lowcountry advanced practice nurses association

sand dollar lcapn

About LCAPN

Lowcountry Advanced Practice Nurses is a professional association of a diverse group of nurse practitioners in Charleston, South Carolina. It is designed to promote ongoing education and provide resources for nurse practitioners in the area.

President's Corner

We are excited to announce the development of our web page. This was a large project and we are grateful to Kathie Tabor for volunteering her time and ideas. You can access the web page at www.lcapn.org. You will be able to read the latest newsletter, RSVP to the meetings, find job opportunities, as well as conferences. The site looks fabulous and we are happy to finally be able to offer you a web page.

As you recall, we are unable to offer CEU’s through the pharmaceutical companies any longer. Instead, we can offer invitations to the Low Country Medical Associates conference, held in December, and the Palmetto Primary Care Conference, held in May. Both of these are offered free of charge. Please find the registration information for the Palmetto Primary Care conference in this newsletter. We hope you can take advantage of these offerings as both offer a nice number of CEU’s.

Lastly, to follow up on Dr. Stuart’s presentation on the implementation of the Doctorate in Nursing which is taking place nationwide, I have enclosed an article I came across in the last publication of Clinician Reviews. The article provides insight into the Doctorate program for NP’s and the equivalent for the PA programs.

Hope to see you in September!

Sincerely,
Carolyn Newton, FNP
President, LCAPN


News


Medical University of South Carolina College of Nursing Doctor of Nursing Practice Proposal

The College of Nursing will be requesting approval to open a Doctor of Nursing Practice (DNP) program. This change is requested based on national standards and the desire to provide the educational preparation necessary for nurses to meet the needs of health care consumers in the 21st century.

In Fall 2004 the American Association of Colleges of Nursing (AACN) set as a goal that preparation for advanced practice in nursing should occur at the doctoral level by 2015. In addition, they have recently proposed that faculty teaching nursing students in both baccalaureate and graduate degree programs be prepared at the doctoral level. The MUSC College of Nursing has assessed these trends over time and it is clear that schools across the country are moving to conform with this recommendation. Currently there are 55 schools offering the DNP and 140 schools are preparing to do so.

At this time we are developing the proposed program of study. It will offer a post-BSN and post-MSN entry. For the post-BSN entry we anticipate that it will be a three year curriculum that will be based on AACN’s core DNP competencies and meet competency requirements for advanced nursing practice specialty and role concentrations. Our current MSN program is 52 credit hours. We anticipate that the DNP program will be approximately 80 credit hours. The program will be offered in an online format with a required residency. At the end of the first two years, students will have the option of exiting with a Masters of Science in Nursing Degree. With this degree they would be able to sit for certification as a:

  • Family Nurse Practitioner
  • Adult Nurse Practitioner
  • Pediatric Nurse Practitioner

Nursing Administration and Nurse Educator also will be available at the MSN level.

The post-MSN program for the DNP will be 1-2 years in length depending upon the applicants prerequisites and will be offered online.

All programs of study will be available for full-time or part-time study, except for Nursing Administration, which will only be offered for part-time study.

Graduates with a DNP will be able to assume faculty positions, thus clearly addressing the nurse faculty shortage. In addition, the program has opportunities for collaboration with other colleges here at MUSC. The curriculum will include intense clinical immersion that emphasizes evidence-based approaches for quality and safety improvement in various roles and practice settings and provides students with interactive mentorship by clinical experts. It will also emphasize nursing’s role in translational research.

In the coming months we will be developing the curriculum, seeking official MUSC approval, and meeting with required approval bodies. It is our intent to begin the approval process for this request, with the hope of opening the program in Fall 2009. This proposal received preliminary approval from the MUSC Dean’s Council on September 17, 2007.

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LCAPN Board

  • President:   Carolyn Newton
  • Past President:   Susan Garro
  • Vice President:  
  • Treasurer:   Paige Hilton
  • Secretary:  Annemarie Donato
  • Special Projects:   JoCarol Ayers
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Contact by email

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Lecture


Lowcountry Advanced Practice Nurses Dinner Lecture Series

To be announced.
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Community Service


Update from Lowcountry Orphan Relief

One thousand, thirty-five children were helped in 2007. Volunteers are needed at the Children’s Closet to help organize and sort items coming in and distribute those requested. Please visit www.lowcountryorphanrelief.org for more details.

Volunteers Needed at Free Medical Clinic

ANP’s or FNP’s are needed to volunteer on Tuesday evenings at the First Baptist of North Charleston Medical Clinic. Open from 6:00 – 9:00PM, the walk-in clinic offers basic primary care in a Christian environment to clients age 12 and older. Provider care includes the treatment of HTN, DM, asthma, minor infections, MSK problems, allergies, etc.; emergency care is not offered. We are also in the process of implementing a nurse-run diabetes clinic on Tuesday afternoons. Those interested are invited to come by to observe clinic activities. Please call Judy Dillow at (843) 200-2055 for more information.

Lowcountry Orphan Relief Children's Fund

This organization provides services and aid to meet the needs of abandoned, abused, and neglected children in the Charleston area. They intervene where government aid ends.

Contact Information: PO Box 1074, Charleston, SC 29402
Phone (843) 747-4099
Web site: www.lowcountryorphanrelief.org.

In January 2008, Lowcountry Orphan Relief was asking for volunteers, even for a couple of hours, to help organize supplies. Many children were referred over the holidays, and while the organization is well-supplied, they need help actually filling the orders.

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Jobs

  1. Dr. Cynthia Blalock of Blalock Family Medicine and Urgent Care, 1405 Ben Sawyer Blvd., Mt. Pleasant is currently seeking a FNP for her clinic. Some weekends required. Please call 843.884.8121 for more information

  2. Family Health Centers, Inc. has openings for 2-3 FNPs in Denmark and Norfield (Neeses), SC. Another possible opening in St. George. Denmark and Norfield are rural areas near Orangeburg. Monday-Friday from 8a-5p with 1 hr for lunch. The centers have loan repayment available for those who qualify. Please contact Mary McAbee, Director of Human Resources, 803.531.8951. Click here to download a summary for applicants. (PDF)

  3. FNP needed for practice in New Mexico. 40 hr work week, great salary and benefits. Please contact Mark Clayton 866.782.9029 ext. 5856 or mark.clayton@comphealth.com You may also visit the website www.comphealth.com

  4. Charlestown Pediatrics is looking for a nurse practitioner either PNP or FNP. Contact Dr. Klauber at 747-4647.

  5. FNP wanted for full-time position at busy Family Practice office in Summerville. Excellent benefits package available. Contact: (843)695-2125.

  6. Heartland Care Partners has an exciting opportunity for a full-time Nurse practitioner. Come join our team for the grand opening of our newest Skilled Nursing facility: West Ashley rehab & Nursing Facility, Charleston, SC. To learn more contact:

    Que Cox at 800-375-5495 ext 106
    Qcox@hcr-Manorcare.com
    Fax: (800) 810-0996
    Apply online at www.hcr-manorcare.com
    Click here to download a summary for applicants. (PDF)
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Conferences


Political Corner


NHPCO Responds to Medicare’s Proposal that will Cut Hospice Rates

(Alexandria, Va) – The Centers for Medicare and Medicaid Services has released a proposed rule that would significantly impact hospice reimbursement in a devastating way. By phasing out the annual adjustment that is applied to the hospice wage index over the next three fiscal years, CMS will be cutting the reimbursement levels hospices receive for the care they provide to terminally ill patients and their family caregivers.

The National Hospice and Palliative Care Organization strongly opposes this proposed rule.

“Regardless of how the administration chooses to characterize or couch this action in technical terms, it is a rate cut,” said J. Donald Schumacher, NHPCO president and CEO. “Through this proposed rule, the administration is circumventing Congress to save money in a manner that may ultimately jeopardize the services provided by hospices to dying patients and their families.”

Unlike most other healthcare providers, hospices are uniquely strained by the rising costs of gas, supplies and pharmaceuticals because they provide medical equipment, supplies and medications related to the patient’s terminal illness.

“Given that 80 percent of care is delivered in the home, hospice professionals must drive to reach those they serve and are subjected to inflationary pressures with every visit to the gas pump,” remarked Schumacher. “This is but one example of the increased costs that this rule would ignore.”

In recent years, regulators have been looking closely at hospice reimbursement levels and have expressed concern over the growth in hospice expenditures – which are $11 billion per year. This follows two previous CMS administrators who voiced support for increased hospice usage to the broader healthcare community, encouraging more timely referrals and explaining that hospice is a key component of healthcare in this country and a valued benefit offered by Medicare. The growth in hospice spending is directly tied to the growing preference for hospice care by Americans coping with a life-limiting illness.

More than 1.3 million dying Americans received care from the nation’s hospice providers last year. This number has risen and continues to grow as more patients learn of the wide range of beneficial services and the compassionate care that hospice offers.

Considered to be the model for high-quality care at the end of life, hospice involves a team-oriented approach to care that includes expert medical attention, pain-and-symptom management, and emotional and spiritual support. The quality of a person’s life is emphasized, not the duration. Moreover, services and support are provided to family caregivers, in addition to the patient.

The economic value of hospice care has been validated by research. An independent study released late last year by Duke University found that the use of hospice saved Medicare an average of $2,300 per patient who received this care. Additionally, a recent MedPAC report noted profit margins in the hospice community are running under 3.5 percent.

Hospice offers the services and support that Americans want when coping with life-limiting illness. A Gallup Poll commissioned by the National Hospice Organization (now NHPCO) found that nine out of ten Americans, if faced with a terminal illness, would want to remain in their homes and receive the services that hospice provides. In fact, over 80 percent of hospice care in the U.S. is provided in the home.

“Patient satisfaction data collected by NHPCO shows the 98.5 percent of families would recommend hospice to others, reflecting the high level of family satisfaction with care. Coupled with the fact that hospice can be cost effective to Medicare, it seems illogical to put rules in place that would cut down on the care hospice providers could offer,” Schumacher noted.

The result of this proposed rule would potentially mean less care to patients and family caregivers during the end of life.

“NHPCO and its affiliate, The Alliance for Care at the End of Life, recently supported bipartisan, bicameral letters from 87 Members of Congress sent to Secretary Leavitt in opposition to the proposed rule and subsequent rate cuts to hospice care. The rule release merely marks the beginning of an arduous regulatory process—one that we will engage in to the very end to ensure that this valuable benefit to the dying is not sacrificed to short-sighted cost cutting whims,” concluded Schumacher.


The Advanced Practice Nurses Political Action Committee

The Advanced Practice Nurses Political Action Committee meets at 8am on the first Thursday of each month at Panera Bread near the Tanger Outlets (5070 International Blvd., North Charleston). The goal of this group is to improve and strengthen the position of APRNs as members of the current health care system in South Carolina. All APRNs are invited to attend and get involved. Please contact Annemarie Donato at asdonato@aol.com for more information. (Directions)

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Join LCAPN

Membership dies are $35/year for bimonthly dinner and lecture meetings September through May. Renewals are due September 1. New member dues are $35 until December and then $10 per meeting thereafter for the current year. A data sheet should be completed and mailed with a check made out to LCAPN to Paige Hilton, 1446 Inland Creek Way, Mt. Pleasant, SC 29464.

Thank you, and we look forward to meeting you soon!

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