president’s perspective · 2018-03-31 · • tricia hunter honored – page 10 ... as you read...

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Special Points of Interest:

• HealthLegislativeDay–Page 5

• RNDayandNSSI– Pages 7 & 8

• TriciaHunterHonored–0

• Remembrances–Page 13

ANA\C is AN AffiliAte of the AmeriCAN Nurses’ AssoCiAtioN

Volume 18 • Issue 3July, August, September 2013

President’s PerspectiveMyname isMonicaWeisbrich,anativeCalifornian—

more specificallyLosAngeles. This ismy first ‘note’ toyou as your ANA\C President, 2013-2015. As you readthis,knowthatyourBoardhasbeendiligentlyworkingforyousinceMarch23,2013.

MayIpleaseintroducethemtoyou:

Officers➢ VicePresident—Dr.DianneMoore,RN➢ Secretary—AliceLeeBenjamin,ACNS=-BC➢ Treasurer—DonnaDolinar,MPA,RN

Board of Directors➢ NursingPractice—ElissaBrown,PMHCNS-BC➢ Legislative—Dr.ElizabethDietz,RN➢ Membership—PhillipBautista,BSN,RN➢ NursingEducation—MelanieKrupa,MSN,RN

Asyoucansee,yourBoardbringsvariedprofessionalnursingbackgroundstothetablewhichsupportstheworkyour Association is participating in. Your Board meetsquarterly withmultiple conference calls andwebinars inbetween.Know that yourBoard is only an email or textaway.

Now an overview of what your Board has beenaddressingthesepastmonths:

➢ AMERICAN NURSES ASSOCIATION (ANA)The communication to themembership regardingthe restructuring of the Association and thefocus on increasing membership has been wellpublicized to our State members. The pilotprograms for membership dues and multistateDivisionsareon-going.Botharetobere-evaluatedinthefuture.

➢ AMERICAN NURSES ASSOCIATION\CALIFORNIA (ANA\C) When ANA\Crestructured theAssociationa littleoversixyearsago, theprimaryfocuswas tobe legislative.Withthepassageand implementationof theAffordableCareAct (ACA), theFutureofNursing/CaliforniaAction Coalition and the Magnet program, thework of your Association has grown somewhat.The number of Associations ANA\C collaborateswith has grown from five (5) to fourteen (14)of which I would like to address the followingthree(3):

1. CA ACTION COALITION – ANA\Chas Board representation (Weisbrich/Dolinar) on three (3) of the eight (8) IOMrecommendations for nursing and oneANA\Cmember (Sarlatte)who is auditingall eight (8)of the recommendations. TwoBoardmembers(Brown/Dietz) represent ANA\C at the regionlevel. Your Board is aware that many of ourmembersmonitor theprojectand for thisyourBoardismostappreciative.

2. COVERED CALIFORNIA – The new nameof the Health Exchange. An ANA\C member

(Whatley)hasbeenmonitoringeverywebinar/conference call sinceourStatebeganworkingtoward the implementation date of January 1,2014.

3. COALITION FOR PATIENT’S RIGHTS/CALIFORNIA CPR/CA) Your Presidentattendsthismeetingwhichconsistsofnursing,certified nurse midwives, CRNAs and manyallied health Associations (PT/ OT/ClinicalPsychologists, etc). Together this group isaddressingaccessissuesforeachofourpatientpopulations as the implementation date of theACAnears.

Other coalitions ANA\C is involved with werediscussed by Elissa Brown in her last Presidents Perspective in the April/May/June issue of The Nursing Voice.

Your Association is moving into a new arena thatwill be quite challenging for all of us in the future--new nursing models. Some that are evolving—CareCoordination Nursing Model and the one we are mostfamiliar with, Primary Care Providers. Although thePrimaryCareProviderroleseemstobedividingintotwo(2)—basic nursing and the APRN, role differentiation isbeing addressed specific to levels of independence andautonomy for each level. The Information Technology(IT) RN—as EMRs are being completely revamped toaccommodate the continuum of care model, this IT rolewill become strategic. The outreach concept of bringinghealthcare to where the patients are—where they live(house/under a bridge) or where they work -- is askingnursingtore-visit theVisitingNursesAssociation(VNA)model of years past. From the education side of nursing,there are two (2) terms emerging—TRANSITION TO PRACTICEforthenewgradandTRANSITION IN CAREfor theRNneeding/seeking new skill sets andwill needto be addressed. All in all, these potential new roles fornursing seem to be leading the way to inter-professionalandteambasedcare.

Join theANA\C Today!Information on

page 15

Pinning

President’s Perspective continued on page 3

• ANA\C The Nursing Voice July, August, September 2013

www.anacalifornia.org

Published by:Arthur L. Davis

Publishing Agency, Inc.

www.anacalifornia.org

Article Submittal to ‘The Nursing Voice’ANA\Californiaacceptsandencouragesmanuscripts

and editorials be submitted for publication in theassociation’s quarterly newsletter, The Nursing Voice. We will determine which letters and articlesare printed by the availability of publication spaceand appropriateness of the material. When thereis space available, ANA\C members will be givenfirst consideration for publication. We welcomesigned letters of 300 words or less, typed and doublespaced and articles of 1,500words or less, typed anddouble spaced. ANA\C will accept larger narrativeif space permits. For more information pleaseemail [email protected] or call916.447.0225.

ANA\California’s official publication, ‘TheNursing Voice’ editorial guidelines and due dates for articlesubmittalisasfollows.

1. Letters, Articles and Manuscripts should beword processed and double-spaced on one sideof8½x11inchwhitepaper.Manuscriptsshouldbe emailed to Editor at [email protected]. Letters, Articles and Manuscripts should

include a cover page with the author’sname, credentials, present position, addressand telephone number. In case of multipleauthors,listthenamesinorderinwhichtheyshouldappear.

b. The Nursing Voice reserves one-timepublication rights. Letters, Articles andManuscripts for reprint will be accepted ifaccompaniedwithwrittenpermission.

c. The Nursing Voice reservestheright toeditLetters, Articles and Manuscripts to meetstyleandspacelimitations.

d. Letters, Articles and Manuscripts may bereviewedbytheEditorialStaff.

e. Letters,ArticlesandManuscripts submittedbymembers’ of ANA\Cwill be given firstconsiderationwhenthereisanavailabilityofspaceinthenewsletter.

f. Letters,ArticlesandManuscripts submittedtoANA\Cwillbepublishedasspaceallowsunlesscontentisofatimelynature.

g. Letters,ArticlesandManuscriptsprinted inTheNursing Voicedonotnecessarilyreflectthe views of ANA\C, its membership, theboardofdirectorsoritsstaff.

2. Photographs should be in jpeg format andemailed with the name of the Letter, Articlesor Manuscript referenced in the subject line.Email to TheNursingVoice@anacalifornia.orgPhotographsshouldbeofclearquality.Writethename(s) of thepersonsdisplayed in thephoto intheorderinwhichtheyappearinthebodyoftheemail.

3. E-mail all narrative to [email protected]

ANA\CWantsToSeeYou….

INTHENEWSHaveyouoroneofyourcolleaguesbeenrecognizedforanaccomplishment,electedtooffice,wonanaward,receivedagrantorscholarship,launchedanewventure?Tellusaboutit!Sendname,address,phonenumber,andnewsto–

E-mailto: [email protected]: ANA\California‘INTHENEWS’ 1121LStreet,Suite508 Sacramento,CA95814Faxto: 916.442.4394

AmericanNursesAssociation\CaliforniaisanAffiliateoftheAmericanNursesAssociation

The Nursing VoiceistheofficialpublicationoftheAmericanNurses’Association\California

ANA\CislocatedatTheSenatorOfficeBuilding1121L.Street,Suite508Sacramento,CA95814

Office916-447-0225-Fax916-442-4394AssociationE-mailanac@anacalifornia.org

[email protected]

ANA\C 2013-2015 BOARD OF DIRECTORS - Officers:MonicaWeisbrich,BSN,RN-President;DianneMoore,PhD,MN,MPH,CNM,RN-VicePresident;AliceLeeBenjamin,RN, MSN, ACNS-BC, PCCN-Secretary; Donna Dolinar,RN, BSN, MPA-Treasurer. Directors; Elizabeth “Liz”Dietz, EdD, RN, CS-HP-Legislative; Elissa Brown, MSN,PMHCNS-BC-Practice;MelanieKrupa,RN,MSN,CNOR-Education;PhillipBautista,BSN,RN,PHN-Membership.

ANA\CaliforniaExecutiveDirector: Hon.TriciaHunter,RN,MN

ANA\CaliforniaLobbyingFirm: GovernmentRelations Group

ANA\CaliforniaAdministrativeOfficer: SamanthaMarcantonio

ANA\CaliforniaMemberServices: TommieThompson

EditorialCommitteeChairperson: LouiseF.Timmer,EdD,RN

DonnaDolinar,RN,BSN,MPAElissaBrown,MSN,PMHCNS-BC

Staff: Hon.TriciaHunterRN,MN SamanthaMarcantonio

The official publication of the ANA\C shall be The Nursing Voice. The purpose of this publication shall be to support the mission of ANA\C through the communication of nursing issues, continuing education and significant events of interest. The statements and opinions expressed herein are those of the individual authors and do not necessarily represent the opinion or views of ANA\C, it’s staff, the Board of Directors, our Affiliates or the publications editors. Likewise, the appearance of advertisers, and/or their views and opinions, do not constitute an endorsement of products or services featured in this, past or subsequent issues of this publication

CopyrightbytheAmericanNursesAssociation\California.

TheNursing Voice is published quarterly starting in January;copymustbereceivedbythefirst(1st)ofNovember,February,May, and August to be included in the next publication. Thepublication is complimentary to ANA\C members, schools ofnursing and their nursing students, affiliates of the associationand their memberships. If you would like to submit a letter,article, or manuscript, for publication please read ‘ArticleSubmissionforTheNursing Voice’inthisissueforsubmissiondetails.

Ifyouwouldliketoreceive this publicationoryouwouldliketo stop receiving this publication, please email,write, call orfaxANA\Cwithyour information.Pleasestateyourfullnameas it appears on the publication, the complete current addressand/oraddresscorrectionandaphonenumbershouldweneedtocontactyou.Or,filloutandmailintheUpdateRequestFormfound in this newsletter and send it to ANA\C at the addresslistedabove.

Reprints and Submissions: ANA\C allows reprinting ofnewslettermaterial. Permission requests should be directed totheANA\CofficeinSacramento.(916)447-0225.

Advertising: Advertising Rates Contact—Arthur L. DavisPublishingAgency,Inc.517WashingtonSt.,POBox216,CedarFalls,IA50613,800-626-4081,[email protected].

ANA\C 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 ANA\C 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. ANA\C 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.

Help us stay in touch: Do you have a new address or

e-mail address?

YoucanhelpAmericanNursesAssociation\California‘stay in touch’ by updating your contact information.Call ANA\C at 916-447-0225, e-mail us a [email protected]:

The‘Nursing Voice’c/oANA\C1121LStreet,Suite508Sacramento,CA95814

ANA\CMemberIdentificationNo.(ifapplicable)___________________________________________

Name:_____________________________________

NewAddress: _______________________________

___________________________________________

___________________________________________

OldAddress:________________________________

___________________________________________

___________________________________________

NewE-mailAddress:_________________________

*** This is not to update your license information with the Board of Registered Nursing.Go to www.rn.ca.gov

Master of Science in Nursing

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July, August, September 2013 ANA\C The Nursing Voice •

Your Board is also working on enhancing the socialmedia role in communicationwith ourmembership. TheBoardfirmlybelievesenhancingourcommunicationwithour members will bring more members to the ANA\Ctable. ANA\C has a website (www.anacalifornia.org)withexcellentcurrent information foryou.YourBoard iscognizantoftheneedtogetinformationtoourmemberinamoretimelywayandareaddressingtheissue.

It is my goal to keep you informed of the work yourBoardisdoingforyou.YourBoardbelievesthesechangesinhealthcaredeliverymodelsareanopportunityofa lifetimefornursingandANA\Cisembracingtheexperience.

Looking forward to seeing and greeting you at theGeneralAssemblyinSanJoseonOctober21,2013.

MonicaWeisbrich,RNPresident—ANA\[email protected]

President’s Perspective continued from page 1

2013-2015 ANA\C Board of Directors

From Left to Right: Elissa Brown, Phillip Bautista, Dianne Moore, Monica Weisbrich, Liz Dietz, Alice Lee Benjamin, Melanie Krupa and Donna Dolinar

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Promoting the highest quality of health care in facilities throughout the State of California.

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Practice Points

CPR & Nursing Practice in aNon-Medical Model of Care

Cheryl Franzi, APRN, MSN, MHSNurse Consultant, Retired

InBakersfield,California, inFebruaryof thisyear,an87-year-old female resident collapsed in the dining roomoftheindependentlivingfacilityinwhichshewasliving.The facility staff called 911. The operator answering thecall dispatched an ambulance then attempted to instructthe facility staff member on how to initiate CPR. Thestaff member declined the instruction and transferredthe call to a person who identified herself as a nurse.The nurse told the dispatcher that she could not help thewoman and could not allow another resident nor otherstaff members to perform CPR. The phone call endedwhentheparamedicsarrived.The87-year-oldwomanwastransportedtothelocalhospitalandwaspronounceddead.

This 87-year-old woman’s story got the attention ofthe news community. The public was informed that theBakersfield facility was a “non-medical” model of careand therefore not obligated to perform CPR. The newsreportshighlightedthepracticeofanurseatthescenewhowould not performCPR and questionswere raised abouthealthcare regulations in facilities that are non-medicalmodelsofcareforelderlyresidents.

Thenews reportsdidnot reveal informationabout thevictim’shealthor thedecisions shemayormaynothavemadeabout thecareshewantedat theendofher life. Inresponse to this story, two questions remain unansweredfor nurses who care for elderly adults in these settings.First, can an elderly resident living in a non-medicalmodelofcarefacilityexpecttheirend-of-lifechoicestoberespected?Second,what is theobligationofadispatcher,when choosing to instruct administration of CPR, torespectthejudgmentregisterednurseatthescene?

Non-medical facilities are designed to provide elderlyresidents some assistance with everyday activities suchas preparing and cookingmeals, cleaning thehouse, andother daily tasks. Examples of facilities that offer non-medicalmodels of caremay include: 1)Respite facilitiesthat provide temporary relief to the family from caregiving; 2) Hospice care facilities that provide physical,emotional and spiritual support in the final phase of aterminal illness;3)BoardandCare facilities thatprovidemeals,protectivesupervision,personalcare,transportationandmedicationreminders;4)Independentlivingfacilitiesthat provide shelter for residents who want to pay rentin exchange for prepared meals and home maintenanceand 5) Assisted Living facilities that provide personalassistance by trained but unskilled staff members. InCalifornia, assisted living is regulated under Title 22 asResidential Care Facilities for the Elderly (RCFE) andprovidesnon-medicalmodelofcaretopeoplewhoarenotabletoliveindependentlybutwhodonotrequire24-houradaynursingcare.

Some or any of the above types of non-medicalcare facilities may employ a nurse or other health careprofessional to provide specific skilled tasks or offereducationtothepersonalcareassistantsaspartofthenon-

medicalmodel of care for the organization. The type ofnon-medicalcareofferedatanyof thefacilitieswillvaryfromcompanytocompany,dependingonstateregulations,employee training, insurance coverage and other marketinfluences.

Incontrast,SkilledNursingFacilities(SNF)ornursinghomes are medical models of care for people who dorequire 24-hour a day nursing care by a registered nurseor licensed vocational nurse on duty at all times andwith a licensed physician on call at all times. In thesefacilities, residents can expect the staff to perform CPRunless physician orders are in place towithhold this lifesustaining procedure. In the SNF, it is doubtful that thiswoman’sstorywouldhavewarrantedmediaattention.

Ideallyspeaking,CPRworksbest forpeople thathavea substantial chance of surviving cardiac arrest withimmediate medical treatment, and for people who cancount upon their health being restored to the condition itwas in before their heart stopped.Realistically speaking,bystanders or most staff members in the non-medicalcare facility for the elderly are not qualified to make ajudgmenton the likelyoutcomeofCPRsurvivalnor cantheydeterminepotentialforcompleterestorationofhealthfortheelderlyresident.

In some non-medical facilities, regulations permitthe facility to allow residents to hold anAdvanceHealthCare Directive and/or a Do-Not-Resuscitate (DNR)Form in their facility “file” as a way to indicate theirchoices in the matter of CPR. The existence of such aformdoes not replace the facility’s obligation to call 911in an emergency. ThisDNR formmust then be given tothe responding paramedic or to a physician or registerednurseintheclient’spresenceatthetimeoftheemergency.The licensed professional makes the decision to followthepatient’swishesasexpressedontheformandassumesresponsibility for the resident’s emergency.One can onlyhopethatthefacilityupdatedtheinformationontheformand that it accurately reflects the resident’swishes at thetimeoftheevent.

It is best for the residents and families associatedwith any non-medical model of care facility to takethe initiative to make arrangements for their end-of-life choices to be formally acknowledged by the non-medical care staff. There are many forms to use tocommunicate end-of-life wishes such as the DNRmentioned above. Unfortunately somany types of formscan cause communication difficulties, especially intimes of emergency, and may or may not be timely, oracknowledgedbetweendifferenthealthcaresettings.Mostformsare facility specific,donotprovidemedicalordersforcurrenttreatment,nordotheyguidetheactionsofthe911-response team, or inpatient treatment decisions oncethepatientgetstothehospital.

Alternatively, thePhysicianOrders forLifeSustainingTreatment (POLST) is a nationwideprogramdesigned toensure that patients choose the treatments theywant andthat current physician orders are in place to guide the911-responseteam,aswellasthehospitalemergencyroomproviders.ThePOLSTis the“doctor’sorder” forwhat todoinanemergencythatmatchesthewishesoftheelderlyresident. Like a driver’s license, the form stays with theresident. Only patients with serious, progressive, chronicillnessesorwhosecurrenthealthstatusindicatestheneedforstandingmedicalordersshouldhaveaPOLSTformintheirpersonalpossessionandsharedwiththefacilitystaff.

The tragedy for the woman and her family inBakersfieldwas also amedia disaster for the nurses andfor the non-medical model of care industry. The storyindicates that consumer and professional education isneeded to prevent well-meaning dispatchers from takingaction to initiate CPR possibly against the wishes of anelderly resident. It is also clear that nurses working insuch settingsmust fully disclose their priority to protecttheir patients wishes and the public must become betterinformed about the type of healthcare one may or maynotexpecttobeprovidedinanon-medicalmodelofcarefacility.

Bibliographyht tp://www.theindychannel.com/news/ local-news/

glenwood-gardens-in-bakersfield-refuses-cpr-releases-statement-on-policy-and-residents-death

http://www.abclocal.go.com/kfsn/story?section=news/state&id=9011877

http://www.washingtonpost.com/national/health-science/is-it-ever-right-to-choose-not-to-do-cpr/2013/04/01/fa5e1c56-90b0-11e2-9abd-e4c5c9dc5e90_story.html!

U.S.DepartmentofHealthandHumanServices,AssistantSecretary for Planning and Evaluation Office ofDisability, Aging and Long-Term Care Policy (1995)ADescriptionofBoardandCareFacilities,Operators,andResidents

CaliforniaCodeofRegulations (CCR),Title22,Division6, Chapter 8, sections 87465 (g) and 87469 (c)(1),and CCR, Title 22, Division 6, Chapter 6,! section85075.3(b)(1)

Jennifer Black, MD (2013) “What you think you knowaboutCPRisprobablywrong,”March2013

Christopher Meyers, PhD (2013) “Is all of this moraloutrageintheGlenwoodGardenscasewarranted?”

Physician Orders for Life Sustaining Treatment. http://www.polst.org/

Bakersfield “Nurse”CPR Call

Aftera thorough investigation, itwasdeterminedthe “nurse” who refused to do CPR in Bakersfieldwas an LVN. The issue of whether, ethically andlegally the LVN can refuse to perform CPR, basedon a facility policy, is in the purview of the Boardof Licensed Vocational Nurses and PsychiatricTechnicians.Theyarereviewingtheincident.

Once you are licensed as a Registered Nurseor a Licensed Vocational Nurse, you are licensedto protect the public. A Policy does not dictate thenursesresponsibilitytoprotectthepublic.Nomatterwhat the title of the job the nurse isworking in, aslongasheorsheholdsalicense,thatisthestandardthenursewillbe judgedat. The licensedoesallowus to make judgments and the law allows us tosupportclientsrightnottohaveCPR.

There are two bills going through the legislaturethat will establish statute to state a facility cannothave a policy that states an employee cannot giveCPR,whentheychosetoimplementit.

Practice PointsNursing Practice Issues

Elissa Brown ANA\C Board Director-Practice

Hi,all.In my new role as ANA\C

Director-Practice, I want tofirst thankDonnaDolinar, whopreviously held this position,for setting the standard for ustofollow. Consideringpracticeissues is relevant for all nursesat all levels in all settings; thatincludes looking at changingpractices, policy, legislativeand regulatory issues, newhealthcareinitiatives,ethics,andlocal and national healthcarechanges. I look forward to continuing communicationaround practice issues and welcome input from ourmembers. So please let us know if there are practiceconcernsyouwishtoaddressandifyouwouldliketobemoreinvolvedinANA\C.Moretocomeinfutureissues.

“Doing the best at this moment puts you in the best place for the next moment.” ~ Oprah Winfrey

Elissa Brown


American Health & Stroke Association Health Legislative DayOn May 1st, Alice Benjamin, ANA\California newly

elected secretary spent the day in Sacramento invitedas back for the second year in a row to emecee the 11thAnnualAmericanHeart&StrokeAssociation’sCaliforniaHealthLegislativeDay.EveryyearhundredsofAmericanHeart Association volunteers and supporters gather tohear important information on proposed legislation thatcan impact the health of fellow Californians and learnbasic techniques on how to speak with law makers onimportant health issues. As a Clinical Nurse Specialistwhospecializesincardiovascularhealth,itwasimportantforattendeesandlawmakerstohearanurse’sperspectiveontheimportanceofaccesstohealthyfoods,exerciseandhowlifestylechoicesimpactthebody.

In previous years, the American Heart & StrokeAssociation’s health legislative days have resultedin the passing of important legislation that impactshealth.Of those includeAB 1220which allowed for theestablishment of the California State Heart Disease andStroke Prevention Task Force; AB 1731 that requiresevery newborn be screened forCriticalCongenitalHeartDefects as well as other legislation that limits the saleof soda and junk food in schools, requires AED’s in allhealthclubsandhasmadeCaliforniathefirststateinthenationtobantransfatsbyrequiringrestaurantstouseoilsandshorteningwithlessthanhalfagramoftransfatperserving.

This year the focus was on two key pieces oflegislation, Senate Bill 768, the California Tobacco Taxauthored by California Senator De Leon and AssemblyBill 459, Healthy Food Options on State Property,authored by Assemblywoman Mitchell. Both bills haveshowntobepromisingonhavingapositiveimpactonthehealthylifestylesandstandardsoffellowCalifornians.

In attendance included American Heart Association,Western States Affiliate, Executive Vice President and

CEO, Roman J. Bowser; Assemblywomen Mitchell;Senator De Leon; Jason Thompson, power forward forthe Sacramento Kings who lost his 25-year-old cousinsuddenlytocardiacarrest;SteveIrigoyen,aheartsurvivor

Roman Bowser (CEO, AHA, WSA), Alice Benjamin and Jason Thompson (Sacramento Kings)

Assemblymember Holly Mitchell and Nurse Alice.

Students from Galileo High School in San Francisco, CA and Nurse Alice.

Legislative

School Nurses Case Goes Before California Supreme Court

ANAistheleadplaintiffinacasebeforetheCaliforniaSupreme Court that will determine who is qualified toadministerinsulininschools.Previously,twolowercourtsruledthattheCaliforniaDepartmentofEducation’s(CDE)effort to sidestep the state’s Nursing Practice Act andallow unlicensed personnel to give insulin to childrenin schools was unlawful, but the American DiabetesAssociation and others appealed the decision. OralargumentswillbeganonWednesday,May29.Thecasehasnational implicationsfornursingpracticeandthestandardof care for children who are entitled to receive healthservices at school. ANA anticipates a decision within afew months and will provide more information once thedecision is handed down. Co-plaintiffs include ANA\California (ANA\C), the California Nurses Association

and the California School Nurses Organization (CSNO).The National Association of School Nurses and otherorganizations have filed amicus or “friend of the court,”briefs with the California Supreme Court in support ofANA.

who has had 7 heart attacks, two open-heart surgeries,20 stents and one stroke; hundreds of others includingstudents fromSacramentoGalileoHighSchoolandWestLosAngeles ÁnimoRalph Bunche Charter High Schoolstudents and for the second year in a row – a nurse toprovide an important perspective on important healthissuesoutsideofthetraditionalhospitalarena.


Fact SheetAmerican Nurses Assn. et al. v. Tom

Torlakson as Superintendent of Public Instruction et al. (American Diabetes Assn., Intervener) (McGuiness, APJ., assigned justice pro tempore; Cantil-

Sakauye, C.J., not participating)

May 2013

TheCaliforniaSupremeCourt is set toweigh in on alegal fight overwho is qualified to administer insulin inschools.

Why does this matter? The case has nationalimplications for nursing practice and the standard ofcare for children who are entitled to receive healthservicesatschool.Theissueismuchbiggerthandiabetesmanagementinschools.

Background:

• Two lower courts ruled that the CaliforniaDepartment ofEducation’s (CDE) effort to sidestepthe state’s Nursing Practice Act and allowunlicensed personnel to give insulin to children inschools was unlawful, but the American DiabetesAssociation (ADA)andothershaveappealed to theCaliforniaSupremeCourt.

Nursing Practice Act Facts:

• California’s Nursing Practice Act specificallydefines administration of medication as a nursingfunction that cannot be performed by unlicensedindividuals, except incertaincircumstances thatdonotapplyinthiscase.Thelowercourtrulingscalledfor ending the unlawful use of unlicensed schoolpersonnel to administer insulin to school children,whichviolatestheNursingPracticeAct.

• Under the Nursing Practice Act, registered nursesmust only delegate the administration of insulin tocompetent licensedpersonnel andcanbe subject todisciplinaryactioniftheydelegatetoincompetentorunlicensedindividuals.

• Under the Nursing Practice Act, it is a crimepunishable by imprisonment and/or a fine of upto $1,000 for an unlicensed person to performor volunteer to perform a nursing function, likeadministeringinsulin.

• The lower courts’ rulings made it clear that CDEdoes not have concurrent authority with theCalifornia Board of Registered Nursing to definethe scope of nursing practice, even within theschool setting, and that it cannot modify or createexceptions to the Nursing Practice Act, which canonlybeamendedbythestatelegislature.

• The courts’ rulings do not prevent students withdiabetes in California’s public schools fromreceiving the health services to which they areentitled. California law permits several categoriesof individuals to administer insulin in the schoolsetting,includingparentaldesignees.

• Upholdingthelowercourts’rulingswillensurethatstudents in California’s public schools will receivetheir health services from individuals who arequalifiedunderstatelawtoprovidethem.

What are the implications of the

California Supreme Court decision?

• Given the complexities of diabetes and chronicdisease management, a decision by the CaliforniaSupreme Court that would negate the NursingPracticeActwouldputchildrenatrisk.Ifthatweretohappen,schoolswillrelyonsecretaries,cafeteriaworkers, teachers and other unlicensed personnelto administer insulin, a dangerous drug, to theyoungest and most vulnerable students who areunabletomanagetheirownhealthconditions.

• Many children have suffered needlessly becauseunlicensed, untrained volunteers and designeesadministeredtheirmedication.

○ Forexample,aUniversityofIowasurveyofschool nurses revealed that during a typicalday, about 6% of children receivemedicinein school. Half of the nurses reportedthat medication errors had occurred,mostly by unlicensed assistive personnel(UAP). Alarmingly, medication errors arethree times more likely when these UAPadminister medicines instead of a schoolnurse.

○ Many instances have been reported ofunlicensed personnel giving students thewrong medication, the wrong dosage,skipping doses, incorrectly calculatingdosage, and committing other medicationmistakes, some of which required medicalcareor,asintherecentcaseofatenyearoldgirlwithasthmaandfoodallergies,resultedindeath.

• If the California Supreme Court doesn’t affirmthe lower courts’ rulings, the California boardof nursing will lose its right to define nursingpractice.Consequently, a precedentwill be set thatwill undermine the authority of the board that isauthorized by statute to protect the public throughregulationofnursing;consequently,thepowerofallstate boards of nursingwill be diminished, aswillthe nursing profession’s self-regulation, based onmereconvenienceorcost.

• If the California Supreme Court finds that federaldisability laws preempt state health care licensinglaws,nostatewillbeabletoestablishqualificationsfor individualswhoprovidehealth carepursuant toa504Plan.Itwouldbe thefirst timethatanystatehealth care licensing law has been preempted byfederal disability law.The two laws currentlyworkin relationshipwith eachother, permitting the stateto control how health care is regulated consistentwith anti-discrimination and accommodationrequirementsoffederallaw.

ANA Beliefs:

• Nurses want every child to have the quality caretheyneedtoattendschool.Wedonotbelievecostorconvenienceisareasontolowerastandardofcare,particularlyregardingthecareofvulnerablepatientslike the young or disabled. In some instances, aschool nurse might be the only source of qualityhealthcarethatachildreceives.

• ANA supports a collaborative school healthmodel,which best protects the fundamental public healthand educational priority our nation’s childrenrepresent.

• Nurses coordinate care, information, education,personnel and resources to take best advantage ofschools’ unique positions in addressing students’safetyandhealthcareneeds.

• ANAsupportstheassignmentanddailyavailabilityof a registered school nurse for the centralmanagement and implementation of school healthservices at the recommended ratio of at least onenurse for every 750 students,with an ultimate goalofatleastonenurseineveryschool.

Key court dates in American Nurses Assn. et al. v. Tom Torlakson as Superintendent of Public Instruction et al. (American Diabetes Assn., Intervener) (McGuiness, APJ., assigned justice pro tempore; Cantil-Sakauye, C.J., not participating):

• 2007: ANA and its state affiliate ANA\Californiafile suit in theSuperiorCourtofCalifornia againstthe Superintendent of Public Instruction and theCaliforniaDepartmentofEducation.

• 2008: ANA presents oral arguments before theHonorable JudgeLloydG.Connelly.OnDecember26,2008,thejudgerulesinfavorofANA,ANA\C,CaliforniaNursesAssociationandCaliforniaSchoolNursesOrganization(CSNO).

• 2010: The California Court of Appeals, ThirdDistrict, upholds the lower court’s decision thatallowing unlicensed school personnel to administerinsulin violates California laws, including theCaliforniaNursingPracticeAct.

• 2010: American Diabetes Association (ADA) asksthe California Supreme Court to accept the schoolnursecaseforreview.ANAfilesareplybrief.

• 2011: In April, more than two dozen nursing andhealthcaregroupsfileanamicusbriefinsupportoftheANA,ANA\Cposition.ThestateSupremeCourtschedulesafinalroundofwrittenargumentsinJune.

• 2013:CaliforniaSupremeCourtsetsMay29,2013,tohearoralarguments.

ANA Support:

• The National Council of State Boards of Nursing,National Association of School Nurses, EmergencyNurses Association, Association of periOperativeRegisteredNurses,AmericanOccupationalTherapyAssociation, Inc., School Social Work Associationof America, the California Teachers Association,the American Federation of Teachers, AFL-CIO,the California School Employees Association, theUnitedNursesAssociationsofCalifornia,AFSCMEandover 40 other nursing organizations are amongthosewhohavefiledamicusor“friendofthecourt”briefswiththeCaliforniaSupremeCourtinsupportofANA.

• These groups back ANA and co-plaintiffs, ANA\California (ANA\C), the California NursesAssociation and the California School NursesOrganization (CSNO) in challenging theCaliforniaDepartment of Education’s and American DiabetesAssociation’seffortstounlawfullychangethestate’sNursing Practice Act to allow unlicensed schoolemployees to administer medication to children inschool.

Legislative

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RN Day 2013 and NSSI – An OverviewNicole Bloom BSN, RN, NSSI Program

Coordinator and Samantha Marcantonio,ANA\California Staff

Those making the decisions that govern our profession are not nurses and therefore need our help and expertise to make solid decisions when it comes to nursing.

What is the Nursing Student in Sacramento Internship(NSSI)?Well, it is a once in a lifetime experience availabletoallmembersoftheCaliforniaNursingStudentAssociationwhere candidates submit an application fromwhich (2) twoareselected.Those(2)twospendanallexpensepaidweekinSacramentoworkingalongsidenurseleaders,nurseadvocatesand inparticular theHonorableTriciaHunterMN,RNwhoistheExecutiveDirectorandLegislativeAdvocateforANA\Cas well as Nicole Bloom BSN, RN founder of the NSSIprogram, a former Board member of ANA\C and now theNSSIProgramcoordinatorandliaisontotheinterns.

To put it in nursing terms; there’s a didactic component(e.g. lecture) which is ANA\C RN Day, and then there’sthe practicum or clinical (e.g. hands on application) whichis the attending committees, attending “special” meetingsof key stakeholders in legislative activities and meetingswith a varietyof representatives andor their staff.Below isa overview of what the 2013 interns experienced while inSacramento(notaconclusivelist).

Tosummarizethe2013NSSIactivities:

Monday, 04/15/13: ANA\C RN Day 2013 –A Day at the Capitol

TheinternsassistANA\Cstaffwithregistration,attendtheRNDayprogramatwhichtheyaregivenspecialrecognitionand then join the President and Executive Director alongwithseveralmembersoftheBoardandANA\Cmembersforan intimate lunchhostedbyANA\Cat theBroiler.Here theinterns are presented with certificates acknowledging theiraccomplishment and their essays that won them the trip toSacramento are available for the group to read. The internsfinish the program and then head to the ANA\C office todiscussschedulingover thenextseveraldays,meeting timesandexpectationsaswellaregivenlegislativeinformationtheymust read and be knowledgeable about for theweek ahead.(Representativemeetingsinterspersedsporadically)

Tuesday, 04/16/13:08:00 ANA\COffice(morninghuddlew/TriciaHunter,

ExecutiveDirectorandLegislativeAdvocateANA\C)

09:00 AssemblyCommitteeHearing-Business,Professions&ConsumerProtection(espA.B.496,A.B.634,A.B.1028)

11:00 SenateAppropriationsCommittee(espS.B.60,S.B.271)

12:00 Lunch13:00 SenateBusiness,Professions&Economic

DevelopmentCommittee(espS.B.809)13:30 AssemblyHealthCommittee(espA.B.471,A.B.

753,A.B.1208)13:30 AssemblyHumanServicesCommittee(espA.B.

322&A.B.1094)13:30 SenateJudiciaryCommittee(espA.B.138)16:00 AssemblyVeteransAffairsCommittee(espA.B.

705)*Representativemeetingsinterspersedsporadically17:30 DebriefingattheANA\Coffice,questionand

answerportionoftheday,discussanycommitteehearingchangesoradditionsandreceivelegislativeinformationforthenextday’smeetings.

19:00 Dinnerandadjournment

Wednesday, 04/17/13:09:00 AssemblyAccountability&Administrative

ReviewCommittee(espA.B.291)10:30-12:00 Governor’sInteragencyCouncilon

VeteransHEALTHWorkGroupMeeting,RepresentANA\C

13:30 AssemblyEducationCommittee(espA.B.1152)

13:30 SenateHealthCommittee-esp.S.B.718(“metoo”forANA\C)

*Representativesmeetingsinterspersedsporadically17:30 debriefingattheANA\Coffice,question

andanswerportionoftheday,discussanycommitteehearingchangesoradditionsandreceivelegislativeinformationforthenextday’smeetings.

19:00 Dinnerandadjournment

Depending on the Legislative schedule and the amountofbillsANA\Cisworkingwith,afourthdaymaybeadded.Thiswillbedecidedduringtheselectionprocessforthatyearsinternship.

Representatives Targeted 2013:

SenateNoreenEvans(D-SantaRosa)CarolLiu(D-LaCanadaFlintridge)MartyBlock(D-SanDiego)

AssemblyMarcLevine(D-SanRafael)RaulBocanegra(D-Pacoima)ToniAtkins(D-SouthPark/GoldenHill)BrianMaienschein(D-SanDiego)

In conclusion:Interns write an article for ANA\C newsletter The

Nursing Voice,whicharealsosubmittedforconsiderationforpublicationinNSNAnewsletterImprintandCNSAnewsletter

Range-of-Motion. Interns also write “Thank you” notes totheir representatives and any representative that they metwithduring the internship. Interns are also required todo apersonalevaluationoftheNSSIprogram.

There’sinterspersedthroughoutandalotofQ&AbetweentheNSSI internsand theNSSIprogramcoordinator.There’salotofgenerallecturetypeinformationsharinginterspersedthroughout everyday from NSSI program coordinator toNSSI interns. The information shared to the interns fromthe program coordinator is learned from both the personalexperienceoftheprogramcoordinatorinadvocacytocontentlearnedfromspecialadvocacytrainingevents–Forexamples,The Alliance’s Nursing in Washington Internship (NIWI)and ANA’s American Nurses Advocacy Initiative (ANAI)and the many ANA\C RN Days events attended. Also, the“treasurehunt”(a.k.a.ANA\CFindingEssentialResourcesattheCapitolWorksheet)isinterspersedsporadicallythroughoutalldays.Also,whereeventsscheduledsimultaneously,wouldlook at agenda and depending where the agenda item fell,e.g.inthebeginningorintheend,etc.,wewouldrunaroundtryingtobewitnesstoasmuchoftheprioritybillsaspossible.(or, if one intern has a particular passion regarding a billtheycould stay thereby their choice if sodesired–a lotofflexibilityisrequired)

Additionally, for all representatives the interns visited, apacket of information about ANA\C is given and for 2013included:ANA booklet titledRegisteredNurses:ADistinctHealth Care Profession, ANA\C informational tri-fold colorglossy pamphlet, 2 different 1-pg Fact Sheets, and lastlythe ANA\C created position statements specific to ANA\Cpriority bills. Other activities include NSSI group photo oponAssemblyfloor.NSSIinternsreceivespecialcertificateofcompletion.

AttendingRNDayisamustforallnursesnomatterwhatstageofnursingyouhappentofallinto.Student,freshgrad.,accomplished nurse employer or administrator, nurse leader,nurse educator or retired (but stillworkingon the side).Allnurses need to know the importance of legislation and howitaffects theirability toprovidecare to theirpatients.Thosemakingthedecisionsthatgovernourprofessionarenotnursesand therefore need our help and expertise to make soliddecisions when it comes to nursing. For more informationaboutRNDayor theNSSIprogrampleasevisit theANA\Cwebsitewww.anacalifornia.org.

From left to right: Hon. Tricia Hunter, NSSI Recipient Scott Harrell, NSSI Recipient Barbara Carboja and ANA\C NSSI Coordinator Nicole Marcy at ANA\C office Sacramento, CA.

Nursing Student in Sacramento InternshipScott Harrell, NSSI 2013

Advocacyisalargepartofnursingpractice;butitdoesn’tonlyapplytobedsidecare.Asnurseswehaveastrongvoiceinlegislationbecauseofourlicensure,knowledge,andethicalstandards.Legislators listen towhatwehave to saybecausethey know its coming from an informed source that caresaboutthecommunity.

The American Nurses Association of California offers athreedayinternshipcalledtheNursingStudentinSacramentoInternship (NSSI) through the California Nursing StudentAssociation.Thisallexpensespaidinternshipallowedanotherstudent andme to participate in legislation and its affect onhealthcare.

NSSIbeginsattheANA\CRNDay,ADayattheCapital,an event set up at the Capitol building in Sacramento,California for nurses to come be involved in the legislativeprocessandspeakwiththeirlegislatorsondifferentbills.Eachstudent speakswith theirSenatorandAssemblymember,ortheirlegislativestaffmember,onhealthcarerelatedbills.Notallmeetings are able to fit into the first day and somemayneedtobescheduledduringthefollowingtwodays.

Duringthelasttwodaysoftheinternship,yousitinonandobservedifferentcommitteesasdifferentbillsarediscussed,amended, voted on, and either passed or not passed fromthecommittee.Youget thechance toworkalongsidesomeamazing nursing legends such asTriciaHunter, a registerednurse who held position in the state assembly and stillcontinuestobeheavilyinvolvedinlegislativehealthcare.

Legislationandpolicydictate the typeofcarenursescanprovide theirpatients;asRNsweneed tobe involved in thelegislativeprocess tohelpdirectpolicyandact as advocatesfor our patients.Any nursing studentswho are interested inlegislativehealthcareandpolicy;thisistheinternshipforyouandIencourageyoutoapply.It’sanamazingopportunity.

2013 NSSI Experience Priceless

Barbara Carbajo, BSN Student atWest Coast University, Los Angeles

Ihad thehonorofbeingchosenasa2013recipientoftheNursingStudentinSacramentoInternship(NSSI)andattended the 2013 RNDay at the State Capitol onApril15th, 2013. Imetmembers ofANA\C and enjoyed three(3)daysattheCapitollisteningtocommitteehearingsforboththeAssemblyandSenate.

IstoppedinmyAssemblymenandSenator’sofficeandleft information about Bill AB 705, the Combat to CareAct.IsatinthecommitteehearingatwhichTriciaHunter,ANA\C’s Legislative Advocate spoke regarding this bill.TheCombat toCareActwould require theBRN to lookatmembersoftheArmedForcesanddeterminewhatpartof their education, training, and/or experience would beable to transferoverascredit towards themgettingaRNlicense.IfeellikethisisnottheresponsibilityoftheBRNandwouldopen thedoor toother requirements theBRNwould have to take on. Thiswould take time away fromtheirmain purpose of keeping the public safe. This wasanenlighteningmoment.Irealizedthatasnurseswedon’tjustneed tobepatient-focused.Weneed toalso focusonthenursingprofessionandfighttoprotectitsintegrity.

ItishardformetoputintowordswhatIlearnedfrommy experience of being a part of NSSI. It showedme adifferentaspectofnursinganditreassuredmethatIwentinto the correct profession. I have a love and passion forit and I look forward to entering theworkforce being anactivememberofthisprofession.

Iwanted to expressmy thankfulness toNicoleBloomfor being a part of NSSI and showing us a great timeduring our internship. I also want to thank CNSA andANA\C for having us and taking the time to meet withus andansweringourquestions. I look forward to seeingeveryonenextyearattheANA\C2014RNDay.

Legislative


ANA\California Calendar of EventsNovember 20131st The Nursing Voice–Articlesubmissiondeadline-Forinformationabout

submittingandarticle,pleaseseepage2ofthisnewsletterforThe Nursing Voice‘ArticleSubmissionGuidelines’orcall916-447-0225.

5th ANA\C2ndQtrFinancialReview7th-10th NSNA’s31stAnnualMidYearConferenceNovember7-10,2013

inLouisville,Kentucky.Forinfohttp://www.nsna.org/Meetings/MidYearConferences.aspx

8th&9th FosteringInnovativeStaffingSolutionshostedbyANAandco-hostedbyANFNovember8-9,2013,WashingtonHilton,WashingtonDCdeadlineforregistrationOctober17th2013.

December 20136th ANA\CBoardofDirectorsMeeting,SacramentoCA

January 20141st TheNursingVoicePublicationshouldbereceivedbymembership.29th ANA\C3rdQtrFinancialReview

February 20141st The Nursing Voice–Articlesubmissiondeadline-Forinformationabout


5th–7th ANA8thAnnualNursingQualityConferenceFebruary5th–7th2014,PhoenixConventionCenter,Phoenix,AZformoreinformationgotowww.nursingworld.org

March 20141st ANA\CBoardofDirectorsMeeting

April 20141st The Nursing VoicePublicationshouldbereceivedbymembership.7th RNDay–ADayattheCapitol23rd ANA\C4thQtrFinancialReview

May 20141st The Nursing Voice–Articlesubmissiondeadline-Forinformationabout


14th ANA\CBudgetReview

June 20146th ANA\CBoardofDirectorsMeeting

All ANA\C members are welcome and encouraged to attend meetings of the Board ofDirectors.MeetingsareheldinSacramentoattheANA\CofficelocatedinTheSenatorOfficeBuilding,1121LStreet,Suite508Sacramento,CA.95814.Meetingsbeginat10:00a.m.unlessotherwisenoted.Anymember interested in attendingaBoardmeeting is asked tonotify theANA\Cstaffatleastoneweekpriortothemeetingdatebycalling916-447-0225.Memberswillreceiveinstructionsforparkingandentryintotheofficebuildingatthattime.

June 201321st BoardofDirectorsMeeting–Sacramento,CAMeetingwillstartat10:00am27th ANALobbyDayonCapitolHillWashingtonDC-Registrationopensat

6:30amHyattRegency,CrystalCity,Breakfastanddebriefingat7:00amfollowedbyvisitsonCapitolHillsetupbyANAGovernmentAffairsTeamformoreinformationgotowww.nursingworld.org

28th&29th ANAMembershipAssembly,HyattRegency,CrystalCity,VAmoreinformationforbothmembersandnonatwww.nursingworld.org

July 20131st The Nursing VoicePublicationshouldbereceivedbymembership.26th NationalStudentNursesAssociation SummerLeadershipConference-Friday,

July26,20139:00am-4:00pmattheMt.SinaiMedicalCenterNY.NY.Formoreinformationhttp://www.nsna.org/Meetings/SummerConferences.aspx

August 20131st The Nursing Voice–Articlesubmissiondeadline-Forinformationabout


6th ANA\C1stQtrFinancialReview

September 20137th BoardofDirectorsMeeting–Sacramento,CAMeetingwillstartat10:00am

October 20131st The Nursing VoicePublicationshouldbereceivedbymembership.2nd-4th ANCCNationalMagnetConference,October2-4th,2013,Pre-Conference

October1st,OrangeCountyConventionCenter,Orlando,FLformoreinformationgotowww.nursecredentialing.org

18th-20th CSNAConventionSanJose.Formoreinformation,pleasegoto www.cnsa.org20th CEProgramANA\C21st GeneralAssemblyoftheMembershipofANA\COctober21st,2013SanJose

RedCross,SanJose,CA.Registrationbeginsat8:15am.Businessmeeting,silentauctiontobenefittheGoldenStateNursingFoundationformoreinformationgotowww.anacalifornia.org

28th-30th CalNOCSeattle

RN Day2013

CSNA Liaison Cathy Melter speaks to other ANA\C members during Members lunch RN Day 2013.

ANA\C Board Members Melanie Krupa, Elissa Brown and Liz Dietz enjoy a moment during RN Day 2013 State Capitol.

ANA\C President Monica Weisbrich and CSNO President Katy Waugh enjoying the lecture during RN Day 2013.

Monica Weisbrich gives a brief statement to Members during Members luncheon RN Day 2013.

Hon. Tricia Hunter giving lecture during RN Day 2013 State Capitol.

Legislative


awards for nursing leadershipandwas inductedasaFellowin theAmericanAcademy ofNursingin2010.

Hacker is the firstCommission on Magnetrepresentative from apediatric hospital—a grouprepresenting approximately8 percent of all Magnethospitals.She isalso thefirstrepresentativefromCaliforniain nearly a decade. Her termbegins on July 1, 2013, andrunsforfouryears.

New Chair: Deb Zimmerman elected new chair of Commission on Magnet Recognition

Deborah T. Zimmermann, DNP, MS, RN, NEA-BC,was elected as the incoming chair of the commissionat the March meeting. Dr. Zimmermann became thechief nursing officer and vice president of patient careservices with The Virginia Commonwealth University(VCU) Medical Center in 2009. Zimmermann cameto the VCU Medical Center from Rochester GeneralHospital, where she was senior vice president of patientcareservicesandchiefnursingofficer.Duringher23-yearcareer at Rochester General, Zimmermann also servedas vice president of hospital operations, chief patientcare executive, employee health services director, andnurse practitioner. Zimmermann has earned numerousprofessional certifications and has held leadershippositions in professional organizations such as the NewYorkOrganizationofNurseExecutives, theFingerLakes

The American Nurses Credentialing Center’sCommission on the Magnet Recognition Program®is pleased to announce the appointment of a newcommissioner and a new chair. As the body of expertsrepresentingvarioussectorsofthenursingcommunity,thecommission is responsible for the governance ofMagnetRecognition Program activities. Governance includessuch responsibilities as approving program criteria,makingthefinaldecisionregardingthedesignationoftheMagnet® credential, and providing a mechanism for thesystematicreviewandevaluationofthestrategicdirectionoftheMagnetRecognitionProgram.

New Commissioner: Mary Dee Hacker ofChildren’s Hospital Los Angeles

Mary Dee Hacker, MBA, RN, NEA-BC, FAAN, hasserved as the visionary chief nursing officer and vicepresidentofpatientcareservicesattheChildren’sHospitalLosAngeles for 20 years. She guided the hospital to itsinitial Magnet designation in 2008 and then through itsfirst re-designation in 2013. She is known for creatinga healthy culture and work environment for direct careprovidersandallmembersofthehealthcareteam.Hackerhas been associated with Children’s Hospital for morethanthreedecades,beginningasastaffnursein1975,andhas held various administrative nursing positions at thehospital.

Inaddition,sheisamemberoftheChildren’sHospitalLos Angeles Board of Trustees, California Institute forNursing & Health Care (CINHC), American NursesAssociation\California and the DAISY Foundation.Hackerisafrequentspeakeratstate,regional,andnationalmeetings. She is amember of numerous local, state, andnationalhealthcareorganizations.Shehaswonnumerous

Mary Dee Hacker, MBA, RN, NEA-BC,

FAAN

ANCC Announces New Appointments forCommission on Magnet Recognition

Nurses in the News

WorkForceCollaborative,andadvisoryboardsofseveralcollegesanduniversities.

She has served on the Commission on Magnet since2006.Her termaschairbeginsonJuly1,2013,andrunsforoneyear.

“Mary Dee is a passionate advocate for the value ofMagnet.Sheoffersauniqueperspectiveasaseniorleaderfromkey stakeholdergroups.Weare thrilled tohaveherexpertise on the commission,” says Karen Drenkard,PhD, RN, NEA-BC, FAAN, executive director of theAmerican Nurses Credentialing Center. “Combined withthe leadership of Dr. Zimmermann, this new roster ofcommissioners will continue the course of setting anevidence-basedstrategicplanfortheprogram,refiningtheMagnetSourcesofEvidence,andleadingtheinternationalexpansionofMagnet.”

Linda Lewis Named as Director of the Magnet Recognition Program®

SILVER SPRING, Md.—The American NursesCredentialing Center (ANCC) is delighted to announceLinda C. Lewis, RN, MSA, NEA-BC, FACHE, as thenext director of its internationally acclaimed MagnetRecognition Program®. An accomplished leader,Lewis currently serves as the chief nursing officer andvice president of nursing for the Magnet-recognizedForsyth Medical Center, the flagship facility of NovantHealth, located in Winston-Salem, North Carolina.Lewis previously served as the chief nursing officer andvice president of patient care services at the Magnet-recognized Valley Health System in Ridgewood, NewJersey. She is widely respected for developing holisticand healing patient care and work environments thatenhance employee, patient, and physician satisfaction incombination with operational productivity and financialstewardship.

Congratulations to New and Redesignated Magnet

OrganizationsRedesignation JohnMuirMedicalCenterWalnutCreek–Walnut

Creek,CA(2008,2013)Children’sHospitalLosAngeles–LosAngeles,CA

(2008,2013)Providence Holy CrossMedical Center –Mission

Hills,CA(2007,2013)

New RecognitionMissionHospital–MissionViego,CA(2012)University of California, San Francisco Medical

Center–SanFrancisco,CA(2012)Long Beach Memorial Medical Center / Miller

Children’sHospital–LongBeach,CA(2013)

ANCC

Save the Date!!ANA\C RN Day 2014 -

Sacramento, CA

Monday,

April 7th, 2014

Registration and programinformation can be found

on the web site atwww.anacalifornia.org

or by calling 916.447.0225

Concorde Career College is a nationally recognized and accredited, for-profit education company that prepares committed students for successful employment in a rewarding healthcare profession through high caliber training, real world experience and student centered support. We’re looking for people who want to make an impact at one of the best post-secondary career training institutions in the country. Experience the fulfillment of contributing to a nursing program that provides quality education and training to future generations of healthcare professionals.

Nursing instructors needed for the following locations:• San Diego • San Bernardino • Garden Grove • North Hollywood

Requirements:• Current California RN license.• Minimum of a BSN.• Minimum of 4 years clinical experience in the last 5 years.

Contact: Recruitment DepartmentPhone: 877-866-2340 • Fax: 877-866-2344

Apply online at http://jobs.concorde.edu orsend resume to [email protected]

DIRECTOR OF NURSING—PSYCHIATRIC

Heritage Oaks Hospital, a 125-bed full-service behavioral health facility, seeks a Director of Nursing Services. Heritage Oaks Hospital was recognized by the Joint Commission as a Top Performer on Key Quality Measures for 2011.

Since the late Eighties, Heritage Oaks Hospital has been offering hope to individuals, families, and communities. Heritage Oaks Hospital is the leader in providing quality mental health and addiction treatment services. Our commitment to care includes developing integrated delivery systems through partnerships with medical surgical hospitals, community mental health centers, educational institutions, managed care organizations, local health professionals and agencies. Heritage Oaks Hospital strives to set the standard for excellence in the field of behavioral health care and maintains its leadership role by treating each patient as a respected individual of our community.

The Director of Nursing Services is responsible for the clinical practice of nursing which includes directing all services provided by the Nursing Services Department. As a member of senior management this position ensures the development, implementation and evaluation of policies, programs and services consistent with the facility’s goals and objectives, and actively participates in a leadership role by consulting with facility management in designing and providing total patient care and services.

Job Requirements:Qualified applicants will have a CA RN license with psychiatric hospital management experience, Master’s level required. Knowledge of the Joint Commission, CMS and CA regulations.

Mail resume to: Heritage Oaks Hospital,4250 Auburn Blvd., Sacramento, CA 95841

Attn: Human Resources Dir.or fax resume to: 916-830-1259

FULL-TIME FACULTY OPENINGS: NURSINGSan Diego, Los Angeles, and Fresno, California

Multiple positions in all clinical specialties for the BSN program. Open until filled.

MINIMUM QUALIFICATIONS: A master’s degree in Nursing or related field is required; a minimum of two years clinical care experience; teaching experience in a nursing education program; eligible for a current and unencumbered CA Registered Nursing license and a clear background check and drug screen. Successful candidates may be at junior, mid-career or senior levels of development. Teach primarily undergraduate courses as assigned (some opportunities for graduate level teaching).

REQUIRED DOCUMENTATION: Candidates must submit: letter of application, professional resume, evidence of or eligible for a current and unencumbered CA Registered Nursing license and three references. Positions open until filled (or recruitment cancelled). Review of applications to begin immediately. Applications, required documentation, and/or requests for information should be addressed to:

Mary Kracun, PhDInterim Chair, Search Committee, Department of Nursing

National University, 3678 Aero Court, San Diego, California 92123-1788FAX: 1-858-309-3480 • Phone: 1-858-309-3476

Email: [email protected]


Jo Perry joined us from San Jose along with many other nursing friends. In this picture with Jo are Bonnie Faherty, Phillip Bautista, Louise Bailey, Katy Waugh, (front) Elissa Brown, Tricia Hunter and Lynda Burlinson

Tricia Hunter MN, RN Honored at UCLA 2013 Nurse 21 GalaUniversity of California

Los Angeles School of Nursinghosted the schools 3rd annual‘Nurse 21’ awards Thursday,May 9th, 2013 at The MontageHotel in Beverly Hills, CA.The black tie event honoredthe various recipients for theirleadership in advancing healthand their ongoing commitmentto enriching the nursingprofession. “These incredible individuals and organizations that we honor are visionary leaders in healthcare and are strong advocates for the role of nursing,” said CourtneyH. Lyder, dean of theUCLASchool of Nursing. “Their impact has been enormous and will continue to be so as nurses play an increasingly important role in making sure that all individuals have access to quality care delivered with compassion and dignity.”

This year TriciaHunter, RN,MNwas honored at theevent receiving the 2013 Distinguished Alumnus Award.Family and friends from all over came to support andcelebratetheeveningwithTricia.

The event was hosted by UCLA School of Nursingand Dean Courtney H. Lyder opened the event with awonderful presentation about the school and some of hiscurrentnursingstudentsandtheiraccomplishments.Whiledinnerwasbeingservedtherewasaveryentertainingliveauction with noted professional charity auctioneer JimNye.Theauctionraisesmoneytohelpsupport theschoolof nursing and its programs. Auctioned off were severalculinary tour trips to Paris and New York and UCLARoseBowl tickets. The biggest seller of the eveningwasthe ‘Lyder Side of Westwood’ which is a culinary tourwith Dean Lyder visiting his favorite restaurants. It wasvery entertaining towatch people as they battled for theprizetheysoughtafterandbecauseofthebattlefordinnerwiththeDean,DeanLyderwasaskedtodotwoeveningsandbothparticipantswon.Tricia’sunclebeingoneofthewinners.Tricia commented that shewas looking forwardto her evening out. It was a successful event and veryentertaining.

After dinner the award presentations beganwith eachpresenter giving some history to the recipient and theirnursingaccoladeswhichgavetheeveningaverypersonaltouch.Theawardspresentedattheeventwere;

Visionary Leadership Award:DianaM.Bontá,RN,DrPHPresidentandCEO,TheCaliforniaWellnessFoundation

Community Health Leadership Award:Children’sHospitalLosAngelesMaryDeeHacker,MBA,RN,NEA-BC,FAANVicePresident,PatientCareServicesandChiefNursing

Officer

UCLA School of Nursing 2013 Distinguished

Alumnus AwardHonorable Tricia Hunter,

’83, RN, MN

Dean Courtney H. Lyder and Honorable Tricia Hunter RN, MN

ANA\C President Monica Weisbrich and ANA\C member and web master Suzanne Ward ready to bid during the evenings fundraising auction.

Corporate Leadership Award:KaiserPermanenteBenjaminK.Chu,MD,MPH,MACPGroupPresident,KaiserPermanenteSouthernCalifornia

andHawaiiPresident,KaiserPermanenteSouthernCaliforniaRegion

Global Leadership Award:FredHagigi,DrPH,MBA,MEdAdj.ProfessorofHealthcareFinance&ManagementDepartmentofFamilyMedicineUCLADavidGeffenSchoolofMedicineDirector,GlobalHealthInitiativesAdj.Professor,UCLAAndersonSchoolofManagementDeputyDirector,EducationResearch&TrainingVeteransEmergencyManagementEvaluationCenterU.S.DepartmentofVeteransAffairs

2013 Distinguished Alumnus Award:HonorableTriciaHunter,‘83,RN,MNOwner,GovernmentRelationsGroupExecutiveDirectorandLegislativeAdvocate,American

NursesAssociation\CAExecutiveDirector,CASchoolNursesOrganization

Emerging Leader Award:BenissaSalem,RN,PhD,MSN

Nurses in the News

Save the Date

October 21st 2013 ANA\C Meeting of the

General Assembly

The American Red Cross Headquartersin San Jose CA

Continuing Education TOPIC:Disaster Management

Business meeting• Election results• Welcome new Board of Directors• Honors and Awards• By law updates• Resolutions • Reports to the General Assembly

Silent Auction hosted byGolden State Nursing Association

For more information, please visitwww.anacalifornia.org

Our cOmmitment is tO be aninnOvative leader in

prOviding excellence innurse anesthesia educatiOn

and cOmmunity service.

Kaiser PermanenteSchool of Anesthesia

CALIFORNIA STATE UNIVERSITY FULLERTON

WWW.KPSAN.ORG

Kaiser PermanenteSchool of Anesthesia

CALIFORNIA STATE UNIVERSITY FULLERTON


At the Crossroad of Poverty and DiseaseAMN Healthcare Team Changes Lives

April23,2013

ANA\C member Tracy Stillwater was selected andsponsoredbyAMNHealthcaretojoinateamofvolunteerswho just returned from thehighlandsofGuatemalawherethey confronted the twin afflictions of poverty and poorhealth.Themedicalandcommunitydevelopment mission treateddisorders and their causes duringthe 11-day trip to the region of SanCristobalVerapaz, a placeof coffeefields, green mountains, the nativePokomchi culture and relentlesshardship.

The team of ten AMNHealthcare-sponsored clinicianswaspartofamissionof30medicalpersonnel organized by HELPSInternational to help change somelivesthroughaweekofintensework.Working through round-the-clockshifts at a hospital in SanCristobalVerapaz, the team conducted 97surgeriesforconditionsrangingfrombroken bones and eye disease toherniasandtumors;546clinicvisits;andnearly100dentaltreatments.

The team arrived at the hospitaltofindhundredsofpeoplewaitingatthehospitalgates,includingfamiliesandchildrenwhohadbeentheretwoto threedays.Spontaneousapplauseand cheers broke out amongthe crowd of mostly indigenouspeople as thebuspulledupand thedoctors and nurses debarked andimmediately began moving throughthecrowdtriagingpatients.

In addition to the medical team treating patients,community development volunteers fanned out into thecountryside and villages to help address very commonpublic health problems. Among those volunteers wasSteveWehn, AMNHealthcare vice president, communityand government affairs. His job was to go into homes,whichwere often littlemore than huts of plastic sheeting,corrugated metal and plywood, to install stoves that ventemissionssafely.

Front four: Stephan Petranker, MD; Debra Duhart, CRNA; Sherry Chisholm, MD; Ginny McKeon, CRNA.Back six: Sarita Satpathy, MD; Babak Rashidi, MD; Richard Gilliamk, RN; Monica Rogers, RN; Zonna Rogers, RN; Tracy Stillwater, RN

The community development team installed 20 safe stoves in homes. In many homes, food is prepared on wood fires on dirt floors or in makeshift wood fire stoves that are not ventilated. Toxic smoke from the indoor cook fires causes eye, respiratory and other diseases. AMN Healthcare, Steve Wehn, Vice President of Government & Community Relations, was a volunteer on the stove crew which installed this safe stove. When the team arrived, a crowd of people were

waiting for treatment, some as long as two days, and they broke into applause and cheering as clinicians got off the bus.

Inside many homes, wood cooking fires with noventilation create dangerous conditions due to indoorsmoke, which cause many of the eye and respiratorydiseasesthatdoctorstreat.Inaboutaweek,Stevesaidthatheandthestoveteaminstalled20safelyventilatingstoves,which are shown to dramatically reduce poisonous indoor

smoke and also use 20% of thewoodneededforcookfires.HELPSInternationalhasinstalledthousandsofsafestovesinGuatemala.

In addition to safe stoves,community development teamsinstall water purifiers in homes;impure water causes widespreadgastrointestinal illnesses that afflictadultsandchildren.

“I’ve done a lot of volunteerwork, but this was a life-changingexperience for me,” Steve said.“So many people in this area ofGuatemala live in extreme poverty,and their poverty is directly relatedto their health problems, which istrue the world over. They were sovery appreciative of the work thatHELPSandAMNweretheretodo.

“The volunteer doctors andnurseswere amazing. Theyworkedvirtually nonstop for a week, neverleaving the hospital and clinic andproviding an incredible amountof care. We helped improve livesforeverandmakehomesmuchsaferfor hundreds of people. The wholetrip served as a perfect example ofAMN’s commitment tomaking thecommunity and the world a betterplace.”

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The Nurse Practice Act defines one component of nursing practice as being a patient advocate. ANA\C believes that patient advocacy not only happens at the bedside but when we are supporting and developing programs and proposals to improve the quality of health care, the workplace and tools for the individual nurse, and access of our patients to health care and health care providers.

Honorable Tricia Hunter, MN, RN Executive Director ANA\California

The Future Of NursingMegan Bristol

We receive several phone calls amonth from studentslookingfor information tocompleteaschoolproject theyareworkingon.Thestudentswhocall rangefromnursesindoctorate andmasters programs at college all thewaytothehighschoolandmiddleschool.Wedecidedtoshareone of those students projectwith you.Letme introducemiddleschool studentand futureCalifornianurseMeganBristol.

My name is Megan Bristol and I am 14 years oldalmost15. Iam in the8thgradeatSutterMiddleSchooland will be attending high school at either RosemontHighSchoolorRioAmericanoandIwant tobeanurse.

I have 4 siblings and I make 5. I havean older 16 year old brother namedAustin, a 13 year old sister namedMadison, I have a 2 year old sisternamedHayden, and I have a 6month oldsister named Kamryn. My parents aredivorced. I went to Caleb GreenwoodK-8 School for elementary. I like to playsoccer in my free time. I like to babysita lot too and am CPR certified and alsotakenclassesandam“Babysittertrained.”

How I came to find ANA\C—Ihad tosendbusinessletterstonursingassociation,hospitals, etc for my project askingquestions, gathering information, etc. Iwas on Google and I typed in “nursingassociations” and hundreds and hundredsof places popped up. I randomly clickedonANACand to be honest, I’m so happyIdidbecauseoutofthe12lettersIsentoutANA\Cwastheonlyonewhorespondedtome.AfterIfoundtheANACIclickedonthewebsiteandscrolleddowntothebottomandfoundtheANACaddressandsentmyletterinthemail.

Why I chose nursing for my project—WelleversinceIwas9Ihavewantedtobecomeanurse.It’sbeenadreamofmine. I didn’t really know anything about the nursingfieldasan8thgradersoIthoughtdoingthisprojectmightgive me the opportunity to learn a lot more about thenursingfield,anditdefinitelydid!

My passion for the field—EversinceIwas9Ithoughtnurseswere the coolest thing. I would love to become anurse. My parents, friends, teachers all think I have the

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heart to become a nurse and the patience. For example,when my mom stepped on some class the other day, Ispent 4 hours of my night picking every small piece ofglassoutofher foot. I just like tocare forpeopleand tobehonest,bloodandall thenasty stuffdon’tdisgustme,I find it interesting! Also I’m very good in science andever since I’ve gotten letter grades (so since 7th grade) IhavemaintainedanAeveryquarterforscienceandatthemoment I have an 3.8GPA. But overall, I have a strongpassiontobecomeanurse.

So my report was a 2 month project. I had towrite9 written sections and I received third place out of 643projects.


RememberancesMargaret A. Wheatley, PhD, RN, CNS,

a member and past president of theOhio Nurses Association

Wheatley served as the President of theOhioNursesAssociation (ONA) for four years (1993-1997). Prior tohertermasPresidentofONA,shewasthefoundingChairof the ONA Minority Issues Assembly. In 1996, underher leadership, the American Nurses Association (ANA)presented ONA with the Affirmative Action Award. In1999, she received the Dorothy L. Cornelius Award forLeadership from ONA. She held various other positionsinANAat thenational,state,and local levels.Shewasafellowof theMinority FellowshipProgram atANA. Shewas also a member of the American Psychiatric NursesAssociation, the Gerontological Society of America, theMidwest Nursing Research Society, the National BlackNursesAssociation,andSigmaThetaTau.

Services:A wake was held Saturday, March 30, at 8:30 a.m.,

followedbyafuneralatnoonatHouseofWheatFuneralHomeinDayton,Ohio.

Richard T. Hader, PhD, RN, NE-BC, FAAN, CHE, CPHQ, a member of the

New Jersey State Nurses Association

Hader was Senior Vice President and Chief NursingOfficer at Meridian Healthcare, the first system in thecountrytoachieveMagnetStatus.

Hader further demonstrated his commitment to theAmerican Nurses Credentialing Center (ANCC) throughhis service as an ANCCMagnet Recognition Program®appraiser. In 2010, Hader earned ANCC’s CertifiedSpecialty Nurse Award for leading the transformationof nursing practice and patient care.He spearheaded theestablishment of the Institute forEvidence-BasedCare, aunique interdisciplinary, patient-centered research facilityto help clinicians stay abreast ofmedical knowledge andtechnology.

Services:Apublic viewingwas held on Tuesday,April 2, from

4 p.m., to 8 p.m., at Saint Aloysius Catholic Church inJackson, New Jersey. A Mass of Christian Burial forall was also held Wednesday, April 3, 10 a.m., at SaintAloysiusCatholicChurchinJackson,NewJersey.

With fond memories of our friend, Ray Cox

Elissa Brown

We have lost a wonderfulnurse and a wonderful soulrecently- Raymond WilliamCox. He was an activemember of the Californiaconstituent of the AmericanNurses Association (ANA).He participated for years onthe Board of Directors andin numerous organizationalactivities including Presidentof his region and delegate toANA. Ray was involved innursing policy, education andprofessionaldevelopment,bothlocallyandnationally.

I was honored to attend the lovely memorial servicethatwasheld forRayCoxatMetropolitanStateHospitalin Norwalk, California. Hundreds of his friends andcolleagueswere there to pay tribute to him, toasting-andsomeroastingbutall ingood fun.Raywouldhave lovedit. Itwas said that…“Raydedicatedmore than 45 yearsto thepatientsandstaffatMetropolitan;heworkedfrom1958 to 2013 in the state hospital system, retiring fromstateservicein2005.MuchofhislifewasdedicatedtotheadvancementofNursingasaprofession.”

Friends and colleagues spoke of Ray as beingphilosophical and always working toward improvement.He was recognized for helping his staff, for promotinghighstandards,criticalthinkingandprofessionalism.

“He expected nursing to be a vital part of the treatment team. He encouraged us to pursue educational goals and get involved in professional nursing issues. An advocate for patients and nursing…, glad to have had the opportunity to know him and to learn from him.”

BecauseofRay, “theANACodeofEthics forNursesand the ANA Scope & Standards of Practice are in thePreface section of our (Metropolitan State Hospital)NursingPolicyandProcedureManual.Raywas involved

inthedevelopment,refinementandpromulgationofthesenationalnursingstandards.”

Ray’s colleagues commented about discovering howmany nursing leaders from across the country knew andadmiredRay(although theywerenotsurprised).Becauseof Ray’s contributions throughout his lifetime of servicetonursing,theAmericanNursesAssociationofCaliforniacreatedtheRayCoxAwardwhichrecognizesthelifelongcommitment of an individual nurse(s) to the field ofnursingand their impacton thehealth and socialhistoryof thestateofCalifornia.Thisaward ispresentedduringANA\C’sbiannualmeetingofthemembership.*

Ray received his Diploma from Hudson River StateHospital School of Nursing, Poughkeepsie, New York,a BS in Nursing from California State University, LongBeach(CSULB),andhisMAinEducationfromCSULB.

Ray Cox also served our country in the military inWWII,wasinmajorbattlesabroad,andwastherecipientofaPurpleHeartandtherareMedic’smedal,atruehero.

*********************************After his death,Ray’s friends contacted theAmerican

NursesAssociation\Californialeadershiptoletthemknowof his passing, and we received some of the followingresponses: his death “is a loss for nursing,” “…hewas agoodman…adude…welldressed…funnycommentsandobservationsonlifeandnursing,”“…thoughtsandprayersforhimandfamily.”“they….werethinkingofhimwhiletheydecoratedthefloatand…gladtohearhemighthaveseenthefirstnursesfloatintheRoseBowlparade.”

Ray,we’llmissyou!

*****************

ANA\C will be giving a special memorialdonation in Ray’s name to the Golden State NursesFoundation (for more information go to www.goldenstatenursingfoundation.org or www.anacalifornia.org.

*The 2013 Ray Cox Award will be presented at themeeting of the General Assembly, October 21st, 2013 attheSanJoseRedCross(formoreinformationgotowww.anacalifornia.orgorcall916.447.0225).

Ray Cox

ANA

REGISTERED NURSE SAFE STAFFING BILL INTRODUCED IN CONGRESSNurse staffing directly impacts patient safety; direct care nurses to drive staffing plans

SILVER SPRING, MD – The American NursesAssociation (ANA) applauds the introduction of federallegislationthatempowersregisterednurses(RNs)todrivestaffing decisions in hospitals and, consequently, protectpatientsandimprovethequalityofcare.

The Registered Nurse Safe Staffing Act of 2013 (H.R. 1821), craftedwith input fromANA,has sponsorsfrom both political parties who co-chair the House Nursing Caucus –Reps.David Joyce (R-OH) andLois Capps (D-CA),anurse.

“Nurse staffing has a direct impact on patient safety.We know that when there are appropriate nurse staffinglevels, patient outcomes improve. Determining theappropriatenumberandmixofnursingstaff iscritical tothe delivery of quality patient care,” saidANAPresidentKarenA.Daley,PhD,RN,FAAN.“Federal legislation isnecessary to increase protections for patients and ensurefairworkingconditionsfornurses.”

Research has shown that higher staffing levels by experienced RNs are linked to lower rates of patient falls, infections, medication errors, and even death.

And when unanticipated events happen in a hospitalresulting in patient death, injury, or permanent loss offunction, inadequate nurse staffing often is cited as acontributingfactor.

The bill would require hospitals to establishcommittees that would create unit-by-unit nurse staffingplans based on multiple factors, such as the number ofpatients on the unit, severity of the patients’ conditions,experience and skill level of the RNs, availability ofsupportstaff,andtechnologicalresources.

Thesafestaffingbillalsowouldrequirehospitals thatparticipate in Medicare to publicly report nurse staffingplans for each unit. Itwould place limits on the practiceof “floating” nurses by ensuring thatRNs are not forcedtoworkonunitsiftheylacktheeducationandexperiencein that specialty. It alsowouldholdhospitalsaccountablefor safe nurse staffing by requiring the development ofprocedures for receiving and investigating complaints;allowing imposition of civil monetary penalties forknowing violations; and providing whistle-blowerprotectionsforthosewhofileacomplaintaboutstaffing.

ANAbackedasimilarstaffingbillinthelastCongress.This version includes requirements that a hospital’sstaffing committee be comprised of at least 55 percentdirect care nurses or their representatives, and that thestaffing plans must establish adjustable minimum nurse-to-patientratios.

Additionally, ANA has advocated for safe staffingconditions for the nation’s RNs through the developmentand updating of ANA’s Principles for Nurse Staffing,and implementation of a national nursing quality database program that correlates staffing to patientoutcomes.

Todate,seven states have passed nurse safe staffing legislation that closely resembles ANA’s recommended approach to ensure safe staffing, utilizing a hospital-widestaffingcommitteeinwhichdirectcarenurseshavea voice in creating the appropriate staffing levels. Thosestates are Connecticut, Illinois, Nevada, Ohio, Oregon,Texas,andWashington.

FormoreinformationonANA’ssafestaffinglegislativeefforts,pleasevisitwww.RNAction.org.


ANA

ANA Applauds Confirmation of Marilyn

Tavenner to Lead Centers for Medicare and

Medicaid ServicesSILVER SPRING, MD – The American Nurses

Association (ANA) applauded today’s vote by the Senateto confirm Marilyn Tavenner, MHA, BSN, RN, as thepermanentheadoftheCentersforMedicareandMedicaidServices (CMS). Tavenner, a former Intensive Care Unit(ICU) nurse, has served as chief executive officer ofthe Hospital Corporation of America (HCA) and wasVirginia’s secretary of Health and Human ResourcesunderformerGovernorTimKaine.

“Tavenner’s nursing expertise, along with her publicandprivatesectorexperience,willenableher tocontinueprovidingtheCentersforMedicareandMedicaidServices(CMS) with the leadership needed to guide our healthcaresystemduring this timeofgreatchange,”saysANAPresidentKarenA.Daley,PhD,RN,FAAN.“CMSisanagency that touches the lives of all Americans, throughthe Medicare, Medicaid, and children’s health insuranceprogramsandothervitalfunctions.Withthisconfirmationvote,CMSisgettingasuperbleaderwhounderstandstheneedtoexpandpatientaccesstohighqualityhealthcare.”

Tavenner joined CMS in February 2010 and becameacting administrator in December 2011. Tavenner’sconfirmation marks the first time CMS has had apermanent administrator sinceMarkMcClellan resignedin2006.

American Nurses Association Publishes New Staffing 101 Guide

SILVER SPRING, MD – ANA’s latest guide in itsYou!Series,Nurse Staffing 101: A Decision-making Guide for the RN, helps nurses develop effective and facility-specificapproachestooptimalstaffingdecisionsandplansthatenhancethedeliveryofsafe,qualitycare.Itisalsoavaluabletoolforidentifyinganddevelopingtheprocessesand policies needed to improve nurse staffing at everypracticelevelandinanypracticesetting.

Author Lauri Lineweaver PhD, RN, CCRN-CSC, director of Practice, Innovation and Researchat Presbyterian Healthcare Services in New Mexiconotes, “Nurse staffing is one of the most controversial topics in healthcare today. In order to have productive and effective discussions, nurses must understand the complexity of staffing decisions and how to influence these decisions.”

Thispractical guidegives readers real-worldguidanceon essential topics of nurse staffing outlined in ANA’s Principles of Nursing Staffing,including:

• How to calculate Hours per Patient Day (HPPD),staffingproductivity,andwages;

• Historicalandpoliticalsettingofsafestaffing;

• Workplace,safety,andqualityconsiderations;

• Examplesofprofessionalnursingpracticemodels;

• Staffing at the organizational level in terms ofworkloadvariances;and

• Current practices and possible solutions fordetermining and achieving the requisite staffinglevelsandmeasureablequalityoutcomes

TheguidealsocontainsacompletechecklistbasedonthePrinciples for Nurse Staffingtohelpnursesdevelopaneffectiveapproachtostaffingdecisions.

“At facilities which are short staffed, nurses often have to work long hours and night shifts. These conditions contribute to job-related burnout, job dissatisfaction, and increased risk for patient safety. Providing the

appropriate levels of nurse staffing is critical to achieving safe, quality outcomes,” said Sandra A. Gilbert, PhD,RN, MSN, retired charge nurse and current nurseeducator teaching master’s level course work. “Nurses need practical resources like this to help guide decision-making. I recommend these guides to any RN involved in making staffing decisions.”

To order this publication, go towww.nursesbooks.org.Press copies are available upon request by contacting:[email protected]. Please include name ofpublication, organization, reviewer name, and addressinformation,includingphoneande-mailaddress.

ABOUT THE AUTHOR

Lauri Lineweaver, PhD(c), RN, CCRN-CSC, Directorof Practice, Innovation, and Research at PresbyterianHealthcare Services in New Mexico, holds nationalcertificationincriticalcareandcardiacsurgery.Currentlya doctoral candidate and Robert Wood Johnson HealthPolicy fellow, she is pursuing a PhD in Nursing at theUniversity of New Mexico Nursing and Health PolicyCollaborative;her research focus isonpredictive staffingmodels,nursingworkforce,andorganizationalanalysis.

ABOUT THIS BOOK

This publication is one the ANA You Series: Skills for Success dedicated to helping nurses achieve success.ANA’sYouSeriesoffersleadershipskills,knowledge,andstrategies forRNs to create safe and effectiveworkplaceenvironments.

Release Date:05/10/13

Page #:36pagesISBN-978-1-55810-486-0

Price:List$12.95/ANAMember$9.95

Web link:www.nursesbooks.org

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Become a Leader in Your Professional Organization

BecomealeaderintheprofessionalorganizationthatrepresentsallCalifornianursesnomatterscopeofpracticebyrunningforoffice,gettinginvolvedwithafocusgroupandmuchmore.

By deciding to run for anANA\C elected position, youmake a choice to invest inyourfutureandthefutureofhealthcare.ANA\Cleadershavethecapacitytoinfluencepublic policy, professional nursing standards, and the advancement of the association.As a leader, youwill become a part of the history and tradition ofANA\C andANA— forging the way for the health care system of the future and ensuring that nursesremainessentialprovidersinallpracticesettings.YouwillhelpANA\Candthenursingprofessionremainstrongandunited.

ThebenefitsofbeinganANA\Cleadercanbebothpersonalandprofessional,andcanprovideyouwithskillsthatcanbeappliedtomanyareasofyourlife.Herearejustafewtothinkabout;

• Increaseyouropportunitiestomentor,tobementored,togainpeerrecognition,toshareyourexpertiseandideas.

• Enhance your development as an individual and as a professional throughstrengthenedcommunicationandorganizationalskills.

• BeonthecuttingedgeofanewandbetterhealthcarefortheAmericanpublic.• Developmarketablecampaignskillswhilearticulatingyourviews,engagingwitha

diversemembershipandspeakingpublicly.AnycurrentANA\Cmember,whodoesnotconcurrentlyserveinaleadershipposition

of another professional organization (if such participationmight result in a conflict ofinterestwithANA\C),meets thecriteriatorunforanelectedpositionorserveinothercapacitieswith in the association.ANA\Cexpects thebest from its leaders just asyouhavetherighttoexpectthebestfromyourassociation.Asanassociationleader,youwill:

• provide strategic directions for the association through participation inmeetings,conferencecallsandelectroniccommunications.

• prepareforeachmeetingandconferencecallbyreviewingmaterialsaheadoftime.• reviewmailingsandrespondtoitemsrequiringactionbetweenmeetings.• beavailabletoserveonsubcommittees.• attend meetings of other health care organizations or organizational units as a

representativeofyourstructuralunit.• presentreportsorserveasaspokespersonformedia-relatedactivities.Yourtimecommitmenttotheassociationwilldependuponthepositiontowhichyou

areelectedorthelevelyoudecidetobecomeinvolved.Formoreinformationvisitwww.anacalifornia.org

Membership: How Do We Convey The Importance of Membership?

Phillip Bautista, Membership Director

As the new Membership Director, one can hold loftyaspirationsofhowtheassociationcangrowovertime.Oneof the questions that I have most commonly encounteredis,“WhyshouldIjointheAmericanNursesAssociation?”The answer to that question does not fit neatly in a box,nor is thereaone-size-fits-all answer.Therewillbe someinteresting pieces of information within the article, soplease read on! If you have ever discussed involvementwith a prospectivemember, you are all too familiar withthe myriad of points that an answer to this question canspawn. Let’s explore some of the potential barriers andbenefitsthatarepertinenttothistopicoverthenextcoupleparagraphs.

Becoming involved is an incredibleway to become aware and proficient of thechanges that can affect your practice as a registered nurse. Themore you becomeinvolved with various specialty and professional associations, the more you willfindyourselfbecomingaresourcetooneassociationbyvirtueofknowledgegainedfromadifferentassociation.Benefitscanalsoincludediscountedorfreecontinuingeducation, specialty and/or advanced practice certification, professional tools,professionalliabilityinsurance,andmanyothersimilarbenefits.Withthesebenefits,whatbarriersdoweseetoregisterednursesjoining?

Someindividualsmaymentionthat thecost is toohigh,or that theydonothavethe time to fill out an application, find a stamp, and still remember to place theenvelope in themailbox.Membership can be applied for and renewed online, andoffersmonthlypaymentoptionswithnoadditionalfees.TheactualbenefitofjoiningtheAmericanNursesAssociationisnotrelativetomypracticeinmyfieldofnursingis another answer that you may have heard. The American Nurses AssociationCalifornia isactively involved in theprofessionofnursingas itaffectseverysingleregistered nurse in California. Legislation that affects various nursing specialties,the RN scope of practice, nursing councils that advocate for the patient and nurseatall levels,andamultitudeofothernursingspecificinvolvementopportunitiesaremonitoredandsupportedbyANA\C.

If you know someone thatmaywant to get involved, encourage them to supportthe profession by supporting ANA\C. The opportunities to become involved withourprofession arenumerous and there IS something for everyone.Make sure to addANA\C emails to your address book. Information about membership opportunities,involvementopportunities,andspecial informationformembersregardingevents liketheupcomingGeneralAssemblywillbesentoutthroughyourregisteredemail.Takethe fewmoments to read the emails, they always contain great information, and theinformation insidemight justbe something that is significantly important toyouandyourpractice.Ifyouhavemembershipquestions,orwant tofindouthowtogetyourcolleaguessignedup,[email protected].

Phillip Bautista

The Importance of Belonging to Your Professional Organization

The American Nurses Association, along with over 80 specialty nursingorganizations, serves a vital role in advancing the role of nursing and the health care.ANA works to develop policies, set standards, advocate in government and privatesettings,provideeducation,maintaintheCodeofEthicsforNursesandshapethefutureof theprofession.It ismembers thatallowassociationstoaccomplishwhatneedstobedone.Memberduesprovide thenecessary funding andmembervolunteersprovide theguidanceandexpertisetomovetheprofessionforward.Membersmakethedifference–inthenursingprofessionandthehealthcareofthenation.

©2008TheAmericanNursesAssociation,Inc.AllRightsReservedAmericanNursesAssociation-8515GeorgiaAvenue-Suite400-SilverSpring,MD209101-800-274-4ANA|CopyrightPolicy|PrivacyStatementLink

Membership

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oFF SeleCT PlanS For MeMBerS oF ana\C & STUDenTSDiscount applies to select regularly priced Sprint plans.Requires a new two-year Agreement.

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Mayrequireuptoa$36activationfee/line,creditapprovalanddeposit.Upto$350/lineearlyterminationfee(ETF)foradvanceddevicesandupto$200ETF/lineforotherdevices(noETFforAgreementscancelledincompliancewithSprint’sReturnPolicy).Individual-LiableDiscount:Availableonlytoeligibleemployeesofthecompanyororganizationparticipatinginthe discount program (requires ongoing verification). Discounts are subject to change according to the company’s agreement with Sprint and are available upon request for select plans (monthlyservicechargesonly).Nodiscountsapplytosecondarylines,Add-A-Phonelinesoradd-ons$29.99orless.OtherTerms:Coveragenotavailableeverywhere.NationwideSprint Network reaches over 281 million people. Sprint 4G LTE network is available in limited markets, on select devices. Visit sprint.com/4GLTE for info. Sprint 4G LTE devices will not operateontheSprint4G(WiMAX)network.Sprint3Gnetwork(includingroaming)reachesover282millionpeople.Seesprint.comfordetails.Offersnotavailableinallmarkets/retaillocations or for all phones/networks. Pricing, offer terms, fees and features may vary for existing customers not eligible for upgrade. Other restrictions apply. See store or sprint.com fordetails.©2012Sprint.Allrightsreserved.SprintandthelogoaretrademarksofSprint.Android,GoogleApps,GooglePlayandGoogleWalletaretrademarksofGoogle,Inc.LTEisatrademarkofETSI.Othermarksarethepropertyoftheirrespectiveowners.N125609CA

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president’s perspective · 2018-03-31 · • tricia hunter honored – page 10 ... as you read...

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