July/August/September 2014 - American Nurses Association

Transcription

ANA\C is an affiliate of the american nurses’ association
Volume 19 • Issue 3
July, August, September 2014
President’s Perspective
Monica Weisbrich, RN
President ANA\C 2013-2015
[email protected]
Special Points of
Interest:
• Oppose the MICRA Ballot
Measure: A costly threat
to your personal privacy
Californians can’t afford page 4
• Congratulations to the
2014 Ellis Island Medal of
Honor Recipients! - page 8
• American Nurses
Association\California
Awards - page 14
• ANA\California Calendar
of Events - page 15
Your Board of Directors has been and continues to be
hard at work guiding you in this time of change and of
great opportunity. Leadership skills, credibility, analytical
skills and a sense of urgency have been manifested as it
became apparent the future is going to be different from
the past. Understanding and accepting these changes
will require patience, correct and current information
and a forum whereby one can participate in open dialog.
Building alliances among our nursing associations and
professional allied healthcare colleagues will lead to
environments more amenable to meeting the needs of our
patients.
Your Board is participating in multiple alliances
looking for ways to best address these changes in the
healthcare system. The changes are coming quickly
and the sense of urgency at finding the correct solutions
NOW is present. Whether the issue is scope of practice,
legislative or in the education sector, ANA\C is in the
forefront representing you. I, as your president, am
most pleased at the feedback I receive from you the
members. We are a big state with multiple individual
personalities that need to be taken into account when
looking for solutions. ANA\C is working diligently to
develop strategies which will ultimately result in a vision
of practice barriers being removed and the empowerment
of nurses a reality. Seems like a big order. Yes it is but if
one takes small steps to begin with and experience short
term wins nothing is impossible. Here are a few examples
I want to share with you. Your Ballot Committee
is hard at work looking for future leaders. I also
Presort Standard
invite
you to support your Ballot Committee by
US Postage
running
for an office. The consent form is on the
PAID
website www.anacalifornia.org I am confident the
Permit #14
Princeton, MN
Ballot Committee will find those leaders willing
55371
to run for office. I know these future leaders
will commit to continuing the work of ANA\C.
The ANA\C General Assembly has moved to an
annual event to provide a more frequent way for
members to gather for networking. The Quad
Council, formed with the Association of California
Nurse Leaders (ACNL), brings the Tri-Council
concept down to the State level and Melanie
Krupa, RN your Education Director represents
Join the ANA\C Today!
Information on page 14
current resident or
As I begin my President’s
Perspective, I realize that three
quarters of my term as president
is complete. In this short
period of time you and I have
experienced many changes in
our profession. To name a few:
• The evolution of the
Future of Nursing
Campaign
• The implementation of
the Affordable Care Act
(ACA)
Monica Weisbrich
• The inception of
collaborative alliances
with allied health professionals
• The growth and influence of social media.
you. Through the California Action Coalition and Gayle
Sarlatte, RN, ANA\C is addressing new nursing roles—
Care Coordinator role and Informatics Technology (IT)
specialist are two examples. At the national level the
National Council of State Boards of Nursing (NCSBN)
deals with the Consensus Model and regulatory issues
of the model. Workplace issues are dealt with through
the California Institute for Nursing and Healthcare (The
Institute) of which ANA\C participates at the advisory
board level. The Institute deals with issues within the
state educational system and job placement. ANA\C was
a major sponsor for the Health, Heathcare and Economic
Development (AHEAD) conference and Elissa Brown,
RN, Director of Practice represented you as a presenter at
the first ever two day conference. Dr. Dianne Moore, Vice
President represented you at Certification Day at CedarsSinai Medical Center. Visibility at these venues is opening
doors for ANA\C and increasing our credibility as The
State Nursing Association.
I personally, along with my Board, want to thank you
for your continued support as we move through this maze
of change into a world of opportunity for all nurses. Oh
and don’t forget to reply to your Ballot Committee when
they come a callen. Until next time
SAVE THE DATE!
ANA\C General Assembly
2014
Pasadena City College
“Nurses Leading the Way to
Positive Outcomes”
Friday, September 5, 2014 –
Film and Discussion Evening
Saturday, September 6, 2014 –
General Assembly with keynote speaker
Linda Burnes Bolton, Dr.PH, RN, FAAN
and Special Guest
Candace Campbell, DNP, RN
Page 2 • ANA\C The Nursing Voice
Article Submittal to ‘The Nursing Voice’
ANA\California
accepts
and
encourages
manuscripts and editorials be submitted for
publication in the association’s quarterly newsletter,
The Nursing Voice. We will determine which
letters and articles are printed by the availability
of publication space and appropriateness of the
material. When there is space available, ANA\C
members will be given first consideration for
publication. We welcome signed letters of 300 words
or less, typed and double spaced and articles of 1,500
words or less, typed and double spaced. ANA\C
will accept larger narrative if space permits. For
more information please email TheNursingVoice@
anacalifornia.org or call 916.447.0225.
b.
ANA\California’s official publication, ‘The
Nursing Voice’ editorial guidelines and due dates for
article submittal is as follows.
1.
Letters, Articles and Manuscripts should be
word processed and double-spaced on one side
of 8 ½ x 11 inch white paper. Manuscripts should
be emailed to Editor at TheNursingVoice@
anacalifornia.org
a. Letters, Articles and Manuscripts should
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name, credentials, present position, address
and telephone number. In case of multiple
authors, list the names in order in which
they should appear.
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number, and news to –
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ANA\California ‘IN THE NEWS’
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The Nursing Voice reserves one-time
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f. Letters, Articles and Manuscripts submitted
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unless content is of a timely nature.
g. Letters, Articles and Manuscripts printed in
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The College of Graduate Nursing of Western University of Health Sciences
is seeking Master’s or Doctorally prepared Registered Nurse to teach in
Psychiatric/Mental Health. We are seeking both classroom (lecture) and
clinical faculty. The lead faculty position is a tenure track full-time position.
____________________________________________
REQUIREMENTS
A Master’s or Doctorate in Psychiatric/Mental Health Nursing preferred.
Certification in Psychiatric/Mental Health Nursing through the American
Nurse Credentialing Center preferred. Clinical experience in Psychiatric/
Mental Health Nursing is required. Teaching experience in either a clinical or
academic setting is required.
New E-mail Address: __________________________
Send an electronic letter of interest and CV to
Dr. Mary Lopez, Associate Dean, College of Graduate Nursing
at [email protected].
Western University of Health Sciences is an equal opportunity employer
and does not discriminate against individuals on the basis of race, religion,
national origin, sexual orientation, gender, marital status, age, or disability.
The Nursing Voice is the official publication of the
American Nurses’ Association\California
ANA\C is located in
The Senator Office Building
1121 L. Street, Suite 508
Office 916-447-0225 – Fax 916-442-4394
Association E-mail [email protected]
The Nursing Voice Editor
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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 Lee Benjamin,
RN, MSN, ACNS-BC, PCCN-Secretary; Donna Dolinar, RN,
BSN, MPA-Treasurer. Directors; Elizabeth “Liz” Dietz, EdD,
RN, CS-HP-Legislative; Elissa Brown, MSN, PMHCNSBC-Practice; Melanie Krupa, RN, MSN, CNOR-Education;
Phillip Bautista, BSN, RN, PHN-Membership.
ANA\California Executive Director &
Legislative Advocate:
Hon. Tricia Hunter, RN, MN
ANA\California Lobbying Firm: You can help American Nurses Association\California
‘stay in touch’ by updating your contact information.
Call ANA\C at 916-447-0225, e-mail us at anac@
anacalifornia.org or return this form to:
Assistant/Associate Professor of Nursing
American Nurses Association\California is an
Affiliate of the American Nurses Association
____________________________________________
*** This is not to update your license information
with the Board of Registered Nursing.
Go to www.rn.ca.gov
ANA\California Administrative
Officer & Member Services:
Government Relations
Group
Samantha Marcantonio
Editorial Committee
Chairperson:
Louise F. Timmer, EdD, RN
Staff:
Hon. Tricia Hunter RN, MN
Samantha Marcantonio
The official publication of the ANA\C shall be The
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nursing issues, continuing education and significant events
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claims made. Rejection of an advertisement does not imply
a product offered for advertising is without merit, or that
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L. Davis Publishing Agency, Inc. shall not be held liable
for any consequences resulting from purchase or use of an
advertiser’s product.
ANA\C The Nursing Voice • Page 3
Legislative
Key Features of the Affordable Care Act by Year
On March 23, 2010, President Obama signed the Affordable Care Act. The law puts
in place comprehensive health insurance reforms that will roll out over four years and
beyond.
OVERVIEW OF THE HEALTH CARE LAW
2010: A new Patient’s Bill of Rights goes into effect, protecting consumers from the
worst abuses of the insurance industry. Cost-free preventive services begin for many
Americans.
2011: People with Medicare can get key preventive services for free, and also receive a
50% discount on brand-name drugs in the Medicare “donut hole.”
2012: Accountable Care Organizations and other programs help doctors and health care
providers work together to deliver better care.
2013: Open enrollment in the Health Insurance Marketplace begins on October 1st.
2014: All Americans will have access to affordable health insurance options. The
Marketplace allows individuals and small businesses to compare health plans on a level
playing field. Middle and low-income families will get tax credits that cover a significant
portion of the cost of coverage. And the Medicaid program will be expanded to cover
more low-income Americans. All together, these reforms mean that millions of people
who were previously uninsured will gain coverage, thanks to the Affordable Care Act.
ABOUT THE LAW
The Affordable Care Act puts consumers back in charge of their health care. Under
the law, a new “Patient’s Bill of Rights” gives the American people the stability and
flexibility they need to make informed choices about their health.
COVERAGE
• Ends Pre-Existing Condition Exclusions for Children: Health plans can no
longer limit or deny benefits to children under 19 due to a pre-existing condition.
• Keeps Young Adults Covered: If you are under 26, you may be eligible to be
covered under your parent’s health plan.
• Ends Arbitrary Withdrawals of Insurance Coverage: Insurers can no longer
cancel your coverage just because you made an honest mistake.
• Guarantees Your Right to Appeal: You now have the right to ask that your plan
reconsider its denial of payment.
COSTS
• Ends Lifetime Limits on Coverage: Lifetime limits on most benefits are banned
for all new health insurance plans.
• Reviews Premium Increases: Insurance companies must now publicly justify
any unreasonable rate hikes.
• Helps You Get the Most from Your Premium Dollars: Your premium dollars
must be spent primarily on health care – not administrative costs.
CARE
• Covers Preventive Care at No Cost to You: You may be eligible for
recommended preventive health services. No copayment.
• Protects Your Choice of Doctors: Choose the primary care doctor you want
from your plan’s network.
• Removes Insurance Company Barriers to Emergency Services: You can seek
emergency care at a hospital outside of your health plan’s network.
As the first open enrollment period came to a close March 31, 2014, the overall
outcome was positive and the President had the following message;
Tuesday, April 01, 2014
Hello everyone,
Last night, the first open enrollment period under the Affordable Care Act came to an
end.
And this afternoon, we announced that 7.1 million Americans have now signed up for
private insurance plans through the new Health Insurance Marketplaces.
7.1 million
That doesn’t count the more than 3 million young adults who have gained insurance
under this law by staying on their families’ plans. It doesn’t count the millions more
who have gotten covered through the expansion of Medicaid and the Children’s Health
Insurance Program. It doesn’t include the more than 100 million folks who now have
better care -- who are receiving additional benefits, like mammograms and contraceptive
care, at no extra cost.
Now, millions of our fellow Americans have the comfort and peace of mind that
comes with knowing they’re no longer leaving their health and well-being to chance. For
many of them, quality health insurance wasn’t an option until this year -- maybe because
they couldn’t afford it, or because a pre-existing condition kept them locked out of a
discriminatory system.
Today, that’s changed. And while our long-broken health care system may not be
completely fixed, it’s without question a lot better. That’s something to be proud of -- and
there’s no good reason to go back.
Regardless of your politics, or your feelings about the Affordable Care Act, millions
more Americans with health coverage is something that’s good for our economy and our
country.
At the end of the day, that is what this law -- and the other reforms we’re fighting
for, from a 21st-century immigration system to a fairer wage for every American who’s
willing to work for it -- are all about:
Making sure our country lives up to our highest ideals.
I am thankful to be your President today, and every day. And I am proud that this law
will continue to make life better for millions of Americans in the years to come.
Thank you.
President Barack Obama
Legislative
Oppose the MICRA Ballot Measure
A costly threat to your personal privacy Californians can’t afford
The American Nurses Association California has joined a
broad and bipartisan coalition of nurses, doctors, community
health centers, hospitals, local governments, public safety,
business and labor unions to fight a November 2014 ballot
proposition drafted by trial lawyers out to profit from
malpractice lawsuits. This ballot measure was carelessly
thrown together with no input from the health care community.
If passed, it will increase costs, threaten the privacy of personal
prescription drug information, and will jeopardize people’s
ability to see their trusted doctors.
The measure’s main provision will quadruple the noneconomic damages cap on California’s successful Medical
Injury Compensation Reform Act (MICRA), the law that
governs legal proceedings if someone is injured in a medical
procedure. This single change will triple trial lawyers’ legal
fees in the non-economic damages portion of medical lawsuits
filed against health care providers and hospitals. (Note: Under
MICRA, economic damages for past and future lost wages,
past and future medical costs, and punitive damages are
unlimited.)
August 4–5, 2014 • Washington, DC
CDI Summit: Leading the Documentation Journey
If trial lawyers get their way, malpractice lawsuits and jury
awards will skyrocket. Someone will have to pay those costs.
And that someone… is you.
The measure contains two other unrelated provisions
dealing with drug testing and prescription drug databases
which were intentionally included by the backers in an attempt
to mislead voters by taking the focus off the lawsuit provisions.
The prescription drug database poses serious privacy risks
for California patients. And the drug testing provision was
included for political, not policy reasons. In fact, one of the
main supporters of the proposition admitted to the Los Angeles
Times that the drug rules are in the initiative because they poll
well, calling these provisions “the ultimate sweetener.”
Here’s why the Lawyers’ Health Care Lawsuit Ballot
Measure should be rejected:
Costly for Consumers
According to a study by California’s former Legislative
Analyst, the new lawsuits and massive payouts under this
proposition will increase health care costs across all sectors by
$9.9 billion annually. That amounts to more than $1,000 a year
in higher health costs for the average California family.
And California’s current independent Legislative Analyst’s
Office (LAO) warns the proposition could increase state and
local government medical liability and health care costs by
“hundreds of millions of dollars annually,” placing the burden
of this additional cost on all taxpayers.
Threatens People’s Personal Privacy
This measure forces doctors and pharmacists to use a
massive statewide database filled with Californians’ personal
medical prescription information. A mandate government will
find impossible to implement, and a database with no increased
security standards to protect your personal prescription
information from hacking and theft – none.
And who controls the database? The government – in an age
when government already has too many tools for violating your
privacy.
Accurate clinical documentation is a vital component to patient
care, physician satisfaction, and revenue cycle strategies.
CDI specialists, along with clinical care providers and senior
management, must contribute to organizational success and ensure
the right information is available at the right time.
The AHIMA CDI Summit is dedicated to leading the documentation
journey and exploring the challenges presented by today’s complex
healthcare environment.
The summit offers:
• Keynote addresses from nationally recognized industry experts
• A range of presentations on best practices, innovation,
implementation, and ICD-10-CM/PCS
• Interactive sessions that showcase real world examples and
advance networking opportunities
• Critical insights to move CDI programs forward
Go to ahima.org/events for more information and registration!
Keynote Speakers
Paul Weygandt, MD, JD, MPH, MBA,
CCS, FACPE, VP Physician Services,
J.A. Thomas & Associates “CDI: From
a Physician’s Point of View”
Jon Elion, MD, FAC, President/ CEO,
ChartWise Medical Systems, Inc.
“Clinical Documentation Improvement:
Stories from the Front”
Premier Sponsor
Supporting Sponsors:
Attend the CDI Summit and stay for the Clinical
Documentation Improvement Practitioner (CDIP)
Exam Prep Workshop!
August 6–7
Washington, DC
ahima.org/events
MX9663
Jeopardizes People’s Access to their Trusted Doctors
If California’s malpractice cap goes up, you could also
lose your trusted doctor. Many doctors will be forced to leave
California to practice in states where malpractice insurance is
more affordable.
Respected community clinics, including Planned
Parenthood, warn that specialists like OB-GYNs will have no
choice but to reduce or eliminate vital services, especially for
women and families in underserved areas.
Here’s How You Can Get Involved
Please join ANA\CA and become an official member of
Patients and Providers to Protect Access and Contain Health
Costs, the campaign to oppose the trial-lawyer-sponsored ballot
measure that will increase health care costs and reduce patient
access to care.
To join, visit the No campaign website. From the website
you can:
• Sign up to add your name to the growing list of
individuals and groups opposed to the MICRA ballot
measure.
• Get important facts, downloads and information that
will help you spread the word about this costly measure
• Contribute to the campaign to help fight the trial
lawyers.
• Be part of our outreach team. If you have direct
patient contact, become part of our outreach team. Send
an email to [email protected]. Our
campaign will enroll you in a special provider outreach
program. You’ll receive talking points and other
materials to help you explain to your patients why they
should oppose this flawed ballot measure.
• Participate in message/media training. The
campaign is also looking for physicians interested
in taking on a more public role speaking to
community groups about why this ballot measure
should be defeated. Send an email to info@
stophigherhealthcarecosts.com if you want to
participate in the media training being offered by the
campaign.
We urge you to get the facts and join the coalition opposed
to this measure by visiting www.StopHigherHealthCareCosts.
com.
Increased costs. Losing your doctor.
Threatening your privacy.
Exactly what happens when trial lawyers play doctor.
ANA/ANF
When Nurses Talk... Washington
Listens!
Of the 535 voting member of Congress, only 6 of
them are nurses! Now is the time to support medical
professionals to be elected to Congress. We need
political leaders with knowledge of healthcare to make
improvements to the U.S. Healthcare System since it
represents a huge portion of U.S. GDP. Get involved, vote,
and encourage others to vote.
ANA PAC Endorses Registered Nurse Lois Capps
Lois Capps
Since Congresswoman Capps
first got elected in 1998, she
has continuously co-sponsored
legislation that would advance
the nursing profession. Most
notably, she introduced the
Registered Nurse Safe Staffing
Act (H.R. 1821). She is also the
co-host of the House Nursing
Caucus and has helped to
recruit over one hundred other
Representatives to join the
caucus.
Late last year, ANA-PAC
endorsed
Congresswoman
Congressional Nurse Advocate Award. Congresswoman
Capps will also be the 2014 recipient of the Diane F.
Cooper Lifetime Achievement Award at the Nurse.com
Nursing Excellence GEM Awards ceremony June 27 in
Universal City, CA. This award honors outstanding nurses
across the country who reflect commitment, enthusiasm
and advocacy for the nursing profession and is sponsored
by Cedars-Sinai Medical Center.
For more information on Congresswoman Capps,
please go to www.CappsforCongress.com and for more
information about ANA-PAC go to www.rnaction.org.
Mercy Medical Center has been building a rich history
of care in our community for more than 100 years. We
have grown from a small one-story wooden structure
into a major healthcare provider with a new 186-bed
main campus, offering the latest in facility design and
technology. Wherever you work throughout our system,
you will find faces of experience with dedication to high
quality, and personalized care.
Your new career is waiting for you at
Mercy Medical Center, apply today at
mercymercedcares.org
Capps for re-election.
Congresswoman Capps speaking at ANA’s 2013
awards ceremony, where she was presented with the
Saint Alphonsus Health System is a four-hospital regional, faith-based
Catholic ministry serving southwest Idaho and eastern Oregon.
Opportunities available in:
• Intensive Care
•Med-Surg
• Coronary Care
•Rehab
• Emergency •OB/NICU
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• Clinical Support Team •Nursing
(Float Pool)Professionals
To learn more and to apply, please visit
www.saintalphonsus.org/careers
Or call Roxanne Ohlund 208-367-3032
or Rick Diaz 208-367-3118
With an advanced nursing degree from Regis University,
you’ll not only transform your career, you’ll transform the quality of healthcare for your community.
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EXPAND YOUR HORIZONS AND NETWORK!
86
th
September 27–October 2 | San Diego, CA
Nursing roles are changing and expanding. Join thousands of
healthcare professionals to discuss how health information is
affecting every role in healthcare.
TER rly
S
I
REG for ea
ing
W
NO d pric
bir
• Learn about future career options for nursing professionals in areas such as data
analytics, informatics and clinical documentation, among others.
• Expand your network of healthcare professionals at every level and in every setting.
• Enjoy enlightening and inspiring keynote addresses.
• Select from more than 25 educational tracks and other events.
• Experience all the sun-soaked sights, dining, and culture of San Diego, CA.
MX9640
Learn more and register at ahima.org/convention.
Congratulations!
UC Davis Medical Center, Sacramento Receives Magnet Recognition
UC Davis Medical Center in Sacramento, California joins
the ranks of elite organizations across the nation with its new
Magnet Recognition® status, which was granted January 13,
2014 by the American Nurses Credentialing Center (ANCC).
The designation is the nation’s highest form of recognition for
nursing excellence and a benchmark for the quality of care
patients receive.
“UC Davis has a long history of demonstrated nursing
excellence, and the Magnet Recognition® is a testament to
the dedication and hard work of our nurses and their careteam colleagues,” said Carol Robinson, chief patient care
services officer and director of nursing at UC Davis Medical
Center.
The Magnet Recognition Program® was developed
by the ANCC to recognize health-care organizations for
quality patient care, nursing excellence and innovations
in professional nursing practices. To achieve designation,
the medical center provided written documentation
demonstrating qualitative and quantitative evidence about
patient care and outcomes as part of a rigorous certification
process that also included a multi-day, on-site visit by ANCC
appraisers.
Four appraisers interviewed 1,298 nurses, medical
and ancillary staff members from all inpatient units, the
emergency department, Perioperative Services, Ambulatory
Services and the Primary Care Network, as well as patients
and families. Only about 7 percent of U.S. hospitals
Nurses in the Nurse Residency Program and
direct care staff who served as Magnet site visit
escorts pause for a picture following the Nurse
Residency session with Magnet appraisers.
achieve ANCC Magnet Recognition®. UC Davis is the 25th
organization in California, and the only one in Sacramento, to
receive the highly regarded recognition.
UC Davis Medical Center impressed appraisers with
everyday practice of interdisciplinary collaboration,
teamwork and nurse driven initiatives that demonstrate a
culture of quality and excellence. According to the ANCC,
Magnet designation indicates an organization in which
Patricia McFarland Receives the
AONE 2014 Mentor Award
ANA\California
member
Patricia McFarland was the
recipient of the 2014 AONE
M e n t o r Aw a r d , w h i c h
recognizes a nurse in executive
practice who has been exemplary
in supporting the professional
development of his or her
colleagues by serving as a mentor
or advisor. A nurse for nearly 40
years, Patricia is best known for
her commitment to the nursing
profession and interests in
Patricia McFarland
gerontology.
Patricia is the CEO for the
Association of California Nurse Leaders, a professional
organization representing nurse leaders in hospitals, health
systems, academia, research and business. Prior to joining
the Association of California Nurse Leaders (ACNL)
Patricia worked in both the clinical and administrative
fields for Mercy Healthcare Sacramento. In her 37 years
of nursing, she has worked in a variety of settings. Patricia
served on the Steering Committee of the California Strategic
Planning Committee for Nursing and is currently the Chief
Customer Advocate for CALNOC. In addition to her other
activities, Patricia also serves as the executive officer for
the California Nursing Students Association (CNSA) and
the California Association of Colleges of Nursing. She
is a past chair of the California Coalition of Specialty
Organizations. Patricia is the 2004 recipient of the Diane
F. Cooper Lifetime Achievement Award from NurseWeek
and the 2004 Presidents› Award from the American Nurses
Association\California. Patricia was inducted as a Fellow into
the American Academy of Nursing in November of 2007.
Patricia Lenihan McFarland received her Masters with honors
from the University of California, San Francisco.
Kaiser Permanente
School of Anesthesia
CALIFORNIA STATE UNIVERSITY FULLERTON
Our
commitment is to be an
innovative leader in
providing excellence in
nurse anesthesia education
and community service.
WWW.KPSAN.ORG
Staff from across the organization gather in the
Comprehensive Cancer Center auditorium to
listen to the phone call from the Commission
on ANCC Magnet Recognition® on the decision
to award UC Davis Medical Center Magnet
Recognition.
nurses can flourish as professionals. These select health-care
entities place an emphasis on providing their nursing staff
with the professional autonomy to make clinical decisions
at patient bedsides. They also involve nurses in decisions
regarding the patient-care environment as well as enable
more interdisciplinary collaborations with other care-team
members.
Congratulations to
the 2014 Ellis Island
Medal of Honor
Recipients!
ANA\California
member
Salpy Akaragian RN-BC, MN is
one of the recipients of the 2014
Ellis Island Medal of Honor.
NECO sponsors the Ellis
Island Medals of Honor which
are presented annually to
American citizens who have
distinguished themselves within
Salpy Akaragian
their own ethnic groups while
exemplifying the values of the
American way of life.
Salpy Akaragian has dedicated countless hours of
time to making the world around all of us a better place
and she is known to do this with a smile, truly loving
every moment of the journey. She has worked tirelessly
creating clinics for children to receive proper medical
care, helping students aspiring to healthcare roles as
nurses and more. She has supported Armenian-American
nurses in her founding of the Armenian American Nurses
Association in California and worked with them to bring
healthcare to Armenia. Akaragian established Armenian’s
first baccalaureate nursing school that now boasts more
than 400 graduates and initiated the Magnet journey in
two Armenian hospitals. As founder and president of the
Armenian International Medical Fund, Akaragian has
participated in the development of innovative healthcare
projects. Akaragian is nursing at its finest promoting the
highest level of excellence at every step. Congratulations!
Past Medalists include six U.S. Presidents, one foreign
President, Nobel Prize winners and leaders of industry,
education, the arts, sports and government, and of course
everyday Americans who have made freedom, liberty and
compassion a part of their life’s work.
The Hospitalized Parkinson’s Patient
Author’s note: I was a SAFRA scholar this summer (2013). I worked with the San
Francisco VA, attended multiple lectures from experts in the field, participated in
patient Physician visits, and attended support groups. It was fascinating. I want to share
what I learned. Thank you for publishing the article.
~ Rye Huber, PhD, MS. RN
An acquaintance told me recently that she teaches religion and has a student who is
a nursing student. During class the student pondered, did her teacher have Parkinson’s
disease? How would you recognize Parkinson’s disease (PD)? Would you use the ageold criteria of a slow shuffling gait, cogwheel rigidity, blank facial expression or tremor?
Our older colleagues may have learned these criteria along with the pathophysiology,
manifestations, and treatment of PD. In fact, much has been discovered in the past
several decades, much of which deviates from what we were previously taught. But…if
you were to admit a patient with, perhaps, a broken hip or an upper respiratory or urinary
tract infection, and you noticed in the History that your patient had PD, would you make
certain necessary connections? How will PD affect the person’s hospitalization?
A nurse caring for one with PD must be cognizant of the complexities of the disease
which affect activities of daily living. The care can be complicated related to motor and
non-motor as well as neuropsychiatric disease manifestations, and medications and their
side effects.
PD is the second most common neurodegenerative disorder of adults yet there is
little to no content in nursing school curriculum devoted to PD. One of the more recent
findings is that the decrease or lack of dopamine producing cells is not limited to a
specific area, the substantia nigra, as was previously thought. The pathophysiology of
PD is far more complex, involving Lewy bodies, the protein alpha-synuclein (the major
component of the Lewy body). Alpha-synuclein is present throughout the central nervous
system. There seems to be a protein misfolding problem or a change in its binding
capacities leading eventually to neuron death. Therefore, as the disease progresses,
we first see brainstem effects, then midbrain, and finally the cortex where we observe
changes physically, cognitively, emotionally, and behaviorally.
Patients will usually present with slowness or tremor. However, more common non
motor or prodromal symptoms are constipation, fatigue, apathy, depression, pain,
stiffness. Sounding similar to several other maladies such as aging, thyroid problems,
osteoarthritis, Multiple Sclerosis, Chronic Fatigue Syndrome, Lyme disease, the common
cold or flu? Other early signs of PD have been identified, such as decreased sense of
smell. Even a slight tremor of a little finger can be overlooked.
Yet, it may be that early diagnosis of PD is extremely important. We do know that
the non-pharmacological treatments such as PT, OT are more effective if begun early.
With the best treatment one can function for years, decades. The most critical reason to
identify PD and carefully chose treatments in the hospital pertains to physical therapy
(PT) occupational therapy (OT) and medication administration and side effects.
Falling may be the most threatening consequence of PD. It is best to begin PT and
OT before the person begins falling. More advanced PD persons experience postural
instability including retropulsion (backward motion), imbalance, and festinating gait
(increased walking speed in an effort to catch up with a displaced center of gravity).
Exercise and stretching, standing/stepping/walking/taichi are effective in preventing
falls. Earlier treatment is preferred because falls are notorious for leading to fear
of falling and eventually a feeling of “total helplessness.” OT improves the home
environment, for example, by removing area rugs, changing the height of the bathtub and
toilet.
PD does not suddenly worsen. However, the symptoms may be exacerbated by illness,
infection, dehydration, or a change in medication.
There are a variety of medication classes used to treat PD. Carbidopa/Levodopa
(Sinemet®) combination of the above two compounds with levodopa being a precursor
of dopamine. This medication essentially replaces dopamine in the brain. Since the
Sinemet dosages so dramatically affect function, they must be given precisely on the
individual schedule for each patient. It may be given 14 to 18 times a day! And the
multiple additional drugs for PD patients as well as medications for specific side effects
and/or manifestations of PD are intricately involved. Of course, the administration of all
of these medications depends on diet, sleep, activity, psychological and emotional factors.
A plethora of side effects must be faced. For example, dopamine agonists lead
to excessive daytime sleeping, dopaminergic drugs can cause compulsions such as
gambling, eating, shopping, or hyper sexuality. Levodopa can lead to several symptoms
from nausea and dizziness to the “on/off” phenomenon and dyskinesias (jerky or
writhing movements). MAO-B inhibitors can cause nausea and vomiting, orthostatic
hypotension and insomnia. Sinemet effects occur over a window of time and width. Over
the course of the disease, this Sinemet window narrows and more time is spent with
dyskinesias or disease manifestations.
Too little Sinemet does not have enough (therapeutic) effect on the manifestations
of PD; too much causes very uncomfortable side effects. The interesting thing here is
that most PD patients prefer the dyskinesias to the disease’s manifestations and therefore
prefer the larger dose of Sinemet. Remember Michael J. Fox’s body undulations
(dyskinesias)? This is his preference.
Fundamental to advanced PD is the “on-off phenomenon.” This refers to the complex
process by which Sinemet acts for shorter and shorter periods of time, or doesn’t kick in
at all, or in some cases, very erratically. When the Sinemet dose has provided a benefit
and improvement in symptoms the patient is considered “on.” When the symptoms of
tremor, stiffness or slowness re-emerge he is “off.” I was fortunate to witness this
phenomenon. When the patient came to the VA for his regular visit he was barely able to
stand, walk, move, or talk. He was then given Sinemet and, after 20 minutes, he stood up,
donned his hat and coat, clearly bid us “goodbye,” and danced out the door and down the
hall.
As a result of the escalating unpredictable response to carbidopa/levodopa, many
of the other medications utilized help smooth out the response to dosages. When
hospitalized, every effort must be given to getting the patient his medications at the
scheduled time. Diet should be managed in relation to medication; protein should be
avoided for one hour before and after Sinemet administration because proteins compete
with dopamine for transport.
Referral for surgical management- deep brain stimulation (DBS)-is also an option for
those whose symptoms are uncontrolled by pharmacotherapy. If the patient has a clear
response to carbidopa/levodopa in their “on” state the surgery may be possible. This
surgery is more safe and effective than previous PD surgeries such as pallidotomy and
thalamotomy. Briefly, the surgeons place one or two thin flexible electrodes deep into
the frontal lobe(s) of the brain into the globus pallaidus interna and/or the subthalamic
nucleus (both in the basal ganglia). Then, a wire is threaded behind the ear (s) and
connected to the pulse generator implanted into the upper chest. Thereafter, the power
source which delivers electrical impulses is managed externally by a practitioner (often a
Nurse Practitioner). PD patients have experienced remarkable relief from DBS for many
years. The post-op management of DBS surgery is fascinating. DBS surgery could open
cutting edge meaningful nursing careers.
PD persons suffer in many ways. They are embarrassed by their behavior, the get-upand-go nature of their movements, especially by the dyskinesias. Neck, shoulder, and low
back pain are common, caused by dystonia (impaired muscle tone) and rigidity. Research
shows that patients and caregivers are most bothered by the non-motor symptoms.
We have known for long that PD is manifested by a universal slowing in walking, a
narrowing gait, “freezing,” and slowed speech. We now recognize the risk of aspiration
pneumonia due to slowed eating and swallowing, and drooling. Elimination is affected.
Dementia and depression are relatively common. Sleep patterns are affected. The disease
and/or the medications can cause too little or too much sleep.
Less familiar is the relatively common “sleep behavior disorder.” PD persons’ dreams
can be so vivid that the person will act them out by swinging arms, etc. They may injure
their sleep partners by choking or hitting them or injure themselves by hitting a wall or
furniture (often in the hospital). This behavior could be superimposed on PTSD. Their
caregivers are often saints. You might want to ask to observe a PD support group to hear
these saints’ stories.
It is strongly recommended that each PD individual have prepared a “Hospitalization
Kit” to take to the hospital if admitted. An example of a kit is on the following website.
An excellent source for PD is http://www.parkinsons.va.gov/patients.asp. These are
outstanding videos for the public prepared by the San Francisco VA PADRECC office.
There is a hospital specific kit free for patients from The National Parkinson foundation
called the “aware in care kit.”
Nurses are entrusted by the Board of Registered Nursing to “ensure the safety,
comfort, personal hygiene, and protection of patients.” When you next admit a patient
with a History of PD, take special care to familiarize yourself with the disease. You will
then give the vital comfort, attention, patience, and education which these remarkable
patients and their caregivers require.
RN Day - A Day at the Capitol, April 7th, 2014
Nursing Student in
Sacramento Internship
(NSSI) Program
Receives Award
California Nursing Students’ Association (CNSA) was
presented with National Students’ Nursing Association’s
(NSNA) “Educate Yourself...Facilitate Change” 2014
Legislation/Education State Project Award for the Nursing
Student Sacramento Internship (NSSI) program during
the NSNA 62nd Annual Convention held at the Gaylord
Opryland Resort and Convention Center in Nashville, TN
on April 9-13, 2014.
CNSA President Matthew Grayson commented, “The
NSSI project was the submitted project to be considered
for this award. Thank you to Association of California
Nurse Leaders (ACNL) and American Nurses Association
California (ANA\C) for their ongoing partnership and
support to this award-winning project.”
The California Nursing Students’ Association (CNSA)
Nursing Student in Sacramento Internship (NSSI) is a
sponsored three day internship position which is open
to all CNSA members. Two students are selected to
participate in NSSI each year. The student must complete
an application and write a political essay which is
reviewed by a committee. The students who are chosen
arrive in Sacramento and help facilitate RN Day – A Day
at the Capital with staff. The next three days the student
intern will be trained by legislative nursing professionals
and legislative advocate(s) representing the ANA\C on the
legislative process at the state level.
The two interns will meet executive members of
ANA\C, sit-on a multitude of legislative committee
meetings, meet with California senate and assembly
members, research legislation and understand how it is
prioritized, participate in legislative “me too,” and gain
recognition including a diploma of completion and an
article piece in the CNSA Range of Motion newsletter and
in ANA\C’s The Nursing Voice, as well as be featured on
the website.
Stephanie Smith, Student Nurse at CSU Sacramento
2014 NSSI Recipient
On a Friday night at my local chapter meeting of
the California Nursing Student Association (CNSA) I
first heard about the Nursing Student in Sacramento
Internship (NSSI) and the opportunity it would provide to
be a part of a three day internship with American Nurses
Association (ANA). The event starts with the attendance
of RN Day- A day at the Capitol and would follow two
more days attending committee meetings and hearings
as well as meeting with representatives. I was intrigued
by the announcement and made further inquiries about
what the application process was and when it needed to be
submitted. I quickly realized that the due date was around
the corner, the next Wednesday morning to be exact. As
a first semester nursing student I am still adjusting to
the heavy workload that is required by California State
University Sacramento (CSUS) BSN program and to
throw another due date on my plate at the time was a bit
unsettling, but I felt a determination to go for it. I spent the
weekend preparing my submission and somehow fit it in
with all the other pressing due dates. I am so glad that I
did. I was one of the two recipients chosen to take part in
this amazing experience to gain a deeper understanding of
our very powerful democratic process.
My life previous to scrubs and IV medications was as
a legal clerk for the Legislative Counsel Bureau. I was a
part of the legislative process in a truly physical way.
I was one of the many who didn’t go home at the end of
an eight hour shift. Instead we spent the night at work
because language in a bill needed to be amended or
because publication changes had to be made that night
before it could be released to the bill room. With this
work I came to understand the process in general about
bills and how they need to be moved through various
committees or appropriations, but I did not realize how
an individual citizen could play an essential role in this
process. By taking part in this internship my eyes were
open to new possibilities. Despite growing up in the
heart of our state capital I had never thought of trying to
make an appointment with my district representative in
the Senate or Assembly, or know that I may play a role
in educating these members on a particular bill that I felt
strongly about. This experience changed that for me and I
now see a new opportunity to be involved in policy from
the perspective of a concerned constitute, future registered
nurse, and care provider for our most vulnerable citizens.
The first day of the internship started off with a special
acknowledgement by the many members of ANA\C. Then
a very informative lecture was provided by the Honorable
Tricia Hunter, Executive Director of ANA\C, and former
Concorde Career College is a nationally recognized and accredited,
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Assemblywoman, which gave personal insight to the
legislative process and the different pieces of the puzzle
of how a bill is made and supported to becoming a law.
The presentations were relative to us all even though the
audience was comprised of various levels of nurses from
advanced practitioners, newly licensed, and student nurses.
Regardless of our experience levels we could stand as
one voice involving issues that impact our profession
and the patients we care for. I was inspired by the wealth
of knowledge that each member possessed and their
willingness to share their expertise. The contacts that
I made that day will stay with me and only add to my
resources for insight on nursing issues. We were instructed
on protocol for meeting with our local representatives and
were encouraged to make our own appointments. We not
only were able to meet with legislative staff members,
but were able to have a meeting with my co-intern’s
representative Senator Hannah-Beth Jackson, who said to
us “nurses are my peeps.” This experience filled me with
a sense of pride for the profession I have chosen to pursue
and a connection with how important our voice is.
The next two days were packed full of attending
hearing committees and visits to other representatives with
our guides from ANA\C. We also had the great fortune
to accompany the Honorable Tricia Hunter on some of
her meetings. These included observing a board that was
interviewing new candidates for Assembly Member seats
in the upcoming elections. This was a highlight for me
to see the process of how support from a professional
organization can play an active role in aligning with
candidates who also share concerns on current legislation.
Through these kind of alignments a candidate is able
to voice to the people that they are going to fight for
bills that nurses are standing behind. We also attended a
public meeting at the board of registered nurses. It was a
public forum on a proposed pilot project for paramedics.
There were representatives from the medical field, nurse’s
organizations, and fire chiefs of the counties it would
effect. The debate was very compelling on all sides and
reminded me how there really are no black and white
issues. I also witnessed how important the process of
debate is. Only with the consideration of the many sides
of an issue can members come to a decision that will best
serve our public.
The experience of participating in the NSSI left me
feeling deeply moved and stimulated to be more involved
in our process of government and policy making. I decided
to run for Legislative Director of our CNSA chapter at
CSUS, and was elected. Part of the responsibility for this
position is to form a committee and draft a resolution
this summer that would be presented to our state chapter
of CNSA this fall. If chosen it would be moved forward
and presented at the national conference next year. I
hope to use the awareness that I gained over these three
days to help mold my words into a tool of expansion for
our practice as student nurses and to impact the lives we
touch. I am so thankful to my faculty for allowing me to
alter my scheduled midterms and clinical time to allow me
to pursue this opportunity. My advice to anyone who has
a tinge of interest in this experience is to go forward with
that feeling. Do what you can to make this opportunity a
part of your history. I have increased my understanding of
how important it is to follow our intuition and to do what
is within our power to make this world a more humane
society governed by laws that support us to care and thrive.
Contact: Recruitment Department
Phone: 877-866-2340 • Fax: 877-866-2344
Apply online at http://jobs.concorde.edu or
send resume to [email protected]
I’m inventing a new Apply Today:
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VAcareers.va.gov/ALD
Follow VA Careers
RN Day - A Day at the Capitol, April 7th, 2014
Ashley Diamond, MPH Student
Nurse at CSU Northridge
2014 NSSI Recipient
If I asked a roomful of people to share the first image
that pops into their head when they hear the words,
“Registered Nurse,” I imagine that some would conjure
up images of women in old-fashioned white dresses with
white hats selflessly caring for patients at the bedside.
Others, who did not read Nurse Cherry Ames books
quite as avidly as a child as I did, might envision a more
modern scene with nurses wearing scrubs, competently
using both technology and therapeutic human interaction
to meet their patients’ needs. I doubt that the words,
“Registered Nurse,” would cause many to picture RNs
in professional business attire meeting with legislators
to advocate for the nursing profession and high-quality
patient care. While this might not be a traditional view of
what nurses do, during my Nursing Student in Sacramento
Internship (NSSI) I learned that legislation significantly
impacts the way that nurses’ are able to provide patient
care. Consequently, it is important for nurses to understand
the legislative process, and how we can use our voices to
help legislators make informed decisions when it comes
to issues that impact the nursing profession and patient
care. As an NSSI intern I had the wonderful opportunity to
learn from nurses who are doing exactly this.
Currently a student in California State University,
Northridge’s second degree Accelerated-BSN program,
I took the scenic route to nursing, first earning a B.A. in
political science. While at one time my career dreams
included potentially going into politics, I ultimately
chose to pursue a career in nursing so that I could more
directly serve people. Nurses have the incredible honor
and opportunity to support and care for patients and
their families during some of their most vulnerable,
difficult, and beautiful life moments. When I chose to
pursue nursing I thought I was leaving the political realm
behind. Then I learned about NSSI, and the chance to
explore the intersection between legislation, policy, and
nursing. During my NSSI experience I met nurses who
are not only providing excellent patient care in the clinical
setting, but are also using their voices to impact policy and
legislation. I learned that the realms of nursing and politics
are not separate realms, but instead are often intricately
interconnected.
NSSI is a collaboration between the American Nurses
Association\California (ANA\C), the Association of
California Nurse Leaders (ACNL), and the California
Nursing Student Association (CNSA). This year I
was one of two CNSA member applicants selected
for the internship. Over the course of three days my
fellow intern and I attended RN Day at the Capital, met
with our local legislators and their staff, and attended
legislative hearings. A highlight of the experience was
observing Tricia Hunter, Executive Director of ANA\C,
testify at a hearing about paramedics’ scope of practice.
Through observation and discussion with Tricia about the
hearing I was able to better understand how professional
organizations like ANA\C examine complex legislative
and policy issues, and make decisions about whether
to take a neutral, supportive, or oppositional stance on
an issue. Another highlight was meeting with my local
legislators’ offices. In addition to meeting with staff
from Assemblyman Jeff Gorell’s office, my fellow intern
and I were able to meet with my state Senator, HannahBeth Jackson and her staff. It was encouraging to see
how highly Senator Jackson, and all of the legislative
staff members we met with regard nurses and the nursing
profession.
I would like to thank ANA\C, ACNL, and CNSA for
the opportunity to participate in NSSI. The experience
helped me better understand how legislation and policy
impact nursing and patient care, and how we as nurses
and nursing students can impact legislation and policy.
I am inspired to find ways to use my voice to advance
the
nursing
profession, and
to encourage
my peers to do
the same.
NSSI recipients receive recognition for
completion of the NSSI program
from left to right: Roxanne Gould,
Phillip Bautista, Tricia Hunter, Stephanie Smith,
Ashley Diamond, Marketa H., Nicole Bloom
ANA\C Board Member Donna Dolinar,
Award recipient Jill Bormann,
ANA\C President, Monica Weisbrich
Participants at the 2014 RN Day A Day at the Capitol
Left to right
Kristin Dampier, Camila Gomez, Ella Ignacio,
Jessica Cordova, Jennifer Spahr, Dr.Pam Kohlbry
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NCSBN 3rd Scientific Symposium
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Public Health (CDPH)
The Licensing & Certification (L&C) Program is recruiting for
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An Overview by Tricia Hunter, RN, MN
The 3rd NCSBN Scientific Symposium was held April 10th 2014 in Arlington, VA.
The program is based on the research grants that the NCSBN provides every year (over
2 million) for research possibly leading to new regulations. The keynote speaker was
Diana Mason, PhD, RN, FAAN whose topic was ‘From Science to Policy: Continuing
the Nightingale Legacy.’ A key point of her presentation was that data is necessary but
not sufficient for change. She is working on a study called the Intersection of Media and
Policy: A case study which focuses on the BRN debacle with discipline. The findings of
the study will be ready for publication sometime at the end of the year.
The program divided into three groups presenting research that could impact
regulation. The three areas were Education, Practice and Regulatory. The Education
track included virtual nursing care for school children with diabetes: a transformative
model creating a data repository for tracking student nursing errors and near-misses; use
of a validation study to analyze entry-level nursing practice between triennial practice
analysis cycles; and a multisite, mixed method examination of student and faculty
experiences and interactions in clinical practice. The Regulatory track was looking at
unlicensed care by CNA’s.
I attend the Practice track which included:
Jeri L. Bigbee, PhD, RN, FNP-BC, FAAN presented a study on Nurses and Population
Health: A Multi-factorial Study paid for by the Moore Foundation. The research is the
first on ratios and experience and education effects on community health. Counties were
the unit of analysis. Data was used from the NCSBN Nursey Database and 33 States
were part of the sample. BSN and experience (defined by the number of years from
graduation) had the greatest impact. Mammography screening rates, teenage birth rates,
and percentage of adults reporting fair or poor health.
Laurie Badzek, JD, LLM, MS, RN, FAAN presented on a study Expanding
Registered Nurses Scope of Practice: A Method for Introducing a New Competency into
Nursing Practice. This is a study being done with 21 Magnet Hospitals. The study uses
genomics as the exemplar and is a yearlong genomic education initiative and 2 control
Magnet Hospitals.
Christine Szweda, MS, RN, NE-BC presented Evaluating the Use of Human Patient
Simulation to Improve Critical Thinking Competencies and Perceived Self-Confidence of
New Graduate Nurses in the ICU. The experimental group of participants’ perceptions of
learning and application were positive. Improvements of participants in the intervention
group on PBDS reassessment ratings were not as significant as hoped.
Alison Trinkoff, ScD, RN, FAAN spoke on Long-Term Care Regulation: Training,
Leadership, and Quality Outcomes. The study examined the association of education and
certification among nursing home administrators and directors of nursing with resident
outcomes. The findings indicate that investment in these two things improve patient care.
Nancy Lerner, DNP, RN presented Nursing Home Quality Deficiencies Increase in
Facilities with High Nursing Staff Turnover. The objective was to examine CNA and
licensed nurse turnover in relation to deficiencies of care in nursing homes. The study
determined that turnover is related to quality problems as measured as deficiencies.
Kihye Han, PhD, RN presented on Do Training Regulations for Certified Nursing
Assistants Influence Job Satisfaction. The study investigated associations among
state regulations, CNA training and job satisfaction. The study determined to increase
retention of CNA’s and improve work quality, regulations regarding training hours need
to be examined. Additional focus on work life skills should also be considered.
For more information on NCSBN or any of the above mentioned studies go to www.
ncsbn.org.
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The American Academy of Pediatrics (AAP) is accredited by the
Accreditation Council for Continuing Medical Education (ACCME)
to provide continuing medical education for physicians
This program is accredited for 49.00 NAPNAP CE contact hours of
which 28.50 contain pharmacology (Rx) content, (0.50 related to
psychopharmacology), per the National Association of Pediatric
Nurse Practitioners (NAPNAP) Continuing Education Guidelines
The Veterans Health Administration Modernized Nursing
Handbook
Elissa Brown, ANA\C Director for Practice
Many nurses have heard about the Veterans Health Administration’s (VHA) proposed
new Nursing Handbook, which includes modified language to promote quality nursing
practice, including recognition of advanced practice registered nurses (APRNs) as full
practice providers.
The process of rewriting and
modernizing the Nursing Handbook
has taken a number of years, with
hope that it will soon be adopted.
The new language corresponds to
the Institute of Medicine (IOM) and
Future of Nursing Initiatives, particularly
the recommendation that nurses be authorized
to practice to the full extent of their education and
training. The language promotes improving the quality
of care, assuring patient safety; and increasing access to care – including primary care,
mental health care and other specialty care, surgical and diagnostic services requiring
anesthesia, and pain management. It would also standardize APRN practices and policies
across the VA Healthcare system, and would be congruent with current policies in the
U.S. Armed Forces and Indian Health services.
ANA\California (ANA\C), along with the other supporters of adopting the Nursing
Handbook, believes that health care services for Veterans who have served our country
so well, is a number one priority. A key element in the modified VHA Nursing Handbook
is the permitting of APRNs to have full practice authority. This will mean that APRNs in
the VHA system will be able to practice more independently, without the requirement of
physician supervision or collaborative agreements. This will help meet the growing need
for healthcare services.
The California Action Coalition (CA AC) has joined with others across the nation in
promoting adoption of the VHA Nursing Handbook. Work on the 8 future of nursing
recommendations continues through the CA AC work groups and regions, including
many nurses around the state. Work group #1 – focuses on breaking down barriers to
nursing practice. The CA AC also houses the California APRN Coalition, which consists
of representatives from the four California APRN organizations, ANA\California, and
the BRN. The California APRN Coalition specifically deals with removing barriers to
Advanced Practice Nursing. With these structures in place, and many nurses involved
in work groups, coalitions and multidisciplinary efforts, California is well prepared to
address APRN and other nursing issues.
On a national level, although there has been some opposition to the handbook
changes, the American Nurses Association (ANA) and more than 50 national nursing
associations, and AARP, and U.S. Congress members, have expressed support for
adoption of the updated VHA Nursing Handbook. They acknowledge the value of
all nurses in the healthcare workforce; and the need to recognize APRNs as qualified,
licensed, highly educated providers who are valuable and necessary as key professionals
capable of delivering valued, evidence-based quality care.
Perhaps, by the time this article is read, significant progress will have been made in
the adoption of the new Nursing Handbook by the VHA, and in recognizing APRNs
as full practice providers. Furthermore, the handbook can serve as a model for nursing
practice within and beyond the VHA.
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D aughters of Charity H ealth System
CELEBR ATES THEIR JOURNE Y
“As we acknowledge our 12th year as a health system,
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With over 120 years of expertise, O’Connor Hospital continues to provide clinical excellence and compassionate
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As a full-service acute care hospital, Saint Louise Regional Hospital is committed to delivering compassionate
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encompassing body, mind and spirit – now and in the future.
Please visit our website at http://stvincent.dochs.org
Careers at DCHS –
With a calling to care, Daughters of Charity Health System has served the California coast for over
165 years. Learn more about how you can join the Daughters of Charity Health System team.
Visit www.dochs.org or contact Annah Karam at 213-500-3301
Membership
American Nurses
Association\
California Awards
The following awards are open for nomination and may be
presented to any ANA\California member at the next ANA\
California General Assembly on September 6, 2014.
Florence Nightingale Award
This award recognizes the delivery of outstanding direct
patient care by a Registered Nurse.
Ray Cox Award
This award recognizes the lifelong commitment of an
individual Registered Nurse in the field of nursing and their
impact and dedication to the advancement of nursing as a
profession in the state of California.
Elizabeth “Betty” Curtis Award
This award recognizes a Registered Nurse who is
an advocate on behalf of nursing and health care in the
legislature, regulatory boards, or other public policy arenas.
JoAnne Powell Award
This award recognizes a person who demonstrates
outstanding leadership, research, or contributions to the body
of knowledge affecting nursing.
Please submit your nomination(s) to the ANA\C Awards
Committee at [email protected] include
the nurse’s name, contact information and a brief bio or
CV, and your rationale for the nomination.
Responses are due to the committee by
July 15, 2014.
For more information about these awards and the nomination
process, please contact the ANA\C office at 916-447-0225 or
[email protected]
Register today
to begin your search
for the perfect
Nursing Job!
Search job listings
across the
United States!
MISSION – Samuel Merritt University educates students to become highly skilled and compassionate
healthcare professionals who positively transform the experience of care in diverse communities.
VISION – Samuel Merritt University will become nationally recognized as a premier, multi-specialty health
sciences institution. Expert faculty and staff shape an inclusive learning environment where all students
experience best teaching practices and state-of-the-art learning approaches.
PROGRAMS OF STUDY
Office of Admissions
3100 Telegraph Avenue
Suite 1000
Oakland, CA 94609
510.869.5511
[email protected]
www.samuelmerritt.edu/veterans
• Bachelor of Science in Nursing (BSN)
• Accelerated Bachelor of Science in Nursing (ABSN)
• Entry-level Master of Science in Nursing (ELMSN)
• Master of Science in Nursing – Case Management (MSN-CM)
• Master of Science in Nursing – Family Nurse Practitioner (MSN-FNP)
• Master of Science in Nursing – Nurse Anesthetist (MSN-CRNA)
• Master of Occupational Therapy (MOT)
• Master of Physician Assistant (MPA)
• Doctor of Nursing Practice (DNP)
• Doctor of Physical Therapy (DPT)
• Doctor of Podiatric Medicine (DPM)
Registration is FREE
and your information
is not sold or shared!
WWW.NURSINGALD.COM
ANA\California Calendar of Events
All ANA\C members are welcome and encouraged to attend meetings of the Board of Directors. Meetings are held
in Sacramento at the ANA\C office located in The Senator Office Building, 1121 L Street, Suite 508, Sacramento, CA. 95814. Meetings begin at 10:00 am. unless otherwise noted. Any member interested in attending a Board meeting is
asked to notify the ANA\C staff at least one week prior to the meeting date by calling 916-447-0225. Members will
receive instructions for parking and entry into the office building at that time.
June 2014
6th
7th
ANA\C Board of Directors Meeting Sacramento, CA. Meeting will start at 10:00 am.
CNSA presents ‘You’re Hired! Achieving Success in Today’s RN Job Market’ – 9:30 am.-12:30 pm. Fromm
120 - Xavier Auditorium, San Francisco, CA for more information go to www.cnsa.org
10th-14th ANA Membership Assembly Washington DC for more information go to www.nursingworld.org
Save the Date!!
ANA\C RN Day 2015 –
A Day at the Capitol
Sacramento, CA
Monday April 13th 2015
Registration and program
information can be found on the
web site (soon) at
www.anacalifornia.org
July 2014
16th ANCC Annual Symposium on Continuing Nursing Education, Orlando, FL for more information visit
www.nursecredentialing.org/CNE-Symposium
August 2014
1st 1st 6th
The Nursing Voice – Article submission deadline – For information about submitting and article, please see
page 2 of this newsletter for The Nursing Voice ‘Article Submission Guidelines’ or call 916-447-0225.
NSNA Summer Leadership Conference, The Mt. Sinai Medical Center ,Goldwurm Auditorium, ICAHN
Building, First Floor, for more information go to www.nsna.org
ANA\C 1st Qtr Financial Review
September 2014
6th Board of Directors Meeting – location TBA
20th-27th Nurse Executives Delegation to Costa Rica; Sponsored by People to People Citizen Ambassador Programs
Visit facilities, experience information social events and roundtable discussions with fellow nurses. To learn
more visit www.peopletopeople.com/AONE or call 877.787.2000
Mix work and Framily.
October 2014
8th-10th Magnet Conference®, Dallas, TX, for more information visit http://www.nursecredentialing.org/
MagnetConference
17th-19th CNSA Convention, Sheraton Fairplex Hotel and Convention Center Pomona California
Visit your Sprint store or
sprint.com/framily
for details.
November 2014
1st The Nursing Voice – Article submission deadline – For information about submitting and article, please see
4th-5th 2014 ANA Staffing Conference, Hyatt Regency, New Orleans, New Orleans, LA for more information go
to www.nursingworld.org
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 NSNA Mid-Year Conference, Hilton Portland & Executive Tower, Portland, OR for more information go to
www.nsna.org
10th-14th ACNL Foundation for Leadership Excellence, Embassy Suites – Anaheim South, Garden Grove, CA 92840
for more information go to www.acnl.org
12th ANA\C 2nd Qtr Financial Review
Plus, save up to
23
%
IL discount on
select data buy ups
Offer for members
of ANA\C & Students
Get your best deal online at
www.sprint.com/save
Restrictions apply. See store or sprint.com for details. IL Discount: Available for eligible company or org.
employees (ongoing verification). Discounts subject to change according to the company’s agreement with
Sprint and are available upon request for monthly data buy-up svc charges for Framily plans. ©2014 Sprint. All
rights reserved. Sprint and the logo are trademarks of Sprint. Other marks are the property of their respective
owners.
N145197CA
December 2014
3rd Online voting opens for the 2015-2017 election of Officers and Directors for ANA\C
5th ANA\C Board of Directors Meeting, Sacramento, CA meeting will begin at 10:00 am.
11th-14th ACNL & CINHC – Building a Foundation for Leadership Excellence
January 2015
28th 28th Close of the 2015-2017 online voting; results will be posted online, in the newsletter or by calling
916.447.0225
ANA\C 3rd Qtr. Financial Review
February 2015
1st 4th-6th The Nursing Voice – Article submission deadline – For information about submitting and article, please see
ANA Quality Conference, On the Frontline of Quality: The Future of Health Care, Disney Coronado
Springs Resort, Orlando, FL for more information go to www.nursingworld.org
March 2015
6th-7th 2013-2015 Board meeting and orientation of new Board of Directors, Sacramento, CA
Experienced RNs
• ED • NICU • OR
Consider working in our collaborative professional practice
environment. We have a Professional Nursing Governance Model,
Interdisciplinary Quality Councils, Nurse led CUSP projects and
many more opportunities to expand your knowledge and career.
For more information and to apply, visit
www.tricitymed.org
http://aspmn.org/Conference/index.htm
NursingManagement
®
Congress 2014
The Conference for Excellence in Nursing Leadership
TM
ENTER
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for a cha
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LAS VEGAS
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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!
nursing.ucdavis.edu
October 12-16, 2014
The Mirage Hotel • Las Vegas, Nevada
For details or to register for this must-attend event, go to
NMCongress.com
Find us on Facebook
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Inspire the next generation.
Given the shortage of qualified nursing educators,
more professional nurses are needed to share their
experience and knowledge with the next generation.
Now’s the ideal time to earn your advanced nursing
degree at Concordia University Irvine and make the
transition into education.
As a professional nurse educator, the Concordia
Master of Science in Nursing (MSN) program* equips
you to teach undergraduate nursing students in
four specialty areas and provide clinical teaching
in the areas of Mental Health, Medical-Surgical,
Pediatrics, and Maternal Newborn.
Choose from either full- or part-time study. Flexible
scheduling allows you to complete your degree in as
little as 15-20 months with a combination of online
and classroom instruction. To learn more about the
Concordia MSN program, contact Melissa Hinrichs
at 949-214-3277 or [email protected].
* Pending Western Association of Schools and Colleges (WASC) and the Commission on
Collegiate Nursing Education (CCNE) accreditation and approval upon admission of the first cohort in October.
WWW.CUI.EDU/MSN

July/August/September 2014 - American Nurses Association

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