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Nurses gain knowledge to serve diverse patients
With Lady Liberty’s welcoming torch in New York Harbor, people from all over the world have streamed into the metropolitan area, many seeking greater opportunities or freedom from oppression or discrimination. Diverse populations have enriched the fabric of New York and New Jersey, and when ill or injured, these patients require culturally competent care to best answer their unique individual needs.
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Call for Poster Submissions
The Arizona Nurses Association (AzNA) invites you to submit an abstract for review for poster presentation at the 2015 biennial convention Sept. 23-25, 2015 at the San Marcos Resort in Chandler. The purpose of this session is to share information and exchange knowledge with other nursing professionals. The theme of Convention is “The Changing Landscape of Healthcare."
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:
- Code of Ethics for Nurses with Interpretive Statements is the definitive framework for ethical analysis and decision-making for RNs across all practice levels, roles, and settings. Covering nine provisions, the Code reiterates the fundamental values of the nurse, identifies the boundaries of duty and loyalty, and describes duties beyond patient encounters.
- Guide to the Code of Ethics for Nurses with Interpretive Statements: Development, Interpretation, and Application, 2nd Edition is an essential resource for nursing classrooms, in-service training, workshops and conferences, self-study, and wherever nursing professionals use ANA’s “Code of Ethics for Nurses with Interpretive Statements”. It guides nurses with examining and applying the values, duties, ideals, and commitments of their ethical tradition to their practice.
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|
New Arizona laws in effect July 3
Nurses need to know:
Result: You must know the law to protect your practice.
- there is a committee to study PTSD in law enforcement officers
- authorization for administration of NALOXONE by EMTs
- lab testing availability for all people without an order
- an improved AZ loan repayment system
- a revised prescription monitoring system
- clarification of a patient’s overriding right to make decisions about their end of life care.
US Supreme Court keeps AZ Congressional Districts intact
The U.S. Supreme Court aka “SCOTUS” has decided by a 5-4 vote to uphold the Arizona Independent Redistricting Commission’s (IRC) authority to draw Arizona’s nine congressional districts.
Result: Your 9 congressional district lines will not change for the 2016 elections.
US Supreme Court will consider challenge to AZ Legislative Districts
SCOTUS has announced that it will consider another lawsuit against the IRC. It will review a complaint that the five-member commission violated the law by creating legislative districts of unequal population for political purposes.
Result: Your 30 legislative district lines may change before the 2016 elections.
EDUCATIONAL EVENTS & RESEARCH
Red Cross urges summer blood and platelet donations to prevent seasonal shortage
Blood and platelet donations decline during the summer months, especially around holidays like Independence Day. Holiday travel causes many donors to be less available to give and many hosting organizations postpone blood drives while people are on vacation. In fact, more than 40 percent of blood and platelet donors indicated plans to travel this Independence Day holiday.
These factors often contribute to seasonal blood shortages, but with your support and that of the community, the American Red Cross can ensure blood is available to help save lives this summer
NEWS FROM AROUND THE INDUSTRY
Developing as a navigator: From novice to expert
Oncology Nurse Advisor
Author Frank dela Rama, RN, MS, AOCNS, AGN-BC writes: Early in my own training as a registered nurse, I was inspired by Dr. Patricia Benner's seminal work, From Novice to Expert, which insightfully describes how nurses develop their practice over time, reaching different milestones while accumulating clinical experience. Focus and approach to new situations change at each level.
Benner describes novice nurses having no experience; use rules to help perform tasks, aiming to follow instruction. With some actual experience, advanced beginner nurses show acceptable performance and begin to form principles to guide their actions.
Guns in hospitals
HealthLeaders Media via MedPage Today
There's a federal law banning guns from schools. But when it comes to hospitals, it's up to the state.
Leaders in the healthcare world react to the recent Supreme Court decision to back the Affordable Care Act in a challenge over its subsidies.
Nurse to patient staffing ratios are good for nurses. But what about safety?
Collaboration between physicians, HF nurses improves Medicare pay-for-performance metrics
Karen Joynt, M.D., MPHF, of Brigham & Women’s Hospital in Boston, offers her perspective on the benefits of collaboration between physicians and HF nurses on Medicare pay-for-performance metrics.
As research has shown, the more time nurses spend with their HF patients, the better patient outcomes. There are fewer hospital-acquired infections, fewer readmissions, better patient-reported hospital experiences and lower mortality. This is not only true in hospitals, but also in outpatient settings.
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Hospitals adapt as opioid epidemic hits infant victims
The Boston Globe
Michelle Frigon’s baby was just a day old last February when the signs of trouble emerged. His muscles tightened, he had sneezing fits, his cries rose urgent and high.
The nurses, by now familiar with babies like Charlie, assessed his symptoms and reached a diagnosis: The infant was withdrawing from an opioid drug absorbed in the womb.
They took Charlie upstairs to the special care nursery at UMass Memorial Medical Center in Worcester, where they found a quiet, dimly lit corner to protect him from stimulation.
Kill workflow inefficiencies to combat clinician burnout
Time spent on needlessly laborious or unnecessary tasks can silently ratchet up job dissatisfaction rates among physicians and nurses.
Healthcare is an industry where seconds count, and not just in the case of saving lives.
Imagine the simple act of walking down the hall to collect a piece of paper from a printer. "It might only be an additional 30 seconds each time, but if [clinicians] visit that printer 20 times in a day, that's an extra ten minutes daily," says John Jenkins, M.D., vice president and executive medical director of the primary care collaborative at Cone Health in Greensboro, North Carolina.
Managing side effects of common HF medications presents 'arduous task' for nurses
Shawn Merhaut, RN, MSN, ACNP-BC, CHFN, a nurse practitioner at the Cleveland Clinic, reviews the side effects of common HF medications and offers insight into the complexities of comorbidities and other pharmacologic agents in determining their etiologies.
Merhaut discusses the “arduous task” of HF nurses to place patients on guideline-directed medical therapies including ACE inhibitors, aldosterone antagonists, angiotensin receptor blockers, beta blockers, diuretics and vasodilators.
Tablets and portals may not be a hit, but wearables show promise
By Scott E. Rupp
It seems patient engagement efforts may require more work if the latest survey holds true. According to a study published in the Journal of the American Medical Informatics Association, giving patients access to portals and tablets "does not have a great impact on their understanding of their care and treatment."
The hypothesis, according to FierceMobileHealthcare, was that tablets and apps would result in greater knowledge of team members' names and roles, planned tests and procedures, medications and higher patient activation.
Nurses' reaction to Supreme Court in King v Burwell
The Hill (opinion)
Nurses, who enthusiastically embrace their mission to act as advocates for patients, are pleased that the Supreme Court chose to preserve access to affordable health coverage. It was the right decision and reflected the true intent of the law that all eligible individuals, regardless of the health insurance exchange structure in their state, should receive financial assistance to make their monthly premiums manageable.
Hepatitis C infections underreported in the United States
HealthDay News via Physician's Briefing
New cases of hepatitis C are drastically underreported to federal officials, according to a case series and chart review published online June 30 in the Annals of Internal Medicine.
Arthur Kim, M.D., director of the Viral Hepatitis Clinic at Massachusetts General Hospital in Boston, and colleagues analyzed data from a government-funded study that followed a group of 183 Massachusetts patients diagnosed with acute hepatitis C between 2001 and 2011.
Statins linked to lower aggression in men, but higher in women
Statins are a hugely popular drug class used to manage blood cholesterol levels and reduce the risk of heart disease. Previous studies had raised questions about adverse behavioral changes with statins, such as irritability or violence, but findings with statins have been inconsistent. In the first randomized trial to look at statin effects on behavior, researchers at the University of California, San Diego School of Medicine report that aggressive behavior typically declined among men placed on statins (compared to placebo), but typically increased among women placed on statins.
Hospital-wide program for delirium, alcohol withdrawal and suicide/harm impacts readmission rates
Approximately 20 percent of all patients admitted to a hospital have a mental health condition, either as a primary or a secondary diagnosis, and a recent report by the Institute of Medicine warned that there is a critical shortage of health care professionals who are equipped to provide mental health and geriatric care to these patients in the hospital setting. Often, these patients experience delirium, alcohol withdrawal and suicide harm (DASH), which put them at an increased risk for higher-than-average readmission rates. Recently, the rate of readmissions has become an important measure of quality care and patient satisfaction. Simultaneously, Medicare has begun financially penalizing hospitals with higher-than-average rates.
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