Free CEUs and Continuing Medical Education for Respiratory Therapy

The CRCE You Need Today for RT License Renewal 

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Asthma Management Program- Facts about Asthma. Myths about Asthma. Assessment and Monitoring. Diagnosis and Severity of Asthma. Measurement of Lung Function Control of Environmental Factors. Environmental Allergens. Irritants and other factors. Pharmacologic Management, Pathophysiology. Bronchodialator medication. Anti-inflammatory medication. Patient Education. Partnership with the patient. Inhaler and Peak Flow Meter technique.   7.0 Free CRCE

Using Noninvasive Treatment to Manage Respiratory Distress in Pediatric Patients- Reviews the various forms of noninvasive ventilation available for use in children. Discusses indications for and techniques used for initiating NIV in transport, emergency department and acute care settings. Reviews potential hazards of NIV.  1.0 Free CRCE

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Pediatric Tracheostsomy and use of the Passy Muir Valve- Identify the timing and indications of pediatric tracheostomy. Review the physiological impact of tracheostomy on development and the positive impact of the Passy-Muir valve on functions of the upper airway. Present specific evaluation and treatment techniques with case studies and video samples. Collaborate with family and appropriate clinical team members for optimal treatment.  1.0 Free CRCE

Courses featured in Clinical Foundations- A Patient-focused Education Program for Respiratory Therapists. (Note: CRCE expiration dates on the linked articles tend to be inaccurate, many of the educational offerings are extended past the original exp date. As long as the test is still available, you will be able to take it and print your certificate immediately. We update & remove expired courses or add new ones weekly)

Filtration of Breathing Gases -Filtration of contaminated breathing gases is a necessary measure in mechanical ventilation.There are two types of filters available for filtration of breathing gases: mechanical filters and electrostatic filters. Use of these filters can potentially minimize the risk of infection and cross-contamination to patients, caregivers and visitors in the critical care setting. For optimal filter function, attention must be paid to factors such as humidity, airflow rate, filter drying or obstruction, decreased performance with anesthetic gases, and the possible buildup of toxic gases in closed anesthesia circuits.   2 Free CRCE Link to Post-Test   (Issue 12)

Humidification During Non-Invasive Ventilation- Questions addressed include whether short-term humidification during NIV can be used in the emergency room, issues to consider when using an artificial nose during NIV, pros and cons of using a heat and moisture exchanger or a heated humidifier during NIV, potential physiological irregularities that can arise during NIV without humidification, and assessment of success.  2 Free CRCE  Link to Post-Test  (Issue 10)

Management of the Difficult Airway & Prehospital Management of the Difficult Airway-discusses the various treatment options for managing the failed intubation. Modern airway management has evolved with the introduction of supraglottic devices as well as newer techniques to facilitate endotracheal intubation. Device options reviewed here include the fiberoptic bronchoscope, rigid fiberoptic laryngoscopes, the lighted stylette,GlideScope or Video Macintosh video laryngoscopic systems, and the ViewMax fiberoptic laryngoscope. Bag and mask ventilation devices include the laryngeal mask airway, the Combitube, and the Rusch Easy Tube.  2 Free CRCE   Link to Post-Test   (Issue 2)

Non-invasive Respiratory Support in the Neonatal Intensive Care Unit/Panel Discussion: Non-invasive Respiratory Support in NICU- non-invasive respiratory support strategies for the management of RDS in the neonatal intensive care unit continue to evolve. Early CPAP is practiced regularly in the delivery room to encourage spontaneous breathing and promote surfactant production in the smallest infants. experts address some of the key issues in using CPAP in neonatal care.     

2 Free CRCE   Link to Post-Test   (Issue 8)

Managing COPD Exacerbations in the Hospital and Home- Review of current recommendations and evidence related to the care of COPD patients with acute exacerbations To lessen the burden of this disease it is importan for healthcare providers to understand these current recommendations and guidelines. 2 Free CRCE    Link to Post-Test   (Issue 7)

Postoperative Pulmonary Complications- Postoperative pulmonary complications (PPCs) are a common outcome of cardiothoracic surgery. When allowed to progress, PPCs can result in serious sequelae, such as  respiratory failure, pulmonary embolism, acute lung injury, or acute respiratory distress syndrome. The prevention of PPCs requires a comprehensive approach that includes assessment of preoperative risk, smoking cessation, and attention to a number of factors before, during and after surgery. This article addresses several preventive measures such as intraoperative and postoperative anesthetic/analgesic technique, the use of laparoscopic surgery, selective nasogastric tube decompression, lung expansion modalities, oxygen therapy, deep breathing exercises, physical therapy, and the use of subglottic suction endotracheal tubes. 2.0 Free CRCE  Link To Post-test (Issue 13)

Aerosol Therapy for Ventilator-Dependent Patients: Devices, Issues, Selection & Technique- Reviews choosing the right device based on the medication to be administered, knowing what particle size will be produced over what period of time, then determining how aspects of mechanical ventilation will affect medication delivery and deposition. Intermittent versus continuous nebulization, the nebulizer type, the type of spacer and its electrostatic charge, and the aerosol device’s position in the ventilator circuit all affect the efficiency of aerosol delivery. Ventilator parameters, including flow rate, pressurization, and features like the presence of a heat-moisture exchanger also affect medication delivery. In addition, correct patient positioning can improve treatment efficacy and response.  2.0 Free CRCE     Link to Post-test     (Issue 14)

Waste Anesthetic Gases (WAGs) among Employees in the Healthcare Industry- The scavenging of waste anesthetic gases (WAGs) is recommended by every professional organization and government agency involved with anesthesia to reduce occupational exposure to health care personnel.1 WAGs in health care environments have been associated with adverse health outcomes in unscavenged situations. Recent advances in infrared (IR) videography technology have made it possible to visualize nitrous oxide leakage. Because these leak sources can be readily identified from infrared imaging, the WAGs can be more easily controlled through the elimination of leaks, especially to scavenging systems, so that occupational exposures to personnel in the PACU are decreased. This course presents a brief overview of WAGs in the healthcare industry, with a focus on healthcare personnel in the PACU. Recent exposure and risk assessment studies using IR thermography cameras and IR sensors to identify and quantify WAG (i.e., N20) exposures among PACU employees are pointing toward an unidentified and relatively new health exposure concern for these employees.  2.0 Free CRCE  Link to Post-Test  (Issue 15)

Making Sense of Research- Fundamentals of research design. How to judge quality of publication. How to conduct a literature review. Evaluation of research methods, results and conclusions.  1.0 Free CRCE

Delivering, Documenting, and Communicating the Value of Respiratory Care- Provide a framework to categorize activities in support of departmental operations and overall organizational performance. Define the components of the framework in terms of financial, quality, and stakeholder satisfaction. Provide and describe examples for RT managers to utilize in their departments to document their activities in support of overall organization performance and success. Provide communication tools for RT managers to communicate the value of their department’s activities in support of overall organizational performance.   1.0 Free CRCE

Clinical Alarms and the Impact on Patient Safety- Address the issues facing clinicians regarding alarms including which parameters should be monitored, the sensitivity of the alarms as well as what we could expect from future alarm systems.     1.5 Free CRCE        Link to Post- Test 

Monitoring Oxygen Toxicity in the Preterm Infant: Mechanisms, Critical Questions and Clinical Challenges- Discuss appropriate strategies to minimize oxygen free radical injury to the developing eyes, brain, lung, and gastrointestinal tract. Describe the effects of oxygen toxicity on the developing nervous system. Identify the ideal limits for establishing Sp02 at specific gestational ages and postnatal ages. Describe the best initiatives to improve staff compliance to prescribed Sp02 limits   2.0 Free CRCE  (+MD)   Link to Post- Test

How Do I Set My Ventilator for NIV? Different pathologies, different approaches. Understanding the “Golden Four” associate with noninvasive ventilation. Discuss hypercapnic acute respiratory failure and the studies supporting treatment with noninvasive ventilation. Discuss hypoxemic acute respiratory failure and the studies supporting treatment with noninvasive ventilation. Discussion of NIV failure and potential pathologies associated with NIV failure.  1.0 Free CRCE

Can all patients benefit from NIV?- Understand the disease process associated with NIV success and why. Discuss the emerging applications in NIV therapy. Understand the different pathologies that may be associated with being outside the scope of NIV and additional measures that could assist with NIV success.  1.0 Free CRCE

How to Improve NIV Success- Understand how to choose the right mask for the patient. Understand the advantages and disadvantages of various masks. Understand the breakdown of the literature regarding masks and NIV. Understand the strategy behind mask rotation and skin breakdown. Understand what parameters should be monitored during NIV. Understand the importance of training in NIV.  1.0 Free CRCE

Managing Respiratory Patients through Efficient Aerosol Delivery- provides an overview of aerosol therapy, the factors that affect drug deposition in the lungs, and the various delivery devices available.  1.0 CRCE   (+RN, CM)

Safer PCA Therapy: Patient safety benefits of continuous respiratory rate and end-tidal monitoring- Identify the value of continuous monitoring of PCA patients. Compare and contrast pulse oximetry and capnography for their value in respiratory monitoring. Review the elements of education, training and implementation of a new monitoring technology. Discuss the new role for the respiratory therapist as a PCA team member. 1.5 Free CRCE (+RPh, RN)

Strategies to Prevent and Control Multidrug-Resistant Organisms- Discuss the emergence and spread of MRSA, VRE, and KPCs. Describe the challenges of management of multidrug-resistant organisms in the healthcare setting. Assess the process for implementatiion of CDC/HICPAC recommendations to prevent transmission of MDROs in your healthcare setting.   1.0 Free CEUs     

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Protecting the Ventilated Patient from Hospital-Acquired Infections- Discuss the impact of HAI on health care cost and outcomes. Describe criteria to diagnosis VAP and define VAC, & IVAC. Discuss strategies to minimize HAI in MV patients and their associated evidence.    1.0 Free CRCE    Link to Post-test  (Webinar 2)

Where the Microbes are Lurking: Preventing Cross Contamination Via Medical Equipment- List the pathogens linked to transmission from medical equipment. Describe the financial & clinical implications of contamination of medical equipment. Discuss the prevention strategies for reducing risk of transmission using both reusable & single-use medical devices & supplies.    1.0 Free CRCE

Ventilation Challenges in Critical Care Transport- Discuss management options and challenges of managing a severely asthmatic patient during transport. Discuss management options and challenges of an acute respiratory distress syndrome (ARDS) patient during transport. Discuss challenges of noninvasive ventilation during transport.  1.0 Free CRCE

Ventilator-Associated Pneumonia/Care of Tracehostomy Tubes and Trach Patients-  Covers trach care, strategies to minimize morbidity and mortality in this patient population, patient and family education, and decisions regarding weaning and decannulation. Differences in adult versus pediatric populations are also highlighted. Discuss the different impact that early versus late tracheostomy has on outcomes on medical compared to surgical/trauma patients. List 4 reasons that a study may not show improved outcomes with early versus later tracheostomy. List the elements of the “ventilator bundle” and suggest at least three other clinician actions that can influence the development of VAP.  1.0 Free CRCE    Link to Post-test  (Vol 9. No. 3)

Tracheostomy Care in the Home- Training the caregiver and patient in proper suction technique is critical to successful suctioning. We will review airway anatomy and AARC guidelines for suctioning. We will also discuss tracheostomy history, tracheotomy procedures, patient care needs and recommendations.

1.0  Free CRCE  Register for course

Tracheostomy: Procedure,Timing and Tubes- This presentation is designed to offer information on tracheotomy procedures and literature related to the timing of tracheotomy. The choice of the tracheostomy tube can have an impact on the evaluation and treatment of the tracheostomized patient, therefore, a description of the various tracheostomy tubes, types of cuffs and proper cuff maintenance will be given.  Case studies will be used to demonstrate the importance of selecting proper tube size and type, as it relates to upper airway assessment, swallowing, and communication options.Describe the teaching/learning strategies, including the materials, resources & delivery methods for each content area. Explain how the timing of the tracheotomy & tracheostomy tube selection play a key role in the successful use of speaking valves. List complications of improper cuff management. List how the tracheostomy tube and inflated cuff can impact swallowing and suggest ways to reduce clinical complications.  1.0 Free CRCE  (+ST)

Arterial Catheter Insertion, Care and Maintenance- Discuss insertion techniques for arterial catheter placement. Discuss site selection. Describe the use of ultrasound for vessel visualization and catheter insertion. Review daily maintenance and bundle strategies for arterial catheters.  1.0 Free CRCE

Adults Want to Learn- Compare andragogy with pedagogy. Identify the levels of the cognitive domain.

Explain the parts of a behavioral objective.    1.0 Free CRCE

Early Detection of Respiratory Depression: Using the Best Monitoring Strategies- Define sedation and opioid-induced respiratory depression (RD). Discuss the current status of monitoring for RD. Discuss the impact of procedural sedation and analgesia in the incidence of respiratory depression. Describe the role of pulse oximetry, capnography, and pulmonary indices in detecting alveolar hypoventilation.  1.0 Free CRCE

eCystic Fibrosis Review- Presented by the Johns Hopkins University School of Medicine and the Institute for Johns Hopkins Nursing. To see if your state accepts AMA CME for education towards RT license renewal CLICK HERE

Emerging Pathogens in Cystic Fibrosis- Discuss the impact of methicillin–resistant Staphylococcus aureus infection on survival in patients with cystic fibrosis (CF). Identify the association between transmissible strains of Pseudomonas aeruginosa and survival in persons with CF. Describe the effect of chronic nontuberculous mycobacterial lung disease, mucoid. Burkholderia cepacia complex (BCC), and nonmucoid BCC infection on lung function in individuals with CF.    1.0 CME  (+MD, RN)  Link to Post-test  (Volume 3, Number 11)

Adherence to Chronic Inhaled Therapies- Discuss the impact of nonadherence on health outcomes, including pulmonary exacerbations and lung function. Describe the challenges of accurately assessing for medication nonadherence. Identify risk factors for nonadherence and strategies for supporting patients to improve adherence.  1.0 CME  Link to Post-test(+MD, RN) (Volume 4, Number 1)