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New RWJF/Gallup Survey Finds that Opinion Leaders Believe Nurses Should Have More Influence on Health Systems and Services

Today, the Robert Wood Johnson Foundation released results of a groundbreaking new opinion leader survey on nurses’ influence on health systems and services. Entitled “Nursing Leadership from Bedside to Boardroom: Opinion Leaders’ Perceptions,” the survey was conducted by Gallup on behalf of the Robert Wood Johnson Foundation. Gallup interviewed 1,504 opinion leaders across key roles and industries for the survey, which was conducted Aug 18-Oct 30, 2009.

The key findings indicate that an overwhelming majority of opinion leaders say nurses should have more influence. However, the survey finds that opinion leaders also view nurses as one of the most trusted sources of health information, but see nurses as having less influence on health care reform than government, insurance and pharmaceutical executives and others.

Other key findings from the new Gallup survey:

Opinion leaders identified the top barriers to nurses’ increased influence and leadership as not being perceived as important decision makers (69%) or revenue generators (68%) compared with doctors; nurses’ focus on primary rather than preventive care (62%); and nursing not having a single voice in speaking on national issues (56%). 

Attached please find a summary of survey results in their entirety.

rwjf-gallup-poll-january_2010

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Attend the Nursing Care Quality Assurance Commission Rules Writing Workshop

 Have a Voice in Rules Writing -
You Input Is Needed on Critical Issues Like Continuing Competency Rules

Attend the Nursing Care Quality Assurance Commission Rules Writing Workshop
- Nov 5th, 2009 or Submit Feedback by Email -

The Nursing Care Quality Assurance Commission (NCQAC) is holding a rules writing workshop to cover three sets of rules in progress.  The date and times are listed below.  This is a public meeting and you are invited to attend and participate.  The NCQAC will be drafting rule language and taking all comments. There are five sites available by video conferencing.  You may participate at the site closest to you.

If you are unable to attend the workshop you are still able to provide comments in writing.  You can submit draft language or suggestions to terry.west@doh.wa.gov.

DATE:    November 5, 2009

TIME:   Temporary Practice Permits     9:30 - 10:00 a.m.
               Early Remediation Program      10:00 - Noon
               Continuing Competency           12:30 - 4:30 p.m.

LOCATIONS:  You can participate via video conference at the following locations:

  • Tumwater - Department of Health, Town Center 1, Room 362, 101 Israel Road SE, Tumwater, WA 98501
  • Yakima - Yakima Valley Community College, Parker Room, 402 Division Street, Yakima, WA 98908
  • Kent - Department of Health, Room 1, Marketing Center Creekside - Three at CenterPoint, 20435 72nd Avenue South, Suite 200, Kent, WA
  • Richland - Department of Health, Conference Room, 309 Bradley Boulevard, Richland, WA 99352
  • Spokane - Department of Health, Room 118,16201 East Indiana Avenue, Suite 1500, Spokane, WA 99216

The rules under discussion are:

  • Early Remediation Program: This is a proposal to develop rules outlining a pilot project. The pilot allows quick identification of complaints of a lesser serious nature that can be resolved with voluntary participation from the nurse. The nurse can then voluntarily receive additional education, training and monitoring. Appropriate complaints include clinical practice deficiency, no patient harm but potential for harm and substandard care that is not willful misconduct.
  • Temporary Practice Permits: A temporary practice permit rule was adopted by the commission effective September 13, 2009. Amendments to the newly adopted rule are needed to make it more clear about the process for requesting an extension. Some comments have already been received and the first draft is attached. We will be soliciting comments on the proposed amendments and any additional amendments that the audience may identify. This rule allows an applicant with an out of state address to be issued a temporary permit while awaiting the completion of the finger print FBI criminal background check. A finger print card is required for all applicants with an out of state address. The temporary permit is issued when all required documents are received except the finger print card.
  • Continuing Competency: The commission has been working on developing a continuing competency model for the last several years. The commission is required by statute to develop continuing competency mechanisms. Attached is the model recently adopted by the commission. The development and implementation of a continuing competency program for nurses promotes patient safety, public protection and enhances nursing practice. At the workshop we will be reviewing the adopted model and identifying areas for rule writing, answering any questions about the process and getting input from the audience on how to write the rules and improve the process.

Remember, if you are unable to attend, you are still encouraged to submit comments, draft language, or suggestions to terry.west@doh.wa.gov.

Click on the attachments below to download the Continuing Competency model or Temporary Practice Permits rule.

continuing-competency-adopted-9-11-09

temporary-practice-ots-2723-1final-with-amendments

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New Tamper Resistant Prescription Pad Law

The following message from the Board of Pharmacy is intended for nurses who have prescribing authority.  However, it is also important information for non prescribing nurses to know the new prescription pad law so they know how to recognize an appropriate Rx pad and hand the prescriber what appears to be the appropriate pad.

  Read More »

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NonPhysician Practitioner Billing Rules: Keys to Getting Paid 10/7/09 Audio Conference Earn AAPC Credit

NonPhysician Practitioner Billing Rules: Keys to Getting Paid 10/7/09 Audio Conference Earn AAPC Credit

For those concerned with getting paid for services performed by NPPs in both the hospital and office setting there will be a live, 60-minute Audio Conference:

“NonPhysician Practitioner Billing Rules: Keys to Getting paid”
Wednesday October 7, 2009 1:00-2:00 p.m. ET http://www.phconferences.com/KM/0/2/p2T8Z1c/p3B18J9Ki/p0e
$199

Read More »

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Decreasing Disruptions Reduces Medication Errors

Reducing distractions during medication administration cut errors in half at one California hospital, and now nurses are spreading the concept, sharing with other facilities safer medication-pass processes.

To read full article, go to:
http://www.nursezone.com/Nursing-News-Events/more-news.aspx?ID=18693

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DOL Adopted Changes to the WACs

The Department of Labor & Industries has adopted changes to the Washington Administrative Code.  The amended WACs will do the following:

  • Allow psychiatric ARNPs to treat injured workers, and
  • Clarify that concurrent care providers can prescribe medication while providing care to injured workers.

The new rule will be effective July 31, 2009.  We are encouraging psychiatric ARNPs to submit applications now to become workers’ compensation providers so you can start treating injured workers on July 31, 2009.  You can do this electronically by going to www.lni.wa.gov and clicking on “managing claims for injured workers” and then “becoming an L&I provider.”

Below are the amended WACs beginning July 31, 2009.

WAC 296-20-071 Concurrent treatment. Read More »

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Nurses Lead Way to Innovative Care Delivery

A study conducted by Health Workforce Solutions LLC (HWS) and funded by the Robert Wood Johnson Foundation has led to 24 innovative care delivery models that are specifically nurse-driven.  The HWS white paper reports that the models are intended to serve as a starting point in the development and dissemination of innovative care delivery models.  Researchers hope that other organizations will adapt these models and find ways to use them within their own medical facilities.  With the models came expanded roles for nurses including elevating the role of an RN from traditional care delivery to serving as a patient care “integrator” thereby increasing the nurses’ autonomy to manage and coordinate the patient’s care.  These nurses also served as mentors for new nurses and allied health care workers.  More than half of the new models also include a nurse-led interdisciplinary team approach in which other health care providers such as physical therapists, social workers and/or pharmacists work together to provide patient care.  To learn more about the study and the 24 models visit http://www.innovativecaremodels.com/.

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Safe Patient Handling Web Cast Scheduled

Safe Patient Handling Web Cast Scheduled

WSHA will host a Safe Patient Handling web cast April 23.  The project Steering Committee will share the latest information regarding the 2006 state mandate for implementation of safe patient-handling programs in Washington acute care hospitals.  The session will address many issues of importance for hospitals, most significantly the availability of the Business and Occupation (B&O) Tax Credit for purchase of patient handling equipment.  Other issues on the agenda include the deadlines for compliance with various provisions of the Safe Patient-Handling Law.  This web cast will go from noon to 1:30 p.m.

The following topics will be covered:

  • Background of the Safe Patient Handling legislation
  • B&O Tax Credit  and where hospitals should be by January 2010
  • Hazard assessment for patient handling
  • Equipment purchasing and what to expect from vendors
  • Safe patient handling program evaluation

For more information and connection info, go to: www.wsha.org/files/Safe_PT_Handling_Invite.html.  (Jessica Burkard, jessicab@wsha.org)

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Nurses at Your Service: A Century of Caring (April 11 - July 5, 2009)

The Washington State Nursing Centennial Consortium proudly announces a grand opening celebration for the exhibition Nurses at Your Service: A Century of Caring in Washington State. This celebration honors 100 years of the Nurse Practice Act for our state.  On Wednesday, April 15th, 4:30 - 6:00pm there will be a complimentary lecture on “Perspectives on the History of Nursing in Washington State” by Marjorie L. DesRosier, PhD, RN, historical consultant.  This will be at the University of Washington Tacoma William W. Philip Assembly Hall (1918 Pacific Avenue, Tacoma WA 98402).  Then at 6:00pm the exhibition grand opening and reception will be held at the Washington State History Museum (1911 Pacific Avenue, Tacoma, 98402), across the street from the university.  Cost is $25.00.

Make your reservation by sending payment to the Washington State Nursing Centennial at PO Box 88457 Steilacoom, WA 98388.  Make your check payable to WSNC.  Cost includes Museum entrance fee, program and reception with hearty hors d’oeuvres.

For more information about the opening celebration, contact the Washington State Nursing Centennial at NursingCentennialWA.org.

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