News

  • Tuesday, January 17, 2017 8:00 AM | Anonymous



    The NACNS 2017 Annual Conference is fast approaching! The NEOCNS affiliate will be recognized as affiliate of the year. Please leave a comment if you &/or your colleagues will be attending. 

  • Tuesday, January 10, 2017 4:42 PM | Anonymous

    This update is from the Ohio Association of Advanced Practice Nurses:

         

    APRN Colleagues,

    H.B 216 was signed yesterday, January 4, 2017.  The changes made by this new law become effective on 4/4/2017 (90 days after signing).  The current law remains in effect until 4/4/2017.  You should not do anything not currently authorized in ORC 4723 until 4/4/2017.

    For future reference and planning, the key aspects of this legislation are summarized below.  They are not effective until April 4, 2017

    • Licensure. APRNs who apply for authorization to practice in Ohio will receive two licenses, if all requirements of the Ohio Board of Nursing are met.  The first license will be as a registered nurse.  The second license will be as an advanced practice registered nurse with role designated as CRNA, CNM, CNS or CNP.
      • An APRN may not practice as an APRN without an active registered nurse license and an active APRN license.
      • APRNs who apply for license renewal in 2017 must have a total of 48 hours of CE:  (1) 24 hours for the registered nurse license which must include one hour of Category A CE on Ohio Nursing Practice Law. (2) 24 hours for the advanced practice registered nurse license which must include 12 hours of pharmacology.  Forty-eight hours of CE every two years will be the baseline continuing education hours needed for APRN license renewal moving forward.
      • The new APRN license provides prescriptive authority for all CNMs, CNSs and CNPs.  The certificate to prescribe (CTP) and the externship ( CTP-E)  has been eliminated.
        • APRNs who currently have a COA and a CTP/CTP-E will be grandfathered into the new APRN license.
        • It is not known how the OBON will transition APRNs who currently do  not have a CTP or have a CTP-E. 
    • APRN Drug Formulary. The new formulary will be exclusionary only.  The formulary will only list those drugs or classifications that an APRN may NOT prescribe.  The column, “In accordance with the SCA” will be eliminated.  Essentially, if the drug or its classification is NOT listed in the Formulary, the APRN may prescribe it.
      •  All restrictions on furnishing sample medications have been revoked.
        • APRNs may not provide samples of controlled substances.
      • The collaborating ratio of 3 APRNs to 1 physician for prescribing has been expanded to 5 APRNs to 1 physician.
    • Schedule 2 changes. APRNs with DEA numbers may now prescribe Schedule 2 medications to residents in assisted living facilities.  Additionally, the three conditions required to prescribe Schedule 2 medications in non-authorized sites has been modified:
      • The patient must have a terminal condition.
      • The initial Schedule 2 medication must have been prescribed by a physician (no longer needs to be the collaborating physician).
      • The Schedule 2 medication may now be written for 72 hours instead of 24 hours.
    • Standard Care Arrangement changes:
      • The Standard Care Arrangement (SCA) no longer requires a provision for 1) a Procedure for Regular Review of Referrals to Other Health Professionals and Chart Review and ( does this mean we don't have to do chart review?  This is a little confusing) 2) a policy for care of infants up to age one and recommendations for collaborating physician visits for children from birth to age three.
      • There will now be a 120 day “buffer” period to secure a new collaborating physician if the current collaborating physician terminates the collaboration agreement with the APRN.  Upon notification by the current collaborating physician of an intent to end collaboration, the APRN will notify the OBON.  When the OBON receives the notification the 120 day buffer period will begin.  During this buffer period the former SCA remains in effect to allow the APRN to continue to practice while searching for another collaborating physician.
      • A copy of the SCA does not need to be located at all work sites.  However, the SCA must be kept on file by the APRN’s employer.
    • Collaborating physicians for psychiatric certified CNSs. A certified psychiatric clinical nurse specialist may collaborate with a psychiatric certified collaborating physician or a collaborating primary care physician certified in family medicine, internal medicine or pediatrics.  Psychiatric certified nurse practitioners were not included in this new change and they must continue to have a psychiatric collaborating physician only.  [We believe that the exception made for psychiatric CNS’s, which does not include psychiatric certified nurse practitioners, is a simple technical problem that will be addressed in the very near future.]
    •  APRN Advisory Committee.  The OBON is required to form an APRN Advisory Committee to advise the board on APRN practice issues.
    •  Diabetic school children. APRNs and physician assistants who provide care for school age children with diabetes will be able to write orders that are followed by healthcare providers at the schools.
    •  Advanced Pharmacology Course.  The Advanced pharmacology course will be valid for five years instead of three.

  • Wednesday, December 14, 2016 9:19 AM | Anonymous

    December 13, 2016  the U.S. Department of Veterans Affairs (VA) issued a final rule regarding Advanced Practice Registered Nurses (APRNs) providing clinical care in the Veterans Health Administration. The rule grants three of the four APRN roles (nurse practitioners, certified nurse-midwives, and clinical nurse specialists) the ability to practice to the full extent of their education and training, but does not include certified registered nurse anesthetists (CRNAs). The VA has provided an additional 30-day comment period on full practice authority for CRNAs.  Follow the link to read the document which will be published in the Federal Register on 12/14/16 and available online at https://federalregister.gov/d/2016-29950, and on FDsys.gov

     


  • Thursday, December 01, 2016 9:09 AM | Anonymous

    from the National Association of Clinical Nurse Specialists:                                                                  

    Before the busy holiday season begins, please take a moment to complete the 2016 CNS Census. If you have already completed it and forwarded it to your CNS-educated colleagues, thank you for helping us to gather data that allows NACNS to be able to better represent the CNS and articulate the issues impacting our practice around the nation. 

    If you haven’t already completed the survey, it is vital we hear from you! Follow the link to the survey: www.surveymonkey.com/r/2016cnscensus or click on the logo above.

    NACNS is pleased to have the support of two leading health care publishers in this important effort. Springer Publishing Company, LLC and Wolters Kluwer, publisher of NACNS' official journal the Clinical Nurse Specialist: The International Journal for Advanced Nursing Practice.

    CNSs who complete the survey will be automatically entered in a drawing for an Apple Watch, donated by Springer Publishing, and an iPad Mini, donated by Wolters Kluwer.  NACNS will be offering a $250.00 NACNS gift certificate.  NACNS staff and Board members are not eligible for the drawing.

    Thank you for your participation!

    NACNS



  • Tuesday, November 29, 2016 10:43 AM | Anonymous

    At our February meeting we collected books to donate to the Cleveland Kid's Book Bank. They now need our vote to help them win a Yelp Foundation Gives Local Grant! Please take a few minutes and help this wonderful organization out!

    YelpVoteSignShort.JPG

    Great news!

    Kids' Book Bank has been selected as a finalist in the
    Yelp Foundation Gives Local grant contest.
    If we get the most votes, we'll win

    $5,000! 

    Go to yfgiveslocal.org to cast your vote once per day
    from November 29 to December 9.
    No personal donation is required to participate.
    It only takes a minute!

     

    We so appreciate your support!
    Please vote every day and forward this to friends!

    VOTE HERE!


    ​Judy and Judi
    Co-Founders
    Cleveland Kids' Book Bank

    kidsbookbank.org


  • Friday, October 21, 2016 3:18 PM | Anonymous

    The Northeast Ohio Clinical Nurse Specialist Affiliate of the National Association of Clinical Nurse Specialists would like to congratulate Mary Beth Modic, DNP, RN, CNS, CDE on receiving the Harriet Coeling Award for Clinical Nurse Specialist Practice Excellence.

    The purpose of this award is to recognize a Clinical Nurse Specialist (CNS) in the Northeast Ohio area for outstanding professional achievement in the three spheres of CNS influence. The award acknowledges a nurse who demonstrates CNS competences and exemplary practice in patient care, nursing and health care delivery systems.  

    Dr. Modic’s nomination letters included stories of nurses she has influenced. One nurse summed up what the diabetes mentor program means to her: “You know, every interaction, I think we make a difference…I think the more people there are that have the knowledge, have the education, have the confidence to advocate for these patients – I think we’ll get there eventually.”

    Dr. Modic is the current NEOCNS president and was nominated by her NEOCNS peers. They commented, “She is absolutely dedicated and energetic/influential leader. NEOCNS would not be the organization it is without this CNS! Her philosophy of life influences us all.” Dr. Modic is credited with re-energizing the affiliate and giving it a true guiding force.

    Dr. Modic acts as a mentor to many nurses and advanced practice nurses, a nominator stated “I have no doubts you will have many qualified applicant for this award, the difference between this candidate and the others is that this candidate has consistently performed at the highest level at all times throughout their professional life.  This is not only seen in her technical abilities, but more importantly how she treats others and in the way she cares for her patients on a day to day basis. Her excellence is seen not only in the medical outcomes of her patients, but in the emotional wellness she promotes within the patient and in the positive attitude she promotes on the unit and the hospital.”

     

    For more information about the award and Dr. Modic, please visit the NEOCNS affiliate at: http://neocns.org/Harriet-Coeling-Award

     


  • Friday, August 12, 2016 2:55 PM | Anonymous

    Cleveland Clinic Akron General is presenting an Advance Practice Professional Symposium on Friday September 23rd. Please see the attached flyer for additional information, including registration details.


    APP symposium 2016 invite 7 19 16.pdf

  • Thursday, August 11, 2016 4:30 PM | Anonymous
    MetroHealth is presenting an APN Pharmacology Update on Friday October 14th. Please see the attached flyer for additional information, including registration details.


    APP conference final brochure.pdf

  • Friday, July 01, 2016 12:25 PM | Anonymous

    The Governor’s Office of Health Transformation and the Ohio Department of Health today released a draft of the 2016 state health assessment.

    The state health assessment is a comprehensive and actionable picture of health and wellbeing in Ohio. The purpose of the state health assessment is to:

    • Inform identification of priorities for the upcoming state health improvement plan
    • Provide a template for state agencies and local partners (uniform set of categories and metrics to use in related assessments)

    The report includes information from several sources in order to provide a comprehensive picture of health and wellbeing in Ohio. Using existing data, this document presents data profiles on health outcomes and a broad range of factors that impact health outcomes, healthcare spending and disparities. These data profiles are followed by summaries of new information collected for this assessment, including qualitative information gathered through key informant interviews and regional forums. The Health Policy Institute of Ohio was commissioned to facilitate the state health assessment process and produce the publication.

    The public is invited to provide input on the state health assessment until noon on July 5, 2016.

    The final state health assessment is expected to be released later this summer, followed by the release of the 2016 state health improvement plan later this year.

    Information from: Health Policy Institute of Ohio

  • Monday, June 27, 2016 8:09 AM | Anonymous

    From the National Association of Clinical Nurse Specialists

    At the June 2016 Board call the NACNS Board of Directors officially approved the formation of an Opioid Task Force.  Given the growing national attention on the opioid abuse crisis, the Board decided it was critical that NACNS establish an opioid task force with the goal to identify resources that the CNS needs in order to address appropriate opioid use in their patient populations.  The White House has announced this as an epidemic, and NACNS has been working with federal agencies to address this critical national concern.


    The statistics are impressive, nearly three out of four prescription drug overdoses are caused by prescription painkillers. The unprecedented rise in overdose deaths in the US parallels a 300% increase since 1999 in the sale of these medications. These drugs were involved in 14,800 overdose deaths in 2008, more than cocaine and heroin combined. In addition, the misuse and abuse of prescription painkillers was responsible for more than 475,000 emergency department visits in 2009, a number that nearly doubled in just five years.  More than 12 million people reported using prescription painkillers non-medically in 2010, that is, using them without a prescription or for the feeling they cause.

     

    Who will be selected for this task force?  NACNS Board of Directors determined initially the task force needed to follow the national focus, which addresses patient populations that do not have a long-term health care condition that requires this level of pain relief.  Therefore, for this initial task force CNSs that have expertise in opioid use and management in oncology and hospice/palliative care will not be included in the solicitation for volunteer members.  The NACNS Board of Directors will review this decision in the future.  No more than 10 NACNS volunteers will be selected for this Task Force.

     

    Individuals who will be considered for this volunteer opportunity should be:

    • ·         Members of NACNS in good standing.
    • ·         Not currently part of another NACNS committee, task force and/or elected office.
    • ·         Have demonstrated expertise in one or more of the following:  Mental health/substance abuse; pain management; primary care; medical surgical management of patients with episodic pain; acute care management of episodic pain; emergency department expertise. 
    • ·         Those with oncology and hospice/palliative care are welcome to apply, but should know that their selection will be based on their expertise in episodic pain management and/or their specific knowledge of opioids and opioid use/abuse, not the use of opioids for the management of oncology or hospice/palliative care patients.

    Directions to Apply:

    Interested NACNS members may only apply online at info@nacns.org .  Your application should include:

    • ·         A copy of your recent resume or CV. 
    • ·         A short paragraph – no more than 200 words, that describes your interest and why you are a good fit for this Task Force
    • ·         This information should be received on or before July 22, 2016.

    NACNS

    100 North 20th Street, Suite 400

    Philadelphia, PA 19103

    215-320-3881 (phone)

    215-564-2175 (fax)

    www.nacns.org

    info@nacns.org

     


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