executive director’s column board of nursing · 2211 n. elizabeth 38155 hwy 350 pueblo, co 81003...

Fran Ricker, RN, MSN

APN Legislation Passes!HB12-1065

In the prior Colorado Nurse, some background information was provided on the issue of APNs who had existing prescriptive authority prior to July 1, 2010, losing prescriptive authority because of failure to submit required attestations prior to a date deadline. This affected approximately 300 APNs who had existing prescriptive authority and were eligible for “grandfathering” under the Nurse Practice Act in 2009. HB 12-1065 represented collaboration between nursing organizations, championed by Colorado Nurses Association and individual APNs to correct an unintended consequence of prior legislation. The bill opens a short time frame for the nurses affected to submit necessary paperwork to DORA to have their authority re-issued.

If you are one of the specific APNs that received notification that your authority was being rescinded it is imperative that you read the information from the Board of Nursing/DORA on page one of this edition. Resubmissions must be received by the specific date deadline, and the revised application process is detailed in the communication from DORA. Please read all requirements carefully as there will be no exceptions to the requirements.

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Volume 112 • No. 2 May 2012

The Official Publication of the Colorado Nurses AssociationQuarterly circulation approximately 67,000 to all RNs, LPNs, and Student Nurses in Colorado

Executive Director’s Column

Fran Ricker

Executive Director’s Column . . . . . . . . . . . . .1Colorado Nurse’s Association President . . . . .2ANA’s Race for Relevance . . . . . . . . . . . . . . . .3Colorado State Board of Nursing . . . . . . . . . . .4ANA Joins Forces with First Lady and Dr. Biden to Meet the Health Needs of Veterans and Military Families . . . . . . . .5Nightingale Awards . . . . . . . . . . . . . . . . . . . 7-9

Project Health Colorado: Make Yourself Heard . . . . . . . . . . . . . . . . . . . . . .10Colorado Nurse Dr. Loretta Ford Honored . .11All You Need is Love (and Human Caring): Transforming Health Care One Nurse, One Hospital at a Time . . . . . . . . . . . . . . . .15District & Committee Reports . . . . . . . . . 17-19In Memory . . . . . . . . . . . . . . . . . . . . . . . . . . .20

INDEX

Executive Director’s Column continued on page 5

Notice from Board of Nursing

on HB12-1065The Prescriptive Authority statute Section 12-38-111.6, C.R.S.

has been extended pursuant to House Bill 12-1065. Therefore, all authorities issued prior to July 1, 2008 that expired by operation of law on July 1, 2011 MUST comply with the following process to receive a new prescriptive authority number.

The Application for Deadline Extension for Prescriptive Authority will be available online as of July 2, 2012. This application must be completed by the prescriptive authority holder and the original returned to the Division of Registrations on or before 5:00 p.m. on September 30, 2012 (NO FAXES and NO EMAIL SUBMISSIONS). NO EXCEPTIONS! All questions on the application are mandatory and must be answered fully or the application will be considered incomplete. All supporting documentation and the $150 fee must also be received before the application is considered complete.

The application must be complete at the time of submission or it will not be processed. The applicant will be notified of missing content and must submit any missing documentation to the Division of Registrations on or before September 30, 2012. NO EXCEPTIONS! FAILURE TO DO SO will require submission of an original application for prescriptive authority, including all supporting documentation and the applicable fee. Such failure will also result in needing to meet current statutory requirements to include meeting all education requirements, national certification, and preceptorship prior to being granted prescriptive authority.

Applicants will need to complete and attach an ATTESTATION OF DEVELOPMENT OF ARTICULATED PLAN–Form 92012. You must attest that you either developed an articulated plan or had a collaborative agreement with a physician on July 1, 2011. You will also need to attest that you developed an articulated plan on or before 5:00 p.m. on September 30, 2012. This attestation will need a physician’s signature.

Please understand the applications go through several units before arriving at the Board of Nursing, which may take up to 5 days, even if you hand deliver the application and attachments. Applications are processed in the order in which they are received: Certified mail or FedEx does not expedite the process. Once the forms are received in the Board of Nursing and the submission is complete, the Board staff will process the applications in the order they are received. The authority is generally issued within 14 days of receipt of the complete application package.

If you have any questions, please call Rita Postolowski at 303-894-2451. ◆

• Colorado Nurse May, June, July 2012

Published by:Arthur L. Davis

Publishing Agency, Inc.

http://www.nurses-co.org

Colorado Nurses Association President...

COLORADO NURSE (ISSN-8750-846X) is published 4 times annually, February, May, August, and November, by the Arthur L. Davis Publishing Agency, Inc. for the Colorado Nurses Association, 2170 South Parker Road, Suite 145, Denver, CO 80231, a constituent member of the American Nurses Association.

Subscription may be purchased for $20 per year, $35/2 years, $25 per year for foreign addresses.

For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, [email protected]. CNA and the Arthur L. Davis Publishing Agency, Inc. reserve the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement.

Acceptance of advertising does not imply endorsement or approval by the Colorado Nurses Association of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. CNA and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of CNA or those of the national or local associations.

Material is copyrighted 2012 by the Colorado Nurses Association and may not be reprinted without written permission from CNA.

Editor: Kasey Grohe, MS, RN, CNEConsulting Editor: Fran Ricker, MSN, RN

EXECUTIVE COMMITTEE

President Vice-PresidentMary M. Ciambelli (31) Colleen M. Casper (16)6474 S. Jericho Circle 1879 S. Xenia CourtCentennial, CO 80016 Denver, CO [email protected] [email protected]

Secretary TreasurerCarol O’Meara (30) Dale L. Colfack (16)8595 E. Mineral Circle 5180 W. Harvey PlaceCentennial, CO 80112 Denver, CO [email protected] [email protected]

DIRECTORS

Region I Director Region I DirectorEve Hoygaard (30) Marion Thornton (30)12182 E. Amherst Circle 8335 Fairmont Dr. #2-105Aurora, CO 80014-3302 Denver, CO [email protected] [email protected]

Region II Director Region II DirectorAmanda Clerkin (4) Lori Rae Hamilton (4)2211 N. Elizabeth 38155 Hwy 350Pueblo, CO 81003 Model, CO [email protected] [email protected]

Region III Director Region III DirectorDebra Bailey (5) Nora Flucke (7)662 Cordial Ct. 1798 County Road 128Grand Junction, CO 81506 Hesperus, CO [email protected] [email protected]

Director-At-Large Director-At-LargePam Spry (30) Alma Jackson (5)3837 S. Truckee Way 3191 1/2 Bunting AvenueAurora, CO 80013 Grand Junction, CO [email protected] [email protected]

DNA PRESIDENTS

DNA #2: Jackie Brown, 9 Summit Road, Lamar, CO 81052-4310DNA #3: Carole Mutzebaugh, 2613 Paseo Road, Colorado Springs,

CO 80907DNA #4: Lori Rae Hamilton, 38155 Hwy. 350, Model, CO 81059 DNA #5: Kristy Reuss, 376 Soapweed Court, Grand Junction, CO

81506DNA #6: Shawn Elliott, 9933 Pioneer Way, Alamosa, CO 81101 DNA #7: Lynne Murison, 29024 Highway 160, Durango, CO 81303 DNA #8: Stacie Seaman, 404 Crystal Beach Dr., Windsor, CO

80550 DNA #9: Janice Arndt, 1027 Pinnacle Place, Fort Collins, CO 80525 DNA #12: JoAnn Owen, 1609 Cedar St., Broomfield, CO 80020DNA #16: Donna DuLong, 283 Columbine Street, PMB 139, Denver,

CO 80206DNA #20: Allison Windes, 3830 Cody St., Wheat Ridge, CO 80033DNA #23: Fran Dowling, 12801 Lafayette St., #H103, Thornton, CO

80241DNA #30: Tara Caldwell, 1245 Rosedale St., Castle Rock, CO 80104DNA #31: Judy Murray, 7522 S. Monaco Way, Centennial, CO 80112

Colorado Nurses Association2170 South Parker Road, Suite 145, Denver, Colorado 80231

CNA: (303) 757-7483 Main • http://www.nurses-co.orgEmail: [email protected] • FAX: (303) 757-8833

Colorado Nurse Official Publication

Mary Ciambelli

Mary M. Ciambelli

The first six months of my two year term as president has already flown past. I have enjoyed meeting many of you and listening to your concerns in Pueblo, Colorado Springs, Wa l s e n b u r g , D e n v e r , Lafayette, Arvada, and Durango and am looking forward to traveling to Greeley next week. The Colorado Student Nurses Association Spring Convention was a great success that demonstrates hope for the future of nursing. Along with many of you I walked in the 50th Annual St. Patrick’s Day Parade in Denver on March 17. The parade experience was more positive than I could have imagined prior to the actual event. We had an excellent turnout of nurses and friends of nurses. I want to thank the unofficial parade planning committee Marion Thornton, David Rodriguez and Keith Segundo as well as DNA 30 and our additional donors for paying for the buses. I do not think I can exaggerate the positive emotional experience of walking/riding in front of people who are applauding and cheering you simply because you are a nurse. The crowd was blowing us kisses and calling out positive messages such as “nurses’ rock” and “you guys are great” and “we love you.” If any of you are feeling any compassion fatigue or have any doubts about whether what we do is respected by the citizens of Colorado, I highly recommend that you join us in our next public event.

The parade experience was a celebration of nursing in a visible and visceral way, particularly for those of who had the opportunity to participate in the event. Each year the American Nurses Association (ANA) leads the Nurses’ Day and Nurses’ Week celebrations in the United States. This year ANA has declared the 2012 theme for Nurses Week to be “Nurses: Advocating, Leading, Caring.” Nurses’ week starts on May 6 (also known as National Nurses Day) and ends on May 12 in honor of Florence Nightingale’s birthday. Nurses’ Day at the Rockies sponsored by DNA 16 is on Sunday May 6 this year. I hope you had a chance to enjoy baseball and networking with fellow nurses at this annual event. This year’s theme resonates strongly with me because it succinctly describes three of the most important privileges and responsibilities of professional nurses.

The word advocacy is both a noun and a verb and comes from the Latin word “vocare” which means to call or to summon. Nursing itself is experienced as a calling by many of us and this concept touches me deeply. I am a psychiatric mental health clinical nurse specialist and have spent the vast majority of my career as a direct care nurse. I learned about patient advocacy from my undergraduate nursing instructors and my graduate instructors, most especially Dort Gregg and Dr. Faye Spring. I learned to apply the seminal work of Hildegard Peplau, Interpersonal Relations in Nursing (1952) to my daily nursing practice. I value the role of patient advocate and believe it is one of the roles that most nurses excel

at regardless of their educational preparation or specialty. I see nurses advocating for patients every day in the acute care setting where I am employed and it always makes me proud to be their colleague. Advocacy involves awareness, knowledge, time, energy and focus. Advocating on behalf of our patients is the essence of what nurses do, and we do it very well.

However, sometimes we do not advocate for ourselves with the same passion and endurance that we demonstrate for others. Advocating for patients in direct care settings, for students in educational settings and for employees in leadership settings can be either visible or invisible but in all cases it is time consuming. In my experience, sometimes it also takes courage and the willingness to take a risk to do the right thing and not the easy thing.

Which brings me to what I believe is one of the primary benefits of belonging to the American Nurses Association and the Colorado Nurses Association–the opportunity to belong to a membership organization that is organized around the concept of advocating by nurses for nurses. ANA and CNA advocate for nursing and for the healthcare we provide in the public policy arena and by educating us on how to advocate for ourselves. In other words, association membership equals advocacy.

ANA is the only full service professional nursing association for all registered nurses, regardless of our educational preparation or practice area. ANA is the voice of nursing in Congress, at the White House and most recently at the Supreme Court. Lobbyists and policy directors at ANA work tirelessly to impact the policy makers in Washington D.C. to remove barriers to the effective practice of professional nursing and to improve access to health care. ANA worked closely and visibly with legislative and policy leaders in the development of the Affordable Care Act and tweeted daily from the recent Supreme Court hearings regarding that same legislation. ANA is the voice for all nurses at the federal level and works with other nursing groups and stakeholders to influence public policy on behalf of our profession every day.

In Colorado, the Executive Director of CNA, Ms. Fran Ricker is also the Policy Director and Lobbyist for the Association. In addition to Fran’s skilled presence at the state capital we have two active legislative committees, Colorado Nurses for Access to Health Care for All (CNAHCA) led by Brenda Von Star and the Governmental Affairs and Public Policy (GAPP) led by Dr. Sara Jarrett. ANA and CNA excel at providing legislative advocacy at the federal and state level that represents the nursing profession and healthcare consumers in an ethical, effective and visible manner.

ANA also provides discounted education to member nurses about how to advocate for themselves in our personal lives and in the workplace. Recent and upcoming continuing education programs include topics such as bullying in the workplace, safe patient handling, and healthy nurses. Advocating for ourselves by taking better care of ourselves physically, emotionally and spiritually improves our quality of life and our ability to care for others more effectively. CNA’s new Associate Executive Director Kasey Grohe is our association’s advocate for professional development and continuing education programs.

If you believe in the power and value of patient and nurse advocacy, please join the association today. You can join us online at www.nursingworld.org (the ANA website), at www.co-nurse.org (the CNA website), by filling out the paper application included in this newspaper, or by calling the Membership, Marketing and Revenue Director Keith Segundo at 303-757-7483 for personal assistance to complete your application. All licensed, registered nurses are eligible for membership. We look forward to you answering the call to provide quality healthcare by healthy, happy professional nurses working as equal partners with our fellow healthcare provider colleagues. ◆

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May, June, July 2012 Colorado Nurse •

The board envisioned a robust ANA with great relevance to nurses’ needs and wants, and holding the top spot among national professional associations in health care. Our preferred future is one where ANA is nimble, powerful, innovative and in great demand.

ANA is pursuing a path of necessary and radical change, and we look forward to ongoing dialogue with the membership in the months ahead. As we move from concepts to details and discuss structure and processes in this transformational change, all of our decisions will be guided by a clear set of principles: reducing our vulnerability to external threats, creating mechanisms for maintaining state identity while bringing all entities closer together under ANA, demonstrating member value, building simplified processes and structures, and eliminating redundancy and waste while increasing the association’s efficiency and effectiveness.

This is an exciting time for the entire ANA enterprise. Together, we have an opportunity to create our preferred future and to strengthen our voice within the health care community. It is my hope that you will remain open to the possibilities as a new vision and direction for ANA’s future unfolds. ◆

This article has been reprinted with the permission of the American Nurses Association.

In my position, I have an opportunity to meet with nurses around the country. I have been inspired by the innovative things nurses are doing in their hospitals, schools of nursing, clinics, and private practices. Recently, I had the privilege of spending the day at my alma mater, the Catherine Labouré School of Nursing in Boston. One of the amazing things about visiting a school of nursing is seeing the advances in the curriculum and teaching methods. Of course, technology has transformed health care and nursing practice and with the growing emphasis on electronic health records, quality measurement, and pay for performance, the pace of change will increase.

Another refreshing development is the growth in the number of young people choosing our profession. After three decades of decline in the number of students pursuing nursing education following high school, we have recently seen a resurgence of new nursing graduates in their early twenties. That is encouraging news given the overall aging of the profession and projections of widespread shortages when many of today’s practicing nurses begin to retire. We need young people to become the next generation of expert clinicians, educators, researchers, and leaders of our profession.

As I take stock of the dramatic changes in nursing, I am struck by how little has changed about the American Nurses Association (ANA) and how we provide services to our members. One thing I know is our membership has declined. While the reasons are multi-faceted, the bottom line is clear–fewer and fewer RNs are choosing to join and participate in ANA and certainly, unlike our schools of nursing, we are not seeing an infusion of young people.

In recent months ANA’s leadership has been engaged in many conversations across the association as part of its strategic planning. The conversations have been influenced by a book published in 2011 entitled, Race for Relevance, by Harrison Coerver and Mary Byers, CAE. In the book, the authors challenge conventional association practices and provide a framework for taking bold action for driving future association success. ANA and state association leaders have embraced the concepts in the book as the framework to developing our preferred future.

The Race for Relevance framework for creating necessary change includes five components: overhauling governance, empowering the CEO and staff, rigorously defining member markets, rationalizing and simplifying programs and services, and building a robust technology program.

In November, the Constituent Assembly passed a motion–which the ANA Board subsequently supported–requesting that the staff put a plan together based on three issues: cooperation and synergy, member growth, and further discussions of business arrangements. It was exciting to see the state association leaders take the lead in our race and embrace the need for bold, quick, and radical change.

Since November, leaders across the association have engaged in a robust dialogue about a future vision for ANA. It is clear that the structure and processes that served us well in the past do not position us for success in our fast-paced, digital world and that to meet the changing needs of nurses, ANA must change. To prepare for our two-day strategic planning session, we integrated feedback from our constituent and state nurses associations’ (C/SNA) elected leadership with data compiled by ANA staff that made a strong case for radical change.

During the sessions, the ANA leadership reaffirmed its commitment to nurses and nursing, and to the important relationship between ANA and its C/SNAs. Those commitments aligned with the board’s intent to lead ANA through a transformation that will bring about necessary changes that involve a number of critically important elements.

ANA President’s Perspective

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CSU-Pueblo is seeking two Visiting Assistant Professors of Nursing. Master’s degree in nursing is required for undergraduate

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Updates from the

Advanced Practice Nurse Subcommittee

The Board of Nursing has created a subcommittee to discuss the area of Advanced Practice Nursing. There has been public concern relating to some of the regulation in this area and the Board felt a subcommittee should review and bring forth any possible recommendations for the Board’s consideration. These meetings will be held the Tuesday before the Full Board Meeting each quarter and will be open to the public. Telephonic access to the meeting will be available.

The current members of the subcommittee include Vicki Erickson, PHD, NP, RN; Patsy Cullen, PHD, NP, RN; Cheryl L. Blankemeier, CRNA; Laraine Guyette, PhD, RN, CNM and Catherine Mennick, MS, FNP-BC, RN. The Board would like to include a CNS on the subcommittee. If you have interest in applying, please contact Kennetha Julien at [email protected].

Changes in the Board of Nursing Meeting Format

There will no longer be an open forum session at Board of Nursing meetings. Educators will be able to be present and come forward before the

Board when they are on the agenda and their matter is being heard. Any other public member that wishes to be heard shall submit a request to the Board indicating the topic and amount of time requested to present. The Board will then set the matter on the appropriate agenda. Please view www.dora.state.co.us/nursing/board/meetings to see deadlines for submitting agenda items.

Updating Addresses and Verification of Active License

It is a violation of the Nurse Practice Act to have inaccurate contact information on file with the Division or to practice on a lapsed license. Please make sure your contact information is current and your license is active by reviewing your account via the Division’s Online Registrations Services at www.dora.state.co.us/registrations. Click the button on the left of the page labeled “Online Registrations Services. There you will be able to log in to your account and view your license status and the contact information we have on file for you. Once inside your account you will be able to view all of your licenses and update any contact information as necessary, including your email address. It is essential for the Division to have accurate contact information (including email address) so you can receive all necessary notifications from the Division.

Scope of Practice

It is important that you understand your scope of practice and the scope of practice for those you supervise. We receive numerous complaints each year related to nurses working outside of their scope. The Board also receives numerous complaints from LPNs and CNAs who indicate they were asked or directed to perform duties outside of their scope of practice. Please do not jeopardize your license or anyone else’s license or certificate by performing outside the scope of practice.

Board of Nursing Website

Please be sure to check the Board of Nursing web page at www.dora.state.co.us/nursing for the latest information including meeting dates for 2012, updated legislative information and other information related to your professional license. ◆

Get on the Bus St. Patrick’s Day

ParadeCNA joins the St. Patrick’s Day Parade! Thanks

to the generosity of CNA’s District 30, as well as a few additional donors, the Colorado Nurses Association had the privilege to march in the 2012 Denver St. Patrick’s Day Parade. This year’s parade was Denver’s 50th annual St. Patrick’s Day parade, boasting to be the largest parade west of the Mississippi with over 200,000 in attendance.

Proud members, non-members, and students alike marched side by side demonstrating their pride and dedication to the profession of nursing. Two buses were beautifully decorated and transported many of the nurse participants on the parade route.

Throughout the parade, emotion was high, as so many cheered on with exuberance those representing Colorado nurses. The cheers ranged from “We Love Nurses” to “Thank You For All That You Do!” The sense of support was overwhelming. What a great day for the profession!

To get involved in future CNA events or to join, please contact Keith Segundo, Director of Membership, Marketing and Revenue at (303) 757-7483 or [email protected]. ◆

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Carole C. Schriefer, R.N., J.D.Attorney at Law

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A nurse and a lawyer dedicated to the representation of health care providers. Ms. Schriefer provides legal defense services for professional licensing cases and representation in civil and criminal investigations involving health care professionals. She represents nurses who have received a notice that a complaint has been received by the Board of Nursing relating to their nursing license. She also represents professionals regarding other matters that may impact their professional license.

Please call us first if you have received a letter from the Board of Nursing. Our office accepts most professional liability insurance

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The Law Office of Phone: (970) 416-7456Carole C. Schriefer, P.C. (toll free): (877) 216-7456420 South Howes Street, Bldg A, Ste 202 Fax: (970) 416-5912Fort Collins, Colorado 80521 Email: [email protected]


Executive Director’s Column continued from page 1

The issues that later informed HB12-1065 legislation were identified early by Colorado Nurses Association and the association’s practice attorney in meetings with the Department of Regulatory Agencies. Members of CNA’s GAPP committee conducted phone surveys of APNs affected before the legislative session began. The CNA Executive Director/Lobbyist had a number of meetings and communications with APNs directly affected by this issue.

It is important to acknowledge that ongoing discussions between CNA and DORA continued throughout the course of late summer and during the legislative session. It would not have been possible to identify a working solution without the assistance of DORA contacts–and the final outcome is due to ongoing efforts to find a mutually acceptable solution. Thank you to Kennetha Julien, Program Director for Nursing, Richard Morales, Section Director, DORA, and Virginia Love, Lobbyist for DORA for their input, guidance, and feedback toward a constructive solution to help the APNs affected.

During the summer preceding the legislation–Representative Deb Gardner was the early legislative advocate for APNs affected. She later resigned from the legislature, and Representative Pete Lee (Colorado Springs) became the House legislative champion for this bill. In the House hearings–the bill passed unanimously out of committee in both the House Health and Environment and the House Finance Committee. Representative Ken Summer, Chair House Health and Environment supported the nursing efforts in the House, and Representative Janak Joshi introduced an amendment in the house to remove any fine against the APNs. Despite initial opposition from physician organizations–CMS and CAFP, the bill passed readily through the House of Representatives. There was no opposition testimony at the Senate Health and Human Services Committee hearing. The Senate sponsor was Jeanne Nicholson, former CNA member and a public health nurse by background. Testimony

SILVER SPRING, MD–First Lady Michelle Obama and Dr. Jill Biden have announced a commitment from nurses across the country who are eager to serve our veterans and military families as well as they have served us. The American Nurses Association (ANA), in coordination with the Departments of Veterans Affairs (VA) and Defense, is co-leading a broad, coordinated effort of more than 160 state and national nursing organizations and more than 500 nursing schools to ensure our nation’s 3.1 million nurses can better meet the unique health needs of service members, veterans, and their families.

Other partnering organizations include the American Association of Colleges of Nursing, American Organization of Nurse Executives, American Association of Nurse Practitioners, American Psychiatric Nurses Association, American Association of Neuroscience Nurses, Association of Rehabilitation Nurses, the National League for Nursing, and the federal nurses of the military and public health services, and the Department of Veterans Affairs. The nursing organizations and schools have committed to educating current and future nurses on how to recognize and care for veterans impacted by post-traumatic stress disorder, traumatic brain injury, depression, and other combat-related issues, in ways appropriate to each nurse’s practice setting.

“Whether we’re in a hospital, a doctor’s office, or a community health center, nurses are often the first people we see when we walk through the door. Because of their expertise, they are trusted to be the frontline of America’s health care system,” said First Lady Michelle Obama. “That’s why Jill and I knew we could turn to

America’s nurses and nursing students to help our veterans and military families get the world-class care that they’ve earned.”

Nurses are at the center of providing lifesaving care in communities across the country–and their reach is particularly important because our veterans don’t always seek care through the VA system,” said Dr. Biden. “This commitment is essential to ensuring our returning service men and women receive the care they deserve.”

ANA President Karen A. Daley, PhD, MPH, RN, FAAN, said, “The American Nurses Association is honored to participate in the White House’s Joining Forces Initiative. We are dedicated to addressing the specific health care needs of military service members, veterans, and their families. They sacrifice much for our country. In return, we owe them our professional expertise to help them with the traumas of deployment and the challenges of homecoming.”

“We seek to educate and prepare every nurse to recognize symptoms, provide care, and refer those with both visible and invisible wounds of war to get treatment,” Daley stated.

Post-traumatic stress disorder and traumatic brain injury have impacted approximately 1 in 6 of our troops returning from Afghanistan and Iraq–more than 300,000 veterans. Since 2000, more than 44,000 of those troops have suffered at least a moderate-grade traumatic brain injury. Health care professionals who have received extensive training in mental health issues often treat veterans seeking care within the VA health system. But the majority of veterans in the country seek care outside of the VA system; they usually visit their local hospital staffed by nurses and physicians in their communities.

ANA Joins Forces with First Lady and Dr. Biden to Meet the Health Needs of Veterans and Military Families

F o l l o w i n g t h e announcement, more than 80 nursing leaders gathered for a summit to unify the profession’s commitment to Joining Forces and to generate new ideas about ways to support the efforts.

ANA and its partners have pledged to: • Educate future nurses to care for our

nation’s veterans, service members, and their families facing post-traumatic stress disorder, traumatic brain injury, depression, and other health care issues.

• Ensurethatevidence-based,bestpracticesare used in providing care.

• Disseminatethemostcurrentinformationrelated to post-traumatic stress disorder and other health conditions.

• Add to the currentbodyofknowledge toimprove care.

• And lead the health care community inachieving the Joining Forces health goals.

In addition, the organizations are encouraging nurses to take a personal pledge in support of Joining Forces. For more information and to access the pledge, go to http://www.anajoiningforces.org/. ◆

ANA is the only full-service professional organization representing the interests of the nation’s 3.1 million registered nurses through its constituent and state nurses associations and its organizational affiliates. ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the public.

was largely waived, and with a brief statement by Pam Chandler, APN, the bill passed readily through the Senate on the consent calendar.

It is obvious that the legislators in Colorado clearly supported that a logical approach to this problem was to fix it–extend the deadline and allow for paperwork to be resubmitted. The legislators supported the need to have APNs with existing prescriptive authority under the requirements providing care in all areas of our state. This was a strong affirmation for APNs and the care they provide in Colorado.

Testimony during the course of the hearings in the House and Senate were provided by: Fran Ricker, ED/Lobbyist Colorado Nurses Association (House) and Pam Chandler, APN (House and Senate). Colorado Nurses Association also supported lobbying, legal consultations relating to early issues, and grassroots advocacy for the bill through legislative alerts, and legislative contacts. Thanks is extended to Colorado Association of Nurse Anesthetists for their continuous support of the legislation. ACNM Region V, Chapter 3, did an early survey of membership to inform better understanding of the issue.

Further acknowledgement for collaboration and supporting lobbying on behalf of HB1065 is due to an additional coalition of APNs. Several APNs that helped lead this effort are: Pam Chandler, Jenny Demeaux, Jenny Bowhay Sweet, and Nancy Wilsted. The coalition was guided by lobbyist and former legislator, Anne McGihon with Tilden Strategies who strategized and helped to garner legislative support for the bill. The APNs supporting HB1065 incurred some lobbying expenses necessary to support the legislation. If you would like to assist in their effort, contributions can be sent to Tilden Strategies with “Colorado APN Collaborative” in the memo line. The address is: 837 Sherman Street, Denver, CO 80203.

For those APNs that wish to support the extensive work toward APN related legislation in Colorado, a contribution mailed to Colorado Nurses Association’s Legal Defense Fund supports legal and consultative work in many arenas that affect APNs. Colorado Nurses Association

has a proven record of initiating legislation and responding to legislative issues that affect APNs and the nursing community. Contributions can be sent to 2170 South Parker Rd, Suite 145, Denver, CO 80231 with “Legal Defense Fund” in the subject line.

In addition to HB1065, CNA, represented by legal counsel Linda Siderius, participated heavily in HB1300 Professional Review Statute–adding APNs with clinical privileges to the professional review process and ensuring protection of their due process rights. More information on this collaborative effort by CNA and two other APN organizations, ACNM, Region V, Chapter 3, and Colorado Association of Nurse Anesthetists will be related in a future Colorado Nurse edition. ◆

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Second Annual Regional Nightingale Luminary Awards

Banquet presented five SW Colorado nurses with awards

DURANGO, CO–April 3, 2012–Five local nurses won Regional Nightingale Luminary Awards on March 29 at the Second Annual Regional Nightingale Luminary Awards Banquet.

The banquet celebrated the hard work of nurses who dedicate their time and expertise to a variety of issues in SW Colorado. The SWCAHEC first accepted nominations in the fall for the Nightingale Luminary Awards. There are two awards: Luminary Awards, which are presented to regional award recipients, and Nightingale Awards, which will be presented to state-level award recipients.

The following nurses for clinical practice were nominated: Sharyn Butler, Mercy Regional Medical Center, in Advocacy; Maureen Pyle, Southwest Memorial Hospital, in Advocacy; Cheryl Roberts, Ouray County Public Health, in Innovation; Kathleen McInnis, San Juan Basin Health Department, in Leadership; Deana Yoemans, Southwest Memorial Hospital, in Leadership; Tina Bowen, 4 Corners Health Care Center, in Leadership; Janet Park, Mercy Regional Medical Center, in Leadership; and Hallie Yoder, Mercy Regional Medical Center, in Leadership.

The following nurses in administrator, educator, researcher and/or non-traditional nurse practice: Anne Jensen, Mercy Regional Medical Center, in Advocacy; Sue Ciccia, Montezuma-Cortez School District, in Leadership; Terry Rosenbaugh, Mercy Regional Medical Center, in Leadership; and Sandy Anderson, Mercy Regional Medical Center, in Leadership.

Nancy Hoyt, the chief nursing officer at Mercy Regional Medical Center, and Kiska May, a board member of the Colorado Nurses Foundation, spoke as part of the program. The key note speaker, Sherrod Beall, the director of Coordinated School Health Services, School Based Health Centers and Durango School District 9-R, spoke on “Leadership Within Yourself.” Beall received a Nightingale Award in 2011.

The state finalists for Nurses in Clinical Practice were: Maureen Pyle, Cheryl Roberts, and Kathleen McInnis. The winners for Nurses in Administration, Education, Research and/or Non-traditional Nurse Practice were: Anne Jensen and Sue Ciccia.

The award winners are eligible for selection as a Nightingale Award recipient and will be recognized at a state event in May 2012.

The Southwestern Colorado Nightingale Committee also presented Diane Porter, the executive director of the Pueblo Community College Foundation and Dr. Lynn Urban, the dean of the East Campus of Southwest Colorado Community College, with a scholarship for students continuing their education in the RN program at Southwest Colorado Community College.

SWCAHEC is a regional non-profit organization in SW Colorado that broadly focuses on improving rural health. SWCAHEC provides support and infrastructure for the regional Luminary Awards in SW Colorado.

For more information about this program, please contact Renee Knight, Program Coordinator, at [email protected] or 970-903-3126, for more information. ◆

Nightingale Awards

Susan Dolan, Kathleen Flarity, Tammy Hendrix, Mary Holden, Doug Miller, and Maria Rubio joined an elite group of nurses on May 19 when they each received the prestigious Nightingale Award for Excellence at the Colorado Nurses Foundation’s annual awards event at the Westin Hotel Westminster, Westminster, Colorado. Continuing the twenty-six year tradition of recognizing excellence in professional nursing, the awards highlight nurses whose actions and outcomes exemplified the spirit of a citizen of the profession through leadership, advocacy, or innovation. Two hundred and sixty three outstanding nurses from across the state were nominated in one of two practice categories: nurses in clinical practice and nurse administrators, educators, researchers, or those in non-traditional roles. Nominators were asked to describe how their nominee advanced the profession of nursing, improved quality and access to care, or positively impacted their community through leadership, advocacy or innovation. Forty-two Luminaries were selected by either the Area Higher Education Centers (AHEC) or the Regional Nightingale Committees and forwarded to the State Selection Committee, where six of the Luminary Award recipients, one from each category and one from each area of recognition, were selected to receive the traditional Nightingale Award. The Luminary and Nightingale Award recipients, representing diverse roles and practice settings, are listed as follows, along with their contributions to their patients, their profession, and their communities.

Luminary Recipients for Leadership in Clinical Practice: Outstanding nurses who motivated others to work toward a common goal.

Jan Bryan, Director of Surgical Services at the Colorado Plains Medical Center in Fort Morgan, as a “working director” taking call, circulating in the OR and maintaining her CNOR, has demonstrated the leadership skills required to bring quality surgical services to her rural community, as evidenced by a 0% infection rate for the last quarter of 2011. (Centennial AHEC)

Lieutenant Colonel Lisa Cole, Perioperative Services Flight Commander, US Air Force Academy in Colorado Springs, instituted turnover teams to minimize downtime between surgical cases. Her efforts culminated in “Best Practice” for operative room turnovers and the “Shining Star” Award for completing the most cases in the history of the Ambulatory Surgery Unit. (Colorado Springs Committee)

Pearl Hyde, Charge Nurse in the Cardiac Intensive Care Unit at the University of Colorado Hospital in Aurora, has leadership abilities that impact new nurses, experienced nurses, the unit and the hospital. Pearl teaches others to find creative solutions to problems, utilizing the best evidence and doing the best thing for her patients. (Central AHEC)

2012 Nightingale Luminary AwardsKathleen McInnis, Nurse Manager, Care

Coordination Services, San Juan Basin Health Department, Durango, designed and implemented the Integrated Child Health program. Kathleen’s success with this program led to a leadership position with the Community Care Team Collaborative created to address the ongoing issues of barriers to healthcare for vulnerable populations. (Southwestern Colorado AHEC)

L u m i n a r y a n d Nig ht i nga le r e c ipient Doug Miller, Family Nurse Practitioner, Rocky Ford Family Health Center, Rocky Ford, is owner of this certified Rural Health Clinic. Doug is a solo APN provider working in this underserved community with significant needs. He also serves as president of the Association of Rural Health Clinics in Colorado, and is a member of the board of ClinicNet. Doug provides a voice for advanced practice nurses in both organizations, advocating for recognition of services provided along with better reimbursement. A leader in the medical home movement, Doug was the first independent rural practitioner in Colorado to participate in the national Improving Performance in Practice program. He is also the lead health provider at three nursing homes and long-term care facilities in Otero County. (Southeastern Colorado AHEC)

Yvonne Olme, Substitute School Nurse, Monte Vista School District, Monte Vista was formerly the Director of Nursing at the Colorado State Veterans Center at Homelake. Under Yvonne’s guidance, the Nursing Home consistently received outstanding survey reports in patient care from both the Colorado Health Department and the Department of Veterans Affairs. (San Luis Valley AHEC)

Anastasia Pemberton, Clinical Coordinator, Grand River Hospital District, Rifle, an experienced Emergency Room nurse, is the clinical leader for evenings and weekends. Stacy has been instrumental in improving trauma care in Western Colorado. She also implemented a venous access competency program for nursing support staff. (Western Slope Committee)

Sarah Stalder, Clinical RN at the University of Colorado Hospital, Aurora, designed an “uninterrupted” meal break pilot on her Oncology/Bone Marrow Transplant Unit where staff enjoy a lunch free from their work cell phones and patient care. As a result of her efforts, 92% of her colleagues now report uninterrupted meal breaks, an increase from 22% in the previous year. (Central AHEC).

Doug Miller

Nightingale Awards continued on page 8

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Luminary Recipients for Advocacy in Clinical Practice: Outstanding nurses who advanced a cause or a purpose.

Nicole Babu, Clinical Nurse at the University of Colorado Hospital in Aurora changed practice to give patients and families a voice during a vulnerable time. After receiving a letter from a wife expressing concerns that her terminally ill husband had been required to suspend his desire for DNR during a palliative surgical procedure, Nicole took action. She did research, educated staff and providers, and implemented a new DNR form to insure that patient wishes are maintained. (Central AHEC)

Lisa Blackburn, Assistant Nurse Manager, Pre-op and PACU, Parker Adventist Hospital, Parker, is recognized for consistently providing relationship based care to her patients. She takes the time to know each patient individually, and tailors her teaching and supportive care to the best outcome for each one. As a result of Lisa’s caring and compassion, same day surgery satisfaction scores remain in the 99th percentile for “likelihood to recommend.”(Central AHEC)

Carolyn Flynn, Clinical Development Educator, Memorial Health System, Colorado Springs, was chosen by her peers to chair the Collaboration Council, umbrella for all shared governance councils. She is the clinical voice in both the Shared Decision Making Redesign and the Relationship Based Care committees. Carolyn participated as committee member on the Memorial Task Force, a City Council Task Force charged with developing a RFP for leasing Memorial Health System. (Colorado Springs Committee)

Glenna Plane, Field Nurse, At Home Health Care, Alamosa, makes 25 to 30 home visits per week, caring for patients from Antonito to Del Norte to Crestone. Glenna provides holistic care to not only her patients, but to their families and their pets. Grateful family members describe her as “our mentor, our teacher, our lifeline.” She consistently collaborates with the family, using her expertise to guide and support them in providing an optimal level of care for their loved one. (San Luis Valley AHEC)

Maureen Pyle, Infusion Coordinator, Southwest Memorial Hospital, Cortez, improved access to specialty care in her community. She was greatly troubled by the immune-compromised patient’s burden in traveling to and from a neighboring facility for infusion therapy. Maureen pursued her certification in ONS-Chemotherapy and Biotherapy. As a result, immune-compromised patients can now receive their infusions in their community, decreasing both physical and mental stress. (Southwestern Colorado AHEC)

L u m i n a r y a n d Nig ht i nga le r e c ipient Maria Rubio, Medical Surgical Night Charge Nurse, Grand River Hospital and Medical Center, also works in the Changing Lifestyles Department as a Diabetes Educator. After identifying the need to increase cultural awareness and sensitivity when providing care for members of the Hispanic Community, Maria developed an on-line program to educate staff about this population’s unique needs. She collaborated to develop a Diabetes Education Program that provides educational materials in both English and Spanish, and teaches Diabetes Self-Management to Hispanic patients. The program became accredited by the American Association of Diabetes Educators in June of 2010. (Western Slope Committee)

Patricia Turner, Assistant Manager, Wound Care, St. Mary Corwin Medical Center, Pueblo, provides individualized care to patients with complex, non-healing, and chronic wounds. Described as a motivator, a psychologist, and at times a referee, providers and staff seek her expertise. As a result of her efforts, the hospital’s decubitis ulcer rate has decreased. (Southeastern Colorado AHEC)

Susan Webster, Trauma/SANE Coordinator, Medical Center of the Rockies, Loveland, started a Sexual Assault Nurse Examiner (SANE) program in the Poudre Valley Health System and established treatment protocols. As a result of exceptionally stringent standards of evidence collection, examinations under Susan’s leadership have led to countless convictions in sexual assault cases. (Centennial AHEC)

Luminary Recipients for Innovation in Clinical Practice: Outstanding nurses who demonstrated creativity that addresses today’s challenges or opportunities.

Ramona Bolin, Charge Nurse, Warrior Family Medicine Clinic, Evans Army Community Hospital, Fort Carson, improved patient access, satisfaction, and booking by implementing protocols, providing Patient Centered Medical Home-based education and making each team accountable for outcomes. As a result her clinic has been the most improved in HEDIS metrics. (Colorado Springs Committee)

L u m i n a r y a n d Nig ht i nga le r e c ipient Tammy Hendrix, Staff Nurse, Neonatal Intensive Care Unit, Rose Medical Center, Denver, developed and implemented a protocol to prevent Ventilator Associated Pneumonia in neonates. She rigorously researched the available information around VAP in both adults and neonates, and synthesized her findings to develop a bundle that included eight categories of care. Tammy then created tracking mechanisms to insure compliance and educated the NICU staff by posting articles, designing posters, and giving presentations. The result of her efforts has been a decrease in the incidence of ventilator associated pneumonia. (Central AHEC)

Carol Schober-Flores, Clinical Nurse IV, Dermatology Clinic, Children’s Hospital, Aurora, works with patients with Epidermolysis Bullosa. Carol helped to coordinate and participated in a symposium broadcast internationally. The education, along with demonstrations of wound care practices and products, resulted in standardized wound practices nationally at EB centers. (Central AHEC)

Cheryl Roberts, Clinical Director for Public Health, Ouray County Public Health Department, has provided the highest level of service to her community, despite limited resources and staff.

Cheryl spear-headed the coordination of the comprehensive data systems that are essential to effectively plan, implement, and evaluate a statewide emergency medical and trauma care system. (Southwestern Colorado AHEC)

Cheryl Milner, Clinical Nurse Specialist, Poudre Valley Hospital System, Fort Collins, has utilized her expertise to improve nurse-physician relationships. Cheryl functions as a resource for the staff and a liaison with the surgeons. As a result of her successful implementation of this new role, patient care and outcomes and staff and physician satisfaction have improved. (Centennial AHEC)

Debra Wayland, Clinic Nurse, Oncology Clinic, St. Mary’s Hospital and Regional Cancer Center, Grand Junction, developed the Nurse Navigator Program, volunteered to become the first Nurse Navigator, and created a template for future Nurse Navigator roles. As a result of her efforts, oncology patients are guided and supported through the trajectory of illness into wellness. (Western Slope Committee)

Luminary Recipients for Leadership in

Administrator, Educator, Researcher, or Non-Traditional Roles: Outstanding nurses who motivated others to work toward a common goal.

Terry Chase, Patient and Family Education Program Coordinator, Craig Hospital, Englewood has built a holistic, evidence-based education program. Terry developed a Caring Educator Fellowship for nurses, enabling three of them to complete projects that had meaning for them, while advancing the profession of nursing and enhancing patient and family education. (Central AHEC)

Sue Ciccia, Director of Health Services, RE 1 School District, Cortez, has implemented an emergency response system in the public school setting through a rigorous in-service training schedule. As a result, a number of people in each of the six buildings she is responsible for are certified in CPR and have completed First Aid training. (Southwestern Colorado AHEC)

L u m i n a r y a n d Nig ht i nga le r e c ipient K a t h l e e n F l a r i t y , Clinical Nurse Specialist, Emergency Department, Memorial Health Systems, Colorado Springs, leads the team in promoting excellence in patient care delivery and implementing evidence based practice initiatives at the bedside. The patient care team identified the need for an Emergency Department Falls Assessment tool. Finding nothing in the literature, they developed a tool and with Institutional Review Board approval implemented a research project to determine the validity and reliability of an ED specific fall risk assessment tool that is a sensitive predictor for falls in this patient population. As a result, one year post-implementation, the ED has not had a fall with injury since implementation of the study. (Colorado Springs Committee)

Jodi Garcia, Nursing Faculty – Site Coordinator, Trinidad State Junior College, Alamosa, took the initiative to move the college forward toward achieving NLNAC accreditation. Jodi motivated the other nursing faculty in the team effort. As a result, Trinidad State Junior College achieved phase one of the accreditation process and is now moving to phase two in earning accreditation. (San Luis Valley AHEC)

Pamela Schultz, Director, Home Based Primary Care, Veterans Administration Medical Center, Grand Junction, has developed a strong team motivated to provide individualized and patient centered care to Veterans in their homes. Care provided honors Veteran choice. As a result, hospitalizations and inpatient days have decreased for this patient population. (Western Slope Committee)

Nightingale Awards

Maria Rubio

Tammy Hendrix

Kathleen Flarity

Nightingale Awards continued from page 7

Nightingale Awards continued on page 9


Aisha Dailey, Head Nurse, Robinson Family Medicine Clinic, Evans Army Community Hospital, Fort Carson, has pioneered many process improvement programs. Alisha piloted the use of email as a method for patients to communicate with their providers. This successful project resulted in her facility receiving the Army’s Secure Messaging patient care delivery system. (Colorado Springs Committee)

L u m i n a r y a n d Nig ht i nga le r e c ipient Susan Dolan, Hospital Epidemiologist, Children’s Hospital, Aurora, described as a prototypic shoe leather epidemiologist, identifies exposures and risks that others may have missed. Following the pandemic of H1N1 in 2009, Susan informed the CDC of a lack of pediatric appropriate isolation masks and equipment in national stockpiles. She worked with manufacturers to facilitate the development of appropriate sized masks so that children would be equally protected in times of national outbreaks. An FDA approved mask became a reality in 2011. Susan’s work in investigating a series of blood stream infections in 2010 resulted in the identification of alcohol pads contaminated with bacteria. (Central AHEC)

Susan Mathews, Clinical Education Center Coordinator, Colorado Mesa University, Grand Junction, was nominated for her efforts in using creative teaching methodologies in the state of the art Simulation Learning Center. Susan uses a variety of role playing techniques to enhance learning, not only for university students, but for students from the community. (Western Slope Committee)

Jennifer Mueller, Director of Clinical Operations, San Luis Valley Regional Medical Center, Alamosa, excels at empowering individuals to work in teams to make care improvements. Jennifer formed patient-provider teams to improve chronic disease management. Outcomes for patients with diabetes and patients on Coumadin are meeting national benchmarks. (San Luis Valley AHEC).

Deborah Rojas, Assistant Professor, University of Northern Colorado, Greeley, is the Learning Resource Coordinator and manages the High Fidelity Human Simulation Lab. Through her efforts, students receive an exceptional learning experience and the School of Nursing is producing high caliber nurses upon graduation. (Centennial AHEC) ◆

Monika Wilkins, Director of Nursing, Lincoln Community Hospital and Nursing Home, Hugo, inspires and motivates her employees through words and actions. Monika assists with care when needed, and functions as an excellent mentor and teacher for new nurses. The Locum Tenens Physician who staffs this small rural hospital describes her as having a broad range of skills. (Centennial AHEC)

Bev White, Clinical Director, Emergency Department, Exempla Lutheran Medical Center, Wheat Ridge, is a transformational leader, inspiring others to achieve personal and professional development while leading them to a vision of emergency nursing and community service. Bev’s most recent accomplishment was to open the first Senior ER in the state. (Central AHEC)

Luminary Recipients for Advocacy in Administrator, Educator, Researcher, or

Non-Traditional Roles: Outstanding nurses who advanced a cause or a purpose.

L u m i n a r y a n d Nig ht i nga le r e c ipient M a r y Holden , Nu r se Manager, Burn ICU, University of Colorado Hospital, Aurora, expanded the burn outreach program and also developed a “Burn Service Crisis Intervention Fund.” She hired a burn Outreach Coordinator and has increased the number of outreach programs from less than 20 to over 100 activities per year encompassing the state of Colorado. The programs teach fire safety and burn prevention. Mary found that burn patients incur large costs for their ongoing care due to the nature of their injuries. Families often travel a great distance to be with their injured loved ones. The “Burn Crisis Intervention Fund” is used to help burned patients and their families when they have a need. The fund has grown exponentially over the few short years it has been in place. The golf tournament fund raiser netted $12,000 for this fund. (Central AHEC)

Anne Jensen, Certified Diabetes Educator, Mercy Regional Medical Center, Durango has persistently sought out new knowledge to improve the care of patients with diabetes. Anne began the diabetes program at the medical center and established connections with the Barbara Davis Center in Denver. She then began an outreach program in Durango for pediatric patients. (Southwestern Colorado AHEC)

Sue Larsen, Clinical Quality Specialist, Women and Family Services, Poudre Valley Health System, Fort Collins has been a life-long patient advocate. Her consistent commitment has resulted in significant improvements in quality and safety. Sue influenced clinicians to adopt a standardized approach to care which has decreased the rate of pneumothorax in premature infants. (Centennial AHEC)

Mary Moorhouse, Adjunct Faculty, Pikes Peak Community College, Colorado Springs has spent over 30 years advocating for the development and use of standardized language for nursing. Her goal, the adoption of a language that can be coded, will make nursing’s contributions visible as well as retrievable for research supporting the development of evidence based practice. (Colorado Springs Committee)

Linda Regnier, Wound, Ostomy, & Continence Nurse, Parkview Medical Center, Pueblo, educates bedside nurses on pressure ulcer prevention, rounds on patients to monitor for skin breakdown, and is actively involved in developing processes hospital-wide to prevent skin breakdown. Every product that she has brought to the Product Standards Committee has been approved. (Southeastern Colorado AHEC)

Gabriella Stevens, Owner/President, Strictly Surgical LLC-A, perioperative staffing agency, Evergreen, has made multiple medical mission trips to Cambodia, advancing the profession of Nursing as well as elevating medical and nursing care to the Cambodian poor. Gabriella is currently sponsoring four young Cambodian nurses to obtain BSN degrees in the Philippines. (Central AHEC)

Luminary Recipients for Innovation in Administrator, Educator, Researcher, or

Non-Traditional Roles: Outstanding nurses who demonstrated creativity that addresses

today’s challenges or opportunities.

Connie Chambers, Nurse Informatics Specialist, University of Colorado Hospital, Aurora, took a “deep dive” into the hospital’s database, and analyzed both process and outcome measures. She developed an action plan for improvement that moved the hospital’s ranking on the University Hospital Consortium’s dimensions of patient care and quality from #30 in 2009 to #1 in 2011. (Central AHEC)

JoAnn Crownover, Assistant Professor of Nursing, Colorado State University, Pueblo, is responsible for the university’s simulation program. JoAnn, selected to attend the NLN’s first Leadership Development Program for Simulation Educators, was introduced to a simulation experience using silicone masks and body torsos. CSU-Pueblo plans to pilot this technique in the U.S. (Southeastern Colorado AHEC)

Nightingale Awards

Mary Holden

Susan Dolan

Nightingale Awards continued from page 8

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In what promises to be an important contribution to the statewide dialog on access to health care, on March 22nd, The Colorado Trust launched the Project Health Colorado initiative. As described on the Colorado Trust website, “Through our partners’ grassroots work and a statewide awareness and mobilization effort, Project Health Colorado encourages and helps people to ask questions, get answers and share solutions about health coverage and care. This information sharing and engagement is helping to increase awareness, understanding and support to achieve access to health for all Coloradans.”

According to Dr. Ned Calonge, President and CEO of The Colorado Trust, “Project Health Colorado represents a growing group of organizations and individuals working to improve health care by giving Coloradans a place to ask questions, get answers, share solutions and support health care that works for everyone. This campaign builds on the terrific work of our grantee partners to foster awareness, understanding and, ultimately, support for the kind of changes that will help achieve access to health for all Coloradans.

“This next step in our public will-building effort comes at a unique point in time with the initial implementation efforts of the Affordable Care Act underway, and as we await a ruling from the U.S. Supreme Court on the constitutionality of this landmark law. It also is a time in which we have increasing needs for public health insurance coverage and an inadequate state budget. This has translated to some of our policymakers pitting health care against education.”

“One of the key components in moving us beyond this–and in finding solutions that offer all Coloradans the opportunity to live healthy lives–is to gain a shared, unbiased understanding of both the challenges we face and potential solutions.”

As of 2011, there were 829,000 Colorado residents that did not have health insurance (16% of the population), up from 678,000 in 2008 (14% of the population). (source: Colorado Health Access Survey). As the map below indicates, the percent of individuals that do not have health insurance varies with geography, from 9% in the Broomfield county region to 25% in some areas of the western slope.

The Project Health Colorado website can be found at www.ProjectHealthColorado.org. This statewide initiative is based on some straightforward assumptions:

1. You and your family should be able to get the care you need.

2. Unpredictable costs and other burdens make health care challenging for many Coloradans.

3. Your voice matters, because decisions about health care are too important to be left to someone else.

4. Project Health Colorado can help make you and other Coloradans be heard.

5. It’s your care. It’s your coverage. Have a say in it.

Project Health Colorado activities include television, radio, newspaper, digital and billboard advertisements. The purpose of this media activity is to encourage Coloradans to join in an ongoing and public discussion about health care issues.

The website features commentaries and answers from an array of experts, providing information, answering questions and showing that Coloradans are being heard when it comes to health care. As indicated by Dr. Calonge, “Ultimately, Project Health Colorado exists so that Coloradans can have a say when it comes to making health care work.”

The graph below illustrates the increase in the cost of Colorado’s individual and family health care premiums from 2001-2009. The average Colorado family premium in 2001 of $7,318 increased by 87% to $13,360 in 2009, and it is likely much higher today. (source: Colorado Division of Insurance). Unfortunately, Colorado’s average family income has only increased by 27% during this same period. (source: US Census Bureau).

The Colorado Center for Nursing Excellence is one of twelve organizations that are partnering with The Colorado Trust on this initiative. The Center’s project is named “Nurse Outreach for Access to Health (NOAH),” For information about NOAH, please see www.NOAHColorado, email Lola Fehr, Project Director, at [email protected] or call Michelle Cheuvront at 303-715-0343, extension 20. The Center is working in several ways to provide nurses information about access to health care issues and to increase the contribution that nurses can make to Colorado’s ongoing health care dialogue. If you are interested in receiving the NOAH newsletter, being a community resource on access to health, or in making a Project Health Colorado related presentation to a group in your community, please contact the Center. ◆

Project Health Colorado: Make Yourself Heard

PERSONAL BEST.ANCC Board-Certified.

I’m proud and in charge of my nursing career. And I trust ANCC certification to help me maintain and validate the professional skills I need to remain a confident and accomplished nurse for years to come.

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American Nurses Credentialing Center. All Rights Reserved.The American Nurses Credentialing Center (ANCC) is a subsidiary of the American Nurses Association (ANA).

© 2012


by Deanna Beckett Geldens

Dr. Sue Hagedorn and Dr. Loretta Ford at the Colorado Women’s Hall of Fame reception.

On Wednesday, March 7, the CU College of Nursing had the opportunity to celebrate one of its health care pioneers. In the 1960s, Dr. Loretta Ford, RN, FAAN, FAANP, faculty at the college of nursing, along with Dr. Henry Silver pediatric faculty in the School of Medicine, collaborated to develop curriculum to educate pediatric nurse practitioners. The result was the first nurse practitioner program in America and a model of nursing practice that quickly spread nationally and internationally.

“It was like watching cells divide,” recalls Dr. Richard Krugman, dean of the School of Medicine. “What started as two people and an idea–that Lee [Loretta Ford] and Henry [Silver] had–grew to a national and international profession… Forty years before interprofessional education became a buzzword—these two schools were demonstrating that physicians and nurses could be colleagues, work together and solve some of the major health problems of the United States.”

“As our nation struggles with a healthcare cost and access crisis and a growing provider workforce shortage (both in total number as well as in geographic distribution) advanced practice nursing plays a critical and more important role than ever in providing efficient and effective care

to a broad population of patients and families,” says Lilly Marks, vice president for health affairs University of Colorado and executive vice chancellor Anschutz Medical Campus.

Dr. Judy Igoe, associate professor emeriti; Dr. Loretta Ford, co-founder of the nurse

practitioner program and former CU professor of nursing; Dr. Sue Hagedorn, associate professor emerita; and Dr. Ann Smith, assistant professor

emerita (first PNP graduate) at the CU College of Nursing reception.

At the reception, Eve Hoygaard, MS ’89, RN, WHNP-BC, president of the CU College of Nursing Alumni Association, presented Dr. Ford with the association’s inaugural Pathfinder Award for creating a career pathway for nurses that thrives to this day. There are more than 167,800 nurse practitioners in the United States.

Those attending the reception also watched a new documentary, “Loretta Ford: A disruptive Innovator,” produced by alumna and emeritus faculty, Sue Hagedorn, PhD ’95, RN, PNP, WHNP, FAANP.

The following evening, Dr. Ford was inducted in the Colorado Women’s Hall of Fame surrounded by approximately 40 friends and colleagues from Colorado. She was inducted in the National Women’s Hall of Fame in October 2011. ◆

Colorado Nurse Dr. Loretta Ford HonoredNursing Faculty, Alumna Honored for Pioneering the Nation’s

First Nurse Practitioner Program

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ARNPThe Finney County Health Department is accepting applications for an Advanced Registered Nurse Practitioner to provide primary care services to county employees and other patients. This position functions independently and interdependently under the guidance of written protocols approved by the FCHD Medical Director, and all general county regulations. Must possess knowledge of advanced nursing in general health issues with a minimum of five years of nursing experience and a minimum of one year ARNP experience. Excellent benefit package for full time position including medical/dental plan, KPERS retirement, vacation and sick leave plus paid holidays. Please call for more information or send a resume and cover letter including references to:

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by Dr. Lauren Mitchell, ND, RN, CNS

There is a new Nurse Practice Council in Colorado that is generating statewide excitement!

The Public Health Nurse Practice Council was developed in 2008 and was adopted by the Public Health Nurses Association of Colorado in September 2009 to help provide a strong and unified statewide representation of public health nursing practice within Colorado and to promote recognition of public health nursing as a specialized profession.

Public health nursing is a specialty practice within the nursing profession. Often times public health nursing (PHN) is not well understood, yet public health nurses are doing some of the most important cornerstone work in primary prevention within the nation. Public health nurses are also playing an important role in assessing and evaluating population based health care services, evaluating trends and risk factors in communities and developing strategies to address these issues. Public health nurses help to develop public policy which targets disease and injury prevention. Because of the critical thinking skills and knowledge public health nurses possess, not only can they provide assessment, evaluation, policy development and assurance within populations, but they also have the clinical skills and can provide the actual hands-on care.

As defined by the American Public Health Association, “Public health nurses integrate community involvement and knowledge about the entire population with personal, clinical understandings of the health and illness experiences of individuals and families within the population. They translate and articulate

the health and illness experiences of diverse, often vulnerable individuals and families in the population to health planners and policy makers, and assist members of the community to voice their problems and aspirations. Public health nurses are knowledgeable about multiple strategies for intervention, from those applicable to the entire population, to those for the family, and the individual. Public health nurses translate knowledge from the health and social sciences to individuals and population groups through targeted interventions, programs, and advocacy.”

Because of the complexities within this specialty practice, PHN is often misunderstood and therefore often undervalued. Currently practicing public health nurses were surveyed in 2009. Of those surveyed, 95.9% felt that this specialty practice of nursing was not understood.

The Public Health Nurse Practice Council formed to address some of these identity and practice related issues. In 2009, the Public Health Nurses Association of Colorado (PHNAC) restructured the organization to allow the new Public Health Nursing Practice Council to reside within. There is now a branch within PHNAC, designated to PHN practice. The purpose of the Public Health Nursing Practice Council is clear:

• Tostrengthentheprofessionofpublichealthnursing by providing a venue in which public health nursing practice-related issues can be fully vetted.

• To support collaboration and cooperationamong public health nurses and other partners within Colorado.

• To partner with and providerecommendations to nursing decision-makers, policy-makers and academic

The Public Health Nursing Practice Council of Colorado

by Toni Sugg, RN

Nurses know that the term ‘retarded’ is outdated. However, it is not widely known that there is now a law that mandates use of updated terminology. Rosa’s Law changes references in Federal statues on topics of health, education and employment that currently refer to “mental retardation” to refer, instead, to “intellectual disability.” Rosa’s law was signed by President Obama October 6, 2010. Unfortunately the DSM-IV still utilizes the outdated language.

Student nurses at the National Student Nurses Association (NSNA) convention held in Salt

Lake City passed Resolution 2: IN SUPPORT OF INCREASED AWARENESS OF ROSA’S LAW WHICH CHANGES THE TERM “MENTALLY RETARDED” TO “INTELLECTUAL DISABILITY.” This resolution passed NSNA House of Delegates without rebuttal. All nurses are now being called to action and are encouraged to support the national awareness campaign promoted by Special Olympics called Spread the Word to End the R-word. This year the event was held March 7 but anytime is the right time to add your name and commit to end using the r-word.

1. Every nurse can go to www.r-word.org and sign a pledge to personally eliminate the use of this word in daily practice or choose to create a Spread the Word to End the R-Word within their community. Event ideas are outlined below.

2. CNA members are encouraged to contact publishers of nursing material including textbooks and nursing articles to update outdated terminology. Please request that the term “intellectual disability” be used in place of the term “mentally retarded” when such language is found in print.

The goal of Resolution 2 is to create awareness within the nursing and student nursing community to join together in a common voice to clearly state to the American Psychiatric Association, publishers of the DSM-IV that language concerning individuals with intellectual disabilities (ID) MUST BE UPDATED. A major advocacy group for the ID population, American Association on Intellectual and Developmental Disabilities-formerly The American Association on Mental Retardation formally presented recommendations to the DSM-V ASD and Developmental Disorders Subgroup, February 22, 2010 stating “Nationally and internationally the term ‘intellectual disability’ (ID) is replacing the older term ‘mental retardation’ as widely accepted, the term is the preferred term since it reflects the changed construction of disability, aligns better with current professional practices that focus on functional behaviors and contextual factors, provides a logical basis for individualized

Spread the Word to End the R-Word

institutions so that they may make informed decisions regarding issues that drive the professional practice of public health nursing.

• Tocreateanavenue forpublichealthnursesto present practice related issues and topics for further examination.

• To provide opportunities for public healthnurses to be more involved with advancing public health nurse practice.

This Practice Council is a highly active and motivated group of fifteen members from around the state. The goal is to have representation from all of the nine-hazard regions as well as from the Colorado Center for Nursing Excellence, the Colorado Department of Public Health and Environment, the Colorado Nurses Association and representation from Academia. The Practice Council has four active workgroups, which are working in the following areas:

• Public health nursing competencies for thestate of Colorado–bringing Colorado public health nurses together to practice under common competencies

• Publichealthnursingpracticeandadvocacy–promoting the practice role, identity and value that public health nurses provide

• Publichealthnursingpracticeandresearch–developing tools, providing support for public health nurses to highlight and disseminate nursing research

• Public health nursing support anddevelopment–supporting new and established public health nurses in practice

For more information about the Public Health Nursing Practice Council go to www.PHNAC.org. ◆

supports due to its basis in social-ecological framework, is less offensive to persons with the disability and is more consistent with the international terminology.” Emphasis added by author.

Action among student nursing groups continues. Regis University, Denver, CO Student Nurses Association (RSNA) authored Resolution 2. This year will be the third year Regis University will be hosting a campus wide awareness day sponsored by the Regis’ Office of Disability Student Services (ODS) with assistance from RSNA. Signature tables are set up in the Student Union staffed by both representatives from ODS and RSNA. Students sign a banner pledging to eliminate the R-Word from daily use and are given the website www.r-word.org with instructions to go online and pledge, joining the national Special Olympics tally. T-shirts, posters, bracelets and pencils are all distributed. The bulletin board and door near the ODS office also promotes the event. Also a dialog is scheduled with community leaders, nursing students and members of the ID community.

Since Resolution 2 has passed, student leaders in several states including Ohio, Arkansas and Utah have been working with Regis University event coordinators to learn more about creating Spread the Word to End the R-Word events on their campus. Events can be created in any and every community. Just go to www.r-word.org and click on events for additional information. ◆

ReferencesAmerican Association of Intellectual And

Developmental Disabilities. (2011). AAIDD 11th Edition Implementation Committee. Retrieved from http://www.aaidd.org/media/PDFs/DSMV.pdf.

First, M. B. 2000. Diagnostic and Statistical Manual of Mental Disorders. Washington D.C.; American Psychiatric Association. Retrieved from http://online.statref.com/document.aspx?fxid=37&docid=13.

Special Olympics. (2008). What are Intellectual Disabilities? Retrieved from www.specialolympics.org/.../Fact%20Sheet_Intellectual%20Disabilities.pdf.

United States Congress. (2010, January 5). Rosa’s Law. Retrieved from http://thomas.loc.gov/cgi-bin/query/C?c111/temp/~c1116GoOGv.

Caring Science Summer InstituteMillennium Harvest House - Boulder, CO

July 15-19, 2012

World Caring ConferenceFeatured Keynote Speakers - Deepak ChopraJoan Borysenko ~ Don Campbell ~ Marilyn Krysl ~Tara Sheahan

Boulder Theater - Boulder, COJuly 20, 2012

watsoncaringscience.org/worldcaringCNE Credit Provided by CU College of Nursing

The University of Colorado College of Nursing is an approved provider of continuing education

by the Colorado Nurses Association,an accredited approver by the American

Nurses Credentialing Center’s Commission on Accreditation.

In honor ofDr. Jean Watson, Distinguished Professor,Founder Watson Caring Science Institute


Population trend will improve career options, job securityThe NeedThe aging boomer tsunami is in full swing.Right now, 25 million Americans are over 65, or 12 percent of the populace. That number will swell to 20 percent in just 18 years. The baby boomer generation faces complex health care needs because 80 percent of those over 65 have at least one chronic disease—and more than half have two or more.

The OpportunityThere’s a great shortage in advanced practice nurses with sufficient geriatric training to meet the growing need—fewer than 3 percent nationally.The American Association of Colleges of Nursing recommends all students who want to become advanced practice nurses have significant background in geriatrics to meet the need. The shortage of qualified medical professionals is even more critical in rural areas. By 2013, the national certification exam will require all adult nurse practitioners to include a geriatric component.

The salary range for adult geriatric nurse practitioners is $65,000-100,000.This is a field with options for work in hospitals, nursing care facilities, doctor’s offices, community clinics, and (depending on the state) private independent practices.

The SolutionNow there’s an advanced practice program that includes a focus on gerontology—the Adult Geriatric Primary Care Nurse Practitioner Option at the University of Colorado College of Nursing, Anschutz Medical Campus.This newly-designed program focuses on complex nursing assessment and interventions in patients across the entire adult lifespan, adolescence to old age. In addition, geriatric content is infused into the women’s health and family options. Students will gain expertise in providing safe, competent, culturally-sensitive and evidence-based care to patients. Graduates of the Adult Geriatric Primary Care Nurse Practitioner Option will meet all national APRN competencies and will be eligible to sit for either of the two national certification exams. Designed for busy adults, the program combines a variety of distance education options with extensive online supervision and course work and onsite intensives. It is ideal for the student who needs flexibility in scheduling study and class times or the student who lives in a rural area.

This could be the right time to add to your professional skills and strengthen your career potential. Invest in your future now.

Learn more about CU’s Adult Geriatric Primary Care Nurse Practitioner programwww.nursing.ucdenver.edu/MS

“The care of older adults is as unique and different from the care of young and middle-aged adults as pediatrics is from adult primary care. The additional curricular content is specifically aimed at preparing advanced practice nurses to provide quality care and meet the numerous complex issues seen in older adults.”Dr. Ernestine Kotthoff-Burrell, PhD, ANP-BC, FAANP

Just the Facts- Baby boomers born 1946-1964: about 78 million total; 3-4 million turn 65 every year- Colorado—a magnet for boomers. One-third Denver metro residents are boomers.

Even higher concentrations live in non-urban counties.- Colorado’s population is changing and growing. #3 in population growth in United

States- Colorado’s 65+ population: 10.2 percent (630,000); nationally, 12.6 percent- Half of state’s 14 regions (all but one are rural) have even higher proportions of

residents 65+ years compared with U.S. average. Many are medically underserved areas.

Nursing Affiliate FacultyNursing Clinical Affiliate Faculty

Review of applications is ongoing andcontinues until the positions are filled.

www.mscd.edu/metrostatesuccessEO/AA EMPLOYER

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Regis University, of Denver, Colorado, is one of twenty-eight Jesuit/Catholic universities in the United States. The Loretto Heights School of Nursing in the Rueckert-Hartman College for Health Professions at Regis University

is actively seeking applicants for an Online Nursing Advising Faculty and Nursing Faculty beginning in the academic year 2012-13.

Since 1877, Regis University, Colorado’s only Jesuit University, has been meeting the needs of students through innovative classroom-based and online programs designed to prepare learners to become leaders in the service of others. Regis University’s commitment to the individual student is fostered through the heritage of our values-centered Jesuit education.

We reward excellence with a competitive salary and benefits package. Criminal background check required. EOE. Visit https://jobs.regis.edu to apply and to review the full job descriptions.

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SILVER SPRING, MD–Communication and collaboration are critical elements of success for effective work environments, particularly in health care. When these elements break down, the result can be a cascade of negative events. Yet when collaboration is strong, it reaps positive benefits on the workplace culture and patient outcomes.

In order to boost collaboration where it is needed most, the American Nurses Association (ANA) and the American Organization of Nurse Executives (AONE) have jointly released a new document, Principles of Collaborative Relationships Between Clinical Nurses and Nurse Managers. The document is a key resource for all nurses who seek to prioritize and sustain better collaboration in their work settings.

“These principles have the potential to sustain dynamic relationships between nurses, and enhance the value and contribution of both nurse managers and clinical nurses to patient care,” said ANA President Karen A. Daley, PhD, MPH, RN, FAAN. “Our goal in this work is to create work environments where nurses thrive, and even more important, patient care is the best it can be.”

ANA and AONE developed the Principles through a real-world example of an effective collaborative relationship. The two organizations each selected three nurse managers and three clinical nurses to ensure a balanced perspective from each side. The group worked together to determine the principles of effective working relationships and then developed guidelines for each.

“With the ever-evolving nature of health care delivery, there is a strong need for increased synergies between clinical nurses and nurses in more formal leadership positions,” said AONE President Laura Caramanica, RN, PhD, CENP, FACHE. “These newly outlined principles provide a framework to positively impact collaboration.”

ANA Board of Directors Upholds NYSNA Suspension

The American Nurses Association (ANA) Board of Directors has upheld an earlier decision of a hearing panel to suspend the New York State Nurses Association (NYSNA) from constituent member status effective December 15, 2011. The board affirmed the decision following a meeting held on March 7 to consider an appeal of the suspension submitted by the NYSNA leadership. ANA’s bylaws stipulate that engaging in “dual unionism” is cause for disciplinary action against a constituent member.

“It’s unfortunate that NYSNA’s appeal did not offer any new information or a remedy to counter the strong record of evidence on which the hearing panel formed its decision,” said ANA President Karen A. Daley, PhD, MPH, RN, FAAN.

Courts have defined “dual unionism” as assisting a rival union in taking over as the bargaining representative, or otherwise undermining the integrity of the labor organization by helping its rival. In October 2011, the newly elected NYSNA Board of Directors brought in the current executive director of the Massachusetts Nurses Association (MNA) to run the association. Massachusetts Nurses Association is an affiliate and founding member of National Nurses United (NNU). NYSNA is affiliated with ANA. Several individual members of NYSNA produced evidence for the hearing panel showing that some NYSNA board members brought in staff leaders of a competing union, provided them with access to proprietary information, and gave them complete control of the organization’s operations.

According to the ANA board’s ruling, “The Board of Directors notes that NYSNA has taken the position on appeal that the existence of dual unionism would be eliminated if it were to have its Interim Executive Director resign from her position with the rival labor organization while serving as NYSNA’s top staff person. That position misses the point—such an offer would not resolve the existence of dual unionism. NYSNA’s Interim Executive Director has positioned herself as the so-called champion of NYSNA members while simultaneously using her MNA email address and enlisting MNA staff members to control the NYSNA offices to facilitate the “transition.” This has created the false impression that the NNU affiliate is better able to serve the interests of NYSNA members, or within the context of MNA/NNU history, that a NYSNA affiliated with NNU would be better able to serve the interests of a NYSNA that is affiliated with ANA, thereby undermining the foundation of the NYSNA/ANA affiliate relationship.”

Because of ANA’s federated model, NYSNA is the organizational member of ANA; therefore, action is taken against the state association. As a consequence, individual members of NYSNA have lost ANA rights and benefits during the suspension, including the right to hold national office, participate in ANA’s House of Delegates, and access to benefits such as periodicals, members’ content on ANA’s website, and discounts. In the event dual unionism is effectively ended during the one-year period of suspension, NYSNA may provide evidence of that fact and petition the ANA Board of Directors to have the suspension lifted.

“We regret the impact this has on NYSNA members who value their ANA affiliation and benefits,” said Daley. “However, it is imperative that ANA enforce its bylaws and protect the rights of all of our members.”◆

ANA & AONE Release Joint Principles of Collaboration

The Principles are divided into three main themes–Effective Communication, Authentic Relationships, and Learning Environment and Culture. Within these themes, the Principles outline key concepts such as “Foster an open, safe environment,” “Empower others to have ideas,” and “Inspire innovation and creative thinking.”

Research in many industries and environments demonstrates the imperative of positive working relationships in achieving goals. Nurses have an increased need for positive relationships, based on the criticality of their work and the emotional and physical nature of nursing practice. The Principles should serve as a guide for enhancing good collaboration where it occurs and improving situations where it is sub-optimal. The document is available at www.nursingworld.org/PrinciplesofCollaborativeRelationships

About the American Nurses Association The ANA is the only full-service professional organization representing the interests

of the nation’s 3.1 million registered nurses through its constituent and state nurses associations and its organizational affiliates. The ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the public.

About the American Organization of Nurse Executives The American Organization of Nurse Executives (AONE) is the national professional

organization for nurses who design, facilitate and manage care. With more than 8,500 members, AONE is the leading voice of nursing leadership in health care. Since 1967, the organization has provided leadership, professional development, advocacy and research to advance nursing practice and patient care, promote nursing leadership excellence and shape public policy for health care. AONE is a subsidiary of the American Hospital Association (AHA). For additional information, visit the AONE website at www.aone.org.


by Leslie Petrovski

When Jean Watson began her nursing studies at Lewis-Gale School of Nursing in Roanoke, VA, she found herself frustrated by the almost complete lack of conceptual, intellectual or philosophical focus on the human aspect of patient care.

Though historically the profession has emphasized the human being and the value of “caring,” Professor Watson’s education in the early 1960s stressed what she refers to as “curing”–techniques and procedures related to a specific disease and its treatment within medical science framework.

“No one was giving voice to the human experience,” says Dr. Watson. “I was longing for intellectual theories or values or a conceptual framework of what was happening with patient care and the human-to-human relationships.”

When joining the University of Colorado nursing faculty in 1973, Dr. Watson began writing about a different model for nursing science–one beyond medical science. The Theory of Human Caring, which includes the human and human caring processes, transcends technology and tasks.

Through her scholarship and writings, Dr. Watson earned the title of Distinguished Professor, the highest honor for scholarship in the university; she also is the holder of the Murchinson-Scoville Endowed Chair in Caring Science at the University of Colorado, the only one of its kind in the United States. And, she served as dean of the College of Nursing from 1983 to 1990. She holds three degrees from the University of Colorado (BS ’64, MS ’66 in psychiatric mental health nursing, PhD ’73). Dr. Watson is the recipient of 10 honorary doctorates, including seven as international doctorates, e.g. Sweden, United Kingdom (2), Spain, Canada (2), and Japan; she is the author or co-author of over 18 books on Caring and over 100 scholarly publications.

Over her professional and academic career at the University of Colorado, Dr. Watson has labored to transform nursing into a holistic caring-healing professional practice, grounded in the philosophy, ethic and science of caring, that addresses not just the body but the unity of mind-body-spirit. Thus, the discipline and profession of nursing balances and complements medical treatment and cure, focuses on the human experiences and subjective meaning of the human condition, facilitating the healing process.

From the theoretical void of her early career, Watson developed the now-world-famous Theory of Human Caring, used a practice rubric of 10 Caritas Processes (“Caritas” is a Latin

Jean Watson

All You Need is Love (and Human Caring):Transforming Health Care One Nurse, One Hospital at a Time

verb meaning to cherish, to provide charity, to acknowledge its fragility, and deep ethic of caring, making a connection between caring and love). Caritas honors the dignity of self and other and wholeness of being, which empowers nurses–and thereby their patients–through the quality of their caring-healing relationships and interactions.

The Caritas Processes themselves read more like affirmations or a prescription for personal growth than a cure for what ails health care. (Caritas 3 states: “Be sensitive to self and others by nurturing individual beliefs and practices.”) But by honoring intangibles like human dignity and integrity, transformation might follow.

And indeed that seems to be the case. Having railed against technology and medical treatment-only-based care as a young nursing student, the health care systems and establishments are starting to catch up to Dr. Watson. Responding to the myriad issues plaguing the public’s search for a more humane and caring-healing approach–among them nursing shortages and retention, high-profile medical mistakes and escalating costs–hundreds of hospitals around the world today are implementing human caring theory as a way to improve results, retain nurses and offer authentic caring-healing practices to complement the best of medical technology, treatment and cure approaches.

VA hospitals, university medical centers and managed care organizations are all seeking and using models of caring science and human caring theory to make the lives of patients, staff, and nurses more meaningful and to develop research data to demonstrate the relation between human caring and patient outcomes.

Kaiser Permanente Northern California is systematically integrating caring science and theory-based practices in all of the 21 Northern California Kaiser facilities. Others, such as Baptist Health in Jacksonville and Miami, Fla., Children’s Hospital Colorado, the Michael E. DeBakey Veterans Hospital in Houston, and Atlanta Veteran’s Hospital, are engaged in new forms of evidence-based caring science knowledge. In these systems, nurses are becoming scholar clinicians, implementing new professional Caring Science models system wide, as well as exploring new empirical connections between human caring and patient outcomes.

Rather than perform their jobs by rote, the human caring philosophy and theory, combined with an expanded model of caring science, gives nurses the space to reflect on the disciplinary-ethical foundation of their practices and experience themselves as healers.

“That’s their calling,” Dr. Watson says. “This work is consistent with the visionary Nightingale model of nursing. You should see some of the e-mails from people who are thinking about leaving the profession. It gives purpose and meaning to their world on a deep level.”

Dr. Watson is officially retiring from the College of Nursing on July 1 (after almost 40 years of service). She will continue her global work in caring science through the numerous activities of the Watson Caring Science Institute, a nonprofit foundation she founded in 2008.

“This is a reflection of the work involved,” she says of her accomplishments, “I’ve given voice, language and personal/professional practices to something people are hungry for, but has been largely invisible and therefore not seen, attended to, or honored. I guess one of my gifts is to make what was originally marginal, now mainstream, making broader contributions to sustain the ethics of our humanity in our science, our technology, and our world.”

Writer’s Note: To honor Jean Watson’s lifetime body of scholarly global work through the University of Colorado, and her retirement, the University of Colorado and the Watson Caring Science Institute are hosting the Caring Science Summer Institute, July 15-19, and the World Caring Conference, July 20, in Boulder, CO. Visit www.watsoncaringscience.org/worldcaring for details. ◆

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$10 Needed from Every Colorado Nurse for NPAC

Laura Mehringer, MS, RXN, CNSN-PAC Chair

“If you’re not at the table, you’ll be on the menu,” is a major reason for political involvement. N-PAC (Nurses for Political Action in Colorado) is an important means toward being “at the table.” N-PAC is the political committee for nurses in Colorado which provides a process for nurses as a group to endorse candidates to state offices who are supporters of nursing and health care. Level of support to candidates is determined by their voting records on nursing and health care issues and response to our questionnaire. Candidates need our financial contributions to help them get elected or re-elected due to the high cost of campaigns. If we are not active and visible in legislators’ campaigns we are at risk for being “on the menu.”

Traditionally N-PAC has been extremely underfunded compared to comparable groups of professionals. Our goal this year is $20,000 and we can achieve it if all nurses send at least $10. Please address check to “N-PAC” and mail c/o Laura Mehringer, 1431 W 102nd Pl, Northglenn, CO 80260-6290.

If you would like to be involved in the decision making process include your email address for notification of meetings. All contributors are eligible to participate in the endorsement decisions. Also note that N-PAC is non-partisan. ◆

Dear Nursing Colleagues,I wanted to be sure that you all are aware

of work being done on improving the quality of Colorado’s Medicaid and CHP+ programs by the Colorado State Medical Assistance and Services Advisory Council. The council consists of representatives from numerous provider groups and serves in an advisory capacity to Colorado’s Health Care Policy and Finance (HCPF) department. Provider groups represented include nursing, physicians, osteopathy, hospitals, home health, nursing facilities, optometry, dentistry, behavioral health, pharmacy and the public. Each representative is appointed by the Governor to serve a three year term.

The object of the Council is to improve and maintain the quality of the Medicaid and CHP+ programs by:

• Contributing specialized knowledgeand experience to be added to that available within the single state agency administering the program, the Department of Health Care Policy & Financing, and

• Providing a two-way channel ofcommunication with the individuals, organizations, and institutions in the community that, with the administrating agency, provide and/or pay for medical care and services.

In January 2012, I began serving as the Chair of the council. We have added many new council members and are working closely

Colorado State Medical Assistance and Services Advisory Council

with HCPF to fine-tune our role and maximize our contributions. One opportunity we have is to increase communication about the Council outward and to seek input from key stakeholders in the community. All of the Council meeting agendas and minutes, as well as contact information for Council members are on the HCPF website at the following link: http://www.colorado.gov/cs/Satellite/HCPF/HCPF/1251574690683.

We need input from you about your experience with Medicaid and CHP+. We want your ideas about opportunities to improve service for clients and providers. And, in this challenging time of budget constraints in our state, we are looking to you for help with identifying potential cost saving measures within Medicaid and CHP+. All meetings are open to the public and you are welcome to attend. Time is set aside at each meeting for public comment.

Feel free to contact me if you would like additional information at [email protected] or contact HCPF staff at [email protected].

The Colorado Medical Services and Assistance Advisory Council and HCPF extend a warm thank you for everything you do as nurses and join in wishing you a wonderful Nurses’ Week!

Sincerely,Barbara Hughes, CNM, MS, MBA, FACNM, NE-BC ◆

Apply for Membershipwww.nurses-co.org

or see the application on

page 21


a number of bills that concerned access to health care in our state. Our review of bills and policies was in light of the impact on nursing and access to needed health care in all areas of the state but also to assist CNA’s Policy Director and Lobbyist in consideration of alignment with CNA’s goals and principles.

The bills this year covered many different viewpoints on our current health care system and the proposed changes from the Federal Affordable Care Act. Again, CNAHCA focus was on access to health care. CNAHCA takes a more global look at the health care system. Bills are prioritized into four categories: active support, passive support, monitors, and informational only. CNA Policy Director makes all final decisions as to the level of involvement with active bills. Committee members will then follow the legislative process. When appropriate and needed, the lobbyist, members of the committee and other knowledgeable members may attend the hearings and testify consistent with CNA’s position on the matter.

CNA House of Delegates established the CNAHCA committee in 2008. Since the inception of the committee, the landscape of health care and reform measures has changed a great deal and possibly in ways the committee never imagined in 2008. This brought us to the conclusion that it was time to update our guiding principles. A workshop and strategic planning meeting was held on March 23 to achieve group consensus on the committee principles. The group reviewed not only ANA’s position statements on health care reform but also the IOM report on the Future of Nursing and other position statement papers to create a document of guiding principles related to health care system design to be used to assess future work by the committee and CNA in health care system reform. We are looking forward to getting the updated principles approved by the CNA Board of Directors.

CNAHCA encourages all nurses to obtain as much information about the many changes that are occurring or proposed changes to the health care system. There are a number of ways to become involved with the committee: offer your input and advice to the committee, visit committee meetings, attend other advocacy groups on health care reform and share the information with others, or attend legislative committee hearings.

If you are interested in committee activities or participating in the CNAHCA committee, please visit the CNA website or feel free to contact Brenda VonStar (Chair of CNAHCA) by phone 303-548-4600 or email [email protected].

Submitted by: Brenda Vonstar RN, FNPC

Membership Committee100 Nurses in 100 Days

The CNA membership committee is off to a fast and furious start in 2012. The committee has identified key areas targeting nurses to not only become members of CNA but to grow the profession. The committee has identified individuals who bring a specific knowledge base of talent to create a “100 day” ad-hoc committee. This committee will create a unique plan for CNA called “100 nurses in 100 Days.” Between April 26 and July 29, 2012 anyone who signs up to become a CNA member (in any of our categories) will be entered into a drawing for a $100 visa gift card.

The committee also identified the importance of referrals; anyone who is listed as a referral to the new member will have their name included in a separate drawing for a $100 visa gift card. That is for every referral... so the more referrals, the better your chances become of winning.

CNA is growing and encourage all to join and be a part of our growth. As the profession evolves, CNA will be there; however, we are only as strong as your involvement. Make sure that your voice is heard and that you are a part of the successful future of your profession. Join CNA today! If there was ever a time to join, the time is now! To learn more about the committees and how to get involved and/or participate contact Keith Segundo 303 786-7483 or [email protected].

Submitted by: Eve Hoyguaard, Membership Committee Chair & Keith Segundo, Director of Membership, Marketing & Revenue.

Continuing Nursing Education

The Colorado Nurses Association strives to advance the profession of nursing through quality continuing nursing education. To achieve this goal, CNA is accredited through the American Nurses Credentialing Center (ANCC) as both an Accredited Provider of Continuing Nursing Education (CNE) and an Accredited Approver of CNE. As a dynamic profession, nursing demonstrates growth and development of its body of knowledge through basic and advanced nursing programs, research, and continuing education.

The Provider Unit The purpose of the Continuing Education

Provider Unit is to advance the profession of nursing through CNE activities. CNA develops, implements, and evaluates quality CNE activities primarily through face-to-face programs for nurses based upon the beliefs and values inherent in the Association’s Philosophy and Mission. Such education activities enable nurses to supplement their knowledge and skills, thus improving health care services for consumers, enhancing the health care delivery system, and fostering personal and professional growth. The Colorado Nurses Association, through the quality performance of the Continuing Education Provider Unit promotes quality nursing practice, imperative for both personal and professional growth through the promotion of individual accountability and responsibility.

The Approval BoardThe Approval Board of the Colorado Nurses

Association implements the approval process of continuing nursing education for CNA in accordance with ANCC criteria. As an Accredited Approver, the Approval Board evaluates single educational offerings and provider applications for approval as providers on CNE based on ANCC guidelines and criteria.

The Approval Board recognizes its responsibility to three groups affected by the approval process: health care consumers, nurses, and CNE providers. Consumers have the right to competent, high quality, professional nursing care. Nurses have the right to high quality nursing education. CNE activities and providers should meet high quality standards of education. Review of CNE applications are conducted by members of the Approver Unit utilizing a peer review process. Decisions by nursing colleagues are based upon critiquing applications for compliance with established criteria and guidelines.

If you are interested in serving on either the Provider Unit or the Approval Board, please contact Kasey Grohe at [email protected] or (303) 757-5048.

District ReportsDNA 3

The 2011-2012 Mission for DNA #3 has been to increase membership, support healthy activities, and increase visibility within the community. In working toward these goals, DNA #3 offered a CNE program focused on Women’s Health: Heart, Breast and Obesity, which drew a roomful of APNs and other RNs in February. A community project was initiated by members in January from the Center for Nursing Excellence: Transitioning Patients Safely by Improving the Quality and Safety of Handoffs–In and Out of Home Health Care with a focus on improving communication between hospitals and home care agencies. Mary Wall, Kate Peterson, and Aimee Doman spearheaded the local Safe Transfers Task Force. At local meetings, professionals from a variety of disciplines shared observations of problems they have experienced with discharged hospital patients understanding

District & Committee ReportsGovernment Affairs and Public

Policy Committee (GAPP)

This report is written following what was anticipated to be the last GAPP committee meeting during the 2012 legislative session for the Colorado General Assembly. The last day of the regular session of the Assembly was May 9, 2012. Your GAPP Committee met last on that day. The General Assembly adjourned after a contentious close around legislation related to civil unions. The result of those political processes resulted in the session adjournment as scheduled with up to 30 bills slated for consideration and vote on the last day of the session not being brought to the floor of the House of Representatives for vote.

The status of the bills of significance to nursing after adjournment of the legislature is as follows:

Bills that CNA provided active or passive support:

• HB1052WorkforceDataBill–passed• HB1300ProfessionalReviewBill–

passed not yet signed by the Governor• HB1065APNPrescriptive

Authority Bill–passed• SB108Children’sOralHealth

Bill–unknown at this writingBills that CNA monitored:• HB1214CommunityCollege2year

degree programs–nursing removed from the bill (passed without nursing, not yet signed by the Governor)

• HB1332AnesthesiaAssistantBill–passed not yet signed by the Governor (CNA opposed this bill)

• HB1311PharmacyBoardSunsetBill–passed

Following the adjournment of the regular legislative session, the Governor called a special session to consider significant unfinished business. That is scheduled to begin on May 14, 2012.

Looking to the summer and fall for the GAPP committee, there are many important activities that will occur. The committee will collaborate with N_PAC (Nurses Political Action Committee) to survey, interview, and determine support or non support for state candidates running for statewide offices.

We will continue not only planning but scheduling grass roots educational opportunities for political and policy advocacy. As part of our work on advocacy, we are establishing a database of nurses based upon your residence in state Senate and House of Representative districts. The purpose of this project is to provide CNA and the GAPP committee resource names of constituents in each of the 100 districts in the state–100 nurses for 100 legislators. This is not limited to just one nurse; it would be great to have more than one nurse in each district. If you are interested in being a part of this grass roots advocacy group, please send your information to Keith Segundo at the CNA office at [email protected].

In conclusion, please check the CNA website for further legislative updates following the special session, for summer and fall activities related to the August and November elections, and advocacy educational opportunities.

Colorado Nurses for Access to Health Care for All (CNAHCA)

The Colorado Nurses for Access to Health Care for All committee (CNAHCA) of the Colorado Nurses Association meets monthly. This committee is a passionate group of nurses who are interested in improving access to health care in Colorado.

The function of CNAHCA is to follow health care reform projects and state legislative bills, which affect nursing and access to health care in Colorado. Currently, there is a lot of interest in looking for ways to control costs and improve access to health care in the state and the nation. This year at the Colorado Legislature, there were District & Committee Reports continued on page 18


District & Committee Reports

information or having needed resources for Home Health Care. The Safe Transfers Goal is to describe what constitutes “Safe” discharge and minimum safety for signing discharge transfers.

For many years, DNA #3 has donated $500 to be used as emergency funds for nursing students at both of the local nursing programs. Funds are administered directly by the Dean or Program Director as the need arises. Funds have been used for utility bills, baby sitters during finals, gas for transportation to clinical sites, medicine for a parent, textbooks, and a variety of other urgent needs.

President Mutzebaugh is pleased to announce that the members of DNA #3 have voted to name the funds awarded for use by Pikes Peak Community College nursing students with emergency needs the Mary Ann Wermers/DNA #3 Nurse Crisis Fund at Pikes Peak Community College. The naming serves to recognize the continuing support and advocacy that she has given to nursing students during a career in nursing education, administration, and practice, as well as the continuing involvement with CNA, the professional nursing organization.

Members also voted to name the funds awarded for use by Beth-El College of Nursing students with emergency needs the Joanne Ruth/DNA #3 Nurse Crisis Fund at Beth El College of Nursing and Health Sciences at UCCS. The naming serves to recognize the continuing support and advocacy that Jo has given to nursing students during a career in nursing education, as well as the continuing involvement with her professional nursing organization. Individuals can donate monies to either or both funds through DNA #3.

Save the date: May 14 will be our last meeting until September. The Annual Dinner will be announced via email. Members and guests are invited and welcome.

Recognition to Anne Zobec, Mary Wall, Kate Peterson, Aimee Doman, Alice Shartran, Joyce Vernon, Joanne McLeod, Mary Moorhouse, and many others who spent extra time keeping DNA#3 alive!

Submitted by: Carole Mutzebaugh EdD, NP, CNS RN, President DNA 3

DNA 6

Local Nightingales honored Glenna Plane, Jodi Garcia, Yvonne Olme,

Jennifer Mueller.

Combined DNA 6 & DNA 4 Meeting

Back (l-r): Donna Wofford, Helen Lester, Dorothy DeNiro, Joe Franta, Louise Sowards,

Lori Rae Hamilton. Front: Amanda Jojola, Angela Medina, Shawn Elliott, Mary Ciambelli,

Charlotte Ledonee, *Denise Root, Kathy Carpenter, & Linda Skoff left before

the photo was taken.

The San Luis Valley Nightingale event was February 24th with Cathy Thompson as the keynote speaker. (See picture above of nominees). All four nominees are the regional luminaries for the Statewide Nightingale nomination, to be held in Denver on May 17, 2012. The 2012 SLV recipient was Yvone Olme who is retired. All the nominees demonstrated excellence in human caring in their professional practice, personal and community life. Congratulations again!

On March 10th, DNA 6 & DNA 4 had a combined meeting in Walsenburg, CO with CNA President Mary Ciambelli as a special guest. We had lots of fun and decided it should be an annual event!

Other news from DNA 6: Julie Geiser, with Alamosa Public Health, received an Innovation grant for obesity management. Adams State College is looking at developing a patient navigation course that may tie into the grant. In addition, Louise Sowards, Director of Nursing for Trinidad State Junior College, was selected by faculty as TSJC’s 2012 Faculty Member of the year. Congratulations!

The nursing program at Adams State College had their third cohort begin in January. We donated $500 to support nursing students going to Honduras for Service Learning.

Submitted by: Shawn Elliott, PMC, RN, CPNP-PC, President DNA 6

DNA 7

DNA 7 hosted a wonderful talk on 3/31/12 given at Mercy Regional of Durango by Mary Ciambelli, PhD, RN, and current CNA President. Note Mary’s graduation photo in the background, as many of the grateful audience surround her. She inspired us with legislative updates and explanations of how the bills came to be written and who initiated them. She also helped keep the group current in the evolution of the legislative process, especially as it affected nursing practice.

Please Save the Date: 8/10/2012 Jean Watson, Colorado’s own nurse theorist and inspiring speaker will speak on transformation of self and human caring. Dr. Watson speaks internationally; her published works are on the philosophy and theory of human caring and the art of science in nursing. Friday August 10, 2012, the Four Corners area will have a chance to hear Dr. Watson in

person, don’t miss this opportunity. Please mark your calendar and be sure your friends know.

For information on activities or how to get involved in DNA 7, please call Lynne Murison, 970-385-5524 or [email protected]

DNA 9

With the arrival of twins on October 20th, Megan Reinke resigned as President of DNA 9. The twins Emie and Theodore have a sister Kailyn and brother Henry. Congratulations to the Dan Reinke family!

Just prior to the birth of her twins, Megan facilitated DNA 9’s participation in the sponsorship of Marguerite Salazar’s presentation on The Affordable Care Act in Ft Collins. Several DNA 9 members attended this presentation by the regional director of Health and Human Services, Region VIII.

Janie Arndt has agreed to take over Megan’s term as President. Jane Koeckeritz remains Treasurer, and Vicki Carroll is taking over Janie’s duties as secretary.

Submitted by: Vicki Carroll MSN, RN, Secretary DNA 9

DNA 12

Our members were honored to have CNA President, Mary Ciambelli, attend our March meeting. We applaud her effort to meet with every District during her term in office. A lively discussion was held about Legislative issues and state trends regarding registered nurses belonging to their professional organization. All those at the meeting were in agreement that our DNA 12 member, Fran Ricker, is doing an outstanding job, as Executive Director and Lobbyist for CNA. She functions with much integrity and her credibility before the Legislators is praised.

A team of nurses attended the recent Legislative Connection affair and found it to be an informative and enjoyable way to meet Legislators and hear their views about healthcare bills introduced during the 2012 session. Vouchers were offered to Front Range Community College Nursing students so they would be able to attend the Legislative Connection dinner and program.

DNA 12 was represented at the annual St. Benedict Health and Healing Ministry fundraiser to help the underserved and homeless populations in the Boulder County and surrounding communities. Our members have contributed funds in the past and encourage them to volunteer their time to help with the several clinics that take place to help with prevention, education and chronic health problems. Rev. Sally Bowersox, an RN, and founder of this ministry, will be our guest speaker on May 1, at 6pm, at the Flatiron Mimi’s Café.

Our chapter was represented at the annual Colorado Women’s Hall of Fame celebration to applaud past DNA 12 President, Loretta Ford, EdD, RN, PNP, FAAN, FAANP. She was recognized as the founder of the nurse practitioner movement in America. Today there are over 158,000 nurse practitioners in the United States. The gala was at the Denver Marriott City Center. The Colorado Women’s Hall of Fame is dedicated to recognizing

District & Committee Reports continued on page 19

District & Committee Reports continued from page 17

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District & Committee Reports

the history of accomplishments, both past and present, of great Colorado women. Loretta is the second registered nurse to be recognized since the Hall of Fame was founded in 1985.

Since the last CNA Convention, DNA 12 has continued to hold monthly dinner meetings, which include a guest speaker, to be better informed about current healthcare issues. This format will be addressed in a future survey to get input on how we might better serve our chapter and increase our membership participation.

The next DNA 12 meeting will be Tuesday, June 12, at 6pm. Please check your email for details.

Submitted by: Jody Owen

DNA 20

The second quarter of the year was a busy one for DNA 20 members with members marching in the St. Patrick’s Day Parade, attending Nurses Day at the Rockies, participating in the Central AHEC Nightingale Banquet, and volunteering at 9 Health Fairs. In addition, twenty members, family, and friends attended the play “Camelot” at the Lakewood Cultural Center to raise monies for DNA 20’s $1,000 scholarship that is awarded through the Colorado Nurses Foundation annually.

Congratulations to DNA 20 member Tara Chirinos, Sky Ridge Medical Center, who was recognized at the Denver Metro Regional Nightingale Luminary Nominees Recognition Banquet on March 10. Tara was nominated and recognized for her nursing leadership, advocacy or innovation that she demonstrates as a nurse.

At our March meeting, David Kearns, RN, MS, Clinical Coordinator, and Laura Harwood, RN, Denver Operations, presented on Flight for Life Colorado, St. Anthony Hospital where they care for patients across the human lifespan, including pregnant women and infants. In April, Cheryl Palsic RN, Denver Community Health Refugee Clinic, gave an overview of the refugee populations, cultures, and specific barriers nurses face in caring for this population. The guest speakers at our monthly meetings continue to increase members’ knowledge of their community and the diverse roles that nurses play in meeting the health care needs of the residents of these communities.

For more information on DNA 20 events, contact President Allison Windes at [email protected] or 720.941.5852.

Submitted by: Norma Tubman, RN, MScN, NC-BE

DNA 23

The final meeting before summer break is in May for District #23. We will resume in September, and have a final meeting for 2012 then in November. DNA 23 continues to work toward increasing attendance and contribution from members. We plan to develop more defined goals and, perhaps, a project for the fall.

Members, please send me your nomination for the District Nurse of the Year plus all other Award Nominations for CNA, to be presented at Convention. In addition, please call me at any time with suggestions, comments and ideas for the District. I would also welcome Non Members who wish to participate or contribute, or to attend a meeting.

Our regular meeting place is not available temporarily due to renovation but I will notify everyone of where we can meet. We will meet at the usual time on the Second Tuesday of Sept., Nov, 2012, and then January 2013. I would like to express appreciation to Cathy O’Grady Melvin, Jeanne Kearns, Darlene Gaskin and Lois Brightenburg for their assistance throughout the year!!! May I also thank each Nurse for all you do continually to help everyone. (Oh, how we miss Lavena!)

Please call me at 303-999-0178 or email me at any time. Enjoy a great summer!

Submitted by: Fran Dowling, President District 23

DNA 30

DNA-30, the Colorado Society of Advanced Practice Nurses (CSAPN) continues its long history of monthly educational/dinner meetings at a variety of restaurants in Metro Denver. We meet on the first Wednesday of each month (usually no July meeting) and information is posted on our website by about the 10th of the prior month. Our membership is not limited to Nurse Practitioners but is open to all APN’s including CNS’s, CRNA’s and CNM’s. We welcome RN’s who are students enrolled in an Advanced Practice Program.

DNA-30 was well represented at a March 7, 2012 UC Denver College of Nursing Reception honoring Dr. Loretta Ford. Dr. Ford, at 90, continues to represent the nurse practitioner movement across the world. She was installed into the Colorado Women’s Hall of Fame on March 8, 2012. While at CU, Dr. Ford was active in CNA at the State and District Level. See article on page 11 of this publication, for more information about Dr. Ford.

DNA-30 members continue to be active in the GAPP Committee and their commitment is greatly appreciated. The 2012 Legislative Session has been busy! A special “Thanks” to those who have testified, written letters and made phone calls to legislators during this time.

For more information about DNA-30, visit us via a link on the CNA website (www.nurses-co.org) or through our website (csapn.enpnetwork.com), go to the Home Page and click on “Contact Us,” You will receive an email response.

Our new President is Tara Caldwell, WHNP succeeding David Rodriguez, FNP. A complete list of officers is found on the website.

Submitted by: Eve Hoygaard, Secretary

DNA 31

DNA 31 membership drive is completed for this year, although we are always welcoming any new members who wish to join us throughout the year. We would love to talk to each and every one of you about the benefits of joining our organization. Many of our members are active in their communities and are leaders in different areas of nursing. We want to thank Carolyn Dacres, our membership chairman for all her hard work in our membership drive this year.

Last week the board members attended a screening of the documentary film, the Healing of America, by TR Reid, a former Washington Post correspondent. In this film Mr. Reid shows and compares healthcare systems in the USA with others in the world as well as spotlighting several model systems in America which could be used as models for further healthcare reform. One of these is in Mesa County, Colorado in Grand Junction. These systems are providing cost effective, inclusive healthcare to their citizens which includes those who do not have any health insurance. There was a discussion following led by Dr. Irene Aguilar, a member of our state senate and a physician at Denver Health. There were 4 other state level representatives present, one of whom was a nurse; all were advocating for health care reform in America. I would recommend taking a look at the book by Mr. Reid and if you are in favor of reforming our health care system, contacting Senator Aguilar. I believe it is important for us as APNs and nurses in our communities to maintain a voice in these types of changes happening in our nation.

Donna Strickland is serving as a volunteer on the state committee: Behavioral Health Transformation Counsel. She has been a representing voice for psychiatric APNs at the state level. This committee is responsible for making decisions for the whole state for public

funding and policy for mental health care in coming years. Donna has done a fantastic job representing APN’s on this committee as a voice for how we can contribute to solving problems. She has been a consummate professional and donated countless hours to this committee. Some of the things they will be concerned with are who will provide mental health care to our state funded programs, how it will be provided and how providers will be paid. They are also in charge of distribution of grant funding throughout the state and who will they be awarded to. I’m sure Donna would welcome hearing your ideas on how we can contribute and what the problems and solutions are! Or, perhaps you want to become more involved yourself? We can’t thank Donna enough for her enthusiastic, intelligent and professional leadership. She has represented us very well.

The Spring Symposium is coming up on May 11th. We will be electing new board and committee members and the clinician of the year.

Corrections to the last newsletter: Marie Cook (not Maureen) and Maureen Davis (not Doran) were on the committee which organized our Fall Institute in September last year.

Submitted by: Judy Murray, President DNA 31 ◆

District & Committee Reports continued from page 18

Vacancy AnnouncementNursing Faculty

Adams State College invites applications for a full-time tenure-track position in nursing.

STARTING DATE is August 13, 2012

We seek an energetic, enthusiastic, and broadly trained nurse who loves teaching and shares our dedication to excellence. Responsibilities include:• Teach 12 credit hours per fall and spring semesters.• Advise students.• Design and implement theoretical, clinical or laboratory instruction plus evaluate

and revise course curriculum.• Evaluate student achievement of course objectives.

Qualifications: Master’s degree in nursing. PhD or DNP preferred. Two years of full-time professional nursing clinical experience. Two years of full-time teaching experience in a nursing program or equivalent experience preferred.

Send application materials to: Dr. Amanda Jojola, Director of Nursing208 Edgemont Blvd., Suite 2250, Alamosa, CO 81101Phone: (719) 587-8134, E-mail: [email protected]

For a complete description, please visit:http://adams.edu/administration/hr/nursing.php

For more information contact: Ranae Shrader at 303-556-3668 or

[email protected] APPLY:

http://www.mscd.edu/nursing

“We Educate Colorado”

Metro State College of Denver’sRN to BSN Degree Completion Program

at Front Range Community College–Westminster CampusApplications received after April 15

will be reviewed on a space available basis.

This program allows students to complete nursing courses required for Metro’s RN to BSN (BRNCO) degree

completion option on theFront Range-Westminster Campus.


The Memorial Column includes available information about nurses who have been educated in, worked in and/or lived in Colorado. If you have information about the death of a nurse colleague, family member or friend, we would appreciate your advising Eve Hoygaard ([email protected]) via email so that we may include their name in a future issue of the Colorado Nurse. Information appreciated includes dates of birth/age and death, birth name for women, nursing education/school attended and date of graduation, employment sites and areas of practice. We regret that we are limited by space and cannot include photos.

We remember and honor the following nurses ....

Anderson, Mary Ann Romer, RN, PhD, 98, CU Denver College of Nursing, died in Utah on December 31, 2011 at age 65. Dr. Anderson was retired from her Nursing Faculty position at Weber State University. A specialist in Gerontology, she had authored several textbooks on the subject.

Burns, Mildred Lucile Federking, RN, 83, died January 27, 2012 in Missouri. A 1949 graduate of St. Luke’s Hospital School of

Nursing in St. Louis, she had lived in Colorado, working in Pediatrics at Swedish Medical Center, Englewood. She retired as a Patient Representative from a hospital in Florissant, MO.

Cameron, Sharon Brown, RN, 60, died in February 2012. She was a Surgical Technician in Denver for 20 years before returning to school at Front Range Community College. Completing her RN education 1998, she moved to Grand Junction, CO where she worked at St. Mary’s Hospital and Rocky Mountain Orthopaedics for 14 years.

Coates, Dorothy Mobley, RN, 85, died January 12, 2012 in Littleton CO. A graduate of Crawford Long School of Nursing, Atlanta, she was involved in Latter Day Saints Mission Work.

Cox, Thelma Waters, RN, a 1956 graduate of CU Denver College of Nursing, died in September 2011.

Giordeno, Jean, RN, died at age 94 on December 15, 2011.

Mayer, Rita A., RN, 72, died January 17, 2012. She worked as a RN at Craig Hospital, Englewood and Concorde Career Institute.

Meskis, Helen, LPN, 94, died March 9, 2012.

Miller, Lisa Hindman, RN, 55, a CU College of Nursing BSN graduate in 1993, died January 22, 2012. She worked in Pediatrics at Boulder Community Hospital, The Childrens Hospital Denver and Avista Hospital Louisville. She was a 5th generation Coloradoan.

San Miguel, Lisa Koets, MS, RN, a 1983 BSN graduate of CU College of Nursing, she also completed her MS in Nursing from the University of Phoenix. She was 51 when she died on February 8, 2012. Her career included working as a Clinical Nurse Specialist and also was a member of the Emergency Transport Team at The Children’s Hospital, Denver. Shortly before her death, she had been nominated as a Nightingale Luminary candidate and she was posthumously recognized at the March 9, 2012 Central Colorado AHEC Nightingale Event. ◆

Submitted by Eve Hoygaard, MS, RN, WHNP-BC

In Memory

Why join us?

The Colorado Nurses Association is

the professional organization representing

Colorado’s Registered Nurses.

• CNA provides direction to and a voice for the nursing profession in the health care environment and the

community

• CNA advances the nursing profession by addressing nursing practice, public policy, education and workplace

issues.

We believe...

• That nursing is a science and a caring art that involves the use of the nursing process in the application of

knowledge, judgment, skills and interpersonal competencies in the diagnosis and treatment of human

responses to actual or potential health problems.

• Nursing, as an essential component of society, promotes the improvement of health care by addressing

society’s changing needs and ethical concerns.

• As a dynamic profession, nursing demonstrates growth and development of its body of knowledge through

basic and advanced nursing programs, research and education.

• In collaboration and cooperation between nurses, consumers and other health care professionals for the

improvement of health care!

To become a member of the Colorado Nurses Association and secure the future of your profession

download the application at Or contact Keith Segundo at CNA headquarters

Phone (303) 757-7483 or e-mail

We look forward to serving you as our member!

www.nurses-co.org

[email protected]

Follow VA Careers

VAcareers.va.gov/NURSE Apply Today:

I’m inventing new modelsof Veteran’s health care.

I’m not just a nurse.

Chris, VA Nurse

Simplify your nursing research...

nursingALD.comSimply click on the Newsletter tab on the far

right and enter your search term.

with access to over 10 years of nursing publications at your fingertips.


Strategic Leadership in Healthcare Organizations * Healthcare Policy and Regulatory Leadership * Medical and Healthcare Information Technologies

EVANS ARMY COMMUNITY HOSPITALserve those who serve

Evans Army Community Hospital (EACH) offers the highest quality healthcare to more than 64,000 active duty service members, reservists, family members and retirees from Ft. Carson, Peterson Air Force Base, Schriever Air Force Base, Cheyenne Mountain Complex and the Air Force Academy–all in Colorado Springs and the surrounding community.

Accredited voluntarily by The Joint Commission, the 78-bed, state-of-the-art facility is staffed with both military and civilian employees.

We offer a competitive compensation and benefits package to include: prospective employees may be offered recruitment incentives, retention allowances, Nursing Student Loan Repayment, as well as evening, night, weekend, and on-call differential pay.

For more information:[email protected]

[email protected]

www.civilianmedicaljobs.com

Currently Seeking:

LPNs• CommunityBehavioralHealth• DepartmentofPrimaryCare• GeneralSurgeryClinic• MedicalManagement• Surgery

Full Time & Part Timepositionsavailable

Home Care Careers – RNs and LPNs

For 37 years, we have helped people remain at home with comfort, independence, and dignity. We have openings (full-time, part-time, and per diem) for RNs and LPNs to care for clients throughout the state.

We offer growth opportunities and competitive pay and benefits.

To view available jobs, visit jobs.bayada.com or send your resume to [email protected].

For more information, call 720-855-6100.

Find a nursing career where you can become a star!

“Nurses: Advocating, Leading, Caring”

was the theme forNurses Week 2012.

childrenscolorado.org

Children’s Hospital Colorado would like to take this opportunity following Nurses Week 2012 to thank all of

our nurses for Advocating, Leading and Caring. Our nurses provide expert pediatric nursing care for the most vulnerable

patients and families and do so in a highly professional and compassionate manner. The excellence of our nurses at

Children’s Colorado is reflected in the many accomplishments over the past year, including Magnet® recognition for the second

time, and the U.S. News & World Report 2011 Honor Roll #5 Best Children’s Hospital in the Nation. Patients and families recognize

the contributions of our expert nursing care and rated us as good/excellent 93 percent of the time on PRC surveys. Thank

you to all of the pediatric nurses at Children’s Colorado. We hope you enjoyed Nurses Week and thank you for all you do!

Equal Opportunity Employer

The Magnet Recognition Program®, ANCC Magnet Recognition®, Magnet® names and logos are registered

trademarks of the American Nurses Credentialing Center. Journey to Magnet Excellence™ and National

Magnet Conference® are trademarks of the American Nurses Credentialing Center. All rights reserved.

Sincerely,

Kelly M. Johnson, MSN, RN, CRRN, NEA-BC Dr. Dori Biester, Chair in Pediatric Nursing

Vice President and Chief Nursing Officer


214 East 23rd Street • Cheyenne, WY 82001Brad Wiegel (307) 633-7767 • www.crmcwy.org

Cheyenne Regional Medical Center is an equal opportunity employer.

• Expanding Healthcare System• State-of-the-Art Technology

• 100 Miles North of Denver • Level II Trauma Center

• 218-Bed HospitalCheyenne Regional Medical Center offers an attractive compensation/benefits package, including health/dental/vision benefits and wellness program, life insurance, long and short-term disability, educational assistance and much more.

To Apply, visit www.crmcwy.org/career

CHEYENNE, WYOMING:

Big-city healthcare with a small town feel.

JOIN OuR TEAM and grow with us.

ANSCHUTZ MEDICAL CAMPUS

Continuing Education Courses

• How to Display Data - June 13 and 26, 2012• Geriatric Resource Nurse – July 13, 2012• Advanced Burn Life Support – July 20, 2012• Trauma Nurse Core Curriculum – July 23 & 24, 2012• 12 Lead EKG – August 13, 2012• Bariatric Surgery – September 4, 2012• Creating a Survey – September 10, 2012• Thoracic Surgery – September 17, 2012• Evidence Based Practice: Boot Camp – September 12, 2012• Organ Transplant Symposium – September 21, 2012• End of Life Consortium – September 26 & 27, 2012

Register for these classes atwww.uch.edu/classes-eventsclick on Continuing Education

or call: 720-848-6694

Pueblo Community College

Nursing Faculty Full-time nursing faculty needed for Pueblo and Fremont (Cañon City) campuses. This individual is responsible for providing student instruction in accordance with approved curriculum guidelines,

and maintaining required program standards for the Nursing Department. This is a benefited, 9 month

position. A minimum of 2 years of clinical experience in either medical surgical or psychiatric

nursing is required and previous teaching experience is preferred.

Contact Eva Tapia at 719-549-3409for further information.

An EEO/AA Employer.


UNC’s Newest Advanced Nursing Degrees

Designed to Fit Your Schedule

Nursing Master’s: Clinical Nurse Leader EmphasisCourses Delivered in Northern Colorado & Online

The CNL is an emerging point-of-care leadership role that allows you to stay at the bedside while advancing the quality

and safety of patient care.

For More Information:www.unco.edu/nhs/nursing/cnl

[email protected] | (970) 351-3081

Doctor of Nursing Practice (DNP)A clinical doctorate nursing degree that blends advanced nursing practice with critical thinking, leadership and policy skills.

BSN-to-DNP (with FNP Focus)Offered in Greeley + Online CourseworkThis doctoral program also qualifies you for the FNP certification exam and licensure.

Master’s-to-DNP (for MSN/APNs)Offered Online + Greeley OrientationTwo-year, part-time post-master’s program.

For More Information:www.unco.edu/nhs/nursing/[email protected] | (970) 351-2662

PATIENT CARE IS YOUR PRIORITY.

Protecting Your Future Is Ours.

You’re a nurse because you care. You always think of others first. Now it’s time to think about yourself. A malpractice claim could possibly ruin your career and your financial future. Set up your own malpractice safety net.

• You need malpractice insurance because . . . - you have recently started, or may soon start a new job. - you are giving care outside of your primary work setting. - it provides access to attorney representation with your best interests in mind.

- claims will not be settled without your permission.• ANA recommends personal malpractice coverage for every practicing nurse. • As an ANA member, you may qualify for one of four ways to save 10% on your premium.

This is your calling. Every day you help others because you care. You’re making a difference. Personal malpractice insurance helps protect your financial future so you can go on making a difference

800.503.9230 for more information • proliability.com

56724, 55857, 55860, 55869, 55886, 55889, 55895, 55907, 55913, 55925, 56725 (6/12) ©Seabury & Smith, Inc. 2012

Administered by Marsh U.S. Consumer, a service of Seabury & Smith, Inc. Underwritten by Liberty Insurance Underwriters, Inc., a member company of Liberty Mutual Group, 55 Water Street, New York, New York 10041 May not be available in all states. Pending underwriter approval.

CA Ins Lic # 0633005 AR Ins Lic # 245544 d/b/a in CA Seabury & Smith Insurance Program Management


18% on auto insurance effective 5/1/12 for new Colorado policies or on 2012 renewal dates thereafter.

Attention Colorado Nurses:Unprecedented

18% Rate Reduction announced.

Call immediately to secure your auto and home insurance savings proposal.

1-866-655-0705

Exclusive Benefits for Nurses:• Special Rates/Multiple Discounts• Up to $500 Deductible Waiver• Convenient Payment Options• ID Defense - FREE

executive director’s column board of nursing · 2211 n. elizabeth 38155 hwy 350 pueblo, co 81003...

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