July 2018 Newsletter Print

President's Message

Hello All, 

Summer is here. Anyone can be at risk for a heat-related illness. As Nurse Practitioners let's remind our patients the simple things to have a fun and safe summer experience.  Beat the heat by drinking lots of water, using sunscreen for outdoor activities, reduce the threat from mosquitoes that can cause a number of illnesses (Zika Virus and West Nile Virus) by using insect repellant spray. Environmental control is also important which means making sure we are not providing vectors their breeding grounds. Overheating and dehydration are a concern with the Texas heat for our very young and older members of our community. Prevention is the key to having an enjoyable summer.

The dinner meeting for August 8th will be sponsored by Amgen and will be held at Smith & Wollensky. The topic will be - "Repatha - Putting it Into Practice". Our speaker will be Dr. Asif Ali. Please make sure to let Sara know if you can’t come to the meeting so we can give the opportunity to the other members to attend.

There will also be another volunteer opportunity in August.  This volunteer event will benefit BEAR - Be a Resource for CPS Kids. Please be on the lookout for details to come.

The election is over. Thank you to all the members that voted. Congratulations to our President-Elect: Mari Galang, Treasurer: Blanca Barrera, and Secretary: Ana Licona. They will begin their term on September 1, 2018. Please continue to extend your support to HANP and the board for 2018-2019.

I attended the AANP and met some of the NP leaders of our profession. It was an excellent conference and great for networking.

The State of Texas upcoming initiatives are as follows:

  1. Monitoring Interim Changes in the House Public Health Committee & Senate Health & Human Services Committee on Access to care in rural and underserved areas
  2. Opioids/Substance use disorder, and Hurricane Harvey.

In 2019, considering legislation to modernize NP licensure requirements (e.g. remove delegation agreements), expand Schedule II authority, recognize NP signatures, and improve APRN disaster licensure.

Next year the legislators will be in session. Please make it a priority to join HANP to visit our State Representatives in Austin and let them know that we are part of the solution for our healthcare crisis.

Please support the TNP PAC fundraising events. Rick Roberts and Elizabeth Giggliotti discussed some of the details in the July meeting and will also be sending out an email.

With gratitude,

Pepper Santa Ana Delflor
2017-2018 HANP President

'There are no limits to what you can accomplish except those that are self-imposed."




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Community Service

HANP is proud to announce that we will be hosting another volunteer event in August. This volunteer project will benefit BEAR - Be a Resource for CPS Kids.

BEAR'S Back to School program helps ensure that children currently under the care of Child Protective Services have the supplies and uniforms they need to go back to school each Fall. We are planning for the volunteer event to be held this August. Please be on the lookout for more details!

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Monthly Member Highlight

  1. Name and Title—Ana Licona, MSN, RN, FNP-C

  2. Clinical Focus:
    (Mondays and Fridays)—Ana is providing compassionate comprehensive, family-centered pediatric care, particularly to underserved populations at Gendi Pediatrics.
    (Tuesdays and Thursdays)—Ana is providing compassionate comprehensive adult primary care, particularly to underserved populations at Anibal Rossel, MD

  3.  What does a typical day look like?
    (Mondays and Fridays)—
    0730: Start day by preparing my family (Kyle, 18 months old and Kelly, 4 years old) for daycare and school.
    0800-0900: Drop off children and commute to the Clinic.
    1000: Arrive at the Clinic.
    1000-1100: Obtain lab results and charts on my patients. Prioritize my charts for evaluation in order of most critical. Typically, my charts can vary from normal, to abnormal, to patient summary visit from specialty or ER.
    1100-1730: See patients. Our patient visits typically lasts 15-30 minutes, potentially more per patient if needed, 15 minutes for sick, 30 minutes for well. Sometimes we see all patients/siblings in one exam room, with the most patients I have seen in one exam room being 6. Based on my experience, I usually start with the oldest since it tends to decrease the fear of the younger siblings. I also allow the youngest patient hold the otoscope, stethoscope, as a distraction technique while I’m looking “for a puppy or their favorite character”. I also carry bubbles, rings, necklaces, stamps, tattoos, and nail polish in my lab coat to help ease the fear, and build trust.
    1730-1830: Exercise.
    1930: Return home.

    (Tuesdays and Thursdays)—
    0600: Start the day by preparing my family (Kyle, 18 months old and Kelly, 4 years old) for daycare and school.
    0700: Husband drops off children and I commute to the Clinic.
    0800: Arrive at the Clinic.
    0800-1900: See patients. Our patient visits typically last 15 minutes, potentially more per patient if needed. The clinic provides both scheduled appointments and walk-ins. Typically each provider sees easily 20-30 patients per day. We provide services until the last patient is seen. Most days we go home around 1900.
    2000:Return home.

  4. Biggest Challenge:
    (Mondays and Fridays)—The biggest challenge I face is having limited time. For example, I am not able to review the patients’ results with them in person. Due to the high volume of patients, results are relayed via phone. I have managed to convince my supervising doctor to let me bring patients back on our slowest day and review the results with them in person instead of the phone. This is great because it allows me more time to address education and prevention.       
    (Tuesdays and Thursdays)—The biggest challenge we face is limited space because it hinders us from expanding the number of exam rooms to accommodate clinic volume and decreasing wait times.

  5. Biggest Advantage:
    (Mondays and Fridays)—The major advantage for me is that I feel I am at home with my own kids. I am privileged to see my work kids grow and achieve their milestones.
    (Tuesdays and Thursdays)—The major advantage for me is that I am able to extend my skills of working with underserved populations to help the adults as well. I am privileged to be able to converse with and build a rapport with my patients while helping them make the best medical decisions, and hopefully forget about the 4 hour wait time. The relationship with the patients makes all the late hours worthwhile.

  6. What you enjoy most about being an NP?
    Being a registered nurse, a nurse practitioner, and fluent in English and Spanish, I am honored to be able to provide assistance to our underserved communities Pediatric and Adult populations, particularly in their times of need.

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Upcoming Events

Please mark your calendars for our upcoming meetings - 

August 8, 2018 - Members Only Dinner Meeting
September 12, 2018 - Annual Meeting
October 10, 2018 - Members Only Dinner Meeting
November 2 - 3, 2018 - HANP's 8th Annual Conference

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HANP Annual Conference

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