Transformation Nurse Academy

Alaska Tribal Health Consortiums Are Legally Immune

Ever heard of the Alaska Native Tribal Health Consortium or Southeast Alaska Regional Health Consortium? Today, we dove deep into the complex world of tribal health consortiums and their legal implications, especially focusing on a recent Alaska State Supreme Court decision that affects how tribal health consortiums operate. 
The court overturned a 20-year precedent, granting these consortiums a type of sovereign legal immunity that shields them from most civil lawsuits in state courts. This decision is monumental because it means that unless a consortium waives its immunity, they are largely protected from legal challenges.
We explore the implications of this ruling, discussing both the benefits and the challenges it presents. On one hand, this immunity can help consortiums avoid frivolous lawsuits, ensuring that funds are directed toward healthcare rather than legal fees. On the other hand, there are concerns about the lack of recourse for employees and contractors in cases of disputes or wrongful actions.
This topic is complex and can be polarizing. My goal is to inform and provoke thought, not to alienate any of our listeners. Whether you agree or disagree with the points raised, I hope this episode gives you a deeper understanding of tribal health consortiums and the legal nuances surrounding them.
Key topics discussed: 
What tribal health consortiums are and examples like the Alaska Native Tribal Health Consortium (ANTHC).
The benefits and challenges faced by these consortiums
A detailed analysis of a landmark legal decision by the Alaska State Supreme Court and its implications on employees and legal suits.
The concept of "arm of the tribe" immunity and how it affects the legal landscape for tribal health organizations.
Other links and resources mentioned:
https://chat.openai.com/share/b4a9120e-71e3-4bda-8584-b0f8da4c7288
 
https://crnative.org/
 
https://www.aol.com/alaska-supreme-court-grants-significant-220300375.html
 
https://alaskapublic.org/2024/04/29/alaska-tribal-health-consortiums-are-legally-immune-in-many-cases-state-supreme-court-says/
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Share your thoughts, experiences, and insights on how we can collectively transform the nursing landscape and improve patient outcomes.
 
 
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Let's Take a Look at Heather Presdee's Case, Former Nurse Guilty of Triple Homicide

In this episode of the Transformation Nurse Academy podcast, we discuss the shocking case of Heather Pressdee, a former Pennsylvania nurse sentenced to life in prison for killing three patients by injecting excessive doses of insulin.
 
Learn about the details of her case, including her employment history at multiple healthcare facilities where she exhibited abusive behavior towards patients and staff.
Furthermore, we discuss the disturbing events surrounding Pressdee's actions and questions why her employers failed to report her behavior to the Board of Nursing, as mandated. This episode sheds light on the importance of recognizing and reporting abnormal behavior in healthcare settings to prevent harm to patients.
Key Points Discussed in the Episode:
 
1️⃣ Mandatory Reporting: One of the major issues highlighted in this case is the failure of multiple healthcare facilities to report Presidy's abusive behavior towards patients and staff. As healthcare professionals, we are mandated reporters and must speak up if we suspect any wrongdoing. It's crucial to hold employers accountable for not taking action to prevent harm.
 
2️⃣ Patient Safety: The tragic outcomes for the victims in this case underscore the importance of patient safety in healthcare settings. Presidy's actions resulted in the deaths of innocent individuals who trusted her to provide care. It serves as a stark reminder of the critical role we play in ensuring the well-being of our patients.
 
3️⃣ Accountability: The lack of accountability in allowing Presidy to move from one facility to another despite a history of abusive behavior is concerning. It raises questions about the oversight and monitoring of healthcare professionals within the system. We must advocate for stronger measures to prevent similar incidents from occurring in the future.
Other resources and links mentioned:
 
https://www.theguardian.com/us-news/article/2024/may/03/nurse-convicted-killings-heather-pressdee
 
Pressdee Case (PDF file)- https://www.dropbox.com/scl/fi/ljwavc0sedaag8g0iijcy/Pressdee2251018340cao072623tmb.pdf?rlkey=qws7dw6ogbjjqf0fm71399taj&dl=1
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Share your thoughts, experiences, and insights on how we can collectively transform the nursing landscape and improve patient outcomes.
 
 
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Nurse Case Study: Float Nurse’s Failure to Follow Sepsis Protocol Guidelines

Are you confident in your ability to advocate effectively for your patients during critical situations such as managing sepsis?
 
Today, we delve into a nurse's case study where a registered nurse (RN), working as a per diem float in an emergency department, faced challenges in managing a patient with severe sepsis. The critical issues highlighted in this case included missed patient history details, delays in treatment due to protocol errors and communication breakdowns, and ultimately, legal repercussions for the RN.
 
This case underscores several key points that are crucial for all healthcare professionals, especially nurses.
 
Key Points Discussed in the Episode:
 
Failure to follow sepsis protocol guidelines and institute the chain of command can result in severe patient harm.
Adequate knowledge of hospital policies, downtime procedures, and communication techniques is crucial for patient safety.
Advocating for patients in a professional manner and documenting all actions taken is essential.
Understanding the severity and urgency of conditions like sepsis is imperative for timely intervention and improved patient outcomes.
Utilizing resources like the Surviving Sepsis Campaign and maintaining competency with national guidelines can enhance patient care.
As healthcare professionals, it is our responsibility to prioritize patient safety by adhering to protocols, maintaining knowledge of policies and procedures, and effectively communicating with the clinical team. Failure to do so can have serious consequences for patients and may lead to legal challenges. Let's continue to educate ourselves and strive for excellence in patient care.
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Share your thoughts, experiences, and insights on how we can collectively transform the nursing landscape and improve patient outcomes.
 
 
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Other resources and links mentioned:
sccm.org- https://www.sccm.org/SurvivingSepsisCampaign/About-SSC
 
nso.com- https://www.nso.com/Learning/Artifacts/Legal-Cases/Nurse-case-study-Float-nurses-failure-to-follow-sepsis-protocol-guidelines-and-institute-chain-of
 

16 Legal Rules around DNR Do Not Resuscitate Order with Advocate, Maggie Ortiz MSN RN

How do DNR orders impact patient care directives and legal considerations, and what is the role of nurses in advocating for patients with DNR orders?
 
Today, we're joined once again by our good friend, Maggie Ortiz, MSN RN. Maggie has been a frequent guest on several episodes of our podcast and is our go-to resource for all legal issues concerning healthcare.
 
In this episode, backed by Maggie’s legal expertise, we delve into the critical distinctions between DNR (Do Not Resuscitate) and DNT (a non-existent term often mistakenly used), and what these terms mean both medically and legally.
 
Maggie also introduces another term, DNI (Do Not Intubate), and explores the nuances of medical interventions such as pressers, fluids, and nutrition.
 
Furthermore, we discuss informed consent, who is responsible for creating, revoking, and following DNR orders, and what nurses can and cannot give consent to, adhering to legal standards.
 
This episode is a must-listen for nurses across all specialties, offering a deeper understanding of patient care directives and the legal implications surrounding end-of-life decisions.
 
We hope this episode empowers you to navigate the complex landscape of DNR orders with confidence and care.
 
Stay tuned for more enlightening conversations here at the Transformation Nurse Academy podcast.
Key discussions:
 
The difference between DNR and DNT- DNT (Do Not Treat) is not a recognized medical term, while DNR (Do Not Resuscitate) is a well-established directive. We emphasized the importance of understanding what these terms mean both legally and medically.
 
How different states like Texas, California, and Iowa define DNR orders
 
Introduction of DNI (Do Not Intubate) orders, highlighting the nuances in medical directives across state lines.
 
The critical role of informed consent in the legality of DNR orders
 
What are the obligations of healthcare providers when creating, revoking, or following DNR orders, emphasizing the need for clear communication and adherence to legal standards.
Other resources mentioned in the episode:
 
Mick Hopkins- https://linkedin.com/in/mick-hopkins-46053199/
 
AMA 2.1- https://policysearch.ama-assn.org/policyfinder/detail/informed%20consent%5C?uri=%2FAMADoc%2FEthics.xml-E-2.1.1.xml
Listen to our previous episodes with Maggie Ortiz: 
 
Episode 8, Advocates for Nurses with Maggie Ortiz- https://podcasts.apple.com/us/podcast/8-advocates-for-nurses-with-maggie-ortiz/id1714328671?i=1000644586629
 
Episode 11, Nursing Regulations and Legal Issues with Maggie Ortiz of Advocates for Nurses- https://podcasts.apple.com/us/podcast/11-nursing-regulations-and-legal-issues-with-maggie/id1714328671?i=1000647264246
More about Maggie Ortiz: 
Maggie Ortiz is a registered nurse and a legal consultant for nurses. She has established herself as an expert in legal advocacy with over 20 years of experience as a practicing frontline nurse. She is dedicated to protecting those who serve others so selflessly. She is a lifeline for nurses when unethical administration and governing agencies aggress and attack their professional integrity and ethics using nurses as the scapegoats. Her experience and expertise make her a valuable resource for nurses navigating complex legal and professional challenges.
 
Connect with Maggie: 
Website- https://www.advocatesfornurses.com/
Facebook- https://www.facebook.com/advocates4nurses
Linkedin- https://www.linkedin.com/in/advocates4nurses/
TikTok- https://www.tiktok.com/@advocate4nurses
 
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Join us as we unravel the transformative landscape of nursing and healthcare alongside Kevin, and be part of the conversation that propels the field forward. 
 
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15 What is Hospice Care and Debunking Myths Around It with Amy Carmody

What is hospice care? And why nurses from various disciplines should prioritize effective communication and respect for each other's knowledge to promote better understanding and collaboration in patient care.
In the podcast episode, we sit with Amy Carmody, a seasoned hospice nurse, about the challenges and insights of hospice care. Amy shares her experiences, addressing common misconceptions about hospice care and highlighting the importance of teamwork and communication in providing quality patient care.
One of the misconceptions mentioned was the belief that all hospice patients have to be Do Not Resuscitate (DNR). Amy explained that hospice patients are not required to be DNR and shared examples of situations where hospice patients may still receive medical interventions based on their individual needs and preferences.
 
Amy also mentioned the need for boundaries and setting realistic expectations when it comes to end-of-life care, highlighting the complexity of the hospice nurse's role in supporting patients and their families during this sensitive time.
Tune in to gain a deeper understanding of hospice nursing and learn how nurses from different disciplines can work together to mitigate adverse outcomes and provide compassionate end-of-life care.
Key points discussed in the episode:
Hospice nurses' unique role in providing comfort and support
Why nurses must transition from a mindset of trying to cure to one of providing comfort and support
The profound impact that hospice nurses can have on patients and their families
Misconceptions about hospice care
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14 The Restored Nurse, A Holistic Approach to Nursing and Well-Being with Matt Norman

Are you a nurse ready to start taking care of your life?
 
Today, we have Matt Norman also known as “That Big Bald Nurse”. In this episode, we discussed how can nurses prioritize their well-being while juggling the demands of their profession and personal life.
Matt reflects on his 24-year career in healthcare, emphasizing the significance of the six pillars of health (physical, work, mental, financial, relational, and spiritual) outlined in "The Restored Nurse" book,  in shaping his approach to nursing and life. We discuss how neglecting any of these pillars can impact a nurse's overall well-being and professional performance.
We also touched on the challenges faced by nurses, including the demanding nature of the profession, the need for self-care, and the importance of prioritizing family and personal growth alongside career aspirations.
Key points discussed in the episode:
Recognizing the significance of six pillars in nursing and life
Self-care and resilience in nursing
Prioritizing personal life and compassion in nursing profession
Aligning professional calling with spiritual beliefs and prioritizing physical, mental, financial, and relational health
Mental health and spirituality in the nursing profession
 
Buy “The Restored Nurse” on Amazon! - https://a.co/d/eE74F3X
Other Resources Mentioned:
 
"The Restored Nurse: A Holistic Approach to Nursing and Well-Being"
Critical Incident Stress Debriefing (CISD) team for healthcare professionals
Western Governors University (WGU) for online education
Know more about Matt Norman: 
Matt Norman, also known as "That Big Bald Nurse," is a seasoned healthcare professional with over 24 years of experience in the nursing field. Throughout his career, Matt has been a passionate advocate for nurse well-being and holistic health in the healthcare industry. He is the author of "The Restored Nurse," a book that emphasizes the importance of prioritizing six key pillars of health - physical, work, mental, financial, relational, and spiritual - for nurses to thrive personally and professionally.
 
Matt's journey in nursing has not only been about providing exceptional patient care but also about inspiring fellow nurses to prioritize self-care, set boundaries, and achieve a balanced life amidst the demanding nature of the profession. His insights and experiences have made him a sought-after speaker, mentor, and leader in the nursing community, where he continues to impact lives and drive positive change in healthcare.
 
Connect with Matt: 
Listen to his podcast “Restoring The Nruses”- https://restoringnurses.buzzsprout.com./
Visit his website- https://restoringnurses.com/
 
Follow him on:
Facebook- https://www.facebook.com/thatbigbaldnurse
Tiktok- https://www.tiktok.com/@thatbigbaldnurse
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13 Unveiling Negligence In the Iowa Nursing Home Tragedy

How can nurses effectively advocate for patient safety while navigating challenging work environments?
 
In this episode,  we're going to be discussing a story that I saw this weekend- a nurse in Iowa who faced criminal charges related to the death of a care facility resident. The nurse allegedly refused to provide essential care despite repeated requests and failed to call for emergency assistance, ultimately leading to the resident's demise.
 
As nurses, we know that our profession is built on a foundation of compassion, expertise, and ethical standards. However, cases like these remind us of the immense responsibility we carry and the consequences of any lapses in care or judgment.
 
So join me as we explore the details of this case, analyze what went wrong, and discuss how we can all learn from these tragic events to ensure better patient outcomes in the future.
Key topics discussed in this episode:
Why it’s crucial for nurses to thoroughly understand their scope of practice and advocate for patient safety.
The challenges faced by healthcare providers, such as staffing issues, competency gaps, and the need for proper training and policies. Addressing the complexities of healthcare protocols and the impact they have on patient outcomes.
The importance of continuous learning and improvement within the nursing community.
 
 
Resources and links mentioned:
https://www.legis.iowa.gov/docs/iac/rule/655.6.3.pdf
 
 
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12 Retaliation VS. Accountability: Decoding Adam Karlen's Controversial Statements

Join me in this episode as we dive into a heated discussion on retaliation vs. accountability focusing on Adam Karlen’s controversial statement that sparked debate on nurses' rights and patient safety. 
 
Throughout this episode, we'll explore the nuances of retaliation versus accountability in healthcare settings, shedding light on the challenges faced by frontline healthcare workers and the implications for patient care.
Key Discussion Points:
 
Examining Carlin's views on retaliation vs. accountability and how they affect nursing professionals.
 
Discussing the rights and responsibilities of nurses in refusing unsafe assignments and advocating for patient safety.
 
Exploring Minnesota's scope of practice for registered nurses and its relevance to the concept of accountability in healthcare.
 
Analyzing hospital safety grades and infection rates to provide context for understanding Carlin's statements and their implications.
 
Investigating the role of effective leadership in preventing errors, promoting patient safety, and improving overall patient outcomes.
 
Join us as we navigate these critical topics and delve into the complexities of healthcare ethics and leadership! Tune in to gain valuable insights and join the conversation! 
Resources and links mentioned:
Minnesota Board of Nursing- https://mn.gov/boards/nursing/
Institute for Healthcare Improvement- https://www.ihi.org/
Hospital Safety Grade- https://www.hospitalsafetygrade.org/
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Subscribe to our channel for weekly updates and join us on this journey of transformation and growth.
 
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Part 5 Overcoming Abuse and Building a New Life, The Alicia Tresidder Story

Don't miss the final part of our series with Alicia Tresidder! 
 
In this episode, Alicia opens up about the challenges she faces due to her disabilities, including the difficulties she encounters while grocery shopping and the lack of empathy from others. She candidly shares her experiences of being mistreated and the impact it has on her daily life.
 
She also bravely recounted her experiences of being in an abusive relationship, particularly her first marriage, where she endured abuse and struggled to protect her children. She bravely recounts the harrowing moments of realizing the abuse her daughters faced and the pivotal decision to break free from the cycle of violence.
 
Alicia highlighted the need for women to take control of their lives, break the cycle of abuse, and seek support from people and organizations. 
 
Her story is a testament to the power of courage, determination, and self-empowerment in overcoming adversity.
Other resources mentioned: nomore.org
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🎁 WIN these amazing prizes? 
Grand Prize: 1x Littmann Classic III Stethoscope
2nd Prize: 1x Nurse Scrub Suit
3rd Prize: FREE ebooks for all participants
 
Here's how:
STEP 1: Listen to an episode of Transformation Nurse Academy Podcast
STEP 2: Share your takeaway and tag Kevin Stansbury with the hashtag #TNAGiveaway!
STEP 3: Tag a friend for more chances of winning. 
 
That's it! Winners announced on March 18, 2024. Check out the details [here]. https://www.facebook.com/groups/transformation.nurse.academy/posts/1072489027338092/
 
Good luck! 🍀
 

Part 4 Brain Lesions, Speech problems, and Mobility challenges Due to Past Trauma: The Alicia Tresidder Story

In this episode, we delve into the complex topic of brain lesions and how emotional trauma can lead to these complex phenomena. 
We also discuss a range of topics related to healthcare, including the scope of practice for CNAs, genetic ancestry reports, and personal stories.
Alicia shares her personal journey with health issues, including speech problems, mobility challenges, and the impact on her work as a nurse.
 
 Key discussions:
-Understanding Brain Lesions: Alicia shared her journey of discovering brain lesions and the potential causes behind them. From emotional trauma to neurochemical imbalances, we delved into the complex factors that can lead to these lesions.
 
-Navigating Health Challenges: We explored Alicia's experience with health challenges, including speech issues and mobility concerns. Her openness about facing these obstacles head-on and seeking medical help highlighted the importance of self-care and advocating for your well-being. 
Stay tuned for the next episode to conclude the mini-series with Alicia Tresidder and delve deeper into healthcare discussions.
 
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🎁 WIN these amazing prizes? 
Grand Prize: 1x Littmann Classic III Stethoscope
2nd Prize: 1x Nurse Scrub Suit
3rd Prize: FREE ebooks for all participants
 
Here's how:
STEP 1: Listen to an episode of Transformation Nurse Academy Podcast
STEP 2: Share your takeaway and tag Kevin Stansbury with the hashtag #TNAGiveaway!
STEP 3: Tag a friend for more chances of winning. 
 
That's it! Winners announced on March 18, 2024. Check out the details [here]. https://www.facebook.com/groups/transformation.nurse.academy/posts/1072489027338092/
 
Good luck! 🍀
 
Subscribe to our channel for weekly updates and join us on this journey of transformation and growth.
 
Join our Facebook group: https://www.facebook.com/groups/transformation.nurse.academy
Follow and Connect with Kevin: 
TikTok: https://www.tiktok.com/@kevin.er.nurse
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Facebook: https://www.facebook.com/Kevin.Stansbury.RN