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The Use of Neuromuscular Monitoring During Standard Induction of Anesthesia

Tracking # 20-1227988

$20.00

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Method Computer-Based Training

Course overview

Reviewed literature has shown that a train-of-four (TOF) of 0/4 before tracheal intubation improved intubating conditions and reduced the incidence of vocal cord damage. Current literature demonstrates that the standard dosing of rocuronium may be insufficient to provide adequate neuromuscular blockade (NMB) for intubation. Operative conditions, blood loss, narcotic requirements, and retractor pressures were all reduced with sufficiently deep neuromuscular blockade.  Use of periferal nerve stimulation (PNS) decreases the amount of reversal agent administered, which is both a cost saving and an improvement in patient safety outcomes. Additionally, clinical subjective assessments frequently fail to detect residual neuromuscular blockade, a condition associated with increased morbidity, length of stay, and cost of care. Objective monitoring is the most effective tool to help providers ensure complete reversal of NMB and return of muscle strength. Assurance of full reversal decreases the incidence of residual paralysis and its associated complications and costs. 

Subject areas

This course counts toward the state boards and subject areas below.

Arkansas State Board of Nursing

Certified Nurse Midwife

1.5h Practice-Focused Continuing Education

Certified Nurse Practitioner

1.5h Practice-Focused Continuing Education

Certified Registered Nurse Anesthetist

1.5h Practice-Focused Continuing Education

Clinical Nurse Specialist

1.5h Practice-Focused Continuing Education

Licensed Practical Nurse

1.5h Practice-Focused Continuing Education

Licensed Psychiatric Technician Nurse

1.5h Practice-Focused Continuing Education

Registered Nurse

1.5h Practice-Focused Continuing Education

Registered Nurse Practitioner

1.5h Practice-Focused Continuing Education

District of Columbia Board of Nursing

Certified Nurse Midwife

1.5h Relevant to Clinical Nurse Midwife Specialty

Clinical Nurse Specialist

1.5h Relevant to Clinical Nurse Specialty

Licensed Practical Nurse

1.5h Licensed Practical Nurse - Continuing Education

Nurse Practitioner

1.5h Relevant to Nurse Practitioner Specialty

Registered Nurse

1.5h Registered Nurse District of Columbia - Continuing Education

Registered Nurse Anesthetist

1.5h Relevant to Registered Nurse Anesthetist Specialty

Florida Board of Nursing

Advanced Practice Registered Nurse

1.5h General

Licensed Practical Nurse

1.5h General

Registered Nurse

1.5h General

Florida Board of Nursing - Certified Nursing Assistants

Certified Nursing Assistant

1.5h General

Florida Council of Licensed Midwifery

Licensed Midwife

1.5h General

Georgia Board of Nursing

Licensed Practical Nurse

1.5h General

Registered Professional Nurse

1.5h General

Kansas State Board of Nursing

Clinical Nurse Specialist

1.5h Approved CNE Related to the Advanced Practice Registered Nurse

Licensed Mental Health Technician

1.5h Continuing Nursing Education (CNE)

Licensed Practical Nurse

1.5h Continuing Nursing Education (CNE)

Nurse Midwife

1.5h Approved CNE Related to the Advanced Practice Registered Nurse

Nurse Practitioner

1.5h Approved CNE Related to the Advanced Practice Registered Nurse

Registered Nurse

1.5h Continuing Nursing Education (CNE)

Registered Nurse Anesthetist

1.5h Approved CNE Related to the Advanced Practice Registered Nurse

Michigan Board of Nursing

Licensed Practical Nurse

1.5h General

Licensed Practical Nurse Special Volunteer

1.5h General

Registered Nurse

1.5h General

Registered Nurse Special Volunteer

1.5h General

Mississippi Board of Nursing

Licensed Practical Nurse

1.5h Continuing education related to nursing

Registered Nurse

1.5h Continuing education related to nursing

New Hampshire Board of Nursing

Advanced Practice Registered Nurse

1.5h General CE

Licensed Practical Nurse

1.5h General CE

Registered Nurse

1.5h General CE

New Mexico Board of Nursing

Certified Nurse Practitioner

1.5h Continuing education relevant to nursing practice

Certified Registered Nurse Anesthetist

1.5h Continuing education relevant to nursing practice

Clinical Nurse Specialist

1.5h Continuing education relevant to nursing practice

Licensed Practical Nurse

1.5h Continuing education relevant to the licensed practical nurse

Registered Nurse

1.5h Continuing education relevant to nursing practice

North Dakota Board of Nursing

Advanced Practice Registered Nurse

1.5h CE Related to Nursing Practice

Licensed Practical Nurse

1.5h CE Related to Nursing Practice

Registered Nurse

1.5h CE Related to Nursing Practice

South Carolina Board of Nursing

Advanced Practice Registered Nurse

1.5h General

Licensed Practical Nurse

1.5h General

Registered Nurse

1.5h General

West Virginia Board of Registered Nurses

Advanced Practice Registered Nurse

1.5h Clinical Management of Patients

Registered Nurse

1.5h Clinical Management of Patients

Wyoming Board of Nursing

Certified Nurse Midwife

1.5h General

Certified Nurse Practitioner

1.5h General

Certified Nurse Specialist

1.5h General

Certified Nursing Assistant

1.5h General

Certified Registered Nurse Anesthetist

1.5h General

Licensed Practical Nurse

1.5h General

Registered Nurse

1.5h General

Disclosure statements

There have been no relevant financial relationships disclosed by planners, authors, or presenters; nor has there been disclosures of any relevant financial relationships with any healthcare related proprietary entity with goods or services relevant to this activity.

Completion Requirements: To receive continuing education credit commensurate with the credit awarded for this on-line activity, the participant must:

  • View all modules.
  • Participate and pass all learning/self-checks.
  • Pass the Post Test with a minimum score of 80%, you will be allowed up to 3 retakes but be aware the post test questions will change with each re-take.
  • Complete and submit the on-line evaluation/survey.

Certificates of Completion: will be available to print immediately upon finishing the completion requirements. You are encouraged to print and save your certificate for your portfolio as required by your licensing body. Interdisciplinary accredited activities, activities having multiple accreditors, will be listed individually on the Certificate of Completion.

Electronic Record Retention: All activity records are kept on file for a minimum of six (6) years.

System Requirements:

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We periodically test our courses in supported browsers on computers running Windows and MacOS. Please be aware that both Microsoft and Apple routinely end their support of older operating systems (for example, Windows XP and Vista, MacOS El Capitan, Yosemite, etc.) and we do not test our courses on these unsupported operating systems.

Mobile Devices

Our courses are periodically tested on a variety of mobile phones and tablets running iOS and Android. While there are far too many different devices out there for us to test on, we strive to test on a representative sample of mobile devices running the latest version of both operating systems.

Internet Connection

For stable video playback in our courses, we recommend your internet connection provide bandwidth of 5 Mbps or faster. The videos in our courses are designed for HD (high definition) playback, but if your internet connection is slow, video resolution may automatically be reduced to a lower resolution in order to continue uninterrupted streaming of the video. Inadequate internet connection speeds may also result in pausing of video playback.

Hardware

The videos in our courses do have sound, so your device will need to support sound with speakers or headphones. Please note that due to the vast number of different hardware configurations available in desktop, laptop, tablet and mobile phone devices, we are unable to provide specifications for minimum hardware requirements.