Health Bytes

AAACN Health Bytes is an informative and helpful listing of hot topics, awareness, and articles that may make your life easier and more enjoyable.


November: FREE CNE! * White Coat Syndrome * Telemed Fights Opioid Epidemic

Using Telemedicine to Combat the Opioid Epidemic - HHS has developed materials to help clarify how clinicians can use telemedicine as a tool to expand buprenorphine-based MAT for opioid use disorder treatment. Read the full article.

White Coat Syndrome Is a Physiological Reality - The trick to overcoming white coat syndrome involves open communication and relaxation techniques—things easier said than done. A person with white coat syndrome experiences elevated blood pressure readings when he or she is in a medical setting. The blood pressure returns to normal when the person leaves the medical office. Can you help your patients? Read the full article.

FREE CNE - "Evolution of Targeted Patient Population Care Management Strategy to Improve Patient Outcomes and Healthcare Resource Utilization." After completing this learning activity, the participant will be able to explain the importance of the establishment of and need for continual evolution of a comprehensive ambulatory care management model for targeted patient populations to improve outcomes. 1.00 CH. Available in the AAACN Online Library.

October: FREE CNE! * Close the Gender Pay Gap * Never Miss a Flu Vaccine * Highest Paying States for Nurses * Protein Breakfast

The Power of Protein at Breakfast - Science supports the benefits of protein at breakfast; here, we provide the strategies. Higher-protein breakfasts have been studied in teenagers and young adults and found to reduce subsequent hunger and calorie intake, and prevent gains in body fat. In another study, postmenopausal women getting 1.2 grams (g) per kilogram (kg) of protein a day experienced what the authors called “profound effects on metabolic function,” including 45 percent less muscle loss—a common side effect of low-calorie diets. Read the full article.

The highest-paying states for nurses - Full-time nurses in California have the highest annual average salaries of nurses in all 50 states, averaging $106,000 per year, according to a survey conducted by ADVANCE Healthcare Network. The survey includes responses from more than 22,000 nurses at every level and focused on specialization, location, education and benefits. Read the full article.

Never Miss a Flu Vaccine - Here Are the Reasons - The simple act of getting vaccinated helps protect your loved ones. Americans experienced one of the most severe flu seasons in four decades last year with flu activity remaining high well into March 2018. Millions of Americans became sick with the flu, an estimated 900,000 were hospitalized, and 80,000 died from flu and its complications. Experts agree that the flu vaccine is the single best way to protect you and your loved ones against the flu. If you are vaccinated, you are less likely to get the flu. And, if you do get sick, studies show that when you are vaccinated, your illness will likely be milder, which helps keep you out of the hospital. By getting vaccinated, we can prevent the spread of flu to those at greatest risk for becoming dangerously ill, including young children, pregnant women, people 65 and older, and those with certain medical conditions. Read the full article.

Can nursing certification help close the gender pay gap? To certify or not to certify, that is the question. Likely you have asked this question yourself. Your organization may be on the Magnet journey, and increasing certifications is part of that journey for your unit. You also may want to expand your job prospects or increase and demonstrate your expertise with a certification. However, there are costs, time and stress involved in becoming certified. Is it worth it? Yes! For many reasons, but one in particular may surprise you. Certification may help close the gender pay gap in nursing. Read the full article at

FREE CNE - "Evolution of Targeted Patient Population Care Management Strategy to Improve Patient Outcomes and Healthcare Resource Utilization." After completing this learning activity, the participant will be able to explain the importance of the establishment of and need for continual evolution of a comprehensive ambulatory care management model for targeted patient populations to improve outcomes. 1.00 CH. Available in the AAACN Online Library.

September: FREE CNE! * How to Quantify a Nurse’s ‘Gut Feelings’ * Workplace Violence * Healthy Work-Life Balance

The Reality of a Healthy Work-Life Balance - At home and in your personal life there are daily tasks to complete. The mundane day-to-day things that must get done. Are you spending too much time on the routine tasks and not enough time on the things that you enjoy, that refresh your being? Do you take ample time for yourself; get enough sleep, have a hobby, or other interests to pursue? Do you bring work home; look at work emails, relive the day, worry about what you might have done wrong or did not get done? Read the full article.

Nurses, Get Informed About Workplace Violence - Whether perpetrated by a patient or as the result of workplace bullying, violence against nurses is never acceptable. As the discussion continues in the nursing community on how to prevent workplace violence, laws are being enacted nationwide to reduce the number of incidents and make healthcare settings safer for both patients and staff. Read the full article at

How to Quantify a Nurse’s ‘Gut Feelings’ - I had a nagging sense that something was wrong, but I couldn’t articulate it. "...Every nurse likely knows the feeling. The patient’s vital signs are just a little off, she seems not quite herself, her breathing is slightly more labored. But on paper she looks stable, so it’s hard to get a doctor to listen, much less act..." Read the full article, by Theresa Brown, in the New York Times.

FREE CNE - "The Journey to Develop Nurse-Sensitive Indicators in the Ambulatory Care Setting." Learning Outcome: After completing this learning activity, the participant will be able to list at least two nurse-sensitive indicators for use in the ambulatory environment and describe the process used by this group to develop those indicators. 1.10 CH. Available in the AAACN Online Library.

August: FREE CNE! * Good Nurse Managers * Barriers to Implementing Evidence-Based Practice * Closed Borders, Closed Hearts

Closed Borders, Closed Hearts - "...who would have ever thought the United States would precipitate a humanitarian crisis within its borders? When the White House initiated the policy to separate families apprehended crossing the Mexico–Texas border, it was met by an unprecedented backlash of outrage..." From the AJN, The American Journal of Nursing: August 2018 - Volume 118 - Issue 8 - p 7. Read the full article.

Barriers to Implementing Evidence-Based Practice Remain High for U.S. Nurses - Getting past “We've always done it this way” is crucial. Evidence-based practice (EBP), a problem-solving approach to patient care that integrates the best evidence from well-designed studies with clinicians' expertise, patient assessments, and patients' own preferences, leads to better, safer care; better outcomes; and lower health care costs. Yet despite the fact that nurses report that engaging in EBP leads to greater professional satisfaction, nurses in the United States aren't consistently using it. From the AJN, American Journal of Nursing: December 2012 - Volume 112 - Issue 12 - p 15" Read the full article.

From - Excellent nurse managers possess strong leadership and communication skills and create a vibrant culture of teamwork and trust among their staff. "...I recommend as a good nurse manager you make yourself known to your team. Do not just send emails and memos, but rather talk to your team in person and be fully engaged in the conversation..." Read the full article.

Ambulatory Interventions Needed to Prevent Readmissions - To move the needle on readmissions, hospitals need assistance from non-acute care partners. Nurses can meet the need. Since they can be found in all care settings, nurses are in a unique position to improve care transitions and reduce readmissions. Here are three HealthLeaders articles on how to accomplish those goals... Read the full article.

FREE CNE - "Connect 2 Care – A One-Call System for Patients to Navigate the Health Care System." 1.00 CH, Free for AAACN members until August 31, 2018. Creation of a patient line, Connect 2 Care, which was designed to create a single entry point for all patients to access medical care, is discussed. Available in the AAACN Online Library.

July: FREE CNE! * Ambulatory Care Patient Safety 2017–2018 * Heatstroke * Nurses and Mainstream Media * Patients Want Better... * Hand Hygine Compliance

Hand Hygiene Compliance Monitoring Provides Benefits, Challenges - Hand hygiene is the most important factor in preventing the spread of healthcare associated infections (HAIs), a major threat to patient safety and cause of morbidity and mortality worldwide. Beyond their human costs, HAIs are fiscally costly, accounting for billions of dollars’ worth of expenditure in the U.S. healthcare system annually. Studies substantiate the connection between hand hygiene and HAIs; however, hand hygiene compliance among healthcare workers (HCWs) remains alarmingly low, with average rates of only 40 percent to 50 percent, in spite of widespread education and awareness. Read the full article.

Patients Want Better Communication, Care Coordination - A report from health insurance giant Aetna found that patients want communicative doctors who offer convenient appointments and that they put a high value on privacy and data security. The findings put further weight behind the idea that providers need to focus on patient conveniences like online and same-day scheduling, and can find improved patient engagement with value-based payment models. Read the full article.

From Nurses can make mainstream media take notice. I use Twitter frequently to broadcast nursing news, ranging from news about state legislators removing barriers to practice for nurse practitioners to highlights from commencement addresses I give. Oftentimes, I’ll single out nurses for their research findings or acts of compassion. Read the full article.

Hot summer weather is perfect for swimming and barbecues. Too much of a good thing, though, requires caution: If you become too hot, you run the risk of risk of heatstroke. What is heatstroke? Read the full article.

From the AHRQ - Ambulatory Care Patient Safety 2017–2018. Patient safety in ambulatory care is emerging as a focus of research, regulation, and measurement efforts. This website provides information and resources related to an initiative supporting expert review of current metrics, including prioritizing measures and identifying gaps in current performance measures. Read the full article

FREE CNE - "Decreasing Admissions: Innovative and Novel Care Model that Supports Transitional Care Coordination in the Ambulatory Setting." After completing this learning activity, the learner will be able to identify opportunities for avoiding emergency department visits and preventing direct admissions, while learning strategies for setting up an ADTU structure, process, and outcomes. CH .75, Free for AAACN members until July 31, 2018. Available in the AAACN Online Library.

June: FREE CNE! * Ambulatory Care Safety * Addiction Treatment Access Improvement Act * Lyme Disease * National HIV Testing Day

June 27 is National HIV Testing Day (NHTD), a day to encourage people to get tested for HIV, know their status, and get linked to care and treatment if they have HIV. This year’s theme, Doing It My Way, Testing for HIV, reminds us that each person has their own reasons why they test for HIV and their own unique ways of Doing It. Read the full article.

From the CDC: Untreated Lyme disease can produce a wide range of symptoms, depending on the stage of infection. These include fever, rash, facial paralysis, and arthritis. Ask you patients if you observe any of these symptoms and have might have tick bite, live in an area known for Lyme disease, or have recently traveled to an area where Lyme disease occurs. Read the full article.

As nurse leaders, you know firsthand the devastation and human suffering caused by the opioid epidemic. Our country needs common sense solutions to reduce barriers to care. The Addiction Treatment Access Improvement Act, H.R. 3692/S. 2317, introduced in both chambers would amend the Controlled Substances Act to permanently authorize advanced practice registered nurses-nurse practitioners, certified nurse-midwives, clinical nurse specialists, and certified registered nurse anesthetists-to prescribe medicated-assisted treatment, specifically buprenorphine, to patients struggling with opioid misuse and addiction.

Urge your legislators to co-sponsor the Addiction Treatment Access Improvement Act and to support its consideration when the full House and Senate take up their respective opioid bills/packages. Take action!

The vast majority of health care takes place in the outpatient, or ambulatory, setting, and a growing body of research has identified and characterized factors that influence safety in office practice, the types of errors commonly encountered in ambulatory care, and potential strategies for improving ambulatory safety. Read the full article.

FREE CNE - "Building a Business Case for Clinical Oversight." Understand the process of building a business case for clinical oversight with the aim of establishing optimal infrastructure and processes for ensuring patient safety and top of scope practice across ambulatory care. 1.00 CH, Free for AAACN members until June 30, 2018. Available in the AAACN Online Library.

May: FREE CNE! * Severe Nursing Shortage! * Measurement of Patient Safety * Watch a Senate Hearing LIVE! * EMS

EMS: A Critical Partner in Successful Community Disaster Planning and Response - Emergency Medical Services (EMS) personnel serve on the front lines of health, providing lifesaving services not only during everyday emergencies but also during a wide range of natural and man-made disasters. EMS providers also play an essential role in Health Care Coalitions, which provide a foundation for disaster healthcare and medical readiness. Find out how EMS providers across the country are making a difference and how you can get involved. Read the full article.

On Tuesday, May 22, 2018, starting at 10 am ET, the Senate Health, Education, Labor, and Pensions Committee will host a hearing on the Health Care Workforce: Addressing Shortages and Improving Care. They will discuss the Title VII and Title VIII reauthorizations bills under consideration. Dr. Julie Sanford, Director and Professor, School of Nursing at James Madison University will be providing testimony and share specific examples that demonstrate the impact of Title VIII in the community. This is an exciting step for the Coalition’s collective advocacy to move the needle forward! Watch the hearing live on Tuesday, May 22, 2018, starting at 10 am ET!

Measurement of Patient Safety - The 1999 Institute of Medicine To Err Is Human report drew national attention to the problem of preventable harm in medicine and led to the creation of the modern patient safety field. Measuring patient safety is a complex and evolving field, and achieving accurate and reliable measurement strategies remains a challenge for the safety field. Read the full article. Commentary on a Severe Nursing Shortage - The hot-button topic of the nursing shortage took center stage on April 30 when CNN published an article by Parija Kavilanz, “Nursing Schools Are Rejecting Thousands of Applicants – In the Middle of a Nursing Shortage.” Sadly, the CNN article is true: Nursing schools are turning away thousands of qualified applicants (56,000 in 2017), and schools are struggling to hire more qualified teachers. The reasons given also are true: Finding enough clinical track and tenure track faculty is challenging and faculty shortages will get even worse. Read the full article.

FREE CNE - "Telehealth Live - A Demo of Telehealth Modalities." After completing this learning activity, the learner will have an increased knowledge of a variety of telehealth modalities and how these advances are changing patient care delivery across the country. 1.21 CH, Free for AAACN members until May 31, 2018. Available in the AAACN Online Library.

April: FREE CNE! * AAACN President Featured * CCTM Knowledge & Skills * Who Will Teach Our Nurses * Why I Became a School Nurse Activist * How Does STRESS affect the Body?

How Does Stress Affect the Body? Even daily hassles can hurt your health! It's a fair question for any of us to ask: How does stress affect the body? The answer: Multiple ways, ranging from chronic headaches to joint pain to psoriasis. Our author has advice to help you avoid "sweating the small stuff." Read the full article.

Why I Became a School Nurse Activist, From Nursing Economic$ Journal: "I promised my sister and niece that I would do whatever I can on the public health policy side of the equation." A school nurse whose life has been touched by, not one, but two mass shootings discusses her path to becoming a school nurse activist in the article, "Why I Became a School Nurse Activist," by Robin Cogan. Read the full article.

Who Will Teach Our Nurses - Not only do the qualifications of the current nursing workforce need to be updated, the Health Resources and Services Administration projects that we’ll need more than 1 million new RNs by 2020. The good news is that nursing program applicants, enrollments and graduates have increased. The bad news is that despite increased enrollments, too many qualified applicants are being turned away from entry-level nursing programs, mostly due to faculty shortages. Read the full article.

Beth Ann Swan Profiled in OR Today About CCTM - One of AAACN's most influential care coordination and transition management (CCTM) leaders, Beth Ann Swan, PhD, CRNP, FAAN, was profiled by OR Today this month about her pioneer role in CCTM and how she got started in nursing. Beth Ann, a AAACN past president, emphasizes the importance of CCTM knowledge and skills for every nurse in every practice setting. Read the full article.

AAACN President M. Elizabeth Greenberg, PhD, RN-BC, C-TNP, CNE, was featured recently in the American Nurses Association (ANA) magazine, American Nurse Today, Career Guide issue. Liz was interviewed about care coordination and transition management (CCTM) for the article, Start Exploring Hot Nursing Careers. Liz described the value of nurses' CCTM role to patients and today's health care system, as well as the growing need for more nurses to step into a CCTM role and become Certified in Care Coordination and Transition Management (CCCTM®). Read the full article.

FREE CNE - "Utilization of the Health Care System by Community Case Management Patients." After completing this learning activity, the learner will be able to consider a nurse-led model to be effective in reducing a patient’s utilization of the ED and hospital. 1.00 CH, Free for AAACN members until April 30, 2018.

March: FREE CNE! * Focus On: Influenza * Nursing Community Coalition Letter * Cooking for One * Get Ready for NNW! * Effective Prevention and Control

WHO: What are the core components for effective infection prevention and control? This instructional video from the World Health Organization explains the evidence-based core components of infection prevention and control programmes, critical at both the national and acute health care facility level for patient safety and for health systems to provide quality care. This video is brought to life by interviews from people in the field across a range of countries and describes the importance of the eight core components one by one. View the video.

SPECIAL: Get ready to celebrate National Nurses Week (May 6-12) with the 2018 National Nurses Week resource toolkit from the ANA. The toolkit features downloadable logos, banners, email templates, certificates, and thank-you cards, along with sample social media content, tips for speaking with the media, special recognition documents, and a list of ways to celebrate. The theme for 2018 National Nurses Week is "Nurses: Inspire, Innovate, Influence." Download the complimentary toolkit.

MyPlate, MyWins Tips: Meal Planning for One - Cooking for one can be challenging—most recipes and sales are meant for more than one person. Use these tips to help when you’re cooking for one. From provides practical information to individuals, health professionals, nutrition educators, and the food industry to help consumers build healthier diets with resources and tools for dietary assessment, nutrition education, and other user-friendly nutrition information. Read the full article.

Fifty six organizations signed on to a letter to the House and Senate Appropriations committees outlining the Nursing Community Coalition's Fiscal Year 2019 funding requests of $244 million for the Title VIII Nursing Workforce Development Programs and $170 million for the National Institute of Nursing Research. Read the full letter.

Influenza is a serious disease that can lead to hospitalization and sometimes even death. Every flu season is different, and infection can affect people differently. Take advantage of this collection of articles to learn more about influenza and keep yourself, and those around you, healthy this season. Read the full article.

FREE CNE - "Registered Nurses: Partners in Transforming Primary Care." After completing this learning activity, the learner will be able to describe and discuss rationale supporting the movement for primary care and payment reform, enhanced roles for RNs as part of a larger, more integrated care delivery team, and the need for engaging schools of nursing and health care delivery systems in support for education optimization and dissemination. 1.21 CH, Free for AAACN members until Mar. 23, 2018.

February: FREE CNE! * Stay Asleep * American Heart Month * What Matters to You? * Electronic Health Records

The widespread implementation of electronic health records has caused a sea change in health care and in medical practice. The digitization of health care data has had some positive effects on patient safety, but it has also created new patient safety concerns. In a review of EHR safety and usability, investigators found that the switch from paper records to EHRs led to decreases in medication errors, improved guideline adherence, and (after initial implementation) enhanced safety attitudes and job satisfaction among physicians. Read the full article.

To understand patient health priorities, ask: "What matters to you?" Health coaches can help patients make strides with conditions such as hypertension or type 2 diabetes. Here is how asking, “What matters to you?” will help improve patient care. Through health coaching, a team-based approach, physicians and their teams can help patients become active participants in their care. One health care collaborative has incorporated health coaching that goes beyond just asking “what’s the matter?” Read the full article.

February is American Heart Month. As a federally designated event, is an ideal time to remind Americans to focus on their hearts and encourage them to get their families, friends and communities involved. Chances are, we all know someone affected by heart disease and stroke, because about 2,300 Americans die of cardiovascular disease each day, an average of 1 death every 38 seconds. But together we can change that! Read the full article.

Want to know what tips and tricks your fellow nurses use to get and stay asleep? New to the night shift or facing a small bout of insomnia? There are lots of ideas in the Healthy Nurse, Healthy Nation community! Get ideas and get to sleep! Read the full article.

FREE CNE  - "Special In-Brief Sessions: Telehealth Quality, Performance, and Trending Data; The Continuing Evolution of Telehealth Nursing." Discuss how contact center medical and operations leadership must realize new efficiencies in nurse workflows using data generated by our clinical interactions to inform the business, given the call volume and professional staffing required to provide safe and efficient quality nursing services. 2.00 CH, from the AAACN 42nd Annual Conference 2017. Free for AAACN members until Feb. 28, 2018. Available in the AAACN Online Library.

January: FREE CNE! * Vaccinations in College * Common Cold and Flu Prevention * The Opioid Crisis * Real-Time Vital Signs Documentation * 5.4 FREE CE! * Preventing the Flu from the CDC

Take Action to Prevent the Flu: Everything you need to know about the flu illness, including symptoms, treatment and prevention. (From the Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases [NCIRD]). Read the full article.

BONUS! - AAACN IS pleased to offer you 5.4 free contact hours from 5 different sessions captured at a variety of specialty nursing associations' meetings! Because AAACN shares its headquarters with several other specialty nursing associations, they all decided to team up to give you a little something extra as a thank you for your AAACN membership. Check out these sessions, and enjoy the excellent education and free CNE! Find out about it!

Improving real-time vital signs documentation: Assessing and documenting vital signs are essential tasks routinely performed by nurses and unlicensed assistive personnel (UAP). The information gathered is useful in identifying a patient's overall health status and physiologic signs of deterioration, and can lead to early recognition and treatment of serious conditions such as sepsis. This quality improvement project set out to increase real-time collection and documentation of vital signs data by using interfaced mobile vital signs machines. Did it succeed? Read the full article.

The Nursing Community Coalition (NCC) hosted a briefing on the opioid crisis that is taking a toll on the health, wellness, and lives of Americans and their families. The briefing titled The Opioids Crisis: Nursing Practices That Save Lives featured four nursing experts who each offered a different perspective on how the profession is on the front lines of saving patients impacted by opioid addiction. Read the full article.

Common Cold and Flu Prevention: Tips to Keep You Healthy: Coughs and sneezes spread diseases—especially when it comes to common colds and flu! But getting sick is not inevitable; here's how you can reduce your risk of getting sick this winter. Before you come down with that days-long virus, take the cold and flu prevention measures outlined. Read the full article.

Staying Updated on Vaccinations in College - The Center for School, College, and Career Resources (CSCCR) has launched a new campaign on the importance of vaccinations in college. They say students in dorm-like conditions are particularly at risk of contracting meningitis, hepatitis B, and the flu. CSCCR recommends the new resource, Staying Updated on Vaccinations on Campus, a guidebook that offers a detailed list of recommended college vaccinations, where to get them, potential exemptions, and critical tips from medical experts. View the guide.

FREE CNE  - "Proactive Health: A Technology-Enabled Approach to Care in Primary Care." After completing this learning activity, the learner will understand the importance of team-based care and discover some best practices. 0.81 CH, from the AAACN 42nd Annual Conference 2017. Free for AAACN members until Jan 01, 2018. Available in the AAACN Online Library.


December: FREE CNE! * A Day in the Life of a Clinical Nurse Leader * Targeting High BP * Hippocratic Oath

(From AMA Wire) Global physician ethics pledge gets biggest makeover in decades - Physician leaders have given the international modern-day Hippocratic Oath the most substantial update that it has seen in nearly 70 years, with revisions reflecting changes in the relationship between patients and physicians, and changes in interactions between physicians and their colleagues. Read the full article.

(From AMA Wire) A recent article in The Journal of Clinical Hypertension provides a framework to optimize accurate blood-pressure readings and boost patient adherence to treatment. It should help physicians enhance management of hypertension, which is defined as a consistent blood pressure reading of 140/90 mm Hg or higher... The foundation for the paper is the recognition that primary care physicians cannot do it all. They need to work more effectively with medical assistants, nurses and other members of practice team. Read the full article.

A Day in the Life of a Clinical Nurse Leader - A clinical nurse leader (CNL) needs to be equipped for complex practice across the continuum of care. Find out what a typical day in the CNL role is like. Read the full article.

FREE CNE - "Partnering with the State Board of Nursing and Redesigning Roles for Nurses in the Ambulatory Clinics." Discuss the opportunity ambulatory clinic nurses have to play a central role in transforming the health care system to create a more accessible, high-quality, and value-drive environment for patients by rethinking and redefining the constraints of existing policies and regulations, including those related to scope of practice. Free for AAACN members until Dec. 31, 2017. Available in the AAACN Online Library.

November: FREE CNE! * Authentic Caring * Learning from Inmates * Schools of Nursing * Nursing on Thanksgiving * The Important Role of Ambulatory Care Nurses

SPECIAL - The Important Role of Ambulatory Care Nurses: In a recent opinion piece published in The Hill, AAACN member Rachel Start advocates that nurses are key to connecting the dots in health care and notes how important it is to engage and empower nurses in the community and ambulatory settings to meet patients where they are. She highlights AAACN's work in supporting nurses in ambulatory settings, including the RN Role Position Statement and the NSI Report. Read the full article.

Nursing on Thanksgiving: a Different Kind of Blessing - Disease does not take a holiday off – not even Thanksgiving. Nurses work on Thanksgiving and must take steps to manage working on holidays. Few people choose to work on Thanksgiving Day. But remember, even fewer people would actually choose to be a patient on a holiday. With that thought in mind, recall a career in the nursing field involves not only skills and knowledge, but caring and understanding attitudes as well. Read the full article.

Creating a Fair and Just Culture in Schools of Nursing - The quality and safety of patient care depends not only on what happens in clinical settings, but also on what happens in academic settings. How and what students learn—and how nursing faculty and their clinician partners approach teaching—matters. Read the full article.

What Student Nurses Can Learn from Inmates - Nursing students who spent their community rotation in a maximum security prison began to appreciate the complex life-experiences that impact the health of the individuals they serve. Read the full article.

Authentic caring: Rediscover the essence of nursing - A myth exists in today's healthcare landscape that all forms of caring are equal. But authentic caring provides deeper meaning for both patients and nurses. It has a reciprocal nature; both the patient and nurse benefit. Authentic caring moments can significantly impact patients' lives and renew nurses' commitment to their work 1,2. (see reference in article) For patients experiencing a health crisis or event, this level of connection with a nurse can create a lasting sense of well-being and healing. Read the full article.

FREE CNE - "Telephone Nursing - Seeing with Your Ears." Examine a qualitative study done to answer how nurses provide nursing care via telephone and engage patients during a short time frame. 1.00 CH, from the AAACN 42nd Annual Conference 2017. Free for AAACN members until Nov. 30, 2017. Available in the AAACN Online Library.

October: FREE CNE! * Legal and Ethical Consequences of Social Media * What's One of America's Most Dangerous Jobs? * Hurricane Health Effects * Opioid Initiative

Supporting HHS’s Opioid Initiative - Deaths from drug overdoses have risen steadily over the past two decades and have become the leading cause of injury death in the United States. Prescription drugs, especially opioids, have been increasingly implicated in drug overdose deaths over the last decade. In response to recent increases in opioid-related morbidity and mortality, the U.S. Department of Health and Human Services (HHS) has made addressing the opioid abuse problem a high priority. HHS is focused on implementing evidence-based approaches to reduce opioid overdoses and overdose-related mortality and the prevalence of opioid use disorder. Read the full article.

Hurricane health effects will not blow over quickly and make lasting impact on public health. While preservation of life was the focus during the storms and soon after, when each storm passes focus turns to cleanup, assessing damage and rebuilding, all of which can take weeks, months, even years. Read the full article by Sallie Jimenez on

What’s one of America’s most dangerous jobs? It’s not what you think. Nurse Elise Wilson was stabbed multiple times in July by a patient unhappy with his medical care. The Massachusetts legislation seeking better protections for nurses is named after her. They are routinely yelled at, spat at, pummeled, kicked, scratched and even stabbed by the people they’re trying to save. In many states, being a nurse is more dangerous than being a police officer or a prison guard. It’s a profession with a stunning amount of violence. Read the full article.

Lessons Learned from Litigation: Legal and Ethical Consequences of Social Media. The American Journal of Nursing's legal and ethical contributing editors offer insight on the issues raised by a case in which a Canadian nurse's Facebook post complaining about a family member's medical care resulted in disciplinary action by the licensing board. Misunderstandings regarding the constitutional protection of free speech can lead to legal problems. Don't miss this interview with the authors. Read the full article.

FREE CNE - "Nurse-Led Patient-Centered Advance Care Planning in a Primary Care Setting." Discuss the use of primary care nurses as a promising advance care planning (ACP) engagement approach, as ACP continues to be a growing national imperative, yet participation rates in ongoing conversations between patients and health care providers are low. From the AAACN 42nd Annual Conference 2017. Free for AAACN members until Oct. 31, 2017. Available in the AAACN Online Library.

September: FREE CNE! * Nurses and Hurricane Harvey * Challenges & Joys of Nursing * Personal Connected Health * Sepsis Awareness Month * Empowering Nurses

Improving Patient Wellness by Empowering Nurses - Nurses are our front line of patient care, so leading hospitals are providing them with the tools to speak up and effect real change. Health care is growing increasingly complex. Everyone from hospitals and insurance companies to health care providers are looking for ways to improve the process and, more importantly, outcomes for patients and their families. Leading-edge hospitals know the most direct route to enhancing patient outcomes is to invest in those closest to the patients — nurses. Read the full article.

September is Sepsis Awareness Month - Watch a video from the CDC: "Four Ways to Get Ahead of Sepsis," and access fact sheets, videos, and many more resources to help prevent and prepare for Sepsis. View resources from the CDC.

Positive News for the Future of Personal Connected Health - Studies show that technology can help everyday Americans engage more actively with their personal health and wellness. The alarming growth of diabetes and obesity and a rapidly aging population are fueling the demand for personal connected health technologies that facilitate health-related interactions between individuals and their health care providers and/or caregivers. Read the full article.

Challenges & Joys of Nursing - Four panelists weigh in on their profession, from their call to service to the major moments of their careers. “Becoming a nurse is not just a career choice; it is a life choice. You will need to stay informed of current research, provide direct care to patients and be involved in policy change to create a better health care system.” Read the full article.

From - Nurses and physicians in the National Guard are being called to help with Hurricane Harvey relief efforts, while other nurses make their way to Texas. “It is imperative that we do everything possible to protect the lives and safety of people across the state of Texas as we continue to face the aftermath of this storm,” Gov. Greg Abbott, R-Texas said in a article. Read the full article.

FREE CNE - "Use of the Project ECHO Model to Support Frontline Nurses in Complex Care Management in a Multi-Site Federally Qualified Health Center: HRSA-Funded Project." Discuss how Community Health Center, Inc. (CHCI), a multi-site, federally qualified health center in Connecticut, has translated the Project ECHO model to provide primary care nurses with ongoing support as they build their capacity to manage complex patients. From the AAACN 42nd Annual Conference 2017. Total Credits: 1.00 CNE. Free for AAACN members until Aug. 31, 2017. Available in the AAACN Online Library.

August: FREE CNE! * Evidence-Based Telehealth Expansion Act * Improving Diagnostic Safety * E-Cig Use * Encouraging New Nurse Authorship

Encouraging New Nurse Authorship - I've been a nurse for more than 20 years and have worked with some truly gifted professionals. I regularly see seasoned nurses use their clinical knowledge to save rapidly deteriorating patients, their communication skills to deescalate a volatile situation, and their compassion to help ease the agony of loss. Heavey, Elizabeth PhD, RN, CNMNursing: August 2017 - Volume 47 - Issue 8 - p 37–39doi: 10.1097/01.NURSE.0000521025.92390.c6. Feature: NEW HORIZONS. Read the full article.

E-Cigarette Use Linked with Future Cigarette Smoking. From JAMA Pediatr. 2017;171(8):788-797. doi:10.1001/jamapediatrics.2017.1488 - Findings from a systematic review and meta-analysis of nine longitudinal studies indicate that e-cigarette use is an independent risk factor for subsequent cigarette smoking initiation in adolescents and young adults. Read the full article.

Improving Diagnostic Safety - Diagnostic error is a significant and under-recognized threat to patient safety. AHRQ is funding research to better understand how these errors happen and what can be done to prevent them. According to the AHRQ-sponsored report, Improving Diagnosis in Health Care Link to Exit Disclaimer, published by the Institute of Medicine (IOM) in 2015, most patients will experience at least one diagnostic error in their lifetime. These errors occur in all settings of care, contribute to about 10 percent of patient deaths, and are the primary reason for medical liability claims. Read the full article.

Two Representatives introduce bipartisan Evidence-Based Telehealth Expansion Act. Reps. Doris Matsui, D-Calif., and Bill Johnson, R-Ohio, introduced a bill that would help Medicare providers expand telehealth services. The bill would allow the HHS secretary to review Medicare services and determine which are appropriate for telehealth. It would also authorize the HHS secretary to waive existing restrictions on those services if they reduce cost while maintaining or improving quality. Read the full article.

FREE CNE - "Use of the Parihs Framework and Clinical Microsystem Teams to Implement Primary Care Nurse Coordination across a 12-Site Federally Qualified Health Center and Patient-Centered Medical Home." Address engagement challenges for nurses working in telephone triage, both in centralized call centers and primary practice settings, with a primary focus on the leadership support of staff and patients. From the AAACN 42nd Annual Conference 2017. Total Credits: 1.00 CNE. Free for AAACN members until Aug. 31, 2017. Available in the AAACN Online Library.

July: FREE CNE! * Lonely Seniors * Empowering Nurses * REAL ID Act * Looking Professional at your Healthcare Interview * Yum Factor: Watermelon

Is Watermelon Good for You? There's promising news for your blood pressure in terms of health benefits, it has a lot going for it. It’s sweet and tastes like a treat, but it’s also low in calories, high in fiber, hydrating, and rich in nutrients. And watermelon may even help to lower your blood pressure, too. Read the full article about this refreshing, summer favorite!

(From the AAACN Career Center): Avoid these four mistakes that may ruin your job search process. By this point, you know not to apply to any jobs with an email address that screams, “I created this in the eighth grade!” So, you’re no longer myfirstemailaddy(at) as far as your prospective employers are concerned. You also know not to show up late for the interview. And you have a firm grasp on the importance of making eye contact and delivering a solid handshake. But did you know that there are several other things that could negatively impact the impression you make on a hiring manager? Read the full article.

Are you planning to attend the 2018 Annual Conference, or fly anywhere in 2018? Beginning Jan. 22, 2018, travelers from nine states will no longer be able to travel with only their driver’s licenses - even domestic flights. The Department of Homeland Security (DHS) announced on December 20, 2013 a phased enforcement plan for the REAL ID Act (the Act), as passed by Congress, that will implement the Act in a measured, fair, and responsible way. Read about this important security measure - the REAL ID Act - at the Department of Homeland Security Website.

Improving Patient Wellness by Empowering Nurses - Patient Safety Nurses are our front line of patient care, so leading hospitals are providing them with the tools to speak up and effect real change. Health care is growing increasingly complex. Everyone from hospitals and insurance companies to health care providers are looking for ways to improve the process and, more importantly, outcomes for patients and their families. Read the full article.

Keeping Lonely Seniors Company Can Help Keep Them Healthy- Research shows older adults who feel lonely are at greater risk of memory loss, strokes, heart disease and high blood pressure. The health threat is similar to that of smoking 15 cigarettes a day, according to AARP. Researchers say that loneliness and isolation are linked to physical inactivity and poor sleep, as well as high blood pressure and poor immune functioning. Read the full article.

FREE CNE - "Use of the Parihs Framework and Clinical Microsystem Teams to Implement Primary Care Nurse Coordination across a 12-Site Federally Qualified Health Center and Patient-Centered Medical Home." Hear what happened when care coordination was implemented across 12 sites of a federally qualified health center and patient-centered medical home over 15 months in a model where primary care nurses coordinate the care of their own patients. From the AAACN 41st Annual Conference 2016. Total Credits: 1.00 CNE. Free for AAACN members until July 31, 2017. Free for AAACN members until July 31, 2017. Available in the AAACN Online Library.

June: FREE CNE * Resume Turnoffs for Nurses * Working 28-Hour Shifts? * Falsification in Nursing * Tele-ICUs Help Nurses Care for Patients from Afar

Tele-ICUs Help Nurses Care for Patients from Afar - Telemedicine is here to stay. According to an article published in the American Journal of Critical Care (AJCC) earlier this year, telemedicine is changing the way patient care is provided in a growing number of intensive care units across the country.  The article notes that “the U.S. has approximately 45 tele-ICUs with monitoring capacity for more than 6,000 patients at more than 200 hospitals, impacting care for an estimated 12 percent of ICU patients in the country.” Read the full article.

Falsification in nursing - There’s no shortage of penalties for falsification. When anyone falsifies information about themselves, it is a serious matter, as it is obviously misleading, deceptive and reflects on your trustworthiness. But it is extremely serious when a nurse does this. Read the full article.

(From the AAACN Career Center): Medical Residents Can Now Work 28-Hour Shifts - But Is it a Good Thing? On March 10, 2017, the Accreditation Council for Graduate Medical Education (ACGME) Board approved a requirement that will allow first-year medical resident interns to work up to 28-hour shifts. Each intern can work a 24-hour shift, then they're granted a four-hour period to inform other doctors and residents about their patients' status. The approved changes will go into effect July 1 in order to align with the 2017–2018 academic school year in teaching hospitals. Read the article.

(From the AAACN Career Center): 5 Biggest Resume Turnoffs for Nurses - The typical hiring manager spends only 10 to 20 seconds reviewing each nurse’s resume, and that means that first impressions count. A LOT. To keep your resume from landing in the reject pile, avoid these five resume mistakes that turn healthcare employers off. Read the article.

FREE CNE - "Forming High-Quality Medical Teams in Ambulatory Settings: MetroHealth's Lessons Learned with TeamSTEPPS." Discuss the key elements required to successfully implement TeamSTEPPS in an ambulatory care setting and form high-quality medical teams. From the AAACN 41st Annual Conference 2016. Total Credits: 1.00 CNE. Free for AAACN members until June 30, 2017. Available in the AAACN Online Library.

May: FREE CNE * SuperTracker * Skin Care and Aging * Value of CCCTM Certification - Investing in Our Nurses * Positive Impact of Ambulatory Care Nurses

Nursing Leader Describes Positive Impact of Ambulatory Care Nurses - The increasingly vital role of ambulatory care nurses in health care today is the focus of this interview with Rachel E. Start, MSN, RN, Director of Ambulatory Care Nursing at Rush Oak Park Hospital. Ms. Start, who co-led AAACN's initiative on developing the landmark AAACN Ambulatory Care Nurse-Sensitive Indicator Industry Report. This interview describes how nurses are leading the shift in health care today toward promoting health, preventing disease, and coordinating care. Watch the interview.

An article by Diana Harmon, MSN, MHA, RN, CCCTM, Chairperson, Certified in Care Coordination and Transition Management (CCCTM™) Test Development and Item Writers committees, Medical-Surgical Nursing Certification Board (MSNCB), has been included in a USA Today supplement, Investing in Our Nurses, published by MediaPlanet. The supplement was distributed nationally May 12 to coincide with National Nurses Week.

Diana’s article is entitled “A New and Important Certification for Those Called to Serve,” and is expected to be read online by an estimated 3+ million readers. This article describes how patients are falling through the cracks in today’s health care system due to the lack of coordinated care, and how RNs are uniquely qualified to provide this crucial service. Diana also outlines the value of CCCTM certification for nurses, patients, facilities, and the entire U.S. health care system. Read the article.

Skin Care and Aging - Skin changes with age. It becomes thinner, loses fat, and no longer looks as plump and smooth as it once did. Veins and bones can be seen more easily. Scratches, cuts, or bumps can take longer to heal. Years of sun tanning and lengthy sunlight exposure may lead to wrinkles, dryness, age spots, and even cancer. But there are ways to protect skin and to make it feel and look better. The National Institute on Aging’s Skin Care and Aging fact sheet has practical information about skin topics such as dry skin, itching, wrinkles, age spots, and more. View the the fact sheet.

From the USDA, SuperTracker is a free, online food, physical activity, and weight tracking tool. Individuals can use SuperTracker on their desktop, phone, or tablet to create a personalized plan and see how their choices stack up. Plus, users can get tips and support as they work toward their goals. This is a great tool to recommend to patients! Get started!

FREE CNE - "Nursing in Teleneurology and Telepsychiatry." Learn about Specialists on Call (SOC), a Joint Commission-accredited provider of emergency telemedicine consultations dedicated to solving the national specialty-physician shortage. From the AAACN 41st Annual Conference 2016. Total Credits: 1.25 CNE. Free for AAACN members until May 31, 2017. Available in the AAACN Online Library.

April: FREE CNE * Dehydration Headache * Holistic Stress Management for Nurses * Obesity & Disability in Older Adults * Phenomenal Supporting Nurses

Juliana Ejedoghaobi was born with sickle cell disease, a condition in which the body’s red blood cells are sickle shaped. It slows or blocks blood flow to parts of the body, causing intense pain called “crisis.” Hear Juliana’s story about how her nurses played a big supporting and influential role during her time in the clinical trial. View the inspirational video from the NIH.

The prevalence of obesity and disability in older adults has significant public health implications. This case review discusses the benefits and risks of weight loss in older adults and outlines treatment options available to Medicare beneficiaries. The importance of preserving lean muscle mass in weight management is emphasized. Read the full article.

Holistic Stress Management for Nurses, from the American Holistic Nurses Association. Use this portal for questions and answers about the causes of stress, the effects of stress and stress management for students and nursing professionals. You can also access helpful stress reduction exercises* (see note at website) and stress relief articles. View the website.

Dehydration Headache: Know the Causes, Signs, and Treatments How does a dehydration headache develop? Dehydration reduces your blood volume, and this, in turn, affects that amount of oxygen-rich blood flowing to the brain. Whatever the mechanisms that might underpin dehydration headaches, there is scientific evidence that can help reassure you that you aren’t imagining them. Help your patients recognize the signs. Read the full article.

FREE CNE - "How Did They Do That? Transforming Primary Care Utilizing a PCMH Model of Care." From the AAACN 41st Annual Conference 2016. Total Credits: 1.25 CH. Speaker: Julia Ann Norem, MS, RN. Free for AAACN members until April 30, 2017. Available in the AAACN Online Library.

March: FREE CNE * Examining Errors of Omission * MS Awareness Month * Retention of Older Nurses * Improve Your Bedside Manner

(From the AAACN Career Center) How to Improve Your Bedside Manner in 3 Easy Steps. Something we discuss and practice in nursing school. Yet, something I am not so sure we all have time for given the fast-paced nature of healthcare. We do not always have time to linger in the patient’s room, holding their hand and talking to them at great length. And before you come through the computer, giving me heck for the title of this post, take a second to read through the content. Maybe you know a colleague that could use these tips… just saying. Read the full article.

Retention of older nurses is preservation of human capital, knowledge, and expertise. It is not enough to increase the age at which nurses can retire. Organizational leaders must consider strategies to retain nurses by enhancing job satisfaction and providing physical accommodations. Creating a positive work environment that empowers older nurses to feel a sense of belonging and purpose is vital. The numbers say it all; 53% of working nurses are over age 50, while 72% of full-time nursing faculty are age 50 and over. We must work hard for those who have worked so long for us. To learn more, see Middaugh (2016) - Valuing our senior nurses. MEDSURG Nursing, 25(6), 433-434. (Note, this is a paid article to view).

MS Awareness Month is Here! Let’s inspire each other by sharing breakthroughs that will change the world for people with MS! What is MS? Multiple sclerosis is an unpredictable, often disabling disease of the central nervous system. Symptoms range from numbness and tingling to blindness and paralysis. The progress, severity, and specific symptoms of MS in any one person cannot yet be predicted, but advances in research and treatment are moving us closer to a world free of MS. Read more about MS.

A (CNE) article from MEDSURG Nursing Journal: Improving Nursing Care: Examining Errors of Omission. This cross-sectional study examined missed care in a Central New York community using the MISSCARE Survey. This study replicates a midwestern study to determine results in other parts of the United States. Read the full article.

FREE CNE - "Quest for the Best - Interprofessional Evidence-Based Practice Council" From the AAACN 41st Annual Conference 2016. Total Credits: 1.25 CH. Speaker: Renata Aniela Jones, DNPc, RN. Free for AAACN members until March 31, 2017. Available in the AAACN Online Library.

February: FREE CNE * Patient Stories * Nurse Residencies * Leadership Experience

(From the AAACN Career Center) - 4 Reasons to Highlight Leadership Experience on Your Medical Resume - Leadership experience is a plus in nearly all careers — especially if your goal is promotion up the ranks. But many people underestimate just how important leadership experience is in the medical field. In fact, it's downright vital! Here are 4 reasons you should always list leadership experience on your resume when applying for a healthcare job. Read the full article.

Nurse residencies: A new frontier - While nurse residency programs increasingly are becoming the norm in hospitals throughout the country, the pioneers of the first program had no idea they had tapped into a need that would soon be elevated to national attention. Read the full article.

Nurse's team writes patient stories into the EHR system. At UCLA Health, the electronic health records system has all the bells and whistles it needs to be the useful tool and care diary it’s intended to be, with one major bonus: the patient story is in the spotlight, in large part due to the ingenuity of RN Ellen Pollack and her team. Read the full article.

FREE CNE - "Quality Metrics Measured for Telehealth Practice" session, from the AAACN 41st Annual Conference 2016. Free for AAACN members until February 28, 2017. Available in the AAACN Online Library.

January: Life Balance as a Nurse * Partnering with Nurses to Transform Primary Care * Beating Nurse Burnout! * Travel Nursing

(From the AAACN Career Center) Everything you Need to Know about Travel Nursing - Looking for a little more flexibility in your work schedule? Want to explore opportunities in other cities? Or maybe you're just hoping to pick up an extra shift here and there? Read on to learn everything you need to know about travel nursing. Your salary as a travel nurse would be much higher than you’d get at a permanent position because you are filling a much needed slot – many can earn six figures. Read the full article.

(From the AAACN Career Center) Nursing is an interesting profession. One day you leave work, feeling on top of the world, happy to have helped so many people in a shift. The next you find yourself crying on your way home, sick over things that have saddened or irritated you during the day. I would go as far to say that some nurses have a love-hate relationship with nursing. What can nurses do to beat burnout, enjoy being a nurse again and reconnect with their passion for the nursing profession? Tap into the nurse within! Read the full article.   

Nurses Rank # 1 for Ethics & Honesty. According to the annual Gallup honesty / ethics poll, nurses rated highest - again - among professions for 15th straight year. Nurses top the list with 84% of the public rating their standards as "high" or "very high...". Read the full article.

Partnering With Nurses to Transform Primary Care - This JAMA article reinforces that registered nurses are key to transforming primary care practice, which will require visionary and vocal leadership from leaders of nursing and medical schools, primary care practices, health care organizations, and policy makers. Read the full article.

(From the AAACN Career Center) Taking Work Home With You? Tips For Work / Life Balance As A Nurse - If you’re a nurse like me, you may feel that you’re always "on." It’s hard to separate our nursing from non-nursing lives. As a nurse, I’m sure you can agree—it can be very tricky to have a personal life! First off—let me put you at ease. This is perfectly normal; you are not alone. It’s typical to think about work from time to time. But when it takes over your entire personal life, then it’s time for some help. Follow these three tips to help separate your professional work from your personal life. Read the full article.

FREE CNE - "The Nurse Leader's Role in Care Coordination and Transition Management (CCTM)," from the AAACN 41st Annual Conference 2016. Free for AAACN members until January 31, 2017. Available in the AAACN Online Library.


December: FREE Holiday Bonus CNE - Dec 1-Dec. 31, 2016 * Approval of CA's Regulations * Good Interpersonal Skills * Tips for New Graduate Nurses * Nurse Educators - Take Care of Yourself!

Ethically speaking columnist provides a scenario that describes why it's so important nurse educators take time for themselves. Provision 5 of the ANA Code of Ethics for Nurses (2015) makes clear that the nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth (p. 19). Read the full article.

Interview Tips For New Graduate Nurses - If you’re preparing to enter the nursing workforce, you’ve chosen an excellent time. According to employment projections by the Bureau of Labor Statistics, registered nurse tops the list of occupations with excellent job growth potential through 2020. In fact, they expect the number of nurses employed in the U.S. to increase by 26 percent, or about 712,000 positions, over the next eight years. The healthcare industry will need to replace 495,000 retiring nurses during that time as well, bringing the total of new nurses needed to 1.2 million. Read the full article.

How practicing good interpersonal skills aids patient outcomes - Because the very nature of perioperative nursing is complex and demanding, misconduct resulting from poor interpersonal relationships and poor communication skills can result in adverse outcomes for the surgical patient. Continuity of care is essential and poor communication or poor interpersonal relationships can clearly add to such adverse outcomes. Read the full article.

Approval of CA's Regulations - The California Occupational Safety and Health Standards Board (OSHSB) voted unanimously to approve nation-leading regulations to prevent workplace violence in healthcare settings—implemented as a result of 2014 legislation, SB 1299, sponsored by the California Nurses Association/National Nurses United (CNA/NNU) and carried by California Secretary of State, and former State Senator, Alex Padilla on behalf of CNA. “This is a landmark day for the entire country, as California has now set the bar with the strongest workplace violence regulation in the nation,” said Bonnie Castillo, RN, director of health and safety for CNA/NNU. Read the full article.

FREE CNE - "Implementation of a Primary Care-Based Centralized RN Telephone Triage Service," from the AAACN 41st Annual Conference 2016. Free for AAACN members until December 31, 2016. Available in the AAACN Online Library.

November: FREE CNE - Nov 1-Dec. 31, 2016 * CCCTM Credential Marks 1st Birthday! * #Fitnursefriday5K * Nursing Bills Pass the House * Engaging Millennials

Engaging millennials: Leaders work on retaining younger generation of nurses. Nurse leaders are re-evaluating their approach to retaining nurse millennials, taking into account their abilities and leadership skills. Read the full article.

The U.S. House of Representatives passed two nursing-related supported bills that aim to bolster the nursing workforce and improve the health of the nation—the Title VIII Nursing Workforce Reauthorization Act (H.R. 2713) and the Improving Access to Maternity Care Act (H.R. 1209). The passage of this legislation marks a longstanding commitment from champions in the House, namely Representative Lois Capps, RN (D-CA) and Representative David Joyce (R-OH), who introduced H.R. 2713, as well as Representatives Michael Burgess (R-NC), Tammy Duckworth (D-IL), and Capps, who introduced H.R. 1209.

In 2017, ANA's yearly theme will be devoted to improving the health of nurses and they will be launching the Healthy Nurse, Healthy Nation™ Grand Challenge. ANA is committed to helping nurses live their healthiest lives with its first annual #Fitnursefriday5K. #Fitnursefriday5K is a virtual social media event that is designed to encourage nurses to participate in local 5Ks. So whether you jog, run, or walk, take steps toward better health for you and your patients. Learn more and sign up today.

The Medical-Surgical Nursing Certification Board (MSNCB) is celebrating the 1-year birthday of the Certified in Care Coordination and Transition Management (CCCTM™) credential. The CCCTM credential is the first of its kind for registered nurses. It was launched in 2015 in collaboration with the American Academy of Ambulatory Care Nursing (AAACN).

FREE CNE - "Implementation of a Primary Care-Based Centralized RN Telephone Triage Service," from the AAACN 41st Annual Conference 2016. Free for AAACN members until December 31, 2016. Available in the AAACN Online Library.

October: Future of Nursing: Campaign for Action * Tools for Starting Out Your Nursing Career * Telehealth Nursing Practice * Many Health Care Workers Not Getting Flu Vaccine * Care Transitions at the End of Life

Care transitions at the end of life, by Kirsten Drake. Providing the best possible quality of life for dying patients certainly isn't isolated to any one area of nursing. From Wolters Kluwer's Nursing Management, is a review how nurses and nurse leaders in multiple settings can influence patients' and their families' end-of-life care transitions. Read the full article.

CDC: Too Many Health Care Workers Not Getting Flu Vaccine - The Advisory Committee on Immunization Practices recommends annual influenza vaccination for all health care personnel to reduce influenza-related morbidity and mortality in health care settings. For the 2014–15 influenza season, the estimated overall influenza vaccination coverage among health care personnel was 77.3%. Read the full article.

AAACN member and past president Traci Haynes, MSN, RN, BA, CEN, wrote the feature article "Telehealth Nursing Practice" in the October issue of AnswerStat. Health advice has been telephonically dispensed since the advent of the telephone. An often-told story identifies the first telehealth interaction occurring when Alexander Graham Bell placed a call to Mr. Watson, his assistant, requesting Watson to come help him with an injury to his hand. Today, in our ever-changing healthcare environment coupled with... Read the full article.

If you're just starting out in your nursing career, you may be wondering what you need in the way of "office" supplies. Here's a list of four things no new nurse should be without. Start with these items, and once you've spent a week or two on the job, you can add items that are specific to your workplace and area of specialty. Read the full article located in the AAACN Career Center!  | Look for jobs in the AAACN Career Center.

Stephanie Witwer, PhD, RN, NEA-BC, has been selected to serve as the AAACN representative on the Center to Champion Nursing in America Champion Nursing Council, an advisory group for the Future of Nursing: Campaign for Action. Stephanie is currently Nurse Administrator, Primary Care Division in the Department of Nursing at the Mayo Clinic in Rochester, Minnesota. She has been a member of AAACN for more than five years, and has served on the Role of the RN Position Paper Task Force, the CCTM Core Task Force, and the Future of Nursing: Campaign for Action. Read about the Champion Nursing Council.

September: Complementary Health Approaches * Free Sepsis Webinar * Electronic Health Records * VA Nurses

As a nurse working at a Veterans Health Administration (VA) facility, recent negative headlines about the VA me cringe. I find myself hesitating when someone asks me, “Where do you work?” I suspect I am not the only VA nurse who feels this way. Unfortunately, positive news about the VA healthcare system seems not to make the headlines. For example, at a 2012 “Patient-Centeredness in Policy and Practice” conference, the VA was identified as a model for patientcentered care.

This was attributed to the VA’s “collection of specialty and primary care providers, collaborative care models involving teams of multidisciplinary clinicians and support staff, available electronic decision support, and care coordinators” (Koehn, 2012, p. 443). Read the full article at MEDSURG Nursing, July-August 2016, Vol. 25/No. 4.

Nurses and the Migration to Electronic Health Records - Are you still charting on paper? If so, those days are drawing to a close. In many settings, the clock has been ticking for providers to switch to electronic health records (EHRs). Most U.S. hospitals are now using some form of EHR system, as are a smaller majority of physicians' offices. Most nurses reading this article probably chart electronically some or all of the time. Read the full article.

September is Sepsis Awareness Month. Join ANA and CDC in the webinar: Empowering Nurses for Early Sepsis Recognition on Thursday, September 22, at 2 PM EDT. Sepsis is a complication caused by the body’s overwhelming and life-threatening response to infection, which can lead to tissue damage, organ failure, and death. Sepsis can happen to anyone and is difficult to predict, diagnose, and treat. Register for the free webinar | Visit the CDC for more resources on sepsis.

NIH review finds nondrug approaches effective for treatment of common pain conditions. This U.S. study reviews trial results on complementary health approaches for pain relief; aims to assist with pain management. Data from a review of U.S.-based clinical trials published today in Mayo Clinic Proceedings suggest that some of the most popular complementary health approaches — such as yoga, tai chi, and acupuncture — appear to be effective tools for helping to manage common pain conditions. Read more about this report and find related graphics.

August: RN Networking * Nurses ROCK in Hand Hygiene Compliance * Paws for Pennsy * Breast Cancer Fact Sheet

Breast cancer is the second most common cancer in women, after skin cancer. Know the facts about your personal risk for developing breast cancer. Download this informational breast cancer facts sheet.

Nurses use creative measures to relieve stress with "Paws for Pennsy". This first-time event, which featured five pets from a nearby animal shelter, was sponsored by the hospital’s Care for the Care Provider group... “We had overwhelming response, ... about 200 staff turned up during the three-hour event, and we heard a lot of conversations from staff all over the hospital. People haven’t stopped talking about it.” Read the full article.

Nurses - The closest thing to a silver bullet in boosting hand hygiene compliance! If there is one group of clinicians that is particularly pivotal to the success of any quality improvement initiatives - including though regarding hand hygiene compliance - it's the nurses who work on the front lines of patient care. Read the full article.

RN Networking - Use social media, conferences and daily workplace interactions to connect and enrich your career. Networking is a buzzword that we tire of hearing, but it’s really just about building professional connections with others. When you’re in need of advice, support or a recommendation, knowing someone who can help is essential. You can also be of service to others at pivotal times in their careers. Read the full article from

July: Nursing Specialty Certifications * Whole Grains = Healthy Eating * CDC Ebola Report * Nursing Tips

Your everyday practice is filled with assessments, documentation, planning, interventions, and evaluations. Then there’s patient and family education, medication reconciliation, communication with other healthcare professionals, and transferring and discharging patients. The clinical team at Lippincott has assembled this list: "Nursing Tips - Better Resources for Better Care," of nursing tips to help make your days run a little smoother, improve your practice, and optimize patient care.

The Centers for Disease Control and Prevention (CDC) released a detailed account of the agency’s work on the largest, longest outbreak response in the agency’s history: the Ebola epidemic of 2014-2016. The series of articles, in a special supplement to CDC’s Morbidity and Mortality Weekly Report (MMWR), comes on the second anniversary of the official activation of the agency’s emergency response to Ebola. Read the report.

Advocating healthy eating is very important to your patients. Whole grains are especially important in our diet. From the USDA Center for Nutrition is a list of how to make half of the grains you eat whole. Download this colorful display sheet to display, or even give to your patients.

The Power of Nursing Specialty Certifications - 97 percent of nurses say it boosts confidence! You know you’re good at what you do, so why invest the time, angst and money involved in pursuing specialty certification? It’s a good question, but if you understand some of the potential benefits of certification, you may find yourself signing up before you know it. Read the article. From AAACN, find out about the Certified in Care Coordination and Transition Management (CCCTM) credential.

June: Managing Depression * Stay Motivated During Long Shifts * Patient Experiences * Youth Risk Behavior Survey

The CDC released 2015 Youth Risk Behavior Survey (YRBS) results with new data on health risk behaviors among high school students. Unhealthy behaviors, or risk behaviors, are often established during childhood and persist into adult­hood. However, they are largely preventable. Learn more about working with teen patients to help them establish healthy behaviors.

Question - "Our patient experience metrics fall short of the 50th percentile. What's the most important thing we can do to raise our scores?" The first and hardest thing to realize is that it isn't just about the numbers. This is really about improving patient and family experiences while they're guests at your organization. Find out important steps you can take to raise your patient experience scores.

4 Tips to Stay Motivated During Your Next Long Nursing Shift - One of the greatest challenges of working 12-hour nursing shifts is maintaining your motivation throughout the day (or night). Check out these tips to stay motivated during your next loooong nursing shift.

Primary care management of depression in children and adolescents - Depression is the most common mental health disorder in children and adolescents, and primary care is often the first point of contact for children and adolescents with depression. Depression impacts all areas of life, impairing academics and interactions with family and friends. The purpose of this article is to help NPs identify and treat children and adolescents presenting with depression in the primary care setting. Read more...

May: EHRs Preferred * A Culture of Safety * Medication Errors / Safety * Ban on Powdered Gloves

FDA Proposed Ban on Powdered Gloves - Better late than never? The FDA’s recently proposed rule1 to ban powdered latex gloves was welcomed by occupational health advocates, but there was some sentiment that the FDA was finally addressing a problem clinicians long since had to solve themselves. Read more...

Medication safety is a top priority for nurses and avoiding medication errors is critical. Find out what medication errors have recently been reported to the Institute for Safe Medication Practices (ISMP) and learn recommendations for best practices to help avoid these errors. Read more...

A “culture of safety” – what does that mean? Is it using smart pumps and “no interruption zones” to decrease the incidence of medication errors? Is it using personal protective equipment to reduce the risk of transmitting infection? Is it waiting for a colleague to finish report so you can walk out to the parking lot together? Yes. A culture of safety is all of these things and more. The health care workplace – no matter what setting – is full of risks, and by focusing on creating a culture of safety, we can improve the care we give, outcomes, and our own well-being. Read the collection journal articles learn more.

EHRs preferred to paper - A recent HIMSS Analytics survey of 626 nurses revealed that 71% prefer EHRs to paper records, almost all respondents noting that EHRs provide more inclusive patient information. 72% agree that EHRs lower the risk of medication errors, 43% stated that EHRs reduced duplicate work, and 33% found that they are able to spend more time with patients when using EHRs. Read more...

April: Wash Your Hands! * Tired Tootsies * Cerebral Palsy Awareness

Cerebral Palsy Awareness - Experts suggest parents of a child with cerebral palsy leverage qualified professionals for feeding needs, nutrition, ambulatory care and potential surgery. Alongside specific speech/motor therapists, dietitians and gastros, nurses can evaluate a child's ability to chew/swallow, control head and trunk, maintain nutritional status and sustain an good level of alertness and consciousness. As the child grows and develops, an ambulatory care supervisor and/or nurse focuses on the overall promotion of health while assisting patients and families more fluidly, safely, and as best as possible. Read more...

Take care of those tired tootsies! As nurses, we often stand on our feet for hours on end. Keep on your toes about foot hygiene and flexibility so that you can keep comfortable with every step. Need a place to start? Find what you need on topics from basic foot hygiene to diabetic foot care through the American Orthopedic Foot and Ankle Society.

It’s Not Just Doctors And Nurses, Patients Need To Wash Their Hands, Too - Encouraging doctors and nurses to wash their hands frequently has always been considered an easy and effective way to curb the spread of infection in hospitals and other health facilities. But a new research letter published in JAMA Internal Medicine points to another key group of people who aren’t always keeping their hands so clean and, it turns out, probably should: patients. Read the full article.

March: Innovations in Nursing Education * Fluids & Electrolytes * Our Goals * PTSD Toolkit App * Pain Free Patients

Ouch! Safely Keeping Patients Pain Free - The position of the American Society for Pain Management Nursing (ASPMN) and the International Nurses Society on Addictions (IntNSA) is “that every patient with pain, including those with substance use disorders, has the right to be treated with dignity, respect, and high-quality pain assessment and management.” As nurses, we have a responsibility to make ethically sound decisions when it comes to pain management. But, how do we do this? Read more...

PTSD Toolkit - Wolters Kluwer, a leading global provider of information and point of care solutions for the healthcare industry, today announced the release of a mobile version of the post-traumatic stress disorder (PTSD) toolkit from the American Nurses Foundation (ANF) and the University of Pennsylvania School of Nursing (Penn Nursing). Developed by Lippincott Solutions, the free mobile app is designed to help nurses and other healthcare professionals gain rapid access to trusted PTSD information to support and inform care decisions. Get the PTSD Toolkit App.

Setting and Meeting Goals - As nurses, there are many different roads we take on our journey to where we are now professionally. We all have different starting points and are currently at different places on this professional road. Similarly, there is immense variation in how we set and achieve our goals. There are volumes of literature on goal setting and achievement and the methods are not a one-size-fits-all formula. Read more...

Focus On: Fluids & Electrolytes - With a handy table to help you monitor laboratory values related to fluid and electrolyte status and understand related nursing implications. Read the article from the Lippincott Nursing Center®.

Five Top Innovations in Nursing Education - How far can your nursing education and experience take you? Design your ideal nursing job and we’ll connect you with top positions around the country. When it comes to innovation in nursing education, the time is now… and tomorrow. The nursing profession has long embraced innovation--in professional practice and in education. Read the article from the

February: American Heart Month * National Wear Red Day® * AMN 2015 RN Survey * Nursing Report Recommendations * U.S. is Running Out Of Nurses * Stroke Guidelines

Stroke Guidelines - (From Nursing Management) - According to the American Heart Association (AHA), someone has a stroke every 40 seconds in the United States; a person dies of one approximately every 4 minutes. This translates into 1 in every 20 deaths in the United States resulting from stroke, making it the fifth leading cause of death for Americans. There are two types of stroke: ischemic and hemorrhagic. Read how important the one-hour clock is.

The U.S. Is Running Out of Nurses - The U.S. has been dealing with a nursing deficit of varying degrees for decades, but today—due to an aging population, the rising incidence of chronic disease, an aging nursing workforce, and the limited capacity of nursing schools—this shortage is on the cusp of becoming a crisis, one with worrying implications for patients and health-care providers alike. Read all of this important article.

The nursing profession has made significant progress in implementing recommendations from the 2010 Institute of Medicine’s The Future of Nursing: Leading Change, Advancing Health but more work is needed, according to a new report from the National Academies of Sciences, Engineering, and Medicine. Read the progress made on IOM’s future of nursing report recommendations.

As health care delivery evolves, nurses remain on the front lines, ready for new opportunities--yet frustrations remain, according to AMN Healthcare’s 2015 Survey of Registered Nurses: Viewpoints on Retirement, Education and Emerging Roles. The survey drew responses from 8,828 nurses, who shared their views on a number of top issues, ranging from emerging roles for nurses to job satisfaction and health care technology. Read the Five Key Takeaways from the AMN 2015 RN Survey.

 SPECIAL HEALTH BYTES: National Wear Red Day® – Support Go Red For Women by participating in National Wear Red Day on Friday, February 5, 2016 and donating to help fund research during American Health Month. Why Go Red? Heart disease and stroke cause 1 in 3 deaths among women each year, killing approximately one woman every 80 seconds. Fortunately, we can change that because 80 percent of cardiac and stroke events may be prevented with education and action.

That’s why this year we are asking that you wear red on National Wear Red Day and Donate to Go Red For Woman. By doing so you help support educational programs to increase women’s awareness and critical research to discover scientific knowledge about cardiovascular health. Watch 2015-2016 Go Red For Women: Real Women Videos  1 | 2 | 3.

February is American Heart Month, and Valentine's Day is here! Read about Heart Healthy Tips, send a heart healthy e-Valentine's Day greeting- and Valentine's Day Tips. This American Heart Month, the Centers for Disease Control and Prevention (CDC) and Million Hearts®–a national effort to prevent 1 million heart attacks and strokes in the United States by 2017–are encouraging Americans to know their blood pressure, and if it's high, to make control their goal!

January: National Blood Donor Month * 2015 Avalere White Paper on Staffing* National Glaucoma Awareness Month * Storm Preparation * Telemedicine in the ICU

 Telemedicine In the ICU: It Can Be a Cost-Effective Option - UC Davis investigators have found that telecommunication systems that provide remote monitoring and access to specialty care in intensive care units (ICUs) are cost-effective in most cases and can even be cost-saving in certain circumstances, making this intervention potentially economically favorable compared with other health-care services. Such information is important to hospital administrators who must make decisions on how to efficiently spend available resources to provide lifesaving services and equipment. Read more about it.

Are You Storm / Blizzard ready? Preparation Helps Nurses Care for Patients in Disasters. This article is about flooding, but a crippling Winter nor'easter blizzard requires is a frozen and snow storm preparedness so healthcare providers can ensure their own safety and that of their patients. Read this informative article in NurseZone. Also, see the Winter Weather Checklist from the CDC to pass on to your patients.

January is Glaucoma Awareness Month! Glaucoma is a leading cause of vision loss and blindness in the United States. People are often unaware that glaucoma has no symptoms in its early stages. Learn how you are well-positioned to encourage people to take steps to protect their vision in this fact sheet for health and community professionals, and latest educational resources. Additional materials can be found on the Glaucoma Education Program page. Visit the National Eye Health Education Program (NEHEP) Website for complete information.

To achieve quality care, better patient outcomes and financial stability, optimal nurse staffing should be viewed by health care employers as a necessity rather than an option—particularly as health care reforms and new regulations take hold. That is a key message reflected in a new white paper, 2015 Avalere White Paper on Staffing, commissioned by ANA and developed by Avalere Health, LLC in collaboration with nurses and policy experts. Nurses at all levels and in all settings can use the white paper as a resource to advocate for and implement sound, evidence-based staffing plans.

January is National Blood Donor Month! You don't need a special reason to give blood. You just need your own reason: Some of us give blood because we were asked by a friend; Some know that a family member or a friend might need blood some day; Some believe it is the right thing to do. Whatever your reason, the need is constant and your donation is important for maintaining a healthy and reliable blood supply. you'll feel good knowing you've helped change a life! Find out where to give blood, and feel good knowing you've helped change a life!


From the AAACN Online Library