Advanced Cardiac Life Support (ACLS)

Airway Management

Care of the Patient with
Chest Pain

Care of the Patient with
Sign of Stroke

Diabetes Today

Environmental Issues

Exposures in the ED

Initial Burn Management

Management of Congestive Heart Failure

Methamphetamine
& Your Patient

Multiple Trauma

Respiratory Emergencies (with CPAP/BiPAP content)

The Things We Wish our Geriatric Trauma Patient would Say!

Overview of 2010 American Heart Association Guidelines

Advanced Cardiac Life Support (ACLS)

Designed to teach providers the knowledge and skills needed to evaluate and manage the first 10 minutes of the adult VF/VT arrest. Students are expected to learn to manage 10 core ACLS cases: respiratory emergency, 4 types of cardiac arrest, and 4 types of prearrest emergencies. This course is conducted using the American Heart Association curriculum. Option for simulator use available.

ACLS for Experienced Providers

This course is designed for seasoned ACLS providers who wish to renew their provider status. The course provides a stimulus for clinicians to identify and discuss resuscitation in special circumstances. This course is conducted using the American Heart Association’s curriculum.

Airway Management
(Patient Simulator Course)

Students will learn the following for multiple airway management interventions:

1. List the indications & contraindications
2. Describe the procedure
3. Demonstrate the procedures for use or insertion as is appropriate for the learner’s scope of practice.

Breastfeeding is widely recognized as one of the most important contributors to infant health which has led to the adoption of breastfeeding policies by many health and professional organizations in the United States. This class will offer current evidence based information to assist health care providers in delivering care that promotes and supports breastfeeding.
A Registered Nurse and International Board Certified Lactation Consultant will present course content that includes:

• Historical, cultural, and societal perspectives that influence breastfeeding;
• Policies which support and promote breastfeeding;
• Current evidence related to benefits of breastfeeding for moms and babies;
• Properties of human milk;
• Anatomy and physiology important to lactation;
• Clinical guidelines for establishment of exclusive breastfeeding including skin to skin contact, positioning and latching techniques;
• Breastmilk and medications, alcohol and illicit substances;
• Maternal nutrition;
• Maternal conditions which impact breastfeeding;
• Infant conditions which impact breastfeeding;
• Management of common problems associated with breastfeeding;
• Pumping and storing milk / return to work issues;
• Counseling the breastfeeding mom.

Basic Life Support
(BLS or CPR)

This course is conducted using the American Heart Association curriculum.

Cardiac Rhythm Recognition

This course begins with a brief overview of the cardiac electrical system and a discussion on the characteristics of the normal ECG complex. Using a systematic approach, the learner is guided through identification of atrial, junctional and ventricular dysrhythmias, AV blocks, and paced rhythms.

Care of the Morbidly Obese Patient

This 2 ½ hour presentation is designed to increase awareness on how to effectively care for the morbidly obese patient. The program objectives are:

1. Define overweight, obese, and morbidly obese.
2. Explore health consequences of obesity and morbid obesity.
3. Understand assessment challenges and treatment strategies.
4. Identify equipment options for care.

Care of the Patient with Chest Pain (Patient Simulator Course)

On Completion of this program, the students will be able to:

1. List signs and symptoms of non-cardiac etiologies for chest pain.
2. Describe signs and symptoms of the patient presenting with an acute coronary syndrome.
3. Describe positive diagnostic study results for a patient with acute myocardial infarction.
4. Demonstrate care of the patient presenting with chest pain.

Care of the Patient with Signs of Stroke (Patient Simulator Course)

On completion of this program, students will be able to:

1. list signs and symptoms of cerebrovascular accident (CVA)
2. Describe diagnostic studies for CVA
3. Describe differential diagnoses for patients with signs and symptoms of stroke
4. Demonstrate care of the patient with an acute ischemic or hemorrhagic stroke.

Diabetes Today (Patient Simulator Course)

On completion of this course the learner will be able to:

1. Define Diabetes Mellitus
2. Describe the pathophysiologic changes that occur resulting in Type I and Type II diabetes
3. Identify the different causes of type I and type II diabetes
4. Identify the symptoms associated with diabetes
5. Discuss disease diagnosis
6. Discuss disease management for Type I and Type II diabetes, including medical management and life-style changes.
7. Identify complications associated with diabetes and their prevention
8. Demonstrate the identification and treatment of three life-threatening complications associated with diabetes: Diabetic Ketoacidosis, Hyperosmolar Hyperglycemic Syndrome, and Hypoglycemia.

Emergency Nurse Pediatric Course (ENPC)

ENPC is a 16-hour course designed to provide core-level pediatric knowledge and psychomotor skills needed to care for pediatric patients in the emergency setting. The course presents a systematic assessment model, integrates the associated anatomy, physiology and pathophysiology, and identifies appropriate interventions. Triage categorization and prevention strategies are included in the course content. ENPC is taught using a variety of formats, including lectures, videotapes and includes skill stations that encourage participants to integrate their psychomotor abilities into a patient situation in a risk-free setting.
ENA's Emergency Nursing Pediatric Course provides participants the opportunity to strengthen and develop their pediatric emergency nursing skills while expanding their personal growth by collaborating with nurses from a variety of practice settings. ENPC brings together participants from various emergency department settings as well as nurses working in other specialties of nursing.

EMS Education:
(Initial EMT Courses, EMT Endorsement Training, Continuing Education & EMT Refresher Courses)

MHN will provide EMS CE on the topics of your choice.  Education may be provided in a scheduling format that meets your needs: a 2-hour session, an 8-hour day, or a full weekend.  A patient simulator may be utilized provide an opportunity to practice skills and scenarios on the content related to the selected topics.

Environmental Issues
(Patient Simulator Course)

On completion of this program, students will be able to:

1. List the signs and symptoms of
1. Hypothermia
2. Heat Stroke
3. Rattlesnake Envenomation
2. Describe the management of each of the emergencies listed above.
3. Demonstrate the care of the patient with each of the emergencies listed above.

Heartsaver First Aid

This American Heart Association course teaches how to manage illness and injury in the first few minutes until professional help arrives. Course content includes General Principles, Medical Emergencies and Injury Emergencies. Optional topics include CPR and AED, and Environmental Emergencies.

Heartsaver Pediatric First Aid

This American Heart Association course teaches how to manage illness and injuries in a child in the first few minutes until professional help arrives. Topics include First Aid Basics, Medical Emergencies, Injury Emergencies, Environmental Emergencies, Optional First Aid Topics and CPR and AED.

Initial Burn Management
(Patient Simulator Course)

At the conclusion of this program, the learner will be able to:

1. Identify special considerations unique to the initial assessment of the burn patient.
2. Determine the depth, extent and severity of a thermal burn.
3. Describe special considerations for victims with electrical burn injuries.
4. Demonstrate initial management for a patient with burns.

Instructor Courses: BLS, ACLS & PALS

Please contact us for information on American Heart Association Instructor Courses.

This class provides the didactic information and skill practice needed for LPNs who did not have IV therapy as part of their basic college curriculum. The class also provides an opportunity for all nurses to review the basics of IV therapy.
The following will be covered:

• Peripheral IV initiation, monitoring, discontinuation.
• Calculating and adjusting IV infusion flow rate, including monitoring and discontinuing infusions;
• Observing and reporting subjective and objective signs of adverse reactions to any IV administration and initiating appropriate nursing interventions;
• Drawing blood samples;
• Monitoring access site and performing site care and maintenance;
• Monitoring infusion equipment;
• Changing administration set, including add-on device and tubing;
• Performing intermittent flushes for line patency maintenance;
• Converting a continuous infusion to an intermittent infusion;
• Initiating and administering IV medications and fluids that are commercially prepared or mixed and properly labeled by an appropriate licensed professional.
• Administering the approved medications for adult clients via push or bolus;
• Administering, monitoring, and discontinuing parenteral nutrition, fat emulsion solutions;
• Assuming the monitoring of the administration of blood, blood components, or plasma volume expanders;
• Discontinuing the infusion of blood, blood components, or plasma volume expanders.
  

Medical Aspects of Body Piercing

This 2 ½ hour presentation details information on managing patients with piercings. The program objectives are:

1. List types of body piercings.
2. Describe how to remove body jewelry.
3. Detail special considerations when conducting medical exams and procedures for patients with body piercings.

Methamphetamine & Your Patient (Patient Simulator Course)

On completion of this program, students will be able to:

1. Describe physiological signs of use of methamphetamine
2. List psychological effects of methamphetamine
3. Detail care of children who were in a clandestine meth lab.
4. Demonstrate care of the patient who is under the influence of methamphetamine.

Multiple Trauma
(Patient Simulator Course)

On completion of this program, students will be able to:

1. Conduct a primary survey.
2. Identify all life threatening conditions
3. Perform or assist in performing interventions for life threatening conditions.
4. Demonstrate care of the multiple trauma patient.

Neonatal Resuscitation Program

The Neonatal Resuscitation Program (NRP) content is based on the American Academy of Pediatrics and American Heart Association Guidelines of Cardiopulmonary Resuscitation and Cardiovascular Care of the Neonate. The standard-length NRP Provider Course consists of 9 lessons and introduces the concepts and basic skills of neonatal resuscitation. Each lesson and its general content are defined below.

• OVERVIEW AND PRINCIPLES OF RESUSCITATION encompasses normal newborn physiology, principles of neonatal resuscitation, risk factors, and personnel and equipment needed for neonatal resuscitation.
• INITIAL STEPS IN RESUSCITATION includes how to tell if a newborn needs resuscitation, how to establish an airway and provide initial steps of resuscitation including administering oxygen, as well as management of a newborn with meconium stained amniotic fluid.
• USE OF RESUSCITATION DEVICES includes when and how to administer positive pressure ventilation and how to evaluate its effectiveness.
• CHEST COMPRESSIONS includes when and how to administer chest compressions and when to discontinue chest compressions.
• ENDOTRACHEAL INTUBATION includes indications for endotracheal intubation during resuscitation, how to prepare and select appropriate equipment for intubation, how to perform intubation.
• MEDICATIONS includes what medications are used during resuscitation, medication indications and administration techniques, appropriate volume expanders, technique for insertion of umbilical venous catheter.
• SPECIAL CONSIDERATIONS covers special situations that may complicate resuscitation and cause ongoing problems after resuscitation; content also includes how to apply resuscitation principles beyond the immediate newborn period and outside of the hospital setting.
• RESUSCITATION OF BABIES BORN PRETERM includes special precautions and risk factors associated with preterm birth as well as additional resources and personnel required for resuscitation of preterm infants.
• ETHICS AND CARE AT THE END OF LIFE includes discussion of ethical principles associated with starting and stopping neonatal resuscitation including communication among team member and parents.

Nonviolent Crisis Intervention

The Nonviolent Crisis Intervention® training program is a holistic behavior management system based on the philosophy of providing the best Care, Welfare, Safety, and SecuritySM for staff and those in their care, even during the most violent moments. The program focuses on preventing disruptive behavior by communicating with individuals respectfully and with concern for their well-being. The program teaches physical interventions only as a last resort—when an individual presents an imminent danger to self or others—and all physical interventions taught are designed to be nonharmful, noninvasive, and to maintain the individual's dignity. Follow-up debriefing strategies are also key components of the training program. This 1 1/2-day course is conducted by an instructor certified by the Crisis Prevention Institute.

Nursing Continuing Education

MHN is available to provide nursing continuing education on topics of your choice.  Topics may be clinical or nonclinical, focused on acute care or long term care.  Contact us to discuss your needs and interests.

Pediatric Advanced Life Support (PALS)

The goal of this course is to teach students how to recognize infants and children at risk for cardiopulmonary arrest, to provide students with strategies for preventing cardiopulmonary arrest in infants and children, and to teach students how to perform the cognitive and psychomotor skills for resuscitating and stabilizing infants and children in respiratory failure, shock, or cardiopulmonary arrest. This course is conducted using the American Heart Association curriculum.

Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS) Course

This one-day American Heart Association course is ideal for prehospital providers, in-hospital healthcare providers outside of critical and emergency care areas, and outpatient clinic staff. The PEARS course helps build the foundation for core assessment and recognition knowledge, including how to:

1. Identify a pediatric victim at risk of severe cardiopulmonary distress.
2. Recognize the signs of impending respiratory failure or shock.
3. Initiate the appropriate treatment for cardiopulmonary failure & arrest, respiratory distress & failure, and shock.
4. Follow recommended procedures for preventing disability and death in children. This American Heart Association course .

TeamSTEPPS (Strategies and Tools to Enhance Performance and Patient Safety)

A teamwork system designed to improve quality, safety, and efficiency of healthcare; offering a powerful solution to improving patient safety within your organization. TeamSTEPPS™ is an evidence-based teamwork system aimed at optimizing patient outcomes by improving communication and other teamwork skills among healthcare professionals. TeamSTEPPS™ was developed by the Department of Defense (DoD) Patient Safety Program, in collaboration with the Agency for Healthcare Research and Quality (AHRQ).

Trauma Nurse Core Course (TNCC)

This Emergency Nurses Association course prepares the nurse to provide care for the trauma patient. The TNCC is a 16 hour course designed to provide the learner with cognitive knowledge and psychomotor skills.

Safe Sitter ®

Safe Sitter ® teaches adolescent babysitters how to handle crises, how to keep their charges secure, and how to nurture and guide a young child. In short, Safe Sitter ® babysitters help children stay safe and sound while their parents are away. In the process, these 11-to-13-year-olds emerge as more confident, responsible and compassionate teens and adults.

A certified wound care nurse will present this program. Student learning objectives:

• Describe the role of a wound care nurse,
• Detail the anatomy and physiology of skin.
• Differentiate between acute and chronic wounds.
• Describe the etiology, risk factors, appearance, and treatment modalities for venous, arterial, diabetic and pressure wounds.
• Discuss the various available dressings and their appropriate use.
• Perform an ankle-brachial index.
• Perform a basic wound assessment.