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| June 27, 2017 |
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PBS
Dawn Nagel, a nurse at St. Joseph Hospital in Orange, Calif., knew she was going to have a busy day, with more than a dozen patients showing signs of sepsis. They included a 61-year-old mechanic with diabetes. An elderly man recovering from pneumonia. A new mom whose white blood cell count had shot up after she gave birth.
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Brandman University
Rachel Choudhury, associate dean and program director for the Marybelle and S. Paul Musco School of Nursing and Health Professions at Brandman University, visited California senators and representatives in Washington D.C. as part of the American Nurses Association RN Day at the Hill. More than 400 nurses took part in the program to advocate to discuss legislation and issues related to nursing and health care.
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2015-2016 Statewide and Regional California Nursing Program Annual Pre-Licensure School Reports are now available on the BRN Web site. Data includes student enrollment, graduation, demographic, and faculty data for California schools.
To contact the Board of Registered Nursing, click here.
Your ANA\C CDC-ANA Task Force team is hard at work preparing peer-reviewed educational material for the upcoming July 12 Webinar 1 " Reprocessing and Sterilizing Medical Devices: Regulations, Policies and Legislation".
Earlier this week, ANA\C Webinar speakers participated in a run through of the webinar where they were getting familiar with the Ready-Talk platform, using slides and establishing connection with CDC. We are very proud of all the hard work this team has accomplished and cannot wait for the upcoming Webinar 1 and for next year's ANA\C CDC-ANA Infection Control Summit 2018 preceding RN Day 2018 — A Day at the Capitol. For more information on this important project, click here.
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Last week, ANA\C received an exciting news that we are reaching a wonderful milestone **6,000** members! ANA\C has grown 8.4% in the last 3 months and we are so proud of all our work. Bear with us as we improve our communication and interaction platforms, start special interest discussion groups on topics such as Nursing Resilience, Patient-Centered Care, Nursing Burn-out, Career Advancement, among others, etc. Also note that our new Career Center is up and running on the website. Click here to see more than
1,100 current nursing positions being offered.
 In the month of June 2017, our office mailed 258 Welcome to New Members packets, contacted 75 Grace Period Members, and awarded 105 First Year Membership Certificates.
We met with several elected officials such as Asm. Cooper, Sen. Dodd and Sen, Anderson. We also met and discussed nursing issued with BOE Chair Fiona Ma. We also attended APRN Coalition call where we had the pleasure of updating our coalition partners on events from ANA Hill Day 2017 and share with them how to contact US Senate Staff. We were also invited to give brief remarks at Sacramento Rally organized by our coalition partner Planned Parenthood to publicly discuss looming issues of decreased access to care and women's care especially in the US Senate version of the AHCA. The whole event was broadcasted on FB Live and we were very proud to be addressing the participants.
Joann Abrams (Vacaville) Isis Acosta (San Bernardino) Muder Alkrisat (Irvine) Justine Ryan Bertulano (Carson) Jean Cahoon (Castro Valley) Diane Campos (Redlands) Kristine Dittman (Valley Springs) Julie Dochtermann (Roseville) Elizabeth Eddy (Los Angeles) Pat Farmer (Fortuna) Courtney Foster (Red Bluff) Pamela Geyer (Valencia) Swaranjit Gill (Clovis) Cheryl Goldfarb-Greenwood (Newark) Phylicia Grant (El Cajon) Martha Heinrich (Somerset) Julie Hoang (San Jose) Alexandra Hua (Torrance) Terrie Hughes (Van Nuys) Shannon Joy (Santa Barbara) Leah Kamravapour (Tarzana) Julie Kay (Stockton) Lisa Kirven (Fullerton) Sarah Lack (Bakersfield) Donna Lebaron (Stockton) Gina Lee (Los Angeles) Loven Lim (Glendale) Lazedrick Logan (Long Beach) Nadia Lopez (Lakewood) Felecia McJerry (Lawndale) Maite Medina (Los Angeles) Margarita Monterde (Northridge) Sara Muniz (Laguna Niguel) Jhordice Munoz (Rancho Palos Verdes) Remy Paille (San Francisco) Georgia Papoutsakis (Claremont) Julieta Prado Lopez (Lincoln) Sandra Quinones (Bakersfield) Irine Quintas (North Hills) Harley Rebaja (Vallejo) Dalaine Resurreccion (Monterey) Maryann Rich (San Francisco) Gretchen Rimban (South San Francisco) Connie Robledo (Norco) Esther Rocha (Chula Vista) Abigail Rodgers-Christ (Murrieta) Claudine Samonte (Anaheim) Daniel Sanchez (Benicia) Janey Saunders (Santa Clarita) Regina Sawyer (Exeter) Deborah Scheuerell (West Covina) Marcia Scott (San Luis Obispo) Savannah Shaughnessy (Santa Cruz) Karen Skillicorn (Freedom) Lorraine Solis (Colton) Judith Torres (Hollister) Sheryll Urbano (El Sobrante) Loan Vo (Elk Grove) Christine Vo (Westminster) Michael Vuletich (Rocklin)
The Better Care Reconciliation Act of 2017 (BCRA) falls short of the principles ANA has long sought in any health reform proposal. The response from providers, consumers, and industry was swift. Under the bill:
- Tens of millions of Americans would lose health insurance coverage, while millions more would see their premiums and out-of-pocket costs rise.
- Access to affordable coverage on the individual market would be further compromised with cuts to subsidies and a lower qualifying threshold for eligibility (Individuals at 400% of poverty eligible for subsidies under ACA, Senate bill lowers to 350%)
- Medicaid expansion would be rolled back over a 3 year phase-out period for expansion states between 2020-2023.
- The Medicaid program would be fundamentally restructured to a per-capita or block grant funding structure – shifting costs to already overburden state budgets.
- The Medicaid inflation rate would tied to the Consumer Price Index after 2025, an even lower growth rate than the House-passed bill.
- States could waive Essential Health Benefits, putting a critical set of health coverage protections at risk
- Waivers would allow states to undermine protection against discrimination for those with pre-existing conditions.
- And more than 2.4 million women getting care at Planned Parenthood clinics across the country would see their access to services disrupted. The bill defunds Planned Parenthood for a year.
| | EDUCATIONAL EVENTS & RESEARCH |
July 17 – Sept. 25, 2017 | Blended Online Course | 12.4 Contact Hours
The Nursing Knowledge Center presents a new interactive education series, Fundamentals of Nurse Staffing Building an Optimal Staffing Model. This new course provides insight on how to build an optimal staffing plan that includes staffing model construction, data-driven staffing plans for work environments, formulas, and management of overtime. With short-term margin pressure, rising nurse salaries, and an impending workforce shortage, staffing and scheduling are top concerns of nurses.
Over the course of six weeks, you will be immersed in independent study combined with multimedia knowledge checks, live instructional webinars, and live discussion boards with your peers and other professionals. Experts will lead your personal learning journey and guide your cohort through this interactive course. All resource materials will be provided as you gain new knowledge, skills, and abilities that will help you understand, build, and integrate the components of a staffing plan. More Information and Registration.
Gain test-taking confidence with ANA's Nursing Knowledge Center's Online Certification PracticeIQ
The optimum prep resource for the Adult-Gerontology Acute Care NP certification exam is now available.
The Nursing Knowledge Center's new Online Certification PracticeIQ gives you 24/7 access to interactive training modules and sample certification exam questions, all based on the American Nurses Credentialing Center's Adult-Gerontology Acute Care Nurse Practitioner Certification test content outline.
Online Certification PracticeIQ is a great way to prepare for your nursing certification exam — on the go! Plus, you'll receive an amazing 14 hours of CE credit upon successful completion.
Benefits for you:
- Sample certification exam drawn from more than 200 test questions
- Domain-specific quizzes to test your knowledge in specific areas
- Current practice information and research, plus tips on how to use in practice
- Personalized report to identify your strengths and weaknesses
- Flexible, affordable, and instructive
- Get access. Get prepared. Get confident.
Click here to purchase Adult-Gerontology Acute Care Nurse Practitioner Certification PracticeIQ today!
| | NEWS FROM AROUND THE INDUSTRY |
By Dorothy L. Tengler
More than 29 million Americans are living with diabetes, and 86 million are living with prediabetes.
Type 2 diabetes accounts for about 90 to 95 percent of all diagnosed cases of diabetes, and Type 1 diabetes accounts for about 5 percent. Cancer rates are higher in those with diabetes.
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By Keith Carlson
 When we consider what truly lies at the center of the world inhabited by most nurses, what we’re really talking about is relationships. For all intents and purposes, relationships are powerful tools that fuel a nurse’s career and professional satisfaction from the starting gate to the finish line. Most nurses work in some form of collaborative environment, and relating with others can be key to successful nursing.
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Endocrine Today
Middle-aged adults with well-controlled type 2 diabetes and vitamin D deficiency may be more likely to develop mild or severe diabetic retinopathy when compared with adults who have well-controlled diabetes without vitamin D deficiency, according to an analysis of National Health and Nutrition Examination Survey data.
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The Washington Post
With the summer mosquito season in full swing in many states, a new report shows a significant increase in U.S. counties across the South that have reported mosquitoes capable of spreading Zika and related viruses. Two types of mosquitoes are the primary transmitters of Zika, dengue, yellow fever and chikungunya viruses.
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U.S. Preventive Services Task Force
The U.S. Preventive Services Task Force released a final recommendation statement on screening for obesity in children and adolescents. The Task Force recommends that clinicians screen for obesity in children and adolescents age 6 years and older and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status.
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The Clinical Advisor
Nurse practitioners (NPs) are choosing primary care at a higher rate than physicians and physician assistants, according to data from the American Association of Nurse Practitioners (AANP). In 2017, more than 89 percent of NPs were prepared in primary care programs, compared with 14.5 percent of physicians who entered a primary care residency.
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FierceHealthcare
On June 22, Senate Republicans finally unveiled a draft version of their bill that would repeal and replace the Affordable Care Act.
The draft, which is titled the "Better Care Reconciliation Act of 2017," has many similarities to the version passed by the House in May. For example, it repeals the ACA's individual mandate and several of the law's taxes on the healthcare industry — including the health insurance tax. But it also includes several key differences.
Crucially for insurers, the legislation will fund cost-sharing reduction payments through 2019. Both Congress and the Trump administration had previously refused to say what would happen to those subsidies after a court case challenging their legality is resolved, which made it difficult for insurers to decided where to offer ACA exchange plans next year and how to price them.
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By Dorothy L. Tengler
 Of all occupations and professions, the medical profession is at the top of the list of occupations with the highest risk of death by suicide, with 300 to 400 physicians a year taking their own lives. Although many physicians are practicing what they preach as far as healthy habits, such as quitting smoking, exercising regularly, and eating healthier, they remain reluctant to address depression, a significant cause of morbidity and mortality in this group.
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Medscape (free login required)
The detection of delirium is essential in the care of the hospitalized older patient. Although delirium can pose life-threatening risks, documentation of its occurrence is often inadequate and must be standardized. A recent retrospective study reviewed the documentation of patients with known diagnoses of delirium.
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FierceHealthcare
Rates for opioid-related hospital stays and emergency department visits have skyrocketed over the past decade, according to a new report. The Agency for Healthcare Research and Quality tracked the data between 2005 and 2014 and found that the rate of hospital stays and visits related to opioid abuse increased by 54.5 percent for men and 75.3 percent for women. Emergency department visits increased by an even wider margin in that same window, by 103 percent for men and 95 percent for women.
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Monthly Prescribing Reference
Neos Therapeutics announced that the U.S. Food and Drug Administration has approved Cotempla XR-ODT (methylphenidate extended-release) orally-disintegrating tablets for the treatment of attention-deficit/hyperactivity disorder (ADHD) in patients aged 6–17 years. Cotempla XR-ODT is the first methylphenidate extended-release orally-disintegrating tablet approved.
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Medscape (free login required)
Long-term antibiotics and other treatments for chronic Lyme disease, also called post–Lyme disease syndrome, led to septic shock, Clostridium difficile colitis, osteodiscitis, abscess, and death, according to a review of five cases reported to the Centers for Disease Control and Prevention in recent years. Although there is insufficient evidence to support the use of prolonged antibiotics, immunoglobulin therapy, or other treatments in these patients, the treatments are prescribed by some clinicians and sometimes lead to serious harm.
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HealthDay News
Head positioning does not appear to affect survival and recovery in acute ischemic stroke patients, according to a study published in the June 22 issue of the New England Journal of Medicine. Researchers randomly assigned hospitals in nine countries to treat 11,093 patients with acute stroke in one of two ways for the first 24 hours. Those in one group were told to lie on their backs, while the other was allowed to sit up with head elevated at least 30 degrees.
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