ADVANCED PRACTICE NEWSLETTER JUNE 2021 Office of Advanced Practice Providers & APP Advisory Board Communications Committee

CELEBRATING NURSE PRACTITIONERS NURSE ANESTHETISTS PHYSICIAN ASSISTANTS NURSE MIDWIVES

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It is with the greatest sadness that we share the loss of Lisa Hannegan, NP

UCSF cherished leader, mentor, and friend At UCSF Lisa worked as: A Staff Nurse in Neuro ICU from 1981-1984 A Clinical Nurse Specialist for the Department of Neurosurgery 1984-2017 An Acute Care Nurse Practitioner for the Department of Neurosurgery 2006-2017 A lecturer for the Department of Nursing 1983-2021 An Assistant Clinical Professor for the UCSF SON 1986-2021 A Nursing Supervisor for the Department of Neurosurgery 1997-2016 and after retiring in 2016 Lisa came back to UCSF's Department of Neurosurgery as an Acute Care Nurse Practitioner Per Diem 2017-2021 Lisa is so loved by our entire community. The influence of her care, love, and service extend far and wide, and will do so forever. Lisa contributed so much to helping neurosurgery, UCSF APP formation, UCSF operations in general, and she was THE expert in aneurysms. To name a few of Lisa's many accomplishments as a member of the UCSF community: Clinical Research 1983 Research Assistant for the study “The Effects of Specific Activities on Intracranial Pressure”, M. Muwaswes, Principal Investigator   1994-­‐96 Interviewed patients and collected data on postoperative outcomes after transsphenoidal pituitary surgery for hyperprolactinemia, acromegaly and Cushing’s disease 1996-­‐97 Study Coordinator: Aptiganel Hydrochloride (Cerestat) in Acute Stroke 1996-­‐98 Study Coordinator: A Prospective Multicenter Dose-­‐Ranging Study of Intra‐arterial Thrombolysis in Acute Middle Cerebral Artery Distribution Thromboembolic Stroke 1996-­‐2003 Study Coordinator: International Study of Unruptured Intracranial Aneurysms (ISUIA) 1996-­‐99 Study Coordinator: Randomized Trial of n-­‐BCA versus PVA in Preoperative Embolization of Arteriovenous Malformations 1999-­‐2004 Study Coordinator: Intraoperative Hypothermia During Aneurysm Surgery Trial II (IHAST II) 2004-­‐11 Study Coordinator: Carotid Occlusion Surgery Study (COSS)   2008-­‐10 Study Coordinator: Randomized Evaluation of Carotid Occlusion and Neurocognition (RECON) 2015 Study Coordinator: Seizure Prophylaxis in Aneurysm Repair (SPAR)   Creative Activities 1984 Collaborated on writing test questions for the American Board of Neuroscience Nurses certification examination 1984 Developed discharge instruction pamphlets for the department of neurosurgery that are still in use today in Your Health Matters   1986 Initiated the formation of a hospital-­‐based support group for newly-­‐ diagnosed brain tumor patients 1987-­‐2021 Developed UCSF Standardized Protocols and Procedures for the practice Clinical Nurse Specialists and Nurse Practitioners on the Neurosurgery Service 2004 Co-­‐founded the San Francisco Aneurysm and AVM Support Group Publications 1987 Hannegan LT. Brain Death: Diagnosis and Dilemma. Critical Care Quarterly, December 1987, 10(3): 83-91 1989 Hannegan LT. Transient Cognitive Changes After Craniotomy, Journal of Neuroscience Nursing, June 1989, 21(3): 165-170 1998 Abosch A, Tyrrell JB, Lamborn KR, Hannegan LT, Applebury CB, Wilson CB. Transsphenoidal Microsurgery for Growth Hormone Secreting Pituitary Adenomas: Initial Outcome and Long Term Results. Journal of Clinical Endocrinology and Metabolism, October 1998, 83(10), 3411-3418 1999 Tyrell JB, Lamborn KR, Hannegan LT, Applebury CB, Wilson, CB. Transsphenoidal Microsurgical Therapy of Prolactinomas: Initial Outcome and Long Term Results. Neurosurgery, February 1999, 44(2), 254-263 2004 Hammer GD, Tyrrell JB, Lamborn KR, Applebury CB, Hannegan LT, Bell S, Rahl R, Lu A, Wilson CB. Transsphenoidal Microsurgery for Cushing’s Disease: Initial Outcome and Long Term Results. Journal of Clinical Endocrinology and Metabolism, 89(12), 6348-6357 2009 Leblanc GG, Golanov E, Awad IA, Young WL, Biology of Vascular Malformations of the Brain NINDS Workshop Collaborators. Biology of Vascular Malformations of the Brain. Stroke, 2009, 40(12) e694---702. 2011 Extracranial-intracranial bypass surgery for stroke prevention in hemodynamic cerebral ischemia: the Carotid Occlusion Surgery Study randomized trial.Powers WJ, Clarke WR, Grubb RL Jr, Videen TO, Adams HP Jr, Derdeyn CP; COSS Investigators.JAMA. 2011 Nov 9;306(18):1983-92. doi: 10.1001/jama.2011.1610. 2017 Clinical utility and cost analysis of routine postoperative head CT in elective aneurysm clippings.Zygourakis CC, Winkler E, Pitts L, Hannegan L, Franc B, Lawton MT.J Neurosurg. 2017 Feb;126(2):558-563. doi: 10.3171/2016.1.JNS152242. Epub 2016 Apr 29. 2017 Neurosurgical "Squeeze Play": Single Incision with Dual Ipsilateral Craniotomies Versus 2 Separate Approaches for Intracranial Aneurysm Treatment.Burkhardt JK, Haider AS, Rutledge WC, Wang D, Hannegan L, Lawton MT.World Neurosurg. 2017 Nov;107:554-558. doi: 10.1016/ j.wneu.2017.08.032. Epub 2017 Aug 17  There are no words to describe this loss. To express all that Lisa meant to us and how much all of you and her work meant to her is impossible.  Simply, we are all better for having known Lisa Hannegan, and we all shine brighter having been honored by the gift of her love and care.  We send peace and love to Lisa’s family, friends, and to all of you.

IN THIS ISSUE Highlighting APP Practice at UCSF Health

Margaret Langham, NP who goes by Peg, is a pediatric nurse practitioner specializing in treating children with craniofacial conditions including cleft lip and palate, craniosynostosis, and craniofacial macrosomia. She sees patients for craniofacial prenatal consultations and feeding evaluations and participates in complex interdisciplinary craniofacial team visits. Margaret recently co-presented the following educational topics:   The UCSF Craniofacial Center – a (re)introduction to complex interprofessional team care, UCSF Pediatric Grand Rounds, October 22, 2020 Orofacial Clefts: What Practitioners Need to Know, 54th Annual Advances & Controversies in Clinical Pediatrics, May 12, 2021   Margaret Langham has been a member of the UCSF Craniofacial team since 2010 and has announced her retirement at the end of June 2021. Her expertise, compassion, and tremendous contributions to the care of children with craniofacial conditions will be missed!

Danielle Krieger, NP is an author of two poster presentations being displayed at the American transplant congress in June 2021 . The American Transplant Congress is the Joint Annual Meeting of the American Society of Transplant Surgeons (ASTS) and the American Society of Transplantation (AST).  ATC provides a forum for exchange of new scientific and clinical information relevant to solid organ and tissue transplantation and brings together transplant physicians, scientists, nurses, organ procurement personnel, pharmacists, allied health professionals and other transplant professionals.

Furthermore, Danielle will be speaking in a Live Video Question and Answer session at the Congress on June 8th. Advanced Practice Provider: Stuck in the Middle: The Transition from Pediatric to Adult Care. ATC 2021 click for more info

Mary Jane "MJ" Paras, Pediatric CRNA presented at the Society for Pediatric Anesthesia (SPA) in February. The SPA advances the safety and quality of anesthesia care, perioperative care, and pain management in children by educating clinicians, supporting research, and fostering collaboration among clinicians, patient families, and professional organizations worldwide. Mary Jane presented the following Topic and Objectives: Surgical Missions in Low to Middle Income Countries and COVID-19: Shifting Gears Upon completion of this presentation, the participant will be able to: * Discuss the impact of humanitarian surgical missions in low to middle income countries * Discuss the implications of COVID-19 on safe access to surgical and anesthesia care in low to middle income countries (LMICs) * Identify strategies mission organizations can employ to mitigate the burden of COVID-19 in LMICs. Additionally, MJ presented at the recent BCH APP Committee Meeting. The title of her talk was "Beyond the Blue Drapes: A Pediatric Anesthesia Primer".

Kristopher Jackson MSN, AGACNP-BC has an  editorial in this months’ American Journal of Nursing about his time in The Bronx last year working as a volunteer APP. "I stood in a somber, windowless space that—under normal circumstances—would serve as the hospital's postanesthesia care unit. Comprising a dozen or so little compartments, this area is normally meant to house patients briefly in the hours following surgery. But on this spring day in the Bronx, none of the 15-plus patients in this space were recovering from surgery . . ." Click to continue reading: AJN, American Journal of Nursing: June 2021 - Volume 121 - Issue 6 - p 72 doi: 10.1097/01.NAJ.0000753700.98078.69 Furthermore, Kristopher along with  fellow UCSF NP colleague, Starr Tomlinson, published A review of top performing rural community and critical access hospitals' web resources for transgender patients in the United States. Abstract Objective : This cross-sectional study examined the prevalence of "LGBT" and "transgender" terminology and type of resources available to transgender patients on the websites of top performing rural/community hospitals and critical access hospitals in the U.S. The effect of hospital control (e.g. type of operating parent organization) on the presence of transgender resources on these websites was also evaluated. Link to review

Rebecca Amirault, CNM will be delivering a presentation and participating as a panelist at UCSF 44th Annual Antepartum and Intrapartum Management meeting June 10-12, 2021.  Topic of her presentation:  Outpatient Foley Balloon or Castor Oil? How to Encourage the Onset of Labor at Home. Panelist for :. Fetal Heart Rate Monitoring Interactive Session with Faculty Panel The 44th AIM is presented by the University of California, San Francisco School of Medicine, this course stresses antepartum and intrapartum assessment and clinical management in obstetrics.  AIM Conference June 2021

2021 Nursing Award Recipient for Advanced Practice

Naomi Jay, RN, NP, PhD UCSF Anal Neoplasia Clinic, Research and Education (ANCRE) Center She demonstrates excellence in clinical care, clinical research, and through her teaching has literally improved outcomes for patients worldwide. Read more

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Linda Dulong Karoly Dyer Ada Edwards Bethany Geleris Lisa Hartmayer Kris Jackson Kristina Kordesh Sheila Lindsay Gabriel Schwartz Jessica Thai

Our newest class of NPIII CONGRATULATIONS NPIIIs are clinical expert who demonstrates excellence through advanced clinical practice, education and leadership Click here for NPIII information

SAVE THE DATE October 8th, 2021 UCSF APP Education Committee virtual conference

How much time do you spend refilling meds? Take this 2 minute survey Provider Refill Prior Authorization Survey

CHANGE TO APP FELLOWSHIP LEADERSHIP COMING AFTER July 11, 2021 After July 11, 2021 the APP Fellowship program director will transition from Thomas Farley, MS, ANCP to Ivette Becerra-Ortiz, DNP, DNP, MPH, NEA-BC, CPNP-PC, NP, RN STAY TUNED for further information in our JULY 2021 NEWSLETTER

June is Pride Month This year it is especially important to reaffirm our support for the LGBTQIA+ community and our commitment to building a more inclusive and equitable UCSF, one where all people have equal access to opportunities regardless of their sexual orientation, gender identity, or gender expression. Visit the UCSF LGBT website to learn more.

Managing Political Stress in 2021

How to maintain balance and use media wisely We are all experiencing political stress, particularly in the wake of the January 6, 2020 U.S. Capitol attack. An American Psychological Association survey showed that 70% of adults experienced high levels of stress leading up to the 2020 election, and that stress may unfortunately last for some time to come. This is a time to plan ahead and keep calm. Since the news is one of the major ways that political stress can "get under the skin," we need to prevent harm from overconsumption of news. You might be wondering how you can work when you feel so distracted or anxious. With so much happening right now with the pandemic and politics, it is sometimes hard to focus. There is a high risk of greater numbers of people falling into depression and anxiety. It is important to plan ahead now — set up your days to be balanced and build in some stress reduction. Here are some tips for managing news overload and getting through these challenging times. READ MORE

Provider Self-Coding 2021 E&M FAQ are now live and available for viewing Visit our new site: MyCompliance.ucsf.edu

Emergency Paid Sick Leave for COVID-19 relief available to UC employees for 2021 In recognition of the many challenges UC employees continue to face, the University has decided to offer all University employees, including exclusively represented employees, a new 2021 allotment of Emergency Paid Sick Leave (EPSL) — available for use immediately. EPSL is available March 29, 2021, through September 30, 2021.  Click for more info

UCSF APPs are on INSTAGRAM ucsf_apps (click to view) Please submit professional photos and highlights(articles, presentations etc) of your practice to Shelly.gierat@ucsf.edu.

For some more Advanced Practice Information

Academic Stipend Academic stipends can offset the cost of you presenting at a conference. Podium/poster/panel presentations will be eligible.

INFORMATION  and INSTRUCTIONS

Healthcare News SOME ARTICLES ARE RELEVANT TO ADVANCED PRACTICE. CLICK HERE TO READ THE MOST RECENT EDITION

All APP Student Placement from a non-UCSF school Intake Form click here to submit entry ALL APP STUDENTS AT UCSF HEALTH FACILITIES All preceptors are required to ensure all students from ALL educational institutions have been vetted by UCSF prior to any educational activities, including employees. UCSF has many parts of the organization involved in this process. Their school needs an affiliation agreement with UCSF, they need health screening to be completed, they require online training for Health and Safety and APEX, and sign a HIPPA form.

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If you want to reach the office of Advanced Practice email us at: advancedpractice@ucsf.edu and Email Ivette  I am here to support and advocate for APP's

Ivette Becerra-Ortiz, DNP, DNP, MPH, NEA-BC, CPNP-PC, NP, RN Chief of Advanced Practice Providers

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