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Chaos theory helps nurses cope in the emergency room
Expect the unexpected. That's the mission of one nursing school program that teaches students about the chaos theory in order to help them cope with the stress they'll encounter on the job. Elena Capella, assistant professor and director of the online Master in Nursing program at San Francisco's School of Nursing and Health Professions, told The Huffington Post that the chaos theory can help nurses handle the intensity of the emergency room and keep calm in tough situations.
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ANA Massachusetts Events — Spring Events!

2015 ANA Massachusetts Awards Dinner and Spring Conference
Awards Dinner Flyer, click here.
Conference Flyer, click here.
Convention Brochure, click here.
Register Now, click here.
Living Legends in Nursing and Annual Awards Banquet — 6-9:30 p.m.
Friday, April 10, 2015
Annual Business Meeting — 4:30-6 p.m.
Friday, April 10, 2015
Annual Spring Conference — 7:30 a.m. - 3:30 p.m.
Theme: The Courage to Care in the Face of Infectious Disease
Saturday, April 11, 2015
Dedham Hilton Hotel • Dedham, MA
Morning Keynote - Pamela Cipriano, PhD, RN, NEA-BC, FAAN
President, American Nurses Association
Featured Speaker - Cheryl Bartlett, RN
Executive Director, Cape Cod Regional Substance Abuse Prevention Initiative and Public Health, Cape Cod Health Care, Former MA Public Health Commissioner
Join Us for a Networking/Cocktail Reception on Saturday, April 11
3:30 - 5:30 p.m.
ANA Massachusetts Members Free
Non Members $10.00
networking — socializing with colleagues
Cash bar and light appetizers
Dedham Hotel Group Room Block Rate - Deadline March 19, 2015
Group Code: ANAM or American Nurses Association Massachusetts.
Front Desk at 781-329-7900 or Central Reservations at 800-754-8052

Call for Posters, click here.
Awards Dinner Sponsorship and Ad Opportunities, click here.
Conference Sponsorship and Exhibitor Opportunities, click here.

Massachusetts Health Council's 5th Women's Health Forum Getting Healthy, Staying Healthy: Knowledge is Everything
April 16, 2015
Westin Copley Place, Boston
MHC Women's Health Conference Registration
Forum Flyer, click here.

2015 Annual Spring Symposium - Continuing Nursing Education: Boot Camp
Friday, May 1, 2015
8:30 a.m. – 3:30 p.m.
Symposium Flyer, click here.
Registration, click here.
$199 includes lunch
Wellesley Gateway Building, Wellesley, MA

Celebrate National Nurses Day at Fenway Park with American Nurses Association Massachusetts!

Register Now, click here.
Limited QuantityDeadline extended through April 9 for ordering tickets
Red Sox vs. Tampa Bay
Wednesday, May 6, 2015
7:10 p.m. (game time)
Red-Sox Tickets: $25 each
First come, first served, so place your ticket order today!
Be sure to join us at the pre-game Networking event from 5 - 6:30 p.m. at the Cask & Flagon
Networking Event: $25, ANA Massachusetts member rate, $35 non-member rate, $15 student rate
Invite your friends, family and colleagues for ANA Massachusetts Night at Fenway Park
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  CNE by Nurses, for Nurses. makes it easy to earn CNE online. Browse our list of 50+ courses and short tutorials that are perfect for CNE on the go.

UPDATE: Easier Nomination Process for Modern Healthcare's 100 Most Influential
Modern Healthcare is accepting nominations for its annual “100 Most Influential People in Healthcare” ranking. This prestigious honor salutes transformative leaders in health care. The nomination deadline is Friday, April 17.

** We are happy to report that the nomination process just got easier! Previously you had to provide brief statements to address 3 of 5 nomination criteria when completing the nomination form. Now, only the nominee’s name, title and organization are required to complete the process. And yes, you can still nominate more than one person, AND you can nominate a person multiple times!*** We encourage you to submit nominations for ANA President Pam Cipriano, PhD, RN, NEA-BC, FAAN, and ANA CEO Marla Weston, PhD, RN, FAAN.

Please submit your nomination here, and spread the word!

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Joint Alert from Division of Health Professions Licensure
In response to The National Transportation Safety Board safety study, Drug Use Trends in Aviation: Assessing the Risk of Pilot Impairment the Board of Registration in Dentistry, the Board of Registration in Nursing, Board of Registration in Pharmacy, and the Board of Registration of Physician Assistants, on behalf of the Massachusetts Department of Public Health, Division of Health Professions Licensure issued a joint alert regarding prescribing and dispensing controlled substances in November, 2014.
Click here to find an update to that original alert.

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Authors Wanted for the Massachusetts Report on Nursing (ANA Massachusetts Newsletter)
Needed: Articles for The Summer 2015 edition of the Massachusetts Report on Nursing
Remember: The ANA Massachusetts newsletter is read by about 122,000 RNs in the Commonwealth!
This is YOUR newsletter so we need YOU to make a contribution!
Deadline date for submission is April 10
Your contribution can be sent to or mailed to ANA Massachusetts Newsletter, P. O. Box 285, Milton, MA 02186

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Become an active member!
Join the ANA Massachusetts Technology Committee

The overall goal of the committee is to identify and implement technological upgrades for the organization. Are you an ANA Massachusetts member who is looking for a way to become more involved in the organization? Do you have an interest or skill/expertise in IT and/or Technology projects. If you are looking for new opportunities, then we are looking for you! Contact for more information
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Healthcare is a team sport; Nurses are key players
Medscape (free login required)
The documentary Rx: The Quiet Revolution provides a changing perspective on how healthcare should be delivered in this country. It no longer works for any healthcare provider to assess, diagnose, treat, prescribe, and interpret tests without consulting the patient. We have entered into an era that is long overdue, in which we are must create a partnership with patients. Basically, we are putting the "care" back in patient care. One segment of the documentary highlights a "new breed" of physician who has begun to make house calls. Physicians are not the only healthcare providers making house calls. Others — nurse practitioners (NPs) and community health nurses — are also providing home-based healthcare.
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New stroke prevention efforts may be paying off
HealthDay News
Fewer people are being treated in U.S. emergency rooms for strokes caused by blood clots in the brain, which experts read as a sign that current stroke prevention methods are working. The rate of emergency department visits for either a stroke or a mini-stroke (transient ischemic attack) decreased dramatically between 2001 and 2011, according to a new U.S. Centers for Disease Control and Prevention report. Such ER visits declined 35 percent for adults 18 and older, and 51 percent for those 55 to 74, said the report from the CDC's National Center for Health Statistics.
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FDA issues draft guidance on abuse-deterrent opioids
U.S. Food and Drug Administration
The U.S. Food and Drug Administration issued a draft guidance document to assist industry in developing new formulations of opioid drugs with abuse-deterrent properties. The document "Guidance for Industry: Abuse-Deterrent Opioids — Evaluation and Labeling," explains the FDA's current thinking about the studies that should be conducted to demonstrate that a given formulation has abuse-deterrent properties, how those studies will be evaluated by the agency and what labeling claims may be approved based on the results of those studies.
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Nurse helps sexual assault survivors heal, move on
The Associated Press via The Washington Times
Linda Walther has been a registered nurse for four decades, but it’s in the past eight years that she’s found her calling: working with survivors of sexual assault. “If I had found that job 20 years ago, I think I would have been able to do so much more in my career as a sexual assault nurse examiner,” Walther said, standing in an exam room at Hennepin County Medical Center. “It’s really my passion and what I love doing.”
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Emergency department burden of constipation in the US from 2006 to 2011
American Journal of Gastroenterology
Although constipation is typically managed in an outpatient setting, there is an increasing trend in the frequency of constipation-related hospital visits. The aim of this study was to analyze trends related to chronic constipation in the United States with respect to emergency department visits, patient and hospital characteristics, and associated costs. Between 2006 and 2011, the frequency of constipation-related ED visits increased by 41.5 percent, from 497,034 visits to 703,391 visits, whereas the mean cost per patient rose by 56.4 percent, from $1,474 in 2006 to $2,306 in 2011.
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Study casts doubt on acetaminophen for low back pain, arthritis
HealthDay News
Acetaminophen — best known as Tylenol in the United States — does not appear to help ease lower back pain and offers little relief for the most common form of arthritis, according to a new report. The review of data from 13 studies could challenge existing recommendations on pain relief, experts say. "These results support the reconsideration of recommendations to use [acetaminophen] for patients" with these conditions, concluded a team led by Gustavo Machado of The George Institute for Global Health at the University of Sydney in Australia.
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Endometriosis is often ignored in teenage girls
The New York Times
An estimated 89 million women worldwide, including 6.5 million in the United States and Canada, have endometriosis, according to the Endometriosis Association, a research and advocacy group. Symptoms can include debilitating periods, painful bowel movements with menstruation, inflammation, internal bleeding, scar tissue and infertility. But those numbers are rough, experts say, because many young girls with endo do not find out until years later. In fact, research from the Endometriosis Association estimates that it can take up to 10 years from the onset of pain for a provider to give a diagnosis of endometriosis.
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Collaboration between nurses and physicians decreases rates of HAIs in critical care
Collaborative relationships between nurses and physicians decrease rates of healthcare-associated infections (HAIs) in critical care, according to an article in the April issue of Critical Care Nurse (CCN). The article, "Nurse-Physician Collaboration and Hospital-Acquired Infections in Critical Care," examines the association between nurses' perception of their working relationships with physicians and the rates of two of the most common HAIs.
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Data is no less secure even as HIPAA enforcement is here
By Lindy Benton
The headlines are endless and ever-growing: Healthcare data is at risk. Exposure is happening because a scourge of people worldwide is illegally trying to benefit from the information; because of improper protection of sensitive information; or because of some other sort of breach. However, despite continued efforts to address security loopholes across the sector, simply "taking action" to mitigate damage is not an effective strategy, and it won't work long term.
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FDA strengthens warnings about allergic reactions with anemia drug
U.S. Food and Drug Administration
The U.S. Food and Drug Administration is strengthening an existing warning that serious, potentially fatal allergic reactions can occur with the anemia drug Feraheme (ferumoxytol). The FDA has changed the prescribing instructions and approved a Boxed Warning, FDA's strongest type of warning, regarding these serious risks. Also added is a new Contraindication, a strong recommendation against use of Feraheme in patients who have had an allergic reaction to any IV iron replacement product.
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Health concerns about electronic cigarettes are mounting
By Joan Spitrey
On March 23, the California Public Health Department launched a series of ads as part of an effort to inform the public of the potential dangers of electronic cigarettes. This comes 25 years after the state of California issued its first anti-smoking ads, becoming one of the leaders in tobacco use and prevention. The efforts have paid off over the years, as the state has one of the lowest youth smoking rates in the country.
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CNOs remain uncertain about DNP-prepared nurses
HealthLeaders Media
In 2004, the American Association of Colleges of Nursing released a position statement recommending that "entry into practice" education for advanced practice nurses be raised from a master's degree to the doctoral level by 2015. Nurses with practice doctorates were rare at that time. According to AACN data, only three schools offered doctorate of nursing practice programs and there were only seven DNP graduates when the statement was released. Though the 2015 goal hasn't been met — many schools still educate APRNs at the traditional master's level — the number of DNP programs and graduates has increased enormously over the past decade.
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Missed last week's issue? See which articles your colleagues read most.

    Promoting nurse resilience (By Keith Carlson)
Women dominate nursing field, yet men make more (USA Today)
Nurses say lack of device interoperability contributes to medical errors (Infection Control Today)

Don't be left behind. Click here to see what else you missed.


ANA Massachusetts Nursing Flash
Colby Horton, Vice President of Publishing, 469.420.2601
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