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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.

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