Page 10 • RN Idaho May, June, July 2018 2018 Idaho Legislature - Session Wrap Up continued from page 9 Executive Order Number Executive Order Name ANA Idaho & NLI supported? Status and Information Cindy Galloway, RDN, LD, IBCLC email@example.com The newly formed Idaho Breastfeeding Coalition (2018) is a 501c3 entity and provides breastfeeding resources to the community, including education opportunities. The mission of the Idaho Breastfeeding Coalition (IBC) is to facilitate a community and statewide landscape that protects, supports, and promotes breastfeeding as the biological norm for a healthier Idaho. The Idaho Breastfeeding Coalition was proud to support the efforts behind passage of House Bill 448, giving protections to breastfeeding mothers from the indecent exposure statue. Breastfeeding leads to improved health for infants and mothers who participate. The American Academy of Pediatrics (AAP) states that breastfeeding has been shown to decrease prevalence of ear infections, gastrointestinal incidents, obesity, and Type 2 Diabetes in children who were breastfed (2015). There is also a decreased incidence of breast and ovarian cancers in women who breastfeed their children compared to women who did not breastfeed (AAP 2011). The IBC was able to provide the first annual Idaho Breastfeeding Summit in the summer of 2017 and is pleased to sponsor the upcoming 2nd Annual Idaho Breastfeeding Summit, Strengthening Partnerships to Benefit Idaho Families, June 28 and 29, 2018 in Boise, Idaho. Join lactation consultants, nurses, doctors, midwives and dietitians from around the state at this interactive and lively conference! To learn more about the coalition and to become a member or to donate to the coalition, please visit: http://idahobreastfeeding.com/ For conference registration and additional information including sponsorship opportunities please visit: http://idahobreastfeeding.com/idahobreastfeedingsummit2018/ References American Academy of Pediatrics (2011). Benefits of breastfeeding for mom. Healthychildren. org. Retrieved from: https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/ Pages/Benefits-of-Breastfeeding-for-Mom.aspx American Academy of Pediatrics (2015). Why breastfeed? Healthychildren.org. Retrieved from: https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Why- Breastfeed.aspx Idaho Breastfeeding Coalition. (2018). Retrieved from: http://idahobreastfeeding.com/ H638 H657 S1224 S1227 S1262 S1271 Reporting Complications of Abortion Battery against Health Care Workers Medicaid Expansion Immunization Exemption Form Patient Caregiver Support Act Health Care Organization No The Governor was urged by ANA- Idaho and NLI to veto H638. Yes Yes Passed House Bill 638 requires health care providers, clinics and hospitals to report the complications of abortions to the Department of Health and Welfare. Patient identity is protected. The Department will then prepare an annual report on the complications of abortions in Idaho for the legislature and the public. The bill includes a long list of potential complications. Failure to report would be a misdemeanor and would be cause for disciplinary action against the provider’s license. This bill not only targets providers of abortion but other health care providers, including nurses and hospitals whenever a complication of abortion is suspected and not reported. The bill alters the nurse practice act to include disciplinary license action for violation. Held in Committee, Failed H657 did not get a hearing. It would have amended the current law that makes it a felony to assault a health care worker when they are in the course of their duties. When this law was initially passed in 2014 to protect health care workers, prosecutors were given discretion in applying the law to those with mental illness. Since 2014, 209 cases have been prosecuted. Many of those cases were against individuals suffering from a mental crisis, some being treated in a mental facility. The consequences of applying the law to the mentally ill include jail time and a felony conviction permanently on their record, making future employment and housing more difficult. The bill would continue to treat assaults against health care workers as a felony, but exempts patients who are seeking admission or are admitted to a hospital or mental facility for their acute mental illness. Patients who are intoxicated by alcohol, drugs or other substances are not excluded from felony prosecution. Held by Chairman, Failed This bill would fully expand Medicaid under the Affordable Care Act (ACA) to cover those in the Gap between Medicaid qualification and subsidy eligibility under the ACA. Expansion was a component of the ACA as originally designed. Idaho and other states sued the federal government and won in a U.S. Supreme Court decision that allowed states to opt out of expanding Medicaid. Under the plan the federal government would initially cover 90% of expansion costs but obligates states to federal intrusion that the Idaho legislature has resisted. The bill was held by the Chairman of the Senate H&W Committee. Held by Chairman, Failed S1227 clarifies the manner that a parent may exempt their child from Immunization by allowing any written notice to the school. This was a contentious issue last year where school districts required a specific form for non-immunized students. Failed The Patient Caregiver Support Act is a national initiative by AARP to require hospitals to document a patient’s selection of a caregiver and notify them upon the patient’s discharge or transfer. It would also have required the live instruction of the caregiver on post-discharge care including medication management, injections and wound care, tasks that do not require a licensed professional. Passed The definition of Health Care Organization was broadened to include Residential Care Facilities for the purpose of peer review privilege.
May, June, July 2018 RN Idaho • Page 11 Elizabeth Montgomery, BS Ed. Executive Director of the Inland Northwest SIDS/ SUID Foundation, Hospital and Health Systems Educator - Northwest Region firstname.lastname@example.org As the Executive Director of the Inland Northwest SIDS/ SUID (Sudden Infant Death Syndrome/Sudden Unexplained Infant Death) Foundation in Coeur d’Alene, ID; a nationally recognized non-profit dedicated to safe infant sleep education and eliminating preventable sleep-related accidental deaths, it is my privilege to invite you to become part of an amazing program sweeping the nation’s hospitals in response to the American Academy of Pediatrics recommendations for Safe Infant Sleep released in 2012. Hospitals are urged to become a National Safe Sleep Certified Hospital in hopes to reduce infant mortality due to sudden infant death and of course, to increase their standard of care. The state of Idaho has a SUID death rate of 89 deaths/100,000 births. Research shows that up to 90% of these deaths are accidental due to placing babies to sleep in unsafe sleeping environments and over 50% of these deaths are a result of bed-sharing. The Cribs for Kids® National Safe Sleep Hospital Certification program awards recognition to hospitals that demonstrate a commitment to reducing infant sleeprelated deaths by promoting best safe sleep practices and by educating on infant sleep safety. By becoming certified, Jenni Blendu, RN, MBA President Idaho Association for Home Care and Hospice email@example.com (208) 407-1454 Do you work in a primary care setting? If you work with a physician who provides the essential service of overseeing and providing guidance to patients on home health services, new home health conditions of participation affect you and your practice. You may notice changes in how offices receive communication regarding care of home health patients in response to a new regulation effective January 13, 2018. The new Home Health Conditions of Participation require: “§484.60(c)(3)(i) Any revision to the plan of care due to a change in patient health status must be communicated to the patient, representative (if any), caregiver, and all physicians issuing orders for the HHA [home health agency] plan of care” (Center for Medicare and Medicaid, 2017, p. 25). These conditions are a set of Centers for Medicare and Medicaid Services (CMS) regulatory requirements that all home health agencies providing CMS-certified home health services must meet. The goal of the new requirements is to improve interoperability between care settings. In order to meet the spirit and letter of this new regulation, home health agencies across the country will begin to send “Plan of Care” updates to physicians who are involved in the patient’s plan of care. The messages will summarize the changes to the patient’s care so that each physician is kept up-to-date; the physician will not be SIDS Foundation a hospital is demonstrating that it is committed to being a community leader and is pro-actively eliminating as many sleep-related deaths as possible. The certification is of no cost to your hospital including the required staff training. Cribs for Kids is making it possible for Inland Northwest SIDS/SUID Foundation to come to your hospital and support your team through the certification process. This includes policy creation, staff training, ordering materials and whatever else you may need. Inland Northwest SIDS/SUID Foundation would be honored to be a part of your certification process and to partner with you to eliminate accidental sleep-related deaths in Idaho. Please contact me as soon as possible to begin the process: I am here to support you! Please visit cribsforkids.org to learn more about the certification or contact Liz Montgomery firstname.lastname@example.org or 208-557-4371. For more information on SIDS/SUID and to get involved visit https://www.inwsids.org/index.html New Home Health Conditions of Participation required to sign or take any other action on the message. Usability and reducing administrative burden are priorities for CMS, and the new requirement is intended to provide significant improvements to collaboration across the patient’s care team. If you are interested in learning more about the regulation, you may find further details within the Interpretive Guidelines, pages 24-26: • https://2whl0l41faj52syvna3ew4zl-wpengine. netdna-ssl.com/wp-content/uploads/2017/10/3819-F. HomeHealthAgency.CoPs_IGs.pdf If you have any feedback on the regulation, you may contact CMS directly: • Andrew M. Slavitt and Sylvia M. Burwell, Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244 Reference: Center for Medicare and Medicaid Services (2017). CMS-3819-F Medicare and Medicaid program: Conditions of participation for home health agencies interpretive guidelines. Retrieved from https://2whl0l41faj52syvna3ew4zl-wpengine. netdna-ssl.com/wp-content/uploads/2017/10/3819-F. HomeHealthAgency.CoPs_IGs.pdf Welcome New Board Member We have a new Editorial Board volunteer, Christine Westrup, BSN. Here is what she has to say about herself & the opportunity to serve on the editorial board: “I currently work at St. Luke’s Boise on 6E medical/surgical and telemetry units. I’m excited to be able to provide up to Christine Westrup date information to Nurses in Idaho as well as staying informed myself! I hope to bring light into nursing for our future nurses and to be able to make powerful changes!” Welcome Christine! We all have a role to play in preparing Idaho for the challenges of responding to a public health emergency or natural disaster. Please share your nursing skills by registering with the Medical Reserve Corps in your area. Training is free. Join us today! www.volunteeridaho.org That research paper isn’t going to write itself. Visit www.nursingALD.com to gain access to 1200+ issues of official state nurses publications, all to make your research easier! ,000 sign-on bonus plus ,000 relocation bonus Morrow County Health District has an opening for a FULL-TIME REGISTERED NURSE for Pioneer Memorial Hospital, a 21-bed Critical Access Hospital in Heppner, (rural NE) Oregon, a friendly “home town” community surrounded by great outdoor recreation. New Grads welcome to apply. Our small hospital provides a wide range of experience in all areas. Get to know your patients and see your care make a difference. Must have or obtain Oregon license. Competitive wage, Excellent benefit package. Come visit and check us out. For more information contact CNO Terri Brandt-Correia at 541-676-2947. Background check and drug screen required. Applications/complete job description available at www.morrowcountyhealthdistrict.org or call 541-676-2949 EEOE Program for Recovering Nurses Addiction Intervention and Recovery Services for Nursing Professionals Do you know a nurse or a colleague who needs help for drugs/alcohol or mental health problems? Please contact us for assistance. This program is an alternative to disciplinary action offered by the BON. For immediate assistance, please call us at 800-386-1695 www.southworthassociates.net
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