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|December 12, 2017 ||
By Joan Spitrey
A recent correspondence to the New England Journal of Medicine has sparked some much-needed discussion on the issue of do not resuscitate (DNR). Physicians from the University of Miami wrote in to discuss a recent ethical dilemma encountered while caring for a recent patient who arrived with "Do NOT Resuscitate" tattooed on his chest. The patient's signature was tattooed just below the statement, further adding to the questionable legitimacy.
Listen to Audio Recording of ANA\C Business Meeting here.
ANA\C Business Meeting — 1 hour
Learn about ANA\C’s accomplishments in 2017 and an update on current and future initiatives.
AND Education Session:
Education Session: The Nurse’s Growing Role in the Media — 1 hour
Presenter: Nurse Alice Benjamin, RN, MSN, ACNS-BC
Nurse Alice Benjamin is a top tier, media-trained health expert. Some of her television appearances include Fox and Friends, Dr. Oz, The Doctors, Dr. Drew, HLN News Now, KTLA 5 Morning News, and NewsOne Now. She’s also appeared on a variety of radio shows across the nation.
To view the webinar recording and access webinar materials click here.
Please Note: You will be prompted to log-onto the ANA\C website to access these materials
Continuing Education Credit for The Nurse's Growing Role in the Media: Provider approved by the California Board of Registered Nursing, Provider No. 16595 for 1 contact hour.
If you viewed the webinar live on Nov. 9, 2017, click here to complete an evaluation form and receive continuing education credit.
The webinar scheduled for December 5th, “Empowering Nurses to Protect Themselves and Their Patients: Nurses Role in Antibiotic Stewardship,” was canceled due to technical difficulties. The webinar will be recorded and available on the CDC website. CDC/ANA will host a live Q & A in January 2018. More details will be provided as they become available. For more information please visit our website.
The American Association of Managed Care Nurses (AAMCN) was established in 1994 by a group of nurses who advocated for the role and education of nurses in managed care. AAMCN provides valuable educational opportunities to its members through our forums, live webinars, online CE activities, publications and resources.
This coming year will be our 20th year of hosting the annual Spring and Fall Forums. The Forums give nurses and medical directors in managed care many chances to network and grow their contact base while simultaneously earning CE credits.
Now, there may be members of your team who are new to managed care or who could use a refresher course because of the changes in healthcare legislature. AAMCN has recently published a revised 2017 edition of their certification preparatory course, the AAMCN Home Study course. This course includes ACA updates and is a good overview of topics within care coordination. We have added the option to complete the course online in addition to physical textbooks. The online course features include full video presentations and interactive quizzes.
The Home Study course is accredited by ANCC and is worth 19 CNEs upon completion. Nurses, licensed social workers, and licensed professional counselors will all benefit from the course content and can go on to become certified in managed care as CMCNs or CMCPs.
We are looking to integrate the AAMCN Home Study into company career ladders and we need your help. We would like to offer you free Forum registration in return for signing up 5 or more of your colleagues to take the course. Groups may purchase the course at discounted rates.
View a small brochure on AAMCN | Visit the website for more info.
A recent study from UCSF HealthForce highlighted the physician shortage (we need over 4,000 physicians in California) and made several reasonable recommendations, including recruiting and retaining doctors while also expanding the use of team based primary care models. However, one key piece of this study called for nurse practitioners to practice to the highest level of their education and training. For more info, click here.
Did you know about 70% of California 9th graders will not earn a bachelor’s degree? A recent Public Policy Institute of CA study found the last 2 years of high school and the first 2 years in college are critical, as the vast majority of students who fall off the pathway to a college degree do so at these junctures. Education Pathways programs are vitally important as it is only through education (as in removing barriers to education) we will improve much needed diversity in nursing. For more info, click here.
To understand how social determinants of health are shaping patients’ health, 2 LA clinics are piloting a new screening tool that assesses risk factors beyond mere health status, such as housing, job security, and education. How are these determinants determining health? Did you know 16.6% of L.A. County’s more than 10 million residents live below the federal poverty level? That households living below poverty in LA are more likely to experience food insecurity (41.1%)? That over 1/5 of adults in LA report that they have no usual source of healthcare? That 21.5% report their health to be fair or poor (compared to 16.8% nationally)? In order to serve our communities better, we must understand our patients' circumstances. For more info, click here.
Within the next 13 years, the number of people 85 and over will soar by 37% and hit the 1 million mark. The number of people age 60 and older will jump 40% by 2030, says the federally mandated California State Plan on Aging. By the end of the next decade, according to their new study, there will be 11.1 million Californians age 60 or older. In 3 decades, that number will skyrocket to 14 million. This aging boom will touch everything from healthcare to fashion to food. Is our society and health system ready to deliver care, support, trained workforce, program assistance, facilities, aides, day community programs on such scale?
Find the right job and learn all about the resources available. Connecting talent with opportunity! For the career page, click here.
Featured speaker: Dr. Candy Campbell
Thursday, Jan. 11, 2018 at 8:00 AM - Friday, Jan. 12, 2018 at 4:00 PM (PST)
Walnut Creek, CA
10 CE Hours
Click here to register.
Alyssa Shane Gregorio
Tracey T Soper
Carmel By The Sea
Advocacy is the act or process of pleading for, supporting, or recommending a cause or course of action. Advocacy may be for persons (whether as an individual, group, population, or society) or for an issue, such as potable water or global health. (ANA Code of Ethics -2015)
After Year of Ethics, Culture of Safety, and Year of the Healthy Nurse, ANA has declared 2018 the Year of Advocacy! Throughout the year, ANA will feature examples of members advocating for patients and the profession in various roles and settings, hosted at www.RNAction.org as well as shared through social media. The advocates’ stories will be paired with associated tools and ANA products & services. Each quarter will have a dedicated theme building from local to more global examples, but overlap will occur. More info to follow!
The House and Senate have each passed a tax bill and have now convened a conference committee to decide on a single bill that can pass each chamber. While many details have yet to be hammered out, one thing’s for sure about the bill they will come up with: If passed, it will gut health coverage for millions and set the stage for massive cuts to Medicaid, Medicare, and the Affordable Care Act. What is at stake?
Increase the ranks of the uninsured by 13 million, including 5 million fewer people who get coverage through Medicaid.
Jeopardize coverage for people with pre-existing conditions, particularly in combination with other Trump Administration efforts on ACA repeal.
Trigger an automatic $25 billion cut to Medicare.
Set the stage for huge cuts to Medicaid and the ACA, and further cuts to Medicare, by raising the deficit.
For more info and graphics, please visit:
It’s the sort of story nurses say fits the definition of a nightmare: a strange man carrying three knives and a machete, wandering into what should be a secure area of Abbott Northwestern hospital. "She was coming out of the break room, immediately almost walked into this gentleman and just felt very scared, threatened and immediately ran away and called security,” said A. Becchetti. The incident has been mishandled by hospital management and is sparking concern among nurses over safety and security at the hospital. For more info, click here.
| || EDUCATIONAL EVENTS & RESEARCH|
Empowered Nurse, Enlightened Practice™
A transformative conference and retreat for nurses at every stage of their careers
April 12-15, 2018 |Miraval Resort & Spa |Tucson, AZ
*9.5 ANCC contact hours
Space is limited so register early! Early bird registration ends Jan. 31, 2018
For info, special rates and to register visit www.donnacardillo.com or call 848-241-3166
Whether your passion for nursing is fired up or has fizzled out, Empowered Nurse, Enlightened Practice™ is for you! It has been created to empower, energize, and enlighten you for future success.
It is being offered in a setting that will provide an opportunity for individual disengagement (detaching from everyday work and life), relaxation, reassessment and planning, and recharging.
| || NEWS FROM AROUND THE INDUSTRY|
If you've experienced a delay of certain medications, your facility could be affected by the residual damages caused by Hurricane Irma and Hurricane Maria.
Hospitals and pharmacies around the country are experiencing a normal saline shortage, the FDA reports. Many major healthcare supply companies are located in Puerto Rico, and some — like Baxter — had long-lasting electrical outages, which has caused a slowdown in medication production and thus a buildup of demand.
Patients with HIV infection are less likely to be treated in accordance with guideline-recommended cardiovascular care, as well as receive lifesaving prescriptions for aspirin and statins compared with their counterparts who do not have HIV but are at increased risk, according to data published in the Journal of the American Heart Association.
"Cardiovascular disease is emerging as a major cause of morbidity and mortality among patients with HIV," Joseph A. Ladapo, MD, PhD, from the David Geffen School of Medicine at University of California, Los Angeles, and colleagues wrote.
There's been a lot of discussion lately about professional standards of workplace contact: beware hugging, patting or any touching.
But for some workers, their job requires touch — intimate, sometimes-uncomfortable contact, like what we see in healthcare and physical therapy. "I think that particularly in the care industry, where even the slightest touch is intended to help someone, it can be misinterpreted," says Laphonza Butler, president of SEIU Local 2015, a labor organization for long-term care workers.
There is a decrease in mean systolic BP and diastolic BP for more than a decade before death among patients who died at age 60 years or older, according to a large-scale analysis of individual patient trajectories. The data, published in JAMA Internal Medicine, showed BP decreases were present among those not treated with antihypertensive medications, but the steepest declines were among patients with hypertension, dementia, HF, and late-life weight loss.
At a recent Advisory Board session on nurse manager overload and the contributing factors that lead to nurse burnout, it was acknowledged this problem is an issue that affects both staff and patients.
According to the Agency for Healthcare Research and Quality, burnout is emotional exhaustion that results in depersonalization and decreased personal accomplishment at work.
An integrated, centralized, and digital platform is best suited for patient and family education efforts within the intensive care unit (ICU) and for overcoming patient barriers to obtaining key ICU information, according to a recent study published in Critical Care Nurse.
Offering adequate patient and family education is a core part of delivering a positive experience in the ICU, the researchers explained.
Whether it's colon cancer, breast cancer, or ovarian cancer, survival rates in the U.S. are lower for black people than for white people, three new studies show. All three were published in the journal Cancer.
Will patients and clinicians in primary care and other hurried care settings be hurt by lower hypertension thresholds introduced by the new American College of Cardiology/American Heart Association guidelines? An opinion piece in the Annals of Internal Medicine, the journal of the American College of Physicians (ACP), noted several points of concern, such as that "the guidelines bombarded the intended audience — clinicians on the frontline of patient care —with a mountain of information that may have spawned as many questions as it answered."
MIT Technology Review
During menopause a woman’s ovaries stop working — leading to hot flashes, sleep problems, weight gain, and worse, bone deterioration. Now scientists are exploring whether transplanting lab-made ovaries might stop those symptoms. In one of the first efforts to explore the potential of such a technique, researchers say they used tissue engineering to construct artificial rat ovaries able to supply female hormones like estrogen and progesterone.
As the baby boomer population ages, the number of Americans with Alzheimer's disease will double by 2060, researchers report.
The study findings, which show cases of Alzheimer's and mild cognitive impairment going from 6 million this year to 15 million in four decades, highlight the need to better identify people with a brain-related disease, and to slow its progression.
"There are about 47 million people in the U.S. today who have some evidence of preclinical Alzheimer's," said study author Ron Brookmeyer. He is a professor of biostatistics at the Fielding School of Public Health at University of California, Los Angeles.
Previous studies about nurse workflow have used time-motion study methods, which involve manually observing nurses in person or on video and then clocking how much time they spend on each task. Now, an engineer has developed a method for better tracking how nurses in an intensive care unit (ICU) spend their workday. Findings could help improve the health care delivery process in the ICU and could also be applied to other healthcare procedures.
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