Captain Accomplishments Jason Lee Straw In 2008 created, developed - PowerPoint PPT Presentation

Captain Accomplishments Jason Lee Straw In 2008 created, developed and implemented a hospital wide up-grade training for USAF, Nurse ► all in-patient nurses at Travis AFB, California to prepare them to take higher acuity patients and prepare them for deployment. Trained over 60 ICU nurses and 75 Corp (Retired) Med-surg. Nurses in the ICU to get them familiar with the what type of equipment they might encounter. & In 2009 deployed to Bagram AFB in Afghanistan as a Charge Nurse helping to ► Vice Chair of directly save 628 lives while supporting 38K US& Allied troops in the war effort. Was the Infection Control Nurse with a VAP rate of over 97% in a deployed setting. INORML 2010 at WPAFB I became the Cardio-pulmonary Nurse Consultant for the entire ► Hospital responsible for monitoring our emergency response to rapid responses & code blue in the hospital which included maintaining 28 code carts. I worked with our critical care physician to improve training response times for all Physicians and hospital staff. Certifications & Degrees Accomplishments ► 2011 deployed as a Critical Air Transport Nurse to Afghanistan transporting 36 Bachelors in Nursing from IU in 2004 ► of our most severely wounded warriors to higher level of care. Along with Bachelors in General Studies Math & Science 2003 ► training the 80 Air Evacuation Squadron CCAT doctors, nurses and staff on a 6 years, Critical Care Registered Nurse (CCRN) ► new piece of pain delivery pump. 4 years, Advance Trauma Care for Nurses (ATCN) ► ► 2012 Escorted The Deputy Surgeon General of Australia around for a week to 4 years, Trauma Nursing Core Course (TNCC) ► see the CCAT program. This helped to facilitate our two countries training 4 years, Critical Care Air Transport Nurse (CCAT-N) ► programs working together. 4 years, Advance Cardiac Life Saver Instructor (ACLS-I) ► ► 2017 facilitated the support of uniting the cannabis groups joint effort in 11 years, Advance Cardiac Life Saver (ACLS) ► passing Indiana legislation HB 1148/Public Law 188 for seizure children having 5 years, Pediatric Advance Life Saver(PALS) access to hemp CBD. ► 2 years, Neonatal Resuscitation Program Provider (NRP) ► ► 2018 facilitated the support of uniting the cannabis groups joint effort in 6 years, Emergency Medical Technician Basic (EMT-B) ► passing Indiana legislation SB 52/ Public Law 153 for all Hoosier having access 30 years, Basic Cardiac Life Saver (BLS) to Hemp CBD. ►

NCSBN American Nurses Suggestions Association 1) State Law ► The American Nurses Association ► (ANA) had an article in November 2) State/Federal Cannabis ► 2019 urging all state nursing Programs association to adopt a policy to 3) Endocannabinoid ► address cannabis. (1) System 4) Cannabis ► Pharmacology 5) Safety Concerns ► 6) Nurses trained to be ► without judgement of patient choice. Current Legal Federal & State Cannabis products 1) Federal Medical Marijuana ► Everyone has an Patients from the IND program. (1978) 2) Marinol (synthetic THC) a ► Endocannabinoid schedule 3 FDA approved medication since 1985 3) EPIDIOLEX a hemp plant extract System (2) ► full spectrum CBD schedule 5, FDA approved treatment. HTTPS://HEALER.COM/THE-EN DOCANNABINOID-SYSTEM/ 4) Over The Count Hemp products ► 5) Hemp seeds ►

CB1 is primarily ► Yet we nervous system. didn’t ban CB2 is primarily grapefruit!? immune system (3) (4) HTTPS://WWW.VITALIBIS.COM /BEWELL/ENDOCANNABINOI D-SYSTEM-OVERVIEW.HTML

Possible side effects at You can take present are much cannabis in a similar shorter than current way to taking your FDA approved current medications medication side (6) effects for similar conditions usually. (6) HTTPS://ALTMEDFLORIDA.CO HTTPS://WWW.INSPIREMALIB M/FOR-PHYSICIANS/ U.COM/BLOG/DRUG-ADDIC TION/11-NEGATIVE-SIDE-EFFE CTS-OF-USING-MARIJUANA/ The National Academies of The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendations for Research (2017) Science, Engineering Chapter 4 Conclusions—Therapeutic Effects of Cannabis and Cannabinoids ► and Medicine There is conclusive or substantial evidence that cannabis or cannabinoids are effective: 2017 Report on • For the treatment of chronic pain in adults ( cannabis ) (4-1) • As antiemetics in the treatment of chemotherapy-induced The Health nausea and vomiting (oral cannabinoids) (4-3) Effects of • For improving patient-reported multiple sclerosis spasticity symptoms (oral cannabinoids) (4-7a) Cannabis & There is moderate evidence that cannabis or cannabinoids are effective for: • Improving short-term sleep outcomes in individuals with sleep disturbance associated with Cannabinoids obstructive sleep apnea syndrome , fibromyalgia , chronic pain , and multiple sclero- sis (cannabinoids, primarily nabiximols) (4-19) https://download.nap.edu/cart/download.cgi?record_id=24625 (7)

This study reveals that fibromyalgia patients The reason cannabis get substantial relief seems to be a cure all from cannabis 62% is because over FDA approved Endocannabinoid medications 8 to 10%. system regulates (8) homeostasis. (9) HTTPS://WWW.PRACTICALPAI HTTPS://WWW.WISHINGWELL NMANAGEMENT.COM/TREA NESSMEDICAL.COM/BLOGTE TMENTS/PHARMACOLOGIC MPLATE/2019/4/2/CANNABIS AL/NON-OPIOIDS/USE-MEDI MARIJUANA-HELPING-BABY- CAL-MARIJUANA-PAIN-CAN BOOMERS-ALLEVIATE-SYMPT ADA OMS-OF-AGING Indiana State 8515 Georgia Avenue, Suite 400 Silver Spring, MD ► 20910 www.nursingworld.org Nurse Therapeutic Use of Marijuana and Related ► Cannabinoids Association Effective Date: 2020 ► Cannabis Status: Position Statement ► Written by: ISNA Center for Ethics and Human Rights ► Proposed Adopted by: ISNA Board of Directors ► Purpose: The purpose of this statement is to reiterate Policy ► the Indiana State Nurses Association’s (ISNA) support for the review and reclassification of marijuana’s Change status from a federal Schedule I controlled substances to facilitate urgently needed clinical Page 1a research to inform patients and providers on the efficacy of marijuana and related cannabinoids.

Recommendations “It is the shared ► responsibility of professional nursing Indiana State Indiana State organizations to speak for nurses collectively This position statement speaks only to the use of ► in shaping health care and to promulgate marijuana and related cannabinoids in the context of change for the improvement of health and Nurse Nurse health care” (ANA, 2015, p. 36). health care. It addresses the roles and responsibilities of nurses related to the use of cannabinoids for health Therefore, the ISNA strongly supports: ► Association Association care. Statement of ISNA Position Marijuana and its ∙ Scientific review of marijuana’s status as a ► derivatives continue to be used to alleviate federal Schedule I controlled substance and Cannabis Cannabis relisting marijuana as a federal Schedule II or disease-related symptoms and side effects. The lower controlled substance for purposes of findings of anecdotal and controlled studies regarding facilitating research. the efficacy for patient use are mixed. Current federal Proposed Proposed ∙ Development of prescribing standards that regulations impede the research necessary to ► includes indications for use, specific dose, evaluate and determine the therapeutic use of route, expected effect and possible side Policy Policy marijuana and related cannabinoids. This position effects, as well as indications for stopping a medication. statement does not extend to the current debate on Change Change the legalization of marijuana for recreational ∙ Establishing evidence-based standards for ► purposes. The goal is to develop an evidence-based the use of marijuana and related cannabinoids. approach to its use in the treatment of disease and Page 1b Page 1c symptom management. 8515 Georgia Avenue, Suite 400 Silver Spring, ► MD 20910 www.nursingworld.org Page | 2 ► Indiana State Indiana State ► Recommendations “It is the shared Therapeutic Use of Marijuana and Related Cannabinoids ► responsibility of professional nursing ∙ Protection from criminal or civil penalties for patients Nurse Nurse ► using therapeutic marijuana and related cannabinoids organizations to speak for nurses as permitted under state laws. collectively in shaping health care and to Association Association ∙ For Indiana State Legislative Body to legalize medical ► promulgate change for the improvement marijuana/cannabis to be recommended by a licensed Cannabis of health and health care” (ANA, 2015, p. Cannabis medical provider or nurse practitioner, for the conditions 36). they see fit to further regulated research and provide compassionate treatment for our patients to advance Proposed Proposed ► Therefore, the ISNA strongly supports: our scientific knowledge of the benefits of this treatment modality. ► ∙ Scientific review of marijuana’s status as a Policy Policy ∙ Exemption from criminal prosecution, civil liability, or ► federal Schedule I controlled substance professional sanctioning, such as loss of licensure or Change and relisting marijuana as a federal Change credentialing, for health care practitioners who discuss treatment alternatives concerning marijuana or who Schedule II or lower controlled substance prescribe, dispense or administer marijuana in Page 1d for purposes of facilitating research. Page 2a accordance with professional standards and state laws. ► Background ►