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|January 16, 2018 ||
By Joan Spitrey
On a cold night in Baltimore, a woman who appeared to be wearing just a hospital gown and socks was being deposited at a bus stop after being discharged from University of Maryland Medical Center Midtown. A bystander happened to catch the situation on video and opened the door for the world to see the uglier side of healthcare. In the video, you can see security personnel walking back into the hospital, ignoring questions.
ANA\C Board of Directors, Staff and our Membership are sending warm congratulations to Kim Tomasi, the new ACNL CEO! We wish Kim all the success leading ACNL and we look forward to our continuous cooperation and fruitful collaboration between ACNL and ANA\C.
Also, our deepest gratitude and heartfelt appreciation go to Pat McFarland, the outgoing CEO, for leading ACNL since 1995.
Good luck & Welcome to Kim and Thank You to Pat!
ANA\C has partnered with ANA, the CDC and other nursing organizations to create the Nursing Infection Control Education Network to provide training, information and resources to improve infection prevention and control practices for nurses.
To help each state better understand its progress in healthcare-associated infection (HAI) prevention and identify areas that need assistance, Centers for Disease Control and Prevention (CDC) publishes HAI Progress Reports. Improvement of healthcare quality and the reduction of HAIs in U.S. hospitals has been significant and as a result, healthcare in the U.S. is safer now than even 10 years ago. Building upon this success and continuing toward the elimination of HAIs is critical.
Capital Public Radio
“Absolutely nothing has happened with the bill,” Assembly Speaker Anthony Rendon, a Los Angeles-area Democrat, says of the high-profile Senate measure to establish single-payer healthcare.
Rendon shelved the bill last year, after it passed the Senate, calling it “woefully incomplete,” because it does not specify how the state would seek federal approval, bypass constitutional spending limits, and cover as much as a $400 billion cost.
California Budget & Policy Center
On Jan. 10, Governor Jerry Brown released a proposed 2018-19 budget that prioritizes building up reserves amid deep uncertainty about looming federal budget proposals, the impacts of the recently enacted federal tax bill, and future economic conditions. The Governor forecasts revenues that are $4.2 billion higher than previously projected in the 2017-18 budget enacted last June, driven largely by continued economic growth. The Governor’s budget assumes no changes to current federal policies and funding levels and is not yet able to account for the potential impacts of the Republican tax bill passed in late December.
South San Francisco
Hye Kyong Kim
Geri Lynn Mahaffey
Jo Marie Murch
For the 16th consecutive year, the American public has ranked nurses as the professionals with the highest honesty and ethical standards, according to a Gallup poll released today. The annual poll has ranked nurses as the most honest and ethical out of a wide spectrum of professions, including pharmacists and grade school teachers.
Nurses provide much more than bedside care. We advocate for patients, deliver primary care, meet the complex needs of patients with chronic conditions, volunteer for disaster relief efforts, and are a trusted voice in boardrooms across the country,” said Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN, president of the American Nurses Association (ANA).
The January/February/March issue of The Nursing Voice is available digitally. Click here to view it.
ANA Capitol Beat
The Trump Administration has picked up in 2018 where it left off in 2017 by dealing two more blows to the American health care system. The Department of Labor (DOL) on Jan. 5 published a proposed rule which would expand the ability of groups of employers to create Association Health Plans (AHPs), while today the Centers for Medicare & Medicaid Services (CMS) sent a letter to state Medicaid directors indicating support for states to implement work requirements for “able-bodied” adult Medicaid beneficiaries.
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To help ensure that patients with these cancers are accurately diagnosed and effectively treated, the College of American Pathologists (CAP) released its newest evidence-based practice guideline, "Human Papillomavirus (HPV) Testing in Head and Neck Carcinomas." The guideline comes at a much-needed time. HPV-positive head and neck cancer is on the rise in the U.S., with the greatest increase among middle-aged Caucasian men.
If you ask any nurse what their favorite thing is about wearing scrubs (besides the fact that they are basically PJs), they will most likely say “pockets!” Scrub pockets hold all of the essential tools that a nurse needs to survive a shift. If you’re a student or a new nurse, you might not know yet exactly what you should keep in your pockets.
Weight loss following bariatric surgery was associated with improvements in pain sensitization among obese patients with chronic knee pain, a year-long study found. One year after bariatric surgery, the pressure pain threshold increased by 38.5 percent at the patella and by 30.9 percent at the wrist among patients who had undergone either laparoscopic roux-en-y gastric bypass or sleeve gastrectomy, whereas no changes in the pressure pain threshold were observed among patients who had medical/lifestyle management.
Bedside manner is a broad phrase used to describe a health care professional’s attitude towards a patient. At its core, it describes the doctor- or nurse-patient relationship, but the right approach to care goes much deeper than that. According to the David Geffen School of Medicine at UCLA, bedside manner is one of the most crucial parts of a patient’s recovery, as it helps build trust in the patient and leads to better care after the patient has left the hospital. In other words, universities are now emphasizing good bedside manner right alongside teaching CPR and how to use stethoscopes.
Medscape (free login required)
In hypertensive patients, blood pressure (BP) control is best achieved through multilevel, multicomponent strategies that include physician- and clinician-led interventions, results of a comparative effectiveness analysis suggest. Despite strong evidence that antihypertensive drug therapy and lifestyle changes effectively lower high BP and subsequent morbidity and mortality from heart disease, hypertension control rates remain low worldwide, the authors note.
At the NP’s facility, when RNs or certified medical assistants order e-prescriptions, they send it to the patient’s healthcare provider for approval or rejection around the same time they send it to the pharmacy.
The NP personally wants to accept or reject a refill request prior to the prescription being filled. Moreover, she does not want her name used to refill prescriptions that she has not authorized. She also points out that neither RNs nor CMAs have prescriptive authority in her state.
High doses of vitamin D seem to keep arteries more flexible and pliable, potentially warding off future heart disease, heart attacks and strokes, preliminary research suggests. In just four months, vitamin D supplements reduced arterial stiffness in a group of 70 young black men and women, according to results from a small-scale clinical trial.
Patient Engagement HIT
In healthcare facilities, nurses can be found nearly everywhere — at patient screenings, in nursing stations, and, most importantly, with the patient in the exam room or at the bedside. Nurses are on the front lines of patient care, making nurse-patient communication essential to a positive patient experience.
On a pragmatic level, nurse-patient communication is important because it is one of the primary domains on which CAHPS surveys are scored.
No recommendation on screening adolescents for idiopathic scoliosis will be forthcoming from the U.S. Preventive Services Task Force (USPSTF), which has concluded there isn't enough evidence to determine whether the benefits outweigh the harms. While the Task Force found adequate evidence that treatment with a back brace may slow spinal curvature progression, there was not enough evidence to link this reduction to long-term health outcomes in adulthood.
Medscape (free login required)
A meta-analysis of international data confirms a positive association between long-term night shift work and an increased overall risk for cancer in women, particularly breast cancer.
In North America and Europe, working the night shift was associated with a 32 percent increased risk for breast cancer overall, the authors report.
Most patients or parents of children with acute uncomplicated appendicitis would choose surgery over antibiotic therapy as their preferred treatment, but "a meaningful number" would choose antibiotics alone, according to survey results published in JAMA Surgery.
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