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Supreme Court approves Obamacare subsidies on HealthCare.gov
Obamacare just survived a potentially fatal heart attack.
In a major decision, the Supreme Court ruled that the federal subsidies that help nearly 6.4 million people pay for their Obamacare health plans are legal under the Affordable Care Act.
The 6-3 ruling upholding that financial aid avoids what many analysts predicted would be a nightmare scenario had the plaintiffs won: individual plan insurance prices skyrocketing in 34 states and the loss of health coverage for upwards of 8 million people in those states served by the federal insurance marketplace HealthCare.gov as of next year.
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Complete the 2015 National Nursing Workforce Survey
Will you be one of the 260,000 nurses chosen through a nationally randomized sampling to complete a national survey that will provide information critical to ensuring an adequate nursing workforce and high quality patient care? Be on the lookout for a postcard followed by a paper survey. The survey is being conducted by The National Council of State Boards of Nursing (NCSBN) and The National Forum of State Nursing Workforce Centers is conducting the 2015 National Nursing Workforce Survey. If you receive the survey we encourage you to participate as your responses will contribute to a national study.
ANA Summer Reading for Nurses
Use your summer reading time to increase your knowledge and improve your workplace. We'll highlight a few of these books every week over the summer:
OASIS Hospital, the Valley’s Premier Orthopedic Hospital is seeking talented and knowledgeable RNs to join their world class team! These highly sought after Night Opportunities in the PSU provide autonomy, exceptional rates, a family setting, great schedules, and pure joy.
Mark your calendars for upcoming AzNA events.
|July 25-26||27th Annual Southwestern Regional Nurse Practitioner Clinical Symposium — REGISTRATION NOW OPEN
|Aug. 28||2nd Annual National Association of Hispanic Nurses: Phoenix Chapter Conference REGISTRATION NOW OPEN
|Sept. 23-25||AzNA Biennial Convention — The Changing Landscape of Healthcare: Trends in Nursing Leadership, Practice & Education – REGISTRATION NOW OPEN!
||San Marcos Resort, Chandler, Arizona|
ANA Lauds Supreme Court Decision Upholding Affordable Care Act Tax Credit Subsidies
The American Nurses Association (ANA) lauds the U.S. Supreme Court’s decision today to uphold the Affordable Care Act (ACA) by preserving tax credit subsidies that have allowed more than 10 million Americans to obtain health insurance coverage.
“We are gratified that the Supreme Court ruling will avoid the loss of subsidies that have allowed millions of people to get healthy and stay healthy,” said ANA President Pamela F. Cipriano, Ph.D., RN, NEA-BC, FAAN. “The Supreme Court has spoken. Now it’s time to finish the work of ensuring Americans get the healthcare they need by expanding Medicaid.”
ANA Executive Director Debbie Dawson Hatmaker, PhD, RN, FAAN On OSHA Action Recognizing Nurses' Risk of Injury
The American Nurses Association (ANA) commends the Obama Administration and the Occupational Safety and Health Administration (OSHA) for expanding the focus of OSHA inspections to include musculoskeletal disorders (MSDs) related to manual patient handling. Labor statistics have consistently shown that nurses, nursing assistants and other healthcare workers are at high risk of MSDs from manually lifting, transferring and repositioning patients. Manual patient handling is unsafe for patients and often results in painful, career-ending healthcare worker injuries.
Over 100,000 Arizonian's will keep their healthcare subsidies
Citing “ambiguous language” in the Affordable Care Act, the U.S. Supreme court has ruled that the current law stands as implemented. Subsidies will continue for both state and federal health care exchanges. Arizona is one of 34 states that use the federal exchange as a “marketplace” for health insurance coverage. AZ law prohibits a state exchange. According to a February Gallup poll Arizona’s uninsured rate has fallen from 20.4 percent in 2013 to 17.5 percent in 2014. There are currently 165,026 Arizonans enrolled in the marketplace and 126,506 receive subsidies to buy insurance. Arizona’s average monthly tax credit subsidy is $158. CMS FAQs.
Enhanced ADHS loan repayment program effective July 3, 2015
Nurses! A law passed during the recent legislative session makes up to $65,000 available (for a 2-year commitment) for physicians and dentists (a $25,000 increase from $40,000 previously). Advanced practice providers can qualify for up to $50,000 (up from $15,000). The incentives even get better as providers stay longer in the program. Learn more, file an application HERE.
EDUCATIONAL EVENTS & RESEARCH
AAAP 26th Annual Meeting and Symposium
Dec. 2-6, 2015 at the Hyatt Regency Huntington Beach Resort and Spa in Huntington Beach, California.
This event provides the latest scientific developments in Addiction Psychiatry to physicians and allied health professionals who treat patients with substance use and mental health disorders.
The Addictions and Their Treatment course will be held Dec. 2-4, 2015 (in conjunction with AAAP’s Annual Meeting)
This course is designed to help in the preparation for the ABPN board examinations for subspecialty certification and recertification in Addiction Psychiatry. It is recommended for PGY-V residents, general psychiatry residents, or anyone wanting to know the latest trends in the addiction field.
Approved for AMA PRA Category 1 Credit.
Register for the annual meeting or the Addictions course by visiting www.aaap.org.
Attitudes Toward Death and Palliative Care Education Needs Assessment Survey
My name is Julie Dudash, and I'm a Malcom Randall VA Medical Center RN (Gainesville, Fla.) working on my Ph.D. in Career and Workforce Education from the University of South Florida. I'm currently working on my dissertation research regarding nurses' opinions about end-of-life issues and care, and I was hoping to get your help and expertise regarding the next stage of my research.
I am currently trying to gather feedback from nurses around the country. Participation is voluntary and personal information is only used in the aggregate. The survey includes four sections and should take approximately 15 minutes to complete.
From one nurse to another, thank you for your help.
RN-BC, MS, NE-BC, CNML
NEWS FROM AROUND THE INDUSTRY
Study: More time between shifts help nurses recover
Safety + Health
Longer breaks between shifts can help nurses bounce back from the demands of work, according to research from the University of Eastern Finland.
Researchers studied the effects of longer rest periods among 39 female shift-working nurses based on their heart rate variability, a sign of recovery. The number of their brief breaks – 11 hours or shorter – between shifts were cut in half. Before the change and one year later, researchers surveyed the nurses and noted their heart rate variability while at work, away from work and during sleep.
Clinical decision rule can classify risk of chronic back pain
A clinical decision rule (CDR) with eight items can classify patients with acute low back pain (LBP) by their risk for chronic pain, according to a study published in the July 1 issue of The Spine Journal. Researchers conducted a prospective cohort study of risk factors for the progression to chronic pain. Six hundred five patients with acute LBP (≥30 days' duration) were included, and they were surveyed at baseline, six months and two years.
Patient-controlled analgesia in the emergency department is effective, show twin studies
Patients who arrive at the emergency department (ED) in moderate or severe pain are often given intravenous morphine, administered by a nurse. This is safe and works in the short term but is demanding of nursing time, particularly when repeated doses of painkillers are necessary. One potential solution is for patients to administer their own pain relief using a patient controlled analgesia (PCA) device. A PCA device is a syringe usually containing morphine that can be connected to a drip in the patient's arm, which allows the patient to deliver their own pain relief by pressing a button.
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Study: More than two-thirds of US adults now overweight or obese
Fewer than one-third of Americans are currently at a healthy weight, with the rest of the population either overweight or obese, a new report finds.
About 35 percent of men and 37 percent of women are obese. Another 40 percent of men and 30 percent of women are overweight, researchers said in the June 22 issue of JAMA Internal Medicine.
OSHA launches program to protect nursing employees
The federal Occupational Safety and Health Administration (OSHA) will announce Thursday that it's going to crack down on hospitals, for the first time ever, to prevent an epidemic of back and arm injuries among nursing employees.
Nurses and nursing assistants suffer more of those debilitating injuries than any other occupation, and those injuries are caused mainly by moving and lifting patients.
Study: Drug combination offers hope for bipolar depression
A new combination of pre-existing drugs may have unlocked a new treatment for bipolar depression, a Columbia University study released June 24 found. The study suggests a way to prolong the effects of ketamine, which has been shown to be helpful in treatment-resistant bipolar depression, but its effects don't usually last more than a week or two. The preliminary findings show on average a 50 percent reduction in symptoms of depression and a 75 percent reduction in the likelihood of patients committing suicide with treatment-resistant bipolar depression.
Dusting off drug libraries yields smarter IV pumps
Pharmacy Practice News
Partnering with nurses, conducting rounds on inpatient floors and continually educating staff are all ways that hospitals can improve drug library compliance for smart pumps, panelists said at a kick-off meeting for the National Coalition for Infusion Therapy Safety. This is an initiative by the Association for the Advancement of Medical Instrumentation (AAMI) Foundation and industry partners to develop and promote solutions that improve infusion therapy–related patient outcomes.
Putting stents to the test
The New York Times
Millions of Americans have had stents inserted in their coronary arteries to prop them open. And many are convinced the devices are protecting them from heart attacks. After all, a partly blocked artery is now cleared, and the pain in a heart muscle starved of blood often vanishes once the artery is open again.
But while stents unquestionably save lives of patients in the throes of a heart attack or a threatened heart attack, there is no convincing evidence that stents reduce heart attack risk for people suffering from stable angina.
Even slightly elevated blood pressure may pose problems for young adults
HealthDay News via Physician's Briefing
Young adults with even slightly elevated blood pressure may be at risk of cardiac dysfunction later in life, according to a new study published in the June 30 issue of the Journal of the American College of Cardiology. Researchers followed 2,479 men and women over the course of 25 years. They were between 18 and 30 years old when the study began. The researchers found that participants who had slightly elevated blood pressure that was still considered within normal range when they were between 18 and 30 years old were more likely to have problems with their left ventricle once they reached middle age.
New silk-based ink can detect bacteria, could enable 'smart' bandages
Med Device Online
A new bioink made from silk has successfully been printed onto hospital gloves and changes color when it comes into contact with certain kinds of bacteria. Researchers at Tufts University say that certain properties of the silk protect heat-sensitive biomolecules during the ink-jet printing process, and that the method could open the door to a host of new therapeutic, biosensor and regenerative medicine applications.
Nursing research: Nurses know best
As a registered nurse who also holds a Ph.D., John Merriman is one of a small but growing number of nurse scientists worldwide. Many, like him, come to research because they see a problem in the clinic that needs a research-based solution. Nurse scientists arrive at a research-career path through a variety of trajectories; historically, many have begun their doctoral work mid- to late-career, after years of seeing patients. But that trend is shifting as leaders in the field encourage younger nurses to enter Ph.D. programs soon after earning a nursing degree and registered nurse certification.
Even with vaccination, pertussis outbreak could spread
Monthly Prescribing Reference
New research proposes that the source of a recent pertussis outbreak may not be due to vaccine efficacy or decreasing immunization, but instead from infected individuals who are vaccinated and asymptomatic. Researchers designed a model to build on those findings via evaluation of waning of protective immunity from vaccination or natural infection over time, evolution of B. pertussis to escape protective immunity, and low vaccine coverage.
88 percent of nurses profit from mobile health apps, smartphone
From smartphones, tablets, and mobile health apps to telemedicine and remote monitoring tools, the advancement of healthcare technologies has stimulated the entire industry to improve population health outcomes and the quality of patient care. The smartphone, in particular, is making headway in the healthcare industry with the majority of nurses owning and utilizing the device in a medical setting.
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