[ARNPCare] March 2015

Tue Mar 31 21:46:04 PDT 2015

Advanced Registered Nurse Practitioner Care
Official Newsletter of ARNPs United of Washington State
Volume 26(2) February/March 2015
Articles
Jobs
CE
Service Ads
Meetings
Photo of the Month
Ad & Publication Information
Participate in the 2015 ARNP Survey
Want to improve your salary, work environment, and job satisfaction?

Participate in the Washington State Nurses Association
2015 ARNP Survey 

https://www.surveymonkey.com/s/wsnaarnp2014 <https://www.surveymonkey.com/s/wsnaarnp2014>

Enter into a drawing for a UW CNE Conference Registration

Questions??  Louise Kaplan lkaplan at stmartin.edu <mailto:lkaplan at stmartin.edu>  Marie Annette Brown mabrown at uw.edu <mailto:mabrown at uw.edu>
Prefer a print copy?  Call 206-575-7979 or e-mail wsna at wsna.org <mailto:wsna at wsna.org>.

ENDORSED BY ARNPs UNITED OF WASHINGTON STATE

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

ARNPs United Legislative Update
The 2015 Washington State Legislature’s 105 day session has passed the half-way point.  All policy bills were required to be voted out of the house of origin by March 11; those that were not are effectively dead for the session. 

ARNPs United of Washington State is excited HB 1259 ARNP Global Signature legislation unanimously passed the House Representatives on February 9 and was one of the first House bills to receive a public hearing by the Senate Committee on Health Care March 12 where it was positively received.  The legislation, if passed, would allow ARNPs to sign all forms for patients as long as the care is within the ARNPs scope of practice.  The bill reads:

Adding a new Chapter to RCW 18.79, the Washington Nurse Practice Act to state:
“An advanced registered nurse practitioner may sign and attest to any certificates, cards, forms, or other required documentation that a physician may sign, so long as it is within the advanced registered nurse practitioner's scope of practice.”

ARNPs United’s Legislative Committee has also chosen which bills to promote, which to support or monitor and which to oppose. Examples of the many bills we are supporting include:

Amending a bill to require the Health Technology Assessment program’s clinical committee to have a designated ARNP member
Increased funding for the health professional loan repayment program
Enhanced Medicaid reimbursement for ARNP primary care services
Education funding for nurse educators
Reimbursement for telehealth
Access to naloxone for individuals who use opioids as well as their friends and family
WSNA’s patient safety and safe staffing for RNs.

 opposed legislation requiring parental notification for minors seeking pregnancy termination and expressed concerns about legislation allowing the Secretary of the Department of Health to limit the scope of practice for health disciplines.

ARNPs United has been contacted to oppose 2SSB 5052 which will significantly reform the state’s medical marijuana law and align aspects of it with the state’s recreational marijuana laws.  ARNPs United supports access to a wide array of evidence-based care options for patients, one of which may be medical marijuana.  Washington State is the least regulated of the 23 states and District of Columbia that allow medical marijuana.  Without a patient registry, there is no data regarding the number of medical marijuana patients and the types of conditions for which they receive an authorization. 

There have been notable cases of providers not following the law when authorizing people as medical marijuana patients. Combined with the state’s tolerance of illegal dispensaries, it is unclear that the intent of the original medical marijuana act in 1998 to provide compassionate care to people with terminal and debilitating conditions has been upheld. 
In the end, it seems the public has been asked to tolerate an unregulated system with illegal aspects that serves the many who are not legitimate patients while those who are may end up suffering.

Restrictions in the US have limited research of a high level and quality of evidence.   Many studies cited as evidence to support medical marijuana are poor quality and have severe limitations. At this time, ARNPs United supports SB 5121 to promote research on medical marijuana.  In it’s position paper on medical marijuana, the Washington Osteopathic Medical Association states:  “We are concerned with the lack of quality clinical research in the area of medical marijuana. At present there is no consistent strength, dosing schedule or delivery system of medical marijuana, as there is with legend medications…further controlled trials, as with any other medication, must be the benchmark for evaluating therapeutic risks and benefits.”
Furthermore, in Washington we currently have no rules regulating the production and safety of marijuana products. The current proposed legislation, 2SSB 5052 states  “While medical needs remain, the state is in the untenable position of having a recreational product that is tested and subject to production standards that ensure safe access for recreational users. No such standards exist for medical users and, consequently, the very people originally meant to be helped through the medical use of marijuana do not know if their product has been tested for molds, do not know where their marijuana has been grown, have no certainty in the level of THC or CBD in their products, and have no assurances that their products have been handled through quality assurance measures. It is the public policy of the state to allow qualifying patients to only have access to products that may be endangering their health.”
ARNPs have an obligation is to deliver safe, effective, evidence-based care to our patients. ARNPs United continues to urge all health care providers who choose to authorize patients for use of medical marijuana to follow the law, Title 69 Chapter 69.51A RCW Medical Marijuana, which can be accessed at http://apps.leg.wa.gov/RCW/default.aspx?cite=69.51A&full=true <http://apps.leg.wa.gov/RCW/default.aspx?cite=69.51A&full=true>.  Standards of care in the Nurse Practice Act must also be followed. 

At this time, ARNPs United does not have a specific position on 2SSB 5052.  ARNPs United does encourage all ARNPs to use high quality evidence, follow the laws, protect patients and protect their license.

Job Opportunities
Family Nurse Practitioner - Bellingham, WA

Bellingham FNP position available. Independent practice near WWU. Practice in smaller community rich in arts and outdoor activity. Potential business partnership for the right individual. Longer description is linked: http://www.bellinghamhealth.com/fnp1position.htm <http://www.bellinghamhealth.com/fnp1position.htm>
If interested, please send a cover letter and resume to Employment at BellinghamHealth.com <mailto:Employment at BellinghamHealth.com>
Himalaya Medical Mission Fall 2015

Rachel Frazin, ARNP, MSN is a seasoned family nurse practitioner looking for ARNPs to join her in a medical mission to the Tsum Valley in the remote Himalaya —  home to Tibetan Buddhists who've received no Western health care.

A group of family practice providers, eye doctors, and midwives will be trekking five days from Kathmandu to several villages where they will provide medical care this fall. The trip is fully supported by local guides, baggage porters, and kitchen staff to prepare food. The region was recently opened to the West — no cells nor internet! — described by veteran trekkers as the "Shangri- La of Nepal." For further information go to: volunteersfornepal.blogspot.com <http://volunteersfornepal.blogspot.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.
Bellevue, Mill Creek, Bothell, Sammamish, Woodinville, Monroe, Mukilteo, Kenmore, Lynnwood, Mercer Island
RediClinic, a leader in the retail convenient care industry offers Fulltime Clinicians a set schedule which rotates every two weeks including every other weekend. You will enjoy working a flexible schedule supporting work life balance and an opportunity to join a growing industry with a Competitive Compensation package!

RediClinic supports Clinician autonomy guided by evidenced based practice with additional support from leading healthcare systems as well as fulltime Medical Assistant support. RediClinic opened our first clinic in 2005, and has successfully treated over 1.500,000 patients. We support our Clinicians in their mission to provide consumers with easy access to high quality, affordable healthcare, recognizing that they are the company's most valuable asset!

MultiCare offers: Competitive Compensation, Medical, Dental and Vision, Paid Time Off, CME, Paid Malpractice, Life Insurance, FSA, 401k, Bonus,and much more!

Requirements:
Must have APN authorization and RN licensure in the state where employed to practice in Family Health by the Board of Nurse Examiners and be board certified by either ANCC or AANPMust have prescriptive authorization. 	
Must be proficient in the use of all medical instruments and equipment required by the work 	
Knowledge of computer-based data management programs and information systems, as well as medical records and point-of-interview technology 	
Ability to communicate effectively, in verbal and written form, with retail and medical partners at various levels, patients, family members, physicians and representatives of the community 	
Sound understanding of all federal and state regulations including HIPAA and OSHA Experience in marketing, sales and/or customer service highly desired
NEW GRADUATES considered!

To Apply:  please visit our website at www.RediClinic.com <http://www.rediclinic.com/> or email your CV to our Recruiter at:  michelle.bubel at rediclinic.com <mailto:michelle.bubel at rediclinic.com>

Continuing Education
Beyond the Foundation: Advanced Skills for the Emerging Clinical Leader
2015 Emerging Clinical Leader Summit Series

Negotiation & the Power of Persuasion: Honing Your Advanced Communication Skills by Scott Palmer, BS, MAIS Spokane, WA: April 10
Participative Management and Shared Governance by Gladys Campbell, RN, MSN, FAAN 
Medford, OR: June 5 // Portland, OR: July 9
Mentorship and Succession Planning: Moving Your Leadership Beyond Preceptorship by Michele Deck MEd, BSN, RN, LCCE  Seattle, WA: October 2
Plotting the Path to the Board Room Seattle, WA: June 11
For full brochure, workshop details and/or to register visit www.NWone.org <http://www.nwone.org/>.
Questions? Contact Sarah Schwen at Sarahs at wsha.org <mailto:Sarahs at wsha.org> or (206) 577-1811
NWone’s 2015 Annual Program
Leading the Movement to a Culture of Health
May 13-15, 2015 at the DoubleTree by Hilton Seattle Airport
Visit www.NWone.org <http://www.nwone.org/> for the full agenda and/or to register.

Laura Van dernoot Lipsky, MSW, the author of Trauma Stewardship: An Everyday Guide to Caring for Self While Caring for Others, is known to many as a local leader in the Northwest.  She has built a strong reputation and will be doing a full day preconference, “Creating a Culture and Environment of Health for Yourself and Others.” 

Angela Patterson, MS, FNP-BC – the Chief Nurse Practitioner Officer for the nation’s CVS Minute Clinics will provide what may be a surprising perspective from the world of retail health… a movement that is storming past us as some don’t even notice.  What is this movement about and why should we be interested?

Dana Nelson Peterson, DNP, MN, RN, – one of our own, a nurse leader who made the transition from leading in acute care to being an ambulatory care leader will share the challenges and the joys of this change in her segment, “Nursing Leadership in Ambulatory Care: The Unique Challenges and Opportunities.”

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

Woodpecker in Ravenna Park, Seattle, WA. 
photo by Nancy Lawton
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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