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  • QuikStats--2012 APRNs in Medicare Part B

    APRNs’ participation as Medicare Part B Providers in 2012 The government shutdown in the fall of 2013 delayed the production and release of many of the national and State specific Part B operating statistics for 2012. However, some of the...

  • RN Retirements--Tsunami Warning!

    2022: Where Have All Those Nurses Gone? Near the end of 2013 the U.S. Department of Labor Bureau of Labor Statistics (BLS) updated its Employment Projections for 2012-2022 . (The previous projections spanned 2010-2020.) Over that...

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  • Dissed!

    Rejection without Reflection In September 2013 the Medical Group Management Association surveyed 1000 physician practices to assess their plans for participating in the Affordable Care Act’s health insurance exchanges. Although the...

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  • Who do you trust?

    Most Trusted Profession Not Trusted by Little Trusted Congress Somewhat older readers of One Strong Voice might recognize “Who do you trust?” as the answer to a trivia question: What TV show did Johnny Carson emcee prior to his long run on...

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  • More below trend quarters reveal post-recession trend: declines in staff nurse real wages

    Average Staff Nurse Wages Increase but Below the Rate of Inflation When the Bureau of Labor Statistics released statistics on the final calendar year 2012 average wages for hospital staff nurses there were some reasons to be optimistic....

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  • APRNs Are Aces Again at Primary Care

    Two-thirds of NPs Recognized by CMS for Primary Care Excellence For Calendar Year 2012 there were 35,080 NPs and 637 CNSs awardees under the Primary Care Incentive Program (PCIP) instituted through the Affordable Care Act, § 5501(a). ...

  • Maximizing Nursing’s Knowledge, Skills, & Training

    Nurses have an opportunity to transform health care by practicing to the full scope of their education and practice. What does this mean? Practicing to the full scope of practice is the action of putting into place a nurse’s knowledge, skills, and...

  • WORK PLACE HEALTH CLINICS COACHING EMPLOYEES TOWARDS IMPROVED HEALTH

    Chronic health issues represent over 65% of all corporate health care spending. In response to rising health care and insurance costs, employers are offering on-site health clinics which educate and manage employee’s chronic conditions such as diabetes,...

  • Working with a New Graduate or Novice RN? If so, be Mindful to Workplace Bullying

    New graduate and novice nurses are at high risk for workplace bullying. Nurses who experience workplace bullying find themselves in a position of fear, anxiety, worthlessness and self-doubt. Despite the recent attention to workplace health...

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  • FDA WARNING: ALERT PATIENTS ABOUT ILLEGAL and RISKY DIABETIC TREATMENTS

    If it sounds too good to be true, then it most likely IS too good to be true. Teach your diabetic patients and their families to be alert to the following statements offered by companies that promote illegal diabetic treatments: “lowers...

  • Aspirin Often Added Unnecessarily to Patients Prescribed Warfarin in AF Despite Bleeding Risk

    In July 2013, Duke University Medical Center revealed that over one third of patients who are on Warfarin therapy are also taking aspirin. Most patients who were taking aspirin had vascular disease; however nearly 40% had no history of vascular...

  • FDA Warning-Insulin Dose Errors with Medtronic Pump Tubing

    The US Food and Drug Administration (FDA) announced this week that patients who have diabetes and are using the MiniMed Paradigm insulin pump from Medtronic, should have a heightened alert of the possibility for an insulin dosing error if insulin...

  • A URINE TEST DETECTS EARLY KIDNEY TRANSPLANT REJECTION

    A URINE TEST DETECTS EARLY KIDNEY TRANSPLANT REJECTION The National Institutes of Health reported that a simple urine test has the ability to detect three biomarkers in kidney transplant recipient with the potential to predict early kidney...

  • NATIONAL ALERT!! IMPORTANT CHANGES IN HEPARIN LABELING!!

    NATIONAL ALERT IMPORTANT CHANGES IN HEPARIN LABELING!! The US Pharmocapeial Convention (USP) recently updated the Heparin Sodium Injection and Heparin Flush Solution label (including pre-filled Heparin...

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  • Wall Street Journal Op Ed: Should Nurse Practitioners Be Allowed to Treat Patients Without Physician Oversight

    http://online.wsj.com/article/SB10001424127887324715704578480911396098592.html "About a third of all states already allow nurse practitioners to practice without the supervision of a physician. But nursing groups and other health-care interests...

  • Successful legislation for APRNs in Nevada, Rhode Island, and Oregon

    On June 4, Nevada Governor Brian Sandoval signed Assembly Bill 170 into law. This new law removes an outdated and unnecessary barrier to care in the form of requiring advanced practice registered nurses (APRNs) to have a written practice agreement...

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  • APRN EHR Incentive Payment Winners? Many but not more than half.

    NPs and CNMs Earn Medicaid EHR Incentive Payments On May 22, 2013 HHS Secretary Kathleen Sebelius announced that more than half of all doctors and other eligible providers have received Medicare or Medicaid incentive payments for adopting...

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  • More Men Are Being Educated as Registered Nurses

    Men Enrolled in Nursing Schools For the longest while the primary source of detailed nursing data was the HRSA National Sample Surveys of Registered Nurses (NSSRN). The last two NSSRN final reports showed that 6.6 percent of RNs...

  • The U.S. Nursing Workforce: Trends in Supply and Education

    National Nurses Day 2013 with New Nursing Data As I draft this new posting it is May 6, National Nurses Day, 2013. Today's blog highlights a new publication from the Health Resources and Services Administration (HRSA), an agency of the U.S. Department...

  • New Graduate Residency Programs

    The transition from a student to a novice nurse can be an unsettling experience. An orientation which consists of a comprehensive nurse residency program has been shown to ease this transition. Since 2006, Iowa has encouraged nurse residency programs...

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  • More Medicare APRN Quality/eRx Incentive Winners!

    Across the Board Increases in All Categories Save One On April 9 CMS released information on Medicare’s 2011 Incentive Payment awardees for high quality and e-prescribing. APRN winners increased at a faster rate than observed...

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  • Medical Device Alarm Safety and Nurse “Alarm Fatigue”

    Between January 2009 and June 2012, there were 98 reported alarm-related events with 80 resulting in patient deaths, 13 in permanent loss of function, and five requiring additional care. Alarm equipped devices are essential in providing safe care...

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  • Walk-In Retail Clinics Provide Interdisciplinary Collaborative Care

    Walk-In Retail Clinics Provide Interdisciplinary Collaborative Care There is a shortage of primary care physicians (PCP) in the United States. Since The Affordable Care Act was enacted to provide to millions of uninsured Americans health...

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  • Average Staff Nurse Wages Beat Inflation by Only Half of One Percent

    Hospital Staff Nurse Wages Keep Pace with Inflation The Bureau of Labor Statistics (BLS) released the fourth quarter 2012 numbers on Employer Costs for Employee Compensation (ECEC). BLS is our best source for information on wages and benefits...

  • More New Nursing Grads in 2012

    Increase in NCLEX-RN Passers Continues NCSBN recently posted the NCLEX-RN passing rates for calendar year 2012. As mentioned in an earlier posting, “Look at Title VIII,” I calculated the actual number of persons who passed the...