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THE OJNA JOURNAL Issue 4 | Spring 2019 Men in Nursing & Surgical Nursing The Gender Wage Surgical Scrubs: Honesty in Gap in Nursing Then and Now Healthcare Th e OJNA Journal - Page 1 Editor's Note OJNA LEADERSHIP TABLE OF CONTENTS: Dear Nurses, Mission: This is the first issue where we have de- cided to feature two topics in nursing as Th e mission of Th e OJNA Journal is to opposed to a single focus. Approximately • Provide timely news and research updates 9-10% of the nursing workforce are men, • Relay evidence-based research and while we do not have demographic data on OJNA members, we are pleased • Share OJNA news and updates to have many, many men as part of our nursing organization. We are also proud Editor-in-Chief: that we remain a frum nursing organiza- Blima Marcus, DNP, ANP-BC, RN, OCN tion while endorsing, encouraging, and Managing Editor: forging alliances between all nurses, men Sarah Bracha Cohen, MS, RN MEN IN NURSING & and women. The professional and colle- gial discussions held on our OJNA Face- Editorial Board: SURGICAL NURSING book forum are due to the professional- Tobi Ash, MBA, BSN, RN THE GENDER WAGE GAP ism and respect exhibited by all members. Batsheva Bane, BSN, CNM, RN IN NURSING page 5 We continue to learn from one another, and frum men in nursing have much to Tami Frenkel, BSN, RN SURGICAL SCRUBS: offer in terms of their experiences and Shaindy Lapides, BN, RN THEN & NOW page 9 perspectives. We have decided to feature Tzippy Newman, BSN, RN HONESTY IN HEALTHCARE page 11 some of our male nurses, and we appreci- ate those who agreed to share their Board of Directors: thoughts and stories with us. Shevi Rosner, MSN, RN-C, President page 2 OJNA EDITORIAL MESSAGE From a clinical and educational perspec- Toby Bressler, PhD, RN, OCN, Vice President page 3 ISSUE AT A GLANCE tive, the journal team voted to feature Mara McCrossin, MSN, NP, Treasurer page 4 RESEARCH RECAP surgical nursing, considering that it is Chaya Milikowsky, MSN, AG-ANP-C, Secretary page 5 FEATURE ARTICLE relevant to many nurses in surgical and non-surgical fields: pre-op, peri-op, post- All advertising is subject to the approval of OJNA. page 11 MEMBER MILESTONES op, PACU, labor and delivery, medical- OJNA Mission Statement: page 12 OJNA EVENTS surgical, and even intensive care. All pro- Th e Orthodox Jewish Nurses Association was page 14 NURSES TO KNOW viders in these units and fields encounter patients who have undergone surgery. founded in 2008 by Rivka Pomerantz, BSN, RN, page 15 CAREERS TO CONSIDER IBCLC. It seeks to provide a forum to discuss profes- We’ve chosen some research to profile, sional issues related to Orthodox Jewish nurses and page 18 MUSINGS from the rare and obscure to the highly arrange social and educational events. We strive to page 19 NURSES OF OJNA relevant. meet the needs of our members, promote profes- RECOMMEND We hope you enjoy this Spring 2019 edi- sionalism and career advancement, and be a voice page 19 JOB POSTINGS tion of The OJNA Journal! As always, for Orthodox Jewish nurses across the world. please feel free to send your thoughts or page 23 OJNA NEWS questions to [email protected]. Contact us at [email protected] Follow us! Best, @jewish_nurses Blima Marcus, DNP, ANP-BC, RN, OCN Orthodox Jewish Nurses Association (OJNA) Editor-in-Chief, The OJNA Journal @JewishNurses Th e OJNA Journal - Page 2 THIS ISSUE AT A GLANCE: NEVER LIKED THE TERM With regard to lying to patients about “MALE NURSE” ANY MORE THAN I their prognosis, 3 times as many WOULD IMAGINE A WOMAN WOULD physicians felt that it was ok to lie at LIKE TO BE REFERRED TO AS A times than did their APRN colleagues “FEMALE DOCTOR” OR “FEMALE COP.” (24% versus 8%). page 14 page 11 The average turnover time to prepare the OR between If I get it right, I can cases was 20 minutes for the OR playing slow music preserve and 17 minutes for the OR playing fast music. his dignity page 4 amidst degradation. It appears that the gender pay disparity for nurses is an page 18 issue that cannot be explained by education, certifi cation, hours worked, location, or salary negotiation. page 5 How could I reason with someone who was deliri- Bastien recognized the need for Psychological issues ous and confused when surrounding facial a tool and staff training to pick he tried to yank out his transplants are related up on signs of abuse and IVs and Foley catheter in to identity, new consistent with hu- neglect order to totter, on facial appearance, man traffi cking, such as con- unsteady feet, towards mental health issues, fl icting stories, fake IDs, unex- the exit? substance abuse, social plained bruises, and not being page 22 integration, and impact allowed to answer questions. on family members. page 5 page 5 UP UNTIL 1982, MALES WERE NOT PERMITTED TO ATTEND SOME STATE SPONSORED NURSING SCHOOLS. page 5 Th e OJNA Journal - Page 3 RESEARCH RECAP Blima Marcus, DNP, ANP-BC, RN, OCN & Tziporah Newman, BSN, RN Long Distance Care for Traffi cking Patients with Facial Henry Ford Hospital in Detroit, Michigan has instituted a human traffi cking screening tool in their Emergency Department that has Transplant saved 17 traffi cking victims over the last year [1-3]. Michigan has a high incidence of human traffi cking in part due to its highway Th ere are currently 13 facial trans- facial appearance, mental health accessibility and the annual North American International Auto plant (FT) centers in the United issues, substance abuse, social Show [1,3]. Th e protocol was created by Danielle Bastien, RN, States, and only fi ve of them have integration, and impact on fam- DNP, FNP-BC, an emergency department nurse, as a project for actual experience performing ily members. When considering a her doctoral degree, and it was quickly instituted as hospital policy these procedures. Th is means that candidate for a FT, communication [1]. Bastien recognized the need for a tool and staff training to pick patients undergoing a facial trans- with local health care providers up on signs of abuse and neglect consistent with human traffi ck- plant will likely be traveling long will ensure the best possible care ing such as confl icting stories, fake IDs, unexplained bruises, and distances from home. Transplant and outcome. Th e authors consider not being allowed to answer questions [1-3]. According to the new patients require long-term follow the likelihood that they will need to protocol, the patient is fl agged upon initial triage based on these up to ensure adherence with immu- train local healthcare providers to signs, which then alerts the primary nurse to continue with more nosuppressive regimens, and to be care for FT recipients. Foreseeable specfi c questions [1]. Th e patient is off ered assistance and if he/she monitored for signs and symptoms concerns related to transferring accepts, he/she is off ered housing and basic necessities [1-3]. If of rejection, infection, malignancy, follow-up care to local providers the patient is not ready to accept help, he/she is are provided with diabetes, and other complications. include: lack of data collection for a personal item that has a hotline number on it [3]. Nurses around Oft en, follow up is performed by the FT team, loss of experience for the country can take a stand against human traffi cking by urg- local primary care providers or the FT team, and relationship tran- ing implementation of protocols similar to Bastien’s. Continuing nephrologists who monitor the sitions for the patient when switch- education with a focus on traffi cking, knowing state statistics, and patient’s laboratory tests and look ing from the FT team to a local knowing the number for the National Human Traffi cking Hotline for clinical signs and symptoms of team. Th ese concerns may be miti- are a few other ways to help traffi cking victims [2]. adverse events. However, the in- gated by continued and transpar- terdisciplinary team required for ent communication between the References: [1] Adkins, J. (2019). Henry Ford nurse steps up to fi ght human traffi cking. Retrieved from https://www.henryford. FTs includes speech and swallow FT team, the patient, and the local com/news/2019/01/henry-ford-nurse-steps-up-to-fi ght-human-traffi cking therapy, physical and occupational providers who will be assisting with [2] Brusie, C. (2019). Nurse practitioner student creates screening to identify human traffi cking victims. Retrieved from https://nurse.org/articles/nurse-creates-human-traffi cking-screening/ therapy, orthodontics and maxil- long-term follow up [1]. [3] Knowles, M. (2019). 17 human traffi cking victims fl agged by Henry Ford nurse’s screening test. Retrieved from lofacial prosthetics, and extensive https://www.beckershospitalreview.com/quality/17-human-traffi cking-victims-fl agged-by-henry-ford-nurse-s-screen- References: ing-test.html psychological and psychiatric care. [1] Rifk in, W. J., Manjunath, A., Kimberly, L. L., Plana, N. M., Psychological issues surrounding Kantar, R. S., Bernstein, G. L., ... & Rodriguez, E. D. (2018). Long-distance care of face transplant recipients in the United FTs are related to identity, new States. Journal of Plastic, Reconstructive & Aesthetic Surgery. Musical Interludes in Pressure Ulcers in the OR the OR Hospital-acquired pressure injuries were randomized to usual care or Since the early 1900s, the use of same, and the procedure didn’t vary: (HAPI) account for $11 billion in the experimental (AP) group.