Expanding access to nurse-managed medication for opioid use disorder.

Background: Advanced practice registered nurses (APRNs) are increasingly caring for individuals with opioid use disorder. Advances have been made to increase APRN education, outreach, and prescribing privileges, but as demand for medication for opioid use disorder (MOUD) grows, evidence suggests that policy and care barriers inhibit the ability of APRNs to support MOUD.

Purpose: This paper highlights the significant challenges of expanding access to buprenorphine prescribing by APRNs.

An Outbreak Investigation of Scombrotoxin Fish Poisoning Illnesses in the United States Linked to Yellowfin Tuna Imported from Vietnam-2019.

Abstract: Scombrotoxin fish poisoning (SFP) is caused by the ingestion of certain fish species with elevated concentrations of histamine due to decomposition. In fall 2019, the U.S.

High-Impact Community Clinical Experiences to Promote Health and Enhance Well-Being of Older Adults.

Given the complex needs of the aging population, nurse educators must prepare future registered nurses to help older adults remain safe and healthy in their homes. This article describes partnerships between a school of nursing and low-income senior housing providers to develop new, high-impact community-based learning experiences. Baccalaureate nursing students conducted home visits in low-income senior housing communities and engaged in a research study to quantify activities conducted by students and the impact the home visits had on client personal health goal attainment.

Use of the Creighton Tool During a Home Visit Simulation Experience.

This article describes implementation of the Creighton Simulation Evaluation Instrument to evaluate student performance during a simulated home visit experience. A total of 48 groups of students participating in the simulation were evaluated by peer evaluators and faculty. Interrater reliability was found to be low to fair.

A model of care for the uninsured population in Southeastern North Carolina.

BACKGROUND Cape Fear HealthNet is a unique collaborative model that was established to address coordination of care for low-income, uninsured individuals in the Lower Cape Fear Region of North Carolina. This model involves a centralized referral network to direct uninsured clients to medical homes among safety-net providers, a system for specialty referrals, and a short-term episodic or urgent care clinic (HealthNet Clinic) to address immediate or urgent health needs. METHODS We provide a descriptive analysis of patients seen in the episodic care clinic during the period August 2010 through July 2012.

Structural empowerment and professional nursing practice behaviors of baccalaureate nursing students in clinical learning environments.

This study examines the associations between professional behaviors of baccalaureate nursing students and student perceptions of select factors within the clinical learning environment, including the role of clinical faculty leadership. Participants (n=243) were recruited from a randomly selected list of 1000 members of the National Student Nurses Association (NSNA) among sixteen states within the Southern region of the United States. Results revealed a direct relationship exists between student perceptions of structural empowerment in their clinical learning environment and professional nursing practice behaviors among students.

Yesterday, today, and tomorrow: challenges in securing federal support for graduate nursing education.

The nursing shortage continues to escalate while literally thousands of qualified applicants are being turned away from nursing schools across the nation, largely because of insufficient numbers of nursing faculty. In this article, we attempt to summarize the scope of the current nursing faculty shortage, discuss the role of federal policies in contributing to and addressing the problem, and propose policy strategies for expanding the capacity of the current and future pool of nursing faculty.

Complying with the Health Insurance Portability and Accountability Act. Privacy standards.

The Privacy Rule: Limits the use and disclosure of PHI to purposes of treatment, payment, or routine health care operations. Requires covered entities to provide advance notice to the public of its policy governing disclosure of PHI. Requires entities covered by the Standard to secure general client consent to use and to disclose PHI for treatment, payment, or routine health care operations and to obtain specific client authorization to use or to disclose PHI for all other purposes unless the disclosure is specifically permitted without consent or authorization (e.

Occupational health surveillance, screening, and prevention activities in occupational health nursing practice.

Occupational health nursing practice is broad and encompasses surveillance, screening, and prevention activities as part of the scope of practice. While there has been some controversy about who is responsible for these activities, it is clear occupational health nurses play a pivotal role in overseeing, managing, implementing, and evaluating these programs. In fact, recent OSHA standards have included broad language that permits licensed health care professionals acting within their legal scope of practice to conduct medical and health surveillance activities.

Enzymatic detection of Neisseria gonorrhoeae.

In a study using a non-serological enzymatic approach for the detection of Neisseria gonorrhoeae in cervical and urethral swabs, the technique was shown to be technically feasible. The enzyme, 1, 2-propanediol oxidoreductase, was used as a presumptive diagnostic marker for N gonorrhoeae. Enzymatic activity was measured with a fluorometer.

The occurrence of 1,2-propanediol oxidoreductase in micro-organisms and its use as a possible diagnostic marker for Neisseria gonorrhoeae.

The cervical microbial flora of 25 females and stock cultures of various micro-organisms which may be present in the human female cervix were examined using a fluorimetric assay for 1,2-propanediol oxidoreductase. Results indicated that only members of the genera Neisseria and Acinetobacter possess appreciable activities of the enzyme, whose physiological function is not yet known. The activity of this enzyme in N.

The isolation and characterization of a 1,2-propanediol oxidoreductase from Neisseria gonorrhoeae.

An enzyme which oxidizes 1,2-propanediol in the presence of NAD+ has been purified from lysates of Neisseria gonorrhoeae. The enzyme was activated by monovalent cations, had a pH optimum between 9 and 10, and showed a substrate specificity unlike any known alcohol or glycerol dehydrogenase. The enzyme had an apparent Km of 17 mM for 1,2-propanediol and 0 .