Quarterly circulation approximately 77,000 to all RNs and Student Nurses in .

Volume 75 • Number 4 The Official Publication of the Tennessee Nurses Foundation Winter 2012 TNA & TASN Joint Convention Highlights

TNA’s Annual Convention began with two great pre-convention sessions on Thursday, October 18, 2012 in Franklin, TN. Participants in the session entitled Green Dots for Nurses: Bystander Training Workshop came away very excited about sharing the skills they learned to take effective bystander action and work with others to support Green Dot’s strategies to eliminate violence one green dot at a time. The APRN session entitled Practicing in the Current Regulatory & Political Environment was well attended and very informative. Participants came away with strategies for moving the practice and profession forward, as well as a better understanding of the latest issues that impact the APRN practice and the how to provide comprehensive quality care to patients. As the official 2012 TNA & TASN Joint Convention, Creating a Culture of Safety Together, began on Friday, October 19, more than 200 nurses and nursing students convened upon the Cool Springs Marriott Hotel and Convention Center in Franklin, TN. It was great seeing several cars in the parking lot with TNF’s specialty nurse license plate, Nurses Change Lives. Everyone knew the nurses and nursing students had arrived! Convention attendees were awarded a total of 7.0 contact hours for attending some of the best sessions TNA has yet to offer. The offerings included: • The Value of the Nurse Case Manager as a Collaborative Team Member • Technology Advances in Patient Care • Mentoring the Novice Researcher: Peripheral Members of the 2013 TNA Board of Directors attending the convention, following the installation of the new Phlebitis Point Prevalence Study Board, on Sunday morning during the final House of Delegates session. They are, from left, Beth Smith, TNA Past • Successful High Fidelity Simulation with President; Margie Gale, District 3 President; Linda Foster, District 4 President; Lena Patterson, TNA President; Fundamentals Students Using Unfolding Scenarios Billie Sills, TNA President Elect; Brad Harrell, District 1 President; Sharon Bailey, TNA Treasurer; Debra • Patient and Family-centered Care and Team Sullivan, District 15 President; Raycene Brewer, TNA Secretary; Kathleen Jones, District 05 President. Collaboration in a High Risk Obstetric Population: Case Studies with Child Life and Nursing Presidents in attendance, including Sharon Adkins, Ginna The Treasurer report was given by Sharon Adkins, • Workplace Violence in the Hospital Betts, Laura Beth Brown, Gary Crotty, Frances Edwards, followed by a report on the Tennessee Nurses Foundation by • TNF’s session entitled Opioid and Benzodiazepine Wanda Hooper, and Peggy Strong. Recognition was given Janice Harris, Tennessee Nurses Foundation (TNF) President. Dependence: An American Epidemic to participants, or those with family members, serving in Mike Harkreader, Executive Director of the Tennessee the Armed Forces. Tommie Norris, TNA Vice President, Professional Assistance Program (TnPAP), gave a report on House of Delegates delivered the Nightingale Tribute and a moment of silence TnPAP activities, followed by Katherine Pendleton, Chair of The 104th House of Delegates opening on Friday included was given in memory of TNA members who had passed the Tennessee Nurses Political Action Committee (TNPAC), a video greeting from Karen Daley, ANA President and away during the past year. Patterson delivered her President’s who gave a report on the PAC. A report from Laurie Acred- greetings from Brittney Conley, President of the Tennessee Address, followed by the TNA Executive Director’s report and Natelson, TONE Nursing Collaborative Liaison, presented the Association of Student Nurses. Tennessee Board of Nursing Report, both given by Sharon TONE report, followed by Chris Clarke’s, Tennessee Hospital Lena Patterson, TNA President, recognized the members Adkins, TNA’s Executive Director. Association’s Tennessee Center for Patient Safety Senior Vice of the TNA Board of Directors in attendance, as well as Past President and Chair of the Tennessee Center for Nursing, reports for the Tennessee Hospital Association (THA) and the final report for the Tennessee Center for Nursing (TCN). Non-Profit Org. This is the second year U.S. Postage Paid participants have had the pleasure Princeton, MN of joining Tom Randles, during Permit No. 14 TNA’s annual Achievement current resident or Awards Luncheon. Randles was our emcee, but in his real job he works as co-anchor for Channel 4’s Evening News, at WSMV in Nashville. Also an TNA Past Presidents in attendance. From left, accomplished jazz musician, Laura Beth Brown, Ginna Betts, Gary Crotty, he has now produced four Peggy Strong and Wanda Hooper. Sharon CDs. The Tennessee Nurses Adkins and Frances Edwards not pictured. (continued on page 4) Page 2 The Tennessee Nurse December 2012, January, February 2013

The Tennessee Nurse is the official publication of the Tennessee Nurses Foundation, 545 Mainstream Drive, Suite 405, Nashville, TN 37228-1296 Phone: 615/254-0350 • Fax: 615/254-0303 Email: [email protected] Enhance the value of your Published exclusively by the Tennessee Nurses Foundation and the continuing education offering! Arthur L. Davis Publishing Agency, Inc. TNA 2013 Board of Directors, Officers Lena M. Patterson, President; Billie W. Sills, President Elect; Jill S. Kinch, Vice President; Submit it to the Beth H. Smith, Past President; Raycene G. Brewer, Secretary; Tennessee Nurses Association Sharon P. Bailey, Treasurer TNA 2013 District Presidents Brad Harrell, District 1; Billie Phillips, District 2; for CE approval. Margie N. Gale, District 3; Linda Foster, District 4; Kathleen Jones, District 5; Vacant, District 6; Amy Holder, District 8; Angel Brewer, District 9; The Tennessee Nurses Association is accredited as an approver of continuing nursing Vacant, District 10; Vacant, District 12; education by the American Nurses Credentialing Center’s Commission on Accreditation. Debra H. Sullivan, District 15 EDITORIAL TEAM Editorial Board: Fern Richie, Chair; Visit the Continuing Education link at www.tnaonline.org for details Jason Carter; Ruth Elliott; Linda Finch; Martha Hall; Amy Hamlin; Kathleen Jones; Betsy Kennedy; Tommie Norris; Michelle Robertson; Gloria Russell

TNA Staff Sharon A. Adkins, MSN, RN, Executive Director Barbara Martin, Executive Assistant Wilhelmina Davis, Manager, Government Affairs Kathy Denton, Member Services\IT Administrator Susan Seager, Ed.D, RN, Education Administrator and Nurse Peer Review Leader

The official publication of the Tennessee Nurses Foundation shall be the Tennessee Nurse. The purpose of the publication shall be to support the mission of the Tennessee Nurses Foundation and Tennessee Nurses Association through the communication of nursing issues, continuing education and significant events of interest. The statements and opinions expressed herein are those of the individual authors and do not necessarily represent the views of the association, its staff, its Board of Directors, or editors of the Tennessee Nurse.

Article Submissions: The Tennessee Nurses Foundation encourages submissions of articles and photos for publication in the Tennessee Nurse. Any topic related to nursing will be considered for publication. Although authors are not required to be members of the Tennessee Nurses Association, when space is limited, preference will be given to TNA members. Articles and photos should be submitted by email to [email protected] or mailed to Managing Editor, Tennessee Nurses Foundation, 545 Mainstream Drive, Suite 405, Nashville, TN 37228-1296. All articles should be typed in Word. Please include two to three sentences of information about the author at the end of the article and list all references. Preferred article length is 750-1,000 words. Photos are welcomed as hard copies or digital files at a high resolution of 300 DPI. The Tennessee Nurses Foundation assumes no responsibility for lost or damaged articles or photos. TNF is not responsible for unsolicited freelance manuscripts or photographs. Contact the Managing Editor for additional contribution information.

Reprints: Tennessee Nurse allows reprinting of material. Permission requests should be directed to Tennessee Nurses Foundation at [email protected].

For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-0481, [email protected]. TNF 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 Tennessee Nurses Foundation of products advertised, Join the advertiser, 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 Foundation disapproves of the product or its use. TNF and 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 opinion of the authors; they do not necessarily reflect views of the staff, Board or membership of TNA and TNF or those of the national or local associations.

Copyright©2012 by the Tennessee Nurses Foundation. The Tennessee Nurse is published quarterly in March, June, September and December. Published free for TNA members and registered nurses licensed in Tennessee. Others may request to be added to the Now! Tennessee Nurse mailing list by contacting [email protected]. Application on page 15 or join www.tnaonline.org online at www.tnaonline.org

Published by: Arthur L. Davis Publishing Agency, Inc. December 2012, January, February 2013 The Tennessee Nurse Page 3 From the President

I was recently challenged to reexamine my own what can be and I am willing to fight for it. This remains a Priorities priorities only to discover how out of sync I truly was. priority for me. What about you? What happens when one or more of our priorities requires Leaving the voice of nursing up to a few is not by Lena Patterson, MSN, RN, APRN, BC, CCNS more of our time than anticipated? What are your sufficient. Every one of the 86,492 registered nurses, priorities; personal time with God, time with family, job, which includes the 9,107 APRNs, and the 30,293 We get it done! Have you leisure activities, children’s activities, travel, time with licensed practical nurses in the state of Tennessee need ever stopped to wonder how you colleagues, professional development, and professional their voice heard. How can you make activism for your get it all done with the current activism among others? What motivates you to change profession a priority? First, and at the very least, every demands of living and working your priorities; emergencies, deadlines, peer pressure, fear, registered nurses should be a member of TNA in order in the twenty-first century? motivation to succeed, or personal choice? Quoting Anne for membership to truly be representative of the nurses What influences do you use Robertson Brown, “Be wise in the use of your time. The in the state, and therefore the organization becomes when determining what to do question is not how much time do we have? The question is increasingly credible with legislators when presented with on a daily and weekly basis? Do what shall we do with it.” our concerns; second, we need you to cultivate a personal you have an efficient, organized I have asked you to join us, your state nurses relationship with your individual legislators. They need to approach to decide or do you association, Tennessee Nurses Association (TNA). I hope know their nursing constituents. They need to hear about arbitrarily take each day as they someone else in your local district has had an opportunity healthcare related issues affecting nursing from nurses; come? Many, if not all of us, to invite you as well. You have been asked to become third, we need your donations to TNPAC. These are Lena Patterson live our lives with competing active in your state nurses association. Maybe neither political donations to support nurse friendly candidates, or priorities, pondering ‘if I only of these takes precedence in your busy life right now. those we hope will become so. Whatever you can give is had more time.’ Bo Bennett offers, “Avoiding the phrase, ‘I What if I told you your right to practice in the state, as helpful, especially if everyone would give just a little back; don’t have time,’ will soon help you to realize that you do you always have, has been revoked because the laws had and lastly, we can use your time to make the organization have the time needed for just about anything you choose changed? What if I told you your voice would have made stronger. What’s your specialty? Maybe you can only to accomplish in life.” Often we determine what takes all the difference? I am telling you that right now. “It is commit your time for a short period of time. That’s great. precedence in our daily routines with the most pressing not because things are difficult that we do not dare, it is Nursing in Tennessee will continue to meet the progressive issues of the day. Hopefully, we do not have too many because we do not dare that things are difficult,” Lucius needs of the populations we serve, by assuring our scope ‘emergencies’ to offset the delicate balance many of us Annaeus Seneca. Your level of action is still up to you. As of practice remains progressive and our nurse practice act struggle to maintain. Or, is this delicate balance elusive or for me, I will continue to fight for the rights and privileges remains intact, allowing us as a profession to continue to even an illusion to many of us? that have been afforded to me, first as an RN and second grow and serve the public optimally. That is our priority. as an APRN, in this state. I am looking to the future of

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(Continued from page 1)

Association honored eight individuals and organizations during the luncheon. To those of which were honored, we give a special thanks for the contributions you have made to the nursing profession and to your professional organization, the Tennessee Nurses Association. Photos of the 2012 TNA Achievement Awards are included in this issue.

TNA’s Keynote speaker, Sorrel King, followed the Awards Luncheon. King delivered a thought provoking message entitled Josie’s Story: Family-Centered Approaches to Patient Safety. As founder of the Josie King Foundation, Sorrel is a leading advocate for improving patient safety. Together, with her husband TN Legislators held panel discussions during TNA Tony, they have embarked on this journey due to the death Convention. From left, Rep. JoAnne Favors, Rep. Glen Nursing Students pictured with Sorrel King, TNA’s of their daughter, Josie, who died as a result of medical Casada, Rep. Charles Sargent and Rep. John DeBerry. Keynote speaker errors. The Tennessee Nurses Political Action Tennessee Association of Student Nurses (TASN) House of Delegates Actions TNA staff and TNA Convention attendees enjoyed The House of Delegates opened early Saturday morning Committee (TNPAC) having the students join us! and immediately got to work on TNA business. Below is TNPAC’s general session on Saturday morning featured a list of actions taken, followed by a copy of Resolution a Legislative Panel Discussion. During convention, the 2012-01—Support for the Expansion of Medicaid Tennessee Nurses Political Action Committee (TNPAC) Program. received $6,100 from donations and pledges.

Reaffirmation: TNA Elections and Installation of the • Resolution #97-01—In support of PeriOperative Registered Nurses 2013 Board of Directors • Resolution #97-02—In Support of the Association Election results were announced. Frances, “Billie”, of PeriOperative Registered Nurses Statement on Sills, of Johnson City, was elected President-Elect; Jill RN First Assistants Kinch, of Nashville, was elected Vice President; Sharon • Resolution #02-02—In Support of Tennessee Bailey, of Maryville, was elected Treasurer. Bethany Association of Student Nurses Andrews, of Hermitage, and Kay Bone, of Kingsport, were House of Delegates (HOD) session • Resolution #2007-01—In Support of Cultural elected to the Nominating Committee. Diversity Officers of the 2013-2014 Board of Directors include • Resolution #2007-07—In Support of Proactive Lena Patterson, President; Beth Smith, Past President; Consumer Education and Protection Francis, “Billie”, Sills, President Elect; Jill Kinch, Vice • Resolution #2007-08—In Support of Integrative President; Raycene Brewer, Secretary; Sharon Bailey, Mental Health Services—as amended Treasurer. The TNA 2013-2014 Board of Directors also includes Sunset: the following District Presidents: Brad Harrell, District 1; • Resolution #2007-03—In Support of Resolving the Billie Phillips, District 2; Margie Gale, District 3; Linda Crisis in Nursing Education Through Additional Foster, District 4; Kathleen Jones, District 5; Vacant, Funding for Both Public and Private Schools of District 06; Amy Holder, District 08; Angel Brewer, Nursing District 9; Vacant, District 10; Vacant, District 12; Debra Sullivan, District 15 • Resolution #2007-04—Improving the Lives of Beth Smith and Lena Patterson discussing a resolution Small Children with Food Allergies in Day Cares during HOD session. in the State of Tennessee • Resolution #2007-05—In Support of Continual Health Insurance Coverage for Uninsured Children Tennessee Nurses Association in Tennessee Resolution Adopted: • Resolution #2012-01—Support for the Expansion of Support for the Expansion of Medicaid Program Medicaid Program • Resolution #2012-02—Reducing Obesity in Resolution # 2012-01 (particularly in rural areas), will increase the burden on Tennessee, as amended Adopted: October 20, 2012 Tennesseans requiring acute emergency, or specialty care and • Resolution #2012-03—Advanced Care Planning eliminate thousands of health care related jobs, and Initiative, as amended WHEREAS, on June 28, 2012, the Supreme WHEREAS, as frontline health care providers, registered Court upheld the constitutionality of the Affordable Care Act, nurses (RNs) are acutely aware of the adverse consequences but also ruled that state expansion of the Medicaid Program on the lives of people who do not have access to or cannot should be at the option of the state, and afford quality health care, and WHEREAS, TennCare is the State of Tennessee’s WHEREAS, the Tennessee Nurses Association, Medicaid program which operates under a Section 1115 representing RNs across Tennessee who are dedicated to waiver from the Center for Medicare and Medicaid Services providing quality, accessible care to all its citizens because it is (CMS) within the United States Department of Health and the JUST and RIGHT thing to do, therefore be it Human Services, and RESOLVED, the TNA House of Delegates and the TNA WHEREAS, The Bureau of TennCare within the Board of Directors reaffirm their commitment to continue to Tennessee Department of Finance and Administration is advocate and support the full implementation of the Medicaid the agency charged with responsibility for administering the expansion program in Tennessee, and be it TennCare program, and RESOLVED, the TNA House of Delegates, TNA Board WHEREAS, approximately 330,000 currently uninsured of Directors, TNA District Leadership, and TNA members Tennesseans would be eligible for the Tennessee Medicaid actively engage in educating their colleagues in nursing program (TennCare) if the state chooses to expand eligibility and the public through strategic use of the media and other to individuals with incomes below 133% of the Federal resources about the merits and importance of the potential Poverty Level, and impact of Medicaid expansion on the health of Tennesseans, WHEREAS, the Congressional Budget Office estimates and be it further The Tennessee Nurses Foundation (TNF) that the Federal government will bear 100% of the cost of RESOLVED, the Tennessee Nurses Association actively The Tennessee Nurses Foundation held their Seventh covering people made newly eligible for Medicaid (2014- participate in activities to enroll eligible Tennesseans in Annual Silent Auction during the TNA Convention. 2016), nearly 93% of the costs of expansion over its first nine Medicaid and support the health ”Navigator” function in the A special thank you goes out to the Tennessee Nurses years (2014-2022), and assume no less than 90% on a more Tennessee Health Insurance Exchange to assist in removing Foundation Board of Trustees for all you did to make permanent basis, and barriers to access to health care in Tennessee, and be it further the auction a huge success. The amount raised from the WHEREAS, the reduction of the number of people RESOLVED, upon adoption, copies of this resolution Silent Auction and convention contributions and pledges without health insurance will result in the reduction of state shall be presented to Governor , Lt. Governor was over $6,000. TNF’s Sunday morning general session and local costs of hospital, primary care, and mental health Ron Ramsey, members of the 108th House of Representatives entitled Opioid and Benzodiazepine Dependence: An services, and and Senate, collaborative health care partners, and media American Epidemic was very informative. WHEREAS, a decision NOT to expand Medicaid (given representatives. changes in the disproportionate share hospital payments Submitted by the TNA Board of Directors formula) will most likely result in many hospitals closing October 2012 December 2012, January, February 2013 The Tennessee Nurse Page 5 2012 TNA & Achievement Awards

The Tennessee Nurses Association (TNA) honored eight TNA Outstanding Legislator Award TNPAC Outstanding Contributor for 2012 individuals and organizations during its 2012 TNA Annual Convention. Congratulations and thank you for your The Outstanding Legislator John Michael Briley, DNP, contributions to the practice of nursing in Tennessee. Award recognizes an APRN, BC, of Jackson, received outstanding legislator who has the TNPAC Outstanding TNA Special Lifetime Achievement Award demonstrated support of the Contributor for 2012 Award. TNA legislative agenda and Letha Lehman, MS, RN, of the nursing profession, and Knoxville, received the TNA who has promoted legislation Special Lifetime Achievement which enhances adequate Award. This award recognizes and safe nursing care and a retired TNA member who healthcare for the people of has demonstrated excellence or Tennessee. This year TNA outstanding contributions to presented its 2012 Outstanding nursing and TNA, continued Legislator of the Year award to two legislators, participation in TNA and Representative , of Jonesborough, nursing, and achieved state and/ representing House District 7 as well as State Senator John W. Runyan Jr. Community Service Award or national recognition by the Tim Barnes, of Clarksville, representing Senate Marye S. Bernard, DNP, profession. This award is given District 2. Sharon Adkins, TNA’s Executive Director, Lehman stated, “As you FNP, MSN, RN, of Arlington, by the TNA Board of Directors. can see, I am proud to be a and Dr. Carole Myers, TNPAC’s Advocacy Award received the John William nurse.” recipient, join Senator Barnes as he is presented the Runyan Jr. Community Nursing award. TNA Professional Promise Award Award, given annually by the University of Tennessee Health Sandra D. Wells, RN of Science Center’s College of Greeneville, received the TNA Nursing. The award is presented Professional Promise Award. each year to a nurse who makes This annual award recognizes outstanding contributions to the a recent graduate (within first development and promotion of year) and new member of TNA health in the community. This who demonstrates qualities of award is not a TNA award, but TNA offers the UT Health “professional promise” in the Science Center the opportunity to present the award areas of consistent attendance during the TNA Awards Luncheon. and contributions at the District level; commitment to excellence in nursing practice; All TNA Achievement Awards Luncheon photos and collegial and mentoring relationships. were taken by Katie Williams, TNA Intern. Williams works for TNA creating graphic design projects, including logos and brochures. TNA Awards for Nursing Excellence TNA’s Tennessee Nurse Political Action Committee This annual award recognizes outstanding performance (TNPAC) presented two new awards this year. The awards in multiple areas of nursing practice. Nominees may be are presented to individuals who have gone above and selected from the areas of Direct Care, Nursing Education, beyond in their commitment to supporting and advocating Nursing Administration, and Advanced Practice Nursing. on behalf of the nursing profession in Tennessee. Selection criteria is specific to the major area of practice, TNPAC Advocacy Award but reflects outstanding performance in these areas: promoting and maintaining excellence in professional practice; commitment to the nursing profession and TNA; contribution to professional development of other nurses (publications, presentations, research); leadership which improves the quality of nursing care (education, administration, etc.); and professional and community service.

Award for Nursing Excellence in Advanced Practice Jean B. Blackburn, MSN, APN, PMHCNS-BC, of Chattanooga, The BesT and received the TNA Award for BrighTesT go wesT. Nursing Excellence in Advanced Practice. Accepting applications for Fall 2013 TNPAC Chair, Katherine Pendleton, DNP, RN 100% online Master of Science in Nursing Program presented Carole R. Myers, Ph.D, RN, of Townsend, with the TNPAC Advocacy Award. • Health Systems Leadership, Clinical Nurse Leader • Health Systems Leadership, Leader/Manager • Nursing Education TENURE-TRACK ASSISTANT PROFESSOR OF NURSING TNA Outstanding Employer Award COLLEGE OF NURSING AND ALLIED HEALTH Choose Health Systems Leadership to UNIVERSITY OF NORTH ALABAMA oversee patient groups as a clinical nurse Vanderbilt University Medical leader or prepare for a variety of nursing Center, Nashville, received The College of Nursing & Allied Health at the University management/leadership positions within the Employer of the Year of North Alabama (http://www.una.edu/nursing/) invites applications for a tenure-track Assistant Professor of the ever-evolving healthcare arena. Award. This award recognizes Nursing to begin in January of 2013. A master’s degree Select Nursing Education at the MSN level a health care agency, school in nursing from an accredited institution is required; a of nursing or other employer doctoral degree is preferred. to develop expertise in health education, demonstrating commitment to patient education, higher education, or nurses and nursing excellence. To apply for this position, please submit application materials via the professional development. University of North Alabama Online Employment System at http://jobs.una. Vanderbilt University Medical Post-masters certificates available. Center’s Executive Chief edu. Applications will require the following: cover letter, CV, graduate and undergraduate transcripts (official transcripts will be required before an Nursing Officer, Marilyn A. offer of employment is made), and a reference list. For questions, please For more information, contact Alyicia Richards Go West Dubree, MSN, RN, NE-BC, email [email protected] or call the Office of Human Resources and at [email protected] or 678-839-5115. accepted the award on behalf of the medical center. Affirmative Action at 256.765.4291. The University of North Alabama is an equal opportunity employer committed to achieving excellence and strength through diversity. UNA seeks a wide range of applicants for this position so www.nursing.westga.edu that one of our core values, ethnic and cultural diversity, will be affirmed. Page 6 The Tennessee Nurse December 2012, January, February 2013 Tennessee Action Coalition Survey Results Carole R. Myers, PhD, RN; Kelly Carlson, MSN, RN; respondents were overwhelmingly interested in being involved with the Tennessee Action Mary Gunther, PhD, RN; and Coalition. Kenneth D. Phillips, PhD, RN Survey results are instrumental in the development of a strategic plan for the Tennessee Action Coalition and ongoing work. The coalition board of directors has During the month of July over 500 nurses and other elected to create Education, Leadership, and Practice Work Groups. These work interested individuals participated in a survey distributed by groups will be commissioned in early 2013 to facilitate Tennessee-specific initiatives the Tennessee Action Coalition to: identify individuals and to advance priority IOM recommendations. The Tennessee Action Coalition will serve organizations interested in being part of the coalition’s as a convener, coordinator, and communicator and work to garner necessary resources efforts and to determine where Tennessee is in relationship and build an infrastructure for successful implementation. Success depends on the to each of the recommendations included in the Future of engagement of a broad group of stakeholders, including nursing organizations and nurses Nursing report from the Institute of Medicine (see Table 1). from across the state. Chairman of the board of directors of the Tennessee Action Coalition, Dr. Victoria Niederhauser, recently said, “We are Questions about the survey or the Tennessee Action Coalition and requests for grateful to the nurses and others from across the state who additional survey results should be directed to Carole R. Myers, Nursing Lead for the participated in the survey. Because of their efforts, we have Carole Myers Tennessee Action Coalition ([email protected]). necessary information to help us in strategic planning and meeting our goal of growing the coalition so we can begin the important work of facilitating important changes in Tennessee. These changes will help us improve the health of Tennesseans through improved health care”. Table 1: Future of Nursing Recommendations Of the 504 respondents, 90% were nurses. The mean age of respondents was 51 years and the mean years in nursing practice was 24 years. The majority (89%) practice The eight IOM recommendations are: full-time in nursing (6% part-time, 2% nursing students, 3% not working). Geographic 1. Assure that nurses are able to practice to the full extent of their education and distribution of respondents was: 37% East, 32% Middle, and 28% West. The profile of training, survey respondents differs from the profile of all licensed registered nurses in the state 2. Increase opportunities for nurses to collaborate and lead efforts to improve in several significant ways: a higher percentage of APRNs, educators, and administrators health of Tennessee residents, and those with advanced degrees participated in the survey. 3. Provide nurse residency programs for new nurses and nurses entering a new Survey respondents were asked to rate the importance (not important, less practice area, important, somewhat important, very important, and most important) of the eight 4. Increase the proportion of nurses with a baccalaureate to 80% by 2020 by recommendations from the Institute of Medicine, as well as rate the ease to implement improving access to both RN to BSN and pre-licensure BSN programs, (not easy, less easy, somewhat easy, very easy, and most easy) the recommendation. As 5. Double the number of nurses with a doctorate by 2020, shown in Table 2 recommendations related to scope of practice (Recommendation #1), increased leadership opportunities (#2), and lifelong learning (#6) were rated highest in 6. Ensure that nurses engage in lifelong learning, importance. Survey respondents rated doubling the number of nurses with doctorates by 7. Prepare and enable nurses to lead change in all environments to advance 2020 (#5), addressing scope of practice (#1), and increasing the proportion of nurses with health, and a baccalaureate degree to 80% by 2020 (#4) as the least easy to implement. Survey 8. Build a mechanism for the collection and analysis of inter-professional healthcare workforce data.

Table 2: Selected Survey Results

IOM Recommendation Importance of Ease to Implement: Recommendation: Not Easy or Very Important Less Easy or Important (# of respondents) (# of respondents)

1. Scope of practice 499 278 2. Increased leadership opportunities 491 227 3. Residency programs 427 217 4. 80% BSN by 2020 386 287 5. Double number of nurses with 240 369 doctorates 6. Lifelong learning 473 97 7. Prepare and enable nurses to lead 461 205 8. Workforce data 373 221

The Tennessee Action Coalition is coordinated by AARP Tennessee and The University of Tennessee, Knoxville College of Nursing. The Tennessee Action Coalition has been convened to advance the Future of Nursing: Campaign for Action, organized by the Robert Wood Johnson Foundation in collaboration with AARP and the AARP Foundation. December 2012, January, February 2013 The Tennessee Nurse Page 7 GOVERNMENT AFFAIRS

by Wilhelmina Davis, Manager, TNA Government Affairs While we are gearing up for a busy legislative session, we also are busy planning for the 2013 TNA Legislative Summit and Nurses Day on the Hill, scheduled for April Now that the November elections are over, it’s time to take a closer look at who will 9, 2013, at the War Memorial Auditorium in Nashville. This event will allow students be representing the citizens of Tennessee. Newly elected state legislators as well as and nurses the opportunity to visit with legislators while in session and to experience incumbent legislators will converge on Capitol Hill on Tuesday, January 8, 2013, for the on site and firsthand the legislative process. Please mark your calendars and make plans convening of the 108th Tennessee General Assembly. to attend. Additional information on the summit is available on TNA’s website at www. The General Assembly will consist of a 70 Republican majority in the House of tnaonline.org. Representative with 28 Democrats as the minority and 1 Independent and in the Senate, 26 Republicans and 7 Democrats. These numbers make for a historical event in the Tennessee legislature, a supermajority in both Houses. These legislators will have 2012 ELECTION RESULTS an arsenal of agendas and legislative priorities, whether personal or constituent based. TENNESSEE STATE SENATE WINNERS TNA’s duty, as the voice and advocate of the nursing professional, is to educate and inform elected officials of the issues of concern to 86,000 plus registered nurses across Districts the state. As we meet with legislators, it is our responsibility to articulate concerns; not 2 Doug Overby (R) 18 (R) just those of the nursing profession, but those issues having direct impact on the health 4 Ron Ramsey (R) 20 Steve Dickerson (R) and well being of the citizens of Tennessee. We’ve already begun working with legislators to inform and make ready any 6 (R) 22 Mark E. Green (R) information deemed necessary to help them better understand TNA’s position and health 8 Frank Niceley (R) 24 John Stevens (R) policy agenda. Although TNA is the voice for nurses across the state, legislators also rely 10 (R) 26 (R) on constituents for information. We continue to express to the membership to be prepared 12 (R) 28 (R) and ready to reach out to legislators from respected districts. In an effort to inform and 14 (R) 30 Jim Kyle (D) to keep legislators knowledgeable of healthcare issues, our goal during this legislative 16 (R) 32 Mark Norris (R) session is for each legislator to have a nurse constituent as a point of contact when expert advice is needed. 2012 ELECTION RESULTS To stay abreast of legislative action, we will continue to inform members via TNA TENNESSEE HOUSE OF REPRESENTATIVES WINNERS Weekly Legislative Reports and when necessary Legislative Alerts. By visiting TNA’s website at www.tnaonline.org, these reports and other pertinent information will be Districts posted throughout the legislative session. Another means of staying informed is by 1 (R) 51 Michael Turner (R) watching the political process in real time; as House and Senate meetings are video 2 (R) 52 Michael Stewart (D) streamed live via the General Assembly’s website at www.capitol.tn.gov. Also by visiting the General Assembly’s website you will find more detailed information on bills 3 Timothy Hill (R) 53 (D) introduced, scheduled committee meetings, as well as individual legislator biographical 4 Kent Williams (I) 54 (D) information. 5 David Hawk (R) 55 Gary Odom (D) 6 James (Micah) Van Huss (R) 56 Beth Harwell (R) 7 Matthew Hill (R) 57 (R) 8 (R) 58 Harold Love (D) 9 Mike Harrison (R) 59 (D) 10 (R) 60 (D) 11 (R) 61 Charles Sargent (R) 12 (R) 62 (R) 13 Gloria Johnson (D) 63 (R) 14 Ryan Haynes (R) 64 Shelia Butt (R) 15 Joe Armstrong (D) 65 (R) 16 Bill Dunn (R) 66 Joshua Evans (R) 17 (R) 67 Joe Pitts (D) 18 (R) 68 Curtis Johnson (R) 19 Harry Brooks (R) 69 David Shepard (D) 20 (R) 70 (R) 21 (R) 71 Vance Dennis (R) 22 (R) 72 Steve McDaniel (R) 23 (R) 73 (R) 24 Kevin Brooks (R) 74 John Tidwell (D) 25 (R) 75 (R) 26 Gerald McGormick (R) 76 (R) 27 Richard Floyd (R) 77 Bill Sanderson (R) 28 JoAnne Favors (D) 78 (R) 29 (R) 79 (R) 30 (R) 80 (D) 31 (R) 81 (R) 32 (R) 82 (D) 33 John D. Ragan (R) 83 Mark White (R) 34 (R) 84 (D) 35 Dennis “Coach” Roach (R) 85 Johnnie R. Turner (D) 36 (R) 86 Barbara Cooper (D) 37 (R) 87 (D) 38 Kelly T. Keisling (R) 88 Larry Miller (D) 39 David Alexander (R) 89 Roger Kane (R) 40 (R) 90 John DeBerry (D) 41 John Mark Windle (D) 91 Lois DeBerry (D) 42 Ryan Williams (R) 92 (R) 43 Charles Curtiss (D) 93 G.A. Hardaway (D) 44 (R) 94 Barrett Rich (R) 45 Courtney Rodgers (R) 95 (R) 46 (R) 96 Steve McManus (R) 47 Judd Matheny (R) 97 (R) 48 Joe Carr (R) 98 (D) 49 (R) 99 Ron Lollar (R) 50 (R) Page 8 The Tennessee Nurse December 2012, January, February 2013

LPN Connect – Online Service Especially for LPNs The Tennessee Nurses Association’s special online • A monthly LPNConnect enewsletter containing subscription service LPNConnect continues to grow! This nursing related news. product for Tennessee’s Licensed Practical Nurses includes • Webpages within the protected LPN area filled with online services to help LPNs stay informed on issues related other information of interest to LPNs in Tennessee, to their nursing practice and network with other LPNs across including important legislative information and the state. updates on health policy development.

LPNConnect offers subscribers the Subscriptions to LPNConnect are following benefits and services: available for only $25 per year and are open • Access to an LPN only password to any LPN with a current Tennessee nursing protected area on the TNA website license. at www.tnaonline.org that contains To subscribe, visit www.tnaonline.org articles and other information of and click the LPNConnect link on the left interest. on the home page. You will purchase your • An LPN Listserv exclusively for subscription and pay online with a credit or use by LPNConnect subscribers debit card through a secure form. When your to communicate with other LPN payment is processed, you will receive an subscribers by email. Topics of discussion on the email with instructions on registering for your account login LPNConnect Listserv may include questions on and password. nursing practice, the announcement of meetings and We need your suggestions for additional content to include events of interest to LPNs. in the LPNConnect area! Please send your suggestions and feedback to [email protected].

Tennessee Nurses Association Launches Free Drug Card Program to Provide Prescription Assistance to Nurses and Patients NASHVILLE, TN – The Tennessee Nurses Association distribute this benefit to the residents of Tennessee. Thus, (TNA) officially announced its plans to offer discount supporting part of TNAs mission of assuring a healthier drug cards to nurses and their patients through the United Tennessee. Networks of America (UNA) Free Drug Card Program. The TNA prescription assistance program was launched The program is free to all residents and provides savings of to the help uninsured and underinsured afford their up to 75% on prescription drugs at over 56,000 regional and prescription medications. The program, however, can also national pharmacies. There are no restrictions to membership, be used by people who have health insurance coverage with no income requirements, no age limitations and no no prescription benefits, which is common in many health applications to fill out. savings accounts (HSA) and high deductible health plans. The goal of the new program is to provide additional Additionally, people who have prescription coverage can use card distribution channels and create awareness so that all this program for non-covered drugs. Tennessee nurses and their patients will have access to this Residents can download a free card, locate a participating prescription assistance program. As the largest segment of pharmacy and search drug pricing at multiple pharmacies for the healthcare workforce, nurses are in the best position to an even greater savings at www.tnaonline.org.

Simplify your nursing research... with access to over 10 years of nursing publications at your

Stay Tuned - NEW Nursing ALD fingertips. Website Coming Soon! nursingALD.com Simply click on the Newsletter tab on the far right and enter your search term. December 2012, January, February 2013 The Tennessee Nurse Page 9 A Special Thank You to TNA’s Advanced Practice Registered Nurse Members

At our annual convention meeting, the APRN Committee of the Tennessee Nurses Association discussed at great length the tremendous importance of 100% membership in TNA by Tennessee’s advanced practice registered nurses in order to achieve our common objectives of securing nursing’s preferred future of respect, visibility, and policy successes for our practice environments. Thus, the TNA APRN committee would like to recognize and thank those APRNs who are supporting the Tennessee Nurses Association and our professional practice by their membership in TNA.

This list is current as of Donna Kaye Chipman Donna M. Esmond Angela Gail Garrett Hightower Marjorie G. Lunsford Samantha R. Petty October 31, 2012 Flora A. Claybrook Amber M. Evans Marion C. Hildenbrand Melanie Lutenbacher Melinda L. Phillips-Freeman Donna P. Clement Betty J. Evans Cathy M. Hill Ann Patterson Luther Ernest E. Pickett Mary L. Abbott Gail W. Clift Patricia M. Evans Theresa H. Hill Tracy M. Luther Clara D. Pieh Nikki L. Adams Martha L. Clinton Jennifer C. Fain Belinda L. Hilliard Cindy K. Lybarger Margaret S. Pierce Susan M. Adams Thomas Ray Coe Laura L. Farhat Jacqueline M. Hinshaw Janice M. Lynn Sue A. Piller Leslie N. Akins Scott B. Coffey Francisca J. Farrar Pamela K. Hirst Karen E. Lynn Judy L. Pinson Alicia M. Alexander Melissa R. Cogdill Jacqueline D. Farris Janie L. Hiserote Susan K. MacArthur Carolyn H. Pittman Judith D. Ammons Kathy E. Cohen Lesa Ferguson Derenda Hodge Jenny Lee Maffett Mary O. Pleas Bethany M. Andrews Judy G. Cole Joann A. Ferland Brenda D. Hollis Melissa J. Magness Phyllis J. Pollard Susan M. Andrews Linda J. Cole Becky L. Fields Linda L. Holton Roma G. Magtoto Jennifer Pollice-Meservy Nancy A. Appling Shannon E. Cole Linda C. Finch Leslie C. Hopkins Lisa S. Mahoney Patricia W. Poole Kay Askins Shirley Ann Collier Donna C. Finto-Burks Susan M. Hossler Jennifer Turner Manaker Keevia Yvette Porter Patsy H. Aune Misty P. Collins Belinda D. Fleming Tammy W. Howard Ginger T. Manley Verna M. Porth Nell M. Autry Pamela A Collins Toni L. Fleming Cheryl Lynn Howell Lisa P. Marbury K. Caroline Portis-Jenkins Christopher A. Bachuss Vivian L. Colont Jana Flynn Patricia F. Hudgins Jo-Ann Marrs James R. Post Patricia W. Bader Katherine Marie Compton Barbara K. Folsom Angela R. Hudson Herman J. Marti Leigh Powers Laurie L. Bagwell Cheryl L. Conrad Cathy D. Forbes Amy L. Huff Judy C. Martin Chaundel L. Presley Keela L. Bailey Colleen Conway-Welch Zaida Denise A. Forester Beth Colvin Huff Robert M. Martin Pamela M. Preston Sharon P. Bailey Lu Ann Cook Linda L. Foster David B. Hughes Teresa A. Martin Melissa D. Prevatte Diana C. Baker Ivalane H. Cooke Sara L. Fox Kate Hume Clara A. Mason Jacquelynne Prince Karie L. Barber Judy J. Corfman Zenaida S. Fox Rhonda L. Hunt Leilani Mason-Smieja Katherine M. Propst Douglas M. Barcroft Melinda Cornelius Diedra L. Freeman Wanda C. Hunt Beverly W. Matthews Rina M. Prosser Valerie L. Barfield Patty J. Cornwell William T. Fryar Jennifer J. Hurlow Laurie Maxwell Lisa M. Pullen Linda J. Barger William J. Cote Joan Furman Nettie S. Hurst Sharon K. McAnear Nancy Marie Quigley Carey L. Barr Beverly H. Coulter Margie N. Gale Nancy M. Hurt Linda M. McBride Michael J. Radyko Laurie Ann Barton Charlotte M. Covington Hollye R. Gallion James A. Hutcheson Beverly McCann Christina G. Raman Maureen Barton Amy L. Cox Linda H. Garrett Jack D. Hydrick Bernard C. McCarty Michael A. Rawdon Sandy D. Bateman Christine Crabtree Nan Gaylord Catherine H. Ivory Karen R. McCarty Antionette C. Rawls Roxelyn G. Baumgartner Brad Franklin Creekmore Joan Kay Gentry Alice Marie Jackson Carrie R. McCoy Susan L. Reed Angela M. Becker Patsy E. Crihfield Len N. Getz Norma J. Jackson Kathleen T. McCoy Geri C. Reeves Mary W. Bedwell Ann L. Crim Patrice Gibson Thomas E. Jackson Margaret Ann McGill Melissa M. Reeves Daphne B. Beech Ashley Danielle Crooke Michele R. Gibson-O’Grady Alma James Sandra E. McGrath Susan M. Reeves Donald M. Bell Gary D. Crotty Anne B. Gielisse Jennifer Erin Jayaram Sandra L. McGuire Catherine E. Reisenberg Bobby B. Bellflower Patricia U. Crotty Margaret B. Gilchrist Terry M. Jepson Jean A. McIvor Suzette M. Renfrow Earl Dan Bembry Rose H. Cummings Emily V. Gillespie Johanna C. Jirikovec Susanne S. McKiney Connie M. Reynolds Harvey Bennett Patricia D. Cunningham Laura E. Gillespie Janet M. Johnson Pamelia A. McKinney Janne S. Reynolds Marye E. Bernard Andra L. Cureton-Hutchins Holly J. Gillon Linda S. Johnson Ellen C. McPherson Delia G. Rhinehart Jennifer B. Betts Kimberly A. Currier Marie C. Glaser Elizabeth L. Jones Katharine M. McReynolds Laurel A. Rhyne Jean C. Bigger Linda V. Curry Roger N. Goggans Judy L. Jones Lynne Medley Mary E. Rice Denise F. Billingsley Amy Gebhart Curtis Michael D. Gooch Sandra N. Jones Lisa K. Medlin Mary Richie Jewel M. Birdwell Laura A. Cutler Ellen B. Goodner Vickie L. Jones Linda C. Mefford Ardyce J. Ridolfo Bonnie K. Black Jane B. Daddario Jerlena T. Gordon Evelyn Jones-Talley Anne R. Melton Tyroma D. Rigsby Cheryl C. Black Carol S. Dalglish Lori Ann Grabner Irma L. Jordan Linda E. Melton Kathleen A. Roberts Jean B. Blackburn Lucretia F. Daniel Barbara J. Graham Patricia W. Jordan Janice R. Meyers Lillian T. Robertson Christe’ Blackshear K a r e n D’Ap ol it o Bernadine R. Graham Melissa G. Justice Lezlie M. Miley Jane A.G. Robison Rosie King Blakemore Mary W. Darden Kathryn L. Grant Audrey A. Kalbach Paula L. Miller Karen P. Roden Tamara B. Bland Yoshie Darnall Nancy Sue Gray Patti Donnoe Kamykowski Carol Ann Mitchell Erin K. Rodgers Anita M. Blatnik Doris S. Davenport Sherrill A. Green April N. Kapu Alvashtia Moore Julie E. Rosof-Williams Christy Blount Mary W. Davenport Judith A. Greene Kathleen A. Kaye Carol D. Moore Sue R. Ross Kathleen M. Bockhold Anna C. Davis Debra L. Greenspan Billie J. Kennett Debbie Moore Annita J. Rowland Kimberly S. Bolton Darel L. Davis Caitlin Greenwood Jennifer L. Kim Joyce M. Moore Amelia S. Rule Melissa L. Bolton Gretchen Y. Davis Mary B. Griffith Jacquelyn D. Kimball Marla J. Moore Bedelia H. Russell Carol G. Bompart Jennifer Dawn Davis Lauren Grizzard Jill S. Kinch Royanne A. Moore Cynthia K. Russell Ina K. Bone Sharon K. Davis Vicky N. Groce Alice L. King Sherry M. Moore Mary E. Rutherford Patricia R. Booher Teresa W. DeBusk Marni L. Groves Joan Eileen King Virginia A. Moore Mary Ann Sadler Ruth E. Boynton Margaret A. Dehart Gwen Anne Guegold Kristy R. King James Olin Morris Jeannie R. Samuel Roberta B. Bradley James W. DeLaney Stephen L. Haile Teena M. King Linda McFarland Mosby Zoila Vichot Sanchez Janice O. Branson Traci J. Delk Cevette M. Hall Elaine S. Kirk Lisa Mulherin Deborah R. Sanders Audrey A. Brantley Cynthia R. Demonbreun Rachel M. Hall Tharon M. Kirk Kay P. Murphy Sherry D. Sanders Marie C. Bredy Pamela Lynn Denley Julie A. Hamm Carla S. Kirkland Sherry L. Murray Karen M. Sarnosky Melody W. Breeden Sherri E. DePriest Cathy M. Hammons Leslie M. Klein Carole R. Myers John A. Savage Andrea Breeding Jill S. Detty Oswaks Kathy E. Hanline Miriam T. Knight Sarah L. Mynatt Ramona P. Scarborough Jeri S. Brehm Anna K. Dickson Julie A. Harbison Lucy J. Kniseley Renea L. Nagel-Terrell Susan K. Schnuerer Raycene G. Brewer Lynn E. Dicus Kelly A. Harden Mary F. Kollar Robertson Nash Chad C. Scott Meike A. Bridgeman Margaret Y. Disheroon Kimberly J. Hardenburgh Rita Koon Allyson M. Neal Cindy J. Scott Michael Briley Elizabeth H. Dobbins Kelly M. Hare Cindy H. Kovacs-Whaley Penelope Lynn Neal Donna C. Scott Barbara A. Brock Mary E. Donovan Bradley Ray Harrell Emily P. Kyzer Browne Diana C. Nelson Patricia A. Scott Andrea Farley Brooks Cathy J. Dorris Marilyn W. Harris Joyce H. Laben Yvette Elke Newcomb Jennifer A. Scroggie Amanda G. Brown Belinda D. Douglas Rena P. Harris Emily R. Laird Dawn R. Norman Michelle L. Scroggins Erin Marie Brown Audrey O. Dressel Tammara T. Harris Anthony Lake Teresa J. Norwood Donna A. Seely Mary Lynn Brown Kermit Lee Dugger Melody G. Harrison Ashlea B. Lamberth Rachandra Nicole Oggs Sandra S. Seidel Amy M. Bryant Caroline V. Duley Margaret Thorman Hartig Pamela Lane Jan E. Olson-Zeringue Kimberly M. Setser Theresa M. Buck Phyllis Mac Donald Dumont Melanie Smith Hartley Alyce Ferguson Langley Jane S. Owen Jessica Lynn Sexton Amy W. Bull Virginia K. Duncan Melody P. Hatfield Douglas S. Larner Diane T. Pace Loretta Lambert Shamley Matthew R. Bumbalough John T. Dunlap Dayna Alyse Hawk Linda L. Laughlin Meleney A. Pafford Elizabeth T. Sheller Jacqueline L. Burchum Leslie Durham Carol Haynes Thresa D. Lawson Sharon P. Page Megan P. Sheppard Renee Carol Burk Linda H. Dwyer Shari L. Heathcott Trena R. Lawson Vicki S. Paris Cheryl A. Sherrill Pat J. Burks Desiree Belle U. Dy Kathryn M. Heidorn Marcile H. Leaf Linda S. Parisi Dava H. Shoffner Leanne C. Busby Cynthia A. Early Jean Croce Hemphill Leslie Lee Tanci Chariesse Parker Louis A. Shone Holly Bushart Ken W. Edmisson Debra A. Hendren Norma J. Lester Janie E. Parmley Sheila E. Shope Kathy Diane Butler Anthony C. Edwards Tara N. Hendrix Mary E. Levy Andrea V. Parodi Gail L. Shutt Beverly B. Byram Frances J. Edwards Richard P. Henighan Connie M. Lewis Yvette L. Parsley Tena A. Simmons Christine F. Byrer Joellen B. Edwards Ashley Miller Henry Holly R. Lewis Tonya D. Parson Linda Catherine Simpson Diane M. Campbell Marcia Edwards Cristina C. Henry Shaunda L. Lewis Elizabeth Paton Martha Simpson Joyce L. Campbell Mary F. Edwards Anne C. Hensley Melissa D. Lewis-Beeler Elizabeth F. Patterson Kay Ellen Sims Kelly Carlson Lucie S. Elfervig Linda H. Hensley Jan Abby Liff Lena M. Patterson Angela F. Sims Evans Gwen C. Carlton Laurie L. Elliott Merle A. Henson Frances E. Likis Tina M. Paul Donna P. Sinclair Syble A. Carter Lizanne M. Elliott Nicole R. Herndon DeAnna Lindsey Ramsey Paulk Carl W. Sisco Gregory A. Casalenuovo Leslie L. El-Sayad Cheryl Ann Hess Aileene E. Love Jerita L. Payne Anne M. Sitz Ann K. Cashion Veronica F. Engle Sandra Elliott Hickman Claudia Loveland Karen J. Pease Victoria E. Slater Elizabeth Cecelic Tracy H. Epps Kimberley X. Hickok Alice J. Lowe Nancy B. Pechacek Charlotte W. Smalley Linda W. Childers Kelly A. Ernst Leslie J. Higgins Carol J. Lowrance Diane K. Peters Barbara J. Smith (continued on page 10) Page 10 The Tennessee Nurse December 2012, January, February 2013 Special Thank You to APRN Members (Continued from page 9)

Brenda G. Smith Erica L. Stone Jane F. Tyson Pamela L. West Christine B. Smith Diana V. Storey Karen Bryant Valk Leslie D. West-Sands Diane L. Smith Laura Brawley Strader Patricia M. Vanhook Judy C. Whedbee Helen Lynne Smith Genae D. Strong Peggy Ingram Veeser Carolyn V. Whitaker Lois A. Smith Andrea L. Stupka Deborah R. VerBeek Sherry R. Whitby Maria A. Smith Clare D. Sullivan Crescentia S. Vinson Martha R. White Melverdine B. Young Smith Melissa B. Swinea Wendy H. Vogel Randee B. White Patricia L. Smith Elizabeth A. Swope Sonya D. Wade Connie S. Whitesell Phyllis C. Smith Richard D. Sykes Deborah Wage Johnenne E. Whitmore Sadie N. Smith Jean E. Szorady Lois J. Wagner Philisie Marie Wilcox Sheila K. Smith Deborah M. Taber Rebecca L. Waldon Carolyn C. Williams Sean E. Smithey Phillip B. Tatum Alice Jeanette Waldrop Lindsey Williford Brett Snodgrass Don E. Taylor Mary Lynne Walker Katherine B. Wilson Martha L. Snow John C. Taylor Mary J. Walker Kathy Wilson Mary Kathryn Spada Brandon D. Teeftaller Christopher Brian Walls Margery Ann Wilson Paula S. Sparkman Michelle K. Terrell Jennie L. Walls Norma Jean Wilson Lynn P. Spaw Cynthia S. Terry Rose Marie Walters Angela Wilson-Liverman Shirley E. Spears Brenda S. Thomas Mary Louise Ward Laura S. Winslow Patricia M. Speck Kim M. Thomas Linda E. Ware Sarah E. Wiseman Lana S. Spence Betty J. Thompson Alice U. Warren Barbara J. Witherspoon Helen Catherine Spencer Carol L. Thompson Patricia W. Warren Julie S. Wood Nancy S. Sprouse Christy C. Thompson Georgita T. Washington Mary Helen Wood Heather L. Stanfield Glenda M. Thompson Alisa G. Waters Myrian B. Works Brad S. Stansberry Linda L. Thompson Kenneth E. Watford Julie A. Worley Tracey T. Stansberry Mitzi B Thompson Cheryl L. Wathen Mitzi Louise Wright Brenda K. Stanton-Deener Clare J. Thomson-Smith Tara Denise Watson-Post Paula J. Wuescher Harriet R. Starkey Tracy J. Tidwell Sylvia D. Watt Karen M. Wyatt Karen L. Starr Beth G. Tobey Pamela Waynick-Rogers Jan Young Peggy T. Staton Angela M. Toles Lynda C. Weatherly Janice R. Young Jocelyn H. Stauffer Julia B. Tomlinson Emily T. Webb Mark A. Young Gail W. Stearman Lisa J. Trabucco Robbie L. Webb Elizabeth A. Youngblood POSITION Cheryl C. Stegbauer Eddie Jean Truelove Jessica T. Weinberger Cynthia E. Zachary Chante’ S. Steward Charlotte M. Tunnell Karen L. Welch Alvinia C. Ziegenfuss ANNOUNCEMENT April L. Stidham Loretta R. Turbeville Melissa E. Welden Jacquelyn F. Stinnes Drew S. Turner Raven D. Wentworth The University of Tennessee at Martin, located in Northwest Tennessee, is seeking to fill the Chair of the Department of Nursing and a Lecturer of Nursing position for an NLNAC accredited BSN program.

Position: Chair position is a full-time, 12 month tenure-track position. Applicants must have a master’s degree in nursing and an earned doctorate in nursing or related field, with teaching and administrative experience in a baccalaureate nursing program.

Lecturer of nursing position is a full-time, 9 month non-tenure-track term appointment to teach Medical- Surgical Nursing. Applicants must have a master’s degree in nursing with preferred teaching experience in a baccalaureate nursing program.

Qualifications: Please see full position statement at www.utm.edu/nursing

Application: Interested persons must apply electronically at: http://www.utm.edu/departments/personnel//fac_emp. php.

Closing Date: Review of applications will begin February 1, 2013 and continue until position is filled.

UT Martin is an EEO/AA/Title VI/Title IX/Section 504/ADA/ADEA employer institution in the provision of its education and employment programs and services.

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Please contact Jaci Kirkham at [email protected] www.amedisys.com/careers or 866-998-8087 EOE December 2012, January, February 2013 The Tennessee Nurse Page 11 Regulation of APRN Scope of Practice in Tennessee: The Need for Change Carole R. Myers, PhD, RN Tennessee require physician supervision. There are three practices as they pertain to APRNs. These concerns also Chairman of Government Affairs Committee states that require supervision, like Tennessee, and have need to be addressed. the added burden of the Board of Nursing not being the The first of the eight recommendations in the Future of sole authority regulating nursing practice. In these states Being Mindful of Language and Intent Nursing report developed by the Institute of Medicine is: authority is shared with the Board of Medicine. The The possibility of expanding scope of practice and the Assure that nurses are able to practice to the full extent ongoing opposition to modernizing scope of practice specter of independent APRN practice raises red flags of their education and training. The authority to regulate provisions and new efforts to further restrict practice in among certain constituencies. APRNs are not looking the practice of health professionals primarily rests with the Tennessee are contrary to the evidence and experiences to gain new privileges. Instead they are looking to claim states. This authority is derived from the responsibility to in other states, and misdirected given the challenges in what is legitimately theirs based on their professional protect the public from harm. Tennessee relate to health and health care. It is concerning qualifications and proven record in providing high-quality, Like most states, Tennessee is challenged to address that Tennessee rules and regulations are exacerbating cost-effective, patient-centered and acceptable care, often competing priorities and maintain a balanced budget. deficiencies in access to care which ultimately impacts to those neglected by other providers. Faced with a persistent recession, a shortage of needed health status. In a resource-constrained state such as Independent practice simply refers to an absence of primary care providers, and major challenges related Tennessee, where citizens are relatively poor and the unwarranted oversight. In no way does it contradict the to health and health care, we must be resourceful and state ranks 39th out of 51 (the 50 states and the District need for an inter-disciplinary, collaborative approach for creative in addressing the serious and growing problems of Columbia) according to America’s Health Rankings, the delivery of services that are patient-centered and of we face. Consistent with the message of the Future of it makes no sense to leave a resource such as APRNs high value. These practices cannot be legislated. Instead Nursing report, we must contemplate how nurses can be underutilized. they must be cultivated and based on mutual respect, as better utilized to improve access to high-quality, patient- We have a shortage of primary care providers well as a priority of solving the serious problems our state centered care. In Tennessee, a priority is removing in Tennessee, particularly those delivering care to faces related to health and heath care. barriers that prevent Advanced Practice Registered Nurses underserved populations in both rural and urban settings. (APRNs), including Nurse Practitioners (NPs), Certified This shortage will worsen when approximately 650,000 Conclusion Registered Nurse Anesthetists (CRNAs), Certified Nurse Tennesseans will be newly eligible for health care It is incumbent upon all nurses, not just APRNs, Midwives (CNMs), and Clinical Nurse Specialists (CNSs), coverage January 1, 2014, either through the Medicaid as patient advocates and citizens, to help focus and from practicing to the full extent of their education, expansion (including approximately 300,000 Tennesseans participate in inclusive discussions across the state to reach training, and experiences, as APRNs do in other states if the state opts to participate in the Medicaid expansion) consensus on how we can best work together to improve effectively and efficiently. and health insurance exchanges (approximately 350,000 our state’s health care delivery system. All parties need to Tennesseans are estimated to be eligible). However in set aside self-interests, and do what nurses do so well, put Background Tennessee, outdated regulations prevent APRNs from patients’ interests first. Practice is regulated in accordance with state statutes practicing to the full extent of their education, training, I stand on the shoulders of giants. I owe a debt of and interpreted by administrative rules. The primary aim and experiences as they do in most other states and have gratitude to Sharon Adkins-Executive Director of TNA of the regulation of APRNs and other health professionals done safely and effectively for years. and Wilhelmina Davis-the TNA Lobbyist, Lisa Summer- is the protection of the public. This protection is achieved APRNs have a compelling track record of providing Senior Policy Fellow from ANA, and Virginia Trotter- by assuring basic qualifications to perform the duties of quality, safe, and cost-effective care. Reviews of studies Betts-Professor at the University of Tennessee Health the particular profession. This assurance is evidenced by a of patients cared for by MDs and NPs have demonstrated Sciences Center College of Nursing and acknowledge professional license. Licensure demonstrates the minimal comparable outcomes and higher satisfaction among that they have influenced and contributed to my thinking safety and competency of the licensee. patients cared for by NPs. No study has established a on the challenges we face in Tennessee regarding APRN Tennessee statutes are laws enacted by the basis for requiring MD supervision of APRNs. Numerous scope of practice. Many of their contributions are Tennessee General Assembly (also referred to as studies have demonstrated cost-savings associated with reflected in this article. the Legislature). The Tennessee Board of Nursing, care delivered by NPs. These savings are a result of both following specific notice requirements and hearings, lower reimbursement rates and practice patterns. NPs Notes: 1) Nurse practitioners comprise 70% of the is the entity charged with adopting and enforcing the have a rich legacy of providing care to vulnerable and almost 9,000 APRNs in Tennessee, followed by CRNAs rules associated with statutes pertaining to the practice underserved populations. (26%), and CNMs and CNSs (2% each). In some cases, of nursing. The statute that governs all nursing practice information presented pertains specifically to NPs and is commonly referred to as the Tennessee Nurse Challenging the Status Quo not necessarily the entire group of APRNs. 2) APRN is the Practice Act. The Tennessee Nurse Practice Act and the The absence of demonstrated risks or harm to the preferred term consistent with the Consensus Model; the Board of Nursing rules can be accessed via the TNA public negates the need to regulate the scope of practice older term APN is still in use in some publications and website at: www.tnaonline.org. as it is done in Tennessee. In the case of the unnecessary conversations. In Tennessee, consistent with a recommendation of the and unsupported restrictive regulation of APRN practice National Council of State Boards of Nursing (NCSBN), in Tennessee and attempts to further extend restrictions, APRNs are required to possess two separate licenses, one motives and consequences must be scrutinized and for RN practice and a separate one for advanced practice. appropriately challenged. The current rules and Anyone performing APRN activities and using the title regulations pertaining to physician supervision of APRNs must be licensed as an APRN. appear to be less about protecting the public’s health than preserving a competitive advantage for physicians. Tennessee is Increasingly an Outlier Supervision is an anti-competitive tactic that has untoward Tennessee APRNs are prevented from practicing to the consequences. These include decreased access, delays in full extent of their education, training, and experiences care, duplication of services and added expenses. Each of because of restrictive supervisory requirements. Across these can lead to poorer health outcomes and increased the country the trend is to allow APRNs to practice costs. The BesT and commensurate with their educational preparation, training, The Federal Trade Commission (FTC) has an and experiences rather than thwart legitimate practice. important role in deliberations related to APRN scope of BrighTesT go wesT. Barriers to full practice, related to the level of physician practice. The FTC is an independent, bipartisan agency supervision required and who has authority to govern that reports directly to Congress. The mission of the FTC practice, are increasingly being removed. Physician is to preserve competition as a means to foster consumer The University of West Georgia School of Nursing supervision, in any mandated form, should not be a state options and protect consumers. The FTC typically gets invites applications for Fall 2013 for the 100% requirement. State Boards of Nursing should have sole involved in proposed legislation related to the regulation authority for all RNs, APRNs included. Several states have of health professionals practice upon a request from a state online EdD in Nursing Education Program recently passed legislation that allow APRNs to practice legislator in the state where a bill is pending. · Joint curriculum taught by both School of commensurate with their preparation and the years of The basis of an FTC review is tied to competition, not Nursing faculty and College of Education faculty evidence supporting the safety, quality, and acceptability the competitor (e.g., the APRN). This is an important · 60 semester hours including 12 dissertation of care delivered by APRNs. Legislative efforts are distinction. Licensure regulations deal with individuals credit hours planned for many other states. whereas the FTC is concerned with preserving and, In Tennessee, nurse practitioners are required to when appropriate, expanding choices for consumers · Mandatory three-day, on-site orientation have written guidelines/protocols/formularies for in a competitive marketplace. The FTC advocates for · Classroom instruction delivered primarily prescribing and these must be approved and signed consumers by considering options available especially through asynchronous communication by the supervising physician. The state requires that to consumers who face access and cost challenges, · Opportunity for structured mentoring physicians “supervise, control, and be responsible” for emphasizing quality of care, and relying heavily on nurse practitioners’ prescriptions and physicians must sign empirical data. · Curriculum reflects core competencies of Nurse the charts of all patients prescribed a controlled drug by The Tennessee Nurse Practice Act needs to be updated Educators (National League for Nursing, 2005) a nurse practitioner. Tennessee is increasingly an outlier, to allow APRNs to practice independent of legislated Please contact Alyicia Richards as is the case with other Southern states. According supervision or collaboration. APRNs need full prescriptive at [email protected] 678-839-5115 to the 24th legislative update published in the Nurse authority so they can write needed scripts for all their or visit our website for more information. Practitioner journal in 2012, 25 states and the District of patients. However dealing with state legal and regulatory

Columbia have no statutory or regulatory requirements practices pertaining to scope of practice will not solve Go West for any physician collaboration, delegation, direction all the problems. Scope of practice is also impacted by or supervision. Collaboration, a less restrictive form of federal and institutional policy. One example of another oversight than supervision, but unwarranted nevertheless, significant problem is the practices of private insurance westga.edu/eddnurse is a requirement in 19 states. Three states, including companies concerning credentialing and reimbursement Page 12 The Tennessee Nurse December 2012, January, February 2013 “Nurses Leading to the Future” 2013 TNF Scholarly Writing Contest

The Tennessee Nurses • How you have used or influenced the use of Foundation is sponsoring a evidence based practice in your daily practice. scholarly writing contest for • Identify mentoring strategies for use with TNA members. A $1,000 new nurses and/or strategies to retain the award will be presented to experienced nurse. the winner as part of the 3) Conclusion: will summarize the main points of celebration of Nurses Week 2013. the body of the paper with implications for nursing practice. Criteria: 4) References: will be adequately and appropriately 1. Registered Nurse referenced in the body of the paper and will be 2. Contest applicant must have been a continuous from contemporary peer reviewed resources. member of TNA for at least one year prior to 5) Must not have been previously published. entering the contest 6) Maximum of 10 pages (inclusive of references) 3. Paper is publishable as submitted. 7) Double spaced, 10 – 12 point font.

Manuscript requirements: A completed application must include: 1) Introduction: will provide adequate foundation for 1) All applicant contact information including email the body of the paper and will include a purpose and TNA identification number. statement for the paper 2) Two (2) copies of the manuscript. 2) Body of the Paper: will address one of the following Deadline for submission: March 31, 2013. • Nursing research – how to use research in Submissions must be postmarked by this date. Fax daily practice supported by an example and submissions are not accepted. Entries will be judged by explanation of how you have used research in blind review by selected nursing experts. The winner will your daily practice. be notified by certified mail. • The use of leadership in daily practice supported by an example and explanation of Please mail submissions to: how you have either used or experienced a TNF Scholarly Writing Contest • 545 Mainstream particular leadership style in your daily practice Drive, Suite 405 • Nashville, TN 37228-1296

TNF Report Tennessee Nurses Foundation by Janice Harris, EdS, MSN, RN Announces WOW! That is probably the best word to describe this year’s convention. The 2012 TNF Silent Auction was one New Scholarship Program of the best ever. Between the Silent Auction and personal RN to BSN/MSN Scholarship donations, participants contributed more than $6,000 dollars to the support of the various programs offered by the Foundation. Our thanks go to Mike Harkreader, MS, RN, CARN and Jason Carter, PharmD, for their presentation, Opioid and Benzodiazepine Dependence: An American Epidemic, offered during TNF’s general session. Being both informative and thought provoking, this topic is a major issue in today’s healthcare dilemma. Many of the points made during the presentation, touch each of us as nurses in our various communities. General Information As we move into the winter months and opportunities The TNF RN to BSN/MSN Scholarship is an present themselves, think of the Tennessee Nurses Foundation. Purchase a specialty license plate, Honor educational scholarship for eligible Registered Nurses A Nurse, make a donation, then; enter the Scholarly in the State of Tennessee who are continuing their Writing Contest, apply for a research grant, look at all the education to attain a BSN or first MSN and have opportunities available to you through the Foundation as a had continuous membership in the Tennessee Nurses member of the Tennessee Nurses Association. Go to www. Association for at least one year prior to the grant Nursing Faculty tnaonline.org to explore TNF’s program initiatives and if Western Kentucky University (WKU), School of Nursing, is seeking you haven’t joined TNA yet; you can do that securely on application. This scholarship is provided through candidates for full- time (9-month) faculty appointments which will the TNA site as well. TNF’s fundraising programs. The scholarship is be available Fall 2013 in the ADN (3 positions), BSN (7 positions), and As the President of the Tennessee Nurses Foundation, I awarded once a year in the amount of $1,000. DNP (2 positions) programs. wish each and every nurse and their families a happy and All requests for scholarships shall be made to the safe holiday season. Requirements: Tennessee Nurses Foundation Scholarship Program. Licensure as a RN in Kentucky or a compact state is required for Application forms are available from the Tennessee nursing faculty members. A minimum of a MSN degree is required for faculty teaching in clinical courses; a minimum of a Master’s Nurses Foundation, or you can download the forms as Degree in a related field is required for teaching non-clinical South College a PDF file from the BSN/MSN program application courses. A Doctorate or Doctoral candidacy with APRN in family link at TNA’s website, www.tnaonline.org. Click practice required for appointment in the DNP program. Tenure School of Nursing Tennessee Nurses Foundation on the home page from track placement for all positions requires a Doctorate or ABD Announces status. the list on the left and then click TNF Initiatives. New RN/BSN Online Approval for granting scholarships shall rest with A letter of interest, resume/CV, and contact information for Nursing Program the Tennessee Nurses Foundation Board of Trustees. three professional references including email and phone Applicants must complete the application, have numbers should be sent electronically to: Applications are satisfactory references and agree to the terms of this currently being Dr. Donna Blackburn, scholarship request. The number of scholarships will [email protected] accepted for the RN/ Chairperson, School of Nursing Search Committee BSN online nursing be determined by the estimated need /qualifications program at South College, Knoxville, TN. Classes of the individual applicants and the amount of Review of applications will begin immediately and continue will require students to be on site twice during each funds available. A personal interview with the until positions are filled. quarter. Time for completion of the program will applicant may be requested by the Tennessee Nurses depend on the academic history of each applicant. Foundation Board of Trustees. Western Kentucky University does not discriminate on the basis of race, color, national origin, sex, sexual orientation, disability, age, religion, or marital status Nursing major courses may be completed in one The TNF RN to BSN/MSN Scholarship is in admission to career and technical education programs and/or activities, or year. Challenge opportunities are available for given once each year in the amount of $1,000 and employment practices in accordance with Title VI and VII of the Civil Rights Act selected courses. Additional general education or of 1964, Title IX of the Educational Amendments of 1972, Section 504 of the is intended to support further nursing academic Rehabilitation Act of 1973, Revised 1992, and the Americans with Disabilities other courses are required depending on courses achievement for nurses in an accredited BSN/MSN Act of 1990. previously taken. For more information please program in the State of Tennessee. Persons with disabilities, who need reasonable accommodations to participate contact the South College Admissions Office at in the application and/or selection process, should notify The Office of Equal Applications are reviewed once each year. The Opportunity/Affirmative Action/University ADA Services at (270) 745- 5121, a 865-251-1830. Classes are scheduled to begin in minimum of five working days in advance. January 2013 pending enrollment. submission deadline date is November 1, 2012. December 2012, January, February 2013 The Tennessee Nurse Page 13 Honor A Nurse Nursing is a calling, a way of life. Nurses rely on each other for the synergistic effect of teamwork in our efforts of care giving. It is appropriate that we honor those colleagues that have made an impact in our lives and the lives of others. We honor you… Judy Hines, RN A graduate since 1961, Judy has been involved in all phases of nursing but mostly, since 1999, as a medical missionary to Ecuador, South America. Judy is a Charter Member of the Florida College Health Nurses Association and in 2009 she became an Honored Woman of the Episcopal Church Women of the Diocese of Tennessee. Honored by Charles Randall Hines.

Arleen M. Palmer, RN Arleen M. Palmer is a retired Registered Nurse who served patients in hospitals and clinics for the first two decades of her career. She then served high school students, and their families, as a school nurse/ teacher for the second two decades of her career. At 89 years old, Mrs. Palmer continues to advocate for affordable, quality health care for people of all ages. Honored by Shelley Moore, MSN, RN, PhD(c)

Visit TNF at www.tnaonline.org for complete information on the Honorees and the Honor A Nurse program.

RNs with one year long term care experience needed to administer the TN Nurse Aide state test in Chattanooga, Memphis, Mountain City/Johnson City and Western TN. Please email your resume to [email protected] or Fax to 419-422-7395 ATTN: KELLY.

The University of Tennessee, You, To a Higher Degree. Knoxville College of Nursing The Online RN to BSN Degree Academic Programs to Build or Enhance Your Nursing Career

The University of Tennessee Knoxville, College of Nursing offers unique opportunities for undergraduate and graduate education in nursing. As the state’s flagship, research–intensive university, students The University of Memphis Loewenberg have access to state-of-the-art academic resources, research opportunities, and a variety of clinical School of Nursing offers an online Bachelor practice sites. The BSN and MSN programs are fully approved by the Tennessee Board of Nursing and accredited by the Commission on Collegiate Nursing Education (CCNE). Online offerings increase of Science in Nursing (BSN) degree for accessibility of selected degree programs. Registered Nurses. Advance your career Traditional BSN while working closely with faculty, nurses • Two years of lower division prerequisite science and humanities courses and patients — at times and locations • Two years of upper division nursing major courses that are most convenient for you. Accelerated BSN for Students with a College Degree in Another Field • Twelve month full-time program (3 semesters) • Minimal prerequisites All students are eligible for in-state tuition. RN-BSN Completion Program Offered Primarily Online To apply and learn more about one of the • Online program with limited on-site activities • Can be completed in one calendar year nation’s top nursing programs, log on to MSN Program Specialties • Family Nurse Practitioner • Pediatric Nurse Practitioner or Clinical memphis.edu/rntobsn. • Mental Health Nurse Practitioner or Nurse Specialist Clinical Nurse Specialist • Nurse Anesthesia 901.678.2003 • Nursing Administration • Global Disaster Nursing [email protected] Doctoral Programs Offered Primarily Online • Online program with limited on-site activities • Doctor of Philosophy in Nursing (PhD) • Doctor of Nursing Practice (DNP) Loewenberg School of Nursing For more information visit The University of Tennessee, Knoxville College of Nursing website at http://www.nursing.utk.edu/ or contact the Student Services office at (865) 974-7606. Preparing leaders. Promoting health. The University of Tennessee is an EEO/AA/Title VI/Title IX/Section 504/ADA/ADEA institution in the provision of its education and employment programs and services. Page 14 The Tennessee Nurse December 2012, January, February 2013 Member News Tami Wyatt, PhD, RN, CNE, Associate Professor in the College of Nursing at the University of Tennessee has been named an Academy of Nursing Education Fellow, part of the National League of Nursing’s Academy of Nursing Education. Wyatt was one of 32 nursing educators to be selected this year. She is the first of the University of TN at Knoxville, New/Reinstated Members College of Nursing’s professors to be named a fellow. District 1 District 4 Norma J. Lester, MSN, RN, Bobby B. Bellflower, Mary Ann Berlin, Sophia Ann Mareesha C. Banks, Janice T. Clemens, Mary Ruth J. CDDN, CLNC, of Memphis Bibbs-Jarrett, Vicki Chandler, Enid B. Collie, Toni L. Gilbert, Tammy R. Hibbs, Kathryn Howe-Pesce, Brenda appointed to state Registry of Fleming, Prem S. Fredericks, Amy Dawn Graves, Michael B. Jones, Kelsey G. Kent, Fran Lombardo, Melissa Marie Election Finance. Governor E. Hans, D. Katrina King, Kimberly Rochelle Malone, Mann, Carol Marrs, Amber Martin, Erin McCraw, Sydnie Bill Haslam appointed Norma Leigh Ann Manfre-Stone, Charletta Renee’ Mathis, Nickell, Julia Denise Smith, Sherry Wallmarker, Corey J. Lester of Memphis, a retired LaNitra Y. Matthews, Melanie Morehead, Carol A. Pahde, Weldon, Sherrie L. Wheeler nurse and Democratic member Jane Slattery, Judith Morse, Rebecca Smith Nenon, Eric of the Shelby County Election Palmer, Charlene K. Phillips, Heather Polmonari, Lisa District 5 Commission, to the state board A. Smith, Carolyn I. Speros, Jessica Elizabeth Watson, Janet Elaine Abbott Echhart, Barbara Acker Brock, that administers Tennessee Meghan L. Wetterer, Jamie L. Wise, Lynn W. Wynn Sandra Noell Campbell, Rhonda S. Coffman, Penny S. campaign finance and ethics Collins, Kermit Lee Dugger, Kimberly Ferguson, Debbie laws. She fills a seat on the six- District 2 Sue Fernando, James K. Fisher, Jamie Ford, Brandy N. member Registry of Election Finance that has been vacant Nancy J. Bunch, Linda J. Cole, Katherine Marie Humphries, Lynda M. Morelli, Cynthia L. Rowland, since April 2011, for a term that runs through 2016. Compton, Ann Dedrick, Linda S. Foley, Amy R. Greene, Christina Seals, Sheila K. Smith, Tara D. Spurling, Linda Marie Hedges, Kellye Hudson, Dawn Pauletta Melanie Steagall Stanton, Sandra D. Wells Jeffers, Cynthia LeMaster, Carrie R. McCoy, Donna V. McGaha, David Lee Moore, Monica Nelson, Doris Ann District 6 District News Owens, Heidi R. Perkins, Olivia S. Spears, Lisa Stamm, Michelle D. Baldwin, Robert F. Callery, Megan District 5 News: Zaida Denise Patricia R. Standifer, Daniel S. Vickery, Susan Myers Wall Callicoatt, Anna Carroll, Rebecca K. Fisher, Anne Marie Forester, Ph.D, RN, CNS was Griffin, Brittany Hart , Enja Holand, Kenneth S. Jackson, given the District 5 Outstanding District 3 Leslie Lee, Ginny Elizabeth Merritt, Charity Reasons, Member Award for her Tono Arcega Ma. Rosella, Roderic L. Armstrong, Linda Faye Turner, Sherry R. Whitby, Molly Wright, April dedication to, and enthusiasm Mary Elizabeth Bacigalupo, Nikki G. Baldi, Letizia L. Yearwood for nursing. She was presented Baxter, Holly Elizabeth Bechard, Katherine D. Berry, her award at the October 23, Shelley L. Bledsoe, Leanne Boehm, Ellen Branham, District 8 2012 District 5 meeting by Rebecca Brewster, Lisa A. Bromfield, Gina Bullington, Beverly Gail Blair-Hill, Karen E. Dunlap-Gillies, Jan TNA’s President-Elect, Billie Holly Bushart, Sonya Carter, Lori Denmark, Erica L. Miller Freeman Sills. Dennis, Effie Lou Edmondson, Jane Dee Englebright, Jackie Estill, Nhouphaphanh A. Filson, Tashia Ford, District 9 Kimberly E. Hackney, Rebecca D. Hale, Christine Marie Andrea Farley Brooks, Yolanda Palmer Hallman, Meghan Hayes, Kimberley A. Hogin, Katherine E. Isaacson, Stacy Jervis, April N. Kapu, Rebecca R. District 10 Keck, Anne N. Koetz, Kymberly B. Kuhns, Jodi Kushner, Jacqueline L. Burchum, Gayle H. Ellegood Rebecca L. Leath, Katherine Marie Letzler, Jacqueline C. Lewis, Melinda M. McGee, Tricia Mensah-Amankwah, District 12 Chasity Mullins, Meredith Murray, John C. Mutter, Pinky Lauren Elizabeth Dharamsy, Ashley Gullett, Linda A. Noble-Britton, Lauren Palmore, Brittany E. Powell, Helton Parimore, Elizabeth L. Simmons, Mary B. Tucker, Mary E. Rice, Tracey L. Robinson, Sandra Rosedale, Mary S. Williams, Alicia A. Wilson Beverly F. Scruggs, K. Melissa Smith, Lisa Smith, Susan Oliver Sobel, Megan P. Sheppard, Helen Catherine District 15 Spencer, Nancy Stoughton Brookshire, Emily J. Stubbs, Sarah E. Burton, Stacy Diane Kelley, Christina R. Eric Sullivan, Christy Thomas, Emily J. Tidwell, Randy Lull, Karla McAteer, Kathryn D. McDearman, Diane E. L. Tidwell, Anna Tomasulo, Arin Abigail Turnham, Thorup, Paul Williamson Jamie Webb, Adrienne D. Wilk, Chelsie D. Worrell, Terry Zimmer

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WWW.BELMONT.EDU/GRADNURSING December 2012, January, February 2013 The Tennessee Nurse Page 15 American Nurses Association/Tennessee Nurses Do you work at the VA? Join TNA today for only Association Membership—It’s Your Privilege! $10.70 a pay period. Check Payroll Deduction on the lower right-hand side of the TNA Membership application. A TNA staff member will send you the form you need to take to the VA Payroll Department to setup your payroll deduction dues plan. It’s that simple. You will never miss $10.70 from your paycheck and you will have gained so much in return. If you have any questions, call 615-254- 0350.

TNA also has Payroll Deduction Dues plans set up at the: Regional Medical Center – Memphis @ $11.59 per pay period

TNA Credit Card Air travel? Check. Cash back? Check. Cool Merchandise? Check. Request the credit card that lets you earn points on your purchases and choose your rewards. The Tennessee Nurses Association Platinum Plus® Visa® card with WorldPoints® rewards provides you with many rewards options. Plus, a contribution is made to TNA with each newly opened and activated account.

For information about rates, fees, other costs and benefits associated with the use of this credit card, or to apply, call (800) 932-2775 and mention priority code VABB75. Or, visit www.tnaonline.org, click on Join TNA, and then Member Benefits and look for the Bank of America information and click the link to apply online. This credit card program is issued and administered by FIA Card Services, N.A.

Part Of Your ANA/TNA Dues Are Tax Deductible! You are allowed to deduct, as a professional/business expense, the percentage of dues that are NOT used by ANA or by TNA for political activities such as lobbying at the legislature. In 2012, the non- deductible percentage for ANA’s portion of the dues is 22.26%. The non-deductible percentage for TNA’s portion of the dues is 22.8%.

Deductible Amounts Full ANA/TNA: $278 @ 54.94%--deduction $152.73 Reduced ANA/TNA: $139 @ 54.94%--deduction $76.36 State-Only: $190 @ 77.2%--deduction $146.68 Page 16 The Tennessee Nurse December 2012, January, February 2013

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Bachelor of Science in Nursing (BSN) Accelerated BSN for Second Degree Students RN to BSN (online) ADN to BSN Dual Degree (online) LPN to BSN Master of Science in Nursing (RODP-online) Clinical Nurse Leader (online) Post-Masters Certificate Program (RODP-online) PhD in Nursing (online with 3 intensives) Doctor of Nursing Practice (BSN to DNP & MSN to DNP options) (online with 3 intensives/yr.) Professional Development Programs To learn more about ETSU College of Nursing programs, please visit our informative website http://www.etsu.edu/nursing or call 1-888-37-NURSE

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Bachelor of Science in Nursing Traditional and Freshman Admission options available plus a RN to BSN Program. Contact April Anderson at (423) 425-4670 or at [email protected] for more information. Master of Science in Nursing Concentrations in Family Nurse Practitioner with flexible scheduling and in Nurse Anesthesia with distance learning available. Contact Sarah Blackburn at (423) 425-4750 or at [email protected] for more information. Doctor of Nursing Practice Completely online program offering a Post Master DNP and a Post Baccalaureate option. Contact Sarah Blackburn at (423) 425-4750 or at [email protected] for more information. www.utc.edu/Nursing UTC is an EEO/AA/Titles VI & IX/ADA/ADEA/Section 504 institution.