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GNA PRESIDENT’S MESSAGE GNF PRESIDENT’S MESSAGE

Meet the New Board of Directors . . . . . .3-5

Chapter News . . . . . . . . . . . . . . . . . . . . 6

Legislative Priorities 2018 . . . . . . . . . . . . 6

Why are Nurses Suing the EPA? . . . . . . 7

Do You Have a Nurse License Plate! . . . . .7

Our Voice . . . . . . . . . . . . . . . . . . . . . 8

Finance Matters . . . . . . . . . . . . . . . 8

Proper Bag Technique . . . . . . . . . . . 9

From the Bedside to the Boardroom: Are you ready to serve? . . . . . . . . . . . . 10

GNA in Action . . . . . . . . . . . . . . . . . . . 11

Honor a Nurse . . . . . . . . . . . . . . . . . . 12-13

Membership Honor a Nurse . . . . . . . . . . . . . . . . . . . 14

I Want to Get Involved: Joining and Creating a GNA Chapter . . . . . . . . . . . 15

What Do I Get With My Membership . . .15

Index

Volume 78 • Number 1 • February, March, April 2018

Georgia NursingVisit us online at www.georgianurses.org

“Nurses shaping the future of

professional nursing for a healthier Georgia.”

Brought to you by the Georgia Nurses Foundation (GNF) and the Georgia Nurses Association (GNA), whose

dues-paying members make it possible to advocate for nurses and nursing at the state and federal level.

The Official Publication of the Georgia Nurses Foundation (GNF).Quarterly publication direct mailed to approximately 124,000 RNs in Georgia.

Since 1907

Judith Malachowski, PhD, RN, CNE Ret

President-elect Richard Lamphier and I attended the ANA Leadership Summit in DC at the end of November . In addition to the learning that occurs at these sessions, there are many opportunities to interact with colleagues across the state and constituent members of ANA . There also are many opportunities to be involved at the regional and national levels . One of my aims is to keep GNA actively engaged in the regional and national arenas .

An important take-away for me from the Summit was the impact that The Standards for Excellence can have on the success of our GNA Board . Nearly a full day was devoted to a review and discussion of The Standards. The Standards for Excellence Institute is a “national initiative established to promote the highest standards of ethics, effectiveness, and accountability in nonprofit governance, management, and operations, and to help nonprofit organizations meet these high benchmarks” (http://standardsforexcellence .org/home-2/about-the-institute/) . The Institute publishes a Board Excellence Handbook .

Briefly, The Standards provide metrics for measuring the impact of Board work in six areas: (I) mission, strategy, and evaluation; (II) leadership: board, staff, and volunteers; (III) legal compliance and ethics; (IV) finance and operations; (V) resource development; and (VI) public awareness, engagement, and advocacy . The measurements fall into three levels: basics tier requirements, basics enhanced tier requirements, and accreditation requirements . An association can earn accreditation from the Institute by meeting all the measurements including those at the accreditation level . Information on The Standards can be found at the ANA website (nursingworld.org).

Using the metrics of The Standards, the GNA Board will address four key areas this year which will structure our operations over the second year of our terms . Similar to the corner pieces in a jigsaw puzzle, we will focus on four primary structural areas for our association: (1) the hire of a permanent executive director (Standards II and III); (2) financial stability (Standards III and IV); (3) mission and strategic planning (Standards I and V); and (4) communication and collaboration (Standards V and VI) .

Here is an example of metrics associated with Finance and Operations (Standard IV) . “Nonprofits should have written financial policies that are adequate

Judy Malachowski

GNA President’s Message continued on page 2 GNF President’s Message continued on page 2

Fun Things are Coming in 2018Catherine Futch, MN, RN, FACHE, NEA-BC, CHC

Believe it or not…another year has almost come to an end . It has been a good year in many respects and we anticipate the coming year will be even better . As we begin 2018, the GNF Board of Trustees wants to continue to do all it can to meet its mission and purpose, which is to raise, receive, hold and administer funds in order to:

A . Foster and support public awareness and interest in nursing practice;

B . Enhance the general quality of nursing practice;C . Improve the professional and educational

advancement of nurses;D . Sponsor and conduct educational events to advance

the nursing profession .

Joanne Parks, PMHNP-BC, MSN, a member of the Georgia Nurses Association and the Georgia Nurses Foundation Board of Trustees is leading the work required for two distinct events . The first will be what we anticipate will become an annual GNF Golf Tournament and will be held on April 16, 2018 . Ms . Parks has worked with Brook Tully from Heritage Golf Links to establish the date and formulate a contract with GNF for this event . I will sign and submit that contract very soon . To make this the kind of spectacular success we expect we will need your help in order to accomplish the following:

• Find teams to play in the tournament . They can be all female, all male or mixed teams . Players can be expert golfers or duffers, like me, who simply like to be outside and play the game . We will need at least 25 teams but would like to have many more than that .

• We will need individuals who can help us with fund raising and who can help us find sponsors for the tournament .

• We will need individuals who will sponsor a hole or holes to help us with additional fund raising .

• We will need a few good souls to help with putting together goodie bags to be given to each of the players .

• Finally, we will need another group who simply are willing to work with Joanne to take care of all the final tasks required to be ready for the tournament .

Catherine Futch

http://standardsforexcellence.org/home-2/about-the-institute/

http://standardsforexcellence.org/home-2/about-the-institute/

• Georgia Nursing February, March, April 2018

GEORGIANURSING

Volume 78 • Number 1

Managing Editor: Charlotte Báez-Diáz

GEORGIA NURSES FOUNDATION BOARD OF TRUSTEESCatherine Futch, President

Sarah Myers, Vice PresidentEdward Adams, SecretaryWanda Jones, Treasurer

Georgia Barkers, Immediate Past PresidentBarbara Powe, MemberRose Cannon, MemberSherry Danello, MemberMary Gullatte, MemberGerald Hobbs, MemberRachel Myers, Member

Emma Jean Powell, MemberChris Samuelson, MemberFrank Thornburg, MemberAvia Turner-Gray, Member

GEORGIA NURSES ASSOCIATION BOARD OF DIRECTORSOFFICERS:

Judy Malachowski, PresidentThea Sullivan, SecretaryJill Williams, Treasurer

DIRECTORSKathy Williams, Leadership DevelopmentMary Watson, Membership DevelopmentRichard Lamphier, Legislation/Public Policy

Joanne Butler, Staff Nurse DirectorSherry Sims, Nursing Practice & Advocacy

Suzanne Staebler, Advanced Practice Registered NursesCatherine Futch, GNF President

ADMINISTRATIONTim Davis, Director of Membership

Charlotte Báez-Diáz, Communications ManagerDebra Griffin Stevens, SPAC Director

Wendi Clifton, Staff LobbyistCindy Shepherd, Staff Lobbyist

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

Acceptance of advertising does not imply endorsement or approval by the Georgia Nurses Foundation 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 . GNF and the Arthur L . Davis Publishing Agency, Inc . shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product . Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of GNF or those of the national or local associations .

Georgia Nursing is published quarterly every February, May, August and November for the Georgia Nurses Foundation, a constituent member of the American Nurses Association .

GNA/GNF3032 Briarcliff Road, Atlanta, GA 30329

www .georgianurses .org, gna@georgianurses .org(404) 325-5536

GNA President’s Message continued from page 1 GNF President’s Message continued from page 1

for the size and complexity of the organization . These polices should address investment of the assets of the organization, internal controls, purchasing, and unrestricted current net assets .”

The measures – “The organization has board approved policies that address:

1 . Internal controls (a basics tier requirement) .2 . Investment of the organization’s assets (a basics

enhanced tier requirement) .3 . Purchasing practices (a basics enhanced tier

requirement) .4 . Unrestricted current net assets (an accreditation

requirement) .”

As the Board moves forward with its responsibilities, the Board will call upon ethical principles (hold an accountability) when evaluating our works . Through our bylaws, we must report and be accountable to you, our members .

As always, I value YOUR input . As a continuing or potential member of the association, you do and can enhance the visibility and productivity of our work . Your personal skills and energies can make a difference . Please share with me topics you would like for me to address in my quarterly Georgia Nursing article . One of my personal goals is to connect with at least one nurse in each of Georgia’s 159 counties . My purpose is to develop a network of nurses across the state for communication and collaboration on issues important to Georgia nurses and nursing practice .

Please let me know how I can help you to be involved . Be a part of GNA’s collective voice! I can be reached at judithmalachowski@yahoo .com .

Please contact Joanne at mrsjparks31@gmail .com if you are with us and are willing to volunteer . Your help will be much appreciated . More information about the specifics of the tournament will begin to come after the new year .

Second, we are planning our first annual run/walk for the Fall of 2018 . A site and date for the walk will be announced by June of 2018 . Our goal will be to raise funds for GNF but, of equal importance, to improve the health and well-being of Georgians by offering an opportunity to run/walk in this event . Planning is underway and as it evolves we will inform everyone about where the event will be held, how long the course will be, and the entry fee . We hope many of you will join us . The more who participate in the run/walk the better the outcome for GNA and GNF and thus for nurses across the State .

The final event we are contemplating in 2018 is very exciting . It comes about as a result of conversations with Michelle Nelson, PhD, MS, FNP-BC and current President of the United Advanced Practice Registered Nurses Organization, Judy Malachowski, President GNA, Wanda Jones, APRN and Treasurer of GNF, and me . The conversations began at the end of the 2017 UAPRN Conference held in Atlanta . It came out of discussions Dr . Nelson had already had with her group about how splintered nursing had become . In particular how it seems that we as nurses have splintered ourselves into a variety of different groups depending on our particular areas of practice whether that be academia, leadership, pediatrics, medical-surgical nursing, or the many other areas of practice within which nurses find themselves .

We then began to think wouldn’t it be nice if we came together for a nursing conference in GA centered simply around registered nurses and the topics they would like to have discussed, the stories they might like to share, the elements of their practice that are going well and the elements that are not going so well? We broached this topic at the recent GNA Membership Assembly meeting held at the Georgia Nurses Association building on October 28th . The response was amazing . Those attending were interested and immediately began to point out topics they would like to see on the agenda . More importantly, picture a room where almost everybody was trying to talk at the same time with a common sense of excitement about what we could do!

So…we are reaching out to all RNs across the state to determine if you share that excitement . We would love to hear from you, first about your degree of interest, and second about what you would most want to have on the agenda . Our email addresses are mnelson18@gsu .edu; judithmalachowski@yahoo .com; catherine .futch@gmail .com; npmimi174@gmail .com . We look forward to hearing from all of you .

I would like to leave you with this quote from Jane Goodall . She wrote “Only if we understand can we care . Only if we care will we help . Only if we help shall all be saved .” What does that mean for all of us? It means our successes are dependent upon the degree to which we are able to come together as nurses, to help us each be successful and, in the process, bring us all together as nurses who care for and about each other and all that we represent .

Best wishes to each and every one of you for a safe and happy holiday .

FOLLOW GNA@georgianurses

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GNA’s BankAmericard Cash RewardsTM Visa Signature® program offers great benefits-like 1% cash back on all purchases, 2% cash back at grocery stores and 3% cash back on gas for the first $1,500 in combined grocery store and gas purchases each quarter-plus, you’ll also be supporting GNA and the Georgia Nurses Foundation in the process! You can also open a GNA Bank of America checking account to really show your support . Visit GNA’s web site for information about the rates, fees, other costs and benefits, or to apply for the GNA BankAmericard Cash Rewards Visa Signature® credit card at www .georgianurses .org . From our home page, just scroll down and click on the card logo .

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February, March, April 2018 Georgia Nursing •

MEET the NEW BOARD of DIRECTORSPresident-Elect

Richard Lamphier, RN

First and foremost I would like to thank you for the opportunity to serve as your President-Elect of the Georgia Nurses Association .

I recently returned from the American Nurses Association’s Leadership Summit in Washington DC . The excitement and opportunities for Nursing, both nationally and in Georgia, are

palpable . Nationally there is healthcare reform, the Opioid Epidemic and a projected nursing shortage to name a few . Because we face many of the same issues in our state, it got me to thinking what if?

What if…Nurses became part of our elected officials resource team for healthcare issues . Issues including the Opioid crisis, access to care in rural Georgia, maternal child health, mental health, and the projected nursing shortage?

What if…For Heart month, every nurse committed to teaching 5 or 10 people CPR and how to use an AED . Would we be able to change the survival rates of out of hospital cardiac arrest?

What if…All Nursing organization’s and coalition’s partnered together to advance the health and wellbeing of the citizens of Georgia?

What if…We committed to each other, all 158,000 plus licensed nurses in Georgia, to vote in the upcoming State Wide Primaries,’ and general elections for Governor, Lt . Governor, Secretary of State and other offices?

What if…We increased our members so that percentage of membership in your Georgia Nurses Association was similar to that of other Georgia professional organizations?

The Georgia Legislative session has started, February is Heart month, and Nurses are engaged and poised to make an impact . I would like to ask each of you to do what you do best, help me change WHAT IF to what was .

Please let me know if you have any questions or other what if’s . Contact me at GNA@georgianurses .org and in the subject line put “Attention to President-Elect .”

SecretaryMaura C. Schlairet,

EdD, MA, MSN, RN, CNL

Maura C . Schlairet, EdD, MA, MSN, RN, CNL, is an Associate Professor of Nursing and Bioethicist . She received her MA degree in bioethics and healthcare policy from the Loyola University of Chicago . Dr . Schlairet is a faculty member of Georgia Baptist College of Nursing of Mercer University and teaches graduate level courses

in research and health policy and undergraduate level courses in research, gerontology, leadership, and fundamental concepts of professional nursing practice . She serves as a faculty mentor, advising junior faculty on research methodology and pedagogic practices,

chairs the undergraduate curriculum committee, and serves on state and regional advisory boards . Dr . Schlairet has a well-established record of scholarship and peer-reviewed publication and is currently conducting research on cancer survivorship programs and NCLEX-RN coaching models in prelicensure students . She was recognized with a Faculty Excellence Award for the Scholarship of Teaching and Learning and was nominated for the Regents’ Teaching Excellence Award .

APRN DirectorElizabeth Harris, DNP, ACNP-BC, CHFN

I would like to thank the members of GNA for electing me as the APRN Director . It is an honor and I look forward to representing the members of the APRN community . My goal is to continue to develop this position to best serve the APRNs in Georgia . In my short time on the board, I am working with APRN leaders to make a difference

in our current practice . It is an exciting time to be an APRN in Georgia!

APRNs are being included in the conversation to alleviate the health disparities in Georgia . The health care crisis in the state, particularly in the rural counties, is due to lack of access to care in the communities . As a result of these challenges during the 2017 Legislative Session, the senate passed Senate Resolution 188 titled Barriers to Georgians’ Access to Adequate Healthcare Senate Study . This committee was chaired by Senator Renee Untermann (GNA member) examined how removing barriers of APRN practice can impact the current health care crisis .

Expert health care professionals provided testimonies to the committee on various topics to include defining the current overview of health in Georgia, defining full practice authority for APRNs, provider shortages, mental health access issues, centering pregnancy programs, and preceptorship tax credit expansion . The committee’s recommendations include introducing legislation to grant APRNs full practice authority in counties with the lowest health ranking, expansion of the Preceptor Tax Incentive Program to include APRN and Physician’s Assistants and the expanding telemedicine to allow APRNs to provide patient care . Refer to the full report for further details http://www .georgianurses .org/news/376809/Senate-Study-Committee-Releases-Report-of-Barriers-to-Georgians-Access-to-Adequate-Healthcare .htm .

In addition to the results of the study report, the 2018 elections are on the horizon . In November, Georgians will elect a new Governor, Lieutenant Governor, and Secretary of State . Nursing leaders are already meeting with candidates to discuss the importance of nursing in Georgia . Although GNA will not endorse any particular candidate, we encourage every nurse to become involved in reaching out to these campaigns . If there is a candidate you support, reach out to their teams and become involved in the campaign . There are over 160,000 nurses in the state of Georgia . Together we can impact the results of these elections!

I look forward to hearing from the APRN community . If you have any questions or ideas,

please feel free to contact me at 404-783-3047 or mrsekbharris@att .net .

Director of Leadership DevelopmentStephan Davis,

DNP, MHSA, NEA-BC, CPHQ, FACHE

Inspired Leadership

A bright ray of light illuminated corners of my mind that had been left unexplored . That is the best way to describe the moment I was inspired to become a nurse . I was 18 years old, studying music in New York City, which is exactly what I had been preparing to do for the previous decade . But living in New York for only a few months

transformed my thinking and passion for equality and social justice . After realizing that music alone would not provide the platform I wanted to create the change I wished to see in the world, a quote from Martin Luther King ultimately inspired the path I am on today . Dr . King said, “of all the forms of inequality, injustice in healthcare is the most shocking and inhuman .” Reflecting on King’s words, I was moved to contribute to the transformation of the healthcare system, to actualize a reimagined infrastructure that provides for, protects and includes all people .

Since my initial inspiration to pursue a career in healthcare, I have cared for patients, led diverse organizations and served on various boards and task forces . What currently inspires me as a healthcare leader are the unique strengths and contributions of all those who provide care and those who seek care within our healthcare community . I am inspired by the environmental services professional who has worked at the hospital for 30 years, who patients mention by name . I am inspired by the physical therapist who pushes patients to walk when they feel they are not ready . I am inspired by the oncology patient, who despite their prognosis, wakes up to fight each and every day . And whether serving in clinical, education, research or leadership roles, I am inspired by the 3 .1 million nurses whose collective work has made nursing the most trusted profession in America .

While many people have looked to me to inspire and motivate others, I am well aware that inspiration is not a one-way street . We all have unique talents and strengths that, if properly engaged, can inspire and empower others . Moreover, I firmly believe that it is our collective inspiration and empowerment that will

New Board of Directors continued on page 4

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MEET the NEW BOARD of DIRECTORSNew Board of Directors continued from page 3

lead to the actualization of reimagined healthcare organizations, communities and systems . This is why I chose to run to become the statewide director of leadership development for the Georgia Nurses Association; because when nurses unite, exercise our collective passions and demonstrate unparalleled leadership, lives are changed and healthcare delivery is transformed .

So as we begin this journey together, I am excited to learn about what inspires you to lead and the ideas you have to inspire and empower nurses across the state of Georgia . And I very much look forward to all that our collective inspiration will lead us to accomplish together .

Stephan Davis, DNP, MHSA, NEA-BC, CPHQ, FACHE is an accomplished healthcare executive, nurse leader and educator. He has served in leadership roles for hospitals, health systems, insurance companies and on various tasks forces and boards. In addition to Dr. Davis’ leadership experience, he has served as an adjunct faculty member, teaching courses on healthcare leadership and management, policy and administration and provides talks and seminars on leadership and

diversity and inclusion across the nation. He is an alumnus of Yale University, where he earned his doctorate of nursing practice in executive leadership, management and policy. He is currently completing a post-graduate fellowship in education in the health professions at Johns Hopkins University. He holds a master’s degree in health systems administration from Georgetown University and a bachelor of science in nursing from the University of Maryland. Dr. Davis is a Fellow of the American College of Healthcare Executives, the leading professional society for healthcare management. Additionally, he holds board certification as an advanced nurse executive with the American Nurses Credentialing Center (ANCC) and has served as a national content expert for the nurse executive specialty examinations. He is a Myers Briggs Type Indicator (MBTI) certified practitioner and holds a certificate in coaching from the Association for Talent Development. Dr. Davis is also board certified in healthcare quality with the National Association for Healthcare Quality.

Director of Membership Development

Sherry H. Danello, DHA, MSN, RN, NEA-BC

Statement: Nursing is positioned today to face its challenges head on . It is my belief that with the right representation and leadership the challenges we face as a profession become opportunities for the profession never before uncovered . Health care reform brings with it many value propositions regarding how

to deliver care in a low cost quality manner . It is my belief that nursing needs to lead this charge vs fall victim to challenges . Roles we have not yet thought of are going to be needed to continue to drive nursing excellence and at the same time eliminate the challenges of care transitions as care moves from the traditional acute care model to a more integrated one . It is my belief that for nursing to strengthen among the many challenges facing Health Care a strong state and national nursing organization is needed . That central voice should be GNA . I am running for membership chairman because I believe nurses need to see the value of one voice and join

GNA . In recent years I believe nurses in our state have moved more toward specialty organizations . I think area of practice is important but I would like to see us make working on issues central to our profession and the patients we serve a top priority .

Present Position: Dr . Sherry Danello is currently the Vice President of Patient Care Services and System CNO for St . Joseph’s Candler Health System in Savannah, GA, covering 714 acute care beds, numerous outpatient services and other areas of outreach . She has served in this role since 1997 . St . Joseph’s Candler has achieved Magnet designation four times . Education:

• University of Phoenix – Doctor of Health Administration

• Medical College of Georgia – Master of Science in Nursing

• Armstrong Atlantic State University – Bachelor of Science in Nursing

• Sherry is Board Certified through the ANCC as a Nurse Executive Advanced and is a fellow in the American College of Health Care Executives .

Current Offices Held:• Georgia Organization of Nurse Leaders –

2013-2016• Board Member, Georgia Nurses Foundation –

2016-2017• Parliamentarian, Georgia Organization of Nurse

Leaders/State Board 2015-2016

Past Offices Held:• Local Chair, American Association of Critical

Care Nurses- 1985-1990• Chair of Membership, American Heart

Association- 1985-1990

Director of Nursing Practice and Advocacy

Edward Adams, MSN, BSN, RN

Whenever one starts a new position it is always wise to reflect on short and long-term goals . As I start my term as the new Georgia Nurses Association Director of Nursing Practice and Advocacy for 2017-2019, I have been reflecting on what immediate goals and long-term goals I would like to set that will

be beneficial to the nurses of Georgia . Over the last month I have come up with a few goals for both the

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MEET the NEW BOARD of DIRECTORSimmediate and the future based on conversations with other GNA members and GNA board members .

The previous Director of Nursing Practice and Advocacy, Sherry Sims, did a wonderful job building relations with the Georgia Board of Nursing and supporting the Georgia Nurses Association Peer Assistance Program (GNA-PAP) . The GNA-PAP program is GNA’s program of nurses helping nurses that have had issues with substance abuse . Currently the program has a very high success rate at helping nurses overcome and move past their substance abuse to rejoin the workforce . One of my immediate goals is to continue the support of the GNA-PAP program in any way possible . This includes sitting in on meetings concerning GNA-PAP and promoting the program at every opportunity possible, including during the 2018 legislative session . I also plan to continue to help build the relationship that GNA has with the Board of Nursing . GNA and the Board of Nursing have built a very good relationship over several years and I plan to help to continue building and strengthening this relationship .

The GNA legislative priorities for 2018 can be applied directly to nursing practice and advocacy . The need to have access to health care in rural areas is an important need in Georgia . The goal for this priority is to ensure that those that live in rural areas have access to health care and that the nurses in those areas can fully practice based on their level of education . To help further this goal I plan to participate in working to help promote this legislative priority during the next legislative session at the Lobby Day in January 2018 and any other opportunity that arises .

On Friday June 2, 2018, I plan to participate in the annual GNA-PAP facilitator training to better understand the role of the facilitators and to help to participate in the GNA-PAP program . Please contact me for more information . I believe it is not enough to stand on the side and support something you believe in . One needs to also participate not only to understand, but to help make a difference in the lives of others . Also in 2018, I plan to convene the Nursing Practice and Advocacy committee to exam creating white papers to help support various issues facing nurses in Georgia today . Some of the possible topics that were discussed during the last GNA membership assembly in October of 2017 include: staffing, nurse residency and nurse education . I would like to have as many different voices on the committee to ensure there is a greater amount of insight from different perspectives as possible . I wish to thank all those that have volunteered already to serve on the committee and would like to invite anyone else to join that feels they want to

contribute in this way . If anyone wishes to contact me please email me at GNA@georgianurses .org and in the subject line put “Attention to Director of Nursing Practice and Advocacy .”

Director Staff Nurse JoAnne (Butler) Parks, BSN, RN

I am a Board Certified Psychiatric Mental Health Nurse Practitioner licensed in the State of Georgia . I actually began my career in health care by caring for my grandmother when I was 15 years old . Since that time, and shortly after becoming a Registered Nurse, I quickly got started into my career and

rapidly gained clinical experience in various areas of patient care (inpatient psychiatry, telemetry step down unit, home health, outpatient behavioral health in the community and occupational health for the federal government) .

In addition to my well rounded clinical experience, my educational background consists of a Master’s of Science in Nursing from the University of Alabama at Birmingham, a Bachelor’s Degree of Science in Nursing from Emory University, and an Associates’ Degree of Science in Health Science with Business Administration from Georgia Perimeter College .

I have served in the leadership role as Director Staff Nurse 2015-2017 for the Georgia Nurses Association, nursing mentor to new graduate

nurses and students, Member of the Scopes and Standards of Practice Advisory Board for ANA, Breakthrough to New Grads Advisory Board for ANA, Recent Alumni Committee Member for Emory University School of Nursing, and working as a Nurse Coordinator for Federal Occupational Health . With my past appointment being on the Board of Directors at GNA, a second term will afford me the opportunity to continue serving and assisting in meeting goals that benefit both the patients and the Georgia nurses across the state .

My combination of clinical education, life experiences and education has provided me a strong foundation to fully engage in service to the community, social responsibility, and advocacy for patients and nurses in Georgia; assist in helping nurses navigate the political arena of our profession; and bridging the gap to become a strong unified nursing profession for the state of Georgia . We are all in this together . I am looking forward to a productive two years at Georgia Nurses Association as Director Staff Nurse .

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CHAPTER NEWS

LEGISLATIVE PRIORITIES2018

Nurses Working to Increase Access to CareGNA will encourage the creation of a tax

credit for taxpayers who are licensed physicians, advanced practice registered nurses, or physician assistants who provide uncompensated community based preceptorship training to medical students, advanced practice registered nurse students or physician assistant students .

Nurse’s Duty to Relieve SufferingRural patients often need medical care for

which they lack access . With careful study, prudent examination, and partnership with vested stakeholders, the GNA will work to ensure that patients have unencumbered access to care and that nurses have the freedom to assist and relieve suffering based on their training .

Support Nurses The GNA hosts the Peer Assistance Program

which assists nursing professionals who have struggled with substance abuse . GNA will work to ensure that funding is provided to this program to ensure that our professionals receive the assistance they need to return to service .

Established to Care, Created to Relive Suffering…

ABOUT GNA

The Georgia Nurses Association is the leading advocate for nurses in the state – with an emphasis on legislative advocacy, continuing education and professional development for its professionals .

GNA was founded in 1907 . Our membership is comprised of practicing nursing professionals (minimally licensed at the RN level) and academicians who prepare Georgia’s nurses to care for patients .

GNA’s mission is to help shape the future of professional nursing for a healthier Georgia .

GNA’s promise to the 155,000 licensed professional nurses in Georgia is to provide opportunities for growth through energizing experiences, empowering insight and essential resources .

Contact the Georgia Nurses Association

Wendi Clifton, GNA Lobbyistwendiclifton@icloud .com

Cindy Shephard, GNA LobbyistCindy1shepherd@aol .com

Tim Davis, Director of Membershiptim .davis@georgianurses .org • 404-325-5536

3032 Briarcliff Road NE, Atlanta GA 30329 404-325-5536

www.georgianurses.org

The Metro Atlanta Chapter (MAC) of GNA has started the 2017-18 term off by taking a close look at foundational aspects of the chapter, with an emphasis on leadership recruitment . We seek out common ground by exploring our individual purposes . We have refined the chapter mission and values:

• GNA MAC Mission: Nurses shaping the future of professional nursing for a healthier Metro Atlanta .

• GNA MAC Values: Respect, Integrity, Empathy

Local chapter involvement is an important piece of the pipeline which develops a strong professional workforce over time . GNA is in a great position to continue strengthening our professional community by fostering relationships with student nursing organizations and recent graduates throughout the state . Our hope this year is to seek out collaborative opportunities, and we would like to invite organizations and individuals to reach out with ideas or opportunities to work with our chapter by co-hosting events or mentor some of our new members at RyBannan@gmail .com .

We have many leaders working on a variety of projects . Of them, our top three priorities this year include:

1 . Continue hosting speakers offering CNE contact hours by improving systems and networking .

2 . Draft chapter specific bylaws and submit to MAC membership for approval .

3 . Host an engaging, fun, and collaborative nurse’s week event in May .

Please save the date for our remaining meetings this term to join us at GNA Headquarters, 3032 Briarcliff Road NE, Atlanta, GA 30329 . Food is provided . Attendance is free for GNA / ANA members and $5 for non-members:

• Saturday, 2/10/2018 – SPECIAL EVENT: ACLS Re-certification class

• Tuesday, 2/13/2018, 6-8pm – Speaker topic: Trauma (Pending)

• Tuesday, 3/13/2018, 6-8pm – Speaker topic: Out of darkness training (Pending)

• Tuesday, 4/10/2018, 6-8pm – Speaker topic: COPD (Pending), GNA MAC Elections

• Tuesday, 5/8/2018, 6-8pm – Nurses’ Week Celebration, GNA MAC Board Transition

In 2017, the August and November meetings were closed business meetings, and we received great feedback on guest Speaker Natasha Davis with Impact Branding during the October meeting . The September meeting was cancelled due to weather . As of the date of this writing, we are planning to host a speaker on Sepsis for the January meeting . On behalf of the GNA Metro Atlanta Chapter, we look forward to working together as we continue to shape the future of professional nursing for a healthier Georgia .

Respectfully,Ryan Bannan BSN, RN, CCRNChair, Metro Atlanta Chapter of GNA

Update from the Metro Atlanta Chapter of GNA

The Annual Legislative Breakfast was held on December 8, 2017 at the Kennesaw State University Education Center . Attendees included Dr . Janice Izlar, President of the Georgia Board of Nursing; representatives from the Senate Office of Mr . Barry Loudermilk; Mr . Tim Davis, Director of Membership at the Georgia Nurses Association and members of the Northwest Metro Chapter of GNA .

The discussion for our Legislative Breakfast focused on the 2018 GNA Legislative Priorities which are as follows: nurses working to increase access to care, nurses’ duty to relieve suffering and peer to peer

support for nurses with issues with substance abuse . Other topics discussed include staffing and ensuring a healthy workforce environment . Representative Loudermilk’s assistants were very in tuned with the lively discussion and expressed interest in being kept abreast of any needs that nurses have that will impact the health and wellbeing of our citizens of Georgia . Our next Annual Legislative Breakfast will be held in 2018 . Stay tuned as more details will come .

Patricia Chambers, RNDirector of CommunicationsNorthwest Metro Chapter of GNAgnanmc@gmail .com

Northwest Metro Chapter AnnualLegislative Breakfast

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How is it that our shampoo can contain carcinogens and our floor cleaner reproductive toxicants?

For over a decade nurses have been working with a wide range of partners, including other health professionals, environmentalists, and health-affected groups, to up-date the nation’s chemical safety policy . Written in 1976, the Toxic Substance Control Act was an ineffectual safety net for people and the environment from exposures to toxic chemicals in our air, water, food, and products . It did not require companies to do any sort of pre-market testing of their products for toxicity or potential harm .

Worse, it established that any chemicals that were already in the market place (some 80,000 chemicals) were “generally regarded as safe” without any evidence about their safety or harm to confirm this assumption . This was a way in which to “grandfather” a host of toxic chemicals and thus protect them from new requirements for safety testing . Additionally, the burden of proof regarding toxicity was the responsibility of the public and the Environmental Protection Agency, rather than requiring manufacturers to prove that a chemical or product is safe before letting us use the product in our homes, schools, or workplaces . In every instant in which the EPA tried to prove that a chemical was dangerous, the industry prevailed in keeping it on the market . An example of the challenges under the original law, the EPA could not even ban asbestos – a know carcinogen with unquestionable evidence of harm .

In 2016, after making significant and debilitating compromises, we (nurses and others) helped to usher in a new chemical law, passed by a Republican Congress and signed by President Obama that replaced the 1976 law . The biggest and most important compromise of the new federal law is the fact that it pre-empts states from passing chemical safety laws that are more effective than the new federal law once a chemical is under review by the EPA . Historically, we have looked to progressive states to pass legislation on health and safety before federal laws have made their way through Congress and to the President . This exception flies in the face of Republican calls for increasing state’s rights over federal mandates . Instead, we now have states incapacitated from further protecting their citizens from toxic chemicals, even if their citizens overwhelmingly want the added protection .

Another problematic issue with the new chemical safety law is the time line that was created for reviewing potentially, and often known, toxic chemicals . Only 10 new chemicals are required to be reviewed in the first year and then by 2019 twenty chemicals need to be under review at any given time . The Registry for Toxic Effects of Chemicals includes over 150,000 chemicals for which there is some toxicological evidence; over 80,000 chemicals are in the market place . Think about how many years it will take to get through that list at a pace of 10 - 20 chemicals

per year . And, more importantly as nurses, consider how many years and decades we may see preventable health effects from toxic chemicals that have not been reviewed because we just haven’t gotten to them yet .

As a nurse, whose mantra is “evidence-based practice,” I find it difficult to help individuals and communities navigate the necessary purchasing decisions required to live, work, learn, and play because of the lack of information about so many of the chemicals that make up our everyday products . Because we don’t require complete labeling for the vast majority of products, we can’t even do our own independent literature searches regarding the ingredients . When nurses started working on the revamping of the old chemical law, we had 3 elements that our coalition members agreed upon: 1) We need basic health and safety information on all chemicals in the marketplace, 2) We must be able to protect the most vulnerable of our population, including the fetus, infants, and children, from the effects of toxic chemicals, and 3) The EPA must have the power to ban chemicals that create the greatest risk of harm .

Our new chemical safety law, which has a very long name and honors the original Senator who sponsored the bill, is called the Frank R. Lautenburg Chemical Safety Act for the 21st Century. Once signed into law in 2016, the EPA was mandated to issue guidance documents for how they were going to review the chemicals under the updated regulation . Unfortunately, the EPA is now under a different and admittedly anti-regulatory administration . The new guidelines, issued in June 2017, reflect this bias . Instead of looking at all possible uses of a chemical in the marketplace and commerce, the new guidelines allow the EPA to pick and choose which uses they will consider when determining if the chemical poses an unreasonable health risk . Consider the case of lead . Lead can be found as a contaminant in air, water, food, toys, and even in lipstick . If they only look at one or two of these sources, the EPA may be missing important exposure sources that could underestimate the health risks and allow a toxic chemical to be used in products that would otherwise be deemed unsafe .

At the issuance of the new guidelines, nurses joined a number of other organizations in suing the EPA for placing the public at an unreasonable health risk . “The new guidelines fly in the face of our attempts to protect the public’s health,” asserts Katie Huffling, Executive Director of the Alliance of Nurses for Healthy Environments . Three separate suits were filed in District Courts around the country . It is anticipated that the judges in the courts will consolidate the cases and there will be one case heard . To follow the court case and other information about chemical safety and chemical policy, you can go to www .saferchemicalshealthyfamilies .org .

To join in free monthly national calls with other nurses who are concerned about chemicals and public health policy, go to the website of the Alliance of

Nurses for Healthy Environments: https://envirn .org/policy-advocacy/

With so many policy changes occurring – in health care, the environment, and other important areas - it is sometimes difficult to keep up . We welcome you to join our calls and just listen, if you like, to hear from nurses who are engaged in helping to protect human and environmental health . We also, especially, invite you to get involved and join a growing number of nurses who are concerned about potentially toxic chemicals in our everyday lives .

Author: Barbara Sattler, RN, MPH, DrPH, FAAN, Professor, University of San Francisco School of Nursing and Health Professions (bsattler@usfca .edu) and Board Member of the Alliance of Nurses for Healthy Environments (www .enviRN .org)

(Permission to publish and republish .) The link to the actual bill which is mentioned in

my article, the Frank R. Lautenburg Chemical Safety Act for the 21st Century is https://www .congress .gov/bill/114th-congress/senate-bill/697/all-info

The article was otherwise based on information from our experience in working on the bill and then the sequence of events following the passage of the bill .

As noted in the article, to follow chemical safety policy developments, go to www .saferchemicalshealthyfamilies .org

To become engaged with other nurses regarding chemical policies, see the website for the Alliance of Nurses for Healthy Environments: www .enviRN .org

Why are Nurses Suing the EPA?

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http://www.saferchemicalshealthyfamilies.org


http://www.enviRN.org)

https://www.congress.gov/bill/114th-congress/senate-bill/697/all-info

https://www.congress.gov/bill/114th-congress/senate-bill/697/all-info



http://www.enviRN.org

http://floyd.org/careers


OUR VOICE

Melissa Sinden

At any given time in Georgia, approximately 1 .3 million family caregivers provide close to $14 billion worth of unpaid care each year . This silent army of Georgians performs a great labor of love: caring for family members, so they can remain in their homes . That is why we at AARP have dedicated a large focus of our efforts to assisting family caregivers .

In the 2018 legislative session, AARP Georgia is advocating on behalf of several initiatives that stand to impact caregivers and their loved ones .

First, the Georgia Family Caregivers Act (known in some states as the Caregiver Advise, Record, Enable (CARE) Act) would help to support family caregivers when their loved ones go into the hospital and as they transition home . This act is essential to ensuring caregivers have access to the information they need for loved ones entrusted to their care . Second, we are pleased to continue to support GNA’s efforts to enact legislation to afford Full Practice Authority to Advance Practice Registered Nurses (APRNs) . Reliable access to quality health care is a top

priority for AARP Georgia and our more than 1 .3 million members statewide . That is why we continue to fight to break down the barriers that prevent APRNs from using all their expertise in caring for patients, especially older people who need to receive care at home to continue living independently—and stay out of costly nursing homes .

Furthermore, we are urging for the creation of an Abuser Registry to help protect vulnerable adults and provide their caregivers with the necessary tools to make important decisions . We also support greater affordable housing options for people who need help with activities associated with daily living: meals, meds, dressing, and bathing through Medicaid-Funded Assisted Living; and we advocate for greater accountability for Personal Care Home (PCH) providers which violate regulations .

In addition to our advocacy efforts, AARP has a wealth of materials and information available at www .aarp .com/caregiving . We can help you and your family with caregiving resources, such as the Home Fit Guide, which offers smart solutions for making your home comfortable and safe, and our Prepare to Care: A Resource Guide for Families, which helps make family caregiving more

manageable . The guide includes information on how to have vital conversations with older family members, organize important documents, assess your loved one’s needs, and locate important resources . In addition to these materials, caregivers will also find tips for taking care of themselves, who to contact for support, and guidance for tackling scenarios when serving in this role, from legal concerns to effectively attending doctors’ appointments .

AARP also offers a place for family caregivers to share their stories and interact with others who are caring for loved ones at www .iheartcaregivers .com . I Heart Caregivers allows families to share caregiving stories and communicate with other caregivers about their experiences .

If you would like more information about family caregiving resources and advocacy, please email AARP Georgia at GAAARP@aarp .org, or call 1-866-295-7281 .

Melissa Sinden is the Advocacy Manager for AARP Georgia.

AARP Georgia Putting Caregivers First

FINANCE MATTERS

Jim Williams, CEO and Founder of Lendwell

Why should you be a nurse? For thirty plus years I worked in the financial services industry providing mortgages to homebuyers throughout the southeast . My career was fulfilling, rewarding and gave me the opportunity to meet some wonderful people along the way . I loved helping others live the dream of purchasing a home for their family .

Several years ago I was asked to join the board of two Georgia community hospitals . I would like to share with you the personal journey that led me to accept the position and the reason I felt led to serve . March 6th, 2009 was a beautiful Sunday afternoon and the perfect day for my father to visit a friend in a neighboring community . Before the sun would set, the lives of our family would be forever changed . As Dad traveled down a country road a car pulled out in front of him and he swerved off the road hitting a concrete drainage culvert head on . The sudden impact fractured three vertebrae in Dad’s neck . He was transferred to the ICU of a regional hospital .

Dad was placed on a vent and a brace to stabilize his neck . There were some long days and nights as I prayed and hoped for my father’s recovery . I remember early one morning about 3:00 a nurse came in to check on Dad . His breathing was labored and he was very restless . She stayed with us for over an hour trying to make Dad comfortable . Day after day, night after night, Dad was fighting for survival as pneumonia set in and then a C .diff infection . His condition worsened in the next few weeks . Sixty-six days after his accident, my father passed away .

I have often reflected on this time . There were so many incredible healthcare providers that made a difference during this difficult period . I came away with a much deeper appreciation for the nurses that worked so hard to help my father return to good health . Though he passed and did not return home, their efforts were not futile . Their commitment to serving others left an image in my heart and mind that would change my life as well . In essence I could not directly repay Dad’s healthcare team for their efforts, when the call came; I decided to dedicate my time to community service to honor my father and those that served us .

So whether you are a recent nursing graduate or a seasoned veteran, you have the opportunity to make a difference in the lives of those you serve . You do make a difference in the lives of others! Thank you for making a difference to our family .

Finance Matters is written by Jim Williams, CEO and Founder of Lendwell . Jim worked in the financial services industry for thirty-two years and currently serves as a Trustee and Director for two Georgia based healthcare providers . You can email Jim at jim@gahighlands .net .

Why a Nurse,You Do Make a Difference

Jim Williams



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Proper Bag Technique:Preventing and Controlling Infections during Home Visitations

Esohe Osaghae, DNPc, MSN, RN-BC, CCM

PURPOSE:• To prevent contamination of bag and equipment,

avoid cross infection, and establish a clean work area .

• Protect patients, family members, and healthcare workers from the spread of infection .

• Demonstrate compliance with federal, state, and local laws and regulations, accreditation standards, infection control principles, and standard precautions .

BAG TECHNIQUE PROCEDURE:1 . Adhere to the principles of Standard Precautions

at all times .2 . Transport bag in a clean area of the car,

preferably in a plastic or cardboard container designated for such use .

3 . Once in the patient’s home, select a clean, flat, hard surface to place bag and set up work area . Use discretion and consideration when placing bag on patient’s furniture . Never place a non-rolling bag on floor . Keep bag closed when not in use . (Note: Use a barrier under bag to help prevent the transmission of infections, McGoldrick, 2009)

4 . Perform hand hygiene (use proper hand hygiene technique) .

5 . Remove needed items from bag and place on clean barrier . Close the bag . Use bag as few times as possible .

6 . Prepare a receptacle (impermeable plastic trash bag for disposable items) .

7 . Decontaminate hands (use hand sanitizer) prior to re-entering bag for any reason .

8 . Keep the bag closed and fastened during the visit as much as possible .

9 . Following care: clean, reusable items (blood pressure cuff, stethoscope, etc .) are returned to the bag . Disposable items are discarded (barrier) . Soiled reusable items must be cleaned and disinfected prior to returning to the bag . In the event soiled items cannot be cleaned in the home, bag and label item to transport to designated area .

10 . Decontaminate hands by using hand sanitizer at the end of home visit, repack and close bag .

11 . Only dispose of sharps in an approved sharps disposal container . The sharps container must be kept in a separate “dirty” compartment or a designated sharps container pouch . Never put used sharps directly in the bag .

12 . When leaving the patient’s home, pick up the bag and place the barrier that was underneath it in the trash . Perform hand hygiene .

NOTE: o Designate two “clean” compartments, one

for clean disposables and the other for patient records .

o Pack the bag with necessary supplies before leaving for visits . Pack hand sanitizer, barriers, supplies near the top or in a side pocket where they are easily accessible .

o Store the healthcare bag in a clean storage container or other separate compartment in your car .

o Do not take the healthcare bag into infested homes or homes of patients with antibiotic resistant infections such as MRSA or VRE .

o Bag soiled reusable items that cannot be cleaned in the patient’s home and transport them back to the facility for disinfection in an impermeable sealed plastic bag placed on the floor of the car . Do NOT place these soiled items back into the healthcare bag . Clean items with Sani-Cloth or alcohol prior to repacking bag .

o Plan where you will discard disposable items ahead of time (e .g . impermeable trash/grocery bags) .

o Clean and disinfect the healthcare bag weekly by wiping down inside of bag with Sani-Cloth . Outside of bag must be hand washed in mild soap and warm water, air dry on a monthly basis .

CONSIDERATIONS:1 . Staff is responsible for maintaining the

cleanliness and completeness of the bag .2 . As homes differ greatly, staff will need to use

Laptop bag Rolling healthcare bag Disposable, single-use barrier

judgment in selecting an appropriate work area . Considerations include: cleanliness of home, adequate lighting, low traffic area, away from direct currents from windows, heat or air conditioning vents, safe area for bag away from pets and children .

3 . Bag must be thoroughly cleaned if soiled and periodically as needed . Reusable equipment is cleaned with soap and water in the presence of bodily secretions, dried, then wiped with alcohol and allowed to air dry .

4 . Disposable equipment is used whenever possible .5 . Patient’s equipment (e .g . thermometer, BP unit) is

used whenever possible .6 . The inside and contents of the bag are always

considered clean .

NURSING CONSIDERATIONS:• Instruct the patient/caregiver on infection

control precautions and on how to reduce risk of transmitting a communicable disease .

• Consider referring patients who have active infectious organisms, such as vancomycin-resistant Staphylococcus aureus, to “infectious disease clinic” or specific case manager to reduce the risk of staff exposure and transmission of infectious organisms to other patients .

• Try to visit these patients last or at the end of the day .

• When possible, use disposable equipment or keep needed equipment in the home with these patients, and contact the local health department for further surveillance/management guidelines .

DOCUMENTATION GUIDELINES: (Document the following on the visit report)

• Any patient/caregiver instructions regarding infection control precautions and response to teaching, including adherence to recommendations

• Implementation of Standard Precautions.• Physician notification, if applicable• Other pertinent findings . *Update the plan of care .

Reference: McGoldrick, M . (2009) . Cleaning and Disinfection . 3 .Home

Care Infection Prevention and Control Program . www .HomeCareandHospice .com .

Rutala, W .A . Weber, D .J ., and the Healthcare Infection 6 . Control Practices Advisory Committee (HICPAC) . (2008) . Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 . www .cdc .gov .

Actions Rationale

1 . Upon arriving at the patient’s home, place the bag on the barrier on a table or any flat surface, clean side out . Put the bag’s handles or strap beneath the bag .

To protect the bag from contamination .

2 . Perform hand hygiene . Prevents possible infection .

3 . Put out things most needed for the specific case (e .g .) thermometer, BP unit, documents for patient, etc .) and place at one corner of the work area .

To make them readily accessible .

4 . Close the bag . To give comfort and security, maintain personal hygiene and hasten recovery .

5 . Proceed to the specifics of visit- therapy, f/u . To prevent contamination of bag and contents .

6 . After completing home visit, clean and use Sani-Cloth to disinfect the things used .

To protect caregiver and prevent spread of infection to others .

7 . Perform hand hygiene . Prevents possible infection .

8 . Make post-visit conference on matters relevant to patient care, taking anecdotal notes preparatory to final reporting .

To be used as reference for future visit .

9 . Make appointment for the next visit (either home or clinic), taking note of the date, time and purpose .

For follow-up care .

STANDARD CONTENTSHand sanitizerHand LotionBarrierStethoscopeSphygmomanometerDigital Thermometer /SheathsGloves: Latex-free /Non-SterileGogglesAlcohol SwabsMask: CPR / N95 RespiratorImpermeable plastic trash bag

Optional ContentsFlashlightTape MeasureTape GownPenlightBandage ScissorsSharps Container

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You’re educated and prepared to lead in safety and quality . You’re at the bedside caring for patients and working to improve care . However, decisions about the allocation of resources for caregiving are made at the board level, and there’s a dearth of nurses in board positions . Why?

A nurse’s insightsThe late nurse leader Connie Curran told the story

of a nurse on a hospital board asking significant questions when financial cuts were needed . The proposed solution was to discontinue pharmacy services in remote parts of the facility during off shifts . The nurse board member asked, “Who would go to the central pharmacy when patients need medications in the middle of the night?” The answer: “The nurses .” Her next question: “Who will do the nursing care while the nurse is transporting the medicines?” By the end of the conversation, the board realized that the proposed budget solution would actually increase costs .

Because of her intimate knowledge of bedside care delivery and her understanding of the relevant systems, this nurse board member prevented her hospital from making a costly mistake . Clearly, the nursing voice is critical at the board level to help hospitals make effective, financially viable and sustainable healthcare decisions .

What’s stopping you?So why don’t nurses serve

on hospital boards? Do policymakers not appreciate the value nurses can bring, or are nurses not stepping forward to join? If they’re not stepping forward, is it because nursing culture is built on serving in the background? Or do nurses think they don’t have the competencies needed for board service?

In The Atlantic, authors Kay and Shipman state, “Evidence shows that women are less self-assured than men—and that to succeed, confidence matters as much as competence .” Most nurses are women, so Kay and Shipman’s conclusions could easily apply to nurses who don’t seek board positions .

However, findings of a recent study of board effectiveness showed that a greater number of women on a board results in better, more well-rounded decisions . One investment firm tracks the number of women on companies’ boards and offers to invest funds in those that have more women and thus greater returns on investments . According to Joy and colleagues, “The correlation between gender diversity on boards and corporate performance can also be found across most industries—from consumer discretionary to information technology .”

“In the video Sentimental Women Need Not Apply: A History of the American Nurse, producers Garey and Hott suggest that the first trained nurses were chosen because they were hard workers, stayed in the background, didn’t call attention to themselves, and were subservient—hardly characteristics for board service . This history may

have set the stage for nurses not seeking positions where their insights are needed .

Skills, skills, skillsFor the benefit of patients and the financial health

of hospitals and other healthcare organizations, boards need to harness the safety, quality, and evidence-based practice knowledge of nurses; nurses need to join healthcare agency boards . To achieve this national goal, nurses also need to become more aware of the skills they already possess that translate well into board service . For example, nurses are experts at communication and reading nonverbal cues . They’re good at establishing relationships, making others feel comfortable, using data for decision making, and, as we’re often reminded by the yearly Gallup Poll, perceived as honest and ethical .

Walton and Mullinix developed a list of board- readiness skills that can help you assess your ability to work successfully on a board . A single individual can’t be expected to have all the skills, but you can check yourself against this list of overall competencies .

• Understand the difference between management and governance .

• Comprehend financial statements presented to board members each time they meet .

• Possess social etiquette proficiency for business conducted in social settings .

• Know Robert’s Rules of Order so you can contribute to accomplishing the board’s work .

• Bring influence and work to gain power . • Possess negotiating skills .• Speak comfortably in public .

Where are you strong and where do you need more refinement? If you’re deficient in any area, don’t let that stop you from serving; take the time to hone your skills . (See Get ready to serve.) Patients

and healthcare organizations deserve your expertise at the bedside and in the boardroom .

Count and be countedReady to be counted

as someone who wants to serve? Visit the national Nurses on Boards Coalition website (www .nursesonboardscoalition .org) and let boards know you want to serve . If you’re already serving, you can help the Future of Nursing: Campaign for Action reach its goal of 10,000 nurses on boards by

2020 by visiting www .nursesonboardscoalition .org to make sure you’re counted . Ultimately, nurses serving on boards provide a voice for and improve the health of their communities across the country .

Connie Mullinix is an associate professor in the department of nursing at the University of North Carolina–Pembroke. AnnMarie Lee Walton is a postdoctoral fellow at the University of North Carolina Chapel Hill, School of Nursing. Diana Ruiz is the director of population & community health in the Medical Center Health System in Odessa, Texas.

Selected referencesAmerican Hospital Association . Spenser Stuart/AHA

Healthcare Leadership Team Survey . April 1, 2014 . www .hpoe .org/HPOE_Live_ Webinars/4 .1 .14_Webinar .pdf

Garey D, Hott LR (producers) . Sentimental Women Need Not Apply: A History of the American Nurse [DVD] . Los Angeles: Florentine Films; 1988 .

Hassmiller S . Taking the first steps to serving on a board . American Nurse Today. 2012;7(11):18-20 .

Hassmiller S . The top five issues for nursing in 2015 . December 3, 2014 . Robert Wood Johnson Foundation .

If you’d like to serve on a board but don’t feel you have a complete skill set, take advantage of these resources .

Financial statementsAME Learning: Finance for Board ServiceThis online, self-paced course gives you the tools and vocabulary to understand the language of finance .

The program includes:• 10 to 30 hours of online, interactive, self-paced content• Straightforward instruction on how to read

and analyze financial statements .

To access the program:1 . Go to www .amelearning .com/

nursesonboards .2 . Purchase the PIN for $45 .3 . Follow instructions to log in to the course .

Note: Once purchased, the tutorials are time-limited and available for 2 years .

EtiquettePagana KD . The Nurses’ Etiquette Advantage. 2nd ed . Indianapolis: Sigma Theta Tau International; 2015 .

Robert’s Rules of OrderZimmerman DP . Robert’s Rules in Plain English. 2nd ed . New York: Harper- Collins; 2005 .

NegotiatingFisher R, Ury WL, Patton B . Getting to Yes: Negotiating Agreement Without Giving In. New York: Penguin Books; 2011 .

Governance vs. managementBiggs EL . Healthcare Governance: A Guide for Effective Boards. 2nd ed . Chicago: Health Administration Press; 2011 .

Presentations and public speakingHumes JC . Speak Like Churchill, Stand Like Lincoln: 21 Powerful Secrets of History’s Greatest Speakers. New York: Three Rivers Press; 2009 .

Power and influenceSullivan EJ . Becoming Influential: A Guide for Nurses. 2nd ed . Boston: Pearson; 2013 .

Get ready to serve

Career Sphere

From the Bedside to the Boardroom: Are You Ready to Serve?Connie Mullinix, PhD, MBA, MPH, RN; AnnMarie Lee Walton, PhD, MPH, RN, OCN, CHES; and Diana Ruiz, DNP, RN, APHN, CCTM, CWOCN, NE-BCReprinted from American Nurse Today

Use the skills you have—and learn new ones—to advance health care

and your career.

The nursing voice is critical at the board

level to help hospitals make effective,

financially viable and sustainable healthcare

decisions.

http://www .rwjf .org/en/ culture-of-health/2014/12/the_top_five_issues .html

Institute of Medicine . The Future of Nursing: Leading Change, Advancing Health. Washington, DC: The National Academies Press; 2011 .

Joy L, Carter NM, Wagner HM, Narayanan S . The bottom line: Corporate performance and women’s representation on boards . Catalyst® . 2007 . www .catalyst .org/system/files/The_Bottom_Line_Corporate_ Performance_and_Womens_Representation_on_Boards .pdf

Kay K, Shipman C . The confidence gap . The Atlantic . 2014 . www .theatlantic .com/magazine/archive/2014/05/the-confidence-gap/ 359815

Mason DJ, Keepnews D, Holmberg J, Murray E . The representation of health professionals on governing boards of health care organizations in New York City . J Urban Health . 2013;90(5):888-901 .

Norman J . Social issues: Americans rate healthcare providers high on honesty, ethics . Gallup® . December 19, 2016 . www .gallup .com/poll/200057/americans-rate-healthcare-providers- high-honesty-ethics .aspx

Walton A, Mullinix C . Increasing the number of oncology nurses serving on boards . Clin J Oncol Nurs . 2016;20(4):440-2 .


GNA IN ACTION

President Judith Malachowski met with the first semester nursing students at Middle Georgia State University in Macon on November 6, 2017 .

President Malachowski and nursing students engaged in a discussion of topics that focused on policy - how to make a difference as a professional registered nurse; and the role of the nurse in policy development . The students discussed the impact

on nursing practice as a result of the passage of the Enhanced Nurse Licensure Compact (eNLC) legislation in 2017 .

Finally, the students analyzed a hypothetical piece of legislation using an environmental scan . Dr . Donna Ingram, Chair of the Nursing Department, and Ms . Debbi Bryarly, Assistant Professor of Nursing, participated .

President-elect Richard Lamphier presenting opening content at the ANA Leadership Summit held in Washington, DC, the week of November 27, 2017 for one of the sessions on The Standards for Excellence: An Ethics & Accountability Program for the Nonprofit Sector.

GNA President, Judith Malachowski, visited nursing students at Middle Georgia State University in Macon.

President Judith Malachowski and President-elect Richard Lamphier with ANA Executive Director Debbie Hatmaker at the ANA Leadership Summit held in Washington, DC, the week of November 27, 2017 . Debbie Hatmaker is a former GNA President and Chief Programs Officer for GNA .

President Judith Malachowski and President-elect Richard Lamphier with ANA President Pam Cipriano at the ANA Leadership Summit held in Washington, DC, the week of November 27, 2017 .

Happy Valentine’s Dayfrom the Board and Staff of

Georgia Nurses Foundation andGeorgia Nurses Association

The Best Benefits• Relocation reimbursement up to $5,000• Eligible for student loan forgiveness programs• Advancement opportunities• College tuition waiver program

Expand your career opportunities at• Florida State Hospital, Chattahoochee

• North Florida Evaluation and Treatment Center, Gainesville

• Northeast Florida State Hospital, Macclenny

For more information contact:Kevin Bist, Recruiting Consultant

[email protected] (office) | 850-274-4287 (cell)

To apply for these positions visithttps://jobs.myflorida.com

Relocate to beautiful North Florida, and join a collaborative mental health care team as a

REGISTERED NURSE

REAL WORK-LIFE BALANCE

http://jacksonvilleu.com/ganursing


December 12, 2017

Yvonne Eaves 5654 Lake Trace DriveHoover, AL 35244

Dear Ms . Eaves,

Congratulations! You have been honored by Ms . Christie Emerson through the Georgia Nurses Foundation’s Honor a Nurse Program . As an honoree, you will be recognized in an upcoming issue of Georgia Nursing.

The Foundation’s Honor a Nurse Program provides a way to let individuals recognize nursing professionals who have made a difference in the lives of others as a friend, mentor, caregiver or teacher . Proceeds from this program go to the Foundation’s scholarship programs and provide funding for nursing activities .

The Georgia Nurses Foundation salutes you as a member of the profession who richly deserves this recognition .

Kindest regards,

Catherine F utchCatherine FutchPresident, Board of Trustees

GNF Mission Statement: Through philanthropy, the Georgia Nurses Foundation fosters nursing’s role in the improvement of the health, well being and quality of life for Georgia’s citizens. The Foundation’s mission is fulfilled through Service, Education, and Research.

December 12, 2017

Jackie Jones 522 Cherokee Mills DriveWoodstock, GA 30189

Dear Ms . Jones,




Kindest regards,



December 12, 2017

Aimee Manion 1670 Clairmont Road Decatur, GA 30033

Dear Ms . Manion,

Congratulations! You have been honored by Dr . Georgia W . Barkers, EdD, MBA, MHA, RN-BC, NEA-BC through the Georgia Nurses Foundation’s Honor a Nurse Program . As an honoree, you will be recognized in an upcoming issue of Georgia Nursing.



Kindest regards,



HONOR A NURSE

http://www.cpgh.org/careers

http://augusta.edu/nursingdnp


Are you planning a continuing education event, luncheon or offsite meeting and looking for space to host the event? Look no further than GNA’s Education Center! The Education Center is available for your next important event . The Center features:

• Its own entrance and registration area• A full catering kitchen for preparation of meal

functions• Seating for 50 guests, classroom style• White boards along two walls• A large drop-down screen for projectors• Bottled water and coffee service available• Free parking• All at an affordable & competitive rental rate

GNA’s Education Center is conveniently located near I-85 & Clairmont Road at 3032 Briarcliff Road, NE Atlanta, GA 30329 . Current rates are $375 full day/$250 half day (four hours or less) . GNA members will receive a $50 discount on these rates . A/V extra . For rental information, please contact Shan Haugubrook at shaugabrook@georgianurses .org or 404-325-5536 .

GNA Education Center Available for Events,

Meetings & CE

December 12, 2017

Becky Shabo 99 McMillan Road NEWhite, GA 30184

Dear Ms . Shabo,




Kindest regards,



December 12, 2017

Linda Sutton 1435 Hedgewood LaneKennesaw, GA 30152

Dear Ms . Sutton,




Kindest regards,



See page 14 for information on how to Honor A Nurse.

Quitting tobacco can lead to a healthier and longer life. Live to enjoy more precious moments with your baby.

Live to watch your family grow healthy and thrive. NOW IS THE BEST TIME TO QUIT. TAKE THE FIRST STEP.

Georgia TobaccoQuit Line

A Free and Effective Telephone Counseling Service That Helps Georgians

Quit Smoking and Using Tobacco For Life

1-877-270-STOP (7867) | 1-877-2NO-FUME (Spanish) Hearing Impaired: TTY services 1-877-777-6534

www.dph.georgia.gov/ready-quitFunding provided by the Centers for Disease Control and Prevention-Office of Smoking and Health

http://ccga.edu/nursing


MEMBERSHIP

GEORGIA NURSES FOUNDATION

HONOR A NURSEWe all know a special nurse who makes a difference! Honor a nurse who has touched your life as a friend, a caregiver, a mentor, an exemplary clinician, or an outstanding teacher . Now is your opportunity to tell them “thank you .”

The Georgia Nurses Foundation (GNF) has the perfect thank you with its “Honor a Nurse” program which tells the honorees that they are appreciated for their quality of care, knowledge, and contributions to the profession .

Your contribution of at least $35 .00 will honor your special nurse through the support of programs and services of the Georgia Nurses Foundation . Your honoree will receive a special acknowledgement letter in addition to a public acknowledgement through our quarterly publication, Georgia Nursing, which is distributed to more than 100,000 registered nurses and nursing students throughout Georgia . The acknowledgement will state the name of the donor and the honoree’s accomplishment, but will not include the amount of the donation .

Let someone know they make a difference by completing the form below and returning it to the following address:

Georgia Nurses Foundation 3032 Briarcliff Road, NE | Atlanta, GA 30329 FAX: (404) 325-0407 | gna@georgianurses .org (Please make checks payable to Georgia Nurses Foundation.)

I would like to Honor a Nurse:

Honoree: Name: __________________________________________________

Email: __________________________________________________

Address: ________________________________________________

State/City: ______________________________Zip: ___________

From: Donor: _________________________________________________

Email: __________________________________________________

Address: ________________________________________________

State/City: ______________________________Zip: ___________

Amount of Gift: __________________

MasterCard/Visa #: ____________________________ Exp Date: ___________

Name on Card: _____________________________________________________

My company will match my gift? _ YES (Please list employer and address below .) ___ NO

Employer: _______________________________________________

Address: ________________________________________________

The Georgia Nurses Foundation (GNF) is the charitable and philanthropic arm of GNA supporting GNA and its work to foster the welfare and well being of nurses, promote and advance the nursing profession, thereby enhancing the health of the public.

Georgia Nurses Association Political Action Committee (GN-PAC)

About GN-PAC:The Georgia Nurses Association Political Action Committee (GN-PAC) actively

and carefully reviews candidates for local, state and federal office . This consideration includes the candidate’s record on nursing issues and value as an advocate for the nursing profession . Your contribution to GN-PAC today will help GNA continue to protect your ability to practice and earn a living in Georgia . Your contribution will also support candidates for office who are strong advocates on behalf of nursing . By contributing $25 or more, you’ll become a supporting member of GN-PAC . By contributing $65 or more, you’ll become a full member of GN-PAC!

GN-PAC Purpose:The purpose of the GN-PAC shall be to promote the improvement of the health

care of the citizens of Georgia by raising funds from within the nursing community and friends of nursing and contributing to the support of worthy candidates for State office who believe, and have demonstrated their belief, in the legislative objectives of the Georgia Nurses Association .

TO DONATE VISIT WWW.GEORGIANURSES.ORG/GNPAC

GNA E-Store Now Open!

Purchase GNA merchandise at GNA’s Café Press online e-store!Cups, bags, hats, t-shirts, hoodies, and more!

www.cafepress.com/georgianursesassociation

You are only a phone call away from information and referrals for services such as:• Emergency financial assistance• Light housekeeping assistance• Meals on Wheels• Ramps and grab bars• Assistance with getting free and low-cost

prescription drugs• Adult day care and in-home relief for family

caregivers• Help for persons with disabilities• Emergency-response buttons• Help understanding Medicare and Medicaid• Protection from consumer fraud• Help with resolving care problems in nursing

homes• Grandparents raising grandchildren services• Nursing home transition• Elder law services, and many more services...

A Partner in the Aging Network

Call (706) 583-2546 or(800) 474-7540 for more

information from the Aging and Disability Resource Connection

305 Research DriveAthens, Georgia 30605

That research paper isn’t going to write itself.

Visit www.nursingALD.comto gain access to 1200+ issues of official state nurses publications,

all to make your research easier!

http://gordonstate.edu/bsn/home


MEMBERSHIP

Are you interested in Palliative Care? Nurse Navigation? Informatics?

Whatever your nursing passion may be, Georgia Nurses Association (GNA) can help you connect with your peers locally and across the state . Becoming involved in your professional association is the first step towards creating your personal career satisfaction and connecting with your peers . Now, GNA has made it easy for you to become involved according to your own preferences .

Through GNA’s new member-driven chapter structure, you can join multiple chapters and also create your own chapter based on shared interests where you can reap the benefits of energizing experiences, empowering insight and essential resources.

Visit http://www .georgianurses .org/?page=Chapter Chairs to view a list of current GNA Chapters and Chapters Chair contact information . Connect with Chapter Chairs to find out when they will hold their next Chapter meeting!

The steps you should follow to create a NEW GNA chapter are below . If you have any questions, contact the membership development committee or GNA headquarters; specific contact information and more details may be found at www .georgianurses .org .

1 . Obtain a copy of GNA bylaws, policies and procedures from www .georgianurses .org .

2 . Gather together a minimum of 10 GNA members who share similar interests .

3 . Select a chapter chair . 4 . Chapter chair forms a roster to verify roster

as current GNA members . This is done by contacting headquarters at (404) 325-5536 .

5 . Identify and agree upon chapter purpose . 6 . Decide on chapter name . 7 . Submit information for application to become a

chapter to GNA Headquarters . Information to be submitted includes the following: Chapter chair name and chapter contact

information including an email,

I Want to Get Involved:Joining and Creating a GNA Chapter

To become a member of GNA please

review and submit our membership

application located on the homepage of

our website at www .georgianurses .org

What Do I Get With My Membership?

When you join GNA, you’ll immediately gain access to the largest network of registered nurses in the state of Georgia .

Professional Benefits• GNA Members Only E-News Subscription• GNA Legislative Updates• GNA Professional Development Conference &

Membership Assembly• GNA web site – www .georgianurses .org• New GNA leadership opportunities• Free Subscription to The American Nurse• Free Subscription to American Nurse Today• Free access to the Online Journal of Issues in

Nursing (OJIN)• Free Navigate Nursing Webinars• Members-only access to ANA NurseSpace• Members-only access to ANA’s web site• Members-only access to GNA special events• Great programs & CE opportunities • Connect with leaders in your profession• Shared-interest and local chapters• Annual GNA Legislative Day event• Dedicated professional staff & lobbyists

Member Services & Discounts• LARGEST discount on initial ANCC

certification ($120/full members only)• LARGEST available discount on ANCC

re-certification ($150/full members only)• ONLY discount on ANCC Review/Resource

Manuals (full members only)• Marsh Liability Insurance• Discounts at www .nursebooks .org

Members-Only Discounts:• AT&T: Just head into any Authorized AT&T

Retailer and present your membership card to receive an 8% discount on all services .

• Verizon Wireless• Snazzy Traveler - Up to 75% off hotels rental

cars and cruises • HotelStorm - up to 55% off hotel reservations• Spa Sydell - 20% discount on all services• LA Fitness - $25 initiation and $31 .99/mo • Avis Car Rental - 30% Discount • AllState Insurance Roadside Assistance • Jon Ric Spa - 20% discount on all services• Discounts at Peach Valley Dental• Participation in your local GNA Chapter as

well as several shared interest chapters .• Discounted Insurance via Mutual of Omaha

Insurance• Domino’s Pizza• GNA Bank of America credit card program

Chapter name, Chapter purpose, and Chapter roster .

8 . The application will then go to the Membership Development Committee who will forward it to the Board of Directors . The Board will approve or decline the application and notify the applicant of its decision .

from the Board and Staff ofGeorgia Nurses Foundation and

Georgia Nurses Association

A career with us allows you to see one patient at a time. When you become an employee with us, you become a part of your patients’ lives.

Registered Nurses• Deliver one-on-one patient care• Enjoy a better work/life balance • Receive competitive pay

Call us today at

855-KND-AT-HOME(855.563.2846) or visit www.kindredathome.com/careers

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GeorgiaSouthern.edu/nursing

http://georgiasouthern.edu/nursing

http://phoebehealth.com/nursing

http://online.odu.edu/nursing

http://augustahealth.org/nursing

visit us online at volume 78 ... · volume 78 • number 1 • february, march, april 2018 georgia...

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