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| June 21, 2016 |
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Reuters
Trauma doctors at the local hospital that is treating many of the wounded from the Orlando nightclub massacre described for reporters on June 14 the large numbers of patients that came into their emergency bay for treatment of gun shot wounds after the shooting. Doctors and surgeons said their busy emergency room was used to seeing several gun shot wounds on certain nights but that the volume of wounded streaming into the hospital the night of the shooting was unprecedented. One trauma surgeon describes the situation as "unreal" and another became visibly emotional while talking to reporters during a news conference that included many of the staff who responded that night. Omar Mateen was the lone shooter in the massacre of 49 people at Orlando's Pulse gay nightclub, the worst mass shooting in modern U.S. history.
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Hello Colleagues,
This is a pivotal moment in the history of nursing. The ANA\C Legislative Team is asking you to take less than 10 minutes of your time to help us take one GIANT step forward for APRN full practice authority. We need ALL nurses to help us.
I know that you may have already received many nag-o-grams urging you to post a comment in favor of full practice authority for APRNs in the VA (AP44 – Proposed Rule – Advanced Practice Registered Nurses). So far, there are about 31,000 comments. I realize that sounds like a lot but there are probably around 250,000 APRNs nationally 3.4 million nurses and not all 31,000 are comments from APRNs and supportive RNs.
The part that is most concerning is that there are many negative comments from veterans speaking against the proposal. The main concern expressed among the veterans’ comments is that the quality of the care will suffer if APRNs are primary caregivers for veterans. This point of view has been perpetuated in the media by news reports that refer to the proposal as "Nurses Taking the Place of Doctors", veterans having to “settle for” APRNs as their primary care provider and other comments that imply that veterans will be cared for by what they perceive as lower quality, less trained providers. Opponents are also claiming that there is no "access" problem in the VA and that if the VA wants to use APRNs as primary staff, the decision should be left to the individual VA sites.
It is IMPERATIVE that you take a few moments to post on one of the many websites that are set up to make it easy for you to write and submit a comment. Here is ANA’s comment form. State the fact that the care provided by APRNs is of high quality, as evidenced by research, and that the full practice authority should be enacted across the entire system and not left up to the discretion of individual hospital administrators.
Even more important, it is critical that the VA hear from VETERANS who have a more positive opinion of the care that they have experienced from APRNs.
PLEASE, if you have not posted a comment yet, do so ASAP and also encourage any veterans in your professional and personal networks to do the same.
Thank you for taking the time to read and act on this CALL TO ACTION
- ANA\California Legislative Team
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Oct. 14-15, 2016
Crowne Plaza Redondo Beach and Marina in Redondo Beach, California
 Dr. Pamela Cipriano is the 35th president of the American Nurses Association (ANA), the nation’s largest nurses organization representing the interests of 3.4 million RNs. A distinguished nursing leader, Dr. Cipriano has held executive positions in health care systems, academia and national professional organizations. In 2015, she was named to Modern Healthcare magazine's prestigious Top 100 People in Healthcare and Top 25 Women in Healthcare listings.
Known nationally as a strong advocate for health care quality, Dr. Cipriano has served on several boards and committees for high-profile organizations, including the National Quality Forum and the Joint Commission. Dr. Cipriano was the 2010-11 Distinguished Nurse Scholar-in-Residence at the Institute of Medicine.
Mark Your Calendar for this Exciting Conference! More Information Coming Soon.
California Healthline
Gov. Jerry Brown Friday signed first-in-the-nation legislation requesting federal approval for the state’s health insurance exchange to sell policies to immigrants living in California illegally.
The bill, written by Sen. Ricardo Lara (D-Bell Gardens), requires the state to ask the federal government for an exemption from a section of the Affordable Care Act that forbids these immigrants from buying coverage through the federal and state insurance exchanges. It cleared its final legislative hurdle earlier this month when it passed the Senate on a bipartisan vote of 27-8.
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Kaiser Health News
As lawmakers grapple with how best to combat the nation’s prescription painkiller abuse crisis, a recent survey is shedding light on how patients who get these medications — drugs such as OxyContin, methadone or Vicodin — sometimes share or mishandle them.
According to findings detailed in a research letter published in JAMA Internal Medicine, about one in five people who were prescribed the highly addictive drugs reported having shared their meds with a friend, often to help the other person manage pain.
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Shayna Alnes (Camarillo) Regina Baena (Bakersfield) Cynthia Bares (Castro Valley) Stephanie Baroni (Auburn) Catherine Bell (Santa Rosa) Henry Clark (Rohnert Park) Joann Cleaves (Oceanside) Susan Crandall (Los Angeles) Alexis Dasaro (Huntington Beach) Heather Dougherty (Ramona) Laketa Ducat (Oceanside) Tina Eslinger (Redding) Mailyn Farinas (Riverside) Ashkhen Galstyan (Tujunga) Melody Gant (Los Angeles) Marlene Gerendash (San Diego) Sarah Hawthorne (Stockton) Sarah Higgins (Irvine) Mary James (Davis) Sabrina Jamieson (Carlsbad) Louisa Maldonado (Chula Vista) Flordeliza Mendoza (Palm Desert) Joanna Mills (Walnut Creek) Jessica Moe (Woodland Hills) Aiida O'Cleary (LA Verne) Nichole Ortiz (Felton) Jamie Pair (Bakersfield) Tracey Pereira (American Canyon) Lindsay Post (San Jose) Rachel Romero (Foothill Ranch) Ayla Simons (Los Angeles) Stephanie Thompson (Elk Grove) Meredith Trinidad (Stevenson Ranch) Arvil Ann Velbis (Torrance) Igenea Williams (San Diego) Charlene Wilson (Whittier) Maria Wormley (Fallbrook)
“When you walk out of a day that you don’t feel great about, it’s your job to go back and look at what happened during that day and say, ‘There are some good things to take out of it, there are some lessons to learn from it.’ For me, it was a new fire, a new motivation to…train harder than I ever had before.” — Eric Shanteau
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| | EDUCATIONAL EVENTS & RESEARCH |
Webinar: Free to ANA & ANA\C Members
Wednesday, July 20, 2016 | 1:00 p.m. ET | 1CNE Credit | Register Now
Join us as we host a special Navigate Nursing webinar highlighting the CDC's Get Smart for Health care antibiotic stewardship campaign. Listen and learn as Dr. Arjun Srinivasan discusses both the need for improved antibiotic use and the critical role that nurses play in reforming antibiotic practices.
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San Diego, CA | Saturday, Aug. 20, 2016
The Fourth Annual Stroke conference is being offered to health care professionals who care for the patient with or at risk for stroke, in order to support them with the best in advanced care and innovation. This year’s symposium highlights scientific advances in posterior circulation, neuroimaging, neurosurgery, cryptogenic stroke, patient movement, decision-making and rehabilitation for improved functional outcome. Click here for registration and more Information.
San Diego, CA | Oct. 26-29, 2016
Dr. B Kapoor, MD, of the Cleveland Clinic in Cleveland, Ohio will join with his colleagues to host the 3rd annual multidisciplinary form on Digestive Disease Interventions. For more information and to register click here.
University at Sea offers multiple cruises that provide live-lecture CNE along with the cruise experience. Our programs offer AMA PRA Category 1 Credits™, ANCC Contact Hours, and many also offer AAFP Approved Prescribed Credits. Highlighted experiences listed below. Visit our web site at www.ContinuingEducation.NET to see our full schedule.
- Topics in Women's Health | Sept. 05-14, 2016: 9-Day Baltic Cruise - Round-trip from Copenhagen. Offers: 14 AMA PRA Category 1 Credit(s), 14 Contact Hours, 3 Hours of Pharmacology
- Common Medical Symptoms: Determining the Cause and Selecting the Management | Oct. 27 – Nov. 6, 2016: 10 Night Greece and Italy Cruise – Round-trip from Rome. Offers: 14 AMA PRA Category 1 Credit(s), 14.00 AAFP Prescribed Credits, 14 Contact Hours
- Oral, Maxillofacial & Head and Neck Pathology | Oct. 28-Nov. 4, 2016: 7-Day Mediterranean Cruise – Round-trip from Barcelona, Spain. Offers: 14 AMA PRA Category 1 Credit(s), 14 AGD PACE Credits, 14 Contact Hours.
| | NEWS FROM AROUND THE INDUSTRY |
Modern Medicine
Payers have a vested interest in the adoption of this technology to help lower the costs of care. Meanwhile, managed care organizations have started to incorporate online telehealth service options as part of their benefits packages, according to a survey.
A KPMG survey found that a quarter of healthcare providers surveyed found that their virtual care programs — telehealth and telemedicine — were sustainable, while 35 percent of providers have not yet launched programs. Approximately 40 percent of respondents were either in the pilot stage or starting early program investments with fewer than three full-time employees engaged in telemedicine-telehealth.
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By Keith Carlson
 In the 21st century, increasing acceptance of transgender lifestyles is allowing many transgender individuals to more readily interface with health care providers and institutions. However, transgender individuals still face humiliation, judgment, intimidation and gross maltreatment within the health care industry, and recent lawsuits corroborate that fact. Nurses can be at the forefront of providing the transgender community with comprehensive, sensitive and compassionate care.
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U.S. News & World Report
Recently, Prince died from a fentanyl overdose. The tragedy has drawn attention to a powerful drug that until recently flew under the radar. Fentanyl, a prescription pain medication, is part of the opioid class that includes prescription drugs such as oxycodone, morphine and hydrocodone, as well as the illegal drug heroin.
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Medical News Today
It is well known that stress can increase the frequency and severity of seizures for patients with epilepsy. Now, researchers have shed light on why this is, and they may have even found a way to stop it. Published in the journal Science Signaling, the researchers reveal how epilepsy alters the way brain reacts to stress to cause seizures.
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Advance Healthcare Network
For anyone who has participated in social media or online discussions about the DNP, the topic of the value of the DNP degree comes up often, with questions about its value for practice.
Just the other day, a nurse practitioner colleague asked why the DNP degree was important. She relayed that she is already performing at her best with her MSN degree. So the question we continue to ask ourselves in one way or another is this: Does the DNP degree make advanced practice better?
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By Dr. Abimbola Farinde
 Drug abuse and addiction are regarded as major health problems in the United States. Regardless of one's background, the abuse of a prescription or illicit drug can impact any individual who has access to these drugs. Prescribers along with other healthcare professionals can play a vital role in deterring drug abuse by prevention of overprescribing and ongoing education on the consequences of drug abuse.
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Tech Times
A sudden spike in blood pressure is not an indication to bring the patient to the emergency room, a new study has revealed.
In the study by researchers in Cleveland Clinic, they have found that only 1 percent of the 60,000 patients needed emergency intervention by doctors. Majority of the patients had good outcome despite receiving the necessary treatment before being sent home.
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The Washington Post
In following the news of the recent devastating shooting at an Orlando nightclub you may have heard that the White House took some kind of action related to HIPAA. What, you probably wondered, does this have to do with the shooting? HIPAA stands for the Health Insurance Portability and Accountability Act. Passed in 1996, it is one of the most important laws in our country protecting our privacy.
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By Dorothy L. Tengler
 Methicillin-resistant Staphylococcus aureus infection — better known as MRSA — is caused by a type of staph bacteria that has become resistant to many of the antibiotics used to treat ordinary staph infections. Thus, treating this potentially deadly infection has been a challenge for healthcare professionals. But a new experimental antibiotic developed by a team of scientists at Rutgers University has successfully treated MRSA in animal models.
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Medical Xpress
A high percentage of children, teens and young adults with migraines appear to have mild deficiencies in vitamin D, riboflavin and coenzyme Q10 — a vitamin-like substance found in every cell of the body that is used to produce energy for cell growth and maintenance. These deficiencies may be involved in patients who experience migraines, but that is unclear based on existing studies.
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The New York Times
In early 2012, a neuropathologist named Daniel Perl was examining a slide of human brain tissue when he saw something odd and unfamiliar in the wormlike squiggles and folds. It looked like brown dust; a distinctive pattern of tiny scars. Perl was intrigued. At 69, he had examined 20,000 brains over a four-decade career, focusing mostly on Alzheimer’s and other degenerative disorders.
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By Dorothy L. Tengler
 Whether you live in a city where smog forecasts are routine or in a less populated place, tiny pollution particles in the air can lead to big problems for your heart. Over the last decade, a growing body of epidemiological and clinical evidence has led to a heightened concern about the effects of ambient air pollution on health. Now, direct evidence from a 10-year study shows that air pollution accelerates the progression of atherosclerosis, with the danger of causing heart attacks.
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Medscape (free login required)
The availability and utilization of intensive care unit (ICU) beds continues to change in the U.S. healthcare system. Sjoding and colleagues sought to examine changes in the composition of patients admitted to the ICU by describing the demographic characteristics, diagnoses, and outcomes of patients admitted to critical care units in U.S. hospitals over time.
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