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AzNA introduces the NEW AzNA Today eNewsletter
With the healthcare industry continuing to evolve, The Arizona Nurses Association (AzNA) wants to keep you up to date with the changes. To that end, AzNA has launched the new AzNA Today eNewsletter, an e-mail resource providing comprehensive weekly news briefings of the week's top stories.

Each edition of AzNA Today contains articles gathered from an expansive list of sources, including The Associated Press, Reuters, The Wall Street Journal, Medical Xpress and other leading healthcare publications. Professionals from the field will also contribute timely news and information "just in time" for leaders to stay on the cutting edge of healthcare news. Beginning today, Nov. 3, the AzNA Today eNewsletter will be delivered to the inboxes of AzNA members and others connected to the nursing industry, keeping them abreast of topics that impact their daily lives.

The AzNA Today eNewsletter is a great way to keep informed. The electronic publication can be easily read in your office, home, or via your mobile phone or PDA.

"We are thrilled to have MultiView help us provide professional up-to-date healthcare information to our members," said AzNA Executive Director, Robin Schaeffer.
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AzNA NEWS & EVENTS


AzNA Member is now a Living Legend
Barbara Durand, emeritus professor and former dean of College of Nursing & Health Innovation, will be recognized as one of the American Academy of Nursing’s 2014 Living Legends, Oct. 16, at the opening night of the Transforming Health, Driving Policy Conference in Washington, D.C. To be selected as a Living Legend, honorees must have been a fellow for at least 15 years and “have demonstrated extraordinary and sustained contributions to nursing and health care throughout their career.” Throughout her decades-long career, Durand has shown time and time again that she has these qualifications. In 1970, she co-founded the Pediatric Nurse Practitioner program at the University of California, which was the first of its kind in the state. Later, Durand was appointed dean of the College of Nursing at ASU. Under Durand’s leadership, U.S. News and World Report ranked the college’s graduate nursing program as one of the best in the country for the first time in the school’s history. The college has been included on that list ever since, and is now ranked No. 21.
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Ebola Resources
We would like to share the most updated information on Ebola so that you can continue educating the public while taking the necessary precautions in your workplace. Please visit www.aznurse.org for daily updates.
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Join the AzNA Member Blog Discussion
Ebola Preparedness
If this is your first time signing in, your username is the same e-mail address that is registered with AzNA and ANA. There are instructions to re-set your password if needed.

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UPCOMING EVENTS
Mark your calendars for upcoming AzNA events.

Date Event Location
Jan. 16, 2015 Nurses Making Public Policy Purposeful Scottsdale Healthcare Shea
Feb. 11, 2015
Nurses Lobby Day Az State Capitol
Feb. 11, 2015APRN Lobby Day Az State Capitol


PUBLIC POLICY


General Election Finale
Tuesday, Nov. 4, is the final day to VOTE for Local, State and National officials. The polls are open from 6:00 a.m. until 7:00 p.m. You must vote in your assigned precinct which can be found on your voter instruction pamphlet or your voter ID Card. If you have an “early” ballot, it is too late for mailing. Complete and sign the ballot and carry it to any precinct. You do not have to wait in line; there will be a drop box inside the door for your use.
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Sunrise hearings
Arizona’s sunrise review process provides a mechanism for both health professions and non-health professions to request regulation and, for health professions, expansion in scope of practice. Committees of reference will soon be hearing requests for changes in practice scopes with reports due before the first session of the 52nd legislature convenes on Jan. 12, 2015. The AzNA Public Policy team is following several possible sunrise applications including Physician Assistants, Surgical Assistants, Pharmacists and Naturopaths.
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Political Action Committee at Symposium
Volunteers from the AzNA Political Action committee provided education, information and guidance to the 300+ attendees at an exhibitor’s table at the Oct. 24 AzNA Symposium. Attendees were encouraged to study the large maps of AZ Legislative Districts and to identify candidates running from each district as well as those endorsed by the AzNA PAC. Over $1500.00 in contributions for the PAC were collected. Over 50 attendees signed up for membership in the PAC for the 2015 cycle.
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Election Results
For Election results after 7:00 p.m. on Tuesday, Nov. 4, follow the counts as they are posted on the Secretary of State's site. Official results will be announced on Dec. 1. Late ballots will delay any “100 percent” reporting results for several days. It is quite interesting to follow these postings and to watch the “too close to call” races and to be amazed at how many races were “won” during the primary.
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EDUCATIONAL EVENTS & RESEARCH


American Red Cross, Trans-Siberian Orchestra offer blood donors tickets to upcoming concert
The American Red Cross and Trans-Siberian Orchestra (TSO) will offer blood donors the opportunity to enjoy the upcoming TSO concert for free on Nov. 30. The first 50 presenting blood donors on Nov. 14, 2014 at Rural Metro Fire Department from 8 a.m. to 1 p.m. will receive a pair of tickets to the local TSO concert. Give the perfect gift with the Red Cross this holiday season and enjoy Trans-Siberian Orchestra. To schedule a donation appointment, simply download the blood donor app, visit www.redcrossblood.org or call 1-800-RED CROSS
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Undy Run Discount Registration Fees for AzNA Members
The Undy Run/Walk is a family-friendly event that was created by the Colon Cancer Alliance. It is unique because participants are encouraged to run in their boxers to bring attention to the area affected by colon cancer. AzNA Members can use the "AZNA" code for a $5 discount on registration fees.

Who: Colon Cancer Alliance
When: Nov. 16, 2014
Where: State Capitol District, 1600 W. Washington St, Downtown Phoenix
When: 7:30 a.m. the on-site registration and race packet pickup begin and at 9:00 a.m. the 5k begins

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IN THE NEWS



To quarantine or not? A question of trust
By Joan Spitrey
As the debate rages on regarding quarantines ordered by state governors, Kaci Hickox — the nurse who was ordered home quarantine — refuses to comply. So the national conversation continues. As a nurse, Hickox needs to set an example. It appears she wants to make a point that she is not infectious, but her message is not being heard through its delivery of selfishness. Although all do not agree upon the current course of action, there are a few things we all agree on.
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People with celiac disease more likely to fracture bones
Reuters
People diagnosed with celiac disease are almost twice as likely as those without it to break a bone, according to a new review of the evidence. More studies are needed, though, to see if people whose celiac hasn't been diagnosed yet are at similar risk, researchers say. About two million Americans have celiac disease — in which the immune system attacks the small intestine in response to gluten, a protein found in wheat, rye and barley — according to the National Institutes of Health.
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The nurse speaks: Making our voices heard
By Keith Carlson
When there's a major public health crisis, doctors are generally the experts sought out to provide commentary on television, radio and other venues of mainstream media. This is how it has always been, and it will continue to be this way without a major shift in nurses' self-awareness and media-savvy assertiveness. If nurses are the most trusted profession — as evidenced by the annual Gallup poll that asks Americans who they trust and who they feel is most honest — why aren't nurses regularly utilized as sources of commentary when the proverbial feces hits the fan?
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10 ways to apply social tools for an improved patient experience
By Christina Thielst
The pressures and drivers to reduce costs, improve quality, emphasize prevention and increase access are making social media and the underlying technologies more attractive to healthcare leaders. They can be effective and efficient tools for the delivery of communications to targeted individuals and/or populations. As a result, those leaders who recognize that we must change the way care is provided are starting to explore new ways of engaging patients across the continuum of care.
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High drug prices could increase industry innovation
Forbes
Peter B. Bach, M.D., is a physician at Memorial Sloan Kettering Cancer Center and the director of its Center for Health Policy and Outcomes. Bach is a passionate advocate for patients and often eloquently expresses concerns on the high prices of drugs, particularly new cancer therapies. When he speaks, many people pay close attention. However, his guest post on Forbes.com entitled “Could High Drug Prices Be Bad For Innovation” unfortunately is off-base.
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Telemedicine eczema care just as effective as office visits
Reuters
After a year of emailing photos of their skin and communicating with their dermatologists online, eczema patients showed just as much improvement as people who saw their own physicians in person, according to a new study. There are not enough dermatologists in the United States to meet the demand for services, researchers write in JAMA Dermatology. Teledermatology, or the remote delivery of dermatology services using telecommunications technology, could help ease that demand, they say.
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Nurses to administrators: We're not happy about EHRs
By Scott E. Rupp
Nurses are not happy about having to use electronic health records, a new report suggests. According to the Q3 2014 Black Book EHR Loyalty survey, 92 percent of nursing staff are dissatisfied with the systems — an all-time high. Nurses in 84 percent of U.S. hospitals also state they are struggling with flawed EHR systems, and as many as 88 percent blame financial administrators and CIOs for selecting low-performance systems because of low prices, the need to chase federal incentives and cutting corners at the expense of quality of care.
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Traumatic brain injury in older adults linked to increased dementia risk
Medical News Today
A new study published in JAMA Neurology suggests that for adults aged 55 years and older, traumatic brain injury may be linked to an increased risk of dementia. According to the Centers for Disease Control and Prevention, 60 percent of all hospitalizations for TBI occur among individuals aged 55 and older. The highest rates of TBI-related emergency department visits, inpatient stays and deaths occur among individuals aged 75 years and older. Researchers say such figures emphasize the need to gain a better understanding of the relationship between TBI and dementia.
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Task force nixes thyroid screening
MedPage Today
The U.S. Preventive Services Task Force still won't endorse screening asymptomatic patients for thyroid disorders, according to a new draft recommendation. The agency says there is insufficient evidence to make a recommendation for or against thyroid screening in asymptomatic patients who aren't pregnant. "People can have mild abnormalities in their thyroid tests and not have symptoms," Kirsten Bibbins-Domingo, M.D., Ph.D., co-chair of the Task Force's recommendations, said in a statement. "We don't know enough about the health consequences of finding these individuals and treating them. We need more research in this area."
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Hospital preparedness: Pay now or pay later?
By Christina Thielst
Recent events surrounding the diagnosis of Ebola on U.S. soil have proven that we can't always predict when and where an infectious disease will present. Texas Health Presbyterian Hospital Dallas wasn't really prepared for a person who would test positive for Ebola to walk into their emergency room, nor were they prepared to support their staff during his treatment after admission. It seems there were several weaknesses in planning and preparation that resulted in missed opportunities to minimize the risk of their staff becoming infected with the disease.
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Ibuprofen good as morphine, and safer, for kids with fractures
Reuters
The narcotic drug morphine is not the best choice for pain relief in kids with broken bones, a new study suggests. Kids in the study took either morphine or ibuprofen by mouth. The morphine was associated with side effects like drowsiness, nausea and vomiting — but it wasn't any better than ibuprofen at relieving pain. "Both ibuprofen and oral morphine provided pain relief but there were no significant differences between the two agents," said lead author Naveen Poonai, M.D., a pediatric emergency physician at the London Health Sciences Centre in Ontario.
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CDC issues new Ebola guidance for ED workers
FierceHealthcare
The Centers for Disease Control and Prevention on Oct. 27 revised its recommendations to help clinicians evaluate and manage patients with possible Ebola who arrive in hospital emergency rooms for treatment. The new guidelines reflect the lessons learned from the recent experiences of U.S. hospitals caring for Ebola patients, according to the CDC. The risk of an Ebola patient with early, limited symptoms transmitting the deadly virus to a healthcare worker in the ER is lower than a patient hospitalized with more severe symptoms. However, emergency departments must know how to assess patients for the possibility they have the illness and follow best practices, including proper use of personal protective equipment.
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AAP issues guidelines for children's bronchiolitis treatment
Family Practice News
The main treatment for bronchiolitis in young children should be support and observation, according to new clinical practice guidelines for diagnosing, managing and preventing bronchiolitis. The guidelines apply to children aged 1-23 months and emphasize clinical diagnosis and no medications except nebulized hypertonic saline for infants hospitalized with bronchiolitis, wrote Shawn L. Ralston, M.D., Allan S. Lieberthal, M.D., and their associates. These guidelines update and replace the ones issued by the American Academy of Pediatrics in 2006.
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Experts update stroke prevention guidelines
Reuters
Tools for preventing strokes include a healthy diet, home blood pressure monitoring and an online stroke-risk estimator, according to updated guidelines issued Oct. 29 by a leading heart health organization. Together with traditional measures like smoking cessation aids, medications and surgeries, the updated recommendations can help people substantially reduce the risk of stroke, said James Meschia, M.D., who led the group that wrote the new guidelines for the American Heart Association/American Stroke Association.
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Ditching your stethoscope for your smartphone?
The Dallas Morning News
Speaking at the American Academy of Family Practice Assembly this month, Eric Topal, M.D., suggested many of our routine medical practice devices could quickly become "relics" as we all advance our technological services. As a cardiologist, Topal uses his smart phone for just about everything. He ditched his stethoscope and stopped taking patient's pulses. Instead, he is able to get more information from his smartphone. He demonstrated the technologically advanced use of his smart phone as an echocardiogram; in addition, he demonstrated use of the phone as a glucose monitor, blood pressure and heart rate tracker. Topal also suggests smartphone technology translates to less costs.
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AzNA Today

Colby Horton, Vice President of Publishing, 469.420.2601
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Jessica Taylor, Senior Medical Editor, 202.684.7169   
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