Volume 81 • Number 3 • Fall 2018 Nurse The voice for professional nursing in Tennessee since 1905

The Official Publication of the Tennessee Nurses Foundation Quarterly publication direct mailed to approximately 104,000 Registered Nurses in Tennessee.

I Am TNA TNA & JOINT ANNUAL CONFERENCE TSNA Embassy Suites - SE Murfreesboro ADVOCACY IN ACTION Jill Dapremont, EdD, MN, RN, Associate Professor, Director of RN-BSN Visit TNA’s Conference Site at: Program at Loewenberg https://tna.societyconference.com/v2/ of College of Nursing The Tennessee Nurses Association and the Tennessee I knew in Kindergarten that I Student Nurses Association presents the 2018 TNA & TSNA was going to be a nurse. When Joint Conference, Advocacy in Action. The purpose of this the teacher asked, “What are joint conference is to promote mentoring opportunities you going to be when you grow between seasoned nurses and nursing students. We ask up?” I responded, “A nurse!” I that you take some time to get acquainted with the future went to nursing school straight of nursing while you are with us. out of high school, and received Jill Dapremont my Bachelor of Science degree Opening Plenary Speaker: from Dillard University in New Orleans, Louisiana in 1983. Susan B. Hassmiller, RN, PhD, FAAN I loved interacting with patients as a certified critical care nurse, working mainly telemetry. Then, I received my Susan Hassmiller is the master’s (1987) in Nursing from Louisiana State University Robert Wood Johnson Health Science Center in New Orleans. Once I completed Foundation Senior Adviser my master’s degree, I switched my focus to work as an for Nursing. In partnership Advance Practice Registered Nurse (APRN), Clinical Nurse with AARP, Hassmiller also Closing Plenary Speaker: Specialist (CNS) in Mental Health Nursing from 1996 directs the Foundation’s Roxanne Filson, BBA until 2009. I also taught for thirteen years at Delgado Future of Nursing: Campaign Roxanne Filson is an Community College Charity School of Nursing where I was for Action. This 50-state Account Executive in the an Associate Professor. and District of Columbia Healthcare Division of Aon’s Then came the storm. I evacuated New Orleans, LA effort strives to implement the Affinity Insurance Services and relocated to Memphis, TN in August 2005, because recommendations of the Institute of Inc. Roxanne works with of the devastating effects of hurricane Katrina. When Medicine’s report on the Future of Nursing: Leading over 30 national, state, hurricane Katrina swept across the gulf coast, I had just Change, Advancing Health and will additionally seek and specialty healthcare started my dissertation process and had two daughters to build a Culture of Health. Hassmiller served as professional organizations in school, one in high school and the other in college. I the report’s study director. She is also serving as Co- as Affinity Insurance Services’ lost everything during the storm and came to Memphis Director of the Future of Nursing Scholars program. Sue primary day-to-day contact. with no more than a disc that contained my dissertation will share with us her first-hand experiences with the Roxanne has been part of the Affinity team for proposal. Nevertheless, there was a bright side. While current healthcare system. five years and frequently presents at professional trying to get my life resettled in Memphis to finish my Keynote Speaker: organization meetings on healthcare risk management doctorate, every step of the way I met nurses who were and other insurance-related topics. actively involved in TNA and a community that was willing Mary Jo Assi, DNP, RN, FNP-BC, NEA-BC, FAAN to help me in my journey. I am eternally grateful and Mary Jo Assi is the We will get you moving with Zumba sessions on received my doctorate degree from Argosy University Associate Chief Nursing Saturday and Sunday mornings. Membership Assembly in (2008). Also, through many blessings and favors, I Officer for Press will offer you the opportunity to have your voice heard was able to continue my passion in nursing education at Ganey. Mary Jo Assi as we debate healthcare issues and make decisions for the University of Memphis (UOM) Loewenberg College leads strategies for the direction of the association and nursing. You will of Nursing (LCON) where I have now been for twelve strengthening caregiver not want to miss the interactive poster session and, of course, there will be plenty of general sessions to help I Am TNA continued on page 2 resilience and engagement, reducing patient suffering you improve and stay inspired as a leader! and delivering compassionate, connected Non-Profit Org. care. Mary Jo will share U.S. Postage Paid highlights from the November 2017 book by Princeton, MN Christina Dempsey, chief nursing officer for Permit No. 14 Press Ganey, The Antidote to Suffering: How TNA & current resident or Compassionate Connected Care Can Improve Safety, Quality, and Experience. TSNA

JOINT ANNUAL CONFERENCE CONTINUED ON PAGE 4 Page 2 Tennessee Nurse September, October, November 2018 I Am TNA continued from page 1 has motivated me to stay involved with TNA. I want to continue to stay involved, because I feel that I am years. I have achieved Tenure, served as the President making a difference in my profession, in my region, and of Sigma, Beta Theta at Large Chapter (2013-2015) and The Tennessee Nurse is the official publication of the in my district. So, since becoming a board member in Tennessee Nurses Foundation, 545 Mainstream Drive, Suite 405, LCON Faculty Senate representative 2013 until present. 2016, I have also served on a TNA ad hoc committee in Nashville, TN 37228-1296 Through interactions and encouragement from TNA partnership with the League of Women Voters to have a Phone: 615/254-0350 • Fax: 615/254-0303 members, I joined the American Nurses Association (ANA) “Meet and Greet” for political candidates. I was able to Email: [email protected] Published exclusively by the and Tennessee Nurses Association in 2015. hear from candidates as they spoke of their positions Tennessee Nurses Foundation and the I believe it is important to be a part of your on issues affecting the nursing profession. This added Arthur L. Davis Publishing Agency, Inc. professional organization because the profession needs another opportunity for me to become more aware of your nursing expertise, physical and mental capital. In Tennessee nursing concerns. In addition to professional TNF 2018-2019 Board of Trust Sue MacArthur, President addition, I believe you should not just join an organization growth, networking, and being able to advocate for the Tommie Norris, Vice President for membership only, but also become active! So, in profession, the benefits for joining TNA also includes: Debra Sullivan, Treasurer 2016 I was elected to the TNA District 1 Nominating 1) discounts on courses; 2) free monthly association Dara Rogers, Secretary Committee. Since being elected to serve on the TNA communications and journals and 3) Legislative updates. Haley Vance, Ex-Officio District 1 board, I have had the opportunity to meet I encourage all nurses to join TNA/ANA and become Ashley Berry, Rebecca Bone, Donna Copenhaver, some very motivated and dedicated TNA members. These active because this all-encompassing network provided Mary Bess Griffith, Amy Hamlin, Janice Harris, Bill Jolley, members are movers and shakers! They are involved in the support I needed to finish my doctorate and restart La-Kenya Kellum, Sandy Murabito, Raven Wentworth advocating for the nursing profession, protecting the my career. Now, I AM TNA and can provide the same TNA 2018 Board of Directors Nursing Practice Act and monitoring legislation that support to others while making a difference in my Haley Vance, President influences nursing. Interacting with the District 1 board community. Sandy Murabito, Past President La-Kenya Kellum, Vice President Donna Copenhaver, Secretary Mary Bess Griffith, Treasurer

Trish Baise, Director – Operations Allyson Neal, Director – Membership Loretta Bond, Director – Government Affairs Laura Reed, Director – Practice Jenny Webb, Director – Education Deb Chyka, Director – Presidents Council

TNA 2018 District Presidents Carla Kirkland, District 1; Traci Brackin, District 2; Chita Farrar, District 3; Martina Harris, District 4; Christine Reed, District 5; Raven Wentworth, District 6; Vacant, District 8; Chaundel Presley, District 9; Vacant, District 10; Brad Harrell, District 12; Vacant, District 15

EDITORIAL TEAM Editorial Board: Jennie Anderson; Amy Hamlin; Job Seekers: Keep Your Career on the Move! Kathleen Jones; Tommie Norris; Haley Vance, Ex-Officio Managing Editor, Kathryn A. Denton

TNA Staff Tina Gerardi, MS, RN, CAE, Executive Director Job Seekers: Keep Your Career on the Move! Diane Cunningham, Office Manager Our Career Center is the best source for jobs in all practice settings for nurses. It’s Wilhelmina Davis, Manager, Government Affairs Kathryn Denton, Manager, Marketing, Member Services and IT where Tennessee nurses go to �ind the right job and where employers go to �ind the Sharon Hinton, RN-BC, MSN, DMIN, CE Administrator &

right talent. With easy to use tools like customizable job alerts and multiple resumes, Nurse Peer Review Leader Our Career Center is the best source for jobs in all practice settings for nurses. It’s Tracy Depp, Communications Consultant the TNA Career Center is the best place to grow your career! Anne Mitchell, Membership and Administrative Support where Tennessee nurses go to �ind Employers: Find thethe right job and where emplo Most Quali�ied Candidate!yers go to �ind the The official publication of the Tennessee Nurses Foundation right talent. With easy to use tools like customizable job alerts and multiple resumes, shall be the Tennessee Nurse. The purpose of the publication shall be to support the mission of the Tennessee Nurses Foundation the TNA Career Center is the best place to grow your career! and Tennessee Nurses Association through the communication Employers: Find the Most Quali�ied Candidate! of nursing issues, continuing education and significant events of �each the largest �uali�ied job seeking nurses by recruiting with the TNA Career interest. The statements and opinions expressed herein are those of the individual authors and do not necessarily represent the Center. Our members are highly �uali�ied and passionate about nursing and are views of the association, its staff, its Board of Directors, or editors Tennessee Nurse. looking for a rewarding opportunity. of the �each the largest �uali�ied job Need moreseeking nurses by recruiting wi information? th the TNA Career Article Submissions: The Tennessee Nurses Foundation encourages submissions of articles and photos for publication Center. Our members are highly �uali�ied and passionate about Contact Brian DiIorio at 1‐866‐376‐0949 x 6028nursing and are or in the Tennessee Nurse. Any topic related to nursing will be [email protected] for a rewarding opportunity. considered for publication. Although authors are not required to Need more information? be members of the Tennessee Nurses Association, when space is limited, preference will be given to TNA members. Articles and Contact Brian DiIorio at 1‐866‐376‐0949 x 6028 or photos should be submitted by email to kdenton@tnaonline. org or mailed to Managing Editor, Tennessee Nurses Foundation, [email protected] 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 Visit the Tennessee Nurses Association Career Center today article and list all references. Preferred article length is 750- 1,000 words. Photos are welcomed as hard copies or digital files and discover the difference we can make for you. at a high resolution of 300 DPI. The Tennessee Nurses Foundation assumes no responsibility for lost or damaged articles or photos. Visit the Tennessee Nurses Association Career Center today TNF is not responsible for unsolicited freelance manuscripts or photographs. Contact the Managing Editor for additional andTo search discover or postthe difference a job, please we visitcan makeus at: for you. contribution information. Reprints: Tennessee Nurse allows reprinting of material. Permission requests should be directed to Tennessee Nurses Tohttp://tnaonline.careerwebsite.com search or post a job, please visit us at: 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) 626-4081, [email protected]. TNF http://tnaonline.careerwebsite.com 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, 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 Tennessee Nurse mailing list by contacting Kathryn.Denton@ tnaonline.org. September, October, November 2018 Tennessee Nurse Page 3 From the Executive Director

Merriam-Webster defines Current laws in many states take precious time away these events is the only true way to decrease the potential a coalition as an alliance for from patient care by making clinicians fill out unnecessary lifelong impact of sports injuries on the youth in our state. combined action. It is not paperwork or have agreements that do not benefit This program is a wonderful example of a multi-disciplinary possible for any association patient care outcomes. The Campaign works with these coalition of partners focused on youth safety. For more to achieve its goals and do all states through a learning collaborative to modernize state information on this program and how you can impact that it needs to do on behalf laws, rules and regulations, cut red tape, and eliminate youth sports in your community, please visit of its members without joining costly contracts. With the support of AARP, the Campaign https://www.tn.gov/health/health-program-areas/ a number of coalitions. TNA works to call on policymakers to put consumers first by fhw/vipp/safe-stars-initiative.html#standards has been active in several supporting policies that assure Americans can receive To learn more about how TNA is advancing nursing in coalitions related to achieving quality care whenever and wherever they need it. our state and help set our priorities for 2019, please plan our legislative goals and our TNA is working with advanced practice organizations to join us on October 26-28 at the TNA/TSNA Annual goals related to healthcare for in Tennessee to achieve these national goals in our state, Conference in Murfreesboro. I am looking forward to all Tennesseans. I would like to Tina Gerardi, to elevate all nursing practice, to assure that Tennesseans seeing you there. MS, RN, CAE highlight two of those coalitions. have a choice in healthcare practitioners, and to assure that Remember to vote on November 6th!! One in 44 Tennesseans have access to a nurse wherever they need one. registered voters in the US is a registered nurse. We Access to Care Coalition: can influence the election and public policy only if The Future of Nursing: Campaign for Action is Safe Stars: we VOTE!! All candidates were asked to complete a transforming health care through nursing and building Safe Stars is an initiative of the Program for Injury questionnaire, gubernatorial responses are posted a healthier America. Backed by AARP Foundation, Prevention in Youth Sports at Vanderbilt University to the TNA website; the responses from the General AARP, and the Robert Wood Johnson Foundation, Medical Center and the Tennessee Department of Assembly candidates will be posted on the TNA website the Campaign is working in every state to mobilize Health. The “Safe Stars” program is the first of its kind in mid-September!! Become informed and VOTE!! nurses, health providers, consumers, educators, and in the country and recognizes youth sports leagues businesses to improve health by strengthening nursing on and organizations throughout Tennessee for providing multiple fronts. The goals of the Campaign are based on the highest level of safety for their young athletes. Safe Atlanta: Sep 15 & 16 recommendations from the Institute of Medicine’s Future Stars consists of three levels of achievement: gold, silver, Earn $150/hr! ...... of Nursing report, with its broad focus on getting more and bronze, and involves implementation of policies Any Nurse Can Get Memphis: Oct 20 & 21 Americans better access to high-quality, affordable health around topics such as concussion, sudden cardiac arrest, care when and where they need it. weather safety, injury prevention and a positive culture. Certif ied as a Legal Tennessee is one of the states with laws that prevent Safe Stars’ goal is to provide resources and opportunities Nurse Consultant in or Anytime Online nurses, advanced practice registered nurses (APRNs), for every youth sports league to enhance their safety and other health professionals from practicing to the full standards. The criteria for achieving recognition as a only 2 Days. extent of their education, training, and certification. TNA Safe Stars league has been developed by a committee of Register NOW! was invited to participate in a national meeting related health professionals dedicated to reducing sports-related to revising state laws to allow nurses to practice to the injuries among youth. jurexnurse.com full extent of their education and training. Through this Some of the criteria for achieving “safe star” status are: or call (901) 496-5447 coalition, TNA also participates in monthly national calls • Pre-participation Physical Examination (PPE) related to access to care. required “Patients and families won’t get the care they need if • Risk and safety information/policies relayed to Memphis VA Medical Center we don’t take steps to maximize the use of all qualified parents/guardians health care providers,” says Susan Reinhard, RN, PhD, • All coaches complete additional health, safety and has exciting career opportunities available for FAAN, senior vice president and director of the AARP injury prevention training Registered Nurses & Nurse Practitioners Public Policy Institute. • All athletic equipment undergoes safety checks AARP recognizes that “APRNs can provide consumers • Healthcare professional on site for all games We invite you to join our team, where every day and their caregivers with access to convenient, cost- • Healthcare professional on site for all practices We Proudly Serve Our Nation’s Heroes! effective, and high-quality care.” There are many who • All coaches CPR/AED certified benefit from AARP’s fight to break down the barriers • On site tobacco policy / “Young Lungs at Play” that restrict APRNs, including residents of rural and other • Promote positive culture and standard of underserved areas of the country, and older people expectations regarding behavior who need to receive care at home to continue living independently and stay out of costly nursing homes. TNA recognizes that Adverse Childhood Events have lasting impact on the lives of our children. Preventing

For more information, contact: Angelique Graham, Nurse Recruiter, 901.523.8990; by email at [email protected]; or, From the President apply online at www.USAJobs.gov E.O.E

Summer has proven to be an discussion, we – your TNA State Board of Directors and exciting and busy time for TNA! Staff- feel that the mission of TNA is truly to: Recently the TNA State Board • Empower the Registered Nurse of Directors and Staff gathered • Advocate for the profession of Nursing together for a board retreat. We • Champion quality healthcare for all Tennesseans had the opportunity to celebrate the successes of TNA this year The mission of this organization cannot be carried and evaluate the challenges that out by the board and staff alone. This is an “all hands on we continue to face. Diving deep deck” mission. Engagement of the membership is crucial into the core mission and vision to make an impact across the state of Tennessee. Think of TNA, we collectively spent about the difference we could make together for our time participating in strategic E. Haley Vance, patients and our profession! planning for the organization. DNP, APRN, The time spent at our Board Retreat was refreshing We examined four main areas– CPNP-AC and energizing. We look forward to sharing more with values, key relationships, you at our TNA and TSNA Joint Annual Conference behaviors, and core business. Keeping each of these in on October 26-28, 2018 in Murfreesboro, TN. Early mind, we strategized and developed key priorities for TNA registration is open now. over the next three years. Consider this your personal invitation from the When you think about the mission of TNA, this really President to join us at conference this year! is the foundation of all that we do. After thoughtful

airforce.com/healthcare For more information, call Sgt Jacob Valladares, 615-885-9781 Page 4 Tennessee Nurse September, October, November 2018

TNA & TSNA JOINT ANNUAL CONFERENCE Embassy Suites - SE Murfreesboro

On Friday night, during the welcome reception and Membership Assembly Exhibits & School of Nursing Luncheon exhibits, TNA and TSNA registrants are encouraged to participate in the Costume Contest. Test your quirky or ghoulish creativity and compete for the best costume prize!! Blast from the Past

All TNA members who attend this Annual Conference The Exhibits and Schools of Nursing Luncheon held will be eligible to vote on all issues, positions, resolutions Saturday, October 27, allows all attendees to visit with and policies brought before the assembly. Don’t miss this the large variety of vendors who exhibit and learn more chance to let YOUR voice be heard! about new products and services. It also offers a great opportunity for graduates from the many schools of TNF Silent Auction nursing to visit with alumni and gives student nurses and seasoned nurses the chance to network and get to know one another.

Hotel Information

Saturday evening’s highlight will be our Awards Ceremony, which follows the keynote address. Enjoy this time to honor our colleagues and to honor our profession. The Ceremony will be followed by the Awards Reception that allows us to enjoy fellowship and, of course, to eat. Let’s Vote!

Let’s Your shopping extravaganza Vote! Begins Friday evening and ends Saturday at 4:30 p.m. For online room reservations, go to TNA’s direct link to Embassy Suites: http://embassysuites.hilton.com/en/ The Tennessee Nurses Foundation will hold its es/groups/personalized/M/MBTESES-TNA-20181025/ Thirteenth Annual TNF Silent Auction and will offer a index.jhtml?WT.mc_id=POG You may also call the hotel unique assortment of items for sale, with proceeds going directly at (615)890-4464 or (800)362-2779. PLEASE NOTE: to support nurses through TNF’s programs, as well as You must use the conference code of TNA to receive opportunities to support fellow colleagues. Donations the special rate. The special room rate of $146 single or are being accepted through 11:00 a.m. on Saturday, double, $166 triple, or $186 quad per night plus tax will be October 27, the last day of the auction. A donation form is available until TNA’s group block is filled. The cut-off date available in this issue of the Tennessee Nurse or online at for the discounted rate is October 3, 2018. After this date, TNAonline.org. reservations are subject to availability. Embassy Suites offers complimentary full breakfast and nightly evening TNA Achievement Awards Reception reception, as well as complimentary guest parking. TNA members will vote for Board officers and Directors The TNA Achievement Awards Reception held on Sunday morning. Election results will be announced during Saturday evening, October 27, offers an opportunity to the closing of the Membership Assembly. The slate of honor nurses and other individuals by acknowledging candidates will be at https://tna.societyconference.com/ their exceptional dedication, commitment and v2/ as soon as it is available. If you are unable to attend the professionalism to the profession of nursing. conference, Absentee Ballots are available. Information on requesting an Absentee Ballot is available in this issue of Sponsorship the Tennessee Nurse. There will be much to do, much to learn and new & Exhibiting friends to make and don’t be surprised if TNPAC has something special in store! Come and join students and Opportunities nurses, old and new, to make new acquaintances, to catch-up with old friends, or to mentor a new nurse. October 26-28,2018 Embassy Suites, SE Murfreesboro

As a Registered Nurse, licensed in the state of Tennessee, you receive a free Exhibitors Only: $650 subscription to the Tennessee Nurse, provided by the Tennessee Nurses Foundation, Bronze Sponsorship: $1,000 - $2,499 but that does not include membership in TNA. Support the association that Silver Sponsorship: $2,500 - $4,999 supports you. Join Today. Turn to page 19. Questions? Call 615-254-0350. Gold Sponsorship: $5,000 and above We can’t wait until we welcome you into TNA! Registration and detailed information available online: https://tna.societyconference.com September, October, November 2018 Tennessee Nurse Page 5

Oct. ADVOCACY IN ACTION 26-28

2018 TNA Conference Registration Fees. Register NOW and Save! Visit: https://tna.societyconference.com/v2/

2018 TNA Conference Registration Fees Full Registration Friday Only Saturday Only Sunday Only Early Bird! Regular On-Site Early Bird! Regular On-Site Early Bird! Regular On-Site Early Bird! Regular On-Site Before Post-marked After Before Post-marked After Before Post-marked After Oct. Before Post-marked After Sept. 15 between Oct. 18 Sept. 15 between Oct. 18 Sept. 15 between 18 Sept. 15 between Oct. 18 Sept. 16 Sept. 16 Sept. 16 until Sept. 16 until until Oct. 18 until Oct. 18 Oct. 18 Oct. 18 TNA $300 $350 $375 $210 $230 $250 $230 $250 $270 $80 $100 $120 Member Non- $400 $450 $475 $260 $280 $300 $270 $300 $320 $100 $120 $140 Member TNA Members that are $255 $270 $295 $190 $210 $230 $210 $230 $250 $60 $80 $100 full time students or Retired Saturday - Exhibits and Schools of Nursing Luncheon (included in registration fee) Guest Ticket/s are $40 each

Thirteenth Annual Tennessee Tennessee Nurses Nurses Foundation Silent Auction Donation Request Association Members Only Event Date: October 26-27, 2018 Request for Absentee Held During the TNA & TSNA Joint Annual Conference Ballot - 2018 A Donation Form is available below. Or go to TNAonline.org Proceeds help support the Foundation’s nursing scholarships and grants. Please send an absentee ballot for the 2018 Your donation is tax deductible. We will appreciate your support! Tennessee Nurses Association election. “Request for Absentee Ballot” must be received at TNA by Items should be new and unused. September 26, 2018. I understand that mailing this ballot to me in the manner and form approved discharges TNA’s responsibility to me in the matter Thirteenth Annual TNF Silent Auction of absentee voting. Absentee ballots will be mailed Auction October 26 – 27, 2018 • Embassy Suites SE - Murfreesboro September 27, 2018.

Donor’s Name/Business Name:______I further understand that requesting an absentee Donor Contact Person:______ballot removes my name from the list of eligible Phone:______Fax:______Email:______voters at the TNA Annual Conference. No “group requests” will be honored. Fill in this Request for Address______Absentee Ballot form and return it by: City/State/Zip:______Description of donated item (please submit one item per form): • Email to Diane Cunningham at [email protected] ______• Fax to (615) 254-0303 ______• Mail to TNA, 545 Mainstream Drive, Suite 405, ______Nashville, TN 37228-1296.

Estimated monetary value of donated item: $______NOTE: Completed absentee ballots must be Date:______received at TNA headquarters by the close of business on October 19, 2018. ______Signature Name:______IMPORTANT NOTE: Submission of this form to the Tennessee Nurses Foundation constitutes a written agreement between TNF and Donor in that Donor agrees to provide TNF with the donated item by: (1) getting the item to the TNF office at 545 Address: ______Mainstream Dr., Suite 405, Nashville, TN 37228-1296 on or before October 19, 2018; (2) getting the item to their local District President on or before October 19, 2018 (District President contact information can be obtained by calling 615-254-0350 City/State/Zip:______or email [email protected]); or (3) taking the item to the TNF Silent Auction room at the Embassy Suites SE - Murfreesboro between 8:00 am., Friday October 26 and no later than 11:00 a.m. Saturday, October 27, 2018. The Silent Auction begins Friday, District Number:______October 26, 2018. Items should be new and unused. This donation becomes the property of the Tennessee Nurses Foundation and is to be Member ID Number:______offered for sale at an auction, the proceeds of which go to the Tennessee Nurses Foundation. Should donor provide any displays or samples of the donation to coincide with a donated gift certificate, TNF will not be held responsible for those items. Signature: ______It will be the sole responsibility of the donor to either pickup the samples or displays, as stated above, at the hotel or to pay (Required to Receive Ballot) the shipping charges on the return. TNF reserves the right to not auction any items determined to be used or inappropriate for auction. Please scan and email this form to [email protected]; fax to 615-254-0303 or mail the form to TNF, 545 Mainstream Drive, Suite 405, Nashville, TN 37228-1296. For questions regarding this event please contact TNF’s Program Manager, Kathryn Denton, at 615-254-0350 or email [email protected]. Page 6 Tennessee Nurse September, October, November 2018

TNA & TSNA JOINT ANNUAL CONFERENCE Continued from page 5 Schedule of Sessions

TNA Past Opening Session Friday, Compassion in Care: The Rule, Not the Exception President Forum Susan B. Hassmiller, RN, PhD, FAAN Oct. 26 Senior Advisor for Nursing, Robert Wood Johnson Foundation The Past Presidents Forum will recognize all past presidents for their contribution to TNA, TNA Past Presidents Forum the profession of nursing, and the health of Legislative Forum Including Gubernatorial Candidates Tennesseans. One past president from each decade to speak for 5 minutes on a panel highlighting the Karl Dean and Bill Lee (invited). Complete list not available as of print date. major healthcare or professional issue addressed during their presidency and/or time on the Board of Directors. The panel will be followed by a question Concurrent Session A — Poster Presentations and answer period. Concurrent Session B — Effects of Bullying on Emotional Well-Being as Described by Saturday, Non-Tenured University Faculty—Leslie Reed Brietenmoser Oct. 27 Concurrent Session C — Enabling Nurse Driven Documentation Redesign Deborah Ariosto Concurrent Session D — Teaching Nursing Students How to “Care”: Mission to Haiti Sarah Pierce Concurrent Session E — How Soon is Early? Implications of Palliative Care Consultation Timing Among A Cohort of Hospice Decedents—Samuel Robbins Concurrent Session F — A Step Ahead: A Unique Program Preventing Unplanned Pregnancies in Tennessee—Michelle Collins, Jennifer Matthews, Kellie Mitchell Concurrent Session G — Evaluation of Distress Tolerance and Treatment Retention in Women in Recovery for Substance Use Disorders—Tamika Hudson Concurrent Session H — The Potential Impact of Adverse Childhood Experiences (ACE): Recognition and Early Intervention—Tamara Bland, Nan Gaylord Concurrent Session I — A Primer on Preeclampsia for Primary Care Provider—Diane Folk Keynote Session Building Compassion into Every Day Practice: What Every Nurse Needs to Know Mary Jo Assi, DNP, RN FNP-BC, NEA-BC, FAAN Associate Chief Nursing Officer, Press Ganey

LEARN • SHARE • CARE OMNI HOTEL, NASHVILLE, TN Concurrent Session J — Pediatric Sleep Apnea (aka: Sleep Disordered Breathing) Sunday, NOVEMBER 16, 2018 Hiding Behind Common Medical Diagnosis—Stacy Whitehead Oct. 28 REGISTER AT Concurrent Session K — Having the Conversation: Assessing Patient’s Goals and Wishes Michelle Rickard SAVE THE DATE! Concurrent Session L — Keeping Staff Safe in the Acute Psychiatric/Behavioral An opportunity for healthcare providers, patients and caregivers Health Setting—Sarah Gunnin, Dixie Waye to learn about the latest treatments, resources and research to help those living with lung disease lead healthier, active lives. Closing Plenary Session CEUs for nurses and respiratory therapists. Errors Happen! Malpractice Case Studies Questions? Call 615-510-3553 Roxanne Filson, BBA Aon Affinity Insurance Services September, October, November 2018 Tennessee Nurse Page 7 Government Affairs TNA Lobbyist and Advocate Retires

Wilhelmina Davis is a true the legislature and throughout Tennessee for her work Wilhelmina returned to TNA as Governmental Affairs Tennessean, born and raised on behalf of nurses, nursing, and quality healthcare for Manager and chief lobbyist. in Nashville, a woman who Tennesseans. Wilhelmina has been instrumental in advancing loves her city and state. She is Wilhelmina began her career on “The Hill” in the nursing’s agenda and protecting all nurses in the state. a true advocate for the nursing Tennessee State House. In 1988, Anne Mitchell, a friend Just this past Session she worked relentlessly opposing profession and the patients we of Wilhelmina’s and current TNA staff colleague, told the the Registered Veterinary Nurse bill. That bill was serve; nurses have a special Chief Clerk of the House that she knew a good listener, eventually withdrawn due to her efforts and the garnered place in her heart. Wilhelmina and from there Wilhelmina’s career began. Wilhelmina support from nurses across the state who opposed the has been the TNA lobbyist recorded dialogue of statements and motions made by bill in both the House and Senate. Part of Wilhelmina’s twice in the past fourteen Tennessee House Representatives in Journals that now legacy in Tennessee includes the increased penalties years. Wilhelmina will retire on line the walls of the Tennessee State Capitol and in the for assault of healthcare providers, including nurses. October 31, 2018. Wilhelmina Davis House of Representatives meeting rooms. At that time, The 2013 law expands the punishment for assault and Being a lobbyist, requires TNA’s Manager the records were handwritten in Journals…now you know aggravated assault, that had at the time only applied to Wilhelmina to listen well, of Government why Wilhelmina has beautiful penmanship. Later, she was Tennessee law enforcement officers, to also apply to research state laws, rules and Affairs and the first to use a newly created computer program to health care providers acting in the discharge of their regulations, and interact with Lobbyist record the dialogue of the proceedings. duties. all levels of the government. Wilhelmina began her employment with TNA as a Wilhelmina Davis is a passionate, trustworthy woman Wilhelmina is respected and highly regarded as a lobbyist in January 2004 and then took a hiatus from with a gentle but determined demeanor who has been woman who speaks the truth, supports her cause with January 2006 until January 2011. During her hiatus, she nursing’s biggest ally and supporter throughout her documentation and facts, and is always prepared to fight worked at the Tennessee Department of Health with tenure at TNA. Wilhelmina will be missed. Please join the for the position of TNA. Wilhelmina presents herself with then Health Commissioner, Susan Cooper, RN, MSN, TNA Board of Directors and staff in thanking Wilhelmina grace and determination and is known and respected in FAAN, during Governor Bredesen’s term. In January 2011, for her dedication and support of TNA and wishing her health and happiness in her retirement. A Lesson in Advocacy

Wilhelmina Davis To better prepare you on the “how to” of Advocacy, I TNA’s Manager of Government urge you to take a minute to look over the TNA Advocacy Affairs and Lobbyist Manual located on the Government Affairs page of TNA’s website at TNAonline.org. Use this new knowledge when Reflecting on the years since coming to work for TNA, I you meet candidates on the campaign trail, whether at remember being eager and humbled that I had been hired the grocery store, a church function, the gym, or any as TNA’s lobbyist and that it was my responsibility not only chance meeting, to be a Champion of Nurse Advocacy. to represent the many nurses across Tennessee, it was my I’ve included a few pointers from the manual, but for a job to present, protect and defend TNA’s legislative agenda more comprehensive guide and other detailed information on Capitol Hill. I think back on the many pieces of legislation regarding the legislative process, and current or past I’ve worked on and the lessons learned from so many TNA legislative issues, visit the website. members, especially as it pertains to the importance of advocacy. YOU ARE THE EXPERT After becoming somewhat familiar with the Nurse Legislators are elected officials who come from many Practice Act, (although questions still remain), I began this walks of life with widely varying experience and knowledge journey of advocating on behalf of the professional nurse. I of the health care system. You are the expert when it comes remember early on, when the opportunity presented itself, to the nursing profession and the health of your patients how I would strike up a conversation if in the presence and communities. These policy makers care what you think. of a nurse. To my amazement and somewhat surprise, I Your point of view is important to legislators as they craft quickly learned that not all nurses were familiar with the the laws and regulations that affect your profession and Nurse Practice Act, not to mention the legislative process. patients. You are in a unique position to get involved in One particular conversation with a nurse, who at the policy making and advocacy. Nurses are always speaking on time was not a TNA member, helped me tremendously in behalf of their patients’ welfare and this process is exactly understanding the importance of nurse advocacy. It was what is effective in dealing with the legislature: gathering surprising to me, first, that this person wasn’t a member information, assessing the effects, providing a plan and of TNA and, then, to learn that she didn’t quite understand speaking out to make changes. why it was so important to be involved or even care about what happens at the legislature as it pertained to her KEEP IT SIMPLE AND CLEAR profession. Sure, she was aware of tax issues, lack of quality State your position clearly and then be available to either health care in Tennessee, and other concerns our legislators answer any questions the legislator might have or offer deal with, but she wasn’t as informed when it came to to find out the answer to any question you don’t know. It knowing how the legislative process affected her nursing is alright to say “I don’t know the answer”…never fake it! career. Following that initial conversation, she and I had Offer to get the information to them as quickly as possible several other chats as she became more interested in what and always follow up with the legislator. was happening at the legislature, and would ask questions about bills I was working on. Oh, I haven’t mentioned COMMUNICATE LIKE YOU RUN YOUR UNIT/ where these conversations had taken place, well let me FLOOR/HOSPITAL/ CLASS ROOM/BUSINESS say…Wednesday night bible study was more than just bible Be cooperative. Be realistic. Be practical. Never break study. I encouraged her to visit TNA’s website; she began to your word…if you tell a legislator you will do something, do understand TNA’s mission of protecting and advocating on it. Continue to educate yourself regarding the legislative behalf of the Professional Nurse. I’m happy to say, my new issues of concern to you. nurse friend, has since become a member of TNA and has Lastly, if you haven’t, please make plans to attend Make your contribution become a passionate advocate for her profession. the 2018 TNA/TSNA Joint Conference. This year’s theme The American Nurses Association (ANA) “believes ADVOCACY IN ACTION is tailored just for you! We look to TNPAC today on TNA’s that advocacy is a pillar of nursing. Nurses instinctively forward to seeing you at the Embassy Suites Hotel in website www.tnaonline.org advocate for their patients, in their workplaces, and in their Murfreesboro, October 26-28 for an exciting, and dynamic communities; but legislative and political advocacy is no less time. Online registration is available through TNA’s website. important to advancing the profession and patient care.” ANA further states that “…through championing the nursing profession, nurses give a voice to the essential role that they play in advancing access to high-quality, affordable RN care. With energetic participation in advocacy, every nurse can help the profession to improve and move to Are you a registered nurse seeking a change of venue? higher levels.” What a great time leading up to the November elections to let your voice be heard. This year, you will have an The Metro Public Health Department opportunity to elect a new Governor and candidates for may have an opportunity for you. the House of Representatives and Senate who, will become members of the 111th Tennessee General Assembly. And Please visit the Metro Public Health Department Website they need to hear from Nurses! http://healthjobs.nashville.gov/ for a list of current openings. Page 8 Tennessee Nurse September, October, November 2018 Government Affairs Tennessee 2018 General Election Candidates

*Incumbents are marked with an (i) after their name. District 35 Jerry Sexton (i) Remember to vote on November 6th!! One in 44 registered voters in the US is a District 36 Cassandra Mitchell (i) registered nurse. We can influence the election and public policy only if we VOTE!! All District 37 Deanna Debow Osbrne Charlie Baum candidates were asked to complete a questionnaire, gubernatorial responses are posted to the TNA website; the responses from the General Assembly candidates will be posted District 38 Carol Venea Abney (i) on the TNA website in mid-September!! Become informed and VOTE!! District 39 Sharon Adams District 40 (i) Tennessee State Senate District 41 (i) Ed Butler District Democrat Republican Independent District 42 Terry Scott Ryan Williams (i) District 43 Les Trotman (i) District 1 Steve Southerland (i) District 44 Rachel Mackey (i) District 2 Art Swann (i) District 45 Hana Ali Johnny Garrett District 3 Rusty Crowe (i) District 46 Mark Cagle (i) District 5 Stuart Starr Randy McNally (i) District 47 Mike Winton District 7 Jamie Ballinger Richard Briggs (i) District 48 Matt Ferry (i) District 9 Carl Lansden Mike Bell (i) District 49 Chris Mayor (i) District 11 Randall Price Bo Watson (i) District 50 (i) Judd Cowan District 13 Kelly Northcutt Dawn White Ginger Smith District 51 Bill Beck (i) Randell Stroud District 15 Angela Hedgecough Paul Bailey (i) District 52 Mike Stewart (i) District 17 Mary Alice Carfi (i) District 53 (i) Amberlee’ Brooks David Dennison District 19 Brenda Gilmore Christina Callaway District 54 Vincent Dixie John Smith Rueben Dockery District 55 (i) District 21 Jeff Yarbro (i) District 56 Brent Moody District 23 Kristen Grimm Jack Johnson (i) District 57 Jordan Cole (i) District 25 Wade Munday Kerry Roberts (i) District 58 Harold Love (i) District 27 Savannah Williamson Ed Jackson (i) District 59 Jason Potts David Birdsong District 29 Raumesh Akbari Tom Stephens District 60 (i) District 31 Gabby Salinas Brian Kelsey (i) District 61 Rebecca Purington District 33 Katrina Robinson District 62 Marty Davis (i) Tennessee House of Representatives District 63 Bill Peach (i) District 64 A.J. Holmes James Gray District Democrat Republican Independent District 65 Toby Shaffer (i) District 66 Larry Proffitt Sabi Kumar (i) David Ross District 1 John Crawford (i) District 67 Tommy Vallejos John Dawson District 2 Arvil Love Jr. Bud Hulsey (i) Robert Ellis District 68 Dennis Potvin Curtis Johnson (i) District 3 Timothy Hill (i) District 69 Eddie Johnson (i) District 4 John Holsclaw Jr. (i) District 70 Jessica Yokley Roy Waldrop District 5 Park Overall David Hawk (i) District 71 Frankie Floied (i) District 6 James Van Huss (i) Murphey Johnson District 72 James T. Haynes District 7 Nathan Farnor (i) District 73 James Baxter District 8 Jay Clark Jerome Moon (i) District 74 Billy Borchert (i) District 9 Derek Winkle Gary Hicks (i) District 75 Richard Carl James Hart District 10 Barbara Simmons District 76 Deane Arganbright Andrew Holt (i) District 11 Vincyl Fitzgerald II (i) Carl Eggers Sr. District 77 Bill Sanderson (i) District 12 Robert Williams (i) District 78 John Patrick (i) District 13 Gloria Johnson Eddie Smith (i) Zachary Houk District 79 Gregory Alan Frye (i) District 14 Justin Davis Jason Zachary (i) District 80 (i) District 15 (i) District 81 (i) District 16 Kate Trudell Bill Dunn (i) District 82 Andrea Bond-Johnson District 17 Delynn McCash (i) District 83 Danielle Schonbaum Mark White (i) District 18 Greg Mackay Martin Daniel (i) District 84 Jr. (i) District 19 Edward Nelson Michelle Westover District 85 District 20 Susan Sneed Robert Ramsey (i) District 86 Barbara Cooper (i) District 21 Laura Miller District 87 (i) District 22 (i) District 88 Larry Miller (i) District 23 Brad Hartley Brian Scott Hicks District 89 Coleen Martinez District 24 Mallory Pickert District 90 John DeBerry Jr. (i) District 25 Anne Quillen (i) District 91 District 26 Jean-Marie Lawrence District 92 C.S. Coffey Thomas R. Tillis (i) District 27 Brent Morris (i) District 93 G.A. Hardaway (i) District 28 Lemon Williams Jr. District 94 Terry Saine Ron M. Gant (i) District 29 Tammy Magouirk (i) District 95 Sanjeev Memula (i) District 30 Joda Thongnopnua J. Michael Holloway District 96 (i) Scott McCormick District 31 Dean Sparks (i) District 97 Allan Creasy (i) District 32 Mary Ellen Blencoe (i) District 98 (i) District 33 Richard Dawson (i) District 99 David Cambron Ron Lollar (deceased) District 34 Jennifer Vannoy (i) September, October, November 2018 Tennessee Nurse Page 9 2018 ANA Membership Assembly acts on current issues and looks to a bold future

Breaking news and down-to-the-minute updates on major health care and humanitarian issues added urgency and even greater purpose to the final day of the American Nurses Association’s 2018 Membership Assembly, held June 22-23 in Washington, DC. Eligible Assembly representatives adopted recommendations from the Professional Policy Committee and elected ANA board and committee members. Representatives approved recommendations that were developed following three separate dialogue forums held the previous day. The three forums focused on: secondary opioid exposure considerations in caring for patients with overdose; the ANA presidential endorsement process; and the ANA position statement Euthanasia, Assisted Suicide, and Aid in Dying. Read more at https://www.nursingworld.org/news/ news-releases/2018/2108-membership-assembly-day-2/

Tennessee representatives at the ANA Membership Assembly in Washington DC. Michelle Baldwin; Haley Vance, TNA President; Tina Gerardi, TNA Executive Director; Sandy Murabito and Carole Myers

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The Tennessee Nurses Foundation’s mission is to for nursing professionals in your area. promote professional excellence in nursing. Tennessee Nurses Foundation Your always-on resource for 545 Mainstream Drive, Suite, 405, Nashville, TN 37228‐1296 Phone 615‐254‐0350 | Fax 615‐254‐0303 nursing jobs, research, and events. Page 10 Tennessee Nurse September, October, November 2018 Spotlight on Practice

Variety and Diversity for this APRN Marcia E. Spear, enhancement procedures including lasers and injectables (ie. dermal fillers and DNP, ACNP-BC, CWS, CPSN, CANS neuromodulator injections). I am both a Certified Plastic Surgical Nurse and Certified Assistant In and Nurse Practitioner Aesthetic Nurse Specialist. Department of Plastic Surgery I came to Vanderbilt Plastic Surgery from private practice where I had the Vanderbilt University Medical Center mentorship and collaboration of a plastic surgeon that was instrumental in developing my appreciation of this specialty. More and more plastic surgeons are Diversity makes life interesting, — variety is the spice of specializing and this has also cultivated a wider variety of specialties within plastic life that gives it all its flavor. This phrase comes from William surgical advanced practice nursing. A plastic surgical advanced practice nurse may Cowper’s poem, “The Task” (1785). This APRN knows how only practice with reconstructive procedures and can even further specialize with variety makes for an interesting, rewarding and fruitful breast reconstruction, cancer reconstruction, burn reconstruction, traumatic or profession. congenital reconstruction in pediatrics and adults, wound care, hand, burn and I have been a plastic surgical nurse for nearly forty nonsurgical aesthetic procedures. years, an APRN for 18. Plastic surgical nursing encompasses My dual clinical role includes inpatient NP for the plastic surgical service and more than facelifts, tummy tucks and breast enhancement provider/member of the inpatient wound care team. I provide comprehensive surgery, contrary to what you may think. Plastic surgical medical care to acutely ill patients requiring hospitalization and surgical intervention. nursing specializes in the protection, maintenance, safety, I practice with multi-disciplinary services often required for most plastic surgical and optimization of health and human bodily restoration patients, to provide general medical care to hospitalized patients along the complete and repair before, during and after plastic surgical, cosmetic, 1 Marcia E. Spear, hospital trajectory, from admission to discharge. The plastic surgical focus is to reconstructive, and non-surgical aesthetic procedures. DNP, ACNP-BC, provide care to both critically ill and non-critically ill patients admitted to the hospital The plastic surgical advanced practice nurse experiences CWS, CPSN, CANS as well as day surgery. This role also requires advanced knowledge of anatomy, something most of the other nursing specialties don’t – a advanced physical assessment, physiology, surgical techniques, post-anesthesia positive outcome in the majority of cases. Most patients leave looking better. Looking care, growth and development across the lifespan and wound healing including better often results in feeling better. Plastic surgical nursing fosters the feelings the processes and wound microenvironment. An understanding of body image and of making a difference in each and every life we touch. Plastic Surgical Nursing was self-esteem is essential as it relates to body disfigurement. My practice includes recognized as a specialty by the American Nurses Association in 2005. reconstructive procedures including breast reconstruction, cancer reconstruction, The plastic surgery specialty has long pioneered surgical techniques and burn reconstruction, and congenital reconstruction in both pediatrics and adults, treatment strategies for human body and facial repair, reconstruction and hand, traumatic reconstruction, and wound care. replacement in cases of congenital diseases, traumatic injuries and cancer As a member of the wound care team I see consultations throughout the medical reconstruction; therefore, plastic surgical nurses have embraced these techniques center. These consultations include a history and physical, wound assessment and and treatments in this restorative specialty. Care focuses on complex wounds, implementation of a wound care treatment plan. Weekly, we make wound care replants, grafts, flaps, free tissue transfer, use of implantable materials and rounds as a team and evaluate current plans and the efficacy of these plans. I the healing process and response. Cosmetic or aesthetic surgery is an essential facilitate a multidisciplinary view of wound care at the medical center and work with component of plastic surgery and is used to both improve overall appearance and other specialties including vascular, cardiothoracic, neuro, and general surgeries, to optimize the outcome of reconstructive procedures. Plastic surgical advanced infectious disease, podiatry and nutrition. I am a member of the wound formulary practice nursing opportunities continue to expand as the demand for plastic committee and the pressure ulcer prevention task force. This role also requires surgical procedures and treatments continue to grow. The newest role is that of the teaching and lecturing to nursing students, nurses, medical students and physicians. Aesthetic Nurse Specialist that has arisen as a result in the demands for nonsurgical I am a Certified Wound Care Specialist, a multidisciplinary wound certification. I also do research for the department of plastic surgery. I am a research coordinator, principal investigator, and co-investigator. This allows me many opportunities to publish. I navigate the Institutional Review Board (IRB) process, collect data, develop databases, recruit subjects, analyze data, prepare manuscripts, develop protocols and implement study procedures. This role I find fulfilling as well as I like to be on the cutting edge with new innovative ideas and treatments. Always beneficial to find better ways of doing things that are evidence based. I received my Doctor of Nursing Practice degree which has enhanced my practice on a daily basis. It prepared me as a leader in advanced practice in this specialty to bring evidence-based knowledge into this specialty arena, improved health care outcomes for my patients and has strengthened my leadership role in guiding nursing education and complex care delivery in the plastic surgical nursing specialty. I have lectured nationally, internationally and have written numerous articles and chapters. My DNP has also cultivated my quest of evidence-based practice. Plastic surgical nursing is a valued nursing specialty and continues to meet the needs of this distinct and challenging plastic surgical population. The plastic surgical advanced practice nurse can provide care across the lifespan, from the neonate to the end of life individual. The specialty is non-gender specific with the focus on the entire body from head to toe and all body systems. Most outcomes are favorable and it provides a challenge each and every day, necessitating lifelong learning and is way more than outward beauty. As I said, it is the spice of life.

American Nurses Association. Scope and Standards of Practice Plastic Surgery Nursing. 2nd Ed. Silver Spring, MD: Nursesbooks.org/ 2013. Cowper, W. (1785). The Task. Retrieved from http://www.utm.utoronto.ca/~dwhite/Cowper. pdf

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Vanderbilt is an equal opportunity affirmative action university. September, October, November 2018 Tennessee Nurse Page 11 APRN Full Practice Authority Planning and Advocacy: A Critical Discussion Student Loretta Bond, PhD, RN, CNE and Carla Kirkland, This provides a forum for all members to be educated MSN, APRN, ACNP-BC, FNP-BC on issues related to scope of practice as it relates to Advanced Practice Registered Nurses. One of the primary Forum Last September, at the Tennessee Nurses Association concerns expressed in the first task force meeting was (TNA) Annual Conference, a resolution was presented the need to develop a united front with other APRNs from and affirmed by the Membership Assembly. Resolution around the state, and to have improved communication Becoming a nurse is one #2017-01, entitled APRN Full Practice Authority Planning and transparency among all groups. In previous efforts and Advocacy, called for the establishment of a taskforce of the most challenging and to put forth full practice authority legislation, different most rewarding opportunities. whose responsibility would be; 1) to educate Tennessee messages were at times conveyed to legislators and Advanced Practice Registered Nurses (APRNs) and Being in nursing school requires other stakeholders by various APRN groups, causing a devotion of time, money, TNA members for grassroots advocacy related to the confusion and the perception that nurses may not be achievement of full practice authority; 2) establish an and determination. It can united in their efforts. Hoping to learn from this valuable be physical and emotionally action plan for achieving Full lesson, representatives from Practice Authority which includes draining, especially if you do APRN organizations across not allow yourself time for communications, education, the state were invited by As nurses, it is critical to see nursing not other activities and interaction messaging and outreach; and TNA to a meeting on June as multiple professions, but as one united with others outside of school 3) to work with stakeholders 2nd in Nashville, to form an profession regardless of practice scope or and home. Tennessee Student including but not limited to, APRN coalition. An attempt Katie Drummond variations in practice settings. This is the Nurses Association allows nursing organizations and health was made to reach out to a TSNA connection for all of us as TNA members! you to meet people all over related associations in an effort variety of APRN organizations Communications to develop a support coalition. the state that have one thing Director throughout Tennessee, including in common, nursing. As The purpose of this article is to certified nurse practitioners, update members on the work of the TNA APRN taskforce well as, meeting people that are enduring the same certified nurse midwives, certified nurse anesthetists, schooling, clinicals, and busy schedules. This allows and to stress why engagement and support by all TNA and clinical nurse specialists. Each group was invited members is essential in this work. you to gain perspectives from other nursing students to send a maximum of two representatives to attend and see the difference in other programs around you, Historically, issues that shape nursing practice in the meeting, this included two TNA members. At the Tennessee have been best addressed through common and some of the different things they are doing in their first meeting, Kathy Hoebelhenrich, from the Nebraska schools. Tennessee Student Nurses Association not goals and the unity of the TNA membership. The Nurses Association, presented the story of Nebraska’s influential power of the united organization has been key only allows you to meet new people and create a sense full practice authority efforts. The lessons learned from of community, it allows you to gain professionalism and in addressing critical issues related to nursing practice Nebraska laid the foundation for discussion throughout and in elevating practice standards as we advocate for knowledge of nursing as a whole and state laws in action the day. By the end of the meeting, all were excited at and soon to be in action. Nursing changes daily, and to optimal patient outcomes. At first glance, it might not be the openness, honesty, and cohesiveness experienced. apparent why this resolution is critical and has impact on be a part of the change and voice our own opinions we This group was ready to move forward together to work are fortunate enough to be able to have an organization the entire nursing community. towards common goals, and take the message back to In making the first connection of its importance to for that. It is so interesting to be able to know how laws their respective organizations. After a second meeting are changed and passed, and seeing ones that have been the TNA membership, this resolution helps in moving on July 20th, the coalition had a new name, the Coalition Tennessee nurses closer to the Institute of Medicine put into action previously. Tennessee Student Nurses for Access to Care for Tennessee, officers and bylaws. The Association is one of the greatest decisions you could (IOM) Future of Nursing: Leading Change and Advancing official mission of the coalition is: To create a regulatory Health (2010) report. This report, categorized as a ever make. It helps you grow professionally, changes your climate in which APRNs can practice to the full extent perspective on nursing, and allows you to get insight blueprint for change, called for the reconceptualization of their education to improve the health and wellbeing of the role of nurses within the entire workforce in an and gain friendship from fellow nursing students. You of all Tennesseans. The purpose of the coalition is to; 1) have the chance to be a part of something great and effort to address key issues related to practice settings provide a forum for communication and collaboration and nursing education (National Academies Press, 2010). make a difference for future nurses, like yourself. It is as between official organizations of each of the four APRN much as a time commitment as you allow it to be, and Recommendations were identified, and one important categories recognized by the Tennessee Board of Nursing to the efforts of this resolution is to ensure that nurses will help you grow to be the most knowledgeable nurse (Certified Nurse Practitioner, Clinical Nurse Specialist, you can be. This is an organization that links people have the opportunity to practice at the highest level Certified Nurse Midwife, and Certified Registered Nurse of education and training. As in the past, this effort will by connections all over the state, and gives you the Anesthetist); 2) remove barriers to APRNs functioning opportunities and resources to enhance your future. require the unified support of all TNA members as well as within their full scope of practice; 3) inform APRNs on nurses across the state. The task force was to collaborate laws and regulations; and 4) increase awareness of with members to develop, implement, and actively advanced practice nursing. manage a comprehensive action plan for achieving full The voice of nursing has been the most respected practice authority. TNA is currently under a moratorium, voice as a profession for years, taking second only once along with the Tennessee Medical Association and the after 911 to the fire fighters. This influential power, Tennessee Association of Nurse Anesthetists, which NOW HIRING along with the backing of the largest number of health Perioperative & Emergency Department RNs prohibits new legislation being brought forward by any of professionals, gives strength to the nursing profession to the three organizations related to full practice authority, accomplish many of its goals. One such issue is the scope We are currently recruiting RNs in Lexington, KY in all areas until 2020. However, the remaining time can be used to of practice ceilings, not just for APRNs, but for all nurses. of UK Chandler, UK Good Samaritan, Kentucky Children’s organize efforts to educate the public, our legislators, and Hospital, and Eastern State Hospital, all part of the University As nurses, it is critical to see nursing not as multiple of Kentucky health care system. other health care providers. TNA’s APRN Task Force began professions, but as one united profession regardless of work in January 2018 with members from around the practice scope or variations in practice settings. This is BENEFITS INCLUDE: state under the leadership of co-chairs Loretta Bond and the connection for all of us as TNA members! We look • Education opportunities Carla Kirkland. Legislative, Education, and Communication forward to our 2018 TNA Conference and Membership • Nurse residency program work groups were organized. Assembly October 26-28, 2018 and further discussion of • Tuition benefits Secondly, the resolution calls for information sharing • Nursing professional advancement program our work related to this issue. • Comprehensive benefits package including retirement with TNA’s membership to educate members on the role plans with 200%match of advanced practice nurses and on their importance in Sources cited: Robert Wood Johnson at the Institute of Medicine (2010).The addressing primary health care shortages in Tennessee Future of Nursing: Leading Change and Advancing Health. APPLY NOW: UKJOBS.UKY.EDU in an effort to optimize health care and health outcomes. National Academia of Science, p.S1-S13. http://www.nap.edu. Page 12 Tennessee Nurse September, October, November 2018 Brain Death: 50 Years Later and Still Controversial

If you haven’t worked in an intensive care environment other questions. All were struggling with this new definition of death. you may never have taken care of a patient with brain death. The Harvard committee developed the criteria that are reflected in today’s August 5th marked the 50th anniversary of a Harvard Medical standards (and hospital policies) for determining brain death. A patient can be School report and publication that led to a new definition of declared dead if over a 24-hour period they do not respond to any stimuli, do not move death based on neurological criteria. Since then, brain death spontaneously or breathe, and have no reflexes. A flat EEG (electroencephalogram), has been legal and a part of clinical practice, particularly apnea testing or brain flow study all provide confirmation of the cessation of brain related to organ donation. Vigorous debate has continued function. These standards clarified circumstances under which clinicians could about its legitimacy along both scientific and religious lines. withdraw life support. Brain death criteria also facilitated organ transplants by Families struggle with brain death because the patient can allowing physicians to declare the donor dead prior to withdrawal of the ventilator look and feel alive. There is a visible EKG trace on the monitor, and cardiac arrest. This allowed for organs that were still being perfused in a patient the patient is warm if touched, a pulse can be felt, and the on life support—the patient was dead but the organs were still alive. Moral and legal chest will rise and fall with each breath from mechanical Kate Payne, JD, concerns of clinicians and the broader society about having caused a patient’s death ventilation. Given the right treatment, many of their bodily RN, NC-BC by organ removal were somewhat put to rest. In 1981, the President’s Commission functions can stay intact for weeks and months after they are considered medically and for the Study of Ethical Problems in Medicine, helped develop a model definition legally dead. of death for adoption by all the states. The Uniform Determination of Death Act Brain death came about because of the development of positive pressure (UDDA) states: “An individual who has sustained either (1) irreversible cessation of mechanical ventilation in the 1950s. Those that had previously died from trauma or circulatory or respiratory functions, or (2) irreversible cessation of all functions of the disease could now be prolonged on machines seemingly indefinitely. However, no entire brain, including the brainstem, is dead.” All 50 states have now adopted some obvious brain function could be observed, and many began to question if this was the version of the UDDA. However, the law is not uniform. Four states permit families to right thing to do. Through the 1950’s and 1960’s neurologists developed criteria to assert conscientious objections like religion. Other states vary in the number and guide these decisions. qualifications of physicians required to determine brain death. Under the UDDA, life- The original Harvard committee met in September 1967. They identified two main sustaining treatments may be withdrawn from these patients without permission of issues that are still ethical challenges today. First, the burden on families, and hospitals, surrogates because the patient is dead. caring for a patient with irreversible brain damage—should this continue, for how long The recent case of Jahi McMath has again brought up questions about brain death. and what to do about it? And second, the concern that the criteria for the definition of Jahi was a 17-year-old girl who was biologically maintained on a ventilator, feeding death could lead to controversy related to organ donation. At the same time this was tube and supplemental hormones in New Jersey, a state that allows religious exception happening, organ transplantation was becoming more successful. Eventually, debates to brain death. She stayed this way for more than 4 years after her death certificate began about the use of organs from these neurologically devastated patients. You was issued in California. She reportedly continued to grow and develop as a teenager. can imagine the debate, if these patients are never waking up, are they alive? If they Jahi’s mother and some neurological experts who examined her, claimed she did not aren’t alive could organs be donated from them and how? Similar discussions were meet the definition of brain death. Her mother wanted her to be judged alive so the happening around the world in countries that did organ transplantation. There was family could return to California. Jahi’s secondary death by cardio-respiratory criteria, increasing support for the emerging concept of brain death across the globe. Ethics occurred on June 22, 2018 after bleeding from liver failure. Jahi’s case is so sad and it is consultation was also developing at this time. Providers from the clinical realm invited hard to imagine what her family has gone through with all this. philosophers, clergy and others to teach, develop guidelines, and consult on these and There is still no credible evidence that anyone correctly diagnosed with brain death has or will ever regain consciousness or breathe without a ventilator. However, prolonged survival is not uncommon like Jahi’s case. The longest known case is a patient that was biologically maintained for more than 20 years. There is a strict set of criteria and many tests and procedures that have to be followed to determine brain death. It is probably more error-free than pronouncing someone dead due to cardiac failure. For the last 50 years, brain death has been as reliable a way to determine death as declaring that a person’s heart has forever stopped beating.

References Aviv, R. What Does It Mean To Die? The New Yorker. February 5, 2018:30-41. Truog, RD. Defining death—Making Sense of the Case of Jahi McMath. 2018; 319(18)1859-60. Truog, RD. The 50-Year Legacy of the Harvard Report on Brain Death. JAMA. 2018;320(4):335- 336. Uniform Law Commission. Uniform Determination of Death Act, 12A uniform laws annotated 777 (2008). http://www.uniformlaws.org/Act.aspx?title=Determination%20of%20Death%20Act. Accessed: July 26, 2018. White, BD, Shelton, WN, Rivais, CJ. Were the “Pioneer” Clinical Ethics Consultants “Outsiders”? For Them, Was “Critical Distance” That Critical? The AJOB. 2018;18(6):34-44.

FREE Online CE Activity Nurses: parents trust you.

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The CE activity explains safe infant sleep recommendations from the American Academy of Pediatrics and is approved by the Maryland Nurses Association, an accredited approver of the American Nurses Credentialing Center’s Commission on Accreditation. September, October, November 2018 Tennessee Nurse Page 13 2018 CNE Provider Workshop

The 2018 CNE Provider Workshop was a huge success with Joseph (Joe) Houser from the American Nurses Credentialing Center (ANCC) as the guest speaker. Thank you to all who attended, our vendors, the TNA staff, and ANCC.

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Summit it to the Tennessee Nurses Association

The Tennessee Nurses Association is an approved provider of continuing nursing education by the South Carolina Nurses Association, an accredited approver with distinction, by the American Nurses Credentialing Center’s Commission on Accreditation.

Visit the Continuing Education link at www.tnaonline.org for details

Sharon Hinton, DMin, MSN, RN-BC, TNA’s Nurse Peer Review Leader & Administrator of CNE, and Joe Houser, MSN, RN-BC, ANCC’s Senior Operations Manager for Primary and Joint Accreditation.

HEALTHY AIR CAMPAIGN in Tennessee

Many people know that the air we breathe is important, but why? Air pollution may sometimes be invisible, but it can leave a big imprint on human health. In fact, evidence shows that air pollution can impact human health in more ways than previously imagined. Two types of pollution are dominant in the U.S.: ozone and particle pollution. Both of these pollutants are tracked in American Lung Association’s annual “State of the Air” report. These two pollutants threaten the health and lives of millions of Americans. Health risks include asthma attacks, premature death, cardiovascular disease and pulmonary inflammation. Fortunately, thanks to the Clean Air Act, the air in many Tennessee counties has gotten cleaner in recent years. But there is still work to do. Tennesseans continue to breathe harmful levels of ozone and particle pollution. We need to ensure clean air safeguards remain in place – our health depends on it. To do so, the American Lung Association is organizing health professionals, individuals, and families to call on our leaders to protect and prioritize efforts that keep our air clean.

What can you do? 1. Make your voice heard: ask decision-makers in Washington, D.C. to stand up for healthy air protections today. Our decision-makers need to hear that our families’ health must come first. 2. Protect yourself from dangerous air pollution by checking your air quality, especially during heat waves, at Airnow.gov. 3. Take actions to reduce your individual contributions to pollution – such as driving less, opting to use active transportation, carpools or electric vehicles, and using less electricity in your household.

To learn more and get involved with protecting the air we breathe in Tennessee, please contact Christine Hart at [email protected] or 423.661.7593 TNA LEADERSHIP TNA TNATNAOPPORTUNITIESTNA LEADERSHIPLEADERSHIPLEADERSHIPLEADERSHIP Page 14 Tennessee Nurse OPPORTUNITIESOPPORTUNITIESOPPORTUNITIESOPPORTUNITIESSeptember, October, November 2018 TNA TNA TNA LEADERSHIPLEADERSHIP LEADERSHIP OPPORTUNITIES OPPORTUNITIESTNAOPPORTUNITIES LEADERSHIP Honor AWE HONORNurse YOU... OPPORTUNITIES Nursing is a calling, In describing Mrs. Outlaw a way of life. 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SEEKING The deluge of sexual misconduct episodes recently Be sure A to document the situation and any experienced reported in the media has put the workplace under conversations that you had with the patient. Be specific, RNs • Progressive 247-bed Regional Referral Center the microscope when it comes to appropriate—and listing dates, times, verbatim comments, and any • 200 Physicians representing 40 specialties inappropriate—behavior. The healthcare setting isn’t witnesses to the behavior. • Ranked #1 in Patient Safety in TN immune to this workplace problem. An analysis of claims • Named one of the 2017 Top Cardiovascular filed with the U.S. Equal Employment Opportunity When you need to report Hospitals by Truven Health AnalyticsTM Commission (EEOC) from 2005 to 2015 found that 11.48% If your efforts to correct the patient’s behavior don’t

Contact: Christy Kinnard • 931.783.2010 in your area 1 Medical Center Boulevard • Cookeville, TN 38501 of claims were from the healthcare and social assistanceopportunities work, report the problem to your supervisor. Previous 931.528.2541 • crmchealth.org/apply industry, the fourth highest and only slightlyDistrict Committees behind court action by the EEOC indicates that it considers the OU CAN MAKE District Board of Directors District Board of TNA Networking and mentoring informaton at tnaonline.org at informaton District President’s contact District President’s TNA DISTRICTS TNA

manufacturing at 11.72%. thrive Help nurses in your area employer responsible for addressing harassment by Great place to meet colleagues Great Y Did you know that the association is completely run by the members the association Did you know that Our member- a di ’ erence. in TNA makes participation TNA? Your of ship, made up of registered nurses just like to make this organization a viable part of the healthcare delivery they are where Many nurses will say they are system in Tennessee. invite you to become nurses they met in TNA. We today because of the TNA Board or a member of member, involved today! A TNA sta’ will be happy to help answer any questions you may have. Directors of you. look forward to hearing from We COMPETITIVE SALARY • EXCEPTIONAL BENEFITS • SIGN-ON BONUS • That number may seem low, but remember it only patients. The employer has to conduct an investigation RELOCATION ALLOWANCE EOE LEADERSHIP OPPORTUNITIES reflects cases where a claim was filed. Far more often, and take action as indicated. no action is taken by the person being harassed, which If you fail to obtain a satisfactory outcome to the means actual numbers are hard to come by. However, investigation, consider consulting an attorney. Above all, experts believe that sexual harassment is significantly remember that your responsibilities as a nurse do not underreported in healthcare. Nurses may also be include being the victim of sexual harassment. unsure as to when a patient’s behavior crosses the line, particularly if the patient is perceived as cognitively If you need to transfer a patient impaired. If the patient’s behavior toward you doesn’t change, You have a right to protect yourself from harm by you may need to transfer his or her care to another nurse. reporting inappropriate behavior, and, if necessary, Until that can happen, avoid being alone with the patient. transferring a patient to a new provider. If you need Know your ethical responsibility is to provide care until a to transfer a patient, however, do so carefully to avoid patient is transferred to another qualified nurse, so you charges of abandonment. cannot be charged with patient abandonment. Be sure to give the new provider a thorough report of the patient’s What is sexual harassment? condition and document that you did so in the health The EEOC notes that sexual harassment includes record. unwelcome sexual advances, requests for sexual favors, and other verbal or physical harassment of a sexual Prevention nature. Harassment is illegal when it is so frequent Employers and nurses can take steps to prevent sexual or severe that it creates a hostile or offensive work harassment. Organizations should have a policy in place environment or when it results in an adverse employment that addresses harassment and outlines reporting steps. decision (such as the victim being fired or demoted).” Patients should know the nurse is a professional and The harasser can be a supervisor, a coworker, a client, should be held accountable if harassment occurs. or a customer, such as a patient, which is the focus of this It’s also important for nurses and other employees article. to model the desired behavior in front of patients. If you do say something inappropriate, immediately A direct approach apologize. You can also download a graphic of The first step in addressing sexual harassment is to the American Nurses Association Civility Best speak directly with the patient, unless you feel there Practices for Nurses at www.nursingworld.org/ is a safety issue. (In that case, have a third person such MainMenuCategories/WorkplaceSafety/Healthy-Nurse/ as your supervisor or somebody from human resources bullyingworkplaceviolence/Preventing-Bullying-and- present.) Set boundaries by making it clear that the Civility-Best-Practices.html comments or actions are unwanted. It’s important to be firm and note that if the behavior doesn’t stop further Sexual harassment by patients: action will be needed. Do you know what to do? continued on page 15 September, October, November 2018 Tennessee Nurse Page 15 TNF’s 2018 Scholarly Writing Contest Winner

The Impact of Student-Run Clinics on the commonalities include interdisciplinary teams, vertical mentoring student-led clinics, involving both undergraduate and Development of Nurse Leaders and student administrative and leadership responsibilities. graduate nursing students (“Student Healthcare,” n.d.). Nationally, of the clinics surveyed, 36% of Faculty and students at the University of Syracuse School Defining characteristics of interdisciplinary teams included nurses and 25% included of Nursing developed a student-led clinic focusing on successful nurse leaders have nursing students. Pharmacy, social work, dental and law health care needs of homeless men. been described as optimism, students are also frequently represented within the integrity and respect, knowledge The Shade Tree Clinic Early Pregnancy Program and expertise, teamwork and student-run clinics with licensed professionals providing in Nashville, Tennessee is another specific example communication, and mentoring oversight. The vertical mentoring model pairs nursing and of a student-led clinic where nursing students gain and modelling. While daily medical students in the preclinical stage of training with experience with leadership roles. Established in 2009 to clinical practice certainly affords more advanced students. After conducting the patient meet a need for prenatal care within the larger Shade opportunities to witness these history and assessment, the student team cooperatively Tree Clinic, nurse-midwifery students co-direct the traits in action, a unique application develops a plan and then presents to a faculty provider. program alongside medical students. STEPP is jointly of nursing leadership skills is As a student-run clinic, students also have administrative supported by the Vanderbilt University Schools of visible through the student-run and leadership responsibilities. Students commonly Nursing and Medicine. Nurse-midwifery students are clinic. More specifically, the nurse- are responsible for such tasks as patient scheduling, paired with medical students to provide direct patient midwifery students that volunteer Bethany Sanders, overseeing volunteers, allocation of resources, care, typically with preclinical medical students joining to serve as coordinators of the CNM Shade Tree Clinic Early Pregnancy recruitment of volunteers and fundraising. last semester nurse-midwifery students or preclinical Program (STEPP) have the opportunity to foster and grow Proponents of student-run clinics point to the nurse-midwifery students partnering with third or nursing leadership skills while also providing needed care to a experiential and self-directed learning that students fourth year medical students. This student balance vulnerable population. This discussion will address future health receive as valuable to their education and training. provides ample opportunity for practicing collaborative care demands, principles of a student-run clinic, nurse-led Students identified facilitated ownership, supported and interprofessional relationships early in training and clinics, specific information about STEPP and nursing leadership. autonomy, managed expectations, and peer support as creates a foundation for mutual respect. Changes in healthcare with the repeal of the individual benefits of their participation. A survey of participants Additionally, the student nurse-midwives in the health insurance mandate are likely to increase the number in the East Tennessee State University clinic found the co-director position are responsible for community of uninsured patients in the United States by 4 million in 2019 majority of students positively viewed the experience of outreach to identify eligible patients, patient scheduling, and 13 million in 2027 (Congressional Budget Office). At the same time, the estimated demand for women’s health care collaboration with non-physician health professionals. coordination of care, preclinical conference with the services nationally is projected to increase 6% by 2020, with a While information about patient outcomes is limited, the student teams and faculty care provider, lab requisition, 4% increase in demand in Tennessee. Meanwhile, the number available evidence contradicts the criticism that student referrals for continuation of care and assistance with of rural counties in Tennessee with hospitals providing OB provided care may be substandard. The administrative application for public insurance. They draw upon services decreased from 52.8% to 41.5% between 2004 and experience that students gain from participating in communication, management, and resource allocation 2014. Against this backdrop, it is apparent that Tennessee student-led clinics includes exposure to health care skills as well as learn to navigate the healthcare system women seeking health care will continue to face issues with systems issues that might otherwise not be part of from a new perspective alongside the patient. By serving access to care. Innovative and creative solutions are needed traditional curriculum. in leadership roles alongside colleagues in a related to bridge the gap between uninsured women seeking care and Nurse-led clinics can also be valuable tools for but different profession, nurse-midwifery students a limited number of providers for women’s health services. reaching vulnerable populations. One systematic review exemplify the Core Competencies for Interprofessional Student-run clinics are one of the ways in which uninsured patients can receive needed health care services, including found that nurse-led clinics overall had a positive impact Collaborative Practice. prenatal care. on patient’s access to care, in addition to being rated The impact that leadership roles in a student- Student-run clinics began to proliferate in the mid-1960s, positively for patient satisfaction. The inclusion of non- led clinic can have on nurses is far reaching. primarily as student-initiated service projects to reach clinical content within nursing education to develop Not only can the experience be mutually beneficial for underserved populations. The number of student-run clinics leadership and management skills is crucial to the success the students and the patients, but the development of continues to increase in the United States, with one study of nurse-led health care services. nursing leadership skills starting early during nursing identifying 111 student-run clinics (Smith et al., 2014). Most There are currently few examples of nursing education can shape one’s career trajectory. Nurse student-run clinics are affiliated with schools of medicine, schools combining the model of nurse-led leaders continue to impact the healthcare system including those in Tennessee associated with East Tennessee State and student-led clinic. California State University San through application of evidence based practice University, Meharry Medical College, University of Tennessee, Marcos School of Nursing supports a total of four and advocacy, skills which can be refined through and Vanderbilt University. While each clinic model may vary, participation in student-run clinics. Nurses have repeatedly demonstrated a willingness to help meet the increased demands for health care services and to provide care to vulnerable populations. Barriers exist Sexual harassment by patients: Daily Caring. 9 ways to handle Alzheimer’s and sexually to the widespread replication of the STEPP model; Do you know what to do? continued from page 14 inappropriate behavior. http://dailycaring.com/9-ways-to- handle-alzheimers-and-sexually-inappropriate-behavior. however, this student-run clinic can provide inspiration DeGiorgi R, Series H. Treatment of inappropriate sexual for the development of other creative health care models Examples of sexual harassment conduct: behavior in dementia. Curr Treat Options Neurol. 2016;18:41. that can offer opportunities for fostering burgeoning Frye J. Not just the rich and famous. Center for American leadership skills in nursing students. Physical Progress. www.americanprogress.org/issues/women/ ● Unwanted touching, grabbing, patting, news/2017/11/20/443139/not-just-rich-famous/. References Available Upon Requests pinching, hugging, kissing Frye K. Healthcare employers liable for harassment by ● Constantly brushing up against another’s body patients, not just employees. Becker’s Hosp Rev. 2012. www.beckershospitalreview.com/legal-regulatory-issues/ ● Touching an employee’s clothing, hair, or body healthcare-employers-liable-for-harassment-by-patients- ● Cornering not-just-employees.html. Hackethal V. Workplace violence rampant in healthcare. Verbal Medscape. 2016. www.medscape.com/viewarticle/862562. ● Requests for sexual favors Lockwood W. Sexual harassment in healthcare. RN.org. 2017. ● Questions or comments about the person’s sexual www.rn.org/courses/coursematerial-236.pdf. fantasies or behavior Nielsen BD. Comparing sexual harassment from clients or ● Offensive jokes or language customers to harassment from other employees. BMC ● Referring to an adult as sweetie, babe, honey, etc. Series blog. 2017. https://blogs.biomedcentral.com/ ● Sexual comments about a person’s clothing, bmcseriesblog/2017/09/25/comparing-sexual-harassment- from-clients-or-customers-to-harassment-from-other- anatomy, or looks employees. ● Repeated cat calls, whistling State of Nevada. Preventing sexual harassment in the workplace: Employee guide for state of Nevada executive Other branch agencies. 2017. http://hr.nv.gov/uploadedFiles/ ● Offensive gestures hrnvgov/Content/Services/Employee%20Guide%20to%20 ● Leering at a person’s body Preventing%20SH%20in%20the%20workplace%20July%20 ● Sharing materials of a sexual nature 2017.pdf. U.S. Equal Employment Opportunity Commission. Sexual Source: State of Nevada. Preventing sexual harassment in harassment. www.eeoc.gov/laws/types/sexual_harassment. the workplace: Employee guide for state of Nevada executive cfm. branch agencies. 2017. http://hr.nv.gov/uploadedFiles/hrnvgov/ Content/Services/Employee%20Guide%20to%20Preventing%20 Jennifer Flynn, CPHRM, Risk Manager, Nurses Service SH%20in%20the%20workplace%20July%202017.pdf. Organization (NSO)

Protect Yourself This risk management information was provided You have a right to protect yourself from verbal or by Nurses Service Organization (NSO), www.nso. physical harassment of a sexual nature. Know your com, 1-800-247-1500. Tennessee Nurses Association organization’s policy and be sure to document the endorses the individual professional liability insurance situation. Above all, be a model of respectful behavior for policy administered through NSO and underwritten by others. In doing so, you can help protect yourself from a American Casualty Company of Reading, Pennsylvania, a liability lawsuit. CNA company. Reproduction without permission of the publisher is prohibited. For questions, send an email to Resources [email protected]. American Nurses Association. Code of Ethics for Nurses with Interpretive Statements. American Nurses Association: Silver Spring, MD. 2015. Page 16 Tennessee Nurse September, October, November 2018 Why Your Nursing Networks Matter

Retrieved from American Nurse Today evolve from a novice to an expert nurse and March 2018 Vol. 13 No. 3 open doors to professional networks. Professional networks also will provide Networks help you advance your career, provide high-quality care, and her with mentorship, support, and support your colleagues. teamwork opportunities. For example, if Maria’s interested Takeaways: in developing specific skills • Professional networks are crucially connected to quality patient care. or advancing her education, • Building a professional network can take two paths: a network in your immediate she can use her network to clinical environment or one created through an organization. identify a mentor for skill • Professional networking has rules, such as adding value to others, building a development or guidance on professional image, and being prepared and positive. educational opportunities. Professional networks are By Rose O. Sherman, EdD, RN, NEA-BC, FAAN, and Tanya M. Cohn, PhD, crucially connected to quality MEd, RN patient care. Specifically, healthcare demands evidence- Maria is a direct-care nurse working on a medical/surgical unit in an acute-care based practice, but nurses across hospital. She recently achieved certification and became a member of a national nursing the nation frequently are faced organization for her specialty, both of which are needed to advance through the clinical with variations in patient care and ladder at work. However, Maria isn’t sure why her hospital values membership in the deep-rooted sacred cows of practice national organization or how it will help her career. She has a busy personal life and that are neither evidence-based nor doesn’t have time to volunteer in her local chapter. current. Working in silos of individual clinical Maria’s lack of understanding about the value of professional networks isn’t settings, nurses are left with less-than-optimal patient unusual. Many nurses never make the investment of getting involved with professional care and the need to develop evidence-based solutions from scratch. This is where associations or take the time to ensure that they have a strong network of colleagues professional networks can promote evidence-based practice through collaboration. For within and outside their own organization. They wonder why they should spend what example, as a member of a national organization, Maria has access to networking with free time they have on an activity that seems so indirectly related to their work, and other medical/surgical nurses. Together they can compare and share best practices or they fail to see how a network can enhance their professional growth or be a wise research findings from their clinical practice, reducing the need to re-create the wheel career investment. individually. The result is consistent evidence-based, high-quality patient care. For young nurses like Maria, a strong network can help when looking for new The value of professional networks career opportunities. Many positions are never advertised, and workforce recruiters Maria, like all direct-care nurses, is part of the profession of nursing. As a member acknowledge that their best referrals come from professionals whose judgment they of the profession, she has the opportunity to develop through continuing education, trust. Today’s healthcare environment is volatile, so building a strong network should be certification, and membership in nursing organizations. These activities will help Maria part of a professional insurance policy.

Steps to building a network Expert advice Building a professional network can take two paths: a network in your immediate clinical environment or one created through an organization. Both require common steps. Put these best practices from networking experts at First, establish an understanding of your goals and who can help you achieve Essential Communica­tions into action. them. For Maria, this could include using her knowledge and experience as a certified medical/surgical nurse to establish a unit-based education program or to take part in 1. Networking is about planting, not hunting. Professional relationships are built over a unit-based council to work collectively with other nurses through evidence-based time. Never reach out to network and then abruptly ask for a job. practice and nurse competencies. Maria also might be interested in tapping into the 2. Effective networkers add value to others. When networking, adopt a mindset of nursing organization she’s joined to seek out up-to-date practice alerts. Regardless of abundance not scarcity. Think about what you can do for the other person first. the professional network, after goals are set and the right people are identified, you can Perhaps you can connect him or her with a colleague or share an interesting article. interact, share knowledge, and receive plans to help you achieve your goals. If you don’t have a specific goal in mind, building a professional network might The best networkers are givers not takers. seem daunting or unclear. Start by putting yourself out there in the nursing profession. 3. Build a professional image. Make a positive professional impression by having For Maria, who may not be able to commit to joining a committee within the nursing an up-to-date LinkedIn page, a professional email address and outgoing phone organization, she can plan to attend the organization’s annual conference. While message, and busi­ness cards. theres, she can take steps to maximize the networking experience. First, she should 4. Be prepared. Networking opportunities­ can occur in the most unlikely settings. think about some conversational topics and introductory questions to use when Always carry business cards and be ready to build a relationship. interacting with other attendees. Depending on Maria’s professional goals, the topics 5. Craft your elevator speech. When you’re asked, “What do you do” or “What are and questions could revolve around clinical practice, leadership development, or you looking for,” have a short, coherent answer that easily rolls off your tongue. advancing education. In addition, Maria should be professionally prepared for the 6. Be positive. Don’t complain about anything to people you network with – you’re conference, including wearing professional attire and taking business cards. She also building a relationship, not seeking therapy. should plan to attend all social events and interact with the conference vendors, who 7. Share the airtime. The best way to begin building a relationship is to ask other could be potential future employment opportunities or offer cutting-edge evidence- based products she can share with her clinical colleagues. people about themselves and their careers. Spend as much time listening as you do talking. The golden rules of networking 8. Follow up consistently. If you’ve been helped by another, send a thank-you note. If Networking opportunities exist everywhere, including online with sites such as you’ve been given some homework, get it done and provide follow-up. Facebook, LinkedIn, and Twitter. Many nursing organizations have Facebook and Twitter 9. Dig your well before you’re thirsty. By the time you need to build relationships, it accounts that nurses can follow to support networking about clinical practice and may be too late; they take time to cultivate. Networking should be an ongoing pro­ professional development. LinkedIn, on the other hand, helps nurses identify mentors and fessional investment. colleagues with similar interests. Regardless of whether you’re networking at a conference, within an organization, or online, you’ll need to follow some rules. (See Expert advice.) Source: Essential Communications. essentialcomm.com Networking for introverts If you’re naturally introverted, networking may not come easily. You may even avoid networking events because they’re exhausting and force you outside your comfort MOCCASIN BEND MENTAL zone. The hardest part can be walking through the door into a room. Fortunately, HEALTH INSTITUTE most people would rather talk than listen, so let others do the talking. You can never go wrong asking questions and establishing common ground. (See Get the conversation Has immediate openings in Chattanooga, TN for: started.) Chances are that once you start asking questions, the conversation will flow FULL-TIME RN 2’s easily. Most nurses like to be asked about their opinions and sought out for advice. The Scenic City has been voted one of the Best Places to Live for its You’ll be seen as a great networker because you take the time to listen. affordability, cost of living and outdoor activities by Blue Ridge Outdoors and Outside Magazine. No State Income Tax for Tennessee Join the networked world Residents. Nurse Corps Loan Repayment Program for those that Over the course of her career, Maria will learn that building a network is one of qualify. For more information visit www.hrsa.gov. the most powerful opportunities that membership in a professional association can Benefits Include: Heath insurance, 401k tax-deferred retirement with provide. A good network outside her clinical setting will help her gain access to and employer contribution, pension fund available, 37.5 hour work week, paid sick act on new information quickly. She’ll also save time and energy by accessing other leave, paid vacation, 11 holidays per year, 1 class per semester tuition paid. professionals who’ve overcome some of the same challenges she’s facing. Many young No prior psychiatric experience required. Experience equivalent to 1 year of nurses have fast-tracked their careers by getting involved with association committees registered nursing or a Bachelor’s in Nursing. All applicants must pass a drug or running for office. screen and background check. We live in a networked world, so developing your networking skill set is important to Apply online at http://www.tennessee.gov/hr/topic/employment-opportunities. your career success. You never know what new opportunities you’ll encounter or who For further information contact: Human Resources 423-265-2271 you’ll meet until you extend your hand, introduce yourself, and start asking questions.

“The state of Tennessee is an Equal Opportunity, Equal Access, and Affirmative Action Employer.” “An Accredited Psychiatric Facility.” Why Your Nursing Networks Matter continued on page 17 September, October, November 2018 Tennessee Nurse Page 17 Why Your Nursing Networks Matter continued from page 16 Get the conversation started Member News Use these questions to jumpstart conversations at networking events. • How did you get started in your role? Dr. Andrew “AJ” Donadio • What are your challenges? won election August 2nd to • What significant changes are you seeing serve as County Commissioner for Putnam County’s 7th in your environment? district. Dr. Donadio beat the • What’s the most innovative thing that’s happening incumbent by 17 percentage in your organization? points in the final tally and will • What do you think will happen with healthcare reform? represent the Burgess Falls and • What trends do you see happening in nursing today? Twin Oaks districts. His win • What advice would you give to an emerging comes on the heels of a five- nurse leader? month door-to-door campaign • How can I help you? engaging the community A.J. Donadio, • Who else at this meeting would be helpful for me directly and through the use DNP, RN-BC, CNE to speak with? of social media to reach his TNA District 9 voters. Dr. Donadio is a full time Assistant- Professor at Cumberland University’s J.C. Rose O. Sherman is a professor of nursing and director Rudy School of Nursing and Health Professions of the Nursing Leadership Institute at Christine E. Lynn College of Nursing, Florida Atlantic University in Boca Raton. You can read her blog at www.emergingrnleader. District 1 members, Sharon Hinton, TNA’s com. Tanya M. Cohn is a nurse scientist at West Kendall Nurse Peer Review Leader; Amy Burgess; and Baptist Hospital Nursing and Health Sciences Research in Connie McCarter attend the Association of Miami, Florida. Nursing Professional Development (ANPD) Conference in Las Vegas. Selected references Cain S. Quiet: The Power of Introverts in a World That Can’t Carol Etherington was Stop Talking. New York: Broadway Paperbacks; 2012. announced as one of six Henschel T. How to grow your professional network. healthcare luminaries to join 2018. Erin Morgan, Secretary for the 2018 Inductee Class for Jain AG, Renu G, D’Souza P, Shukri R. Personal and District 2, recently completed the Tennessee Health Care professional networking: A way forward in achieving her Doctorate of Nursing Hall of Fame. The induction quality nursing care. Int J Nurs Educ. 2011:3(1):1-3. Practice from East Tennessee ceremony for this latest class of Mackay H. Dig Your Well Before You’re Thirsty: The Only State University. Her project luminaries is set for October 16 Networking Book You’ll Ever Need. New York: Currency entitled “Implementation of at Belmont University. Press; 1997. Pulmonary Function Testing Carol Etherington Maxwell JC. The 21 Irrefutable Laws of Leadership: Follow in Rural Primary Care” placed MSN,RN,FAAN Them and People Will Follow You. Nashville, TN: donated pulmonary function TNA District 3 Thomas Nelson; 2007. testing machines in three rural Sherman RO. Building a professional network. Nurse primary care practices while Leader. 2017;15(2):80-1. measuring their use. She was selected to present a poster of Erin Morgan, this work at the International DNP, MSN, FNP-BC Rural Nursing Conference in District 2 TNF Board of Trust – July, 2018. EOE/M/F/D/V

Request for Volunteers YOUR CAREER Now Hiring Nurse MATTERS. Instructors in Memphis, TN! The Tennessee Nurses Foundation (TNF) is Full-time and part-time opportunities available! accepting nominations for Registered Nurses and Current Tennessee RN license or willing to obtain, MSN, 4 years of recent clinical experience, non-nursing Community Members to fill upcoming self-starter, excellent communication skills, sense of urgency and results oriented positions on the Foundation’s Board. To learn more and apply, email resumes to [email protected] or Potential candidates must have an interest in visit www.concorde.edu/careers fulfilling the mission and goals of the organization which includes promoting the professional image of Be part of life changing work. Join Concorde. nursing, supporting nursing education, facilitating leadership development, encouraging nursing research, and supporting overall professional health and wellness. Interested Registered Nurses must hold active membership in the Tennessee Nurses Association (TNA). The Board meets quarterly, and Board members serve on a volunteer basis. Any interested candidates should send a statement of intent and resume via email to tnf@ tnaonline.org (Attn: Amy Hamlin)

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For all inquiries contact: Andy Thompson, Talent Acquisition Coordinator, TN Region p: (615) 806-8800 ext. 8961, email: [email protected] Page 18 Tennessee Nurse September, October, November 2018 Welcome New & Tennessee Nurses Reinstated Members

District 1

Ja’Quay Brister, Cheryl Burnett, Monica Chandler, Ricketta Clark, Tracy Collins, Tennessee Nurses Foundation  Contribution Form Shauna Comella, Linda Diep, Kristin Eckland, Whitney Erickson, Vickie Gatlin, Rebecca Ginn, Vickie Hairston, Shelley Hawkins, Sandra Hugan, Ariel Johnson, Chrisla Key, Nathan Knappier, Kayla Lambert, Seraphine Lambert, Patricia Logsdon Gossett, Karen Manley, Rebecca McDaniel, Candace McGowen, Kristy Patrick-Lewis, Katherine Paxton, Honor A Nurse Kathleen Reed, Cheryl Scott, Abdul-Karim Sesay, Leneta Small, Erika Smith, Shavita The Tennessee Nurses Foundation (TNF) welcomes you to publicly recognize a nurse. With your $50 tax-deductible donation to TNF, your honored nurse’s name will appear in the Tennessee Nurse,(mailed to over 90,000 RNs), as well as in the designated Smith, Bailey Sullivan, Tina Thornton, Claudia Twardzik, Laurel Tyler, Anita Waid, Crystal “Honor A Nurse” section of the Tennessee Nurses Association’s (TNA) website at www.tnaonline.org. A photo and brief paragraph Walker, Delilah Wiseman, Melanie Wood may also be submitted to further recognize your honored nurse.

District 2 Make a statewide commitment to honor a special nurse that: Amy Austin, Amy Bivens, Andrew Brower, Karen Eldridge, Mary Giles, Timothy Jimison, Lisa Lindley, Pamela Lucas, Rhonda McAnally, Michelle McPherson, Linda  won an award  is a nurse family member  is a friend, or a colleague Mefford, Helen Moore, Dorilynn Nicol, Angela Payne, Elizabeth Pettit, Tiffany Saunders,  is retiring  is dedicated to nursing and to patients  is in memoriam Tammy Sparks, Nancy Sprouse, Michael Tedder  received a promotion  has a special event or occasion coming up  is in celebration of Nurses Week District 3 Patients and patient’s family members: Jennifer Allen, Eric Avent, Stanley Bevis, Melissa Biggs, Corinna Brent, Marissa  Honor A Nurse that truly made a difference in their care, or the care of a family member. Brown, Constance Catalano, Natasha Cooke, Vicki Dodson, Courtney Duke, Tina Gerardi, Kathryn Grant, Lee Hanna, Daphne Hardison, Chelsia Harris, Stephanie Hastings, Your $50 donation will go toward continued support of the TNF and their work pertaining to scholarships, and grants that support Justin Hoyt, Peter Kimbrell, Jill Kinch, Kristy King, Stacy Langley, Laura Logan, Christine the needs of nurses in Tennessee. TNF is a nonprofit, 501(c)(3) organization. Donations are tax-deductible to the fullest extent Matthews, Amanda McKinney, Monica Milovancev, Valerie Minton, Lorna Morris, allowed by law and support the mission of TNF. Sonia Murehead, Christine Mwabo, Amelia Norman, Hillary Osborne, Kimberly Perkins- DONOR INFORMATION Brownlow, Mariann Piano, Carina Platner, Heaven Prater, Bethany Rhoten, Kinsey Rippy, Samuel Robbins III, Bettina Ryan, Bethany Sanders, Pardeep Singh, Kimberley Slaughter, Donor Name: Email Address: Bridget Stover, Nancy Stubbs, Patricia Sutton, Mary Witt, Paula Wyatt Address: (Street) (City) (State) (Zip) District 4 Tonya Ameredes, Lisa Cook, Samantha Dmochowski, Laurena Glass, Caitlin Grant, Phone Number: Mary Hubbard, Karla King, Connie Petty, Connie Michele Pierce, Lela Pinkard, Carol (Home) (Work)

Prather, Yaniz Seeley, Melissa Smeltzer, Robin Wood PAYMENT INFORMATION Authorized Payment Amount: $ District 5 (Minimum $50 donation for each nurse honored)  Check payable to TNF is enclosed Crystal Agard, Courtney Burelson, Kay Churchwell, Myra Clark, Jerome Cohan, Lisa Cook,  Melissa Franklin, Maureen Gaynor, Sally Hensley, Jessica Hitchner, Susan Kelly, Mitra Layeghi, MasterCard/Visa/American Express/Discover Carol Leonard, Laura Levine, Charline Loveless, Cynthia Mantooth, Judy Martin, Gordon Card Number Exp. Date:____/____ Code:

Mobley, Rebecca Morris, Amanda Oliver, Lisa Ousley, Darcy Paz, Paula Reed, Jessica Reeves, Cardholder Name Address Gail Rich, Terri (Beth) Schreiner, Candice Short, Ryan Short, Ovais Siddiqui, Kelly Simcox, Nikki (Please Print) City______State______Zip__ Vanburen, Cindy Verzi, Mandy Ward, Lynda Watts, Penny Welker, Carolyn Woods HONORED NURSE INFORMATION District 6 • Honoree’s Name & Credentials: John Michael Briley, April Downing, Teresa Gates, Elizabeth Graves, Alma Moore, Jennifer Rice, Kimberly Roberts, Leslie West Sands, Christopher White, Nicole Wilson • Choose which quarter you would like the honored nurse listed in the Tennessee Nurse publication and the TNA website, (choose only one quarter for both listings) Winter Spring Summer Fall District 8 Lauren Ashmore, Reba Lovell, Mary Martin, Amy Sadler, Sandra Witt • Comments regarding the Honored Nurse:

District 9 Angela Carter, Amy Emerick, Carla Gibson • Include photo of Honored Nurse (if available) with contribution form or email to [email protected]. Photo requirements: District 10 digital photo that has been taken at a high resolution of 300 dpi (which equates into setting the digital camera to take the largest file Cheryl Arquitt, Janna Stubblefield, Nancy Warren size possible) or an actual commercially printed photograph, (we cannot accept photographs that have been printed on a desktop printer) District 12 • Send notification of gift to: Alisia Hindman, Chelsey McKinney, Candace Paris, Kizzy Parker-Cleveland, Leslie Taylor (Name) (Street) (City) (State) (Zip) District 15 Anna Bowden, Heather Bratcher, Renee Clevenger, Leda Colwell, Kristina Gewitsch, SUBMIT COMPLETED FORM TO: TNF  545 Mainstream Dr., Ste. 405  Nashville, TN 37228  Fax: 615-254-0303  Phone: 615-254-0350 Rebekah Graber, Matthew Hall, Marie Hawley, Amelia Irvin, Lisa Murphree, Linda Norton, Victoria Paty, Jessica Phillips, Elisabeth Sinthavong, Laura Young

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« More than 20 years experience in educating advanced practice nurses to meet the complex health care needs of society. « Strong faculty committed to excellence in education and practice.

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Foundation Invest in your practice, your patients, and your career. Many members will tell you they are where they are today because of their relationship with TNA and its’ members! Join the TNA and ANA Network Today!

Tennessee Nurses Association Membership Application 545 Mainstream Drive, Suite 405 • Nashville, TN 37228-1296 • Phone: 615-254-0350 • Fax: 615-254-0303 Please type or print clearly. Please mail your completed application with payment to TNA, 545 Mainstream Drive, Suite 405, Nashville, TN 37228-1296

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ANA/TNA Full Membership Dues ANA/TNA Reduced Membership Dues ANA/TNA Special Membership Dues TNA Individual Membership Dues Employed full or part-time $24.67 per month or Newly-licensed graduates (first 2 years), not 62+ and not employed, or totally disabled. $6.54 Any licensed registered nurse living and/or $290.00 annually. Includes membership in and employed, RNs who are full-time students, or age per month or $72.50 annually. Includes working in Tennessee. $17.09 per month or benefits of the American Nurses Association, 62+ and not earning more than Social Security membership in and benefits of the American $199.00 annually. Includes membership in and Tennessee Nurses Association and the TNA allows. $12.59 per month or $145 annually. Nurses Association, Tennessee Nurses benefits of the Tennessee Nurses Association District Association. Includes membership in and benefits of the Association and the TNA District Association. and the TNA District Association. American Nurses Association, Tennessee Nurses Association and the TNA District Association. American Nurses Association Direct Membership is also available. For more information, visit www.nursingworld.org. Communications Consent I understand that by providing my mailing address, email address, telephone number and/or fax numbers, I consent to receive communications sent by or on behalf of the Tennessee Nurses Association (and its subsidiaries and affiliates, including its Foundation, Districts and Political Action Committee) via regular mail, email, telephone, and/or fax.

Signature Date

TO BE COMPLETED BY TNA STAFF State: District: Expiration Month: Year: Membership Status: Membership Type: Bill Method:  1. New  1. Full (100%)  1. A Amount Enclosed:  2. Renewal  2. Reduced (50%)  2. EFT Amount Discounted:  3. Reinstated  3. Special (25%)  3. CCM Approved By: FALL  4. TNA Individual  4. PD Today’s Date: DUES PAYMENT OPTIONS (please choose one) SIGNATURE REQUIRED BELOW Automatic Monthly Payment Options  Annual Payment  Payroll Deduction This is to authorize monthly electronic payments to Make check payable to TNA or fill out credit card information This payment plan is available only where American Nurses Association, Inc. (ANA). By signing on the below. there is an agreement between your line, I authorize TNA/ANA to withdraw 1/12 of my annual employer and the association to make Dues...... $ dues and any additional service fees from my account. such deduction. Optional TNPAC Contribution...... $ PARTICIPATING AGENCIES VA - Nashville, Memphis, Mountain Home, TN Nurses Foundation (TNF) Contribution.... $ Automatic Monthly Payment Authorization Signature Murfreesboro Total Dues and Contributions...... $ Regional Medical Center - Memphis By signing the Automatic Monthly Payment Authorization you are authorizing ANA to change the amount by giving the undersigned thirty (30) days advance written notice. Undersigned may cancel Signature for Payroll Deduction this authorization upon receipt by ANA of written notification of  Charge to My Credit/Debit Card termination twenty (20) days prior to deduction date designated below. Membership will continue unless this notification is  VISA  American Express  Authorization to Bill My Employer received. ANA will charge a $5.00 fee for any returned drafts or  MasterCard  Discover Number Company CHECKING ACCOUNT: Please enclose a check for the first month’s payment, which will be drafted on or after the Exp. date Do you work at the VA? Contact Person 15th day of each month using the account designated by Signature the enclosed check. Join TNA today for only Street or PO Box CREDIT/DEBIT CARD: Please complete the credit $11.15 a pay period. card information at right and this credit card will City State Zip be debited on or after the 1st of each month (VISA and (Many employers pay professional dues. TNA’s educational MasterCard Only on monthly draft plan). Check Payroll Deduction on the lower right-hand side of programs alone justify it. Ask your employer.) the TNA Membership application. A TNA staff member will send you a payroll deduction form to take to the VA payroll department to setup your TNA membership dues plan. It’s that simple. You will never miss $11.15 from your paycheck and you will have gained so much Part Of Your ANA/TNA in return. If you have any questions, call 615-254-0350. NursingALD.com can point you Dues Are Tax Deductible! right to that perfect NURSING JOB! TNA also has Payroll Deduction Dues plans set up at the: You are allowed to deduct, as a professional/ Regional Medical Center – Memphis business expense, the percentage of dues that are @ $12.08 per pay period NOT used by ANA or by TNA for political activities such as lobbying at the legislature. In 2018, the non-deductible percentage for ANA’s portion of the NursingALD.com dues is 16.96%. The non-deductible percentage for TNA’s portion of the dues is 18.90%. Free to Nurses Deductible Amounts Full ANA/TNA: Privacy Assured $290 @ 64.14%--deduction $186.01 Reduced ANA/TNA: Easy to Use $145 @ 64.14%--deduction $93.00 E-mailed Job Leads State-Only: $199 @ 81.10%--deduction $161.39 Page 20 Tennessee Nurse September, October, November 2018 Separating Nurses from Obstacles TNA Member of Membership Benefits Fall Focus

Allyson Neal, TNA’s Membership Director Sometimes I hear that nurses do not think they can afford the membership. There are many ways to pay your Professionalism and dues. I have my dues taken out of my checking account membership go hand in hand, monthly. I never even think about it. My dues are paid, I really do not see how you it is very affordable, and I never have to worry about my can protect and promote your membership lapsing. chosen profession without Occasionally, I hear in not so many words that nurses being a member. I have to do not see the value of being a member of TNA. The only admit, I am always surprised way to protect our profession and promote the health Chamberlain University offers a vast array of extremely when nurses in Tennessee do of Tennesseans is to be a member of our professional flexible, fully online degrees including RN-BSN, RN- not belong to the Tennessee organization. Everyone knows there is strength in BSN to MSN, MSN w/5 specialty tracks, DNP, Master of Nurses Association (TNA). numbers. When an issue such as veterinarian techs Public Health, and various graduate certificates. TNA So, let’s spend some time wanting to have their title legally changed to registered members receive waived application fees, complimentary discussing the obstacles to Allyson Neal, DNP, veterinarian nurse, we had to show up to protect our no-obligation written transcript evaluation (including membership. APRN, PMHNP- title. TNA led the charge for title protection by getting obtaining official transcripts for applicants), and 10% Since we are getting close BC, CNS-BC, the word out to nurses and helping those of us that are savings on tuition for all of the online programs. to ice hockey season, I think CPNP, Director of not legislative savvy know what we needed to do. TNA we should apply a hockey term Membership was right there with us as nurses called, sent emails, to this situation. In hockey you met with legislators, and we did it, together. This is only Tennessee Prescription will hear, “separate her/him from the puck.” This is not a one example of how TNA works to promote and protect Drug Card Program bad thing. It is actually desirable. When an opposing team Tennessee RNs and the health of Tennesseans every day. player is separated from the puck, your team has the So, it is now time to circle back around to the hockey potential to take over control of the puck and score. What term of separating a player from the puck. Instead does this have to do with nursing you say? Well, I think it of players, let’s say nurses and in place of the puck has everything to do with our profession. insert obstacles to membership. It is time to separate I love talking to fellow nurses and never let an nurses from obstacles to membership. TNA is the only opportunity pass to ask if they are a member of TNA and organization in the state of Tennessee that represents all if not, why? Nurses often tell me they think, because they registered nurses. Remember, we are stronger together receive the Tennessee Nurse paper, that they are in fact and when we work together there is no limit to what we a member. All Registered Nurses in the state receive the can do. If you are not a member, now is the time. If you paper, so if you are not sure about your membership have questions, or concerns, let me know. I would love to status contact the TNA office. They are more than happy help you become a member of TNA. Oh, one more thing, to help. Go Preds!

United Networks of America is offering a free discount prescription card for you, your family, friends and patients. The card can be used for non-covered Staff Member Celebrates 30 prescription medications or as your primary plan if you do not have insurance or prescription drug coverage. You will receive savings of up to 75% on both brand and Years of Service with TNA generic medications. The program is accepted at more than 68,000 national and regional pharmacies. The cards Kathryn Denton celebrated her 30-year As the current manager of the Tennessee are pre-activated and can be used immediately. There is anniversary with TNA on August 1, 2018. Nurses Foundation and as the editor of the even a prescription drug pricing feature which allows you During her tenure, Kathryn has worked for Tennessee Nurse, Kathryn has grown and to quickly search several area pharmacies to receive the five different Executive Directors or Interim expanded the influence of both. greatest discount for you and/or your patients Directors and with numerous boards of Tina Gerardi, current TNA Executive directors. Kathryn joined the staff as the Director, shared that Membership Coordinator in 1988. As this position was new for the Association, Kathryn has been a wonderful she had major responsibility for creating source of history for me during my and maintaining a membership database first six months at the association. Her and managing member benefit services. willingness to grow and expand her Technology and the needs of TNA members “role in support of Tennessee nurses is has significantly changed and evolved commendable. over the past three decades; Kathryn’s role has done much the same. Kathryn Please join the Board of Directors developed and advanced her role at TNA and Staff in thanking Kathryn for her to now include managing the information commitment to” TNA. We look forward to Participating is easy! Just visit TNAonline.org and click technology and marketing needs of TNA. Kathryn’s continued service to our members. on the Shop Amazon – Amazon.com Partnership link at the bottom of the home page under TNA Market Place.

ELEVATE YOUR DEGREE. ELEVATE YOUR IMPACT. Get your The Tennessee Nurses Foundation offers scholarships and grants to members of the Tennessee Nurses DOCTORATE Association. Check out TNF’s Initiatives at https://www. online. tnaonline.org/about-tnf/tnf-initiatives/

NOW HIRING: X-Ray Technologists, LPNs/RNs, and Nurse Practitioners

Want to expand your impact and advance the profession? UT’s online doctoral INE programs prepare leaders who will ONL influence the nursing profession through research and innovative clinical practice. PhD To apply, visit us online at A doctoral degree from UT will enable you to lead the way. WWW.FastPaceUrgentCare.com DNP or send resume to [email protected] For inquiries, visit tiny.utk.edu/tnnursenews nursing.utk.edu For more info call: 931-253-1110 x7700 September, October, November 2018 Tennessee Nurse Page 21 District News

District 1 is pleased to announce our TNF and District District 1 1 scholarship recipients for 2018! Jennifer Dolgoff, PhD District 2 student at UTHSC, won the TNF scholarship. Sally Zebrick, President: Carla Kirkland prelicensure student at University of Memphis Loewenberg President: Traci Brackin College of Nursing (LCON), received the District 1 April 4th was a historic day scholarship. for Memphis, with the 50th District 1 is also offering new graduate membership District 2 members have had anniversary of the assassination scholarships to RN graduates at our local colleges of Nursing. quite a busy summer! We have of Martin Luther King Jr. The Winners were selected by their schools, based on leadership elected new officers, and we week was filled with programs qualities. Winners to date are Ashley McCray from UTHSC, are busy learning and settling commemorating his life and and Taylur Smith from University of Memphis LCON. into our roles. Our directors legacy. Several District 1 and county representatives are members volunteered at a field making connections throughout hospital set up in downtown the district, and we are working Memphis for the week. It to discuss the importance of was a pleasure to meet other TNA membership. nurses, APRNs, EMS providers, Carla Kirkland and physicians, and learn more Traci Brackin about local disaster preparedness.

Ashley McCray Taylur Smith

We celebrate with Bobby Bellflower, District 1 Board member, who received the DAISY Faculty Award for Rebecca Waldon and Carla Kirkland at UTHSC, during their Nurses Week celebration in May, 2018. the field hospital set up in downtown DAISY award winners at University of Memphis LCON were Memphis during MLK50 week Marie Gill, Michelle Baldwin, Kay Sims, Candace McGowan, and Brad Harrell. Congratulations to all! District 1 members also enjoyed attending the TNA Legislative Summit the next day, networking and learning more about our legislative process. What a great turnout! At our April Educational dinner meeting we learned Advanced Practice Nurses in Maryville, about HIV Pre-exposure prophylaxis, or PrEP, a daily oral TN discussing TNA membership medication to prevent HIV in high risk groups. and upcoming events. In May, we partnered with Midsouth Association District 2 has taken to social media! Follow us on for Nursing Professional Development and heard from Instagram @tnadistrict2 or join the Facebook group TNA attorney John Alexander, as he presented a program on District 2. “The Law and Nursing”. A nurses “month” celebration at the meeting included dinner, a “Celebrating Nurses” cake, Bobby With Dean Lin Zhan (far and flowers for attendees. Bellflower left), Marie Gill, Michelle Baldwin, Kay Sims, Candace McGowan, Brad Harrell

Nursing Stars is Methodist Le Bonheur Healthcare’s annual recognition event to celebrate the outstanding nurses throughout their organization in Memphis, TN and Olive Branch, MS. with one nurse from each facility receiving the Nurse of the Year Award. Congratulations to the following TNA members who received the Nursing Tina Gerardi joined District 1 for our June Educational Star Award and to TNA members, Linda Caughron, program at Coletta’s restaurant. Crystal Walker spoke on Margaret McKelroy and Claudia Twardzik who received “You Are the Key to HPV Cancer Prevention”. TN Senator the Nurse of the Year Award on May 9, 2018. Sara Kyle gave our legislative update. District 2 is pleased to welcome our new Blount County Representative, Michelle (far right). Our county representatives work very hard to reach out to new members and update members in their respective counties regarding upcoming TNA events. Welcome, Michelle!

Patricia Beth Linda Arnold Bryant Caughron

Kathy Margaret Deborah Chappell McKelroy Mwazi

Tonya Freeman, Traci Brackin, Michelle McPherson.

JoAnna Claudia Amanda Smith Twardzik Woodall District News continued on page 22 Page 22 Tennessee Nurse September, October, November 2018 District News continued from page 21 boxes. Jessica Van Meter and colleagues transported the stethoscopes to the Georgetown Public Hospital District 6 Corporation (GPHC) and coordinated my visit with the President: Raven Wentworth District 3 donation ceremony of the stethoscopes. The look of President: Chita Farrar gratitude on the faces of the students were priceless and Congratulations to the I was honored to be affiliated with APSU, TNA and VUMC recipients of the Tennessee The District 3 Board met for making such a meaningful difference in my country Nurses Association-District a leadership planning session of Guyana. Shondell Hickson, Associate Professor and 6 Educational Scholarships. on July 26, 2018. Meetings Clinician, Austin Peay State University, Clarksville, TN Three $1,000 educational were planned for 2018-2019. scholarships were awarded. Members, save the date for the Recipients included LaJacqua following scheduled meetings. District 5 Rivers (University of Memphis * October 18, 2018: 6PM- - Lambuth), Madison Dowdy President: Christine Reed 8:30PM Membership meeting (University of Tennessee - Maggiano’s, Nashville, TN Martin), and Anna Patrick District 5 has been busy * January 17, 2019: 6PM- (University of Memphis - this year and we have seen an Raven Wentworth 8:30PM Membership meeting Lambuth). Congratulations to increase in our membership. Maggiano’s, Nashville, TN Chita Farrar Katherine Kubicek (University of Memphis - Lambuth) Thank you to all of you who * April 18, 2019: 6PM-8:30PM as she was the recipient of $1,000 from the Tennessee have recruited and worked to Membership meeting Maggiano’s, Nashville, TN Nurses Association District 6 Educational Scholarship make our district a success. * July 18, 2019: 10AM-5PM: Nursing adventure event! sponsored by the Tennessee Nurses Foundation. This is an election year and Canoe/kayak at higher pursuits, Columbia, TN The Tennessee Nurses Association-District 6 and we are calling for nominations District 3 members will be receiving a save the date the West Tennessee Nurse Practitioner Association for the following positions: postcard for their refrigerator in the mail. Detailed held a joint meeting July 26th at the Old Country Store President, Secretary and Board information will be emailed to members with RSVP for in Jackson, Tennessee. Many issues were discussed Member. Stephanie Cook will be each meeting via event brite. Information will also be including an update regarding full practice authority, sending out the official voting posted on the TNA.district3 Facebook. Christine Reed TNPAC and our upcoming state conference in October. ballot and we ask that your District 3 Board and Directors charge each member Our guest speaker, Ms. Lisa Ellard, CDEN discussed the completed ballot be emailed to Stephanie by the end of to become active with attending meetings, serving as an pharmaceutical management of type 2 diabetes mellitus. officer, serving on a committee, and attending the TNA September 2018. We will announce the new elected & TSNA Annual Conference. We look forward to hearing officers and board members and they will start fulfilling from you. Be a voice for your nursing profession! their roles on October 1, 2018 for a 2 year term. The general meeting, held June 19 at Franklin Woods Hospital Summit Room, was a huge success and had generated a lot of excitement to get on board with Safe Patient Handling to keep nurses safe while moving patients in the clinical environment. District 5 hosted, for the fourth year in a row, a Legislative Breakfast on August 11, 2018 at Franklin Woods Hospital in Johnson City, TN. Our Tennessee Legislators were present, along with nurses and local communities. Discussions included the opioid crisis in our state, the TN Together Legislative plan and ongoing work that is being done, along with TN Chronic Pain Guidelines and the National Safety Council’s “Prescription National Stethoscope Donation Update 2018: Facing America’s Opioid Epidemic”. Lisa Ellard I’m pleased to provide a short synopsis of the Looking forward to seeing everyone in October at the stethoscope donation project, initiated by the Vanderbilt TNA & TSNA Annual Conference. We hope you will join us for our next district meeting Accident and Emergency global outreach project, and Thursday, September 20th in Medical Founders Room C endorsed by the Tennessee Nurses Association (TNA) at Jackson-Madison County General Hospital from 5:30-7 District 3. A stethoscope, a simple yet essential tool that p.m. Dr. Michelle Baldwin, DNP, BSBA, APRN, FNP-BC will most nurses take for granted, was needed to make a share information she gained from attending the 2018 difference in the healthcare of the citizens of Guyana. The ANA Membership Assembly in Washington, D.C. and stethoscopes were presents awarded to the graduating discuss the role of ANA. Please RSVP and follow us on our nurse residency students at the Georgetown Public Facebook page at TN Nurse’s Association - District 6. Hospital Corporation (GPHC). As a Guyanese native, this project was personal and emotional for me. I petitioned the faculty and staff of the School of Nursing at Austin District 9 Peay State University (APSU) and collectively we were able to purchase and donate 30 brand new high quality President: Chaundel Presley stethoscopes. Each faculty was encouraged to write personal notes of encouragement to the students as they District 9 continues to transition into their respective workplaces. In addition, make progress in its year- to the personal notes, nursing pins (donated by a faculty) long initiative to revitalize the and APSU SON pens and key ring holders donated by District 5 Legislative Breakfast August 11, 2018 district. The board has adapted the SON alumni committee were also included in the well to using the Zoom platform for regular meetings, which has enhanced communication and the ability to accomplish board business in a timely fashion. The district bylaws have been successfully updated; a big accomplishment for the district. Chaundel Presley Current planning is underway for district elections in September ahead of the state conference in October. Nominations are currently open through mid-August for district president, secretary and two board positions. Interested candidates should contact AJ Donadio at [email protected]. In addition, the district is starting a Facebook account for a social presence and to assist in district communications that are currently conducted only via email and U.S. mail. September, October, November 2018 Tennessee Nurse Page 23 TNF Scholarship Winners Announcement

The Tennessee Nurses Foundation would like to TNA District 2 Once again, thank you for the generous scholarship. I congratulate the following fiscal year scholarship, grants Lauryn Hopper am now one-step closer to becoming a registered nurse, and contest awardees! thanks to your continued generosity and the Tennessee For full details on everyone listed below, visit I am so thankful to have received Nurses Association District 4. TNAonline.org, click on the Tennessee Nurses Foundation this scholarship from the Tennessee Amount received: $1,000 link and then click Scholarship and Grant Awardees and Nurses Foundation. Thank you for Contest Winners. your generous financial support to help me complete my education. I am TNA District 6 Edna Mason Memorial TNA Conference Scholarship a senior nursing student at Lincoln Katherine Kubicek Memorial University from Speedwell, Jennifer Kitkowski, BSN, RN, OCN TN. This scholarship will help me As a recipient of a Tennessee cover additional expenses such as It was an honor to have been Nurses Foundation TNA District 6 traveling to clinical locations along Educational Scholarship, I want to chosen as the 2017 recipient of the with books and supplies. Once I graduate, I plan to work Edna Mason Scholarship! I learned so extend a sincere word of gratitude for in my community and give back to those who have helped funding this scholarship opportunity. much at the TNA Annual Conference me get this far. By awarding me this scholarship, you that benefits my practice as a bedside I will be a third semester student at have allowed me to focus on my education and make my the University of Memphis, Lambuth, RN, as well as my future as an APN. dreams of becoming a Registered Nurse come true. It was an excellent opportunity to in the fall and am on track to graduate network with other nurses in the Amount received: $500 in December of 2019. I like to say that state as well. Thank you so much for I took the “scenic route” to nursing; one of the benefits providing me with this opportunity. Tiffany Saunders, BSN, RN to the long and winding road is that I have had years of Kitkowski is a member of TNA District 1. Photo not available at time of print. experience working with some truly incredible nurses and nurse practitioners in a variety of capacities. I often Amount: $250. Amount received: $500 struggle, as I think many students do, with wondering if I can fill those inspiring (white leather) shoes. As anyone staring tuition bills dead in the eye knows, TNF’s TNA District Educational Scholarship TNA District 3 the financial burdens can be daunting. Scholarships Jessica Eckenrode, MSN, RN certainly help to alleviate the stress associated with TNA District 1 signing loan documents, but even more importantly in Jennifer “Jenn” Dolgoff, I want to thank TNA District 3 for this case, a nod from Tennessee’s professional nursing PhD, RN, FAAIDD this educational scholarship. I am community is a genuine gift of confidence from a very appreciative of the TNA District community that I deeply admire. As the recipient of the Tennessee support from the Tennessee Nurses Thank you, from the bottom of my heart and the soles Nurses Association District 1, Foundation, as I am starting my PhD of my clinical shoes. I am so excited about my future in Tennessee Nurses Foundation program this fall. nursing; I truly hope that in nursing service I can make Scholarship for 2018, I want to tell you Amount received: $1,000 you as proud of me as I am of all of you, and I look how grateful I am for this generous forward to a day very soon when I can help extend the scholarship and the opportunity to same support to another student in turn. thank Tennessee Nurses Association TNA District 4 Amount received: $1,000 District 1 for this financial support. Sydney Harris I obtained my BSN degree from the University of Tennessee, Knoxville in 2002. I am currently working I am sincerely honored to have 2018 Scholarly Writing Contest as a graduate research assistant and beginning my been selected as the recipient of this fourth year as a full-time Nursing Science PhD student year’s TNF nurse’s scholarship and Bethany Domzal Sanders, CNM, MSN at the University of Tennessee Health Science Center in my dream has now come closer to a Memphis, TN. My dissertation focuses on adolescent reality. Thank you for your generosity, Amount received: $1,000, plus a personal factors and family environmental influences as which has been of great assistance predictors of adolescent asthma self-management. FREE one-year membership in both in helping me achieve my goal of the Tennessee Nurses Association and After graduation, I plan to complete post-doctoral becoming a registered nurse. This studies focusing on pediatric chronic disease self- the American Nurses Association. scholarship gives me the opportunity Bethany Sanders, “Thank you to management, community-based participatory research, to continue to pursue my dream career and earn skills and health policy. My future program of research will the Tennessee Nurses Foundation for that will better serve the medical community upon the opportunity to write about and focus on health disparities, family and community health, graduating. quality of life, and personal and collective efficacy. share my passion for a program that I Going into my second and final year as a nursing truly believe is helping to shape future I greatly appreciate this TNA scholarship. It will help student at Chattanooga State, I am thankful to have supplement the limited stipend I receive as a graduate nurse leaders within our state. It is a received this scholarship because I feel that I am one- privilege to work alongside and mentor student nurses research assistant and support my continued full-time step closer to accomplishing my goal. I am grateful for work on my dissertation. while improving access to prenatal care. I would also like the financial assistance that this scholarship provided me to express my gratitude for the generous prize, which will Amount received: $1,000. with, and I will continue to be committed to my education help offset academic expenses as I continue to pursue my and to the health care field. doctoral degree in nursing.” Ms. Sanders’ article. The Impact of Student-Run Clinics on the Development of Nurse Leaders is published in this issue of the Tennessee Nurse and can be found under the TNF Scholarships Tennessee Nurses Foundation link at TNAonline.org.

TNF Scholarships Available to Help Support Your Nursing Education!

The Tennessee Nurses Foundation (TNF) • Arthur Davis LPN to RN Scholarship Program is a not for profit corporation formed by the – deadline Nov.1 Tennessee Nurses Association (TNA) in 1982. • Maureen Nalle Memorial Graduate Nursing TNF was founded to provide a mechanism for Scholarship – deadline Nov. 1 supporting programs that meet the special needs of TNA members and other nurses in Tennessee. For scholarship criteria, applications, The mission of TNF is promoting professional and other TNF initiatives, visit excellence in nursing. tnaonline.org, click on the Tennessee Nurses TNF Educational Scholarships Foundation link and then • RN to BSN Scholarship Program – click on TNF Initiatives. deadline Nov. 1 Questions? Call 615-254-0350. Bradford Excellent Nursing Career Health Services Opportunities Available in our About Kingsport, TN Bradford Health Services has been helping Tennessee nurses Hospital heal for decades. Bradford’s Healthcare Professional’s program is designed to help nurses and other medical professionals resolve issues surrounding their chemical dependency and the Opening unique difficulties faced when reentering practice. Approach Fall of 2018 Employee Focused Benefits Bradford’s innovative approach includes these • Sign on Bonus Available for key program components Qualified Applicants • Multi-disciplinary Evaluation • New Integrated Orientation and • Relapse Prevention Therapy On-boarding Process • Desensitization Group • Clinical Ladder for Career • Trauma Recovery Group Development • Grief and Loss Group • Experienced Peers and Coworkers • Adventure-Based Therapy • 12 Hour Shifts

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