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Special Points of Interest:

• TowardCivility ANA,NursesPromote

StrategiestoPreventDisruptiveBehavior

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• Anit-MICRACampaign page 8

• CallforNominations page 10

• ANA/CaliforniaCalendarofEvents-page 11

• HaveyouEverServed? page 13

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

Volume 19 • Issue 2April, May, June 2014

President’s Perspective

Monica Weisbrich

Monica Weisbrich, RNPresident ANA\C [email protected]

DearColleagues,Spring is here and Mother

Natureisdoingherjob–flowersare blooming, the days aregetting longer and healthcareis going through some majorchanges in the educationalpreparation of practitionersin the clinical arena becauseof the advancement in newtechnologies,accesstocare,andthe Affordable Care Act. As aresult new roles in nursing arebeingdeveloped.

These changes have led me to think of two wordsnurses use and hear over and over – advocate and advocacy–butattimeshavedifficultydifferentiatingthetwo.OurNursePracticeActtellsuswearetoadvocateforourpatients.Advocate isasimpleverbweusefrequentlyandrequiresanactiontocompleteitsmeaning.Advocatemeans to plead on another’s behalf, argue for a cause orintercede on behalf of another. The definition is quitestraightforward, but does this definition come to mindwhen for instance we write a policy for a new piece ofequipment? Does the protection of the practitioner whouses the equipment or the patient that the equipmentwill be used on get equal weighted value when thepolicy is written? How do we advocate when either theincorrect medication or dosage has been ordered? Howdo we advocate when inappropriate behavior occurs inthe workplace with a potential for harm to a patient orfellow colleague? With all the work that has been donenationwide to assure safety for our patients, why arewe still looking for solutions? Some say there is a selfsilencingculturewithinnursingwhichsupportsthelackofanactionwhendealingwith theneed toadvocate. Is thistrue?

Thewordadvocacytakesanotherdirectionfornursing.Advocacy is a political process whereby an individualor group aims to influence public policy and resourceallocation. ANA\C, the voice of professional nursing inCalifornia, sees the two paths – advocate and advocacy– as a way to promote professional and leadershipdevelopment within our members. I have discussed in

my past President’s Perspective writings the differentstate and national meetings your Board members attendwhich promote professional networking. In this age ofsocialmediayourBoardisawareofthevarietyofmeansto communicate with you the membership. The answerto which method is best is not readily identifiable tous. ANA\C offers RN DAY AT THE CAPITOL andthe GENERAL ASSEMBLY annually as a means forface-to-face member networking. The ANA\C website– [email protected] – is a treasure chest ofup-to-date information. eBlasts are being used morefrequently in order to get important information to youinatimelymanner.YourBoardrecognizesANA\Cisnotalone in trying tohitahappymediumfor thesolutionofcommunicating with members. We are exploring everyavenue open to us in hopes ofmeeting your needs. I amvery interested in hearing constructive feedback on thevariety of communication channels we are using. Whatworks best for you? My email address is [email protected] TheANA\CBoard heard you loud andclear regarding electronic voting. The Ballot Committeewas able to facilitate the 2013SpecialElection in a veryshort turn-around time and virtually problem free. TheBallot Committee is busy recruiting candidates for the2015 election.Whenyou are contacted, I am asking thatyouconsiderrunningforanofficeintheAssociation.

On the horizon for nursing in California are many,many opportunities. New nursing roles are beingdeveloped; education opportunities to support yourprofessional life- long learning goals are available; theLegislative Committee is busy fulfilling the advocacyrole in Sacramento assuring that nursing has a place inthe Affordable Care Act paradigm. ANA\C has beenparticipating in the American Nurses Advocacy Institute(ANAI)forthepastseveralyearsandisintheprocessofformingofataskforceofANAIFellowstobringforwardpoliticalleadershipskillstoourmembers.AmemberfromSanDiego has brought to theGENERAL ASSEMBLY a resolution regarding violence in the workplace. Thisresolution can be found on the ANA\C website [email protected] Membership/Resolutions. Lookfor more discussion of these topics in future NURSING VOICEeditionsthewebsiteorfacebook.

The present day challenges of the healthcare systemare opening doors to practice parameters never beforeavailabletonursing.ItisourtimeandANA\Cneedsyou.Untilnexttime.

Join the ANA\C Today!Information on page 15

Solutions for the Future of Nursing – Survey

“A short survey is being conducted to explorethe perceptions of registered nurses regarding thecurrent status andanticipated futureof thenursingprofession. The data will be used to inform anew book to be published by Sigma Theta Tau

International, the nursing honor society: Solutions for the Future of Nursing: Learning from the Past to Address the Challenges of the Future. Pleasegoto:https://www.surveymonkey.com/s/futureofnursingforsurveytoaddyourperspective.”

• ANA\C The Nursing Voice April, May, June 2014

www.anacalifornia.org

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Article Submittal to ‘The Nursing Voice’ANA\Californiaacceptsandencouragesmanuscripts

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

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

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

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

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

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

d. Letters, Articles and Manuscripts may bereviewedbytheEditorialStaff.

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

f. Letters,ArticlesandManuscripts submittedtoANA\Cwillbepublishedasspaceallowsunlesscontentisofatimelynature.

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

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

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ANA\C 2013-2015 BOARD OF DIRECTORS – Officers:Monica Weisbrich, BSN, RN – President; Dianne Moore,PhD, MN, MPH, CNM, RN – Vice President; Alice LeeBenjamin,RN,MSN,ACNS-BC,PCCN–Secretary;DonnaDolinar, RN, BSN, MPA – Treasurer. Directors; Elizabeth“Liz”Dietz,EdD,RN,CS-HP–Legislative;ElissaBrown,MSN,PMHCNS-BC–Practice;MelanieKrupa,RN,MSN,CNOR – Education; Phillip Bautista, BSN, RN, PHN-Membership.

ANA\CaliforniaExecutiveDirector&LegislativeAdvocate: Hon.TriciaHunter,RN,MN

ANA\CaliforniaLobbyingFirm: GovernmentRelations Group

ANA\CaliforniaMemberServices: SamanthaMarcantonio

EditorialCommitteeChairperson: LouiseF.Timmer,EdD,RNStaff: Hon.TriciaHunterRN,MN SamanthaMarcantonio

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

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

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

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ANA\C and the Arthur L. Davis Publishing Agency, Inc. reserve the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement. Acceptance of advertising does not imply endorsement or approval by ANA\C of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. ANA\C and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product.

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April, May, June 2014 ANA\C The Nursing Voice •

Legislative

Congress at the Half-Way MarkDespite Turmoil, ANA’s Legislative Agenda Moves Forward

Debt ceiling talks, sequestration and ultimatelya government shutdown made 2013 one of the moretumultuous years on record forCongress. Fortunately, itsmembers were friendlier to nursing issues than to eachother.With the beginning of 2014, theAmericanNursesAssociation (ANA) is taking stock of its legislativeprogress during the first half of the 113thCongress, andhowwecanaccomplishmore–withyourhelp.

UpdatesonANA’slegislativeagenda:Home Health Planning and Improvement Act

(H.R. 2504/S. 1332): This bill was introduced by Reps.GregWalden (R-OR) andAllyson Schwartz (D-PA), andSens. Susan Collins (R-ME) and Chuck Schumer (D-NY). It would allow advanced practice registered nursesand physician assistants to order home health servicesandmeet the face-to-face requirementunderMedicare inaccordancewithstatelaw.

TheHousebill currentlyhas79cosponsors,while theSenate bill has garnered 11. Supporters sent more than8,500 letters toCongresson this topic throughRNaction.org.

Nurse and Health Care Worker Protection Act (H.R. 2480): Conventional practices of manual lifting,repositioning and transferring patients have contributedto work-related injuries and musculoskeletal disorders innurses and other health careworkers.ANA supports theNurse and Health Care Worker Protection Act of 2013(H.R. 2480), introduced by Rep. John Conyers (D-MI,)designed to decrease the potential for injury to healthcare personnel and patients, while reducing work-related

health care costs and improving the safety of patientcare delivery. The nation – now facing a serious nursingshortage– canno longer afford to losenurseswho leavetheprofessionannuallyduetomusculoskeletalinjuriesandpain.

This bill was introduced in June 2013, in time forANA’s Lobby Day and the launch of the Safe PatientHandling and Mobility: Interprofessional NationalStandards.Incollaborationwithamulti-disciplinaryteamofnationalexperts,ANApublishedthenationalstandardsfor creating, implementing and managing a safe patienthandling and mobility program. These standards reachbeyond hospitals to encompass rehab, long-term care,homecare,physicalandoccupationaltherapy–anysettingwherepatientsneedhelpwithmobility.Thebill’slanguagealignswiththesestandards.

The bill currently has 13 cosponsors and resides inthe Committee on Education and Workforce. In 2014,ANA plans to hold a briefing on safe patient handlingand mobility, which will allow Congressional staffers tobecomebetteracquaintedwith the issue.ThroughANA’swebsite, RNaction.org, nurse advocates from aroundthe country sent more than 1,000 letters to Congress tosupportthisinstrumentalbill.

Registered Nurse Safe Staffing Act of 2013 (H.R. 1821): Introduced in April 2013 by Reps. Lois Capps(D-CA) andDavid Joyce (R-OH), this billwould requireMedicare-participating hospitals to establish unit-specificstaffingplansutilizingacommittee,comprisedofatleast55% direct care nurses, and publicly report the staffingplans.

Todate,18membersofCongresshavecosponsoredthisimportant legislation. The bill currently is in the HouseEnergy and Commerce Committee’s Subcommittee onHealth.In2013,morethan4,000individualssentlettersofsupporttotheirrepresentativesthroughRNaction.org.

ANA Government Affairs is working closely withSenate offices, to have a Senate version of the billintroduced in 2014. In the past, Sen. Inouye (D-HI)introducedthisbill.However,givenhisdeathinlate2012,ANAisseekinganewSenatesponsor.

Durable Medical Equipment (DME) Face-to-Face Requirement: In September 2013, ANA partnered withthe American Association of Nurse Practitioners toeffectivelyaddresstheCentersforMedicareandMedicaidServices(CMS)rulingaboutface-tofacerequirementsfordurablemedicalequipment.

Inresponsetonursesfromacrossthenation,includingmore than 3,000 letters to members of Congress andANA’s letter to CMS Administrator Marilyn Tavenner,CMShasagainpostponeda requirement thatwouldhaveprevented nurse practitioners, clinical nurse specialistsand other clinicians from ordering durable medicalequipment for patients without first obtaining an extralayerofdocumentationbyaphysician.Enforcementofthisprovisionispostponeduntilanunspecifieddatein2014.

ANA will continue to advocate on nursing issuesto improve quality of care for patients and elevatethe profession. To take action or find out more, go toRNAction.org.Yourvoicemakesadifference.


HHS Awards $55.5 Million to Bolster America’s Health

Care Workforce

HealthandHumanServices(HHS)SecretaryKathleenSebelius announced $55.5million in funding awarded inFY2013tostrengthentrainingforhealthprofessionalsandincreasethesizeofthenation’shealthcareworkforce.

“These grants and the many training programs theysupporthavearealimpactbyhelpingtocreateinnovativecaredeliverymodelsandimprovingaccesstohigh-qualitycare,”SecretarySebeliussaid.

More than 270 grants will address health workforceneeds in nursing, public health, behavioral health, healthworkforce development, and dentistry. The grants aremanaged by HHS’ Health Resources and ServicesAdministration(HRSA).

Amajorityof the funding, $45.4million,will supportnursingworkforcedevelopmentinthefollowingareas:

• Increasing the number of nurse faculty ($22.1million) – provides low-interest loans to nurses totrain to become faculty and loan cancellation forserviceasfaculty.

• Improving nursing diversity ($5.2 million) –expandseducationalopportunitiesforstudentsfromdisadvantaged backgrounds, including racial andethnicminoritieswhoareunderrepresentedamongregisterednurses.

• Increasing nurse anesthetist traineeships ($2.2million) – supports nurse anesthetist programs toprovide traineeships to licensed registered nursesenrolled as full-time students in a master’s ordoctoralnurseanesthesiaprogram.

• Promoting inter-professional collaborative practice($6.7 million) – brings together inter-professionalteams of nurses and other health professionals todevelop and implement innovative practicemodelsforprovidingcare.

• Supporting advanced nursing education ($9.2million) – funds advanced nursing programsthat support registered nurses in becoming nursepractitioners, nurse midwives and other practicenurses.

Funding also supports training of doctoral-levelpsychologists to address the behavioral health needs ofvulnerable and underserved populations ($2.4 million);accredited residency programs in preventive medicineandpublichealth ($3million);and fourhealthworkforceresearch centers ($1.4 million) to improve understandingofbothlocalandnationalhealthworkforceneeds.

An additional $3.1 million will help state designateddental health professional shortage areas develop andimplement innovative programs to address dentalworkforceneeds.Statesmustmatchatleast40percentofthegrantfundingorprovideequivalentsupport.

“These grants cover a wide spectrum of healthworkforce needs,” said HRSA Administrator Mary K.Wakefield, Ph.D.,R.N. “From diversity to dentistry – allarecriticaltoachievingaskilledworkforcenowandinthefuture.”

For a list of grant awards, go towww.hrsa.gov/about/news/2013tables/healthprofessions. More informationon HRSA’s activities to strengthen the nation’s healthprofessions workforce is available at HRSA HealthProfessionsPrograms.

Elissa Brown

OnJanuary23,2014,ANAandotherorganizationsandindividuals were invited to participate in the Centers forDiseaseControlandPrevention(CDC)webinar:

“2013-2014 Influenza Season: Updates and Recommendations for Clinicians”

Call presenters were: Angela Campbell, MD, MPH,FAAP, Medical Officer Epidemiology and PreventionBranch, Influenza Division National Center forImmunization and Respiratory Diseases-CDC; with:PaulineK.Park,MD,FACS,FCCM,LenaM.NapolitanoMD, FACS, FCCP, FCCM, University of Michigan;and Janet V. Diaz, MD, Contra Costa Regional MedicalCenter,Martinez California; other clinicians added to thediscussion.

Someaskiftheinformationisstillrelevant.TheanswerisYES--thisinfluenzaseasoniscontinuing,whiletheCDCnotesreportsofsevererespiratoryillnessamongyoungandmiddle-aged adults. Many were infected with influenzaincluding the H1N1 virus – the virus that was prevalentin the 2009 pandemic. There have been multiple H1N1-associated hospitalizations, with many requiring intensivecareunit admissions, anddeathshavebeen reported.Thisseason, 61%of hospitalizations are for people18-64yearsold; “22% of hospitalizations for women of childbearingagehaveoccurredinpregnantwomen.”

People at highest risk for influenza complicationsare children less than 5 years old, adults more than 65,pregnant women, American Indians and Alaska natives,longtermcarefacilityresidents,peoplewithriskfactorsof:morbid obesity, chronic pulmonary, cardiovascular, renal,neurological diseases, immunosuppresssed individuals,childrenwithspecialneedsandthosewithotherunderlyingconditions.

The ACIP (Advisory Committee on ImmunizationPractices) recommends that everyone aged 6 months andolderbevaccinatedannually.

CDC: there are at least 3 viral strains andcombinations; new approved vaccines are available since2012; and recommends that everyone be vaccinated.Early antiviral treatment should be soughtwhen one hassuspected or confirmed influenza, especially those whoarehospitalized,have“severeorprogressiveillness”orareat high risk for complications. Early Antiviral treatmentisshowntoreduce:symptoms,riskforcomplicationsandhospitalization stays. Antiviral treatment and infectioncontrol measures can be started on the basis of clinicaljudgment,i.e.,donothavetowaitfortestresults.

California: a Los Angeles Times article, January25, 2014, reported that statewide deaths are up, with 95confirmed deaths in people less than 65 years old, andover50moredeathsexpectedbytheendofJanuary.Lastyearatthesametime,therewereonly9confirmeddeathsand a total of 106 for the 2012-2013 season.Nationwide:The CDC estimates that in the 2013-14 season: 3000 to49,000 deaths may occur; there will be 54,000-430,000hospitalizations, and 15-60million cases.Directmedicalcostsareestimatedat$10.4billion.

Registered Nurses have a professional and an ethicalresponsibility to educate, and to encourage everyoneto get the flu vaccine. Some counties, cities and statesacross the country have taken other measures to reducethe risk of spread. L.A. County has a mandate that allhealth staff either get the flu vaccine orwear amask atwork. Restrictions on and screening of visitors is beingdone in some hospitals; there is increased emphasis oninfection control measures. In addition, there have beenongoing ethical discussions re mandating flu vaccines.Ethicists remind healthcare professionals of the duty to“donoharm”,e.g.,tonotspreadtheflu;emphasizingthateveryoneshouldgetvaccinated.

Keypoints:• This influenza season is serious, already

responsible for an increase since last season, inhospitalizationsandfatalities

• Annual influenza vaccination is recommended forallpersonsaged6monthsandolder,andisthebestwaytopreventinfluenza

• Available evidence indicates that early as possibleantiviral treatment, in patients with confirmed orsuspectedinfluenza,canreducesevereoutcomes

• For the 2013-14 season, if the strain of H1N1virus continues to circulate widely, illness thatdisproportionately affects young and middle-agedadultsmayoccur.

• Healthcare professionals have a role in activelyeducating the public, promoting infection controlmeasures,reducingrisk,andcaringforindividualsandfamiliesaffectedbyinfluenza.

CDCwebsite:www.cdc.gov/fluInformation from the webinar and more, including

recordingsandslides,isavailableat:http://emergency.cdc.gov/coca/calls/2014/callinfo_012314.asp

2013-2014 Influenza Season Update

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ANA/ANF

American Nurses Foundation to Award

Up to $225,000 in 2014 Research Grants Priorities Include Nurse Leadership,

Empowering Nurse Change Agents

SILVER SPRING, MD – The American NursesFoundation (ANF) is now accepting applications forits 2014 Nursing Research Grant (NRG) Program. Theprogramwillprovideupto$225,000inresearchawardstobeginnerandexperiencednurseresearchers.

ANF is the charitable and philanthropic arm ofthe American Nurses Association (ANA). The 2014grant program will focus on nurse leadership and howto empower nurses to become change agents in thetransformationofthehealthcaresystem.

“Nursing research improves health using a holisticapproach, which is vital to promoting wellness, limitingchronic illness and optimizing health outcomes forpatients, families, and caregivers,” said Robin Knobel,PhD, RN, chair of the ANF Nursing Research GrantProgram, and an assistant professor at Duke UniversitySchoolofNursing.

Individual grants range from $5,000 to $25,000. Thelargestaward,theMargrettaMaddenStylesCredentialingResearch Award, is named for a past president of theAmerican Nurses Credentialing Center, ANA and theInternationalCouncilofNurses.Theawardfundsresearchontheimpactofnursecredentialingprogramsforpatients,nurses,andhealthcareorganizations.

Information and access to the online application areavailableonANF’swebsiteatwww.givetonursing.org

TheapplicationprocessisopenthroughMay1,2014.

Save the Date!!

American Nurses Association

Membership Assembly

June 10th – 14th 2014

Washington Hilton, Washington DC

Program information can be found on the web site at www.nursingworld.org or by calling 1-800-274-4262


Toward CivilityANA, Nurses Promote Strategies to Prevent Disruptive Behaviors

Codered.Codeblue.Codepink?While the first two codes are universally known

to nurses, the less familiar, “code pink” can refer to atechniquenursesemploytoaddressunacceptablebehaviorin hospitals and other settings. It works like this: RNsgo to the location where their nurse colleague is beingverbally abused and stand in support of their peer – andagainstthebullyingthatistakingplace.

It isone tactic,developedbyORnurses, thatcanhelpstem the tide of incivility, bullying and other forms oflateralviolence.Andmorestrategiesaredefinitelyneededwithintheworkenvironment—beitanOR,anacademicinstitutionoramed-surgunit,saynurseexperts.

Incivility is not just happening in health care. In aJanuary-February 2013Harvard Business Review article,researchersfoundthat98percentofrespondents,includinglawyers, architects, coaches and physicians, reportedexperiencinguncivilbehavioratwork.

Yet incivility seems even more vexing a problem inhealth care, where “care” is supposed to reign. To helpaddress bullying, the American Nurses Association(ANA) has created resources, including a publication, tipcards, fact sheet and webinars, that offer strategies forboth individual nurses and organizations to use. ANAalso has posed questions on workplace violence andbullying as part of its Health Risk Appraisal, an onlinesurvey available to all nurses. And nurse experts aroundthenationarepromotingwaystoensureabetterandsaferenvironmentforall.

Joy Longo, PhD, RNC-NIC, an associate professorof nursing at Florida Atlantic University, focuses herresearchonbullyingandhaswritten extensivelyonwaysto promote a healthywork environment, including a Jan.31,2010articleintheOnline Journal of Issues in Nursing.She also addressed this issue for an ANA NavigateNursingwebinarin2011.

“It’s a factor in the work environment that can affectpatient safety,” said Longo, a FloridaNursesAssociationmember.“Ifevenone[untoward]encounteradaycausesamedicationerror,thatisonetoomany.”

Formoreinformationgotowww.nursingworld.organdbesuretowatchforsomeexcitingthingslaterintheyearatwww.anacalifornia.orgonthissametopic.

American Association of Neuroscience

Nurses Joins ANA as Organizational Affiliate

Premier MemberSILVER SPRING, MD – The American Nurses

Association (ANA) announced that the AmericanAssociation of NeuroscienceNurses (AANN) has joinedANAasanOrganizationalAffiliatePremiermember.Formanyyears,ANAhas offered a categoryofmembershipfornursingorganizationscalledOrganizationalAffiliates(OAs). Working together, ANA and these more than 30 organizational affiliates seek to share information andcollaborate in finding solutions to issues that face thenursing profession, regardless of specialty. Additionally,ANA also offers OAs the opportunity to create strongersynergybypurchasingdiscountede-membershipsfortheirindividual members. ANA established OrganizationalAffiliate Premier member status for this enhancedrelationship.

AANN is the third organization to join at the OAPremier level. It joins the Association of periOperativeRegisteredNurses(AORN)andtheAmericanPsychiatricNurses Association (APNA) in providing this level ofenhancedbenefitstoitsindividualmembers.

“We are extremely pleased that AANN has decidedto provide added value to their members by becominganOrganizationalAffiliate Premiermember,” saidANAPresident Karen A. Daley, PhD, RN, FAAN. “Throughthisenhancedpartnership,wecanstrengthentheinfluenceof all nurses and foster innovative solutions to complexnursingproblems.”

AANNPresidentMaryKayBader,MSN,RN,CCNS,CCRN,CNRN,SCRN,said,“OfferingANAOAPremierbenefitstoAANNmembersdrivesourvisionofbeingtheleadingauthorityinneurosciencenursing.AANNisproudto offer its members this new benefit that will help ournursesimprovepatientcareandsupporttheirneurosciencenursingcareers.”

Individual members of OA Premier organizationsreceive the option of digital access to ANA’s journalsand e-newsletters, free and discounted access to a rangeof professional development programs, and through theirmembership, strengthen ANA’s advocacy on behalf ofnurses.

About ANAANA is the only full-service professional organization

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

About AANNFounded in 1968, the American Association of Neuroscience

Nurses (AANN), an organization of more than 4,500 members worldwide, is committed to working for the highest standard of care for neuroscience patients by advancing the science and practice of neuroscience nursing. AANN accomplishes this through continuing education, information dissemination, standard setting, and advocacy on behalf of neuroscience patients, families, and nurses. For more information, visit www.AANN.org.

SILVER SPRING, MD – The American NursesAssociation (ANA) announced today that the NationalOrganization for Associate Degree Nursing (N-OADN)hasjoinedANAasanorganizationalaffiliate.

“Excellenceinnursingeducationiscrucialtothefutureof the nursing profession, so we are thrilled to partnerwithanorganizationthatrepresentsthevoiceofassociatedegree nursing, where a large number of nurses receivetheir initial preparation to practice,” saidANAPresidentKaren A. Daley, PhD, RN, FAAN. “This affiliationstrengthens the influence of all nurses as ANA workswithabroadrangeofpartnerstoachievemutualgoalsonbehalfofnursesandpatients.”

N-OADN promotes associate degree nursing throughcollaboration,advocacyandeducationtoensureexcellencein the future of health care and professional nursingpractice. N- OADN President Donna Meyer, MSN, RN,said, “We’re confident that the affiliationwill help unifythenursingprofessioninthemidstofhealthcarechanges.It is only through nursing educators and practitionersworking together that we will be able to advance theprofession of nursing at this very critical time of healthcaretransformation.”

Through affiliation with ANA, nursing-relatedorganizations such as N-OADN continue advocatingindependently on issues specific to their expertise whilealso benefiting from a larger, united presence that iscommitted to strengthening the nursing profession asa whole and improving patient outcomes, safety andsatisfaction in all care settings. More than 30 specialtynursing organizations currently connect to ANA asaffiliates,representingroughly400,000registerednurses.

Founded in 1984, the National Organization for Associate

Degree Nursing (N-OADN) is recognized nationally as the voice for Associate Degree (AD) nursing. N-OADN is dedicated to enhancing the quality of AD nursing education, strengthening the professional role of the AD nurse, and promoting the future of AD nursing in the midst of healthcare changes.

Associate Degree Nursing Organization Joins ANA as Affiliate

Addition Strengthens Advocacy for Entire Nursing Profession

ANA/ANF

ANA Supports Primary Care Services by Nurse Practitioners in Retail

Based ClinicsANAsupports the delivery of primary care and other

healthcareservicesbynursepractitioners(NPs)inretail-based health clinics.Retail-based clinics provide anotherway for patients to access affordable, high-quality healthcare, thus helping to address some of the health caresystem’s more pressing problems, such as overcrowdedemergencyrooms.

Peer-reviewed studies have consistently confirmedthat NPs offer high quality care in these clinic settings.This latestpolicystatementfromtheAmericanAcademyof Pediatrics is just another attempt to preserve thestatus quo. The future of primary care calls on nursepractitionersandphysicianstoevolveintheirrelationship,towardamoreintegratedworkforcewhereeachprofessionisabletomaximizeitsabilitytoimprovepatientcare.

Nurses are both the largest group of health careprofessionals and the most trusted <http://www.nu r s i ngwor ld .o rg / Func t iona lMenuCa t ego r ie s /MediaResources/PressReleases/Nurses-Most-Ethical-Profession.pdf>andwithgoodreason.Inadditiontotheireducation and expertise indiagnosis and treatment,NPs’proficiency in providing health education and preventionservices makes them skilled managers and serviceprovidersinretail-basedclinicsaswellasmoretraditionalprimarycaresettings.

--AmericanNursesAssociationhttp://www.nursingworld.org/

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

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

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

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

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


ANA Offers $175 Discount Off Global Volunteers

Programs to Its Members and Friends!

Work alongside local people on life-affirminginternationalserviceprojectsforone,twoorthreeweeks.Use your health care background, teach conversationalEnglish, care for at-risk children or help on a laborproject. Health care professionals are needed to providebasic care to impoverished newborns, children and theirparents. Global Volunteers offers year-round volunteerprogramsonsixcontinentsand20countries.Learnmoreand choose your volunteer opportunity!Visit http://www.globalvolunteers.org/ana.htm or call 800-487-1074 formoreinformation.

ANA/ANF

BackgroundOver the past decade, emergency medical services

(EMS) has piloted a new role, most often referred to asthecommunityparamedic(CP).Thisexpandedrolebuildson the skills and preparation of the emergency medicaltechnician (EMT) and paramedic, with the intention offulfilling the healthcare needs of those populations withlimited access to primary care services. Cuts in publichealth and community services funding have decimatedprograms,leavingunmethealthneeds.Inmanycases,CPsare filling a gap in services that had been performed bypublichealthnursesandvisitingnurses.

Communities have used CPs for home assessment,consultation, and direct care, purportedly reducingunnecessary hospital admissions and readmissions. TheEMS community describes other possible services thatcould be performed by the CP as public health, diseasemanagement,preventionandwellness,mentalhealth,andoral health. Consistent with the traditional EMS model,CPs use protocols and work under the direction of aphysician(medicaldirector).

ANA believes that every patient deserves access tosafe, quality care from all healthcare providers. Healthcare is ever-changing and is currently undergoing asignificant transformation. ANA supports initiativeswhich allow allmembers of the healthcare team to fullyfunction consistentwith their education and training in acooperativemanner.

PurposeANA’s Essential Principles for Utilization of

Community Paramedics provides overarching standardsandstrategiesfortheregisterednurseandthecommunityparamedic to applywhen cooperating in various settingsand across the continuum of care. This document seeksto promote common understanding of the communityparamedic role and clarification of registered nurses’expectationsofcooperationwiththisnewrole.

The significance of establishing the groundwork forcooperationisrootedintwomajorassumptions:

• Thereexistsoverlappingpatientcareresponsibilitiesbetweenhealthcareteammembers.

• Patient-centeredcarecoordinationisacoreprofessionalstandardandcompetencyforallregisterednursingpractice.

These assumptions assert that registered nurses andcommunityparamedicswillneedtocooperate.Successfulcooperation leads to the delivery of safe, quality careand transparency with regards to roles and functions.Therefore,itisimportantto:

• Establishminimumstandardsforeducationandtrainingforthecommunityparamedic,–beyondtheemergencyserviceseducationandtrainingrequiredofEMTsandparamedics–thatpreparesthecommunityparamedictocompetentlyperformtheexpandedfunctions.

• Reduce“roleconfusion”byidentifyingthecommunityparamedic’srolewithinthehealthcareteamwhiledistinguishingtheregisterednurses’responsibilities.

• Fosterinterdisciplinarycooperationthroughappropriateregulatorymodels.

Terminology and BasicsNotes on Terminology

The word nurse refers specifically to a professionalregistered nurse. Nursing’s Social Policy Statement: The Essence of the Profession (ANA, 2010; pg. 7)recognizes the value of clearly identifying the recipientsof professional nursing care, be they individuals, groups,families,communities,orpopulations.The termspatient, client, person, populationandcommunity mostoftenrefertoindividuals,whereas healthcare consumer canrepresentanindividualorgroup.

The terms community paramedic, advanced practice paramedicandcommunity health aide/worker*refertoanindividualwholawfullyengagesinanexpandedscopeofparamedicorEMTpracticetomeettheneedsofthelocalcommunity and has successfully completed standardizededucation and training to competently perform thosefunctions.

(*Variations in titles may exist between states. This document addresses those roles that build on the EMT and paramedic.)

Basics: Assuring Patient Safety• Rolecompetence–Clarityoffunctionswith

appropriateeducationandtraining• Interdisciplinaryteamwork–Reflectedby

cooperation,collaborationandcommunication• Accountability–Accountableforself,tothe

community,andtoaregulatoryagency

Essential PrinciplesANA recognizes that, given existing differences in

regulatory structure, regulatory models will vary fromstate to state, but believes that at the very least, amodelmustincorporatesomeBasicsforassuringpatientsafety.

(**For guidance in developing a suitable regulatoryframework, members should contact Janet Haebler, [email protected].)

Role CompetenceAs with all healthcare providers, the public has a

right to expect community paramedics to demonstratecompetencethroughouttheircareersandinallhealthcaresettings. ANA’s position is that competence is definableandcanbeevaluated.

Competence can be evaluated by implementing toolsthatretrieveobjectiveandsubjectiveinformationaboutanindividual’sknowledgeandperformance(ANA,2010;pg.25,32).Thereshouldbeamechanismformaintainingandmeasuringcontinuedcompetence.

Uniform education and clinical training from anaccredited program in the higher education setting,consistentwiththefunctionsofthecommunityparamedicrole,shouldberequiredbystatestatute,rules,regulations.Accredited educational programs should include corecomponentsfromsocialandbehavioralsciencesandsocialdeterminantsofhealthsuchas:

• Culturalcompetency• Communityrolesandresources• Healthassessment• Personalsafety• Professionalboundaries• Clinicalcomponentsthatincludesub-acuteand

semi-chronicpatientneeds

Interdisciplinary TeamworkThe community paramedic must be considered part

of the interdisciplinary team.Given the roleof registerednurses as coordinators of patient care (ANA, 2012), itis important that community paramedics communicateand cooperate with registered nurses. Regulatorymodels should not impose barriers to interdisciplinarycommunicationorcollaboration.

AccountabilityCommunityparamedicsshouldbeaccountableforself,

tothecommunity,andtoaregulatoryagency.Everyeffortshould bemade to ensure that the agencywith oversightforCPscollaborateswellwiththeagencyoragenciesthathave oversight for other professionals with whom theywill be cooperating and communicating as part of thehealthcareteam.

Evaluation

This emerging role of the community paramedicrequires ongoing evaluation to determine effectivenessand inform healthcare providers and policy makers asto needed changes. Thus far, the focus in communityparamedic demonstration projects has been on reducedcosts through decreased emergency room visits, hospitaladmissions and readmissions. Evaluation should extendto includemonitoring for improvedpatient outcomes andpatientsatisfactionandadecreaseinadverseoutcomes.

SourcesAllURLscurrentasof02/05/2012.AmericanNursesAssociation (ANA, 2012).Care coordination

and registered nurses’ essential role. (ANA PositionStatement: Approved 06, 2012.) Retrieved from http://nursingworld.org/MainMenuCategories/Policy-Advocacy/Positions-and-Resolutions/ANAPositionStatements/Position-Statements-Alphabetically/Care-Coordination-and-Registered-Nurses-Essential-Role.html

ANA’s Essential Principles for Utilization of Community Paramedics

American Nurses Association (ANA, 2010). Nursing’s Social Policy Statement: The essence of the profession. SilverSpring,MD:Nursesbooks.org.

National Council of State Boards of Nursing (2009). Changes in healthcare professions’ scope of practice: Legislative considerations. October. Retrieved from https://www.ncsbn.org/ScopeofPractice_09.pdf

NorthCentralEMSInstitute.(2014).TheCommunityParamedicProgram:ANewWayofThinking.Retrievedfromhttp://communityparamedic.org/

North Central EMS Institute. (2012). Community paramedic lesson plan. Retrieved from http://aerospace.ceas.uc.edu/content/dam/aero/docs/fire/CP%20Lesson%20Plan.pdf

ApprovedtheANABoardofDirectorsFebruary28,2014American Nurses Association 8515 Georgia Avenue, Suite

400, Silver Spring, MD 20910-3492. 1-800-274-4ANA. www.Nursingworld.org

PublishedMarch2014.© 2014 American Nurses Association. All rights reserved.

No part of this publication may be reproduced or utilized inany form or any means, electronic or mechanical, includingphotocopyingandrecording,orbyany informationstorageandretrievalsystem,withoutpermissioninwritingfromANA.

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As Trial Lawyers Collect Signatures for Anti-MICRA Ballot Measure, Campaign to Protect Vital Law is Heating Up.

Trial lawyersand theirallies filedaproposedNovember2014ballotmeasure tochangeMICRAthatwould result inreduced access to health care services for patients whileincreasing the amount lawyers can collect in legal fees.The change toMICRA’s non-economic damages cap from$250,000 tomore than $1millionwill triple the legal feeslawyerscancollectforbringingalawsuit.

The Consumer Attorneys of California (the lobbyinggrouprepresentingtriallawyers),individualtriallawyersandtheir allies have made political contributions totaling morethan$1.2million thusfar topayfor thesignaturegatheringeffort to qualify themeasure for the ballot. Youmay haveseen those paid signature gatherers out front of your localretail stores. They have until March 21, 2014 to gathersignaturesbeforetheyarerequiredtoturnthemintocountyelectionsofficials.

Lawyers Use Bait and Switch TacticsInanattempttohidetheMICRAchange,theproponents

loaded the ballot measure with other provisions designedas a “bait and switch” to distract voters from the real goal

Anti-MICRA Campaignof themeasure.Theballotmeasure includesprovisions thatwould require doctors to undergo mandatory drug testing,require doctors to report any other doctor suspected ofdrug or alcohol impairment or medical negligence, andrequire doctors to check the government-run prescriptiondrug website known as CURES before prescribing certainnarcoticstopatients.

In fact, JamieCourt ofConsumerWatchdog, oneof thegroups backing the measure, admitted in a December 10columnintheLosAngelesTimesthatthedoctordrugtestingprovisions are “the ultimate sweetener.”He says thatwhenhisgroupbroughttheproposalbeforefocusgroups,“theonlythingthatmadethemlightupwasdrugtestingofdoctors.”

Lawyers’ Ballot Measure Will Mean Higher Health Care Costs for Patients and Providers

Increasinglawsuitpayoutsandlegalfeespaidtolawyers,and creating an incentive to file meritless lawsuits bychangingMICRA,meanstheballotmeasurewillhavemajorcost implications to consumers, taxpayers and residents– up to $9.9 billion annually across all sectors of healthcare. According to the non-partisan Legislative Analyst’sOffice, which evaluates only the impact on state and localgovernmentbudgets, the trial lawyers’ballotmeasurecould

Dignity Health in the North State hospitals of California Employment Opportunities!

Our three non-profit hospitals provide the most comprehensive health care system in far Northern California. We offer a full range of services including cancer care, heart care, orthopaedic services, maternity care, newborn and adult intensive care, emergency and trauma services, home health and hospice care, and other specialized programs. The Dignity Health North State hospitals include Mercy Medical Center Mt. Shasta, Mercy Medical Center Redding, and St. Elizabeth Community Hospital in Red Bluff.

We currently have a variety of openings for nurses and other healthcare professionals, including:

• CriticalCareandL&DRN’s• ClinicalLabScientists• PerioperativeServicesDirector–St.Elizabeth

Community Hospital

Check out our website at http://www.mercy.org for information about all three of our hospitals in Northern

California and available positions.

For more information, contact Kathy Sterner, Manager SA Talent Acquisition at

[email protected] or by calling 530-225-6042.

cost state and local governments “hundreds of millions ofdollarsannually.”

NO Campaign in Full SwingOn the NO side, a strong campaign team has been

assembled to defeat the initiative, including well-respectedcampaignmanagers,pollsters,andotherswhofeelconfidentthat with hard work and with involvement from MICRAsupporters,thismeasurecanbedefeated.

Initial polling and focus group research indicates voterswill look skeptically on this measure and that they are notinclined to support increasing lawsuits and paying higherhealthcarecosts.

Our campaign to defeat the anti-MICRA ballot measurealsowillbewellfinanced.

Andmostimportant,ourNOcampaignwillberepresentedby hundreds of respected groups, including ANA\C andothers, who put patients first, not lawyers. Our coalitionto oppose the ballot measure includes groups representingnurses, doctors, hospitals, community clinics, localgovernments,businessand laborgroups,communitygroups,publicsafetyandothers.

Early Media Coverage Casts Critical Light on Trial Lawyer Tactics and Measure

Reporters and columnists who have looked at the triallawyers’ballotmeasureareskepticalofthelawyers’motives:

• “If you think doctors should be drug-tested,make the case on its merits. If you think MICRAshould be reformed, make that case. But to usethe public’s emotionalism about drugs to enactsomething completely different seems fundamentallymanipulative and undemocratic.”Los Angeles Times, Michael Hiltzik column, December 10, 2013

• “It’s a time-honored political technique in theCaliforniainitiativeprocess,thebait-and-switch,”saidSherryBebitchJeffe,whoteachesattheUniversityofSouthernCalifornia’s School of Public Policy.Whiledrug-testing doctors is a good selling point for thepublic, Jeffe said, for the plaintiffs’ lawyers behindthecampaign,thetargetisMICRA…”San Francisco Chronicle, October 30, 2013

• “The big money behind the measure, assuming itqualifies,willlikelycomefromthestate’striallawyers–attorneyswhorepresentplaintiffsinmalpracticeandother personal injury cases. A measure that wouldrepeal or raise the cap or index it to inflationwouldface tough sleddingwith voters asmedical providersand insurers spend millions to depict it as a lawyermoney grab.Hence the other verbiage about druggiedocs. One can certainly grasp why the measure’ssponsors want to hide the pea…” Sacramento Bee, Dan Walters column, November 13, 2013

ANA\C Members – Get Involved!Togetinvolvedinthecampaignopposingthetriallawyer

anti-MICRAinitiative,signuponlineatwww.micra.organdfollowCAPPonTwitter:@MICRAWorks

Nursing AdministrationSupervisor

Full-Time — NightsCurrent California RN license, BLS, ACLS and PALS certification required. Two years Supervisory Management experience in an Acute Hospital setting is required.

Responsible for promoting and maintaining quality patient care through effective management and supervision of the activities of the total patient care during his/her assigned tour of duty.

We offer an excellent benefits package. 401k retirement plan. Direct Deposit. Flexible Spending Plan & Credit Union.

To apply, visit our website at www.pamc.net or for more information,

please contact Helen Nevarez, Recruiter at 213-437-4236.


Membership

Pressing the Call Light: A Request for Feedback

One of the most challenging tasks of membership in anyassociation is to answer thequestionof, “What is thevalue thatIreceivefrommymembershipintheassociation?”Ihavelookedat thisquestionfromseveralanglesoverthelastseveralmonths,andhavedetermined that there isnot reallyone single responsethatfitsasananswertoeverymember.ANA\Cisanassociationthat can fit many hats in many different ways. To be able topoint out theway thatANA\Cwould best fit you is not alwayssomethingthatIcananswer,yetIammorethanwillingtohearyour recommendations and invite your feedback on what theassociationcandoforyoufromthestandpointofmembership.

Some ideas that have been discussed include a membershipdrive that would have giveaways tomembers who recruit othermembers,giveawaystothenewmembers,andothersimilarideasthathavebeensuccessfullyusedbyANAatnationalconferences.DidyouorsomeoneyouknowjoinANAatanationalconference and receive a gift for yourmembership?What types of incentives to join andrecruitcouldANA\Coffertoyouandpotentialmembers?Manytimesanassociationcomesupwithanideathatseemstoholdpromiseandrunswiththeideafromthere.Iknowthatmanyofthememberscomefromverydiversebackgroundswhohaveawealthofknowledgeandexperiences.Anursewouldnotwanttodoeverythingontheirownwithoutinvolvingtheothermembersofthehealthcareteam,andsointhesameway,Iamreachingouttoyouasthememberstoshareyouropinionsandthoughts.

ThelicenseofanRNissomethingthatweallholdasextremelyimportant,andANA\Chasdoneanoutstanding jobadvocating forRNsand theconsumersofCaliforniaover theyears.Aspolicydefinespractice,practicecreatestheneedforpolicy.Standardsofeducationsuchas thecurrentdebateaboutcommunitycollegesofferingaBSNdegreeaffectnursingeducation,andaprofessionalvoiceofnursingbeingpresentduringdiscussion isextremelyimportant.ANA\ChasbeenatremendousvoicefornursinginCalifornia,andnowIwouldask foryourassistance in identifyinghowANA\Ccanmakemembershipamorevaluableofferingtoyouaswellaspotentialmembers.Justasnursingisateameffort,collaborationwithmultiplepeopleyieldsamoreroundedview,andbettersolutions.

Iwelcomeyour thoughts and ideas. Please feel free to sharewhat I can do as directorofmembership tohelp improve theassociation.There isno idea toocrazy, toostrange,ortoonew.Many timeswewant to remain inanareaofcomfort, stickwithwhatweknow,anddon’t fixwhat isn’tbroken.Acarwill staysafe inyourgarage,but that’snotwhyweboughtthecar.Wehavetobewillingtoexplorenewideas,andIwelcomeallofyourideas.Pleasefeelfreetoemailmeyourthoughtsandsuggestions,nomatterwhattheymaybe,at:[email protected] anytime. A closing thought is a quote fromWill Rogers,“Whynotgooutonalimb?That’swherethefruitis.”

Did You Know?83%ofANA\CMembershipduescanbeabusinessdeductiononyourtaxes?17%ofANA\CMembershipduessupportlegislativeorlobbyingeffortsandtherefore

arenotdeductible.Pleasegivethisinformationtoyourtaxprofessionalandshouldyouneedanyfurther

informationcontactANA\[email protected].

Do You Believe You Have an Idea to Make a Good Change at the ANA\C? Well,theBylawsTaskForcewouldliketohearfromyou.Anymemberswhowould

like to submit an idea to amend existing bylawsmay do so by emailing,KathyFalco,Bylaws Co-Chair, at [email protected] Please write ANA\C Bylaws in the subjectline.

The Bylaws serve to guideand protect the organization, so new ideas and a freshperspectivecanhelptokeeptheANA\Cstrong.

Pleasesubmityouridea/proposalwithyourrationaleforchangeandKathywillassistyouindevelopingyourproposalintobylawsformatting.Thecut-offdateforsubmittingaproposalisAugust1,2014.VotingonproposedbylawswilltakeplaceattheGeneralAssemblyinOctober.Youmaygotowww.anacalifornia.orgunderthemembershiptabtofindthecurrentbylawsasamendedatthe2013GeneralAssembly.

Lookforwardtohearingyourideas!

Greetings from Garrett!October 12, 2013

AyearagoonOctober12,2012,Iarrivedhomefromayear-

longdeployment toAfghanistan. It’shard tobelieve thatwasa

yearago!

Thank you to for your support to our veterans

I cannot express just how appreciative I am for the great

supportfromfamilyandfriendstoourservicemembers. This

support makes a huge difference. When I walk through an

airportinuniform,peoplethatI’venevermetcomeupandthank

meformyservice–Iknowit’snotjustme.

For the past year, I have enjoyed spending time with my

familyandadjustingback tohomelife.MariaandIhavebeen

abletotakeafewtripstogetherandenjoyourgreatcommunity.

At thesame time, I remainbusyasaBrigadierGeneral in the

Army Reserve and as a Trustee on the Ohlone Community

CollegeBoard.

Remember to remember

Today,westillhavethousandsofAmericansservinginharms

wayinAfghanistanandotherpartsoftheworld.Asweapproach

Veterans Day and the Thanksgiving season, let’s remember

to keep those serving inharmsway and those that havemade

greatsacrifices,toincludegivingtheirlives,inourthoughtsand

prayers.

BestWishes,

GarrettYee

Phillip Bautista

Pacific Alliance Medical Center (PAMC), a 138 bed, Acute Care Hospital, located in the heart of Los Angeles, is a Health Grades Five-Star recipient for treatment of Cardiac Care, Neurosciences (Stroke), Critical Care, and Maternity Care. We are part of a large and dynamic healthcare system that is financially stable. If you are focused on quality patient care and exceptional customer service, then Pacific Alliance Medical Center is looking for YOU!

Experienced RNsLabor and Delivery, ICU, PACU and Urgent Care - All Shifts

Current California RN License and BLS for all units required. Specialty Units require additional certification. Two years experience in an acute care hospital setting. Excellent critical thinking skills, good communication and customer service skills and familiar with Meditech helpful.

We offer an excellent benefits package which includes the following:Competitive salary including PTO, holiday pay and sick time. HMO and PPO options for Medical, Dental & Vision insurance plans (no premium required for HMO, single coverage). Life Insurance. 401k retirement plan. Direct Deposit. Flexible Spending Plan & Credit Union.

To apply, visit our website at www.pamc.net or for more information, please contact Helen Nevarez, Recruiter at 213-437-4236.

Start your future here!Find the perfect nursing job that meets your needs at

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Membership

ANA\C 2015 - 2017 Elections – Call for Nominations for

Elective PositionsTheANA\CBallotCommitteeisseekingnomineesforaslateofcandidatestobepresentedandvotedonbytheMembership

forthe2015-2017term.Allpositionsserveforatwoyearterm.Thefollowingpositionswillbeelectedin2015.

ANA\C Board of Directors• Officers o President&ANAMembershipAssemblyRepresentative o VicePresident o Secretary o Treasurer

Ballot Committee• Three(3)memberpositions* Any member declaring candidacy as an Officer, Director or as A Ballot Committee member may also declare

candidacy as an ANA Membership Assembly Representatives and/or Observer Alternate

ANA Membership Assembly Representatives and Alternates• Three(3)positions:(1)Representativememberpositionplus(2)ObserverAlternatememberpositions

Nominationswillbeaccepteduntil 11:50pm Pacific Standard Time on Wednesday November 5th, 2014

Consent to Serve forms can be found at www.anacalifornia.org/consent

Send to: Ballot Committee, c/o ANA\California, 1121 L Street, Suite 508, Sacramento, CA 95814Email to: [email protected] to: 916-442-4394 Attn: Ballot Committee

Once your consent to serve is received by the ANA\C office, you will receive a confirmation email.

National Nurses Week 2014

Visit Nursingworld.org for more information

Everyday,nursesstepforwardembracingnewtechnologies,resolvingemergingissues,andacceptingever-changingrolesintheirprofession.Theyleadthewayfortheirpatients,colleagues,

organizations,andthehealthcareindustryasawhole.

Join ANA\C and ANA in celebrating nurses during National Nurse Week, May 6-12, 2014.

• Directors o MembershipDirector o LegislativeDirector o DirectorofNursingPractice o DirectorofNursingEducation


ANA\California Calendar of EventsAllANA\Cmembersarewelcomeandencouraged toattendmeetingsof theBoardofDirectors.Meetingsareheld

both north and south. Check the calendar portion below for location.Meetings begin at 10:00 a.m. unless otherwisenoted.AnymemberinterestedinattendingaBoardmeetingisaskedtonotifytheANA\Cstaffatleastoneweekpriorto themeeting date by calling 916-447-0225.Memberswill receive instructions for parking and entry into the officebuildingatthattime.

March 2014 CallforNominationsforANA\Celectedpositionsforacompletelistinggotowww.anacalifornia.org

orcall916.447.0225formoreinformation

April 20147th RNDay–ADayattheCapitol,RegistrationwillbeginattheCapitolat8:00am,6thfloorcafeteria7th-9th NSSILegislativeInternship,Sacramento,CA

May 20141st The Nursing Voice–Articlesubmissiondeadline-Forinformationaboutsubmittingandarticle,please

seepage2of thisnewsletterforTheNursingVoice‘ArticleSubmissionGuidelines’orcall916-447-0225.

6th-12th NationalNursesWeek–NursesLeadingtheWay8th NationalStudentNursesDay12th ANA\C4thQtrFinancialReview14th ANA\CBudgetReview

June 20146th ANA\CBoardofDirectorsMeetingSacramento,CAMeetingwillstartat10:00am10th-14th ANAMembershipAssemblyWashingtonDCformoreinformationgotowww.nursingworld.org

August 20141st The Nursing Voice–Articlesubmissiondeadline-Forinformationaboutsubmittingandarticle,please


6th ANA\C1stQtrFinancialReview

September 20146th BoardofDirectorsMeeting–locationTBA20th-27th Nurse Executives Delegation to Costa Rica; Sponsored by People to People Citizen Ambassador

ProgramsVisitfacilities,experienceinformationsocialeventsandroundtablediscussionswithfellownursesTolearnmorevisitwww.peopletopeople.com/AONEoremailorcall877.787.2000

October 201417th-19th CNSAConvention,SheratonFairplexHotelandConventionCenterPomonaCalifornia

November 20141st The Nursing Voice–Articlesubmissiondeadline-Forinformationaboutsubmittingandarticle,please


5th ‘Consent to Serve’ forms will be accepted up until 11:50 PM this date for the 2015-2017 election period to be voted on by membership beginning December 3rd 2014

6th-9th NSNAMid-YearConference,HiltonPortland&ExecutiveTowerPortlandOR12th ANA\C2ndQtrFinancialReview

December 20143rd Onlinevotingopensforthe2015-2017electionofOfficersandDirectorsforANA\C5th ANA\CBoardofDirectorsMeetingSacramentoCAmeetingwillbeginat10:00am11th-14th ACNL&CINHC–BuildingaFoundationforLeadershipExcellence

January 201528th Close of the 2015-2017 online voting; results will be posted online, in the newsletter or by calling

916.447.022528th ANA\C3rdQtr.FinancialReview

February 20151st The Nursing Voice –Articlesubmissiondeadline-Forinformationaboutsubmittingandarticle,please


4th-6th ANAQualityConference,DisneyCoronadoSpringsResort,OrlandoFLformore informationgo towww.nursingworld.org

March 20156th-7th 2013-2015BoardmeetingandorientationofnewBoardofDirectors,SacramentoCA

Exclusive Room Rates for Nurses at Walt Disney World In appreciation for all that you do, the Walt Disney

WorldSwanandDolphinResortwould like toofferyoua very special room rate for your next vacation to themostmagicalplaceintheworld...theWaltDisneyWorldResort! For detailed room-rate information visit http://swandolphin.com/promos/nurses/ana/

Consider a Career at Saint Alphonsus Health System

Saint Alphonsus Health System is a four-hospital regional, faith-based Catholic ministry serving southwest Idaho and eastern Oregon. Saint Alphonsus Health System is anchored by the only Level II Trauma Center in the region, Saint Alphonsus Regional Medical Center, providing the highest quality, most experienced care to critically ill and injured patients.

You can make a meaningful difference in these positions:

• IntensiveCare • Med-Surg•CoronaryCare • Rehab•Emergency • OB/NICU Department • MainOR•ClinicalSupportTeam• Nursing (Float Pool) Professionals

We offer competitive compensation and a comprehensive benefit package.

To learn more and to apply, please visit

www.saintalphonsus.org/careersOr call Roxanne Ohlund 208-367-3032

or Rick Diaz 208-367-3118

Registered Nurses– Acute CareMGGH is located in the small friendly, affordable

community of Hawthorne and we are a well-staffedruralNevadaHospitalandLTCFacility,

emphasizing quality care!

Great Benefits, Sign-on & Relocation available.Current NV license or ability to obtain one preferred.

Please visit www.mtgrantgenhospital.org to download an application and for more info.

Fax Resumes to 775-945-0725

No Campus Visits Liberal Credit Transfers Competitive Tuition Classes That Fit Your Schedule


Practice

SILVERSPRING,MD–Thepubliccontinuestoratenursesasthemosttrustedprofession,accordingtothis

year’sGallupsurveythatranksprofessionsbasedontheirhonestyandethicalstandards.

“Nurses are on the front lines of health care. Weadvocateonpatients’behalfwhetherweareatthebedsideor in the boardroom,” saidAmericanNursesAssociationPresident Karen A. Daley, PhD, RN, FAAN. “Patientsunderstand that nurses are committed to improving thequalityoftheircare,andthispollreflectsthehighregardtheyhavefortheprofession.”

Registered nurses are increasingly being recognizedas leaders in transforming thehealthcaresystemtomeetthe burgeoning demand for prevention, wellness andprimary care serviceswith a focus on improving qualityandmanagingcosts.Inadditiontotheirclinicalexpertise,theyarebeingsoughtouttoserveinavarietyofnewroles,

Professional Liability Insurance A must have for every nurse. Protect your career by

purchasing your own coverage at a reasonable price.Every nurse today should carry their own professionalnursing liability insurance toprotect themselves from thecosts of legal and board of nursing action – even if theyarecoveredbytheiremployer.Applytodayon-lineorcall800-503-9230.

What is the Nurse’s Role in Hospice and

Palliative Care?Hospice and palliative nurses work side-by-side with

patients, their families and an interdisciplinary teamto provide care to palliative patients. Attending to thepatient’s end-of-life physiological and psychologicalresponses and requirements as well as the social andcultural factors and the spiritual aspects of care is theessence of palliative nursing. ANA’s newly revisedHospice and Palliative Nursing: Scope and Standards of Practice reflects the specialty’s development into apractice that encompasses hospice and palliative nursing.It provides standards and competencies for all levels ofpractice.Order today!

Public Rates Nurses Most Honest Nurses Retain Top Spot As Most Ethical Profession

such a care coordinators and wellness coaches, and inleadershiproles.

AsmillionsofAmericansareabletoaccesshealthcarecoverage through the Affordable Care Act, ANA and itsconstituent and state nurses associations will continue toadvocateformeasuresthatwillallowthepublictobenefitfullyfromnurses’skillandexpertise.

Forthepast12years,thepublichasvotednursesasthemostethicalandhonestprofessioninAmericainGallup’sannual survey. This year, 82 percent of Americans ratednurses’ honesty and ethical standards as “very high”or “high,” a full 12 percentage points above any otherprofession.

Nurses consistently capture patient and public trustbyperforming inaccordancewith theCode of Ethics for Nurses thatsupportsthebestinterestsofpatients,familiesandcommunities.

A 48-year-old woman with sleep apnea had surgery at a hospital for a detached retina. The surgery went well, and the patient was admitted overnight for observation.

That evening, the nurse gave the patient Demerol for pain as prescribed. When the patient vomited shortly thereafter, the nurse assumed the medication had been expelled and gave the patient another dose. Later, the patient complained of inadequate pain control. The nurse alerted the physician, who ordered another pain medication. By 1:15 a.m., the patient coded. The team could not resuscitate her.

The patient’s daughter filed a lawsuit. The case was settled for more than $1 million, split evenly among the nurse and two physicians.1

COULD YOU MAKE THIS MISTAKE— AND BE SUED?

OFFERED BY THE AMERICAN NURSES ASSOCIATION

We all make mistakes. But as a nurse, one mistake can lead to disaster. Consider this real-life example.

1 Source: Forum, May 20082 Please contact the program administrator for more information, or visit proliability.com for a free quote.

It’s because of cases like this that the American Nurses Association (ANA) offers the Nurses Professional Liability Program. It protects nurses from the potentially devastating impact of malpractice lawsuits.

Get the protection you need—without paying more than you need. To take advantage of special rates for ANA members, visit proliability.com for an instant quote and to fill out an application.

65671 (4/14) Copyright 2014 Mercer LLC. All rights reserved.

Underwritten by Liberty Insurance Underwriters Inc., a member company of Liberty Mutual Insurance. 55 Water Street • New York, New York 10041

Administered by: Mercer Consumer, a service of Mercer Health & Benefits Administration LLCIn CA d/b/a Mercer Health & Benefits Insurance Services LLCAR Ins. Lic. #303439 | CA Ins. Lic. #0G39709

MALPRACTICE INSURANCE OFFERED BY THE ANA ANNUAL PREMIUM AS LOW AS $982

Protect yourself now! • Visit proliability.com or call 800-503-9230.

Coalinga Regional Medical Center is currently recruiting for:

•NursePractitioner(fulltime)•RN–SkilledNursing(fulltime)•LVN–SkilledNursingFacility(perdiem)•RN–ER(fulltimeandperdiem)•RNSupervisor–SkilledNursingFacility(fulltime)

•SpeechPathologist(perdiem)•HousekeepingManager(fulltime)

For job applications, please visit:

www.coalingamedicalcenter.com

Email: [email protected]:(559)935-6420Fax:(559)935-6512

27thHIV/AIDSOn the Front Line

April 16, 2014UC Irvine Student Center (Doheny Room)

Irvine, California 926976.5 AMA PRA Category 1 Credit(s)

For more information or to register online,please visit our website at

www.hivconference.org


Membership Form for the Golden State Nursing Foundation

Yes,IwouldliketobecomeaFriendoftheGSNFandreceiveemailedandmailedupdatesastothefoundationsprojectsandevents.

Individual Sponsorship

Name:_____________________________________________________________________________________

Address:___________________________________________________________________________________

City/State/Zip:______________________________________________________________________________

Phone:_____________________________________Email: ______________________________________

❏ Pleaseacceptthisone-timedonationof_____________________________________________________

❏ Iwouldliketomakeayearlyrecurringdonationof____________________________________________

__________________________________________________________________________________________Pleasemakecheckspayableto:

GoldenStateNursingFoundation1121LStreetSuite508Sacramento,CA95814

CreditCard#:______________________________________Ex.Date: _____________________________

SignatureofCardHolder:_____________________________________________________________________

❏ Iwouldpreferthatmydonationbeusedfor__________________________________________________

Contributions to the Golden State Nursing Foundation, a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code, are deductible for computing income and estate taxes.

Golden State Nursing Foundation (GSNF)

“ALDCA”

Have you everserved in themilitary? is a simplebut very importantquestion that nursesand other healthcareproviderswillnowbeasking their patients.Military servicemembers may havebeen exposed toenvironments thatcould lead to adversehealth risks—risksthat healthcareproviders needto know to serveveteransbetter.

On Labor Day,Cheryl Sullivan,the CEO of theAmerican Academy of Nursing, announced at theNational Association of State Directors of VeteransAffairs(NASDVA)conferenceanewawarenesscampaignto improve the health of veterans. The campaign,“Have you ever served in the military?,” encourageshealthcare providers to ask about their patients’ militarybackground.“Thissinglequestion,‘Haveyoueverservedin the military?,’” asserts Linda Schwartz, a fellow inthe Academy and commissioner of the ConnecticutDepartmentofVeteransAffairs,“canbethekeytotimelyand adequate assessments, diagnosis, and treatment.”Lessthan30%ofallveteransreceivecarewithintheVAhealthcaresystem.HaroldKudler,MD,associatedirector,VA Mid-Atlantic Health Care Network Mental IllnessResearch,EducationandClinicalCenter,notedthat“56%of community providers don’t routinely ask their patientsabout being a current or former member of the armedforcesorafamilymember.”

While VA healthcare providers may be familiar tomilitary-related occupational and environmental hazards,many civilian healthcare providers may not be fullyaware. Through Have you ever served in the military?,theAmericanAcademyofNursingseekstoaddressthesemajorgapsinveterans’healthcare.

NASDVA, which represents all US states andterritories,endorsedHaveyoueverservedinthemilitary?.The NASDVA resolution states that this campaign “willultimately raise the quality of health assessments and,most importantly, appropriate diagnosis and treatment ofthemilitarymembers.”(http://bit.ly/AAN-NASDVA)

Have you ever served in the military? represents theAcademy’s commitment to First Lady Michelle ObamaandDr.JillBiden’sJoiningForcescampaign, tomobilizeall sectors of the community to support veterans andtheir families. Nurses, healthcare’s equivalent to theboots on the ground, are uniquelypositioned to facilitatethis fundamental change of ensuring vital information isobtained and recorded in order to improve the quality ofhealthcareprovidedtoourveteransandtheirfamilies.

For more information go to www.haveyoueverserved.com

The Question Your Healthcare Provider

Will Ask at Your Next Visit

Leading Nursing Organization to Improve

Quality of Veterans’ Healthcare

PhD Student Seeks AssistanceWith Nursing Research –

OHSU IRB#9629

• BSNRNswithlearningdisability• Inpractice18monthsorless• 2-3interviewstosharelifeexperience

Contact Laura MoodPhD Student/Investigator

[email protected]


Online And On yOur terms The Touro University Nevada (TUN) Doctor of Nursing Practice (DNP) program enables students to earn a terminal doctoral degree in Leadership in Nursing Education with speed and efficiency.

AbOut the prOgrAmGraduates of this program will be equipped with the knowledge and skills to lead in an academic setting. Each course includes a component of the DNP scholarly project, giving students the opportunity to implement new ideas and concepts as they are studied.

The online program:

~ does not require campus residency~ comprises a minimum of 33 semester credits~ can be completed in as little as three trimesters

(while taking only one course at a time)~ offers competitive pricing at $500 per credit*~ features three enrollment options: March, July,

and November*Based on 2013 - 2014 tuition rates

Doctor of Nursing Practice

leArn mOreFor more information, visit

tun.touro.edu/DNP or call 702-777-1750

Touro University Nevada is

accredited by the Western

Association of Schools and

Colleges and licensed in Nevada

by the Commission on Post-

Secondary Education. Touro

University Nevada is an Equal

Opportunity Employer.


Giving Back to Our Profession…

This year at the Association of California NurseLeaders (ACNL) annual conference in Monterey,California Bare Root, Inc. was able to fulfill its goal ofproviding an endowed scholarship for licensed registerednurses pursuing either anADN toBSNorBSN toMSNdegree. Out of the forty applications received, our firstrecipient isKellyBoone,BSN,RN.Kelly is themanagerof a critical care stepdownunit atHuntingtonMemorialHospitalinPasadena,California.

The impetus behind the goalwas “AHealing Place”TheNurses’ Float seen bymillions of peopleworldwideat the 2013 Tournament of Roses Parade in Pasadena,California. This goal was achievable because of theimmense support the project received from nurses andfriends of nurses across our nation. The Nurses’ Floatprojectwas a once in a lifetime experience for all of us.Watchingnursesfromthedifferentstatesworkingtogetherdecorating the float is a memory that will be with theboardofDirectorsofBareRoot,Inc.forever.

TheNurses’Floatscholarshipisourwayofgivingbacktoourprofessionandkeepingalive theothergoalof thisproject–ToRecognize,HonorandThanksallnurses fortheir dedication in caring for their patients and families.BareRoot,Incthanksyouformakingadreamcometrue.

BareRootInc.BoardofDirectorsMonicaWeisbrich,BSN,RNJudyDahle,MS,MSG,RNPaulWafer,MBA,RNPatSpongberg,RN,BSN,CNOR(E)SuzanneWard,MA,MN,RN,CNOR(E),GC-C

Looking for the perfect career?Look no further than...

nursingALD.comFind the perfect

nursing job for you!


The Licensing & Certification (L&C) Program is recruiting for Registered Nurses/

Health Facilities Evaluator Nurses (HFEN).

Travel is required. We have 14 district offices/locations: Bakersfield Chico San Francisco East Bay (Richmond)

Fresno Orange Riverside Sacramento

San Bernardino San Diego North San Diego South San Jose

Santa Rosa Ventura

If interested or have questions regarding available positions,please email the L & C HFEN Recruitment at

[email protected]

**Please do not contact CalHR

**State employment requires passing an

eligibility examination and a hiring interview**

TAKE THE ON-LINE EXAMINATION NOW AT THE CalHR WEBSITE:

http://jobs.ca.gov/JOBSGEN/6PB64.PDF

California Department of

Public Health (CDPH)

We offer Comprehensive Benefits:

• 11 Paid Holidays • Paid Sick & Vacation/Annual Leave

• 2 Professional Development Days • 457/401K Savings Plus Program

• Great Retirement Options • Disability Insurance

• Paid Medical/Dental/Vision • Flex Elect Medical & Dependent

• Salary ranges from $5620-$6657 Care Account

(including $200.00 R&R)

Build a better tomorrow for you and your family!

CSUDH offers an education that works with your career or personal life while providing one-on-one

attention from world-renowned faculty.

Choose your path to success on campus or online.

MASTER OF BUSINESSADMINISTRATION

Advance your career by mastering business fundamentals in marketing, finance, or information technology.

Can be completed entirely online within 18 months.

MASTER OF PUBLICADMINISTRATIONHealthcare Administration

This program is designed to provide a quality graduate professional education for individuals entering or currently

employed in health or government services agencies.Concentrations in public management, health care policy,

non-profit, and criminal justice.

Find the program that’s right for you.Call 310-243-3646 or visit

www.cbapp.csudh.edu

UC Davis School of Nursing offers four degrees

BETTY IRENE MOORESCHOOL OF NURSING

THE BETTY IRENE MOORE SCHOOL OF NURSING AT UC DAVIS — a new nursing school with a vision to advance health and ignite leadership through innovative education, transformative research and bold system change.

CURRENT GRADUATE DEGREE PROGRAMS

Doctor of Philosophy Master of Health Services — Physician Assistant

Master of Science — Leadership Master of Science — Nurse Practitioner

Admission is competitive and space is limited! n u r s i n g . u c d a v i s . e d u

President’s PerspectiveThe Senator Office Building 1121 L. Street, Suite 508 Sacramento, CA 95814...

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Transcript of President’s PerspectiveThe Senator Office Building 1121 L. Street, Suite 508 Sacramento, CA 95814...