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The nursing shortage and the doctor shortage are two very different things
The Washington Post
Nursing is bracing for what’s being called a “silver tsunami” — a graying Baby Boomer workforce entering retirement. On top of that, many other nurses are leaving the field out of frustration. Why? They don’t feel they’re making enough of a difference for their patients. A 2011 study found that more than 20 percent of nurses who provide direct patient care expressed job dissatisfaction, compared to 13 percent of nurses in non-institutional settings.
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ANA's Pamela Cipriano and Marla Weston on ballot for most-influential ranking
ANA President Pamela F. Cipriano, Ph.D., RN, NEA-BC, FAAN, and Chief Executive Officer Marla J. Weston, Ph.D., RN, FAAN, have both made the ballot for Modern Healthcare's 100 Most Influential People in Healthcare ranking. Three hundred health care leaders made the ballot, and we need your help again as the voting begins for the final list. Help raise the visibility of nurse-led healthcare by voting. Don't delay — voting ends Friday, June 26.
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  Calling All RN Night Owls! Land at O.A.S.I.S Hospital

OASIS Hospital, the Valley’s Premier Orthopedic Hospital is seeking talented and knowledgeable RNs to join their world class team! These highly sought after Night Opportunities in the PSU provide autonomy, exceptional rates, a family setting, great schedules, and pure joy. 

Join our team at #OASISjobs


Arizona Asthma Coalition Clinical Conference Saturday, Oct. 3
SAVE THE DATE! The Arizona Asthma Coalition will hold its 9th Annual Conference on Saturday, October 3, 2015, from 8 a.m to 4 p.m. at the Banner Children's/ Cardon Children's Medical Center in Mesa. The theme of the conference is Asthma and Allergy: Wheezing and Sneezing in the Desert. The conference will explore the relationship of allergy and asthma, and include three tracks:
  • Pharmacological Therapy Through the Lifespan - including very young and schol-age children, pregnancy, adults and geriatrics
  • Clinical Practice — best clinical practices and case studies; what looks like asthma and isn't
  • School Nurses — Asthma 101, what to do in emergencies, and how to use devices
Learn about preventing early life asthma, the impact of air quality on asthma, and the latest research and treatments for asthma and allergies.

CME/CEU credits will be provided for physicians, NPs, PAs, nurses, nurse practitioners, and respiratory care practitioners. Watch for registration materials in July!

For further information contact Mark Brown, MD at

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Calling all Arizona Health Providers
The University of Arizona, Arizona Prevention Research Center is conducting a 2-minute, anonymous on-line survey to assess licensed health provider’s perspectives on current and projected utilization and impact of Community Health Workers (CHWs), in the primary care setting.

A CHW is a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. CHWs serve under a variety of titles including Community Health Advocate (CHA), Patient Navigator, Community Health Representatives (CHR) and Promotor/a.

You are invited to participate because you are a licensed health professional, inclusive of physician, physician assistant, nurse, nurse practitioner, pharmacist, or psychologist or behavioral health specialist involved in direct patient care.

You do not need to work directly with CHWs to complete this survey.

In 2013, CHWs were included in the Affordable Care Act (ACA) as distinct members of the health care team and in 2014 the Centers for Medicaid and Medicare (CMS) issued new guidance for reimbursement of preventive services offered by unlicensed professionals such as CHWs. These developments have tremendous implications for the integration and reimbursement of CHWs in the primary care setting in Arizona and throughout the US.

Please follow the link below to participate and forward this email to other licensed health providers.

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Mark your calendars for upcoming AzNA events.

Date Event Location
July 25-2627th Annual Southwestern Regional Nurse Practitioner Clinical Symposium — REGISTRATION NOW OPEN Flagstaff, Arizona
Aug. 282nd Annual National Association of Hispanic Nurses: Phoenix Chapter Conference REGISTRATION NOW OPEN Scottsdale, Arizona
Sept. 23-25
AzNA Biennial Convention — The Changing Landscape of Healthcare: Trends in Nursing Leadership, Practice & Education – REGISTRATION NOW OPEN! San Marcos Resort, Chandler, Arizona


Nurses can't afford to ignore healthcare costs
HealthLeaders Media
Concern for the hospital's bottom line has traditionally been outside the realm of RNs, but understanding healthcare costs gives them an advantage in improving patient care and insight into leadership challenges. From the time we enter school, nurses are taught to be advocates who champion our patients' needs regardless of their diagnosis, social standing, or access to resources.
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Nurse staffing and patient safety
The New York Times (opinion)
Studies show that inadequate nurse staffing puts patients at risk for longer hospital stays, increased infections, medical errors, injuries and even death. After all, one of the reasons someone is admitted to a hospital is that he or she needs 24/7 nursing care. But it’s not just patients who suffer: Nurses who are overloaded are more prone to burnout, exhaustion and stress, and have less time to educate, comfort and coordinate care. That is a toxic formula for patients’ health and safety.
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Physicians, nurses often disagree on when to test for C. difficile
Significant differences existed between the risk factors that doctors and nurses considered most important before testing for Clostridium difficile, according to a study published in the American Journal of Infection Control. “Clostridium difficile infection [CDI] is the primary infectious cause of health care-associated diarrhea,” Nasia Safdar, M.D., Ph.D., department of medicine, University of Wisconsin Medical School, and colleagues wrote. “The incidence of hospital-acquired CDI is increasing and patients diagnosed with CDI incur greater costs, require increased length of stay, and have higher mortality rates.
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VA nurse practitioners could practice independently under Senate bill
Modern Healthcare
Senate legislation is looking to empower nurse practitioners across the Veterans Affairs Department to practice independently of physicians, regardless of laws in individual states. The goal is to mitigate physician shortages and reduce patient wait times that have been plaguing the VA. The provision would allow nurse practitioners — including midwives and mental healthcare clinical nurse specialists — to prescribe some drugs and treat patients without a supervising physician.
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Calming dementia patients without powerful drugs
MedPage Today
Diane Schoenfeld comes every Friday to the Chaparral House nursing home in Berkeley, California, to spend time with her aunt, Lillie Manger. "Hi Aunt Lill!" she says, squatting down next to her aunt's wheelchair, meeting her at eye level. Manger is 97. She has straight white hair pulled back in a neat bun today. It's tied with a green scarf, a stylish reminder of the dancer she used to be.
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The link between patient satisfaction and nurse satisfaction
By Keith Carlson
The Atlantic recently published an article entitled, "The Problem With Satisfied Patients." The subtitle of the article — "A misguided attempt to improve healthcare has led some hospitals to focus on making people happy, rather than making them well" — makes the focus of the piece quite clear. This piece underscores the reality that hospital reimbursements are now being linked to patient satisfaction scores. But what would happen if we focused on nurse satisfaction?
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Study says ICU delirium tied to higher death risk
HealthDay News
Intensive care unit patients who develop delirium have a higher risk of death, longer hospital stays and are more likely to have mental impairment after leaving the hospital, a large review finds. Delirium includes confusion, inattention, hallucinations and sometimes agitation. It is more common among the elderly, patients with preexisting mental impairments and the terminally ill, the study authors said.
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Free the nurses
In March, Nebraska became the 20th state to allow nurses with the most advanced degrees to practice without a doctor’s oversight in a variety of medical fields. Maryland recently followed suit and eight more states are considering similar legislation. What does all this mean? Nurses in Nebraska with a master’s degree or better, known as nurse practitioners, no longer have to get a signed agreement from a doctor to be able to order and interpret diagnostic tests, prescribe medications and administer treatments. These changes are long overdue.
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Feds widening probe of deadly bacteria outbreaks tied to medical scopes
USA Today
The Justice Department is seeking thousands of pages of documents in an investigation that has entangled all three manufacturers of a specialized medical scope tied to a deadly series of superbug outbreaks at hospitals across the country. The three manufacturers of duodenoscopes — Olympus, Pentax and FujiFilm — all received subpoenas in recent weeks as part of the probe, according to two sources who are familiar with the investigation and spoke on condition of anonymity because they were not authorized to discuss it.
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Antibiotic approved for infant abdominal infections
The U.S. Food and Drug Administration has approved the antibiotic meropenem for treating intestinal perforation, or leakage, in children less than three months old, offering doctors guidelines for using the drug with preterm infants. The National Institutes of Health funded two studies to explicitly use meropenem with infants, which previously had been approved only for intra-abdominal and skin infections in older children and adults.
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Missed last week's issue? See which articles your colleagues read most.

    Work-life balance in healthcare: Realign your priorities (By Catherine Iste)
Empowering nurses to be their best (By Keith Carlson)
5 tips to help nurses improve patient education skills (Global Healthcare)
Weed candy is sending more children to the hospital (By Denise A. Valenti)

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


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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