July/August/September 2014 - American Nurses Association
Transcription
July/August/September 2014 - American Nurses Association
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 July, August, September 2014 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 include a cover page with the author’s name, credentials, present position, address and telephone number. In case of multiple authors, list the names in order in which they should appear. ANA\C Wants To See You…. IN THE NEWS Have you or one of your colleagues been recognized for an accomplishment, elected to office, won an award, received a grant or scholarship, launched a new venture? Tell us about it! Send name, address, phone number, and news to – E-mail to: Mail to: Fax to: [email protected] ANA\California ‘IN THE NEWS’ 1121 L Street, Suite 508 Sacramento, CA 95814 916.442.4394 2. 3. The Nursing Voice reserves one-time publication rights. Letters, Articles and Manuscripts for reprint will be accepted if accompanied with written permission. c. The Nursing Voice reserves the right to edit Letters, Articles and Manuscripts to meet style and space limitations. d. Letters, Articles and Manuscripts may be reviewed by the Editorial Staff. e. Letters, Articles and Manuscripts submitted by members’ of ANA\C will be given first consideration when there is an availability of space in the newsletter. f. Letters, Articles and Manuscripts submitted to ANA\C will be published as space allows unless content is of a timely nature. g. Letters, Articles and Manuscripts printed in The Nursing Voice do not necessarily reflect the views of ANA\C, its membership, the board of directors or its staff. Photographs should be in jpeg format and emailed with the name of the Letter, Articles or Manuscript referenced in the subject line. Email to [email protected] Photographs should be of clear quality. Write the name(s) of the persons displayed in the photo in the order in which they appear in the body of the email. E-mail all narrative to TheNursingVoice@ anacalifornia.org www.anacalifornia.org Published by: Arthur L. Davis Publishing Agency, Inc. Help us stay in touch: Do you have a new address or e-mail address? The ‘Nursing Voice’ c/o ANA\C 1121 L Street, Suite 508 Sacramento, CA 95814 ANA\C Member Identification No. (if applicable) ____________________________________________ Name: ______________________________________ New Address:_ _______________________________ ____________________________________________ ____________________________________________ Old Address:_________________________________ 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 Sacramento, CA 95814 Office 916-447-0225 – Fax 916-442-4394 Association E-mail [email protected] The Nursing Voice Editor E-mail [email protected] 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 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. Copyright by the American Nurses Association\California. The Nursing Voice is published quarterly starting in January; copy must be received by the first (1st) of November, February, May, and August to be included in the next publication. The publication is complimentary to ANA\C members, schools of nursing and their nursing students, affiliates of the association and their memberships. If you would like to submit a letter, article, or manuscript, for publication please read ‘Article Submission for The Nursing Voice’ in this issue for submission details. If you would like to receive this publication or you would like to stop receiving this publication please email, write, call or fax ANA\C with your information. Please state your full name as it appears on the publication, the complete current address and/or address correction and a phone number should we need to contact you. Or, fill out and mail in the Update Request Form found in this newsletter and send it to ANA\C at the address listed above. Reprints and Submissions: ANA\C allows reprinting of newsletter material. Permission requests should be directed to the ANA\C office in Sacramento. (916) 447-0225. Advertising: Advertising Rates Contact – Arthur L. Davis Publishing Agency, Inc. 517 Washington St., PO Box 216, Cedar Falls, IA 50613, 800-626-4081, [email protected]. ANA\C and the Arthur L. Davis Publishing Agency, Inc. reserves 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. July, August, September 2014 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 Page 4 • ANA\C The Nursing Voice July, August, September 2014 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. July, August, September 2014 ANA\C The Nursing Voice • Page 5 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 Department • Main OR • 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. Our graduates are prepared to be part of the solution. Take our AACN-CCNE accredited programs online or on campus, and take advantage of our generous credit transfer policy. YOU’RE MEANT TO MAKE A DIFFERENCE. OUR PROGRAMS HELP YOU MAKE MORE OF A DIFFERENCE. Programs include: • RN-BSN • Doctor of Nursing Practice • RN-MS, Nursing • Graduate Academic Certificate in Health Care Education • MS, Nursing: Leadership • Gerontology Certificate Don’t wait! Classes start August 25 regis.edu/californianurse Regis University is accredited by The Higher Learning Commission and a member of the North Central Association. ncahlc.org. The Loretto Heights School of Nursing is accredited by the American Association of Colleges of Nursing — Commission on Collegiate Nursing Education (AACN-CCNE). LOOK OUTWARD. INQUIRE WITHIN. Learn how to transform this ad at regis.edu/californianurse Page 6 • ANA\C The Nursing Voice July, August, September 2014 Welcome New Members Antonio Abarca Minette Abelgas Sharletha Adams Adejoke Adedeji Olajumoke Adeyemi Michael Aquitania Agbisit Patience Agoh Amber Aguilar Rebecca Agundez Kathleen Grimley Ahn Nicole Ainsworth Oluyemisi Akindele Mia Alcala-Van Houten Agnes Alicar Laura Allen Raymond Allum April Leilani Aloiau Christine Altavilla Kelly Amin Liceria Amoguis Stefanie Amoia Nicole Andal Tara Anderson Teresa Anderson Audra Andrakin Maria Sophia Grace Ang Anna Antonowich-Jonsson Ugochi Esther Anyanwu Neil Christopher Apeles Manjit K. Araich Paul Araullo Caylin Arbulu Mary Arnold Patrick Arrington Kased Asad Tara Asami Gilbert Aspirin Ronke Atane Natalie Atkinson Suzanne Autor Sue Ayres Gisela Ayudante Ani Bagdasarian Preetpal Bains Rebecca Ann Baird Teresa L. Baker Dian L. Baker Debra Bakerjian Autumn Ruth Baldassano April Balunsat Richard Banagale Hanan Banerji Ebony Nicole Bankhead Veronica Barber Tanith Barcroft Zohreh Barooti Ariana Barrera Patricia Barry Lyzah Nicole C. Bati Bobbie Nell Battle-Carter April Bauzon Mary E. Becker Amber Beland Chad Belcher Keisha Bellamy Julie Bell-Quinlan Eileen Beltran Ann H. Benson Charlene Bentley Josephine Bequilla Patricia Berger Yosief Hiabu Berhane Martha Berrier Joannie Berry-Mahan Petrina Beugre Anna Bhargava-Moreno Sheera May Biasca Jennifer Birladeanu Hayley Blacker Katherine O. Blee Marshall H. Blue Natalie Boehm Ashley Bough Amber Boyadjian Viola Boyle Kimberly Bravo Deborah Denise Brewer Marshall Patricia Bridewell Raylene Bringas Gladys Brisco-Roche Heather Bruce Catherine Burger Angela D. Burling Mitzi Cabaltica Gregory Caliwag Peter-Reuben Calixto Shelby Canino Jina Canson Sueanne Wright Cantamessa Heather Cantrell Cherelyn Capiendo Danielle Caprara Aidalyn Carino Mari Carranza Virginia Carrieri Kohlman Marylynn Racheal Carroll Michelle Cartas Jana Carter Yolee S. Casagrande Mary Jo A. Cascarelli Bianca Castro Roma Joy Castro Jennifer Castro Katherine Cates Cecilia Cayton Candace J. Celello Buchanan Regina Renee Cendejas Joli Ceralde Judith Chabot Charlotte Chadwick Neil Chan Jean Chandler-Robledo Rebecca Chang Sheila Charles Jody Charles Herleen Chattha Kelly Cheatham Jill Chen Helen Chen Alan Chhith Chhay Chhou Joan Chiang Tiffany Childers Nwabude Chioma Lois Cho Katherine Chong Peggy Chou Lauren Christensen Carla Christensen Christine Chun Sendy Chuop Terri Church William Clawson Constance Cluff Dupi Marie Cogan Barbara Cohoon Ruth Annette Colbert Eric J. Collier Miakoda Collins Megan Collins Melody Comendador Kristen Connor Marie D. Corbin Cynthia Corkern Ashley Corner Gabriela Corona Laura J. Corson Clarissa Cortes Terry Cottle Diane Cristobal Kataunya Cummings Melinda Cuthbert Melissa Dahl Anson Daine Rebecca Anne Daniels Maria Danielyan Terry Dao Kimberlee Davidson Marilyn Davis Meghan Davis David J. Davis Cynthia Davis Lizbeth De Leon Julie Anne De Santi Juanito David De Vera Virginia Deatherage Geri Rene DeCoito Rose Del Rosario Felicitas A. Dela Philbert Dela Pena Jessica Rodriguez Dela Rosa Maria Delapaz-Vargas Joel Delfin Olive Delizo Shanda Dellner Maureen Delrosario Maricris Demayo Cherrie Anne Demayo Mary Kathleen Denecochea Jin Deng Rosine Der-Tavitian Pragya Devkota Carolina Diaz Beatriz Diaz Meranda Dimery Sally Divittorio Margaret Drabowicz Karen Duderstadt Kim Dueck Nathan Duer Glenda Dumayas Elizabeth Dunn Bich Lieu Duong Jayme Dupuis Carolyn R. Durandette Latonja Durden Rochelle Eubanks Eaton Wendy Edwards Melinda Elayda Jaymee Elder Kimberly Ellis Amy Ellis Cameron Emery Brent Alan Engel Adam English Shannon Enochs Alyssa Erin Erikson Mayte Christina Eriksson Colette Erke Jane Ernstthal Eric Lee Escobedo Brittney Danielle Espinoza Olga Esquivel-Davis Kisha Estis Leland Estrella Marilou Eusebio Tan G. Evangeline Meghan Anne Fague Alison Fairhurst Nancy Farrell Jennifer Fennessy Bernice Ferguson Shissica Fernandez Joseph Fernandez Hannah Fernandez-Gotico Tabitha Ferreira Jennifer Fick Ashley Fillinger Brenda Fischer Barbara Fisher Tracy Flanagan Mary Louise Fleming Eryn Fleming Karen Fleming Simony Kanashiro Fleshman Alma Flores Jennifer Floyd Wendy Foad Helen Fortson Rhonda R. Foster Dorine Fowler Jeanne Franco Alisha Franklin Yamileth Franklin Krystle Frazier Lisandra Freilich Kristin Freo Tiashira Gadlin Mary Elizabeth Gage Eunice Galang Digna Gallagher Courtney Galle Abena I. Gallegos Sara Gallegos Rosemary Gallegos Ann Galloway Lee Galuska Vanessa Gambala Antonette Gamilla Arlene Cuadra Garcia Chessie Garcia Oscar Garcia Maria Garcia Yolanda Garcia Monique Gaulden Nancy Ge Jeanette Geagea Jillian Gee Merete B. Gelgur Jeff Genoni Thao Giang Debbie Gilday Kristi N. Gillespie Belinda Gillis Cheryl Girkin Ericka Givens Eileen Glaraga Jeanne Marie Suntay Glass Erika L. Goff Lorraine Gold Darren Golden Ana Gomez-Marek Rosie Gonzales Margaret Gonzalez Mary Goode Priscilla Goodrich Cynthia Goodrich Andrean Graham Karan Granda Beth Grant Theresa E. Grassau Jamie Andrea Graves Savannah Gray Gina Greco Ann Green Rachel C. Greve Susan Gross Sherie Rose Guiao Kirsten Gunderson Natalia Guzman Jenice Guzman Teresa Gwinn Michelle Ha Yvonne Hack Marilyn Dawn Hada Linda Hadley Russell Haight Ed Hall Lisa Hall Natalia Haller Lisa Halton Felicia Hamad Lisa Hamm Jasmine Hanada Karen Hanford Rosemary Hansan Jennie Chin Hansen Pamela Hansink Cindy Lee Hardeman Francine Hardy Apinya Harland Edna M. Harris Staci Harrison Theresa Harvath Isobel Harvey Jackie Hasty Michelle Alexandria Hauck Kris Haug Karen Hawkins Erin Hayes Jeanice Hays Derek Heafner Ann Heffernan Olga Heinman Nichole Helm Xee Heng Eka Herlambang Juan Antonio Hernandez Marilyn Hernandez Grissel Hernandez Wendy P. Hess Serena Hestand Noeta Hester Virginia Hewitt Lisa Hill Pauline (Tony) Antoinette Hilton Donna Lee Hines Heather Hochstein Tamara Holland Jessica Holsti Allison Holt Annemarie Hosch Mari Jo Hough Tyra Howard Cynthia Howard Mary Hoy Jack Hsu Kristina Huber Maria Hunt Leigherin Hurd Clifton Hutson-Joullian Lynny Huynh-Nguyen Iola Ireland Melinda Isliker Kathryn Jackson Shelby Jackson Betty Jackson Caroline Jackson Susan Jacobson Dimple Jadav Pamela James Tray R. Janice Danieve Japson Miranda Jaramillo Jo Maichel Javier Juan Jimenez Cynthia Johansen Gregory Johnson Kristine Johnson Robyn-Michelle Johnson Holly Jones Saul Jones Roxane Jorbina-Lobaton John Paul Joson Mary Josoy Stedham Soon A. Jung Robbin Marlana Kaanana-Gerras Karter Kalush Linda Kamal Kathryn Karelius Arlene Karim Sangaroon Kast Sarah Deanne Katzer Esther Katz-Willson Kathy Kealer Erin Kearins Molly Keating Maribel Kegel Nancy Kehoe Aimie Keigan Sabine Keller Devin Kelly Mary Kelly Alina Kendrick Katharine Kent Cheryl Kent Tracy Kentz Teresa Kerr Irene Khy Anne Kimm Khamille Kliatchko Maria S. Kling Melinda R. Kluzek Cindy Knoth Stephenie Knox Dimitrina Koleva Christine Koraiban Lea Koshkin Christina Kosofsky Natalie B. Kreng Burlene Krider Evgeniya Krol Kelly Kulek Lindsay Kustich Ivy-Johanna Cabrera La Salle Donna Label Suzy Laku Wayne P. Lam Yan Lam Catherine Lambert July, August, September 2014 ANA\C The Nursing Voice • Page 7 Welcome New Members Gina Marrott Stephanie Marsh Adrienne Marsh Margaret Martin Elizabeth Martin Amy Martinez Genesis Mathis Patricia Matzoll Sonia Maxin Mitos Mayor Martha Mays Deborah McBride Margo McCaffery Nathan McCain Karen McDonald Carla McGavin Laura G. McGuire Maria McKinney Sabrina McKinney Debbie McKnight Jennifer Meaney Maria Medina Carrie Meer Melissa Mehaffie Rohini A. Mehta Michelle Melendez Lori Marie Mendel Romyr Mendoza Lourdes M. Menendez William Mertz Liliana Valderramos Metzger Amanda Miles Leanne Miller Yekaterina Miller Britnee Miller Teresa Miller Julie Miller Elizabeth Mills Caitanya Min Defei Min Rosangela Minakawa Miyo Minato Natalie Miraflor Tammie Mischel Elena Maria Mjelde Laura Moe Richard Molina Jennille Monaco Kathryn Money Regina Montgomery Lisa Moody Elizabeth Mora Shauna Morain Michelle Morales Elia Morgan Rita D. Morris Timothy A. Morrisse Anastasie Mpombo Maureen Mukora Catherine Mullin Nancy Murakami Emily Murdock Aislinn Murphy Michelle Dana Murray Charlotte Landon Maria Venus Larrosa Jamie Last Majella Leamy Irvin Lee Diana C. Lee Erica Lee Jocelyn Lee Eunice Lee Andrea Lee-Riggins Barbara Lell Sarah Lemings Jacqueline Leo Reanna Leon Sherrie Ann Leonard Shanda Lewis Deborah Lewis Katrina Lewis Sondra Jill Ley Sharie Lieberg Marion H Linger Juanito Lingo Diane Lisi Maricris Lising Chunmei Liu Adriana Llanos Castro Dina Lolli-Abitria Douglas Long Cynthia Lopez Virginia Lorencz Amber Lorenzo Karen S. Lounsbury Jennifer Low Gina Lowe Ann E. Lowe Nancy Lowell Jeffery Lowers Theresa Loya Jennifer Lubetich M. W. Lucas Jasmin R Lumbad Mary Lush Courtney H. Lyder Sandra Lyn Jayne Madden Roxana Magana Theresita Magbanua Luz M Magro Inez Munoz Mahon Ngoc Mai James Major Mavis Malado Jonathan Mall Lori Maloney Sahlee Mamaril Marilyn Mandas Alma Rizza Manuel Beverly Marchetti Joseph V Mariano Catherine Marin Whitney Mariucci Nathalie Marois Emily Marquardt Michelle Marquez Rhea Marquez Manuela Navarrette Carolyn Navarro Reina Nazareno Evelyn Ndaki Tracie Neff Mary Belle Nelson Arce Julie Nerad Lynette Nerney Sherri Ann Newland Alan P. Newman Giang Nguyen Hanh Nguyen Kevin Kim Nguyen Thymai Nguyen Amy Nguyen Jan M. Nick Stephen James Nolan Dora L. Noriega Lorna M. Nyberg Uzoma Victoria Obi Ann Obrien Brian O’Brien Prince Ocansey Festus O. Odeh Veronica Ndidi Odita Roseli Oestreicher Angela Ofoegbu Oladapo Ogunnaike Sabrina H. Okada Kirstie Okura Antionette Olivarez Andrea Oliver Jill Olmstead Allyson Olness Cynthia Olson Antonio Orellana Theresa Orjiakor Veronica Ortiz Lois Elaine Owens Cynthia Louise Pacheco Agustin Dominic Pacis Heather Packard Kallie Pahwa Rachelle Pakes Kristina Paladini Keri Palumbo Murray Erin Pannell April Panozzo Anaita Panthaky Leona Anne Parry Amy Pasetti Cheryl Passanisi Julia Pasterski Nisha Patel Cynthia Paz Amy Peare Alejandro Pedraza-Mccarron Sarah R. Peery Janet Dasalla Pena Diane Perdue Maria Perez Lavonne Perez Jane M. Perlas Sharone Perlman Sue Peterson Heather Pfister Rosa Pham Stacey Phaneuf Raymond Phillips Christina Piatt Cristina Picache Christa Pilgrim Elise Piliwale Mary El Pilkington R. J. Plummer Lyndsey Podesta Xiao Pon Maria Ponce Melody Pope Erin Pope Maureen Porras Irving Ian Prado Mary Beth Prendergast Zabrina Prouty Isabell Biene Purdy Christin Quarry Robin Quinn Lisa Radesi Phoebe Raduns Rosalba Ramirez Jacquelyn Ramirez Lisa Ramirez April Randall Pam Rankin Farzaneh Raoufi Lynette Raquel Jessica Reed Carol Reeder James Christopher Reedy Jennifer Reese Amor Regner Mary Reid Denise Reiner Melissa Repp Christine Resler Catherine Reyes Yesenia Reyes Hope Richards Sherrie R. Richardson Josephine Carpio Ridad Isabel Rink Jan Ro Janice A Robert Sharon Roberts Kelley Robinson James Rocanella Kristina Torres Rodriguez Viridiana Rodriguez Rachel Rodriguez Rachelle Rogan Amy Rohner Graciela Rojas Roberta Romano-Grubbs Amy Ronan Janet Rongavilla-Taniguchi Camay Rooney Leslie T Rose Rachel Rosser Noelle Rozakos Elgene Rualo Susann Ruiz Miriam Russom Lorena Rutanajuntra Anthony Ryan Alma Sagmit-Casipit Alena Sahagun Eki Salami Relyndo Manalo Salcedo Relyndo Manalo Salcedo Maricel Salinas Melissa Salisbury Malinda Salter Israel Samaniego Joelle Samsel Blanca Sanchez Mathew Sanchez Jana Sanders Guadalupe Sanders Rebecca Sandoval Margarita Sandoval Sarah Sanford Nadia Sanjari Adrienne Coel Santiago Arcadio De Vera Santos Mae Sarmiento Sherene Savoia Mary M Scheffki Linda Scheiber Amy Schnaid Anna-Joy Schneeloch Lori Schneeman Renee Schneider Jo Ann Schultz Serwa Scorza Brenda Segoviano Elena F. Seitz Ginger Sell Kelli Sellers Semira Semino-Asaro Nora Baoanan Serrano Kimberly Setten Nadia Shaboti Betsey Shank Jessica L. Sharver Debra J. Sheets Kate G. Sheppard Anna Shulyanskaya Angelica Silveo Tracy Sime Pearl Lillian Simon Elizabeth Simpson Parmindra Singh Sanford Skolnik Sharon Smith Teresa Smith Jennifer Lang Soderlund Nidath Southall-Connor Trina Souza Julieann Sparks Donna Spero Laura Spriggs Casie Staff Paul Stark Janice Stewart Christy N Stmarie Carmen Storey Joyce Stramler Barbara Straw Courtney Strifler Natalya Sturtz Rajupender Suprai Lane Swartz Alexander Sykora Lilla Szakacs Andrew Szalas Gonzalo Tafoya Gagah Tamba Monica Paola Tansey Dawnmarie Gaivin Tastor Lisa Taylor Lisa Taylor Victoria Tegarden Richard Tejada Thokozile Tembo Helen Temple Jessica Theilen Abby Thomas Patresia Thomas Erlene Thomas Mary Thomas Scott Thompson-Baker Laurine Tilley Veronica Timple Siwi S. Toh-djojo Elvin Tolentino Brittney Tolle Waluana T. Tomlin Kelly Tomlinson Linda Torres Linda M. Towle Katherine Tran Hieu Tran Christina Truell Margaret J. Turlington Kelley Turner Alicia Tuvida Debora Tyler Arpunchanick Udomdej Nelly Utebor Mark Vaccarino Jennifer Valasa Michelle Vallejo Myrna Valmeo Abigail Vargas Jennifer Vargas Barbara Vaughan Leticia Vazquez Gabriela Vazquez Gary Veale Teresa Velasquez Paula M Vento Jeremy Yves Vergara Jeremy Verhines Jamie S. Vik Ana Villacorta Arcelyn Villanueva Maria Villar Diane Vines Emily Anne Binaday Viray Christine Vourakis Marianne Wachalovsky Shannon Wagner Sharon Wagner-Lees Margaret Walker Natalya Walker Thomas Walker Sarah Wanzer Cathy Ward Shannon Ward Lilies E. Wati Rebecca Webster Karin Weinstock Irene Wellington Jenifer Werning Susan Whitaker Andrea Whitchurch Vicki White Nathan Whitehouse Sheryl Fuller Whitfield Veronica Cortez Whiting Lori Cathrine Wichman Christine Williams Heidi Lynn Willsher Anysse Janelle Wilmore Courtney Wilson Rebecca J. Wilson Michelle Wilson Debra Windle Melissa Winfield Richard Wing Nina Wong Yvonne Wong Daisy Wong Cathy Wood Michelle Woodley Mallory Wool Donna Worcester Lisa Wright Jessica Wright Marshanell Wright Dionne Wrights Lauren Yamashita Susan J. Yen Valerie G. Yeo Maria Yepiz-Wang Karen Yocom Ann Eun-Hee Yoon Yee J. Young Maryn Young Lakee Young Kathleen Young Lucie Yreux Jennifer Zamora Jennifer Zanotti Yvette Zazueta Kelsey Zdeba Jill A. Zehnpfennig Bettye Douthard Zeigler Jennifer M. Zicko Ashley Zimmerman Geri Zollicoffer Tami J. Zorge 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. Page 8 • ANA\C The Nursing Voice July, August, September 2014 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. July, August, September 2014 ANA\C The Nursing Voice • Page 9 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. Page 10 • ANA\C The Nursing Voice July, August, September 2014 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, 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. 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: model of health care. VAcareers.va.gov/ALD Follow VA Careers July, August, September 2014 ANA\C The Nursing Voice • Page 11 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 Emergency Room RN Oak Valley Hospital District is searching for full-time and per diem Emergency Room Registered Nurses in Oakdale California. OVHD offers a culture that is focused more on that one on one patient and caregiver experience. If you’re looking for an organization that truly believes in honoring and taking care of its team members which in turn offers excellent patient care outcomes, Oak Valley Hospital District is your employer of choice. Master of Science in Nursing CONVENIENT FORMAT EVENING & WEEKEND CLASSES BEAUTIFUL HISTORIC CAMPUS Our full-time RN position offers a competitive salary and excellent benefits. We also offer a pension plan of 15.9% of an employee’s annual salary each year that the District places into an employee’s account. The employee doesn’t need to contribute. For the right candidate, we also offer relocation assistance and temporary housing. MSN Program – Three Tracks •Adult-Gerontology Clinical Nurse Specialist •Educator •Leadership/ Administration “The MS in Nursing degree at Mount St. Mary’s College opened my eyes to the global world of nursing. The instructors truly invested themselves in me and the experience changed my life.” Kellyn Pak | Class of 2008 Call (213)477-2800 or visit us at www.msmc.la.edu/graduate-program A little about us, with nearly 550 employees and in a growth mode, Oak Valley Hospital District is a full service, non-profit public hospital created to provide residents of Oakdale, and the surrounding rural communities, with access to superior quality medical care. We also operate three community health centers providing primary care medical services and plan to expand this business as well. As an organization we take care of nearly 90,000 patients a year. If you’re interested in learning more about what we have to offer and the incredible opportunity to join our team, please email your resume to Brian Beck, Vice President of Human Resources, [email protected]. Page 12 • ANA\C The Nursing Voice July, August, September 2014 NCSBN 3rd Scientific Symposium California Department of Public Health (CDPH) The Licensing & Certification (L&C) Program is recruiting for Registered Nurses/ Health Facilities Evaluator Nurses (HFEN). We offer Comprehensive Benefits: • 11 Paid Holidays • 2 Professional Development Days • Paid Sick & Vacation/Annual Leave • 457/401K Savings Plus Program • Great Retirement Options • Paid Medical/Dental/Vision • Disability Insurance • Flex Elect Medical & Dependent • Salary ranges from $5620-$6657 Care Account (including $200.00 R&R) Travel is required. We have 14 district offices/locations: Bakersfield Chico San Francisco East Bay (Richmond) Fresno San Bernardino Orange San Diego North Riverside San Diego South Sacramento San Jose Santa Rosa Ventura **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 If interested or have questions regarding available positions, please email the L & C HFEN Recruitment at [email protected] **Please do not contact CalHR Build a better tomorrow for you and your family! 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. 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 BUSINESS ADMINISTRATION Advance your career by mastering business fundamentals in marketing, finance, or information technology. Can be completed entirely online within 18 months. MASTER OF PUBLIC ADMINISTRATION Healthcare 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 October 11 – 14, 2014 | San Diego EXPLORE NEW WITH EDUCATION IN YOUR OWN BACK YARD! Conference Essentials At Your Fingertips • Content accessible from smartphone, tablet, or laptop device • Free Wi-Fi access throughout the San Diego Convention Center, Hilton Bayfront, and Marriott Marquis & Marina • Search for sessions by keyword, title, date, speakers, or topic Scan QR code or visit AAPexperience.org/planner to learn more. AAPexperience.org 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 July, August, September 2014 ANA\C The Nursing Voice • Page 13 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. Health Navigator Certificate Our health care system is rapidly changing. Be on the forefront! Health Navigators are the newest addition to the healthcare landscape. You can be a part of shaping this new profession. In the Sonoma State University Health Navigator Certificate, we start with one basic skill – listening. Not fixing! You learn to help patients use their own wisdom to guide them to better health, while supporting them by providing resources, motivational interviewing skills, and helping them to reach their health goals one small step at a time. Our graduates are working in clinics, hospitals, health clubs, non-profits and private practice. Learn more about the Certificate and apply at www.sonoma.edu/exed/patient-navigator School of Extended & International Education D aughters of Charity H ealth System CELEBR ATES THEIR JOURNE Y “As we acknowledge our 12th year as a health system, we know this past decade attaches to our long and valued history spanning more than 375 years of caring for those less fortunate.” Robert Issai, President & CEO of Daughters of Charity Health System With over 120 years of expertise, O’Connor Hospital continues to provide clinical excellence and compassionate health care to the residents of Santa Clara County. Please visit our website at http://oconnor.dochs.org As a full-service acute care hospital, Saint Louise Regional Hospital is committed to delivering compassionate patient-centered health care encompassing body, mind and spirit for the communities of southern Santa Clara County. Please visit our website at http://saintlouise.dochs.org For over a century, Seton Medical Center has continued to provide quality, patient-centered health care to the local communities of San Francisco and Northern San Mateo County. Please visit our website at http://seton.dochs.org Serving the Southeast Los Angeles community, St. Francis Medical Center provides quality health care for each and every person. Please visit our website at http://stfrancis.dochs.org For over 155 years, St. Vincent Medical Center has provided compassionate, patient-centered care 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 Page 14 • ANA\C The Nursing Voice July, August, September 2014 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 July, August, September 2014 ANA\C The Nursing Voice • Page 15 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 page 2 of this newsletter for The Nursing Voice ‘Article Submission Guidelines’ or call 916-447-0225. 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 page 2 of this newsletter for The Nursing Voice ‘Article Submission Guidelines’ or call 916-447-0225. 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 Page 16 • ANA\C The Nursing Voice July, August, September 2014 NursingManagement ® Congress 2014 The Conference for Excellence in Nursing Leadership TM ENTER ODE PROMO C A “VEG S” for a cha nce AN TO WIN ® iPad Air! UC Davis School of Nursing offers four degrees — a new nursing school with a vision to advance health and ignite leadership through innovative education, transformative research and bold system change. LAS VEGAS THE BETTY IRENE MOORE SCHOOL OF NURSING AT UC DAVIS C U R R E N T G R A D U AT E D E G R E E P R O G R A M S 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 NMC-Nursing Management Congress BET T Y I R E N E MO O R E SCHOOL OF N U RSI N G Presented by Follow us @nm_congress Tweet us at #nmcongress14 Publisher of Nursing Management journal 4-K246 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