<strong>2017</strong> Florida Nurses Association Registered Nurses We would love to have you join our team! Currently looking for RN’s with excellent patient care skills for MedSurg/Telemetry, OR, ER, ICU, Wound Care and Cardiac Care. Located in beautiful Naples, Florida, Physicians Regional Healthcare System boasts two nationally recognized, premier hospitals. EOE Please apply online at: www.physiciansregional.com 36
<strong>2017</strong> Florida Nurses Association The Palm Beach Post has reported that since the State <strong>of</strong> Florida transitioned all prison healthcare services to private, for provide healthcare corporations the death rate <strong>of</strong> inmates has risen from 12.8% to 57%, with 30 inmates dying in seven months. 1 Of those prison deaths reported Illness related deaths accounted for the majority (88%) <strong>of</strong> deaths in state prisons. 2 The data available on the health <strong>of</strong> prisoners indicates that the quality <strong>of</strong> health is not optimal and does not parallel the health <strong>of</strong> the general population, 4 and The correlation between transition <strong>of</strong> prison healthcare service provider and increased morbidity and mortality within the prison health system suggests that inadequate or inappropriate healthcare services are being provided to prisoners within the new prison healthcare systems as a result <strong>of</strong> policy changes by prison healthcare providers, and Nurses are subject to moral distress due the ethical conflict created by dual loyalty to the patient while also being required to fulfill the requirements <strong>of</strong> the employer, and Consistent with the American Nurses Association Code <strong>of</strong> Ethics for Nurses 2015 Article 3.5, 8 “Nurses must be alert to, and must take appropriate action in ALL instances <strong>of</strong> incompetent, unethical, illegal or impaired practice or actions the place the rights or best interests <strong>of</strong> the patient in jeopardy.” Therefore, be it resolved, The Florida Nurses Association will continue to advocate for appropriate health care for those inmates in the prison system. This will include, but not be limited to: 1. Promoting legislative action to ensure proper healthcare provision, and 2. Coordinating efforts with other entities working to ensure safe and appropriate prison healthcare delivery. And it be Further Resolved, The Florida Nurses Association will continue to educate the community regarding: 1. Ethical and legal standards regarding prisoner healthcare; 2. Existing prison healthcare systems; 3. Negative prisoner healthcare outcome date, 4. Ethical and legal obligations <strong>of</strong> the state to provide all prisoners with adequate and appropriate health care services. Reference 1. <strong>FNA</strong> Position Statement to the ANA, 2015 ANA Membership Assembly 2. Noonan, Margaret, and Ginder, Scott, “Mortality in Local Jails and State prisons, 2000-2012-Statistical Tables, ”Bureau <strong>of</strong> Justice Statistics, October 2014. 3. Jotterand, Fabrice & Wangmo,Tenzin ( 2014), “The Principle <strong>of</strong> Equivalence Reconsidered: Assessing the Relevance <strong>of</strong> the Principle <strong>of</strong> Equivalence in Prison Medicine,” The American Journal <strong>of</strong> Bioethics, 14:7, 4-12. 4. Davis, Mary, “Keeping Pace: ANA’s revised Code <strong>of</strong> Ethics for Nursing,” American Nurse Today, Volume 10, Number 3, p.16. 5. West v. Atkins, 487 U.S. 42, 57-58 (1988); Richardson v. McKnight, 521 U.S. 399 (1997). 6. Estelle v. Gamble, 429 U.S. 97, 103 (1976). 7. Hill v. DeKalb Regional Youth Detention Ctr., 40 F.3d 1176, 1187 (11th Cir. 1994) 8. American Nurses Association (2015) Code <strong>of</strong> Ethics for Nurses with Interpretive Statements, http://nursingworld.org/ DocumentVault/Ethics_1/Code-<strong>of</strong>-Ethics-for-Nurses.html 37