Montana Nurse April 2005

Transcription

The Pulse
THE OFFICIAL
New Executive Director
PUBLICATION
Dear Colleagues:
I greet you with an exciting sense of
possibility as I move into the role of Executive Director. The challenge ahead for
me is to forge a working relationship with
the membership and with staff as we
move to develop our agenda for the coming year.
I am fortunate indeed to be joining an
organization that has a strong infrastructure.This structure, which was formed by
my predecessors and nurtured by staff
Eve Franklin
and membership provides a healthy foundation for the work we
will do together. I believe strongly as do you, that the voice and
action of nurses must be heard and felt in every venue where
health care is discussed and every boardroom where health care
policy is made. There is inertia in the health care community as
individuals struggle with how to respond to health care needs. I
am certain that this skilled and committed membership will be a
force to be reckoned with as we move into a solution driven mode,
providing direction to our many health care colleagues as we
develop responses to critical health care issues.
As your new Executive Director I anticipate a whirlwind first
year as I negotiate the learning curve, meet the membership, and
work with the organization’s committee level policy makers. My
vehicle robotically knows the way from Great Falls to Helena due
to many years of legislative travel. I plan to be on the road a good
deal (including a commute from my home in Great Falls). I hope to
greet many of you personally in the coming months.
As this is a membership driven organization my direction will
come from the elected board, but I commit to you now that we will
be a strong and vital presence in the health care world and will not
shrink from the difficult and challenging issues that face us all as
nurses.
Godspeed,
Eve Franklin
The Legislative Sting
Delegation Rules Move Forward
OF THE MONTANA
NURSES’ ASSOCIATION
VOL. 42 NO. 2
APRIL-JUNE 2005
INSIDE
Legislative Update
Page 5
National Labor
Assembly
Page 10-12
E & GW Retreat
Page 13
Sharon K Howard, Retired MNA Lobbyist
When the legislative session ended, I
was glad to go home. The experience of
lobbying for MNA is one which I will not
forget.The event is similar to accidentally
walking into a beehive.There is an incredible flurry of activity and sound with
some bees punctuating their response to
your untimely interference with a sharp,
painful reminder.
Our new Executive Director, Eve
Franklin, has written that getting along is
Sharon Howard
highly overrated and she further mused
that Nightingale did not leave a room full of friends as she departed meetings. We, the Montana Nurses’ Association, did not necessarily make friends during this session. Our position ran contrary
to some groups when we advocated for the right of patients to
have appropriately qualified and credentialed professionals determine and deliver care. Should that make enemies? I would think
not, however entities become married to their positions and bills
and sometimes-reasoned opposition is interpreted as shaking the
hive.
Lessons learned from this session include the need to develop
strong relationships with other health professions like Physical
Therapy.Why? Scope of practice is being challenged in all arenas of
health care and we need to have reasoned discussion with our
health care colleagues about the appropriateness of change related to patient outcomes and patient safety. Discourse on the origins
of proposed scope of practice alterations are essential to determining the base reasons for these proposed changes and whether
these changes are driven by health care need or greed. Not only is
scope of practice being challenged but the power to license and
regulate in Montana is facing scrutiny. Montana nurses, through the
professional organization, must be involved in frank discussion and
action about the future of health care in Montana at all levels.
As I close my legislative efforts, I do wish to publicly thank you
who called or wrote Senators and Representatives, testified,
researched or pondered the impacts of bills.A very special thanks
to Claudia Clifford for strategic actions she took for the organization and her generous tutoring of me. Pat Wise, Linda Henderson,
Shelley Meyer and others unnamed offered countless hours. I
salute the accumulative wisdom and subsequent outcomes
achieved by the team!
Now the work begins for the next legislative session and our
new Executive Director is well seasoned (has been stung) and
qualified to lead us forward. Good luck, Eve!
Linda L Henderson, MN, RN, C
Significant revisions to the nursing delegation rules in the Montana Nurse Practice Act have been made by the Board of
Nursing (BON). As you will recall, The
Pulse over the last several issues has provided news of these changes which
expand the scope of delegation to multiple types of unlicensed assistive personnel and to all nursing sites, including
acute and long term care facilities. Publication of the last issue of The Pulse
included information from the rules hearLinda Henderson
ing held in February 2005. Over the
course of multiple meetings the BON reviewed the volumes of
input provided at the public hearing in early February and made
some minor changes to the original document.The Board of Nursing met for their regular quarterly meeting in April and completed
their final review of the nursing delegation rules, voting 6 to 2 to
accept the final rules as amended.Votes against accepting the rules
revision included Susan Raph, RN member and Steve Rice, public
member.
The next step in the process is review and signature by the Secretary of State at which time the rules will be published in the state
registrar.This step is expected to occur by mid- to late June.At that
time, facilities may choose to begin implementing the new rules.
The Board of Nursing continues to work on development of
training and education materials that will provide consistent education of the new delegation rules for chief nursing officers and
their staff nurses. This will hopefully include a decision tree to
assist individuals with the decision making process involved with
delegation as well as an educational package of materials. The
Board of Nursing plans to have these materials accessible via the
BON website http://www.discoveringmontana.com/dli/bsd/
license/bsd_boards/nur_board/board_page.asp .
Until the rules are officially published, the old rules remain in
effect. I encourage all nurses to familiarize themselves with the
rules when the final copy is published.This will be available via the
BON website under the information topic of “Board Rules.” Become
familiar with the roles and responsibilities of each of the parties
involved in the delegation process, including the chief nursing officer, the delegating nurse and the unlicensed assistive personnel
(UAP).Appropriate use of nursing delegation depends on you.
Presort Standard
US Postage
PAID
Permit #161
Princeton, MN
Page 2—Montana Nurses’ Association Pulse—April, May, June 2005
National Nurses’ Week Celebrated
The Pulse
Official Publication of
the Montana Nurses’
Association
CONTACTING MNA
Nurses across Montana and the United States celebrated National Nurses’Week, May 6 through May 12 in
honor of the dedication, commitment, and tireless effort
of nurses nationwide to save lives and maintain the
health of our nation. The Montana Nurses’ Association
proudly recognized nurses everywhere during this
week for the quality work you provide in a variety of settings, seven days a week, 365 days a year.
“Nurses, Many Roles One Profession” was the theme
chosen for 2005 in recognition of nurses by drawing
special attention to nurse staffing issues. Many healthcare facilities paid tribute to the nurses who provide
highly skilled care, and who encounter increased chal-
lenges to their professional and ethical commitment to
deliver safe and quality care.
Traditionally, National Nurses Week is devoted to
highlighting the diverse ways in which registered nurses, the largest healthcare profession, are working to
improve healthcare. From bedside nursing in hospitals
and long-term care facilities to the halls of research institutions, state legislatures, and Congress, the depth and
breadth of the nursing profession is meeting the
expanding healthcare needs of American society.
MNA salutes our Montana nurses and nursing students for your commitment to the nursing profession
and thanks you for contributing to healthier Montana
communities.
Montana Nurses’Association
104 Broadway, Suite G-2
Helena, MT 59601
Phone (406) 442-6710
Fax (406) 442-1841
Email: [email protected]
Website: www.mtnurses.org
Office Hours: 8:00 a.m.-5:00 p.m.
Monday through Friday
WHO WE ARE
The Montana Nurses’Association is a professional association for
registered nurses, including advanced practice registered nurses,
students and retired nurses in Montana. MNA provides collective
bargaining services, continuing education, and professional
networking opportunities. MNA advocates on behalf of nurses
before the Montana legislature, the Montana Board of Nursing,
and other public policy bodies.
MISSION STATEMENT
The Montana Nurses’Association promotes professional
nursing practice, standards and education; represents
professional nurses; and provides nursing leadership in
promoting high quality health care.
MNA
Board Executive Committee:
President
Kate Steenberg, RN, CCRN
President-Elect
Linda Henderson, RN
Secretary/Treasurer
Lori Chovanak, BSN, RNC
Board of Directors:
Donna Bristow,APRN
Diane Evans,APRN
Maxine Ferguson, RN
Amy Hauschild, RN
Suzanne Lockwood,APRN
Anna Metcalf, RN
Barb Prescott, RNC, FNP, ND
Mae Rittal, RN
Interim Editor: Lynn Hebert, RN
Assistant Editor: Jolene Devine
Editorial Board:
Lynn Hebert RN, Chair—Sun River
Mary Pappas,APRN—Havre
Barbara Prescott,APRN—Lakeside
Mae Rittal, RN—Sidney
Rachel Rockafellow, RN—Bozeman
MNA Staff:
Eve Franklin, Executive Director
Sharon Howard, Lobbyist
Kathleen Doughty, Program/Finance Director
Pat Wise, Labor Relations Director
Raymond Berg, Labor Relations Specialist
Katrina Johnson,Administrative Technician
Jolene Devine,Administrative Assistant
Questions about your nursing license? Contact the Montana
Board of Nursing at: (406) 841-2300.
WRITER’S GUIDELINES:
Any author is welcome to submit an article related
to nursing or Montana nurses in The Pulse. Please
contact the Assistant Editor at [email protected].
PUBLISHER INFORMATION & AD RATES
Circulation 17,000 to every Registered Nurse,
Licensed Practical Nurse & Nursing Student in Montana. The Pulse is published 4 times annually by the
Arthur L. Davis Agency for the Montana Nurses’Association, 104 Broadway, Suite G-2, Helena, MT 59601.
Acceptance of advertising does not imply endorsement or approval by the Montana Nurses’Association
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. MNA
and Arthur L. Davis Publishing Agency shall not be
held liable for any consequences resulting from purchase or use of an advertiser’s product. Articles
appearing in this publication
express the opinions of
6” ads
the authors.They do not OPEN
necessarily reflect views of
the staff, board or membership of MNA or those of
the national or local associations.
Advertising Rates: Contact Arthur L. Davis Agency,
517 Washington St., P.O. Box 216, Cedar Falls, IA
50613, 800-626-4081. MNA and the Arthur L. Davis
Agency reserve the right to reject any advertisement.
Responsibility for errors in advertising is limited to
corrections in the next issue or refund of price of
advertisement.
Material is copyrighted 2005 by the Montana Nurses’
Association and may not be reprinted without written permission from MNA.
April, May, June 2005—Montana Nurses’ Association Pulse—Page 3
Continuing Education
New Certification Program
for Foot and Nail Care
For an up to date schedule check our web site @ www.mtnurses.org.
CE CALENDAR
Reference
Number
Date
Workshop
Location
Contact
Hours
2005-15
5/18-22/05
Basic Parish Nurse Preparation Course
Contact: Cynthia Gustafson
406-447-5494
Helena
35 C.H.
2005-17
4/4/056/30/05
MTGEC Web Based Continuing Education
Programming
Contact: Linda Henderson
406-243-2107
Web Based
7.2 C.H.
2005-18
4/15/058/31/05
The Geriatric Health Screening Program—
Home Study Modules
Contact: Linda Henderson
406-243-2107
Web Based
46.5 C.H.
2003-30
Date Not
Set
Trauma Nurse Course
Contact: Kim Todd
406-444-4459
Helena
18.1 C.H.
2003-34
Date Not
Set
The Tympanic Membrane & Acute Otitis Media,
Otitis Media with Effusion, & Ear Tubes
Contact: Keith McDivitt
406-873-9157
Cut Bank
1.4 C.H.
2004-07
Date Not
Set
What’s Up with all the Antibiotics for
Pharyngitis and Sinutitis?
Contact: Keith McDivitt
406-873-9157
Browning
1.4 C.H.
Endowment Keeps Fordyce Nursing Legacy Alive
It could be a testament to the
times or perhaps Elaine
Fordyce’s passion for her job that
she was the only person willing
to be identified in a story about
“venereal disease” published in
the Independent Record around
1980.
At the time, Fordyce was a
Lewis and Clark County public
health nurse. It was her job to
interview prospective sexuallyElaine Fordyce
transmitted-disease sufferers and track the “chain of transmission.” Her colleagues—an investigator for the state Preventative Health Services Bureau and a state
microbiologist—declined to be identified because of the
“sensitive nature” of their work.
Folks who knew Fordyce light up when they tell stories
about her.Words like unique, selfless, thoughtful, a delight
are likely to come up.Before her death of lupus-related liver
failure in 2002, Fordyce touched countless lives in her 45year career in nursing.
“She spent the majority of her off-work time and the
majority of her paycheck on other people,” said Maxine Ferguson,Fordyce’s last supervisor at the Montana Department
of Health and Human Services.“You might think she was a
prude,but she wasn’t.She had been in some of the awfulest
places in the community as well as some of the nicest. She
had friends at every level of humanity.”
Fordyce was considered an expert on communicable
diseases and immunization. Indeed, her friend and fellow
public health nurse,Mary Beth Frideres,once called her “the
resident expert on everything public health.”
In addition to her positions in public health on the city,
county and state levels in Montana and Washington, she
practiced nursing at hospitals in Minnesota, Idaho, Oregon
and elsewhere in Montana.And among the long list of academic and professional awards and honors Fordyce
received are two Special Recognition Awards from the Montana Public Health Association for her contributions in public health nursing.
In a column published shortly after her death, Frideres
wrote,“As I sat through the (funeral) service, I thought of
the extent of her influence—where does it end? Certainly
not with her death.We will never know the amount of disease she prevented, or the results of her advice to those
new mothers,or the full impact of her lessons on our young
minds,or on our patients,or on the students who now look
to us.”
Fordyce’s legacy will continue through an endowment
that has been set up in her honor by her family with the St.
Peter’s Hospital Foundation. The announcement of the
endowment coincides with National Nurses Week, which
runs May 6 through 12.
The Elaine M. Fordyce Nursing Endowment will help
registered nurses at St.Peter’s obtain continuing education.
“Elaine would be real pleased that this has happened,”
said Elaine’s twin sister Dr. Edna Fordyce, who serves as an
ex officio member of the endowment’s review board.
Edna knows how costly it can be for nurses to maintain
certification and for continued education. She and Elaine
began their nursing careers together at The Swedish Hospital School of Nursing in Minnesota. Edna eventually took
her career down a different path and recently retired from
30 years of teaching psychiatric nursing at Towson University in Maryland.
Edna said the idea for the endowment was inspired by
the great care Elaine received at St.Peter’s before her death.
“I was so impressed with the nurses there,” Edna said.“I
talked to (Elaine) about how she wanted memorial funds to
be used.”
To begin with, there will be an annual recipient of the
endowment award. Edna said she hopes more nurses can
benefit as funding capabilities increase.
The Wound, Ostomy, Continence Nursing Certification Board has developed a
new certification for registered nurses
(including ADN prepared nurses) for foot
and nail care.Many long term care facilities really need nurses in their facilities to be able to provide this care in-house
rather than just when specialists can come.There are also
nurses who, looking at the demographic trends of our society, recognize the need for the diabetic and elderly populations to receive this important care to prevent unnecessary
complications.Some have started their own entrepreneurial
businesses specializing in this area. I believe it is a growth
area nurses should take advantage of.For more information,
go to www.wocncb.org.
Mark Your Calendar!!!
MNA 93rd
Annual Convention
October 6-8, 2005
Helena, MT
Continuing Education
“QPR for Suicide Prevention:Ask a Question, Save a Life”
Once again, our Flathead Valley community has experienced the tragic death of one of
its’ best and brightest by suicide. The impressive response
(500+ participants) to a February 22, 2005 Kalispell town
meeting addressing this topic is
very encouraging. One can only
hope this will be an important
first step in tackling the barrier
of silence that persists; suicide Susan Porrovecchio
may well be the last taboo topic of the millennium.
At the October 2004 annual Montana Nurses’Association convention, I attended a workshop addressing suicide prevention. It was the first time in my professional
career as a registered nurse (30+ years) to learn about
an exciting program called, “QPR: Question, Persuade,
Refer.” This must represent one of the “top ten best kept
mental health secrets!” What a perfect consideration for
any strategic suicide prevention plan.
THE MAGNITUDE OF THE PROBLEM:
1. Montana’s suicide rates are amongst the highest in
the nation . . . for the past fifteen years we have not
fallen out of the top three rankings.
2. For Montana’s children and teens, suicide is
among the leading causes of death.
3. Approximately 500,000 people a year in the United States are treated in the emergency room as a
result of a suicide attempt.
4. Suicide has a devastating and often lasting impact
on those who have lost a loved one.
What is QPR? Developed by Paul Quinnett, PhD
Clinical Psychologist and practicing therapist in
Spokane.The author of “Suicide: The Forever Decision,”
he is Director of Adult Services, Spokane Community
Mental Health Center. This hands-on program is seen by
many in the mental health arena as “required knowledge” in much the same way that cardiopulmonary
resuscitation (CPR) has been received. Skilled instructors train community members—school staff, law
enforcement, fire departments, religious leaders, etc.—
who in turn train individual community members; the
training offered yearly to encourage reinforcement and
familiarity.
• “Q” QUESTION THE PERSON ABOUT SUICIDE.
Do they have thoughts! Feelings! Plans! Don’t be
afraid to ask.
• “P” PERSUADE THE PERSON TO GET HELP. Listen
carefully. Then say, “Let me help.” Or “Come with
me to find help.”
• “R” REFER FOR HELP. If a child or adolescent, contact any adult, and parent. Or call your minister,
rabbi, tribal elder, a teacher, coach of counselor. Or
call the resources nearest to you: 911, 24 hour crisis hotline, hospital, psych department, ministerial
association.
“QPR” is not intended to be a stand-alone effort. It is
part of an interactive training by qualified instructors.
In 2003, the Youth Risk Behavior Survey found that
26% of high school students in Montana reported they
“felt so sad or hopeless almost everyday for two weeks
or more in a row.” Depression goes hand-in-hand with
suicide. With training to LISTEN for the telltale overwhelming feelings that can send a person on the slippery slope, we can respond with the message of HOPE
that assists others to see there is an option to suicide.
In 2003, the Governor’s Office chose to respond by
allocating $50,000 to the Montana Department of Public
Health and Human Services (DPHHS) and to local coalitions and tribal groups for prevention efforts. I can only
wonder, how might a program such as “QPR” impact our
community if embraced and encouraged to be implemented?
If this information makes you curious to know more
about the program; if you think (as I do) that this is
information EVERYONE should have at their fingertips;
if you believe this program should be part of your areas
strategic suicide prevention plan, please call the following for more details:
“The QPR Institute and (SA/VE: Suicide Awareness/
Voices of Education”—Partners in Prevention—Phone
1-888-726-7926 or email: qprinstitute.com.
Eleanor Edmunds, Director—Montana Chapter of the
American Foundation for Suicide Prevention email [email protected]
Susan Porrovecchio, BSN, RN, CARN is currently staff
nurse at the Treasure State Correctional Training Center
in Deer Lodge, an alternative sentencing program for
convicted male felons.A member of the American Nurses’ Association and long standing member of the Montana Nurses’Association, where she served in the past as
president of District 7 (Kalispell region).
Congratulations
2005 graduating
nurses!
Montana Legislative News
Legislative Pulse
HOUSE BILLS
MONTANA NURSES’ASSOCIATION
104 BROADWAY, SUITE G-2, HELENA, MT 59601
(406) 442-6710 * FAX (406) 442-1841
Web: www.mtnurses.org
Date: As of April 18, 2005
BILL
Short TITLE
MNA
HB-25
Limit health care provider liability for other
person’s act or omission
Chapter Number Assigned 3/24/05
MONITOR
HB-26
Restrict liability of health care provider for
ostensible agency
Chapter Number Assigned 3/24/05
MONITOR
HB-156
Revise disability insurance for reciprocity
Chapter number assigned
SUPPORT
HB-162
School districts to retain copies of immunization
records Chapter number assigned
SUPPORT
HB-182
Generally revise professional and occupational
licensing laws
SUPPORT W/
AMENDMENT
HB-254
Civil penalty for not writing legible prescriptions
OPPOSE
HB-396
Asthma self-medication allowed in schools
SUPPORT
SENATE BILLS
BILL
Short TITLE
MNA
SB-29
Revise exemption from public assistance eligibility
SUPPORT
SB 41
Medicaid redesign: funding principles
SUPPORT
SB 42
Clarify system of care & service area authority for
children’s mental health
Chapter number assigned 4/8/05
MONITOR
SB-80
Prohibit open alcohol containers in vehicles
SUPPORT
SB-104
Graduated driving privileges
SUPPORT
SB 322
Limit duty of physician performing independent
medical exam Chapter number assigned
MONITOR
SB-324
Prescription drug assistance and discount programs
SUPPORT
SB 363
Revise special education laws
MONITOR
SJ 35
Study Professional & Occupational Licensing boards
SUPPORT W/
AMENDMENTS
A special thanks to our state nurse legislators for supporting
Montana nurses during the 2005 Montana 59th Legislative Assembly
Senator Carolyn Squires, SD 48
Representative Arlene Becker, HD 52
Representative Eve Franklin, HD 24
Representative Teresa Henry, HD 96
Representative Cindy Hiner, HD 85
Carolyn Squires
Eve Franklin
Arlene Becker
Teresa Henry
Cindy Hiner
Congratulations 2005
Graduating Nurses!
Montana Nurses’Association welcomes you to the
nursing profession.
Becoming a registered nurse is not enough.As a
nursing professional, join your colleagues in shaping
the practice of nursing, defining the future of our
profession and ensuring quality healthcare in Montana.
Your unique contribution is needed to keep the voice
of nursing powerful.
Join MNA today!
The Spirit of the Rural Nurse
Becky Clizbe, Student Nurse
Salish Kootenai College
Some people live on lands
that have been in their families
for generations and would
sooner die than see development come up the road. Some
people are transplanted from
other areas of the country, perhaps to avoid problems inherent to high populations, in
order to raise a family or to
retire. This movement of people creates an enriching expeBecky Clizbe
rience of cultural diversity in rural areas. Certainly, the
slower pace of life is the draw for a rural lifestyle. The
spirit of the rural nurse reflects an understanding of the
people who live in rural areas of the United States.
The rural nurse has a great appreciation for the rural
lifestyle as well as a sense of adventure.This nurse realizes that being able to soothe the newest baby in the
county while aiding the new mom in breast feeding, is
(almost) as valuable as being able to talk wheat and cattle prices with the old rancher in the next room. This
nurse would do well to know a little bit about the best
fishing bait for the upcoming weekend, while never
directly asking where the best fishing hole is located.
Attending local high school sports and volunteering to
help, in any capacity, increases this nurse’s exposure to
the community, and increases this nurse’s ability to find
his/her role within the rural community.
Rural roots run deep.The people are trusting and private folks who enjoy an atmosphere of open space.
Often this open space can create difficulties when medical treatment is needed.The rural nurse needs to have
a well-rounded knowledge and skills and realize that the
standard of accountability is perhaps higher when
working in a rural community than in an urban environment. This is due, in part, to less physician/practitioner availability, leading to greater autonomy for the
rural nurse.
The spirit of the rural nurse is one of integrity. In the
rural community, where everybody knows everybody
else, where neighbors know who came just by recognizing the tire tread prints left in the lane, the rural
nurse is more than likely to run into patients while not
on the job. Practicing confidentiality, with respect, is the
gold standard.
Rural folks are often close knit and watch out for one
another.They depend on each other. Earning trust from
the locals is of the utmost importance for a nurse to succeed in the rural setting.
The spirit of the rural nurse is opens new challenges
for nurses.The rural nurse is willing to help out at the
branding in the spring, or jump-start a car in the parking
lot.This nurse possesses a love of people and a love for
the open spaces (hot or cold) that rural nursing offers.
Nursing Educator Earns
Certification
Marlene Tocher, who
teaches psychiatric nursing for
MSU-Bozeman, College of
Nursing in Great Falls, has
been certified as an adult psychiatric mental health nurse
practitioner through the American Nurses Credentialing Center. She is eligible to provide
primary psychiatric mental
health care and has prescription-writing authority as an
Marlene Tocher
advanced practice registered
nurse licensed by the State Board of Nursing.
Tocher received her bachelor’s degree in nursing
from Montana State University-Bozeman, and a master’s
degree in nursing from Gonzaga University in Spokane.
Student News
Surgeon General Thrills
Audience of Over 3000 Nursing
Students at NSNA 53rd Annual
Convention
Salt Lake City,April 6-10, 2005
“I’m Rick Carmona. I’m the
U.S. Surgeon General, and I’m a
Registered Nurse,” opened Dr.
Richard Carmona, RN, MD,
MPH, FACS, U.S. Surgeon General, who led the audience on a
journey recounting his personal hardships and professional
achievements—a journey that
mirrored the convention
theme, “Breaking the Mold:
Breakthrough to Nursing.”
Rick Carmona
He recalled quietly reminding U.S. President Bush who
had introduced him as a “former nurse,” that there is no
such thing as a former nurse. “I am a nurse. The past,
present, and future of nursing are my passion.”
Dr. Carmona recounted his youth as a first generation
Hispanic-American growing up in a tough neighborhood in the Bronx, at times homeless, waiting in long
lines for care at a city hospital. He eventually dropped
out of high school, but turned his life around after he
joined the Army in 1967 during the Vietnam Conflict. He
earned his General Equivalency Diploma while in the
Army, graduated from the Bronx Community College
and practiced nursing before he eventually entered
medical school. There, he joined with two other RN
medical students to break the mold by developing a
nursing rotation that became a mandatory introduction
for medical students to l earn about nursing practice. He
noted that he graduated first in his medical school class,
“not because I was the smartest, but because I was the
most focused and most disciplined.” He broke the mold
again when he became the first RN out of 17 Surgeon
Generals.
As Surgeon General, he has three priorities: health
problem prevention, improved health literacy, and elimination of health disparities.“The country needs to convert from embracing treatment to embracing prevention,” he stated.“When we prevent health problems, we
will have more money for the underserved.Two out of
three people on gurneys in the ER do not need to be
there.Another top priority is to decrease health illiteracy.“Health issues are complex. People don’t understand
what to do, where to go, how to manage their health.
The U.S. has great science, but lacks the translational
element to be accessible, he noted.
He concluded by noting that in a period of change,
there are three ways to react:“fight and die; accept and
survive; or lead and prosper.” Now is the best time to be
a nurse,” he concluded, to a rousing standing ovation.
MNA is proud to have helped in sponsoring students
from the Montana Student Nurses’Association to attend
the NSNA Convention in Salt Lake City.
NSNA is a membership organization representing
45,000 students in Associate Degree, Diploma, Baccalaureate, generic Masters and geriatric Doctoral
programs preparing students for Registered Nurse
licensure, as well as RNs in BSN completion programs.
For information about NSNA and the Convention,
visit www.nsna.org.
Largest Gift to MSU College of Nursing
Honors Alumna, Helps Students
From MSU News Service
More scholarships and fellowships
will be available to nursing students at
Montana State University thanks to a
$500,000 gift honoring a Red Lodge
native who graduated from MSU with a
nursing degree in 1946.
Robert A.Wilson gave the gift in memory of his wife of 46 years, Yvonne
Jurkovich Wilson, who died in 2002.The gift will establish an endowment known as the Jurkovich-Wilson Family Memorial.
The endowment is the largest gift the college has
received. Income from the endowment will provide
undergraduate student scholarships and graduate student fellowships to students pursuing a degree from the
College of Nursing.
Future recipients of the Yvonne Jurkovich-Wilson
Scholarship can thank a chance meeting between
Robert A. Wilson
and
Yvonne “ . . . this endowment
Jurkovich over
will support graduate
stale cookies and
coffee nearly 50 and undergraduate stuyears
ago. dents for many years to
Jurkovich,
’46 come . . . ”
Nursing, was a
young nurse working in Seattle and Wilson was in the
Emerald City for shore leave with the Coast Guard.The
resulting chemistry provided 46 years of marriage and
the largest gift ever to the college of nursing.
“She was a
wonderful
nurse and person,” says Wilson of his wife.
“All her professional life she
was a teacher
and mentor to
the younger nurses.After I lost
her I thought,‘What can I do?’
I wanted to do something to Yvonne Jurkovich’s
legacy lives on
honor her and at the same
through the
time help as she had helped in
Jurkovich-Wilson
her lifetime. There’s such a
shortage of nurses, I hope this Family Memorial gift
will help encourage some to the MSU College of
Nursing
young people to go into the
profession. It’s my privilege to
do this.“
Jurkovich was the daughter of Yugoslavian immigrants. Her father was a coal miner at Washoe near Red
Lodge. After graduating, she spent many years working
in hospitals in Burlingame and San Mateo, Calif. near San
Francisco.
“This wonderful gift from Mr. Wilson is one that will
give over and over,” says College of Nursing Dean Elizabeth Nichols. “The income from this endowment will
support graduate and undergraduate students for many
years to come. His generosity is greatly appreciated, and
will ensure the memory of his wife, one of our graduates, lives on.”
Education Under the Big Sky
Clinical Nurse Specialists Improve
Practice and Outcomes
Congratulations
2005 graduating
nurses!
Susan Luparell, PhD, APRN, BC, CCRN &
Charlene Winters, DNSc, APRN, BC
Advanced practice registered nurses (APRNs) have
been making positive contributions to the complex
health care system for many years. There are four categories of advanced practice nurses: nurse practitioner
(NP), certified nurse midwife (CNM), certified registered nurse anesthetist (CRNA), and clinical nurse specialist (CNS).While most nurses in Montana are familiar
with NP, CNM, and CRNA practice, some confusion
exists about the CNS role.The purpose of this article is
to provide an overview of CNS practice and outcomes.
The CNS role was created to meet the multifaceted
needs of patients, nursing staff, and entire health care
organizations.A CNS is prepared with a masters or doctoral degree in nursing and is considered a clinical
expert in an area of specialization (e.g., critical care,
medical-surgical, oncology, community health, etc.).The
function of the CNS is to improve the overall quality of
care by providing direct patient care, by providing education and support to bedside nurses, or by improving
systems and processes that ultimately affect the patient
directly.The National Association of Clinical Nurse Specialists (NACNS) has conceptualized CNS practice as
having three distinct, but overlapping spheres of influence. These spheres include the patient/client sphere,
the nurses/nursing practice sphere, and the organization/systems sphere.Additionally, the CNS executes various roles to influence outcomes within the spheres of
influence.These roles traditionally include expert clinician, educator, consultant, change agent, and researcher.
Consider the following scenarios:
• A patient with a chest tube is admitted to your
orthopedic unit because no other beds are available. Although you are an expert in orthopedic
patient management, you know little about chest
tubes. So you call the critical care CNS, who provides an on-the-spot inservice on proper care and
management of these tubes.
• A care provider in a small town thinks there may
be an increase in sexually transmitted diseases
among the youth. The community health CNS
develops a comprehensive plan to assess and
address the problem.
• Your surgical unit is experiencing a high percentage of bariatric surgical patients who are exceeding the expected length of stay (LOS), resulting in
financial losses to the hospital. The medical-surgical CNS assesses the nature of the problem and
develops a comprehensive plan to get LOS in line
with national norms, thus returning the service
line to financial viability.
In the past, CNSs have had difficulty tangibly demonstrating their worth to organizations and this likely contributed to decreased reliance on CNS practice for a
period of time. More recently, however, there has been
renewed emphasis on creating mechanisms by which to
demonstrate the positive impact of CNS practice.
Indeed, there have been a multitude of studies which
have demonstrated that CNS practice can improve
patient outcomes and reduce costs in a variety of settings and with a variety of patient populations (Fulton &
Baldwin, 2004).
Regulation of CNS practice varies by state. Some
states require no extra licensure, some require special
endorsement, and others require a second license as an
advanced practice nurse. Like other APRNs, CNSs are eligible for Medicare reimbursement. Prescriptive authority is also available in some states. Montana requires an
individual wishing to practice as a CNS to obtain an
endorsement on the registered nurse license that recognizes the advanced practice. Additionally, in Montana
the CNS title is protected and may only be used if 1)
masters or doctoral level preparation from a CNS program has been completed, and 2) certification from an
appropriate certifying body has been obtained. Currently, only psychiatric CNSs may seek prescriptive authority in Montana.
CNS practice is highly rewarding, especially if you
want to influence patient care on a broader level. Nurses seeking to become clinical nurse specialists have the
opportunity to do so right here in Montana. Montana
State University-Bozeman recently began offering a Clinical Nurse Specialist Option as part of its graduate program.The Community/Public Health track prepares students for CNS practice in community and public health,
while the Adult Health track prepares students to work
with adults with complex acute and chronic health
needs. More information about these options may be
obtained from the College of Nursing website at: http://
www.montana.edu/nursing/academic/cns.htm or by
contacting Ms. Lynn Taylor, the Graduate Administrative
Assistant, at 406-994-3500 or [email protected].
Reference:
Fulton, J. & Baldwin, K. (2004). An annotated bibliography
reflecting CNS practice and outcomes. Clinical Nurse Specialist, 18(1), 21-39.
Members in the News
Bidding Jean Ballantyne Farewell, but not Goodbye
Jane Ellis Scharff, RN, PhD(c)
Jean Ballantyne, PhD, RN is headed north—way up
north. Dr. Ballantyne has been selected as the Director
of the School of Nursing at the University of Alaska in
Anchorage. Montana’s loss is Alaska’s gain.We will miss
her, but we share her excitement about the opportunities ahead.
A native Montanan, Jean grew up on ranches near
Ekalaka and Glendive, attending a one-room school as a
child. She received strong messages from her parents
about education and public service. Her mom had
earned a business degree from Montana State College
and her dad served many terms in the Montana Senate.
Besides living the ranch life on the rural frontier, Jean
spent numerous winters in Helena watching the legislative process take place. The understanding that knowledge is power and the belief that service is important
were clearly burned into Jean’s consciousness.
Jean attended Montana State University School of
Nursing, graduating with her baccalaureate in 1970. She
worked for a short time at Billings Deaconess Hospital
and then moved to Terry, Montana where she worked at
Prairie Community Hospital. In short order she became
Director of Nursing and then Hospital Administrator.
From there she went to Toole County Hospital in Shelby where she served as Director of Nursing.
The rural experiences of her upbringing and her
career will always be a part of Jean. She noted that being
a nurse within a community where connections are so
strong, seeing friends and neighbors at the best of times
and the worst of times, made an indelible impression.
She recently reminisced about working on a Christmas
day many years ago . . . “A neighbor was attending her
husband who was an inpatient. He had Alzheimer’s.
Their pregnant daughter was admitted in labor and
delivered her sixth child.Then an elderly woman came
in with a broken hip and we called the surgeon in the
New Director Appointed to
Lead UAA School of Nursing
next town, who came and pinned the hip that day.
There was so much happiness and so much sadness all
in one day.”
John T. Callahan
In 1988 Jean received her Master’s degree from Montana State University-Bozeman, College of Nursing and
Dr. Jean E. Ballantyne specializes in a number of
went to work for her alma mater as an Assistant Profesfields important to Alaska
sor of Medical Surgical Nursing on the Billings Campus.
The University of Alaska Anchorage’s (UAA) School of
Once again destined for administration, Jean became the
Nursing, which over the past few years has grown into
Billings Campus Director in 1991 and served
one of UAA’s flagship programs, has appointin that position for 12 years. She completed
ed a director to help it lead it to even greater
her PhD at Oregon Health Sciences Universuccess in several core strategic areas imporsity in 2003, and served the College as Intertant to its mission to serve Alaskans.
im Dean of Nursing for the 2003-2004 acadJean E. Ballantyne, Ph.D., RN, an assistant
emic year.
professor and former interim dean in MonJean has made significant contributions
tana State University Bozeman’s College of
to this state, its citizens and its nurses. She
Nursing, will take the helm at UAA in July.
served two terms on the Montana Board of
Ballantyne’s qualifications make her almost
Nursing, appointed first by Governor Stan
uniquely suited to her new position. Her
Stephens in 1992 and by Governor Marc
doctoral major was gerontological nursing,
Racicot in 1996. During these eight years
an area of strategic focus for UAA’s College
Jean Ballantyne
Jean strove to be approachable and stressed
of Health and Social Welfare. (In addition to
that collaborative problem solving was key when moldthe School of Nursing, the College of Health and Social
ing policy that impacts nursing practice.
Welfare also houses two independent centers specializJean has valued the opportunity to make a difference
ing in gerontology: the Alaska Geriatric Center, and one
as an educator. She noted that Montana citizens need to
of the country’s only two federally funded National
have high quality health care and educators are chalResource Centers for American Indian, Alaska Native
lenged to make that happen through the educational
and Native Hawaiian Elders.) Her master’s degree was in
process and preparation of students who are equipped
rural nursing, which also makes her a good fit for UAA
to be excellent nurses.As she prepares for the transition
and its mission of serving Alaska’s often far-flung and
to the University of Alaska, it is natural that Jean feels
isolated communities.
torn. She said,“I’m leaving home and it’s difficult, but I
“Dr. Ballantyne is wonderfully suited to this position,
am so grateful for the opportunities I have had here in
bringing experience in educational administration, rural
Montana. I feel my personal experiences and growth
health, gerontological nursing, distance education, work
have been tremendous. I will miss so much about Monwith multi-campus programs, and education of Native
tana but I am very excited about this new frontier and
American students,” said Dr. Cheryl Easley, dean of the
the challenge that lies ahead.”
College of Health and Social Welfare. “She is a recent
Farewell, Dr. Ballantyne.We’re excited for you and we
graduate of an excellent doctoral program in nursing
wish you the very best in this new enterprise. You say
and is actively interested in furthering the research
you’ll be back some day.We’re counting on it.
agenda of the College. Dr. Ballantyne interviewed
extremely well and was favorably viewed by faculty,
staff and administrators here at UAA.”
Easley also spoke favorably of the doctoral program
at Oregon Health & Science University (OH&SU), where
Ballantyne earned her doctoral degree.The UAA School
of Nursing is currently partnering with OH&SU to
develop a web-based distance doctoral program.
Ballantyne succeeds Dr. Tina DeLapp, who retired
from UAA in September 2004. Under DeLapp the School
of Nursing became one of UAA’s most high-profile units,
with a growing national reputation for turning out highly qualified graduates.
Member Speaks Nationally
on HIPAA
Brad Smith, RN, BS, ASCIE,
MCNSP, CISSP, an MNA member, recently returned from the
31st Annual Computer Security
Conference in Washington DC
where he presented a learning
session on “Securing Windows:
NSA Style.” While in DC, Brad
met with federal officials concerning HIPAA security implementations in rural areas.
Brad also presented sessions
Brad Smith
on “White hat/Black hat
demo” and “Hyper-Speed HIPAA” at the March, Montana
Computer Network Security Conference in Billings,
Montana.
His next national presentation will be at NetSec 05 in
Scottsdale, Arizona, in June where he will present a full
day session on HIPAA and implementation methodology. Brad is the first RN to address this prestigious security gathering.
Brad has worked with HIPAA since 1999 and is
nationally recognized as a rural implementation specialist. Please feel free to contact Brad at [email protected]
with any questions you may have.
National Labor Assembly
Legislative Action Program —2005 National Labor
Assembly
Amy Hauschild, BSN, RN
This year an exciting new program was offered prior
to the National Labor Assembly (NLA). It included a Lobbying Preparation Workshop held at the AFL-CIO Headquarters giving staff nurses the opportunity to prepare
to meet with legislators on the hill the following day.
The main focus of the program was the staff nurse crisis in America. It is common knowledge that indeed
there is a severe and significant staff nurse shortage in
the United States.
In an effort to remedy this situation, the United American Nurses (UAN) worked with AFL-CIO and affiliate
unions to establish federally mandated minimum registered nurse-to-patient ratios. Representative Janice
Schakowsky (D-IL) introduced a bill entitled “Nurse
Staffing Standard for Patient Safety and Quality
Care Act of 2004” in the House of Representatives. A
grassroots effort was engaged in an attempt to gain support and co-sponsorship from the legislators.
UAN nurses from all over the country made appointments with their Senators and Representatives for the
following day. Transportation was provided to the hill
and approximately 100 RNs set out to discuss this
important issue with their legislators.
The Montana Delegation (Amy Hauschild, Maria Gurreri and Kate Steenberg) along with MNA Labor Relations Director Pat Wise attended Max Baucus’“Montana
Morning Breakfast” that day.This is special time set aside
each Wednesday morning for people from Montana to
meet with Max and discuss issues related to our state.
We had time to actually visit with Senator Baucus in person as well as briefing his legislative aide on the issues
around the Nurse Staffing Standard bill. We also met
Representative Rehberg and had time set aside to discuss the issue with his health care staff person. Unfortunately, we did not gain any co-sponsorship for the bill
though we did feel heard and provided both offices
with written material on the issue. Representative
Rehberg’s office requested some additional specific
information regarding how this may affect some of the
rural hospitals, which we will send.
All in all we felt it was a valuable experience and
were thankful for the opportunity to meet with and
interact with our National Legislators. The UAN did
achieve at least one additional co-sponsor for the bill
and we will be following its progress. Please be encouraged to contact Max Baucus, Conrad Burns and Dennis
Rehberg’s offices and ask for their support on the
“Nurse Staffing Standards for Patient Safety and
Quality Care Act of 2004.”
Contact your representatives at:
Senator Max Baucus, 511 Hart Senate Office Bldg.,
Washington, D.C. 20510
(202) 224-2651, (202) 224-4700 (fax), (800) 332-6106
(from MT)
Senator Conrad Burns, Washington Office
187 Dirksen Senate Office Building
Washington D.C. 20510
(202) 224-2644, (202) 224-8594 (fax), 1-800-344-1513
Representative Dennis Rehberg
Washington, DC Office
516 Cannon House Office Bldg.
Washington, DC, 20515
phone: (202) 225-3211, fax: (202) 225-5687
UAN Executive Council
Responds to Member
Needs/Concerns
During the 2004 National Labor Assembly concerns
were brought forth regarding a lack of communication
between the United American Nurses (UAN) Executive
Council and the states. Some states reported desiring
more interaction with the UAN Executive Council
ensuring participation from all states and affiliates.
Montana was one of these states expressing concern.
We wanted our voices heard as loudly as states with
larger populations and thus more delegates at the UAN.
As a result, the UAN Executive Council introduced a
resolution at the 2005 National Labor Assembly which
once adopted enacted a special advisory body entitled
the National Labor Cabinet (NLC). The NLC is comprised of the elected Economic & General Welfare
chairs and will serve to provide information to the
Executive Council about state issues, address national
priorities and provide guidance to the Executive Council for decision- making and communicate UAN activities back to the states.
Two meetings are planned for each year, the first in
June 2005 and second in November 2005.As usual, it is
difficult for a staff nurse to secure time away from work
and use vacation time during the summer to attend a
national meeting. I am coordinating with my employer
and coworkers in an attempt to provide coverage so
that I may attend this very important meeting in June.
UAN delegates (l to r) Maria Gurreri, Kate Steenberg, Amy Hauschild and MNA Labor Relations Director
Pat Wise met with Senator Max Baucus (center) to discuss nursing concerns.
Nurse Unity Resolution
UAN Mobilization Fund Needed
Maria Gurreri, RN
As all of you are aware, the United American Nurses
(UAN) is affiliated with AFL-CIO on the national level.
Apparently, there is a restructuring effort going on right
now within the AFL-CIO. We don’t know what things
will look like when talks are complete though the President of UAN, Cheryl Johnson does have a seat on the
AFL-CIO Executive Council and is keeping our membership updated.
The UAN Executive Council introduced the following resolution at the 2005 National Labor Assembly
addressing authorization to enter into discussions with
other large unions representing nurses.
Please read the following resolution in detail and
watch for more news on this issue in the future.
I recently attended the National Labor Assembly (NLA)
as one of three Montana delegates for the United American Nurses (UAN). For those of you not familiar with the
UAN, they are the labor arm of the American Nurses Association (ANA).
One of the resolutions we voted on at the NLA was in
support of establishing a Mobilization Fund for the UAN.A
Mobilization Fund will serve to help organize the two million Registered Nurses in the U.S. who are unorganized.
Organization of RNs is critical in order to influence
change in our profession, to improve quality patient care,
to continue to develop high standards of leadership and
member services, and to overcome attacks by competing
unions who want to weaken our leader and membership
base. The UAN plans on using the Mobilization Fund to
provide strike/lockout support, to organize, and to run
large-scale media campaigns.The Fund will build a strong
baseline staff of approximately twelve (12) regionally
positioned organizers and support staff needed to organize, defend against raids, and conduct regional labor
leader training to maximize servicing and representation
of new and existing units.
There are at least eight (8) major unions devoting
resources to organized nurses in the U.S.In addition,there
are many smaller and independent unions who represent
nurses. The ANA and UAN fight for the highest possible
standard in our profession.Organizing is a key element for
nurses to continue to fight for our rights and the rights of
our patients. Every patient deserves the care of a nurse.
Without a strong nursing union we would lose our ability
to do what is right for our patients and instead would be
forced to succumb to the fiscal needs of management in
the work place. Higher number of organized Registered
Nurses means improved quality of working conditions,
wages, and quality patient care for our future and for the
future of the entire student nurses in this country. The
UAN is committed to retain nurses in the Student Nurse
Associations (SNAs).
2005 Resolution—002
SUBJECT: Nurse Unity
Introduced by: UAN Executive Council
Action: Passed 3/17/05
WHEREAS, the interests of the UAN’s members will
be materially advanced by the Executive Council initiating discussions with other unions representing Registered Nurses in order to build a relationship of mutual
cooperation that will advance the professional and economic interest of Registered Nurses throughout the
United States; and
WHEREAS, political and policy agendas over the
years should serve to unite Registered Nurses, and
thereby measurably advance the opportunity for success on projects of the utmost importance to the profession— healthcare reform, ratio requirements at the
bedside, Registered Nurse retiree health insurance,
social security protection and labor law reform; and
WHEREAS, a cooperative working relationship
among the various organizations representing Registered Nurses will be a true victory over the corporate
forces that have sought to perpetuate divisions within
the profession against the background of union busting
tactics that are prevalent in the healthcare industry; and
WHEREAS, opportunities to maximize cooperation
and to minimize disputes among unions representing
Registered Nurses should be explored without delay in
a diligent and constructive manner; and
WHEREAS, the Executive Council believes that it is
in our members’ best interest to continue to build and
expand the UAN as a strong, unified Registered Nurserun national union that promotes the professional and
economic interests of our members through more effective representation, and to exert significant pressure in
the policy arena;
NOW THEREFORE BE IT RESOLVED, that the UAN
Executive Council is authorized to pursue discussions
with unions representing Registered Nurses, taking into
account the following principles:
1. Discussions with unions representing Registered
Nurses to explore or negotiate affiliation or cooperative agreements will be conducted in a manner
to assure coordination and consultation between
the Executive Council, NLC and UAN Affiliate(s).
2. Discussions will be premised on maintaining and
protecting existing UAN and UAN Affiliate bargaining units from raiding and other interference
or incursion.
3. Discussions may explore joint organizing opportunities and other possibilities of working in partnership.
4. Discussions shall seek to facilitate an ongoing
exchange of information between our organizations on a regular basis and pursue common
strategies, where feasible, to promote the interests
of our members.
5. Discussions shall respect the autonomy and individual rights of each organization consistent with
its respective constitution or bylaws.
BE IT FURTHER RESOLVED, that in the event that
a significant restructuring of the AFL-CIO occurs that
will likely effect the operations of the UAN and UAN
Affiliates, the Executive Council be directed to call for a
reconvened NLA to determine UAN’s continued affiliation with the newly constituted AFL-CIO, as well as
other strategic alliances with unions who represent
Registered Nurses.
Kate Steenberg, Amy Hauschild and Maria
Gurreri shown in front of the AFL-CIO mural
in Washington, DC.
Pat Wise, Labor Relations Director, (left to right)
Kate Steenberg, MNA President and UAN Delegate
and Amy Hauschild, UAN Delegate visit the Korean War Memorial while in DC.
So,what does establishing a Mobilization Fund mean for
all of us in terms of money? The Executive Council of the
UAN will consult with our National Labor Cabinet on the
full plan for the Mobilization Fund.They will make a report
that will determine the amount of money needed and the
duration of the fund. This report with recommendations
will be presented to the 2006 NLA and will be voted on.We
were presented with a sample budget for the Mobilization
Fund that involved collecting $30/year from each of us,the
members (approximately 100,000 members of the UAN
currently exist).This would provide a budget that would be
directed by the UAN, as centralization is needed for efficiency and decision- making. However, monies would be
returned to states and leaders through services for growth,
stabilization, and training.
As nurses our profession is threatened by a nursing
shortage that will eventually affect all of us. We cannot
afford to be nonchalant about organizing. We must join
together and allocate all of our resources to protect our
profession. We can be assured that the UAN Mobilization
Fund will be money well spent.
Montana’s Delegation; Small Group,
Big Influence
Kate Steenberg, RN, MNA President & UAN
Delegate
“What is Montana’s problem?” I was pulled aside in a hallway and asked this question
by a United American Nurse (UAN) leader at a convention several years ago.The Montana
delegation has a reputation for asking difficult questions and not budging their position
until those questions are answered.In this case,our “problem”was that the National Labor
Assembly (NLA, the House of Delegates for the UAN) was passing a series of proposals
without any idea about the financial impact of those proposals.Thanks to some spirited
discussion and determined lobbying by your delegation,now all proposals brought before
the NLA must have a financial impact statement attached to them.What seemed like common sense and fiscal responsibility to us was seen as being difficult.
Montana has a small number of delegates, especially compared to more populous
states, three delegates out of a total of 108. Sometimes our strong beliefs about financial
accountability and responsibility to our members have led to votes where Montana is one
of only a handful of dissenting voices. Under our current NLA voting system, you stand to
indicate a yes or no vote. It can be uncomfortable to be one of a few people standing,
being stared at by a hundred pairs of eyes, but some issues are too important to let pass
without challenge.
Montana’s dedication to a transparent governing system and strict financial accountability has led to our delegates being deeply involved in the formation of the UAN itself.
Our delegation has been a key participant in the State Nursing Association Labor Coalition which created the UAN since it’s beginning. We helped broker an agreement
between pro and anti-union states to keep ANA intact because of our members’ commitment to stay in the American Nurses Association. I served for two years on the Organizational Structures Committee, a five member group that designed the overall structure of
the UAN and wrote its constitution and by-laws which were approved by the national
assembly last year.
Montanans have a reputation for being independent thinkers, honest, frugal, and not
afraid to speak their mind.These traits have served not only Montana’s RNs, but also registered nurses at a national level. Our delegation may be small in number, but they have a
large influence on the national organization.They are keeping that reputation alive.
I received some great news at the state level. Eve Franklin, RN, has agreed to become
the Montana Nurses’Association Executive Director. She has been a strong advocate for
Montana’s nurses in the legislature for many years, and I look forward to working with
her to secure the future of nursing and nursing practice.
Amy, Kate and Maria take a
photo opportunity by the
Montana World War II
Memorial section.
Labor Relations
E&GW Retreat A Success!
Pat Wise, Labor Relations Director
Over a three-day period, members of local bargaining
units, Economic & General Welfare (E&GW) leadership
and staff engaged in intense dialogue with experts in
collective bargaining, labor management relations and
systems development to continue the process of building and strengthening MNA in the state at the annual
E&GW retreat. The agenda covered a broad range of
issues including:
On the policy level, MNA President Kate Steenberg
and E&GW Chair Amy Hauschild provided the group
with an overview of on-going reorganization discussions occurring within the AFL-CIO and the potential
impacts these changes could have for the United American Nurses (UAN) and the Montana Nurses’ Association. They also covered the possibility of a national dues
increase to fund additional organizing efforts around
the country. Montana has a reputation for having a
strong voice within the UAN and will continue to use
that voice to express our opinion on these and other
important matters within the national structure. State
legislative issues that impact collective bargaining members such as the pay increase for public employees
were also reviewed.
Closer to home, we spent a day honing our collective
bargaining skills. Karl Englund, MNA’s attorney walked
Ted Handel, Federal Mediator and Amy Hauschild,
E&GW Chair listen intently to group discussion
after Ted spoke to attendees regarding mediation.
Pat Wise, Labor Relatons Director speaks
to the group.
the group through the use of one of our most important
weapons in discipline and discharge cases – the requirement that there must be “just cause” to take action
against an employee.We reviewed the Weingarten Rule
that allows a union member to request MNA representation at any meeting with management that could lead
to discipline and went through an assessment for using
arbitration in the disciplinary process.Ted Handel, Federal Mediation and Conciliation Service (FMCS) Commissioner in Montana, rounded out these sessions with
an examination of the concept of dispute resolution and
when and how to effectively use mediation in that
process.
Union representatives from the LIUNA, Carpenters
and Teamsters spent some time with the group describing how their unions are organized, their internal membership services and how each deals with different
aspects of conflict resolution.
Interaction with a hospital’s administration most
often occurs through either its Director of Nursing or
nursing managers. Unit leadership discussed the nature
of these relationships in various hospitals around the
state and brainstormed ways to make these interactions
more productive.
Using the various tools and techniques developed
during the retreat we completed our work with a strategic planning session focused on growing local unit
agendas and projects for the next year.
Eve Franklin, MNA Executive Director (far left)
observes a mediation role playing exercise
courtesy of Bobbi Rasmussen (middle) and
Kate Steenberg.
Marsha Scott peruses
information provided
to attendees during
the retreat.
A panel of Jim Larson, Teamsters Union; Randy
Siemers, LIUNA; and Jason Miller, Carpenters
Union (seated left to right) discuss internal
organizing and membership services.
Chico Retreat participants clockwise from
bottom left: Michelle Chavez, Robin Hanson, Edi
Martin, Amy Hauschild, Marnie Collett, Pat Wise,
Marsh Scott, Kelly Clements, Karl England, Kate
Steenberg, Tina Hedin, Vicky Rae Byrd, Sue
Noem and Bobbi Rasmussen.
Members of the E&GW Executive Committee
meet with Karl England for casual discussion
before the retreat begins. (L to R) Kate
Steenberg, Pat Wise, Amy Hauschild, Karl
England and Sue Noem.
A view from outside the beautiful Chico Hot
Springs Resort.
Momentarily off duty as MNA lead photographer,
Raymond Berg, Labor Relations Specialist,
manages a smile for a mystery photographer.
Billings attendee Michelle
Chavez catches the roving
camera lens during a retreat
session.
Marsh Scott (left) and Kelly
Clements, attendees from
Bozeman area.
Kate Steenberg, Amy Hauschild
and Bobbi Rasmussen (left to
right) ham it up for the camera
during a lunch break.
Labor Relations
Saint Patrick Hospital Wins
Again Using Interest Based
Bargaining
Amy Hauschild, RN
Saint Patrick Hospital and
Health Sciences Center registered nurses bargained another great contract using the
interest-based
negotiation
process. The negotiating team
at St. Patrick used the interestbased process again in 2005 to
settle their latest contract. A
two-year agreement was
reached with 4% increase in
base pay each year plus subAmy Hauschild
stantial progress was made with the “nurse governance”
model at the hospital. Agreement was reached with
regards to staffing by acuity system and work has begun
on that project as well. Bargaining unit RNs continue to
partner with management to solve issues such as end of
shift overtime and reduction of RN turnover, identification of and reduction of instances of “hostile work environment” as well.
The negotiation process was timely and streamlined;
we accomplished our goals in six meetings from January through February 2005. One additional introductory training session was held in December. We used a
wonderfully skilled professional facilitator named Virginia Tribe. She assisted us through the at times, arduous
process and together we crafted an understandable,
easy to read useable document for both nurses and
management. More important than the document proper, the process continues to build the relationship
between bargaining unit RNs and Management.We continue to use aspects of and tools learned during negotiations to solve small problems and conduct everyday
business.
Welcome RNs of Forsyth
On March 16,
2005 a petition was
filed
with
the
National Labor Relations Board to hold
an election for
union representation at Rosebud
Health Care Center in Forsyth, Montana. Voting for representation took place at the facility on April 20, 2005.As
a result Montana Nurses’ Association has added a new
local unit! Please welcome the newest members to MNA
and offer support in their efforts to negotiate a first contract.
One can only imagine or reflect the uncertainty that
accompanies the formation of a local unit.The pressure
is intense. Relationships are tested.Time moves at glacial
speed.Yet through it all the registered nurses of Rosebud
Health Care Center in Forsyth, Montana represent what
is right and good about democracy. They weathered
union busting tactics by putting patients first and shouldering their burdens collectively to demand a voice for
their working conditions. The registered nurses of
Forsyth represent the profession of nursing very well
with their concern for patient safety, their work ethic
and professionalism and will be an asset to the Montana
Nurses’Association.Welcome!
Negotiate
A basic premise in collective bargaining negotiations
should be the tenant, “The
bestest for the mostest.”
Basic labor law of the United States has evolved over a
period of years. A brief primer
on the subject is as follows.The
Norris-LaGuardia Act of 1932
was enacted to basically put a
stop to anti-labor injunctions.
The Act tried to keep courts
Raymond Berg
from interfering with labor
relations. The Wagner Act of 1935 regulates labor relations in the private sector and created the National
Labor Relations Act to administer the Act.The Fair Labor
Standards Act of 1938, administered by the Department
of Labor gave workers an eight-hour day and abolished
child labor.The Taft-Hartley Act of 1947 is a number of
amendments added to the Wagner Act that were lobbied
by employers to limit powers of employees. Section 301
of the Taft-Hartley Act made collective bargaining agreements enforceable in court. Corruption in labor brought
forth the Landrum-Griffin Act. This Act guarantees a
worker’s Bill of Rights, regulates union elections, and
requires officers to act as trustees for the membership.
Lastly, the Civil Rights Act of 1964 protects people and
employees from discrimination. These federal statutes
ensure the rights of labor to negotiate. Individual states
within the Union have labor laws of their own.
In 1963 Montana legislation was initiated to allow
nurses collective bargaining rights. In 1967 legal recognition was achieved for nurses to bargain collectively.
The importance of having the ability to negotiate with
an employer is paramount in changing the climate and
culture of a facility in which you work.
[Title 29, Chapter 7, Subchapter II, United States
Code]
Section 1. [§ 151.] The denial by some employers of
the right of employees to organize and the refusal by
some employers to accept the procedure of collective
bargaining lead to strikes and other forms of industrial
strife or unrest.
The inequality of bargaining power between employees who do not possess full freedom of association or
actual liberty of contract and employers who are organized in the corporate or other forms of ownership
association substantially burdens and affects the flow of
commerce, and tends to aggravate recurrent business
depressions, by depressing wage rates and the purchasing power of wage earners in industry and by preventing the stabilization of competitive wage rates and
working conditions within and between industries.
Experience has proven that protection by law of the
right of employees to organize and bargain collectively
safeguards commerce from injury, impairment, or interruption, and promotes the flow of commerce by removing certain recognized sources of industrial strife and
unrest, by encouraging practices fundamental to the
friendly adjustment of industrial disputes arising out of
differences as to wages, hours, or other working conditions and by restoring equality of bargaining power
between employers and employees.
The brief primer is concluded.
• With the history briefly recaptured in writing this
article I declare my editorial liberty by restating
key phrases of the statute.
• The denial by some employers and the refusal by
some employers to accept the procedure of collective bargaining lead to strife or unrest.
• The inequality of bargaining power tends to aggravate recurrent business depressions, by depressing
wage rates and the purchasing power of wage
earners in industry and by preventing the stabilization of competitive wage rates and working
conditions within and between industries.
• Experience has proved that protection by law of
the right of employees to organize and bargain collectively safeguards commerce.
• Experience has proved that protection by law
encourages practices fundamental to the friendly
adjustment of disputes arising out of differences as
to wages, hours, or other working conditions and
by restoring equality of bargaining power
between employers and employees.
With all of the
prior information “ . . . Negotiating outside your
and opinion for contract or within your unit
without regard for the
background
premise of the “bestest for the
comes the point;
mostest” and the established
negotiating out- collective bargaining agreeside your contract ment might not only be illegal
or within your but could be immoral as well
unit
without and by doing so it undermines
regard for the the collective strength of the
premise of the whole . . . ”
“bestest for the
mostest”and the established collective bargaining agreement might not only be illegal but could be immoral as
well and by doing so it undermines the collective
strength of the whole. If you desire to negotiate with
your employer become part of a bargaining team and
negotiate for all of your colleagues, not just yourself or
for a few people. See the big picture, understand the history of labor and work as a professional through established channels to negotiate the best in wages, benefits
and working conditions for all of your colleagues.
Council on Economic and General Welfare (E&GW)
Philosophy Statement and Goals
The Council on Economic and General Welfare
(E&GW) is the governing body of the Collective Bargaining Assembly (CBA) composed of every collective
bargaining member of the Montana Nurses’Association.
The E&GW Council promotes the economic and general welfare of all nurses through collective bargaining
and political advocacy.
The MNA E&GW program advocates:
• The full participation of nurses in all matters relevant to the profession
• The profession’s responsibility to the economic,
employment and professional concerns of nurses
• The collective and individual representation by
MNA of nurses in their employment setting
• The profession’s promotion of adequate healthcare for the general population in compliance
with the profession’s established standards
In the State of Montana, MNA’s E&GW program is the
exclusive identity for collective bargaining nurses. In
light of the program’s philosophy statement, the E&GW
specifically endeavours to:
• Evaluate and respond as appropriate to issues
related to the professional, economic and employment concerns of nurses
• To educate E&GW members in the knowledge of
their rights in the workplace setting and their
responsibility to their profession through continuing education offerings
• To lobby and monitor legislation affecting the
nursing profession and collective bargaining relationship between employers and employees
• To assume and maintain a position of leadership in
securing the optimal economic and employment
satisfaction for members through collective action
• To maintain an understanding of the health care
system
• To provide a program which; assures local bargaining unit contract administration, enhances
leadership skills for local bargaining unit leaders,
and assists nurses in obtaining collective bargaining recognition by employers
The E&GW program of the Montana Nurses’Association is an innovative leader in labor relations through
the professional conduct of local unit and state level
leadership, and through the guidance of the labor relations staff.
Advanced Practice
The Ups and Downs of Preceptorship
Deanna L. Babb, MN, APRN FNP, Coordinator FNP
Program, Montana State University College of
Nursing—Bozeman
Preceptors and mentors are vital to a successful graduate program.What motivates advanced practice nurses
in a busy, demanding practice to preceptor students?
Three nurse practitioners talked about the upside and
downside of being a preceptor.
Pediatric nurse practitioner Diane Evans says that
being a preceptor is “just fun!” She finds fulfillment in
imparting her knowledge to others. Diane says that she
tries to make learning primary care fun for her graduate
students. Because Diane specializes in the care of children, she often learns from her graduate students who
have experience with adults.
Women’s health care nurse practitioner Kathy Jorgensen says that she enjoys students because they
“sharpen her skills.” She says she wants to show students “the ideal” care provider and feels that mentoring
students keeps her “on top of my game.” Kathy also says
that since she works by herself as a care provider, she
enjoys the collegial relationship of a student who is
already a professional nurse.
Family nurse practitioner Keven Comer believes
there is no downside to being a preceptor. She says that
students “keep you on your toes, are bright, imaginative,
and enthusiastic.” She feels that nurse practitioners
have a professional responsibility to show by example
how to be a good provider. Keven’s students often
remark about how her philosophy as a nurse practitioner is more multidisciplinary than the physician’s
role in primary care.
All of the nurse practitioners had some agreement
about the minus side of preceptoring. “It’s hard when
Keven Comer, FNP
“listens” to her
tiny patient.
Keven Comer talks
with her tiny
patient during an
exam.
the student is not what you are expecting. If you have a
marginal student, it’s hard to tell them that.”“Having a
student can slow you down.”“Students take extra time,
especially in the beginning.” Nurse practitioner Kathy
Jorgensen added that “most students are good, though.”
Uniquely, Kathy finds herself in the student role this
year as well as preceptor and states she will do some
things differently the next time she mentors a student.
Kathy says that she will follow the student more closely and for a longer period of time. She will also give better feedback, talk less, and ask more questions.
Nurse practitioner Diane Evans feels that she got
“lucky” when it came to the preceptors she had in graduate school and says that some things “you pay back.”
She feels strongly about making sure students are high
quality. “You wouldn’t want someone to take care of
your child, your mother, or yourself if they don’t know
what they are doing.” Keven Comer agreed that she
learned from good nurse practitioner role models. She
believes students are like “goslings” that need to have
clinical experiences with nurse practitioners to better
understand and follow their role.
Thank you to all of the preceptors who give so generously of their time and talents. Graduate programs
could not exist without fine professionals willing to
mentor students into the role of advanced practice
nurses.
Mark Your Calendar!!!
MNA 93rd
Annual Convention
October 6-8, 2005
Helena, MT
Elizabeth A. Goodall
Elizabeth “Beth” Agnes
Goodall died Friday, February
25, 2005, in Butte. Beth was
born April 27, 1951 in Bozeman. She attended schools in
Dillon, Three Forks and Ennis.
She attended college in Dillon
and Bozeman graduating from
Montana State University with
a bachelor’s degree in nursing
in 1973.
Beth worked as a registered
Elizabeth Goodall
nurse in Ennis and Great Falls
and then moved to Minnesota to work at the Veteran’s
Administration Hospital in St. Cloud, Minnesota. She
returned to Montana in 1981 and worked at St. James
Community Hospital in Butte from then until 2003
when she retired due to health concerns. Beth was a
member of Montana Nurses’Association for many years.
She made many dear friends during her years at St.
James.
Memorials in her name may be made to Juvenile Diabetes Research Foundation, 120 Wall St., 19th floor, New
York, NY 10005; 1-800-533-2873.
Helen “Nellie”
Goligoski
(Walsh)
Helen “Nellie” (Walsh)
Goligoski, 95, a retired registered nurse, died of natural
causes Friday, March 11, 2005,
in Havre.
Helen was born March 21,
1910, in Havre. She was raised
and educated in Havre and
attended Sacred Heart School of
Nursing where she completed
her registered nurses training.
Helen Goligoski
Helen’s nursing career
included private duty, office and obstetric nursing. She
was a nurse educator at Sacred Heart Hospital during
World War II. Helen concluded her nursing career as a
nursing supervisor at Kennedy Deaconess Hospital in
Havre and retired from nursing in 1971.
Helen’s ambition, sincerity and willingness to serve,
her sense of humor and the struggle of a working mother all showed her loyalty to organized nursing. She
became a member of Montana Nurses’ Association in
1932, worked on district and state committees and
served as district president and on the MNA Board of
Directors.
Memorials in Helen’s honor may be made to Bear
Paw Hospice, c/o Northern Montana Hospital, 30 West
13th Street Havre, MT 59501.
Nursing—21st Century Trends
Barbara Prescott, RNC, FNP, MA, DNP
There are many trends that
will impact healthcare delivery
over the next 25 to thirty
years. The aging boomers followed by a much smaller generation will dominate the
healthcare horizon. Boomers
are known to be a generation
impacted by smoking and their
health care problems are rising
as the affects of hard living are
now costing the healthcare
Barb Prescott
system billions of dollars in
smoking related illnesses. Nurses are already facing
older sicker patients in the hospitals and the need for
maintaining sicker clients in the home. Families are burdened by chronic illness and fatigue in caring for their
loved ones. Nurses themselves are an aging profession.
The average age of a nurse in Montana is 44 years and
number of the next generation of nurses is smaller leading to a real shortage in health care professionals in the
years to come. Who will care for the sick in the near
future? Possibly, many untrained personnel and families
with nurses doing their best to help educate the caregivers.
The face of the population in the United States is also
changing. In the next 25 to 30 years there will be a
major shift in the balance of the races.The white population is shrinking as a percentage of the general population and according to the census bureau will comprise
62% of the population by 2025. The healthcare system
of the United States is directed towards the needs of the
white population and has a white cultural focus.This is
mainly the result of the white male dominant structure
of the past and current health care system.The needs of
the entire population are not being met in a meaningful
way when it comes to culture and healthcare. People’s
belief systems play an important role in the healing
process, access to health care, use of the healthcare system, lifestyle, and preventive practices. More and more
of the population are using alternative forms of medicine and self-medication practices that have been
brought from foreign lands when people immigrated to
the U.S. Many of these alternative practices are being
assimilated into the norms of the general U.S. population. Future generations of nurses and APRNs will need
to understand and adapt to the cultural diversity and
the cultural needs of the clients whom they will serve
in order to provide adequate healthcare for individuals
and groups. The growing body of alternative practices
will need to be studied, learned, and also utilized when
appropriate in order to meet the needs of the people.
People are treating themselves and will continue in this
practice, as it is the most cost effective for the individual. RNs will need to help clients to learn to critically
evaluate healthcare practices and decide on the most
appropriate form of healthcare on an individual basis.
Another major trend in the United States is the
expanding era of technologic advances and the public’s
mind set that these new technologies are their entitlement regardless of who is paying or not paying for them.
New technologies can improve health and extend life
but they cost money and many segments of the healthcare industry of the United States are for-profit entities.
This leads to an increase in government spending on
health care support of the population and increased
taxes to support the growing healthcare debt. Ethical
issues will become more profound as the dollar burden
escalates and the willingness of the general population to
pay for expensive technological applications for keeping
the aging alive diminishes. Rationing and cost/benefit
analysis are becoming prominent and observable by the
general population. Insurance clerks are deciding who
may or may not receive benefits under insurance programs and products. Many non-healthcare professionals
are now guiding health care. In the future when the difference in healthcare for the haves and the have nots will
become more distinct as private insurance carriers
become more powerful and can allow or disallow the
use of advanced technologies to those who have the
insurance coverage and those who can pay for the care.
A related issue regarding advancing technology is the
trend for hospitals to seek the newest and the best in
technology often as the expense of personnel and
salaries, especially nursing.
The aging population, increased cultural diversity of
the population, and technological advances are just a few
of the trends that will impact the role of the RN in the
next 25 to 30 years. Other trends include fewer nurses
caring for sicker
clients; a more “ . . . RNs . . . need to be
k n ow l e d ge a bl e
flexible, life long learnand educated population that will ers who are politically,
impact how RNs technologically and culdeliver care and turally astute . . . ”
will shift some of
the power to the receiver of care from the provider; and
the shrinking middle class and the growing chasm
between the rich and the poor will impact the delivery
of care. The power of the media to sway opinion and to
control what modes of healthcare delivery will be utilized will affect RN practice.The growing desirability of
holistic care and the use of many types of treatments and
providers will impact the delivery of healthcare. The
increased dollars from the government directed toward
Medicare, Medicaid, and entitlement programs will affect
the delivery of health care and who are the providers of
care. Lawmakers who are unfamiliar with the delivery of
healthcare will be writing the rules and regulations by
which healthcare delivery will be monitored and provided and have the power to change who will be the
providers of care. The education of providers and the
impact of telemedicine and the computer age will also
affect how and by whom healthcare is delivered in the
future. RNs are facing a brave new evolving world and
will need to be flexible, life long learners who are politically, technologically, and culturally astute.
Exercise, the Best Medicine to Keep us Well MNAs Own Leprechaun
Rachel Rockafellow, MSN, RN, CWOCN
My friend Karen is like
many women who want to
make exercise a part of their
routines. She is a stay-at-home
mom of two toddlers with little
“extra” time to fit in a work
out, yet she recognizes the benefits of regular exercise.
According to Basia Belza and
Catherine Warms, both Phd
prepared nurses at the University of Washington, Karen’s sitRachel Rockafellow
uation is quite common. Let’s
look at why.
The researchers define exercise as physical activity
performed to improve or maintain physical fitness, which
in turn enhances our health. Regular exercise can reduce
our risk of heart disease, high blood pressure, type 2 diabetes, obesity, colon cancer, depression, and premature
death.Women burn calories differently than men because
of our different body compositions. So just how much
exercise do we need to stay healthy? The Center for Disease Control (CDC) recommends “a regular pattern of
moderate intensity physical activity of 30 minutes or
more, which can be accumulated throughout the day and
should be performed on most days of the week.” Now
that we know how much exercise can benefit us, how
can we possibly fit it into our already full lives?
Belza and Warms found women reporting a lower
level of physical activity than men, however, they wondered if it was because of the activities that were measured. If household work, child care, and other care giving physical activities were reported, would there still
be differences?
Issues they found that kept women from getting
enough exercise included putting the needs of others
over their own and that planning for or scheduling time
for exercise was not possible. Karen’s husband would
come home at lunch to watch the kids so she could go
for a run, but if his schedule was busy, sometimes those
runs didn’t happen.Women with children under age 15
were much less likely to exercise than other women.
Age was also a factor.Women born before Title IX (equal
access for women in sports) were less likely to exercise
than those born after Title IX legislation. Our social network has a big influence on our ability to exercise.With
social support from our families, women of all ages were
much more likely to get exercise than when that support was not available.
Other “unspoken” factors affecting our ability to stay
fit included urinary incontinence (if we leak every time
we run, a lot of times we stop running); depression and
mood disorders (may isolate ourselves and avoid opportunities to be more physically active; and obesity (selfconscious, not wanting to exercise with slimmer
women, concern about body image, and poor fitting
clothing and shoes).
So what can we do to get in that exercise, maintain
our health, and feel better? The University of Washington
nurses found walking is THE most popular physical
activity reported by women. Also tailoring physical
activity recommendations to the woman’s personal situation influenced their success with an exercise program. Does she want to lose weight, decrease blood
pressure, or just be able to keep up with the kids? Where
does she live and work? Are there sidewalks? Can she
afford to join a gym? What positive outcomes would she
most like to achieve? Focusing on these questions will
help determine the best exercise plan (one she will continue with regularly). This should come as no surprise.
Of course an exercise program needs to fit our hectic
lifestyles.
One way to get our “workout” in with the activities
we normally perform has gained popularity. If you have
not heard about “10,000 steps/day,” it is something to
consider. The Wellness program at Montana State University has been encouraging people to give it a try. By
wearing a pedometer throughout the day and tracking
the number of steps we take, we can determine
whether we are getting enough exercise in our lives.
There are a lot of websites promoting this concept. One
I liked is: http://www.thewalkingsite.com/10000steps.
html.A few of the suggestions on their site include: take
a walk with your spouse, child, or friend; walk the dog;
use the stairs instead of the elevator; park farther from
the store; better yet, walk to the store; get up to change
the channel; window shop; plan a walking meeting;
walk over to visit a neighbor; get outside to walk around
the garden or do a little weeding (or this time of year,
shovel snow).This program would give women “credit”
for child care and household duties.
For women who no longer have young ones at home,
the pedometer trick will work as well. My friends Margaret and Ken are retired. They plan their week for Tuesday,Thursday, Saturday outdoor activities (usually hiking
or cross country skiing) and Monday,Wednesday, Friday
for artistic activities and a one-hour trip to the gym.
(They rest on Sunday.) Margaret and Ken could be
poster children for AARP, who’s December 2004 Bulletin
offered suggestions for couch potatoes to become more
active.They offer two websites: a physical inactivity cost
calculator (www.aarp.org/offerid=inactivity) and
encouragement to get active (www.activelivingleadership.org) that are both interesting.
Whatever our excuses have been, the New Year is
here. Let us start it off right by working to get the exercise we need to keep us healthy and happy in whatever
form will work with our busy lives. Karen has purchased
a treadmill for her home. Now regardless of the weather or availability of child care, she can get in her run. I
hope you will give this idea some thought to come up
with a plan that works for you. Stay well!
Rachel Rockafellow, MSN, RN, CWOCN is an adjunct
assistant professor at Montana State University-Bozeman College of Nursing and a certified continence
care nurse at Bozeman Urological Associates. Send
your comments to her at [email protected].
Adapted and reprinted with permission from ‘roun’town Review, Butte’s “Good News.”
Butte had more than one Grand Marshal this year as
stalwarts in the Irish Families and Traditions took the
lead in the way of the Maloney family.
In her nomination of the family, Arlene Kougioulis,
President of the Ladies Ancient Order of Hiberians said,
“The Maloney Family is willing to volunteer their time
and energy when asked. They are very committed to
Butte and very proud of their Irish heritage. Several
years ago the Maloney’s started a tradition of their own.
On St. Patrick Eve they gather in uptown Butte and with
the help of their friends paint shamrocks on the city
streets.”
Family members are Sherrie Maloney, RN at St. James
Hospital and Treasurer of Montana Nurses’ Association
District 2 (Butte area); Kathy Maloney, Deputy Clerk for
US Bankruptcy Court; Lori Maloney, Clerk of District
Court and past president of the Montana Association of
Clerk of Court, past president of the Sorptomist’s Club,
currently serving on State of Montana’s District Court
Council and charter member of the Ladies Ancient
Order of Hiberians; William “Bubba” Maloney and wife
Mary Kay Thompson; Steven Maloney and wife Celine
Lavelle from Velentia Island, County Kerry, Ireland and a
naturalized citizen since last March. Steve is a teacher at
Butte High and has two sons, Samuel age 8 and Jackson
age 5.
Parents of the above were William J.“Babe” Maloney
and Mary Doris Anderson. Longtime members of St.
Patrick’s Parish, they attended St. Patrick’s School and
graduated from Girls Central and Butte Central High
School.
Sherri Maloney “MNA’s Leprechaun” shown
above (third from left) with the Maloney clan in
a picture taken during a wedding in 2003.
Sigma Theta Tau International,
Zeta Upsilon-At-Large Chapter
Barb Prescott, Reporter for The Pulse
Linda Young
(front) enjoys a
break while Milly
Gutkoski and
Linda Henderson
exercise some
networking in the
background.
“Celebrate Nursing” bracelets now available
$2.00 each (includes postage and handling)
Order yours today!!!
To order, mail payment to:
Montana Nurses’Association
104 Broadway, Suite G2
Helena, MT 59601
The ZU chapter of Sigma Theta Tau’s spring meeting
was held at Carroll College on April 2, 2005. Members
from across the state participated in the program. In
addition to the general meeting, Carol Huston, MSN,
MPA, DPA from Chico, CA presented a two-session program focusing on the future of the profession of nursing. At the morning session Carol discussed medical
errors: a pervasive threat to quality health care. The
afternoon session provided pertinent information about
the trends, issues, and challenges affecting the nursing
profession in the current health care arena.The presentations were thought provoking and many members
went away with a renewed enthusiasm to support the
profession as a relevant change agent into the future.
Members were awarded 3.6 continuing education contact hours were awarded.
Glena Burg from
Montana State
University takes a
moment to relax after
having arranged this
years meeting.
Among the numerous
attendees were Cindy
Rossmith from Salish
Kootenai College.
MSU Center for Research on
Chronic Health Conditions in
Rural Dwellers Continues
Expansion
Charlotte Winters DNSc, APRN, BC—MSU-Bozeman College of Nursing Associate Professor and
CRCHC Associate Director and Clarann Weinert,
SC, PhD, RN, FAAN—MSU-Bozeman College of
Nursing Professor and CRCHC Director
Thanks to a new two-year
grant from the SC Ministry
Foundation, the Center for
Research on Chronic Health
Conditions in Rural Dwellers
(CRCHC), at the College of
Nursing at Montana State University-Bozeman, is continuing
its expansion efforts. The
CRCHC’s primary objective is
to help build exceptional rural
nurse scientists from across Dr. Charlotte Winters
Montana and the region.
CRCHC staff provides nurse investigators on-call
writing assistance and consultation for all aspects of the
research process, including choosing a research direction, grant writing, editing, and submission.The CRCHC
Director, Dr. Clarann Weinert, mentors and consults with
investigators on all aspects of their research. In addition
to funding various pilot projects, the CRCHC also conducts collaborative research with other scientists and
institutions throughout the country.
Under the direction of the Associate Director, Dr.
Charlene Winters, the CRCHC investigators hold monthly teleconference meetings to
discuss issues related to their
projects and provide support,
encouragement, and advice to
one another. From their
CRCHC funded projects, investigators submit at least one
manuscript to a peer-reviewed
journal for publication, a
research proposal to obtain
extramural funding, and present at a scientific conference.
Dr. Clarann Weinert
To date the CRCHC has funded eleven research projects
involving 24 researchers from six states.
The CRCHC also plays a leading role in research education. Each month eminent scholars from across the
nation are invited to present one-hour research seminars via a multi-line teleconference system.The teleconference allows students and scientists anywhere to connect with some of the best nursing research minds in
the country. Grooming nurse researchers is also accomplished through the Western Writers Coercion Group,
which holds bi-weekly teleconference meetings to help
with writing via support, critique, mentoring, and scholarly exchange. Group members have submitted over 40
manuscripts for publication. For those interested in
learning more, visit the CRCHC web site at www.montana.edu/crchc or call 888-380-1053 or contact Dr. Charlene Winters, MSU-Bozeman College of Nursing, Missoula Campus, 32 Campus Drive #7416, Missoula, MT
59812-7416, 406-243-4608, [email protected].
Living and Leaving Your Nursing Legacy
James D. and Linda S. Henry
Jim and Linda Henry conduct workshops on this
topic as well as many others and are authors of The
Soul of the Caring Nurse, Stories and Resources For
Revitalizing Professional Passion, American Nurses
Association’s Nursesbooks.org, 2004.
Having worked for seven
years as a nurse in pediatrics,
high-risk pregnancy, women’s
health and surgery, Marilyn
began contemplating the next
step in her career and in continuing to formulate her nursing
legacy. She reports,“I am hungry
to learn something new, but it
scares me to invest my money in
an expensive master’s program.”
Accordingly, we listened to her
Jim Henry
story, asked some exploratory
questions and guided her through some career assessment
instruments.
Marilyn completed the Myers-Briggs Type Indicator®, a
popular and well-researched inventory that helps to identify personal strengths which have numerous applications
including career development. Her INTJ profile indicates
that she excels at analytical thinking, investigating and
achievement.1 In the book, Do What You Are, the summation for the INTJ profile is “Competence + Independence
= Perfection.2 These talents were confirmed when she told
us,“I hate being in a situation where things come to a halt
because no one knows how to fix the problem.” Some of
her other key, satisfying, non-clinical transferable skills
include drive/tenacity, leadership, motivating others and
potential problem solving. This suggested that she might
wish to pursue a career in nursing leadership,management
and organizational development. After some reflection
upon her options, Marilyn decided to enter a health leadership masters program at a prestigious northeastern university.
Like Marilyn, many nurses feel called to the profession,
want to make a difference in people’s lives and desire to
live and leave a professional legacy.They are highly intelligent and multi-skilled.According to The Occupational Outlook Handbook (U.S. Bureau of Labor and Statistics), nursing is one of just four professions out of 240 that possess a
wide range of skills such as leadership, problem-solving,
creativity, teamwork, manual dexterity, caring, instructing
and physical stamina. In the midst of accelerating change
in the health care environment, opportunities abound for
enhancing one’s career and sense of career calling. In addition, opportunities beyond traditional RN occupations are
emerging, such as orthotics, parish nursing, patient advocacy, ethicist, holistic nursing, medical graphics and many
more. Accordingly, in our book, The Soul of the Caring
Nurse,we include a chapter containing a number of strategies and exercises to more clearly identify key skills and
passions leading to a lessening of the possibility of burnout
and to a reawakening of “This is why I became a nurse.”
Individuals may also gain some guidance from college
career centers, some of which offer exercises and
resources through the Internet.
Passion For Nursing Never Retires
For many nurses, this passion for caring never really
retires. According to an AARP study, almost 80% of babyboomers plan to continue working after reaching the socalled retirement years—full time, part time, paid or
unpaid.They are poised to build a new dream of freedom
to work in new ways and to new ends. Even if finances
weren’t a worry,many will continue to seek a sense of purpose and meaningful accomplishment in their lives. Likewise, many nurses with a passion for the profession will
not want to give up their fervor.
Living and Leaving a Professional Legacy
Typically, the word legacy is used to describe someone
who has given a monetary gift to an institution or common
cause. In fact, the dictionary defines it as a gift of personal
property by will.However,it can
enjoy a much broader perspective. William Tyndale called a
legacy the “message wherefore I
am sent into the world.”
Legacy correlates with sensing that one has been called to
do or to be something during a
lifetime. In his book, Callings,
Finding and Following an
Authentic Life, Greg Levoy discusses methods to invoke callLinda Henry
ing into one’s life, using art, pilgrimage, myth and memory to help it to emerge into
consciousness. He proclaims, “The purpose of calls is to
summon adherents away from their daily grinds to a new
level of awareness, into a sacred frame of mind, into communion with that which is bigger than themselves.”1
In The Soul’s Code, James Hillman confirms the belief
that people carry a destiny within their psyches.2 He states
that, just as an acorn instinctively knows how to become
an oak tree,so we have a calling.Where recognized or actualized, all humans have an exceptional component to their
lives.When investigated and brought to consciousness, at
least in part,it brings self-fulfillment,meaning and purpose
into being.
In addition to completing some of the instruments
mentioned above, to begin formulating a legacy for your
nursing career, we recommend looking through the
rearview mirror of your professional life and consider
exploring the following:
• When did you first think about becoming a nurse
and what experience brought it to consciousness?
Sister Peggy Fannon recalls,“When I was four years
old,I was taken to the hospital because of numerous
ear infections. From that time on, all I ever talked
about was being a nurse.”
• Describe a peak experience in your nursing career
and summarize what it might say about living and
leaving a legacy.As an advocate at the end of life,hospice nurse Eve-Lynn Civerolo has experienced many
peak moments helping people go through a period
of transition that leads to blissful dying.
• Describe any historical events that might have influenced your life/career direction. Shoshone nurse
Naomi Mason tells us:“I am an innately curious person. “We raised a lot of chickens and when one of
them died prematurely,I would open it up and try to
find the cause.”
Identifying and more deliberately living your professional legacy emerges from engaging in a process of discernment. The word derives from the Latin discernere,
meaning to “separate apart.” As mentioned, nurses are
multi-skilled individuals, not only clinically but also in
many other ways.They can be entrepreneurs, artists, educators, record keepers, counselors, managers, mechanics
and much more. The challenge is to separate the wheat
from the chaff, identifying talents that bring significant satisfaction and joy into one’s life as well as contributing to
the greater good.
References
1 Called the Jung Typology Test (not really a test), a free version of the Myers-Briggs Type Indicator is available at
www.humanmetrics.com
2 Paul D.Tieger & Barbara Barron-Tieger, Do What You Are,
(Boston: Little, Brown and Company, 3rd Ed. 2001)
3 Greg Levoy, Callings, Finding and Following an Authentic Life, (New York: Harmony Books, 1997), p.2.
4 James Hillman, The Soul’s Code, (New York: Random
House, 1996)
All Stressed Up and No
Where to Go? Try Being
Present
Connie Merritt, RN, PHN
Do you frequently run out
of time, miss an opportunity,
ignore obvious warnings or
find yourself stuck? If so, here’s
a novel idea. Clean your mental
closet and put only one new
idea into it:To Be Present.Treat
your spring cleaning as if it is a
sweepstakes . . . and you must
be present to win.
Connie Merritt
Being Present to Win
How can you be present when the world is screaming at you to plan, organize and work hard? First off,
slow down. Are you a person who is always in a hurry,
even when you’ve got no place to go? Stop! look at your
daily schedule and prioritize what you must do. Also,
search for what you can delegate and what’s not so
important for today. Allow plenty of time to get somewhere and then add 20% for traffic.Also, actually schedule time to goof off or hang out.Your payoff: you’ll actually be more efficient and peaceful.
Stop doing and start being.
Are you listening to your body? It will let you know
if you’re hungry, angry, tired or in need of something.
There will always be enough work to fill your day so
start gauging your sense of accomplishment by a different set of criterion—such as eating nutritious and natural foods, drinking lots of water, expressing your love
for family and friends, telling the truth, seeing humor
and laughing more. Your payoff: more energy with an
attractive composure.
Be around good and loving people
Are some people in your life a drag? Do you hang
around with them because they’re handy or you’ve got
history together? Cut that out! Don’t be around friends
out of obligation, manipulation or habit. Make decisions
to be around people based on being your highest and
best self around them and their commitment to their
own personal growth.Your payoff: healthy relationships
that give energy, wisdom, strength and optimism.
Believe in something larger than yourself
My grandmother always says, “Pray to God and row
toward shore.” She has taught me that I am a spiritual
being and that things go better and happen when
prayer is involved. You can free yourself from the confinement of your unhealthy patterns and face the future,
knowing that you are never alone.
This year will be your year
Here we are, nearly half way through the year. Do you
still feel yourself driven to make this the best year ever?
Do you still want to conquer your inertia and start succeeding? Why not try another way? A way that doesn’t
involve stress, hassles and pain.
Slow down and be present.
Copyright Connie Merritt, all rights reserved. Speaker, Coach, Author of “Finding Love (Again!)” Call
949/494-0091 for a free pocket tip card or write: Connie Merritt, P.O. Box 9075, Laguna Beach, CA 926529075.
CALENDAR
MNA Activities
MAY 2005
6-12 National Nurses Week
21
Komen Montana Race for the
Cure—Helena
30
Memorial Day, MNA Office
Closed
JUNE 2005
3
Finance Committee Meeting,
9:30 a.m.-2:30 p.m.,
MNA Conference Room
8
Board of Directors Meeting,
9 am-3 pm, MNA Conference
Room
16-19 ANA Constituent Assembly
& House of Delegates
21
Council on Continuing
Education—Provider Unit
9:00 a.m.-3:30 p.m.,
MNA Conference Room
JULY 2005
4
Independence Day—Office
Closed
12
Editorial Board Meeting,
12-1:30 pm, Conference Call
16-19 ANA Constituent Assembly
& House of Delegates
MNA DISTRICT 1 ACTIVITY
DISTRICT CONTACTS
Lori Thun RN
Montana Nurses’ Association District One continues
to be active.We have a core group of people who regularly attend monthly meetings.We sponsored four Montana State University nursing students who attended the
National Student Nurses Association (NSNA) convention.Alicia Haag, Emily Laeser, Hayley Wright and Brandi
Cortright traveled to Salt Lake City, Utah in early April
for the NSNA convention where two of the four women
were delegates.The group reported about their experiences at the April District One meeting. Nurses’ Day Celebration took place in early May; District One sponsored an evening get-together at a local restaurant.
Meetings are not generally held during the summer
months; our next meeting is scheduled for September to
discuss MNA convention.
District 4
Brenda Donaldson
Home—(406) 442-0681
District 1
Lorri Thun
Home—(406) 693-7650
Work—(406) 543-7271
Brenda Donaldson
Lorri Thun
District 2
Joanne Green
Home – (406) 495-9382
Work – (406) 723-5816
District 5
Tina Hedin
Home—(406) 656-9632
Work—(406) 657-4150
Tina Hedin
Joanne Green
District 6
Pam Windmueller
Home—(406) 771-7453
Work—(406) 455-5375
District 3
Keven Comer
Home—(406) 587-4989
Work—(406) 582-8957
Pam Windmueller
Keven Comer
District 7
Shawn Shanahan
Home—(406) 755-5115
Work—(406) 752-8282
Shawn Shanahan
District 8
Pauline Deines
Home—(406) 377-3531
Work—(406) 488-2100
Pauline Deines
New and Renewing
Members by District
District #1
Babine, Kristin
Bergantz, Lisa
Buckley,Anna
Champagne, Catherine
Conner,Alexis
Devine, Susan
Dougherty, Damien
Edwards, Sheila
Erb, Lori
Gagner, Douglas
Guerdette, Pamela
Hansen,Tsoni
Hill, Lisa
Jenness, Doreen
Kelleher, Elizabeth
Keller, Sara
Knapstad, Katie
Lahti, Jodi
Maves, Loraine
McGuire, Christine
Metcalfe, Stephanie
Nielson, Susan
O’Hara, Roberta
Paulsen, Heather
Petersen, Leslie
Powell, Rebecca
Richards, Merry Jo
Somerfeld, Kayla
VanSickle, Barry
Watson, Marsha
White, Jennifer
Willmore, Marcie
Wilson, Kathy
District #2
Cooper, Marion
Hart, Larry
Lillyblad, Jennifer
McGetrick, Cheryl
McLean, Kari
Petritz, Danelle
Schillo, Nora
Wann, Paul
District #3
Anderson, Sharon
Belanger, Kristin
Belzer, Cassie
Blossom, Jami
Carr,Amber
Clements-Meiller,
Kelly
DeLaurier, Susan
DeVries, Daniel
Easton, Sarah
Fuchs, Julie
Goffena,Alexandra
Gower, Bonnie
Hoezee, Rebekah
District #3, Cont’d.
Hollowell,Theresa
Jansma, Rachel
Kane, Courtney
Klepatz, Corrine
Leaghty,Victoria
McDonald, Ellen
McGrath, Maureen
McInroy, Emily
Miller, Debra
Miller, Sam
Ogle, Suzanne
Roy, Dianne
Sandstad, Christie
Schreiner, Courtney
Shumsky, Peggy
Skinner, Crystal
Smith, Janet
Thomas, Marlyn
Wadell, Carrie
Werner, Kristine
District #4
Schultz, Deborah
District #5
Candelaria,
Christopher
Draper, Meccala
Goedde, Diane
Hollowell, Susan
Houston, Carol
Maher, Monica
Menix, Kristi
Morse, Julie
Pillman,Amanda
Restad,Veronica
Zahn, Sharon
District #6
Babb, Deanna
Barnard,Tami
Burns, Mary
McPherson, Jana
Wier, Lora
Winchell, Jean
District #7
Duncan, Linda
Kulseng-Hansen,Tor
Pitts, Linda
Quam, Linda
Russell, Reesa
Shaw, Rebecca
Tatum, Shawna
District #8
Linderman, Helen
Service Fee Notice
On June 29, 1988, the U.S. Supreme Court examined
agency fees in the context of those private sector
employers and unions falling under the authority of the
Labor Management Relations Act. The Court issued a
decision; Communication Workers of America v. Beck.
The Court found:
“Section 8(a)(3) of LMRA, which permits employer and union to enter into union-security agreement, does not permit union, over objection of
agency-fee payer, to expend agency-fee funds on
activities beyond those germane to collective bargaining, contract administration, and grievance
adjustment.” (128 LRRM at 2729)
In compliance with the Beck decision the Montana
Nurses’ Association has compiled a document entitled
Procedure for Determining Amount of Service Fee to be
Charged by Montana Nurses’Association.The following
is a description of the chargeable portion of Association
expenditures under Beck.
“Chargeable activities means those activities
engaged in by the Montana Nurses’ Association
that is recognized as the exclusive collective bargaining representative for which each employee
in the bargaining unit lawfully may be required to
pay his or her per capita share of the cost.”
Also contained in the Association procedure is a section entitled Explanation of Chargeable Fee If You Elect
Not to Become A Member of Montana Nurses’ Association.This explanation states:
“If you elect not to become a full member, you will
not have any voting rights or right to participate
in the governance of the American Nurses Associ-
ation, the Montana Nurses’ Association or the
Local Association.”
“If you do not become a member, you will be
required to pay fair share fee which is equal to
your proportionate share of the costs of the collective bargaining process, contract administration and related matters effecting wages, hours
and other conditions of employment.”
OBJECTIONS TO AMOUNT OF ASSOCIATION
DETERMINED SERVICE FEE
Any Potential Objector who believes that a portion
of his or her the Association-Determined Service Fee
shall be used to fund non-chargeable activities may
object to the amount of said fee by mailing a notice of
objection to Montana Nurses’ Association, 104 Broadway, Suite G2, Helena, MT 59601, or by delivering such
a notice to Montana Nurses’Association at said address.
The notice of objection shall be in written form and
shall include the objector’s name, home address, and a
statement that he or she objects to the amount of the
Association Determined Fee. Any Potential Objector
who accepts the Association-Determined Service Fee
shall send or deliver a notice accepting that fee to the
same address. If the Montana Nurses’ Association does
not receive timely notice, it will be presumed the Potential Objector has no objection to paying a service fee
equal to dues. In order to be timely, the notice must be
postmarked or delivered within 30 days of receiving the
information referred to in Section III (B).
For about a dollar a day join MNA—your professional voice for
nurses! (50% discount on dues for new graduates, retirees, and
full-time students)
For more information on dues go to www.mtnurses.org or
call MNA @ 406-442-6710.
Your MNA membership includes membership in the
American Nurses Association.
Montana Nurses’
Association Pin
Show pride in your professional association by
wearing this beautiful silver and enamel pin in
MNA blue and white colors. To order your pin, send
$7.00 plus $1.50 for shipping and handling to:
Montana Nurses’ Association
104 Broadway
Suite G-2
Helena, MT 59601
104 Broadway, Suite G2 • Helena, MT 59601 • 406/442-6710 • 406/442-1841 Fax
DATE
________________________________
__________________________________________________
Last Name/First Name/Middle Initial
________________________________
Home Phone Number
________________________
Social Security Number
__________________________________________________
Credentials
________________________________
Work Phone Number
________________________
Basic School of Nursing
__________________________________________________
Preferred Contact:
Home _____ Work_____
________________________________
Fax Number
________________________
Graduation (Month/Year)
__________________________________________________
Home Address
________________________________
Date of Birth
________________________
RN License Number/State
__________________________________________________
Home Address
____________________________________________________________
E-mail
__________________________________________________
City/State/Zip
__________________________________________________
Employer Name
_____ UAN Member? _____ Not a Member of Collective Bargaining Unit
____________________________________________________________
Member of Collective Bargaining Unit other than UAN? (Please specify)
________________________________________________________________________________________________________________________
Employer Address
________________________________________________________________________________________________________________________
Employer City/State/Zip Code
Membership Category (check one)
M Full Membership Dues
Employed - Full Time
Employed - Part Time
R
S
Reduced Membership Dues
Not Employed
Full Time Student
New graduate from basic nursing education
program, within six months after graduation
(first membership year only)
62 years of age or over and not earning more
than Social Security allows
Special Membership Dues
62 years of age or over and not employed
Totally disabled
Please Note:
$5.42 of the CMA member dues is for subscription to The American Nurse. $16 is for subscription to the American Journal of Nursing. Various
amounts are for subscriptions to CMA/DNA
newsletters. Please check with your CMA office
for exact amount.
State nurses association dues are not deductible
as charitable contributions for tax purposes, but
may be deductible as a business expense.
However, that percentage of dues used for lobbying by the CMA is not deductible as a business
expense. Please check with your CMA for the correct amount.
Choice of Payment (please check)
E-Pay (Monthly Electronic Payment)
This is to authorize monthly electronic payments
to American Nurses Association, Inc. (ANA). By
signing on the line, I authorize my Constituent
Member Association (CMA/ANA ) to withdraw
1/12 of my annual dues and any additional service fees from my account.
Checking: Please enclose a check for the
first month’s payment; the account designat
ed by the enclosed check will be drafted on
or after the 15th of each month.
Credit Card: Please complete the credit
card information below and this credit card
will be debited on or after the1st day of
each month.
Monthly Electronic Deduction Authorization
Signature
Full Annual Payment
Membership Investment
_______
ANA-PAC (Optional—$20.04
suggested)
_______
Total Dues and Contributions _______
Check (payable to ANA)
Visa
MasterCard
Automated Annual Credit Card Payment
This is to authorize annual credit card payments
to American Nurses Association, Inc. (ANA). By
signing on the line, I authorize CMA/ANA to
charge the credit card listed in the credit card
information section for the annual dues on the 1st
day of the month when the annual renewal is due.
__________________________________________
Annual Credit Card Payment Authorization
Signature
Payroll Deduction
This payment plan is available only where there is
an agreement between your employer and the
association to make such deduction.
__________________________________________
Signature for Payroll Deduction
Please mail your completed application with payment to your STATE NURSES ASSOCIATION or to:
104 Broadway, Suite G2
Helena, MT 59601
Online: www.NursingWorld.org (Credit Card Only)
CREDIT CARD INFORMATION
____________________________________________
Bank Card Number and Expiration Date
____________________________________________
Authorization Signature
____________________________________________
Printed Name
Amount: $__________________________________
* By signing the Monthly Electronic Deduction
Authorization, or the Automatic Annual Credit Card
Payment Authorization, you are authorizing ANA to
change the amount by giving the above-signed thirty
(30) days written notice. Abovesigned may cancel this
authorization upon receipt by ANA of written notification of termination twenty (20) days prior to deduction
date designated above. Membership will continue
unless this notification is received. ANA will charge a
$5 fee for any returned drafts or chargebacks.
TO BE COMPLETED BY CMA:
Employer Code _________________________
__________
STATE
__________
DIST
___________
REG
Sponsor, if applicable ____________________
Approved By _____________ Date _________
SNA membership # ______________________
Expiration Date ________ / ________
Month
Year
$ ____________________________________
AMOUNT ENCLOSED
CHECK #
M E M B E R S H I P
A P P L I C A T I O N

Montana Nurse April 2005

Transcription

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