Front&CenterFor more in<strong>for</strong>mation and to download an application<strong>for</strong> admission to the program, visit http://orthoparesidency.surgery.duke.edu.SMU students and the Alameda County Food Bank hosted a cookingdemonstration to illustrate healthy practices. courtesy SMUing topics such as blood sugar management and nutritiousmeal planning.FNP student Suzanne Portnoy said the bilingual workshopswere created to educate and improve glycemic control and selfmanagementskills in the Hispanic community and to promotebetter health through a series of face-to-face sessions.“Being told you have diabetes can leave you with a lot ofquestions,” Portnoy said. “The workshops encourage patientsto relate what they learn to their own experiences and makeplans to put that learning to work in their everyday lives.”For the past 3 years, SMU and the Davis Street FamilyResource, a private nonprofit organization, have been bringinglow-cost primary medical services to uninsured andunderinsured children and adults.Duke Launches Orthopedic SurgeryResidency <strong>for</strong> Physician AssistantsDuke University Medical Center in Durham,N.C., has created an orthopedic surgery residency <strong>for</strong> physicianassistants. The program is a 12-month residency thatprovides didactic education as well as clinical and surgicalexperience. PA residents will receive first assist OR training,first call responsibilities, emergency department responsibility,extensive clinical training, and other responsibilitiesthat a physician assistant will need to practice effectivelyin orthopedics.The residency program will provide exposure to all thesubspecialities within orthopedics. Applications are beingaccepted through March 30 and the first residents will beginthe program on Sept. 3.“The residency will give the PA the knowledge and skillsto make an immediate impact on their postgraduate practice,”said Ashley Grimsley, MHS, PA-C, codirector of theprogram.Occupy ANCC Movement Seeks toHalt NP Credential ChangeIn a nod to the recent Occupy movement that sweptthe country to seek financial re<strong>for</strong>ms, a nurse practitionerwho disagrees with credentialing changes by the AmericanNurses Credentialing Center (ANCC) has started a campaignto reverse the changes.Rodney Fox, NP, PhD, started a Facebook groupcalled “Occupy ANCC: Say NO to retiring your NP credential.”Find the page at https://www.facebook.com/groups/320993387910854/.ANCC is retiring several credentials but will continue tomaintain certification of <strong>NPs</strong> with the retired credentials aslong as they continue to meet the requirements <strong>for</strong> renewal.The NP credentials that will be retired are acute care nursepractitioner, adult nurse practitioner, adult psychiatric–mentalhealth nurse practitioner and gerontological nurse practitioner.The ANCC has published FAQs about this change at http://www.nursecredentialing.org/APRN-FAQ.aspx.“It seems ridiculous to retire these highly esteemed credentials,”Fox said. “I am attempting to bring a unified voiceto others who may feel the same.”Although ANCC has acted in good faith to align its credentialswith the Licensure, Accreditation, Certification andEducation (LACE) consensus model, Fox said he believesANCC overlooked important issues in its decision.A divide could develop between newly certified <strong>NPs</strong> and<strong>NPs</strong> who maintain the retired credentials, he said, and thecredential inconsistency could also confuse patients. <strong>NPs</strong>with a retired credential will not be able to sit <strong>for</strong> boards ifthey allow it to lapse, he added.Fox is seeking support to find solutions to the issues heraises. At press time in late January, 53 <strong>NPs</strong> had joined theOccupy ANCC Facebook group.“A process that provides a mechanism to move all APRNstogether is best <strong>for</strong> APRNs and the community in need oftheir services,” Fox said.“I support the consensus model and believe the demand<strong>for</strong> gerontology services will grow, but this is not a favorableway <strong>for</strong>ward.” ■Share Your News➼ What’s going on in your state or organization?Let us know so that we can share it with our more than100,000 readers. Email your news to Kelly Wolfgang atkwolfgang@advanceweb.com.<strong>ADVANCE</strong> <strong>for</strong> <strong>NPs</strong> & <strong>PAs</strong>15
Career&Work<strong>for</strong>ceSocial media <strong>for</strong> <strong>NPs</strong> & <strong>PAs</strong>:Approach with cautionBy Maria Rubolino-Gallego, MSN, RN, FNP-C, Amy Zlomek Hedden, RN, MS, NP, andSylvia Gonzalez, BSN, RNsocial networking allows <strong>NPs</strong>and <strong>PAs</strong> to address patients’ healthcareconcerns in unique ways, to obtain upto-datein<strong>for</strong>mation on legislation, andto enhance the delivery of critical in<strong>for</strong>mationrelated to health. Through socialnetworking, researchers are better ableto recruit participants <strong>for</strong> clinical studiesand to disseminate findings to appropriateaudiences. 1 <strong>NPs</strong> and <strong>PAs</strong> who worklocum tenens may use social networkingsites to make connections and decisionsabout future contracts. 2Many human resource departments areadvertising employment opportunities onsocial networks. Employers are also usingsuch sites to screen the backgrounds andsocial presence of potential employees. 3 Arecent survey found that 45% of recruitersused Internet searches of social mediasites to screen applicants. 4 A survey ofemployers by Careerbuilder.com foundthat 18% had used online searches to discoverin<strong>for</strong>mation that led to an applicantbeing hired. 5 However, 35% of employersdid not hire candidates based on searchfindings of inappropriate photos, negativediscussion of previous employers, andevidence of drug or alcohol use. 5Empowering PatientsSocial media offers a powerful, paperlessway <strong>for</strong> patients and providers to interactwith each other. 6 It also allows patientsto support each other. 6 For example,people diagnosed with cancer are able toaccess the Association of Cancer OnlineResources website (ACOR.org), wherethey can receive support and in<strong>for</strong>mationabout their condition and potentialtreatments. 7 Patients who join the sitecommunicate with each other on issuespertinent to life with cancer. 7,8Professional BoundariesProblems may arise when <strong>NPs</strong> or <strong>PAs</strong>accept requests from patients (past orpresent) to socialize online. The No. 1misuse of social networking by healthcareprofessionals is the sharing of patientin<strong>for</strong>mation. 9 Providers have been disciplinedor fired as a result of commentsthey have posted online.Nurse practitioners and physician assistantsshould be cautious about usingsocial networking sites and breachingprofessional codes of conduct. Alwaysobserve patient confidentiality. 8,9 Unless apatient has signed a release of in<strong>for</strong>mation,it is a violation of law and professionalethics to disclose any in<strong>for</strong>mation abouthim or her.Downsides to Social MediaSociety tends to judge people according totheir professional behavior and values aswell as actions in their personal lives. Withincreased use of social media, personallives are publicly displayed, blurring thelines between personal and professional.Although everyone is entitled to freedomof speech, be wary of writing posts thatmay damage your reputation.Social media aggregate sites warrantparticular concern. 10 For example, Spokeo.com pulls in<strong>for</strong>mation from varioussources, including Facebook, Whitepages.com and Zillow.com. Basic in<strong>for</strong>mationMaria Rubolino-Gallego is a family nurse practitioner who is an associate professorat Cali<strong>for</strong>nia State University in Bakersfield. She practices part time at Bakersfield Center<strong>for</strong> Women’s Health. Amy zlomek Hedden is an associate professor at Cali<strong>for</strong>nia StateUniversity in Bakersfield and practices at Bakersfield Memorial Hospital. Sylvia Gonzalezis a registered nurse in the intensive care unit at Mercy Hospital of Bakersfield.Be Smart AboutSocial Media◗ Avoid sharing toomuch personalin<strong>for</strong>mation.◗ Never shareany in<strong>for</strong>mationabout patients.◗ If you communicatewithpatients throughsocial media,tread carefully.is free to all users, and it may includehome addresses, telephone numbers,marital status (including spouse’s name)and personal interests. For an additionalmonthly fee, users can obtain more personalin<strong>for</strong>mation, such as photos andvideos. 10 Spokeo does not guarantee theaccuracy of the in<strong>for</strong>mation displayed.Opt-out is available, but Spokeo requiresan e-mail address, which may be sold tothird-party advertisers. 10 ■References1. Saver C. Tweeting, posting, and yammering:the role of social media in the OR. OR Manager.2010;26(2):1, 12-14.2. Sindel D. Online social networks help travelnurses make personal and professional connections.http://www.travelnursing.com/features/Online-Social-Networks-Help-Travel-Nurses-Stay-in-Touch_30402.aspx Accessed Jan. 25, 2012.3. Picnus JM. Facebook firings show privacy concernswith social networking sites. Healthcare RiskManagement. 2009;31(5):49-52.4. Forsyth L. What you need to know about socialnetworking. Qld Nurse. 2009;28(5):22-23.5. Haefner R. More employers screening candidatesvia social networking sites: Five tips <strong>for</strong> creating apositive online image. http://www.careerbuilder.com/Article/CB-1337-Getting-Hired-More-Employers-Screening-Candidates-via-Social-Networking-Sites/.Accessed Jan. 25, 2012.6. Hawn C. Take two aspirin and tweet me in themorning. How Twitter, Facebook, and other social mediaare reshaping health care. Health Aff. 2009;28(2):361-368.7. Rochman B. When patients share medical dataonline. Time. http://www.time.com/time/magazine/article/0,9171,1957460,00.html. Accessed Jan. 25,2012.8. American Association of Critical-Care Nurses.Patient 2.0: Patients share info on the web. AACN BoldVoices. 2010;2(5):11.9. Scott D, Troutman AK. Facebook firings show privacyconcerns with social networking sites. HealthcareRisk Management. 2009;31(5):46-60.10. Spokeo. http://www.Spokeo.com. Accessed Jan.25, 2012.Illustrtation by Tom Whalen16 <strong>ADVANCE</strong> <strong>for</strong> <strong>NPs</strong> & <strong>PAs</strong>