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Dave Rueb Passes - ASAPA Past President

Posted By Administration, Thursday, July 23, 2020

David Rueb - ASAPA President 1983

I have to take a minute today and think about a good friend and PA colleague who passed away yesterday from chronic disease. No services are planned. Ashes to be scattered in the Pacific Ocean. A past-President of the Arizona State Association of PAs! An exceptional orthopedic PA. We worked together in an HMO in the early 1980s and at a rural urgent care in the '90s. We worked arm in arm with ASAPA on professional and legislative issues. He was always wonderful to be around. He loved to play pool. In fact, he paid his way through PA school (Baylor) playing pool. He used to kill me at billiards. Had a nice pool table in his house. We spent many a day together at PA conferences, state and national, and he loved the profession. RIP, my friend! I will miss our all-night discussions about gold futures!

Randy Danielsen

 

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EMERGING SITUATION: Methanol poisoning associated with alcohol-based hand sanitizer

Posted By Administration, Friday, July 10, 2020

Society PA,

The Arizona Department of Health Services was notified by the Food and Drug Administration (FDA) about several hand sanitizing products that have been inappropriately manufactured with methanol. Arizona Poison Control Centers have reported an increase in the number of methanol-related poisonings from hand sanitizers by ingestion and skin exposure.

Alcohol-based hand sanitizers have been marketed heavily during the COVID-19 pandemic as an alternative to washing hands with soap and water. FDA recently advised consumers not to use hand sanitizers manufactured by Eskbiochem SA de CV (made in Mexico), because even though the label may list ethanol they also can contain methanol. The FDA maintains a list of affected hand sanitizers that contain methanol.

The major toxic effects of methanol do not show until methanol is broken down in the body, which may be delayed for 12-24 hours after exposure. These effects can include: drowsiness, headache, vomiting, abdominal pain, visual disturbances, and blurred vision. Consumers who have been exposed to hand sanitizer containing methanol should seek immediate medical care.

If a patient presents with the aforementioned symptoms and has history of exposure to alcohol-based hand sanitizers, Arizona providers should:

● Provide immediate treatment, which is critical for potential reversal of toxic effects of methanol poisoning;
● Immediately call the Poison Control Center at (800) 222-1222.

Arizona providers are encouraged to educate patients on the appropriate use and storage of ABHS to avoid unintentional ingestion and exposures

The Arizona Department of Health Services and local health departments will continue to monitor developments related to this emerging issue. Please continue to check the CDC website for the newest, most reliable information. If you have any questions about reporting, please contact your local health department.

Thank you,
Arizona Health Alert Network

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ASAPA Student of the Year Award Recipients

Posted By Administration, Tuesday, June 30, 2020

Each year ASAPA recognizes a PA Student of the Year from each PA program. The 2019 award winners would have been recognized and received their awards at the ASAPA 2020 Annual Membership Meeting held during the Spring CME Conference.  With the conference first being moved to the Fall and now to a virtual meeting we would like to share with you and recognize each of the student award winners. 

Nominees for PA Student of the Year are students who have demonstrated excellent academic achievement while also participating in community service projects and/or activities that promote the PA profession. Each PA program in Arizona should nominate at least one student for the award. PA students should be in their second year of PA school.

A.T. Still University - Carly "Zoe" Swett
As president of the class of 2020 ATSU physician assistant class, Ms. Carly "Zoe" Swett has dedicated hundreds of hours in addition to her studies to the betterment of her class, her future profession, and her community.  Zoe grew up in Bishop, California and graduated from San Francisco State University with a degree in Human Physiology. Prior to PA school, Zoe worked as a medical assistant for a surgical gynecologist as well as a general surgery practice. She wanted to become a physician assistant to serve to underrepresented and underserved communities.   In order to prepare herself to fulfill this goal, Zoe is completing all of her clinical year rotations this year in the underserved, rural community of Albany, Georgia at Albany Area Primary Health Care.  Prior to PA school, Zoe contributed to underserved international communities in central American providing medical, dental, and public health aid.  This past September, Zoe was selected as a Physician Assistant Education Association's Student Health Policy Fellowship recipient. Zoe was selected from many PA students across the U.S. to attend advocacy training in Washington, D.C. to enhance students' understanding of the political process and health policy with the ultimate goal to inspire and prepare fellows for lifelong grassroots advocacy, both in Washington and at home, to promote the PA profession as an integral part of the health care system.  In her spare time, Zoe enjoys snowboarding, reading, listening to live music and enjoying the outdoors.  When Zoe graduates in August 2020, she would like to work in emergency medicine, urgent care or primary care providing the best care possible to her patients.

Midwestern University - Christopher Klein
Chris has demonstrated the ability to successfully navigate a rigorous academic program as well as to participate in service projects and activities that promote the profession. He is always willing to step up and offer his help with any task. He eagerly and enthusiastically brings his classmates together in his role as class historian. He is a hard worker and has demonstrated a passion for orthopaedics.  He was selected as a finalist for the PAOS Susan Lindahl Memorial Scholarship and submitted a scholarly work for consideration. His drive and motivation are accompanied by a quiet demeanor and an ever-present smile.

Northern Arizona University - Brandon Braaksma
Brandon continuously embodies the perfect blend of superb academic success with notable professionalism. Brandon’s achievement of a 4.0 through the didactic phase of his education was impressive due to the commitment required to master the enormous volume of medical knowledge, all while he maintained his participation with the prestigious Phi Kappa Phi Honors Society. This nationally renowned society promotes academic excellence with service and respect for others, features which are second nature to Brandon. Brandon continues his exceptional performance in the clinical phase of his education. He succeeds in mastering his course of study, all while effectively communicating with faculty, preceptors, and most importantly patients. Brandon’s first rotation preceptor called the school directly to speak to the quality of Brandon’s knowledge, compassion, and professionalism. The preceptor stated that such high-level performance is usually only expected of a student at the end of the clinical year, rather than the beginning. Brandon’s other preceptors have consistently described him as hardworking, organized, and knowledgeable. The NAU PA Program has gained a solid and devoted individual by matriculating Brandon. We are confident he will represent the program, and the profession through the remainder of the curriculum and into his career.

2020 Scholarship Recipients
A.T. Still University - Kelsey Enlow
Midwestern University- Jacqueline Fernandez
Northern Arizona University - Jennifer Gabriel

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Listening and Learning from Black PAs and PAs of color, including students

Posted By Administration, Wednesday, June 17, 2020

Dear Arizona State Association of PAs,

AAPA and the African Heritage PA Caucus will be hosting two webinar listening sessions for all PAs to listen to and learn from Black PAs and PAs of color, including students, about how racism has impacted and continues to impact their lives and the lives of their patients. Creating shared understanding of these perspectives and experiences, as well as identifying potential solutions, will propel AAPA’s collaborative work to enhance diversity within the PA profession and promote equity and justice in healthcare.

This message is going out to all 118 constituent organizations (COs). COs are getting priority access to register for the Listening Sessions before this opens up to general membership tomorrow.  

To ensure as many people as possible can participate, the first session will be held on Wednesday, June 24 from 8 to 9:30 p.m. EDT, repeating with a second session on Friday, June 26 from 12 to 1:30 p.m. EDT. The Zoom webinars will be able to accommodate up to 5,000 attendees per session.

Susan Salahshor, PhD, PA-C, DFAAPA will facilitate both sessions. Read more about her leadership, professional accomplishments, and commitment to the PA profession.

Please register here: https://www.aapa.org/news-central/listening-sessions/ today and share with your networks before we push this out on AAPA’s social channels on Thursday. We encourage you to register early so you secure a spot.

We hope to have you on the call next week.

Warmly,
Mary Kate

 

Mary Kate Allee, MPH
Director, Constituent Organization Outreach & Advocacy
AAPA
mallee@aapa.org

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ASAPA 2020 Election Results

Posted By Administration, Tuesday, June 9, 2020
Updated: Monday, June 8, 2020

The ASAPA 2020 election results are in!

The results are as follows:
President Elect: Sarah Bolander, PA-C
Secretary: Elias Villarreal, PA-C
Directors at Large: Amber Herrick, PA-C and Elizabeth Stearns, PA-C
AAPA House of Delegates: Sarah Bolander, PA-C, Jennifer Feirstein, PA-C and Allyson Hamacher, PA-C

 

Returning Board Members and House of Delegates:
President: Jacob Gubler, PA-C
Immediate Past President: Kirsten Bonnin, PA-C
Treasurer: Michelle DiBaise, PA-C
Directors at Large: Jeannette Vaughn-Dotterer, PA-C
AAPA House of Delegates: Melinda Rawcliffe, PA-C and Elicia Hunt, PA-C

A big thank you to the candidates for their time and commitment to serve in their new roles starting in July! Congrats!


Sincerely,

Amber Herrick, PA-C
Elections Chair, 2018-2020

Tags:  Election 

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ASAPA Statement on Racial Injustice

Posted By Administration, Monday, June 8, 2020

ASAPA supports and joins with the AAPA in its recent statement:

June 5, 2020

AAPA Supports the Black Community and Pledges to Combat Racism

We at AAPA are appalled by the killing of George Floyd and the disturbing pattern of continued violence and discrimination against the Black community. These events, along with passionate messages from PAs and PA students, have propelled us to reflect more deeply on how AAPA can better exemplify the values of the PA profession, now and in the future.

All PAs uphold as their primary responsibility the health, safety, welfare, and dignity of all human beings. This absolutely includes Black lives, which have been jeopardized for more than 400 years. Racism is fueling a public health crisis in our country. We greatly admire and respect the PAs and PA students who are bravely working to eliminate racism. Now AAPA must better support our members in achieving this goal.

AAPA will begin building a comprehensive strategy to do our part to eliminate racism and explicit and implicit bias while promoting equity and justice in healthcare. We know this endeavor deserves more time, collaboration, and attention. But to start, we feel strongly that Black PAs and PA students, and the allies that support them, must be heard.

This month, we will host professionally facilitated online sessions for all PAs and PA students, engaging our constituent organizations that represent people of color. Our goal is to listen, create shared understanding, build trust, and build respect that will make our organization and profession stronger and more effective. We will share details as soon as they are available.

Together, and in partnership with our sister PA organizations, we will identify ways in which AAPA can be of service and take action. These include, but are not limited to, advocating to eliminate health disparities, recruiting Black applicants to the PA profession and developing resources to overcome professional challenges, instituting corporate best practices to address implicit bias and racism, engaging more Black PAs and other PAs of color in volunteer leadership opportunities, and working with the PA Foundation to establish scholarship opportunities for Black PA students.

This is not the end of the conversation but the start. We pledge that AAPA’s work will better reflect the values of the PA profession and that we will move forward with openness and kindness as we seek out every opportunity to listen. This week we have heard many of your voices, and we are thankful.

 

 

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PA History Society Spring Newsletter

Posted By Administration, Thursday, May 21, 2020

The PA History Society is diligently working to preserve history throughout this pandemic.

Please take a moment to read their attached spring newsletter.  

Download File (PDF)

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EMERGING CONDITION: Possible Kawasaki Disease-like Syndrome Associated with COVID-19

Posted By Administration, Monday, May 18, 2020

Society PA,

A pediatric multi-system inflammatory syndrome has recently been reported in the United Kingdom and New York City that may be linked to COVID-19. Clinical features of this syndrome have been noted to include features of Kawasaki disease or shock; persistent fever and elevated inflammatory markers (CRP, troponin, etc.) have been seen among affected patients. Reportedly, many of these children have tested positive either for COVID-19 or for its antibodies.

If the above-described inflammatory syndrome is suspected, Arizona providers should immediately:

  • Refer patients to a specialist. Appropriate specialties may include pediatric infectious disease, rheumatology, and/or critical care. Early diagnosis and treatment of patients meeting full or partial criteria for Kawasaki disease is critical to preventing end-organ damage and other long-term complications. Patients meeting criteria for Kawasaki disease should be treated with intravenous immunoglobulin and aspirin.
  • Consider COVID-19 testing.  Many pediatric patients with this syndrome did not show respiratory symptoms, yet tested positive for COVID-19 or its antibodies.
  • Report suspected cases of Kawasaki Disease-like Syndrome to local public healthReal-time surveillance of this is critical to public health understanding and recommendations.

The Arizona Department of Health Services and local health departments will continue to monitor developments related to this potentially new syndrome. Please continue to check the ADHS website and the CDC website for the newest, most reliable information. If you have any questions about reporting, please contact your local health department.

Thank you,
Arizona Health Alert Network

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Azithromycin Shortage and STD Treatment Guidelines

Posted By Administration, Friday, April 24, 2020

Society PA,

The Food and Drug Administration (FDA) has reported a national shortage of azithromycin. Although supply is available from select wholesalers at this time, ADHS recommends judicious prescribing to maintain adequate supply:

  • Only prescribe azithromycin for conditions that need to be treated with azithromycin. Consider alternative treatment regimens as clinically indicated.
  • Notify ADHS at std@azdhs.gov  and the FDA at drugshortages@fda.hhs.gov if you experience difficulty procuring azithromycin or other drugs that impact treatment of STIs.
  • If you have a patient in need of treatment for an STI but do not have the recommended therapy available, contact your local health department to arrange for treatment.
  • If you have less than a three week supply of azithromycin and cannot procure more, consider using an alternative therapy for the following STIs described below and reserve azithromycin for women who are pregnant.
  • Doxycycline is not a suitable alternative therapy for pregnant women.

Disease

Therapy

Dose

Alternative Therapy

Chlamydia

Uncomplicated genital/rectal/ pharyngeal

Azithromycin

OR doxycycline

1 g orally in a single dose

100 mg orally 2x/day for 7 days

Erythromycin base 500 mg orally 4x/day for 7 days

OR erythromycin ethylsuccinate 800 mg orally 4x/day for 7 days

Gonorrhea

Uncomplicated genital/rectal

Dual therapy with ceftriaxone

PLUS azithromycin

250 mg IM in a single dose

1 g dose orally

Dual therapy with cefixime 400 mg orally PLUS azithromycin 1 g orally

OR Dual therapy with cefixime 400 mg orally PLUS doxycycline 100 mg orally 2x/day for 7 days

*Additional alternative therapies can be found in the full 2015 STD treatment guidelines and the 2015 STD Treatment Summary chart

Please refer to the FDA website for the latest updates on drug supply availability.

For more information:

Thank you,
Arizona Health Alert Network

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Governor Ducey Issues New Guidance On Elective Surgeries

Posted By Administration, Thursday, April 23, 2020

Governor Ducey Issues New Guidance On Elective Surgeries

Elective Surgeries To Resume May 1 For Health Care Facilities That Meet Preparedness Standards

PHOENIX⁠ — With hospitals reporting increased availability of personal protective equipment (PPE) and bed capacity, Governor Ducey today issued an Executive Order removing restrictions on conducting elective surgeries for hospitals, health care facilities and providers that meet certain preparedness criteria.

Under the new order, hospitals, dental offices and other health facilities can resume conducting elective surgeries on May 1 if they can show they have implemented measures intended to keep health care workers and patients safe. These include:

  • Demonstrating greater than a 14 day supply of PPE;
  • Ensuring adequate staffing and beds;
  • Testing patients prior to surgery and all at-risk health care workers;
  • Ensuring appropriate discharge plans for patients being transferred to nursing care facilities, including diagnostic testing for COVID-19;
  • Implementing a universal symptom screening process for staff, patients, and visitors;
  • Establishing an enhanced cleaning process for waiting areas;
  • And prioritizing the restart of elective surgeries based on urgency.

Facilities that meet the specified standards will need to receive approval from the Department of Health Services before resuming elective surgeries. The order shall be considered for repeal or revision every two weeks.

“Hospitals around the state have stepped up to provide additional protections for their staff and patients and increased bed capacity to prepare for a possible COVID-19 surge,” said Governor Ducey. “Because of these preparations, and the responsible actions of Arizonans across our state, data shows our health system continues to remain ahead of the curve. Today’s order continues to prioritize public health while improving access to care for Arizonans and the overall viability of our health care system.”

“The Arizona Department of Health Services has worked closely with our health care providers as they’ve expanded capacity and overall preparedness to prepare for a potential surge in COVID-19 cases,” said Dr. Cara Christ, Director of the Department of Health Services. “Today’s order ensures that adequate protections remain in place as health care facilities expand operations and that public health remains our top priority.”

On March 19, Governor Ducey announced new actions to help preserve hospital equipment and protective gear, including suspending elective surgeries. A week later, the Governor issued an Executive Order requiring hospitals to increase the amount of hospital bed capacity in the state, take steps to optimize staffing levels and maximize critical resources. Expanded reporting requirements have helped the Department of Health Services track capacity and availability of resources.

Download File (PDF)

Tags:  Legislative 

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