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Clinical Development Notification: 2025-12 (December)
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12-03-2025 03:00 PM
HealthStream Success Management
Revised: 12/3/2025
Table of Contents
Announcements & Reminders
Live: New NIH Stroke Scale Certifications
In February, we added one more course to your hStream benefits:
National Institutes of Health Stroke Scale (NIHSS) Certification.
Thanks to your valued collaborative feedback, we already improved this offering, released a 1-year certification, and have plans to expand this certification suite further:
Live:
National Institutes of Health Stroke Scale (NIHSS) Certification (2-year)
New course version removing pediatric content and increasing CE credit! – 2.5 ANCC contact hours and a maximum of 2.5 AMA PRA Category 1 Credit(s)™.
NOTE:
Any learners in progress with the previous version must complete by January 31, 2026; otherwise, an administrator must unenroll/reenroll them in the new content.
Live:
National Institutes of Health Stroke Scale (NIHSS) Certification (1-year)
New adult NIHSS certification course providing a 1-year certification, accredited for 2.5 ANCC contact hours and a maximum of 2.5 AMA PRA Category 1 Credit(s)™.
Expected Spring 2026:
New PedNIHSS certification courses with pediatric-only test patients – both a 1-year and 2-year certification option, with both ANCC and AMA PRA Category 1 Credit(s)™provided (CE amount pending).
We’ll provide release updates as our teams progress, including an updated
transition guide
for recommendations related to student groups and assignments. As a reminder, our partnership with APEX Innovations is ending, and
these courses permanently expire on August 5, 2026:
APEX Innovations: NIH Stroke Scale Training and 1-Year Certification (free course)
APEX Innovations: NIH Stroke Scale Training and 2-Year Certification (free course)
Live: Free Access to “Essential Pediatric Respiratory Care Bundle”
Children’s Hospital Association and HealthStream want to help address pediatric respiratory issues during the height of RSV and flu season by providing complimentary access (assignment or self-enrollment) to these courses through March 31, 2026:
PLS - Lower Airway Diseases
PLS - Asthma
PLS - Pediatric Assessment: The Respiratory System
PLS - Basic Principles of Oxygen Therapy, Specialty Gases and Non-invasive Ventilation
NOTE:
These courses represent current evidence-based practice to prepare pediatric and adult clinicians to care for children with critical respiratory issues presenting in the ED or inpatient care areas (search term: PLSrespiratoryfree).
Updated Content Listings: CE Unlimited, Dynamic Health, Medical Product Training
CE Unlimited
|
Review Master List►
If you contract for CE Unlimited, we recommend regularly reviewing our updated “Master List," especially the Change Log tab.
EBSCO Dynamic Health
|
Review Master List►
If you contract for
Dynamic Health
, we recommend regularly reviewing our Master List as it updates monthly with the latest course additions, retirements/replacements, etc.
Medical Product Training
|
Review Master List►
Included with your hStream subscription, access these Medical Product Training courses via the Services tab. Just “Accept” relevant content, and then choose your preferred publishing settings. In addition to the "Master List,"
review a summary
of recent MedTech partner course additions, expirations, and more.
Upcoming Maintenance & 2026 Schedule
Regularly scheduled maintenance is Friday, December 5, from 8pm — 4am Central Time.
Click here
to view the 2026 system maintenance schedule.
Jane
Expected This Month: 1st Clinical Judgment Interactive Debriefs & More
Review Master List►
Review 2023-25 Releases►
Expected Early December
New Medical Assistant Pathway:
Includes a knowledge assessment, skills self-evaluation, and personalized development.
Updated Knowledge Assessments:
RN: Burn Care Assessment
RN: Oncology Assessment
RN: Acute Rehabilitation Assessment
RN: Acute Behavioral Health Assessment
RN: Cardiac Catheterization Assessment
RN: ICU Burn Care Assessment
RN: Hospice or Palliative Care Assessment
Adjunct: RN Pharmacology Assessment (Hospital)
Adjunct: RN Medication Dose Calculation Assessment
Adjunct: RN Pharmacology Assessment (Neonatal ICU, Level II)
Adjunct: RN Pharmacology Assessment (Neonatal ICU, Level III)
Adjunct: Fetal Monitoring Assessment
Adjunct: Cardiac Rhythm Identification Assessment (Advanced)
Adjunct: Cardiac Rhythm Identification Assessment (Basic)
Clinical Judgment Updates:
We’re making improvements to the assessment instructions and the assessments listed below.
NOTE
: All updated assessments will retain their current benchmarks to avoid any workflow disruption. The 2026 benchmarks are expected to go live in February.
These assessments now include only four clinical scenarios to streamline assessment time while maintaining validity. Other clinical judgment assessments that currently have more than four scenarios will also be updated to this format in the new year.
Emergency Care AI Clinical Judgment Assessment
Intensive Care AI Clinical Judgment Assessment
Labor and Delivery AI Clinical Judgment Assessment
Perioperative AI Clinical Judgment Assessment
Postpartum AI Clinical Judgment Assessment
These assessments have been updated for maintenance, including minor edits to enhance clarity and overall quality.
Acute Care AI Clinical Judgment Assessment
Neonatal ICU AI Clinical Judgment Assessment
Skilled Nursing AI Clinical Judgment Assessment
1st Clinical Judgment Interactive Debriefs:
Designed to offer more guided development while allowing learners to repeat the practice necessary to develop clinical reasoning skills. Debriefs also align with the updated Clinical Judgment Assessments! Review the
Master List
for related scenario names and conditions.
Emergency Care AI Clinical Judgment Assessment
Intensive Care AI Clinical Judgment Assessment
Labor and Delivery AI Clinical Judgment Assessment
Perioperative AI Clinical Judgment Assessment
Postpartum AI Clinical Judgment Assessment
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Specialty Content
Live: 8 New Specialty Courses in HealthStream Surgical Orientation
Review Master List ►
If you contract for
HealthStream Surgical Orientation (HSO)
, 8 new specialty courses are now available for assignment and another 2 will be released by mid-December! This expansion continues our commitment to supporting all perioperative roles with structured, competency-driven content. The newest courses further strengthen resources for circulating nurses and surgical technologists, helping build confidence, clinical judgment, and role readiness in the OR environment.
10 New Specialty Courses
HSO Specialty: Cardiac, Intraoperative Considerations
HSO Specialty: Gastrointestinal, Upper and Lower GI Procedures
HSO Specialty: Neurologic, Spinal Procedures
HSO Specialty: Orthopedic, Hand and Wrist Procedures
HSO Specialty: Orthopedic, Hip Replacement
HSO Specialty: Orthopedic, Knee Replacement
HSO Specialty: Orthopedic, Shoulder Replacement
HSO Specialty: Surgery, Bariatric
HSO Specialty: Cesarean Section, Care and Complications
(releasing mid-December)
HSO Specialty: Cesarean Section, Workflow and Safety Essentials
(releasing mid-December)
Additional Guideline Summaries
Updated Role-Based Course Guide:
Streamlined navigation by role and experience level
Updated Customizable Sample Schedules & Assignable Curricula:
Tools for structured onboarding and continuing education
Updated Implementation Guide:
Refreshed rollout recommendations and curriculum management support
Content Expansion: Circulating Nurses & Surgical Technologist
56 Checklists:
Structured for skills verification and competency documentation
43 Foundations Courses:
Core onboarding and orientation content for perioperative roles
12 Cognitive Simulations:
Interactive experiences that strengthen decision-making and team communication
7 In-Situ Simulations (with Facilitator Guides):
Real-world, team-based training scenarios
7 Specialty Courses:
Comprehensive specialty learning paths
9 Safety Courses:
Focused modules promoting safe surgical practices
70+ Guideline Summaries (and Growing):
AORN- and ASPAN-aligned resources, available both as standalone references and integrated course elements
CNOR® Certification Prep Resources:
Tools to support surgical nurses pursuing certification
Expanded Accreditation:
35 AST-accredited courses, in addition to full ANCC accreditation
Live: ENCCO Version 5.0 from PLS
If you contract for
Essentials of Neonatal Critical Care Orientation (ENCCO)
from Pediatric Learning Solutions (PLS), version 5.0 was released on December 1 – key details below.
Any learners in-progress with version 4.0 must complete before it expires on December 31.
Neonatal Nutrition:
This course will be split into 2 lessons – Neonatal Nutrition Overview & Modalities of Neonatal Nutrition – to improve learner engagement and retention.
Neonatal Sepsis:
This course will be reorganized, and the congenital infections content will be moved to an app-based lesson – Congenital Infections in the Newborn – that covers toxoplasmosis, rubella, CMV, etc.
Neonatal Abstinence Syndrome:
To better align with industry terminology, this course will be retitled –
Intrauterine Substance Exposure
(no content changes).
Implementation Guide:
Updated version designed to better support a blended learning approach with suggested additional learning activities for each topic.
Retiring Courses:
Courses previously separated into different versions for Child Life Professionals and Respiratory Therapists will permanently retire after December 31 (below). Content and CE credit will be delivered via main course editions with the same title.
PLS - ENCCO: Patient Care: Neonatal Abstinence Syndrome - ACLP (Child Life Professionals)
PLS - ENCCO: Respiratory Care: Apnea of Prematurity - AARC (Respiratory Therapists)
PLS - ENCCO: Respiratory Care: Bronchopulmonary Dysplasia - AARC (Respiratory Therapists)
PLS - ENCCO: Respiratory Care: Meconium Aspiration Syndrome - AARC (Respiratory Therapists)
PLS - ENCCO: Respiratory Care: Pneumothorax in the Neonate - AARC (Respiratory Therapists)
December 31 Deadline: S.T.A.B.L.E. Instructor Bridge Training
If you contract for
The S.T.A.B.L.E. Program
, please ensure all current instructors complete their bridge training by December 31, 2025, including any instructors currently in progress with the course. As of January 1, 2026, the instructor bridge will no longer be available to purchase or complete.
“Activated Insights – Home & Hospice Library” Updates
If you contract for Activated Insights – Home and Hospice Library, please note:
Retiring Course –
This course will be retired on December 31:
Calculations and Conversions for Nurses.
CE Expired –
This course’s CE expired November 1, but it will remain active until December 31:
Medicare Noncoverage and Change of Care Notices in Home Care.
ENA Course Retirements & Replacements
If you contract for ENA content (
review full catalog
), please note:
Managing Adult Behavioral Health in the Emergency Department 2.0:
Learners in progress with version 2.0 must complete before it expires on December 12. Key changes you’ll see with
Managing Adult Behavioral Health in the Emergency Department 3.0:
Condensed from 8 modules to 3, removing repetitive information and information covered in the workplace violence course.
Obsessive compulsive disorder, dementia, and eating disorders were removed as content topics. Information on The Joint Commission patient safety standards regarding restraint use, timing, and documentation is reviewed in addition to suicide screening information.
Subjective and objective assessment information, along with a focused assessment that includes the mental status exam was added.
GENE Level I 2.0:
To receive CE credit, any learners in progress must complete before this course expires on December 31. Beginning December 9, you may assign this replacement course –
Geriatric Emergency Nursing Education: Foundational Knowledge.
Medical Toxicology:
Due to a minor typo in the post-assessment, we released a new version of
Medical Toxicology
in September. To receive CE credit, any learners in progress must complete the previous version before it expires on December 31.
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