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As 2020 comes to a close, ANA\C would like to wish its members, partners and other industry professionals a safe and happy holiday season. As we reflect on the past year for the industry, we would like to provide the readers of the ANA\C Nursing Flash a look at the most accessed articles from the year. Our regular publication will resume Tuesday, Jan. 12.
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30. Why the U.S. is so far behind on coronavirus testing
Axios

- Although testing capacity is usually limited, academic labs located inside hospitals can deliver test results more quickly than samples sent to commercial, state or CDC labs.
- However, academic labs face strict bureaucratic regulations, leaving only less than a dozen academic labs to actually produce coronavirus testing. The reasoning? The FDA wants standardized testing.
- Academic, private, and commercial test production capacity is currently (March 15) 22,000 tests per day.
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29. California Issues Travel Advisory as State Reaches 1 Million Coronavirus Cases
San Francisco Examiner
Restrictions are tightening back up in California’s reopening framework following tier demotions handed down to nine counties recently, a response to coronavirus spread that has been spiking across the state for close to a month. In the latest mitigating measure announced amid the worsening nationwide surge, the governors of the three West Coast states also issued a joint advisory, strongly urging against nonessential out-of-state travel. The advisory asks those who do travel to self-quarantine for 14 days upon arrival in California, Oregon or Washington.
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28. Nurses lack representation in media: Recognize them for the leaders that they are
USA Today
Diana J. Mason writes, "when the United Nations declared 2020 the Year of the Nurse and Midwife, their intent was to spotlight our role as the 'backbone' of health systems around the world. How ironic — and fitting — that it took a global pandemic and not some bureaucratic declaration to drive home that point and bring nurses into focus.
You see our raw, mask-reddened faces staring out from newspapers, magazines, and nightly news programs. You see us, shoulders hunched, tired, and spent in hospital hallways. You see us, comforting and competent, at the bedsides of our dying patients, while also loudly and angrily protesting the loss of our colleagues.
You see more of us now, but we have been here all along. Where was the media?"
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27. Governor Newsom Announces California Health Corps, a Major Initiative to Expand Healthcare Workforce to Fight COVID-19
California Governor

- California Governor Newsom signed an Executive Order to expand the healthcare workforce and staff at least an additional 50,000 hospital beds needed for the COVID-19 surge.
- Nurses (NPs, RNs, LVNs, CNAs), medical doctors, respiratory therapists, behavioral health scientists, pharmacists, EMTs, and medical and administrative assistants are all needed.
- California Labor Secretary Julie A. Su said, “Outreach to unemployed healthcare workers and under-employed foreign medical graduates will help build the workforce needed to fight the pandemic — and also create new opportunities and jobs for Californians struggling with unemployment.”
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26. ANA Statement on Asymptomatic COVID-19 Positive Nurses Providing Care
ANA
The American Nurses Association (ANA) is very disappointed that eight months into the COVID-19 pandemic, community spread of the virus is widespread and accelerating, resulting in unprecedented numbers of new cases and high levels of hospitalizations in urban and rural areas in many states. This surge places pressure on healthcare systems and hospitals to implement crisis standards of care, such as requesting that nurses who are COVID-19 positive continue to work and provide patient care. ANA maintains that COVID-19 positive nurses have the right to choose whether they are well enough to work. Under no circumstances should a nurse be pressured to work, and employers should never retaliate against nor penalize a nurse for choosing to prioritize self-care.
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25. Nurses say COVID-19 hazard pay could help offset unsafe working conditions, infection fears
USA Today
As cases soar in new parts of the country and nurses treat a steady stream of infected people, many fight to get the kind of "hazard pay" many in the military get during war. Many nurses in Illinois and at several New York City hospitals got some form of bonus pay during the pandemic, but that's ended, and hospitals and government officials in the nation's capital and elsewhere resist pressure to pay nurses more.
"The bottom line for hospitals is often more important than the quality of care and safe working conditions," said Wala Blegay, staff attorney for the D.C. Nurses Association. "A lot of that was illustrated in the pandemic."
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24. Contact tracers: Why nurses and social workers are equipped for the job
Azusa Pacific University
Health departments around the country are facing an unprecedented situation with the outbreak of the novel coronavirus. People who have contracted the illness need to be identified and interviewed so public health officials know both where they contracted the virus and who else they may have exposed.
Contact tracers are the people doing this work — identifying and interviewing infected individuals to stop the spread of the virus. And, according to experts in the fields of public health, those with backgrounds in nursing and social work are perfect candidates for the job. Here’s why these individuals are so well suited for this work, and what to consider if you’re thinking of becoming a contact tracer.
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23. The science behind nurses as coronavirus hospital heroes
STAT
Nurses have always enjoyed public respect and are routinely rated the No. 1 most honest and ethical profession in the United States. But this moment in the media spotlight highlights how little most people truly understand about nursing. Like medicine, nursing is a scientific discipline, and it’s time people see nurses as more than just angels or heroes. Nurses are not kind and heroic simply because they are good people, but because nursing science tells us that building relationships with patients and treating the whole-person response to disease is therapeutic for their health.
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22. Nurses continue to rate highest in honesty, ethics
Gallup
For the 18th year in a row, Americans rate the honesty and ethics of nurses highest among a list of professions that Gallup asks U.S. adults to assess annually. Currently, 85% of Americans say nurses' honesty and ethical standards are "very high" or "high," essentially unchanged from the 84% who said the same in 2018.
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21. 8 actions to take to advance your career in 2020, Year of the Nurse
Florence Health
To commemorate Florence Nightingale’s 200th birthday, the World Health Organization dubbed 2020 the year of the nurse. The declaration is both a celebration and a call to action. Nurses are on the frontlines, fighting global health and human rights issues, and they need more support — from patients, administrators, executives, policy makers and beyond.
While influencers of all kinds figure out ways to advance the work nurses have been doing for years, why not make time to advocate for yourself and your profession? Here are a few ideas to do just that.
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20. This chart of the 1918 Spanish flu shows why social distancing works
Yahoo! Finance
 - In 1918, the city of Philadelphia threw a parade despite warnings of influenza. Three days later, every bed in Philadelphia’s 31 hospitals was filled with patients infected by the Spanish flu and by the end of the week, more than 4,500 were dead. Spanish flu’s total death count? 100 million.
- The concept of “flattening the curve” is now a textbook public health response to epidemics with the idea that once a virus can no longer be contained, the goal is to slow the spread. If you slow the spread, then you can stop surges putting hospitals above capacity. How do you do this? Social distancing.
- Social distancing is most effective before 1% of the population is infected. South Korea has adopted a modern version of social distancing; the country hasn’t locked its citizens down or quarantined entire cities, instead, they’ve closed schools, canceled public events, and supported flexible working arrangements. The results? New infections have leveled off.
Click here to view the chart.
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19. 3 strategies for preventing a mental health crisis among nurses
MedCity News
Since COVID-19 first appeared, the eyes of the world have been on healthcare workers like never before. Initially, this was because of the selfless service of nurses and physicians who rushed to the frontlines in hot spots like New York, and then later because of the outcry over the lack of facility preparedness, PPE, and other essential supplies. In recent weeks, a chorus of voices has emerged from the frontline, sounding the alarm over the emotional well-being of clinicians who have had to ration care, watch their colleagues fall ill, and comfort scores of dying patients. In mid-May, the UN echoed this finding, warning of a global mental health crisis that could impact healthcare workers especially hard.
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Promoted by PulseCheck
What follows the chaos of a code blue event, the acquisition, and handling of the code blue records, is crucial to managing the overall event and follow-up. Many nurses are still charting on slips of paper, the back gloves, or on their scrubs. An article from the Journal of Emergency Medicine found that electronic code blue documentation solutions reduce omission errors by 28% and redundant entries by 36% compared to paper recorders. But, how to do this with traditional desktop-based systems? A mobile, tablet-based system is essential to eliminate lost records and avoid transcription errors. Click below to learn more.
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18. Long-Fought Nurse Practitioner Independence Bill Heads to Newsom
San Francisco Chronicle

- After years of failed attempts and vociferous opposition, California lawmakers recently adopted a measure to grant nurse practitioners the ability to practice without doctor supervision — but only after making big concessions to the powerful doctors’ lobby, which nonetheless remains opposed.
- The bill now heads to Gov. Gavin Newsom for consideration, fenced in by amendments that would stringently limit how much independence nurse practitioners — nurses with advanced training and degrees — can have to practice medicine.
- California is behind most other states in empowering nurse practitioners. If the bill becomes law, the state would join nearly 40 others to grant some level of independence to nurse practitioners.
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17. COVID-19 is affecting critical care nurses. What nurse leaders need to know
HealthLeaders Media
While many Americans are sheltering in place due to stay-at-home orders, nurses and other healthcare professionals are heading to work each day to care for patients with and without COVID-19.
"[Nurses] are rising up and charging [toward] the problem. It just validates to me how much I'm really honored to be part of this profession," says Megan Brunson, RN, MSN, CCRN-CSC, CNL, AACN president and night shift supervisor for the cardiovascular ICU at Medical City Dallas.
During the COVID-19 crisis, Brunson has had both an up-close and personal as well as eagle-eye view of what critical care nurses are experiencing during this time.
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16. COVID-19 does not easily spread via contaminated surfaces, CDC says
CDC

- Previously, the CDC said it "may be possible" to spread the virus via contaminated surfaces, but the agency now believes it is primarily spread through the respiratory droplets of people in close contact.
- Information from the ongoing COVID-19 pandemic suggests that this virus is spreading more efficiently than influenza, but not as efficiently as measles, which is highly contagious.
- At this time, the risk of COVID-19 spreading from animals to people is considered to be low.
Read the full article.
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