FL certified nurses are exempt from continuing ed!

Great news! Florida certified nurses are now exempt from many continuing education courses.

The Florida Board of Nursing (BON) updated their continuing education requirements to exempt certified nurses from most required courses.

The Florida Board of Nursing announced that, “A nurse who is certified by a health care specialty program accredited by the National Commission for Certifying Agencies or the Accreditation Board for Specialty Nursing Certification is exempt from continuing education requirements.”

Florida certified RN will be required to complete only the 2-hour human trafficking course and Florida certified APRN will be required to complete the 2-hour Human Trafficking and 3-hour Safe and Effective Prescription of Controlled Substances course. 

Visit the Florida Board of Nursing’s website for more information.

If you’re a certified nurse, you can elect to receive the exemption and reduce your required biannual continuing education by visiting CE Broker. 

We offer both the Human Trafficking and Safe and Effective Prescription of Controlled Substances courses.  Renew Now CE is a Florida Board of Nursing and American Nurses Credentialing Center (ANCC) certified provider of continuing education. 

We offer a $10 human trafficking course link: Human Trafficking

We have a $25 combo package for APRN link:  FL Certified APRN Package

If you would like to take these courses from us on CE Broker, we offer then for $12 and $20: Provider on CE Broker Link

Cannabis and the Brain

The expansion of legalized medical and recreational marijuana has caused increased concern about safety and the effect of cannabis on the brain.

What do we know about what cannabis does to the brain?
Cannabis consumption is associated with impairment in driving, brain function, and changes to brain volume in areas that are key to neurodevelopment.

Cannabis and impaired driving:

  • Research done at Columbia University showed that half of drivers age 16-25, who died in vehicle accidents were under the influence of alcohol, marijuana or both (Keyes, Brady, & Li, 2015).
  • Researchers evaluated whether recreational use of cannabis by drivers increased the risk of an intoxicant-related MVA using meta-analysis to systematically review studies based on observation. They found a correlation between the consumption of cannabis by drivers and an increase in intoxicant-related MVAs (Asbridge, Hayden, & Cartwright, 2012).

Cannabis and brain function:

  • A virtual office simulation was used to assess prospective memory in 20 participants who do not use illegal substances and 20 cannabis-only users.  Participants were tasked with common duties and their ability to complete these duties were assessed.  The cannabis users demonstrated a poorer performance overall, particularly in time and event-based prospective memory tasks (Montgomery, Seddon, Fisk, Murphy, & Jansari, 2012).
  • Adolescents who use cannabis have presented with abnormalities in both structure and function in developing regions of the brain, which are necessary for higher order cognition.  Cannabis users demonstrated smaller medial orbitofrontal volumes which indicates an interference in key processes in neurodevelopment (Price et al., 2015).

Based on the evidence that cannabis consumption impairs driving, businesses like Hound Labs are developing breathalyzer tests to detect THC, the psychoactive component of marijuana.  Development of a marijuana breathalyzer has proven challenging as THC has a lower vapor pressure than ethanol, making it more difficult to detect.  Research performed by the National Institute on Drug Abuse’s Intramural Research Program concluded that exhaled cannabis measurement of THC can detect recent use.  The researchers noted measuring exhaled THC wasn’t foolproof, with one individual showing no detectible THC, and the sensitivity window for detection of consumption was short, between 0.5-2 hours (Himes et al., 2013).  Further research is needed to perfect this important tool for measuring impairment in drugged driving.

Want to learn more about cannabis?  Take our cannabis class or sign up for a package that includes the class.

https://renewnowce.com/course-details/77

References:
Asbridge, M., Hayden, J. A., & Cartwright, J. L. (2012). Acute cannabis consumption and motor vehicle collision risk: systematic review of observational studies and meta-analysis. BMJ, 344, e536. doi:10.1136/bmj.e536

Himes, S. K., Scheidweiler, K. B., Beck, O., Gorelick, D. A., Desrosiers, N. A., & Huestis, M. A. (2013). Cannabinoids in exhaled breath following controlled administration of smoked cannabis. Clin Chem, 59(12), 1780-1789. doi:10.1373/clinchem.2013.207407

Keyes, K. M., Brady, J. E., & Li, G. (2015). Effects of minimum legal drinking age on alcohol and marijuana use: evidence from toxicological testing data for fatally injured drivers aged 16 to 25 years. Inj Epidemiol, 2(1), 1. doi:10.1186/s40621-014-0032-1

Montgomery, C., Seddon, A. L., Fisk, J. E., Murphy, P. N., & Jansari, A. (2012). Cannabis-related deficits in real-world memory. Hum Psychopharmacol, 27(2), 217-225. doi:10.1002/hup.1273

Price, J. S., McQueeny, T., Shollenbarger, S., Browning, E. L., Wieser, J., & Lisdahl, K. M. (2015). Effects of marijuana use on prefrontal and parietal volumes and cognition in emerging adults. Psychopharmacology (Berl), 232(16), 2939-2950. doi:10.1007/s00213-015-3931-0

 

Human Trafficking

Human trafficking, a multibillion dollar industry, is modern-day slavery.  It involves the use of coercion, fraud, and force to obtain labor, commercial sex acts, or human organs through means of exploitation.

Human Trafficking Myths and Misconceptions

Myth:  Human trafficking is only sex trafficking.
Fact:  Human trafficking can include forced domestic, industrial, farm labor, sale of organs, and the sex industry.

Myth:  Human trafficking only involves individuals in or from other countries.
Fact:  Human trafficking occurs in the United States.  The majority of trafficking in the U.S. is sex trafficking. An estimated 75-85 percent of trafficking in the U.S. is in the sex trade [1].  The economic impact is large; a study focused on eight U.S. cities – Atlanta, Dallas, Denver, Kansas City, Miami, Seattle, San Diego, and Washington, D.C. – found that the underground sex economy was worth an estimated $39.9-$290 million dollars [2].  More than 80 percent of sex trafficking victims in the U.S. are citizens [3].

Myth:  Human trafficking victims will attempt to seek help when in public.
Fact:  Human trafficking is often a hidden crime and victims may be afraid to come forward to receive help.  Victims may not be in possession of their legal identification documents and may be receiving threats or physical violence from their trafficker.

More than 25 percent of trafficking victims are seen by a medical professional but not identified as victims [3]. 

A medical provider must provide a safe environment where victims of human trafficking are free to speak and seek help.  Individuals who are being trafficked are victims, regardless of age or diagnosis, including addiction and mental health issues.  The basic needs of a human trafficking victim must first be addressed, a patient cannot progress with care until they feel safe, well fed, and can sleep soundly.  Your knowledge about available resources can encourage a victim that there is help.  Familiarize yourself with local resources for victims.  Victims will need to know there are resources to meet their immediate needs.  Some keywords to search for local resources are:

  • Restorative Care
  • Sexual Exploitation
  • Transitional Housing

The Florida Board of Nursing now requires a two hour course on human trafficking.  For more information, take our class!

“Alongside aggressive criminal enforcement, we recognize that we must foster an environment in which victims are willing to speak without fear of reprisal, stigma, or punishment.”

~ Attorney General Loretta E. Lynch, 2015

References:

  1. National Human Trafficking Resource Center. NHTRC Web site. https://humantraffickinghotline.org
  2. Dank M, Khan B, Downey PM, et al. Estimating the size and structure of the underground commercial sex economy in eight major US cities. Washington DC: Urban Institute; 2014. Urban.org Accessed August 2017: http://www.urban.org/research/publication/estimating-size-and-structure-underground-commercial-sex-economy-eight-major-us-cities
  3. Pardee M, Munro-Kramer M, Bigelow A, Dahlem G. Domestic minor sex trafficking: missed clinical opportunities. Clinical Advisor Web site. http://www.clinicaladvisor.com/features/domestic-minor-sex-trafficking-missed-clinical-opportunities/article/495972. Published May 13, 2016. Accessed August 2017.