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DallasNews Dallas Chapter of the Oncology Nursing Society Virtual Issue 3 August 2008 Greetings! As we all swelter here in the dog days of summer, it seems difficult to grasp that school starts right around the corner, fall will be in the air sooner or later and then it’s the holidays. Where did this year go? August is the month we traditionally send out nomination packets for new board members so look for them in your mail box- yes real mail. This year we are seeking nominees for the positions of Vice President and Director – at- large. I encourage each of you to consider nominating a co –worker or yourself. Serving on the chapter board is rewarding, informative and fun. By now many of you should have receive the flyer from national ONS regarding Institute of Learning (IOL) to be held in Seattle WA in early November. This is consistently an excellent meeting offering the newest clinical info, lots of CEUs and an opportunity to network with other oncology nurses across the country- AND the chapter offers a $500 scholarship to attend. I would highly encourage you to submit an application. Speaking of Scholarships- Did you know that our chapter offers many scholarships- from Congress and IOL to return to school assistance just to name a few. This year we have been proud to award the ONS Congress scholarship to Amy Jordan and Jane Reeves. Read more about Jane in this newsletter. We still have scholarships remaining for this year so look on the chapter web site www.dallas.vc.ons.org or contact Becky Goodman scholarship chairman at [email protected]. Inside this issue: President’s Corner 1 New Newsletter/VC Committee Members 2 ONStat News 2 ACS Pt Navigator 3 Available Nurse Manager Position 3 Pancreatic Research Opportunity 3 ELNEC train-the-trainer course opportunity 4 34th Annual Congress Volunteers Needed 4 ONS Foundation ONSEdge 5 5-6 Member Feature 6 Pancreatic Support 7 Group We still have a lot happening with our Chapter for the remainder of the year- Vendor night September 23, our last regularly scheduled chapter meeting on October 28th And our exciting community involvement in November- keep reading to find out all the scoop. Undy 5000 7 Vendor Night 8 GINA Update 8 It has been my pleasure and privileged to serve as your chapter president for these past 2 yrs and I know Margaret and the Board are busy planning for next year. If you have any suggestions for programs or activities – please contact either myself, Margaret Rhodes or Linda Cole. Cancer Survivors Day Celebration 9 Scholarship Info 9 - 10 Genes & Things 10-12 DONS Board Info 13 Stay cool and pray for peace and rain!! Nancy 1 ___________________________________________________________________________________ NEW DONS Newsletter/VC Committee Members –A A GREAT BIG THANKS to Stacey Beasley, RN, OCN, and Teresa Hill, RN, MSN, OCN, APRN-BC for volunteering to serve on the DONS newsletter and virtual community committee! Jointly these individuals will provide superior newsworthy items to the newsletter and keep the v/c updated in a more timely fashion! Should you have any requests for posting on the v/c and/or newsletter items Stacy can be reached at [email protected] and Teresa can be reached at [email protected] Submitted by Millie Arnold, RN, BS, OCN, CCRC ____________________________________________________________________________ “Grassroots ONStat News… submitted by Marilyn Early - DONS Government Liaison Grassroots organizations take people just like you and I, who are willing to roll up their sleeves and do a little bit of work, to build the community, fix what is broken, and make things better. We can make a difference and transform our city, or our nation, and especially the Oncology Community. The Oncology Nursing Society has a grassroots organization to do just that. ONStat. ONStat will keep you up to date on what is going on in Washington. They will ask for your assistance when one of your elected officials is critical to an issue. The Legislative Action Center in the ONS Website will give you information about the issues and legislation currently being looked at in congress. organizations take people just like you and I, who are willing to roll up their sleeves and do a little bit of work, to build the community, fix what is broken, and make things better…” It will also take you step by step along the way of speaking with your officials, emailing, or writing letters. Take the next step to be a health policy advocate, join ONStat today, and visit the Legislative Action Center often. http://www.ons.org/lac/index.shtml Legislative Action Center http://www.ons.org/lac/pdf/ONStatApplication.pdf ONStat Application 2 American Cancer Society Patient Care Navigation – Submitted by Millie - Unfortunately most of us have experienced a telephone call that goes something like, “Hello, I have cancer and don’t have insurance. I live outside of Dallas County. Can you help me?” Today, I can honestly say, “Yes!” Thanks to Dr. Karen Heusinkveld who presented at the DONS July meeting everyone now has information about the ACS Patient Care Navigation Program. The primary focus is to help meet the multiple needs of cancer survivors who either have no insurance or are under insured. This service will provide monetary assistance and/or direction to eligible patients and families for household, transportation, and treatment expenses who live “anywhere” in Texas. Accessing the ACS Patient Care Navigation service is as simple as calling 1-800-ACS-2345 or 1-800-227-2345 (English & Spanish speaking resources available 24-hours 7-days a week) or patients can also access the ACS website at www.cancer.org and entering in a zip code to locate multiple local assistance programs. ___________________________________________________________________________________ Available office nurse manager position… CANDIDATES APPLY TO: JOHN GILBERT [email protected] (805) 541-9030 ___________________________________________________________________________________ DON’s member Linda Vozzella, RN, OCN is conducting a “Quality of Life” pancreatic cancer study interviewing pancreatic patients and family members. If you are interested or would like more information, please contact Linda at 214-345-4054 or [email protected] (Presbyterian Hospital of Dallas) See attachment for flyer 3 End-of-life nursing education consortium (elnec) train-the-trainer course opportunity - October 9-11, 2008 at the Marriott Washington-Dulles Airport Hotel (Washington, DC area). Since 2001, over 4,850 nurses have attended a national ELNEC course and have returned to their institutions and professional nursing organizations to provide training to their colleagues in excellent end of life/palliative care. Advances in end of life care have evolved over the past thirty years through the hospice movement in the United States and have been given recent attention by groups including the National Cancer Policy Board, the Institute of Medicine, the Joint Commission, and numerous other organizations. “The ELNECSuper Core curriculum was written by and for oncology nurses.” The ELNEC-SuperCore curriculum was written by and for oncology nurses. The registration fee of $500 per participant covers all materials including: 1000+ page syllabus, CD-Rom with all power point slides, 2006 edition of Textbook of Palliative Nursing, 5 meals (dinner on Thursday evening, breakfast and lunch on Friday and Saturday), 13 CE’s. Also, the opportunity to network with other nurses from across the US is invaluable. For more information about the ELNEC Project and/or to register, go to: www.aacn.nche.edu/ELNEC This course will fill-up quickly. Registrations are taken on a first-come, first-serve basis. Pam Malloy, RN, MN, OCN ELNEC Project Director American Association of Colleges of Nursing (AACN) One Dupont Circle, NW, Suite 530 Washington, DC 20036-1120 202-463-6930, Ext. 238 (voice mail) 202-785-8320 (fax) [email protected] VOLUNTEERS NEEDED… 34th Annual ONS CONGRESS in SAN ANTONIO – April 30 to May 3, 2009 ALL DONS members are encouraged To contact Marilyn Early at [email protected] to volunteer! We want the DONS Chapter to have a strong visible presence assisting our fellow San Antonio ONS Chapter! 4 ONS Foundation & ONSEdge News Submitted Margaret Rhoades, RN, BSN, DONS Vice-President. “The mission of ONSEdge is to provide advantage The ONS Foundation, established in November, 1982, is a national through public, non-profit, tax-exempt organization headquartered in Pittsburgh, healthcare PA. The ONS Foundation established its base of support primarily from knowledge.” corporations and individual members of the Oncology Nursing Society. Since 1982, the Foundation has distributed more than $19.2 million in research grants, research fellowships, academic scholarships, lectures, public education projects, career development awards, congress scholarships, Institutes of Learning, and oncology advanced practice nurse conference scholarships. I had the privilege of attending the 2008 Mentorship Weekend in Pittsburgh, PA on July 24, and wanted to share some information with our members about the ONS Foundation and ONSEdge. Their core beliefs reflect a determination and passion for empowering every nurse working in oncology care to: Ensure that every patient with cancer will have a welleducated oncology nurse providing quality care that is based in a practice of cultural sensitivity; Provide oncology care based upon scientific evidence identified through collaborative and multi-site research; Empower oncology nurses to take leadership roles to affect positive outcomes for cancer care throughout our world. “As a chapter we intend to support the mission of the ONS Foundation through financial support ensuring a future of superior cancer nursing care.” The mission of ONSEdge is to provide advantage through healthcare knowledge. ONSEdge is a healthcare intelligence company providing corporate clients in the pharmaceutical, biotech, and medical equipment/device industries, consulting and advertising agencies, oncology therapeutics, and other leaders in the field of nursing with the competitive edge of our unparalleled nursing knowledge. As a subsidiary of ONS, ONSEdge has unique access to the largest professional oncology association in the world and was formed to bring this nursing knowledge 5 closer to the business of healthcare, providing industry leaders with an unquestioned competitive edge. Craig Byrum with the ONS Foundation will be coming to Dallas to speak briefly with the DONS members about the ONS Foundation’s role and its relationship with its members. As a chapter we intend to support the mission of the ONS Foundation through financial support ensuring a future of superior cancer nursing care. _________________________________________________________________________ Who would you like to feature in the next Membership Feature? Contact any of the DONS Newsletter Committee as below: Millie Arnold [email protected] Stacey Beasley at [email protected] Teresa Hill at [email protected] Thanks to the Dallas ONS chapter for the wonderful scholarship to National Congress in May. As a new comer to oncology nursing, it was a great experience for me. I am a nurse navigator here at Richardson Regional Cancer Center and looking for any and all educational opportunities regarding navigation. This scholarship enabled me to attend multiple sessions on navigation as well as to network with many navigators across the US. I also took the “field test” for the Oncology Certified Breast Nurse or “OCBN” which is coming out in February, 2009. I attended a focus group of navigators who all realize we need more structure and consistency. Different hospitals have such varied job descriptions under the navigator title. I also met a group of ladies who are developing a new professional group called NCONN or National 6 Coalition of Nurse Navigators of which I am now a member. Thank you again! Jane Reeves, RN _______________________________________________________________________ Each 2nd Monday of the month at 6:00 PM at Presbyterian Hospital of Dallas is the only site in the City of Dallas that hosts a Pancreatic Cancer Support Group? DONS Linda Vozzella, RN, OCN is the facilitator. The group meets in at the Presbyterian Hospital of Dallas, GI Lab waiting room, located in the Main Building. All patients and family members affected by pancreatic cancer are invited. For more information call 214-345-4054. ______________________________________________________ everyone is invited…DONS members, friends, and family members are invited to join team “DONS Go-Litelys” for the 1st annual “Undy 5000”. A brief run/walk to fight colon cancer 5 K Walk/Run at 8:00 am, Saturday, November 1st at White Rock Lake! Come join us for a 5K that’s like no race you’ve ever seen! The “Undy 5000”is a race to fight colon cancer. Participants in the “Undy 5000” are encouraged to run or walk in their underwear! Why Underwear? Because people don’t like to talk about colorectal cancer. And talking about it will save lives! Did you know that 90% of colorectal cancers are preventable with a simple test? But when was the last time you said the word colon or rectum to your doctor, let alone in public? The “Undy 5000” is going to change that! Not being afraid to talk about the area below your waist can save your life! HELP US SPREAD THE WORD! 7 REGISTER NOW! Call 877-677-3488 or visit www.Undy5000.org Your team captain is Millie Arnold! The goal is to raise $250. Tuesday, September 23rd Save the date... annual DONS Vendor Night (Dallas Double Tree) _________________________________________________ Submitted by Millie Arnold, RN, BS, OCN, CCRC The Genetic Information Nondiscrimination Act (GINA) is a federal law prohibiting health insurers and employers from discriminating based on genetic information and was signed into law by the President on May 21, 2008. The health insurance provisions of GINA will take effect May 2009, while the employment provisions will take effect six months later in November 2009. A Quick Reference Guide is available on the NHGRI website summarizes What GINA does and does not do @ http://www.genome.gov ______________________________________________ 8 Submitted by: Brenda Casey, RN, OCN - Texas Oncology-Presbyterian The first Sunday in June is very special to many of us that work with cancer patients everyday. This is the day that anyone that has ever been diagnosed with cancer and their families and friends can come to celebrate their life! 2008 Cancer Survivors Day Celebration (cont’d) Each year Presbyterian Hospital Radiation Department, Texas Oncology at Presbyterian and NexGen Oncology get together to plan this wonderful event. This year, we had over 200 guests that participated in having photos made by Billy, The Button Maker man and enjoyed the fabulous food. This year we had gifts donated by numerous vendors the committee members and the host, so that each and every cancer patient received a gift. Several of our Dallas Chapter ONS Nurses volunteered their time; Jan Gartenberg, Marie Holleman, Tammy Johnson, Connie Cimino and Carol Pearson. Beverly Hinckley, Radiation Therapist from Presbyterian was the coordinator and did a spectacular job! We all feel it is just a small way we can give back to those who have had cancer in their lives. 9 Congratulations to DONS members Donna Betts and Pat Kelly for being recipients of DONS Education Scholarships! Other recipients of DONS Scholarships are Amy Jordan and Jane Reeves.J. DONS Scholarship instructions can be accessed as follows: Open your chapter’s virtual website Click on “News” Click on “Scholarship” Adapted with permission Linda Robinson, Genetic Counselor, UTSW & DONS member Becky Althaus, RN, Ph.D., CGC, Genetic Counselor, Presbyterian Hospital of Dallas Submitted by Millie Arnold, RN, BS, OCN, CCRC The following information was provided thanks by DONS member Becky Althaus at an Extra Educational Event on August 5th sponsored by Myriad Genetics Laboratories, Inc . 10 Did you know effective September 15th Myriad Genetics Laboratories, Inc. will launch a Direct-To-Consumer marketing campaign with TV, radio, and magazine ads in Texas for its BRCA1 and BRCA2 gene tests? It is anticipated that nurses throughout Texas will experience a significant increase in inquiries for this testing among their patients following the marketing campaign. Similar marketing in other states increased demand for this type of genetic testing. It is estimated that only 5 to 10 percent of the population will test positive for these specific mutations; unfortunately, the demand for testing will come largely from a low-risk population. Nurses may find it necessary educate the patient that BRCA mutations are rare, (1 in 300-800 people of non Ashkenazi Jewish heritage, 1 in 40 of Ashkenazi Jewish heritage), are responsible for only about 10% of breast cancer, and that the laboratory test is quite expensive ($3,120.00). Guidelines published by multiple medical societies recommend only testing people who have an increased risk to carry a BRCA gene mutation. In addition, it is most informative if testing is first performed on the family member diagnosed with breast or ovarian cancer. Therefore, testing is generally indicated for people with a personal or family history of: Breast cancer diagnosed before age 45-50 Breast cancer diagnosed in both breasts Multiple cases of breast cancer on the same side of the family Ovarian cancer in a family with breast cancer Male breast cancer The combination of breast, ovarian, and/or pancreatic cancer on the same side of the family or in a single individual Jewish ancestry and breast or ovarian cancer Note: Most third party payers, including Medicare, have guidelines for coverage. About 90% will cover the testing at 80-90% of the cost if the patient falls within the specific company’s guidelines. A person who is diagnosed with a deleterious mutation in a cancer predisposition gene is 11 protected from later discrimination in determination of coverage or premium rate setting in group health insurance plans by a provision in HIPPA and in TX state law 75RHB. HIPPA also prevents the use of a genetic test being considered a pre-existing condition if a cancer is diagnosed later. The new federal law, GINA, (will be enacted in May 2009) will protect the patient from discrimination in employment and in all health insurance rate settings, including individual health insurance policies. Because hereditary breast cancer may be caused by mutations in any one of a number of genes including BRCA1 and BRCA2, genetic evaluation may be very complex and may require extensive patient education and counseling. Genetics trained nurses and genetic counselors are available throughout Texas to conduct hereditary risk assessment and educate patients about the benefits and limitations of genetic testing. The genetic nurse/counselor will evaluate family history, explain the contribution of heredity to cancer risk, review the benefits and limitations of genetic testing, risks associated with a gene mutation, medical management options, possible uncertain test results, insurance coverage, and laws that prevent health and employment discrimination. In addition, the cancer genetic nurse/counselor is well-versed in the language of genetic tests and can thoroughly interpret the laboratory results. To locate a genetics professional in your area or to learn more about hereditary cancer, contact the National Cancer Institute at www.cancer.gov (search under ‘cancer genetics services directory). The Myriad Genetics direct-to-consumer campaign presents both an opportunity and a challenge. It will greatly increase awareness concerning genetic testing for hereditary cancer and hopefully lead to life-saving interventions in people who may not have had the opportunity prior to viewing the ad. The challenge will be in providing responsible use of limited health care resources by testing appropriate individuals at high risk of carrying a BRCA mutation and providing the best possible care to the individuals who may benefit. Meanwhile, professional organizations (American Society of Clinical Oncology, Oncology Nursing Society, Society of Gynecologic Oncologists, and National Society of Genetic Counselors) recommend pre- and post-test genetic counseling. It is integral to enabling a patient to understand the benefits, limitations, and cancer risk reduction options associated with hereditary cancer and genetic testing. Genetic 12 counselors and other trained health care professionals are available throughout Texas to conduct hereditary risk assessment and to educate patients on the benefits and limitations of genetic testing. ___________________________________________________________________________________ Chapter Board of Directors…Did you Know? Membership of the Chapter Board of Directors shall be determined by the chapter and described in the Standing Rules for the chapter. However, only those elected by the chapter membership maybe voting members of the Board of Directors. A minimum of three (3) elected officers (President, President-elect or Vice-president, Secretary and/or combined Treasurer) shall constitute the chapter Board of Directors. Other optional elected officers are Nominating, Membership and Program Chairs. YOUR 2008-2009 DONS Board Members Nancy Thompson, President – Email [email protected] Immediate Past-President - Vacant Margaret Rhoads, Vice-President – Email [email protected] Ben Garcia, Secretary – Email [email protected] Joni Mokry, Treasurer – Email [email protected] Myra Johnson, Director-at-Large – Email [email protected] Brenda Casey, Membership Chair – Email [email protected] Millie Arnold, Newsletter Editor/VC Administrator – Email [email protected] Stacey Beasley, Newsletter Co-Editor/VC Administrator – Email [email protected] Teresa Hill, Newsletter Co-Editor/VC Administrator – Email [email protected] Rebecca Goodman, Scholarship Chair – Email [email protected] Pat Wilson, Assistant Foundation/Scholarship – Email [email protected] Marilyn Early, Government Liaison – Email [email protected] Bijue Chang, Nominating Chair – Email [email protected] Wendy Stenzel, Historian/Archivist – Email [email protected] 13 Get involved…be a hero for the dons! 14