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KANSAS NURSE THE ksnurses.com Journal of the Kansas State Nurses Association Volume 90 Number 5 September / October 2015 KSNA Annual Membership Assembly Wichita, Kansas, October 2-3, 2015 Annual Report Issue

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KANSASNURSETHE

k s n u r s e s . c o m

J o u r n a l o f t h e K a n s a s S t a t e N u r s e s A s s o c i a t i o nVo l u m e 9 0 N u m b e r 5 S e p t e m b e r / O c t o b e r 2 0 1 5

KSNA Annual Membership Assembly

Wichita, Kansas, October 2-3, 2015

Annual Report Issue

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KANSASSTATENURSESASSOCIATION

� THEKANSASNURSE|MAY-JUNE�015

SEPTEMBER/OCTOBER 2015Volume 90 Number 5

EDITOR:MarilynMasterson,PhD,RNMANAGINGEDITOR:MicheleReese,BS-JMC

REVIEWERS:PatriciaBrown,PhD,RN;PennyChura,PhD,RN;JaniceJones,MN,APRN;

DeborahLang,BSN,RN;TonaLeiker,PhD,RN;DebraPile,DNP,RN

TheKansasNurseisownedandpublished,sixtimesayear,bytheKansasStateNursesAssociation(KSNA),1109SW

TopekaBlvd.,Topeka,KS6661�-160�.Anannualsubscriptionis$50domestic(nursingschools,hospitals,libraries,

non-nurses)and$60foreign.SomeissuesareavailableontheKSNAwebsiteatksnurses.com/resources.Itisapeer-

reviewedpublication.Theviewsandopinionsexpressedintheeditorial/advertsingmaterialarethoseoftheauthors/adver-

tisers;theydonotnecessarilyreflecttheopinions/recom-mendationsoftheKSNA,theEditorialBoardmembers,or

thestaff.ThepolicyoftheKSNAEditorialBoardistoretaincopyrightprivilegesandcontrolofarticlespublishedinthis

journalwhenthearticleshavenotbeenpreviouslypublishedortheauthorretainscopyright.

ThisjournalisindexedintheInternationalNursingIndexandtheCumulativeIndextoNursingandAlliedHealthLiterature.It

isavailableattheNationalArchivesPublishingCompany,AnnArbor,MI48106.

AdverstisinginformationisavailableontheKSNAwebsite,ksnurses.com/resources,andmaybedownloaded,

completed,andforwardedtotheManagingEditorforprocessing.Acceptanceofadvertisingdoesnotimply

endorsement/approvalbytheKSNAofanyproductadvertised,theadvertisers,ortheclaimsmade.Rejectionofan

advertisementdoesnotimplythataproductofferedforadvertsingiswithoutmerit,orthatthemaufacturerlacks

integrity,orthattheKSNAdisapprovesoftheproductoritsuse.TheKSNAshallnotbeheldliableforanyconsequencesresultingfrompurchaseoruseofadvertisers’products.

AuthorsinterestedinsubmittingarticlesshouldsendtheirwrittenmaterialinAPAformattotheKSNAforreviewpriortopossiblepublication.Electronicsubmissionispreferredwith

“ForPublicationinTKN”inthesubjectlineofanemailaddresstoksna@ksnurses.com.Pleaseprovidetheauthor’s

completecontactinformation.Aconfirmationnotewillbesenttothesubmittingauthorandthearticlesubmittedwillbe

peer-reviewed.Anydecisionregardingpublicationwillbe

forwardedtotheauthor.QuestionsregardingtheprocessmaybedirectedtotheKSNAat785-�33-8638,ext.300,orto

[email protected].

TheKSNAisaConstituentMemberAssociationoftheAmericanNurses

Association,SilverSprings,MD.

MISSION:TheKSNApromotesprofessionalnursing,providesaunifiedvoice

fornursinginkansasandadvocatesforthehealthandwell-beingofallpeople.ItwasestablishedFebruary191�atWichita,KS.

KSNA 2015 BOARD OF DIRECTORSOFFICERS:President(�013-�016)MichaelNelson,BSEd,BSN,RN,[email protected]

President-elect(�015-�018)AngellaHerrman,BSN,RN,[email protected]

VicePresident(�014-�015)SerenaStutzman,MSN,APRN,FNP-BC,[email protected]

Secretary(�015-�016)TerrySiek,MSN,RN,NEA-BC,[email protected]

BOARDMEMBERS:JanKemmerer,RN(�013-�015),[email protected]

BrendaKuder,RN(�015-�017),[email protected]

LindaLuzier,BSN,BC,CAN(�014-�016),NewtonnurseLinda�[email protected]

CindyReazin,MSN,APRN,CNS-BC(�014-�016),[email protected]

MarthaStroot,BSN,RN(�013-�015),[email protected]

KANSASNURSESFOUNDATION:President,DebbieHackler,MSN,RN,[email protected]

STAFF:MicheleReese,[email protected]

CONTACT INFORMATION1109SWTopekaBlvd.,Topeka,KS6661�-160�785-�33-8638x300|Fax785-�33-5���[email protected]|www.ksnurses.com

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Inside this issue. . .

3 WelcometoNewMembers,August&September4 QualityCare,EthicalPractice--KSNAAnnual

MembershipAssembly,Wichita6 MembershipAssemblySchedule8 MembershipAssemblyListofSpeakers11 KSNA�015AnnualReport1� President’sAnnualReporttotheMembership15 LegislativeChair’sAnnualReporttotheMembership16 Treasurer’sAnnualReporttotheMembership17 KSNABalanceSheetasofJune30,�01518 KSNAProfit&LossBudgetvsActualJan-June�01519 AdditionalAnnualReportstotheMembership

Upcoming KSNA Board Meetings

October 1, 20156:30-7:30 p.m.

Pre-Assembly Meeting, Wichita

October 3, 20151-2 p.m.

Post-Assembly Meeting, Wichita

November 7, 20159 a.m.-3 p.m.

Orientation for New Officers & Board MemberKSNA Office, Topeka

December 7, 20157-8 p.m.

Conference Call

Welcome New MembersNew in July Name City District/RegionSusan Fountain Hill City 15/NorthwestDawn White Tecumseh 1/NortheastTara Farrell Lawrence 17/EastSara Koenemann Shawnee 2/EastWhitney O’Donnell Shawnee 2/EastTracy Manhnieo Olathe 2/EastAndrea Morgan Burrton 4/SoutheastKatie Jaschke Mission 2/EastAmanda Ehrlich Olathe 2/EastStephanie Kaiser Great Bend 7/South CentralDenise Mogg Merriam 2/East

New in AugustrName City District/RegionNancy Van Etten Fort Scott 21/SoutheastLisa Stanley Hoxie 15/NorthwestSpringli Payeur Merriam 2/EastMelissa Liddle Prairie Village 2/EastJoni Burgos Silver Lake 1/NortheastAmanda Owens Spring Hill 2/EastAubrie Schaefer Hanover 12/North CentralGreta O’Brien Overland Park 2/EastRenee Davis Wichita 6/SoutheastMolly Montgomery Wichita 6/SoutheastElizabeth Lanning Pittsburg 20/SoutheastAndrea Steverson Topeka 1/NortheastRobert Mangold Tribune 8/SouthwestYvette Epperson Kansas City 2/EastRebecca Swisher Wichita 6/Southeast

AllofusattheKansasStateNursesAssociationex-tendtoyouawarmwelcome.Welookforwardtomeetingyou,perhapsfirst,withinyourdistrict/regionalnetworkinggroup,andeventually,atastatewideevent. OurupcomingMembershipAssemblywhichyouwillreadaboutinthisissueiscomingrightup,October�-3,attheWichitaMarriott--it’snottoolatetojoinusasyoucanregisteronlineoratthedoor.Youcanevencallourofficeat785-�33-8638x300oremailksna@ksnurses.comandwewillgetyouregisteredquickly. ThelargesteventwilltakeplaceonFebruary18,theannualLegislativeConference,attheRamadaConven-tionCenterinTopeka.Watchfordetails! ContinuingNursingEducationcontacthoursareavail-ableatbothevents.

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Quality Care, Ethical PracticeOctober 2-3, 2015Wichita Marriott9100 Corporate Hills DriveKSNA Annual Membership Assembly

Featuring:Jae Pierce-Baba, All Stressed Up and Nowhere to BlowJill Kliethermes, MSN, RN, FNP-BC, Update on the Midwest Multistate Division and the American Nurses AssociationThree Tracts/12 Sessions led by professionals in their fields ofPractice, Ethics and/or Advanced Practice Nursing

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Don’t miss the fun!

Kansas Nurses Foundation

AnnualScholarship Dinner and

Silent AuctionEntertainment provided by

EncorePratt Community College Singers

Friday Evening, October 2Wichita Marriott6:30-9:00 p.m.$25 per person

Reservations requested to Michele Reese by

September 28, 5 p.m.785-233-8638 x300

Payment at the door accepted.All proceeds benefit scholarships

for Kansas nursing students.KNF is a 501(c)(3) organization.

C l o s i n g Key n o t eUpdate: Midwest Multistate Division & the American Nurses Association

Our closing keynote presentation on Sat-urday will be an update on the Midwest Multistate Division (MW MSD) and the American Nurses Association (ANA). Jill Kliethermes, MSN, RN, FNP-BC, leader of the MW MSD, will provide an overview of the region and discuss the 2015-16 ANA strategic plan and goals. She will help us understand the role of nursing beyond Kansas.

Opening KeynoteAll Stressed Up and Nowhere to Go

Wichita’s own humorist Jae Pierce-Baba, OTR, will deliver our opening key-note address on Friday with “All Stressed Up and Nowhere to Blow.” She will help us unwind our tension, leaving us in-formed about the role stress plays in self care as well as health care. We will learn about the five early signs of over-stress in caring for self and patients in the healthcare environment. She will help us identify stress triggers and ex-plore how positive emotions and humor can reduce our stress and boost our im-munity system. Jae will demonstrate how laughter can help us de-stress and light up our brains’ pleasure centers. What a great way to kick-off our annual membership assembly!

Our Host HotelWichita Marriott

9100 Corporate Hills DriveWichita, KS 67207

The Wichita Marriott offers excellent accommodations and meeting room spacefor hosting KSNA members and our event.

Hotel Room Reservations1-800-228-9290

Discounted Rooms Not Available After 5 p.m. September 11

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TheMidwestMultistateDivisionisaccreditedasaproviderofcontinuingnursingeducationbytheAmeri-canNursesCredentialingCenter’sCommissiononAccreditation.

Inordertoobtainnursingcontacthours,youmust attend sessions in their entiretyandcomplete an evaluation formforeachsessionattended.Please complete your Personal Verification Attendance Form and turn it at the registration desk for your certificate.

Noconflictsofinterestweredisclosedbyanyplanner,contentreviewerorspeaker.Vendorsareinvitedasabenefittoyou.Novendorhadanyinfluenceorinputintoprogramplanningorspeakerselection.

Quality Care, Ethical Practice

Date/Time Session Speaker(s) LocationThursday, October 16:30-7:30p.m. KSNABoardofDirectorsPre-assemblyDinnerMeeting ExecutiveBoardroom8:00-10:00p.m. ReceptionwiththeKSNABoardandNetworking MarriottLounge(1stFloor)Friday, October 27:30a.m. RegistrationDeskOpens/ExhibitsAvailable KansasGrandBallroom

Hallway7:30-8:30a.m. Continental Breakfast KansasGrandBallroom

SalonD8:30-9:30a.m. All Stressed Up and

Nowere to BlowOpeningKeynoteAddress

JaePierce,BabaLipshtickProductions

KansasGrandBallroomSalonsAandC

9:30-9:45a.m. BREAK with beverages Hallway9:45a.m.-1�:00p.m. KSNABusinessMeeting KSNABoardofDirectors KansasGrandBallroom

SalonsA-C1�:00-1:00p.m. Luncheon KansasGrandBallroom

SalonD1:15-�:30p.m. ContinuingNursingEducationSession11A.Practice Systems Thinking & Medi-

cation AdministrationStevePeterson,BSN,RN-BC

TopekaRoom

1B.Ethics Code of Ethics for Nurs-es, 2015 Revision Over-view

CarlaA.Lee,PhD,APRN-BC,A/FNP,CNS,FAAN,FIBA

SedgwickRoom

1C.AdvancedPractice Advanced Practice: Cur-rent Statutory Authoriza-tion for APRNs

MaryBlubaugh,MSN,RN ArkansasRoom

�:30-�:45p.m. BREAK with refreshments Hallway�:45-4:00p.m. ContinuingNursingEducationSession��A.Practice Maternal Sepsis: Risks,

Assessment & TreatmentLisaBrening,BSN,RN TopekaRoom

�B.Ethics Using Simulation for End of Life Care

AbbeyElliott,MSN,MHA,RN,CEN,CHSE;MaryKoehn,PhD,APRN-CNS,CHSE;MikeShepherd,BS,CHSE

SedgwickRoom

�C.AdvancedPractice Holistic Nursing & Self Care

TerriRoberts,JD,RN ArkansasRoom

4:00-4:15p.m. BREAK with refreshments Hallway

schedule continues on next page

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Date/Time Session Speaker(s) LocationFriday, October 2 continued...4:15-5:30p.m. KSNALegislativeCommitteeMeeting TopekaRoom

KSNANewRegionsForum SedgwickRoomPossibleOtherKSNACommitteeorCouncil ArkansasRoom

6:30-8:00p.m. KansasNursesFoundationDinner,SilentAuction&En-coreSingers

TheAtrium

Saturday, October 37:30a.m. RegistrationDeskOpens KansasGrandBallroom

Hallway7:30-8:30a.m. DistrictPresidentsBreakfast ExecutiveBoardroom7:30-8:30a.m. Continental Breakfast KansasGrandBallroom

SalonD8:45-10:00a.m. ContinuingNursingEducationSession33A.Practice Concussion: It is Not Just

a Sports InjurySeanHubbard,DC,DAC-NB

TopekaRoom

3B.Ethics The A.E.I.O.U.s for the 21st Century Nurse

MarlenePietrocola,DNP,MBS,RN,NEA-BC

SedgwickRoom

3C.AdvancedPractice Grab a BEERs List: Medi-cation Management for Older Adults

AmySiple,MSN,FNP-BC ArkansasRoom

10:00-10:15a.m. BREAK with beverages Hallway10:15-11:30a.m. ContinuingNursingEducationSession44APractice The Kansas Action Coali-

tion: Creating a Culture of Health for Kansans

JillPeltzer,PhD,APRN-CNS;DebraFord,PhD;QiuhuaShen,PhD,APRN,RN;CynthiaTeel,PhD,RN,FAAN

TopekaRoom

4BEthics The Road to Cultural Competency: Are We There Yet?

VictoriaHaynes,DNP,APRN,FNP-C

SedgwickRoom

4CAdvancedPractice The Little Pink Pill & Beyond: New Medications for 2015

JenniferA.Wade,PharmD,BCACP

ArkansasRoom

11:30a.m.-1�:30p.m. Closing Keynote Address and Luncheon

JillKliethermes,MSN,RN,FNP-BC,LeaderMWMSD

KansasGrandBallroomSalonA-C

1:00-�:00p.m. KSNABoardofDirectorsPost-assemblyMeeting ExecutiveBoardroom

In Recognition and With Appreciation--The Membership Assembly Planning Committee

Event Coordinator/Chair Carla A. Lee, PhD, APRN-BC, FAAN, District 6-Southeast RegionKSNA Board Liaisons Angella Herrman, BSN, RN-BC, District 2-East Region Brenda Kudor, AND, District 9-East RegionMW MSD CNE Consultant Carol Walker, BSN, RN, Missouri Nurses AssociationCommittee Members Linda Luzier, RN, BSN, NE-BC, BC Gerontology, District 4-Southeast Region Amber Pyatt, MSN, RN, District 6-Southeast Region Martha Stroot, BSN, RN, District 6-Southeast RegionKSNA Staff Michele Reese, KSNA Office Manager, Topeka

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Lisa Brening, BSN, RNMaternal Sepsis: Risks, Assessment & Treatment

LisaBreningisaclinicalnursesupervi-soronthetheobstetricsunitatHaysMedi-calCenter,Hays.ShereceivedherBSNatFortHaysStateUniversityandiscur-

rentlyworkingtowardsaMSNinNursingAdministrationatthesameuniversityHerexperienceincludespostpartum,ante/intrapartum,nurseryandLevelIINICUcare.

Sean Hubbard, DC, DACNBConcussion: It is Not Just a Sports Injury

SeanHubbardownshisownpractice,HubbardChiropracticandBalanceCenter,LLC,Wichita.HeisagraduateofParkerCollegeofChiropractic,Dallas,Texas.He

istheonlyboardcertifiedDiplomateinChiropracticNeu-rologyinKansas.HispostgraduateeducationincludestheConcussion/MTBICertificationSeriesfromCarrickIn-stituteofGraduateStudies/CarrickBrainCenters,Atlanta,Georgia.

Jill Peltzer, PhD, APRN-CNSDebra Ford, PhDQiuhua Shen, PhD, APRN, RNCynthia Teel, PhD, RN, FAANThe Kansas Action Coali-tion: Creating a Culture of Health for Kansans

JillPeltzerisanassistantprofessorattheUniversityofKansasSchoolofNursing,KansasCity.SheearnedherBSN,MS,andPhDat

theUniversityofKansas.SheisanAPRN-ClinicalNurseSpecialist.SheisamemberofKSNA. DebraFordisprogramdirectorinleadershipatthegraduatelevelandaresearchassistantprofessorattheUniversityofKansas,KansasCity,intheSchoolofNurs-ingandtheSchoolofMedicinerespectively,aswellasalecturerincommunicationstudiesalsoattheUniversityofKansas.SheearnedaBAinCommunicationandaMAinCommunicationStudiesattheUniversityofNebraska-Omaha,andherPhDinCommunicationStudiesattheUniversityofKansas. QiuhuaShenisanassistantprofessorattheUniversi-tyofKansasSchoolofNursing,KansasCity.SheearnedherBSNatSunYat-senUniversity,Guangdong,China;herMSNandPhDattheUniversityofKansasandisa

List of SpeakersListed in order of appearance and by tract.

Jae Pierce-Baba, OTRAll Stressed Up and Nowhere to BlowOpening Keynote Address

JaePierce-Baba,OTR,Humorolo-gist,isCEOofherownseminarcompany,LipShtickProductionsandanationallyrecognizedprofessionalspeaker,writerand

comedienne.AsanOccupationalTherapist,Jaehasmorethan�0yearsofexperienceinavarietyofsettingswithpatientsranginginagefromnewbornstotheelderly. Hermissioninlifeistospreadthewordofthepoweroftherapeutichumorinbothourprofessionalandprivatelives.Shehascombinedherexperiencesinthehealthcareindustrywithhertalentsasaspeakerandprofes-sionalstorytellertoentertainandeducateawidevarietyofaudiencesfromthehealthcareindustrytotheUSArmy.Jaeencourageshumorasacopingstrategyinmeetingthedailychallengesoflife,andbelievesthatasenseofhumorisanessentiallifeskill.Herwit,wisdomandinsightkeepheraudienceslaughing,smilingandENERGIZED! Emphasizingfunandlivinginthemomentatcorpo-rate,government,lawenforcement,andmedicalconven-tions,Jaeleavesatrailoflaughingandlearningevery-whereshegoes.

Practice Issues & Standards of Practice

Steve Peterson, BSN, RN-BCSystems Thinking & Medication Admin-istration StevePetersonisachargenurseonanadultmedical/telemetry/strokeunitatStormont-VailHealthCareinTopeka.HehasbeenaRegisteredNurseformore

than1�yearswithexperienceinMedical/Surgical,Ortho-pedics,Medical/Telemetry,EpicEHR,LevelIIINeonatalIntensiveCare,Pediatrics/PICU,ClincalDocumentationImprovement,andPharmacy.HeearnedaBSNatBakerUniversitySchoolofNursing;acertificateinLegalNurseConsultingfromKaplanUnivesity;andisaMSNstudent(ClinicalNurseLeader)atWashburnUniversity,Topeka.Hehasbeenanadjunctfaculty/clinicalinstructoratWash-burnUniversityandisanindependentconsultantinlegalnurseconsulting.HeisamemberofKSNA.

Quality Care, Ethical Practice

continued on next page

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postdoctoralstudentinnursingphysiology,alsoattheUniversityofKansas.SheisanAPRN-GeriatricNursePractitioner. CynthiaTeelisaprofessorandAssociateDeanoftheUniversityofKansasSchoolofNursing,KansasCity.SheearnedherBSNatCaliforniaStateUniversity,Hayward,California;herMSinnursingattheUniversityofNevada,Reno,Nevada;andherPhDattheUniversityofArizona,Tucson,Arizona.SheisaRobertWoodsJohnstonFoun-dationFellow.SheisamemberofKSNA.

Ethical & Professional Roles in Nursing

Carla A. Lee, PhD, APRN-BC, A/FNP, CNS, FAAN, FIBACode of Ethics for Nurses: 2015 Revi-sion Overview CarlaLeeisexecutivedirectoroftheLaFamiliaCommunityCenter,Wichita.SheearnedherdiplomainnursingatMary-

mountCollege,Salina;herBSNattheUniversityofKan-sas,Lawrence;herMAineducation,anEdSineducationadministrationaswellasaMNatWichitaStateUniversity,Wichita;herPhDatKansasStateUniversity,Manhattan.ShehastaughtatnumerousnursingschoolsovertheyearsinKansasandotherstates.SheisaFellowintheAmericanAcademyofNurses.Shehaspublishedandpresentedextensivelyandhasreceivednumeroushonorsanddistinctions.SheisamemberofKSNA.

Abbey Elliott, MSN, MHA, RN, CEN, CHSEMary Koehn, PhD, APRN-CNS, CHSEMike Shepherd, BS, CHSEUsing Simulation for End of Life Care AbbeyElliottisSimulationCoordinatoratWichitaStateUniversity,Wichita.SheearnedherBSNatSouthwesternCollege,Winfield;herMSNandMHAattheUniver-sityofPhoenix,Phoenix,Arizona;and,herDNPineducationalleadershipatAmeri-canSentinelUniversity,Aurora,Colorado.Sheiscertifiedasahealthcaresimulationeducatorandemergencynurse.SheisalsoemployedatWesleyMedicalCenter,Wichita.SheisamemberofKSNA. MaryKoehnisassociateprofessorintheWichitaStateUniversitySchoolofNursing,Wichita.Sheearnedherdiplomainnurs-ingatBethelDeaconessHospitalSchool

ofNursing,Newton;herBSNandMSNatWichitaStateUniversity,Wichita;herPhDinnursingattheUniversityofKansasMedicalCenter,KansasCity.Sheisarecipientofnumeroushonorsandawards;shehaspublishedandpresentedextensively.SheisamemberofKSNA.

Quality Care, Ethical Practice MikeShepherdisoperationsdirectoratHealthSimUnited,Wichita.HeearnhisBSinmasscommunicationsatKansasStateUniversityandhasworkedasaphoto-journalistfornewspapersinKansas,Michigan,andColo-radobeforemovingintothehealthcareeducationarena.HeassistedintheCertifiedHealthcareSimulationOpera-tionsSpecialistcertificationdevelopmentandearnedtheSocietyforSimulationinHealthcare’scovetedcertificate,CertifiedHealthcareSimulationEducatorin�014.

Marlene Pietrocola, DNP, MBS, RN, NEA-BCThe A.E.I.O.U.’s for the 21st Century Nurse

MarlenePietrocolaischairandassociateprofessorwithTaborCollegeDivisionofNursing,Wichita.SheearnedherBSNat

GracelandUniversity,Lamoni,Iowa;herMSNatLouisi-anaStateUniversityMedicalCenter,NewOrleans,Louisi-ana;herMBAatWebsterCollege,St.Louis,Missouri;herDNPattheUniversityofKansas,KansasCity.SheisavisitngprofessoratbothChamberlainCollegeofNursing,DownersGrove,Illinois,andAmericanSentinelUniversity,Aurora,Colorado.SheisamemberofKSNA.

Victoria Haynes, DNP, APRN, FNP-CThe Road to Cultural Competency: Are We There Yet? VictoriaHaynesisanassociateprofes-soratMidAmericaNazareneUniversity,Olathe.SheearnedherBSNatAvilaUni-versity,KansasCity,Missouri;herMSNat

ResearchCollegeofNursing,KansasCity,Missouri;herDNPattheUniversityofMissouri-KansasCity,andholdsapost-doctoratecertificateinmulticulturaleducationfromtheUniversityofMissouri-Columbia.SheisafamilynursepractitionerandownerofGoodwayHealthSerrvices,LLC.SheisalsoemployedwithUnitedHealthGroupconduct-inghomevisitsandassessmentstoMedicareplanmem-bers.

Advanced Practice Nursing

Mary Blubaugh, MSN, RNCurrent Statutory Authorization for APRNs

MaryBlubaughisexecutiveadministratorfortheKansasStateBoardofNursing,Topeka.SheearnedherBSNandaMSNatFortHaysStateUniversity,Hays.Sheis

acertifiedpublicmanagerfromtheUniversityofKansasPublicManagementCenter,Lawrence.Sheisarecipientofmanyhonorsanddistinctions.

continued on next page

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Terri Roberts, JD, RNHolistic Nursing and Self Care

TerriRobertsisexecutivedirectoroftheAmericanHolisticNursesAssociation,Topeka.SheearnedherBSNandJDfromWashburnUniversitySchoolofNursingandLawSchool,Topeka,respectively.Sheis

alsoahealthcareconsultant,contractingindependentlywithclientsinavarietyofhealthcarefacets.ShehasbeenappointedtonumerousprofessionalgroupsandiscurrentlyservingontheKansasDepartmentofHealthandEnvironment’sPublicHealthPromotionBlockGrantAdvi-soryCommittee,theTobaccoFreeNursesSteeringCom-mitteefundedbytheRobertWoodJohnsonFoundation,andtheTowerFoundationforMentalHealthinKansas.Shehasanextensivebackgroundinworkingwithlegisla-tiveissues.SheisamemberofKSNA.

Amy Siple, MSN, FNP-BCGrab a BEERS List: Medication Manage-ment for Older Adults

AmySipleisanassociateprofessoratNewmanUniversity,Wichita,andanursepractitioneratWichitaMedicalAssociates,Wichita.SheearnedherBSNatWichita

StateUniversity,Wichita,aswellasherMSN.Shespe-cializesinthehealthcareofolderadults.

Jennifer A. Wade, PharmD, BCACPThe Little Pink Pill and Beyond: New Medications for 2015 JenniferWadeisaclinicalpharmacistwithWesleyMedicalCenter,Wichita.Shedidherpre-pharmacyworkattheUniversityofKansas,Lawrence,andearnedherdoc-

torofpharmacyattheUniversityofWyoming,Laramie,Wyoming.SheteachesthePGY1ResidencyPreceptor/UniversityofKansasStudentPreseptoratWesleyMedi-calCenterandisdoingresearchinthemanagementofhypoglycemiceventsinthehospitalized,non-ICUpatientwithDM�,alsoatWesley.Sheistheprimaryinvestiga-torfortheDrugUseEvaluation,QualityProject.Sheisafrequentpresenterandhasauthoredseveralpublications.

Jill Kliethermes, MSN, RN, FNP-BCMidwest Multistate Division and Ameri-can Nurses Association UpdateClosing Keynote Address

JillKliethermesistheMWMSDLeadandCEOoftheMissouriNursesAssocia-tion,JeffersonCity,Missouri.Sheearned

herBSNatCentralMissouriStateUniversity,Warrens-burg,Missouri;herMSNfromtheUniversityofMissouri,Columbia,Missouri,andalsoapostmaster’sdegreeinleadershipnursingandhealthcaresystems.Shehas

Quality Care, Ethical PracticebeenCEOoftheMissouriNursesAssociationsinceAu-gust�007.Sheworkspart-timeasafamilynursepracti-tionerwithHospiceCompassus,JeffersonCity,Missouri.ShewasappointedleaderofthenewMidwestMultistateDivisionbytheAmericanNursesAssociationin�013ofwhichKSNAisastatemember.

Acknowledgement

Special thanks to all of our speakers who have agreed to participate in this KSNA event. We appreciate your time and energy to be with us in Wichita and to share your expertise with Kansas nurses.

Exhibitors&

Vendors

HutcinsonRegionalMedicalCenter

KansasNursesFoundation

KUMedical-RuralHealthEducation&Services

PiedeFootSpaKansasFootCenterPA

TaborCollege

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KANSASSTATENURSESASSOCIATION

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Kansas State Nurses AssociationThe Voice and Vision of Nursing in Kansas

2015 ANNUAL REPORT

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KANSASSTATENURSESASSOCIATION

1� THEKANSASNURSE|MAY-JUNE�015

...

CalltoOrder MichaelNelsonRollCallbyDistricts,EstablishmentofQuorum TerrySiekPresentationofParliamentarian MichaelNelsonPresentationofAgenda&StandingRules MichaelNelsonRecognitionofDeceasedNurses MichaelNelsonIntroduction,Announcements MichaelNelsonTeller’sReport,DeclarationofElection CindyLight

Reports of OfficersPresident’sAddress MichaelNelsonSecretary’sReport TerrySiekTreasurer’sReport SuannLuther-Ford

Reports of Standing CommitteesBylaws SonyaCurtisLegislativeConference CindyLightTheEditorialBoard MarilynMastersonFinance SuannLuther-FordLegislative SerenaStutzmanMembership LindaLuzierNominating EmmaDohertyTechnology

Reports of CouncilsContinuingEducation NoChairEducation CarlaLeePractice NoChair

Reports of Representatives to Other GroupsAmericanNursesAssociationMembership CarlaLee/AssemblyRepresentation AngellaHerrmanMidwestMultistateDivision JillKliethermesKansasNursesFoundation DebbieHacklerKansasAssociationofNursingStudents AngellaHerman

Other BusinessNewBusiness MichaelNelsonOldBusiness MichaelNelsonIntroductionofNewOfficers MichaelNelsonAdjournment MichaelNelson

Business Meeting Agenda & Standing RulesFriday, October 2, 2015, Wichita

Proposed Standing Rules for 2013 Business Meeting

1.TobeadmittedtoseatsreservedforKSNAmembers,amembermustweartheofficialregistrationbadge.�.Allmembershavetheprivilegeofvoiceandvote.

3.Toobtainthefloor,amembershallrise,addresstheChair,anduponrecog-nitionbytheChair,givetheirnameanddistrict,andthenmayspeak(TheChairwillnotrecognizeanyonenotspeakingfromamicrophone.)

4.Membersmaynotspeakindebatemorethantwicetothesamequestiononthesameday,orlongerthanthreemin-utes,withoutpermissionoftheassemblygrantedbyatwo-thirdsvotewithoutde-bate.Nomembermayspeakmorethanoncetoaquestionifamemberwhohasnotspokenwishestodoso.

5.Allmotions,exceptthoseofaroutinenature,shallbeinwritingandsentatoncetotheChair.

6.Businessinterruptedbyarecessofthemeetingshallberesumedatthenextbusinessmeetingatthepointwhereitwasinterrupted.

7.EmergencyresolutionsmaybesenttotheCommitteeonResolutionsuntil9:00p.m.Thursday,October7.

8.TheBoardofDirectorsshallhavetheauthoritytoreviewandapprovethemin-utesoftheannualbusinessmeeting.

9.Anynon-membermaybegrantedtheprivilegeofthefloor,butshallspeakonlyoncetoaquestion,notmorethanthreeminutes.Non-membersshallidentifythemselvesasnon-members,bynameandgeographicallocation.

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KANSASSTATENURSESASSOCIATION

13 THEKANSASNURSE|MAY-JUNE�015

A year of transition is about to conclude as we move toward our goal of changing the landscape of the Kansas State Nurses Association. With an adoption of Regional Bylaws at this year’s Membership Assembly in Wichita, we will turn the page on another chapter of the ongoing saga that is our Association. The Kansas State Nurses As-sociation (KSNA) has gone through transitions through-out its history. I have witnessed and even participated in several of them during my tenure as a member. In preparation for the writing of this report I found myself reflecting upon my career as a Registered Nurse (RN). In retrospect, I realize that my life’s experience as a nurse has been directly tied to my experiences as a member of KSNA. This realization has made me even more dedicated to the future of KSNA as we transition into our new re-gional structure. My twenty year career as a RN would not have been nearly as rewarding if not for my participation in our organization. Learning and developing are life-long processes and my member-ship in our professional nursing association has provided many opportunities for me to develop a bigger picture of nursing and health care, overall. My membership has lead me to an increased awareness of nursing issues and support for collective actions among nurses in general, but especially in Kansas. It has provided a venue to explore trends and concerns facing our profession and networking opportunities to connect them with peers, mentors, and nursing leaders. Your Board of Directors, Association Committees and Office Manager have had an eventful year since the last Membership Assembly. The majority of activities have focused on the transition to regions but there continue to

be many ongoing housekeeping activities as well. Members of the board have presented regionalization updates in several locales throughout the state. In ad-dition to these outlying meetings, your President-elect, Angella Herrman, has held Go To Meetings on-line to present regionalization updates so that all members can be informed. These outreaches will continue through the Membership Assembly. In conjunction with these meet-ings, the Bylaws Committee has been busy vetting Re-gional Bylaws in preparation of bringing a new document before the Membership Assembly in Wichita this October. The KSNA continues to be a member of the Midwest

Multistate Division (MW MSD) of the American Nurses Association. This affiliation has provided oppor-tunity to increase the efficiency and effectiveness of the day-to-day opera-tions of the Asso-ciation through the sharing of resourc-es. State Nurses Associations (SNA) included in

the MW MSD are Iowa, Kansas, Missouri, Nebraska and North Dakota. These associations have joined together and are utilizing skill sets and the expertise of each oth-er’s staff members. We are gaining support in Kansas by jointly utilizing a phone system within the MW MSD that saves on our phone expenses. We have recently improved the safety and security of our computer data by taking advantage of a secure cloud-based backup system that will secure our data away from the actual computers in the KSNA office. American Nurses Credentialing Center (ANCC) approved continuing nursing education opportu-nities that have been in place over the past year, and these programs will increase in number in the future, because of the relationship KSNA has with its MW MSD partner. Contracted services entered into with MONA by the

President’s Annual Report to the MembershipMichael Nelson, BSEd, BSN, RN

KSNA President, District 13, Wathena, KS

Northwest Region

Southwest Region South Central

Region Southeast Region

North Central Region

Northeast Region

East Region

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KANSASSTATENURSESASSOCIATION

14 THEKANSASNURSE|MAY-JUNE�015

KSNA Board of Directors have come about over the past year. These services include month-to-month bookkeep-ing and check writing (providing fiduciary oversight and security) and executive services related to updating of policies and procedures of the of the association provided by Jill Kliethermes, MONA Chief Executive Officer and Leader of the MW MSD. Ms. Kliethermes also pro-vides as needed day-to-day support for the KSNA Office Manager, Michele Reese, and is assisting in the develop-ment of a formalized evaluation procedure for current and future staff members including a Director of State Affairs position. The Director of State Affairs opportunity is being advertised on our online Career Center in addition to the e-mail blast that has already been disseminated to KSNA members. The e-mail was sent to solicit current members who might be interested in ap-plying for the part-time (20 hour/week) contract position. I would be negligent in not recognizing and thanking our solitary and virtually irreplaceable office manager, Michele Reese, for all that she does for our association on a daily basis. She is, in my estimation, the glue that holds our organization together day-to-day. Michele has an enormous task and handles it with grace and dedication. Her adventures as the sole person at our office in Topeka, on a daily basis, would provide all one would need to write a book. Just this year she has put up with leaky pipes, a dead bat in the office, and having the locks changed. Michele was provided an opportunity by the board to attend a conference in Florida related to the “Your Membership” database and website software that the association utilizes. She broadened her skill set by attending this conference and has taken over the daily operation of our website and membership database. In addition to these new and expanding duties, she continues

to produce a quality Association journal in The Kansas Nurse. The annual Legislative Conference continues to be a success with the coordination efforts put forth by this dedicated staff member. Her position has placed her in di-rect daily communication with our members as well as an ambassador to those who are not members or even nurses. She is often the first impression that people receive when making inquiries of our Association. What a first impres-sion! Thank you, Michele! I started this article speaking of transitions and want to end it by continuing that theme. With the writing of this piece, the transition from President of the Association

to becoming its Past-President begins January 1. My tenure as your President has offered an opportunity to pre-side during interesting times in in providing our nation’s health care and our own state services. We have seen continued efforts by our APRN brothers and sisters to gain more autonomy and by doing so, increase the ability of the citizens of our state to access qual-

ity and affordable care. The process of changing from many districts to fewer and larger regions has been a long one with the actual change within sight. Just because the change occurs doesn’t mean the work is done. It will take all of us networking and learning together to understand what the change will actually mean. Can we make more than just a paper change? Will we actually revitalize our organization by providing more value to more nurses and thereby enhancing the current membership? As an avid baseball fan, one of my favorite movies of all time is The Field of Dreams. The theme of the movie simply stated is, “If you build it, they will come.” In the movie a baseball field is built in an Iowa farmer’s corn-field. He spent time building the field on his own and it took time away from his family and farming. When it

President’s Annual Report to the MembershipMichael Nelson, BSEd, BSN, RN

KSNA President, District 13, Wathena, KS

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KANSASSTATENURSESASSOCIATION

15 THEKANSASNURSE|MAY-JUNE�015

was completed, he dreamed that baseball legends from the past would come to play ball as it was originally meant to be played, for the love of it. The field wasn’t fancy and it didn’t have corporate suites etc., but the builder’s love of baseball resulted in his accomplishing this goal. How does this analogy relate to KSNA? I truly believe that if we, as members, sincerely love our profession, we will do what it takes to share our love of the profession with each other by welcoming new nurses and including them in the networking and fellow-ship of our organization. We need to reach out to those nurses that we work with each day and share with them positive experiences related to our activity and participa-tion in KSNA. By utilizing those current districts in each new region that have been historically active and strong as hubs or centers of the new regions, we progress toward successful regions as well. As we move forward with our transition to regions, we should remember from where we have come and bring

President’s Annual Report to the MembershipMichael Nelson, BSEd, BSN, RN

KSNA President, District 13, Wathena, KS

the best of our organization along with us in the transition. Let us continue to seek ways in which to strengthen our current and future connections with peers, to reach out to others in our organization by providing mentorship, and in doing so, these two efforts will energize new member to join us in becoming nurse leaders for the future of nursing in Kansas. Now, I am even more excited about our future as a viable organization to be the “Voice and Vision for Nurses in Kansas” than I was when I began my tenure as your President. Adding to my excitement is the knowledge that our next President, Angella Herrman, is as committed to our future, if not more so, than I am. She is a dynamic leader and will move the organization forward by leaps and bounds! I look forward to seeing you all at the Member-ship Assembly in Wichita.

Our 3 Simple Steps:

An approved letter is mailed to all members on the Group’s letterhead, signed by an officialfrom the Group. A reply card with postage-paid envelope is mailed with the letter to all members.

All printing and mailing charges are at no cost to the Group.

Members who return the reply card will be contacted by an AIL representative to arrange aconvenient time to deliver the no-cost benefits and explain additional insurance benefits available on a voluntary basis.

1.2.3.

No-Cost Programs Available For Your Members

For over 60 years, American Income Life has beendedicated to working families. AIL currently operates

in the U.S., Canada, New Zealand, and through our wholly owned subsidiary, Union Heritage Life Assurance

Company Limited, in the Republic of Ireland.

Hang 10

Important guide for educating parents and protecting children when

Helps eliminate confusion over funeral arrangements, insurance papers and estate information.

$

Provides 24-hour coverageto all members. Each memberwill be given the opportunity

Health Services

Provides entire household up to 60% point of sale discounts on Vision Care, Hearing,

Prescriptions and Chiropractic Care.(Optional Discount Dental available)

2,000

Robin DenhamPublic Relations

[email protected]

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KANSASSTATENURSESASSOCIATION

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Legislative Chair ‘s Annual Report to the Membership Serena Stutzman, MSN, APRN, FNP-BC

KSNA Vice President, District 2, Olathe, KS

Summation of 2015 legislative session (legislation that KSNA monitored)

Ingeneral,thebudget,particularlyrelatedtoedu-cation,remainsanareaoffierceconversationinthelegislature.Fundingofhealthcarehasalsoremainedahotlydebatedtopic,bothatthestateandnationallevels. ThetopicofTelehealthwasimportanttosomelegislatorsthisyear,andKSNArepresentednursesinadiscussionofthistopicataspecialmeetingtodofact-findingearlyinthe�015legislativeyearattherequestofaRepresentative. Also,it’simportanttonotethat�015wasacarry-overyear.So,thatmeansifabillwasnotsuccess-fullypassedin�015,thesamebillcanbecontinuedto�016andworkedagain. SB40 Massage Therapist Bill(alsohadHousebill).Thisbillwasintroducedbutnotworked.ThemassagetherapistsareseekingadepartmenttoregulatetheprofessionthroughlicensureandhaveproposedtheBoardofNursingbethatdepartment. SB40 Dental Practitioner Bill(alsohadHousebill).Thisbillwasalsonotworkedafterhearing.ItestablishestheroleofDentalPractitioner. SB69 APRN Bill(alsohadHousebill).ThisbillremovesbarrierstopracticeandallowsAPRNstopracticetotheirfulleducationandtraining.Italsocreatesarequirementformalpracticeinsuranceandnationalcertification.ThisbillwasheavilylobbiedbytheAPRNtaskforceandreceivedahearing,butnoactionwastakenbythelegislature. Thesebillswillcontinuetobemonitoredinthe�016session. Kansasremainsinrecessuntilthe�016sessionbeginsinJanuary.Duringthistime,we’llbeattend-inglegislaturemeet-and-greetsandpreparingforthenextsession.We’llalsobeattendingtheKan-sasStateBoardofNursingmeetingsandcontinuetomonitorpractice-relatedissues.Asweprepareforthe�016session,we’llbereviewingourlegisla-tiveplatform(http://ksna.affiniscape.com/associa-tions/14��6/files/KSNA%�0Legislative%�0�013%�

0Platform.pdf)andcontinuetosupportnursesandKansascitizensinTopeka. AplethoraofinformationexistsontheKansasLegislativewebsite.Youcanresearchbills,exist-ingandnew,findyourlegislatorandtheircontactinformation,discovercommitteemembers,andviewmanyotherpiecesofinformation:http://www.ksleg-islature.org/li/ Wearebetweensessions,sothisisagreattimetoscheduletimewithyourlegislators,maybeforbreakfast,lunch,etc.Takethisopportunitytogettoknowthemandforthemtogettoknowyouastheexperthealthcareprofessionalthatyouare.Manytimes,ifalegislatorknowsaconstituentpersonallyinafieldrelatedtoabilltheyareresearching,theywillreachouttothatconstituentformoreinforma-tion.Tofindyourlegislator,goto:http://www.ksleg-islature.org/li/.Forinformationontalkingwithleg-islators,writingletterstolegislators,and/orlearningmoreaboutthelegislativeprocess,goto:http://www.rnaction.org/site/PageServer?pagename=nstat_ac-tivist_toolkit. TheKSNAbilltrackingsystemisupandrunning.Wehopeyou’veenjoyedusingthisveryhelpfultool.ThelinkislocatedontheKSNAwebsite:http://if-ramed.cqrcengage.com/ksnurses/KSNA_iframe. Ifyouhaveinterestinparticipatinginthelegis-lativearena,pleasedonothesitatetocontactouroffice!Wevalueyourinput.

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Treasurer’s Annual Report to the Membership Suann Lutehr-Ford, RN

KSNA Treasurer, District 1, Topeka, KS

KansasStateNursesAssociationhasremainedfinanciallystablethisyear.ThroughtheworkoftheBoardandourfinancialconsultants,wehavemetourbudgetgoals. Theday-to-dayaccountingandfinancialreportingdutieshavebeentransitionedtoourMidwestMulti-stateDivision(MWMSD)sharedservicethroughtheMissouriStateNursesAssociation(MONA).Wecontinuetocontractaccountingservicesthroughouraccountant,MikoleitandAssociates.ThelongtermmanagementofthisisoverseenbytheFinanceCommittee,whichturnsovereverytwoyears.Theabilitytohaveongoingstaffmemberswhomanageovertimehasbeeninvaluableandwillbeawelcomeadditionforthefutureviabilityoftheorganization. FuturegoalsaretocontinuetogrowmembershipandtodevelopinvestmentopportunitiesthroughtheAmericanNursesAssociation.Wecontinuetohopetohireadirectorofstateaffairsasonestepinthatdirection. Abudgetfor�016hasbeendevelopedandwillbefinalizedwiththereorganizationofaccountingthattheMONAofficecompleted.Theaccountsarenowmoreinlinewithourcurrentincomeandliabil-ity.Thisfinalizedprojectwillbeahugeassetforfinancialreportingandkeepinguptodatewithauditactivities.

Thisannualreportisbaseduponfinancialreportsfromyear-end�014andyear-to-dateJanuarythroughJune�015.

2014 Financial PerformanceIn�014totalrevenuewas$183,�19.85andtotalexpenseswere$14�,61�.63foranetincomeof$40,676.�0.Mostrevenuecontin-uestobegainedfrommembershipdues,whiletheKSNA’srevenuefromnursingservices,ourwebsite,andcontinuingnursingeducationactivitiescontinuetobeimportant.

TheKSNA’sequitypositionremainsstrong.

2015 Year to Date Netincomeremainspositivefortheyearal-thoughdownduetoincreasingexpensesandtheex-pecteddecreaseinduesincomeuntilthefallrenew-alsarerealized.TheannualLegislativeConferencecontinuestobeaprofitableactivityfortheorganiza-tion.TheMWMSDcontributionhasbeendecreasedto$11,000fromtheplanned$�0,000.Thebalancesheetandprofit&lossstatementsareincludedonthenexttwopages. ThankyoutooursupportivemembershipfortheongoingsupportofyourAssociation.Itisallaboutthemembershipaswelookforwardtocontinuedgrowth.

RemindersMembersshouldtaketimeperiodicallytoupdatetheirprofilesonlineatnursingworld.org(ANA)andksnurses.com(KSNA).

TheKansas Nurses Foundationwelcomesdonationsfornursingscholarships.Youcandonateonlineatksnurses.com/partnersormailyourcontributiontoKNF,POBox3899,Topeka,Kansas66604.

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Jun 30, 2015

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KANSASSTATENURSESASSOCIATION

�0 THEKANSASNURSE|MAY-JUNE�015continued on next page

Additional Annual Reports to the Membership

District 2Leavenworth, Johnson and Wyan-dotte CountiesAngella Herrman, President

District�hasnotbeenveryactivethisyear,butislookingforwardtotheKSNARegionalizationMeetinginSeptember.KSNAmembersvotedtotransitionfromourcurrentdistrictstructuretoregionsandthiswilloccurbytheendoftheyear.Whentheregionmapwasdesigned,ittookintoaccountpopulationofnurses,overallpopulationandpopulationofKSNAmembers.Asaresultofthisdesign,KSNADistrict�istheonlydistrictinKSNAbeingsplitintotworegions. InorderforKSNADistrict�tomakeaseamlesstransitionintothetworegions,decisionsmustbemadeonhowtodispersethecurrentfunds.ThisdecisionwilloccurattheKSNARegionalizationMeetinginSeptem-ber.

District 5Dickinson, Ellsworth, Lincoln, Mitch-ell, Ottawa, and Saline CountiesPat Brown, President

IchairedthreemeetingsoftheBoardofDirectorsinAugust�014,November�014,andMarch�015andfourmeetingsoftheMembershipinSeptember�014,November�014,January�015,March�015.ThankstoEmmaDoughertyforchairingtheMaymeetingin�015. Thegroupadoptedfivegoalsfor�014-15:a CompletearchivingDistrictre-

cords.Minutesandnewslettersandessentialfinancialrecordsupto�014weredigitalizedandplacedonajumpdrivewhichwillbeplacedinasafedepositboxatCapitolFederalBank.ThehardcopiesofminutesandnewsletterswereplacedintheSalinaPublicLibrarywheretheywillbeacces-sibletothepublic.

b. Maintainmembershipof58.AsofDecember�014,therewere51membersinDistrict5and8

membersinDistrict1�.c. Developnewbylawsforregional

changes.Thiswasnotdoneduetothefluidityofchangesatthestatelevel.Thisgoalshouldbeforwardedto�016.

d. Twoprograms:Completed.BethMcCormickRNtalkedtothegroupaboutCorrectionalNursinginNovember�014andMikeNel-son,PresidentofKSNA,spoketothegroupincludinggraduat-ingseniornursingstudentsfromKansasWesleyanUniversityandBrownMackieCollegeattheMarchmeeting.

e. CompletetheSr.MaryLeonPirotteScholarshiopfundcorpus.Done.Thereisabalanceofover$5000inthatfundanditisreadytoawarda$350scholarshipinthenextscholarshipcycle.

MysincerelythankstothosememberswhosupportedtheworkofDistrict5duringthepastyear.

District 6SedgwickandSumnerCountiesCarla A. Lee, President

MembersofDistrict6attendedlastyear’sKSNAMembershipAssem-blyinOverlandParkandincludedAmberPyattasourrepresentative,TomMcIntosh,KathyNeeley,andme.WeheldourdistrictfallmeetingonDecember�wihenIpresentedaprogramonEthics: Basis for Nursing Practice. Overthewintermonthswefo-cusedonattendingtheannualKSNALegislativeConferenceinTopeka.Besidesme,thoseattendingfromDistrict6wereDebraPileandPamMartin.IservedontheKSNAlegis-lativecommitteeandassistedwithregistration.OnFebruary�0,AmberPyattandIattendedtheintroduc-torySoutheastRegionmeetingatPittsburgStateUniversitywherediscussionensuedabouttransition-ingfromdistrictstoregions.Atthistime,District6wasaskedtohosttheupcoming�015KSNAMembershipAssemblysetforWichitaOctober�-3

andthatIchairtheplanningcommit-teefortheevent. Inthespringmonths,activitiesincludedmailinganalertpostcardtoallDistrict6memberswithdatesofupcomingeventsthroughtherestoftheyear,includingourspringannualmeetingonJune5.Ipresentedtheprogram,Leadership:OverviewofKeyFeatures.WealsodiscussedbecomingachapterwithinthenewsoutheastregionofKSNA.Weplantopursuethisendeavorinthecomingmonths.ThenewsoutheastregionbecomeseffectiveJanuary1,�016.

District 7Barton,Edwards,Kingman,Pawnee,Rice,Reno,Rush,andStaffordCoun-tiesEllen McDonald, President

Wehaveafairlyactivegroupofnursesandalwayshavefunsharinginformationandstayingcurrentwiththelatestinnursing. Throughouttheyearweheldmeetingsin5differentlocationswith-inthecountiessothatmorepeoplemightbeabletoattend.Besidesthebusinessmeetingwealwayshelda1hrCEUonawidevarietyofsubjects.Thiswasalsoawaytotrytodrawinnursesintheareathatmightbelook-ingforContinuingEdandintroducethemtoKSNA. Wewereabletoaward3schol-arshipsagainthisyeartoNursingStudentswithinourdistrict,twofromBartonCountyandonefromHutchin-sonJuniorCollege.ScholarshiprecipientswereinvitedtoattendourMaymeetingsowecouldmeetthemandpresenttheirscholarshipstothem.WealsodonatedtotheKNFscholarshipfundtohelpkeepthatgo-ingaswell. ThecoordinatorwehadbeenworkingwithinRiceCountytodelivereducationtoseniorhighrisesoverthelastmanyyearshaschanged.ThishasmadeourRiceCountyProjectmoreofachallengeforusbutGayeStach,thewriterofthisgrant

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KANSASSTATENURSESASSOCIATION

�1 THEKANSASNURSE|MAY-JUNE�015

andheadofthiscommittee,hasnotletthisdeterherdetermination.Thiswillbeaccomplishedbeforeourdead-lineatthe1stofSeptember.TheprojecthasbeensosuccessfulGayehasbeenapproachedbyothercoun-tiestoofferthisserviceaswell. EveryfallwehavealotoffunputtingtogetherabasketforthefallMembershipAssemblyandthispastyearwasnodifferent.Wedidn’twinanyawardsthisyear,butitauctionedoffwellandraisedsomegreatmoneyforKNF. Asspringapproachesinthenurs-ingschools,italwaysmeansfinalsweek.ForthepastseveralyearsDis-trict7hasputtogetherstudy“snackbaskets”forthestudentsinthetwocollegesinourarea.It’samazingwhateveryonecomesupwithwhichtostuffthem.AlwaysincludedisacardwithinfoaboutKSNAandwish-ingthemwellontheirexams. Thisnextyearwillbringalotofchange.Wealllookforwardtowork-ingwithnewpeople,gaininganothernursingschool,andthechallengeoflearninganewsystem.Ifwedon’tevolve,westagnate.Thisshouldbeagoodyearforallofus!

District 13Atchison, Brown, Doniphan, Jackson, Marshall, and Nemaha CountiesRuby Wood, President

KSNADistrict13metthreetimesthisyear,andalthoughsmallinnumbers,thedistricthas6-10dedi-catednurseswithstrongleadershipexperiencewhoattendmeetings,andhaveretainedastrongbondforover�0years.Thedistrictcontinuestorotatemeetingsacrossourruraltownstoshiftthedrivingburdenforeveryone.Thedistrictusesemailandnewsletterstokeepintouchwithlocalandoutofstatenursemembers.District13membersserveonnumer-ouscommitteesfromthelocaldistricttothestatelevel.WeparticipateonKNF,KSNABoard,andalsoattendmostscheduledactivitiespromotedbyKSNA.PresidentMikeNelson

Additional Annual Reports to the Membership

(District13member)andwifeSusanjoinedourgroupforourAprilmeeting.Mikealsopresentedupdatesontheredistrictingeffortswithapowerpointpresentation.WealsotouredthenewofficeoftheJacksonCountyHospitalHospicemovedtotheHoltontownsquare. ManyofourdistrictmembersalsosupportedEstherIdekerRN;BSN’sJacksonCountyCaringCouncilProgramtitled“ServingLife-FacingDeath”presentedbyCarolMcAdoo,BSEdandJohnCarney,MEd.CarolMcAdooisthefounderandPrincipaloftheMcAdooResourceNetwork.Carolhasalong-standingcounselingrelationshipwiththeNationalHospiceandPalliativeCareOrganizationtosupportthedevelopmentofpallia-tiveandhospicecareinprisonsandjailsacrossthecountry.CarolalsoisacertifiedtrainerfortheEnd-of-LifeNursingEducationConsortium(ELNEC)withspecialtyinGeriatrics.CaroldiscussedaginganddyinginAmerica’sprisons.JohnCarneyisthePresidentandCEOoftheCenterforPracticalBioethics.Johnhastwode-cadesofhospice,palliativecareandhealthcaremanagementexperiencethatpreparedhimforhisfirstleader-shiproleattheCenterasvice-presi-dentofAgingandEnd-of-Lifefrom�004through�010.Johndiscussedhealthcaredecisionsregardingval-uesandpreferences. OurshiningstarthisyearisDistrict13memberArleneWahwa-suck.ArlenewaspresentedtheKansasNurseVolunteerawardatourMembershipAssembly/Conventionin�014,andshewasalsoawardedthe�015HaskellOutstandingAlumniAward.Arlenewasselectedfromfivedeservingcandidatesforthehonorbyherpeers.TheawardrecognizedlifetimeachievementsanddedicationtoHaskellIndianNation’sUniversityandIndianCountry.AreceptionwasheldonMay7,�015topresenttheawardtoArlene. InJuly,ourdistricthonoredLeilaStuckerRNwiththeNightingaleTrib-uteinAtchisonKansas.

District 17DouglasCountyMartha Tucci, President

Overthelastyear,welearnedmoreabouttheroleofnursinginhealthreform&theAffordableCareAct,HepatitisCdiagnosis&treat-mentoptions,andtheupcomingrestructuringofANA&KSNA.WeparticipatedintheLMHHealthFair,theLawrenceZombieWalk,andthe�014KSNAMembershipAssembly&KNFDinner/SilentAuction.District17congratulatedKarenRoberts,DNPstudentatWUSON,asour$500�013/�014nursingscholarshipawardwinner.Welosttwodearmembers,BonniePetersonandSueGivens,whoeachsignificantlycontributedtothenursingprofession,theircom-munity,andourDistrict.Theywerehonoredwithmemorialdonationsandthemembershipvotedtonameour$500each�014/�015and�015/�016scholarshipsTheSueGivensNursingScholarship. EventsInvolvingDistrict17Mem-bersincluded:• TheAffordableCareActEduca-

tion:HealthReformandtheRoleofNursesbySheldonWeisgrauandMembershipMeeting,June3,�014atLMH

• BloodPressureChecksatLMHHealthFair,September�7,�014

• TheLawrenceZombieWalktobenefittheLawrenceHumaneSocietyandARCofDouglasCounty,SouthPark,Lawrence,October�,�014

• �014KSNAMembershipAssem-blyandKNFDinner/SilentAuc-tion,OverlandPark,October19,�0,�014

• KSNADistrict17BoardMeet-ing,January1�,�015(Conven-tionUpdates,Bylawsdiscussionandfocusedreviewofreports&regionalization)

• HepatitisCEducationbyDr.RyanTaylor,KUMCHepatol-ogy&Transplant:TheOread,Lawrence,KS(Sponsor:Gilead),

continued on next page

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KANSASSTATENURSESASSOCIATION

�� THEKANSASNURSE|MAY-JUNE�015

February��,�015• KSNALegislativeConference,

February�0,�015• BoardMeeting,April30,�015• MembershipMeetingandKSNA

ExecutiveRegionalization‘RoadShow’,presentedbyAngellaHer-rman,KSNAPresident-elect,May�8,�015.Bylawswereamendedtopostponenominatingcommit-teemembership(�openposi-tions)andexpiringboardmemberpositions(�)pendingregional-izationinformationandoptions.Memberswhosetermsaretoexpireafter5/�015maycontinuethroughDecember�015orresigntheirpositions.BothEmilyandShirleyelectedtocontinueintheircurrentboardpositions.

�014-�015District17KSNAOf-ficers,BoardMembers,andOtherPositionsincluded:

President:MarthaTucciVice-President:RoxyJohanningSecretary:SueWashburnTreasurer:JaneRobinsonBoardMembers:JeriStefarik,TraceyHill,ShirleyDinkel,&Em-ilyWintersNominatingCommittee:SueMc-Daneld(�openpositions)

District 20CherokeeandCrawfordCountiesCheryl Giefer, President

ThehighlightofKSNADistrict�0,activitieswastheSoutheastRegion-alizationMeetingwhichwasheldonFebruary�0,�015,onthecampus

Additional Annual Reports to the Membership

Southeast Regional Meeting at Pittsburg State University, February 20, 2015

ofPittsburgStateUniversity(PSU).WewerehonoredtohostthemeetingofKSNAOfficersandBoardMem-bersandotherswhotraveledsomedistancestoshareamealwithusandtoexplaintheregionalizationplansforKSNA. Also,onthisdate,wewereparticipatinginourannualWearRedforWomenandHeartDiseaseandouruniversityphotographerstoppedintophotographthegroup.KSNAmembersalsojoinedthePSUnurs-ingstudentsforagroupphoto.Atthistime,District�0islookingforwardtoanotheryearofsupportingthenursesofKansasinourprofessionalorgani-zation.

The Editorial BoardMarilyn Masterson, Chair/Editor

TheEditorialBoardofTheKansasNurseisgiventhemissionofproduc-ingaprofessionalpublicationwitharticlessubmittedbythoseknowl-edgeableinhealthcare.Inaddition,informationofinteresttoKansasStateNurses’Associationisalsocommuni-catedtomembers.Eachsubmittedar-ticleisreviewedbypeers,dependingontheirbackgroundandknowledgeofthesubject.Eacharticleistobecom-pletedaccordingtoAPAformatting.Referencesforarticlesarerequired. Nursesareencouragedtosubmitarticlesontopicsofinterest,evidence-basedpractice,andresearch.NursescouldalsoconsidercontributingabooktoTheKansasNurseonabookwithhealthornursing-relatedcontent.

Thisisanexcellentwaytobegininprofessionalpublication.Wehavesug-gestionsandpotentialbookstoreview.GuidelinesforthebookreviewsaswellasguidelinesforAPAformattingareavailableonrequest.Pleasead-dressallinquiriestoMicheleReece,managingeditor,withoutwhomTheKansasNursewouldnotbepossible Writingawardsaregiveneachyearattheannualconvention.Articlesthathavebeenpublishedduringtheyearareevaluatedagaininaclinical/non-clinicalcategorybasedonestab-lishedcriteria.Wehavereceivedafewmorepotentialarticlesthispastyear.Wecouldusemore.Allareencour-agedtosubmitarticlesandbookreviews.ThosewhoareinterestedinservingonthisCommitteeareaskedtocontacttheKSNAoffice.

Council on Continuing EducationMicheleReese,Coordinator

TheCouncilonContinuingEdu-cationiscomposedofthefollowingmembersandworkscloselywiththeKSNAofficestaff:BoardLiaisonSer-enaStutzman,MaryHolland,AbbeyLowryElliott,LauraMalletandTriciaCoffin.MembersofthecommitteetookturnsreviewingandapprovingapplicationsforCNEcontacthoursforcompletenessandappropriatenessforregisterednurses,licensedpracti-calnursesandlicensedmentalhealthtechnicians,inaccordancewiththeKansasNursePracticeAct. OurannualreportsubmittedtotheKansasStateBoardofNursinginJuly,reportedthatKSNAawarded55programsatotalof13�.95continuingnursingeducationcontacthoursand537registerednursesplus65licensedpracticalnursesattendedthesepro-grams.Oftheseofferings,14.8hoursweretaughtbyregisterednursesand118.87hoursbyotherhealthcareprofessionals. Thankyoutoallthecommitteemembersfortheirgeneroustimeandeffortinreviewingcontinuingeduca-tionapplications.Ourappreciation

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MarianJamison,PhD,RN,MBA,whosignstheCertificatesofCompletion.

Nominating CommitteeEmma Doherty, Chair

The�015KSNANominatingCommitteewenttoworkinMarchtobeginpreparingaslateofcandidatesfortheelectedleadershippositionsofVicePresident,Treasurer,BoardMember,representativetotheAmericanNursesAs-sociationMembershipAssembly,andthreepositionsontheNominatingCommittee.AfterextendingthedeadlinefromApril30intoJune,aalmostcompleteslatewasdeveloped. Thecommitteewishestothankthememberswhosteppeduptotheplatetoplacetheirnamesinnomination.ThesampleballotwaspublishedinThe Kansas Nurse,July-Augustissue,andvotingbeganAugust15andwascompletedonSeptember15.Againthisyear,memberscouldvoteonlineorbymailifahardcopyballotwasre-questedbyAugust15. TheTellersCommittee,ledbyCindyLight,mettocountandconfirmthevotingonSeptember�1.ResultswillbeannouncedattheannualKSNABusinessMeetingatthe�015MembershipAssemblyonOctober�ndattheWichitaMarriott.

American Nurses Association Membership AssemblyAngella Herrman, RepresentativeCarla Lee, Representative

LobbyDay:• BothattendeesvisitedtheofficesofthefollowingCongressmen:Sen.PatRoberts,Sen.JerryMoran,Rep.MikePompeoandRep.KevinYoder• ANAaskedustodiscussfourparticularbillsthataremovingthroughCongressandgarnersupport

--Nursestaffing:recommendationofMedicarehos-pitalscreatingacommitteeperhospitalwith55%ofdirectcarenursestodiscussstaffing/proposesolution--TitleVIIIrefunding:recommendationtorefundTitleVIIIinitsentirety,althoughwediscussedwithourCongressmen’sofficeswhatcouldbecutifitneededtobe--Veteranshealthcaredelivery:recommendationtoexpandroleofAPRNastheyareessentialtocaringforpatientsinoutreachclinicsaswellastransitioningmilitarymedics,etc.toICTsintheVAsystem--HomeHealth:recommendationtoallowAPRNstoorderhomehealthcareaswellasperformtheMedi-carerequiredface-to-faceevaluation

ANAUpdates:• ANArepresents3.4millionRNsnow(upfrom3.1millions)

• TheNewEthicsSymposiumisincreasingincomeforANA• ValuePricingpilots:$15permonthand$174peryearisbestandallsaw78%growth,removedANAonlyandstateonlymembershipsandencouragedjointmem-bership-willbebringingto�016membershipassemblyforbylawschanges/vote• �014CleanAudit• Ended�014withanegative$4.3million(NDNQIBudget-postsaleandunfavorablevariancesincludingmembershipdues,conferencefees,etc,butoneyear’sworthofreserves)• �014dialogueforums:scopeofpractice,palliativecare,interprofessionalteams

--ScopeofPractice:developedpanelthatidentified10criticalareastoexplorewithworkbeingdoneinsubcommittees,etc--Interprofessionalteams:taskforce,jointpublishedreport,changingthoughtthatphysicianmustleadteam--Palliativecare:mucheducation:

• LeadershipandMarketing/Communicationsworkingonrebrandinginitiativetoincludeanewlogo.Currentlyindiscussionregardingcultureandwheretheorganizationwantstobeinthefuture.

NewANAInitiatives:• LeadershipInstituteinprogresstoprovideeducationwithspecifictracks• PartnershipwithHilton(maywanttolookintoforfuturemembershipassemblies)• Newmemberbenefitswithlongtermcareinsurance,financialplanningservices,etc.ANAreachingouttostatestogarnersupportandofferatstatelevelaswell• IndevelopmentphasesofofferingtheMicrosoftOf-ficeSuiteofproductstotheC/SNAsDialogueForm/TopicDiscussions:• Licensurejurisdictiondiscussion:chargedANABODtoproceedaggressivelywithNCSBNandwillcontinuesameANApositionthatlicensurestaywiththelocationofthenurseandnotthepatient• PublicReporting,Ethics,InfectionPreventionwerealsodiscussedasdialogueforumswithrecommendationsdevelopedfortheANABOD(seeadditionaldocuments)

Bylawsupdates:• Alltechnicalamendmentsapproved• MAreauthorizeduntilafter�017MA• LeadershipCouncilapprovedandmaybeginthisNo- vember• Electionupdate --Treasurer:GingyHarshey-Meade,MSN,RN,CAE, NEA-BCIndianaStateNursesAssociation --VicePresident:ErnestJamesGrant,PhD,MSN,RN,

Additional Annual Reports to the Membership

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Additional Annual Reports to the Membership

DNP,RN,NE-BC,CCNSIndianaStateNursesAssocia-tion,ChrisM.Rhodes,BSN,RNAlabamaStateNursesAssociation,BrienneM.Sandow,MSN,RN,RNC-OBIdahoNursesAssociation,JenniferMcGuireHitt,PhD,RN,CNEMississippiNursesAssociation

Awards:• ANAPresident’sAwardgiventoLoriCapps(D-CA)• ANAYearofEthicsAwardgiventoGuantanamo Baynurse

ANArequestsforworktobedoneatC/SNAlevel:• Memberengagementlunch(needfeedbackfromKSNABODtosendtoANA-throughTinaatANA)• Millennialconversationupdate(needfeedbackfromKSNABODtosendtoANA–throughTinaatANA)

Kansas Nurses FoundationDebbie Hackler, President

TheKansasNursesFounda-tion(KNF)helditsannualmeetingAugust�,�014.AssetsasofDecember30,�014were$�41,778.68.KNFisa501(c)3non-profitorganizationwhichallowsfortaxdeductibledonations. ThroughtheeffortsofourPR/FundraisingCommit-teeandmanyotherFoundationmembers,asuccessfuleveningoffood,funandentertainmentwashadbyallattheKNFSilentAuctionnightduringthe�014KSNAConventioninOlathe,Kansas.Attendeebagstothe�014ConventioncontainedliteratureaboutKNFandHonor-A-Nurse.KNFwasrepresentedbyMarthaSandersandAn-gellaHermanatthe�015AnnualLegislativeConference(DATL)courtesyofKSNA.AtabletwaspurchasedbyKNFmemberstobegiventhroughadrawingattheendoftheConference.APosterofthe�014scholarshiprecipientswasdisplayedatbothevents.ThankstoKNFmembers,severalcareerfairswereattendedto“get-the-word-out”regardingthescholarshipopportunitiesavailablethroughourFoundation.The�014ScholarshipPosterwasdis-playedduringtheseeventsaswell.

SpecificItemsCompleted:

• Wrotethankyounotestodonorsrelatedtoschol-arshipsorHonor-a-Nurse.

• Chairedtwo(�)ExecutiveCommitteemeetingsperphoneconferencesrelatedtotheSilentAuc-tionnightbasedonpotentialnumbersandex-penses.

• Attendedphoneconferencesforboththe�013and�014KNFinternalaudits.

• SubmittedtheNot-forProfitCorporation�014AnnualReportrequiredbytheSecretaryofState(dueJune15th).SubmittedtheRegistration

StatementforSolicitations(solicitationlicense)wassubmittedaswell.WithWayne’sassistancetheFederal990Formwascompletedandsubmit-tedasrequired.Copyofthesereports/formwerefiledintheofficeforfuturereference.

• WiththeassistanceofbothMarthaSandersandSuePhilipp,scholarshiplettersweresenttore-spectivecolleges,recipientsandtodonors.Thesedonorlettersarevitalinkeepingdonorsup-to-dateinhowtheirgenerouscontributionsarebeingmanaged.

• Chairedtwoelectronicmeetingsintheappoint-mentoftwonewpublicmemberstotheKNFGoverningBoard.

• ThankstoMicheleReese,theKNFBy-laws,PoliciesandProcedures,andOnlineDonationaswellasvariousforms(Honor-A-Nurse,Scholar-shipFormandCriteria)areavailablethroughtheKSNAwebsite.

• WiththeassistanceofthePrattCommunityCol-lege(PCC)MarketingDepartment,KNFdevel-opedaninformativebrochuretobepublishedandmadeavailableinavarietyofvenues.ManythankstothePCCindividualsandKNFmember-ship.

Althoughavarietyofscholarshipswereawardeddur-ing�014,noapplicationswerereceivedforourresearchgrants.Thereisstillanopportunitytosubmitanapplica-tionwhichisavailablepertheKSNAwebsite. Ourfutureappearsbrightwithfundstocontinuetoawardscholarshipstowardtheeducationofnurses.TheKNFcontinuestoexplorewaystoincreaseourassetsandbecomeknownacrossKansas.Ourmembersarededicat-edindividualswhobelieveinourmission:“…toadvancethenursingprofessionbysupportingthecareerdevelop-mentofKansasnurses.”Growthisourgoalfor�015.

Midwest Multistate Division of the American Nurses Associa-tionJill Kliethermes, Leader

Thankyoufortheopportunitytore-introducemyselfasyourMidwestMulti-StateDivision(MSD)Leader.IamJillKliethermes,MSN,RN,FNP-BCandcurrentChiefExecutiveOfficeroftheMissouriNursesAssociationandcurrentlyprovidingExecutiveDirectorServicesforKSNA.TheAmericanNursesAssociation(ANA)gaveustheop-portunitytoconductatwoyearpilotprojectonMultistateDivisions,beginninginMay�013.TheANAextendedthepilotoneadditionalyearthroughApril�016.ThefollowingstatesarecurrentlyincludedintheMidwestMSD:Iowa,Kansas,Missouri,Nebraska,andNorthDakota.

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SowhatisthisMSDreallyallabout,youmayask?TheMidwestMSDhasoperatedasaunifiedentity,yetretainedtheuniquestateidenti-ties.Therehasbeenopportunitytoleveragethemassofseveralstateoperationswithunifyingtoolsandtechnologies,whileprovidingtheconstituenttheiruniquestate-specificexperiencesandutilizingtheANAcapabilities. TheMidwestMSDhasworkedtoimplementastream-linedbusinessoperationsmodelthatleveragescom-moncapabilitiesoftheStateNursesAssociations(SNA)andtheANAtoenhancethemultistateoperations.Throughthisjoint,collaborativeef-fort,theMidwestMSDhasworkedtocreateefficiencyandincreaseprofit-abilityaswellastoallowformoreeffectiveadvocacyandmembershiprecruitment/retentioneffortswithintheSNAs.Theoverarchinggoalcon-tinuestobethattheSNAsgrowandbecomemorevitalandvisibleinthefuture. Thecriteriaforsuccessofthe

Additional Annual Reports to the Membership

MidwestMSDfunctionistotransferSNAoperationalbusinessfunctionsandprocesses(asapplicable)totheMidwestMSD;increasemember-shipwithinthedivision;increasevisibilityandviabilityforeachSNAmember;thenthemembershouldseeincreasedresponsivenessandrelevancefromtheirSNA. Thispilothascreatedmultipleop-portunitiesforSNAstoworktogetherandworksmarter.Understand,thepilothasbeenaworkinprocessandwehavetrieddifferentideastoseewhatworksandwhatmaynotwork.Ihavebeenspending90%ofmytimeoverthepasttwoyearsfocusedontheworkattheMidwestMSDlevel. AtarecentmeetingoftheMWMSDLeadershipTeam,whichin-cludesthechiefstaffandelectedpresidentfromeachSNA,itwasaf-firmedthatthegroupwantstodevel-opasustainablemodelthatwilltakeusoutofthepilotphase.WewanttodevelopamodelforworkflowtoincludethefunctionandpercentageoftimespentonMSDfunctions,train

andtransitionstafftonewpositions,roles,functions,andresponsibilities,addressanyfunctiondesignprob-lems,andensurequalityoutputofMSDfunctions.Wewillworkcollab-orativelyandinpartnershiptodrivethecontinuedsuccessofrepresentingnursesinallofthestatesinvolved. OneofourgoalsistohaveatleastonestaffpersonineachSNAwhoisactivelyworkingonmember-shiprecruitment/retentionandadvo-cacy.Webelieveitisvitallyimpor-tanttohavea“faceinthestate”thatbringsSNAidentity. NowtheplanistodevelopasustainableMSDmodelproposaltopresentattheANABoardofDirectorsmeetingthisfall.IamveryexcitedtobeworkingwiththeMidwestMSDandbelievetherearemanyopportu-nitiesforeachofusaswetakethenextstepinthisnewwayofconduct-ingbusiness.IwillendwithaquotethatIuseoften:“Believeandactasifitwereimpossibletofailandweareallinthistogether.”