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Where's the best place to be a nurse?
The Clinical Advisor
Research based on job availability, competition, and salary suggests the Pacific Northwest states are the best places for nurses to practice. Oregon and Washington top WalletHub's “2014′s Best & Worst States for Nurses” list, while Southern regions states Mississippi and Louisiana ranked last of among the 50 states and the District of Columbia. “The nursing industry is expected to grow far faster than the average occupation through 2022,” wrote WalletHub, “and the various day-to-day demands placed on nursing professionals are indeed profession-specific.”
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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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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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  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!

Call for Nurse Participation in Survey Research about the Impact of HIV Criminalization on Providing Quality Care
University of Ottawa, School of Nursing
Association of Nurses in AIDS Care (ANAC)
The Association of Nurses in AIDS Care (ANAC), an organizational affiliate of ANA, is conducting a survey to help better understand the knowledge nurses have about laws regarding HIV exposure and transmission and the impact of these laws on the patient-provider relationship. Nurses from all practice areas and work settings are encouraged to participate, and you do not have to have experience in HIV care to participate. This survey will take approximately 15 minutes to complete. The University of Ottawa Research Ethics Board has approved this study (Ethics file #H03-13-04B).
To thank you for your contribution to the research project, you will be given the option to enter your name in a drawing to win an iPad or similar tablet valued at approximately $500 USD. Your name and email are requested only if you chose to participate in the drawing for an iPad and will not be linked to your survey response.
For more information about the survey and the iPad drawing rules, and to participate in this important survey, click here.

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PUBLIC COMMENT: Revised Code of Ethics
The revised Code of Ethics for Nurses with Interpretive Statements is now open for public comment. Please broadly promote this opportunity to provide feedback on the Preface and nine Provisions. ANA would encourage the commenter to read the revised document in its entirety before posting comments. This will help with understanding the flow and how the content is arranged under the nine provisions. The comment period is open until June 6, 2014. Click here to access the public comment space
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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.

Modern Healthcare Voting
ANA President Karen Daley, ANA CEO Marla Weston and American Academy of Nursing President Diana Mason have made the ballot for Modern Healthcare’s “100 Most Influential People in Healthcare” ranking! Voting closes Friday, June 13. Please vote here for the five nominees you believe should make the final list of the "100 Most Influential."

We encourage you to vote for nurse leader nominees. Recognizing nurse leaders in the “Most Influential” rankings is an excellent way to elevate the contributions of the profession and show how nurses are “leading the way” to transform the health care system. Additional nurse leaders on this year’s ballot include:

  • Geraldine "Polly" Bednash, CEO/executive director, American Association of Colleges of Nursing, Washington
  • Maureen Bisognano, president and CEO, Institute for Healthcare Improvement, Cambridge, Mass.
  • Susan Hohenhaus, executive director, Emergency Nurses Association, Des Plaines, Ill.
  • Sister Carol Keehan, president and CEO, Catholic Health Association, Washington
  • Beverly Malone, CEO, National League for Nursing, Washington
  • Marilyn Tavenner, CMS administrator, CMS, Baltimore, Md.
  • Deborah Trautman, CEO, American Association of Colleges of Nursing, Washington
  • Deidre Walton, president, National Black Nurses Association, Silver Spring, Md.

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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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    ANA backs federal nurse staffing bill
    Health Leaders Media
    A Senate bill calls for unit-by-unit staffing plans and publicly reporting those staffing plans, but stops short of dictating mandated nurse-patient ratios. Federal requirements for unit-by-unit staffing plans and publicly reporting those staffing plans are at the heart of the newly introduced Registered Nurse Safe Staffing Act of 2014 (S. 2353), which stops short of dictating across-the-board, mandated, nurse-patient ratios.
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    How are you handling the 'dab' outbreak?
    By Linda J. Wilk
    Emergency department staff are often on the front line when it comes to encountering new street drugs. In the coming months, butane hash oil — or "dab" as it is more commonly known — is likely to bring many victims of serious explosive accidents to the ER. Users call it dab because it only takes a little dab to get extremely high. As with many of the so-called designer drugs, there will always be those who persist in manufacturing in their own backyards, trying to capitalize on the market. Patients showing up in EDs may present symptoms that are a result of either smoking dab or making the substance.
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    Heart condition rarely assessed in pre-sports checkups
    MedPage Today
    Routine pre-participation in sports testing infrequently tests African-American males for the presence of hypertrophic cardiomyopathy – a condition that can lead to sudden cardiac death, researchers said here. In contacting primary care, urgent care, and pediatric providers from both densely Caucasian and African-American communities, electrocardiograms were performed in 23.6 percent of the clinics in densely African-American communities and in 20.4 percent of the densely Caucasian clinics, reported Frida Akbasheva, PA, at the New York Institute of Technology in Old Westbury, Long Island.
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    What is the most effective treatment strategy for patients with secondary progressive MS?
    Healthcare Professionals Network
    Despite recent advances in treatment for multiple sclerosis, the options for patients with secondary progressive disease remain limited. The 2014 Annual Meeting of the Consortium of Multiple Sclerosis Centers and the Sixth Cooperative Meeting with Americas Committee for Treatment and Research in Multiple Sclerosis concluded Saturday with “Controversies in the Treatment of Multiple Sclerosis,” a debate-style session that focused on discussion of several hot-button issues in current practice.
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    Nurses union targets EHRs, other tech in campaign
    Modern Healthcare
    National Nurses United has launched a media campaign criticizing the effects of what it called “digitalized care.” The multipronged campaign specifically criticizes electronic health records and bedside computers, saying they “too often fail” and lead to diagnoses and treatments based on “generic population trends” instead of individualized assessments. The campaign also references a December report from HHS' Office of Inspector General, which said EHRs allow hospitals and physicians to cover up fraud or medical malpractice.

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    Integrating telemedicine and mHealth into the health system
    By Jessica Taylor
    Many people think futuristic possibilities when they hear about telemedicine and mobile health, but the reality is that both will increase productivity and efficiency throughout the health system in the coming years. At the ATA 2014 Annual Meeting and Trade Show, healthcare colleagues were discussing how the alternative to face-to-face communication — telemedicine — has grown remarkably in the past few years and is continuing to do so.

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    With report of nurse understaffing dangers, group pushes to revive hospital staffing bill
    Washington Business Journal
    In another attempt to revive a nurse ratio staffing bill, a group representing D.C. nurses submitted a report to city officials Monday listing 215 instances when they say patients were endangered due to understaffing in District hospitals. National Nurses United, a national union that has partnered with a D.C. nurses union, is pushing for mandated nurse ratios and trying to get the D.C. Council’s Committee on Health to bring a bill out of committee that would create one.

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    The 4 basics of medical malpractice
    By Joan Spitrey
    One of every healthcare provider's biggest fears is being named in a lawsuit. Although most did not go into the healthcare profession with the intent to harm, sometimes harm does occur. Often the only way to determine if harm was negligent is through the civil court system and, in extreme cases, the criminal courts. For a patient or family member to seek litigation, four components of medical malpractice must be met for the case to be viable. Every state has different civil litigation procedures; the general process is the same. This article aims to assist the reader in understanding the basic components that make up a medical malpractice case.
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    Federal agencies launch pain research database
    The Interagency Pain Research Portfolio, a database that provides information about pain research and training activities supported by the federal government, has been launched by six federal agencies, according to a National Institutes of Health news release. In addition to NIH, the Agency for Healthcare Research and Quality, the CDC, the FDA, the Department of Veterans Affairs and the Department of Defense played roles in developing the IPRP, which allows users to search for information about federally funded pain research projects.
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    Stroke rounds: tPA tied to high bleed rate in small study
    MedPage Today
    Intracerebral hemorrhage was more common among patients receiving tissue plasminogen activator (tPA) in the real world compared with those in a clinical trial, researchers found. At a single emergency department, 15.6 percent of patients who received tPA for an acute ischemic stroke had an intracerebral hemorrhage, which is higher than the 6.4 percent rate seen in the National Institute of Neurological Disorders and Stroke study, according to Amy Buxton, PA, and colleagues from Wagner College in New York City.
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    Research in mice shows aspirin's effects on wound healing
    Aspirin’s effect on skin cells can delay skin repair at wound sites, according to new research in mice that might help lead to development of new treatments. Aspirin is known to promote bleeding events, and the drug also inhibits wound healing. The researchers’ findings, published in The Journal of Experimental Medicine, describes how aspirin acts on key skin cells called keratinocytes, delaying skin repair at wound sites. The study used diabetic mice, which are a common model for studying wound healing.
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    Google Glass enters the operating room
    The New York Times (opinion)
    Before scrubbing in on a recent Tuesday morning, Dr. Selene Parekh, an orthopedic surgeon at Duke Medical Center, slipped on a pair of sleek, black glasses — Google Glass, the wearable computer with a built-in camera and monitor. He gave the Internet-connected glasses a voice command to start recording and turned to the middle-aged motorcycle crash victim on the operating table. He chiseled through bone, repaired a broken metatarsal and drilled a metal plate into the patient’s foot.
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    Cybersecurity: How to navigate threats in your healthcare organization
    By Maria Frisch
    The network is down. Someone from accounting just spammed the entire practice. An outsider gains access to protected health information within electronic health records. Someone erases critical operational data. Many of us have both experienced and feared these scenarios, along with other threats to security. In this increasingly digital age, what can healthcare organizations do to protect themselves against cyberthreats?
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    Clinical Scholars Review shines policy spotlight on nurse anesthetists
    Medical Xpress
    As a profession, nurse anesthesia is at a tipping point. While recent federal legislation and changes to the U.S. Medicare program have expanded opportunities for certified registered nurse anesthetists (CRNAs) to provide care to more patients and receive reimbursement for their services, many states still restrict their scope of practice and limit their pay. A special section in the current issue of Clinical Scholars Review, the journal of advanced practice nursing published by Columbia Nursing, explores how the Affordable Care Act (ACA) empowers CRNAs to help make anesthesia services more accessible to patients, while also highlighting laws in New York and other states that may impede the expanded access to care envisioned by ACA.
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    Missed last week's issue? See which articles your colleagues read most.

        Moral distress in nursing (By Keith Carlson)
    Nurses hone skills for patients with chest pain (
    Study: School nurses save money (Reuters)
    New guidelines and technology needed for placement of feeding tubes in pediatric patients (Science Codex)
    Why telemedicine is the future of healthcare (By Jessica Taylor)

    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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