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Includes editorials, staff and advisory information, and an ACEP council survey on barriers and eligibility for conscious or procedural sedation. Also promotes online access for additional stories and practice trends.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/acep-now-january-2014-volume-33-number-1/301937/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/acep-now-january-2014-volume-33-number-1/301937.png","ImageObject",442,249,{"name":88,"@type":89},"Jake","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-26","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is covered in the January 2014 ACEP Now issue introduction?","Question",{"text":108,"@type":109},"The introduction discusses the Affordable Care Act provisions and the debate around its impact on health-care reform.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What guidance topic is mentioned regarding pain posters in the emergency department?",{"text":113,"@type":109},"CMS clarification on the use of pain posters in the ED waiting rooms and treatment areas is highlighted.",{"name":115,"@type":106,"acceptedAnswer":116},"What does the ACEP Council survey focus on in this issue?",{"text":117,"@type":109},"The survey examines whether emergency physicians’ ability to provide conscious/procedural sedation is restricted and what limitations apply.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},301937,1790141830,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":141},962084928904,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Health Care from 38K Feet:  \nPeanuts, pretzels, or your  \ncongressman? SEE PAGE 27  \n6  \nADVANCES IN ED CRITICAL CARE  \nBlakemore Placement  \n14  \nTHE FEED  \nNeed-to-Know Tweets  \n| JANUARY 2014 Volume 33 Number 1 |  |  FACEBOOK/ACEPFAN |  TWITTER/ACEPNOW ACEPNOW.COM |  |\n| --- | --- | --- | --- | --- |\n|  |  |  |  |  |\n| \u003Cbr>PLUS\u003Cbr>\u003Cbr>IMAGES IN EM\u003Cbr>A WHITESUPREMACIST PATIENT/FRIEND\u003Cbr>SEE PAGE 7\u003Cbr>\u003Cbr>COMPASSIONATE CARE IN THE ED\u003Cbr>Should end-of-life care begin in the ED?\u003Cbr>SEE PAGE 24 | Dr. Klauer’s First and Last Editor’s Column for ACEP Now\u003Cbr>SEE PAGE 5\u003Cbr>\u003Cbr>ACEP NOW EXCLUSIVE!\u003Cbr>ACA Roundtable Discussion\u003Cbr>5 of the most vocal emergency medicine voices speak out on the Affordable Care Act\u003Cbr>by BRYN NELSON, PHD\u003Cbr>\u003Cbr>INTRODUCTION\u003Cbr>With some of its most hotly\u003Cbr>contested provisions now\u003Cbr>taking effect, the Affordable Care Act (ACA)—or Obamacare, as both backers and detractors now call it—has been the object of admiration and animosity, of optimism and consternation. Hailed by some as the most significant |  |  | \u003Cbr>CMS Clarifies Use of Pain Posters in the ED\u003Cbr>CMS Response to South Carolina Hospital Association Goes Far Beyond Region 4\u003Cbr>On Jan. 18, 2013, the South\u003Cbr>Carolina Hospital Associa\u003Cbr>tion requested an opinion from its CMS Regional Office regarding the use of “pain posters” |\n| \u003Cbr>\u003Cbr>FIND IT ONLINE\u003Cbr>For more clinical stories and practice trends, plus commentary and opinion pieces, go to:\u003Cbr>[www.acepnow.com](www.acepnow.com) | health-care reform in a half century, it has been roundly scorned by others asan ill-advised debacle.\u003Cbr>CONTINUED on page 16 |  |  | (Prescribing Pain Medication in the Emergency Department) that were developed for posting in emergency department waiting rooms and treatment areas. Despite the fact that these posters were well intentioned and proposed to deter inappropriate\u003Cbr>CONTINUED on page 22 |\n\nLASH NEWS FLASH NEWS FLASH NEWS FLASH NEWS  \nACEP 2014 REPORT CARD TO BE RELEASED JANUARY 16!  \nIs your state one of the 21 states to receive an F for Access to Emergency Care?  \n• Four states received an  \nA for Quality and Patient Safety Environment, while 10 received an F. Where does your state stand?  \n• Plus, after a grade of C-in 2009, what is the U.S. National Grade in 2014?  \nFind out on January 16 by logging [on to www.emreportcard.org](on to www.emreportcard.org)[ ](on to www.emreportcard.org)[at 11 a.m. EST](at 11 a.m. EST). And read the February issue of ACEP Now for continued coverage!  \nACEP Council Speaks Out  \nACEP Councillors were surveyed about the use of conscious sedation/procedural sedation. In next month’s issue, we’ll look at what these results mean for emergency physicians.  \nJANUARY 2014 ACEP NOW COUNCIL SURVEY  \n1  \nIs your ability to provide conscious/procedural sedation significantly restricted at your hospital (i.e. not allowed to practice as you would like and/or limitations set by policy)?  \nRESPONSE  \nYES NO  \n43.8% 56.2%  \n2  \nIf so, are the restrictions from the department of anesthesia?  \n53.9% 46. 1%  \n3  \nIf so, are the restrictions from limitations placed on nursing scope of practice (i.e. nurses prohibited from delivering certain medications IV push)?  \n14.5%  \n85.5%  \n4  \nCan you use propofol for conscious/procedural sedation?  \n15.2%  \n84.8%  \n5  \nCan you use ketamine for conscious/procedural sedation?  \n5.7%  \n94.3%  \n6  \nIf so, can you administer ketamine IM in pediatrics without an IV in place?  \n20.4%  \n79.6%  \n7  \nDo you have to apply for conscious/procedural sedation as anon core privilege?  \n8  \nDo you have to take a “merit badge” course (i.e. BLS, ACLS, PALS) in order to obtain privileges for conscious/procedural sedation?  \n34.8%  \n65.2%  \n9  \nDo you have to take a hospital developed test to in order to obtain privileges for conscious/procedural sedation?  \n56. 1% 43.9%  \n10  \nHave you ever been forced to provide substandard care due to limitations or restrictions placed on your ability to provide conscious/procedural se","cbCaiiS5U9VRNgrz","https://ap.wps.com/l/cbCaiiS5U9VRNgrz","pdf",5215797,36,"English","# Introduction\n# Need-to-Know Tweets\n# ACEP Council Survey (January 2014)\n# Editorial Staff and Publishing Team","[{\"question\":\"What is covered in the January 2014 ACEP Now issue introduction?\",\"answer\":\"The introduction discusses the Affordable Care Act provisions and the debate around its impact on health-care reform.\"},{\"question\":\"What guidance topic is mentioned regarding pain posters in the emergency department?\",\"answer\":\"CMS clarification on the use of pain posters in the ED waiting rooms and treatment areas is highlighted.\"},{\"question\":\"What does the ACEP Council survey focus on in this issue?\",\"answer\":\"The survey examines whether emergency physicians’ ability to provide conscious/procedural sedation is restricted and what limitations apply.\"}]","ACEP Now - January 2014 Volume 33 Number 1 | PDF",1789786988,13]