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FALL 2017 VOLUME 14 {NO1} EDITION 40 www.ncbon.com NURSING BBULLETINULLETIN What Nurses Need to Know about Informatics, Social Media and Security! – page 6 Publication of the North Carolina State Board of Nursing . FALL. 2017 . BULLETIN. N NC BOARD OF NURSING Nursing Bulletin is the official C publication of the North Table of Carolina Board of Nursing. Office Location CONTENTS 4516 Lake Boone Trail Raleigh, NC 27607 VOLUME 14 {NO 1} EDITION 40 Mailing Address P.O. Box 2129 6 What Nurses Need to Know about Raleigh, NC 27602 Informatics, Social Media, and Security! Telephone (919) 782-3211 Substance Use Disorder: Fax 12 (919) 781-9461 Timely Information for Your Practice Website www.ncbon.com 14 Updated Legislation Provides Benefit to Active Duty Office Hours Military & Spouses 8 a.m. to 5 p.m., Monday through Friday 15 NCBON Staff Nationally & Regionally Recognized Board Chair Pat Campbell The Enhanced Nurse Licensure Compact (eNLC): Chief Executive Officer 16 Julia L. George, RN, MSN, FRE Unlocking Access to Nursing Care Across the Nation Editor David Kalbacker 20 Role of the Registered Nurse in North Carolina— Managing Editor Is It Limited? Elizabeth Langdon Mission Statement 26 NCBON Nurse Gateway—Update Your Information The mission of the North Carolina Board of Nursing is to protect the public by regulating the 27 Tribute to Duke Life Flight Team practice of nursing. 28 CE Opportunities 2018 Advertisements contained herein are not necessarily endorsed by the North Carolina Board of 29 Nomination Form Nursing. The publisher reserves the right to accept or reject advertise- ments for the Nursing Bulletin. 30 NCBON Launches New Website All art (photos, paintings, draw- ings, etc.) contained in this pub- lication is used under contractual Election Results for 2017 agreement. 36 157,000 copies of this document were printed and mailed for a cost of $0.22 per copy. The North Carolina Board of Nursing is an equal opportunity DEPARTMENTS: employer. 4 From the Managing Editor pcipublishing.com 15 BON Calendar Created by Publishing Concepts, Inc. David Brown, President • [email protected] 32 Summary of Activities For Advertising info contact 38 Victor Horne • 800.561.4686 ext 114 NURSING Classifieds [email protected] BULLETIN ThinkNurse.com . .3 NC from the MANAGING EDITOR The approaching fall season reminds us that the onlynly constantcons is change. The fading summer and impending cooler weathereather reremind us that the world and our surroundings are always changingng and evolving.ev Unfortunately, the prevalence of tragedy and natural disasterssters lately,latel has reminded us of the same. But it’s in these times of crisis thatt wwe’re reminded of the selfless and heroic acts of first responders, includingding nurses and other healthcare professionals. For that, we thank you. The NC Board of Nursing is also experiencing change, as we have a host of announcements and information to share with you. First, I’d like to welcome our newest Board Members, Pamela Edwards, RN and Lori Lewis, LPN who were elected to serve the state of North Carolina, with terms beginning in January 2018. Additionally, Ashley Dixon, a local Raleigh real estate professional, was appointed by the NC Senate to serve as one of your three public members. As of the end of September, the NC Board of Nursing has a newly redesigned website that will facilitate easier navigation to resources and a user-friendly content structure for nurses and the public. In addition to our new website, the NCBON will be launching its own Facebook page at the end of October. This will allow us to connect with nurses across the state and keep you up to date on important meetings, regulatory information and rule changes that may impact your practice. Finally, we’d like to thank our legislative sponsors, especially Representative John Szoka for his hard work and dedication to getting the Enhanced Nurse Licensure Compact legislation passed and signed into law. This updated version of the Nurse Licensure Compact will facilitate greater access to nursing care across the nation. For more information on possible effects to your nursing license, please read the eNLC article on page 16. Sincerely, Elizabeth Langdon Managing Editor, NC Nursing Bulletin Attention Nursing Program Directors and Nursing Faculty Save the Date—April 9, 2018 SPEAKER: The keynote speaker is Carol Durham, EdD, RN, ANEF, NCBON 15th Annual FAAN, who will present on the topic of simulation. Education Summit Carol Durham is the Professor and Director of Education- Innovation-Simulation Learning Environment at the University The Friday Center, Chapel Hill • Cost $100 of North Carolina at Chapel Hill School of Nursing. URSING 4 NURSING N O RTH C AROLIN A BULLETIN { Official Publication of the Board of Nursing } . 5 But all I did was share a photo of my patient’s wound with one friend... you couldn’t even see his face! What Nurses Need to Know about Informatics, Social Media, and Security! Denise Hirst, RN, MSN on the internet may be seen by roughly for information management into almost Purpose: nine out of ten adults. all aspects of life. In healthcare, infor- Advances in technology, telehealth, As technology continues to evolve matics provides advantages and poses risks. and an increasing global focus have and advance, it is critical that nurses had major impacts on the health care understand technology’s impact on Advantages workforce. The purpose of this article healthcare delivery. With the wide • Wellness and fitness information is is to provide information about variety of entertainment, educational, readily available. current trends related to electronic and information-technology advances, • Disease and illness information can information use and social network- it is essential that we keep in mind be found through a simple web search. ing as related to nursing practice. ethical, legal, and security issues when • Electronic health records provide a considering use of these technologies. method for documentation of care Outcome: The opportunity to use a wide variety and treatment. Recognize healthcare informa- of web-based programs, including social • Electronic health information is tion security advantages and risks. media, to provide education and resources available across health care systems Identify appropriate and inappro- to the public and healthcare profession- and individual healthcare providers. priate use of social media. als is an impactful use of technology • Patients have easy access to personal advances. However, as we use these health information (PHI) and direct tools, it is important to recognize the communication to their health- Advances in technology have regulatory and legal implications. care providers. changed the way in which healthcare is delivered. These advances have made Healthcare and Informatics Risks significant impacts on how nurses deliver Historical Perspective • Internet information may be mis- and document patient care and commu- Informatics is an enigma to some and leading or inaccurate. nicate nursing issues (National Council a way of life to others. The term infor- • Disease and illness information of State Boards of Nursing Regulator matics is simply defined as “the collection, retrieved from the internet may be Staff, 2015). The Pew Research Center classification, storage, retrieval and misunderstood, misinterpreted, or reports that 88% of people in the United dissemination of recorded knowledge” put to erroneous use. States use some form of internet-based (Merriam-Webster, 2017) and can be • PHI can be compromised due to social media (Pew Center, 2017). Ninety- broadly described as the practice of unauthorized access. four percent of respondents between the creating, storing, finding, manipulating, • Healthcare system data breaches pose ages of 18 to 64 years, use social media. and sharing information. From as early a threat to health and personal data Further, respondents age 65 years or as 1937 with the introduction of the first of all system participants. older reported a lower, yet significant computer, a Model K Adder, to 1971, with J. Weaver (2017) reported that 80 utilization of social media at 64% (Pew the implementation of personal comput- percent of Americans who use the Center, 2017). These data provide clear ing (Computer History Museum, 2017); internet have searched for health-related evidence that the information we place society has integrated the use of technology topics. Nurses, aware of this evidence URSING 6 NURSING N ORTH CAROLINA BULLETIN {Official Publication of the Board of Nursing } . should develop and implement strategies Patient Trust and Confidentiality PHI. Nurses and other healthcare that will have a positive impact. In According to the January 2017 providers should follow these policies addition to directly providing healthcare Gallup poll, nursing continues to be and procedures as they plan and education and information via electronic ranked the most trusted profession in implement patient education, sharing means, nurses can provide much-needed the United States (The Advisory Board of information, and networking. education and guidance with regards to Company, 2017). Protecting those who the public’s use of healthcare informa- entrust us with their healthcare and Social Media tion retrieved from the internet. Nurses safety is not only a nurse’s professional American adults have increased can implement strategies to provide safe responsibility, it is a required by the their use of social media from 5% in evidence-based care and reduce risk of North Carolina (NC) law and rules 2005 to 69% in 2016 (Pew Research, PHI compromise, by: which regulate nursing practice. Ensuring 2017, January). One might assume that 1. identifying and anticipating risks, that today’s nurses remain competent the information posted online is private 2. develop policies and procedures in this responsibility in our modern era because most sites require a personal which provide for consistent elec- requires knowledge and understanding login and password. Unfortunately, tronic patient education practices and correct application of evolving personal privacy settings on social 3.