[ARNPCare] December 2014

Mon Dec 22 16:29:14 PST 2014

Advanced Registered Nurse Practitioner Care
Official Newsletter of ARNPs United of Washington State
Volume 25(11) December 2014
Articles
Jobs
CE
Service Ads
Meetings
Photo of the Month
Ad & Publication Information
ARNP Global Signature Bill
ARNPs United is moving forward to help enable all ARNPs to sign a variety of forms and documents in Washington State which have previously required the signature of a physician. The goal is to require that the signature of an ARNP be accepted on any non-federal form that is within the scope of practice for the signing ARNP. Watch for further information. 
 <http://www.npdirectory.com/>
Cervical Cancer Awareness Month
January is Cervical Cancer Awareness Month, a great time to focus on promoting cervical cancer screening and HPV vaccination. Under the Affordable Care Act, nearly all health insurance plans cover cervical cancer screening and HPV vaccination at no cost. However, many women are still not getting screened and many adolescents are not getting the full HPV immunization series. What can providers, healthcare professionals, and health systems do?

Help women understand what screening tests are best for them and when they should get screened. Make sure you screen patients with the current screening guidelines <http://www.uspreventiveservicestaskforce.org/uspstf11/cervcancer/cervcancerfact.pdf>:
Women ages 21 to 65 should get the Pap test every 3 years.
Women 30 to 65 may choose to have co-testing every 5 years (Pap and HPV tests together).
Women over 65 need to continue screening only if they have not achieved adequate screening or have a history of CIN 2 or worse.
Women with hysterectomies who do not have a history of a high-grade precancerous lesion or cervical cancer can stop screening.
Women who have had the HPV vaccination should continue to get screened because the vaccine does not prevent all types of cervical cancer.

Spread the word about the importance of HPV vaccination:
Make a strong recommendation for HPV vaccination when girls and boys are 11 and 12 years old.
Offer the vaccination to males through age 21 and to females through age 26.
Use these HPV Vaccine Resources for Healthcare Professionals <http://www.cdc.gov/vaccines/who/teens/for-hcp/hpv-resources.html>, including Tips for Talking to Parents about HPV Vaccine <http://www.cdc.gov/vaccines/who/teens/for-hcp-tipsheet-hpv.pdf>.

Use reminders and educational materials to increase the number of women screened and patients vaccinated in your clinic:
     Offer handouts in your clinic and mail fact sheets to patients as a reminder to get screened: Cervical Cancer Fact Sheet <http://www.cdc.gov/cancer/cervical/pdf/cervical_facts.pdf>, Cervical Cancer infographic (Spanish <http://www.cdc.gov/spanish/cancer/cervical/pdf/Cervical-Infographic.pdf>), Pap Tests fact sheet <http://www.womenshealth.gov/publications/our-publications/fact-sheet/pap-test.pdf>, and fact sheet on Cervical Cancer Screening with the HPV Test and the Pap Test in Women Ages 30 and Older <http://www.cdc.gov/cancer/hpv/pdf/HPV_Testing_2012_English.pdf>.
     Use the website MIYO <http://www.miyoworks.org/> (Make it Your Own) to create custom, culturally appropriate postcards, flyers, and posters in English and Spanish to remind clients to get screened.
     Promote Cervical Cancer Awareness Month with social media tools <http://www.healthfinder.gov/nho/januarytoolkit.aspx>.
     Remind parents to get their teens vaccinated for HPV and print posters for your clinic using these HPV vaccination fact sheets and posters <http://www.cdc.gov/vaccines/who/teens/products/print-materials.html?tab=0#TabbedPanels1>. 

Refer low-income, uninsured, or underinsured women ages 40-64 to the Breast, Cervical and Colon Health Program <http://www.doh.wa.gov/BCCHP>. Refer women under 40 to family planning clinics <http://www.doh.wa.gov/YouandYourFamily/FamilyPlanning/Clinics> to ask about free or low cost screening.

If you have questions about these tools or if you would like to find out more about how to increase cervical cancer screening in your practice, contact the Department of Health’s Cancer Screening Quality Improvement Consultant, Emily Butler, at Emily.Butler at doh.wa.gov <mailto:Emily.Butler at doh.wa.gov>or 253-395-6729. 

Healthleaders: Top 5 Nursing Issues for 2015
By Alexandra Wilson Pecci, for HealthLeaders Media

A rising awareness of ethical issues, a push for better representation in the boardroom, and initiatives to raise education levels among RNs will be top-of-mind topics for nurse leaders next year.

The Ebola virus. Nurse staffing battles. ED violence.

Like any year in recent memory, 2014 was a turbulent one for the nursing profession. But it was also an exciting one, and 2015 promises more of the same. I touched base with a couple of nursing leaders to get their take on some of the top issues that are in store for the profession.

1. Ethics
ANA President Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN, called 2015 "our year of ethics" during a media call last month about a U.S. Navy nurse who faces possible disciplinary action for refusing to continue force feeding detainees at Guantanamo Bay Detention Camp.

The ANA will be releasing a revised version of its code of ethics early in the year, and with it, a number of webinars, educational materials, and special activities, such as an Ethics Symposium in June, Cipriano says.

"It's very clear that nurses confront ethical issues every day regardless of where they practice," says Cynda Hylton Rushton, PhD, RN, FAAN, the Bunting Professor of Clinical Ethics at the Johns Hopkins School of Nursing and Berman Institute of Bioethics, a lead organizer of the National Nursing Ethics Summit, held at Johns Hopkins University in August.

That summit resulted in the just-released Blueprint for 21st Century Nursing Ethics: Report of the National Nursing Summit."My hope for the summit was to use it as a vehicle to raise awareness about the centrality of ethics in nursing practice and really to engage all of the community on how we can actually strengthen that aspect of our profession together," Rushton says.

2. Nurses in the Boardroom
Getting 10,000 nurses on corporate and non-profit health-related boards of directors by the year 2020 is the goal of the new Nurses on Boards Coalition, comprised of 21 national nursing associations and led by the Robert Wood Johnson Foundation and AARP.

"Nurses know what needs to be done to make care safe, accessible and cost effective. They also know how to help consumers stay healthy in the first place," says Susan B. Hassmiller, PhD, RN, FAAN, Senior Adviser for Nursing, Robert Wood Johnson Foundation, and Co-Director, Future of Nursing: Campaign for Action.

Data from 2011 shows that only 6% of board members are nurses. "Nurses can have a great impact on every single one of the nine areas where our nation lags behind its peers in the [Institute of Medicine's] Shorter Lives, Poorer Healthreport. So, what do they need to do? Lead!" Hassmiller says. "I am encouraging all nurses, no matter where they are or at what level they work, to get involved in committees, boards, and professional organizations."

3. Building a 'Culture of Health'
Hassmiller points out that in that IOM report, the United States ranked last or near-last when compared with 16 other affluent nations on nine key indicators:

Infant mortality and low birth weight
Injuries and homicides
Teenage pregnancies and sexually transmitted infections
Prevalence of HIV and AIDS
Drug-related deaths
Obesity and diabetes
Heart disease
Chronic lung disease
Disability
"Nurses, especially, understand wellness and prevention, so I believe we have a special role to play in building a culture of health," she says. But it's not only patient health that nurses need to focus on; it's also their own.

"How do we create an environment where nurses can be more resilient and navigate these situations with a little less cost to their own wellbeing and health?" asks Rushton.

That includes everything from compassion fatigue, to exposure to hazardous drugs, to making sure nurses are properly trained and have the right equipment to both care for patients and keep themselves safe during potentially dangerous situations, such as when caring for Ebola patients.

4. Growing Momentum for Nurse Education
The Institute of Medicine's goal of having at least 80% of the nursing workforce hold bachelor's degrees by the year 2020 is not only familiar; it's possibly out of reach, unless the percentages start rising more quickly.

One way to increase momentum toward the goal of higher education levels for nurses is to start building a strong business case for it, and a study released in October aimed to do just that. Researchers estimate that increasing the proportion of BSN-prepared nurses caring for each patient to 80% or more would reduce annual readmissions by roughly 248 days, reducing costs by more than $5.6 million annually.

"The business case for at least 80% of all nurses having a BSN by 2020, as the Future of Nursing IOM report recommends, is solid," Hassmiller says, pointing to that study.

"That case is even stronger once other factors are considered: the crushing faculty shortage; the need for many more primary care nurse practitioners; and the growth in community-based care, driven by consumers' preferences and the Affordable Care Act. To fill these needs, nurses must have advanced degrees, so first attaining a BSN is imperative to move up the education ladder."

5. More Interdisciplinary Collaboration
From patient-centered care to creating an ethical healthcare landscape, interdisciplinary collaboration has never been more crucial to the success of the health system. "We all have a stake in working together," Rushton says. To this end, Hassmiller says that the Robert Wood Johnson Foundation is concluding ten of its leadership programs that are uni-disciplinary in order to instead build team-building programs with stakeholders from multiple healthcare sectors.

"Nurses are called to lead, yes, but they are also called to work with others from multiple disciplines and sectors so that care might be as seamless and safe as possible. We know that bad things happen when teams do not work effectively," she says.

One recent and terrifying example: The first Ebola case in Dallas, which proved that EHRs are no substitute for nurse-physician communication.

Make a Date with Democracy

Plan to attend Nurse Legislative Day, Monday, February 9, 2015 at the Washington Center for the Performing Arts in Olympia

http://www.wsna.org/nurse-legislative-day/2015/images/3.png <http://www.wsna.org/nurse-legislative-day/2015/images/3.png>

It’s time to get engaged and get active. As a nurse, you have one of the most trusted and respected voices—it’s time to use it!

Legislators and the public recognize that our daily experiences caring for the health of our patients and communities give us valuable and unique insight. You advocate for your patients every day. During Nurse Legislative Day, you’ll learn how to be a powerful advocate for all patients in Washington.

Learn about the critical issues facing nurses, nursing and health in Washington this year, but most importantly, you’ll discover how you can make a difference in Olympia.

Morning Education Sessions at Washington Center for the Performing Arts

Overview of WSNA priorities for 2015 — Find out which issues WSNA will work on in the next legislative session and how you can get involved
Become a More Powerful Advocate — Learn how to be an effective advocate on the issues important to you
Afternoon at the Capitol in Olympia

Meet with your legislators and attend hearings
Visit www.leg.wa.gov <http://www.leg.wa.gov/> to find out your legislative district and representatives or call the Legislative hotline at 1-800-562-6000.

Washington State Nurses Association CNEPP (OH-231, 9/1/2015) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Job Opportunities

Seattle Suburb — New Position for Experienced ARNP

Be part of a dynamic non profit Medical Center, very collegial campus. $200 million remodel recently completed.
Very competitive salary, sign on bonus, excellent benefits
Need is for a primary care or neurology experience to work one on one with a Neurologist, fellowship trained, VERY pleasant gentleman with a great sense of humor. Practice will be 50% inpatient, rounding, 50% outpatient Clinic for Stroke patients. Interest/experience in Education a must.
Please contact: Eva Page evapage at mac.com <mailto:evapage at mac.com> or call 425-451-8063

Lopez Island — Nurse Practitioner

The Lopez Island Medical Clinic was established in 1974 to provide high-quality accessible healthcare to rural Lopez.  The Clinic was founded with the support of the Catherine Washburn Medical Association and also maintains an affiliation with Island Hospital which provides staffing support, fiscal management and clinical resources. LIMC providers offer efficient, courteous care to Lopez Island residents and visitors, in the sensitive, supportive tradition of island life.  The Clinic is primarily a Family Practice setting, where providers have the opportunity to serve a wide range of patients and healthcare needs. Additionally, LIMC provides emergency care to support patients until transition to other medical services is available.

We are currently seeking applicants interested in a position as a Nurse Practitioner in the Lopez Island Medical Clinic. The position is 36 hours/week (.9 FTE) and the provider works 4 days per week. Island Hospital offers a comprehensive benefit program including medical, dental and vision benefits, retirement plan options and generous paid time off.

An ideal candidate possesses a strong background in a family practice setting and offers experience serving a wide range of patients and providing appropriate assessment, diagnosis and treatment of health issues. The Nurse Practitioner develops and implements plans for acute and chronic illnesses, prescribes appropriate medications and educates and counsels patients and their families. A Washington State Advanced Registered Nurse Practitioner license and ACLS and BLS certifications are required for this position.

Lopez Islandis the third largest of the San Juan Islands with a year round population of 2,177 and an increase for the summer. This island is a rural farming community as well as a seasonal destination due to its warm, dry summers and beautiful scenery and beaches. The Washington State Ferry makes numerous daily trips from Anacortes, WA to Lopez, a stunning 45 minute ferry ride. It is an amazing place to live and work!

A more detailed job description and application information are available at www.islandhospital.org <http://www.islandhospital.org/>.
Do you love have a passion for nursing practice and love a good challenge and opportunity to learn every day?
Work for WSNA!

WSNA is currently recruiting for our Nursing Practice and Education Specialist position. This position is located in our Seattle office near SouthCenter, and will require some in-state travel and occasional out-of-state travel.

An unencumbered RN license in Washington and a Masters in Nursing with at least five years of acute care nursing experience is required; a PhD, EdD, or DNP is a plus. We are looking for someone with excellent knowledge of current nursing practice and health care issues, including the Washington State Nurse Practice Act. Previous experience with regulatory boards, volunteer organizations and/or committees preferred.

Desirable attributes include, a passion for nursing practice, love of teaching, creativity, a “can-do” solution-oriented attitude, strong verbal and written communication skills, as well as leadership and motivational skills. Teaching, public speaking and proficiency with web based systems and social media a plus.

This is a great opportunity to use your passion for nursing practice and education to help advance nursing practice and implement statewide programs for nurses in Washington State! Competitive salary. Excellent benefits. Great team of supportive Co-Workers. EOE.
For consideration and more information send your resume or CV by email or regular mail to: 

     Heather Stephen-Selby RN, MSN, ARNP
     Assistant Executive Director of Nursing Practice, Education, and Research
     Washington State Nurses Association
     O: 206-575-7979 (3007)
     Hstephen-selby at wsna.org <mailto:Hstephen-selby at wsna.org>
Service Ads
Interested in Mentoring the Next Generation of ARNPs?

Pacific Lutheran University in Tacoma, WA is looking for preceptors in the south Puget Sound area for the Family Nurse Practitioner program. Your commitment requires a minimum of 1 day a week for a semester. We need preceptors Fall (Sep to Dec), Spring (Feb to May) and Summer (May to August) semesters. If interested, please contact Dr. Lorena Guerrero at guerrelc at plu.edu <mailto:guerrelc at plu.edu> or call (253) 535-7374.
Preceptors Wanted
The specialty tracks within the University of Washington DNP program are seeking preceptor colleagues to work with us to continue preparing future APRNs that are competent clinicians and our future colleagues. We are seeking preceptors in the following tracks: Adult-Gerontology Nurse Practitioner, Family Nurse Practitioner, Nurse Midwifery, Pediatric Nurse Practitioner, and Psychiatric Mental Health Nurse Practitioner. The average commitment is 1-2 days a week for a 10 week quarter. Autumn quarter (Sept-Dec), Winter (Jan-Mar), Spring (Mar-Jun), Summer (Jun-Aug). If interested, please see our Preceptor page: http://nursing.uw.edu/faculty-support/preceptor-clinical-faculty-affiliate-faculty-support <http://nursing.uw.edu/faculty-support/preceptor-clinical-faculty-affiliate-faculty-support> and Introduce Yourself <http://nursing.uw.edu/faculty-support/webform/preceptors-introduce-yourself-or-update-your-information>!  
Meetings
Puget Sound Nurse Practitioners Association

Join us! Puget Sound Nurse Practitioners Association is a non-profit
organization supporting ARNPs in Puget Sound since 1998. We meet
every other month and offer a social hour/networking and a speaker presentation.

Annual dues are $60/$20 for students. $20 per meeting for guests. Apply for membership and find meeting information at http://PSNPA.org <http://psnpa.org/>

West Sound Advanced Practice Association

Meets the second Thursday of the month. Meetings include networking/dinner/educational session. E-mail Fionafnp at centurytel.net <mailto:Fionafnp at centurytel.net> for more information.

Photo of Month

African White Rhinoceros duo crossing the road. 
photo by Bob Smithing
Ad & Publication Information
ARNP Care Ad Information

Copy deadline is the second Tuesday of the month prior to publication. Ads may be accepted later than this on a space-available basis. Position Available and Continuing Education Ads of less than 66 words are $45, of 66 to 130 words are $75, 131-180 words are $105, and greater than 181 words are $175. Position Available Ads are priced per insertion. Continuing Education Announcements are per offering for up to three (3) consecutive insertions. New Product Announcements per product for one insertion of 130 words or less are $75, more than 130 words are $175. Ad Inserts are $750 for one issue. All ads are subject to space limitations and editing. Call for detailed rate information. Mail copy to ARNP Care, 10024 SE 240th St, #230, Kent, WA 98031. Phone 253.852.9042. Fax 253.852.7725. Email care at nurse.net <mailto:care at nurse.net>. 
ARNP Care Editorial Board

Editors:
   Robert T. Smithing, MSN, ARNP, FAANP
   Madeline D. Wiley, MSN, ARNP, FAANP
Contributing Editors:
   Nancy Lawton, MN, ARNP (President & AANP WA State Representative)
   Louise Kaplan, PhD, ARNP, FAANP (Legislative Chair)
Production Staff:
   Tracy Kiele, Managing Editor
   Sarah Abid, Production Staff
   NP Central, Publisher

Copyright 2014 NP Central 
ARNPs United of Washington State

Website: www.auws.org <http://www.auws.org/>
Facebook: facebook.com/ARNPsUnited <https://www.facebook.com/ARNPsUnited>
Email: au at auws.org <mailto:au at auws.org>
Address: 10024 SE 240th St, #230, Kent, WA 98031
p. 253.480.1035   f. 253.852.7725
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