RN Idaho - May 2021

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Page 20 • RN Idaho May, June, July 2021 ADVOCACY IN ACTION The 2021 Idaho Legislative Session continued from page 19 House Bill 108 – Medical Cannabis Act – Held by the Chairman in House Health and Welfare Committee This bill would have regulated medical marijuana under the Board of Pharmacy, moving it from a schedule I to a schedule II classification for specific conditions. It would have required dispensing from licensed pharmacies with limited concentration and prescribing, and require the source to be from licensed manufacturers and distributors, prohibiting the production of marijuana, even for personal use. Healthcare House Concurrent Resolution 11 – 988 Suicide Prevention Hotline - Passed House – Awaiting Senate Floor Vote Idaho has 40% more suicide cases than the national average, and 2020 had a substantially higher number of cases than previous years. Federal legislation in 2020 established the universal 988 phone number for mental health and suicide crisis. The law left it to the states to implement and fund the 988 effort. Idaho currently uses the national 800 suicide hotline that routes calls from the 208-area code to the Idaho center. The new 988 number will ensure that anyone located in Idaho can access the Idaho hotline without regard to their originating phone number. This resolution will allow Health and Welfare to come back next session for funding and other resources to support the hotline. House Bill 315 – Opioid Judgement Settlements – Passed House to Senate Health and Welfare Committee The state has received $2.3M in one settlement and has joined other states in another lawsuit with a $20M settlement in the opioid crisis. This bill establishes a settlement fund to deposit this money. It authorizes the legislature to appropriate these funds for drug treatment and behavioral health to be overseen by the Idaho Behavioral Health Council. H315 is on the committee agenda for when they return in April. House Bill 316 – County Public Health Districts – Passed House – Under Consideration by Senate Health and Welfare Committee Thursday, the Senate Health and Welfare Committee heard testimony on H316. The hearing was to be continued to Monday, March 22nd, however with the legislature now in recess, the hearing will be continued Wednesday, April 7th. Under existing law, the counties cover the first $11,000 of indigent claims, and the state Catastrophic Health Care (CAT) fund covers the remainder for those who qualify. With Medicaid Expansion, most of those who would be covered under indigent care are now eligible for Medicaid. In aggregate the counties pay $9.8M and the state CAT fund pays $19M for indigent care. This bill would limit county liability in providing indigent services now that Medicaid Expansion has passed. The bill says that those who qualify for Medicaid, including Expanded Medicaid, or those who are eligible for private insurance, even if they do not seek insurance coverage, are not eligible for county indigent fund coverage. It precludes individuals who refuse to obtain any coverage from being covered by the counties. A second piece of this bill would move $9.8M from the state’s general fund designated for the Public Health Districts to the counties to operate the Health Districts. The counties will save because they are no longer paying for indigent care, so with this the counties pick up the cost of operating the health districts. The state’s savings from the CAT fund will be used to help fund Medicaid Expansion. House Bill 209 – Medicaid Budget Stabilization Fund - Failed House Floor Vote (25 – 42 – 3) This piece of legislation would have created a Medicaid Stabilization Fund. FY 2020 there was $65M left over that was lost somewhere in the general fund. A budget stabilization fund creates dedicated Medicaid funding placed in an interestbearing account funded through General Fund dollars that could only be expended on appropriation by the legislature. House Concurrent Resolution 14 – Forced Vaccinations – Passed House (66-0-4) – to Senate Health and Welfare Committee This is a resolution that the Idaho Legislature affirms the protection of the human right that no mandate would ever justify or permit the use of forced immunizations, vaccinations, inoculations, or genetic modifications against a person’s will, even during a health emergency. The legislature will oppose any effort, including federal law, that would force a person to receive a vaccination. This is unlikely to get a hearing on the Senate side. House Bill 249 – Human Sexuality, Instruction - Passed House Education Committee – Passed the House (56 – 12 – 2) – Awaiting Hearing in Senate Education Committee House Bill 249 is presented as a parental rights bill. It distinguishes between “Sex Education” which teaches anatomy and human reproductive physiology and “Instruction in Human Sexuality” that teaches sexual activity, gender identity and sexual pleasure. Under current law, a parent can opt-out of sex education. This bill would require parents to opt-in to human sexuality instruction for their children. School nurses are concerned that this could limit their ability to provide honest education and support for students and place them, and their schools, at risk of legal liability. H249 was repeatedly scheduled for a hearing in the Education Committee but pushed back as other bills had extensive testimony. It was rescheduled for next Monday, March 22nd, but with the suspension of all committee hearings until April, it will now likely get a hearing when the session resumes. House Bill 233 – Child Custody – Removal – Passed House, Filed for Senate Floor Vote For families seeking mental health support for their children with serious mental health disturbances, sometimes as a last effort of hope, in seeking help, they would often encounter threats or actions of child protection to separate the child from their parents. This bill adds a section to the Children’s Mental Services Act to protect children from being separated from their parents when seeking crisis care. As of this writing, the Legislature has taken a two-week recess until April 6th in response to the increased coronavirus cases at the capitol. Several legislators have contracted coronavirus. With another $1.9B, the state’s share of the American Rescue Plan Act, when they return, the Legislature may well stay in session even longer to retain control over those funds, address the two “going home” items, Transportation Funding and Tax Relief, and further grab emergency powers from the Governor. This is the Session that never ends. CNAs, LPNs & RNs Join Our Team! Whitman Hospital & Medical Clinics is recruiting for hard working, compassionate nurses to join our growing team! Health benefits start on day one. The Chartis Center for rural health top 100 critical access hospital 2020. Contact us Today! Apply online at www.whitmanhospital.org
May, June, July 2021 RN Idaho • Page 21 PRACTICE MATTERS Part 1: Embracing the Power of Simulation Michaelyn Muggli, MSN, RN, NPD-BC, CCRN-K, CHSE, Clinical Educator, Simulation Program, St. Luke’s Health System mugglim@slhs.org Tammye Erdmann, MSEd, BSN, BScIT, RN, CHSE, Director, Simulation Program, St. Luke’s Health System erdmannt@slhs.org The authors have no conflicts of issue including financial or commercial affiliations. Editor’s Note: This article is the first in a four-part series on The Power of Healthcare Simulation. The second article will explore how fidelity in simulation evokes emotions. Simulation has disrupted the status quo of healthcare education. Traditional pedagogy of teacher-centered lecture and testing is being replaced by interactive scenarios, team-based performance, and reflectionon-action strategies. Simulation-based education (SBE) creates realistic learning events that evoke emotion, involve the senses, and allow learners to make decisions based on their frame of references and previous experience. Technological developments of tactile devices and hightechnology manikins support the learning environment. St. Luke’s Health System (SLHS) began using simulation as a teaching modality in 2007 offering simulated events to emergency medical responders and critical access hospital staff. Through this learning modality, the SLHS Simulation Program has been developed, holding a variety of clinical and team performance simulations across our health system allowing us to interact with thousands of learners. The system staff has witnessed the power of simulation and are pleased to share this experience with you in this fourpart series. This article will highlight the power of simulation as an innovation in learning, describe why fidelity evokes emotion, explain the neuroscience of simulated learning, and explore how debriefing provides the opportunity to reflect on one’s experience and promote practice change. Simulation provides an opportunity to view delivery of healthcare through a lens we’ve never had by gaining insight from a different perspective about how healthcare NursingALD.com can point you right to that perfect NURSING JOB! NursingALD.com Free to Nurses Privacy Assured Easy to Use E-mailed Job Leads teams perform. Through the application of simulated learning, organizational processes can be effectively evaluated, as well as individual and team performance in a safe and controlled environment. Examples include determining readiness of a new hospital for opening day, evaluating team performance in response to post-partum hemorrhage, and identifying improvement opportunities in code blue events. What is it about SBE that leads to learning long after the experience has ended? Key learning happens when things go wrong, not necessarily when things go right. The associated emotions and reflection on actions after the event become the lessons learned. This helps learners see fallibility as part of professional practice facilitating insight PARTING WORDS Sara F. Hawkins PhD, RN, CPPS Feeling nostalgic, I recently flipped through the pages of old American Journal of Nursing magazines in our medical library. The first one I pulled was dated December 2014. The editorial caught my attention: “Our Ebola Wake-Up Call: What have we learned from this crisis?” For historical context, Ebola escalated as an epidemic in West Africa in March 2014. The first patient in the United States was identified in September followed by two nurses who cared for the patient diagnosed in late October. Ebola engendered a high level of fear among the public and providers. Kennedy (2014) writes about the circumstances of into themselves and their practice and subsequently promoting practice change. There is a strong sense that making mistakes and the associated unpleasant emotions are a key part of learning and has often been described as one of the key benefits of simulation. There exists the potential to produce better learning outcomes using SBE emphasizing deliberate practice and mastery learning, giving learners an opportunity to think differently about their performance. Working in a simulated environment allows learners to make mistakes without the need for intervention by experts to stop patient harm. By seeing the outcome of their mistakes, learners gain powerful insight into the consequences of their actions and the need to “get it right.” What Have We Learned? the time – the reassurances from hospital and public officials that the US healthcare system was fully equipped to deal with such a virulent disease, the public confusion and concern about a new deadly disease, and the frequent mixed messaging and changing policies and rules. Kennedy asked, “I can’t help but wonder why we weren’t better prepared, not only with equipment but with an action plan and a communication strategy…” (p. 7). Oh, the irony! Reference Kennedy, M. S. (2014, Dec). Our Ebola wake-up call: What have we learned from this crisis? American Journal of Nursing 114(12), 7. North Canyon Medical Center A CMS 5 Star Facility for Quality and Patient Satisfaction Located near the majestic Snake River Canyon in southern Idaho, North Canyon Medical Center is transforming healthcare in the region. Our mission is to ensure that our patients can stay close to home without sacrificing quality medical care. We offer advanced medical technology, passionate professionalism and patient care that is without equal. We are seeking RN’s and LPN’s for full time, part time, and as needed openings. Please visit our website to learn more and apply for open positions: www.northcanyon.org
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RN Idaho - May 2021

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