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Mon-Fri 10:00AM - 5:00PM
by appointment
(281) 313-7437


Below are course descriptions. Choose the course that best suits your needs. Check class schedules and register. Call or email for questions: [email protected] 281-313-7437.

Nurse Refreshers take all the Board of Nursing required topics in Legal and Ethical Nursing called Nursing Jurisprudence & Ethics, Nursing Documentation, Medication Administration, Pharmacology, Physical Assessment and then have an option to take CE courses like Skills Lab and IV Therapy. The Nurse Refresher also does a pre-class review in A & P, Evidenced Based Practice, Nursing Process, Labs, Math Review, etc. This program does include a clinical option for those nurses needing or desiring to update competency. We have multiple clinical agreements and settings throughout Texas.

  • Preceptorships all include coursework and clinicals
  • Preceptorships are available to currently active RNs in Texas
  • Applications being taken now 
Current Options include:
  • RN Case Management Preceptorship
  • Dialysis Nurse Preceptorship
  • Perioperative Nurse Preceptorship

Courses and Descriptions

Medication Administration with or without clinical

Course covers RN responsibility related to medication administration, the vital components of a medication order, standard abbreviations, identification of each type of medication order: Standard, One time, Stat, P.R.N., Standing, Verbal/Telephone. Five rights of medication administration, medication error prevention and nursing responsibility once an error has been made. Nursing management of IV medication administration, Administration of Blood, TPN, Equipment, Solutions, Diluents, Complications, and Calculations etc…. Class also has a pharmacology component.

Nursing Jurisprudence

Refresher Course covers the differentiation between the roles and functions of the BON and professional organizations, information on the Nurse Practice Act, BON Rules, BON position statements and guidelines, application of the Standards of Practice and Unprofessional Conduct Rules in determining the RN’s duty to the patient, application the delegation criteria and supervision requirements as they pertain to client conditions and various settings. Professional boundaries / over involvement and strategies needed to protect the therapeutic relationship between the RN and the client., interpretation of recent legislative amendments to the NPA, in addition to other legislation that may impact nursing practice.

Nursing Ethics

Course covers identification of RN responsibilities related to their licensure, nursing ethics, the nurse’s duty , definitions of moral principles and confidentiality principles relevant to the nursing profession, description of the considerations involved in ethical decision-making and considerations related to impaired nursing, identification of reasons for boundaries in relationships and strategies to maintain a therapeutic professional relationship between the RN and the patient, the role of the nurse as an advocate and use of resources in ethical dilemmas.

Critical Thinking

Course covers explanation of the critical thinking model and how it provides a practical, clinical decision-making guide that is applied to the nursing process and application of the nursing process using critical thinking in the care of patients.

Defining of terms relative to critical thinking such as: logic, inference, judgment, reasoning, analysis, inferences, nursing process, decision making, reflection, scientific method etc…Identification and incorporation into clinical practice strategies to build critical thinking skills, strategies for improving oral and written communication with patient care and solve clinical problems by applying information that is known.

Physical Assessment

Course covers the process and barriers in the interview and health history part of assessment, the working meaning of the following: Nursing Practice Act – Section 217.11(2) and 217.12 (2), basic components of physical assessment, including equipment use and maintenance, basic techniques used in assessment, correct procedures for obtaining vital signs and alternatives, deviations in vital signs and possible significances, the nursing process in system by system assessment, with normal and abnormal findings, identification of pain evaluations systems, myths, documentation of pain and importance of reassessment.

General Principles of Pharmacology

Terms used in the pharmacological literature, reviews the various laws that govern the prescribing and use of drugs, and pharmaceutics, pharmacokinetic, and pharmacodynamic phases of drug action. Special considerations in the administration of drugs (e.g., neonate, elderly, pregnancy, disease, etc) are included.

Skills Lab

Small group hands-on lab with instructor to refresh skills in clean and aseptic techniques, Trachestomy care and suctioning, Stoma and Ostomy Care, Foley (Male & Female) insertion & care, and Nasogastric insertion & care.

2 hours of Bioterrorism Type I CE

Meets Texas BNE requirements for RNs. Includes preparation for, recognition of, and reporting of various forms of Bioterrorism including Biological agents, viral hemorrhagic fevers, radiation exposure, and mass trauma.

Peripherally Inserted Central Catheter (PICC)and Midline Insertion Course

RNs only with previous IV experience. Didactic objectives include: purposes of PICC and Midlines, contraindications, patient teaching, troubleshooting problems on insertion and maintenance, removal of PICC, Small group hands on course along with didactic instruction utilizing Intravenous Nurse Society guidelines. Includes 1 kit per student and actual insertions on PICC manikin by each nurse. Eight hours of Type I Continuing Education for Nurses for this course.

Peripherally Inserted Central Catheter (PICC)and Midline Maintenance Course

Same course as above without kit, demo, or insertion by nurse. Four hours of Type I Continuing Education for Nurses for this course.


Course covers OSHA and describe the purpose of the act, blood-borne pathogens exposure, various methods to prevent needle sticks, ergonomics hazards from lifting and repetitive tasks and back injuries, potential hazardous drug exposure and prevention techniques, proper disposal, Personal Protective Equipment to be worn, Respiratory protection, hazardous drug use, i.e. priming tubing and handling vials, hazardous chemicals and MSDS, latex allergies, causes, symptoms, and prevention, laser safety and hazards associated with laboratories, and radioactive material and x-ray hazards.

Basic Dysrhythmia Part 1

Course covers the Electrical conduction system, coronary circulation, normal configuration and significance of the P wave, P-R interval, QRS complex, and T wave. Instruction on methods of calculating the heart rate and identification of Normal Sinus Rhythm.

Basic Dysrhythmia Part II

Course covers Arrhythmia Identification, causes, medical management and nursing interventions.


Course covers the purpose of documentation, the legal aspects of charting, commonly used forms and methods of charting, Nurse Practice Standards related to charting, and computerized charting.

Infection Control

Universal precautions; how & why to protect yourself.

Delegation Update

How to protect one’s license and maintain accountability with safe & effective strategies for delegating to unlicensed personnel and the difference between delegation and assignment.

Pain Management

identifies assessment, nursing interventions, evaluation of treatment, alternatives, and age specific considerations in pain management.

Abuse & Neglect

How to detect & what is your role in the solution.

Professional Boundaries

Covers the relationship between the professional nurse and clients and why it exists. Description of boundary violations and sexual misconduct and Nurse Practice Act related to these situations.

Hepatitis C

Course covers the risk factors, prevention, symptoms, testing and treatment, and precautions for health care workers.

IV Therapy and Injections

Reviews the basic vascular structure, peripheral line complications including signs and symptoms with appropriate nursing interventions, calculations, performance technique, purpose of IV therapy, selection of and commonly used veins. Instruction in IM, SC, ID injections

Phlebotomy Basics

Overview of blood components, vessels, circulation, universal precaution, terminology, standard procedure, various methods, complication with interventions, equipment view.