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| March 21, 2017 |
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By Keith Carlson
 It's been said that we have two ears and one mouth so that we'll listen twice as much as we talk. As nurses, we work with patients at their most vulnerable and frightened. So, are we listening enough or talking too much? When a nurse wants to know how a patient's lungs are doing, she uses her stethoscope to listen to the patient's breath sounds. If the nurse tries to talk with the patient while auscultating the lungs, the usefulness of the lung assessment is compromised.
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On Friday March 17, 2017, ANA\C had the privilege to serve as a judge at a state-wide annual leadership conference and a competition for around 2,400 future health professionals in attendance in the Sacramento Convention Center. ANA\C partnered with CA Dept. of Education’s Tom Mayes to judge ‘Healthy Lifestyle’ competition for around 40 students competing. Healthy Lifestyle project is aligned with ANA’s Healthy Nurse Healthy Nation [HNHN] Grand Challenge promoting “2017: The Year of a Healthy Nurse”. Why? The latest BRN’s Nursing Workforce Advisory Council emphasized the importance of reaching out to high school students about career in nursing if we want to improve the demographic make-up of the future nursing workforce. The Minority Leadership Roles in Nursing Summit held in Fresno in Sept 2016 showed alarming nursing workforce statistics in terms of CA demographic data, especially in the Central Valley and L.A. Basin where Hispanics make up to 40% of population yet only less than 20% on the RN workforce. The future of nursing workforce rests with HOSA Future health professionals.
ANA\C has been monitoring and tracking new legislations, testified at the Joint B&P Committee Oversight Hearing on BRN Sunset Report and testified at Senate Health Committee on SR 26 (Hernandez) protecting Californian’s access to care. Over the last couple of months we also met with 30 Legislators and their staff that gave us the opportunity to introduce our legislative team, ANA\C Public Policy Agenda, and offer our policy expertise as a resource. We invited many a Legislator to stop by Room 4202 on April 3rd for RN Day 2017 to greet our attendees. Speaking of RN Day 2017, we are diligently working on the event preparation, finalizing the Agenda and seeking volunteers for the event packet assembly. Last but not least, we are looking for INFECTION CONTROL RN Experts and nurses interested in the area for a Task Force. We unveiled CDC-ANA Project website titled “NICE Network” that will be used for distribution of the latest teaching materials and educational information. To register for RN Day, visit: http://www.anacalifornia.org/2017-rn-day-at-the-capitol and for CDC-ANA Project visit: http://www.anacalifornia.org/infection-control-resources-for-rns
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As we are coming up on the 1st year anniversary of the passage of the California End of Life Act (EOLA) that allows patients to make their own end of life care decisions, here are very special articles that were published last week highlighting the importance of the education work and advocacy efforts normalizing aid in dying and an end of life option. ANA\C was a strong supporter and coalition partner of the 2015 legislation that became a law on June 9, 2016 and aligned with ANA’s Position remains committed to education and awareness on this important subject. healthaffairs blog- a-call-to-the-palliative-care-community-for-a-patient-centered-response-to-medical-aid-in-dying and JWeekly-My friend making his own end of life decision.
Occupational Safety and Health Administration calls for Request Information (RFI) in the Federal Register regarding the Prevention of Workplace Violence in Healthcare and Social Assistance Settings (found here). We encourage you to submit your responses in order for nurses’ voices to be heard on this critical issue. The due date for responses to this RFI is close of business April 6, 2017 and submit your responses directly to OSHA through the link provided above. For more info: contact Gregory Craig, ANA, Health Policy Email: Gregory.craig@ana.org Phone: (301) 628-5395
Georgina Alvarez (Long Beach) Weena Anicete (San Jose) Markia Armstrong (Lincoln) Angeline Arrieta (West Covina) Patricia Barry (Mill Valley) Brandon Benavidez (San Dimas) Sara Benson (Yucca Valley) Deepti Bhatnagar (West Hills) Barbara Bladow (Suisun City) Evan Boll (San Jose) Victoria Bravo (Sacramento) Carolyn Brooks (Loma Linda) Anne Carrasco (Moreno Valley) Jim D'Alfonso (Danville) Jennifer Delugach (Folsom) Nicolle Duncan (Manteca) Gina-Marie Gallentine (Chico) Amelia Gaspar-Vasquez (Los Angeles) Erlie Gromia (Stockton) Vesna Grubic (Beverly Hills) Yvonne Hack (Modesto) Katelyn Haney (Torrance) Frank Igasan (Buena Park) Pamela Jackson (Modesto) Alana Johnson (Seal Beach) Shanel Jones (Union City) Sandra Jovanovic (San Diego) Samantha Kelly (Citrus Heights) Joan Lardizabal (Fullerton) Cheryl Lavery (San Jose) Samantha Ledesma (San Pedro) Michel Lee (Los Angeles) Joy Lingen (Pleasant Hill) Jessica Lopez (Dixon) Sean Meehan (Santa Clarita) Heather Nielsen (San Diego) Nadia Orosco (Camarillo) Melissa Palos (Bakersfield) Kaila Pardi (Suisun City) Amelita Joy Paz (Carson) Jesyl-Joy Rodrigo (Cerritos) Anika Salinas (San Diego) Tammy Schaffner (Menlo Park) Tuesday Ann Siao (Stevenson Ranch) Kara Solem (San Diego) Alejandro Soto (Pacific Grove) Jennifer Spacek (Santa Rosa) Phakamile Tarusenga (Folsom) Vyncere Thomas (Woodland) Beverly Beverly Toussaint (Palm Springs) Beverly Tsun (Rancho Cucamonga) Trong Vang (Fresno) Yudith Vargas Dominguez (Santa Rosa) Xinh Vo (San Jose) Nicole Walker (Huntington Beach) Helen Yom (San Diego)
Applications for the new Global Nursing Policy Leadership Institute Programme (GNPLI) are open now through April 14. This new International Council of Nurses' (ICN) initiative was conceived in response to the changing needs of nurse leaders to support them in their efforts to shape and influence policy to meet growing global health challenges. The new Global Nursing Policy Leadership Institute (GNPLI) will welcome around 30 carefully selected participants from all six WHO regions in Geneva on 8-15 September 2017. The innovative GNPLI programme focuses on the foundations of policy understanding: content, context, process, stakeholder analysis, coalition building, governance, problem definition and framing. To apply or learn more visit: www.icn.ch
The American Association of Critical Care Nurses (AACN) has posted its draft acute care nurse practitioner scope of practice, standards of practice, and standards of professional performance for public comment at https://www.surveymonkey.com/r/5GXW9XK. Please access the files and provide your recommendations and comments for each section before the closing deadline of April 7, 2017. If you have any questions, contact Carol Bickford at carol.bickford@ana.org.
ANA President Pam Cipriano was honored by her alma mater, the University of Utah, with its Distinguished Alumni Award last week. The university created this video highlighting her career and life for the awards ceremony. Feel free to share widely. Congrats, Pam!
Click here to view the video.
| | EDUCATIONAL EVENTS & RESEARCH |
Transitioning to practice can be both challenging and exhilarating. While ANA has many resources to help RNs throughout their career, some are designed specifically for RNs in their first years of practice, including a new webinar series that will address many early career concerns. These live and interactive webinars are FREE to attend.
May 4, 2017 | San Diego, CA
You are invited to the LUNG FORCE Expo on May 4th, 2017 in San Diego where Arlene Cramer, FNP, AHPCN from UCSD will be presenting ‘Palliative Care for Your Patients: What to Consider’. This educational event will provide lung health professionals an opportunity to hear from top experts on the very latest in lung cancer research, screening and diagnosis guidelines, immunotherapy, and even current trends and best practices in palliative care. Please know another Lung Expo is on April 29th, 2017 in Newport Beach. For more info and location here: http://lungforce.org/expo
| | NEWS FROM AROUND THE INDUSTRY |
Medical Xpress
The American Heart Association Precision Medicine Platform — a global, secure data discovery platform, recently developed in collaboration with Amazon Web Services — is now open for use. Researchers, physicians, computational biologists, computer engineers and trainees from around the globe can leverage this cloud-based resource to access and analyze volumes of cardiovascular and stroke data.
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NPR
Nearly five years ago, the nation's leading group of obstetricians and gynecologists issued a policy statement saying the time had come for oral contraception to be available without a prescription.
In the intervening years, some states have changed their laws. California authorized pharmacists to distribute most types of hormonal birth control. Oregon passed a similar law covering both pills and patches.
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Kaiser Health News
When Donna Helen Crisp, a 59-year-old nursing professor, entered a North Carolina teaching hospital for a routine hysterectomy in 2007, she expected to come home the next day.
Instead, Crisp spent weeks in a coma and underwent five surgeries to correct a near-fatal cascade of medical errors that left her with permanent injuries. Desperate for an explanation, Crisp, who is also a lawyer, said she repeatedly encountered a white wall of silence.
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Security Intelligence
The American Recovery and Reinvestment Act mandated that healthcare organizations comply with the Health Insurance Portability and Accountability Act and implement electronic records systems by 2015. That date has passed, and now all complying health care organizations are storing their patients' records electronically. This digital storage simplifies access, updates, reporting and use by clinicians and their patients, but it also brings with it the same threats to data that financial organizations have faced for years.
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Medical Xpress
Almost everyone has a delirium story, although they don't always know it's called that. Most will recall the experience of a grandmother, a father, a child, a friend who became very confused in hospital, and in some cases died or was never the same again.
Health professionals tell of the distressing experiences of patients or their own family members. Some people recall their own experience of delirium during illness or injury, and for the first time have a name and explanation for what happened to them.
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By Dorothy L. Tengler
 Despite limited resources, emergency departments face ever-increasing demand to provide effective clinical care. Overburdening EDs with minor eye problems is a growing issue. From 2006 to 2011, a study reported 11,929,955 ED visits for eye problems across the U.S., and nearly half of these visits (44.3 percent) were categorized as nonemergent. In a new study, researchers reported that 1 in 4 people who visit the ED for eye problems have mild conditions.
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HealthDay News
Zika may have detrimental effects on the heart in some patients infected with the virus, according to research being presented at the upcoming annual meeting of the American College of Cardiology, to be held from March 17 to 19 in Washington, D.C. The new study identified nine Venezuelan patients who were treated at the Institute of Tropical Medicine in Caracas, Venezuela, one of the epicenters of the Zika virus outbreak. Only one had any previous heart-related issue, and that was well-controlled high blood pressure.
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Reuters
Pain and other symptoms of chronic sinus problems might cause sufferers to miss work or school but depression is their biggest source of lost productivity, a small study suggests.
Chronic rhinosinusitis (CRS), or long-lasting sinus swelling, is often caused by infection, growths in the sinuses or nose injury and can seriously affect people’s quality of life, the study team writes in Annals of Allergy, Asthma and Immunology.
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