh)

Bladder Management after Spinal Cord Injury: A Practical Approach– Describe the relationship between spinal cord injury and problems with the urinary system and bladder function. Review the process of normal urination, including the anatomy and physiology of the bladder and it’s nervous system control. List the neurological changes that take place with supraspinal, suprasacral and infrasacral spinal cord injuries. Describe the optimal initial bladder management strategies after spinal cord injury, including during spinal shock. List the factors to be considered in bladder training and management during the long-term recovery period after SCI. Anticipate the problem of Autonomic Dysreflexia (AD) after SCI, including triggering factors, signs and symptoms, treatment options and prevention. Discuss the incidence of urinary tract infections after SCI, including causes, signs and symptoms, assessment issues, treatment and prevention.   3.0 Free CEUs

Providing Excellent Palliative Care- Describe palliative care and how it differs from hospice care. Identify four dimensions of assessment and how each dimension impacts the way patients see their health care and impending death. Discuss ways that nurses can implement at least three simple services to patients and family members. Explain the Five Wishes document and identify ways it can be implemented into clinical practice. Discuss at least three components of excellent communication in the care of the seriously ill.  1.5 Free CEUs 

PT/INR Self Testing At Home–   Explain the challenges of managing warfarin therapy. Describe the clinical evidence that supports INR self testing. Discuss the benefits of INR self testing to practices and to patients. Distinguish between patients who are and who are not appropriate candidates for INR self testing. Explain the INR self-test process.  2.0 Free CEUs

Prevention of Pressure Ulcers Due to Medical Devices/Implementing And Sustaining Urinary Catheter Securement- Define a pressure ulcer that has developed from a medical device. List one intervention for preventing pressure ulcers from respiratory devices, bariatric equipment, and cervical collars. Describe interventions for implementing and sustaining urinary catheter securement as part of a catheter-associated urinary tract infection (CAUTi) and pressure ulcer prevention program.   2.0 Free CEUs    Link to Post-test    (Vol. 10/ No. 3)

Advanced Practice Modules in Multiple Sclerosis- Describe key advances in research on MS immunopathogenesis to explain the rationale for new and emerging disease-modifying therapies. Incorporate requisite knowledge and competencies for making accurate differential diagnoses of MS. Assess the utility of MRI metrics in MS prognosis, treatment selection, and monitoring response to therapy. Evaluate the efficacy, safety, and utility of established, new, and emerging disease-modifying therapies for relapsing-remitting MS. Differentiate the benefits/risks associated with injectable, infused, and oral therapies to guide effective individualized MS treatment decision-making. 3.0  Free CEUs   (+MD)

Urgent and Non-urgent Hyperkalemia- This activity will address the some of the considerations that inform clinical judgments essential to the evaluation and management of hyperkalemia as encountered in the outpatient arena. Program content includes a review of the cellular mechanisms that normally ensure potassium homeostasis, how these are affected by RAAS inhibitors, hyperkalemic risk assessment based on clinical trials, and characteristics of the ideal, current and emerging oral ion exchangers.   1.5 Free CEUs

Stimulating Granulation Tissue in Wounds with Instillation: A Guide to Wound Bed Preparation -Describe the role of wound bed preparation to facilitate normal endogenous processes of healing and enhance the effects of advanced therapies in the management of wounds. Describe the role of debridement in the wound bed preparation cycle and determine the most effective method based on the status of the wound. Evaluate the effectiveness of negative-pressure wound therapy in promoting granulation tissue in chronic wounds. Review the role of wound cleansing in wound bed preparation and compare and contrast cleansing techniques and solutions. Review clinical evidence supporting the use of instillation therapy in managing a variety of wound types.    1.0 Free CEUs


NEW!  Long-term Care Facilities: Emergency Preparedness Plans- Explain the benefits of preparedness planning. Identify who should be involved in planning, both internal and external. Explain the all-hazards model of planning and its advantages. Explain the critical issues in emergency preparedness planning for long-term care facilities.  2.0 Free CEUs  (+MD)
 
Recognizing and Treating Alzheimer’s Disease Moving Towards Early Diagnosis and Disease Management- Describe the pathophysiology of Alzheimer’s disease (AD) and the roles of clinical assessment and biomarkers in the workup of cognitive impairment. Recognize the importance of early diagnosis, and identify challenges in obtaining an early and accurate diagnosis of AD versus other causes of cognitive impairment. Utilize diagnostic algorithms and tools to assist in the detection of cognitive impairment, and discuss their use in the clinic. Review current treatment approaches and investigational therapies for the early stages of AD, their mechanisms of action and clinical updates. Discuss the individualization of AD management based on stage, comorbidities, the presence and type of additional symptoms, and other patient-related factors. Develop strategies for improving communication with patients with early AD and their caregivers and for referring their families to local and national support structures. 1.0  Free CEUs  (+MD, RPh)

Inhaled Insulin – A Breath of Fresh Air for the Treatment of Diabetes– Compare the PK/PD profile of inhaled insulin to those of currently available injectable rapid-acting prandial insulins. Review the safety and efficacy data for recently approved inhaled insulin in patients with diabetes. Recognize clinical scenarios in which inhaled insulin would be an appropriate option for managing postprandial glucose excursions in patients with type 1 and type 2 diabetes. Discuss the circumstances when inhaled insulin is contraindicated and the role of pulmonary function testing in patients using inhaled insulin. 1.0 Free CEUs 

Cases in Practice- Optimizing Insulin Therapy: 3 interactive case studies- Review each patient’s medical history & current laboratory data, select your treatment strategy. Compare & contrast profiles of various available insulin types. Explain clinical strategies for intensifying insulin therapy when glycemic targets are not being met. Describe clinical considerations in selecting an insulin regimen for outpatients with DM2. Select appropriate delivery devices for insulin therapy.   2.5 Free CEUs  (+MD)

Updates in Treatment Approaches for HER2+ Breast Cancer across the Continuum of Care- Apply the latest evidence and guideline recommendations in the diagnosis, medical management, monitoring, and supportive care of HER2-positive invasive breast cancer for adjuvant/neoadjuvant, metastatic, or recurring disease. Engage patients and their caregivers in discussions about disease state, therapeutic options, side effects, lifestyle, and concerns to improve access to care, patient safety, and experiences. Evaluate the efficacy and safety of new and emerging treatment approaches for HER2-positive breast cancer in neoadjuvant, adjuvant and metastatic settings. Coordinate treatment planning and care among the health care team (including the patient and providers) for HER2-positive breast cancer across the care continuum.    1.0 Free CEUs  (+MD, PA)

Nutritional Needs of Preterm Infants: Feeding Choices and Dietary Transitions- Illustrate differences between preterm and term formulas. Formulate strategies to transition preterm infants to post-discharge feeding practices. Utilize scientific evidence, recommendations by experts and emerging data in infant nutrition to create nutrition care plans that support optimal preterm infant growth. Give examples of healthful diets that link how diet impacts disease. Describe evidence-based diets for late preterm infants, and for infants with milk allergies or with neonatal abstinence syndrome (NAS).  1.0 Free CEUs  (+MD, RD)


NEW! Building Healthy Foundations: Emerging Data and Evolving Concepts in Early Childhood Nutrition- Identify the nutritional needs of infants and young children during the critical first 1000 days that form the foundation for lifelong health.. Counsel parents effectively on how to ensure their child eats a wholesome diet including key micronutrients, especially iron, during the complementary feeding transition period to solid foods. Apply the latest research about the importance of maintenance of a healthy microbiome to prevent disease and promote healthy development. Recommend practical nutritional interventions to families to prevent and/or manage infant allergy.  1.0 Free CEUs  (+MD, RD)

Dyslipidemia: When Statins Aren't Enough- Review the epidemiology and burden of disease related to cardiovascular risk in patients with primary hyperlipidemia and familial hypercholesterolemia (FH) who are not achieving optimal LDL cholesterol target goals with or without statin-based management. Review the emerging data on new mechanisms for LDL-lowering, including MTP inhibitors, Apo-B inhibition, CETP inhibitors, and PCSK 9 inhibitors to achieve LDL-C target goals for high patients with dyslipidemia. Review the underlying genetic mutations and the role of genetic screening for HeFH and HoFH as it relates to diagnosis and treatment of familial hypercholesterolemia and in response to statins, ezetimibe and proprotein convertase subtilisin kexin 9 (PCSK9) monoclonal antibody treatment. Discuss the emerging evidence on genetic mutations and their potential therapeutic significance in the development of novel LDL targets. Identify the relationship of LDL-C reduction and CVD risk reduction including the risk in HeFH and HoFH. Discuss the clinical presentation and implications of heterozygous familial hypercholesterolemia (HeFH) and the use of optimal LDL-C target goals for these patients based on current consensus recommendations.     1.0 Free CEUs   (+MD, NP)

Clostridium Difficile: An Overview–  List four risk factors for the development of Clostridium difficile associated diarrhea. Compare and contrast the signs and symptoms of mild versus severe Clostridium difficile associated diarrhea. Identify three diagnostic tests used in the diagnosis of Clostridium difficile. Compare and contrast the treatment options in mild versus severe Clostridium difficile associated diarrhea.  2.0 Free CEUs

Best Practices for Managing the Indwelling Urinary Catheter and Tracheostomy in the Home Care Patient– Identify correct catheter and balloon sizes for adults and children. Describe different types of catheter securement. List the indications for tracheostomy in adults and children. Identify the issues concerning care of the tracheostomy and tracheostomy tube for the patient at home.   2.0 Free CEUs   Link to Post-test   (Vol 10/No 1)

Preparedness & Community Response to Pandemics- Describe the historical context of influenza. Describe what a pandemic is and how they occur (antigenic shift and drift). Outline the epidemiology of influenza. Explain surveillance activities related to influenza. Recognize the clinical features of influenza. Identify control measures to be taken prior/during a pandemic of influenza. Identify response efforts and partners to a pandemic (both locally and globally). Describe the unique characteristics of a virus. Explain how a pandemic unfolds (pandemic phases and periods).  
6.0 Free CEUs   (+MD, CHES)

Intrapartum Sterile Speculum Examination Training for Registered Nurses– Indications for sterile speculum exam (SSE). Pertinent anatomy related to proper SSE of the vulva and perineum. Necessary equipment and specimen collection materials for SSE. Mechanics of the speculum and proper SSE insertion and removal techniques. Important behavioral aspects of nurse-patient interaction during SSE.   1.0 Free CEUs

Improving Patient Experience with Insulin Infusion Sets-  Discuss how insulin infusion set failure may lead to unexplained hyperglycemia.  Evaluate features of insulin infusion sets taking into account specific patient needs.  Explain how factors of healthcare delivery affect insulin infusion set practices. 1.5 Free CEUs  (+RPh)

NIH Stroke Scale (NIHSS)– This is the latest FREE program now widely recognized as the best-user-friendly on-line NIH Stroke Scale (NIHSS) training and certification program in the world. It is primarily used by healthcare providers to document proof of competency in the use of the NIHSS with regulatory agencies by completing ONE (1) certification program every 2 years. Identify and assess neurological deficits in stroke patients. Understand the measurement scale for quantifying neurological deficits in stroke patients. Consistently apply appropriate scores for neurological deficits in stroke patients. Use the scale to assess changes in neurological deficits in stroke patients over time.      3.0 Free CEUs  (+MD)

The Changing Role of OTC Products in Health Care- Describe the evolving patient attitudes toward healthcare and wellness, specifically in the context of OTC medicationsList the products that have moved from prescription-only to OTC status. Describe the most common medication problems with specific OTC medications. Identify the economic implications of brand, generic, and store brand products  1.0 Free CEUs

Menopausal Symptoms: Comparative Effectiveness of Therapies- Discuss the comparative effectiveness of different treatments for reducing menopausal symptoms and improving quality of life. Discuss the effects of menopausal hormone therapy preparations on coronary heart disease, stroke, or venous thromboembolism; gallbladder disease; osteoporotic fractures; or endometrial, breast, colorectal, and ovarian cancer. Discuss the effects of nonhormone therapy preparations on coronary heart disease, stroke, or venous thromboembolism; gallbladder disease; osteoporotic fractures; and endometrial, breast, colorectal, and ovarian cancer. Identify factors that affect the applicability of the results of the review.   1.0 Free CEUs     (+MD, NP, RPh, CM)

Case Simulations in Persistent Angina: Collaborative Approach for Assessment and Management- Differentiate the assessment, treatment, and management needs for women and men with Chronic Stable Angina (CSA). Apply validated disease and symptom assessment tools to guide treatment and management decisions for patients with CSA and comorbidities including type 2 diabetes. Assess relevant evidence and guidelines to inform effective decisions about antianginal therapies for patients newly diagnosed with CSA and for patients with angina symptoms despite the use of first-line therapy.   1.0 Free CEUs  (+MD, RPh)

The Importance of Sleep– State the stages of sleep. Discuss health problems associated with non-restful sleep. Describe interventions to improve sleep. 1.0 Free CEUs 

Minimally Invasive Colorectal Surgery: The Time Has Come- Discuss the patterns of utilization of open versus MIS in colorectal surgery in the US. List the advantages of MIS versus open colorectal surgery. Describe the strategies to facilitate conversion to MIS in colorectal surgery. Describe how MIS helps to decrease surgical complications including surgical site infections.    1.0 Free CEUs 
 
The Road Towards Optimal Individualized Care of Adolescents and Young Adults with Acute Lymphoblastic Leukemia- Identify the unique differences and challenges in the management of acute lymphoblastic leukemia (ALL) in adolescent and young adult (AYAs) patients. Discuss recent clinical evidence and current recommendations for optimizing the therapeutic regimens for AYA ALL patients with pediatric-inspired protocols. Discuss our current treatment strategies in AYA patients with relapsed ALL.   1.0 Free CEUs    (+MD) 

Acute Pain Management in Children: Operative or Medical Procedures- Describe the self-reporting tools that may be appropriate for assessing pain in children. Give examples of types of behavioral and physiological signs that may supplement the self-report. Describe specific pharmacologic and nonpharmacologic management techniques for procedure-related pain in children. Explain how pain is managed after surgery. Describe the appropriate use of patient-controlled analgesia in children. Describe nonpharmacologic techniques for managing post-operative pain in children. 
2.0 Free CEUs

Reducing Agitation in Elders with Dimentia– The purpose of this course is to provide you with knowledge on how to decrease and/or prevent the frequency and severity of agitated episodes in elders who are diagnosed with dementia. 1.5 Free CEUs