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Administering Medications: Injections

SERIES OVERVIEW: FDA studies show that medication errors injure about 1.3 million people in the United States each year and cause the death of 7,000. Safe medication administration is essential to nursing practice, and nurses need to have knowledge and skill in the techniques of administering all pharmaceutical agents because the nurse is the last line of defense to protect a patient against a medication error. This 3-part basic skills series demonstrates and describes the safe administration of oral, topical, suppository, inhalant, and injectable medications. The programs in this series are: Administering Medications: Medication Safety and Oral Medications Administering Medications: Topical, Suppository and Inhalant Medications Administering Medications: Injections OVERVIEW: This program describes the safe administration of medication by injection: subcutaneous, intradermal, intramuscular and into an intravenous injection port (parenteral medication administration). Included in this program is discussion of the mandatory use of safer needle devices to prevent needlestick injuries.

Administering Medications: Medication Safety and Oral Medications

SERIES OVERVIEW: FDA studies show that medication errors injure about 1.3 million people in the United States each year and cause the death of 7,000. Safe medication administration is essential to nursing practice, and nurses need to have knowledge and skill in the techniques of administering all pharmaceutical agents because the nurse is the last line of defense to protect a patient against a medication error. This 3-part basic skills series demonstrates and describes the safe administration of oral, topical, suppository, inhalant, and injectable medications. The programs in this series are: Administering Medications: Medication Safety and Oral Medications Administering Medications: Topical, Suppository and Inhalant Medications Administering Medications: Injections OVERVIEW: This first program will describe the safe administration of oral medications and will demonstrate practices that are required in order to help prevent medication errors.

Administering Medications: Topical, Suppository and Inhalant Medications

SERIES OVERVIEW: FDA studies show that medication errors injure about 1.3 million people in the United States each year and cause the death of 7,000. Safe medication administration is essential to nursing practice, and nurses need to have knowledge and skill in the techniques of administering all pharmaceutical agents because the nurse is the last line of defense to protect a patient against a medication error. This 3-part basic skills series demonstrates and describes the safe administration of oral, topical, suppository, inhalant, and injectable medications. The programs in this series are: Administering Medications: Medication Safety and Oral Medications Administering Medications: Topical, Suppository and Inhalant Medications Administering Medications: Injections OVERVIEW: This program will present techniques for the administration of topical medications, suppositories and inhalants.

Airway Care: Tracheostomy Care, Tube Change, and Artificial Airway Cuff Management

Maintaining airway patency and preventing infection are two primary concerns when providing care to the patient with a tracheostomy tube. Other needs are caring for the stoma, providing some form of effective communication, and providing emotional support. With fresh new graphics and updated information, this new edition of Medcom’s classic course on tracheostomy care continues to provide a strong foundation on the essentials of direct airway care.

Auscultation of Breath Sounds: Abnormal Breath Sounds

SERIES OVERVIEW: Auscultation of the lungs is one of the most valuable clinical techniques for assessment of a client's pulmonary status. Listening to the sounds that are produced by breathing can reveal important and often diagnostic information about many health conditions related to respiratory function. This series introduces the physiology and acoustic characteristics of normal breath sounds and identifies physiology components of abnormal and adventitious sounds. The functional basis of breath sounds is described, important characteristics are defined including pitch, intensity and duration. Principles of sound transmission and the significance of voice sounds to assessment findings are discussed. OVERVIEW: Breath sounds offer important and often diagnostic information about many health conditions releated to pulmonary function. This program will cover the qualities of breath sounds, abnormal breath sounds, plus some of their associated conditions, and how to document your findings. Because ausculation is a subjective assessment breath sounds are described using terminology standardized by the American Thoracic Society.

Auscultation of Breath Sounds: Normal Breath Sounds

SERIES OVERVIEW: Auscultation of the lungs is one of the most valuable clinical techniques for assessment of a client's pulmonary status. Listening to the sounds that are produced by breathing can reveal important and often diagnostic information about many health conditions related to respiratory function. This series introduces the physiology and acoustic characteristics of normal breath sounds and identifies physiology components of abnormal and adventitious sounds. The functional basis of breath sounds is described, important characteristics are defined including pitch, intensity and duration. Principles of sound transmission and the significance of voice sounds to assessment findings are discussed. OVERVIEW: This program presents stethoscope use for lung auscultation, the physiology of normal breath sounds, selected landmarks used for auscultation, and the basic procedures for a pulmonary auscultation assessment.

Auscultation of Breath Sounds: Normal Breath Sounds

SERIES OVERVIEW: Auscultation of the lungs is one of the most valuable clinical techniques for assessment of a client's pulmonary status. Listening to the sounds that are produced by breathing can reveal important and often diagnostic information about many health conditions related to respiratory function. This series introduces the physiology and acoustic characteristics of normal breath sounds and identifies physiology components of abnormal and adventitious sounds. The functional basis of breath sounds is described, important characteristics are defined including pitch, intensity and duration. Principles of sound transmission and the significance of voice sounds to assessment findings are discussed. OVERVIEW: This program presents stethoscope use for lung auscultation, the physiology of normal breath sounds, selected landmarks used for auscultation, and the basic procedures for a pulmonary auscultation assessment.

Cardiac Auscultation: Abnormal Heart Sounds, Part 1

This program provides the learner with a thorough understanding of the characteristics and causes of abnormal heart sounds, and skills to examine the most common cardiac murmurs.

Cardiac Auscultation: Abnormal Heart Sounds, Part 2

This program provides the learner with a thorough understanding of the characteristics and causes of abnormal heart sounds, and skills to examine the most common cardiac murmurs.

Cardiac Auscultation: Normal Heart Sounds

Cardiac auscultation provides information about the rate and rhythm of the heart, valve functioning and possible anatomical defects. It requires knowledge of what heart sounds are normal and a methodical approach with careful attention to the sounds produced during the cardiac cycle. This program provides nurses and other healthcare professionals with a thorough understanding of the various normal heart sounds, and examples of these sounds to provide a basis for differentiating normal and abnormal sounds.

Cardiac Auscultation: The Anatomy and Physiology of Heart Sounds

Familiarity with normal and abnormal heart sounds provides the foundation for many clinical assessments. This program focuses on cardiac auscultation, or listening to the sounds produced by the heart, a skill that can be lost without review and practice. It will review the anatomy and physiology of the heart and the sounds it produces as it works.

Cardiac Auscultation: The Process of Basic Cardiac Auscultation

This program provides nurses and other healthcare professionals with a thorough understanding of auscultation techniques and practices, including the basic process of cardiac auscultation, identifying landmarks where cardiac sounds can best be heard, proper positioning of the patient and how to record observations.

HIPAA for Healthcare Workers: An Overview

UPDATED SERIES INFO: The Health Insurance Portability and Accountability Act (HIPAA) of 1996 received significant changes made to it as a part of the "American Recovery and Reinvestment Act of 2009." Medcom's three-part series "HIPAA for Healthcare Workers" has been updated to reflect these changes. The following table provides a brief description of the changes to HIPAA as a result of the Recovery and Reinvestment Act, and explained in the series. CHANGES TO HIPAA DESCRIBED IN "HIPAA FOR HEALTHCARE WORKERS" SERIES: CHANGE: Security Rules Apply Directly to Business Associates and Privacy Provisions Apply Directly to Business Associates DESCRIPTION: Business associates must comply directly with many of HIPAA's Security Rules. Change: New Security Breach Notification Rules DESCRIPTION: A covered entity or business associate that has a specified security breach will be required to notify each individual affected by the security breach. Change: Education on Health Information Privacy DESCRIPTION: HHS must designate an individual in each regional office to offer guidance and education on the rights and responsibilities related to federal privacy and security rules. Change: Changes to Restriction Request Rules DESCRIPTION: Previously, HIPAA allows an individual to request that certain PHI not be used by a covered entity or business associate; but the covered entity could decline all such requests. Now, a covered entity must comply with the restriction request within certain parameters. Change: New Provisions Regarding Electronic Health Records DESCRIPTION: If a covered entity uses or maintains an electronic health record ("EHR"), an individual has the right to obtain copies in an "electronic format". Change: Prohibition on Sale of EHR or PHI DESCRIPTION: A covered entity or business associate is prohibited from directly or indirectly being paid for any EHR or PHI (protected health information) unless it receives a HIPAA compliant authorization from the individual. Change: New Restrictions on Marketing and Fundraising DESCRIPTION: Protected health information cannot be used to send marketing and fundraising materials to individuals. Change: Breach Notification Requirement by Vendors and other Non-Covered Entities DESCRIPTION: The new rules also cover any "vendor" of "personal health records:(201) 447-3518" and are enforced by the FTC. Change: Increase in Civil Monetary Penalties DESCRIPTION: The civil monetary penalties are significantly increased. Change: State Attorney General Private Right of Action for HIPAA Violations DESCRIPTION: The law creates a private cause-of-action for non-compliance, which could be brought by state attorney generals on behalf of affected patients. Change: Audits DESCRIPTION: Under the stimulus bill, HHS must provide for periodic audits to ensure compliance. Change: Individuals Can Receive Compensation for Breaches DESCRIPTION: Individuals affected by a HIPAA violation will be able to receive a percentage of any fine.

HIPAA for Healthcare Workers: The Privacy Rule

UPDATED SERIES INFO: The Health Insurance Portability and Accountability Act (HIPAA) of 1996 received significant changes made to it as a part of the "American Recovery and Reinvestment Act of 2009." Medcom's three-part series "HIPAA for Healthcare Workers" has been updated to reflect these changes. The following table provides a brief description of the changes to HIPAA as a result of the Recovery and Reinvestment Act, and explained in the series. CHANGES TO HIPAA DESCRIBED IN "HIPAA FOR HEALTHCARE WORKERS" SERIES: CHANGE: Security Rules Apply Directly to Business Associates and Privacy Provisions Apply Directly to Business Associates DESCRIPTION: Business associates must comply directly with many of HIPAA's Security Rules. Change: New Security Breach Notification Rules DESCRIPTION: A covered entity or business associate that has a specified security breach will be required to notify each individual affected by the security breach. Change: Education on Health Information Privacy DESCRIPTION: HHS must designate an individual in each regional office to offer guidance and education on the rights and responsibilities related to federal privacy and security rules. Change: Changes to Restriction Request Rules DESCRIPTION: Previously, HIPAA allows an individual to request that certain PHI not be used by a covered entity or business associate; but the covered entity could decline all such requests. Now, a covered entity must comply with the restriction request within certain parameters. Change: New Provisions Regarding Electronic Health Records DESCRIPTION: If a covered entity uses or maintains an electronic health record ("EHR"), an individual has the right to obtain copies in an "electronic format". Change: Prohibition on Sale of EHR or PHI DESCRIPTION: A covered entity or business associate is prohibited from directly or indirectly being paid for any EHR or PHI (protected health information) unless it receives a HIPAA compliant authorization from the individual. Change: New Restrictions on Marketing and Fundraising DESCRIPTION: Protected health information cannot be used to send marketing and fundraising materials to individuals. Change: Breach Notification Requirement by Vendors and other Non-Covered Entities DESCRIPTION: The new rules also cover any "vendor" of "personal health records" and are enforced by the FTC. Change: Increase in Civil Monetary Penalties DESCRIPTION: The civil monetary penalties are significantly increased. Change: State Attorney General Private Right of Action for HIPAA Violations DESCRIPTION: The law creates a private cause-of-action for non-compliance, which could be brought by state attorney generals on behalf of affected patients. Change: Audits DESCRIPTION: Under the stimulus bill, HHS must provide for periodic audits to ensure compliance. Change: Individuals Can Receive Compensation for Breaches DESCRIPTION: Individuals affected by a HIPAA violation will be able to receive a percentage of any fine.

HIPAA for Healthcare Workers: The Security Rule

UPDATED SERIES INFO: The Health Insurance Portability and Accountability Act (HIPAA) of 1996 received significant changes made to it as a part of the "American Recovery and Reinvestment Act of 2009." Medcom's three-part series "HIPAA for Healthcare Workers" has been updated to reflect these changes. The following table provides a brief description of the changes to HIPAA as a result of the Recovery and Reinvestment Act, and explained in the series. CHANGES TO HIPAA DESCRIBED IN "HIPAA FOR HEALTHCARE WORKERS" SERIES: CHANGE: Security Rules Apply Directly to Business Associates and Privacy Provisions Apply Directly to Business Associates DESCRIPTION: Business associates must comply directly with many of HIPAA's Security Rules. Change: New Security Breach Notification Rules DESCRIPTION: A covered entity or business associate that has a specified security breach will be required to notify each individual affected by the security breach. Change: Education on Health Information Privacy DESCRIPTION: HHS must designate an individual in each regional office to offer guidance and education on the rights and responsibilities related to federal privacy and security rules. Change: Changes to Restriction Request Rules DESCRIPTION: Previously, HIPAA allows an individual to request that certain PHI not be used by a covered entity or business associate; but the covered entity could decline all such requests. Now, a covered entity must comply with the restriction request within certain parameters. Change: New Provisions Regarding Electronic Health Records DESCRIPTION: If a covered entity uses or maintains an electronic health record ("EHR"), an individual has the right to obtain copies in an "electronic format". Change: Prohibition on Sale of EHR or PHI DESCRIPTION: A covered entity or business associate is prohibited from directly or indirectly being paid for any EHR or PHI (protected health information) unless it receives a HIPAA compliant authorization from the individual. Change: New Restrictions on Marketing and Fundraising DESCRIPTION: Protected health information cannot be used to send marketing and fundraising materials to individuals. Change: Breach Notification Requirement by Vendors and other Non-Covered Entities DESCRIPTION: The new rules also cover any "vendor" of "personal health records" and are enforced by the FTC. Change: Increase in Civil Monetary Penalties DESCRIPTION: The civil monetary penalties are significantly increased. Change: State Attorney General Private Right of Action for HIPAA Violations DESCRIPTION: The law creates a private cause-of-action for non-compliance, which could be brought by state attorney generals on behalf of affected patients. Change: Audits DESCRIPTION: Under the stimulus bill, HHS must provide for periodic audits to ensure compliance. Change: Individuals Can Receive Compensation for Breaches DESCRIPTION: Individuals affected by a HIPAA violation will be able to receive a percentage of any fine.

Intravenous Therapy: Basics and Venipuncture

Over 90% of hospital patients receive IV therapy, including medication, nutrition, electrolytes, and blood. These life-giving fluids are administered through an I.V. and can mean the difference between life and death for a patient.

This program describes the basics of intravenous therapy and demonstrates the correct technique for performing a venipuncture to initiate intravenous therapy.

After completing this course, the learner should be able to:

Describe the uses of I.V. therapy
Identify appropriate sites for venipuncture
Identify equipment used to provide I.V. therapy
Perform a venipuncture

Intravenous Therapy: Pediatrics

SERIES OVERVIEW: Over 90% of hospital patients receive intravenous therapy, including medication, nutrition, electrolytes, and blood. These life-giving fluids are administered through an I.V. and can mean the difference between life and death for a patient. This series covers the basics of intravenous therapy, including its uses, venipuncture, routine care, complications, and I.V. therapy for pediatric patients. The programs in this series are: Intravenous Therapy: Basics and Venipuncture - Intravenous Therapy: Routine Care and Discontinuation - Intravenous Therapy: Recognizing and Treating Complications - Intravenous Therapy: Pediatrics OVERVIEW: Providing intravenous therapy for infants and children offers unique challenges and may have a different rationale for the I.V. therapy than with an adult. This program demonstrates and describes I.V. therapy for pediatric patients.

Intravenous Therapy: Recognizing and Treating Complications

SERIES OVERVIEW: Over 90% of hospital patients receive intravenous therapy, including medication, nutrition, electrolytes, and blood. These life-giving fluids are administered through an I.V. and can mean the difference between life and death for a patient. This series covers the basics of intravenous therapy, including its uses, venipuncture, routine care, complications, and I.V. therapy for pediatric patients. The programs in this series are: Intravenous Therapy: Basics and Venipuncture Intravenous Therapy: Routine Care and Discontinuation Intravenous Therapy: Recognizing and Treating Complications Intravenous Therapy: Pediatrics OVERVIEW: This program will demonstrate procedures for identifying complications of I.V. therapy and making appropriate interventions.

Intravenous Therapy: Routine Care and Discontinuation

This program demonstrates the procedures for the routine care and the discontinuation of intravenous therapy.

After completing this course, the learner should be able to:

List items to note during a routine I.V. assessment
Describe changing a peripheral catheter dressing
Change an infusion container
Change an administration set
Describe the process and considerations for administering medications through an I.V.
Change the dressing on a central venous catheter
Describe the process for discontinuing a peripheral I.V. site

Suctioning: Nasotracheal Suctioning and Monitoring Complications

SERIES OVERVIEW: This new update of Medom's classic suctioning course provides healthcare professionals with demonstrations of the fundamentals of airway suctioning. Now in a more convenient two-part format, this series demonstrates current practices and techniques to provide nurses with an understanding of nasotracheal, oropharyngeal and both open and closed in-line endotracheal suctioning, and the indications for the use of each. OVERVIEW: This program describes the anatomy of the airway, demonstrates methods designed to mobilize respiratory secretions, demonstrates nasotracheal suctioning techniques used to remove accumulated secretions, and describes potential complications to monitor.

Suctioning: Oropharyngeal and Endotracheal Techniques

SERIES OVERVIEW: This new update of Medom's classic suctioning course provides healthcare professionals with demonstrations of the fundamentals of airway suctioning. Now in a more convenient two-part format, this series demonstrates current practices and techniques to provide nurses with an understanding of nasotracheal, oropharyngeal and both open and closed in-line endotracheal suctioning, and the indications for the use of each. OVERVIEW: This program describes the anatomy of the airway, demonstrates oropharyngeal suctioning techniques, and both open and closed in-line endotracheal suctioning techniques used to remove accumulated secretions.

The New Nursing Assistant Student Workbook and Skills Checklists 8th Edition

Overview:

This new edition of the student workbook and skills checklists has been updated to match the new text, CNA530U The Nursing Assistant Textbook. This includes exercises for new chapters on: Abuse and Neglect, Disasters and Evacuation, The Fifth Vital Sign - Pain, and The Environment of Care: Resident Safety.

In addition, exercises regarding the CDC's new hand hygiene guideline and HIPAA have been included.

The New Nursing Assistant Textbook (8th Edition), with Terminology Skills Demonstration DVD

The Eighth Edition of Medcom's The New Nursing Assistant Textbook has been revised and updated with the most current information, yet maintains the familiarity and ease of use appreciated by both nursing assistant instructors and nursing assistant students.

Throughout the book, revisions have been made to update:

Statistics
Measurements
Practice techniques
Regulations
Professional guidelines
Terminology
New technologies, such as advances in computers and internet use.

This new information continues to be presented in a clear and concise style, using simple language that is easy for students at all levels to comprehend.

ALSO INCLUDED: The New Nursing Assistant: Terminology & Skills Demonstrations DVD which includes:

20 video clip demonstrations from 12 of Medcom’s CNA DVD programs.
Printable PDF files of the "Abbreviations," "Glossary," and "Understanding Medical Terms" sections of The New Nursing Assistant Textbook, 8th Edition

The New Nursing Assistant Textbook 8th Edition

Statistics
Measurements
Practice techniques
Regulations
Professional guidelines
Terminology
New technologies, such as advances in computers and internet use.

This new information continues to be presented in a clear and concise style, using simple language that is easy for students at all levels to comprehend.

Printable PDF files of the "Abbreviations," "Glossary," and "Understanding Medical Terms" sections of The New Nursing Assistant Textbook, 8th Edition

The New Nursing Assistant: Measuring Vital Signs

The measurement of vital signs: including temperature, pulse, respiration, blood pressure and pain, is performed routinely in every healthcare setting. Evaluations of these findings through comparison with previous measurements can indicate important changes in physical and/or emotional conditions. Nursing assistants need to master the basic, yet critically important skills involved in assessing vital signs for all those they provide care to. Medcom's Nursing Assistant program on measuring vital signs has been revised to be more concise and easier to understand by clearly identifying each of the three stages of a procedure: preparation, the procedure itself, and completing care. In addition, this program has been updated to demonstrate the performance of nursing assistant skills as described by the National Nurse Aide Assessment Program (NNAAP).