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Volume 115 • No. 1
The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association
Quarterly publication direct mailed to approximately 75,000 RNs and LPNs in Colorado
February 2015
From the Desk of the CNF President
Sara Jarrett, EdD, RN
President CNF
2015 Nightingale
Luminary Awards
page 4
Peer Assistance Services:
What are the Eight Dimensions
of Wellness in Your Life?
page 6
As we begin a new year
and think about what the
Colorado Nurses Foundation
(CNF) should be considering
during this year in addition
to our ongoing activities and
programs I was prompted
to review the organization’s
Strategic Initiatives for 20102015 that were announced
in April 2010. This strategic
Sara Jarrett
document has guided CNF’s
decision making, strategic
thinking and planning since it was announced.
Below is a portion of that announcement.
REFRAMING THE PROFESSION OF NURSING:
Professional Engagement of Nurses
The Colorado Nurses Foundation (CNF) is pleased
to announce plans for programmatic activities that
will provide the knowledge, the understanding, and
the tools for nurses at all levels to be able to fully
engage as a member of the profession. We believe
that “professional engagement” is an essential role
component equal to the role of competent direct care
provider. Professional Engagement of individual
nurses is essential for the profession to truly
actualize its potential to be a key member and leader
in the interprofessional model of heath care of the
21st century.
The proposed elements for this initiative are
summarized below.
Part I: Rebuilding From Within
Engagement of Professional Nurses:
Stewardship, Advocacy, and Citizenship
Part II: Connecting with the Outside
Engagement in the Community:
Public Relations, Image, and
Communication with Media
Part III: Challenging the Professional
Practice Environment
Support of innovation in Health Care
Part IV: Recognition of Professional
and Community Engagement
Continue a Statewide Recognition Event
Furthermore, another significant document
was announced and published in October 2010:
The Institute of Medicine Report: The Future of
Nursing, Leading Change, Advancing Health.
This report also supported and help guide CNF
in the implementation of some of the elements in
our Strategic Initiatives. In addition, CNF has and
continues to support the work of the Colorado Action
Coalition, a collaborative group of nursing and
health care organizations in the state dedicated to
implementation of the IOM Report recommendations.
CNF President continued on page 4
Colorado Nurses Association President...
Scope of Practice-Access to Care
Joyful Every Day
page 12
current resident or
Mary Ciambelli, PhD, RN, PMHCNS-BC, RXN
On behalf of the Board
of Directors (BOD) of the
Colorado Nurses Association,
I wish you all health,
happiness,
mental
clarity, and peace
Non-Profit Org.
in 2015. Last night,
U.S. Postage Paid
I drove home after
Princeton, MN
a
snowstorm
had
Permit No. 14
stopped,
thankful
to safely pull into
the driveway after a
Mary Ciambelli
slippery
commute.
Finally able to take
my eyes off the road, I observed a sky that
was unexpectedly clear with just a few wisps
of clouds close to the horizon. The moon
took advantage of its break from the clouds
and was imitating the sun with its glow. Our
yard and deck were covered in several inches of
iridescent snow and extraordinary moon shadows.
This breathtaking vista caused me to pause and give
thanks yet again for living and working in such a
remarkable place. I hope you enjoyed the holiday
season with your family, friends and colleagues
even as you were working to provide the citizens of
Colorado access to high quality and cost effective
health care. This year brings opportunities and challenges
to all registered nurses in Colorado and thus to the
professional association that represents us, the
Colorado Nurses Association. The Affordable Care
Act and Medicaid expansion in Colorado have
provided access to health care for thousands of
Coloradans who have previously been unserved
or underserved. The profession of nursing is
experiencing a “double whammy” since at the same
CNA President continued on page 7
Page 2 • Colorado Nurse
February, March, April 2015
Executive Director’s Column
Colorado Nurse
Official Publication
There Is No “I” in Team
Executive Director Updates:
Colleen Casper, RN, MS, DNP
The shifting regulatory and business rules are
changing every day in our care delivery system.
We are continuously challenged to keep ourselves
current, calm, and optimistic about our work and
the future of our work. One of these changing
dynamics is that of the priority for team based
care.
Registered Nurses (RNs) have long served in
the role of coordinating the efforts of multiple
disciplines in a manner that best serves patients
and families. Real examples of this have been
demonstrated by the RN role in hospitals, home
care, and rehabilitation services, as a few clear
examples. An Institute of Medicine (2012) report
on effective team based care describes healthcare
as shifting from the practice of isolated clinicians
and specialists, to a team sport. I recall working in
critical care in my early years as an RN and the
pressure to be single handedly proficient, i.e., it
was as if the less I needed assistance from others,
Rocky Boy Health Board
is an outpatient clinic and offers General Clinic, Dental, Pharmacy,
Lab and Optometry Clinics and is committed to provide, maintain, and
improve the highest quality of health care delivery systems in the spirit
of Self-Governance and Self-Determination. The Rocky Boy Health Board
recognizes and respects the holistic and unique structure of the Chippewa
Cree and will remain dedicated to their health needs.
DSME/T Nurse Educator
Montana RN licensed required, BSN desired
Contact Geri Racine, Personnel Officer or
Taunia Racine, Personnel Asst.
Rocky Boy Health Board
RR 1, Box 664, Box Elder, MT 59521
406-395-4486, ext. 2080
REWARDING CAREER
IN CORRECTIONAL NURSING
Would you enjoy working in a clinic-like setting with
a competitive salary?
Immediate Opportunities Available
LPN and Mental Health Coordinator
Kit Carson Correctional Facility, Burlington, CO
Apply Online at: www.jobs.cca.com
CCA is a Drug-Free Workplace & an Equal Employment Opportunity Employer (Minority/Female/Disabled/Veteran).
the better RN I was. Now we know that solitary
perspectives and resources, without consultation,
are not only impossible, it is dangerous for patient
outcomes. Just think, the current U.S. National
Guidelines Clearing House has published 2,700
clinical practice guidelines. These guidelines, in
addition to the multiple “care bundles” available,
and your own organizational improvement driven
best practices, further compel us to be eager and
willing to consult on a regular basis.
To facilitate and participate in high performing
team, I am sharing a synopsis of key competencies
that we can strengthen, personally. Additionally,
we can invite and challenge our organizational
team members to join us in this shared journey for
new competencies that are sure to reinforce our
ability to deliver current treatment and care while
staying calm and optimistic about our ability to do
so.
1.Clearly establish one common aim: patient
centric best possible care. (Shared vision)
2.Continually revise mutually agreed upon
outcomes with patient & family. Consider
interdisciplinary rounds, shift based goals,
outpatient visit goals, keeping it short
term focused. (Shared goals & Measurable
outcomes)
3.Knowledge and confidence in your own
scope of practice and the scope of your team
members.(Role Clarity)
4.Each individual team members knowledge
of and commitment to consistent expression
of these five personal values associated
with high performing teams (Effective
Communication):
a.
Honesty
–
transparency
and
communication that is helpful not hurtful;
b.Discipline – continuously seeking and
sharing new evidence;
c.Creativity – creating opportunity out of
long standing barriers;
d.Humility – Atul Gwande has said: “no
matter who you are, how experienced or
smart, you will fail;” and,
e.Curiosity – shifting from being right to
seeking to understand other’s perspective.
As we at Colorado Nurses Association proceed
through the 2015 Legislative session, we look
forward to many collaborative relationships in
support of Colorado’s already transformation in
health care delivery models! Join us in that work!
COLORADO NURSE (ISSN-8750-846X) is published 4 times
annually, February, May, August, and November, by the Arthur L.
Davis Publishing Agency, Inc. for the Colorado Nurses Foundation,
2851 South Parker Rd, Ste 250, Aurora, CO 80014; Mailing: P.O. Box
3406, Englewood, CO 80155-3406, a constituent member of the
American Nurses Association.
Subscription may be purchased for $20 per year, $35/2 years, $25
per year for foreign addresses.
For advertising rates and information, please contact Arthur L. Davis
Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar
Falls, Iowa 50613, (800) 626-4081, [email protected]. CNF and the
Arthur L. Davis Publishing Agency, Inc. reserve the right to reject
any advertisement. Responsibility for errors in advertising is limited
to corrections in the next issue or refund of price of advertisement.
Acceptance of advertising does not imply endorsement or approval
by the Colorado Nurses Foundation 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. CNF and the Arthur L. Davis Publishing
Agency, Inc. shall not be held liable for any consequences resulting
from purchase or use of an advertiser’s product. Articles appearing
in this publication express the opinions of the authors; they do not
necessarily reflect views of the staff, board, or membership of CNF or
those of the national or local associations.
Colorado Nurses Foundation wants to hear from you and welcomes
letter to the editors. Correspondence may be sent to Colorado Nurses
Foundation, 2851 South Parker Rd, Ste 250, Aurora, CO 80014;
Mailing: P.O. Box 3406, Englewood, CO 80155-3406; email, info@
coloradonursesfoundation.com.
Material is copyrighted 2014 by the Colorado Nurses Foundation
and may not be reprinted without written permission from CNF.
Co-Editors:
Eve Hoygaard, MS, RN, WHNP (30)
M. Colleen Casper, RN, MS, DNP (16)
CNA Executive Director: Colleen Casper, RN, MS, DNP
COLORADO NURSES FOUNDATION
EXECUTIVE COMMITTEE
President:
Sara Jarrett
Secretary:
Carol O’Meara
Vice President:
Judith Burke
Treasurer:
Carol Brookshire
Lola Fehr
Margaret Mulhall
Norma Tubman
BOARD MEMBERS
Eve Hoygaard
Linda Satkowiak
COLORADO NURSES ASSOCIATION
EXECUTIVE COMMITTEE
President:
Mary M. Ciambelli (31)
Secretary:
Nanette Morgan (16)
President Elect:
Theresa Buxton (Terry)
Treasurer:
Paula Stearns (09)
Vice-President:
Susan Moyer
BOARD OF DIRECTORS
Funded by SAMHSA - Administered by the Colorado Office of Behavioral
Health - Managed by Peer Assistance Services, Inc.
Treat
substance
use like the
healthcare
issue it is.
Risky use of alcohol and other drugs contributes
to more than 70 medical conditions and leads to
expensive, long-term health problems. Having a
conversation about substance use only takes a few
minutes, but can make a difference in a patient’s life.
Call 303.369.0039 x245 or visit www.improving
healthcolorado.org to learn more about substance use
screening, brief intervention, and referral to treatment
(SBIRT) education and training opportunities.
Improving health. Changing lives.
Region I Director:
Laura Rosenthal
Region II Director:
Lori Rae Hamilton (04)
Psychiatric Nurse
Practitioner
Prescriptive
Authority Nurse
Mental Health Center of Denver is a nonprofit community mental
health center, and is the nation’s leader in progressive communitybased mental health. Work as part of a multidisciplinary team to
provide various mental health services to a diverse population.
We offer counseling, housing, education, and vocational services
for adults, children and families. We build upon each consumer’s
strengths and resiliency to help them toward recovery.
*Bilingual applicants are encouraged to apply.
For more information about Mental Health Center of Denver
and our forward-focused wellness culture please
visit our website at www.mhcd.org.
To apply:
Complete the online application or email your
resume to [email protected]. Fax: (303) 758-5793.
Region I Director:
Carol O’Meara (30)
Region II Director
Kathryn Carpenter (4)
Region III Director:
Debra Bailey (05)
Region III Director
Terry Shelton Schumaker
Director-At-Large:
Linda Stroup
Director-At-Large
Nora Flucke
DNA PRESIDENTS
DNA #2:
DNA #3:
DNA #4:
DNA #5:
DNA #6:
DNA #7:
DNA #8:
DNA #9:
DNA #12:
DNA #16:
DNA #20:
DNA #23:
DNA #30:
DNA #31:
Colleen Casper
Justine Sherman • Anne Zobec
Lori Rae Hamilton, Model, CO
Kristy Reuss, Grand Junction, CO
Charlotte LeDonne, Alamosa, CO
Terry Schumaker, Mancos, CO
Stacie Seaman, Windsor, CO
Janie Arndt, Fort Collins, CO
Anita Roberts, Broomfield, CO
Nanette Morgan, Denver, CO
Janet Ballantyne, Conifer, CO
Fran Dowling, Thornton, CO
Kate Martinez, Littleton, CO
Caiti Collins, Denver, CO
To contact any person listed above, please use the
CNA/CNF office numbers/address/email address.
CNA/CNF Contact Information
Main Phone: 303-597-0128 • FAX: 303-757-8833
EmailAddress:
[email protected]
www.coloradonurses.org
Colorado Nurse • Page 3
Colorado Nurses
Association
Approval Board
Updates
Update from the
Board Activity
In December 2014, the Colorado State Board
of Nursing held two Open Forum Stakeholder
Webinars inviting, in particular, the education
and
professional
nurse
communities
to
participate in reviewing the full body of the
Chapter 2 Rules and Regulations for Approval
of Nursing Education Programs; and to express
their concerns, suggested revisions, and other
comments. The webinars were well attended
with good participation by a number of
nursing education program representatives and
professional nurse associations.
Stakeholders who may not have been able
to attend the webinars or who have additional
comments or suggestions can still contribute
up through February 17, 2015. After this time,
the stakeholder input will be presented in
a consolidated format to the full Board for
additional discussion and consideration of future
rulemaking. Please provide your comments and
proposed changes to the current Chapter 2 Board
Rules in writing to the attention of Beth Glenn,
Administrative Manager, State Board of Nursing,
1560 Broadway, Ste. 1350, Denver, CO 80202;
email address to [email protected]; fax
303-894-2821 by this February date. To view the
current Chapter 2 and other Board rules, you may
access through the State Board of Nursing at www.
dora.state.co.us/nursing.
In other news, the Prescriptive Authority
Audits are once again upon us. By statute
this takes place every two years, with the last
having occurred in 2013. During the audit a
number of advanced practice nurses with full
prescriptive authority are randomly selected for
review of articulated plans for compliance. Over
the last several months the Board’s Advance
Practice Advisory Committee has been working
on “Frequently Asked Questions” or FAQ’s
concerning articulated plans. After completion of
a review by the State Board of Nursing these FAQs
will be released on the Board of Nursing’s public
website for reference and general clarification.
professional nurse engaged in home health care;
and Valinda Goodman, of Arvada, Colorado, a
public member representative.
Nurse Ratcliff is a member of the Colorado
Nurses Association (CNA) and the American
Nurses Association (ANA) and in the past has
served on the Mesa County Emergency Task
Force. She brings a passion for home health care
clients of all ages and stages in the life cycle. In
addition, she brings a wealth of case management
experience as well as nursing education.
Valinda Goodman brings a public perspective
to the Board and nursing regulation. She has
worked in all areas of various child care programs
as her passion, education and experience is in
the field of Early Childhood Education. Ms.
Goodman’s experience includes being an adjunct
community college instructor of Early Childhood
Education. She currently is the Education Director
for the Goddard School of Lakewood.
Both are appointed to their first term which
will run up to July 1, 2018. The Board of Nursing
and the Program are excited about Ms. Ratcliff and
Ms. Goodman joining the State Board of Nursing
given the depth and scope of their respective
professional experience and education.
The Colorado Board of Nursing is looking
for qualified advanced practice nurses (with
prescriptive authority) who practice pain
management, to perform reviews of Colorado
nursing licensees who are under administrative
investigation for allegations of substandard
practice. As an independent nursing “consultant”,
the pain management nursing professional
would be required to review all available case
documentation and then provide a written
professional report to the Board. In exchange for
a qualified pain management reviewer’s time
and expertise, financial compensation is offered.
For more detailed information, please contact
Investigator Martha Mesch, Colorado Department
of Regulatory Agencies/Division of Professions
and Occupations at 303-894-7703 or via email:
[email protected]
Board and Program Staffing
The Board and Program are delighted to
announce
Governor
Hickenlooper’s
recent
appointment of two new members to the State
Board of Nursing. Appointed are: Cynthia Lorene
Ratcliff, RN, of Florissant, Colorado, a licensed
Board of Nursing Website
Please be sure to check the Board of Nursing
webpage at www.dora.state.co.us/nursing for the
latest information relating to the Board of Nursing,
and to your professional license.
The Colorado Nurse Association Approval
Board recently appointed Colleen Casper, RN, MS,
DNP as Nurse Peer Review Leader. Dr. Casper will
serve in this position until March 2015, at which
time the Western States Multi-State (WSMSD)
consolidation of Accredited Approver Unit will be
live and then Colorado Nurse Peer Review Leader
and Approval Board will work in collaboration
with the WSMSD. We have already realized
economies of scale with this consolidation and
the Colorado team continues to be active in the
ongoing evolution.
With the transition of staff requests for
renewals and annual reports have been delayed.
We are going to adjust due dates for both renewals
and annual reports in accordance with our
transition timeline. Approved providers and
Individual providers will be receiving letters
by January 31, 2015. We are actively accepting
and reviewing all new applications for approval
within our standard 90 day timeline. For more
information, please check www.coloradonurses.
org, and the Education tab.
We currently have an active committee of
six (6) and we are interested in growing our
approval board members to support the upcoming
renewals in 2015. If you are a CNA member, with
a BSN with interest and/or experience educational
activities, please contact Colleen Casper at
[email protected] for more information.
Thank you.
Nominate an Under-40 Nursing Leader! The Center will be hosting a “40
under 40” event in May 2015 to honor nursing leaders under the age of 40. We need
your help to find and honor 40 emerging Colorado nurse leaders. Please send your
nominations ASAP to Susan Moyer at [email protected].
Expand your clinical teaching skill set! The Center’s next Clinical Scholar
training class will be July 20-24, 2015. This popular workshop will increase your
clinical teaching skills and help educate the next generation of Colorado nurses.
For more information, see www.ColoradoNursingCenter.org
or contact us at [email protected].
Representing Nurses
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If you are interested in a challenging career in pediatric nursing, Professional Pediatric
Home Care has been recognized as the leader in pediatric home care in Colorado for
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Please visit our website for more information
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CNF President continued from page 1
This group is facilitated by the Colorado Center for
Nursing Excellence.
Over the last four years, CNF has made
modifications to most all of our current activities.
The criteria for the statewide recognition of nurses
in CO were modified to honor nurses in the areas
of leadership, innovation and advocacy. The grant
program made extraordinary efforts to approve
activities that were within the framework of both
the CNF Initiatives and the IOM report on the Future
of Nursing. Lastly, the CNF scholarship program
considered the IOM goals for the future of nursing
education to set annual criteria for nursing student
scholarship awards.
As for 2015, it is my hope that CNF can not only
continue current activities but also look to the future
and determine programs that will address more
specifically Rebuilding From Within: Engagement
of Professional Nurses - Stewardship, Advocacy,
and Citizenship and Connecting with the Outside:
Engagement in the Community: Public Relations,
Image, and Communication with Media.
Thanks for reading about the Colorado Nurses
Foundation. I welcome comments and suggestions
about the content of this column. They can be
submitted to the Editorial staff of the Colorado Nurse.
HOSPICE & PALLIATIVE CARE
OF THE
WOOD RIVER VALLEY
HOSPICE AND PALLIATIVE CARE
EXECUTIVE DIRECTOR
Live and work in beautiful Sun Valley, Idaho and
provide hospice care without the constraints of
Medicare. If you love outdoor activities, culture
and a sophisticated rural lifestyle, this is a great job
opportunity for you.
Must be an RN with at least 3 years of hospice
leadership experience, be clinically skilled with a
history of successful administration, fundraising,
program development, public relations, innovation
and vision. You will be expected to sustain an
organization with a 30 year history of excellence and
community involvement and move it forward for
continued success. ADC 40.
Resumes will be accepted until March 13, 2015.
Send to [email protected]
www.hpcwrv.org
LEGAL REPRESENTATION FOR NURSES
A contract of the Colorado Board of Nursing
z
Funded by license fees
z
Services provided by Peer Assistance Services, Inc.
Have you noticed in a colleague
Warning signs
A change
in physical appearance or emotional health
Increased
use of pain medications documented in patient charts
Frequent or repeated absenteeism or tardiness
Decreased reliability
Unexplained disappearances on the job
What to do
if you have noticed these symptoms?
If you have questions or need assistance, place a safe, caring and confidential call.
303.369.0039
Toll-free 866.369.0039 www.PeerAssistanceServices.org
Nursing Peer Health Assistance Program/Nurse Alternative to Discipline Program
Start believing.
Carole C. Schriefer, R.N., J.D.
Member: The American Association of Nurse Attorneys (TAANA)
Carole’s practice concentrates on the defense of nurses,
nurse practitioners, and other health care providers in
professional licensing matters, investigations, Board of
Nursing hearings, Medicare and Medicaid matters, OIG
exclusions, criminal defense, disputes with hospitals and
employers, contracts, administrative hearings, corporate
matters and transactional matters.
The Health Law Firm
www.TheHealthLawFirm.com
By Appointment
155 E. Boardwalk Drive, Suite 424
Fort Collins, Colorado 80525
Telephone: (970) 416-7456
Telefax: (866) 203-1464
NPATCH
The
Nurse-Physician
Advisory
Taskforce
for Colorado Healthcare (NPATCH) is honored
to have convened the first Colorado QuadRegulator Conference on September 27, 2013. The
conference was the first of its kind at the state
level, bringing together members of the Nursing,
Medical, Pharmacy, and Dental Boards to discuss
the common issues that confront these major
prescribing boards.
With increasing overlap in the regulation of
healthcare professions, from networks of care
providers, discipline cases that touch an entire
team, or rules and policies drafted to impact
similar behaviors, the exchange among healthcare
boards is becoming increasingly important.
The specific issue the Colorado boards tackled
at this first Quad-Regulator Conference was
prescription drug abuse. The conference convened
to:
• Educate
about prescription drug abuse,
including the Governor’s Strategic Plan to
Reduce Prescription Drug Abuse,
• Discuss the roles, activities, and policies of
regulatory boards to help address this issue,
and
• Explore other areas to improve healthcare in
The conference was modeled after the “TriRegulator Symposium” attended by program
directors for the Nursing, Medical, and Pharmacy
Boards in October 2012. The Symposium was
jointly held by the National Council of the State
Boards of Nursing, the Federation of State Medical
Boards, and the National Association of Boards of
Pharmacy. The Symposium offered a forum for
program directors from many states to collectively
discuss issues relating to licensing, discipline, and
administration of programs.
NPATCH enthusiastically took on the charge
of leading this collaborative, regulatory state
conference. While NPATCH’s statute specifically
refers to practices of nursing and medicine, the
group is inclusive, interpreting its mission to
improve healthcare and to tackle interprofessional
issues broadly. In support of NPATCH’s mission
and Governor Hickenlooper’s Strategic Plan to
Reduce Prescription Drug Abuse, NPATCH focused
this conference to educate the attending boards and
facilitate cross-board discussions.
Dr. Richard Dart, an expert on drug abuse and
accomplished speaker, provided an overview of the
problem. The conference provided the opportunity
for boards to work across disciplines and
consider draft policies or rules that might impact
prescription drug misuse and abuse. The Boards
concluded by identifying consumer issues that are
affected by the team-based delivery of healthcare
Free and confidential, 2-1-1
assists thousands of local
residents each year in need of
help with:
• Utilities
• Rent
• Food
• Clothing
• Shelter or transitional
housing
• Medical, dental and
prescription services
and more
Simply dial 2-1-1 or call
719-955-0742 to speak with a
Community Specialist or visit
www.ppuw.org and search “211”
Pikes Peak United Way
and that would benefit from Quad-Regulator
collaboration moving forward.
Approximately 60 people participated in the
conference, mostly comprised of board members.
Staff from the Department of Regulatory Agencies
(DORA), which houses all four boards and the
taskforce, as well as key directors from other
state agencies also attended. NPATCH members
facilitated the break-out groups consisting of
representatives from each primary prescribing
board. With team-based healthcare figuring
prominently into Colorado’s future, these sorts of
inter-professional discussions are more important
than ever.
NPATCH is housed in the Colorado Department
of Regulatory Agencies. The purpose of NPATCH
is to promote public safety and improve healthcare
in Colorado by supporting collaboration and
communication between the practices of nursing
and medicine, and addressing issues of mutual
concern at the interface of these practices.
NPATCH is comprised of five nurses (one
representative from the Board of Nursing), five
physicians (one representative from the Colorado
Medical Board) and two consumer members.
The taskforce is ready to thoughtfully discuss
issues that cross disciplines, and create solutions
for policymakers. The members represent their
professions articulately and passionately, while
working together to find workable solutions.
NPATCH looks forward to assisting state agencies
and other organizations with creative healthcare
recommendations.
Registered Nurse
We are looking for a caring, enthusiastic,
hardworking RN to join our team on the
overnight shift 10pm - 6am.
Interested applicants contact Matt at
970-484-6407 or visit
www.rncrhealth.com
Peer Assistance Services
What are the Eight Dimensions of
Wellness in Your Life?
It’s that time of year when many of us make
resolutions to better our health. Often, this focuses
on the physical aspects our health; diet, exercise,
and nutrition. Wellness means overall well-being.
It incorporates the mental, emotional, physical,
occupational, intellectual, and spiritual aspects
of a person’s life. Each aspect of wellness can
affect overall quality of life, so it is important to
consider all aspects of health. This is especially
important for people with mental health and
substance use conditions because wellness
directly relates to the quality and longevity of
your life.
That’s why SAMHSA’s Wellness Initiative
encourages you to incorporate the Eight
Dimensions of Wellness in your life:2
Emotional – Coping effectively with life and
creating satisfying relationships
Environmental – Good health by occupying
pleasant, stimulating environments that
support well-being
Financial – Satisfaction with current and future
financial situations
Intellectual – Recognizing creative abilities and
finding ways to expand knowledge and
skills
Occupational – Personal satisfaction and
enrichment from one’s work
Physical – Recognizing the need for physical
activity, healthy foods and sleep
Social – Developing a sense of connection,
belonging, and a well-developed support
system
Spiritual – Expanding our sense of purpose and
meaning in life
Why Wellness Matters for People with Mental
Health and Substance Use Conditions
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Poverty, Social Isolation, and Trauma
People with behavioral health problems
often live in poverty and experience social
isolation and trauma, which can lead to
higher levels of stress and/or reduce access to
quality primary care services that can help
prevent and manage these deadly conditions.
Tobacco
75% percent of individuals with behavioral
health problems smoke cigarettes as compared
to 23%of the general population.1 Half of all
deaths from smoking occur among patients
with mental or substance use disorders.
Every year, smoking kills about 200,000
people who live with mental illnesses.
Obesity
Obesity is frequently accompanied by
depression and the two can trigger and
influence each other.3 In fact, a study of obese
people with binge eating problems found that
51% also had a history of major depression.
Medication Side Effects
The high prevalence of CVD risk factors
can be explained in part by unfavorable
psychiatric medication side effects—
particularly on increased metabolic risk
factors for CVD.4,5,6 Weight gain from
medication treatment of schizophrenia and
affective disorders is a well-established side
effect of antipsychotics affecting between
15 to 72% of people taking the medicines.
For people with mental health and substance
use conditions, wellness is not the absence of
disease, illness or stress, but the presence of
purpose in life, active involvement in satisfying
work and play, joyful relationships, a healthy body
and living environment, and happiness.1 People
with mental health and substance use conditions
die decades earlier than the general population,
mostly due to preventable medical conditions
such as diabetes or cardiovascular, respiratory, or
infectious diseases (including HIV).
We can all make healthier communities a
reality.
Adapted from www.samhsa.gov/wellness
Other Substance Use – Alcohol and Drugs
Heavy and binge drinking is associated
with numerous health problems, including:
damage to liver cells, inflammation of
the pancreas, various cancers, high blood
pressure, and psychological disorders.7
Lack of Access to Quality Healthcare
People with behavioral health problems
lack health insurance coverage at far higher
rates than the general population. Due in
part to the lack of provider knowledge in
working with these populations, people
with behavioral health problems often
receive a poorer quality of healthcare.
Achieving health and wellness calls for
an integrated focus on both the mind and
the body. In addition to the difficulties
presented by mental and/or substance use
disorders, individuals with behavioral
health conditions often face other health
challenges that impact their wellness.
There are effective tools and interventions
designed to prevent and intervene early to
avoid illness and promote healthy lifestyle
behaviors and overall wellness. SAMHSA
works to ensure that individuals who are
at high risk for or have a mental and/or
substance use disorder have access to and
receive appropriate behavioral health services
as well as primary health care services to
prevent and treat other medical conditions
and to maintain health and wellness.
Peer Assistance is a regular column in The
Colorado Nurse provided by Peer Assistance
Services, Inc. PAS contracts with the Colorado
Board of Nursing to provide the statewide
Nursing Peer Health Assistance Program. For
more information please go to our website
PeerAssistanceServices.org or call 1 800.369.0039.
We invite your comments and suggestions for
future article content: email [email protected]
Authored by Carla Garcia, MSN, RN, CARN-AP,
Nurse Lead Case Manager.
1.
2.
Dunn, H.L. (1961). High-Level Wellness, Beatty
Press: Arlington, VA.
Adapted from Swarbrick, M. (2006). A Wellness
Approach. Psychiatric Rehabilitation Journal,
29(4), 311–314
CNA President continued from page 1
time the consumer population is expanding by the
thousands; nursing educators and practitioners are
aging out from the workforce in record numbers. All
registered nurses need to be able to function to the
full extent of their practice authority if we are going
to be able to meet the needs of healthcare consumers
in Colorado now and in the future.
Being able to practice to the full extent of our
knowledge, skills and abilities can be easier said
than done. Scope of nursing practice (SOP) is a
complex topic with multiple determinants. The
most recent definition of nursing from the American
Nurses Association (ANA) is the basis for all scope
of practice discussions Nursing is the protection,
promotion and optimization of health and abilities,
prevention of illness and injury, alleviation of
suffering through the diagnosis and treatment
of human response, and advocacy in the care of
individuals, families, communities and populations
(ANA Social Policy Statement, 2010). The scope of
practice of professional nurses considers: standards
of practice, code of ethics, specialty certification;
nurse practice acts with their rules and regulations;
institutional policies and procedures; selfdetermination; and evidence, safety, quality and risk
management concerns. In other words, the Colorado
Board of Nursing, employers, state agencies,
community standards and liability insurance
carriers all influence what activities are considered
to be within the scope of practice for registered
nurses (RNs) and advanced practice registered
nurses (APRNs).
We currently have a number of regulatory and
legislative barriers that prevent RNs and APRNs
from being able to practice to their legal scope of
authority. For example, the mental health statue
and the substance use statutes in Colorado do not
permit registered nurses to place persons on mental
health holds or to initiate alcohol or substance
use emergency commitments. Advanced practice
registered nurses with a specialty in psychiatric
nursing are allowed to place persons on mental
health holds but are not allowed to perform other
functions that are well within our knowledge and
skill set such as discontinuing mental health holds,
placing persons on mental health certifications or
recommending involuntary alcohol or substance
use commitments. These barriers to our scope of
practice are not based in the Colorado nurse practice
act or the competencies of behavioral health RNs
and APRNs. The mental health, alcohol use and
substance use statutes and regulations themselves
restrict nursing scope of practice and subsequently
limit consumer access to quality, cost effective
mental health and substance use care.
Another barrier to APRNs in Colorado is the
current requirements to achieve full prescriptive
authority. Currently, APRN;s seeking prescriptive
authority are required to complete 1800 hours of
practice with a physician preceptor before they can
apply for prescriptive authority. After completing
the first 1800 hours, the APRNs then must complete
another 1800 hours of mentored practice, again with
a licensed physician. Once the second 1800 hours
are completed, the physician mentor attests that the
period is completed and the APRN establishes a
written plan (also known as an articulated plan) to
specify their future safe prescribing practices.
The Nurse Physician Advisory Task Force for
Colorado Healthcare (NPATCH) has recommended
to the Department of Regulatory Agencies that these
requirements be changed to remove the requirement
for the first 1800 hours, allow APRN’s to be mentors
and to reduce the second 1800 hours to 1000 hours
among other changes. Hopefully these changes in
combination will encourage more APRN graduates
to remain in Colorado and thus improve provide
access to primary and specialty healthcare. CNA
employees and volunteers have been actively
engaged in meetings with nursing organizations and
other stakeholders regarding this issue for the past
year. CNA supports the NPATCH recommendations
to remove current barriers to APRNs earning
prescriptive authority in Colorado. If you believe as I
do that all Coloradans deserve access to high quality,
cost effective healthcare, please join your colleagues
and mentors by completing an online application at
www.nursingworld.org or download an application
from www.coloradonurses.org today. I look forward
to working with you to improve access to care and
remove barriers to nursing scope of practice in
Colorado very soon!
Jerry A. Retherford, JD 1948-2009
J. Stephen Mullen, JD
Lori M. Moore, JD
Kimberly F.W. DeLine, RN, JD
Michael A. Watts, JD
Anthony D. Moore, JD
www.rmmlawfirm.net
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District & Committee Reports
DNA 2 Updates
We welcome the members from DNA 8 who
have transferred to DNA 2. We are always here
and as a member of CNA, and DNA 2, you are
welcome to any District meeting in Colorado.
DNA#3
Anne Zobec, Board Member
W 719-667-6942
Cell 719-351-4268
DNA 3 held a Holiday Party at the home of
Marilyn Russo in December. We had several new
members present.
We are planning a program about health care
reform in February.
Many ideas have been explored about how to
get our student nurses involved and how we might
help them during their school year.
DNA 6 (San Luis Valley)
Respectfully submitted,
Charlotte Ledonne, RN, BSN, MA, LPC
President DNA 6
December, 2014
DNA 6 (San Luis Valley) is gearing up to assist
the Colorado Student Nurses Association, Adams
State University and Trinidad State Junior College
Nursing Departments in planning hosting the
statewide CSNA meeting to be held at Adams
State University on Saturday, February 28, 2015
in Alamosa. We invite nursing students from
all districts to attend the meeting. It won’t be all
academic! Some fun and games are planned too.
District 7 News and Activities
In early October 2014 district 7 hosted an open
house at the Strater Hotel in Durango. Guest
speakers included the new executive director
of the Colorado Nurses Association Dr. Colleen
Casper and expert medical billing Coder Laura L.
Spencer Wagner of Summit Ridge Medical Billing
and Coding.
An overview of the statewide conference
and legislative concerns was addressed by Dr.
Casper. Laura Spencer provided a description
of her billing service which is poised to support
and assist nurses who are providing billable
services from a variety of payers. A review of
local members activities in the community and
networking with refreshments provided by the
Strater ensued. At the member meeting officers
discussed and identified possible objectives for
the upcoming 2015 year and a tentative strategic
plan and goals were brought forth. Outreach and
membership were priorities identified as well as
access to meetings for varied rural nurses residing
in the outlying counties.
In early December, our district met for the
annual holiday potluck and networking. This
event was hosted by member Carol Connelly.
The group gathered for delicious homemade
and other holiday foods and to participate in the
annual circle of sharing which highlights the
accomplishments and talents of nurses in our
area. Of note, two members will be also serving
on the statewide CNA board: Nora Fluke and
Terry Schumaker. A brief summary report of
minutes and finances was provided by Terry and
fall conference activities. A follow up strategic
planning meeting and election of officer’s
results was held. Realistic goals and strategies
for 2015 were brought forward. Continued use of
technology to update our e-mail list and outreach
to members broadly and nursing students
District & Committee Reports continued on page 9
District & Committee Reports
District & Committee Reports continued from page 8
was discussed. An online needs assessment
specifically designed for our area was suggested
for early 2015 to continue to assure responsiveness
to member needs.
We will continue to meet every other month
at convenient locations and times throughout
our region. Our district welcomes all nurses
to meetings including students. DNA 7 offers
networking, local updates and a variety of
nursing opportunities and enrichments to nurses
in the four corners area of our state. To be added
to the updated current e-mail list or for further
information or opportunities to participate please
contact; Terry Schumaker @ terryschu2003@
yahoo.com or by phone at 970-769-0286.
DNA 8 Updates
This past fall the CNA Board of Directors
accepted a request from DNA 8 leadership to
dissolve DNA 8. We do so with every intention to
keep current DNA 8 members active and engaged
with CNA statewide activities. As a result of this
decision, we have sent notice to each and every
DNA 8 member and requested your preference for
District assignment. If you have not received this
notice, please contact Colleen@Coloradonurses.
org at your earliest convenience. CNA Board of
Directors has prioritized our commitment to
district and regional activities. We look forward
to working with all of you to reconfigure your
networks in ways that are most effective for you.
connect tubing of one medical device to another.
It was stated that in 14 months there will be no
Luer connectors for epidurals and enteral feeding
set ups in order to prevent tubing misconnections.
DNA 9 members were given the opportunity
to handle several CAD designs, and provided
feedback on these computer aided designs.
New International Standards will be coming
soon, and will promote better patient safety, and
help ensure that connectors for unrelated delivery
systems are incompatible.
DNA 9 nurses appreciated the opportunity
to make comment on several newly designed
connectors, and to bring these upcoming changes
to the attention of healthcare delivery systems.
DNA 12
Happy New Year! In December, two of our
members (Janet Holdsworth and Anita Roberts)
sang in the Boulder Messiah sing-along. We
hope to have more fun activities and education
offerings as this next year begins. For our next
meeting, DNA 12 will plan to meet at Panera’s
in Boulder at the 29th St Mall (1855 29th St.) on
Saturday January 17th at 9 am. We are planning
to have our district meeting every other month
on the 3rd Saturday of the month at this location
throughout 2015. So, plan to come on March 21st
if you weren’t able to attend the January meeting.
There are several of us planning to attend the CNA
Legislative Connection Dinner on Tuesday March
3rd. Call Anita if you would like to carpool. Also,
if you would like further information, please
contact Anita Roberts via email at anitaroberts@
comcast.net or via text or phone at 720-308-2433.
DNA 9
Vicki Carroll – Secretary, DNA 9
DNA 9 Fall Meeting: On October 15, 2014, DNA
9 members met at Value Plastics in Fort Collins
for a business meeting, and a Focus Group with
members of the Global Market Development Unit.
Officers for 2015 will remain the same in
2015: Janie Arndt – President, Jane Koeckeritz –
Treasurer, and Vicki Carroll – Secretary. Janie was
presented with a floral arrangement, and Thanks
for her continued efforts for nurses in northern
Colorado. Plans to attend the CNA Membership
Assembly were discussed.
Value Plastics, soon to be Nordson Medical,
gave a brief overview of small connectors, used to
DNA 20 – West Metro Area
Submitted by Norma Tubman RN, MScN, NE-BC,
Board Member at Large
DNA 20 closed out 2014 with 15 members
attending a holiday potluck at Norma Tubman’s
home. At the potluck, food was collected for
Mountain Resource Center, Conifer and toiletries
and new socks and underwear was collected
for The Action Center, Lakewood to promote
the Center’s healthy living through cleanliness
initiative. In December, the Colorado Nurses
Foundation Scholarship Committee awarded
the $1,000 DNA 20 2015 Scholarship to Arvada
resident Sharon Krasovich. Sharon is a second
year, post-graduate student in the Family Nurse
Practitioner Program at Regis University and
is employed part-time at Kaiser Permanente
Lakewood Clinic.
At its January meeting, members were
introduced to a new treatment protocol for the
management of frostbite. Linda Staubli, RN, BSN,
CCRN, Clinical Nurse Educator, Burn Trauma
ICU, University of Colorado Hospital, presented
on the importance, process and outcomes of
implementation of t-PA to reduce the incidence
of amputation associated with severe frostbite
through collaboration of a multidisciplinary
team of MDs, RNs, PT/OTs and pharmacists.
In February, Jennifer Place, MA, LPC, CAC
111, a Case Manager for Peer Health Assistance
Program, spoke on the RN Program that provides
comprehensive services to RNs and LPNs
experiencing physical, emotional, psychological or
substance problems.
DNA 20 members continue their involvement
in professional activities outside their work.
Linda Stroup presented the findings of her
dissertation “Nursing as a Career Choice by
Hispanic/Latino College Students” at the
American Association of Colleges of Nursing
Baccalaureate Nursing Education Conference in
Baltimore in November. Also in November, Beth
Moxley gave a poster presentation “Improving
Pre-Operative Screening Turn-Around Times” at
the 7th Annual Centura Health Evidence-Based
Practice, Research, and Innovation Conference
in Denver. She gave the same poster presentation
at the St. Anthony Hospital Quality Week in
October. Congratulations to Susan Moyer who
was elected as CNA Vice President and to Annette
Cannon who was elected to the CNA Nominating
Committee. Annette also deserves kudos for her
appointment to the Board of Directors of the
Colorado Coalition for the Homeless.
For information on DNA 20 meetings, contact
President, Janet Ballantyne at 303-838-1240 or
[email protected].
District & Committee Reports continued on page 10
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seek candidates with a Master’s Degree in Nursing and a minimum of 4 years varied experience
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District & Committee Reports continued from page 9
DNA 30 Update
Submitted by Eve Hoygaard, DNA-30 Secretary
DNA-30/ CSAPN (Colorado Society of Advanced Practice Nurses) has been
very busy during recent months. In December, we participated in a joint
meeting with DNA-31/CSCSPN (the Colorado Society of Clinical Specialists
in Psychiatric Nursing) to address current issues for Advanced Practice
Nursing in Colorado. The CNA lobbyist, Nolbert Chavez, provided updates
and responded to many questions. Attendees included representing a variety
of areas of practice.
Healthy Nurse Program/Holiday Fitness Challenge includes five teams
this year ...results and prizes awarded will be included in the next issue of
the Colorado Nurse!
Holiday Drive for Metro CareRing: This was year five for DNA-30 to
participate in this project. We collected $1000. which resulted in 100
donated $10. gift cards to this organization.
We meet on the first Wednesday of each month (except no scheduled
meeting in July) at a local restaurant where we conduct our business meeting
followed by a sponsored dinner and speaker.
Please visit our website at www.coloradonurses.org for more information.
DNA 31
by Ann Terrill-Torres
Colorado Student Nurses
Association Update
Adam M. Diesi, President CSNA
The Colorado Student Nurses Association (CSNA) just had their fall
conference in Greeley, CO on the Campus of The University of Northern
Colorado. The overarching theme was “Answering the Call.” The venue,
staff, and vendors were so very accommodating and much appreciated. Our
upcoming conference, February 28, 2015 is in Alamosa, CO on the campus
of Adams State University and the theme will be “Achieving Your Highest
Potential” (Adams State Nursing program is the highest altitude nursing
school in America). We will be focusing on rural health and its importance
in quality patient care. We plan on welcoming Senator Larry Crowder to our
event.
We are extremely excited to announce that the fall conference later this
year will coincide with the Colorado Nurses Association’s conference.
There will be breakout sessions for both experienced nurses and student
nurses from all over Colorado. Students are excited about the networking
opportunities this event will create. For those of you interested in
participating in the joint conference planning committee, contact me at
[email protected].
Moving forward with CSNA, we hope to become more visible with
students and nursing schools from Colorado. We want to be a sound resource
for questions about professional development, new career navigation, and
anything else that may ensure a rich nursing school experience.
DNA 31 Held a member-wide meeting in Denver in early October to revisit
the value of continuing as a separate DNA vs. dissolving and encouraging
members to join DNA 30. The unanimous decision of members present
was to continue as a unique Psychiatric APN voice within the Colorado
Nurses Association as a separate district. At this meeting we also decided
to expand networking by renaming our monthly “board meetings’ to
‘monthly member meetings” and to include an educational or other event of
interest to members within the meeting and to encourage member interest
in board participation. In November our new slate of Officers and Directors
were nominated and elected using an on-line voting application. 43 Active
members participated in the election. Our new Officers and Directors will
serve two year terms (January 2015 – December 2016).
Caiti Collins, PMHNPc, MS: President
Ruby Martinez, RXN, CNS, PhD: Secretary
Laurie Reeder, PMHNP-BC and Deb Collins, PMHNP-BC: Co-Directors of
Education
Mary Schuchman, NP, CNS, RXN: Director of Ethics Committee
Tanya Sorrell, PhD, APN, PMHNP-BC: Director of Technology
Maureen Doran, APRN: Board Liaison for Students
Continuing their two year terms, ending December 2015 are
Donna Strickland, CNS, MSN: Vice President
Laura Mehringer, CNS, RXN: Treasurer and Legislative Director
Michael Rice, PhD, APRN, RN, FAAN: Membership Director
Our thanks to Nancy Kehiayan who needed to step down as Public
Relations Director. She will be missed!
DNA 31 is proud to announce that member Dr. Ruby Martinez
was appointed to represent Coloardo APNs on the Nurse Physician
Advisory Taskforce for Colorado Healthcare (NPATCH), Ruby succeeds
Mary Ciambelli as a critical voice for APNs in this important group.
Congratulations Ruby!
A Friends of Nursing memorial scholarship became available this year for
nurses advancing their education in the mental health field. The scholarship
is the Dorothy “Dort” Gregg Memorial Scholarship in Psychiatric nursing. It
was established recently by her family and from memorial gifts given in her
honor by friends and former students.
Dort (September 14, 1920 – February 22, 2014) was a pioneer in psychiatric
nursing in Colorado and the nation. Many knew her as a faculty member
at the University of Colorado School of Nursing and from her active role
in mental health activities throughout the state. This scholarship will be
awarded in April 2015.
A Patient Care Initiative from Colorado Advanced Practice
Registered Nurses to Help Pass H.R. 2504:
Home Health Care Improvement Act of 2013
by Lorraine Mattingly, RN, ANP-BC and
Carlotta Fendrich, RN, NP-C
Future healthcare expansion of the Affordable Care Act (ACA) hopes
to provide needed healthcare services for millions of currently uninsured
Americans, but advocacy, policy, and practice barriers stand in the way of
achieving important patient care initiatives. For nearly two decades, advanced
practice registered nurses (APRNs) have been authorized (as permitted by state
law) to order Durable Medical Equipment (DME), such as oxygen, home blood
glucose monitors, nebulizers, wheelchairs and accessories, hospital beds, air
mattresses to prevent pressure ulcers, and equipment needed to safely transfer
patients. However, as a result of the ACA, APRNs may soon require a physician’s
co-signature for ordering DME. According to the American Nurses Association
(ANA), The Centers for Medicare and Medicaid Services (CMS) has delayed this
requirement twice. The passing of House bill H.R. 3833 would remedy such an
illogical burden, and has been included in the House Ways & Means Committee
draft legislation, Protecting Integrity in Medicare Act of 2014 (PIMA). The ANA
urges support of H.R. 3833 and encourages The Ways & Means Committee
members and the full House of Representatives to pass PIMA. Please call
Congress to demonstrate support of H.R. 3833.
The Colorado Nurses Association, Colorado’s principal professional
organization for nurses, with the leadership of Executive Director, Colleen
Casper, RN, MS, DNP, has been instrumental in allowing the voices of advanced
practice registered nurses (APRNs) to be heard regarding practice barriers for
ordering home health services and escalating healthcare costs. April Canter,
Associate Director of the American Nurses Association (ANA), reports that as
the demands for home care increases, qualified providers decrease. With the
combined shortage of primary care providers and current legislative barriers
preventing APRNs from practicing to their fullest potential, the successful
implementation of healthcare initiatives, as outlined by the ACA, remain
uncertain at best. The ordering of home health services is within the practice
scope of APRNs, which current legislation does not reflect. House bill H.R.
2504 has the potential to improve the health care delivery system in the United
States, but Washington has failed to recognize the significance of this bill
moving forward.
The enactment of H.R. 2504: Home Health Care Improvement Act of 2013,
would amend title XVIII (Medicare) of the Social Security Act, and allow
APRNs to certify the face-to-face encounter in lieu of the current physician
certification mandate (Govtrack.us, 2014). Without expedited home care
services, patients are taken out of their homes and placed in expensive
institutional settings. A recent study by Dobson DaVonzo and Associates has
determined the enactment of H.R. 2504 will have a 10-year Estimate (20112020) savings of $273.1 million, a fiscal benefit which is being ignored (ANA,
2014). The ANA and the American Academy of Nurse Practitioners (AANP)
strongly support the enactment of the Home Health Care Improvement Act of
2013, and have been instrumental in their legislative efforts to educate and
lobby on behalf of this crucial bill. According to Govtrack.us (2014) H.R. 2504
has a 3% chance of getting past committee assignments and a 1% chance of
being enacted. Bipartisan legislation co-sponsoring H.R. 2504 continues to grow
support across our great state. As of November 18, 2014, Govtrack.us (2014),
reported the following representatives/co-sponsors from the following districts
in the State of Colorado include:
• Jared Polis, D-C02
• Scott Tipton, R-C03
• Cory Gardner, R-CO4, and recently elected for Senate
• Mike Coffman, R-C06
• Ed Perlmutter, D-C07
Please demonstrate your support of H.R. 2504 moving forward to amend title
XVIII (Medicare) of the Social Security Act by signing the petition on Facebook,
which is located at:
https://www.facebook.com/pages/HR-2504-Home-Health-Care-ImprovementAct-of-2013/477831012359139?pnref=story
Also, please visit Govtrack.us website at: https://www.govtrack.us/congress/
bills/113/hr2504 and click on Call Congress to support H.R. 2504, a logical and
fiscal solution to the timely provision of home health services. Is your Colorado
State Representative a co-sponsor of H.R. 2504?
References
ANA (2014). APRNS and DME. Retrieved from http://www.rnaction.org/site/Page
Server?pagename=nstat_take_action_dme
ANA (2014). Home Health: About the issue. Retrieved from http://www.rnaction.org/site/
PageServer?pagename=nstat_take_action_home_health_about
Govtrack.us (2014). H.R. 2504: Home health care planning improvement act of 2013.
Retrieved from https://www.govtrack.us/congress/bills/113/hr2504
JOIN CNA TODAY!
See pages 18 & 19 for the application
Joyful Every Day
Sit down with Mabel Cotton, wise beyond her
octogenarian years, and ask her one question. “Can
you share a couple of stories that nurses would love
to hear?” And get ready for a ride!
Mabel was born during the Prohibition Years of
the Roaring ‘20s on the Powder River Ranch near
Miles City, Montana. Her Papa was a sheep rancher
struggling to defy drought and lost crops during the
Great Depression. He expected Mabel and her older
brother, both pre-teens, to serve as sheepherders in
the Summer. Each would have their own band of
sheep.
Accompanied by her horse, “a good ole guy,”
and her collie dog, she exemplified the epitome of
“Outward Bound” – free to commune with nature
and the wide open spaces of the Big Sky Country
day and night for a month at a time. Sometimes she
rode in for dinner at noon and often Papa brought
lunch out to her when he made rounds in the
evenings. Before bedtime, gunny sacks laden with
kerosene were placed in a circle around the sheep to
keep the coyotes from getting to the precious stock
left to her watch. She slept alone in a teepee after
shaking her bedroll out to make sure there were no
rattlesnakes curled up in it with her! (Just a couple of
good stories, Mabel, please not a thriller novel!) She
covets to this day a check in the amount of $10 that
she received from her Papa for one Summer’s work.
With the outbreak of World War II, the U.S. Cadet
Nurse Corps, with the tagline of “Enlist in a PROUD
Profession: Train as a Nurse” (http://uscadetnurse.
org/), offered Mabel the opportunity to go to nurses’
training with all expenses paid. She enrolled in the
Holy Rosary Catholic Hospital School of Nursing
in Miles City run by the founders of the concept
of “Zero Tolerance,” the Presentation Sisters. The
school upheld an unwavering standard of excellence
and was integral to the war effort by producing welltrained nurses (Peterson, 1987).
The Sister Faculty were excellent teachers and
strong disciplinarians. They scrutinized everything
that student nurses did from housekeeping, linen
changes, bed baths, care of the patients’ flowers to
wound care. Nightly curfews and bed checks were
the norm. Students were not allowed to marry until
after graduation. (The National Organization for
Women was decades away!)
r
e
m
Sum urses
N
p
Cam ed!
d
e
e
N
Holy Rosary allowed the students to take a sixmonth clinical rotation in either Mental Health
or Pediatrics. Mabel chose a pediatric rotation at
the Gillette State Children’s Hospital (http://www.
gillettechildrens.org/why-gillette/our-history/)
in
St. Paul, Minnesota. Established in 1897 by a young
orthopedic surgeon by the name of Arthur Gillette,
the hospital became the country’s first for children
with special needs. It was at Gillette that Mabel had
the distinct fortune of accompanying the avantgarde Sister Elizabeth Kenny on rounds to assess
children afflicted with polio (http://well.blogs.
nytimes.com/2013/12/26/a-nurse-gains-fame-inthe-days-of-polio/?_php=true&_type=blogs&_r=0).
Neither a religious sister nor an accredited nurse,
Sister Kenny was a person long before her time.
She was adamant that treatments such as the use
of hot compresses and passive range of motion to
keep muscles from contracting were essential to
patients’ recovery from polio. After being shunned
in her home country of Australia and England, her
now world-famous work found wide acceptance
in the 1940s and ‘50s in the United States (http://
en.wikipedia.org/wiki/Elizabeth_Kenny).
Mabel met her honey, Jack “Doc” Cotton, in
1946 and they were married on July 27, 1947
after her graduation from nursing school. While
living in Winfield, Kansas in the 1950s, the worst
tornado ever in the state struck the nearby town
of Udall killing 80 people, injuring 270, and
destroying 192 buildings (http://www.crh.noaa.
gov/ict/?n=toptenkstors). Working as a nurse at the
Winfield Hospital, she was called to respond to this
mass emergency. The town was a “war zone.” She
served for the American Red Cross for one month
without pay triaging those who could be saved.
One woman, a widow, was found alive but her four
children had perished and her home and farm were
annihilated by the twister. Ultimately the town was
bulldozed and later rebuilt.
Mabel and Jack’s life took them to three states,
where each of their three children were born,
before settling in Alamosa, Colorado in 1960. Upon
moving to a new community, she was always
hired immediately, sometimes even before getting
unpacked. She worked private duty through the
camp nurse position. Come spend
a rewarding summer as a camp nurse
at Cheley Colorado Camps in the
beautiful Rocky Mountains of Estes
Park, CO. Dates are June 7th-Aug 10th.
Benefits include room and board,
wages, travel stipend, camperships,
and crisp mountain air.
Call us 1-800-CAMPFUN, or visit our
website at www.cheley.com to apply
online.
registry, a precursor
to today’s prn pools,
in Denver for a chest
surgeon named Dr.
Grow. She rounded
out her experience in
floor duty in Dodge
City and Winfield,
Kansas but her first
love was obstetrics
which she did in
Laramie,
Wyoming;
Clarkson Hospital in
Omaha, Nebraska; and
Alamosa.
Jack, a former NBA Nuggets basketball player,
coach, and professor emeritus at Adams State
University in Alamosa, served on the U.S. Olympic
Committee from 1960-1972. They traveled as a
family to Mexico City to participate as spectators
at the Summer Olympics in 1968. It was after this
extended time away that Mabel transitioned her
nursing career from obstetrics to geriatric care. She
served as the Director of Nursing and later as a staff
nurse at the Evergreen Nursing Home in Alamosa for
over 35 years. Although forever a nurse, she formally
retired at age 76 when she was diagnosed with
cancer from which she is now a 12-year survivor.
She said that her work in geriatrics was “joyful every
day” and never depressing. As a special tribute, the
Evergreen Nursing Home honored Mabel in 2013 for
inspiring “her co-workers to forge lifelong careers in
geriatrics” (http://www.lcca.com/61/facility_news/).
“Nursing is a mission in life and one that
requires dedication to care for others,” she says.
She is grateful to have had the honor and privilege
of touching so many lives. As a finale, she declared,
“My life turned out pretty good for a sheepherder!”
Based on an interview with Mabel Cotton on June
26, 2014 by Susan Feldman Foster
Reference:
Peterson, Susan C. (1987). Adapting to fill a need: The
Presentation Sisters and health care, 1901-1961.
South Dakota State Historical Society.
RN: CAMP NURSE
GENEVA GLEN CAMP in INDIAN HILLS, Colorado, needs
a CAMP NURSE for the 2015 Summer: June 7-August 15.
GENEVA GLEN has an excellent reputation and rich heritage.
ACA accredited. Compensation includes $6,000 salary, travel
allowance of $300, insurance, room and board, beautiful new
health center facility, participation in camp life including horseback
riding, swimming, hiking—ideal Colorado climate, healthful
working environment (Indian Hills is near Red Rocks). Nurse
graduates welcome! Contact: Ken or Nancy Atkinson, Directors,
P.O. Box 248, Indian Hills, CO 80454, (303) 697-4621. Email:
[email protected]. Apply online at www.genevaglen.org
We are a traditional co-ed, residential, summer camp in beautiful
North East Pennsylvania.
We are hiring Patient, Fun, Energetic and Flexible RNs
for summer 2015.
We offer a beautiful setting, great staff community and
an 8 week experience of a lifetime.
To inquire about joining the IHC team, please contact:
[email protected] • 914 345 2155
www.indianhead.com
IHC – Celebrating 75 years!
Summer Camp RNs or NPs
2015
For more information, please contact [email protected]
Vermont girls overnight camp on Lake Champlain
seeks RN or NP with strong assessment and
interpersonal skill, as well as caring demeanor,
to join our health center staff. Great location and
atmosphere. Near Burlington, VT.
Our 89th season. Details 1-800-246-1958;
Email [email protected]
See us on the web:
www.brownledge.org
MAINE – SUMMER
NURSE JOBS!
Premier coed Maine camp seeks
Nurse Manager, Charge Nurses, RNs, LPNs.
Top salaries, travel allowance,
room & board.
www.camplaurel.com
[email protected]
CALL: 800-327-3509
• The Inpatient Programs at Cedar
Springs provide an accepting,
non-judgmental treatment approach
in a specialized environment for those
experiencing an acute crisis.
THE FIFTHTEENTH ANNUAL
LEGISLATIVE CONNECTION DINNER
SPONSORED BY DISTRICT 16 NURSES ASSOCIATION
and The PUBLIC HEALTH NURSING ASSOCIATION of COLORADO
WEDNESDAY, MARCH 4, 2015
SCOTTISH RITE MASONIC CENTER
1370 Grant St., Denver, CO 80203
5:00 PM Registration and Wine Reception
5:25 PM Welcome and Introductions
5:30 PM Dinner and Open Discussion
6:30 PM Program 2015 Health Care Issues
7:45 PM Closing
Registration for this event will be available starting in Dec 2014
** Deadline for registration will be Friday, Feb. 27, 2015**
Questions? Call Nan Morgan @ 303-788-6685 or email: [email protected]
CNA Save the Date
March 4, 2015
Fifteenth Annual
Legislative Connection
Dinner ... see individual
listing on page 13 for more
details /CNA-DNA 16 and
Public Health Nursing
Association of Colorado.
April 24, 2014
DNA-20 Scholarship Fundraiser
“42nd” Street at Lakewood Cultural
Center. Sponsored by CNA-DNA-20
May 8, 2015
Celebrate Nurses Week with Nurses Night at
the Rockies! Sponsored by CNA-DNA 16
May 9, 2015
Thirtieth Annual Nightingale Event sponsored
by the Colorado Nurses Foundation ... see
individual listing on page 15 for more details
September 25-26, 2015 Colorado Nurses Association Third Annual
CNA
Membership Assembly/Annual
Business Meeting including Continuing
Education and Networking.
For additional information including contact person for these
events, please visit the Colorado Nurses Association website at www.
coloradonrses.org or call 303-597-0128.
As a community partner since
1922, Cedar Springs Hospital was
the first free standing psychiatric
hospital dedicated to the provision
of specialized behavioral health
care in the Rocky Mountain
Region.
We continue to serve the needs
of our community in a caring
nurturing atmosphere that respects
the tremendous courage it takes
for someone to ask for help.
Cedar Springs Hospital in Colorado
Springs provides both Acute
Care and Residential Treatment
Behavioral Health (PRTF) services
for individuals of all ages and
chemical dependency (substance
abuse) treatment for adults
18 years of age & older.
• Women’s Program
Cedar Springs Hospital believes that
women experience mental health
challenges in a very different way.
As such, we offer an inpatient acute
stabilization program that caters to a
woman’s particular needs.
• Connections
A program for children ages 5-12
years of age challenged with
attachment disruption and reactive
attachment disorder.
• Mountain View Place
Psychiatric Residential Treatment for
Children and Adolescents.
• Recovery Zone
Military Specific Treatment for
Complex Trauma, Combat Stress &
Post Traumatic Stress Program for
Adults who have served.
• New Choices
Chemical dependency and dual
diagnosis treatment programs.
• The Bridge
Adult Partial Hospitalization Program
2135 Southgate Road Colorado Springs, CO 80906
719-633-4114 or 1-800-888-1088
www.cedarspringshospital.com
Hiring for FT RNs for night shift and
PRN RNs for all shifts.
To apply, visit www.uhsinc.com
Friends of Nursing
News
Members and guests of FON
gathered at Valley Country Club on
December 12, 2014 to celebrate the
holidays and raise funds for their
nursing scholarships. A festive scene
greeted all as they entered the dining
room and delicious appetizers and
a meal of salmon and filet followed
cocktails. The dessert was luscious
Chocolate Marquis (chocolate mousse,
grand mariner and sponge cake).
Derry O’Leary entertained with his
holiday piano music and a sing-along of familiar carols and Christmas
songs. The event’s Co-Chairs were
Terry Biddinger and Steve Edmonds.
A spirited silent auction was chaired
by Judy Robinson. Once again Jan
Jurasic’s beautiful Christmas afghan
was a hit. The event’s sponsors were
Christmas caroling at FON holiday party
Triple B and Valley Country Club. We
are grateful to all who attended and/
or donated. Proceeds from the event will be used
at the annual scholarship luncheon. There are 71
to fund 2015 scholarships.
well qualified applicants and competition will
Scholarship applications are now being be stiff for the awards. New scholarships this
reviewed for awards to be made on April 18, 2015
year will include those named for Dort Gregg,
Georgia and Walter Imhoff, Clare Sandekian, and
Colorado Rehabilitation Insurance Nurse Group
(C-RING). The Scholarship Luncheon will be held
at Lakewood County Club. Please watch for your
invitation and if you are not on our mailing list
Denver School of Nursing is seeking qualified full-time and part-time didactic
and would like to receive an invitation, please
nursing faculty. DSN is a private institution of higher learning dedicated to the preparation
let us know. We are always happy to receive
of excellent nurses. The college offers adult-focused nursing programs that exemplify
the highest standards and educational outcomes, with a focus on students and academic
donations for our scholarships. Please contact me
excellence. Emphasis is placed on the values of caring and advocacy of patients,
is you have questions or need more information.
professional accountability, and standards of practice. Both faculty and students reflect
Juanita Tate, President [email protected], www.
these attributes when serving the needs of the community in their respective roles.
thefon.org
DSN is accredited by the Higher Learning Commission (HLC) and the Accreditation
Commission for Education in Nursing (ACEN).
Qualified nursing faculty requirements include:
• a graduate degree in nursing from an accredited institution; doctorate preferred
• a minimum of one (1) year of recent teaching experience in area of specialty
• a minimum of two (2) years of clinical experience as a registered nurse
• a current unencumbered Colorado license as a registered nurse
Additional requirements and job information may be found
at www.edaff.com. Interested candidates should click on
the Careers tab and search by Keywords, State (Colorado),
City (Denver). Select the position of interest to review the
criteria. To apply, click “Apply Now.”
1024 Central Park Drive
Steamboat Springs, CO 80487
Are you ready to
Thrive?
Cargill has the opportunity for you! Cargill has an
opportunity available for an RN or LPN located
in Fort Morgan, Colorado. This position will be
responsible for day-to-day activities in our onsite
Occupational Health Department. Must live in or be
able to relocate to the Fort Morgan area.
Interested candidates may apply online at
www.cargill.com/careers. Please use Job Posting Number
FOR00923. For questions, please contact Cecilia Drew at
970/542-4308. Equal Opportunity Employer, including Disability/Vet
Check our website www.yvmc.org for
additional nursing opportunities.
We offer a comprehensive benefit package with RELOCATION
ALLOWANCE and a healthy working environment. The entire
family will enjoy our small-town lifestyle, world-class ski resort,
recreational and cultural activities and scenic splendor in the
spectacular Rocky Mountains.
To apply call: 970-870-1112
Fax: 970-871-2337
email: [email protected]
EOE
YVMC is a drug free workplace and applicants must pass a
pre-employment drug screen.
Terry Schumaker, RN, DNP, APRN-BC
At our recent state membership assembly
held in Denver this fall several guest speakers
emphasized the importance of professional
cohesion and strength in achieving shared goals.
They spoke of what is possible in nursing when
we compliment efforts. This prompted me to
reflect further on the Institute of Medicine [IOM]
recommendations for the future of nursing.
The report delineates nursing’s need to foster
continued emergence into full scope of practice.
Our unique roles and our diversity as nurses
in scope of practice, training, education and
environments can assist in achieving these IOM
recommendations. In our diverse roles we can
complement and support nursing teams achieve
common purposes and goals. It is we who can
pave the way for each other together as the IOM
vision becomes realized. How exciting it is that
we are and will progressively incorporate the
IOM recommendations into our practice settings,
despite the many constraints and challenges we
face daily.
Examples of the IOM vision in action include
many nursing models of care: nurse led clinics
to provide high quality access to care for
underserved groups, nursing navigation & care
coordination; school nursing; chronic care
management in primary care and at end of life;
homecare and hospice. The opportunities are
really endless. In each of these settings although
scope of practice vary they complement one
another. Look closely at any team of nurses
devoted to quality and change and you will see a
wide representation of training and appropriate
use of scope of practice to deliver results.
Moving into the new-year as a community
of nurses you may want to consider how we can
increasingly open doors for each other supporting
all nurses full scope of practice. To quote Florence
Nightingale: “So never lose an opportunity of
urging a practical beginning, however small,
for it is wonderful how often in such matters the
mustard-seed germinates and roots itself.”
GROW
WITH
US!
Yampa Valley Medical Center is a community not-for-profit, regional
hospital located in the ski town of Steamboat Springs, CO with
39 inpatient beds, a Level IV trauma center and a Level II Nursery.
• Orthopedic NP • OR RN PD
• Family NP
Embracing
Diversity in
Nursing
COME
Healthcare
Elevated.
Yampa Valley Medical Center offers a variety of
career opportunities including:
Our Readers Speak
We are seeking compassionate, service-oriented individuals to join our
outstanding team of healthcare professionals at Vibra Hospital of Denver
and Vista View Care Center.
Don’t Miss
Your Calling
Become a Certified Nurse-Midwife
• One-year post-graduate program preparing you
for AMCB certification
• 35 years’ experience educating nurse-midwives
720-971-1526 • [email protected]
www.nursing.ucdenver.edu
Vibra Hospital offers a full spectrum of specialized services and
programs for adult patients who require extended acute hospitalization.
Our goal is to help patients reclaim control of their lives, reach their
highest level of functioning, and return home to their families.
Vista View is a unique nursing facility within the hospital that
specializes in long term care and rehabilitation of medically complex
patients. We specialize in ventilator and wound care management, in
addition to the medically complex patient.
If you want to broaden your skill set and become part of the
maintenance, healing, and recovery of the patients we care for while
becoming part of our exceptional team, join us.
We have opportunities available in the following areas:
Nursing Supervisor*, Educator*, RN, LPN, CNA, Tele Tech.
Also, Director of Quality and Staffing Coordinator*
*Bonuses may be available for these positions.
See website below for information about these opportunities.
Contact Ryan O’Hearn, 717- 480-7227, or apply online at
www.vibracareers.com.
We are an Equal Opportunity/Affirmative Action Employer.
BECKS
COMMUNICATION SERVICE
In Memory
Eve Hoygaard, MS, RN, WHNP
Vice President, Colorado Nurses Association
The Colorado Nurses Association honors the
memory of and acknowledges the work of deceased
nurses who lived in, worked in or were educated in
Colorado. Sharing theses names of and information
about these members of our profession is one way
that we do this.
If you have information about a nurse who has
passed away that you would like to acknowledge,
please provide us with information (including, as
available, their full name, city where they lived/
worked, the school where they obtained their
nursing education/date of graduation and/or area
of practice) to Eve Hoygaard ([email protected]).
We reserve the right to edit material submitted and
endeavor to verify all information included in this
column. If an error is noted, please advise us and a
correction will be published. Your assistance will
be greatly appreciated.
We honor the following nurses...
DeYoung, Carol, RN, passed away in December
2014 at the age of 78. A diploma graduate of the
West Chester School of Nursing and BSN from
Hunter College, New York, she received her MS
in Psychiatric and Public Health Nursing at
the University of Colorado. Her nursing career
included working for the Tri-County Department of
Public Health, the Colorado Department of Health,
and the Colorado Department of Social Services.
She was a published author within the profession.
Gorski, Virginia, RN, passed away in December
2014 at the age of 95. She was a graduate of St.
Mary’s Hospital School of Nursing, Evanston, IN.
Harrison, Janice, RN, passed away in Grand
Junction CO at the age of 77. She was a graduate of
Hastings College in Nebraska.
Kanekeberg, Betty Lucille, RN, passed away in
December 2014 at age 82. A graduate of St. Luke’s
Hospital School of Nursing, Denver, her career
included public health, office nursing and hospital
nursing.
Mead, Myra, RN, passed away at age 76. She
was a 1976 graduate of the University of Colorado
School of Nursing . She retired in 1993 after a 35
year career at the Colorado State Hospital in Pueblo
and then worked part-time as a Home Health
nurse for Centura as taught psychiatric nursing
students at Pueblo Community College. She was
7165 Ivy Street, Commerce City, CO 80022
303-287-1001 • Fax 303-287-1919
very involved in the Colorado Nurses Association
and also served as President of the Daughters of the
American Revolution, Arkansas Valley Chapter.
Nuva, M. Regis, SR., O.P, RN, died in Denver
at age 86 in September 2014. A member of the
Dominican Sister of Hope, she earned her RN from
Misericordia Hospital and a BS in Allied Health
from Colorado Women’s College, Denver. Sister
Mary Regis was a nurse with the Dominican Home
Health Agency since 1961 including her volunteer
work in her later years.
Powell, Ruth, RN, a graduate of Presbyterian
Hospital School of Nursing, Denver died in
December 2014 at age 87.
Roll, Daisy Rozanne, RN, A retired RN, she
passed away in December 2014 at age 79.
Sandekian, Sura Clare (Greene), RN, passed
away in January 2015 at age 84. Her diploma in
nursing was completed at the Vancouver General
Hospital, British Columbia, Canada. She later
completed a BS degree from San Francisco College
for Women, a Masters in Education from San
Francisco State University and a MS in Nursing
from the University of Colorado School of Nursing.
(Please note that additional information about
Clare Sandekian will be included in the next issue
of the Colorado Nurse.)
Sanderman, Sharon, RN, passed away in
December 2014 at age 71. A 1965 graduate of the
Royal Alexandra School of Nursing in Canada , her
career included working in orthopedics.
Smart, Helen “Jane,” RN, passed away in
December 2014 at age 87, She was a graduate of
Muhlenberg Hospital School of Nursing. Her
career included working in Denver for 20 years in a
skilled nursing facility.
Yarno, Janet, RN, passed away in November
2014 at age 79. Her career included work first
in pediatrics and later in the area of geriatrics.
Nursing was her passion.
and, a correction... in the prior issue of the
Colorado Nurse Memorial Column, there was
an omission of information that we would like to
correct:
Oestereicher-Jones, Patricia Ann Cooke,
RN, passed away in August 2014 at the age of
80. She was a 1955 diploma graduate of Mercy
Hospital School of Nursing, Denver. Following her
graduation, she was employed for 39 years as a RN
at Mercy Hospital until her retirement in 1994. On
two occasions, she was selected by and honored by
her peers as “Mercy’s Nurse of the Year.”
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Activ. Fee: $36/line. Credit approval required. Plan: Offer ends 3/12/2015. Includes unlimited domestic Long Distance calling and texting. Data allowance
as specified. Third-party content/downloads are add’l charge. Int’l svcs are not included. Max of 10 phone/tablet/MBB lines. Data: Includes 20GB of
on-network shared data usage and 100MB off-network data usage. Add’l on-network data usage: 1.5¢/MB. Add’l off-network data can be added by opt
in only for 25¢/MB for tablets/MBBs. Mobile Hotspot Usage pulls from your shared data and off-network allowances. Usage Limitations: Other plans
may receive prioritized bandwidth availability. To improve data experience for the majority of users, throughput may be limited, varied or reduced on the
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· Competitive Salaries · Medical Benefit Package
· PTO · Sick Leave · Paid Holidays
· Education Assistance · Generous 401(k)
Visit our website for current nursing opportunities
www.carsontahoe.com
Recruiter: 775.445.8678
Job hot line: 888.547.9357
Carson City, Nevada
(Located in Northern Nevada,
near Lake Tahoe and Reno)
EOE
Nurses in the News
Brookdale is Growing in Colorado!
RNs looking for exciting opportunities for growth are needed
for our Home Health & Hospice programs throughout Colorado!
Join a growing team of professionals at Brookdale.
We have excellent benefits for Full-Time employees and a generous
time off package.
Visit us at www.Brookdale.com for a complete list of our
communities in your area OR contact Mary Franklin for additional
information: [email protected] OR 866.444.1226
Why choose MEG?
We are home care experts, and Colorado
approved education providers.
We are the experts! MEG Associates Consulting Group,
Inc. is an approved provider of continuing nursing education by the
Colorado Nurses Association, an accredited approver by the American
Nurses Credentialing Center’s Commission on Accreditation.
www.megassociates.com | M. Elaine Graves, RN, BSN, MA
303.536.0614 or 303.857.0733
NURSING EDUCATION
UTAH STATE UNIVERSITY IS SEEKING APPLICANTS for
Various Part-Time and Full-Time Nursing Faculty and Leadership Positions
at Our Utah Campuses.
For more information about available opportunities,
please visit jobs.usu.edu.
Joshua S. Zucker, MS, FNP-BC.GNP-C is now
serving as an advisor to the Colorado Department
of Public Health and Environment Long Term
Care Facilities Regulations review and revisions
program. He is a Past President and active
member of DNA-30/CSAPN. He has over 10 years
experience as a NP in Long Term Care Facilities
and Geriatric Care.
~~~~~~
Professional Nurses who were recipients of
the 2015 Healthcare Awards Strength in Health
awards include:
Administrative Excellence in Healthcare:
Janet Houser, Ph.D., RN, Dean College for Health
Professions, Regis University.
Nurse Excellence in Healthcare: Jill Grolux,
RN, Case Manager, Colorado Connection for Kids,
Denver Health Medical Center
Honorable Mention Award: Nurse Excellence in
Healthcare, Bonnie Arritola, RN, Oncology Nurse
at Red Rocks Cancer Center
Honorable Mention Award: Nurse Excellence
in Healthcare, Mary Watkins, MS, RN, Medical
Office Director, Englewood and Hidden Lake
Kaiser Permanente.
Honorable Mention: Nurse Excellence in
Healthcare: Tammi Becker, FNP, RN Gamily
Nurse Practitioner at St. Joseph Hospital
Foundation, Denver.
We also congratulate all the other nurses who
were nominated for these awards.
~~~~~~
Congratulations to Christy Rose, RN, staff
nurse at Denver Health Medical Center, Denver.
Her article “Choosing the Right Restraint was
published in the January 2015 issue of the
American Nurse Today in a special section “Focus
on ... Safe use of Restraints.”
~~~~~~
Congratulations to the National Magnet Nurse
of the year 2014, Jacqueline Murray, PhD, BSN,
Brain Injury Nursing Program, Coordinator,
Children’s Hospital Colorado, Aurora. She was the
recipient of the award for Exemplary Processional
Practice.
~~~~~~
Public
Health
Nurses
Association
of
Association of Colorado (PHNAC) presented the
following awards at the 2014 Colorado Public
Health Association Annual Conference.
Exemplary Frontier Public Health Nurses:
Susan Kelly, RN, Lincoln County Public Health
and Trish McClain RN, Northeast County Public
Health
Lillian Wald Award: Tsering K. Dorjee, RN
(former) Colorado Department of Publish Health&
Environment
New Public Health Nurse of the Year: Andrea
Mujica, Tri-County Health Department
PHNAC Award for Excellence, Martha
Hubbard, Teller County
Susan Kelly
Trish McClain
Andrea Mujica
Tsering Dorjee
Martha Hubbard
Jackson Hole, Wyoming
offers career opportunities with competitive
salary and benefits.
Introducing expanded facilities in
Diagnostic Imaging, Oncology,
Obstetrics, and Surgical Services.
A future issue of the Colorado Nurse will include multiple columns on scholarships
currently offered for nursing students in Colorado. If you were the recipient of a
scholarship when you were a student (from basic RN program to PhD), please send a
brief sentence or two as to what impact receiving the scholarship made on your career.
[email protected] We hope to hear from you!
You’ve earned your
dream job.
We’ll help you
find it at
nursingALD.com
For more information please visit
www.tetonhospital.org
Click on the “careers” tab
New Continuing Education Opportunities Available at:
www.educationsjmc.org
Drug Free Employer/EOE
Your free online resource for
nursing jobs, research,
and events.
Continuing Education Courses
M/S Certification Review – February 26th & 27th
CCRN/PCCN Certification Review – March 2nd-4th
Trauma Nurse Core Curriculum – March 5th & 6th
Evidence-Based Practice Boot Camp – March 11th
Advanced AWHONN – March 16th
Transplant Basics – March 23rd
12 Lead EKG – March 30th
Advanced CRRT – April 1st
Beginning Medical Spanish 2 – April 1st
Bariatric Surgery Seminar – April 7th
27th Annual Research & Evidence-Based Practice
Symposium – April 9th & 10th
• Fundamentals of Critical Care Support – April 15th-17th
• Care of the Burn Patient – April 29th
•
•
•
•
•
•
•
•
•
•
•
For additional details or to register for a course, please go to:
www.uchhealth.org
Click on Classes & Events Tab
Select Continuing Education from Event Topic Menu
Government Affairs & Public Policy Committee
Support Legislative Bill to Reduce Barriers to Care
The increasing need for health care in Colorado and the projected
shortage of health care providers to meet this need, presents opportunities
and challenges for all nurses. Nurses are well educated and trained to
positively impact this shortage. Unfortunately, in the state of Colorado, there
are current barriers that limit Advanced Practice Registered Nurses (APRN)
to practice to the full extent of their education. Reducing these barriers can
help alleviate the shortage of providers and improve access to care.
Currently, due to existing restrictions, many new Colorado educated
APRNs are leaving the state, to practice in surrounding states with less
restrictive transition to full prescriptive authority. Current restrictions, in
Colorado, include the need to be mentored by physicians before they can
obtain prescriptive authority and complete 3600 hours (far more hours than
surrounding states). When new APRNs are seeking their first position; they
often have difficulty finding physician mentors or they are not being hired,
because they do not have prescriptive authority.
The Colorado Nurses Association (CNA) and statewide stakeholders have
been active for more than a year preparing for this legislation. Colorado’s
legislated committee, Nurse Physician Advisory Taskforce (NPATCH) has
facilitated extensive discussion and collaboration with multiple stakeholders
including, nursing, physicians, hospital associations and the insurance
industry. NPATCH reached consensus on the following recommendations,
which form the foundation of this legislative bill (at publication Bill
assignment was still pending):
1.Provisional prescriptive authority upon acceptance into the APRN
Registry;
2.Reduction of transition hours from 3600 hours to 1000 hours; and,
3.Allow experienced, licensed APRNs or physicians, to mentor new
graduates in transition to full prescriptive authority.
Many well respected professional organizations such as the Institute
of Medicine, the National Governors Association (NGA) and the Federal
Trade Commission (FTC) call for nurses to practice to the full extent of
their education and training to improve access to safe, quality health care.
The FTC states: “if the regulation of APRNs was under federal jurisdiction,
it would block any obstruction to practice restrictions as an unjust
obstruction of fair trade” (FTC, 2014). Over thirty years of research on
APRNs, attest to the efficiency and productivity of APRNs in unrestricted
health care environments as well as increased access to care for underserved
populations. Evidence clearly demonstrates that APRNs provider safe, high
quality care and achieve high patient satisfactions (NGA 2012).
This Bill is timely and important, not only for nurses, but for all
Coloradans who are faced with limited access to care. Registered Nurses,
including APRNs, are well prepared to mitigate the shortage of primary
and specialty care providers upon graduation. Colorado has multiple
graduate/doctoral programs that prepare Pediatric, Primary Care, Senior
Care, Women’s Care, Midwifery and Psychiatric/Behavioral Health Care
APRNs that could immediately and positively impact healthcare in this
state. Limiting unnecessary barriers is needed in Colorado, where the role
of APRNs began fifty years ago. CNA is calling for the state legislature to
accept this bill which will allow APRNs to practice to the full extent of their
academic and clinical preparation to improve access to health care.
Welcome New and
Returning Members
Carrie McGinnis Jessica Johnson Laura Evans Heather Fitzgerald Cindy Honaker-Waite Anne Holthaus Megan Watanabe Blanca Lugo Godoy Heidi Zink Tiersa Pialet Kellie Monahan
Cheryl Fiscelli
Holly Burns
Maria Machala
Laura Tharp
Audrey Cortez
Felisha Miller
Lynn Dierker
Rozielle Ayers
Carol Brookshire
Antoinette Rappa
Melinda McIntyre
Lynne Plowman
Laurie Verde
Deborah Woodard
Ruth Graham
Andrea Corman
Alicia Stark
Rhonda Knoernschild Alexandra Paz-Cox
Caroline Pike
Andrea Vega
Anna Tokarevasteving
Theresa Dombrowski
Janece Moore
Carolyn Davis
Karen Forrester
Lafonda Traore
June Weiss
Eric Hannon
Michelle Agnew
Liza Chavez
Jolie Eirich
Kessie (Kathryn) Schwanebeck
Revkah Balingit Violet Edgar-Bisson
Patricia Cullen
Katie Sixta
Monica Lister
Mandy Cortese
Jessica Fynboh
Che Pang
Jennifer Pedretti
June Weiss Denise Burroughs
Mari Ernst
Amy Christine Reed
Kylie O’Donnell
Elizabeth Welch-Carre
Karen Wessling
Maureen Preston
Sandra Gartner
Sonya Terrian
Brian Watkins
Samantha Lytle
Maribel Ramirez
Carol McDonald
Teresa Freudig
Bonnie Thomas
Amanda Sturgeon
Vivienne Feeney-Fillere
Mookie Shari Coombs
Ann Froese-Fretz
Rhonda Knoernschild
Yvonne McCaa
Shawna Sheppard
Marri Collom
Lorna Adams
Piper Rudel
Genevieve Lamancusa
Lisa Wagner
Alyona Dutchak
Emilie Law
Kay Miller
Maureen Murphy
Alexandra Hale
Jeffrey Baker
Meghan Chandler
Deborah Zeller
Laura Medina
Julia Girouard
Rebecca Jacobson
CO03
CO08
CO16
CO16
CO16
CO20
CO16
CO16
CO07
CO03
CO30
CO16
CO30
CO16
CO03
CO05
CO30
CO16
CO20
CO30
CO16
CO12
CO05
CO09
CO30
CO23
CO20
CO03
TN01
CO30
CO30
CO04
CO05
CO16
CO30
CO23
CO20
CO16
CO03
CO03
CO16
CO04
CO30
CO05
OL
CO16
CO30
CO20
CO12
CO09
CO23
CO16
CO16
OL
CO16
CO30
CO16
CO03
CO12
CO16
CO20
CO16
CO04
CO08
CO16
CO08
CO08
CO20
CO20
CO04
CO03
CO16
CO16
CO02
CO20
CO04
CO12
CO08
CO30
CO12
CO05
CO23
CO23
CO20
CO16
CO03
CO03
CO30
CO03
CO16
CO05
CO16
Just Because You Received This Publication,
2851 S. Parker Road
Suite 250
Aurora, CO 80014
Fax (303) 757-8833
Katherine Foss
Sylvia Pyziak
Margaret Breslin
Therese Fairless
Julie Arenson
Keely Palmer
Rose Ann Scibona
Emily Griffith
Barbara Malone
Rosario Medina-Shepherd
Santiana Littman
Lynn Teske
Vera Turk
Revkah Balingit
Bailie Cronin
Nicole Moline
Sheila Warren
Kimberly Blank
Andrea Wilkinson
Renee Weisinger
Allison Perkins
Nicole Locher
Christina Brakowski
Terry Parker
Christine Olsen
Ellen Servetar
Courtney Rahrig
Amanda Maxwell
Mallory Tagge
Melissa Watts
Cori Spear
Melissa Kranz
Kimberly Gonzalez
Rhonda Collins
CO20
CO12
CO16
CO09
CO20
CO20
CO03
CO16
CO30
CO16
CO16
CO04
CO09
CO16
CO16
CO20
CO20
CO23
CO20
CO12
CO16
CO20
CO16
CO30
CO04
CO16
CO30
CO16
CO16
CO02
CO08
CO03
CO20
CO23
Jennifer Sears
Kimberly Senn
Rachel Buck
Jennie Kraemer
Audrey Snyder
Michelle Boyd
Shelly Blazier
Susanne Sanstra
Martha Grubaugh
Susan Toombs
Sheryl Reicher
Bridget Duann
Semhar Haile
Shana Light
Jacqueline Carbone
Alicia Adams
Mandy Bodily-Bartrum
Tiffany Meister
Karen Owens
Michelle Graves
Camille Graham
Ashley Rader
Kelly Henrichs
Tracy Richardson
Heather Brown
Jennifer Zirul
Claudia Black
Heather Teter
Deborah Losacco
Janet Benedict
Jenna Gerber
Vicki Sorensen
Nicole Clark
Patti Serfling
CO08
CO08
CO03
CO16
CO09
CO16
CO03
CO03
CO03
CO20
CO20
CO04
CO16
CO05
CO20
CO20
CO16
CO12
CO05
CO03
CO09
CO23
CO16
CO04
CO04
CO12
CO07
CO12
CO20
CO05
CO30
CO03
CO12
CO04
Doesn’t Mean You Are A CNA Member
ANA Professional
Issues Panel
Appointments from
Colorado
Work Place Violence and Incivility
The goal of this Professional Issues Panel is
to develop a position statement on workplace
violence and incivility and detailed guidance
for registered nurses and employers. Over 500
applications were received.
Deborah Center, MSN, RN, CNS, Coach-CTA
Mary Pat De Wald, RN, APRN, MSN, MPA,
SANE-A
Lorrie Henecke, MS, APRN, ACNS-BC, CNRN
Mary Ogg, MSN, RN, CNOR
Barriers to RN Scope of Practice
The goal of this Professional Issues Panel is
to identify and clarify barriers to RNs practicing
to the full extent of their education, experience,
and scope of practice (as set down by the relevant
Nurse Practice Act), and guide the development
of resources to address these barriers at the
institutional, state, and federal level.
Shanna Keele, PhD, APRN, FNP
Ingrid Serio, RN, BSN, MPP, DNP Student
Colorado is fortunate to have the commitment
and wisdom of these participants. Thank you!
SENIOR CARE CENTER
We are among the top 20% of nursing homes in Colorado and
have a 5 star rating for nurses.
Full-Time LPN/RN
Full-Time – 32-40 hours a week. Varied shifts available. Nights, evening,
weekend and holiday shifts may be required. Long term care experience
desired. Eligible for benefits and PTO accural.
Please apply at
www.gunnisonvalleyhealth.org
Change is happening...
Visit www.nursingALD.com to access over 600
issues of state nurses publications from around the
United States - Stay informed about nursing in
Colorado and around the country!
Nursing Positions Available:
Critical Care
Operating Room
Stepdown Unit
Emergency
Med/Surg
Float Pool
Case Management
Nursing Leadership Positions Available:
Director, Critical Care
Director, Emergency Department
Clinical Manager, Oncology Unit
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