Executive Director’s Report - d3ms3kxrsap50t.cloudfront.net · October 2016 The Wisconsin Nurse...
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October 2016 The Wisconsin Nurse Page 1
current resident or
Non-Profit Org.U.S. Postage Paid
Princeton, MNPermit No. 14
VOLUME 2 NUMBER 4OCTOBER 2016
The Official Publication of the Nurses Foundation of Wisconsin, in cooperation withthe Wisconsin Nurses Association. Delivered to you courtesy of the WNA membership.
Executive Director’s Report
Gina Dennik-Champion, MSN, RN, MSHA
Welcome to this edition of The Wisconsin Nurse. I do hope that you are finding the information provided in each mailing worthy of your time. WNA’s Board of Directors, structural units, and staff are doing their best in addressing the advocacy and professional development needs of you, our valued member. I want to share some of the activities WNA has been working on during these summer months.
I had a wonderful opportunity to attend and participate in the 2016 ANA Membership Assembly with Linda Gobis, WNA President, and WNA Representative Nicole Faulkner. The three-day meeting took place June 23-25. It went by quickly and with some great outcomes. I personally enjoyed seeing and networking with many of the members and staff from all the different states and ANA. The work output from ANA is truly amazing and of high value. The time allowed me to reflect on the synchronization between ANA’s and WNA’s work and outcomes.
This message comes at a time when the six months of planning for our office move has come to fruition. It has been an amazing experience for the WNA staff to go through the many, many boxes that have been in storage. The articles found in past issues of the WNA STAT Bulletin, minutes of meetings, annual reports, and the many photos of past leaders and members have been inspirational. We identified those documents that we believe the Wisconsin Historical Society would like and those that we need to retain via electronic storage.
In regards to our new location, WNA is leasing a 1,177 sq.ft of office space located in an area where there are other business offices. Our new location
is about 2.5 miles west of the old WNA office. The building has a great conference room with lots of lighting and space. We will be providing a virtual tour of our space at the WNA Annual Meeting and also posted on our website.
Speaking of the 2016 WNA Annual Meeting, the members of the Awards, Bylaws, Reference, and Nominations Committees were diligent in meeting their responsibilities. You will see their outcomes presented at the October 22, 2016 Annual Meeting. More information is included in this edition of the paper.
If you have not already done so, please review all of the educational opportunities we are providing in conjunction with WNA’s Membership Assembly. The 2016 WNA Fall Learning Symposium is scheduled for October 20–21, 2016 at the Marriott West Hotel and Conference Center in Middleton. You will find an overview of the educational offerings in this edition of the paper and find much more detailed information on WNA’s website. As a reminder, you can join the Annual Meeting in-person or virtually on Saturday morning from October 22 from 8:30 am to 12:00 pm. Those attending in-person will have an opportunity for a light breakfast and join us at the WNA Awards Luncheon, immediately following the Annual Meeting.
I do hope to have an opportunity to see you during this fall season. WNA is planning legislative breakfasts/town halls, school of nursing presentations and webinars. Thank you for being a member and allowing WNA to be your voice for professional nursing in Wisconsin.
WNA Board of Directors Meeting Summary
The Wisconsin Nurses Association Board of Directors met on Friday, July 7, 2016, at the WNA Office.
Those in attendance were: Linda Gobis –President, Beth Markham – Vice President, Yvette Egan – Secretary, Cathy Berry – Treasurer, Alex Hetzer – Staff Nurse Board of Director, Deborah Schwallie – APRN Board of Director, Tiffany Barta – Director-
at-large, Nicole Faulkner – Director-at-large, and Suzanne Marnocha – Director-at-large. WNA Staff present: Gina Dennik-Champion, Executive Director, Megan Leadholm, Associate Director, and Brianna Neiderman, Communication & Membership Director.The summary of the meeting is as follows:
• Accepted the reports of the WNA President,WNA Treasurer, and Executive Director.
• Approved the Minutes of the March 25, 2016,meeting.
• Approved appointment of Lea Acord andPam Sanberg to serve on the WNA Personnel Committee and appointment of Margaret Raske to serve on the WNA Healthy Nurse Task Force.
• Explored the costs and strategy to scan andstore files and records for all documents that WNA is required to maintain, and plan for future electronic copies of new records.
• Submitted an application to participate in theWNA/ANA Value Pricing Pilot Program.
• Approved participation in the ANA HealthyNurse Healthy Nation Grand Challenge and request WNA’s Healthy Nurse Task Force to lead this effort at the Premier Level.
• Approved the submission of reference reporton revisions to WNA Reference Report policy which includes the use of dialogue forums (approved procedure change).
• Approved the revisions to the WNA RecordsRetention policy.
• Approved the new branding logo and ANA’simplementation strategy and support in time for the 2016 WNA Annual Meeting.
• Discussed the concept of forming a quad-council to be the new lead for the continued advancement of the IOM Future of Nursing recommendations.
• Discussedandrespondedtothelatestactivitiesof the Wisconsin Health Literacy Project as presented by Steve Sparks, Executive Director, and Allison Espeseth, of Covering Wisconsin.
The next WNA Board meeting is scheduled for Saturday, September 24, 2016.
Membership Application . . . . . . . . . . . . . . . . . . . . 2 Wisconsin Nurses Association Updates: Beyond the 50%: It Starts with Blood Pressure Measurement . . . . . . . . . . . . . 3 WNA Fall 2016 Learning Symposium. . . . . . . . . 4 Legislative and Regulatory Update . . . . . . . . . . 5 WNA Working for You . . . . . . . . . . . . . . . . . . . 6-7 Membership Assembly . . . . . . . . . . . . . . . . . . . . 8 Proposed Amendments to the Bylaws . . . 10-11American Nurses Association Updates Overview of ANA Membership Assembly . . . 12
Mutual Interest Groups (MIGs) Updates: Endocrine Disruptors . . . . . . . . . . . . . . . . . . . . .13 Faith Community Nursing Coalition . . . . . . . .14 The Grapevine Project . . . . . . . . . . . . . . . . . . . .15 Pilot Program to Mentor Nurse Leaders for the Future . . . . . . . . . . . . . . . . . . . . . . . . 16-17Nurses Foundation of Wisconsin: Meet the NFW Board of Directors! . . . . . . . . .18 Research Grant and Scholarship Winners . . .19
Page 2 The Wisconsin Nurse October 2016
THEWISCONSINNURSE
WISCONSIN NURSES ASSOCIATION2016 BOARD OF DIRECTORS
Linda Gobis, PresidentElizabeth Markham, Vice President
Cathy Berry, Treasurer Yvette Egan, Secretary
Suzanne Marnocha, Director-at-LargeTiffany Barta, Director-at-Large
Nicole Faulkner, Director-at-LargeAlex Hetzer, Staff Nurse Representative
Deborah Schwallie, APRN Representative
WISCONSIN NURSES ASSOCIATION STAFFGina Dennik-Champion, Executive Director
Megan Leadholm, Associate Director Brianna Neiderman, Communications and
Membership DirectorTeresa Prattke, Education Program Coordinator
Janine Elliott, Office Coordinator
NURSES FOUNDATION OF WISCONSINBOARD OF DIRECTORS
SueAnne TeStrake, PresidentPamela Macari Sanberg, Treasurer
Alex Hetzer, WNA Board RepresentativeKristin Haglund, Vice President
Anna Rosen, Secretary Isabelle Garibaldi, Director-at-LargeMalori Hinchen, Director-at-LargeRorey Pritchard, Director-at-Large
THE WISCONSIN NURSE EDITORIAL STAFFSueAnne TeStrake, Executive Editor
Gina Dennik-Champion, Deputy Executive Editor
Brianna Neiderman, Managing Editor
CONTACT INFORMATIONWisconsin Nurses Association /
Nurses Foundation of Wisconsin2820 Walton Commons West, Suite 136
Madison, WI 53718 [email protected] –
www.wisconsinnurses.org - @wisconsinnursesAmerican Nurses Association
8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492
[email protected] - www.nursingworld.org
The Wisconsin Nurse is published quarterly every January, April, July and October by the Arthur L. Davis Publishing Agency, Inc. Subscriber rates are available, 608-221-0383.
For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613. (800) 626-4081, [email protected].
NFW 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 Nurses Foundation of Wisconsin of the products advertised, the advertisers or the claims made. Rejection of an advertisement does not imply that 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. NFW and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of advertisers’ products. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of WNA, or those of the American Nurses Association.
Membership
2820 Walton Commons West, Suite 136Madison, WI 53718
October 2016 The Wisconsin Nurse Page 3
The Wisconsin Nurses Association announces the availability of a free, evidence-based, online training module on blood pressure measurement entitled Beyond the 50%: It starts with blood pressure measurement. The module includes a video recording and links to clinical resources. All participants can earn 1.0 contact hour of CNE credit. www.wisconsinnurses.org/beyond-the-50
This learning module is designed to: • Improve accuracy of blood pressure
measurement• Prepareproviders(andtheirassistantstaff)
to teach patients self-measurement• Improve health outcomes for patients,
caregivers, populations, and communities• Target theadultpopulation (yet the info is
transferable to pediatric populations)• Support awareness for improved clinical
practice and overcoming clinical inertia
Why:Cardiovascular disease is the leading
cause of morbidit y and mortalit y in Wisconsin and in the United States. It is estimated that only 50% of persons d i a g n o s e d w i t h h y p e r t e n s i o n a r e adequately managed and controlled. This percentage is likely even lower for vulnerable population groups who struggle with limited resources, low literacy, and limited educational attainment.
We can do better! It starts with blood pressure measurement!
Target Population:This module is targeted to all Wisconsin health
professionals, their assistant staff, and students in health professions and health science programs. It can be viewed individually or in group settings.
Applicable Settings:
This module is applicable in any setting where health professionals deliver care to populations. These settings include but are not limited to: primary care clinics; physician offices; schools; local health department programs; community health agencies; hospitals; long-term care.
Schedule for Updating Your Skills:
It is recommended that staff regularly update their blood pressure measurement knowledge and skills every six months. American Heart Association (2005) “A Statement for Professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research” (2005). Thomas J. Pickering et al. (Refer to retraining section) http://circ.ahajournals.org/content/111/5/697
M.A.P. Framework:
WNA has identified the “M.A.P. Framework” which has been developed by the American Medical Association and Johns Hopkins Medicine. M.A.P. stands for: Measure; Act; Partner. The M.A.P. Framework aligns with the Million Hearts initiative to prevent 1 million heart attacks and strokes by 2017. The Centers for Disease Control and Prevention and the Centers for Medicare &
Medicaid Services co-lead the initiative on behalf of the U.S. Department of Health and Human Services.
Collaborators:
This approach to improve measurement has been developed by the Wisconsin Nurses Association in collaboration with the Wisconsin Division of Public Health’s Chronic Disease Program, and MetaStar; utilizing resources from the American Medical Association.
Credits:
This module has been made possible through a chronic disease prevention grant awarded to the Wisconsin Nurses Association (2014 to present) from the Wisconsin Department of Health Services Division of Public Health through its Wisconsin Chronic Disease Prevention Program, under funding opportunity no. CDC-RFA-DP 13-1305 from the Centers for Disease Control & Prevention (CDC), Department of Health and Human Services.
For more information please contact:• Brianna Neiderman, WNA Director of
Communications and Membership at [email protected]
• Gina Dennik-Champion, RN, MS, MSHA,Executive Director, Chronic Disease Prevention Grant Project Director, Wisconsin Nurses Association at [email protected]
Wisconsin Nurses Association Updates
Online and classroom options
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Airforce.com/healthcare800-588-5260
Now hiring for many openings:
CNA’s, RA’s, Dietary Aides, RN’s,
and many more!
We offer part time, full time, and on call
positions. Check out our careers section today!
www.oakwoodvillage.net
Page 4 The Wisconsin Nurse October 2016
This year, WNA is trying a new approach to the educational offerings typically provided annually in the fall. As part of the WNA Fall Learning Symposium, Thursday, October 20 through Saturday, October 22 at the Madison Marriott West, we are offering several educational events on different topics that will appeal to nurses working in a variety of roles and settings. There will be an ‘a la carte’ registration process making it very easy to register for as many (or as few) programs that will work with your schedule. Please review the list of programs being offered below; much more information, including agenda, presenters, and content is available on the WNA website, www.wisconsinnurses.org. We look forward to having you join us for this new opportunity!
2016 WNA Fall Learning Symposium At-A-Glance
Thursday, October 20, 2016
The Nurse’s Role in Palliative & End-of-Life-Care Across the Lifespan
Presentations and a poster session will be offered related to best practices, advanced care planning, and legal/ethical considerations that impact the role of the RN in the delivery of palliative and end-of-life care. There will also be an interactive story-telling session to enable participants to learn from their colleagues working with patients of all ages.
Surviving Your First Year WorkshopThe workshop is designed to help guide
graduating nurses or newly graduated RNs on a path to success when they first enter the field. You’ll be led by new and tenured nurses in presentations and discussions on aspects of nursing and the workforce that most wish they knew when first starting out.
WNA Approved Provider Workshop: Navigating the Waters of Gap Analysis, Outcomes, COI, Commercial Support, and the 2015 ANCC/WNA Criteria Change
The WNA Continuing Education Approval Program (CEAP) Committee will offer this workshop both live and virtually for our applicants from afar. Does the (new) criteria have you overwhelmed? Presenters will
include WNA CEAP Committee members, but also learn from your colleagues in this very interactive program.
On Thursday evening, make plans to attend an educational and networking event focusing on the importance of community investment in care coordination and team-based care as it relates to chronic disease. All providers and payers welcome. The cost to attend will be minimal.
Friday, October 21, 2016
Clinical and Inter-Professional Education Considerations for Patient-Centered Team-Based Care
Educators, clinic staff, and clinic practitioners are invited to learn about efforts in creating patient-centered team-based care (PCTBC) delivery models that support inter-professional practice and education. A number of posters have already been selected for presentation that will highlight effective PCTBC delivery models and innovative efforts in inter-professional practice and education. Participate in a discussion … how can Wisconsin move forward?
Diabetes and Heart Health for the Faith Community: A Chronic Disease Update
The Wisconsin Faith Community Nurse Coalition brings you important clinical updates related to diabetes and heart health. All clinical presentations will also relate to your practice as a faith community nurse. Join your colleagues at this annual conference and learn the latest for yourself and your patients. EVERYONE IS WELCOME!
Policy Decisions Impacting Sustainability – Why Nurses Care?
Phoebe Breed, BAN, RN – Gundersen Health System is the keynote presenter at this year’s Wisconsin Environmental Health Nursing Coalition Conference. Her presentation will be followed by a panel discussion related to sustainability efforts taking place now and ideas for the future moderated by a member of the WEHNC leadership. Make plans to attend the annual WEHNC luncheon and share/network with other nurses interested in environmental issues.
WNA Individual Educational Activity Workshop: Navigating the Waters of Gap Analysis, Outcomes, COI, Commercial Support, and the 2015 ANCC/WNA Criteria Change
The WNA Continuing Education Approval Program (CEAP) Committee will offer this workshop both live and virtually for our applicants from afar. Does the (new) criteria have you overwhelmed? Presenters will include WNA CEAP Committee members, but also learn from your colleagues in this very interactive program.
Grass-Roots Advocacy … It’s Never Too Early to Get Involved
Nurses Day at the Capitol in the fall?! What’s going on!? This special program was designed at the request of faculty for RNs and undergraduate/graduate nursing students to learn the importance of grass-roots advocacy. Learn from a legislator, a lobbyist, and a reporter how to develop and launch a successful campaign. Decide on an issue important to YOU and work with fellow students to develop your own grass-roots campaign!
WNA Fall APRN Clinical Practice UpdateIn lieu of WNA’s Northwoods Clinical Practice
Update (to return next year!), we are offering a one-day education program that will focus on pharmacologic adherence, polypharmacy, and opioid prescribing. We are also planning a presentation on approaches to managing chronic mental illness. A schedule for the day will be posted on the WNA website when available. Plan to get a few of your pharmacology credits from WNA this fall!
Saturday, October 22, 2016
WNA Fall APRN Clinical Practice Update: Essential Skills for Everyday Practice
Traditionally offered only in the spring as part of the WNA APRN Forum Pharmacology & Clinical Update, we have added a ‘skills’ workshop to our fall educational offerings. The program will offer a 2.5-hour workshop on basic suturing (with lots of built in practice time) and a 1.5-hour workshop on orthopedic assessment (dress comfortably!). Learn something new or brush up on your skills … all are welcome.
WNA Fall 2016 Learning Symposium
Wisconsin Nurses Association Updates
• Experienced RNs and New Graduates: - Pediatric Intensive Care (PICU) & Inpatient Units - Pediatric Perioperative Units: OR & PACU •Pediatric Dialysis and Infusion Services•Neonatal and Pediatric Transport Service
October 2016 The Wisconsin Nurse Page 5
Wisconsin Nurses Association Updates
Legislative and Regulatory Update
Administrative Code & Clearinghouse Rule or Scope
StatementSummary of Changes Status
Nursing N8 – Advanced Practice Nurse Prescribers. CR16-20
Language can be found on WNA’s website under the Advocacy Tab.
The Board of Nursing has approved changes to N8 that address the following: 1. Establishing the education, training or experience requirements that a registered
nurse must satisfy to be an advanced practice nurse. The rules shall require a registered nurse to have education, training or experience that is in addition to the education, training, or experience required for licensure as a registered nurse.
2. Establish the appropriate education, training, and examination requirements that an advanced practice nurse must satisfy to qualify for a certificate to issue prescription orders.
3. Defining the scope of practice within which an advanced practice nurse may issue prescription orders.
4. Specifying the classes of drugs, individual drugs or devices that may not be prescribed by an advanced practice nurse.
5. Establishing procedures for maintaining a certificate to issue prescription orders, including requirements for continuing education and a requirement to complete the nursing workforce survey and submit the fee.
Awaiting formal publication with promulgation of the rule change (August-September)
Nursing N7 – Rules of Conduct – Grounds for Denying LicensureCR 15-067
The Board of Nursing needed to amend the currently approved revisions to N7 but overlooked the BON having the authority to deny a credential.
1. Amend N 7.01 (2) and N 7.03 (intro) relating to grounds for denying an initial credential.
Awaiting formal publication with promulgation of the rule change (August-September
Nursing N2, N5, and N6 – N2 – Schools of NursingN5 – License RenewalN6 – Standards of Practice CR15-099
The BON has adopted the following:1. The board may establish minimum standards or schools for professional nurses and
schools for licensed practical nurses, including all related clinical units and facilities, and make and provide periodic surveys and consultations to such schools.
2. It may also establish rules to prevent unauthorized persons from practicing professional nursing.
Awaiting formal publication of the rule change (August-September)
Nursing N3 – Examining Councils
The proposal for repealing N 3 relating to Examining Councils came about through legislative statute that eliminates all councils under boards. This reflects the removal of N3
Finalized
Department of Public Instruction – Public Health Nursing Credential SS 086-15
A scope statement (SS) was developed to allow for an RN without a bachelor’s or master’s degree in nursing being eligible to work in the role of a Public Health Nurse. This included non-nurses who served in the military in certain roles.
The Scope Statement was withdrawn on June 1, 2016.
Medical Examining Board (MEB) – new section on Telemedicine CR15-087
The MEB would like to add language that differentiates the practice of medicine by telemedicine from other medical practice.
1. The proposed rule will define telemedicine, explain how a valid physician-patient relationship can be established in a telemedicine setting, and identify technology requirements for physicians who use electronic communications, information technology or other means of interaction with patients who are not physically present.
2. The proposed rule will specify out-of-state physicians to hold a valid Wisconsin medical license in order to diagnose and treat patients located in Wisconsin.
The first public hearing sponsored by the MEB resulted in opposition and concerns by many groups. Since then the MEB has created a new version.
There has been a fair amount of activity in the development of strategies for advancing WNA’s legislative and regulatory priorities for the next biennium. A part of this preparation has been our members reaching out to legislators and candidates for election to inform them about the important role nurses play throughout our health care system. We have gained some legislator interest in issues which will be helpful after the election. In August, members of WNA’s St. Croix Valley Mutual Interest Group attended a fundraiser for State Senator Sheila Harsdorf where they had the time to discuss nursing practice issues.
As part of our work, WNA’s Public Policy Council has developed the 2017-2019 WNA Legislative and Regulatory Agenda for the Biennium. The “agenda” will be available on the WNA website, to all members and anyone else interested in learning about our priorities.
WNA’s Public Policy Council will be sponsoring an educational offering on October 21 as part of the Fall Symposium. The offering will focus on the importance
and the “how to’s” of grass-roots advocacy. Attendees will hear from experts about grass-roots advocacy campaign development and implementation, followed by workgroup creation of a campaign.
With the legislature no longer in session, much work and activity have taken place on the regulatory side through agencies and boards developing and approving administrative rule changes. Below is a summary in what WNA has been participating and/or monitoring.
WNA Members Bonnie Howe (Star Prairie) and Ronda Thompson (Frederic), join State Senator Sheila Harsdorf from
District 10 at her August fundraiser.
Page 6 The Wisconsin Nurse October 2016
Wisconsin Nurses Association Updates
WNA is working on political advocacy for nurses and patients along with professional development strategies to support nursing practice, competence, and personal health. Please see the following:
Nurse Workforce Health, Rights, & Safety
Activity
APRN Title Protection
Between now and the November election WNA will be working with the APRN Coalition to inform legislative candidates of the need for title protection for advanced practice registered nurses. More information can be found on WNA’s website under the Advocacy Tab.
APNs
Board of Nursing Rules Revision Update
WNA is tracking the status of Board of Nursing proposed changes to the following Nursing Administrative Rules: N1, N2, N5, N6, N7 and N8. Go to WNA website for info.
RNs
Board of Nursing Rule Revision – N8 (APNPs)
The Board of Nursing has adopted the final changes to N8. The revised Administrative Rules will be published and enacted no later than August 30, 2016. WNA supported the changes but requested that the collaborative agreement for APNPs be repealed.
APNPs
Addressing Workplace Violence
WNA’s legislative proposal was not introduced this biennium. Legislative candidates will be informed on the need for this legislation. To view the proposed language go to WNA’s website and search under the Advocacy tab.
RNs
Healthy Nurses
WNA’s Healthy Nurse Task Force has developed a set of priorities for promoting the health of Wisconsin’s nursing workforce. The Task Force will focus on nurses with hypertension and provide support and strategies for self- management. Is joining ANA’s efforts as well.
RNs
Emerging Role of the Nurse
WNA’s Task Force on the Emerging Role of the Nurse is working on a survey to identify the newer roles of RNs. The end-product will be a compendium of the emerging roles of nurses. Read the Reference Report on WNA’s website under the About WNA tab.
RNs
Telemedicine/ Telehealth
WNA is participating in Task Force to identify regulatory issues for practicing telehealth.
RNs
Continued Competence & WNA Educational Offerings for the remainder of 2016
Beyond the 50% – Latest Practices in Blood Pressure Measurement – WNA Webinar abailable July 1, 2016
Palliative & End-of-Life Care and Nursing 10/20 Madison
Surviving Your First Year – October 20, 2016
Policy Decisions Impacting Sustainability: Considerations for Environmental Health – Why Nurses Care 10/21/16 Madison
Healthcare Workforce Diversity Assessment Tool – 10/21/16 Madison
Ready to Vote? Latest polling update on the National and State Elections – 10/22 Madison
Clinical & Interprofessional Education COnsiderations for Patient-Centered Team-Based Care – 10/21 Madison
Opioid Prescribing for APNPs and hands on skill-building sessions for suturing, IUD placement, splinting – Oct. 20 & 21 Madison
Appropriate Nurse Staffing & Nurse Shortage
Topic Activity
Healthcare Workforce Planning
The Wisconsin Council on Medical Education and Workforce (WCMEW), of which WNA is a member. Focusing on healthcare workforce data, health care delivery design models.
RNs
Patient-Centered Team Based Care
WNA, in conjunction with other healthcare providers, educators, and associations developed a working model “Wisconsin Concentric Model of Patient-Centered Team-Based Care. The model can be viewed along with other info on WNA’s website under Advocacy.
RNs
WNA Working for You
October 2016 The Wisconsin Nurse Page 7
Wisconsin Nurses Association Updates
Interprofessional Education
WNA’s Task Force on Interprofessional Education leading to Team-Based Care is working researching best-practice models of interprofessional education related to team-based care.
RNs
Academic Progression
WNA’s Task Force on Academic Progression is working on an awareness campaign for recruiting and retaining nurse educators. They are working on a white paper that will explore the key issues.
RNs
New RN Grads WNA’s Mentorship Committee is working on a mentorship program.
RNs
Future Nursing Leader
WNA’s Mentorship Committee launched WNA’s Future Nursing Leader Award. Five graduating students received awards Spring 2016.
RNs
Patient Safety/Advocacy
Topic
Prescription drug abuse epidemic
WNA is a member of the Opioid Reduction Task Force collaborative effort with the Wisconsin Hospital Association, Wisconsin Medical Society, Rep. Nygren and Att. General.
RNs
Patient-Centered Team Based Care
WNA is surveying health system leaders regarding the extent of team-based care that is taking place within their organizations related to primary care and hypertension and diabetes.
RNs
You Were Represented: May – July 2016
Topic Audience Location Date
Education Jail & Correctional Health Conference
WI Dells 5/9
Practice PCTBC Model Presentation – Academy of Physician Assistants
Webinar 5/10
Practice Meeting with Wisconsin Hospital Association President
WNA 5/11
Policy/Advocacy Attended Board of Nursing Meeting
Madison 5/12
Policy/Advocacy Attended Medical Society sponsored policy discussion with Russ Feingold
Madison 5/12
EducationNFW 5K Walk/Run
Madison 5/14
Practice & Education
Clinical & Interprofessional Education Considerations for Patient-Centered Team-Based care
Green Bay 5/23
Education Beyond the 50% – Best practices for BP measurement
Milwaukee 5/25
Policy/Advocacy Wisconsin Nursing Coalition meeting
Madison 5/26
Policy APRN Coalition Meeting Madison 5/31
Policy Funding for Educational Program Capacity & Loan Forgiveness for Educators
Conf Call 6/1
Policy/Practice WNA APRN Forum Board meeting
Madison 6/3
Policy APRN Coalition Meeting Madison 6/7
Policy Telemedicine Task Force Madison 6/8
Policy Board of Nursing Meeting Madison 6/9
Practice/Education Exhibitor at Wisconsin Healthcare Quality Collaborative Conference
Madison 6/14
Workforce Task Force member on Wisconsin Center for Nursing IOM Sustainability Plan
Pewaukee 6/17
Policy WNA Public Policy Council Meeting
WNA 6/18
Education WNA Interprofessional Education Task Force Meeting
Call 6/20
Workforce Wisconsin Council on Medical Education & Workforce Meeting
Madison 6/21
Policy Wisonsin APRN Coalition Meeting
WNA 6/21
Leadership American Nurses Association Membership Assembly Meeting
Wash DC 6/23– 6/25
Leadership WNA Board of Directors Meeting WNA 7/8
Practice Grant-related and the Heart Disease & Stroke Alliance Meeting
Wausau 7/13
Advocacy Wisonsin Board of Nursing Meeting
Madison 7/14
Practice Presentation on Patient-Centered Team-Based Care
Madison 7/19
Practice Conference on APNP Role as Hospitalists
Ladysmith 7/22
For more information go to www.wisconsinnurses.org or [email protected]
Page 8 The Wisconsin Nurse October 2016
Membership AssemblyWNA Membership Assembly and
Annual Meeting Update
WNA’s Membership Assembly and Annual Meeting will take place on Saturday, October 22, 2016, at the Marriott West Hotel and Conference Center located in Middleton, WI. Members will have the option to join the annual meeting portion virtually. The agenda for the day is as follows:
7:30 am – 8:15 am – Networking breakfast
8:15 am – 8:30 am – Welcome and introductions
8:30 am – 9:30 am – The 2016 Elections: Making Sense of the Polls. Presented by David Canon, Ph.D., who is a professor of political science at the University of Wisconsin, Madison.
9:45 am – 11:30 am – WNA Annual Meeting which will include approval of proposed changes to WNA Bylaws and Reference Report recommendations.
12:00 pm – 1:30 pm – WNA Awards Celebration Luncheon
Members and non-members will need to register for Membership Assembly and Annual Meeting activities. They can do so by going to www.wisconsinnurses.org/annual-meeting-reg
Proposed WNA Bylaw Changes address members voting electronically
The WNA Board of Directors submitted to the WNA Bylaw Committee proposed changes that allow for member voting electronically at scheduled meetings. Members will have the opportunity to discuss the proposed changes during the Bylaw Committee Virtual Hearing in early October and on Friday, October 21, 2016, from 7:00 pm – 8:00 pm at the Marriot West Hotel in Middleton. The articles and the sections to be amended are listed later in this edition of the paper.
WNA Reference Committee advances Reference Report for WNA Annual Meeting – allows for greater member engagement in the development process
Recommendations for changing the process for submitting Reference Reports to the WNA members for adoption are being proposed at the 2016 WNA Annual Meeting. The process is an adaptation of the newly adopted process used at the ANA Membership Assembly. The goal of the new process is to bring members together during the Membership Assembly meeting to identify an issue of importance to nursing and spend time sharing ideas and discussing priorities through “real time” interaction and engagement. Please review the 2016 Reference Report submitted by the WNA Reference Committee below. Members will have the opportunity to discuss the proposed changes during the Reference Committee Virtual Hearing in early October and on Friday, October 21, 2016, from 7:00 pm – 8:00 pm at the Marriot West Hotel in Middleton.
Wisconsin Nurses Association Updates
Several new laws relating to opioid prescribing and reporting were recently passed by the legislature and signed into law by the Governor.
– 2015 Wisconsin Act 266 requires practitioners to review patient PDMP records before the practitioner issues a prescription order for that patient for a monitored drug.
– 2015 Wisconsin Act 267 creates reporting requirements for the PDMP to determine the program’s effectiveness.
– 2015 Wisconsin Act 268 requires law enforcement to report instances of inappropriate use of opioids to the PDMP.
– 2015 Wisconsin Act 269 allows the Medical Examining Board, the Podiatry Affiliated Credentialing Board, the Board of Nursing, the Dentistry Examining Board, and the Optometry Examining Board to issue guidelines regarding best practices in prescribing controlled substances, as defined in § 961.01 (4), for persons credentialed by that Board who are authorized to prescribe controlled substances. The Medical Examining Board is currently drafting guidelines in addition to a continuing medical education rule that would require CME in safe and responsible controlled substances prescribing starting with the next renewal biennium.
For complete copies of the Acts, go to ‘2015-16 Session Acts’ at http://legis.wisconsin.gov/2015/related/acts.
Wisconsin Focuses on Opioid Prescribing
October 2016 The Wisconsin Nurse Page 9
Wisconsin Nurses Association Updates
Recommendations: That the Wisconsin Nurses Association adopts a process that promotes the concept of increase member engagement and decision-making in the development of timely and relevant WNA Reference Reports that reflect the following:
1. WNA’s Membership Assembly will include expanded time for members to discuss the important and relevant issues or topics of interest to the nursing profession using the Dialogue Forum process.
2. The members will develop and prioritize recommendations emerging from the Dialogue Forum discussions and will forward to the WNA Reference Committee for the development of a WNA Reference Report.
3. The Reference Committee will develop a Reference Report with recommendations and present to the members attending the WNA Annual Meeting for adoption.
4. The WNA Board of Directors will develop an implementation strategy related to the approved Reference Report recommendations.
5. Reports of progress will be provided to the members annually.
Resource: WNA Board of Directors Guide to the WNA Reference Report Process (July 2016 Working Draft) Available on WNA Website under Membership and Annual Meeting.
SummaryAs a strategy for increased member engagement, the members
attending the 2012 American Nurses Association Annual Meeting approved a new process related to the function and responsibilities of the Reference Committee. The major change was to increase the opportunity for members to be actively engaged during the ANA sponsored Dialogue Forums. These forums that took place allowed the membership to discuss and make recommendations for action on relevant and timely topics related to nursing practice, education, professional growth and policy. The recommendations from the interactive sessions were forwarded to the Reference Committee for the development of a Reference Report. During the ANA Business portion of the Reference Committee reported to the membership a summary of the topic and recommendations generating from the Dialogue Forums. The membership voted on the recommendations submitted by the Reference Committee. The feedback on this new process submitted by the members attending the ANA meeting was very positive.
WNA piloted this process during the 2014 and 2015 “Membership Assembly” where three topics were reviewed, discussed and recommendations submitted by the members. The WNA Reference Committee took this information and developed a Reference Report that included a summary of the issue, the impact on nursing and/or WNA, and formal recommendations. The recommendations were presented to the members who attended the 2014 WNA Annual Meeting.
In 2015 a progress report on each of the three topics was provided during the Membership Assembly. The members attending the meeting were invited to collectively respond and provide recommendations for continued improvement and work.
Feedback from the attendees regarding the piloted process used during 2014 and 2015 was very favorable. The members appreciated the
2016 WNA Reference Proposal #1Title: Revision to WNA Reference Proposal and Reporting Process
Submitted by: WNA Board of Directors Strategic Pillar: Leadership
The Army Nurse CorpsA team of dedicated professionals, the Army Nurse Corps continues
to distinguish itself from the traditional nursing field in both purpose and composition. Consisting of more than 11,000 men and women, the Army Nurse Corps is dedicated to providing cutting edge, quality health care for military personnel, their families, and military retirees around the world.
Ranging in age from 21 to 62, Army nursing professionals vary with respect to both their backgrounds and experiences. Nearly 66 percent of active duty and Reserve nurses are married. In addition, 35 percent of active duty nurses and 28 percent of Reserve nurses are men, compared to only 5.4 percent of the nursing population at large. With regard to education, Army nurses further distinguish themselves. All active duty nurses hold at least a baccalaureate degree in nursing, while 40 percent of their Reserve counterparts share that distinction. What’s more, 35 percent of active duty nurses and 20 percent of Reserve nurses hold master’s degrees.
The Army has positions available in many specialties, including psychiatric/mental health, perioperative nursing, obstetrics/gynecology, critical care, nurse anesthesia, and community health. Many Army nurses have the opportunity to gain education and experience in advanced practice nursing roles such as clinical nurse specialists, nurse practitioners, nurse midwives, and nurse anesthetists. Because there is also a growing need for psychiatric nurse practitioners, the Army has established a two-year scholarship using the Health Professions Scholarship Program (HPSP).
Army nurses, regardless of specialty, care for an extremely diverse patient population in advanced medical facilities using state-of-the-art equipment. And they do so in collaboration with talented physicians, pharmacists, dietitians, therapists and other health care professionals.
Nurses join the Army Nurse Corps for a variety of reasons — both personal and professional. Some join for the continuing education opportunities, others for the opportunity to serve their country, and still others for the opportunity to lead as commissioned officers in the Army. All, however, agree on one thing. Their decision is due, at least in part, to the professional growth opportunities the Army offers. The Army offers special pay opportunities and loan repayment options for certain specialties.
To find out more about opportunities in the Army Nurse Corp, contact your local Army Health Care Recruiter. Visit us online at www.goarmy.com/amedd/nurse.html or contact our local office at 608-251-4584 or email [email protected].
opportunity to be actively engaged in identifying and providing direction for future work of WNA.
The WNA Board of Directors has drafted proposed revisions to the current WNA Reference Report process via Guide for the WNA Reference Process. This process reflects the process and methods used during WNA 2014-15 pilot timeframe.
Page 10 The Wisconsin Nurse October 2016
Wisconsin Nurses Association Updates
Proposed Amendments to the Bylaws of the Wisconsin Nurses AssociationTo be voted by the WNA Membership on October 22, 2016 at the WNA Annual Meeting | Submitted to the WNA Membership for Review August 16, 2016
October 2016 The Wisconsin Nurse Page 11
Proposed Amendments to the Bylaws of the Wisconsin Nurses AssociationTo be voted by the WNA Membership on October 22, 2016 at the WNA Annual Meeting | Submitted to the WNA Membership for Review August 16, 2016
Page 12 The Wisconsin Nurse October 2016
Linda Gobis, WNA President, and Wisconsin Membership Assembly Representative
Nicole Faulkner, Wisconsin Membership Assembly Representative
The activities of 2016 ANA Membership Assembly that took place June 23 – 25 in Washington, DC concluded with new recommendations, guidelines, and materials regarding the future of ANA and WNA. In one of ANA President, Pam Cipriano’s, enlightening speeches she stated, “We need to get those who run our institutions to think of the nursing workforce as an investment and not a cost.” This statement provided the roadmap for the next two days of meetings. Some of the main issues that Membership Assembly addressed were incivility, bullying, workplace violence, safe patient handling and mobility, and healthy nurse.
Summary of the Dialogue ForumsThere were two Dialogue Forum agenda items. The
first was “Nursing Advocacy for Sexual Minority and Gender Diverse Populations” The table discussion explored the current and unfortunate treatment of the LGBTQ patient throughout our healthcare systems. We
Overview of ANA Membership Assemblydiscussed how traditional assumptions about a patient have changed, such as thinking that the significant other is a sibling versus partner, or using the wrong pronoun when providing care to the patient. These behaviors can be viewed as depersonalized care. These marginalized populations are very sensitive to the behaviors exhibited by caregivers. During the Dialogue Forum scenarios were provided to the Membership Assembly participants to identify strategies and recommendations on how we as nurses can increase patient trust and assure respect for this population.
The second Dialogue Forum, “Dealing with Substance Use Disorder in Nursing” called attention to the issue of substance abuse among nurses. Discussions focused on what seems to be an increase in the number of RNs with substance abuse diseases and how we as a nursing community should respond. Conversations were focused on how we as colleagues should address this growing challenge. There was a consensus that responding to chemically dependent nurses not only require understanding the appropriate approaches to recognizing this issue among co-workers and the affected nurse, but also identifying and using the available resources to help the impaired nurse get healthy. This was further shown in examples of how many nurses who suspect a nurse is misusing substances do not report or address the issue with their co-worker or supervisor for fear that the nurse will be terminated and/or reported to the Board of Nursing. There was strong support that the impaired nurse cannot be ignored and that part of our Code of Ethics for Nurses does not allow this for the reasons of patient safety and promoting healthy nurse behaviors including treatment and on-going self-management activities.
The recommendations from the two Dialogue Forum discussion groups were submitted to ANA’s Reference Committee. The Reference Committee reviewed all of the recommendations, captured the major themes and developed a formal ANA Reference Report with the assembled recommendations. The Reference Reports were presented to the Membership Assembly members and passed unanimously.
Other education opportunitiesWe attended a luncheon discussion, “Opioid
Dependence and Associated Drug-Related Overdose and Deaths” which supplemented the discussion regarding substance abuse among nurses and expanded into this being a major public health issue. The background information provided during the luncheon discussion addressed the issues surrounding
American Nurses Association Updates
the opioid epidemic. There was a consensus that it is important for all nurses to support policies that focus on proactive strategies and best practices for addressing treatment and recovery.
There was a keynote presentation, “Patients and Families as Co-Creators of Safety: Changing the Game.” The discussion focused on the important role of nurses as patient and family advocates. The keynoter, Shoshanna Sofaer, DrPH, shared her personal story about how health care staff stereotyping behavior contributed to her father’s death. She advocated for using common characteristics of patients correctly by putting aside stereotyping. In addition, she discussed and encouraged the utilization of the patient and family information to develop the comprehensive care plan. The takeaway from this discussion is that we as nurses need to get back to practice basics by identifying the uniqueness of every individual and practicing patient-centered care.
New look for the ANA EnterpriseThe new ANA logo was highlighted and utilized
throughout the Membership Assembly. The two parts the make up the flame are to symbolize unity and trust. The new logo comes about at a time where ANA members and ANA staff have advanced some important strategies. One such implemented strategy is the structuring of the ANA subsidiaries under one umbrella. The entities are the American Nurses Foundation and the American Nurses Credentialing Center. As an enterprise, there is greater continuity of effort, collaboration, and partnerships. In addition, ANA has embraced the structure of Organizational Affiliates which are comprised of the national nursing associations. The purpose of the Organizational Affiliates is to work together on advancing policies and positions that are good for the profession of nursing.
Promoting healthy nurse behaviorWNA has a Healthy Nurse Task Force that has been
providing information regarding care of the nurse through better health for several years. WNA’s task force is currently focusing on nutrition, exercise, sleep hygiene, and hypertension management for Wisconsin nurses. In the Fall of 2016, ANA will be announcing a Healthy Nurse Grand Challenge that will supplement the work WNA is already doing. For example, the ANA website, http://www.anahra.org/, has a confidential on-line individual health assessment that can be accessed by any nurse. This assessment can be used by the nurse to develop better healthy behaviors. This, in turn, will connect to WNA’s Healthy Nurse Initiatives. Stay tuned for more details from ANA and get ready to participate!
As the meeting came to an end, there were several items to bring back to the WNA; additional information for the healthy nurse task force to consider, new understandings of nursing elements that can be improved, and strategies and initiatives on how to keep WNA strong and growing. It was a trip that enlightened and strengthened all that attended, and will advance the WNA.
LPNs and CNAsThe Wisconsin Veterans Home in King, WI is looking for Licensed Practical Nurses and Certified Nursing Assistants to come help us care for America’s heroes. Shift differentials, excellent leave time and great benefits.
LPN’s start out at $19.44 per hour (or more based on experience).
CNA’s start at $13.11 or $14.18 based on experience with a direct care add-on of $.80/hour for hours worked.
Apply on-line at Wisc.Jobs AA/EEO
Nursing: Assistant, Associate and Full Professor positions.Tenure-track positions. Priority areas of expertise sought: Adult Health/Medical-Surgical Nursing; Research/Scholarship (senior faculty position); Gerontology, Adult-Gerontology with NP certification and prescriptive authority. Teaching experience: undergraduate and graduate levels preferred. Requirements: doctoral degree in nursing or related field with master’s degree in nursing: doctoral degree required by start of contract. Current RN license in the US.
Complete position description & to apply: http://www.uwec.edu/Employment/NursingFacultyF-648.htm Enter Job Opening ID: 12290. Need to complete the application process online: letter of interest, copy of all transcripts, resume, RN license and 3 references. Application will be reviewed upon receipt. A criminal background check will be required.
For application questions contact Cathy Wilson, Dean’s Assistant at [email protected] or 715-836-5837.
The University of Wisconsin-Eau Claire is an EOE/AA employer.
Prairie Maison Skilled Nursing Facility in Prairie Du Chien, WI and Sannes Skogdalen Skilled Nursing Facility in Soldiers Grove are excited to announce the new
Team Based Care Delivery Model for Long Term Care!Nursing in Long Term Care has a new, exciting meaning for our organizations! To learn more please apply on-line at www.chscwi.org/employment-application.htm
Now accepting applications for the following open positions: RN’s with $5,000 Sign-on Bonus! LPN’s with $3,000 Sign-on Bonus! CNA’s with $2,000 Sign-on Bonus! CMA’s with $1,000 Sign-on Bonus!
Our Nurses are currently on the Journey for Pathways to Excellence in Long Term Care through the American Nurses Credentialing Center, where we are optimizing the practice of Nursing! http://www.nursecredentialing.org/Pathway/PathwayPages/PTE-LTC
“A Nurturing community delivering passionate, exceptional care throughout life’s stages”
Please contact Sara Ghan at 608-326-3218 for Prairie Maison or Amanda Williamson at 608-624-5244 for Sannes Skogdalen or send your application to: Prairie Maison Attn: Mary Walker, 700 S. Fremont St. Prairie du Chien, WI 53821
Prairie Maison is a division of Community Health Services Corporation. We are an Equal Opportunity Employer
ANNOUNCING!
FULL-TIME
RNMED/SURG POSITIONS
Moundview Memorial Hospital & Clinics is a 25 bed critical access hospital located in Friendship, WI. Current Wisconsin RN license required. 2 years clinical nursing experience preferred.
Contact Human Resources at: Phone: 608-339-8374 Fax: 608-339-8411 E-mail: [email protected]
New Grads welcome to apply!Apply online at www.moundview.org
October 2016 The Wisconsin Nurse Page 13
Mutual Interest Groups (MIGs) Updates
Kathryn Lammers PhD PHN RNProfessor Of Nursing Winona State University
When I teach about endocrine disruptors to nurses, I start with the Diethylstilbestrol (DES) story about generational harm to DES sons and DES daughters. Nurses can understand how the Diethylstilbestrol (DES) medications changed the women while they were pregnant. Even though the DES medication did not benefit the pregnancies outcomes, DES was prescribed for three decades. The Center for Disease Control (CDC, 2016) provided this information about the known effects to the daughters and sons. Recent studies are finding generational harm even to the grandchildren. The DES story has motivated me to teach more nurses about this problem because nurses can understand and take action.
DES Daughters are defined as women born between 1938 and 1971 who were exposed to DES before birth (in the womb). Research has confirmed that DES Daughters are at an increased risk for: • Clearcelladenocarcinoma(CCA),ararekindof
vaginal and cervical cancer• Increased risk for clear cell cancer appears to
be highest for DES Daughters in their teens and early 20s. However, cases have been reported for DES Daughters in their 30s and 40s (Hatch, 1998).
• Reproductive tract structural differences (forexample, T-shaped uterus)
• Pregnancycomplications,suchasectopic(tubal)pregnancy and pre-term delivery
• InfertilityThe known health effects for DES sons include:• non-cancerousepididymalcysts(growthsonthe
testicles)• othergenitalabnormalities• infertility
More recently the Vietnam Veterans were contaminated with Agent Orange, which contained a mix of endocrine disruptors causing short and long term effects.
The Veteran Administration (VA) (2016) has recognized certain cancers and other health problems as presumptive diseases associated with exposure to Agent Orange or other herbicides
during military service. Veterans and their survivors may be eligible for benefits for these diseases.• AL Amyloidosis A rare disease caused when an
abnormal protein, amyloid, enters tissues or organs
• Chronic B-cell Leukemias A type of cancer which affects white blood cells
• Chloracne A skin condition that occurs soon after exposure to chemicals and looks like common forms of acne seen in teenagers.
• Diabetes Mellitus Type 2 A disease characterized by high blood sugar levels resulting from the body’s inability to respond properly to the hormone insulin
• Hodgkin’s Disease A malignant lymphoma (cancer) characterized by progressive enlargement of the lymph nodes, liver, and spleen, and by progressive anemia
• Ischemic Heart Disease A disease characterized by a reduced supply of blood to the heart, that leads to chest pain
• Multiple Myeloma A cancer of plasma cells, a type of white blood cell in bone marrow
• Non-Hodgkin’s Lymphoma A group of cancers that affect the lymph glands and other lymphatic tissue
• Parkinson’s Disease A progressive disorder of the nervous system that affects muscle movement
• Peripheral Neuropathy, Early-Onset A nervous system condition that causes numbness, tingling, and motor weakness.
• Porphyria Cutanea Tarda A disorder characterized by liver dysfunction and by thinning and blistering of the skin in sun-exposed areas.
• Prostate Cancer one of the most common cancers among men
• Respiratory Cancers Cancers of the lung, larynx, trachea, and bronchus
• Soft Tissue Sarcomas (other than osteosarcoma, chondrosarcoma, Kaposi’s sarcoma, or mesothelioma) A group of different types of cancers in body tissues such as muscle, fat, blood and lymph vessels, and connective tissues
– See more at: http://www.publichealth.va.gov/exposures /agentorange/conditions/# sthash.m39xuoRT.dpuf
Endocrine Disruptors DIRTY DOZEN Endocrine Disruptors
There is no end to the tricks that endocrine disruptors can play on our bodies: increasing production of certain hormones; decreasing production of others; imitating hormones; turning one hormone into another; interfering with hormone signaling; telling cells to die prematurely; competing with essential nutrients; binding to essential hormones; accumulating in organs that produce hormones.
Twelve of the worst hormone disrupters are listed:
1. Bisphenol A (BPA) – plastic that imitates estrogen
2. Dioxin – persistent pollutant from industry3. Atraxine – common weed killer that acts
like estrogen4. Phthalates – plastic and/or fragrance5. Perchlorate – fuel component which
contaminates food and water6. Fire retardants – persistent chemicals used
on clothing and home furnishings 7. Lead – heavy metal in paints and water8. Arsenic – natural toxin in foods and water9. Mercury – heavy metal in burning coal,
fish, and lights10. Perfluorinated chemicals – non-stick pan
surfaces like Teflon11. Organophosphates pesticides – common
pesticides12. Glycol Ethers – common solvent in paints,
cleaning products, brake fluid, and cosmetics
Environmental Working Group (EWG) (2016) provided this information about endocrine disruptors. For more on the descriptions of the dirty dozen and other issues seek out www.ewg.org.
This brief article is intended to stimulate your interest to learn more about the risks and consider expanding your role to prevent generational harm due to the endocrine disruption.
Page 14 The Wisconsin Nurse October 2016
Mutual Interest Groups (MIGs) Updates
The Faith Community Nursing Coalition Mutual Interest group has a monthly phone conference to help facilitate member input for our group. During one of the last conference calls, we discussed the need to acknowledge grief and loss. The subject of the holidays came up. We know that for some, the holidays may be a reminder of someone we have lost, a change in our own or another’s health, or a loss of employment. We know that as RNs we look at whole person health, mind, body, and spirit.
In this edition, a faith community nurse contemplates her own loss of a loved one. The First Christmas is one example of loss that someone may experience and one way a person may cope. Individual spirituality is just that. Our role as RN and Faith Community Nurse is to be supportive, listen, and be a caring and compassionate presence for those suffering a loss over the holidays or at any other time.
As many are looking forward to the celebration of Christmas, there are many who will have that “First Christmas” without a loved one. This is the first Christmas without Grandpa Billy, my father by marriage. As I listen to Grandma B, I hear about the many firsts without this special person, friend, father and husband. She reminds me of the sadness that a Christmas can bring. A joyous season as we celebrate the Christ child, it is a season that can also bear acute grief and pain reliving and remembering the yesteryears with a loved one who has died. The first card addressed only to Mrs. Sally Bolwerk rather than the couple who celebrated over 60 years of marriage will bring tears. The first cut-out cookies made without Grandpa Billy who held the role of frosting the home-made cookies will bring sadness. The first Christmas letter Grandma will write announcing Grandpa Billy’s death to people who do not know will challenge her to stop writing the sad news. The first Christmas card that will be sent to her children closing with “Mom” instead of the usual “Dad and Mom” will bring a sad memory for her children. The first Christmas with a smaller tree
and many of the decorations left in their boxes will bring memories of a house filled with their own children, laughing and playing with their exchanged gifts. The First Christmas midnight church service will be celebrated without her husband. The Christmas thanksgiving prayer lead by Grandpa Billy will not be given by the patriarch of the Bolwerk family.
Grandma will celebrate the “First Christmas” without her beloved husband in different ways that one can acknowledge a holiday without him. Even the meaning of Christmas seems to be different without the man she loved so dearly for over 6 decades. A chair will be left empty as a reminder of the missing person, Grandpa Billy. As his birthday was in December, she will bake his favorite dessert, a cherry cheese cake. Her weekly visit to the grave site can be a comforting one as she tells me. The cookies will be frosted by her great grandchildren starting another Christmas tradition. The first without Grandpa Billy is a strong reminder that the mortality of our sins is death. The feelings of sadness and grief are too common during any holiday much alone the First Christmas.
Grief over the holidays can intensify as family traditions are acutely altered. Christmas traditions are unique and special celebrated with all family present. Past traditions will cease. Holidays can cause missing a loved one more than the usual challenge. It can magnify the pain, loneliness, and grief. One realizes that life is not going to be the same again, and nobody gets a rehearsal for this First Christmas alone without a loved one.
As we approach holidays, brothers and sisters in Christ can help and support those who mourn. Since my own grief is relatively recent with my own father, and now my father-in-law, I can only share what I have learned. As parish nurses we can use a multitude of interventions including that of prayer, music, and scripture. We also need to keep things simple by listening and reassuring. These twin skills underscore what I have learned in my own continuous resolution of grief especially during the holidays.
By listening, acknowledge the painful grief that one holds. Our culture closes the doors of death
The First Christmasquickly. I have found that people need to talk about the one who is missing much longer than the grief period that our culture determines. Listening in the ministry of presence and patience will give comfort in remembering the death of a loved one. Sharing the grief lightens the burden of a heavy heart. With listening, comes encouraging. During Christmas, reflecting the gifts from our Lord, I am reminded of the song in the 1954 White Christmas, Counting your Blessings. The verse, “When you worry, and you can’t sleep, count your blessings instead of sheep, and you will fall asleep counting your blessings.”
Reassurance is the second skill that we can use. The first Christmas over 2000 years ago gives meaning to Christians. In John 3:16, we are reminded of the Gospel that our Dear Heavenly Father gave His only Son to die so that we have life eternal. Assuredly, this message gives peace and comfort that who hears the word and believes will have everlasting life. Reassure that time does heal wounds and our reliance on our heavenly Father will heal the heartbroken. The Holy Spirit is the Comforter. He is with us every moment giving reassurance that God is near and dear. Reassure them that God has plans. God knows and has a plan. God has a good plan that will uphold them for the future. His promise is life everlasting. This is the reassurance that must be given. The meaning of Christmas has not changed. Jesus is the reason for comfort and hope.
Conclude with a prayer. Recently, I conducted a survey on the intentional care of the spirit. Parish nurses identified it as the number one intervention. Prayer is used upon every visit using the words that God has given us. Pray for hope and comfort during the Christmas season asking for the reassurance that God is ever present, ever comforting and forever the Great Physician, the source of Help and Hope.
Carol A. Lueders BolwerkDirector of Parish Nurse and Congregational Health MinistriesConcordia University WI
October 2016 The Wisconsin Nurse Page 15
Wisconsin Faith Community Nurse Mutual Interest Group Presents
FOUNDATIONS OF FAITH COMMUNITY NURSING COURSE
The second class of Faith Community Nurses is underway at the WNA headquarters in Madison. We anticipate eight new FCNs by the end of August! These ladies have dedicated themselves to learning the skills needed by nurses serving in churches. Our first class resulted in five new Faith Community Nurses – it was held in 2015 at the Monroe Clinic.
Faith Community Nursing, formerly Parish Nursing, began in the 1980’s in Park Ridge, IL. The Rev. Dr. Granger Westberg believed that nurses are an integral part of the team that provides wholistic care for the patient. Wholistic care – body, mind and spirit - is the basis of Faith Community Nursing. Faith Community Nursing is a recognized specialty of the American Nurses Association. The “Foundations” course is the first step to specialty certification by the ANA.
WNA is committed to provide at least one Foundations course per year. The instructors are seasoned Faith Community Nurses and nursing instructors. They bring their experience and inspiration to each class. The faith-based premise of the program is open to all faiths. Please feel free to contact Megan Leadholm ([email protected]) if you are interested in this exciting nursing specialty!
The Wisconsin Women’s Health Foundation (WWHF) created the GrapeVine Project in 2002 with parish nurses as ideal community health ambassadors, especially in rural communities, to improve community-based outreach. Over the past 14 years, GrapeVine has grown to include a very diverse group of nurses and community health educators. We work in rural and urban communities and want to continue expanding our reach across the state.
WWHF provides nurses with in-depth training and packaged units on eleven different women’s health topics. All GrapeVine Project educational content is evidenced-based and created with health care experts in the particular health field, as well as with the input of groups of pilot nurses. We want to make sure we provide the most up-to-date information, but also the most practical and usable information for those in our nurses’ communities.
At a GrapeVine training, nurses receive a unit binder, with PowerPoint slides, speaker’s notes, nurse resources and participant handouts. They also receive posters and flyers for advertising, as well as copies of the handouts and incentives for the units. After the training, nurses can
Mutual Interest Groups (MIGs) Updates
The GrapeVine Project – A Program to Help You Educate Others
conduct free one-hour education sessions in their communities at libraries, churches, schools, senior centers, etc. GrapeVine sessions take place all over Wisconsin. In the program’s almost 15 years, our community partners have grown to be active in 39 counties.
If you are interested in joining GrapeVine you can attend one of the regional training sessions.
Scheduled 2016 Regional Trainings• Thursday,August25–9am–1pm,Appleton
Public Library, Appleton• Monday,September12–12:30pm–4:00pm,
Rusk County Community Library, Ladysmith• Thursday,October13–12noon–3:30pm,
Aurora Sinai Medical Center, Milwaukee• Thursday,November3–11:30am–2:00pm,
Church Health Services, Beaver Dam• Thursday,December8–10am–1:30pm,Epic
Campus, Verona
For more information, please visit our website: www.wwhf.org/grapevineproject/ or contact Nora Miller, Program Director at [email protected] or 608-251-1675, x 103.
WNA Attends Rural Wisconsin Hospital Collaborative Hospital to Hospital Event
Tina Bettin, DNP, MSN, RN, FNP-BC, APNPPresident of WNA APRN Forum;
Family Nurse Practitioner
The first of the 2016 Rural Wisconsin Hospital Collaborative (RWHC) Hospital to Hospital (H2H) event focused on an “Exploration of Various APNP Hospitalist Models.” Charisse Oland, Chief Executive Officer for Rusk County Memorial Hospital hosted the event on Friday, July 22nd from 10:00 am to 2:00 pm at Rusk County Memorial Hospital in Ladysmith.
The day-long program provided solutions to care delivery gaps among some of Wisconsin’s rural hospitals. The first presentation was provided by Oland, which was a story that included the following content: “The vulnerability of rural hospitals can never be taken for granted. A very successful century-old hospital by many measures, especially financially, found itself at imminent risk of closure. The unexpected loss of 6 primary care providers left the sole provider group with four primary care physicians who were taxed to continue call coverage, including obstetrical services for the hospital. This caused the closure of the OB program. The lack of call coverage was cited as the primary reason for the inability to recruit replacement providers, potentially devastating access to care.”
The solution, as described by Olan included an exploration and implementation plan developed by Rusk County Memorial: “A quick response was required to secure the future. At the heart of a four-point plan for change, was the creation of an all-Advanced Practice Nurse Practitioner Hospitalist program to eliminate call coverage. The successful
program launched in the fall of 2014, based on two models by nearby early adopter hospitals. Exemplary results in two years include the recruitment of two doctors and one APN for the new provider based clinic owned by the Critical Access Hospital (CAH). This, in turn, attracted 12 visiting specialists and changed the landscape of community care, increasing its viability for the long term. Clinical, financial, and patient satisfaction results improved as well. Because the APNP hospitalist profession is relatively new in rural hospitals and professionals are in high demand, the pathway was filled with many challenges and risks, from practice to regulatory issues. Yet the undaunted team forged ahead and learned along the way by its failures and achievements.”
The remainder of the program included how the various rural hospitals developed models of APNP (some mixed with MD) hospitalist programs that are working within the context of individual rural environments and cultures. A panelist representing the different rural health systems provided information on the administrative, clinical practice, regulatory conditions, and patient outcomes. WNA
APRN Forum President, Tina Bettin, provided information on the administrative support she receives in her clinical practice clinic where she is often the only provider, and in her position on her organization’s Medical Board. Steve Rush, Wisconsin Hospital Association Vice President for Workforce, provided information on the current regulations impacting the utilization of APRNs. He did share WHA’s continued opposition to removing written collaboration practice agreements for APNPs and physicians. This is contrary to the position of WNA and the various associations representing advanced practice registered nurses, where we believe that the autonomous and collaborative practice subsumed in the APRN hospitalist role can support more efficient and transparent care.
Overall, this program has opened the door for continued dialogue on the practice of APRNs practicing in hospitalist’s roles.
For more information please contact Gina Dennik-Champion, WNA Executive Director, at [email protected].
Join us in St. Paul!REGISTER TODAY
Improving the way clinicians diagnose, treat, manage, and educate their patients.
Clinical STD Updatewith Optional Clinical Practicum
October 20, 2016 in St. Paul, MNChoose to attend in-person or
watch the live webinar6.0 CME/6.5 CNE Hours Available
For more information:206-685-9850 • uwptc.org • [email protected]
Page 16 The Wisconsin Nurse October 2016
Mutual Interest Groups (MIGs) Updates
Suzanne Marnocha, PhD, RN, MSN, CCRN ret [email protected] University of Wisconsin
Oshkosh College of Nursing; Judith Westphal, PhD, RN [email protected]
University of Wisconsin Oshkosh College of Nursing; Becki Cleveland, MSN, RN [email protected]
University of Wisconsin Oshkosh College of Nursing
The University of Wisconsin Oshkosh College of Nursing builds “upon its tradition of developing caring and scholarly leaders who positively impact contemporary and future healthcare” [1]. This vision statement grounds our efforts to support and educate our students at an undergraduate level. This article describes the experiences of the authors as faculty members mentoring undergraduate students and describes the successes and the opportunities for improvement.
Transition to New RolesMentoring is an evolving term, which includes
both the professional and personal development of a less experienced individual [2]. For the purposes of this article, mentoring is conceived differently than precepting and includes development of the person and their professional role, as well as providing guidance for skill development. Whereas, precepting involves daily teaching, supervision, and student guidance, often in a clinical setting [3].
Approaching graduation, undergraduate nursing students are generally positive and enthusiastic, anticipating transition to their new roles. However, after graduation, many of these new nurses struggle with numerous responsibilities and challenges [4, 5]. Nursing graduates are concerned with managing and prioritizing their work in order to complete all tasks in a timely manner, along
Pilot Program to Mentor Nurse Leaders for the Futurewith feeling disrespected and disempowered by coworkers and physicians [6-9]. Assigning willing mentors to work with new graduates has proven to lessen the stress and improve satisfaction during the transition process these new nurses face [10, 11].
Healthcare administrators are looking for methods of retaining new employees, including RNs, nurse practitioners, nurse educators, and clinical nurse leaders to reduce costly staff turnover. Retaining these individuals begins with improving new graduates’ transition from academe to the work environment. If the transition can be improved and perceived as a positive experience, nurses will have greater job satisfaction. Job satisfaction leads to a decrease in nurse turnover and a greater retention of nurses [12].
Studies have indicated that investing time and resources in creating mentor/mentee relationships are beneficial to healthcare organizations [13]. The annual monetary costs incurred for recruiting, hiring, training, and then losing an RN vary between $82,000 and $88,000 [14].
Unquantifiable costs include the emotional upheaval of the new employee, along with the staff and the agency [15].
Both Davis [4] and Kacel et al. [16] found that the nurse’s transition into practice was positively affected when participants had supportive mentorships and appropriate orientations. Delaney [8] found that investing time and resources for these graduates was beneficial to healthcare organizations in the long run, whether it was spent educating mentors on graduates’ needs, increasing incentives and support for mentors, arranging support groups for new nurses during this transition, or lengthening and/or restructuring orientation. Transitioning to a new role can be enhanced by working with a mentor to walk through the decision- making processes and thereby improving critical thinking [5]. A study of hospital workers by Lavoie-Tremblay and collaborators [17] revealed that strategies that improve the work climate would be beneficial in retaining employees.
Mentoring ProgramFor many, the first introduction to the mentor/
mentee relationship occurs in the employment setting. Mentoring programs can use unstructured or structured formats. A well-defined structure can enhance a mentoring program and includes the following components: (a) definition of mentoring, (b) identification of roles and responsibilities, (c) specific program objectives, and (d) a method to measure outcome achievement [18]. The faculty members at the university wanted to ensure students were well prepared, successful, and had skills to be future nurse leaders. Mentoring was viewed as a mechanism to accomplish these goals. A mentorship pilot program was undertaken to assist undergraduate nurses to transition successfully into their professional roles. The pilot mentoring program was based on the idea of introducing mentorship to assist individuals enrolled in an academic program in understanding the roles of mentee and mentor. A structured format was used for the mentoring program and included a definition of mentoring, identification of roles and responsibilities of the mentor and mentee, program objectives, and feedback. Kram’s [19] article identified four mentoring phases: (a) initiation, (b) cultivation, (c) separation, and (d) redefinition, and was used to guide the mentoring process. Components of this program were based on the assumption that empowerment is a critical feature of developing leaders. The mentorship role allows a willing and experienced person (faculty member or sometimes senior nursing students) to empower students to develop more completely.
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October 2016 The Wisconsin Nurse Page 17
Mutual Interest Groups (MIGs) Updates
Empowerment is being inspired with confidence and knowledge [11]. It is a difficult task to empower others and may take several years to establish an empowering environment and/or culture. Kouzes and Posner [20] identified five leadership practices which can be used to empower individuals. These practices include: (a) challenging the process, (b) inspiring a shared vision, (c) enabling others to act, (d) modeling the way, and (e) encouraging the heart. In the mentoring process the mentor works with the mentee in challenging assumptions, creating a shared direction, guiding and modeling behaviors, and encouraging the mentee to develop skills and knowledge.
The University of Wisconsin Oshkosh, College of Nursing, has developed a mentorship program for undergraduate students, which focuses on promoting student success. Faculty members of the College of Nursing (CON) believe a successful nursing student is represented by more than a high grade point average. This commitment to student success begins with a holistic admissions process, which not only reviews incoming grade point average, but also five additional criteria: (a) certified nursing assistant certification, (b) healthcare background check, (c) volunteer work, (d)experiences with diverse groups, and (e) a personal interview. The holistic admission process identifies those students likely to succeed in the program; however, some students still remained at risk for academic failure.
Program Successes and Opportunities for Improvement
Thus far, the mentoring experience has been positive from the perspective of the mentors. The following activities are identified as program successes: (a) students successfully transitioning through academic levels; (b) retention of students and engagement of students in professional activities outside of regular curricular expectations;
(c) research poster development and presentation; and (d) development and submission of institutional review board application. The authors believe that opportunities for improvement include: (a) identify mentoring evaluation tools to effectively measure the mentor/mentee perception of the experience; (b) have students set short and long term goals and evaluate goal progress on a quarterly basis; (c) streamline processes to include more students in mentoring activities, including senior level students involved in the Oshkosh Student Nurses Association (OSNA) mentoring pre-nursing students; and (d) work with healthcare agencies to successfully transition students to new mentors in the work environment.
Mentoring is a useful strategy to help individuals new to a role develop and grow professionally. Nursing students are not routinely exposed to mentoring in the course of academic study. Nurses may experience mentoring for the first time in professional practice. Exposing students to mentoring roles and responsibilities may make the transition to practice easier.
ReferencesView on WNA’s website at http://wisconsinnurses.org/
mentor-nurse-leaders-program/The Wisconsin Nurses Association is proud to announce that we are kicking off a mentorship program for our members. We will form “mentorship groups” consisting of 1-2 Mentors and 3-4 Mentees.
WNA Staff and the Mentorship committee will help organize monthly calls for groups to discuss any nursing topics, our experiences in the work place, and give advice on problems we may be having. It’s a great opportunity to get more involved in your professional association, network with other nurses, and form lasting relationships with each other. You may not need advice or help now, but imagine how nice it’ll be to know exactly who to go to when you do need it in the future.
Sign up today! We started forming groups and arranging calls in August, but the program will be ongoing as more people sign up. Please fill out the sign up form and provide as much information about yourself as you can, as we will use that information to form your mentorship group.
Please contact WNA Membership and Communication Director, Brianna Neiderman, with any questions about the program.
Sign up here: WisconsinNurses.org/WNA-Mentorship-Program-Sign-Up
Page 18 The Wisconsin Nurse October 2016
Isabelle Garibaldi1) What is your current or most recent Nursing position?
Vice President, Patient Care Services and Chief Nursing Officer Watertown Regional Medical Center, Watertown WI
2) Why did you choose to be a part of the NFW Board? The mission of our NFW Board aligns with my personal belief that we, as professional nurses, must continue our educational pursuits well past entry-level degrees. The NFW Board promotes nursing education through award-based financial assistance to deserving advanced practice candidates.
3) What do you enjoy most about being an NFW Board member? The ability to review student research and understand from those documents how students’ research will be used to promote community health and welfare in the State of Wisconsin.
Pamela Macari Sanberg1) What is your current or most recent Nursing position?
Healthcare Safety Advocate at Assurance, assisting facilities in minimizing risk and lowering their insurance costs.
2) Why did you choose to be a part of the NFW Board? I started on the board to facilitate the mission of promoting nursing education and evidenced based research; these aspects of the profession are important to recruit new nurses and provide the ability for promotion to various roles. I also enjoy the aspects of fund raising and marketing that are important to keep our funding viable.
3) What do you enjoy most about being an NFW Board member? The best thing about the NFW is that it relates to Nurses across the full lifespan of a career- Scholarships are awarded to Nurses beginning in the role, those seeking promotion through advanced degrees and provides a closing with a respectful good-bye through the Nightingale Prayer.
Rorey Pritchard 1) What is your current or most recent Nursing position?
Clinical Assistant Professor, College of Nursing and Health Sciences, University of Wisconsin-Eau Claire
2) Why did you choose to be a part of the NFW Board? I chose to be part of the NFW Board to advocate for the future of nursing. As a nursing professor and a current student, I know the important work of NFW and the life-changing benefits that comes with their support for nursing education and research.
3) What do you enjoy most about being an NFW Board member? I enjoy networking with other nurses across Wisconsin with a common vision to support future nurses.
Malori Hinchen 1) What is your current or most recent Nursing
position? Bedside RN on a Trauma/IMC unit at UW Hospital
2) Why did you choose to be a part of the NFW Board? I wanted to get more involved in the community and be a part of an organization that makes a difference.
3) What do you enjoy most about being an NFW Board member? I enjoy working with a diverse group of nurses who are motivated to grow within the profession
Anna Rosen1) What is your current or most recent Nursing position?
Nurse practitioner at the Rhinelander VA clinic2) Why did you choose to be a part of the NFW Board?
The board rented me a scholarship when I was going to grad school, that helped finance my education tremendously. After I graduated I wanted to become involved in the organization that had an interest in furthering nursing education in the state of Wisconsin. It’s a chance for me to pay it forward and help other nurses in our state. It’s also fun to be involved in the planning of the events that help benefit nurses, and raise money for scholarships, like the 5K race.
3) What do you enjoy most about being an NFW Board member? I enjoyed being involved in a committee of talented nurses. There are so many wonderful role models in this group. Together we are a powerful committee, and it is exciting to be a part of a group that accomplishes so much. it’s also fun to be a part of big events such as the conferences, and the 5K race.
Nurses Foundation of Wisconsin
Kristin Haglund1) What is your current or most recent Nursing position?
Associate Professor at Marquette University; Nurse Practitioner in the department of Workforce Health at Froedtert & Medical College of Wisconsin; Nurse Practitioner Childrens’ Medical Group, Children’s Hospital of Wisconsin.
2) Why did you choose to be a part of the NFW Board? I was awarded a research grant from NFW to fund my dissertation research. This funding was critical for the completion of my dissertation. Serving on the board is a way to give back to WNA and also a way to advocate and support ongoing nursing research in Wisconsin.
3) What do you enjoy most about being an NFW Board member? It’s exciting to read proposals and scholarship applications. I am always impressed with the high caliber of nurses we have in Wisconsin. It is very satisfying to award funds for nursing research projects research that will contribute to good health in Wisconsin.
SueAnne TeStrake1) What is your current or most recent Nursing position?
Currently retired. Most recent position was working for the Department of Health Services as Nurse Consultant with Family Care.
2) Why did you choose to be a part of the NFW Board? Being a member of the NFW Board provides an opportunity to give support back to the nursing field, to socialize with other WNA members in fund raising activities and it’s an opportunity to promote the higher education of our Wisconsin Nurses. Earning my MSN was a milestone for me and I’d like to be able to help others achieve their higher education if that is their personal goal.
3) What do you enjoy most about being an NFW Board member? I enjoy reviewing the scholarship and research applications, as it affords me an opportunity to really visualize what some of our phenomenal young nurses are doing. I also enjoy being a participant and planning scholarship and research grant fundraising activities.
Alex Hetzer1) What is your current or most recent Nursing position?
Neuro ICU RN at Aurora St. Luke’s Medical Center in Milwaukee
2) Why did you choose to be a part of the NFW Board? To support Wisconsin Nurses in all the amazing things they do!
3) What do you enjoy most about being an NFW Board member? I liked being a part of the NFW 5K and reading research proposals for grants
Meet the NFW Board of Directors!
October 2016 The Wisconsin Nurse Page 19
Nurses Foundation of Wisconsin
Silent Auction – a Tradition in NFW Fundraising Efforts
We’re all familiar with the idiom, “one man’s trash is another mans’ treasure.” In the case of NFW’s October Silent Auction though, it’s not trash but really items you may no longer need or use, as well as handcrafted items. We are promoting the theme:
“Take time for you—pamper yourself”Perhaps in addition to your phenomenal care-
giving skills and assessment skills, your hidden talents include craft design or making jewelry or other items that would appeal to nursing colleagues. Or maybe you found a lotion or bath salt or jams/jellies that you just love and you want to share that with your colleagues. It’s not too early to start those handcrafted holiday gifts to share at the October
2016 Research Grant and Scholarship
WinnersThe Nurses Foundation of Wisconsin is proud to
introduce the winners of the 2016 Research Grant and Scholarship. The 2017 applications are now open! WisconsinNurses.org/nfw-scholarship-app and WisconsinNurses.org/nfw-grant-app.
Grant Winner:Laurie Kunkel-Jordan Marquette University
Scholarship Winner:Laura Noonan
Clarke University
Membership Assembly. All proceeds benefit our Wisconsin Nurses
Association members, as fund-raising dollars support advancing the education of our nursing workforce as well as supporting research grants.
So please take the time to search, design, or create—and bring items to WNA’s Membership Assembly and Annual Meeting on October 20-22. We will have a location established where all items will be on display. Put your name on the sign-up sheet here: bit.ly/nfw-silent-auction
Thanks, Nurses Foundation of Wisconsin Board Members
Current openings available:
RN ICU, RN ED, RN Progressive Care, and House Supervisor
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WOUND OSTOMY & CONTINENCE NURSESNORTH CENTRAL REGION ANNUAL CONFERENCE
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Target Audience:• WOC Nurses• RNs • Advanced Practice
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To register or for more information go to:http://www.northcentralregion.org
Co-Chairs: Deb Thayer – 612-385-4234 Mary Zink – 651-246-6138
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Page 20 The Wisconsin Nurse October 2016