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As 2013 comes to a close, MARN would like to wish its members, partners and other industry professionals a safe and happy holiday season. As we reflect on the past year for the industry, we would like to provide the readers of Nursing Flash a look at the most accessed articles from 2013. Our regular publication will resume Jan. 7, 2014.

Marathon nurse tells of gore beyond anything she'd seen
USA Today
From April 17, 2013: Alix Coletta graduated from nursing school less than a year ago. She had never seen the horrible sights she was about to see when the bombs went off at the Boston Marathon. Coletta, 25, a volunteer at the race, was inside the big medical tent past the finish line at Boylston and Dartmouth streets when the first explosion sounded. "I was kneeling down over a runner on a cot who was a little hypothermic when I heard the first bomb go off," recalls Coletta, who grew up in Johnston, R.I., and now lives in Quincy, Mass. "It produced a rumble in my chest and shook my chest."
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Hospitals may be disappearing in the era of healthcare reform
From Nov. 11, 2013: What first comes to mind when you hear the word “hospital”? Your reaction may depend on your past experiences. You may feel gratitude for the birth of a child or the treatment of acute appendicitis. You may feel sorrow, remembering a loved one who passed away on a hospital bed.
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Nurses relied on trauma experience to help bombing wounded
From April 16, 2013: Of all the Boston Marathons he's worked, and he's done a half-dozen of them, Stephen Segatore figured this one would be pretty easy. The weather was cool, so the runners probably wouldn't be at much risk for heat stroke or dehydration. Maybe he'd help people with muscle cramps or twisted ankles, but not much more than that. Segatore, a nurse for 18 years, started his day Monday with the elite athletes in Medical Tent B toward the start of the race.
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When nurses bond with their patients
The New York Times
From Sept. 13, 2013: Sarah Horstman writes, “As nurses we are taught that we are professionals and we must maintain a certain emotional distance with our patients. It’s a boundary that encompasses the therapeutic relationship: nurses as caregivers, patients as the recipients of the care. But now, working as a nurse, I have found that while most of my professional boundaries are well defined, sometimes the line between a professional and personal relationship with a patient can become blurred.”
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State of the scope of practice
From Aug. 26, 2013: After a detailed analysis of research showing how advanced practice registered nurses provide safe, quality care, the Institute of Medicine recommended rewriting federal and state laws to allow APRNs to practice to the full extent of their education and training — a position opposed by many physician groups. Nearly three years later, though physician opposition continues, a projected primary care provider shortage and the expected demands of healthcare reform are increasing the pressure on state and federal governments, insurance payers and healthcare administrators to do what growing numbers of people believe is simply good evidence-based practice.
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Nurse practitioners gain right to dispense prescription drugs
The Lund Report
From June 4, 2013: Patients who see a nurse practitioner for their primary care needs may not have to visit a pharmacy to get their prescriptions filled under legislation that passed the House unanimously. Senate Bill 8 removes restrictions that nurse practitioners face when they wish to dispense prescription medications to their patients. Current law requires them to prove that their patients struggle to get access to pharmacies.
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In era of health reform, retail clinics become part of the healthcare delivery system
Modern Healthcare
A contract between Detroit-based Henry Ford Health System and MinuteClinic, a division of CVS Caremark Corp., is one example of how retail clinics are becoming a larger part of the healthcare delivery system in Southeast Michigan to meet an expected increase in patient demand next year under the Patient Protection and Affordable Care Act.

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Mobile working: Why healthcare staff should be better connected
The Guardian
From allowing remote access to medical records, to helping professionals engage their patients, mobile working has revolutionized the way staff at the John Taylor Hospice provide care. For the community psychological therapies team at the Birmingham-based center, mobile devices act as communication aids that can capture the interest of otherwise hard-to-reach children.

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Study finds youth prefer and benefit more from rapid point-of-care HIV testing
Youth prefer, accept and receive HIV results more often when offered rapid finger prick or saliva swab tests rather than traditional blood tests according to a study by researchers at St. Michael’s Hospital. More than 50 per cent of youths who took part in 14 North American studies preferred the rapid point-of-care tests because they are less invasive and provide faster results, said family physician Dr. Suzanne Turner.

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Nurses spar with doctors as 30 million insured seek care
From March 4, 2013: Christy Blanco’s health clinic in El Paso, Texas, is sitting empty. Blanco, a nurse practitioner, says she has a waiting list of patients, all the necessary equipment, and a Ph.D. in nursing that gives her the training to start treating patients. About 50 miles (80 kilometers) away in Las Cruces, New Mexico, dozens of nurse practitioners at clinics like Blanco’s are busy caring for patients with a range of diseases from diabetes to asthma to depression.
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Nurse's notes: Psych nurses trained for crisis
The Missoulian
From June 25, 2013: Nurses are commonly asked the question “Why did you choose nursing?” While there certainly are many answers to this question, it is common to hear about one’s desire to provide care to a vulnerable population, the opportunity to make life better for others in the community or the satisfaction that comes with work that is so varied from day to day. This is true for many nurses who work in behavioral health, also known as psychiatric nursing.
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Better flu vaccine on the horizon
From Sept. 3, 2013: During the heat of summer, people tend to forget about the flu. Yet as high temperatures begin to decline, we're reminded that influenza, a serious disease that can lead to hospitalization and even death, will soon return. For the past several months, pharmaceutical companies and U.S. public health officials have been busy making and planning for the distribution of millions of doses of the flu vaccine to protect Americans in the upcoming season.
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Face flu facts
From Sept. 30, 2013: Flu season is fast approaching, and with it the flu vaccine. Dreaded by some, welcomed by others and a source of discussion for all involved in patient care, flu vaccinations raise many important questions for healthcare professionals. Do healthcare workers have an ethical obligation to get vaccinated? Should flu vaccination be mandatory for healthcare workers? Should those who aren’t vaccinated be required to wear masks or work away from patients?
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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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