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Advocacy Update

Help Increase RN staffing in Nursing Homes:
Ask your Congressperson to Co-sponsor 24-hr RN Bill

Congresswoman Jan Schakowsky has introduced a bill - H.R. 5373 - calling for nursing homes to have a registered nurse (RN) on duty 24 hours a day/7 days a week! Currently, federal law only requires nursing homes receiving Medicaid and/or Medicare funding to have a RN on duty 8 hours a day/7 days a week. Now we need you to ask your U.S. Representative to sponsor the bill by September 8 when Congress returns from recess. Getting as many cosponsors as possible will help the legislation get off to a strong start. The more sponsors there are – particularly when they are both Republicans and Democrats – the more likely other House members will be to support the bill as it moves forward.

To ask your Congressperson, just click here. It’s quick and easy.

Why round-the-clock RN coverage is critical:
  • Only a RN can assess a resident’s condition. The absence of RN staffing for up to 16 hours each day means that there is no one present capable of assessing and responding when residents’ medical conditions suddenly change or deteriorate.
  • Residents are entering nursing homes from hospitals “quicker and sicker." Their care requires a high level of skill and knowledge. Registered nurses are the only nursing personnel with the education, training, and licensure to provide timely clinical assessment, appropriate medical intervention, and evaluation of nursing home residents. Other nursing home personnel such as LPN’s and geriatric nurse assistants are not trained to provide such assessments or interventions.
  • Research shows that higher RN levels improve resident care. Higher levels result in lower antipsychotic use, fewer pressure ulcers, less restraint use and cognitive decline, fewer urinary tract infections and catheterizations, less weight loss, less decrease in function and fewer unnecessary hospitalizations of nursing home residents.

Help us jumpstart this important bill that would improve the health and safety of nursing home residents nationwide.

Thanks again for your advocacy!
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AHRQ Webinar Series

This series of Webinars aims to provide nurse administrators and nurse educators guidance on training using the materials covered in AHRQ’s Improving Patient Safety in Long-Term Care (LTC) Facilities Training Modules.

Target Audience: Nurse administrators and nurse educators who provide staff training to first-line care staff, or who work closely with staff at long-term care facilities.

Presenter: Marian D. Edmiston, DEd, MSN, RN-BC

More information and no cost registration available at: http://ce.ahrq.gov/nurses/.
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NGNA/HIGN Upcoming Webinars

Register now for upcoming NGNA and HIGN webinars! The webinars, presented by expert faculty from NGNA and HIGN, will present clinical topics relevant to improving the delivery of healthcare to older adults, covering topics such as patient- and family-centered care approach to delirium, fall prevention, medication management, and diabetes management.

NGNA Members: Login to the NGNA website and return to this article to view a 50% discount code for NGNA members to use when registering for the webinar series.

August 6, 2014, 1:00pm-2:00 ET
Aging & HIV: Implications for the Older Adult

September 3, 2014, 1:00pm ET
Mistreatment Detection and Older Adults

October 14, 2014, 1:00-2:00pm ET
Vaccination and Older Adults

November 6, 2014 1:00pm ET
Medication Compliance and Adherence

December 3, 2014
Current Controversies in Ethics, Law and Nursing- Confronting Challenges in Health Care Ethics for those Caring for Older Adults

Click here to register for a webinar.
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Facilitated Learning to Advance Geriatrics Programs

September 19-20, 2014 | Boston, MA
October 17-18, 2014 | Worthington-Scranton, PA
February 13-14, 2014 | Boca Rotan, FL

The Facilitated Learning to Advance Geriatrics (FLAG) program is a nationally recognized faculty development experiential workshop designed for nurse educators in prelicensure programs.

To learn more about the FLAG Program, please visit http://www.flagprograms.org, or download the flyer.
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Coalition of Geriatric Nursing Organizations Joins AARP in Support of the Caregiver Advise, Record and Enable Act to Improve Hospital Care Transitions

The Coalition of Geriatric Nursing Organizations (CGNO), whose membership includes over 28,700 nurses in long term care, joins AARP in support of the Caregiver Advise, Record and Enable (CARE) Act. The CARE Act codifies state law to assure each hospitalized patient has an opportunity to designate a caregiver in the hospital record, which action research has shown improves care transitions back into the community. Follow this on twitter with Elaine Ryan, AARP Vice President of State Government Affairs. Her handle is @Romethedomes. The CARE Act was passed by the OK state legislature in May, 2014 with the support of the Oklahoma Nurses Association.

AARP conducted research with the Hartford Institute for Geriatric Nursing’s program Nurses Improving Care for Healthsystem Elders (NICHE) which has embedded geriatric models of care in over 470 hospitals across the country. They found that support of the caregiver improved both the caregiver and patient hospital experience. The key elements of the CARE Act include, designation of a caregiver in the hospital record, notification of the caregiver in a reasonable time prior to discharge, review of the discharge plan and demonstration by the caregiver that the care can be provided.

While the CARE Act applies to all hospitalized patients, frail elders with multiple chronic needs account for the vast majority of unnecessary rehospitalizations which cost Medicare $ 17 billion last year. Most post hospital care will continue to be provided by unpaid family or friend caregivers. They need as much support as the patient to prevent bad outcomes. Implementing the CARE Act in each state will provide a system for enhancing caregiver support.

Contact: Sarah Burger @ sgburger@rcn.com for questions about CGNO activities including staffing recommendations in long term care.