Tuesday, March 31, 2015

Lawmaker Introduces the Keith Nolan Air Force Deaf Demonstration Act. Good news for nurses?

 
WASHINGTON, D.C. -- On March 31, 2015, "Rep. Mark Takano (D-Calif.) introduced the Keith Nolan Air Force Deaf Demonstration Act, which would allow deaf and hard of hearing individuals to serve in the United States Air Force in a demonstration program. Original co-sponsors include Rep. Niki Tsongas, Rep.John Delaney, Rep. Ted Lieu, and Rep. Chris Van Hollen.
 
Currently, the Department of Defense sets medical standards for enlistment. Within the "hearing" section, there are requirements for hearing levels that would exclude an individual who is deaf. The section also excludes individuals who currently or historically use a hearing aid, or who have a cochlear implant.
 
The Keith Nolan Air Force Deaf Demonstration Act would create a demonstration program in the Air Force for 15-20 Deaf and Hard of Hearing individuals who would otherwise qualify to serve in the Air Force."
 
Is this good news for nurses and other healthcare professionals who are d/Deaf and eager to serve in the Air Force?
 
 
 

Monday, March 30, 2015

Life is like a parade...guest blog post from Dr. Rachel Silva NP


What a privilege it is to share this guest blog post from Dr. Rachel Silva, NP!



Life is like a parade

I've often wondered about nurses who left full-time work due to a disability. Working as a hospital nurse, I've questioned how supportive colleagues would be of another co-worker with a disability that impaired their speed on a busy hospital floor. As with any profession, I think it's important to differentiate between our profession and our purpose in life. Our profession, or particular place of employment, may change. But, our purpose in life is the constant force in pursuing our passions.

Life is like a parade. Unless it's a huge float in the Macy's Day Parade on TV, we have no idea what's coming around the corner. Around the corner could be an achievement or celebration, or a trial of some sort. One of the things about overcoming trials or tribulations in life, is the light you give others encountering similar circumstances. I believe most of the time we can be unaware of the casual influence we can have on others, including a disability.

Many years ago I had a patient that became disabled and was hospitalized due to her injuries. Naturally, the grief and acceptance of her disability was overwhelming. However, the deeper pain for her was questioning how she would be able to support her family financially. Her physician's nurse called the unit to say she would be coming by to check on the patient, and called to inquire what room number the patient was in. I had spoken to her many times on the phone. She was always joyful and truly enjoyed her job as a RN in the office. I looked forward to meeting her for the first time.

Shortly thereafter, a lady in an electronic wheelchair appeared at the nursing station desk. She politely gave her name to the receptionist and stated she was there to visit a patient. I stood there paralyzed as she wheeled down to the patient's room, realizing the lady in the wheelchair was the joyful nurse I had always spoken to over the phone from the physician's office. Later that evening, the patient's sense of purpose and passion in life seemed to appear from nowhere. As she spoke, she shared how much it meant to her that the (disabled) nurse from the office came to visit her and gave her hope. Hope for her future, and hope for her family.

The nurse/lady in the wheelchair not only touched the patient's heart, but my heart, as well. This was nearly 15 years ago. I still remember the physician smiling and telling me "yeah, she had a really hard time when she realized she would never be able to walk again. But, fortunately, that didn't stop her from enjoying life. And, she loves sharing her life with others."
Learn more from Dr. Rachel Silva, NP
https://whatisannp.com/np-photo-gallery/dr-rachel-silva-dnp-fnp/


Thursday, March 26, 2015

Sunlight project nurses needed!


This was originally posted on Greg Mercer's "Bid Red Carpet Blog".


“Publicity is justly commended as a remedy for social and industrial diseases. Sunlight is said to be the best of disinfectants; electric light the most efficient policeman.”

– U.S. Supreme Court Justice Louis Brandeis

As many of you kind readers already know from recent posts, I’m building a network to help nurses safely report abuses against them. I intend to level the playing field in health care, and help nurses gather the power we need to stand up for ourselves and our patients, confidently and successfully.

But there are so many details to consider! I could think about them all for the rest of my life and never reach certainty, but experience shows me a far better way: try out promising tactics, learn and adapt from experience. More efficient, more effective: better. Basic nursing process, really, on a large scale.

Today I present one such detail, crucially important in my estimation. I want to protect nurses from retaliation, and I want to enhance the credibility of the information they offer. Anonymous reporting lends itself to abuses, clearly: lies, fake reports, bullying: poor credibility. Yet identified nurse reporters remain unacceptably vulnerable to retaliatory abuse. Why else would I bother with this project? It’s a conundrum: how to have the best of both worlds, without the baggage?

I have two goals in this post. One: recruit any clever solutions anyone out there might have to offer. Nurses are such a clever crowd! Two: offer my tentative solution, for your consideration. I hope to learn from your opinions.

Nurses are excellent judges of clinical reports. We do it all the time. We know crap when we hear it. My thought is this: if we can recruit nurses to vet anonymous nurse reports, perhaps we can protect both sources and credibility. If we steer reports from a given specialty to expert nurses in that specialty for assessment, we take an important step forward. We gather information ‘certified’ by a trusted judge. Unlike Yik Yak anonymous gossip and the like, we can offer high quality information. And we can offer sources whatever level of anonymity they want.

Next, on we go of course to other steps in the process, other details, like where/how to store and offer such information. Another day… When is anything in nursing simple or easy?

Here’s our need for now: who out there would be willing to offer a few minutes here and there to vet reports? There’s no liability involved as far I can tell: no one need decide a report is true, simply check it for credibility, nothing more. Then you can pass it on to the next step: done! The whole point of this project is to spread the light of day widely, WITH ABSOLUTELY THE LEAST RISK POSSIBLE TO ALL INVOLVED.

Nurses get the job done. I’m a nurse. You’re a nurse. See?

P.S.: What do you good folks think of the name?

.....................................................................................................


***Please consider getting involved! Comment here and on Greg's blog. Click on this link.


http://bigredcarpetnursing.com/2015/03/25/sunlight-project-nurses-needed/

Wednesday, March 25, 2015

High school students to graduate as Registered Nurses...what about IDEA?


       
In March of 2015, I posted this story:

     Graduating high school with an associate’s degree in nursing will soon be a reality for some Valley High students in Texas.

     The rigorous, highly competitive program is an attempt to address the nursing shortage by getting nurses prepared sooner.
    
    Opinions related to this program have been varied. Advocates for the BSN degree as entry to practice have serious concerns. Others, are concerned about the maturity levels of high school students in clinical settings. Still others, ask how the nursing curriculum can be delivered in tandem with high school requirements-- without "watering down" one or the other?

     As an advocate for nurses and nursing students with disabilities, I have additional questions.

     The laws protecting people with disabilities are complicated.

      What is the potential impact of the Individuals with Disabilities Education Act (IDEA) on high school students who could be included in this program?   

     IDEA is a law ensuring services to children with disabilities throughout the nation. IDEA governs how states and public agencies provide early intervention, special education and related services to more than 6.5 million eligible infants, toddlers, children and youth with disabilities.

     Children and youth (ages 3-21) receive special education and related services under IDEA  Part B.  A free, appropriate public education is defined to mean special education and related services. Special education means "specially designed instruction at no cost to the parents, to meet the unique needs of the child with a disability..." 

     Related services are provided if students, require them in order to benefit from specially designed instruction. 

    States are required to ensure the provision of "full educational opportunity" to all children with disabilities.  IDEA requires the development of an Individualized Education Program (IEP) document with specific content and a required number of participants at an IEP meeting.     

     When students with disabilities are admitted to a college or university, IDEA no longer applies. Then, the Americans with Disabilities Act (ADA) applies. Protections, services, funding, procedural safeguards and due process differ between IDEA and the ADA. 
          
     Will high school students with disabilities enrolled in a nursing program have greater protection under IDEA? Will they receive greater support, accommodation and protection under IDEA than they would receive under the Americans with Disabilities Act (ADA)?  

     **** Update to this story.....all eight of the students graduated in May of 2017. Congratulations and best wishes to all! ****

Donna


https://texasborderbusiness.com/breaking-news-first-cohort-nursing-high-school-students-graduate-south-texas-college/

http://www.valleycentral.com/news/story.aspx?id=1150089#.VQMbt3J0zq4

http://idea.ed.gov/

http://dredf.org/advocacy/comparison.html

Tuesday, March 17, 2015

Confidentiality of Medical Information under ADA



Have questions about confidentiality of medical information under 

ADA?

Read the latest information from the Department of Labor's Job 

Accommodation Network.


Consultants' Corner Volume 08 Issue 01