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Viewpoint JF12 Layout 1 Volume 34 Number 1 JANUARY/FEBRUARY 2012 FREE ContinuingEducation Nursing Redefining and Categorizing Page 3 The Development and The Perceived Value Implementation of a Freestanding Patient Education Resource Center Of the RN in (PERC) Page 6 Ambulatory Care Health Care Reform Prevention and Early Detection Robin E. Matutina of “Never Events” within Susan B. Hamner Ambulatory Settings to Enhance Rosemarie Battaglia Quality and Safety and Prevent Financial Losses The role of the RN in the outpatient setting is ever evolving, especially in light of new Page 11 initiatives, including health care reform, the medical home model, and meaningful use Telehealth Trials and standards. Expectations of other health care professionals regarding the role of the RN in Triumphs the ambulatory setting may vary from clinic to clinic and from organization to organiza- Nurse – Care for Thyself! Part II tion. Today’s health care arena demands that RNs utilize their multi-dimensional skill set Page 12 and scope of practice in an efficient and fiscally responsible manner. For Your Health In 2005, the American Academy of Ambulatory Care Nursing (AAACN) explored the Page 14 value of ambulatory care nurses in the workplace (Conway-Phillips, 2006). This study, con- AAACN News ducted among members of the specialty organization, found that the nurses viewed themselves as adding value in the following areas: Page 15 National Office Election • Patient/family education • Financial benefits (for example, by Results • Telephone/clinic triage preventing hospital admissions and • Patient care and coordination of care inappropriate use of emergency Page 16 New Year Resolutions for • Leadership/management departments) 2012 • Collaboration with the medical staff • Continuity of care • Patient advocacy • Access to care • Staff education • Quality initiatives Write for ViewPoint • Compliance with regulatory/accrediting • Research Consider sharing your standards ambulatory care or telehealth Conway-Phillips (2006) also found that the majority of ambulatory care settings nursing expertise by writing an (54%) were not collecting data (other than patient satisfaction) regarding performance article for ViewPoint! Download improvement indicators to evaluate the effectiveness of the RN. author guidelines, copy As a starting point for role clarification in the outpatient clinics, the authors of this deadlines, and writing tips at study wanted to examine the value of the registered nurse in the current health care cli- www.aaacn.org/ViewPoint or mate at the Medical University of South Carolina as compared to the Conway-Phillips send an email to [email protected] (2006) study. to get started. continued on page 8 Contact hour instructions, objectives, and accreditation information may be found on page 10. The Official Publication of the American Academy of Ambulatory Care Nursing Four Themes Found in The Future of Nursing In November, I was fortunate to attend the Nursing Organizations Alliance (NOA) Fall Summit. We heard from Michael Bleich, PhD, RN, NEA-BC, FAAN, on the Institute of Medicine (IOM) Future of Nursing Reader Services report (IOM, 2010). Dr. Bleich is the Dr. Carol A. Lindeman AAACN ViewPoint American Academy of Ambulatory Care Distinguished Professor at Oregon Health & Science University, School Nursing of Nursing. He provided an overview of the key points of the report East Holly Avenue, Box 56 Pitman, NJ 08071-0056 and our progress toward implementing the recommendations, the (800) AMB-NURS challenges we face, and topics we need to address to move forward Fax: (856) 589-7463 as a profession. It was disturbing to hear from Dr. Bleich that only 1 in Email: [email protected] I Web site: www.aaacn.org 10 nurses are familiar with the report. While it is daunting to take on AAACN ViewPoint is a peer-reviewed, bi- the 671-page read of the IOM report, The Future of Nursing, I found Linda Brixey monthly newsletter that is owned and pub- the 18-page summary to be a good read. Both the full report and the summary version are lished by the American Academy of Ambulatory Care Nursing (AAACN). The available online (http://www.nap.edu/catalog/12956.html). I recommend reading the sum- newsletter is distributed to members as a mary and encouraging your nurse colleagues to do the same. direct benefit of membership. Postage paid at Deptford, NJ, and additional mailing offices. There are eight recommendations in the IOM Future of Nursing report. Dr. Bleich grouped them into four key messages that are important to all nurses. Advertising Contact Tom Greene, Advertising Representative, (856) 256-2367. Key message one is to promote the practice of nursing to the Back Issues fullest extent of education training and licensure. To order, call (800) AMB-NURS or (856) 256-2350. • The first recommendation of the IOM report is: “Remove scope of practice barriers.” Each nurse needs to participate at the state level to promote legislation that will allow Editorial Content AAACN encourages the submission of news nurses to work, practice, and be compensated for expertise fully functioning within items and photos of interest to AAACN mem- licensure. The National Council of State Boards of Nursing and State Action Coalitions bers. By virtue of your submission, you agree to the usage and editing of your submission are working to address restriction of the practice on advanced practice registered nurs- for possible publication in AAACN's newslet- es (APRNs). There does not seem to be a good rationale for restricting the practice of ter, Web site, and other promotional and edu- cational materials. the APRN. It is incongruent that an APRN who functions independently and prescribes For manuscript submission information, medication in one state finds that just across the state line he or she must work under copy deadlines, and tips for authors, please the direct supervision of a physician to perform the same task. The nurse’s competen- download the Author Guidelines and Suggestions for Potential Authors available cy has not changed – only the law governing practice. at www.aaacn.org/ViewPoint. Please send On the national level, Medicare programs need to expand coverage to include the comments, questions, and article sugges- tions to Managing Editor Katie Brownlow at APRN in reimbursement plans. Much of the Medicare language is physician centric in [email protected]. nature, leading to reduced or no coverage for services provided by the APRN. Much rhet- AAACN Publications and oric has been heard from physician groups regarding care variation. In a 2000 study, Products “Primary Care Outcomes in Patients Treated by Nurse Practitioners or Physicians: A To order, visit our Web site: www.aaacn.org. Randomized Trial,” the conclusion was that the care provided by the nurse practitioner and Reprints physician group were comparable (Mundinger et al., 2000). The American Nurses For permission to reprint an article, call (800) AMB-NURS or (856) 256-2350. Association (ANA) has responded with recommendations to improve the language for Subscriptions stronger recognition of the value of the APRN in the new proposed Medicare rules. AAACN We offer institutional subscriptions only. The supports these recommendations as an ANA affiliate member. cost per year is $80 U.S., $100 outside U.S. To subscribe, call (800) AMB-NURS or (856) • The second IOM recommendation also fits this key message in that it challenges nurs- 256-2350. es to expand their influence through opportunities to lead and diffuse collaborative Indexing improvement efforts with physicians and other members of the health care team, rec- AAACN ViewPoint is indexed in the ognizing the expertise the nurse brings to conduct research and to redesign practice Cumulative Index to Nursing and Allied Health Literature (CINAHL). environments and health systems (IOM, 2010). © Copyright 2012 by AAACN. All rights reserved. Reproduction in whole or part, elec- The second key message found in the IOM report, The Future of Nursing, was tronic or mechanical without written permission stronger educational standards for nurses. of the publisher is prohibited. The opinions expressed in AAACN ViewPoint are those of the There are four of the IOM recommendations related to this key message. This topic has contributors, authors and/or advertisers, and do not necessarily reflect the views of AAACN, been debated for over fifty years with no real progress. The plans include transitions into AAACN ViewPoint, or its editorial staff. the continual learning and higher degrees. Publication Management is provided by Anthony J. Jannetti, Inc., which is accredited continued on page 13 by the Association Management Company Institute. 2 ViewPoint JANUARY/FEBRUARY 2012 The Development and Implementation of a Freestanding Patient Education Linda Northrop Renée Meehan Resource Center (PERC) Barbara Hatfield Tampa General Hospital (TGH) is a 988-bed, private, not-for-profit hospital The Patient Education Council and the only Level 1 Trauma Center in west-central Florida. Among its services developed and implemented a unique are 6 Ambulatory/Community Health Centers which include two TGH Family PERC without startup financial support Care Centers, Genesis (OB/GYN), Pediatric Clinic, Specialty Center (24 special- from the hospital. The TGH PERC is a ties), and KIDCARE (sick child daycare). freestanding kiosk with computer cubicles on both ends and space for 100 pamphlets in the center. The pamphlets cover TGH’s most preva- lent diagnosis-related groups and pre- ventive medicine topics. The kiosk is located in the main lobby across from the Registration Center, an area of high flow and visibility. Maintenance Medical Library personnel and TGH volunteers provide the kiosk’s minimal maintenance. Library person- nel monitor which pamphlets require restocking and reordering. The librari- ans also keep a running total of pam- phlets taken, which in the beginning enabled the Patient Education Council Patient Education Council members at the Grand Opening of the TGH Patient Education Resource to determine which pamphlets would Center (PERC), including authors Barbara Hatfield (second from left), Linda Northrop (kneeling, benefit consumers the most (see Table right), and Renée Meehan (third from right).
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