Ohio Nurse - June 2022

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Page 8 Ohio Nurse June 2022 Public Policy Q&A continued from page 7 many bills that are outside the purview of the committees that I am on. Staff members provide information and keep track of when committees are meeting and what issues are discussed. Highprofile issues are easier. I also listen to colleagues but really the work is done in the committees. That is, information is shared, pros and cons are argued, various perspectives are heard. Currently, I spend 60-70% of my time on criminal justice issues. I am the ranking member of the House Criminal Justice Committee and that demands much of my time. 4. What education and experience would prepare a person to be a successful policy maker? The legislature was designed for anyone 18 years old who lives in Ohio. The founders wanted a citizen-legislature. However, a law degree has a big advantage because I am familiar with legal language and the Ohio Revised Code. A law degree is not mandatory—there are physicians, farmers, men/women and they all bring different perspectives. I believe the legislature should reflect the Ohio population. 5. What are your thoughts about term limits? My position: As long as we have gerrymandering, we should have term limits. System is so skewed right now. I would be opposed to term limits if we didn’t have gerrymandering. 6. Share your thoughts about having a nurse as a Legislative Aide Great! Would give a different perspective. 7. How can nurses make their collective voice stronger and more powerful? People respect nurses and what they do, especially since COVID. Society doesn’t move forward without healthcare people. We need to talk with people, individually or as a collective. I want to hear from them: This is what we think; this is who we are. Communication is key. I love to bring in many voices from many districts. We need to connect one-on-one, not necessarily with paid lobbyists (I see lobbyists a lot). But hearing from my own constituents is even more important. I want to hear their personal stories. The more people the merrier. 8. Do you have questions for me or other thoughts you’d like to share with our Ohio nurses? I salute all OH nurses for all their work, especially during the COVID crisis. I always participate with nurses. ONA has two very good lobbyists. John Singleton and Julia Wynn are credible and do a good job. I am leaving the General Assembly and am an unopposed candidate for judge for the 10th District Court of Appeals. It has been a pleasure to serve Ohioans as a legislator. We hope that you have a better understanding of the interaction between lobbyists and policy makers. One way to become involved in policy decisions is through ONA. Don’t delay—nursing needs your voice!
June 2022 Ohio Nurse Page 9 Medical Mission Trips: Role of the Nurse Marjorie Vogt, PhD, DNP, APRN, FAANP Lataya De Jesus, MS, RN, DNP Candidate Stephanie Justice, DNP, RN, CHSE Have you ever thought about going on a medical mission trip as a nurse? Maybe you already have. Maybe you are interested but do not know how to get involved. Originally organized by religious institutions (Mission Discovery, 2021), mission trips have expanded to include schools, universities, hospitals, and various nonprofit (501[c]3) organizations. There are several organizations across the United States that complete missions all over the world including in our own country. Are you familiar with medical missions or the role of the nurse during these trips? Nurses who go on medical mission trips have a specific goal to achieve which varies from mission to mission. Most missions involve nurses using their knowledge and skill to care for the people of a particular community. Medical missions can also have a designated emphasis such as surgery, orthopedics, or primary care. They may also be combined with other groups such as those that focus on construction, water access, or other infrastructure needs. The goal of the medical mission is set to be carried out within a certain time which differs depending on the mission and organization. Mission trips can last from one week or be as long as six months to a year. Medical missions can occur domestically or internationally. Domestic medical missions often occur in underserved areas where there is limited access to health care, including Indian reservations. However, they can have some limitations related to state licensure and regulations. Nurses may be limited in their scope of practice if they are not licensed in the state where the mission will occur. As more states join the compact license coalition, this may be less of a problem in the future. Advanced practice registered nurses (APRN) may also be limited in their scope of practice when considering a domestic medical mission. There are very limited compact states currently for APRNs, which can limit their ability to practice. Many of the faith-based missions occur domestically and may include participants of all ages, from adolescents to older adults. In many instances, on domestic missions, participants stay in a church or dorm setting, either providing their own meals or having meals provided for them by the sponsoring organization. Often the medical mission team will work with a healthcare or faithbased organization that is located in the area where the mission trip is focused. Follow-up care or referrals can be made in collaboration with the sponsoring organization in order to provide appropriate ongoing care. Although safety can be a concern on any medical missions, usually there are fewer concerns about safety when in the United States. Typically, safe food, water, and appropriate hygiene materials are available to domestic medical mission teams. International medical missions may have less stringent requirements about licensure or regulations for nurses but may still limit scope of practice for APRN. Many countries do not yet recognize the advanced practice role and require a physician to be a member of the healthcare team. On an international medical mission team, the APRN may be working in the role of the registered nurse or within their APRN scope of practice, possibly with physician supervision. Often, international medical mission teams providing healthcare work closely with the country’s Ministry of Health or the sponsoring international healthcare organization. Typically, the Ministry of Health or the sponsoring international healthcare organization will require copies of the nurses’ license, but may also require copies of diplomas from their nursing education institution and/or an unofficial transcript or resume. Nurses participating in medical missions need to have an updated passport and immunizations. Passports may not expire within six months of travel, and immunizations may be required by certain countries for entry. In some countries, additional prophylactic medication may be recommended or required, such as malaria prophylaxis. The Centers for Disease Control has an interactive website listing travel precautions, required immunizations, and other important travel information. Some countries require international travelers to be registered with the nearest U.S. Embassy. International medical missions have more safety concerns. Safety concerns related to any type of international travel may include issues such as safe water, safe food preparation, accommodations, and hygiene availability. Possibilities of potential violence or kidnappings from community members, terrorists, or other conflicts should be considered. Weather-related emergency situations such as hurricanes, tornadoes, and floods should also be addressed in order to have an appropriate plan of action should they occur. Members of international medical missions should also be cognizant of the cultural norms of the hosting country. Language and customs can be a challenge if not explored and understood prior to immersion into the culture. There are several excellent resources on various cultures related to health care including common foods used, home healthcare remedies, the healthcare providers typically used in the area, use of medications and procedures, and type of social norms. These should all be considered by participants of international medical missions. In some instances, there can be concerns from the host country about the transient, episodic care provided, without appropriate collaboration with the host country’s medical system, so it is important for nurses to consider their role and what they can provide on a short-term medical mission (Rasori, 2019). International medical missions can be highly rewarding in the provision of healthcare without some of the restrictions required in the U.S such as billing and coding. Many indigenous communities have limited access to healthcare and Medical Mission Trips continued on page 10
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Ohio Nurse - June 2022

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