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Children prescribed codeine despite safety concerns
USA Today
Although significant concerns have been raised about the safety and benefits of codeine-containing medications for children, there's been only a slight decline in hospital emergency department prescriptions for the drugs over the past decade, a new study finds. "There's been growing evidence that codeine is metabolized very differently in different children, with a small portion of them being at risk for potentially fatal side effects," says pediatrician Sunitha Kaiser, an assistant clinical professor at the University of California-San Francisco, and lead author of the study published online Monday in Pediatrics.
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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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LAST CHANCE TO REGISTER — 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.
Wellesley Gateway Building
93 Worcester Street
Wellesley, MA 02481-9181

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  JBI Evidence-Based Practice Resources

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.
Find out more!

Career Guides Needed for ANA - Massachusetts (formerly MARN) Career Connections Program! New nurses need you!
ANA - Massachusetts (formerly MARN) is happy to announce that the new program to help senior nursing students and new graduates who anticipate entering their first professional nurse position is very popular! The aim of the Career Connections program is to match a novice nurse (the Seeker) with a professional nurse career guide. This is a great opportunity for nursing professionals to share their knowledge and experiences with novice nurses through this important transition to a professional position in nursing. Career Guides support and encourage the seeker throughout their transition as they enter professional practice. The role of the Career guide is to guide Seeker to:
  • Identify possible entry level positions
  • Critique cover letters and resumes
  • Provide coaching for interviews with nurse recruiters
  • Listen and support to novices’ questions and answer job-related concerns
Once matched, Career Guides and novice nurses arrange to meet at a mutually agreeable time. The connection is meant to end when novice nurses find their first position. To participate send name, position, snail mail address and phone number to Sabianca Delva at

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Nominations Open for Schwartz Center Compassionate Caregiver Award
Honoring New England Caregivers Who Demonstrate Extraordinary Compassion for Patients
The Schwartz Center for Compassionate Healthcare, a nonprofit organization dedicated to strengthening the relationship between patients and their healthcare providers, is seeking nominations for its 2014 Schwartz Center Compassionate Caregiver Award®. This prestigious award, given annually since 1999, recognizes caregivers and teams of caregivers who demonstrate extraordinary compassion for patients and families.

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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.

Volunteer needed to represent ANA on CPT Health Care Professionals Advisory Committee
ANA is seeking a volunteer to serve as ANA’s representative to the American Medical Association’s Current Procedural Terminology (CPT) Health Care Professionals Advisory Committee (HCPAC). The CPT HCPAC facilitates the development and review of CPT codes used by all healthcare professionals. CPT is the coding system used to submit claims to all insurance companies and third party payers in the country. Some knowledge of billing and coding is required. The CPT Editorial Panel meets three times a year – May (usually in Chicago), and October and February, typically at resort hotels.
    Upcoming meeting dates and locations:
  • May 15-17 Rosemont, IL
  • Oct. 9-11 New Orleans, LA
  • Feb. 5-7, 2015 San Diego, CA
  • May 14-16, 2015 TBA
Interested candidates should send their CV and a brief note of interest to

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ANF Gets $100,000 Gift , National Award Recipients and More
American Nurses Foundation Receives Inspirational Gift of $100,000 To Endow Leadership Fund
The American Nurses Foundation (ANF) announced that long-time ANA member Major General Irene Trowell-Harris, USAF, Ret, EdD, RN, has made a $100,000 gift to support the development of nurse leaders. The Irene Trowell-Harris Endowed Leadership Fund will support initiatives that give nurses a greater voice in influencing health care delivery and policy.

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American Nurses Association Announces National Award Recipients
The American Nurses Association (ANA) has announced the recipients of its 2014 National Awards, including five registered nurses who will be inducted into ANA’s Hall of Fame and five registered nurses who will receive Honorary Awards. A National Awards ceremony and reception will be held on Thursday, June 12, to honor the recipients at the Washington Hilton in Washington, D.C., prior to the 2014 ANA Membership Assembly.
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Share Your Lobby Day Photos for The American Nurse
We want to highlight C/SNA Lobby/Advocacy Days in the May/June issue of The American Nurse and are seeking your photos. Please submit your lobby day photos by Friday, April 25, for inclusion in the issue. Remember to identify the people in the photograph, provide a short description for a caption, and, if needed, name a person for the photo credit.

Because this will be printed, we have specific photo quality and format requirements:
  • Make sure that photos taken with a smart phone, camera, or other device were on the "high resolution setting" so that they are suitable for professional printing.
  • Electronic photos must be supplied as hi-res .pdf, .tif, .eps, or .bmp formats.
  • Please do not paste photos on Word documents as this reduces the resolution.
  • Unfortunately, files that are cut and pasted from the web (72-dpi) cannot be used for print.
Please send your photos to Susa McCutcheon, editor, at

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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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Doctor or nurse? Blurring the lines of medical treatment
By Dorothy L. Tengler
Academic Medicine, the journal of the American Association of Medical Colleges, recently called for articles addressing these questions: What is a doctor? What is a nurse? Thirty years ago this would have been an absurd issue not only for doctors and nurses, but for patients as well. Roles were clearly delineated within the disciplines. The white coat indicated a doctor, and the white uniform and cap identified the nurse. These two questions alone could minimize the role of the doctor in today's society.
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Connection between nurse staffing and patient outcomes can be made in all hospital clinical areas with expanded measures
The nation’s largest database assessing nursing care quality has expanded its measures of nurse staffing to the entire clinical practice area of hospitals by adding several new patient care unit types. By measuring staffing in emergency departments, perioperative services and perinatal services as part of NDNQI®, a quality improvement solution of the American Nurses Association (ANA), hospital quality improvement teams now can generate data to correlate nurse staffing levels with patient outcomes in these areas. That data can assist the teams in developing staffing plans and strategies to improve outcomes, such as reductions in patient falls and infections that result from hospitalization.
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Hospitals take CMS' two-midnight rule to federal court
Becker's Hospital Review
Various hospitals and hospital associations are challenging CMS' two-midnight rule and a related Medicare payment offset in federal court. The hospitals and hospital groups claim the two-midnight rule — under which inpatient admissions must span at least two midnights to qualify for Medicare Part A payments — is "arbitrary" and "capricious."

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New regulations allow patients to get lab test results quicker
Las Vegas Review-Journal
Patients and impatience —often they go together like unflattering hospital gowns and exposed derrieres. Few things can test your patience as much as waiting to learn about — and worrying over — the state of your health. And few things can trigger anxiety more than the eternity (or so it sometimes seems) between getting medical tests and receiving the results.

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Exchange enrollment exceeds expectations, but too early to determine impact
By Pamela Lewis Dolan
The Obama administration's last-ditch efforts to get people to sign up for insurance through the insurance exchanges paid off as the total enrollment numbers exceeded 7 million by the March 31 open enrollment deadline. The enrollment data surprised nearly everyone. Just weeks before the deadline, the Congressional Budget Office revised its estimate of new enrollees down to 6 million. But while proponents of the Affordable Care Act had reason to celebrate, there are still many unknowns that will determine the long-term success of the law.

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Researchers find 5 percent misdiagnosis rate in outpatient settings
At least 1 in 20 adults is misdiagnosed in outpatient clinics in the U.S. every year, amounting to 12 million people nationwide, and posing a “substantial patient safety risk,” according to a study. Half these errors are potentially harmful, according to the authors, who add that their findings should prompt renewed efforts to monitor and curb the numbers of misdiagnoses.
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Sepsis: Is CVP useless as a resuscitation marker?
Medscape (free subscription)
CVP as a marker for resuscitation has been used for about the past 20 years. CVP really has come to light with Manny Rivers' paper on early goal-directed therapy that used a CVP level from 8 to 12 mm Hg as a marker to guide resuscitation in septic patients. Recently, CVP has come under a lot of scrutiny, especially from Dr. Paul Marik's group, which has completed 2 meta-analyses, the latest in 2013, and found that CVP is useless. It does not gauge the fluid responsiveness, especially when the CVP is low, high, or medium. They show that CVP has been a static form of resuscitation.
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Barcoding technology may improve medication accuracy
Pharmacy Times
Using barcode-assisted medication administration systems with electronic medication administration records may help reduce medication errors within hospitals, according to the results of a study published in the Feb. 1, 2014, issue of the American Journal of Health-System Pharmacy. Despite the promise that barcode medication administration systems will reduce medication errors at the point of care, there is little evidence of their effectiveness. Using a pretest-posttest comparison group, the study analyzed the effects of a barcode-assisted medication administration with electronic medication administration record (BCMA-eMAR) system on medication administration accuracy rates at 2 community hospitals.
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Longer nurse tenure on hospital units leads to higher-quality care
Columbia University Medical Center
When it comes to the cost and quality of hospital care, nurse tenure and teamwork matters. Patients get the best care when they are treated in units that are staffed by nurses who have extensive experience in their current job, according to a study. The review of more than 900,000 patient admissions over four years at hospitals in the Veterans Administration Healthcare System is the largest study of its kind to link nurse staffing to patient outcomes. The researchers analyzed payroll records for each nurse and medical records for each patient to see how changes in nurse staffing impacted the length of stay for patients.
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Evidence points to potential benefits of polypill for heart health
Medical Xpress
Taking one pill instead of three could be a powerful ally to prevent cardiovascular disease, according to a new Cochrane systematic review of the latest research on polypills from a team of scientists at the London School of Hygiene & Tropical Medicine, Warwick Medical School and Northwestern Medicine. The review included analysis of 7,047 patients in nine randomized controlled trials from around the world from 2009 to 2013 and is the largest and most comprehensive review of polypill literature to date. The findings were published April 16 in the Cochrane Database of Systematic Reviews.
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Benzodiazepines may contribute to respiratory problems in people with COPD
A group of drugs commonly prescribed for insomnia, anxiety and breathing issues "significantly increase the risk" that older people with chronic obstructive pulmonary disease, or COPD, need to visit a doctor or Emergency Department for respiratory reasons, new research has found. Benzodiazepines, such as Ativan or Xanax, may actually contribute to respiratory problems, such as depressing breathing ability and pneumonia, in these patients, said Dr. Nicholas Vozoris, a respirologist at St. Michael's Hospital.
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Entrepreneur combines design + coding skills to help stroke patients communicate with nurses
MedCity News
Imagine your loved one, lying in a hospital bed, unable to signal a nurse that she can’t breathe or is in pain. In healthcare facilities today, nurses are overworked and under informed through no fault of their own. They simply have no way to determine emergencies from non-emergencies without physically going into a person’s room. For Nick Dougherty, poor patient-caregiver communication became his focus in the fall of 2011. He shadowed nurses on a stroke ward while working on his engineering senior design project at Boston University. He quickly discovered severe inefficiencies in communication and workflow.
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Missed last week's issue? See which articles your colleagues read most.

    How nurses can help with the challenges of the ACA (By Keith Carlson)
Overcoming communication challenges of EHRs (By Jessica Taylor)
Nurses move beyond patient bedside in research efforts (Richmond Times-Dispatch)
Report: Expand nursing and allied health roles (Nursing Careers Allied Health)

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, Senior Medical Editor, 202.684.7169   
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