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CRNAs can help reduce health costs
The Boston Globe (opinion)
Nurses and doctors have demonstrably different roles in the delivery of health care, but they have at least two things in common: putting patients first and taking pride in their respective professions. Trudy Pierce and William Truswell — one a certified registered nurse anesthetist , the other a facial plastic and reconstructive surgeon — also share an increasingly common-sense view that advanced practice nurses such as nurse anesthetists and nurse practitioners can play a greater role in healthcare. "If we allow such highly skilled nurses to practice to the full extent of their education and training, we can find new ways to lower medical costs and to improve patient access to quality care," Pierce and Truswell said.
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We are developing our public policy platform for the coming year and we cannot do this without knowing the thoughts and wishes of the membership. The patient safety act ballot initiative for November 2014 seeks to change the landscape for nursing. Your participation is extremely important to the future direction of your association.
Please click here to complete this very brief survey.

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MARN Open Forums

Join us for an informal discussion about nursing practice in Massachusetts.
Hear the latest issues impacting your nursing practice. Share with us your thoughts and ideas about the future of nursing and MARN priorities. Learn more about the MARN strategic plan.

March 26 — Framingham State College
April 15 — Hallmark Health System, Lawrence Memorial Hospital Campus, Medford, MA
**check back for more dates and locations
For more information, click here.
To reserve your spot today, click here.

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  JBI Evidence-Based Practice Resources - Try it Free for January
Advance healthcare using content and tools from the Joanna Briggs Institute (JBI), a global leader in evidence-based practice, only on Ovid. Search evidence in any specialty including systematic reviews, recommended practices, evidence summaries, patient handouts and more. Then use JBI's unique tools to get evidence into practice. Try it Today!

Registration Open: MARN Awards Dinner and Spring Conference
Register Today, click here.
Friday, April 11
Living Legends in Nursing and Annual Awards Banquet
For a list of Award Recipients, click here.
Saturday, April 12
Annual Spring Conference - Reaction…Response…Reflection, Lessons Learned from the Boston Marathon Tragedy
Conference Agenda, click here.
Dedham Hilton Hotel • Dedham, MA
Reserve your room today at (781) 329-7900
Discounted Room Rate of $129 cutoff date is March 12

Call for Posters, click here.
Please consider being a Sponsor, click here.
Exhibitor Opportunity, click here.

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NEW DATE: Registration Open: MARN Accredited Approver Unit Eastern Workshop
Applying the 2013 ANCC Criteria to Nursing Continuing Education
One Year Later: Lessons Learned

Wednesday, April 30, 2014
9 a.m. – 12 p.m.
Symposium flyer, click here.
Register now, click here.
Conference Agenda, click here.
Wellesley Gateway Building
93 Worcester Street
Wellesley, MA 02481-9181

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  Free CNE credits are just a click away.

We've made it easy to earn free CNE online by offering 24/7 access to more than 40 courses on pediatric and adolescent healthcare. We also offer several courses approved for the ethics credits you now need and our new, short, CNE-accredited video tutorials are perfect for watching on the go.

Authors Wanted for the MAssachusetts Report on Nursing (MARN Newsletter)
Needed: Articles for The Summer 2014 edition of the MAssachusetts Report on Nursing
Remember: The MARN newsletter is read by about 118,000 RNs in the Commonwealth!
We are focusing on Safe Staffing legislation and welcome your comments and stories!
This is YOUR newsletter so we need YOU to make a contribution!
Your ideas about features to include in future newsletters are always welcome. The more input, the better!!
Your contribution can be sent to or mailed to MARN Newsletter, P. O. Box 285, Milton, MA 02186
Deadline date for submission is April 10!

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Howard Gotlieb Archival Research Center and the Nursing Archives Associates at Boston University cordially invite you to attend the NAA Annual Meeting
Guest speaker:
Terri Arthur, MSM, RN
Wednesday, April 2 at 5:30 p.m.
Trustee Ballroom
One Silber Way, Ninth Floor
Boston, Massachusetts 02215
R.S.V.P. by March 26 to (617) 353-3697
Flyer, click here.

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Research Participants Needed
A nurse educator and doctoral student would like to interview new Registered Nurses with learning disabilities to describe their transition into practice experience. The interview should take about 45 minutes and there is no cost other than your time. As a gesture of appreciation participants will receive a $10 coffee gift card. The study has been approved by Regis College IRB and all information is confidential. If interested or if you know of anyone who may qualify please email the researcher at
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Hospital security cameras: Too much invasion of privacy?
Medscape (free subscription)
How would you feel if you were a patient and found out that, in your room, or in the waiting room, or in the emergency room there was a camera and it was watching you without your knowledge? More and more in our hospitals, and even in some private practices, people are putting up cameras to conduct surveillance of what is taking place in a healthcare setting. There are lots of reasons for doing this. Sometimes you want a camera in a room to see if a patient wanders. In nursing homes and hospitals, wandering is a huge problem. We cannot have nurses be with a patient every second, but if you have a camera and are monitoring it, you can see that a particular woman is not in her bed anymore. Where is she? She is not where she is supposed to be. That protects patient safety.
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Improved care coordination of seniors has various benefits
Improving the coordination of care for elderly patients with chronic diseases trims costs, reduces use of health services and cuts complications, according to a study. Studying a large group of Medicare patients, researchers found that even modest improvements in the continuity of care among patients with diabetes, heart failure or emphysema were associated with sizable reductions in use of EDs and hospitalizations.
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Is nutrition the first step in addressing hospital readmissions?
U.S. News & World Report (opinion)
Hospital readmissions of Medicare patients aged 65 and over is a health concern impacting patients, families and hospitals across the U.S. According to the Centers for Medicare and Medicaid Services, the issue also costs U.S. taxpayers more than $17 billion in additional hospital bills. A fresh look at how nutrition is being prescribed in the hospital may yield a simple solution, leading to both decreased hospital costs and improved patient care.
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Can Google Glass transform medical education?
HIT Consultant
Google Glass looks exciting for the medical world, and presents a particularly powerful opportunity for medical education. A white paper by the Department of Emergency Medicine, Singapore General Hospital says, “simulation-based training has opened up a new educational application in medicine. It can develop health professionals’ knowledge, skills, and attitudes, whilst protecting patients from unnecessary risks”. Google Glass is taking simulation to the next level and making it more real, as the patients treated are real.

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Researchers stress weight-bearing exercise for bone strength
Medical Xpress
When Denise Allee went shopping at Terre Haute's Honey Creek Mall on a recent Saturday, she left with some piece of mind. Future health care providers from Indiana State University had set up a booth inside the mall's main entrance, offering free bone-density scans as part of a research project. "We have a few bone problems that go in the family, so I just thought I would go ahead and have it checked out," said Allee, 59, of Bloomingdale. "I was surprised how good I did."

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Computer program calls parents when asthma scrips run low
Family Practice News
A newly developed computer program mines electronic medical records to find pediatric asthma patients who are about to run out of their inhaled corticosteroid inhalers, then calls their parents to help them order new ones. It’s not a robocall. Parents don’t push buttons to signal their response.

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6 reasons hospital consolidation will continue
Government Health IT
We know something profound is happening in the healthcare provider realm. Today we have more than 5,700 hospitals across the U.S.; more than 3,000 are part of larger health networks. Nearly 900,000 physicians are employed at various levels in the healthcare systems, including private practice, group practice and hospital employees. As the hospitals are consolidating so, too, are the doctors.
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Progress made in patient privacy, but criminal attacks increasing
By Pamela Lewis Dolan
The number of data breaches has declined slightly over the past year. But the state of patient privacy and data protection is not good, according to the Fourth Annual Benchmark Study on Patient Privacy and Data Security. Data breaches cost healthcare organizations an average of $2 million over a two-year period, according to the survey. This is down from $2.4 million a year ago. While employee negligence is responsible for the largest number of breach incidents, the number of breaches caused by malicious attacks has increased 100 percent over the past four years.
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As ICD-10 deadline nears, system testing is key
Tech Page One
There’s only about six months left before the ICD-9 code sets (used to report medical diagnoses and inpatient procedures) are replaced by the new ICD-10 code (PDF), a change that’s required by the Centers for Medicare and Medicaid Services (CMS) for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). Healthcare practices everywhere are working toward transitioning coding systems before October 1, 2014. Delaying can be costly. Those providers who miss the deadline can expect headaches like cash flow interruption, delayed claims payments, and additional costs associated with non-conformance. With that in mind, IT organizations of all sizes are working to meet full ICD-10 compliance — but before they can officially transition, testing their new systems is essential.
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Healthcare in the age of Dr. Google: the 2014 digital patient journey
MedCity News
Ask any medical professional what has changed about patient behavior the last few years, and she is sure to talk about a physician who never was accepted to med school... the ubiquitous “Dr. Google.” When patients start to notice something doesn’t feel quite right, they Google their symptoms and make a preliminary diagnosis. In fact, 86 percent of patients conduct a health-related search before scheduling a doctor’s appointment: 90 percent of adults ages 18-24 say they would trust medical information shared by others in their social networks. Forty-one percent say social media impacts their choice of healthcare providers.
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First estimates of multidrug-resistant tuberculosis in children made
Family Practice News
The risk of multidrug-resistant tuberculosis appears similar in children and treatment-naive adults, according to a study published online ahead of World Tuberculosis Day, which is March 24. This study provides the first global and regional estimates of the incidence of drug-resistant disease in children. Researchers led by Helen E. Jenkins, Ph.D., of Brigham and Women’s Hospital, Boston, calculated the incidence of tuberculosis in children and conducted a systematic review to estimate the risk of multidrug-resistant disease.
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Standard care proves sufficient for septic shock treatment
Survival of patients with septic shock was the same regardless of whether they received treatment based on specific protocols or the usual high-level standard of care, according to a five-year clinical study. The large-scale randomized trial, named ProCESS for Protocolized Care for Early Septic Shock, took place in 31 academic hospital EDs across the country and was funded by the National Institute of General Medical Sciences, a branch of the National Institutes of Health.
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Missed last week's issue? See which articles your colleagues read most.

    'The calculus of nursing education and patient outcomes ('By Keith Carlson)
'Research shows sedation before nerve block boosts risk, not relief ('
'Insulin-related hypoglycemia: Common, costly, preventable ('Medscape (free subscription))
'Study: Blood biomarker could help with concussion diagnosis ('

Don't be left behind. Click here to see what else you missed.


MARN Nursing Flash
Colby Horton, Vice President of Publishing, 469.420.2601
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Jessica Taylor, Medical Editor, 202.684.7169   
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