How a student used a resource from a course to avoid making an error.

A Renew Now CE student used a resource from a course to avoid making a medication error.

From a registered nurse (RN) working in the Post Anesthesia Care Unit (PACU):
A patient status-post endovascular AAA repair had an incision on each groin. Upon assessment the RN caring for the patient noticed a large hematoma to the right groin proximal to the incision and applied pressure. The surgeon was immediately notified and promptly came to the bedside to apply pressure to the patient’s groin. The patient’s blood pressure was elevated (180s/90s) so the surgeon began giving verbal orders for IV antihypertensives. The surgeon also gave an order for protamine sulfate, the antidote to IV heparin. Protamine sulfate is not normally stocked in the Pyxis. As soon as the protamine sulfate arrived at the bedside, the surgeon ordered to give it “wide open”.  As a nurse who does not ordinarily administer protamine sulfate, she decided to look it up on DailyMed.

After a quick review of DailyMed, the nurse found that a safe dose and administration of protamine sulfate was 50mg over 10 minutes. The nurse had just completed Renew Now CE’s course, Preventing Medical Errors and was aware of the DailyMed Drug Guide available on the NIH website. The nurse felt supported by reputable scientific evidence available on DailyMed.

Florida Nurse Practitioner – APRN

October 1, 2018, Florida ARNP becomes APRN.
Governor Scott signed into law House Bill 1337, a new law that will change the term “Advanced Registered Nurse Practitioner” to “Advanced Practice Registered Nurse” and further defines advanced practice roles. The new law will move Florida closer to the national standard for APRN title, licensure and recognition of all four APRN roles.

Here’s what’s important to know:

  • While HB1337 doesn’t change practice or alter requirements for licensure, it brings Florida into closer alignment with national standards for nursing regulation. The new language clarifies existing licensure requirements already in practice into Florida law.
  • Currently, advanced practice registered nurses in all four roles are referred to throughout Florida statute as “Advanced Registered Nurse Practitioners.” Updating Florida law to reflect the current modernized title of “Advanced Practice Registered Nurse” ensures consistency with national standards and clarifies a Florida APRN’s ability to use and advertise their title and role as an advanced practice registered nurse.
  • Proper use of title better reflects an APRNs education and training and creates transparency for patients in understanding the credentials of their provider.

From South Florida Council of Advanced Practice Nurses:
The new RN and APRN licenses are scheduled to go out October 8, 2018 and will be issued with the new title.  It will be designated as to if you are a CNS, APRN, CNM, etc. You can practice without any concerns on your current license after October 1 until they get your new one to you. They expect that everyone will have their new license in the mail by October 30th.

Your current APRN license number will remain the same and so will the RN license. It will be something such as RN 1234567; APRN 1234567. Each license will have the same number. If you choose to let your RN license go then you will function as an RN and APRN under the APRN. If you choose to keep it for the Multistate Compact then that is your choice (many educators working on-line programs may need this and if you want to move out of state to a compact state). You may want to consider keeping your RN license because if you are disciplined as an APRN and can’t do those functions, you would still have an RN license to work on—depending on the discipline of course. You do save $50 on the RN license if you keep it.

If you are currently practicing, then you can have both licenses but any new APRN applicants after 10/1/2018 will only be able to apply for the APRN license or RN–both won’t be inclusive as they are now for current licensees. Fees will be the same for the RN and APRN license but will be reduced for the APRN only license if you choose not to do the RN.

Renew Now CE will be happy to work with Advanced Practice Providers who want to keep their RN license active.  Contact us at hello@renewnowce.com for assistance.

Generational Diversity in the Nursing Workforce

Nurses make up the largest portion of the healthcare workforce.  There are currently more than 3 million nurses in the United States’ workforce.  Hospitals in the United States have reported shortages of registered nurses since 1998. The Bureau of Labor Statistics estimates 1.2 million vacancies will emerge for RNs by 2022.  One million registered nurses are over the age of 50.

New nurses entering the workforce can expect to be working with colleagues ranging from age eighteen up to their seventies.  There are differences in attitudes, values, beliefs, and lifestyles among different generations.

Silent Generation (1925-1944) This generation consists of traditionalists; they are known as the “Lucky Few.”  During their lifetime there were three major wars, World War II, the Korean War, and the Vietnam War.  It’s hard for them to retire.

Baby Boomers (1945-1960) The Baby Boomers were born after WWII and promised the American dream.  They saw dramatic social changes, the birth of the civil rights movement, and the dawn of space travel.  They are known as the “ME generation.”  Enjoy now, pay later.

Gen X (1961 – 1981) This generation experienced Watergate, mothers working at new rates & in new professions; corporate downsizing and job insecurity.

Millennials/Gen Y (1982-1990’s)Millennials are known as confident, connected, and open to change.  They are socially conscious, civic-minded, and expect corporate responsibility.

Gen Z (1997-mid 2000’s) Gen Z is known as the iGeneration (iPhone, iPad) and seem to be always on their cell phone.  This generation is also known as the Homeland generation and is thought to have extremely protective parents, they’ve turned towards the traditional, have focused on social development, with a push for academic achievement.

Facing an impending increase in our nursing shortage, we all must work to successfully integrate the diverse workforce of different generations.  For nurses today, it is important to understand the diverse perspectives, values, and lifestyle expectations of our colleagues.