phone 334-262-8321 alabamanurses.org nurse · asna reserves the right to not publish submissions....
TRANSCRIPT
current resident or
Non-Profit Org.U.S. Postage Paid
Princeton, MNPermit No. 14
IndexANA News . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ASNA Board of Directors . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
CE Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-14
ED’s Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Legal Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
LPN Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Membership News . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
President’s Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Inside Alabama Nurse
Elizabeth A. Morris Clinical Education Sessions - FACES ‘17 Highlights
Page 12
Experience Incivility or
Bullying in the Workplace?
Tell Your Story in our Confidential Survey
Page 7
Quarterly publication direct mailed to more than 84,000 Registered Nurses and Licensed Practical Nurses in Alabama Alabama State Nurses Association • 360 North Hull Street • Montgomery, AL 36104
Provided to Alabama’s Nursing Community and Funded by the Alabama State Nurses Association.
urseN
Phone 334-262-8321 alabamanurses.org
June, July, August 2017 • Volume 44 • Issue 2
Are You Interested in Being a2017 ASNA Convention Delegate?
Requirements:• MustbeanASNAmember90daysbeforethe1stdayofConvention• MustregisterfortheentireConvention• MustbeelectedbyyourDistrict
If interested,contactyourDistrictPresident– foundunder theAboutorDistrictstabsonhttp://alabamanurses.org.
Page 2 • The Alabama Nurse June, July, August 2017
Alabama nurse
ASNA Board of Directors
President: Rebecca Huie, DNP, ACNPPresident-Elect: Sarah Wilkinson, MSN, BSN, BA, RNVice President: Carthenia Jefferson, BSN, RN, JD, ESQSecretary: Lindsey Harris, MSN, FNP-BCTreasurer: Wanda Spillers, DNP, RN, CCMDistrict 1: Donna Everett, MSN, BS, RNDistrict 2: Jackie Williams, DNP, MSN, RNDistrict 3: Wanda Spillers, DNP, RN, CCMDistrict 4: Bridget Moore, DNP, MSN, MBADistrict 5: Wade Forehand, DNP, RN
Commission on Professional Issues: Sarah Watts, MSN, RNParlimentarian: Sue Morgan, PhD, RN
ASNA Staff
Executive Director, Dr. John C. Ziegler, MA, D. MINDirector Leadership Services,
Charlene Roberson, MEd, RN, BCASNA Attorney, Don Eddins, JD
Programs Coordinator, April Bishop, BS, ASITContinuing Education Coordinator,
Katie Drake-Speer, MSN, RN
Our Vision
ASNA is the professional voice of all registered nurses in Alabama.
Our Values
• Modelingprofessionalnursingpracticestoothernurses
• AdheringtotheCode of Ethics for Nurses• Becomingmorerecognizablyinfluentialasan
association• Unifyingnurses• Advocatingfornurses• Promotingculturaldiversity• Promotinghealthparity• Advancingprofessionalcompetence• Promotingtheethicalcareandthehumandignityof
every person• Maintainingintegrityinallnursingcareers
Our Mission
ASNA is committed to promoting excellence in nursing.
Advertising
For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, [email protected]. ASNA and the Arthur L. Davis Publishing Agency, Inc. reserve the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement.
Acceptance of advertising does not imply endorsement or approval by the Alabama State Nurses Association of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. ASNA and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of ASNA or those of the national or local associations.
The Alabama Nurse is published quarterly every March, June, September and December for the Alabama State Nurses Association, 360 North Hull Street, Montgomery, AL 36104
© Copyright by the Alabama State Nurses Association.Alabama State Nurses Association is a constituent member of the American Nurses Association.
PUBLICATIONThe Alabama Nurse Publication Schedule for 2017
Issue Material Due to ASNA OfficeSep/Oct/Nov July 26, 2017Dec. 2017/Jan/Feb. 2018 Oct 25, 2017
Guidelines for Article DevelopmentThe ASNA welcomes articles for publication. There is no payment for articles published in The Alabama Nurse.
1. Articles should be Microsoft Word using a 12 point font.2. Article length should not exceed five (5) pages 8 x 11.3. All references should be cited at the end of the
article.4. Articles should be submitted electronically.
Submissions should be sent to:[email protected]
orEditor, The Alabama Nurse
Alabama State Nurses Association360 North Hull Street
Montgomery, AL 36104
ASNA reserves the right to not publish submissions.
Published by:Arthur L. Davis
Publishing Agency, Inc.
www.alabamanurses.org
Condolences:Brian Buchmann on the death of his mother – District 2, ASNA Member Leatha Buchmann.
April Bishop on the death of her sister in law
Jane Hebb-Siragusa, MSN, RN – VAMC, Birmingham, AL
AANS News
AANS 2017 Leadership Summit
AANS hosted their Leadership Summit at Shelton State Community College March 10, 2017
Hill Crest Behavioral Health Services is seeking highly motivated nurses to join our team.
Hill Crest BHS is the only freestanding, full-service psychiatric hospital in the Birmingham area. It draws on a rich tradition while staying on the cutting edge of
new developments in treating psychiatric illness and enhancing mental health. We treat mental illness, emotional problems, and adults with chemical dependency.
Now Hiring RN’s for Full Time – Part Time & PRN· Full Time – M-F all shifts – Weekends off – Evening shift with pay incentives· Weekends Sat-Sun – Full Time or Part Time – 7a-7p or 7p-7a – with
incentives and shift premiums
Apply on line at www.hillcrestbhs.com
June, July, August 2017 The Alabama Nurse • Page 3
The President’s message
Rebecca Huie, DNP, ACNP
There were close to 400 nurses and nursing students that attended the FACES’17 event held April 18, 2017 at Eastmont Baptist Church in Montgomery, Alabama. There were exceptional presentations and posters from Nursing Leaders and students across the state. A special “Thank You” to Dr. Earnest J. Grant, Vice President of the American Nurses Association for speaking on patient safety and facilitating a session on treating burns. Dr. Grant is an internationally recognized burn-care expert and is the outreachcoordinator for the Burn Center at the University ofNorth Carolina Hospitals in Chapel Hill. A special “Thank You” also goes to Mr. Isaiah Sankey, District 4 County Commissioner for speaking on Nursing and Politics. Mr. Sankey’s is a Certified Family Practitioner andhasservedasaCaptainintheUnitedStatesArmyduring Desert Shield/Desert Storm. Mr. Sankey is a nurse, Veteran, politician, and entrepreneur and he provided an inspiring presentation of his own personal career path. ASNA truly appreciates both of these gentlemen for taking time out of their busy schedules to share their knowledge and expertise. This is a huge event that ANSA holds each year and the ASNA staff put a lot of hard work into planning and coordinating this event. Thank you ASNA staff.
Each District President was involved in coordinating, attending, or hosting an event during Nurses Week. A special “Thank You” to Ashley
Weaver, RN at the Birmingham VA Medical Center for the invitation as a keynote speaker for their Nursing Ceremony and to Sarah Wilkinson, Nurse Manager for the invitation to speak at the Huntsville VA Clinic. ASNA and District #3 also attended the annualUABENGAGEevent.Thereweremanymoreevents going on across the state and we hope you enjoyed the pictures that were posted on the ASNA and the District’s Facebook pages. The main goal for ASNA during Nurses Week was to say “Thank you for being a nurse” and encourage all nurses to join ASNA. Nurses are amazing people! We are caring,nurturing, compassionate, smart, dedicated, and put so much energy into our nursing career, but we do not realize the importanceofbeingamemberofourownPROFESSIONAL organization. I made that mistakethe first part of my nursing career, but my Nurse Manager told me about ASNA and encouraged me to join. That was one of the best decisions of my career, because it opened my eyes to the importance of nurses being involved in healthcare policy and legislative decision making. We have to be the voice for our
profession!Nooneelsewillbe thatvoice,sodon’tbethe “quiet nurse” and let others make nursing decisions for you, be LOUD and be PROUD to be a NURSE!Get involved, meet other nursing professionals and leaders across the state, find out what legislative issues are being discussed, learn how you can be the involved in change!!! There are over 90,000 registered nursesin the state of Alabama and only a small portion of nursesaremembersofASNA!Let’schangethattoday! JoinASNA!
If you missed seeing us at FACES’17 or during Nurses Week, don’t miss your chance to join us for the 2017 ASNA Annual Convention that will be held October 5-7, 2017 at the Embassy Suites in Hoover, Alabama! Please visit the ASNA website (www.alabamanurses.org) for registration information. We encourage you to join no later than July 5, 2017 to be eligible to serve as a delegate for convention. We need you involved in making decisions on how ASNA can serve and advocate for the nursing profession in the state of Alabama. We are here for you but we need you toJOINTODAY!
• RN to BSN
• BSN to MSN
• Post MSN to DNP
• RN to MSN
• BSN to DNP
• Post Graduate Certificates
The University of South Alabama is a place of unlimited possibilities, unrestricted ideas, and exceptional accomplishments.
• USA College of Nursing is currently the largest academic program at USA.
• One of the largest Nursing programs in the United States.
• Recognized as one of the top 50 best online graduate nursing programs by U.S. News & World Report.
• Accredited by the Commission on Collegiate Nursing Education (CCNE), One Dupont Cir., NW, Suite 530, Washington, DC 20036 (202) 807-6791.
#WeAreSouth
www.southalabama.edu/colleges/con
College of Nursing University of South Alabama
High quality programs online and on-campus
Continuing Education Classes American Heart Association• BasicLifeSupport(CPR)• AdvancedCardiacLifeSupport(ACLS)• PediatricAdvancedLifeSupport(PALS)
Short Term Programs• EmergencyMedicalTechnician• EmergencyMedicalTechnicianAdvanced
Excellent Nurse Opportunity
The Alabama Department of Public Health is an Equal Opportunity Employer
The Alabama Department of Public Health is now hiring for the position of:
Licensure and Certification Surveyor – classification number 40726, nurse option.
This involves professional work surveying health care providers to determine compliance with state and federal regulations. To qualify you must have a Bachelor Degree in Nursing and two years of direct patient care nursing experience OR an Associate degree in Nursing or diploma in Nursing and five years of direct patient care nursing experience.
This position offers competitive compensation, generous paid time off and excellent benefits. Extensive overnight travel is
required. For more information and to apply please go to:
http://www.adph.org/employment/index.asp?id=474 or http://personnel.alabama.gov/Default.aspx.
If you have questions please contact Diane Mann at [email protected].
Page 4 • The Alabama Nurse June, July, August 2017
LPN Corner The E.D.’s Notes
Hey Nurse!What Are You Wearing?“Besides Your Uniform”
Gregory Howard, LPN
In preparing for work, or just a normal day of activities, we should dress to impress in these expected traits.
Confidence should be your undergarment and the foundation of the care you provide.
Kindness makes the perfect outer garment. Wear it daily so all who come in contact with you, can admire how much they appreciate you.
Respect should be your jewelry. Make it big and gaudy and, by all means, wear it every day. Make sure the people you serve, as well as family, friends and strangers, are aware of its presence.
Tolerance should be your shoes to walk in, regardless of the obstacles in your path.
Pride should and can be your glasses. See and let people see who you really are. Show them the traits that make you who you are.
Be sure to protect your inner self with Courage. For Courage is the ability to champion for those you are serving and protecting when they are unable to protect themselves.
If anyone offers you the fancy, shiny garments that look like:Neglect,Disrespect,Unprofessionalism orBrutality,just walk away.
Stay dressed in the things you know work. Because disrespect, brutality and dishonesty can cause wrinkles in your outfit that the Alabama Board of Nursing would have to address or “Iron Out.”
Using a quote from a very dear friend seemsappropriate here…“Treat everyone with love and kindness; it affords you limitless opportunities to be the best that you can be without even trying.”
John C. Ziegler, MA. D., MIN
In a recent survey we asked the question: What can ASNA do to improve communications with its members? There were many short but complimentary answers. One paragraph-length answer was a little painful to read...honest and frank. The survey was anonymous…so I hope the mystery person doesn’t mind me sharing their insights and suggestions. They wrote: Nurses will care more about the ASNA when the ASNA can show how it is helping individuals and groups of nurses to meet their collective and individual goals in nursing. Nurses became nurses to take care of sick people and serve at risk populations. Communication will be improved when ASNA’s main goal is to do that, because that is what we are most interested in. All the rest is icing on the cake; professional development, CEUs, insurance, credit cards, networking and socializing among nurses, communication of awards and grants given or received. (They mention a standard 401K plan that could be stationary in spite of job changes…then end with…) Nurses serve patients. When nursing organizations are felt to truly serve nurses, then the nurses will perceive communications from their nursing organization as more important and pay more attention to it.
Wow!My first responsewas emotional and defensive.Hey! What about your scope of practice? Professionalorgs and advocates fought tooth and nail for decades to advance educational and practice opportunities for nurses of all specialties. There was a time…when only a Dr. could take blood pressure! Nurses were mere extensionsof a physician. Recently, I heard a doctor talk about “my nurses” in the possessive, in a perceptively demeaning tone. Thankfully, those attitudes are fading away… Then
my rational side kicked in. This person’s answer lists some of our major benefits; professional development, CEUs, insurance…networking…awards…grants, etc. So,they know about ASNA and member benefits. But, those benefits were referred to as “icing on the cake” compared to the “meat of the coconut” which was; When Nursing organizations are felt to truly serve nurses, then the nurses will perceive communications from their nursing organization as more important!
I can’t argue with that. We need more clinical content in our communications. We need more professional mentoring between seasoned nurses and new grads. We need to find better ways to protect nurses…not just nursing. Here’s the catch 22 or the dilemma, for those who aren’t into cliché’s. My time to be honest and frank… ASNA IS GROWING FAST. Our new joint membership for ASNA/ANA is only $15 a month. We are in the trenches in healthcare reform, development and policy. ASNA/ANA leaders serve on Boards and Committees that, in time, actually do make a difference in the nurse-patient real world. And, yes…we do offer lots of icing to ourmembers. (I like icing)BUTTHECAKEISUPTOYOU.ASNAisablankcanvasfornewmemberstopainton. It is a chameleon that will change colors and patterns in response to its surroundings (members). It has been the central state nurses association for over 104 years. What it looks like, does and communicates is up to Alabama Nurses!ASNAhasno“inside”powergroupthatdirectsitsdestiny. There are no barriers that prevent or slow down new members from advancing their ideas or themselves. Recently,we had a 24 year oldUABnursewho decidedto run for a national office on a key committee of the American Nurses Association and HEWON! This yearhe is CHAIR of the committee. (As a side bar…he was just admitted into the Ph.D. program at John’s Hopkins UniversityinBaltimore)
So, what comes first…the chicken or the egg? ASNA is more relevant to you, then you listen and appreciate it. Or, YOU JOIN, participate and make ASNA morerelevant. I never liked that question… It’s obvious you have to have a chicken or you’ll never get an egg. Will you please lift your phone…go to alabamanurses.org and push the JOIN button? Only $15 a month and you can make ASNA find new ways to help: Nurses serve patients. When nursing organizations are felt to truly serve nurses, then the nurses will perceive communications from their nursing organization as more important. This has to start somewhere. Why not with you? Why not now?
ASNA Is Helping Nurses Take Care of Sick People and At-Risk Populations
• 7-3 Charge Nurse• 3-11 Charge Nurse
Benefits Include:• Blue Cross/Blue Shield and
supplemental companies(health, dental, vision secondary)
• Paid Vacation/Sick Days
• Educational Credits
• PRN scheduling for nurses attending college
4401 Narrow Lane Road, Montgomery, AL 36116334-281-6336
www.johnknoxmanor.com
June, July, August 2017 The Alabama Nurse • Page 5
Legal Corner
Don Eddins, JD
The Alabama Board of Nursing is the licensure agency for registered and licensed practical nurses in Alabama. The BON derives its power from The Alabama Legislature through Nurse Practice Act at 34-21-25, Code of Alabama 1975.
The Nurse Practice Act sets the standards and scope of practice for nurses in Alabama. It puts a premium on integrity, since a license can be denied, suspended or revoked for fraud or deceit, as well as crimes involving moral turpitude or “gross immorality.” Conviction of a felony may lead to denial or revocation
but does not necessarily have to. Moral turpitude and “gross immorality” are not defined in the law, although the Legislature may define them in a broad way this session.
Young licensure candidates have asked me whether they should report that DUI that they got as freshmenin college on the BON application. I tell them that I cannot advise them to be dishonest and, besides, the DUIprobablywillnotprevent licensure,but fraudon theapplication may. The BON has investigators, experienced administrators and lawyers to review such matters.
Both the Code section and Administrative Law can be found at the Alabama Board of Nursing web site. All nurses would do good to download, read and save them.
But really, as far as the Nurse Practice Act and nurses go simple integrity will go a long way toward staying out of trouble.
Auburn Attorney Don Eddins is attorney for the Alabama State Nurses Association. Email him at [email protected].
Kappa Omega Chapter of Sigma Theta Tau International Induction Ceremony April 24, 2017
Now HiringRNs,LPNs,CNAs
As proud members of the Ball HealthCare family of Rehabilitation & HealthCare Centers we strive to keep our focus on what is most important….Our Residents! We are confident that you will find the professional, caring atmosphere at our
facilities is very supportive of your desire to excel.
If you are in pursuit of excellence and want to join a patient focused team, email your resume to [email protected].
We offer an excellent benefit package and salaries commensurate with experience.
Birmingham, Hayneville, Mobile, Monroeville, Roanoke, Robertsdale, Selma, Tuskegee
Ball HealthCare Services, Inc . is an equal opportunity employer .
June, July, August 2017 The Alabama Nurse • Page 7
Alabama Nurses Foundation
The Alabama Nursing Foundation (ANF) awarded seven scholarships at FACES ’17 on April 18, 2017 at Eastmont Baptist Church in Montgomery, Alabama.
Academic scholarships were available to any Alabama resident enrolled in education leading to a nursing degree. This year’s awardees hailed from all over the state and included both nursing students and nurses who returned to school to further their education.
2017 Academic Scholarship Awardees
Alexis Strickland, Troy University“My professional goal is to help
as many people as I can during my career. I believe I was born to help.”
Mandy Brock, Auburn University Montgomery
“I want to become part of a team and use the knowledge that I have learned in school to make a difference.”
Carson Lee Hagood, Anderson College, University of North Alabama
“My main goal throughout my whole career as a nurse is to have a positive impact on my patients.”
Julia Adams, Samford University“I believe becoming a certified
registered nurse anesthetist will allow me to help a larger population and make a greater impact giving back to my community.”
Wanting Min, University of Alabama in Birmingham
“There are varieties of nursing I want to do to help people. It is the beauty of nursing.”
Jeanette Atkinson, University of North Alabama
“I have always loved nursing and I stayed involved in committees within my organization to improve patientsafety, customer service, and quality care.”
Wade Forehand, Doctor of Philosophy in Instructional Leadership at UA
“One of my personal goals…is the pursuit of lifelong learning. I believe that one should never stop learning and self-improving.”
Scholarships and GrantsIn addition to these scholarships, up to four different
grants will be awarded each year on an ongoing basis throughout the year. The grants must address a current Alabama health issue and priority will be given for projects that support the ASNA Strategic Plan and/or resolutions adopted by the ASNA House of Delegates. The amount is $500 per grant. Learn more about ANF and funding opportunities.
Through its functions, ANF not only offers scholarships and grants, but also addresses the critical issues facing the nursing profession in Alabama today. These functions are exclusively charitable, educational, scientific and literary and are intended to increase the visibility of nursing in the state. The primary mission of the Alabama Nurses Foundation is to increase public knowledge and understanding of nursing and the nursing profession.
All proceeds from tag purchases and renewals benefit ANF. Get your tag at any Alabama license office!
ANF Awards Scholarships to Alabama Nursing Students
in your life. Send a donation in honor of them. The Alabama Nurses Foundation will send the recipient a letter notifying them of your donation.
YOUMAYDONATEBYCLICKINGTHE“FOUNDATION”TABATalabamanurses.org
Visit https://goo.gl/TR0poB or
Alabama Nurses FoundationYour Gift can Make a Difference for
Nurses in AlabamaConsider making a Tax-Deductible donation to
the Alabama Nurses Foundation. Yes, your donation can help support fellow nurses with school expenses to advance their education with a BSN, Master’s, or doctoral degree. We all know how tuition and school associated cost continue to rise. This tax-deductible gift allows the Alabama Nurses Foundation to award more scholarships for our future nurse leaders.
Another way to make a tremendous difference to Alabama Nurses is to honor them with a monetary gift to the Alabama Nurses Foundation. Consider a friend, mentor, colleague who is or has made a difference
Recently, Ernest Grant, Vice President of the American Nurses Association, spoke at a large ASNA event in Montgomery. In keeping with one of ANA’s 2017 themes, he talked about a culture of safety and, in particular, the frequency of incivility and bullying in the workplace. ASNA is conducting an environmental qualitative scan of these issues in Alabama. We would like to ask nurses to access a survey on our website and share an example of their experience, anonymously. Your comments should be HIPAA compliant and
HMR of Alabama is Hiring Nurses in 4 Locations!
Bill Nichols State Veterans Home
Alexander City, AL
Col. Robert L. Howard State Veterans HomePell City, AL
Floyd E. “Tut” Fann State Veterans HomeHuntsville, AL
William F. Green State Veterans HomeBay Minette, AL
Benefits Include: Highly Competitive Salary
Outstanding Resources | Medical/Dental/Vision
Please apply online at www.hmrveteranservices.com or email
[email protected] for inquiries.
Serving Those Who Served
EXPERIENCED INCIVILITY OR BULLYING IN THE WORKPLACE?
Tell Your Story in Our Confidential Surveyhave no identifiable information pointing to patients, coworkers and/or place of employment. (See hhs.gov for HIPAA rules.) Just tell what happened to you and how it made you feel. The contents of the survey will only be accessible by the ASNA editorial staff. Comments may be used, with discretion, in educational or policy discourse to identify particular trends or issues related to Alabama nurses experiencing workplace incivility and/or bullying. Simply go to: https://www.surveymonkey.com/r/ASNAcares and tell your experience ASAP.
Page 8 • The Alabama Nurse June, July, August 2017
ASNA Leadership Column
Alabama Health Action Coalition (AL-HAC)
The Nurses on Boards Coalition (NOBC) is a group that is dedicated to improving the health of communities and the nation. NOBC’s campaign is focused on service of nurses on boards and other bodies, specifically boards that go beyond the nursing profession. Currently, NBOC is collecting information about nurse’s board memberships and interest in future service. This will aid in compiling a national database of nurses serving on boards and can ultimately help connect nurses with other boards. The national group wishes to ensure that at least 10,000 nurses are serving on boards by 2020. Alabama’s goal is based on our percentage of Alabama nurses in the workforce.
By nurses being included on boards, they can benefit by giving a unique perspective to healthcare that can, in turn, help in achieving a high level of quality care in any health care system type. The NOBC was created based on the 2010 Institute of Medicine (IOM) Report, The Future of Nursing: Leading Change, Advancing Health, which recommended nurses play more pivotal decision-making roles on boards to help in efforts to improve health. The nursing profession particularly represents the largest health care workforce in the nation. Because of this, nurses play a crucial role in the nation’s health outcomes. NOBC is built on the principle that, with more nursing involvement on corporate, health-related, and other boards, panels, and commissions, the nation’s health outcomes will improve. Nurses may serve on local school boards, community health organizations, to national/international boards of directors. The opportunities are broad for nursing to have a voice and influence policy and operations.
In support of NOBC’s goal and the nursing workforce, otherorganizationshavejoinedinthecause.Forexample,
one of the Alabama Health Action Coalition’s (AL-HAC) members, Dr. Ellen Buckner, was recently named Alabama’s liaison to NOBC. AL-HAC’s mission is to improve the health status of all Alabamians by increasing access to cost-effective, high quality care through inter-professional and community collaboration. With the supportofmultipleorganizations, it istheirhopethatthehealth of Alabama and the rest of the nation will improve.
We need Alabama nurses! First, by sharinginformation regarding your board membership and/or interest in future service, NOBC will have the ability to make additions to a national database of nursing serving on boards. Ultimately, as previouslystated, the information will be used as a tool to help in the improvement of the nation’s health outcomes. The information being collected supports the progress being made to get nurse leaders on boards, especially in Alabama. By signing on to the link below, you can enter your current board participation. Second, the collection process builds awareness with the public, corporate, nonprofit leaders that having a nurse as a trustee or board member is an avenue toward achieving shared goals of efficient and effective health care. The link also includes information on whether you are interested in serving on a board. There will be opportunities for orientation and training for board leadership is available too. For more information about the NOBC and their cause, visit: http://nursesonboardscoalition.org/#faqs. To enter your participation or interest go to: http://nursesonboardscoalition.org.
Sources:http://nursesonboardscoalition.org http://www.nationalacademies.org/hmd/Reports/2010/TheFuture-
of-Nursing-Leading-Change:Advancing-Health.aspx http://www.al-hac.org
An Introduction to the Nurses on Boards Coalition (NOBC)
EEO
We are dedicated to developing and supporting your
career with more opportunities for advancement.
Registered Nurses
• Work one-on-one with patients
• Work for a company with a team approach
• Enjoy a better work/life balance
Call us today at
855-KND-AT-HOME(855.563.2846) or visit
www.kindredathome.com/careers
EEO
We are dedicated to developing and supporting your
career with more opportunities for advancement.
Registered Nurses
• Work one-on-one with patients
• Work for a company with a team approach
• Enjoy a better work/life balance
Call us today at
855-KND-AT-HOME(855.563.2846) or visit
www.kindredathome.com/careers
We are dedicated to developing and supporting your career with more opportunities for advancement.
Registered Nurses• Work one-on-one with patients• Work for a company with a team approach • Enjoy a better work/life balance
Call us today at
855-KND-AT-HOME(855.563.2846) or visit www.kindredathome.com/careers
© 2016 Kindred at Home CSR 188899-12 AA/EOE M/F/D/V encouraged to apply. 3191v1
2017 ASNA Convention
Service ProjectItems are listed below in order of priority:
• Women’sunderwear–allsizes• Girlsunderwear–allsizes• Boy’sunderwear–allsizes• Babyitems:bibs,pacifiers,onesies,etc.• Diapers• Strollers• Diaperwipes• Clothes• HouseholdItems:ladieswillneedoncethey
have transitioned to their own place• Pots• Pans• Utensils• DishTowels• Dishes• Drinkingglasses• Towels • Boy’sandgirl’sshoes–Allsizes• Women’sclothesandshoes–allsizes
All items will be going to a local women’s shelter. Please bring these items with you for collection at the Registration Desk.
2017 Annual Convention
What Is a Resolution?It is a formal written call to action on a subject of
great importance to members of ASNA. In other words this is an action members would like ASNA to pursue. Resolutions are often the source of action in developing positions on issues affecting nurses, nursing, and the needs of the public. Once the resolution is voted on and passed by the House of Delegates ASNA will try to implement in order to meet the needs of the association. Resolutions maybesenttootherorganizations,governmentalagencies,or other individuals. The resolution process is one of the most important functions of the House of Delegates.
Call for ResolutionsAny ASNA member may research, write, and/
or submit a resolution for consideration by the ASNA
House of Delegates. Resolutions should be submitted to the Governance Committee through the ASNA office at 360 N. Hull St., Montgomery, AL 36104 by JULY 1, 2017. Only an emergency resolution will be accepted after the designated date, and is contingent on the ASNA President’s approval.
Types of ResolutionsResolution are classified according to the following:
• Substantive Resolution, which deal with basic principles and policies of ASNA, or issues of statewide or national concerns of nurses as practitionersandcitizens.
• Courtesy Resolutions, which give recognition to outstanding persons who have made especially valuable contributions to ASNA or the nursing profession.
• Commemorative resolutions, which deal with commemoration of important events or developments in nursing, allied professions, or government.
• Emergency Resolutions, which have significance for the association and require immediate action.
How is a Resolution written?A resolution has two parts – the “whereas” section
and the “resolved” section. The “whereas” section is a series of single item, factual statements which present documentation of the need for the resolution. The “resolved” section is a series (or single) item action statement(s) of position by ASNA and is the actions by which the intended result will be obtained.
ASNA’s Official Call for ResolutionsAllYouNeedToKnow
June, July, August 2017 The Alabama Nurse • Page 9
Membership News
ASNA Would Liketo Honor Our
Veteran Members
It was a privilege to showcase and thank our veteran members last year. We would like to continue a new tradition. Please send in your Name, Rank, Branch, and Dates of Service to
April Bishop at [email protected]. We’ll include it in a special Veteran’s Day
tribute in our September/October/November issue of The Alabama Nurse.
Page 10 • The Alabama Nurse June, July, August 2017
.
Leadership Academy
2017 ASNA Leadership Academy Participants and Mentors
Focus on Leadership Academy ProjectsMediation Education was a focus for Denise Beadle, BSN, RN. The following two documents were developed. Both the Poster (below) and the Medication Teaching Guide
(page 11) were presented at the ASNA Annual Convention.
A printable copy of the Medication Teaching Guide is available for download and personal use on the ASNA web site www.alabamanurses.org.
June, July, August 2017 The Alabama Nurse • Page 11
Leadership Academy
YOURLOGOHERE
This guide provides general information about types of new medications ordered for you, their purpose, and possible side effects. Let your healthcare provider know if you feel you are experiencing a possible side effect. If you would like more information about any of your medications, please let your healthcare provider know.
Clinical Instruction: Circle or highlight the new medication, or write it in if not listed. Review purpose,
medication name, and possible side effects with patient.
New Medication Teaching GuideAdditional Type of Medication (Purpose)__________________________________________
Possible Side Effects__________________________________________
• _____________________ _____________________
• _____________________ _____________________
Type of Medication (Purpose) Medication Name
Anti-arrhythmics Prevent or treat abnormal heart rhythms
Possible Side EffectsHeadache,dizziness,lightheaded
• amiodarone(Cordarone)• digoxin(Lanoxin)• diltiazem(Cardizem,Tiazac)
Other _______________________________________
Antibiotic Prevent or treat infection
Possible Side EffectsDiarrhea, stomach upset, itching, rash, difficulty breathing, sudden swelling of skin, ringing in ears, dizziness
• amoxicillin/clavulanate(Augmentin)
• ciprofloxacin(Cipro)• clindamycin(Cleocin)• doxycycline
(Vibramycin) • gentamicin(Garamycin)• levofloxacin(Levaquin)• metronidazole(Flagyl)• piperacillin/tazobactam
(Zosyn) • trimethoprim/sulfamethoxazole(Bactrim)
• vancomycin(Vancocin)
Other _______________________________________
Anticoagulant/Antiplatelet Slows blood clot formation
Possible Side EffectsBruises, nosebleed, bleeding
• apixaban(Eliquis)• aspirin• clopidogrel(Plavix)• dabigatran(Pradaxa)• enoxaparin(Lovenox)• fondaparinux(Arixtra)• Heparin• prasugrel(Effient)•rivaroxaban(Xarelto)• ticagrelor(Brilinta)• warfarin–seeadditional
handout (Coumadin)
Other _______________________________________
Antidepressants Treats depression, mood disorders, and other conditions
Possible Side EffectsNausea, nervousness, agitation or restlessness, dizziness,drowsiness,insomnia, weight gain or loss, headache, dry mouth
• citalopram(Celexa)• escitalopram(Lexapro)• fluoxetine(Prozac)• paroxetine(Paxil,
Pexeva) • sertraline(Zoloft)
Other _______________________________________
Antiemetic Prevents or treats nausea/vomiting
Possible Side EffectsHeadache, fatigue, diarrhea,dizziness
• metoclopramide(Reglan)• ondansetron(Zofran)• prochlorperazine(Compazine)
• promethazine(Phenergan)
• scopolamine(Transderm) patch
Other _______________________________________
AntihistamineReduce or prevent allergic reactions, symptoms of a common cold, and used as a sleep aid
Possible Side EffectsDizziness,drowsiness,dry mouth, difficulty concentrating, balance problems, unusual dreams, confusion, constipation, change in appetite
• diphenhydramine(Benadryl)
• hydroxyzine(Atarax/Vistaril)
Other _______________________________________
Antihypertensive Controls blood pressure/heart rate and improves heart function
Possible Side EffectsLow blood pressure (lightheaded), fatigue, headache, slow or very fast heartbeat,dizziness,drycough
• amlodipine(Norvasc)• carvedilol(Coreg)• diazepam(Valium)• labetalol(Normodyne)• lisinopril(Prinivil,
Zestril) • metoprolol(Lopressor)
Other _______________________________________
Antispasmodic/Muscle Relaxant Relaxes muscles
Possible Side EffectsDrowsiness, confusion, constipation, dry mouth
• carisoprodol(Soma)• cyclobenzaprine
(Flexeril) • diazepam(Valium)• metaxalone(Skelaxin)• oxybutynin(Ditropan)
Other _______________________________________
Blood Sugar Control Prevents or treats high blood sugar
Possible side effects Low blood sugar, reaction at injection site, allergic reaction
• insulin(Novolog,Novolin-N, Novolin-R, Lantus)
• glipizide(Glucotrol)• glyburide(Micronase,
Diabeta) • metformin(Glucophage)
Other _______________________________________
Cholesterol Lowering* Reduces fatty substances in blood
Possible Side Effects Gas, stomach upset, all-over muscle soreness, lack of energy
• atorvastatin(Lipitor)• rosuvastatin(Crestor)• simvastatin(Zocor)
Other _______________________________________*avoid grapefruit and grapefruit juice
Corticosteroid Usedasananti-inflammatory or an immunosuppressant medication to treat allergic disorders, skin conditions, arthritis, or breathing disorders
Possible Side EffectsSleep problems, mood changes, increased appetite, dry skin, thinning skin, headache,dizziness,nausea,stomach pain, bloating, changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts and waist)
• Prednisone
Other _______________________________________
Diuretic Removes excess fluid or “water pill”
Possible Side EffectsDizziness,dehydration,changes in body electrolytes, frequent urination
• bumetanide(Bumex)• furosemide(Lasix)• Hydrochlorothiazide
(HCTZ) • spironolactone
(Aldactone)
Other _______________________________________
Gastric Acid Reduction Prevents or treats heartburn
Possible Side EffectsConstipation, gas, nausea, vomiting, headache, diarrhea, stomach ache
• famotide(Pepcid)• metoclopramide(Reglan)• omeprazole(Prilosec)• pantoprazole(Protonix)• ranitidine(Zantac)
Other _______________________________________
Laxative Promotes bowel movements
Possible Side Effects Gas, nausea, vomiting, diarrhea, cramping, belching, skin irritation
• bisacodyl(Dulcolax)• docusate(Colace)• milkofmagnesia
(MOM) • polyethyleneglycol
electrolyte solution (Miralax)
• senna(Senokot)
Other _______________________________________
NSAID/Non-Steroidal Anti-Inflammatory Drug Decrease inflammation and mild-moderate pain
Possible Side EffectsNausea, vomiting, stomach irritation, abdominal pain, diarrhea, constipation, change in appetite
• celecoxib(Celebrex)• ibuprofen(Advil,Motrin)• ketorolac(Toradol)• naproxen(Aleve)
Other _______________________________________
Pain Relievers Prevents or treats pain
Possible Side EffectsNausea, drowsiness, difficulty concentrating, fatigue, weakness, constipation, dry mouth, itching, decreased appetite, difficulty breathing, dizziness,difficultyurinating
• acetaminophen(Tylenol)• acetaminophen/codeine
phosphate (Tylenol with Codeine #3)
• fentanyl(Abstral,Actiq,Fentora)
• hydrocodone/acetaminophen (Norco)
• hydromorphone(Dilaudid)
• morphine• oxycodone/
acetaminophen (Percocet)
• tapentadol(Nucynta)• tramadol(Ultram)
Other _______________________________________
Sedative/Anti-Anxiety Promotes relaxation and rest
Possible Side Effects Dizziness,lightheaded,drowsiness, blurred vision, low blood pressure
• alprazolam(Xanax)• trazodone(Desyrel)
Other _______________________________________
Sleep Aid Promotes sleep
Possible Side EffectsDizziness,drowsiness,dry mouth, difficulty concentrating, balance problems, unusual dreams, confusion, constipation, change in appetite
• eszopiclone(Lunesta)• zolpidem(Ambien)• temazepam(Restoril)
Other _______________________________________
Page 12 • The Alabama Nurse June, July, August 2017
FACES ‘17 HigHligHtS
Troy University School of Nursing
The University of Alabama, Capstone College of Nursing
DCH Health System
Hurst Review Services
Comfort Care Home Health & Hospice
Trenholm State Community College Poster Presenters
Dr. Moniaree Parker Jones & Christa Moore, MSN, RN of Ida V Moffett SON, Samford University
FACES Nurse T-Shirts
Columbus State University
Concordia College, Division of Health Sciences, Department of Nursing
FACES Exhibit Hall
L-R ASNA President Dr. Rebecca Huie, Keynote speakers Isiah Sankey and ANA Vice President Dr. Ernest Grant, and ASNA
President-Elect Sarah WilkinsonAuburn University School of Nursing Poster Presenters
June, July, August 2017 The Alabama Nurse • Page 13
C.E. Corner
Author: Charlene Roberson, MEd, RN - BC
Disclosures: The Author and Planning Committee have declared no conflict of interest.
Contact Hours: 0.5 (ANCC) and 0.6 (ABN) contact hoursarevalidMay2,2017throughMay1,2019.
Target Audience: Registered Nurses, Advance Practice Nurses
Learning Outcome: The learner should be able to assess the causative factors underlying Pseudocyesis and develop a plan of care to support the individual.
Fees: ASNA Member - $ FREE Non-Member - $6.00
Instructions for Credit: Participants should read the purpose and then study the activity on-line or printed out. After reading, complete the post-test at the end of the activity and compare your responses to the answers provided, and review any incorrect responses. Participants must complete the evaluation on line and submit the appropriate fee to receive continuing nursing education credit. The certificate of attendance will be generated after the evaluation has been completed. ASNA will report continuing nursing education hours to the ABN within 2 weeks of completion.
Evaluation: Complete at https://form.jotformpro.com/71213939118961
Accreditation: The Alabama State Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Alabama Board of Nursing Provider Number ABNP0002 (valid through April 6, 2020).
Alabama State Nurses Association360 N. Hull St.Montgomery, AL 36104Fax: 334-262-8578
Over the centuries this diagnosis has fascinated both health care providers and non-providers. Everyone seems to know the definition of Pseudocyesis (a non-pregnant and not psychotic woman who not only believes she is pregnant but also shows signs of pregnancy - but is not pregnant) but not why or if there is a reason. Often the diagnosis is an interesting twist in movies, books and even television programs. However, it is real and included in the 5th edition of the Diagnostic and Statistical Manual of
Mental Disorders (DSM-5) listed under Other Specified Symptom and Related Disorders.
Pseudocyesis has been known since the days of Hippocrates and history tells that he observed and/or treated twelve different cases. Some notable women from history have also had Pseudocyesis. Perhaps the most famous was Mary Tudor. She believed that God had not given her a child because she was not harsh enough with the heretics. So, persecutions increased until she felt pregnant because of developing nausea and abdominal distension; however, she was not pregnant. Historians have named her as “Bloody Mary” because of her actions during this time. Another notable woman was Joanna Southcott, a religious prophetess. In 1814, she believed that she was pregnant by the Holy Spirit and at the time, she was 64 years old. Over one hundred thousand people were disappointed when the prophesized second comingof the Messiah did not occur at the expected date. She died 2 months later and on post-mortem it was determined that she was not pregnant.
The earliest theories of Pseudocyesis concentrated on a physical basis. For example, Hippocrates thought the cause was an accumulation of excessive air in the stomach and retained menstrual fluid. In more recent times a psychological cause has gained greater prominence. An example is Sigmund Freud and his treatment of Anna O. who had Pseudocyesis. She believed that she became pregnant with the child of her previous psychoanalyst, Josef Breuer. Freud diagnosed this as transference (strong attachment patients form with psychoanalyst). Although this condition has been written about for centuries there is very little evaluation, testing, and/or treatment guidelines to guide practitioners. Today a physiologic basis is also being studied but the endocrinology and pathophysiology is inconclusive. Very briefly, data to support this is a defect in the dopamine level. Lowered dopamine levels are well documented as women with Pseudocyesis often have anxiety, emotional upheaval, and/or depression all of which lead to depletion of dopamine levels. The depletion of dopamine is known to inhibit the gonadotropin – releasing hormone (GnRH), leutinizinghormone pulsatility, and prolacatin levels. When these levelsaredepressedtheluteinizinghormone(LH)elevatesand this may cause symptoms of pregnancy such as amenorrhea or galactorrhea. Fetal movement, enlarged abdomen, and or labor pain may be attributed to increased sympathetic nervous system activity. These women may have constipation, chronic diaphragmatic contractions, increased adipose tissue in the abdomen, and lordosis posturing. It is postulated that these women experience a prolonged diaphragmatic contraction and an abdominal
Pseudocyesis
CE Corner continued on page 14
contraction leading to relaxation of the abdominal wall. This mechanism leads to chronic bloating and gas which gives rise to abdominal distension. Abdominal distension may spontaneously resolve under anesthesia or if a woman accepts the fact of not being pregnant. Some of these women expel flatus and other do not. In some cases after the anesthesia has ceased and the women return to consciousness the abdominal distention returns.
What is the typical profile?This is a very rare disorder affecting 6 out of 22,000
births in the Western world. However, in Africa the incidence approaches 1 out of 160 births. The incidence in the developing world has been higher in the past, an estimated 1 out of 25 births. But as trends of smaller families prevail the incidence has declined. This number (1 out of 160) is gleaned from women seeking fertility treatments and is probably artificially low. Comprehensive records are not available in the rural areas (Bush) and seeking fertility treatments involves money and poor women will not be in these clinics. 80% of the women are married and 40% have given birth before. Historically this condition has occurred in patients with an age range from 6 to 79 years old; however,most are in the 20 to 45 agerange.
This condition is most often noted outside a mental health setting. Certain cultural variables are prominent and include the following: younger women where childbearing is their vital role in life, women who live in a society where children are needed for economic survival and generational continuity, pressure to have a child of a certain sex, and/or perceived prerequisite for a stable relationship or marriage itself.
Additional factors triggering somatic manifestations of pregnancy include severe distress related to any one or more of the following conditions: infant loss, recent miscarriage, history of infertility, extreme fear of pregnancy, low socioeconomic status, limited education, instability in relationships, desire to maintain partner, or being in a relationship with an abusive partner.
Although rare in the Western world, why is the topic important?
Our society is extremely mobile and although the incidence is higher in emerging economies or underdeveloped regions of theworld – especiallyAfrica,nurses from the western world interact with these individuals. Many of the women from these areas have strong cultural ties to the ‘homeland’ and reside in the
thank You to Our
Exhibitors!
Alabama Organ Center
AL-NW FL Gideons
Columbus State University
Comfort Care Hospice and Home Health
DCH Health System
Hurst Review Services
Jackson Hospital
Troy University
VIVA Health
Online BSN to DNPAdult-Gerontological Primary Care NP
Designed for students holding a BSN, the BSN-DNP Adult-Gerontological Primary Care NP track prepares graduates to provide
the highest level of primary care across a variety of healthcare delivery settings. With outstanding faculty, and high quality, “user-
friendly” programs, students have 24/7 access to expertly designed, highly interactive web-based course. USA College of Nursing has
established a high pass rate on AGPCNP certification examinations.
Explore how you can distinguish yourself in the fast-growing and highly
recruited arena.
For information regarding the application process, tuition, curriculum and more, visit www.southalabama.edu/nursing or [email protected], (251) 445-9412 or
Dr. Joyce Varner, 251-445-9455, [email protected]
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under Grant number: D09HP26961; Title: Advanced Nursing Education Grant; Total Award
Amount: $1,067,806. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government.
Page 14 • The Alabama Nurse June, July, August 2017
CE Corner continued from page 13
C.E. Corner
Western world. In addition, many schools of nursing have study abroad programs in which students provide healthcare to individuals in emerging economies. Many nurses participate in Mission Trips to underserved areas of the world. Chances are good that a diagnosis of Pseudocyesis will be noted in the population.
How is the clinical presentation assessed?The symptoms of pregnancy may continue from a
few weeks to beyond nine months. In areas of the world where healthcare is readily available the diagnosis of Pseudocyesis may be addressed early if laboratory results and the ultrasound are negative. However, in areas of limited resources the “pregnancy” may be continued even through labor.
Commonly noted symptoms seen in Pseudocyesis include the following: amenorrhea or oligomenorrhea, nausea, weight gain, appetite changes, breast changes (enlargement or secretions), and perhaps labor pain. In addition, the posture may exhibit lordosis; there may be darkened pigmentation on the abdomen, around the areola, or on the face; and abdominal swelling may be noted. These symptoms are the symptoms of pregnancy. During the assessment, the nurse will note subtle differences. One of the most obvious is the abdomen. The pregnant abdomen will have contours to the shape of the fetus (or fetal lie) whereas the abdomen of a person with Pseudocyesis will be uniformly round. Percussion of an abdomen with Pseudocyesis has tympany and palpitation of the abdomen yields a tight rubbery sensation. In addition the umbilicus remains inverted in Pseudocyesis whereas in pregnancy it typically everts.
There are several probable or presumptive signs of pregnancy which are outside the realm of this paper and a number of those signs may be exhibited by individuals with Pseudocyesis as mentioned in the previous paragraph.
However, the two definitive signs of pregnancy will always be negative in individuals with Pseudocyesis. They are fetal visualization with ultrasound, usually evident nolater than the sixth week of gestation and fetal heart rate auscultation using the Doppler, usually 10-12 weeks’ gestation.
There are three conditions which must be included in a differential diagnosis when determining if a woman has Pseudocyesis. They are delusions of pregnancy, factitious or deceptive pregnancy, and erroneous pseudocyesis. The person will have no physical signs of pregnancy in delusions of pregnancy. The DSM-5 includes this diagnosis under schizophrenic spectrum and psychoticdisorders. Their treatment will be that of treating a psychotic individual. The person with factitious or deceptive pregnancy acts pregnant for secondary gain such as sympathy or as an attention getting mechanism. In erroneous pseudocyesis the person develops a presumptive or probable signs of pregnancy and then believes herself to be pregnant. This can be a stable schizophrenicmaintained on antipsychotic medications who experiences side effects of the medications such as amenorrhea or lactation. Other medical conditions which need to be ruled out include ascites, hydatidiform mole, ovarian cysts, uterine fibroids, or urinary retention.
How do I help these women?The nurse is often the first contact and is in a great
position to provide support. It is essential to maintain the awareness that you cannot change culture. Individuals needing psychiatric services should be referred. At the sametime,thereshouldbearealizationthatmanyofthesewomen are anxious, depressed, and may have numerous life stressors to be pregnant. An individual plan of care with an emphasis on open communications is essential. It starts with conveying the basic fact of not being pregnant despite having presumptive symptoms of pregnancy by presenting objective results of a lack of fetal heart rate or
fetalvisualizationviaultrasound.Thepatientneedstofeelthat you want to continue to work with them. Often these women will accept informal counseling from a midwife or physician, and will rarely agree to formal psychotherapy. The nurse (perinatal care provider) may need to consult a mental health provider for guidance. Explore why the pregnancy is so important and determine a course which addresses the issues at hand.
Keep in mind that some women are accepting of the lack of pregnancy diagnosis without a major issue. Whereas others need ongoing support to resolve the issue. If depression or anxiety is a causative factor these issues need to be addressed. Supportive nursing care makes a difference in these women’s lives.
Selected Bibliography for PseudocyesisAnvi-Baron. Orit, Gupta, Renu, Miller, Laura J. Pseudocyesis.
UptoDate,Dec.2016.Campos, Stephanie J., Link, Denise. Pseudocyesis. Jour. Of
Nurse Practitioners, 2016:12(6).Daley,Mary.Post-GraduateMedicalJournal.Dec.1946:395-99.Svoboda,Elizabeth.All theSignsofPregnancyExceptOne:A
Baby. The New York Times: 2006/12/05/health.
Select the one best answer to the following questions and compare your answers to answers provided. Review article for any responses answered incorrectly.
1. Women who have Pseudocyesis have many symptoms ofpregnancyEXCEPTa. abdominal palpitation has tight rubbery sensationb. round abdomen without fetal liec. inverted umbilicusd. All of the above
2. Factors triggering Pseudocyesis include which of the followinga. depression.b. extreme fear of pregnancyc. desire to retain partner.d. All of the above
3. When counseling a person with Pseudocyesis it is important to a. obtain a complete list of current medications.b. encourage psychotherapy.c. evaluate current life stressors.d. Both A and C
Answers:1(D) 2(D) 3(D)
June, July, August 2017 The Alabama Nurse • Page 15
ANA News
ANA and the Centers for Disease Control and Prevention (CDC) have recently partnered with 20 nursing specialty organizations to develop the Nursing InfectionControl Education Network (NICE Network). The NICE network seeks to empower nurses to protect themselves and their patients by providing real time infection prevention and control training to U.S. nurses. The goalof the training programs developed through the NICE Network is to improve adherence to infection prevention and control practices and enhance the confidence of nurses to care for patients with Ebola and other highly contagious diseases.
Why is this Significant?Nurses are the front-line of defense against infections
spreading in U.S. healthcare facilities. Moreover, theincreasing number of emerging diseases often forces nurses to take on roles outside of their normal duties. This includes but is not limited to roles in environmental cleaning and waste management. With the evolution of emerging threats and ongoing issues such as healthcare-associated infections, nurses need to be equipped to understand and follow infection control procedures to not only protect themselves, but also to protect their patients.
Project DescriptionThe purpose of the Enhancing Education and Training
onInfectionControlforU.S.Nursesprojectisto:
ANA’s June goal for the Healthy Nurse is adequate sleep. What is healthy sleep? At least seven hours of restorative, comfortable rest daily. Adequate sleep is essential to human health and a necessity for nurses. The benefits of healthy sleep are well known: heightened alertness, boosted mood, increased energy, better concentration, more stamina, greater motivation, better judgment, and improved learning. Most people acknowledge that when they are sleep deprived, they feel grumpy, tired, or irritable, but is there any physical harm? Yes, the National Institutes of Health report that inadequate sleep can lead to obesity, cardiovascular disease, hypertension, diabetes and mood disorders. Additionally, driving or operating heavy machinery when drowsy is dangerous to the drowsy person as well as those around them.
Tips to improving your sleep:• Avoidnicotine• Keepaconsistentbedtimeandroutine• Avoidalcoholandcaffeinepriortobedtime• Engageinrelaxingactivitiespriortobedtimesuch
as prayer, warm bath, calming music, reading• Getcomfortablewithasupportivemattressand
adequate pillows• Ensureyourroomisdark,quiet(unlessyou
prefer soft music or white noise), and a cool but comfortable temperature
• Ifyou’reanxiety-prone,keepapadofpaperbybedto write down your worries, then let them go until morning
• Neitherstarvenorstuffyourselfpriortobedtime• Exerciseearlierinthedaytopromotebettersleep
Sleep disorders such as insomnia, night terrors, somnambulating, sleep apnea, night sweats, narcolepsy, bed wetting, teeth grinding, and Restless Leg Syndrome can be quite serious and/or indicative of an underlying issue. See your health care provider for further information.
Remember sleep deprivation is widely recognized asa form of torture and interrogation technique, so don’t tortureyourself!Ensurethatyouandyourpatientscomplywith the Centers for Disease Prevention and Control (via theNationalSleepFoundation)recommended7-9hoursofdaily sleep for adults.
Healthy Sleep1. provide real-time, tailored infection control training
to nurses,2. improve adherence to infection prevention and
control practices known to be effective in preventing exposure to Ebola virus disease and other emerging infectious diseases; and
3. enhance the confidence of nurses to care for patients with Ebola virus disease or other highly contagious diseases through effective education and training.
In response to the new partnership, ANA President Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN, discussed ANA’s role in infectious disease control:
“Nurses have played a critical role in educating the public and other health care workers about controlling and preventing the spread of Ebola and Zika viruses. LikeCDC,werecognizethatnursesareonthefrontlineof delivering care and should be fully equipped to tackle emerging threats to protect themselves and the people they serve.”
Work for one of the region’s leading healthcare organizations. We’re looking for smart, motivated people to help us offer the highest quality care to Central Alabama.
New 25 bed unit • PatientfocuswillbeUrologySurgerywitha5:1ratio• Fulltimeandprnpositionsavailable,7aand7pwitha
$7500signonbonusforexperiencedRN’s• InternalContracts,36hours/week,available 7aand7pat$40baserate
FT 7p Emergency Department and Critical Care positions with $10,000 Sign On BonusPlease visit www.jackson.org for all open positions.
Whether caring for patients in one of our hospitals or out in the community, we’ve created environments that allow our nurses to live, grow and thrive! Forrest Health offers one of the most competitive benefits packages in Mississippi and provides opportunities for career development and growth. Learn more about our award-winning services and programs at joinforresthealth.org.
Page 16 • The Alabama Nurse June, July, August 2017