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Legal Aspects of Nursing

Click the BUY button to purchase the program. Click PREVIEW VIDEO to view an online streaming video preview of the first section of the program where available.
 

Advance Directives: Guidelines for Healthcare Providers

Product code: M118        Reviewed for accuracy: 2011

Overview:

Approaches the subject from the point of view of healthcare staff and offers suggestions for communications with patients. Presents an overview of advance directives, the types, legal implications and patient considerations.

Award Winner: National Council on Family Relations Media Awards

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Advance Directives: The Decision Is Yours

Product code: M119        Reviewed for accuracy: 2011

Overview:

Provides patients and their families with a clear understanding of the reasons for making advance directives and the personal values and other issues when making an advance directive.

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Advance Directives: The Decision Is Yours Hospice Version

Product code: M119H        Reviewed for accuracy: 2011

Overview:

"Hospice Version": Provides patients and their families with a clear understanding of the reasons for making advance directives and the personal values and other issues to consider when making an advance directive.

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Anesthesia Topics for the New JCAHO Survey Process

Product code: 78741        

Overview:

The Anesthesia Department is a high-risk area of any healthcare facility and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has issued several Sentinel Event Alerts directly targeted to increasing safety in this department.

The purpose of this program is to educate clinical staff about the elements for complying with JCAHO requirements for anesthesia.

Objectives:

After viewing this program the learner will be able to:
  • Define anesthesia awareness
  • Explain how to manage patients who have experience awareness
  • Describe risk reduction strategies for preventing OR fires
  • Describe JCAHO's Universal Protocol
  • Explain the differences in the JCAHO's definitions of levels of anesthesia
  • Describe the importance of anesthesia evaluations and issues related to anesthesia equipment

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Bioterrorism and Other Emergencies: Be Prepared, Be Safe

Product code: M235        Reviewed for accuracy: 2011

Overview:

Planning and preparing to provide care in the event of a bioterrorism attack or other emergency is a critical part of working in any healthcare environment. But planning is more than knowing where emergency supplies and exits are. Planning also involves ensuring that healthcare workers know how to keep safe, both physically and mentally. This includes having the families of healthcare workers be prepared for disasters. Studies have shown that providing care to disaster victims is impaired when healthcare workers are concerned about their own families' safety.

This program is designed to help healthcare workers prepare themselves at work, at home and in the community at large, to respond to bioterrorism and other emergencies.

Objectives:

After viewing this program the viewer should be able to:
  • Describe the types of weapons of mass destruction.
  • Describe the types of mass casualty disasters.
  • Describe how to plan for your own family's safety.
  • Describe the facility's disaster plan.
  • Describe the types of personal protective equipment.
  • Describe how community wide planning is used to prepare for disasters.

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Confidentiality: HIPAA Today

Product code: M204TB        Reviewed for accuracy: 2011

Overview:

Confidentiality is the foundation for trust in the patient caregiver relationship. Efforts to maintain and protect confidential information once focused solely on paper medical records. But as communication technology has made it possible to easily store and transmit enormous amounts of medical information through computerized databases, fax machines and the internet, there is an increased danger that confidential information may be revealed to inappropriate individuals.

The three-part series "Confidentiality" describes some of the practical changes that have come about in recent years to help maintain confidentiality in healthcare.

The three programs in this series are:

  • Confidentiality: Maintaining Confidentiality in Your Practice
  • Confidentiality: HIPAA Today
  • Confidentiality: Keeping it Confidential

Objectives:

After Completing this course, you should be able to:
  • Describe the Health Insurance Portability and Accountability Act (HIPAA).
  • Describe various confidentiality considerations in daily practice.
  • Identify ways to keep electronically stored information private.
  • Describe guidelines for maintaining confidentiality with announcements and messages.
  • Explain how privacy rules govern conversations with co-workers.

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Confidentiality: Keeping it Confidential

Product code: M204TC        Reviewed for accuracy: 2011

Overview:

Confidentiality is the foundation for trust in the patient caregiver relationship. Efforts to maintain and protect confidential information once focused solely on paper medical records. But as communication technology has made it possible to easily store and transmit enormous amounts of medical information through computerized databases, fax machines and the internet, there is an increased danger that confidential information may be revealed to inappropriate individuals.

The three-part series "Confidentiality" describes some of the practical changes that have come about in recent years to help maintain confidentiality in healthcare.

The three programs in this series are:

  • Confidentiality: Maintaining Confidentiality in Your Practice
  • Confidentiality: HIPAA Today
  • Confidentiality: Keeping it Confidential

Objectives:

After Completing this course, you should be able to:
  • Identify different types of actions and responses that constitute breach of privacy.
  • Describe some of the consequences of breach of privacy.
  • Identify privacy rules in special settings.
  • Describe some exceptions to the privacy laws.

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Confidentiality: Maintaining Confidentiality in Your Practice

Product code: M204TA        Reviewed for accuracy: 2011

Overview:

Confidentiality is the foundation for trust in the patient caregiver relationship. Efforts to maintain and protect confidential information once focused solely on paper medical records. But as communication technology has made it possible to easily store and transmit enormous amounts of medical information through computerized databases, fax machines and the internet, there is an increased danger that confidential information may be revealed to inappropriate individuals.

The three-part series "Confidentiality" describes some of the practical changes that have come about in recent years to help maintain confidentiality in healthcare.

The three programs in this series are:

  • Confidentiality: Maintaining Confidentiality in Your Practice
  • Confidentiality: HIPAA Today
  • Confidentiality: Keeping it Confidential

Objectives:

After Completing this course, you should be able to:
  • Describe the Health Insurance Portability and Accountability Act (HIPAA).
  • Describe various confidentiality considerations in daily practice.
  • Identify ways to keep electronically stored information private.
  • Describe guidelines for maintaining confidentiality with announcements and messages.
  • Explain how privacy rules govern conversations with co-workers.

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Emergency Care: Legal Liability Issues

Product code: 78711        

Overview:

Because of its unique patient care environment, the emergency department is ripe for medical malpractice claims against physicians, hospitals and staff. This program provides legal information using examples from actual cases to enable healthcare professionals to continue to provide high quality care to patients, while limiting their exposure to negligence lawsuits.

Objectives:

After viewing this program, the learner will be able to:
  • Discuss Common Law rules for providing emergency care
  • Explain the federal statutory duty to provide emergency care
  • Discuss Good Samaritan statutes
  • Discuss a nurse's normal duty to defer to physicians
  • Describe when a nurse must contradict a physician
  • Explain procedures to take when no physician can be found
  • Describe the burden of proof and types of claims
  • Discuss emergency informed consent and documentation

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Getting Ready for Terrorism: Preparing the Healthcare Community for Biological, Chemical, and Radiological Weapons

Product code: M214        Reviewed for accuracy: 2011

Overview:

Terrorism is real. The whole world woke up to this fact on September 11, 2001 in an attack that stunned the United States with its ferocity and its unthinkable nature. Now, all of a sudden, we were all vulnerable and terrorist attack is indeed thinkable. This program discusses these forms of terrorism, the steps that are already underway in the United States to redefine the old focus of disaster preparedness toward disaster management and to enlist healthcare institutions at every level into a comprehensive community-wide management system to address preparedness so we will be ready if terrorism arrives again.

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HIPAA for Healthcare Workers: An Overview

Product code: M224TA    Copyright © 2010
    Reviewed for accuracy: 2011

Update 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 series provides 1.5 hours of continuing nursing education credit.

Objectives:

After completing this course, the learner should be able to:
  • Describe the overall purpose and goals of the Health Insurance Portability and Accountability Act
  • Explain the role of the HIPAA Advisory Team, as well as the role of the individual healthcare worker in ensuring compliance with HIPAA reforms
  • Describe healthcare access, portability and reliability
  • Describe the five rules of administrative simplification

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HIPAA for Healthcare Workers: The Privacy Rule

Product code: M224TB    Copyright © 2010
    Reviewed for accuracy: 2011

Update 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 series provides 1.5 hours of continuing nursing education credit.

Objectives:

After completing this course, the learner should be able to:
  • Describe the Privacy Rule that exists within the Health Insurance Portability and Accountability Act
  • Describe the rule that requires that patients be give written notice of an institution’s privacy rules and practices
  • Explain patient’s rights regarding the privacy of their medical and personal information
  • Describe of key exceptions to the Privacy Rule
  • Describe the most common violations of the Privacy Rule and the consequences for healthcare workers.

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HIPAA for Healthcare Workers: The Security Rule

Product code: M224TC    Copyright © 2010
    Reviewed for accuracy: 2011

Update 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 series provides 1.5 hours of continuing nursing education credit.

Objectives:

After completing this course, the learner should be able to:
  • Describe the overall purpose and goals of the Health Insurance Portability and Accountability Act
  • Explain the difference between administrative, physical and technical safeguards
  • Explain the role of the privacy officer in a healthcare institution
  • Describe the various actions and precautions to take to ensure security of patient information in an electronic format

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Informed Consent: Legal Liability Issues

Product code: 78710        

Overview:

Informed consent is often the basis for negligence claims and physicians are not the only healthcare professionals who can be held liable for negligence is this area.

This program will explain, in general, when and how the duty to ensure that a patient has properly consented to a procedure, can fall on a nurse or other healthcare provider.

Objectives:

After viewing this program the learner will be able to:
  • Define informed consent
  • Describe who must obtain informed consent
  • Explain who can be held liable
  • Cover areas where informed consent is most needed
  • Describe exceptions to the need for informed consent
  • Describe the types of claims that can be brought

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Informed Consent: Basic Principles for Staff Education

Product code: 78765        

Overview:

This program teaches basic regulatory requirements providing adequate information to individuals for whom healthcare treatment or procedures are planned. This information should allow those individuals, as patients, to fully and knowledgeably participate in choices about their healthcare.

This video and workbook will:

  • Educate your healthcare organization about the fundamental right of patients to make informed decisions about consenting to healthcare treatment and procedures
  • Outline the fundamental data elements required to provide the patient with enough information to consent to, or refuse, a treatment or procedure
  • Educate staff about their responsibilities as healthcare providers on what key issues the patient must be told about his or her planned procedure and what type of information a nurse or other clinical care provider generally imparts to the patient
  • Educate staff about general informed consent related to operative and other procedures
  • Educate staff about general informed consent elements related to the transfusion of blood and blood components
  • Educate staff about general informed consent elements related to research projects and clinical trials

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Legal and Ethical Nursing Issues: Foundations

Product code: A2209        

Overview:

As nurses assume a more assertive role in the provision of healthcare, knowledge of medicolegal issues becomes increasingly important. This program reviews sources for legal and ethical guidance and outlines legal-ethical nursing.

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Legal Issues in Home Care: Risk Management and Patient Care

Product code: M181        Reviewed for accuracy: 2011

Overview:

Managing the many risks associated with providing patient care in the home is an important challenge. This program explains the risks and demonstrates procedures designed to reduce risks. Topics also include patient selection, patient and caregiver education, staff competence, incident reporting, patient confidentiality and informed consent.

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Medical Errors, Part 1: New Approaches to an Old Problem

Product code: M206TA        Reviewed for accuracy: 2011

Series Overview:

In 2000 the Institute of Medicine's landmark report, To Err is Human, estimated that one of every 20 Americans who check into a hospital will be the victim of a medical error and that up to 98,000 patients will die from all types of medical errors in a single year. Since that time, professional organizations for healthcare workers and facilities, including the Joint Commission, have worked diligently to develop strategies to reduce these numbers and make patient safety a primary healthcare concern.

This three-part series is designed to provide healthcare workers with background information on the extent of the problem of medical errors and describe specific strategies and practices aimed at reducing medical errors.

The three programs in this series are:

  • Medical Errors, Part 1: New Approaches to an Old Problem
  • Medical Errors, Part 2: Prevention practices
  • Medical Errors, Part 3: Preventing Medication Errors

Overview:

Medical Errors, Part 1: New Approaches to an Old Problem provides an overview of the issue of medical errors in the American healthcare system. The program identifies the different types of medical errors and discusses the "systems approach" as a new way to dramatically reduce them. The program also discusses the process of distinguishing system errors from errors made by individuals.

Objectives:

After completing this course, the learner should be able to:
  • Define the different types of medical errors that can occur.
  • Describe the various aspects of the "systems approach to error prevention", including reporting systems, standardized safety procedures and safety training.
  • Describe the process that institutions must go through when determining whether a medical error was a systems error or an individual error.
  • Explain the types of questions that must be answered in order to determine a systems error vs. an individual error.
  • Describe how the practice of safety consciousness and anticipation of likely errors can be put into daily practice.

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Medical Errors, Part 2: Prevention Practices

Product code: M206TB        Reviewed for accuracy: 2011

Series Overview:

In 2000 the Institute of Medicine's landmark report, To Err is Human, estimated that one of every 20 Americans who check into a hospital will be the victim of a medical error and that up to 98,000 patients will die from all types of medical errors in a single year. Since that time, professional organizations for healthcare workers and facilities, including the Joint Commission, have worked diligently to develop strategies to reduce these numbers and make patient safety a primary healthcare concern.

This three-part series is designed to provide healthcare workers with background information on the extent of the problem of medical errors and describe specific strategies and practices aimed at reducing medical errors.

The three programs in this series are:

  • Medical Errors, Part 1: New Approaches to an Old Problem
  • Medical Errors, Part 2: Prevention practices
  • Medical Errors, Part 3: Preventing Medication Errors

Overview:

Medical Errors, Part 2: Prevention Practices discusses a number of important changes in healthcare practice that are occurring in an effort to reduce medical errors. The program discusses the role and goals of the patient safety team, including the development of standardized safety procedures and the implementation of the National Patient Safety Goals. The program also provides an overview of the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery and the procedures for disclosing medical errors to patients.

Objectives:

After completing this course, the learner should be able to:
  • Describe the overall goals of prevention practices and why implementing them is so important .
  • Explain the purpose and responsibilities of the patient safety team.
  • Describe the importance of standardized safety practices.
  • Identify the National Patient Safety Goals.
  • Describe the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery.
  • Describe the process for proper disclosure of medical errors to patients.

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Medical Errors, Part 3: Preventing Medication Errors

Product code: M206TC        Reviewed for accuracy: 2011

Series Overview:

In 2000 the Institute of Medicine's landmark report, To Err is Human, estimated that one of every 20 Americans who check into a hospital will be the victim of a medical error and that up to 98,000 patients will die from all types of medical errors in a single year. Since that time, professional organizations for healthcare workers and facilities, including the Joint Commission, have worked diligently to develop strategies to reduce these numbers and make patient safety a primary healthcare concern.

This three-part series is designed to provide healthcare workers with background information on the extent of the problem of medical errors and describe specific strategies and practices aimed at reducing medical errors.

The three programs in this series are:

  • Medical Errors, Part 1: New Approaches to an Old Problem
  • Medical Errors, Part 2: Prevention practices
  • Medical Errors, Part 3: Preventing Medication Errors

Overview:

Medical Errors, Part 3: Preventing Medication Errors discusses changes in how medications are handled and administered in American healthcare. The program provides an overview of the different kinds of medication errors that can occur and offers specific guidance on how nursing staff can prevent these errors. The program also reviews the National Patient Safety Goals that directly address the prevention of medication errors.

Objectives:

After completing this course, the learner should be able to:
  • Identify the different types of medication errors that can occur.
  • Explain the steps that must be taken in daily practice to successfully prevent medication errors.
  • Describe best practices that are designed to prevent medication errors.
  • Describe the National Patient Safety Goals that specifically address medication errors.
  • Identify key precautions that can be incorporated into daily nursing practice to help protect patients from the possibility of medication errors.

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Never Events and Hospital-Acquired Conditions: Admission Assessment and Quality Reporting

Product code: M254CR    Copyright © 2009
    Reviewed for accuracy: 2011

Series Overview:

A "Never Event" is an adverse medical event, occurring during care that is unambiguous, serious and preventable. These are shocking medical errors, such as wrong-site surgery, that should never occur. The Centers for Medicare and Medicaid Services (CMS), has moved aggressively to improve patient safety by adopting a policy of actively addressing some of these identified Never Events - and in fact denies payment to providers for some of them, when they do occur. This series identifies specific Never Events and describes practices that can prevent them.

This series is designated for a total of 1.5 contact hours of continuing nursing education.

Overview:

The final program will discuss identifying conditions present on admission, plus the quality measures that need to be reported to CMS in order to qualify for the updated payment schedule.

Updated Info:

This series has been updated with a new title to emphasize Hospital-Acquired Conditions and to reflect the CMS's revised organization of Hospital-Acquired Conditions into the following 10 categories:
      1. Foreign Object Retained After Surgery
      2. Air Embolism
      3. Blood Incompatibility
      4. Stage III and IV Pressure Ulcers
      5. Falls and Trauma
      6. Manifestations of Poor Glycemic Control
      7. Catheter-Associated Urinary Tract Infection (UTI)
      8. Vascular Catheter-Associated Infection
      9. Surgical Site Infection following:
      • Coronary Artery Bypass Graft (CABG) - Mediastinitis
      • Bariatric Surgery
      • Orthopedic Procedures
      10. Deep Vein Thrombosis (DVT )/ Pulmonary Embolism (PE)

Objectives:

After completing this course, the learner should be able to:
  • Define a "Never Event"
  • Describe new indicator codes that have been created for present-upon-admission (POA) diagnoses
  • Identify conditions already present - particularly conditions that CMS is excluding from payment - so that payments will not be reduced
  • Identify the measures that must be reported, which are defined in six areas of care

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Never Events and Hospital-Acquired Conditions: Identifying the Danger

Product code: M254AR    Copyright © 2009
    Reviewed for accuracy: 2011

Series Overview:

A "Never Event" is an adverse medical event, occurring during care that is unambiguous, serious and preventable. These are shocking medical errors, such as wrong-site surgery, that should never occur. The Centers for Medicare and Medicaid Services (CMS), has moved aggressively to improve patient safety by adopting a policy of actively addressing some of these identified Never Events - and in fact denies payment to providers for some of them, when they do occur. This series identifies specific Never Events and describes practices that can prevent them.

This series is designated for a total of 1.5 contact hours of continuing nursing education.

Overview:

This program identifies specific Never Events and provides background information on the CMS's decision to withhold payment of specific never events.

Updated Info:

This series has been updated with a new title to emphasize Hospital-Acquired Conditions and to reflect the CMS's revised organization of Hospital-Acquired Conditions into the following 10 categories:
      1. Foreign Object Retained After Surgery
      2. Air Embolism
      3. Blood Incompatibility
      4. Stage III and IV Pressure Ulcers
      5. Falls and Trauma
      6. Manifestations of Poor Glycemic Control
      7. Catheter-Associated Urinary Tract Infection (UTI)
      8. Vascular Catheter-Associated Infection
      9. Surgical Site Infection following:
      • Coronary Artery Bypass Graft (CABG) - Mediastinitis
      • Bariatric Surgery
      • Orthopedic Procedures
      10. Deep Vein Thrombosis (DVT) / Pulmonary Embolism (PE)

Objectives:

After completing this course, the learner should be able to:
  • Define a "Never Event"
  • Describe the six main categories of Never Events
  • Identify which types of Never Events are most prevalent/reported
  • Describe the steps the NQF and DHHS are taking to reduce the incidence of Never Events
  • Define the payment implications that are instituted by Never Events and identify the 11 hospital-acquired events that incur these payment implications
  • Define "Value-Based Purchasing"

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Never Events and Hospital-Acquired Conditions: Prevention Practices

Product code: M254BR    Copyright © 2009
    Reviewed for accuracy: 2011

Series Overview:

A "Never Event" is an adverse medical event, occurring during care that is unambiguous, serious and preventable. These are shocking medical errors, such as wrong-site surgery, that should never occur. The Centers for Medicare and Medicaid Services (CMS), has moved aggressively to improve patient safety by adopting a policy of actively addressing some of these identified Never Events - and in fact denies payment to providers for some of them, when they do occur. This series identifies specific Never Events and describes practices that can prevent them.

This series is designated for a total of 1.5 contact hours of continuing nursing education.

Overview:

This program will discuss nursing practices that can prevent Never Events - many of which are already in place in healthcare institutions.

Updated Info:

This series has been updated with a new title to emphasize Hospital-Acquired Conditions and to reflect the CMS's revised organization of Hospital-Acquired Conditions into the following 10 categories:
      1. Foreign Object Retained After Surgery
      2. Air Embolism
      3. Blood Incompatibility
      4. Stage III and IV Pressure Ulcers
      5. Falls and Trauma
      6. Manifestations of Poor Glycemic Control
      7. Catheter-Associated Urinary Tract Infection (UTI)
      8. Vascular Catheter-Associated Infection
      9. Surgical Site Infection following:
      • Coronary Artery Bypass Graft (CABG) - Mediastinitis
      • Bariatric Surgery
      • Orthopedic Procedures
      10. Deep Vein Thrombosis (DVT) / Pulmonary Embolism (PE)

Objectives:

After completing this course, the learner should be able to:
  • Define a "Never Event"
  • Identify the 11 hospital-acquired events that currently incur payment implications
  • Implement the practices and measures that should be taken to prevent the occurrence of the 11 Never Events

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Nursing Negligence: Guidelines for Care

Product code: 78864A    Copyright © 2013
    

Series Overview:

Accusations of negligence in nursing is a serious concern for practicing nurses and can result in lost time, money and reputation. This two-part series is designed to raise awareness about the risks, consequences and legal liabilities of nursing negligence. It provides guidance to help nurses protect themselves, their patients and the facility at which they work.

Overview:

This course defines nursing negligence and describes the four legal components of negligence. It provides information on the most common types of negligence including delegation of nursing tasks to unlicensed personnel such as Certified Nursing Assistants (CNAs) and describes the ANA's 5-Rs of delegation.

Objectives:

After completing this course, the learner should be able to:
  • Define nursing negligence
  • Describe the four legal components of nursing negligence
  • Explain the importance of and identify the 5 "R's" of delegation
  • Identify and describe the common forms of nursing negligence

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Nursing Negligence: Protect Yourself, Protect Your Patients

Product code: M215        Reviewed for accuracy: 2011

Overview:

Government reports suggest that one in every 20 hospitals patients is the victim of a medical error each year. According to the conclusions of one report written by the National Academy of Sciences, Institute of Medicine, as many as 14,000 unnecessary deaths occur annually in the United States due to medication errors and many more patients are injured or harmed due to acts of negligence.

Alarmingly, medication errors are just one type of nursing negligence that have serious consequences for patients, for the reputations and licenses of the healthcare professionals involved and the reputation of the entire institution of medicine. Fortunately, there are ways to prevent nursing negligence from occurring.

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Nursing Negligence: What You Can Do

Product code: 78864B    Copyright © 2013
    

Series Overview:

Accusations of negligence in nursing is a serious concern for practicing nurses and can result in lost time, money and reputation. This two-part series is designed to raise awareness about the risks, consequences and legal liabilities of nursing negligence. It provides guidance to help nurses protect themselves, their patients and the facility at which they work.

Overview:

This program features a series of vignettes to provide practical guidance and describes steps nurses can take to protect themselves, their patients and their facilities from acts of negligence and the lawsuits that can result.

Objectives:

After completing this course, the learner should be able to:
  • Explain what can be done to prevent acts of negligence in the workplace
  • Identify various practical situations in which acts of negligence may or may not be occurring

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Preventing Medication Errors Part 1: General Recommendations for System-Wide Change

Product code: M218SA    Copyright © 2009
    Reviewed for accuracy: 2011

Series Overview:

Recent studies from the Food and Drug Administration have determined that about 1.3 million people are injured every year in the United States by errors in medications that they are given in hospitals and at least 7,000 have died. Some form of error occurs in one of every five doses given in our hospitals.

This series is designed to provide nurses with the information they need to increase patient safety by effectively preventing medication errors.

This series is designated for a total of 1.5 contact hours of continuing nursing education.

Overview:

This program reviews general recommendations for large-scale, system wide changes that can be made to prevent medication errors.

Objectives:

After completing this course, the learner should be able to:
  • Explain the various aspects of the systems approach to error prevention, including: reporting systems, standardized safety procedures and safety training.
  • Describe the importance of applying lessons learned from sentinel events.
  • Identify the key attributes of building a new culture of safety to prevent medication errors.

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Preventing Medication Errors Part 2: Sources of Errors and Basic Safety Practices

Product code: M218SB    Copyright © 2009
    Reviewed for accuracy: 2011

Series Overview:

Recent studies from the Food and Drug Administration have determined that about 1.3 million people are injured every year in the United States by errors in medications that they are given in hospitals and at least 7,000 have died. Some form of error occurs in one of every five doses given in our hospitals.

This series is designed to provide nurses with the information they need to increase patient safety by effectively preventing medication errors.

This series is designated for a total of 1.5 contact hours of continuing nursing education.

Overview:

This program identifies common sources of medication errors. It will also describe the five "rights" of medication administration, which is the foundation for safe medication administration practices.

Objectives:

After completing this course, the learner should be able to:
  • Identify the different types of medication errors that can occur.
  • Define the five rights of safe medication administration to help prevent medication errors.
  • Describe additional "rights" that some institutions have defined to help prevent medication errors.

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Preventing Medication Errors Part 3: What Nurses Can Do

Product code: M218SC    Copyright © 2009
    Reviewed for accuracy: 2011

Series Overview:

Recent studies from the Food and Drug Administration have determined that about 1.3 million people are injured every year in the United States by errors in medications that they are given in hospitals and at least 7,000 have died. Some form of error occurs in one of every five doses given in our hospitals.

This series is designed to provide nurses with the information they need to increase patient safety by effectively preventing medication errors.

This series is designated for a total of 1.5 contact hours of continuing nursing education.

Overview:

This program describes best practice recommendations from the Joint Commission that nurses can put in place in their own day-to-day activities. This includes ways to increase patient involvement and education so that they can make a difference and protect themselves from medication errors.

Objectives:

After completing this course, the learner should be able to:
  • Describe safe medication practice measures recommended by the Joint Commission
  • Describe the importance of involving patients themselves in the treatment process as a means of ensuring safer medication administration

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Random Unannounced JCAHO Survey

Product code: 78769        

Overview:

Don't let the thought of a "surprise" survey throw your institution into a panic. You can build confidence through knowing what to expect and plan in advance how your organization can demonstrate JCAHO compliance. Stay prepared with MCN's Random Unannounced JCAHO Survey video and workbook.

This video helps you to focus your energy and resources on those areas of highest concern during a random survey. You and your staff will witness what really happens during the random survey process and learn how to prepare.

Topics covered in the Random Unannounced JCAHO Survey video and workbook include key JCAHO random survey focus areas:

  • Resolution of previous type I recommendations
  • Staff competency and other Human Resource issues
  • Medical staff credentialing
  • Medication management
  • Restraint management
  • Deep and moderate sedation
  • Environment of Care issues
  • Management of ORYX/core measure data and what related documents should always be in a state of review readiness
  • Sentinel event and root cause analysis data requirements
  • Pain management requirements
  • Discharge planning requirements
  • Document review
  • Performance improvement
  • Focus issues during medical record review
  • Documents frequently requested by the surveyor
  • Physical inspection including locations most commonly reviewed
  • Review of personnel files and what the surveyor concerns will be related to clinical competence, staff education and training issues

Use the workbook to help your organization stay in a constant state of readiness, using the "random survey drill" policy to prepare your staff for any type of JCAHO visit!

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Reporting Adverse Drug Reactions

Product code: 78083        

Overview:

Demonstrates the importance of an adverse drug reaction reporting program in successful management of patient care, safety and quality assurance. Increases awareness for compliance with JCAHO and Federal Drug Administration guidelines.

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Restraints and Seclusion: Easy Does It

Product code: 78624        

Overview:

When providing care to our patients, we must also provide a measure of treatment to protect their rights, dignity, and well-being. When a patient acts out in a harmful way to themselves, to other patients, or even to staff, we must be prepared to incorporate the use of behavior management techniques. Although the practice of restraints and seclusion may be necessary, it should only be used as a last resort. The focus of this program is to explore alternative measures.

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Restraints: Alternatives to Restraints

Product code: M252B        Reviewed for accuracy: 2011

Series Overview:

Over the past decade a number of deaths have been attributed to improper use of restraints or seclusion. The concern has become so great that the Joint Commission has issued a sentinel event alert on the subject and the Centers for Medicare and Medicaid Services (CMS), has issued regulations covering their use including a recent final Guidance Document on the use of restraints in 2008.

The new three-part Medcom series with the working title Restraints in Healthcare provides nurses and other healthcare professionals with the information they need to comply with Joint Commission and CMS guidelines and is designated for a minimum of 1.5 hours of continuing nursing education.

Program titles for this series are:

  • Restraints: Legal Considerations and Patient Rights
  • Restraints: Alternatives to Restraints
  • Restraints: Safe Application of Restraints

Overview:

Reducing restraints and implementing alternatives is an important step in the ongoing effort to improve the health and quality of life of anyone under medical care. The purpose of this program is to provide nurses with essential guidance on finding alternatives to restraints.

Objectives:

After completing this course, the learner should be able to:
  • Identify the types of patients that restraints have traditionally and most commonly been used on.
  • Participate in appropriate assessments of patients with the goal of finding alternatives to the use of restraints.
  • Describe the training requirements for medical staff that can help reduce the use of restraints.
  • Participate in careful, individualized care planning to find alternatives for those who might otherwise require the use of restraints.
  • Describe the importance of investigating patients’ problem behaviors to get a clearer understanding of their true needs and find alternative solutions to the use of restraints.

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Restraints: Legal Considerations and Patient Rights

Product code: M252A        Reviewed for accuracy: 2011

Series Overview:

Over the past decade a number of deaths have been attributed to improper use of restraints or seclusion. The concern has become so great that the Joint Commission has issued a sentinel event alert on the subject and the Centers for Medicare and Medicaid Services (CMS), has issued regulations covering their use including a recent final Guidance Document on the use of restraints in 2008.

The new three-part Medcom series with the working title Restraints in Healthcare provides nurses and other healthcare professionals with the information they need to comply with Joint Commission and CMS guidelines and is designated for a minimum of 1.5 hours of continuing nursing education.

Program titles for this series are:

  • Restraints: Legal Considerations and Patient Rights
  • Restraints: Alternatives to Restraints
  • Restraints: Safe Application of Restraints


Overview:

This program will provide learners with a basic understanding of the legal and regulatory issues surrounding the use of restraints in healthcare settings.

Objectives:

After completing this course, the learner should be able to:
  • Describe the basis for the rules on the use of restraints and seclusion.
  • Identify the types of facilities where the CMS rules apply.
  • Describe the type and extent of training required for healthcare professionals authorized to use restraints and seclusion.
  • Take steps to ensure the proper ordering and evaluation of restraints and seclusion.
  • Complete appropriate and timely documentation when restraints and seclusion are used.

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Restraints: Safe Application of Restraints

Product code: M252C        Reviewed for accuracy: 2011

Series Overview:

Over the past decade a number of deaths have been attributed to improper use of restraints or seclusion. The concern has become so great that the Joint Commission has issued a sentinel event alert on the subject and the Centers for Medicare and Medicaid Services (CMS), has issued regulations covering their use including a recent final Guidance Document on the use of restraints in 2008.

The new three-part Medcom series with the working title Restraints in Healthcare provides nurses and other healthcare professionals with the information they need to comply with Joint Commission and CMS guidelines and is designated for a minimum of 1.5 hours of continuing nursing education.

Program titles for this series are:

  • Restraints: Legal Considerations and Patient Rights
  • Restraints: Alternatives to Restraints
  • Restraints: Safe Application of Restraints

Overview:

The purpose of this program is to provide nurses with guidance on the safe application, use and monitoring of restraints when alternatives have proven ineffective.

Objectives:

After completing this course, the learner should be able to:
  • Select restraints that are the least restrictive intervention that will be effective, based on an individualized assessment of the person.
  • Identify and use a variety of the least restrictive restraints, including limb restraints and chair restraints.
  • Conduct safe and appropriate application and monitoring of restraints.
  • Identify and avoid the dangers associated with the use of restraints.

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Sexual Harassment in California Healthcare

Product code: M268CALIF    Copyright © 2012
    

Overview:

Sexual harassment is a serious problem in the United States, and federal and state agencies have responded with strict statutes designed to eliminate it. In California, state law requires that employers with more than 50 employees provide 2 hours of training on sexual harassment to all supervisors and managers. This course is designed to address that need.

Objectives:

After completing this course, the learner should be able to:
  • Define sexual harassment, including the specific types of harassment.
  • Describe how sexual harassment is defined in both federal and California state laws.
  • Describe the legislative history and specific details of federal sexual harassment law.
  • Explain the federal government's stance on corporate and personal liability for sexual harassment.
  • Describe the legislative history and specific details of California sexual harassment law.
  • Identify when and why California legislative bill AB 1825 was implemented.
  • Identify the steps that individuals can take to confront, document, and report sexual harassment.
  • Describe the policies and standards that corporations and their supervisory employees must adhere to in identifying, investigating, and resolving sexual harassment complaints.
  • Explain the California requirements for sexual harassment training of supervisory employees.
  • List the minimum sexual harassment prevention training steps mandated by AB 1825.
  • Describe the consequence of failure to adequately train employees in identifying and dealing effectively with sexual harassment.

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Sexual Harassment in Healthcare

Product code: M268    Copyright © 2012
    

Overview:

Sexual harassment in the workplace has become a national concern, and healthcare workplaces are not immune from the problem. A survey of internal medicine residents by the New England Journal of Medicine reported 79% of the women and 22% of the men felt they had experienced sexual harassment during their medical training. Other surveys have shown very similar results.

This program will discuss what sexual harassment is and how to recognize it in the workplace, the laws that address it, steps a facility must make to prevent it, and a series of steps you can take to deal with acts of harassment in your own working life.

Anyone, male or female, may encounter sexual harassment in a healthcare setting and it is important to understand what it is and how to deal with it.

Objectives:

After completing this course, the learner should be able to:
  • Define sexual harassment, including the specific types of harassment
  • Describe what the law says about sexual harassment and the rights of those who experience it
  • List specific steps and techniques to prevent sexual harassment in the workplace
  • Explain steps to take to deal effectively with the various types of sexual harassment when it occurs

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Victims of Abuse and Neglect: Meeting Identification and Reporting Standards

Product code: 78771        

Overview:

This comprehensive video addresses the JCAHO standards related to victims of abuse and neglect, actually demonstrating for the viewer methods to meet JCAHO compliance requirements.

Your staff will learn:

  • Key factors that lead to abuse/neglect victim identification during assessment processes
  • The signs and symptoms of different types of abuse and neglect
  • Healthcare provider reporting requirements for abuse/neglect victims
  • Types of information that will be requested and examined during your next JCAHO accreditation survey related to identification, reporting and management of abuse/neglect victims

Included in the Victims of Abuse and Neglect - Meeting Identification and Reporting Standards Video and accompanying workbook:
  • An outline of each of the JCAHO standards related to abuse/neglect victim identification, reporting and management and a comprehensive description of what your facility must do to achieve compliance with each of the standards.

  • Complete guide to identification of abuse and neglect related to:

    • Domestic abuse
    • Child abuse/neglect
    • Maternal fetal abuse (chemical dependency/use by mother)
    • Characteristics of abusers
    • Characteristics of victims
    • Overt and covert signs and symptoms of abuse
    • Reporting requirements for healthcare providers

  • Reporting issues:

    • "Good faith" reporting
    • Reasonable cause
    • Safeguards
    • Liability
    • Importance of and requirements for utilizing abuse/neglect identification criteria
    • Allegations versus objectivity
    • Safeguarding evidentiary material
    • Resource provision to victims
    • Documentation requirements
    • Surveyor focus areas during accreditation visit
    • Surveyor interviews with staff and patients

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