It’s that time of year again. That season where people think about what they have to be thankful for as they prepare to share the holidays with family and friends.
With all of that in mind, we at Heartbeat International realize how blessed we are to have the chance to serve you! So once again, we’re here to celebrate Pregnancy Help Appreciation Week.
If you haven't heard of Pregnancy Help Apprectiation Week, you should expect special deals, video thank-you messages, and extra prayers this week, as well as a drawing at the end of the week where one lucky winner will get a fun gift basket from us at Heartbeat!
But how do you enter the drawing? Easy!
Anyone who takes advantage of one of our appreciation week deals, submits a prayer request or praise report, or leaves a tip for Pregnancy Help News will be entered in a drawing for a free gift basket that we’ll announce LIVE on Facebook Friday, November 17th at 12 PM EST. (You need not be present to win, and you can watch the video later if you want!)
So check your email, tell us your stories, and remember, we appreciate you!
Thank you for saving lives and caring for families every day!
Friday- Manual Bundles & Deal Repeats!
HEART Leader's Guide & HEART Online
Talking About Abortion & Answering Tough Calls
Sexual Integrity Program Essentials & SIP Online Training
GOVERN Well & GOVERN Well Online
Check here for any deals you may have missed!
*This training offers contact hour credit to nurses who meet all requirements. Provider approved by the California Board of Registered Nursing, Provider Number CEP 16061.
Week Long Deal
Case of 50 Journal Babies for just $44 shipping and processing fee from our friends at Appletree Press, Inc.
Thank you from Jor-El Godsey from Heartbeat International on Vimeo.
Thank you from Jay Hobbs from Heartbeat International on Vimeo.
Thank you from Georgi Boorman from Heartbeat International on Vimeo.
Thank you from Cindi Boston from Heartbeat International on Vimeo.
Thank you from Senator James Lankford from Heartbeat International on Vimeo.
by Mary Peterson, Housing Specialist
Early in the three-day meeting, the question was posed: "Has the maternity housing movement, as a whole, strayed from its core mission?" Gulp. Big question.
All present were quick to defend the good work that currently happens in the approximately 400 maternity homes across the United States. There is no doubt of the important role that maternity homes play within the pregnancy help movement. But the question lingered.
Historically, maternity homes developed to support women through an adoption plan, first as large institutional programs often staffed by Catholic religious orders. Trying to protect the confidentiality of the women coming to the program, these early homes were often shrouded in secrecy and silence. Many of the reforms in adoption began from the heartache of women who experienced adoption not as an empowering choice, but rather as a decision they felt was forced upon them without sensitive acknowledgment of the pain involved.
From these roots, as movement toward open adoptions began, the host or shepherding home model developed as families began welcoming a pregnant woman into their homes. And, in recent history, as the needs and challenging circumstances of the pregnant women in need of housing support have increased, a variety of models have developed that allow for increased expertise in supporting women in situations related to addiction, violence, abuse, and trauma. As this progression has happened, the number of adoptions in maternity homes has dramatically decreased.
The 10 housing leaders who serve as the Leadership Council for the National Maternity Housing Coalition (NMHC), a joint-affiliate of Heartbeat International, gathered to think deeply about why this has happened and how maternity homes might restore their heritage as a safe refuge for women considering adoption. It is not as if maternity homes are not supportive of adoption.
Homes, generally, are delighted to walk with a women pursuing an adoption plan. And, several homes, especially those with over 30 years of experience, have deep organizational ties to adoption agencies. Even so, the NMHC Leadership Council collectively wondered, "Can we be doing more? Why do we continue to see declining numbers? Is there something that we, as maternity homes, can do better?"
Shawn Stevenson, the Executive Director of Life Services in Spokane, Wash., raised the question of an organization's "null curriculum". Based on his training in the education field, Shawn asked, "It makes me wonder about our programs. Specifically, What are we teaching by what we are not teaching?"
He continued, "Is there something in the way that we handle adoption that inadvertently communicates a bias we don't intend?" The statement raised a great conversation about the strategies used by homes to introduce adoption.
Through discussion, five major strategies surfaced. All are currently being used by homes to incorporate an adoption message:
While these strategies are a solid starting point, the challenge was raised on how to re-think and re-craft the strategies used to present the beauty of adoption in new and creative ways within the home environment.
Summing up the conversation, Jeannine Floores, a birth mom and adoptive mom who leads Breath of Life in Austin, Texas spoke of the need to create an adoption-positive culture throughout the organization.
"Moms need to know that you aren't focused on WHAT decision she makes," she said, "only that she makes an informed, prayerful, thought-out decision."
The National Maternity Housing Coalition took this message to heart and renewed its commitment to pregnancy decision making as the place of excellence for maternity housing programs.
"It is this decision-making process that makes maternity homes different than any other housing programs for women," Callie Neff of House of His Creation asserted, "In addition to all the other ways that maternity homes support women, we must support her in thinking about her options around how her child will be parented."
A re-examination of our past as a maternity housing movement allowed us to remember our role in championing the adoption message. As such, the NMHC is inviting homes to re-engage the adoption message in a new way this year and keep decision-making during pregnancy at the heart of their mission. You can anticipate dynamic trainings and conversations on how to achieve that goal within the upcoming year.
COLUMBUS, OHIO – Following on the heels of two undercover videos exposing Planned Parenthood’s involvement in what appears to be the for-profit procurement and sale of body parts from aborted babies, The Center for Medical Progress released a new video Tuesday morning, “Human Capital – Episode 1: Planned Parenthood’s Black Market in Baby Parts.”
The latest video centers around the testimony of Holly O’Donnell, identified as an “Ex-Procurement Technician for StemExpress, LLC,” the Northern California-based company whose marketing material promised Planned Parenthood affiliates “Financially Profitable” benefits of selling body parts harvested from aborted babies.
“Every life deserves to be protected,” Heartbeat International president Peggy Hartshorn, Ph.D., who has led the network of nearly 2,000 pregnancy help locations worldwide since 1994, said. “Aren’t we worth more than the sum of our parts? The life of a mother and her child are worth far more than an abortion facility’s bottom line. Every life deserves to be protected”
While Planned Parenthood, the nation’s largest abortion provider with over 327,166 abortions reported in its 2012-13 annual report, has denied selling body parts for profit—which would be a violation of federal law—Tuesday’s video provides continued evidence that the body parts harvested from aborted babies are done so with a for-profit motive.
“We were asked to procure certain tissues, like brain, liver, thymus, pancreas, heart, lungs, and pretty much anything on the fetus,” O’Donnell says in the video. “It’s basically human trafficking of fetal tissues.”
The Center for Medical Progress released its first in a series of undercover videos Tuesday, July 14, which captured Planned Parenthood’s Senior Director of Medical Services Dr. Deborah Nucatola discussing the harvesting of fetal organs, telling what she believed to be potential buyers that her national team had, “been very good at getting heart, lung, liver,” noting that abortion providers could “crush” the baby in such a way as to preserve certain body parts for resale.
Last Tuesday, July 21, Planned Parenthood Federation of America’s Medical Council President, Dr. Mary Gatter, was shown in a similar video, negotiating price points for the resale of harvested baby body parts while referring to her colleagues’ ability to use “a less crunchy technique” to get more intact body parts.
“Women deserve better than abortion,” Hartshorn said. “That is why pregnancy help centers, medical clinics, maternity homes and non-profit adoption agencies offer a mother all the information she needs to make the healthiest choice for everyone involved in an unexpected pregnancy.”
About Heartbeat InternationalHeartbeat International is the first network of pro-life pregnancy help organizations founded in the U.S. (1971), and now the largest and most expansive network in the world. With nearly 2,000 affiliated pregnancy help locations—including pregnancy help medical clinics (with ultrasound), resource centers, maternity homes, and adoption agencies—Heartbeat serves on all six inhabited continents to provide alternatives to abortion.
Heartbeat International welcomes Carrie Beliles as our new part-time International Program Specialist. Carrie will now be the primary liaison and consultant for Heartbeat'sInternational Program outreach.
Originally from the U.S.A., Carrie's travels and interests have taken her far and wide. From running a pregnancy help center in Rammstein, Germany to advocating against sex-trafficking in Asia, Carrie's passion for life-affirming ministry is evident. She has 5 kids (all under the age of 8) and now makes her home in Virginia with her husband, Ben.
Carrie joins the Ministry Services Team and takes over the role from Molly Hoepfner, who will now be more focused as Heartbeat's Event Planner, especially our Annual Conference.
We are so excited to have Carrie on the team that we decided to do a quick interview so you could get to know her too.
As a Heartbeat International affiliate, your pregnancy help organization is automatically listed on Heartbeat's Option Line® (1-800-712-HELP), a 24-7 pregnancy helpline that answers over 650 calls, emails, text messages and live chats every day, sending callers to local help organizations like yours. Our job is to help you care for her. Here are a few of the ways we do that.
Every contact Heartbeat’s Option Line® makes costs about $4.25. We refer an average of 42 contacts a year to each of our more than 2,500 listed pregnancy help organizations. That’s a value of $178.50 per year for your organization alone!
On OptionLine.org, a client can search for a center near her. Each month in the past year, an average of over 200 searches on OptionLine.org have turned up your center. Our top-10 centers all averaged over 7,000 views in the last year, bringing women in desperate need of help face-to-face with your center’s information.
Does your center struggle to cover the phones overnight? Option Line is your answer for overnight help. You can also forward your calls to Option Line when you can't cover a shift. Rather than hearing a recording, a woman will speak to a real human being, who will answer her initial questions and connect her to help right in her area—that is, you!
Heartbeat International congratulates CAM (Centro de Ayuda para la Mujer Latinoamericana, A. C.) on reaching 25 years of lifesaving ministry.
Heartbeat President, Peggy Hartshorn, was honored to celebrate this great achievement with CAM representative in Mexico City, Mexico, saying:
"Congratulations on this very important occasion of the 25th Anniversary of CAM. God certainly laid it on the hearts of your founders, Jorge and Magdalena, that it was essential that every woman with a difficult pregnancy, finding herself perhaps alone and afraid, could find help and hope and the courage she needed to carry her pregnancy to term. This is because every person is made in the image and likeness of God, both the mother and the child!
Let us continue to lock arms around the world, pray for each other, strengthen and encourage each other, and recommit to the task ahead. Our strength and power comes from the Lord. We are responding to his call, Come follow Me. We are running the race and fighting and good fight and we look forward to our reward in heaven where, like St. Paul, we hope to hear the words, “Well done, good and faithful servant.”
"The Nurse Practice Act does not provide a list of procedures that may or may not be performed by licensed nurses. The scope of practice for a licensed practical nurse is located in Section 4723.01(F), ORC. A licensed practical nurse with the necessary knowledge, skill, and competency, under the direction of a registered nurse or a physician, is not prohibited from performing limited obstetrical ultrasounds. The regulations pertaining to licensed nurses performing nursing tasks beyond basic nursing preparation are located in Chapter 4723-4, OAC. A licensed nurse providing care beyond basic preparation for a licensed practical nurse must obtain education from a recognized body of knowledge relative to the nursing care to be provided, demonstrate knowledge, skills, and ability to performthe care, maintain documentation satisfactory to the Board of meeting the requirements to provide the care, and have a specific valid order or direction, from an individual who is authorized to practice in this state and is acting within the course of the individual's professional practice.”
“The Nurse Practice Act and the administrative rules adopted thereunder are available for review on the Board's website: www.nursing.ohio.gov in the "law and rule" section.”
by Susan Dammann RN, LAS, Heartbeat International Medical Specialist
Is an LPN permitted to perform Limited Obstetrical Ultrasounds?
Maybe yes. Maybe no.
Recently a center in Ohio was challenged and told they could not use an LPN to perform Limited Obstetrical Ultrasounds. Apprehension struck the leadership of the organization, as they currently had an LPN on staff doing Limited OB scans. This challenge sent them on a research mission to determine if the law in Ohio had changed since the last time this issue had been examined three years previously.
After doing their due diligence to determine the current law in Ohio, it turned out that the challenge was invalid. Rather, they were found to be perfectly within the scope of practice for LPN’s in the state of Ohio.
Following is from the response received from the Ohio Board of Nursing in response to their inquiry. “A licensed practical nurse with the necessary knowledge, skill, and competency, under the direction of a registered nurse or a physician, is not prohibited from performing limited obstetrical ultrasounds.” Please remember this response pertains only to Ohio nurses.
Link to the full response.
Megan from the Missouri State Board of Nursing Practice Department stated “There is nothing in the Missouri rules and statutes that defines what LPN’s can or cannot do. It is based on their education, knowledge, skills, training, judgment, and facility policies and procedures.”
The Louisiana Board of Practical Examiners stated there is no restriction prohibiting LPN’s in the state of Louisiana from performing limited OB ultrasounds with the appropriate training.
The Louisiana State Board of Practical Nurse Examiners opinion on the scope of practice of the LPN:
The Louisiana State Board of Practical Nurse Examiners (LSBPNE) has no "laundry list" of tasks/skills an lpn can perform. Such lists tend to limit practice. Scope of practice is a fluid concept. It changes as knowledge and technology expand. Lpns must possess the knowledge, skill, and ability to perform their duties, therefore, scope of practice comes down to the competency of the individual lpn.
We formulate this opinion based on the Louisiana Administrative Code, Title 46, Professional and Occupational Standards, Part XLVII. Nurses, Subpart 1. Practical Nurses, Chapter 9, Subchapter E., Curriculum Requirements-
B. The curriculum shall ensure that program graduates possess the knowledge, skill, ability, and clinical competency to practice safely and effectively as an entry level practical nurse in the state of Louisiana.
The Pennsylvania Board of Nursing stated: “The question of LPN’s doing limited ultrasound is not a question they would be able to answer because it is asking for an advisory opinion or approval for a particular conduct or specific conduct which the board is not permitted to do.” I was referred to the following documents:
Practical Nurse Law
Section 2. (1) The "practice of practical nursing" means the performance of selected nursing acts in the care of the ill, injured or infirm under the direction of a licensed professional nurse, a licensed physician or a licensed dentist which do not require the specialized skill, judgment and knowledge required in professional nursing.
Pennsylvania Code § 21.148. Standards of nursing conduct.
(a) A licensed practical nurse shall:
Conversely, there may be other states in which LPN’s are not permitted to perform Limited Obstetric Ultrasounds. It is Heartbeat’s recommendation for each center to check the primary authority for nursing practice or more than one source within your state to determine what your state permits in this regard. Your state Board of Nursing and the Nurse Practice Act are good places to begin your research.
“Typically the boards have basic practice acts and documents related to scope of practice, including the education and training that is required for the practice of practical nursing, and what work LPN basic education allows. Most boards then allow for expanded practice with additional education.” http://www.credentialwatch.org/reports/lpn.pdf
The article LPNs? What do they do? Where can they work? from the University of Phoenix states the following:
“Well, the answer to this question is highly dependent upon the state or province in which the LPN practices nursing. Some state boards of nursing, such as the ones in Texas and Oklahoma, have extremely wide scopes of practice that permit LPNs to do almost anything that individual facility policies will allow. LPNs in states with wide scopes of practice are usually allowed to perform most of the same skills that their RN coworkers can do… Other boards of nursing, such as the ones in California and New York, have narrow scopes of practice that severely limit what LPNs in those two states are allowed to do.
The LPN works under the supervision of a registered nurse (RN) or physician in most states; however, the LPN is often the only licensed nurse present in many facilities. LPNs also supervise nursing assistants in certain healthcare settings. With the right mix of experience, LPNs can be promoted to administrative positions such as wellness directors, assistant directors of nursing, wound care clinicians, staffing coordinators, and case managers.”
If an LPN is legally within the scope of practice in your state then the question of “best” practice come into the picture. Is allowing LPN’s to perform scans in the pregnancy help medical clinic the best practice? In the case of the center in Ohio, they absolutely felt it was. Their LPN has been with them for many years and proven her high level of expertise and excellence. She has gone through the appropriate training and demonstrated a high level of competency.
Which “best” practice are we evaluating? The “best” practice of ultrasound for any patient? The “best” practice of including ultrasound for an at-risk patient?
When resources are scarce, in general or for particular shifts while a center is open, isn’t the question of “best” practice really more about what is “better” for the strongest outcome(s) for the patient? Is it “better” for her to be engaged now or ask her to return later, perhaps another day? For an appropriately trained LPN, whom the Medical Director recognizes as competent, providing the patient with a timely ultrasound seems to be better than risking a potential no-show at a later time.
For any pregnancy help medical clinic which finds that LPN’s are permitted in their state to perform scans, it will ultimately be the decision of the Medical Director consistent with Board policy.
Do you know your state laws regarding LPN’s? Do you have LPN’s on staff performing scans? Have you contacted your state Board of Nursing? Have you researched the Nurse Practice Act in your state? Has your Medical Director and Board addressed this question and set policy? Has every LPN practicing in your clinic gone through the required training and demonstrated competent skill levels?
Having done their due diligence in researching what the law is in Ohio this center can now move forward in confidence. Going through the process has made them stronger in the end, and will do the same for all who accept the challenge to go through the research process.
Article updated June 2017
Brian Fisher, president of Online for Life, joined Real Choices Pregnancy Medical Clinic Executive Director Mia Green on the stage of the Real Choices Spring Gala, announcing his organization's acquisition of the Grapevine, Texas-based pregnancy help center.
This new chapter of Online for Life's efforts has been super-charged with a $3.4 million gift that has transitioned the small volunteer effort to a large office staff, including statisticians, developers, and marketing experts.
Identifying as more than merely online marketing specialists, Fisher's announcement included his goal to increase Real Choices' "effective rate" in encounters with abortion-minded clients. Fisher noted that the practices Online for Life will refine in the Dallas-Fort Worth area will then be taken to the "super centers" in other major metropolitan areas, likely as future acquisitions, franchises, or start-ups.
Online for Life's most recent acquisition signals another local entity with plans to go regional/national, as Real Choices joins Women's Care Center (South Bend, IN), BirthChoice (Orange County, CA), Thrive! (St. Louis, MO), and Stanton Medical Clinic (Boise, ID) in promoting a common-brand/franchise model.
For more than a decade, our friends at Care Net have encouraged affiliates to utilize their national brand, which today numbers just over 140 locations. Meanwhile, Women's Care Center has experienced great success at spreading a true brand/franchise model across multiple states, with 22 locations in seven states.
Each of these brands follows in the footsteps of a key innovator of pregnancy help outreach – Birthright International. Birthright has nearly 300 individual pregnancy support service locations across North America (and a few in Africa as well) bearing its brand. Birthright, originally founded in Toronto, was part of the inspiration for Heartbeat International (then known as Alternatives to Abortion International), which began in 1971 to serve and strengthen the pregnancy help effort.
Difference of approach, philosophy, and focus has led both organizations to grow and develop along separate paths in the past four and a half decades. For the same reasons, it remains to be seen if one brand/franchise will eventually dominate the pregnancy help movement much in the same way as Planned Parenthood, a name that dominates the abortion market with a one-third share in the United States.
Evaluating the Franchise Approach
There are many strategic questions about a national brand/franchise. Online for Life's new "laboratory" center, Real Choices, plans to contribute great insight into "effective rates" that may serve other communities. But will what works in Texas translate to New York City or vice versa? Can processes that work in the Bible Belt leave the same footprint in the Pacific Northwest?
Further, is a monolithic brand an easier target for the opposition? NARAL continues to refer to pregnancy help ministries as "crisis pregnancy centers," a common term from an era before the Internet, the late 1980's. The billion-dollar abortion industry, unrestrained by our "best practices," would likely relish the thought of marshaling their powerful political and media allies on an obviously connected, monochromatic brand.
Yet Planned Parenthood has made its brand work for the better part of the past century... Until recently, that is, in the wake of concentrated scrutiny by conservative state legislators and a small, gutsy group of undercover investigators from Live Action, led by Lila Rose. Alliance Defending Freedom is now leading a specific effort to topple Planned Parenthood's brand image, exposing it for what it really is. Such efforts on various pro-life fronts have damaged Planned Parenthood's single brand, especially in conservative states.
Moving Forward in Confidence
Whether or not a single brand is in your pregnancy help organization's future, what is most important is that we continue to be sensitive to the work of the Holy Spirit. The Lord is constantly moving us as His people, toward the Promised Land. This calls us, each day, to learn to be more effective in who, where, and how we serve.
Brand us, hopeful that the Lord, in His wisdom and power, will guide each and every organization and leader.
I believe God bringing my wife, son and me to the East Bay of California (near San Francisco) 24 months ago - 2,550 miles away from our other children, grand children and familiar surroundings - was not a fluke or an accident. God had a plan. On paper, the past 24 months of Pregnancy Choices Clinic (PCC) history may have read more like a failed plan to some, a miscalculation of decisions, or leadership gone bad. I often felt like we were missing what God was doing.
Following our arrival in California we experienced a number of difficulties: my bicep muscle was torn and immediate surgery was required. The weakening economy necessitated a downsizing of PCC. Circumstances required that we develop an entirely new staff and medical capability. A plummeting California economy drove us to reduce expenditures by more than 30% and negotiate a temporary 50% reduction in our monthly facility lease.
In anticipation of our annual Walk, we moved forward in faith and attempted everything we could reasonably do to raise more income throughout the first part of 2010. While our May Walk Event was a great occasion for believers of like mind to congregate over life values, we simply did not reach our financial goals. Soon thereafter, we realized that our Center was in jeopardy. We failed to make payroll several times. We were behind the previous year’s income level by a substantial amount of money.
We sent a direct letter to our supporters, staff, and volunteers to share the seriousness of our situation. Though we did not believe that it was God’s will because of the many answered prayers and touched lives, we potentially could be forced to close the Clinic. We gathered everyone for a day of fasting and prayer and God showed up. What an amazing God we serve!
In just a couple short months we completed our fiscal year in the black in contrast with last year’s deficit. We provided counseling and ultrasound services for at least four abortion minded women who decided to keep their babies in the same period. Four men accepted Christ as Lord and Savior from our men’s program, and exciting new relational opportunities have been granted to us.
God is doing something awesome with us and our Clinic and I would like to share a vision I believe He has placed on my heart.
As I was wrestling and praying concerning options for us several months ago, I began to see that there were not many good ones. While in prayer, an “outside of the box” thought came to me. It was to appeal to a church that might catch a passion for this ministry and supply a more affordable space for the clinic.
Little did I know that as I thought about this, someone else had been thinking about the same possibility. It was exciting to learn that a counselor right in our clinic had been praying that her church would support a ministry such as PCC. In fact, her church already had a stand alone facility that could be used for such a vision!
The facility is in the neighboring community of Hayward, CA where the largest percentage of our clients resides. The church has offered complete autonomy and comparable square footage at a minimal cost that will likely result in a significant increase in clientele. Additionally, this is exactly the kind of community outreach the church’s pastor and leadership team have been seeking.
God has been showing me is that He does not want us to stand still and simply survive… Our leadership team is convinced that God wants to do something huge, something grand, something that will greatly impact the East Bay Area (and likely yours as well). But many times, the only thing that stands in the way is each one of us.
Our pursuit will require faith. God has answered our prayers and in a very short period our perspective has been turned 180 degrees from survival to an expansion of the ministry. Only God can do something like this. Do we have to stand in the gap and believe? Yes. God deserves our absolute, unwavering trust. Without it, our view of God becomes small and ineffective. To be sure, that is not the case.
From Take Heart | Volume 2, Issue 7.
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