t*age Twelve HOPE (ARK.) STAR Monday, October 28, 15 Nurses fight for better conditions under the law —Hope (Ark.) photo by Roger Head HARTFORD, Conn. (AP) A cardiac patient in a hospital suddenly develops an irregular heart beat, so a nurse jumps into action to give medication or cardiac resuscitation. Technically, that nurse in Connecticut is violating the law. But what she is doing has become common in cardiac care units throughout the state. The disparity between actual practice and law is so extensive, according to one nursing organization official, that 95 per cent of nurses are working without statutory authority. An attempt to change the laws, planned in the next legislature, is just one indication of morp fundamental change in nursing today. Nurses across the country have begun a "revolution" to gain recognition for their skills and beliefs. No longer do nurses want to be handmaidens to physicians, as they clearly indicated at the recent American Nurses Association convention in California. No longer are nurses passively accepting without question nursing regulations from physicians and hospital administrators. And no longer are they SEEN IN THE GUTTER of a Hope street recently was this letter to a local resident urging the person to vote for Senator J. W. Fulbright of Fayetteville. The letter made its appearance almost six months after Fulbright was defeated in his bid for re-election by Governor Dale Bumpers. The scene is a small reminder that Arkansas' junior senator who headed the Senate Foreign Relations Committee will be retiring from public service after 30 years as a senator from Arkansas. remaining silent about pay, working conditions or staffing policies. "Nurses are seeking a colle^ gial relationship with physicians and a larger role in the health care team," says Jean Bowen, president of the 3,000- member Connecticut Nurses Association (CNA) and director of Hartford Hospital School of Nursing. Pat Blake, CNA's director, says the days when a nurse snapped to attention for a doctor are gone, in part because of women's liberation. "The feminist movement has made a terrific impression on nursing," she said. "We're just beginning to realize how male- dominated we've been by physicians and administrators." Nurses aren't trying to take over physicians' roles, the spokeswomen emphasized. But they want to determine what is appropriate for nursing and to be recognized for their independent functions in law, and practice. Today, nurses are making more independent judgements in the care of patients. Mary Donaho, director of nursing at Hartford Hospital, said nurses in intensive care regularly diagnose patients and implement life-saving care until the doctor arrives. In the outpatient department, nurses are the first ones to aid patients, she said, adding that the laws should reflect those critical duties. A new class of nurses, nurse practitioners, are being trained in at least four programs in the state, including Hartford Hospital, Yale and the University of Connecticut Health Center. Ann Carmine of Farmington has been a nurse practitioner for a year at Hartford Hospital. Working in a new primary care unit off the emergency room, she sees the nonemergency cases that come into the hospital, including sore throats, bug bites and common colds. She examines a patient for the specific complaint and is able to tell if he is suffering from a more complicated problem. A physician is always available but she calls on him only in more serious cases. The nursing profession's demand for authority to make such independent judgements is! a central issue in the nursing revolution. "There are thousands of different medications a nurse has to know and a nurse often has .to make a decision quickly before a physician comes," said Pat Blake. "In the smaller hospitals, you no longer have a house physician staff on duty 24 hours a day, so nurses take over some of their duties during physicians' off hours." The proposed revision of the Nurse Practices Act would give registered nurses the right to diagnose, counsel, teach, refer and collaborate in the total health care regimen. It broadens the current definition, which requires a nurse to act under the direction of a licensed physician or dentist. More nurses are turning to professional organizations to push their demands. Of the 22,000 registered nurses in the state, about 3,000 belong to the CNA and 1,000 belong to the 18- monthold Concerned Nurses of Connecticut. News Briefs By The Associated Press Two teen-agers were among three persons killed in Arkansas traffic accidents during the weekend. Joe Keith Prior, 18, of near Conway was killed Saturday in a one-oar crash on Interstate 40 near Conway. William Wayne Bryan, 19, of Marvell was killed Friday night in a one-car accident inside the Helena city limits. Kenneth Willcockson, 31, of Hardy was killed early Saturday when me car he was driving ran off U.S. 62 about three miles soutn of Hardy. The Associated Press weekend death count began at 6 p.m. Friday and ended at midnight Sunday. JONESBORO, Ark. (AP) Current policies of the U.S. Postal Service are evidence of an urban bias through which policies are forumulated to meet the needs of large cities and not rural areas, according to Rep. Bill Alexander, D-Ark. Alexander also told a meeting of his postal service advisory committee Saturday that the Postal Service doesn't have the will to correct its deficiencies. The committee made recommendations to be presented to a joint hearing of two congressional subcommittees Nov. 15 at West Memphis. Kissinger Sees Stability As Closest Thing to Peace KISSINGER. By Marvin and Bernard Kalb. Little, Brown. 577 Pages. icy. Kissinger's reputation rested on his book, "Nuclear Weapons Henry Alfred Kissinger, say and Foreign Policy," published the authors of this brisk, jour- in 1957. The work, though it nalistic study, has more power than any presidential adviser stirred controversy, did attract attention from political leaders, or secretary of state in the re- among them the then vice pres- public's history, and he uses ident, Richard M. Nixon. that power to pursue a goal of Kissinger in the late 1950s stability in world affairs. If it sounds like a modest goal, it is because to Kissinger it is the closest human beings can hope to come to real peace. A student of 19th-century balance of power diplomacy, he sees stability as the highest form of international morality, the authors say. If that's not ideal, it offers a chance for survival, anyway. Marvin and Bernard Kalb, Columbia Broadcasting System veterans and a couple of old pros in the journalism business, Dwv'e produced a valuable study, not so much a biography of a man as the biography of a policy. The Kalbs's admiration of Kissinger comes through, but they do not let it carry them away. They see his faults and limn them clearly. They are aware of his fallibilities and foibles and record them lucidly. That's where the value of such a study lies: a rounded picture of the man and his ideas, uncolored by the authors' private prejudices. It turns out to be absorbing and often exciting reading, which is saying a great deal for any book concerning itself with foreign pol- had been a hard-liner, cold- warish, anti-Soviet. He won Pentagon approval with his suggestion that American military strategy base itself on tactical nuclear weapons. He rejected Secretary of State John Foster Dulles's "massive retaliation" theme as too risky, but felt the Communists should be met with flexible responses to thwart any attempt to take the world over piecemeal by aggression. "There was no question in his mind that the Russians intended to dominate the world and it was up to this country to try to stop it," the authors write. Kissinger, they recount, distrusted the concept of Soviet- American detente. Kissinger made wrong guesses on a number of occasions, changed his outlook and views on a number of others, including the Vietnam war. But he wound up winning plaudits around the world for what had been wrought by his patient, pragmatic plodding, and, after all, to the watching world, it's the result that counts. William L. Ryan Associated Press JONESBORO, Ark. (AP) Gov. Dale Bumpers will deliver the dedicatory address Sunday at the dedication of the new $2.3-million Northeast Arkansas Region Children's Colony at Jo- ncsboro. The facility is in fifth in the Colony system. The facility is located on 200 acres and will accomodate 128 resident students in eight four- bedroom cottages. The educational complex includes classrooms, vocational-technical workshops, arts and crafts facilities, a library and a home economics building. The Colony will employ a staff of KM. LITTLE ROCK (AF) — Jimmie Cal Perry, 41, of Arka- delphias has withdrawn his innocent plea to 23 counts involving the preparation of false income tax returns for other individuals and pleaded guilty to the charges. The Internal Revenue Service said in a prepared statement Saturday that four similar counts were dunissed by the government The IRS said Perry currently is free on bond and tlwt no date has been set for sentencing. Perry's innocent plea to four additional counts involving the preparation and signing of his personal income tax returns for 1969-1972 remains in effect, the IRS said. No trial date has been set for those charges. Mansfield and Simon differ on economics WASHINGTON (AP) — A leading Senate Democrat feels wage and price controls will be needed before the nation's economic problems are solved, but Treasury Secretary William E. Simon says improvement already is on its way. Simon and Senate Majority Leader Mike Mansfield were interviewed separately on television programs Sunday, and their views were widely divergent on a number of economic matters. On CBS' "Face the Nation," Mansfield said "I think it is just a matter of time before we'll come to wage and price controls," because "all the elements are there for a recession which, if not corrected in time, may well plunge us deeper into an economic morass." Simon, however on ABC's "Issues and Answers," repeated his opposition to controls, saying experience has shown they don't work. Asked whether the worst of inflation has passed, he replied: "It's difficult to say the worst has been seen," but "Ifrankly believe you'll begin to see specific results ... by the spring of next year." Besides wage and price controls, Mansfield said lower interest rates are needed, as are a program of government jobs, a reconstruction finance corporation to help business and an attempt to cut energy use by 10 per cent. He responded "Oh, yes," when asked whether gasoline should be rationed. He also said Congress would not pass a great deal of substantive economic legislation when it returns after the November elections, that President Ford has not taken the initiative to fight inflation and that Ford's proposed 5 per cent surtax is wrong. Simon said administration policies have to be given time to work and he said that 35 pieces of legislation have been proposed to go along with Ford's economic program. He said gasoline rationing is not needed, and he defended the surtax proposal. Simon also said Congress would approve a windfall profits tax on excess corporation profits, but he said that many corporations appear to have excessive profits now because of inflation and outdated accounting methods. Simon blamed much of the nation's current economic woes on excessive government spending, which he said has been the case for 14 of Che past 15 years. To The Voters of Hemp stead County During the next few days you will be subjected to a great deal of discussion related to the matter of Prohibition or Legal Sales of alcoholic beverages in our county. Please be assured that the people supporting the Legal Sale of alcoholic beverages in our county are not against anyone, nor against anything except the flagrant hypocrisy surrounding the situation as it now exists. We do not need to tell you this. You live here, you see it every day, and you know the situation as well as we do. It is not our purpose to embarrass or offend anyone, but we do feel it is necessary to ask you to ask yourself the answers to some very pertinent questions. For instance: Who are we kidding about Prohibition in Hempstead County? State law permits anyone to have five fifths of whiskey and 24 cans of beer in his possession in this county. You are served alcoholic beverages in the homes of your friends. At the Country Club alcoholic beverages as well as mixed drinks are served to a select few. Alcoholic beverages are served in volume at parties and outings. You know why the traffic is so heavy on the highways to Texarkana. You don't need a tracker to follow the trail of beer: cans, whiskey bottles and litter. (And we'll speak of that litter problem later.) With this kind of situation, in what kind of untenable position have we placed our enforcement people? Are we asking them to enforce the law on others, and not on us? How long must a working man be denied a cold beer because he is not a member of the country club? Is our attitude toward alcoholic beverages one of the factors keeping our part of Arkansas from progressing? We're still 49th in some things and pretty soon we may not be able to 'Thank God for Mississippi." Along with Texas and Louisiana and Tennessee, Mississippi is re-legalizing alcoholic beverage territory consistently. TODAY, 93.7 PER CENT OF THE POPULATION OF THE UNITED STATES LIVE IN TERRITORY WHERE LEGAL SALES ARE PERMITTED. I Just who is out of step with the country? Are all of those people wrong? Or are we just trying to kid ourselves and offend the intelligence of our young people? And why is it that the bulk of industry and jobs in Arkansas are located in the "wet" territories? In the next few days we are going to ask you to make some honest evaluations, brushing emotionalism aside, and then make a decision on November 5 which we hope will be in the long-range best interest of our county. Vote FOR Legal Sales on Nov. 5 Progressive Committee FOR Legal Control of Alcoholic Beverages Co-Chairmen: Jerry Winer and Will Rutherford This Ad Paid For By Citizens of Hempstead County.
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