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| September 20, 2016 |
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By Lynn Hetzler
 Emergency department overcrowding threatens access to healthcare and the quality of that care. It can lead to delays in analgesia, thrombolysis, antibiotic therapy, percutaneous coronary intervention and other time-sensitive treatments. However, a recent study suggests the implementation of nurse-initiated protocols, diagnostics and treatments prior to treatment from a physician or nurse practitioner can improve flow in the ED, thus reducing overcrowding.
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 Our member, KT Waxman, would greatly appreciate your vote for AONE President-elect. If you are an AONE member, you have already received the electronic ballot for the 2016 AONE Board of Directors.
Here is a copy of KT’s campaign appeal:
“I am a passionate and forward-thinking nurse leader who has been in healthcare for more than 35 years and a member of AONE since 1991, most recently serving as Treasurer. As a thought leader with diverse healthcare experience and vision for the next term. I am prepared to lead this organization. It would be my pleasure to serve you.
My goal is to continue to build a pipeline of strong nurse leaders for the future to support the emerging roles inside and outside the hospital walls.
As nurses, we need to articulate the value of nursing as we move to leading in areas other than acute care. A key priority in AONE's strategic plan is to develop core competencies for nurse leaders across the care continuum. Having written three books on healthcare finance and budgeting, this area is one of my passions. I will work with the board to operationalize this vision by creating succession and diversity plans as our workforce changes.
You can learn more about my background by connecting with me on LinkedIn and Twitter, and watch me speak on how I'll serve as president-elect at www.ktwaxman.com. Please vote for me during the September 1-25 voting season. I thank you for your consideration and appreciate your continued support!
Sincerely,
KT Waxman DNP, MBA, RN, CNL, CENP, CHSE, FAAN
www.ktwaxman.com
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PRODUCT SHOWCASE | Advertisement
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Join bleeding expert Amy D. Shapiro, MD, medical director at the Indiana Hemophilia and Thrombosis Center, in a free CME activity, “Issues and Challenges in Your Hemophilia Treatment Center”. This CENow™ activity features insights on scientific posters and published reports from national and international congresses. Click Here to Start.
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Recently, the ANA joined other 25 healthcare organizations taking leadership in combating the raging national opioid crises. For more compiled appropriate data from CHCF, click here.
Winston Asprec (San Ramon) Lisa Avaritt (Rancho Cucamonga) Christina Baca (Studio City) Gilbert Cerda (Riverside) Ronald Delena (Perris) Camille Diaz (Los Angeles) Eunice Enuka (Elk Grove) Ashley Finiguerra (Dana Point) Anita Fligge (Pleasant Hill) Debra Flott (Granada Hills) Georgia Foot'e-Sam (Glendora) Rosa Gandenberger (San Jose) Cheryl Goodman (Hawthorne) Sarah Griffith (Eureka) Maryam Habibi (Folsom) Elizabeth Howland (San Diego) Cynthia Huff (Folsom) Mary Klock (Carlsbad) Felicidad Loomis (West Sacramento) Kevin Maxwell (San Diego) Kristi Mefford (Dinuba) Maria Lucia Niepagen (Olancha) Gabriela Nunez (Los Angeles) Angelique Oconnor (South San Francisco) William Pasok (Bellflower) Connie Pugh (Sunnyvale) Brenda Quarles (Chula Vista) Lida Rajaee (Los Gatos) Wendy Schmitz (Carmichael) Margaret Snyder (San Leandro) Katrina Southworth (Turlock) Kimberly Voss (Fontana) Judith Wright (San Clemente)
“The hospital will never be healthy for patients if it’s not a healthy environment for nurses, where their voices are heard and where they can care for their patients and use the full extent of their knowledge, abilities, and skills. After all, hospitals todays have become one big intensive care unit: all patients need intensive caring.” — Tilda Shalof
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In an effort to meet the needs of specific segments, ANA Membership is hosting a webinar series for faculty in schools of nursing this fall.
| | EDUCATIONAL EVENTS & RESEARCH |
This project is a part of a federal initiative (NAP-AX-16-003 Discovery Infrastructure for Clinical Health IT Apps Cooperative Agreement) to create an “app store” for healthcare, where clinical users can browse and test out apps built on emerging healthcare interoperability standards, with the goal of creating an ecosystem of apps that can be securely added to an EHR (similar to how apps can be added to a smart phone). One of the grant requirements is to perform market research with potential users of this “app store” so we can tailor its design to their needs. As users and innovators of health apps, you are in a unique position to contribute to this important market research activity. We have engaged KLAS Research http://www.klasresearch.com/ to do brief 15-20 minute phone interviews with CMIOs, MDs, RNs and PAs. Their end product will be a publicly available white paper comprised of their analysis of the data from these interviews, and will serve to inform federal health IT policy. If you are interested in participating in this market research, please contact Megan Rollins at 857-218-3846 or Megan.Rollins@childrens.harvard.edu by Nov. 1, 2016.
| | NEWS FROM AROUND THE INDUSTRY |
Nurse.com
Nancy J. Brent, MS, JD, RN writes: I have received several comments about advance directives, including that sometimes they are not followed by hospital staff. The importance of doing so as a healthcare provider was underscored in a recent case (Doctor's Hospital of Augusta et al. v. Alicea, Administratrix, Si5G1571, Supreme Court of Georgia, July 5, 2016).
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By Joan Spitrey
 On Sep. 6, ITT Technical Institute announced to its students that it would discontinue operations effective immediately due to new unfulfilled requirements placed on them by the U.S. Department of Education. With this announcement, tens of thousands of students at more than 130 campuses in 39 states found themselves stalled in their educational pursuits. One industry particularly affected by these closings has been nursing.
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The Associated Press via U.S. News & World Report
Parents know the frustration of trying to get that gunky pink antibiotic into a tot screaming from an ear infection. A one-time squirt of special ear drops one day might replace that ordeal. It's only been tried in animals so far — chinchillas, to be exact. But researchers reported that an antibiotic gel coated the animals' eardrums and slowly seeped inside to do its job for a week, clearing up an infection that usually requires a 10-day course of oral antibiotics.
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Healthcare IT News
At the recent HIMSS Pop Health Forum in Chicago, Cleveland Clinic Chief Experience Officer Adrienne Boissy, MD, made the case that health apps alone are not a strategy — and in fact can hinder positive patient experience if they're not deployed wisely.
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Medical Xpress
Despite the importance of eyesight, millions of people grapple with undiagnosed or untreated vision impairments — ranging from mild conditions to total blindness — and eye and vision health remain relatively absent from national health priority lists, says a new report from the National Academies of Sciences, Engineering, and Medicine. The report calls for transforming vision impairments from common to rare and eliminating correctable and avoidable vision impairments in the U.S. by 2030.
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Medgadget
While electric cardiac defibrillators are successful life-saving devices that have been used in practice for many years now, they are extremely shocking and potentially harmful to cardiac tissue when they fire. A new approach, that of optical defibrillation, may be a lot more tender and maybe even pleasant to get an arrhythmic heart into a normal rhythm. The investigators first showed that certain light patterns are pretty good at stopping arrhythmias in mouse hearts and then performed the same, but on a computer simulation of a human heart.
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News Medical
For the 25 percent of type-2 diabetes patients who suffer from numbness and extreme nerve pain in their feet, a new dermatological treatment being tested by Northwestern Medicine scientists could potentially help prevent and maybe even reverse the neuropathy. In a study just published in Molecular Pain, Northwestern Medicine researchers showed that depleting a chemical called GM3 through genetic modification prevented the development of neuropathy in obese diabetic mice.
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MobiHealthNews
Despite so many apps and devices available today, and their promise to help consumers better manager their own health, patient engagement is still both art and science.
"Patient engagement is whatever the patient thinks it is," said Frederick Muench, director of digital health intervention in the Department of Psychiatry at Northwell Health. "If we start at that point, work backward by figuring out the barriers and the fitting technology in, we're able to overcome those barriers and judge success as outcomes."
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HealthLeadersMedia
Are your nurses engaged, committed employees? Or are they biding their time until they can go somewhere better? Job opportunities for RNs and APRNs abound, and even nurses who appear content may be planning their exit strategies.
To predict whether you face an exodus, take a look at the following five reasons why your nurses want out.
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HealthDay News
Spirometers used in primary care offices are frequently inaccurate, according to a study published online in the Annals of the American Thoracic Society. Researchers tested 17 spirometers used in primary care offices with a waveform generator to assess spirometer accuracy. They determined the clinical significance of inaccurate instruments by applying the forced expiratory volume in one second (FEV1)/forced vital capacity (FVC) error from an obstructed waveform to a clinical data set.
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Medical News Today
Researchers from Johns Hopkins Bloomberg School of Public Health in Maryland recently made a surprise discovery during a mouse trial: progesterone appears to reduce the symptoms of influenza infection and help lungs heal at a faster rate.
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