The Nursing Voice - March 2018
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<strong>The</strong> <strong>Nursing</strong> <strong>Voice</strong> <strong>March</strong> <strong>2018</strong> Page 9<br />
<strong>The</strong> National Institutes of<br />
Health Launches the All<br />
of Us Research Program<br />
Nationally, there are over 50,000 CRNAs that deliver<br />
over 43 million anesthetics each year. CRNAs have<br />
a long history of providing anesthesia for over 150<br />
years. <strong>The</strong> Illinois Association of Nurse Anesthetists<br />
(IANA) began its history in 1939 with the philosophy<br />
committed to fostering high educational standards and<br />
practice in the art of Nurse Anesthesia. In Illinois, there<br />
are currently over 1,500 Certified Registered Nurse<br />
Anesthetists (CRNAs).<br />
<strong>The</strong>se CRNAs rise to the challenges of meeting the<br />
anesthetic needs of patients. In Illinois, CRNAs are the<br />
sole anesthetic provider in 29% of counties, but are<br />
the principal practitioners in 89%. Furthermore, 31<br />
counties have no registered anesthesia providers and<br />
74% of those counties are encompassed by primarily<br />
CRNA providers. Illinois’s CRNAs meet the needs<br />
for access to quality and cost-effective anesthesia<br />
services. <strong>The</strong>y are the principal provider in rural areas<br />
and allow healthcare facilities to provide obstetrical,<br />
surgical, pain and trauma stabilization. Additionally,<br />
CRNAs improve access to care for the underserved<br />
population, military personnel and in Veteran Affair<br />
facilities.<br />
<strong>The</strong> 2017 legislative year proved to be a challenge<br />
for Illinois’ CRNAs. HB 3382 would remove the<br />
requirement from the state’s laws that a physician,<br />
podiatrist or dentist “remain physically present and<br />
be available on the premise during the delivery of<br />
anesthesia.” This legislation would have given the<br />
CRNAs in Illinois greater autonomy. <strong>The</strong> Illinois Society<br />
of Anesthesiologists (ISA) introduced HB 2975 to<br />
license anesthesiologist assistants. This legislation<br />
would have added another group of practitioners in<br />
the art of anesthesia. However, negotiations kept both<br />
pieces of legislation in committee.<br />
On a positive note, Senator Pamela Althoff received<br />
the 2017 IANA Legislator of the Year Award. On<br />
December 12, 2017, President Rose Slowikowski,<br />
CRNA, DNP presented the award to Senator Althoff in<br />
Chicago, Illinois. Senator Althoff is a strong advocate<br />
of the nurse anesthesia profession and sponsored SB<br />
1094. Her staunch support helped pass this crucial<br />
piece of legislation in a short amount of time. SB 1094<br />
extended the Grandfathering provision (July 1, <strong>2018</strong><br />
to July 1, 2023) to currently licensed CRNAs without a<br />
master’s degree and allowed their continued ability to<br />
unrestricted practice.<br />
On September 20, 2017, Maria struck the island of<br />
Puerto Rico as a Category 4 hurricane. <strong>The</strong> devastation<br />
that ensued is well-known to the US. <strong>The</strong> IANA and<br />
Student Registered Nurse Anesthetists (SRNAs) saw an<br />
opportunity to support SRNAs at the three programs<br />
Puerto Rico. Creation of a Go Fund Me page raised<br />
over $1,200 to purchase much needed items, such as<br />
reading lamps with battery backup, solar chargers for<br />
electronic devices, and LifeStraw water bottles with<br />
replacement filters.<br />
As you can see, CRNAs are a critical part of the<br />
evolving healthcare market for the great state of<br />
Illinois. <strong>The</strong> IANA looks forward to a future that<br />
ensures critical access to quality and cost-effective<br />
while being part of the solution to the healthcare<br />
crisis. More importantly, the IANA looks forward to<br />
any collaboration that further promotes healthcare in<br />
Illinois.<br />
Precision medicine has been a buzzword in health care<br />
circles for years now – but the National Institutes of Health<br />
(NIH) is poised to launch a major new research effort that<br />
will make it a reality. <strong>The</strong> All of Us Research Program seeks to<br />
enroll one million or more participants who will share their<br />
health information and begin a new era in medical research<br />
and treatment<br />
Two major goals set this NIH effort apart from typical<br />
medical research. First, they aim to have 50 percent of<br />
participants from racial and ethnic minority communities.<br />
Second, they aim to have 75 percent of participants from<br />
groups that have been historically underrepresented in<br />
research. Achieving these goals will require significant effort<br />
to build trust, overcome barriers, and work with participants<br />
as true partners in research.<br />
<strong>The</strong> All of Us Research Program is not one single health<br />
study; it will be a database that researchers can use to run<br />
thousands of health studies. <strong>The</strong> data collected can be used<br />
by any researcher in the U.S. and around the world, as long<br />
as they follow strict privacy and security rules. We hope<br />
that researchers will use this data to achieve a wide range of<br />
medical breakthroughs.<br />
Health care providers have a critical role to play in this<br />
effort. Based on our commitment to community outreach<br />
in order to reduce health disparities within the Hispanic<br />
population of the United States, NAHN-Illinois is excited<br />
to help spread the word about this program and ensure<br />
that our members are educated about its promise and<br />
accomplishments over time.<br />
“All of Us has the potential to redefine the future of<br />
health in the United States,” said Liz Aquino and Wanda<br />
Monterrubio from NAHN-Illinois. “We’re excited to work<br />
with the NIH to ensure that this program brings together<br />
communities throughout the United States to drive better<br />
outcomes, earlier disease identification and precise<br />
treatment solutions."<br />
To learn more about the program, including what it means<br />
to be a participant, please visit https://allofus.nih.gov/.<br />
Nurses from the NAHN-Illinois Chapter, and across<br />
the U.S. have eagerly volunteered to help the people<br />
living in Puerto Rico who are faced with limited access<br />
to clean water, food, electricity, and medical assistance<br />
after Hurricane Maria. NAHN-Illinois collaborated with<br />
Norwegian American Hospital, New Life Church, and<br />
Angels of the Kind to send two teams of volunteer<br />
nurses, doctors, and other health care providers with<br />
medications and medical supplies to Puerto Rico. <strong>The</strong>y<br />
were able to care for people living in various parts of<br />
the island and saw over 400 patients. We are planning<br />
to continue to send more nurses over the next several<br />
months to assist with the much-needed medical relief.<br />
NAHN-Illinois Immediate Past-President, Susana<br />
Gonzalez, shared this about her experience after<br />
participating in the medical mission:<br />
We believed we were a small but mighty medical<br />
mission team destined to give services to where<br />
Puerto Rico Hurricane<br />
Medical Relief Efforts<br />
God’s people needed us. We returned a strong<br />
family transformed by our phenomenal experiences<br />
together. We got up at dawn and worked as a<br />
team that collaborated, supported, comforted,<br />
and healed many residents who needed services<br />
for hours every day. We touched hundreds of lives.<br />
We made a difference. We returned changed<br />
individuals and a strong family for life. Puerto Rico<br />
has left an imprint in our hearts we take to eternity.<br />
A special thank you to the NAHN nurses who<br />
volunteered their time, skills, and healing hands to assist<br />
with the medical missions: Jenifer Crespo, Raquel Diaz,<br />
Susana Gonzalez, Nitza de Pedro, Juana Quinones, Paulina<br />
Zapata, and Liz Zimnie. For more details or to provide a<br />
donation to support the medical mission please go to<br />
www.nahnillinois.org/puerto-rico-hurricane-relief.html.