Nevada RNFORMATION

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Page 4 • nevada RNformation May, June, July 2015 president’s corner Scott Lamprecht, DNP, RN, APN President, Nevada Nurses Association Hello Everyone! It is hard to believe that Spring 2015 is already here! The 2015 Legislative Session for Nevada is under way with Nurses Day at the Legislature last month on February 25, 2015. The event was a tremendous success with over 150 attendees. Thank you very much to Jean Lyon, APRN, District I President, NNA Legislative Committee and Chair Carol Swanson, and the many others who worked very hard to coordinate activities. It is vitally important for nurses to be active in the legislative and policy processes that affect life and healthcare in Nevada. How do we do this? Communication. As a group and as individuals, nurses have a responsibility to speak up and be heard in the legislature, our communities, work environments, and professional organizations. It is also important to recognize this communication needs to be open, honest, and reciprocal. Being or becoming a member of NNA has great value in so many ways, but how many nurses are aware of this and what values are important to nurses in Nevada? We discussed “The Power of One” and active communication between NNA to all nurses, professional groups, facilities, and individuals in Nevada is the key. Please contact myself or a NNA Board Member to get involved in the process to better life and healthcare for all individuals in Nevada. Best regards and thank you for your active participation! If you would like to contact NNA or President Lamprecht, please call 775-747-2333 or email nvnursesassn@mvqn.net. Keeping Students Healthy, Safe, and Ready to Learn! (NASN 2015) www.nevadaschoolnurses.com Looking for a nursing job in Nevada? Make great money? Determine your own schedule? Advantage On Call can deliver! (702)733-1599 lv-staff@advantageoncall.com www.advantageoncall.com Local Staffing with Advantages! Southern Nevada Adult Mental Health Services, a NV State Agency, is seeking Psychiatric Nurses for our hospital and community outpatient clinics. Req’s NV license. Psychiatric exp preferred. Training available for new RN’s. Variety schedules including set 8 & 12 hr shifts (no call-offs!), exclnt benes health/dental/vision, Public Employees Retirement System, 3 wks annual & sick leave, holidays, on-site CEU’s and no social security, state, county or city tax! Email CV to marniwhalen@health.nv.gov Rocky Boy Health Board Clinical Nurse Position Available Montana RN licensed required, BSN desired Contact Geri Racine, Personnel Officer or Taunia Racine, Personnel Asst. Rocky Boy Health Board RR 1, Box 664, Box Elder, MT 59521 406-395-4486, ext. 2080 EMPLOYMENT OPPORTUNITY - ADVANCED PRACTITIONER OF NURSING FAMILY PLANNING/REPRODUCTIVE & SEXUAL HEALTH The Southern Nevada Health District has an opening for a ADVANCED PRACTITIONER OF NURSING in the family planning clinic. The schedule would be Monday – Friday from 9:00 am to 5:30 pm, no on-call status, excellent benefits including participation in the Public Employees Retirement System (NV – PERS). For a complete description of duties, working conditions and licensing requirements see classification specifications at www.southernnevadahealthdistrict.org. Bilingual in Spanish will be helpful. Training—A Bachelors degree from an accredited college or university with major course work in nursing or evidence of work towards completing the requirements of such degree that is acceptable to the State Board of Nursing for certification as an Advanced Practitioner of Nursing, supplemented by additional training in advanced nursing practices from an accredited program recognized by the State Board of Nursing in the specialty required for the position; OR Certification as an Advanced Practitioner of Nursing by a nationally recognized certification agency supplemented by additional training in advanced nursing practices from an accredited program recognized by the State Board of Nursing in the specialty required for the position. Experience—One year of experience as a Registered Nurse. APPLY TO: http://www.southernnevadahealthdistrict.org/employment.php An Equal Opportunity Employer Celebrating National Nurses Week May 6th – May 12th, 2015 7 days a week, 24 hours per day, our nurses serve the needs of our patients. • Helping families put their lives back together, one piece at a time • Guiding teens towards building a brighter future • Supporting seniors through life transitions • Guiding adults towards wellness Because of our nurses and the extraordinary compassion and care they offer to our patients, Montevista Hospital and Red Rock Behavioral Health Hospital have become the largest and most comprehensive provider of behavioral health services for children, adolescents, adults, and seniors within the southern Nevada region. Montevista Hospital | Red Rock Behavioral Health Hospital www.montevistahospital.com | peggy.tyson@strategicbh.com
May, June, July 2015 Nevada RNformation • Page 5 measles Nicki Aaker, MSN, MPH, RN Director, Carson City Health and Human Services Measles is a highly contagious virus that lives in the nose and throat mucus of an infected person and is transmitted by direct contact with infectious droplets or by airborne spread when an infected person breathes, coughs, or sneezes. The virus can live for up to two hours on a surface or in an airspace where the infected person coughed or sneezed. Approximately 90% of unprotected individuals exposed will become ill. The incubation period usually is 10 – 14 days. The infectious period is 4 days before and 4 days after the rash appears. Measles typically starts with a fever, runny nose (coryza), cough, red and watery eyes (conjunctivitis) – (aka “the 3 C’s”), and a sore throat which lasts 2-3 days. Two or three days after symptom onset, tiny white Koplik spots may appear inside the mouth. A maculopapular rash usually appears 14-17 days after exposure and lasts 5 – 7 days. Sometimes, immunocompromised patients do not develop the rash. The rash usually starts on the face or scalp, then spreads to the neck/trunk, then arms and legs, then disappears in the order of appearance. About three out of 10 people who get measles will develop one or more complications including pneumonia, ear infections, diarrhea, brain swelling and death. Individuals at high risk for complications include infants and children under the age of 5 years, adults over the age of 20 years, pregnant women, and individuals with a compromised immune system. Measles can be especially serious for children younger than 5 years old. Measles Vaccination Measles can be prevented with the MMR (measles, mumps, and rubella) vaccine and was considered eliminated in the United States in 2000. One dose of MMR vaccine is about 93% effective at preventing measles if exposed to the virus, and two doses are about 97% effective. The Centers for Disease Control and Prevention (CDC) recommends all children get two doses of MMR vaccine, starting with the first dose at 12 through 15 months of age, and the second dose at 4 through 6 years of age. Children can receive the second dose earlier as long as it is at least 28 days after the first dose. Students at post-high school educational institutions, travelers, and healthcare personnel who do not have evidence of immunity against the measles need two doses of MMR vaccine, separated by at least 28 days. The CDC assumes that all individuals born before 1957 have been exposed to the measles and do not need to be vaccinated. Adults born after 1957 who do not have evidence of immunity against the measles should get at least one dose of MMR vaccine. Measles Diagnosis Most US healthcare professionals have not seen a case of measles. Measles should be a differential diagnosis of febrile rash illnesses. Testing for measles includes serology for IgM within the first few days of rash onset, viral swab of nasopharyngeal, oropharyngeal, or nasal membranes for PCR. At this point, if positive, the local health department should be notified. If the patient has measles, a contract investigation will need to be conducted. For more information, the CDC conducted a conference call titled - Measles 2015: Situational Update, Clinical Guidance, and Vaccination Recommendations. The slides, transcript, audio and webcast can be accessed at http://emergency.cdc.gov/coca/calls/2015/ callinfo_021915.asp. References Carson City Health and Human Services. (2015, February 9). Measles Fact Sheet. Retrieved from http:// gethealthycarsoncity.org/wp-content/uploads/2015/02/ MEASLES-Fact-Sheet-2_2015-3.pdf Seward, J. (Presenter). (2015, February 19). Measles 2015: Situational Update, Clinical Guidance, and Vaccination Recommendations. Centers for Disease Control and Prevention. Conference Call and Webinar. Retrieved from http://emergency.cdc.gov/coca/calls/2015/ callinfo_021915.asp
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Nevada RNFORMATION

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