[ARNPCare] January 2015

Sat Jan 31 21:52:53 PST 2015

Advanced Registered Nurse Practitioner Care
Official Newsletter of ARNPs United of Washington State
Volume 26(1) January 2015
Articles
Jobs
CE
Service Ads
Meetings
Photo of the Month
Ad & Publication Information
ARNP Global Signature Bill
With HB 1259, sponsored by Representative Cody, 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.

 <http://www.npdirectory.com/>

Stop the Silence: The Impact of Clinicians and Intimate Partner Violence
by Stephany Nesser MSN, ARNP, FNP, DNPc
Background
Intimate partner violence (IPV) is a major public health problem across the country with alarming statistic affecting individuals, families and communities. In the United States, 24 persons per minute are victims of sexual assault, physical violence, or stalking by an intimate partner. In 2011, there were 47,444 domestic violence offenses reported in Washington State (Department of Health, 2013). According to the Washington Department of Health approximately 70-80 percent of victims are female, and one out of four females will be a victim of some type of abuse in her lifetime (2013). The national cost for IPV is over $8 billion annually with most funds going to direct and indirect healthcare costs e.g. medical treatment for physical injuries, psychological treatment and loss of productivity from work (CDC, 2014). Identifying current or past abusive and traumatic experiences can help prevent further abuse, lessen disability, and lead to improved health status (Office on Women’s Health, 2013).

Health Effects of IPV
81% of female survivors struggle with a chronic health problem brought on by the ongoing stress of living with an abuser.
60% more likely to have asthma
70% more likely  to have heart disease
80% more likely to have a stroke
Twice as likely to be a current smoker
Twice as likely to suffer from depression and headaches
Twice as likely to have alcohol use disorders
16% more likely to have a low birth-weight baby
42% of women who have experienced physical or sexual violence at the hands of a partner have experienced injuries as a result
38% of all murders globally were reported as being committed by their intimate partner
 (World Health Organization and NoMore.Org <http://nomore.org/>, 2015).

Current Screening Recommendations
One of the preventive services identified by the Institute of Medicine is screening and counseling for “interpersonal and domestic violence.” Under the Affordable Care Act, these services are generally covered in new health plans without requiring a co-payment, co-insurance, or deductible (Health Resources and Services Administration, 2012; The Patient Protection and Affordable Care Act, § 2713).  Additionally, the U.S. Preventive Services Task Force (USPSTF) released a recommendation in January 2013 calling for clinicians to “screen women of childbearing age for intimate partner violence” (U.S. Preventive Services Task Force, 2013).

What Can Health Care Providers Do?
Because they are often trusted resources in their communities, health care providers are in a unique position to connect women who experience interpersonal and domestic violence with support (OWH, 2013).   Clinicians usually see patients individually, giving patients the ability to talk to someone without the abuser present (ASPE, 2013).  The health care environment and interaction with a provider may be a victim’s only contact with the outside world which emphasizes the importance of screening.

Just as providers routinely screen patients for diabetes or high blood pressure and refer them to specialists as needed, providers can also screen for interpersonal and domestic violence and provide a referral to local domestic violence programs and services. If a woman discloses abuse, the provider can provide brief counseling to 1) promote the patient’s immediate safety; 2) discuss the possible relationship between current or previous interpersonal and domestic violence and the patient’s health concerns; and 3) link the patient to support services and resources (OWH, 2013). Women who talk to their provider about abuse are 4x more likely to seek help. Ask your patients about abuse and violence (National Health Collaboration of Violence and Abuse).

Additional Resources
Health Cares about IPV: http://www.healthcaresaboutipv.org/ <http://www.healthcaresaboutipv.org/>
Futures without Violence: http://www.futureswithoutviolence.org/ <http://www.futureswithoutviolence.org/>    
Washington State Coalition against Domestic Violence: http://wscadv2.org/ <http://wscadv2.org/>    
King County Coalition against Domestic Violence: http://www.kccadv.org/ <http://www.kccadv.org/>    
No More: http://nomore.org/ <http://nomore.org/>
Office on Women’s Health: http://www.womenshealth.gov/publications/our-publications/fact-sheet/IPV_screening_508.pdf <http://www.womenshealth.gov/publications/our-publications/fact-sheet/IPV_screening_508.pdf>    
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
Family Nurse Practitioner - Kent, WA

Part Time FNP position beginning April 2015 for busy NP owned and operated Family Practice in Kent. 1 year experience or more required. DNPs welcome. Send CV to mwiley at familycareofkent.com <mailto:mwiley at familycareofkent.com>
A Rare Opportunity!

For an ARNP with Women's Health expertise and a desire for independence and flexibility. Thriving women's health care business for sale in 
choice Tacoma location. Huge, loyal client base built up over 30years. Fully equipped office and exam room. Helpful staff for reception and billing. 

Or, move charts to your location.
If interested, or for more information, please call 253-318-5170.
Internal Medicine Practice for Sale Enumclaw, WA

Ideal acquisition opportunity for Nurse Practitioners. This well established practice is located in a beautiful city of Enumclaw, 45 minutes away from Seattle.
Practice has been growing steadily, collecting $530,000+ in 2013.  Located in a professional medical building in the vicinity of the local hospital.  Known as providing high quality comprehensive care, including preventive care and some in-office ancillary services. Well balanced payer mix. Priced to Sell.

Financing Available. Call 800-416-2055 for more information. 

www.TransitionConsultants.com <http://www.transitionconsultants.com/>
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>
Continuing Education
Learning in the Olympics Conference
The West Sound Advanced Practice Association's Learning in the Olympics Conference registration is now open. The conference is March 7, 2015 at the Kitsap Conference Center, Bremerton. Barbee Bancroft RN, MSN, PNP  is the keynote speaker. 6.25 CE for $120
Go to Westsoundapa.com <http://westsoundapa.com/>
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

Southern Double-collared Sunbird. 
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 2015 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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