Learn from Lisa A. Gorski and 850+ other industry-leading experts.
Browse PlansLisa A. Gorski
MS, RN, HHCNS-BC, CRNI, FAAN
Lisa Gorski has worked for more than 30 years as a clinical nurse specialist (CNS) for Wheaton Franciscan Home Health & Hospice, now part of Ascension at Home, in Milwaukee, Wisconsin. As a CNS, she has developed and oversees the home infusion therapy program, provides staff education, and is involved in agency quality assessment, performance improvement, infection control, and surveillance. She also provides direct patient care.
Lisa received both her bachelor's and master's degrees from the University of Wisconsin-Milwaukee College of Nursing. Her graduate school work focused on the chronically ill patient population. Within her home care agency, she has also focused extensively on preventing hospitalizations, including a focus on the heart failure and chronic obstructive pulmonary disease patient populations. Lisa served on the American Nurses Association committee and helped develop the American Nurses Association Home Health Nursing Scope and Standards of Practice, most recently published in 2015.
Lisa is the author of more than 50 book chapters and journal articles on home care and infusion therapy topics. She is also the author of several books, including the 7th edition of the Manual of IV Therapeutics: Evidence-Based Practice for Infusion Therapy (2018) and Fast Facts for Nurses About Home Infusion Therapy (2017). Lisa has been actively involved with the Infusion Nurses Society (INS) for many years. She served as the 2007-2008 INS president, was the 2017-2019 chairperson of the Infusion Nurses Certification Corporation, is the chair of the INS Standards of Practice Committee, and led the INS Vesicant Task Force. She is an editor for the INS 2010 textbook, Infusion Nursing: An Evidence-Based Approach, and was also an editor for the 2019 edition.
In 2006, Lisa was inducted as a fellow into the American Academy of Nursing. She was named the 2003 CRNI of the Year by INS and the 2011 CNS of the Year by the National Association of Clinical Nurse Specialists. She speaks nationally and internationally on standards development, infusion therapy/vascular access, and home health care. Over the past few years, Lisa has presented well-received presentations in the US, China, Europe, and several Middle Eastern and Latin American countries, addressing standards of practice relative to care of vascular access devices and infusion administration.
Courses with Lisa A. Gorski
Browse Course CatalogParenteral Nutrition (PN) Administration
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN and Clinical Procedure Manual Review Board
Parenteral Nutrition (PN) Administration
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Video Runtime: 10 Minutes; Total Course Timing: 34 Minutes
This course will cover the proper procedure, as well as patient education, documentation guidelines, and care considerations, for parenteral nutrition (PN) administration.
This course will cover the proper procedure, as well as patient education, documentation guidelines, and care considerations, for parenteral nutrition (PN) administration.
Subcutaneous Fluid Administration
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN and Clinical Procedure Manual Review Board
Subcutaneous Fluid Administration
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Video Runtime: 6 Minutes; Total Course Timing: 29 Minutes
This course will cover the proper procedure, as well as patient education, documentation guidelines, and care considerations, for subcutaneous fluid administration.
This course will cover the proper procedure, as well as patient education, documentation guidelines, and care considerations, for subcutaneous fluid administration.
Subcutaneous Medication Administration
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN and Clinical Procedure Manual Review Board
Subcutaneous Medication Administration
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Video Runtime: 6 Minutes; Total Course Timing: 29 Minutes
This course will cover the proper procedure, as well as patient education, documentation guidelines, and care considerations, for subcutaneous medication administration.
This course will cover the proper procedure, as well as patient education, documentation guidelines, and care considerations, for subcutaneous medication administration.
Phlebotomy
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN and Clinical Procedure Manual Review Board
Phlebotomy
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Video Runtime: 7 Minutes; Total Course Timing: 30 Minutes
This course will cover the proper procedure, as well as patient education, documentation guidelines, and care considerations, for phlebotomy.
This course will cover the proper procedure, as well as patient education, documentation guidelines, and care considerations, for phlebotomy.
Peripherally Inserted Central Catheter (PICC) Removal
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN and Clinical Procedure Manual Review Board
Peripherally Inserted Central Catheter (PICC) Removal
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Video Runtime: 5 Minutes; Total Course Timing: 28 Minutes
This course will cover the proper procedure, as well as patient education, documentation guidelines, and care considerations, for removal of a peripherally inserted central catheter (PICC).
This course will cover the proper procedure, as well as patient education, documentation guidelines, and care considerations, for removal of a peripherally inserted central catheter (PICC).
Heart Failure: Medication Management
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Heart Failure: Medication Management
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Video Runtime: 20 Minutes, Learning Assessments: 53 Minutes
This is the second course in the heart failure (HF) certificate program and builds upon content in the first course addressing anatomy and pathophysiology of HF. The certificate course consists of seven modules and is aimed at nurses, therapists, and case managers working in all healthcare settings. The major categories of HF medications, their actions, and potential adverse reactions will be addressed. Issues that impact successful patient medication management are highlighted.
This is the second course in the heart failure (HF) certificate program and builds upon content in the first course addressing anatomy and pathophysiology of HF. The certificate course consists of seven modules and is aimed at nurses, therapists, and case managers working in all healthcare settings. The major categories of HF medications, their actions, and potential adverse reactions will be addressed. Issues that impact successful patient medication management are highlighted.
Preventing and Managing Heart Failure Exacerbation
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Preventing and Managing Heart Failure Exacerbation
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Video Runtime: 24 Minutes, Learning Assessments: 23 Minutes
The fourth course in this heart failure (HF) program addresses exacerbation prevention strategies, including patient and caregiver education. Signs and symptoms that could be managed in the home and expected components of home medical management are discussed. While the HF certificate program is aimed at nurses and therapists across all settings, home care clinicians and nurses working in long-term care facilities will especially benefit from this course. A high level of knowledge is required to effectively assess and monitor for signs of worsening HF. Such knowledge provides the clinician with confidence in assessment, early identification of worsening HF, and patient education.
The fourth course in this heart failure (HF) program addresses exacerbation prevention strategies, including patient and caregiver education. Signs and symptoms that could be managed in the home and expected components of home medical management are discussed. While the HF certificate program is aimed at nurses and therapists across all settings, home care clinicians and nurses working in long-term care facilities will especially benefit from this course. A high level of knowledge is required to effectively assess and monitor for signs of worsening HF. Such knowledge provides the clinician with confidence in assessment, early identification of worsening HF, and patient education.
Anatomy and Pathophysiology of Heart Failure
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Anatomy and Pathophysiology of Heart Failure
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Video Runtime: 15 Minutes, Learning Assessments: 31 Minutes
Among Medicare patients with heart failure (HF), it is estimated that 1 in 4 are readmitted within 30 days of hospital discharge. This HF certificate program consists of seven modules and is aimed at nurses, therapists, and case managers working in all healthcare settings. Home care clinicians in particular must possess a high level of knowledge to effectively assess and monitor for signs of worsening HF, and all clinicians have responsibility for patient and family education. The first course in this series focuses on helping clinicians understand how blood flows through both the normal and the failing heart. The differences between systolic and diastolic HF are explained. Clinicians will benefit from a greater understanding of two types of heart failure, stages of HF, and how the body compensates for the failing heart.
Among Medicare patients with heart failure (HF), it is estimated that 1 in 4 are readmitted within 30 days of hospital discharge. This HF certificate program consists of seven modules and is aimed at nurses, therapists, and case managers working in all healthcare settings. Home care clinicians in particular must possess a high level of knowledge to effectively assess and monitor for signs of worsening HF, and all clinicians have responsibility for patient and family education. The first course in this series focuses on helping clinicians understand how blood flows through both the normal and the failing heart. The differences between systolic and diastolic HF are explained. Clinicians will benefit from a greater understanding of two types of heart failure, stages of HF, and how the body compensates for the failing heart.
Heart Failure Assessment: Monitoring Signs and Symptoms
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Heart Failure Assessment: Monitoring Signs and Symptoms
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Video Runtime: 14 Minutes, Learning Assessments: 28 Minutes
The third course in the heart failure (HF) series continues to build on understanding of the pathophysiology of HF by identifying signs and symptoms of worsening HF through direct clinical assessment and via the use of telehealth systems. While this course is aimed at nurses and therapists across all settings, home care clinicians in particular must possess a high level of knowledge to effectively assess and monitor for signs of worsening HF during each home visit. Such knowledge provides the clinician with confidence in assessment, early identification of worsening HF, and in patient education.
The third course in the heart failure (HF) series continues to build on understanding of the pathophysiology of HF by identifying signs and symptoms of worsening HF through direct clinical assessment and via the use of telehealth systems. While this course is aimed at nurses and therapists across all settings, home care clinicians in particular must possess a high level of knowledge to effectively assess and monitor for signs of worsening HF during each home visit. Such knowledge provides the clinician with confidence in assessment, early identification of worsening HF, and in patient education.
Central Venous Access Device (CVAD): Site Care and Dressing Change, Flushing and Locking
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN and Clinical Procedure Manual Review Board
Central Venous Access Device (CVAD): Site Care and Dressing Change, Flushing and Locking
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Video Runtime: 8 Minutes
A central vascular access device (CVAD) is commonly placed for patients who require weeks or months of infusion therapy. In this training, we'll review the equipment and procedures for CVAD site care, dressing changes, flushing, and locking. This course includes
- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home
This course will cover the most common type of CVADs such as the peripherally inserted central catheter (PICC). Other types of CVADs include subcutaneously tunneled catheters, which are more common for very long courses of infusion therapy such as parenteral nutrition, and nontunneled CVADs, which are less often seen in home care. The implanted vascular port is another type of CVAD but is not addressed in this module.
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.
A central vascular access device (CVAD) is commonly placed for patients who require weeks or months of infusion therapy. In this training, we'll review the equipment and procedures for CVAD site care, dressing changes, flushing, and locking. This course includes
- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home
This course will cover the most common type of CVADs such as the peripherally inserted central catheter (PICC). Other types of CVADs include subcutaneously tunneled catheters, which are more common for very long courses of infusion therapy such as parenteral nutrition, and nontunneled CVADs, which are less often seen in home care. The implanted vascular port is another type of CVAD but is not addressed in this module.
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.
General Infusion Therapy Administration: IV Push, Gravity Drip, Elastomeric Pump, Electronic Infusion Pump
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN and Clinical Procedure Manual Review Board
General Infusion Therapy Administration: IV Push, Gravity Drip, Elastomeric Pump, Electronic Infusion Pump
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Video Runtime: 18 Minutes
Infusion therapy is administered via a variety of methods, depending on the prescribed medication or solution, the frequency of administration, infusion rate requirements, drug stability, patient safety and preferences, and reimbursement. This course will discuss different general infusion therapy administration techniques such as IV push, gravity drip, elastomeric pump and electronic infusion pump.
In this training, we'll review the equipment and procedures for these different infusion methods. This course includes
- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.
Infusion therapy is administered via a variety of methods, depending on the prescribed medication or solution, the frequency of administration, infusion rate requirements, drug stability, patient safety and preferences, and reimbursement. This course will discuss different general infusion therapy administration techniques such as IV push, gravity drip, elastomeric pump and electronic infusion pump.
In this training, we'll review the equipment and procedures for these different infusion methods. This course includes
- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.
Accessing an Implanted Vascular Access Port
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN and Clinical Procedure Manual Review Board
Accessing an Implanted Vascular Access Port
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Video Runtime: 7 Minutes
The implanted vascular access port is a central vascular access device (CVAD) that is placed completely underneath the skin. The port consists of a catheter attached to a reservoir, or port, and is accessed through the skin using a noncoring, or Huber, needle. The port may be located in the chest and placed via the subclavian or internal jugular vein. Alternatively, the port can be placed in the arm above the antecubital area via one of the upper arm veins (e.g., basilic, cephalic, or brachial). As with any CVAD, the catheter tip should be located in the lower third of the superior vena cava at or near the cavoatrial junction. The implanted port is commonly placed for patients who require weeks or months of infusion therapy. The port requires access when needed for infusion therapy or for routine flushing and locking.
In this training, we'll review the equipment and procedures for accessing an implanted vascular access port for patients with CVADs. This course includes
- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.
The implanted vascular access port is a central vascular access device (CVAD) that is placed completely underneath the skin. The port consists of a catheter attached to a reservoir, or port, and is accessed through the skin using a noncoring, or Huber, needle. The port may be located in the chest and placed via the subclavian or internal jugular vein. Alternatively, the port can be placed in the arm above the antecubital area via one of the upper arm veins (e.g., basilic, cephalic, or brachial). As with any CVAD, the catheter tip should be located in the lower third of the superior vena cava at or near the cavoatrial junction. The implanted port is commonly placed for patients who require weeks or months of infusion therapy. The port requires access when needed for infusion therapy or for routine flushing and locking.
In this training, we'll review the equipment and procedures for accessing an implanted vascular access port for patients with CVADs. This course includes
- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.
Peripheral IV Catheter (PIVC) Insertion
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN and Clinical Procedure Manual Review Board
Peripheral IV Catheter (PIVC) Insertion
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Video Runtime: 4 Minutes
A peripheral IV catheter (PIVC) is placed for patients who require several days, but generally less than a week, of infusion therapy when the medication or solution is well tolerated by peripheral veins. Drugs that are irritating, classified as vesicants, or hyperosmolar are administered with caution via a PIVC. A PIVC may also be the vascular access device of choice for patients who require an occasional dose of a medication (e.g., furosemide) or biologic agents (e.g., infliximab) that are administered on a less frequent basis, such as once every four to eight weeks.
In this training, we'll review the equipment and procedures for insertion of a PIVC. This course includes
- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.
A peripheral IV catheter (PIVC) is placed for patients who require several days, but generally less than a week, of infusion therapy when the medication or solution is well tolerated by peripheral veins. Drugs that are irritating, classified as vesicants, or hyperosmolar are administered with caution via a PIVC. A PIVC may also be the vascular access device of choice for patients who require an occasional dose of a medication (e.g., furosemide) or biologic agents (e.g., infliximab) that are administered on a less frequent basis, such as once every four to eight weeks.
In this training, we'll review the equipment and procedures for insertion of a PIVC. This course includes
- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.
Central Venous Access Device (CVAD): Blood Sampling for Laboratory Studies
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN and Clinical Procedure Manual Review Board
Central Venous Access Device (CVAD): Blood Sampling for Laboratory Studies
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Video Runtime: 5 Minutes
Blood withdrawal from central venous access devices, or CVADs, for laboratory studies is a common practice in home health. Patients generally prefer blood withdrawal from CVADs over venipuncture to avoid the brief pain and discomfort associated with venipuncture. Risks of this procedure include bloodstream infection (BSI) due to catheter manipulation at the hub, loss of catheter patency (occlusion), and erroneous laboratory values. Attention to Aseptic Non Touch Technique, or ANTT, and adequacy of flushing and locking will reduce risks of infection/occlusion.
In this training, we'll review the equipment and procedures for CVAD blood sampling for laboratory studies. This course includes
- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.
Blood withdrawal from central venous access devices, or CVADs, for laboratory studies is a common practice in home health. Patients generally prefer blood withdrawal from CVADs over venipuncture to avoid the brief pain and discomfort associated with venipuncture. Risks of this procedure include bloodstream infection (BSI) due to catheter manipulation at the hub, loss of catheter patency (occlusion), and erroneous laboratory values. Attention to Aseptic Non Touch Technique, or ANTT, and adequacy of flushing and locking will reduce risks of infection/occlusion.
In this training, we'll review the equipment and procedures for CVAD blood sampling for laboratory studies. This course includes
- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.
Discontinuing a Chemotherapy Infusion
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN and Clinical Procedure Manual Review Board
Discontinuing a Chemotherapy Infusion
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Video Runtime: 4 Minutes
Chemotherapy infusions are usually set up at the oncology center. Some patients undergoing chemotherapy will receive these infusions at home over several days, with orders for the home care agency nurse to discontinue the infusion. Notably, some patients may be taught to do this procedure independently by the oncology center nurses. Most patients will have an implanted vascular port in place for the infusions. There are a number of chemotherapy infusions that are home administered, 5-fluorouracil being an example of a very common home infusion chemotherapy drug. Chemotherapy drugs are hazardous drugs, based on characteristics including carcinogenicity, teratogenicity, reproductive toxicity, organ toxicity at low doses, and genotoxicity. While there is scarce literature on hazardous drug education for home care nurses, nurses who administer any level of chemotherapy should receive specific education. The Oncology Nursing Society provides excellent online education and recommendations, such as a best practice and a clinical competency for all home care nurses who perform any chemotherapy procedures. While nurses may consider this procedure a task, often referring to it as a "chemotherapy takedown," it involves much more than performing procedures.
In this training, we'll review the equipment and procedures for discontinuing a chemotherapy infusion. This course includes
- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.
Chemotherapy infusions are usually set up at the oncology center. Some patients undergoing chemotherapy will receive these infusions at home over several days, with orders for the home care agency nurse to discontinue the infusion. Notably, some patients may be taught to do this procedure independently by the oncology center nurses. Most patients will have an implanted vascular port in place for the infusions. There are a number of chemotherapy infusions that are home administered, 5-fluorouracil being an example of a very common home infusion chemotherapy drug. Chemotherapy drugs are hazardous drugs, based on characteristics including carcinogenicity, teratogenicity, reproductive toxicity, organ toxicity at low doses, and genotoxicity. While there is scarce literature on hazardous drug education for home care nurses, nurses who administer any level of chemotherapy should receive specific education. The Oncology Nursing Society provides excellent online education and recommendations, such as a best practice and a clinical competency for all home care nurses who perform any chemotherapy procedures. While nurses may consider this procedure a task, often referring to it as a "chemotherapy takedown," it involves much more than performing procedures.
In this training, we'll review the equipment and procedures for discontinuing a chemotherapy infusion. This course includes
- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.
Infection Prevention: Clinical Bag and Transmission-Based Precautions
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Infection Prevention: Clinical Bag and Transmission-Based Precautions
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Video Runtime: 38 Minutes; Learning Assessment Time: 9 Minutes
This course covers infection prevention in home care, focusing on the clinical bag and transmission-based precautions.
This course provides home care and hospice clinicians with essential knowledge required to understand issues relative to infection and infection prevention. Home care clinicians typically carry a clinical bag containing a variety of supplies and equipment required for a home visit. To reduce the risk of transmission of microorganisms between homes, the infection prevention practice of "bag technique" is considered best practice for clinicians and is demonstrated in this course. While standard precautions are applied to the care of all patients in all settings, transmission-based precautions are implemented based on known or suspected patient infection, such as with airborne diseases, like tuberculosis or measles, or with infections due to multidrug-resistant organisms. This course addresses application of transmission-based precautions in the home setting. Lastly, home care workers must recognize their risk for bloodborne and other infectious diseases as they care for patients and families and adhere to practices to reduce that risk.
This course covers infection prevention in home care, focusing on the clinical bag and transmission-based precautions.
This course provides home care and hospice clinicians with essential knowledge required to understand issues relative to infection and infection prevention. Home care clinicians typically carry a clinical bag containing a variety of supplies and equipment required for a home visit. To reduce the risk of transmission of microorganisms between homes, the infection prevention practice of "bag technique" is considered best practice for clinicians and is demonstrated in this course. While standard precautions are applied to the care of all patients in all settings, transmission-based precautions are implemented based on known or suspected patient infection, such as with airborne diseases, like tuberculosis or measles, or with infections due to multidrug-resistant organisms. This course addresses application of transmission-based precautions in the home setting. Lastly, home care workers must recognize their risk for bloodborne and other infectious diseases as they care for patients and families and adhere to practices to reduce that risk.
Infection Prevention: Additional Infection Prevention Interventions
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Infection Prevention: Additional Infection Prevention Interventions
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Video Runtime: 47 Minutes; Learning Assessment Time: 21 Minutes
This course covers infection prevention in home care, focusing on additional prevention interventions.
This course provides home care and hospice clinicians with essential knowledge required to understand issues related to infection and infection prevention. Highlighting data from the Centers for Disease Control and Prevention, this third course in the Infection Prevention series examines the larger, critical patient care issue of antimicrobial resistance. The role that the home care clinician plays in antimicrobial stewardship is described and demonstrated through a case example. Additional infection prevention activities addressed by home care clinicians include the promotion of pediatric and adult vaccinations and adherence to aseptic technique while performing invasive procedures. The reality is that home care patients do develop infections, sometimes despite all best practices applied. Therefore, the home care clinician must recognize signs and symptoms of infection, including the life-threatening response to infection called sepsis. Patient and family education related to antimicrobial resistance, vaccinations, and recognizing infection and sepsis are integrated throughout this course.
This course covers infection prevention in home care, focusing on additional prevention interventions.
This course provides home care and hospice clinicians with essential knowledge required to understand issues related to infection and infection prevention. Highlighting data from the Centers for Disease Control and Prevention, this third course in the Infection Prevention series examines the larger, critical patient care issue of antimicrobial resistance. The role that the home care clinician plays in antimicrobial stewardship is described and demonstrated through a case example. Additional infection prevention activities addressed by home care clinicians include the promotion of pediatric and adult vaccinations and adherence to aseptic technique while performing invasive procedures. The reality is that home care patients do develop infections, sometimes despite all best practices applied. Therefore, the home care clinician must recognize signs and symptoms of infection, including the life-threatening response to infection called sepsis. Patient and family education related to antimicrobial resistance, vaccinations, and recognizing infection and sepsis are integrated throughout this course.
Home Infusion Therapy Part 3: Infusion Administration Basics
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Home Infusion Therapy Part 3: Infusion Administration Basics
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Video Runtime: 52 Minutes; Learning Assessment Time: 29 Minutes
This course provides home care nurses with essential knowledge required to safely administer infusion therapies. Previous courses in this series addressed care, management, and complications relative to the vascular access devices (VAD). This course moves on to infusion of medications/solutions through the VAD. Safety and infection prevention issues include attention to aseptic technique, administration set/add-on device management, and monitoring of the infusion therapy. Patient safety is also maximized through effective and thorough education, allowing patient and/or caregiver independence in self-administration. The type of infusion administration method is selected and based upon multiple factors, including frequency of infusion, infusion rate requirements, drug stability in solution, patient safety and lifestyle concerns, patient preference, and reimbursement. Indications for and advantages and disadvantages of each type of infusion method are included in this course.
This course provides home care nurses with essential knowledge required to safely administer infusion therapies. Previous courses in this series addressed care, management, and complications relative to the vascular access devices (VAD). This course moves on to infusion of medications/solutions through the VAD. Safety and infection prevention issues include attention to aseptic technique, administration set/add-on device management, and monitoring of the infusion therapy. Patient safety is also maximized through effective and thorough education, allowing patient and/or caregiver independence in self-administration. The type of infusion administration method is selected and based upon multiple factors, including frequency of infusion, infusion rate requirements, drug stability in solution, patient safety and lifestyle concerns, patient preference, and reimbursement. Indications for and advantages and disadvantages of each type of infusion method are included in this course.
Indwelling Urinary Catheters and Home Care Management: Part 1
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Indwelling Urinary Catheters and Home Care Management: Part 1
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Video Runtime: 33 Minutes; Learning Assessment Time: 21 Minutes
As many as 11% of home care patients in the US have indwelling urinary catheters, more commonly referred to as Foley catheters. These catheters are associated with significant urethral, bladder, and kidney morbidity yet are necessary for home care patients who have conditions such as chronic urinary retention or urinary incontinence that cannot be managed with a less invasive method. To reduce the risk for catheter-related complications, home care nurses must possess sound decision-making relative to appropriate indications for placement, understand catheter types/sizes and features, and attend to aseptic technique during insertion. This course provides the home care nurse with essential information regarding indications for indwelling urinary catheters, types and characteristics of catheters, advantages and disadvantages of various catheter drainage systems, and best practices relative to catheter insertion and replacement. Patient case scenarios are incorporated throughout this course.
As many as 11% of home care patients in the US have indwelling urinary catheters, more commonly referred to as Foley catheters. These catheters are associated with significant urethral, bladder, and kidney morbidity yet are necessary for home care patients who have conditions such as chronic urinary retention or urinary incontinence that cannot be managed with a less invasive method. To reduce the risk for catheter-related complications, home care nurses must possess sound decision-making relative to appropriate indications for placement, understand catheter types/sizes and features, and attend to aseptic technique during insertion. This course provides the home care nurse with essential information regarding indications for indwelling urinary catheters, types and characteristics of catheters, advantages and disadvantages of various catheter drainage systems, and best practices relative to catheter insertion and replacement. Patient case scenarios are incorporated throughout this course.
Indwelling Urinary Catheters and Home Care Management: Part 2
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Indwelling Urinary Catheters and Home Care Management: Part 2
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Video Runtime: 38 Minutes; Learning Assessment Time: 24 Minutes
As many as 11% of home care patients in the US have indwelling urinary catheters, more commonly referred to as Foley catheters. In Part 2 of this course, the fundamentals of catheter care and management are summarized. Unfortunately, complications associated with indwelling urinary catheters are common, and home care nurses must possess a comprehensive body of knowledge to effectively manage such complications. Addressed are catheter-associated urinary tract infection (CAUTI), obstruction, encrustation, and bladder spasms. Because patients with long-term catheters universally have bacteria in their urine, nurses must understand the difference between colonization and infection, the problem of antimicrobial resistance, and the role of the nurse in antimicrobial stewardship. Because causes and preventive interventions for complications often overlap, nurses must apply critical thinking skills when planning actions and interventions. Case examples are used throughout this course to demonstrate the problem-solving approach. Key points for patient education are highlighted. Lastly, the importance of the nurse's role in supporting patients is emphasized as acceptance and adjustment to living with a catheter take time and impact quality of life for many patients and caregivers.
As many as 11% of home care patients in the US have indwelling urinary catheters, more commonly referred to as Foley catheters. In Part 2 of this course, the fundamentals of catheter care and management are summarized. Unfortunately, complications associated with indwelling urinary catheters are common, and home care nurses must possess a comprehensive body of knowledge to effectively manage such complications. Addressed are catheter-associated urinary tract infection (CAUTI), obstruction, encrustation, and bladder spasms. Because patients with long-term catheters universally have bacteria in their urine, nurses must understand the difference between colonization and infection, the problem of antimicrobial resistance, and the role of the nurse in antimicrobial stewardship. Because causes and preventive interventions for complications often overlap, nurses must apply critical thinking skills when planning actions and interventions. Case examples are used throughout this course to demonstrate the problem-solving approach. Key points for patient education are highlighted. Lastly, the importance of the nurse's role in supporting patients is emphasized as acceptance and adjustment to living with a catheter take time and impact quality of life for many patients and caregivers.
Infection Prevention: Standard Precautions
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Infection Prevention: Standard Precautions
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Video Runtime: 33 Minutes; Learning Assessment Time: 24 Minutes
This course provides home care and hospice clinicians with the essential knowledge required to understand issues relative to infection and infection prevention. Infections are often an underestimated home care problem. The home is a unique setting that presents with distinctive challenges as compared to hospitals and other inpatient settings. The Medicare Conditions of Participation and accreditation organizations require that home care agencies maintain an infection control program that includes surveillance, infection identification, prevention, and control of infections. Part I of this course begins with an overview of issues specific to home care and infection control. The remainder of the course focuses on application of standard precautions as applied in the home care setting.
This course provides home care and hospice clinicians with the essential knowledge required to understand issues relative to infection and infection prevention. Infections are often an underestimated home care problem. The home is a unique setting that presents with distinctive challenges as compared to hospitals and other inpatient settings. The Medicare Conditions of Participation and accreditation organizations require that home care agencies maintain an infection control program that includes surveillance, infection identification, prevention, and control of infections. Part I of this course begins with an overview of issues specific to home care and infection control. The remainder of the course focuses on application of standard precautions as applied in the home care setting.
Home Infusion Therapy Part 1: Vascular Access Device Selection & Care
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Home Infusion Therapy Part 1: Vascular Access Device Selection & Care
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This course provides home care nurses with essential knowledge required to safely manage patients who require vascular access devices (VAD). This course begins with the presentation of a model for home infusion therapy, describing how vascular access device care fits into the larger picture for provision of safe home infusion therapy. Participants will learn about the importance of vascular access device selection and the main categories of central VADs (CVAD) and peripheral catheters placed for home infusion therapy. The required care and maintenance, including key areas for assessment and setting the stage for effective patient education, are addressed. This presentation is followed by Part II, where potential complications will be explored including signs and symptoms, preventative interventions, and management.
Home Infusion Therapy Part 2: Vascular Access Device Complications
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Home Infusion Therapy Part 2: Vascular Access Device Complications
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Video Runtime: 70 Minutes; Learning Assessment Time: 33 Minutes
Although the overall safety of home infusion therapy has been established over the past 30-some years, infusion therapy is still a high risk area of practice for patients who require an invasive device such as a peripheral or central vascular access device. In this course, potential complications will be explored including signs and symptoms, preventative interventions, and management.
Although the overall safety of home infusion therapy has been established over the past 30-some years, infusion therapy is still a high risk area of practice for patients who require an invasive device such as a peripheral or central vascular access device. In this course, potential complications will be explored including signs and symptoms, preventative interventions, and management.
Caring for a Patient with Heart Failure: Reducing Hospitalization Risk
Presented by Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI, FAAN
Caring for a Patient with Heart Failure: Reducing Hospitalization Risk
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Video Runtime: 65 Minutes; Learning Assessment Time: 28 Minutes
Heart failure (HF) is a common diagnosis, affecting up to about 5.7 million adults in the US. It is a leading cause for hospitalization, with an estimated annual cost to the country of $30.7 billion (CDC, 2016). Treatment of this chronic and progressive condition includes medications, reduction of dietary sodium, and daily activity. Many hospitalizations for heart failure exacerbations are preventable when contributing factors are understood, when attention is paid to early signs/symptoms, and when the focus is on patient and family self-care management. This course provides the home care clinician with an overview of heart failure, including basic pathophysiology and medical management and evidence-based recommendations aimed at prevention of rehospitalization.
Heart failure (HF) is a common diagnosis, affecting up to about 5.7 million adults in the US. It is a leading cause for hospitalization, with an estimated annual cost to the country of $30.7 billion (CDC, 2016). Treatment of this chronic and progressive condition includes medications, reduction of dietary sodium, and daily activity. Many hospitalizations for heart failure exacerbations are preventable when contributing factors are understood, when attention is paid to early signs/symptoms, and when the focus is on patient and family self-care management. This course provides the home care clinician with an overview of heart failure, including basic pathophysiology and medical management and evidence-based recommendations aimed at prevention of rehospitalization.
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