Program Overview

Course Structure

This is an online course, available to all registered nurses (RNs) free of charge accessible via this link: [To be determined]

The participant will enroll in the course by creating a user name and password. Course material can be accessed at any time, allowing participants to complete each segment at their own pace. With the understanding that registered nurses have few opportunities for study during work hours, the course design allows access anywhere, on any device with Internet access, including tablets and phones.

The course consists of three core components:

  1. Knowledge
  2. Clinical Skills
  3. Outcome Measurement


The knowledge portion of the course consists of clinically applicable information about essential oils, with an emphasis on how they relate to use in the clinical area, particularly for managing patients’ nausea and anxiety. Because so much of the information about essential oils is written for the general public and contains many inaccuracies, it is imperative for RNs to have valid, scientific research and literature on which to base their practice.

Expected outcomes for the knowledge portion of the course: After completing the didactic portion of the course material, the participant will take an exam online. The exam will be taken from the following course content:

  1. Define Essential oils and the extraction process
  2. Describe the biochemical effects of essential oil in the body based on route of administration
  3. Describe the role of olfaction in patient acceptance of TIEO
  4. Describe the indications for TIEO in the clinical setting and factors affecting best practices for delivery
  5. Describe the safety considerations of TIEO as they relate to pregnancy, use with children, and airway disease
  6. Describe the characteristics associated with therapeutic grade essential oils
  7. Describe the current state of knowledge and literature limitations regarding TIEO
  8. Describe the role of the registered nurse in implementing TIEO in the clinical setting

Successful completion of the knowledge component will be measured by achieving a passing score of 80 or higher on the online exam. Exam scores will be immediately available online to participants.


Course participants will combine the knowledge gained from the didactic portion of the course with clinical use, in order to become competent in utilizing TIEO therapy to manage nausea. Using TIEO interventions with patients will allow RNs the opportunity to integrate both the knowledge and procedural steps required. A minimum of five (5) patient uses is required in order to be eligible for a competency review. However, the number of patient uses can be as high as necessary to allow course participants to feel confident prior to review.

Expected Outcomes for the clinical portion of the course: the participant will be able to knowledgably, competently and safely administer the appropriate TIEO therapy to manage nausea in the clinical setting. In addition, they will be able to articulate key points of TIEO therapy to patients, family members or any member of the healthcare team. This will include:

  1. Prerequisite Skills
    • Understand the definition of essential oils
    • Understand the biochemical route of inhaled essential oils
    • Know how olfaction and sense of smell affect the acceptance and efficacy of TIEO
    • Know when and where to use TIEO for management of nausea and anxiety
    • Know relevant safety issues regarding TIEO use in a clinical setting
    • Understand the meaning of ‘independent nursing intervention‘ when choosing to utilize TIEO
  2. Preparation Skills
    • Determine necessity for intervention with patient experiencing nausea and/ or anxiety
    • Assess patient and patient record for allergies
    • Assess patient and patient record for scent intolerances
    • Assess patient and patient record for history of asthma or reactive airway disease
  3. Procedure Skills
    • Communicate key points about TIEO, such as what it is, how it works, and the safety issues for use in patients with environmental sensitivities, asthma, and pregnancy
    • Demonstrate ability to select appropriate TIEO intervention
    • Demonstrate proper administration of TIEO
    • Demonstrate ability to teach patient how to self -administer TIEO
    • Assess efficacy and patient acceptance of TIEO
    • Make appropriate interventions as needed, such as removing TIEO product if not tolerated
  4. Post-procedural Professional Behaviors
    • Properly label TIEO container
    • Provide patient instruction regarding use after discharge
    • Document intervention per individual clinical site policy
    • Document efficacy and patient satisfaction with TIEO

A Skill Competency Checklist will be completed by a designated reviewer (see section below). This checklist covers each clinical skill outcome listed above. Successful completion of the clinical performance portion of the course will result from obtaining a completed signed checklist from a designated reviewer. The checklist is part of the online course materials, and can be filled in, e-signed, and submitted online.


There are two types of designated reviewers:

  1. TIEO Team Leader
  2. Member of Soothing Scents, Inc. Educational Division

It is recommended that one or more TEIO Team Leaders should be designated when multiple course participants are employed in the same facility, to facilitate ease of course completion.

A TIEO Team Leader is a course participant who has completed an additional review in order to be able to validate the clinical skill competency of fellow participants enrolled in ‘TIEO For the Clinical Setting”.

Steps to obtaining TIEO team leader designation:

  1. Participant must register and review the online course material
  2. Obtain a passing score of 80 or above on post test
  3. Use TIEO to treat nausea and/or anxiety with a minimum of 5 patients
  4. Schedule a videoconference with a member of the Soothing Scents, Inc. Educational Division by sending request to: TBD
  5. Demonstrate proficiency with TIEO via videoconference in the following areas:
    1. Prerequisite knowledge
    2. Preparation Skills
    3. Procedure Skills
    4. Post-procedural Professional Behavior
  6. After videoconference approval, participant will receive a certificate of course completion with the additional designation of TIEO TEAM LEADER

A designated TIEO Team Leader will then be able to complete the Skill Competency Checklist for course participants by

  1. validating and checking off each competency area, and
  2. electronically signing and dating the checklist.

Soothing Scents, Inc. – Educational Division

A course participant without access to a TEIO Team Leader can contact a designated reviewer at Soothing Scents, Inc. (SSI). A videoconference will be conducted in order to verify a participant’s skills competency. After a successful review, a completed Skill Competency Checklist will be issued. SSI educational division can be contacted via email: TBD or by phone: 1-888-393-7330, ext. 3


Data collection and review is a professional nursing act that demonstrates a commitment to competency and quality patient care. Compiling a solid database for TIEO use will provide the mechanism to

  1. evaluate TIEO efficacy in relieving nausea,
  2. evaluate patient satisfaction with nausea management,
  3. and provide a method to quantify and communicate TIEO efficacy to a multidisciplinary team.

While not a requirement for course completion, participants are encouraged to document the minimum of 5 patients required for course completion and the clinical effectiveness of TIEO interventions in the Quality Outcome Register, supplied online with the written course materials. This self reported data tool measures:

  1. Relief of nausea after treatment,
  2. Satisfaction with treatment of nausea.

The Quality Outcome Register provides a means to compile a database for each individual clinical setting. Multiple course participants in the same department are encouraged to pool their data, for use in departmental quality improvement projects, product pilot studies or investigational product reviews.


Online submission of the course exam (with an 80 or higher score), and an e-signed Skills Competency Checklist will result in the generation of a Certificate of Course Completion. It will be available for immediate download and printing.

All records related to the TIEO For the Clinical Setting Skills Competency Course will be maintained by SSI, Educational Division until 2022.

Course Faculty

wendyWendy S. Nichols, BSN, APRN, CRNA Obtained her BSN in Nursing in 1984 from the University of Alabama. After working in a trauma unit and as a flight nurse with a helicopter aeromedical program, Wendy continued her studies by
obtaining certification as a Nurse Anesthetist from the Manley L. Cummins School of Anesthesia in Dothan, Alabama in 1989.

For many years she practiced in Honolulu, Hawaii, then discovered the slower pace of coastal Maine. In 2004 she commenced the research and product development that led to QueaseEASE, the first commercially available TIEO product for clinical use.

She has lectured, conducted research, and developed educational materials for the use of TIEO therapy for nausea. Having a foot planted in both camps of traditional and complementary medicine, Wendy is passionate about facilitating and empowering nurses to pursue alternative therapies such as TIEO for the comfort and care of their patients.

Nell Tharpe, CNM, CRNFA, MS, FACNM obtained her AAS in Nursing in 1981 and her Certificate in Nurse-Midwifery from the State University of New York in 1986, after which she begin an active clinical practice in Maine. In her practice Nell offered women holistic care, attending births in small community hospitals.

During her midwifery practice, Nell continued her education and became an RN First Assistant in 1996. She received her BSN from the University of Southern Maine in 2001 and in 2003 received her Master of Science degree in Midwifery from Philadelphia University.

Nell is the original author of the widely used midwifery text Clinical Practice Guidelines for Midwifery and Women’s Health, recently released in its 5th edition. She is also the author of The Midwife as Surgical First Assistant, and a chapter contributor to the text Pharmacology for Women’s Health, and numerous articles related to midwifery and women’s health practice.

Nell’s passion is bridging the gap between practice and theory. Her focus is ensuring access to the highest quality health care in every practice setting. She currently teaches at Philadelphia University and functions as an independent Perinatal and Women’s Health Consultant.

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