Training & Education for Nurses
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- Maintain your license and develop your skills with courses featuring hands-on patient demos.
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Explore Courses by Specialty
Heart Failure Assessment: Monitoring Signs and Symptoms
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Heart Failure Assessment: Monitoring Signs and Symptoms
The third course in the heart failure (HF) series continues to build on understanding of the pathophysiology of HF by identifying signs and symptoms of worsening HF through direct clinical assessment and via the use of telehealth systems. While this course is aimed at nurses and therapists across all settings, home care clinicians in particular must possess a high level of knowledge to effectively assess and monitor for signs of worsening HF during each home visit. Such knowledge provides the clinician with confidence in assessment, early identification of worsening HF, and in patient education.
Alzheimer’s Disease and Related Disorders for Home Health Providers
Presented by Linda M. Shell, DNP, MA, BSN, RN, DNS-CT
Alzheimer’s Disease and Related Disorders for Home Health Providers
Almost one in three home care clients have been diagnosed with Alzheimer's disease and dementia-related disorders, which makes it essential for home health providers to have the necessary skills to care for these clients. A person living with Alzheimer's dementia will have unique needs at different stages of the disease, and this course will help providers respond appropriately to those needs. This course assists the home health provider in developing skills that will help support family caregivers during the various stages of Alzheimer's dementia. It is intended for home health providers, including home health aides, nurses, physical therapists, occupational therapists, speech language pathologists, social workers, case managers, and others providing direct care to those living with Alzheimer's dementia in home health and hospice.
OASIS-E: Introduction to Key Concepts
Presented by Cindy Krafft, PT, MS, HCS-O
OASIS-E: Introduction to Key Concepts
Clinicians are often involved with OASIS data collection without a clear understanding of why the information is so important and what it is used for. In order to collect accurate data, clinicians must have a working knowledge of key concepts and terminology unique to the OASIS tool. This course will provide an overview of how OASIS data collection impacts both patient care and agency performance.
HHVBP: Hospitalizations and ED Use
Presented by Charles M. Breznicky Jr., RN, MSN, MBA, HCS-D
HHVBP: Hospitalizations and ED Use
This course will provide an overview of the HHVBP model that will go into effect in 2023; claims-based measures will be specifically addressed in this course. Clinical courses in this series will review, in more detail, the clinician's role in improving claims-based, OASIS-based, and survey-based measures. The metrics involved in the model and their respective weights will be addressed, as well as the calculation for an agency's Total Performance Score, which will indicate their payment adjustment in 2025. Leadership courses will review how to analyze data as well as how to track that data. Attendees will be provided steps they can take now to prepare for HHVBP. Managers and frontline staff will come away from these courses with a deeper understanding of HHVBP and their impact under this new model.
Orientation: An Overview of Documentation Requirements in Home Care
Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN
Orientation: An Overview of Documentation Requirements in Home Care
Today's home care clinicians must have an understanding of the trends, regulations, and other external factors that impact care provided and the documentation surrounding care. Home care is a global term, and home care services can range from solely personal care services (non-medical) to very skilled levels of care with licensed nurses providing care to medically fragile adults and children. Because of this, there are many models and methods of delivering home care. For purposes of this course, we will be focusing primarily on the provision of "visits" as the primary model of home care vs. hourly care. Medicare is the largest payer of home health services, and visits are the usual unit of care delivery. Medicare sets the standards for home care, regardless of the payer. It is for this reason that an overview of documentation requirements is the first course. The differences in documentation requirements for home care versus other settings (e.g., OASIS) will de discussed, and the purposes of documentation, supporting medical necessity, and coverage criteria will also be addressed. This course is designed to provide tangible tools for both clinicians and leadership/management to apply as they improve their processes and practices related to effective documentation in home care.
Orientation: Care Planning
Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN
Orientation: Care Planning
The ability to perform an accurate comprehensive assessment and develop an individualized plan of care for home care patients is the foundation for care delivery in home care. This course will review the steps of the care planning process, a type of problem solving method. A discussion will be provided regarding the application of this process and the value it brings to patient care.
Wound Management: Skin Assessment and Wound Identification
Presented by Carrie Adkins, RN, BSN, CWOCN
Wound Management: Skin Assessment and Wound Identification
Wound care costs are growing across the home health spectrum for patients, government-funded health care, private insurances, and home health agencies. Therefore, continuous education on wounds and skin assessment is an ongoing necessity. In being an active home health provider, it is important to start with the basics of skin assessment and wound identification in order to understand treatment, prevention, and further advanced wound care. This course will educate on skin assessment in the home and instruct on how to differentiate and properly identify different types of wounds in the home.
Pain Management Part 1: Foundational Information
Presented by Cathleen Armato, RN, CHC, CHPC
Pain Management Part 1: Foundational Information
This course will examine the terminology related to pain assessment and management to help ensure strong communication between nurses, physicians, the interdisciplinary team, and the patient/family. The purpose is to lay the foundation for the remainder of the courses in this pain management series, help the clinician avoid misunderstandings, and prevent potential errors.
The course will also explore potential barriers to effective pain management, including those within the health system, the clinician's biases, and the perceptions of the patient and family. In addition, the course will review the management of opioids in a time of increased state and federal scrutiny.
This course is appropriate for any healthcare provider or interdisciplinary team member dealing with patients in pain.
Hospice and Palliative Care in the Health Care Continuum
Presented by Jennifer Kennedy, EdD, MA, BSN, RN, CHC
Hospice and Palliative Care in the Health Care Continuum
Nearly 50% of Medicare beneficiaries opted for hospice care in 2017, but there are still gaps in care at the end of life. The 2015 Institute of Medicine (IOM) report Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life noted that many individuals do not think about expressing their preferences for care at the end of life. The US health care system is directed toward curative care and is not well integrated with palliative and hospice care. The IOM report established that improving the health care continuum could improve quality of life for patients, decrease medical futility, and improve the experience of patients and families. This course provides an outline of how hospice and palliative care fit into the current US health care continuum and how increased utilization of such specialized services can reduce health care costs while improving quality of life for patients and their families/caregivers.
The Role of the Hospice Team: What Does the Patient/Family Need?
Presented by Jennifer Kennedy, EdD, MA, BSN, RN, CHC
The Role of the Hospice Team: What Does the Patient/Family Need?
This course provides an overview of the role of the hospice team in caring for a patient and their family at the end of life. Participants will learn to identify the members of the hospice interdisciplinary team and their individual and joint responsibilities for providing comprehensive palliative care. The course will review the differences between a multidisciplinary and interdisciplinary team approach in meeting patient and family needs related to symptom management and preparation for death and bereavement.
Understanding and Maximizing Your Role as a Hospice Case Manager
Presented by Cathleen Armato, RN, CHC, CHPC
Understanding and Maximizing Your Role as a Hospice Case Manager
The hospice registered nurse case manager (RNCM) has several responsibilities beyond the direct care of the patient. The responsibilities of this role are often poorly understood. This course will review the many roles and responsibilities according to regulatory requirements and best practices. Evidence-based communication methods will be discussed, with particular attention to care transitions. Clinical time management strategies will also be presented. Comprehensive assessment and care plan development, care coordination and collaboration, and oversight of all care and services provided to the patient will be reviewed, with the goal of helping the RNCM to increase professionalism, improve outcomes, and increase patient and family satisfaction.
Hospice Item Set (HIS) Program: Admission
Presented by Beth Noyce, RN, BSJMC, HCS-C
Hospice Item Set (HIS) Program: Admission
Quality reporting is vital to an agency's bottom line, as failure to report on time during any given year penalizes the agency 2% of its annual payment update two fiscal years later. Yet some agencies don't submit data on time, don't correct erroneous data, don't check to ensure HIS documents are accepted by CMS, or simply don't report at all. Incorrect, late, or missing reports can affect agency marketing efforts as well. When agencies report incorrectly, their Hospice Compare scores can publish at artificially low rates. Clinical leaders, as well as anyone else who contributes to HIS data at the hospice agency, will benefit from this course. Participants will learn to report HIS data accurately and on time, enhancing their Hospice Compare scores and allowing full payment of their successful claims. This is the first course in a two-part series; the second course is Hospice Item Set (HIS) Program: Discharge.
Pediatric Palliative Care and Hospice: Symptom Management
Presented by Joan Chrastek, RN, CHPN, DNP, FPCN
Pediatric Palliative Care and Hospice: Symptom Management
This course provides an overview of the most common symptoms that children can experience when they need palliative or hospice care. This course discusses symptoms that appear commonly across the life span and goes over the differences that symptoms may present in children versus in adults. This course covers the importance of accurate ongoing assessment of symptoms as well as the use of both pharmacological and nonpharmacological interventions in the treatment of these symptoms. Cultural considerations and partnering with family caregivers is an important aspect. A mother will share her views and experiences to help the learner understand symptom management from a parent's point of view. Distressing symptoms drastically reduce the quality of a child's life and the lives of family members, so it is essential that nurses who care for children with palliative and hospice needs are aware of these common symptoms and interventions.
Pain Management Part 2: Pain Types and Etiology
Presented by Cathleen Armato, RN, CHC, CHPC
Pain Management Part 2: Pain Types and Etiology
The type of pain a patient experiences can frequently assist the clinician in determining the etiology, or cause, of that pain. Pain types are effectively treated very differently, and a thorough pain assessment includes gathering the information needed to determine the etiology and the appropriate treatments.
This course reviews neuropathic, somatic, and visceral pain as well as acute, chronic, and high-impact chronic pain. We will examine the etiology, location, and descriptors used by patients to describe each pain type. With this information, the clinician is better positioned to recommend and advocate for appropriate pain management treatment and help the patient avoid unwanted side effects.
This course is appropriate for any healthcare provider or interdisciplinary team member dealing with patients in pain.
Symptom Management at End of Life
Presented by Patty Warring, RN, MSN, ACHPN
Symptom Management at End of Life
This course provides nurses in a variety of settings, including rehabilitation, long-term care, skilled care, and home health, with information about symptom management for patients receiving end-of-life (EOL) care. Good symptom control is necessary to enhance quality of life in the terminally ill patient. Families find much comfort in knowing that their loved one is comfortable at EOL. In addition to pain management (see other course), symptom control covers conditions such as anorexia, anxiety, constipation, dyspnea, nausea, and terminal restlessness. Nurses will be provided with a brief review of changes which often occur as a disease progresses toward death.
Managing Difficult Conversations at the End of Life
Presented by Cathleen Armato, RN, CHC, CHPC
Managing Difficult Conversations at the End of Life
Video Runtime: 47 Minutes
Some important conversations are just hard, and many clinicians do not feel prepared to cover tough topics such as death and dying, suicide, fears, grief, and many others. Addressing patients' and families' thoughts and concerns about the consequences of a life-limiting illness requires a specific skill-set. This course provides information and tools to help the clinician gain comfort with these difficult conversations. Whether engaging in or facilitating these conversations, end-of-life clinicians have an important role. Case studies will be reviewed, and patient and family perspectives will be examined. Additionally, the role of bias and assumptions will be explored. Finally, this course will review professional growth through experience, reflection, and analysis of hard conversations.
Rehabilitation Nursing for Patients With Cardiac Diseases
Presented by Cheryl Lehman, PhD, RN, CRRN
Rehabilitation Nursing for Patients With Cardiac Diseases
Cardiac rehabilitation is a specialized set of team interventions for the patient experiencing cardiac disease or surgery. This course will review the cardiac rehabilitation program, and the conditions appropriate for cardiac rehabilitation. The role of the rehabilitation nurse in cardiac rehabilitation will be stressed.
CRRN(R) is a registered trademark of the Association of Rehabilitation Nurses.
Overview of Psychosocial Issues in the Rehabilitation Setting
Presented by Julie Brandy, PhD, RN, FNP-BC, CNE
Overview of Psychosocial Issues in the Rehabilitation Setting
The powerful relationship between an individual's physical wellbeing and his/her emotional wellbeing has been clearly described. Addressing both aspects of care should be a priority for all healthcare providers working with patients in the rehabilitation setting. This course will provide an overview of psychosocial issues in the rehabilitation setting, a theoretical examination of stress and coping, an in-depth look at depression and anxiety in rehabilitation patients, as well as information on mindfulness interventions that can be utilized by all healthcare professionals.
Fall and Injury Risk Assessment Is More Than a Score
Presented by Pat Quigley, PhD, MPH, APRN, CRRN, FAAN, FAANP
Fall and Injury Risk Assessment Is More Than a Score
Rehabilitation nurses have expert clinical knowledge to determine a patient's fall and injury risk status. This session will build upon current practices and processes to move practice beyond the use of a fall risk score to assessment of multifactorial fall risk factors. Participants will be guided in the assessment of select fall and injury risk factors (postural hypotension, lower extremity sensory neuropathy, fracture risk) as examples of the the difference between a fall risk screening and an assessment as the basis for individualized fall patient care planning. The information will allow the participants to understand the implications of modifying their practice and implementing patient-centered individualized care plans to reduce falls and fall-related injuries.
Optimizing Coping and Stress Management Skills for Patients and Caregivers
Presented by Gail Sims, MSN, RN, CRRN
Optimizing Coping and Stress Management Skills for Patients and Caregivers
Effective coping strategies and stress management are essential survival skills for patients and their caregivers. The rehabilitation nurse must assess each individual's ability to cope with catastrophic changes, access resources to facilitate effective coping strategies, and evaluate the impact of accessing resources. The pathophysiology of the stress response, strategies theories of coping, adjustment and self-management, and stages of grief and loss will be reviewed. Strategies for stress reduction and positive coping in rehabilitation situations will be evaluated using the nursing process.
CRRN(R) is a registered trademark of the Association of Rehabilitation Nurses.
What Do I Say When My Patient Asks Me About Sex?
Presented by Donald Kautz, MSN, RN, CRRN
What Do I Say When My Patient Asks Me About Sex?
This course is designed for therapists (physical therapists, occupational therapists, speech-language pathologists, recreational therapists) and nurses to help when patients and/or patients' loved ones ask you questions about their sexual function. The focus of this course is on patients who are living at home, but the information can be used for patients who are in acute, long-term, and other inpatient rehabilitation settings. This course will provide detailed information for the provider about common sexual and intimacy problems that patients experience, how to appropriately respond to questions, and how to find reliable patient information to give to patients and those they love.
Case Management: Aging with SCI, Chronic Illness & Dementia
Presented by Donna Williams, MSN, RN, CRRN
Case Management: Aging with SCI, Chronic Illness & Dementia
Many people acquire multiple diagnoses as they age. Some complications may come from a chronic illness, but these illnesses or other medical/orthopedic/neurologic concerns may complicate the long-term health alterations, disability or dementia that may already exist. For this population, case management can assist in the reduction of complications, promoting successful aging and safety. This course will describe the assessment and coordination necessary to assist in reducing complications.
Continence Care Part 1: Introduction for Practice Improvement
Presented by Christine Cave, DNP, FNP, MSN, RN, CRRN, CEP
Continence Care Part 1: Introduction for Practice Improvement
This course provides an overview of the evidence-based approach used to improve bowel and bladder management in rehabilitation settings. This is the first of a five-course series and will identify the fundamental components needed to improve the current practice of rehabilitation nursing care of bowel and bladder dysfunction. These components include a rich understanding of the process of evidence-based practice in the specialty setting of acute rehabilitation using the Competency Model for the Professional Rehabilitation Nurse (Vaughn, et al., 2013). The purpose and use of informal leaders in rehabilitation units and how to promote the role of Continence Champions is addressed. Additional components include policies, procedures, resources, and administrative support needed to establish and sustain a team approach to promoting continence care in rehabilitation settings.
Post-Stroke Resources and Community Reintegration
Presented by Michelle Camicia, PhD, RN, CRRN, CCM, NEA-BC, FARN, FAHA, FAAN and Barbara Lutz, PhD, RN, CRRN, APHN-BC, FAHA, FNAP, FAAN
Post-Stroke Resources and Community Reintegration
Transitioning home and adapting to life after stroke is often difficult for stroke survivors and their family caregivers. Successful recovery and community reintegration is dependent on stroke survivors and their family members being able to adapt to the post-stroke changes in their lives. They often do not have working knowledge of community- or web-based resources that may be available to help them adjust to new limitations and changes in roles and responsibilities. Members of the interprofessional team can facilitate post-discharge adaptation by anticipating the needs of the stroke survivor and family members and linking them to the most appropriate resources. This course focuses on describing the post-discharge needs of stroke survivors and their family caregivers, assessing post-discharge needs, and identifying resources that can facilitate recovery and successful community reintegration post-stroke. Examples of community- and web-based resources are provided.
Featured Instructors
Jeri Lundgren, RN, BSN, PHN, CWS, CWCN, CPT
Pat Quigley, PhD, MPH, APRN, CRRN, FAAN, FAANP
Tina Marrelli, MSN, MA, RN, FAAN
Kristen L. Mauk, PhD, DNP, RN, CRRN, GCNS-BC, GNP-BC, FARN, FAAN
Linda M. Shell, DNP, MA, BSN, RN, DNS-CT
Cathleen Armato, RN, CHC, CHPC
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CRRN® is a registered trademark of the Association of Rehabilitation Nurses