Arizona Nurse - October 2021

More documents

Recommendations

Info

Page 6 • Arizona Nurse October, November, December 2021 MEMBERS ON THE MOVE AzNA would like to recognize members Virginia Prendergast and Jayme Ambrose, who were named 2021 Phoenix Business Journal Health Care Heroes Finalists. Virginia Prendergast is the Senior Director of Advanced Practice Nursing at Barrow Neurological Institute and was recognized in the Nursing category. Jayme Ambrose is the CEO of Adobe Care and Wellness and was recognized in the Innovator category. Congratulations! Are you an AzNA Member with an accomplishment to highlight? To see the full job description and qualifications, please see our job posting on nursingnow.com. YC is an equal opportunity employer. Send to info@aznurse.org. YAVAPAI COLLEGE invites applications for the position of: Associate Professor, Allied Health HIRING FOR POSITION AT THE PRESCOTT VALLEY CENTER IN PRESCOTT VALLEY, AZ For more information and to apply: www.yc.edu/hr Click on Current Job Opportunities 928-776-2217 HumanResources@yc.edu AskHR@yuc.edu Pharmacy or the Farmacy continued from page 5 decision about their health. Sometimes it starts with medications while they are making nutrition and lifestyle changes. Eventually, it may be the nutritional changes that reverse the chronic disease process. Let 2021 be the year of change! References Agarwal, U., Mishra, S., Xu., J., Levin, S., Gonzales, J., & Barnard, N. D. (2015). A multicenter randomized controlled trial of a nutrition intervention program in a multiethnic adult population in the corporate setting reduces depression and anxiety and improves quality of life: The GEICO Study. American Journal of Health Promotion, 29(4), 245-5. doi: 10.4278/ajhp.130218-QUAN-72 American Association of Colleges of Nursing. (2021). Nursing fact sheet. https:// www.aacnnursing. org/news-Information/fact-sheets/nursing-factsheet Barnard, N. (2020). Your body in balance: The new science of food, hormones, and health. Grand Central Publishing. Campbell, T. C., & Campbell, T. (2006). The China study. Benbella books. Diabetes Research Institute. (2020). Diabetes statistics. https://www.diabetesresearch.org/ diabetes-statistics Esselstyn, C. B. Gendy, G., Doyle, J., Golubic, M., & Roizen, M. F. (2014). A way to reverse CAD? Journal of Family Practice; 63(7):356-64. Esselstyn, C. (2008). Prevent and reverse heart disease. Avery Publishing. Evans, J. (2015). Plant-based nutrition: Will the next prescription be from the farmers market or the pharmacy. American Journal of Holistic Nursing, 35(2):28-9. Evans, J. (2020). Cultivating seeds of health with plant-based nutrition: Nurses share educational approaches to prevent and reverse chronic disease. https://www.amazon.com/Cultivating- Seeds-Health-Plant-based-Nutrition/dp/ B08GFSYGJJ Evans, J., Magee, A., Dickman, K., Sutter, R., & Sutter, C. (2017, March). A plant-based program – nurses experience the benefits and challenges of following a plant-based diet. American Journal of Nursing, 117(3), 56-61. Greger, M. (2015). How not to diet. Flatiron Books Martin, C. B., Hales, C. M., Gu, Q., & Ogden, C. L. (2019). Prescription drug use in the United States, 2015–2016. (Issue Brief No. 334). NCHS Data Brief. Hyattsville, MD: National Center for Health Statistics. https://www.cdc.gov/nchs/ products/databriefs/db334.htm McDougall, J. (2013). The Starch solution. Rodale Books. National Center of Health Statistics. (2021, March 1). Leading causes of death. https:// www.cdc.gov/ nchs/fastats/leading-causes-of-death.htm Physicians Committee for Responsible Medicine (PCRM). (2021). Start your journey to health. https://kickstart.pcrm.org. Smith, R. (2004). Let food be thy medicine. BMJ, 328(7433). https://www.ncbi.nlm.nih.gov/ pmc/ articles/PMC318470/ Turner-McGrievy, G. M., Davidson, C. R., Wingard, E. E., Wilcox, S., & Frongillo, E. A. (2015). Comparative effectiveness of plant-based diets for weight loss: A randomized controlled trial of five different diets. Nutrition, 31(2), 350-8. https:// doi.org/10.1016/ j.nut.2014.09.002 U.S. Food and Drug Administration. (2018). Fact Sheet – FDA at a glance. https://www.fda.gov/ aboutfda/fda-basics/fact-sheet-fda-glance We are seeking highly motivated nurses Exciting nursing opportunities and breathtaking allure of Navajoland await committed and highly motivated nurses. New nursing graduates are encouraged to apply for urgent care and ambulatory care positions. Come join us in Winslow! We are located just seven miles from the southern edge of the Navajo Nation, 45 minutes east of Flagstaff and a few hours north of Phoenix. You can go from Standing on the Corner of Winslow, Arizona to hiking scenic and majestic landscapes. • Clinical Nurse • PRN Registered Nurse • Clinical Care Coordinator • Public Health Nurse • RN Case Manager • Employee Health Clinical Nurse • Infusion Clinical Nurse • Cardiology Clinical Nurse • Nurse Recruiter • Urgent Care Nurse Manager Little Colorado Medical Center is a 25-bed, critical access hospital, located 50 miles east of Flagstaff, Arizona; a compassionate and caring facility in a family oriented community. Enjoy the stress free pleasures of small town living with benefit of a fast paced stimulating work environment. LCMC is seeking the following experienced staff: Registered Nurse Current AZ RN license or State Compact Current BLS/CPR certification New Grads accepted with 2 year commitment RN’s with 1 year experience eligible for sign-on bonus Relocation Package If you are clinically competent, a team player and have excellent interpersonal leadership and computer skills them come excel and grow in an outstanding team environment! Visit our website at www.lcmcwmh.com/careers and/or email: careers@lcmcwmh.com EOE
October, November, December 2021 Arizona Nurse • Page 7 Documenting nursing assessments in the age of EHRs Georgia Reiner, MS Nurses have grown accustomed to documenting assessment results in electronic health records (EHRs), rapidly clicking responses to assessment checklist questions. However, at times, nurses may complete this documentation without giving enough thought to those responses because they want to move on to their “real” work: caring for patients. But failing to properly complete documentation can put nurses at risk. Dangers of improper documentation The danger of failing to properly document nursing assessments in the EHR is threefold. First, nurses might base their assessment on the checklist, not the patient, which can lead to an incomplete assessment, especially if the nurse inadvertently clicks something as being done when it hasn’t. Second, nurses might fail to adequately document a finding if it does not match the available options in the checklist. Third, nurses might fail to document assessments when a patient’s condition changes or fail to document practitioner notification of the change. All three scenarios can leave nurses open to professional liability lawsuits or action against their license. Proper EHR documentation You can take several steps to ensure you’re documenting assessments and other information correctly in the EHR: • Follow basic documentation principles. Document promptly, accurately, and without opinions about patients or providers. When making a correction to previously recorded information, include the reason for the change. Remember that the EHR provides a date and time for each entry, providing a clear documentation trail. • Adhere to policies, procedures, regulations, and guidelines. In the event of a legal action, one of the first steps an attorney will take is to determine if you followed your organization’s policies and procedures related to nursing assessments and documentation, as well as any relevant state, federal, or local guidelines, and guidelines from professional associations. • Complete an effective assessment. You won’t have the information you need for the EHR unless you perform a quality assessment. Don’t simply consider what a computer checklist tells you to include. • Document changes in the patient’s condition. Remember to enter changes to the patient’s status into the computer and include if you notified the provider of the change. • Be patient-centered. The ability to document at the patient’s bedside can save time and improve accuracy, but only if you keep your focus on the patient instead of on the computer. Consider telling patients what you are entering into the computer, which can help ensure the information is accurate. • Copy and paste cautiously. The copy and paste feature in EHRs can be a time-saver, but errors, including errors of omission, can easily occur. Think about what is appropriate for copying and pasting and review notes carefully. • Beware of autofill and templates. Like copy and paste, the autofill feature can save time by avoiding repetitive entries, but you need to verify that the information automatically filled in is correct. Similarly, templates for regular Have you always wanted to live in the White Mountains? Enjoy the natural beauty of the White Mountains and experience "The Accord Difference" Accord Hospice is seeking qualified & compassionate nurses. Contact: Ashley Frost Human Resource/Business Office Manager Phone (928) 271-8013 or (928) 608-5820 occurrences can help save time and ensure needed information is collected, but you still need to be aware of individual patient needs and assessment findings. • Use notes appropriately. Sometimes what you need to document as an assessment finding isn’t in a checklist or pull-down menu. Don’t choose the “next best” option; doing so can lead to miscommunication and clinical and billing errors. A better approach is to add a succinct note to the patient’s record. • Don’t ignore alerts. Alerts are there to help you make better decisions when it comes to patient care. On the other hand, too many alerts may lessen their efficacy, leading to “alert fatigue”. Talk with your manager or informatics contact to discuss settings. • Don’t assume the EHR is always right. The EHR isn’t infallible. If, for example, results of a test don’t seem to match the patient’s symptoms, follow up with the provider – the test may need to be redone. A partnership Rather than having an adversarial relationship with the EHR, nurses should consider the EHR as a care partner. By serving as a repository of data, providing alerts as needed, and facilitating communication, the EHR can help ensure quality patient care—and reduce nurses’ risk of legal action. RESOURCES Balestra ML. Electronic health records: Patient care and ethical and legal implications for nurse practitioners. J Nurs Pract. 2017;13(2):105-111. ECRI Institute. Copy/Paste: Prevalence, Problems, and Best Practices. Special Report. 2015. www. Contact: Myra Francisco, RN – Nurse Recruiter 505.726.8549 | myra.francisco@ihs.gov http://bit.ly/gsu-rn ecri.org/Resources/HIT/CP_Toolkit/CopyPaste_ Literature_final.pdf. Kelley T. Electronic Health Records for Quality Nursing and Health Care. Lancaster, PA: DEStech Publications; 2016. Pagulayan J, Eltair S, Faber K. Nurse documentation and the electronic health record. Am Nurs Today. 2018;13(9):48-52, 54. Partnership for Health IT Patient Safety. Health IT Safe Practices: Toolkit for the Safe Use of Copy and Paste. 2016. https://d84vr99712pyz.cloudfront. net/p/pdf/hit-partnership/copy-paste-toolkit.pdf. Tsou AY, Lehmann CU, Michel J, et al. Safe practices for copy and paste in the EHR. Appl Clin Inform. 2017;8(1):12-34. Disclaimer: The information offered within this article reflects general principles only and does not constitute legal advice by Nurses Service Organization (NSO) or establish appropriate or acceptable standards of professional conduct. Readers should consult with an attorney if they have specific concerns. Neither Affinity Insurance Services, Inc. nor NSO assumes any liability for how this information is applied in practice or for the accuracy of this information. This risk management information was provided by Nurses Service Organization (NSO), the nation’s largest provider of nurses’ professional liability insurance coverage for over 550,000 nurses since 1976. The individual professional liability insurance policy administered through NSO is underwritten by American Casualty Company of Reading, Pennsylvania, a CNA company. Reproduction without permission of the publisher is prohibited. For questions, send an e-mail to service@nso.com or call 1-800-247-1500. www.nso.com. Georgia Reiner, MS, CPHRM, is a Senior Risk Specialist with the Nurses Service Organization (NSO) Navajo Area Indian Health Service Gallup Service Unit We are hiring Registered Nurses! Healthcare facilities bordering the Navajo Nation Gallup Indian Medical Center (Gallup, NM) Tohatchi Health Care Center (Tohatchi, NM) Med/Surg, OB/L&D, ICU, Ambulatory Care, ER, Peds, Periop & other specialty positions available. We offer: Competitive Salaries Relocation Recruitment/Retention Incentives Loan Repayment Site Eligible I.H.S. is required by law to give absolute preference to qualified Indian applicants. Equal Opportunity Employer.
Page 1 and 2: One Profession. Many Roles. The Off
Page 3 and 4: October, November, December 2021 Ar
Page 5: October, November, December 2021 Ar
Page 10 and 11: Page 10 • Arizona Nurse October,
Page 20: Health Professional Resources Healt

Arizona Nurse - October 2021

Create successful ePaper yourself

Delete template?

Save as template?