Fitzgerald Health Education Associates

February 2019

Fitzgerald Health Education Associates (FHEA) is committed to the success of nurse practitioners; we publish practical information for practicing NPs and NP students, which includes NP interviews, NP certification Q&A, avoiding malpractice, and news.

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Look for bold orange text i " information 1 Volume 18, Issue 9, September 2018 Women's Health Click or see page 11 Look for bold orange text i " information 1 Volume 18, Issue 12, December 2018 Click or see page 16 Click to View Previous Issues... for clickable web links. Our " icon is a clickable web link. Inside Tickborne Infections: Beyond Lyme Disease ........................1 Review Courses ................. 11 Certification Q&A ................12 News Briefs .........................18 Fitzgerald Health Education Associates ™ f hea.com Committed to the success of nurse practitioners Fitzgerald Health Education Associates ™ 978•794•8366 Tickborne Infections: Beyond Lyme Disease Vanessa Pomarico-Denino, EdD, FNP-BC, FAANP T he most common tickborne infection in the United States by far is Lyme disease, with more than 35,000 cases report- ed in 2016 (see Lyme Disease article featured in the Fitzger- ald Health Education Associates August 2018 newsletter). However, Lyme disease represents only one type of tickborne in- fection; this article will address other prevalent tickborne disease. Ticks found on wild animals, especially Ixodes scapularis (also called deer ticks and blacklegged ticks), can carry the organisms that cause anaplasmosis, babesiosis, Rocky Mountain spotted fever, ehrlichiosis, tularemia, and other, less common infections such as Powassan virus disease. 2017-2018 Live Courses Pharmacology Update (2-day course) Suture Workshop (1-day course) NP Essentials (4-day course) Exam Essentials (1-day course) NP Certification Exam Review Course Tracks Family & Adult-Gerontology Primary Care Adult-Gerontology Acute Care Emergency Psychiatric-Mental Health Most Common Ticks Lone Star Dog Tick Deer Tick Look for bold orange text for clickable web links. Our " i " information icon is a clickable web link. Inside Trends in NP Certification Pass Rates and a Path to Success on the Exam ............1 Review Courses ................... 3 Contraceptive Pearls ..........12 News Briefs .........................18 Fitzgerald Health Education Associates ™ f hea.com Committed to the success of nurse practitioners 1 Fitzgerald Health Education Associates ™ 978•794•8366 Volume 18, Issue 10, October 2018 Certification Q&A Trends in NP Certification Pass Rates and a Path to Success on the Exam Dr. Margaret Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC, FNAP T he exam for initial NP certification is a high-stakes exam that candidates in nearly every state must pass in order to obtain a license or practice as an NP. Of the thousands of NP candidates who took the exams offered by the American Nurses Credentialing Center (ANCC) and the American Academy of Nurse Practitioners Certification Board (AANPCB) for initial certification in 2017, approx- imately 80% in each certification area passed. Unfortunately, for 2018-2019 Live Courses Pharmacology Update (2-day course) Suture Workshop (1-day course) NP Essentials (4-day course) Dermatology Essentials (1-day course) NP Certification Exam Review Course Tracks Family & Adult-Gerontology Primary Care Adult-Gerontology Acute Care Emergency Psychiatric-Mental Health Women's Health Click or see page 3 Look for bold orange text for clickable web links. Our " i " information icon is a clickable web link. Inside Clinical Update: 2018-19 Immunization Practices .......1 Certification Q&A ................10 Review Courses ................. 11 News Briefs .........................16 Fitzgerald Health Education Associates ™ f hea.com Committed to the success of nurse practitioners 1 Fitzgerald Health Education Associates ™ 978•794•8366 Volume 18, Issue 11, November 2018 CLINICAL UPDATE CDC Updates Recommendations on Immunization Practices for 2018-19 Influenza Season Margaret Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC, FNAP T he CDC's Advisory Committee on Immunization Practices (ACIP) issued its updated recommendations regarding the use of seasonal influenza vaccines for the 2018-19 season. The ACIP continues to recommend routine annual influenza vac- cination for all persons aged ≥6 months who do not have con- traindications. Quadrivalent (four components) and trivalent (three compo- nents) formulations are available for the 2018-19 season. Inactivat- ed influenza vaccines (IIVs) are available in trivalent (IIV3) and 2018-2019 Live Courses Pharmacology Update (2-day course) Suture Workshop (1-day course) NP Essentials (4-day course) Dermatology Essentials (1-day course) NP Certification Exam Review Course Tracks Family & Adult-Gerontology Primary Care Adult-Gerontology Acute Care Emergency Psychiatric-Mental Health Women's Health Click or see page 11 October 2018 November 2018 September 2018 for clickable web links. Our " icon is a clickable web link. Inside Evaluating and Treating Vitamin D Deficiency ...........1 Certification Q&A ................15 Review Courses ................. 16 News Briefs .........................21 Fitzgerald Health Education Associates ™ fhea.com Committed to the success of nurse practitioners Fitzgerald Health Education Associates ™ 978•794•8366 Evaluating and Treating Vitamin D Deficiency Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC, FNAP V itamin D has long been recognized as essential for the effi- cient absorption and utilization of dietary calcium as well as for bone and muscle health. 1 Intestinal calcium absorp- tion is significantly enhanced by the presence of adequate vita- min D and conversely is reduced in deficiency of this important micronutrient. 1 Over the past 20 years, research has highlighted an association between multiple nonskeletal chronic diseases and vitamin D deficiency, 2,3 including certain cancers, 4-6 cardiovascular diseases, 7,8 autoimmune diseases, 9-11 metabolic disorders, 12 and infectious diseases. 13 As an inhibitor of abnormal cellular growth, vitamin D is needed to help with cell differentiation and thereby minimize abnormal cell proliferation; this abnormality is a key step in cancer development. 1,4 Vitamin D plays a role in the main- 2019 Live Courses Pharmacology Update (2-day course) Suture Workshop (1-day course) NP Essentials (4-day course) Dermatology Essentials (1-day course) NP Certification Exam Review Course Tracks Family & Adult-Gerontology Primary Care Adult-Gerontology Acute Care Emergency Psychiatric-Mental Health Women's Health December 2018 Look for bold orange text for clickable web links. Our " i " information icon is a clickable web link. Inside Measles: Making a Comeback .............................1 Certification Q&A ................14 Review Courses ................. 15 News Briefs .........................21 Fitzgerald Health Education Associates ™ fhea.com Committed to the success of nurse practitioners 1 Fitzgerald Health Education Associates ™ 978•794•8366 Volume 19, Issue 1, January 2019 Measles Making a Comeback Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC, FNAP O utbreaks of vaccine-preventable diseases including measles (rubeola) are occurring with increasing frequen- cy in the United States. In fact, the 667 measles cases re- ported in 27 states during 2014 is the highest number of cases reported since the Centers for Disease Control and Prevention (CDC) declared measles eliminated in the United States in 2000. Elimination of a disease means that there has been no endemic disease transmission for at least 12 months. Although measles is no longer endemic in the United States, outbreaks still occur each year. An ongoing multi-state measles outbreak in New York and New Jersey linked to travelers who brought measles back from Israel, which began in October 2018, plus a recent outbreak in Washington state, show that measles remains a threat in the Unites States despite extensive vaccination efforts. 1 In addition, the 349 measles cases reported in 2018 is the second-greatest number of annual cases reported since 2000. As the incidence of 2019 Live Courses Pharmacology Update (2-day course) Suture Workshop (1-day course) NP Essentials (4-day course) Dermatology Essentials (1-day course) NP Certification Exam Review Course Tracks Family & Adult-Gerontology Primary Care Adult-Gerontology Acute Care Emergency Psychiatric-Mental Health Women's Health Pediatric Primary Care Click or see page 15 January 2019

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