The system for documenting patient education electronically This course is 1 Contact Hour 1. Read the Continuing Education article.

2. Go online to to take the test for $12. If you are an Unlimited CE subscriber, you can take this test at no additional charge. You can sign up for an Unlimited CE membership at for $49.95 per year.


Courses must be completed by June 30, 2018

3. If the course you have chosen to take includes a clinical vignette, you will be asked to review the vignette and answer 3 or 4 questions. You must answer all questions correctly to proceed. If you answer a question incorrect- ly, we will provide a clue to the correct answer.

4. Once you successfully complete the short test associ- ated with the clinical vignette (if there is one), proceed to the course posttest. To earn contact hours, you must achieve a score of 75%. You may retake the test as many times as necessary to pass the test.

5. All users must complete the evaluation process to complete the course. You will be able to view a certifi- cate on screen and print or save it for your records.

ACCREDITED OnCourse Learning is accredited as a provider

of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Accredited status does not imply endorsement by the provider or ANCC of any commercial products displayed in conjunction with this activity.

OnCourse Learning is also accredited by the Florida Board of Nursing and the Georgia Board of Nursing (provider # 50-1489). OnCourse Learning is approved by the California Board of Registered Nursing, provider # CEP16588.


You can take this test online or select from the list of courses available.

Prices subject to change. QUESTIONS

Or for a complete listing of our courses Phone 800-866-0919 Email

28 Visit us at • 2016

asks not what you’ve taught, but how much the learner under- stands. For each topic, the choices are: • No understanding • Able to state general concept • Tells details or demonstrates accurately • Solves a presented problem This tells other team members where teaching left off so they

can build on your progress. This documentation is made avail- able electronically to primary care providers and specialists who provide follow-up so teaching can be continued. The hospital also makes the expectation for teach-back clear

on admission. Every handout produced in-house includes teach-back points. They end, “Now that you’ve read this, tell your nurse or doctor …” emphasizing key messages. This nor- malizes the use of teach-back, showing it is standard practice for every patient. Within 24 hours of admission, each family gets a journey

board that shows all the topics they need to be able to demon- strate knowledge of to ensure a safe discharge. Every topic required by the accrediting agency is included on the journey board such as medication and equipment education. Journey boards are not teaching checklists, but individualized to meet the learner’s needs. Teaching can be done in any order. If a topic does not apply, it is skipped. You can see examples of these journey boards, teach-back points, and handouts by downloading a free app titled, “Our Journey in the Hospital,” which applies to any diagnosis. Search the app store of your smartphone or tablet for “Our Journey” to find a journey board app on a specific topic that interests you, such as asthma, surgery, or tube feeding. Because this project is housed in Phoenix Children’s Hospital,

these apps and handouts are pediatric focused. For adults, there are many apps with health information that don’t include teach- back points. However, when discussing the contents with the patient, you can create your own teach-back points. Examples include “Show your nurse or doctor how you will give yourself insulin” or “Tell your nurse or doctor what steps you will take if you have symptoms of low blood sugar.” Apps that track personal information, such as blood pressure or blood sugars, can be also be used to facilitate educational conversations. The hospital does not limit teach-back to English speaking

patients. AHRQ suggests using teach-back to confirm patient understanding is especially important in patients with limited English proficiency.9

Handouts translated in other languages

include teach-back points. Journey boards are available in English and Spanish, and journey board apps toggle between the two languages. The hospital also encourages language interpreters to remind healthcare professionals to evaluate understanding. Since using an interpreter makes the conversation longer, it may be easy to forget to make sure your teaching was clear. It is important to use teach-back with all learners. While not every organization will have the resources to

develop apps for patients and families, they can support in- tegration of teach-back into their culture by providing the opportunity for staff to learn and practice teach-back conver- sations. Electronic medical records can be designed to facilitate

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