Governor Rendell Urges Nurses to Support Rx for PA--RN, CRNA,Midwives, CNS & NP gains

  1. governor rendell urges nurses to support rx for pa during national nurses week
    [color=#6f6f6f] - 31 minutes ago

    chester, pa., may 10 /prnewswire-usnewswire/ -- governor edward g. rendell tonight urged members and guests of the pa state nurses association at the school of nursing at widener university to support his "prescription for pennsylvania" because it would improve the quality of health care for everyone and help control rising insurance costs.

    "i am proud to be standing here during national nurses week to recognize the key role pennsylvania's nursing profession plays in providing quality health care to people across the commonwealth," governor rendell said. "i'd like to take this opportunity not only to thank you for your great contributions, but to highlight the role that you would play in expanding access to quality health care for all pennsylvanians under my 'prescription for pennsylvania' health care reform plan.

    "prescription for pennsylvania is a wide-ranging plan that will improve the health care of all pennsylvanians and make the health care system more efficient and cost effective. one part of the plan includes common sense initiatives that will use all of our health care professionals to the full extent of their education and training by eliminating the barriers they face."

    the governor said out-dated limitations and barriers on a nurses' scope of practice -- like the "astonishing" fact that pennsylvania is currently the only state in the nation where nurse midwives do not have the authority to prescribe drugs -- make no sense. nurse midwives currently deliver roughly 10 percent of the babies across the state, a number which is much higher in some rural areas, but they cannot prescribe the necessary prenatal vitamins and other drugs necessary to ensure healthy pregnancies.....
    more... governor rendell urges nurses to support rx for pa during national ... -
    Last edit by NRSKarenRN on May 11, '07
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  3. by   NRSKarenRN
    was very pleased to be in the audience as governor rendell spoke about his:

    pennsylvania health care reform act: rx for pa

    this plan proposes broad changes positively impacting nursing and healthcare professions in pa including

    nurse midwifes and crna's having prescriptive powers in area specialization

    1. nurses will be able to provide all of the services for which they are trained and educated.
    2. patients will have better access to care through authorized nurse managed care centers.
    3.the availability of core primary care options will be expanded to reduce unnecessary expenses caused by overuse of the emergency room for basic treatment.
    4. new opportunities for nurses and nurse educators will be created through the pa center for health careers.
    5. clear legal definitions of clinical nurse specialists will be established to better protect both patients and nurses.
    6. nurse midwives will be authorized to prescribe drugs associated with obstetrical and gynecological practices, as well as be reimbursed directly by health insurers for services provided.
    7. advanced practice nurses and other non-physician health care providers will be reimbursed at the same rate as other health care providers when they provide the same services.
    8. the state will provide start up funding and logistical support for authorized nurse managed health care facilities and ensure that these facilities are included in provider networks as primary care providers.

    read the governor's plan
    powerpoint: [color=#d59f0f]governor's rendell's prescription for pennsylvania presentation

    main focus:
    [color=#173f6e]rx for affordability
    for 767,000 uninsured pennsylvania adults, prescription for pennsylvania means having the confidence that a sudden illness will not lead to unnecessary personal suffering and bankruptcy.
    [color=#d59f0f]learn more...

    [color=#173f6e]rx for access
    not all pennsylvanians have access to primary care providers and services.
    [color=#d59f0f]learn more...

    [color=#173f6e]rx for quality
    improving quality goes hand-in-hand with bringing costs under control for businesses and families struggling to pay their own health care premiums.
    [color=#d59f0f]learn more...

    house bill 700 legislation

    use this easy link from pa nurses to send letter to your pa legislator:

    support hb 700!!!
    please contact your state representative/senator and urge them to support governor rendell's "prescription for pennsylvania."

    ez letter : take action
    Last edit by NRSKarenRN on May 11, '07
  4. by   NRSKarenRN

    psna kicks off nurses week with governor rendell and pennsylvania's chief nursing officers

    the association and the governor strive to improve patient health care through rx for pa

    harrisburg, pa – the pennsylvania nurses association (psna) kicked off nurses week with governor edward g. rendell and chief nursing officers from across the commonwealth, as they came together to discuss support for governor rendell’s “prescription for pennsylvania.”

    psna held a meeting at the capitol with the governor and chief nursing officers to speak about governor rendell’s health care reform. the meeting was followed by a press conference, in which both the governor and psna executive director betsy m. snook, m.ed, bsn, rn, addressed the media about the importance of supporting this vital health care reform.

    “i am proud to be standing here, on the first day of national nurses week, with these representatives of pennsylvania’s nursing profession to recognize the key role they play in providing quality health care to people across the commonwealth,” governor rendell said. “we have an opportunity today not only to thank them for their great contributions, but to highlight the role they would play in expanding access to quality health care for all pennsylvanians under my ‘prescription for pennsylvania’ health care reform plan.”

    snook added, “this is a milestone moment and opportunity for pennsylvania to lead the nation in providing our citizens access to the best primary and preventive health care services they need and deserve. the pennsylvania state nurses association is calling upon everyone to get involved and demand reform now.”

    the governor and snook were also joined by state rep. mike sturla (d-lancaster), chair of the state house committee on professional licensure. rep. sturla announced the introduction of a package of seven bills that will implement the “scope of practice” provisions of prescription for pennsylvania.....

    further info

    psna rx for pa


    [color=#0066b9]sturla announces public hearings for scope of practice legislation

    harrisburg, may 7 – at a capitol news conference today with gov. ed rendell to kick of national nurses week, state rep. mike sturla, d-lancaster, announced that the house professional licensure committee will hold public hearings throughout the state to collect input on legislation that would expand the scope of practice for certain allied health professionals.

    “with governor rendell’s health care plan proposing scope expansions in various professions, it is imperative that the house professional licensure committee hold public hearings on them,” sturla said. “as chairman of the committee, i look forward to informative hearings that will help us craft the most effective legislation to ensure more pennsylvanians receive quality health care.”

    according to sturla, the committee’s hearing schedule is as follows:
    when where scope of practice
    may 16 at 1 p.m. university of pittsburgh, pittsburgh pharmacists
    may 17 at 9 a.m. university of pittsburgh, pittsburgh physician assistants
    may 24 at 10:30 a.m. g-50 irvis office building, harrisburg nurses
    may 30 at 1 p.m. drexel university, philadelphia dental hygienists
    may 31 at 10 a.m. drexel university, philadelphia nurse midwives

    the legislative package, which will be formally introduced later this week, and their sponsors are:
    h.b. 1250 - pharmacists - rep. deberah kula, d-fayette/westmoreland
    h.b. 1251 (med) & h.b. 1252 (osteo) - physician assistants - rep. harry readshaw, d-allegheny
    h.b. 1253 - certified registered nurse practitioners - rep. tim solobay, d-washington
    h.b. 1254 - clinical nurse specialists - rep. jaret gibbons, d-lawrence/beaver/butler
    h.b. 1255 - nurse midwives - rep. ron waters,d-philadelphia/delaware
    h.b. 1256 - nurse anesthetists - rep. marc gergely,d-allegheny
    h.b. 1257 - dental hygienists - rep. eddie day pashinski, d-luzerne

    the nurses hearing on may 24 will focus on h.b. 1253 and h.b. 1254.

    the house professional licensure committee handles licensing matters for more than 767,000 pennsylvanians working in a variety of occupations and professions, including doctors, dentists, nurses, engineers, barbers, funeral directors, cosmetologists and realtors.
    Last edit by NRSKarenRN on May 11, '07
  5. by   NRSKarenRN
    Hey Oramar and other concerned PA nurses:

    Buses are being provided to bring nurses to Harrisburg for May 24th hearing. PM me for details.

    HELP bring PA NURSING into the 2ist Century permitting RN'S to provide all of the services for which we are trained to perform.

    There are 200,000 RN's in PA... if we raises our voices high we are a force to be reckon with ---will probably overwhelm legislators too per da Governor.
  6. by   sirI
    Excellent proposals, Karen. Thank you for breaking this down for us.

    I was not aware that CNM did not have RX privileges in PA.
  7. by   oramar
    I am watching this program again at 3:25pm on PCN just incase I missed anything. My impression was that this bill will take nursing out of the dark ages. Also have been watching Republican hearings about this Bill. They are trying to raise interest in fighting against it. Their efforts seem somewhat tepid because the collaspe of the healthcare system in Pa as we know it looms in the not to distant future. I am going to look into taking this bus but there is the problem of my vacation that week. If you want to see what is in our future if we don't take action just read that Newsweek article that someone posted here about ER in Atlanta.
  8. by   Jolie
    1. Nurses will be able to provide all of the services for which they are trained and educated.
    (Quote from NRSKarenRN above.)

    Can anyone explain to me just what this means? Are there patient care functions that RNs are not being allowed to perform in PA, or is this a reference to APN prescriptive authority?
  9. by   bighousenurse
    that's nice that the governor supports his nurses in pa.
    Last edit by sirI on May 15, '07 : Reason: Edited off-topic response
  10. by   NRSKarenRN
    Quote from Jolie
    1. Nurses will be able to provide all of the services for which they are trained and educated.
    (Quote from NRSKarenRN above.)

    Can anyone explain to me just what this means? Are there patient care functions that RNs are not being allowed to perform in PA, or is this a reference to APN prescriptive authority?

    In a hospital setting in PA, RN's under standing orders permitted to
    a. obtain pulse oximetry reading if suspect patient is hypoxic
    b. use glucometer to check for hypo/hyperglycemia in diabetic patient
    c. perform skin assessment and apply dry sterile dressing/tegaderm/duoderm to stage 1 and stage 2 skin breakdown

    while in homecare, in order to perform "diagnostic laboratory testing" e.g. glucometer and pulse oximetry reading, homecare agency must apply for CLIA lab wavier in order to perform test.
    Each patients referring/attending doctor must be contacted for orders prior to performing these tests or applying wound care product ---otherwise practicing outside scope of practice.

    NP's can suture within hospital setting but not in office setting.

    Nurse Midwives unable to prescribe medications used within practice, including prenatal vitamins.

    Clinical Nurse Specialists role existed 25yrs I've been RN, yet not recognized in PA Nurse Practice Act!

    There is no delegation language permitting RN's to assign nursing tasks to assistive personnel/CNA's.

    These are examples of what I've experienced and hope to see changed to bring our nurse practice act and other legislation in-line with current healthcare practices.
  11. by   NRSKarenRN
    pennsylvania legislature considers easing healthcare worker rules
    the house professional licensure committee in pennsylvania is considering a series of bills that would remove some restrictions on health practitioners. removing restrictions would bring down the cost of healthcare, reduce emergency room visits and increase patient access, said gov. ed rendell.
    pittsburgh post-gazette, may. 8, 2007
  12. by   Jolie
    Thanks, Karen!
  13. by   NRSKarenRN
    Road the bus to Harrisburg with members of SEIU to support this legislation. Met with my House Rep staff.

    Rally being televised on PCN Public TV
    I'm holding PSNA sign at top of left steps if they show the group...

    5/24/07: 1:00 AM Health Care Rally
    Pennsylvanians United for Affordable Health Care
    Gov. Ed Rendell

    Check schedule for rebroadcast.....
  14. by   NRSKarenRN
    Received a letter today from my House Representative stating in favor of covering all PA residents with healthcare insurance.

    Was back in Harrisburg with Hosptial Assoc, of PA (HAP) for Health Care Advocacy day trying to get Medicaid cuts recinded, $5 million Burn unit funding restored and $33 milion to support Access to OB and NICU units..... visited 6 legislators and hope to have a possitive impact this time.

    Now on first name face to face basis with House Rep too