TheTh Official Offi i l Publication P bli ti of f The Th Wyoming W i NNurses Association A i ti

Quarterly circulation approximately 8,000 to all RNs, LPNs, and Student Nurses in Wyoming. Vol. 23 • No. 4 December 2010, January, February 2011

PRRESIDENTESIDENT’S MEESSAGESSAGE

Let me begin by saying that I 4. Effective workforce planning and policy-making 9 Updating traineeship for nursing education am honored to be the President require better data collection and an information programs. of WNA and I want to thank infrastructure. all past presidents of WNA a. Need balance of skills and perspectives among 9 Nurse faculty loan cancellation for serving in for their vision of creating an physicians, nurses, and others underserved areas. association with a strong voice b. Need more specific workforce data collection for nursing. In particular, I both within and across professions (Hassmiller, 9 Funds for nursing doctoral education are want to thank Sue Howard, our 2010). expanded. immediate past president, for the leadership and mentorship As you read the key messages within the IOM Future 9 Primary care for nurse managed Health Centers that she has provided to me of Nursing report, you may be asking yourself what is and the clients they serve. during my President-Elect years new about these key messages as ANA has been working in preparation for these next Faith M. Jones, on these issues for years. Dr. Hassmiller summarized the 9 The National Health Service Corp–for nurses two years. MSN, RN, NEA-BC answer to this question in three points: who wish to serve in underserved areas of the Wow, what a great time to country. be a nurse. There is so much happening in our profession 1. This report was compiled by an expert committee nationwide as well as within our State. On the national of non-nurses that reached the same conclusions as RECOMMENDATIONS: Nurses can work level, Tobi Lyon, WNA Executive Director, and I attended nurse leaders collaboratively to encourage consumer use of these the Virtual Constituent Assembly. During this on-line resources and benefits by: 2-day meeting of the ANA Board of Directors, Constituent 2. The IOM gave its stamp of approval Member Association Presidents and Executive Directors, 9 Continuing current efforts to educate citizens the Institute of Medicine (IOM) report on the Future of 3. The Affordable Care Act makes addressing nursing about prevention so they will take advantage of Nursing was among the many topics discussed. Susan B. workforce issues urgent. the prevention and screening benefits. Hassmiller, PhD, RN, FAAN opened her presentation on The Initiative on the Future of Nursing with an opening It is all about the timing and it is most certainly an 9 Use our community connections to spread the slide entitled Opportunity of Our Lifetime. Dr. Hassmiller exciting time for nursing. To learn more about the steps word that insurance reforms will make access to reviewed the four key messages from the IOM report: being taken both nationally and within Wyoming to prevention easier for citizens. address the issues in the Future of Nursing report, log on to 1. Advanced Practice Registered Nurses (APRN) the ANA website www.nursingworld.org and keep reading 9 Encourage young people to enter the health care should be able to practice to the full extent of their the Wyoming Nurse as there are plans to highlight various professions, particularly nursing with an education and training. sections of this report in the next publications. emphasis on careers in primary prevention. a. Need to remove scope-of-practice restrictions Also on the national front, is the health care reform for APRNs law known as the Affordable Care Act. In September, 9 Go to the URL http://www.healthcare.gov/ for b. Need nurse residency programs to better thousands of nurses participated in a conference call with current information on the 2010 ACA. manage the transitions from school to practice First Lady Michelle Obama and Dr. Mary Wakefield, Administrator of the Health Resources and Services On the State level, the WNA Board of Directors had 2. Nurses should achieve higher levels of education and Administrator (HRSA). Dr. Norma Wilkerson was on the our annual planning retreat November 13th in Casper. training through an improved educational system call and provided the following summary: We updated our strategic plan, establishing goals and that promotes seamless academic progression. objectives for the coming year. Our updated goals are: a. More BSN trained nurses WHAT: The conference call with Nurses, First Lady b. Improve tracks of ADN to BSN and ADN to Michelle Obama and Dr. Mary Wakefield, 1. Promote development of nursing leaders MSN programs Administrator of the Health Resources and Services Administration (HRSA), and 2. Be the leader in legislation and health policy 3. Nurses should be full partners with physicians and invited speaker Jillian Ross, an OB nurse. others in redesigning US health care. 3. Advance the professional development of nurses a. Foster leadership skills and competencies WHEN: Tuesday, September 28, 12:00PM–12:40PM b. Nurses must see policy as something we shape 4. Enhance organizational viability CONTENT: This discussion covered the Affordable Care Act (ACA) of 2010 with regards to “What 5. Influence workforce initiatives the law means for nurses and patients with an emphasis on primary prevention”. New We have identified several objectives under each goal Presort Standard information, protections, benefits and and I would direct you to our website www.wyonurse.org US Postage insurance reforms were reviewed. It was to review all of them (the strategic plan can be found under PAID stressed that nurses should know about the Permit #14 the Board of Directors link). Princeton, MN reforms and provisions of the law in order There is much to do as WNA and ANA moves forward. current resident or 55371 to help educate our patients, families and As you review the goals and objectives for the coming communities. Funds in the law are provided year, consider getting involved in a project or working on for the following: a committee. Each objective/committee has a lead person identified, to get involved please contact that person, your 9 Expansion of nursing education programs district president, or any Board member. I am looking that graduate NPs and Nurse Midwives. forward to working with the nurses of Wyoming as we continue to move our profession forward. Page 2 • Wyoming Nurse December 2010, January, February 2011

TheThe “W“WYOMINGYOMING NNURSE”URSE” isis ththee official publication of the Wyoming Nurses’ Association.

WNA BOARD OF DIRECTORS President: Faith Jones Home: 272-2207 Email: [email protected] President Elect: Lisa Horton Home: 762-3270; Work: 754-7780 Email: [email protected] Vice President: Kathy Luzmoor Home: 875-3345; Work: 382-1742 Email: [email protected] Secretary: Jennifer Jones Home: 754-0233; Work: 578-2375 Email: [email protected] Treasurer: Sue Howard Home: 682-8491; Work: 688-6007 Email: [email protected] DISTRICT REPRESENTATIVES #1 Cheyenne: Maria Kidner Home: 637-0031; Work: 635-4141 Email: [email protected] #2 Casper: Mary Behrens Home: 577-5023; Work: 235-1503 Email: [email protected] #3 Sheridan: Vacant #6 Rock Springs: David Bodily Home: 808-214-0365 Email: [email protected] #10 Gillette: Rose Rennell Home: 686-2195; Work: 688-6008 Email: [email protected] #12 Laramie: Jeanine Niemoller Home: 742-5755; Work: 742-2141 Email: [email protected] #15 Torrington: Vacant #16 Powell/Cody: Lisa Horton Home: 762-3270; Work: 754-7780 Email: [email protected] #17 Evanston/Kemmerer: Jessie Soelter Home: 877-6228; Work: 727-7625 Email: [email protected] #50 Non Districted: Barbara Jean James Home: 328-1812; Work: 328-9274 Email: [email protected] EXECUTIVE DIRECTOR Tobi Lyon PMB 101 2816 Dogwood Avenue Gillette, WY 82718 PHONE: 1-800-795-6381 E-Mail Address: [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]. WNA 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 Wyoming Nurses Association of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. WNA and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of WNA or those of the national or local associations. December 2010, January, February 2011 Wyoming Nurse • Page 3 WWNANA NEEWSWS “Advocating for Our Health Care Future” WNA Nurses Day at the Legislature January 27 & 28, 2011 Little America • Cheyenne, Wyoming

Thursday, January 27, 2011 Friday, January 28, 2011 10:45–11:30 am Presentation of Workgroups/Talking Points 8:00–9:00 am Registration 7:30–8:00 am Breakfast 9:00–9:30 am Welcome and Introductions 11:30–12:00 pm Wrap-up and Evaluations Lisa Horton, MSN, RN, WNA 8:00–8:30 am Being a Professional Nurse—What President Elect and Legislative Co- does that look like? Contact Hours Chair Lisa Horton, MSN, RN, Application for contact hours has been made to CNE- Kathy Luzmoor, MS, RN, WNA Vice WNA President Elect and Net, the education division of the North Dakota Nurses President and Legislative Co-Chair Legislative Co-Chair Association, an accredited approver of continuing nursing 9:30–10:45 am Nurses as Advocates for Patients education by the American Nurses Credentialing Center’s Health Care Future 8:30–9:00 am Governor Matt Mead Commission on Accreditation. American Nurses Association Government Relations Representative 9:00–9:30 am WNA Legislative Agenda and 10:45–11:00 am BREAK Workgroups Program Goal 11:00–11:45 am 2011 Legislative Bills How can we encourage personal This educational activity was designed for Registered Toni Decklever, MA, RN, WNA accountability for health care? Nurses and nursing students who have an interest in public Lobbyist Lisa Horton, MSN, RN, policy and how nurses become involved in the political 11:45–1:00 pm Lunch and Labor, Health & Social WNA President Elect and arena. This activity will review the legislative process and Services Committee Panel Legislative Co-Chair update participants on current state and federal legislation 1:00–1:45 pm What will the health care reform Kathy Luzmoor, MS, RN, WNA Vice related to health care. mean for our patients in Wyoming? President and Legislative Co-Chair Tim Summers, AARP Target Audience 1:45–4:00 pm House and Senate Capitol Visit 9:30–10:30 am Workgroups Breakout Session Registered Nurses, Advanced Practice Nurses, Nursing 6:00–7:30 pm Nursing and Legislative Reception Students and Friends of Nursing. 10:30–10:45 am BREAK

Hotel Reservations Register NOW! For your convenience, a block of rooms have been reserved at the Little LEGISLATIVE DAYS WNA WNA Non- Non- Student Student America Hotel and Resort, 2800 West Member Member Member Member Nurse One Day Lincolnway, Cheyenne, WY. To make Both Days One Day Both Days One Day Both Days reservations call 800-445-6945 and ask for the Wyoming Nurses Association By January 5, 2011 $150 $100 $175 $125 $85 $60 group rate. The group rate is $92. After January 5, 2011 $175 $125 $200 $150 $110 $85 Reservations need to be made prior to December 27, 2010 in order to get the If one day only please circle which day? Thursday or Friday group rate.

PLEASE circle the amount above you are enclosing with your registration.

______Name:

______Address: City/ST/Zip:

______Tel: Email:

Fees include materials packet, nametag, CE programs, and meals

A full refund, less a $25 processing fee, will be made if request is made at least 72 hours prior to the conference.

WNA cannot be held responsible for adverse weather conditions.

Visit the WNA website www.wyonurse.org and register online!

SEND COMPLETED REGISTRATION FORM WITH PAYMENT TO: Wyoming Nurses Association Tobi Lyon, Executive Director 2816 Dogwood Ave PMB 101 Gillette, WY 82718 Phone: 1-800-795-6381

MAKE CHECKS PAYABLE TO: Wyoming Nurses Association (WNA) Page 4 • Wyoming Nurse December 2010, January, February 2011 WNA Member DIISTRICTSTRICT NEEWSWS Elected to the Discussions topics at the event included past legislative Wyoming House of Rock Springs actions, the new WNA legislative agenda, and items of concern in the upcoming legislative session. Representatives District 6 David Bodily, BSN, RN, District 6 President , Gillette, Laramie was recently elected to her first term in the Wyoming House District 12 representing District 32. Jeanine Niemoller, RN, District 12 President Congratulations The District 12 to hold a planning meeting with Sigma Theta Tau and have a joint meeting on December 9,2010. Rep. Kasperik! Speaker at that meeting will be Deb Fleming PHD from the Geriatric Education Center and she will speak to both organizations and the students from the Faye Whitney School of Nursing on ELDER CARE–WHERE WE ARE Norine Kasperik AND WHERE WE ARE GOING. Nursing students will In October we elected Heidi Brown as secretary, be educated on membership in professional organizations Marlene Ethier as treasurer, and David Bodily as President. and given invitations to join. The meeting will take place In November we hosted our annual “Evening with our at the Faye Whitney School of Nursing and dinner will be Legislators” at the Green River Senior Center. In addition served. to DNA#6 members and state legislators, the event was attended by nurses from the community and nursing students from Western Wyoming Community College. Rawlins District 50 Barbara Jean James, BSN, RN District 50 President

Meeting with student nurses: Discussion about 2011 WNA Board Calendar Nurses Day at the Legislator is January 27-28 at the Little America, Cheyenne. WNA Board Meeting will be held on Wednesday January 26, at 6:30 if any student would like to attend the dinner and meeting. All the students were asked to join WNA/ANA. Rawlins new House Electives have been invited to meet with District 50 before heading to Cheyenne. A meeting date has not yet been scheduled. Next meeting is scheduled in January. December 2010, January, February 2011 Wyoming Nurse • Page 5 LEEGISLATIVEGISLATIVE

Your Vote was Counted– WNA Legislative WNA’s Legislative Agenda Update

by Faith M. Jones, MSN, RN, NEA-BC • Healthcare billing transparency (hospitals, physicians, Toni Decklever, MA, RN residential care etc.) In our fast paced and short legislative sessions in Wyoming, • Expansion of wellness benefits from private insurance Newly elected and veteran legislators will convene on WNA has a voice. That voice is projected by our lobbyist, and work places January 11, 2011 in Cheyenne to begin the 61st General Toni Decklever. Toni does a great job getting information • Coverage for those who fall between being able Session of the . The Labor Health and out to everyone during the session via email but we as an to afford private health insurance and qualify for Social Services committee has had several meetings in the organization have not always done a great job at giving her Medicaid, Medicare–i.e. “gap insurance” interim to hear reports and develop draft legislation for the timely direction. It is the WNA membership as a whole that • Expansion, coordination, and utilization of efficient upcoming session. sets the legislative agenda for WNA. Getting everyone’s input care The Committee’s most recent meeting was held in and opinions on what we as an organization should support or • Health promotion coverage (physical and mental health, September where they heard reports from the Department of oppose is vital to maintain our unity as the voice of nursing in dental, vision, etc.) for healthy and chronically ill adults Health and received updated information regarding Medicaid Wyoming. and children to improve quality of life and reduce high programs. Jan Drury presented information about Community At the 2010 Legislative Days, all of the attendees end treatment costs. Health Centers and there was a large amount of discussion participated in work groups to establish position statements around the topic of health insurance. for all members to vote on. Those position statements were These eight statements will be used by our lobbyist as Two issues specific to nursing were discussed during this sent out with the WNA election ballots to all members. Each a foundation to evaluate whether WNA should support or 2-day meeting. Last year a bill was brought forward from member was asked to rate the position statements using a five oppose specific legislation. Having this legislative agenda Sweetwater County involving public health nursing. Each (5) point scale from strongly agree to strongly disagree. At the will in no way decrease the communication from our lobbyist county in our state has a public health office. Campbell annual meeting this September in Cheyenne, those ballots as this is not an all-encompassing agenda and there will County Public Health is staffed with nurses that are employed were tallied. Out of the 20 possible position statements, the be some legislation that is introduced that will not fit any of exclusively with the county. The other 22 counties are staffed membership was in 100% agreement that WNA will support these statements. This is just the beginning and it is the goal with nurses that are a blend – some are employed by the the following: of future Legislative Days to build upon this agenda. Please state, some are employed by the county. The bill offered the • Access to care related to prevention should be be part of this important process as we move forward by counties the option of making all of their nurses employees of improved attending Legislative Days and participating in the work the county, or staying with their current makeup. • Access to care related to early detection should be groups as well as voting on potential position statements with The bill was strongly opposed by the public health improved the annual election. Remember, voting rights are reserved for nurses and the decision of the committee was to not move • Encouragement for personal accountability for one’s members so if you are not a WNA member and you would the legislation that had been drafted. The sub-committee own care like a chance to vote and give your opinion on the issues please was giving the assignment to work with the stakeholders join WNA–your vote counts! and possibly draft a new bill that would be satisfactory to all involved. At this point, this issue will continue to be an interim study. Leadership and Committee Assignments for On the second day, a presentation was given by Maria Kidner, RN, DNP to educate the committee on the roles and responsibilities of the Advanced Practice Nurse. She 61st Legislature Finalized provided literature and an excellent presentation that was well The members of the Wyoming House of Representatives David Miller, Riverton; received by the committee and the audience. Senator Scott and the have finalized their leadership and Frank Peasley, Douglas. has indicated that he would like to attempt to pass legislation committee assignments following party caucuses during that would allow ANP’s the opportunity to apply for admitting the weekend of Nov. 13 and 14. Members of leadership will The Labor Committee members from the Senate are: privileges to the hospitals in our state. AARP has voiced their be sworn in during opening ceremonies on the first day of Charles Scott, Casper, Chairman; support for this issue and meetings have been held with the session, which is slated to begin at noon on Jan. 11, 2011. Dan Dockstader, Afton; Wyoming Hospital Association and the Wyoming Medical Marty Martin, Superior; Society to work on language that all groups can support. The Labor Committee members from the House of Leslie Nutting, Cheyenne; The committee assignments for the upcoming session have Representatives are: John Schiffer, Kaycee. been posted. It is important to connect with these members , Lovell, Chairman; prior to the session so they are familiar with our issues in Joseph Barbuto, Rock Springs; Though these members will not start their official term advance. Many legislators and other groups request assistance , Rock Springs; until the session begins in January, it is still appropriate to or information from nurses as legislation is drafted. Even if , Casper; contact them and visit with them about some of the healthcare you are unable to attend meetings and conferences, your voice , Jackson; issues that are important to our profession. does make a difference. I encourage your input and feedback , Laramie; More contact information can be found on the Wyoming and can be reached at [email protected]. , Newcastle; Legislative website at http://legisweb.state.wy.us Page 6 • Wyoming Nurse December 2010, January, February 2011 Nurses’ Role in the Future of Health Care

by Pauline W. Chen, M.D. But like crew members frantically moving deck chairs, readmissions and costs by as much as $5,000 per patient. Published: November 18, 2010 policy makers, medical center administrators, third- But because not all third-party payers and institutions party payers and even doctors and patients have remained are willing to enroll patients in a nurse-directed program At the start of my surgical training, I helped to care for focused on one thing: the physicians. In all the discussions or pay for new nursing services, not all patients who are a middle-aged patient who was struggling to recuperate about adjusting the number of medical schools and eligible for the special care can enroll because they won’t from a major operation on his aorta, the body’s central training slots, rearranging physician payment schedules be reimbursed. artery, and the blood vessels to his legs. As the days and reorganizing practice models, one group of providers “What is fundamentally operating here is the culture wore on, the surgeon in charge began consulting various has been conspicuously missing. of care,” said Mary D. Naylor, a principal investigator in experts until the once spare patient file became weighted The nurses. the Transitional Care Model program and a professor down with the notes and suggestions of a whole roster of Nurses currently form the largest sector of health of nursing at the University of Pennsylvania. “We don’t specialists. care providers, with more than three million currently recognize how critically important it is to maximize the The patient eventually recovered, thanks to the efforts registered; but few have led or even been involved in contributions of everyone.” of many. Nonetheless, one afternoon while walking around the formal policy discussions regarding the future care But the report was just as forceful in urging nurses to the wards with the senior surgeon, I couldn’t help but make of patients. To address this discrepancy, the Institute revamp the way they are educated, citing the decades- a crack about the sheer heft of the patient’s chart; it was, of Medicine and the Robert Wood Johnson Foundation long struggle within the profession to define what exactly after all, my job to carry it around while she visited with assembled a national panel of health care experts that has a nurse is. The term “registered nurse” can refer equally patients. been meeting for the last two years to discuss the role of to graduates of two-year associate’s programs, four- “Remember this for when you get out into the real nurses in transforming the current health care system. year baccalaureate programs, and advanced master’s or world,” she said, taking the chart from me and letting it dip Their final report was published last month with no less doctorate programs. In addition to proposing the addition in a way that exaggerated its bulk. “When the ship seems ambitious a title than “The Future of Nursing: Leading of postgraduate clinical training, or residency, programs, to be going down, you’ve got to get all hands on deck.” Change, Advancing Health.” similar to what physicians currently go through, the panel We might do well to remember that surgeon’s advice The report, it turns out, lives up to its name. Free of the recommended increasing the number of nurses with right now. kind of diatribes that usually creep into discussions about baccalaureate degrees to 80 percent from 50 percent and As we inch toward 2014, the year that the Patient the roles of different health care providers, this report doubling the number of nurses with doctorate degrees over Protection and Affordable Care Act, the centerpiece instead relies heavily on the evidence amassed over the the next 10 years. of the health care overhaul, takes effect, it has become last 50 years in clinical trials on the efficacy of nursing The expert panel is scheduled to convene again at the increasingly clear that the ship known as our health care care. Weighing in at almost 600 pages, it offers several end of this month, this time to discuss implementing their system is in the process of sinking. And it is not spiraling recommendations, including what amounts to a rebuke of recommendations. They will have their work cut out for costs or an overreliance on technology that is weighing the current piecemeal education of nurses and a debunking them. Critics like the American Medical Association have most heavily on the health care system, but the sheer of the notion that physicians are the only ones who should charged that the report overlooks the extensive education volume of patients it must serve. lead (and be reimbursed for) any changes in the current and training of physicians and ignores the importance Currently overloaded with a rapidly aging patient health care system. of physician-led teams in ensuring patient safety. In its population and their attendant complex medical problems, Leaders in nursing have welcomed the report. “I think official statement, the AMA warns that “with a shortage the system has yet to absorb the 32 million newly insured it’s a good blueprint for the future,” said Catherine L. of both nurses and physicians, increasing the responsibility patients on the horizon. Moreover, over the next 10 years, Gilliss, president of the American Academy of Nursing, of nurses is not the answer to the physician shortage.” a third of current physicians will retire, and the physician who was not a member of the panel. Whatever the final outcome, leaders in the nursing deficit will increase from just over 7,000 to almost Part of that blueprint includes innovative nursing-led community believe that the report is an important first step 100,000, with shortages in all specialties, and not just services like the Transitional Care Model program at the toward organizing nurses to better serve patients through primary care. University of Pennsylvania in Philadelphia, where nurses the challenges of the next few decades. are assigned to elderly hospitalized patients deemed to “I don’t think any group has a lock on advocacy,” Dr. be at high risk for relapse. For up to three months after Gilliss said, “and I don’t believe that any one group is discharge, the nurse makes home visits, accompanies restricted from reaching out and being in the patient’s the patient to doctors’ offices and collaborates with the world, making home visits, doing a little something out of primary care physician and family caregivers. In early the ordinary.” trials, the program has significantly decreased hospital “There’s a need for many hands,” she added, “and this may be nursing’s shining moment.” Page 8 • Wyoming Nurse December 2010, January, February 2011 WWNANA ANNNUALNUAL 22010010 COONVENTIONNVENTION HIIGHLIGHTSGHLIGHTS Convention Highlights

The Wyoming Nurses Association Annual Convention and the Wyoming Nurses Summit was held in Cheyenne, Wyoming on September 16- 18, 2010, “100 Years of Nursing on the Wyoming Frontier”. This year’s focus was on the past, present and future of nursing in Wyoming. Nurses from across Wyoming came together to celebrate and honor the 100th year of the Wyoming Nurses Association.

22010010 AwardAward Winners:Winners: Nicole Rooney, RNC, WCC, Laramie Excellence in Clinical Nursing Practice Award Carrie Deselms, MSN, APRN, FNP-BC, Albin Community Service and Health Promotion Award Mary Burman, PhD, APRN, BC, Laramie Leadership in Nursing Award Sue Howard, MSN, RN, Gillette, Outstanding Service to WNA Award Marian Gruenfelder, MSN, RN, Laramie Pioneer in Nursing Award

Paula Belknap, RN, MSN, CNS, NE, Sue Howard Outstanding Service to WNA. Rose Rennell, District 10 Nurse of the Year. Cheyenne District 1 Nurse of the Year Karlena Sheehan, RN, Rock Springs District 6 Nurse of the Year Rose Rennell, RN, MSN, Gillette District 10 Nurse of the Year Norma Wilkerson, RN, PhD, Laramie District 12 Nurse of the Year Celia Solis, BSN, RN-BC, Powell District 16 Nurse of the Year Judy Dixon, District 50 Nurse of the Year. Celia Solis, District 16 Nurse of the Year. Judy Dixon, RN, Rawlins District 50 Nurse of the Year

Marian Gruenfelder, Pioneer in Nursing Award. Carrie Deselms, Community Service and Health Promotion.

Paula Belknap, District 1 Nurse of the Year.

Nicole Rooney, Excellence in Mary Burman, Leadership in Nursing Award. Norma Wilkerson, District 12 Nurse of the Year. Clinical Nursing Practice Award. December 2010, January, February 2011 Wyoming Nurse • Page 9 WWNANA ANNNUALNUAL 22010010 COONVENTIONNVENTION HIIGHLIGHTSGHLIGHTS Convention Highlights

WWNANA ElectionElection ResultsResults Thank You to the fforor tthehe 22010–2012010–2012 TTermerm iiss asas follows:follows: 2010 Convention President-Elect Lisa Horton, RN, MSN, Otto Sponsors and Treasurer Sue Howard, MSN, RNBC, Gillette Exhibitors

We greatly appreciate the generosity and dedication that all of are sponsors and exhibitors have given WNA over the years. Their support made the 2010 convention and nursing summit a solid success!

American Nurses Association American Sentinel University APS Healthcare Arthur Davis Publishing Agency Auxiliary of the Gideon’s International President-Elect Treasurer Campbell County Memorial Hospital Lisa Horton Sue Howard Clarkson College FWWSON LEAP Grants Ivinson Memorial Hospital Powell Valley Healthcare Rueckert-Hartman College for Health Professionals Wyoming AIDS Education and Training Center Wyoming Department of Health Wyoming Health Council Wyoming Health Resources Network Wyoming Medical Center Wyoming Through With Chew

WNA 2011 Annual Convention will be held September 22-24, 2011 at the Clarion Hotel and Convention Center, Gillette, Wyoming… see you all there!

Judy Dixon and Barbara Jean James from Rawlins at Convention. Page 10 • Wyoming Nurse December 2010, January, February 2011

American Nurses Association Highlights How Health Care Law Benefits Consumers – New Provisions Effective Today

Starting September 23rd, several more provisions of 4. Children up to age 26 can be covered on their the new health care law will go into effect. The American parents’ insurance plans. Nurses Association (ANA) has been a staunch supporter of health care reform. ANA affirms that this law greatly 5. Consumers will not have to share the costs for increases access to care for millions of people, and preventive services. Individuals who join new plans believes it will strengthen and improve the health care will have greater access to preventive care services system for generations to come. The law also includes such as breast cancer screenings, immunizations provisions that will help transform our nation’s health care and colonoscopies; co-pays for these services will system from one that focuses on ‘sick’ care to one focused be eliminated. on prevention, primary care and disease management. ANA encourages nurses to explain these new benefits to 6. Women may receive obstetric or gynecological care their patients in order for them to access both insurance from any provider and insurance companies will coverage and health care services. The benefits in the new treat their authorizations the same as a primary care law will help consumers optimize their health and protect provider’s; primary care providers include doctors, their financial security. nurse practitioners and certified nurse midwives.

Benefits Now in Effect for Consumers 7. Consumers will have greater access to emergency services; insurers must provide covered emergency 1. People cannot lose their insurance coverage when services regardless of whether the provider is in- they get sick; insurance companies are prohibited network. from dropping coverage. 8. Patients will have a greater choice of primary care 2. Individuals with pre-existing health problems will providers including nurse practitioners and certified be able to access insurance. Children with pre- nurse midwives. New plans will allow patients the existing conditions cannot be denied coverage by choice of any primary care provider available. insurance companies. Adults with pre-existing conditions can enroll in the Pre-existing Insurance 9. Consumers will have stronger rights to appeal Plan. insurers’ decisions they feel are unfair or discriminatory. 3. Consumers will not be at risk of losing benefits due to costly treatments; lifetime caps on insurance 10. Seniors who reach the ‘donut hole’ gap in their coverage are banned; annual caps on coverage are Medicare prescription drug coverage benefit will restricted. receive a $250 rebate check. December 2010, January, February 2011 Wyoming Nurse • Page 11 OTTHERHER NEEWSWS

WNA Executive Director 6th Annual Nurse of the Named the Ten over the Year Awards Celebration Next Ten Awards (Wyoming, November 6, 2010)–Nearly 100 With Wyoming’s support, the March of Dimes conducts professionals from across the State of Wyoming came top-level research into causes and preventions of premature Ten young professionals were together to celebrate the top nurses in our great state. birth and birth defects. The March of Dimes also brings recognized Tuesday, September The Sixth Annual March of Dimes Nurse of the Year information and emotional support to families who have 28, 2010 for their talent and Awards Celebration was held Saturday, Nov. 6th, at the had a premature or sick baby who is being treated in a potential to have the biggest Gillette College Tech Center. The Statewide celebration neonatal intensive care unit (NICU). impact on the Lansing, MI area recognized Wyoming nurses in 16 categories including the For more information about the Nurse of the Year in the next decade. Distinguished Nurse of the Year sponsored by Campbell Awards Celebration or to support and volunteer for the The Lansing Regional County memorial Hospital and the honored Legends in event contact the March of Dimes, Wyoming Chapter State Chamber of Commerce and Nursing in remembrance of Ellen K. Taylor. Office at 307.266.6789. the Grand River Connection The guest speaker for the evening was Diana Enzi. The presented the fourth annual Ten awards were presented by Dr. Robert Neuwirth to nurses Over the Next Ten awards at the in numerous categories including ambulatory nursing, Lansing Country Club. Ten up pediatrics, public health and rehabilitation, women’s health and coming young professionals Tobi Lyon and the Ellen K. Taylor Legend Award. Nominations where chosen from more than were received from patients, coworkers, friends and other 85 nominations. healthcare professionals. The winners were selected by Among those honored was Tobi Lyon who is the a committee made up of professionals. Our exceptional executive director for the Wyoming Nurses Association 2010 winners include, from Campbell County Memorial and development director of the Sparrow Foundation, Hospital; Alicia LePard, RN; Donna Lowery, RN; Deb where she leads fundraising efforts for the Sparrow Health Tonn, FNP, WHCNP; Ashley Fraser, RN; Kelly Gebauer, System’s cancer and hospice unites. Ms. Lyon moved to RN; Michelle Irwin, RN; from Memorial Hospital of Lansing from Wyoming in September of 2008 to work for Converse County; Kelly Clauson, FNP, WHCNP, APRN; Sparrow. During the time she has kept her employment Maureen Hurley; from Ivinson Memorial Hospital; Barbara with WNA, of which she began her tenure with WNA in Pier, RN, MHA; Debra Dawson, RN; Nicole Vasquez, November of 2005. Ms. Lyon other accomplishment was RN, MSN; from Wyoming Behavioral Institute; Lindsey being named the top 40 under 40 in the state of Wyoming Walker, RN; from Cheyenne Regional Medical Center in March of 2008. Hospice; Julie Doman, RN; from Star Valley Medical “It’s important to recognize young talent especially in Center; Michelle Oliver, RN, BSN; from Powell Valley a city like Lansing, being named one of the top 10 young Healthcare, Inc.; Michelle Hoyt, RN; and from Campbell professional cities to live in,” said Tom Ruis, president County Memorial Hospital Dist./Pioneer Manor; Ramona Grand River Connection young professional group. Bushor. The outstanding student nurses were; Candace Lansing was named one of “10 Great Cities for Williams from Casper College; Kelly McMahill from Young Adults” by financial news organization Kiplinger the University of Wyoming; and Samantha Myers from Washington Editors Inc. in July. Gillette College. The Ellen K. Taylor Legend Award was “We’re looking at the leadership ability and the impact given to Nola Wallace of Gillette, Wyoming. Accepting that these individuals have had on the community, but then the 2010 Distinguished Nurse of the Year award was Kellie more importantly trying to look ahead,” said Tim Daman, Clauson from Memorial Hospital of Converse county. the chamber’s president and CEO. Applicants had to be age 35 or younger and have worked in Ingham, Eaton or Clinton counties for at least two years. Other winners included Thomas Steward, CEO of Common Wealth Enterprises; Rochelle Rizzi president and CEO of Rizzi Designs LLC; Tremaine Phillips, assistant deputy director at the Michigan Department of Energy, Labor and Economic Growth; Jeff McWherter, partner and director of development at Gravity Works Design and Development; Paul Jaques, internship developer at Michigan State University’ Kat Cooper, communication manager for MSU’s Auxiliary Resources; Sara Jennings senior manager at Maner Costerisan account firm; Jessica Knott, instructional designer at TechSmith Corp; and Adam Van Lente, CEO of Inc. Page 12 • Wyoming Nurse December 2010, January, February 2011 OTTHERHER NEEWSWS

Wyoming Center for Nursing and Health Care Partnerships Corner

Mary E. Burman summarized what we know about new graduate transition students transition into a competent practitioner during Co-Chair, WCNHCP Advisory Board into practice based on her own research and that of others the first two years of practice. This transition is influenced Matt Sholty (see her website at http://www.nursing.ecu.edu/fs_details_ by “anticipatory socialization” and “organizational Office Associate, WCNHCP scottel.html). socialization.” Attendees also heard from 4 recent graduates from Anticipatory socialization focuses on what happens New Graduate Nurse Transition into Practice Wyoming nursing programs (two from community before the first job and encompasses the type of college programs, one from the Basic BSN program at educational program the student completes and the The most wonderful feeling is knowing that there are UW and one from the BRAND (accelerated) program at student’s expectations regarding work. In addition, student people around you who support you and are there to help UW). Their honest, articulate and heartfelt comments experiences, based on age, race, marital status, knowledge you… The more encouragement I get, the better I can reassured participants that nursing is in good hands, but and skills, life events, family culture, personality and function as a nurse. also reminded those listening about the real challenges of personal hardiness, all influence the transition into New Nurse (Ulrich, 2003) transitioning from the somewhat sheltered world of nursing practice. For example, transition into practice can be much education to the realities of clinical practice. One attendee more complicated for minority nurses. The 2010 Nursing Summit, held in conjunction with the remarked that we needed to hear from new graduates every Organizational socialization addresses what happens Wyoming Nurses Association and co-sponsored by WNA, year or two “to remind us just what it is like to be a new when the new graduate begins their first work experience the Fay W. Whitney School of Nursing and the WCNHCP, nurse.” as a nurse. The new nurse is influenced by the approaches focused on the transition of new graduates into practice. What do we know about transition into practice for new the organization takes for orientation and mentoring, the Highlights of the summit included the keynote address nurses? Dr. Scott, based on her research, has developed environmental realities of the organization, including work by Elaine Scott, Director of the East Carolina Center a model of “New Graduate Nurse Transition into the stress, job demands and organizational culture, and the fit for Nursing Leadership. Her engaging style, knowledge Workplace” based on a socialization process that links between the nurse and the environment. of nursing practice and education, and her sense of nurses, their educational experience and the organization The outcomes of this socialization process results in job humor started the summit off on a high note! Dr. Scott where they take their first position. In it she posits that and career satisfaction, organizational commitment, intent to stay/leave the organization, and intent to stay/leave nursing. Unfortunately, for far too many new nurses, job satisfaction is not high resulting in a high turnover in the first year of practice. What’s happening in Wyoming to facilitate transition of new graduates? The WCNHCP funded pilot projects designed to enhance recruitment and retention and decrease turnover over nurses in Wyoming. Several of these pilot projects focused on aspects of transition: 1) expansion a graduate nurse residency program to 12 months, 2) development of preceptor orientation modules, and 3) creation of a leadership institute to enhance nurse manager leadership competencies thus enhancing the workplace environment. The final evaluation of these pilot projects is almost completed and you will hear more about these in a subsequent column. Are there resources nurses can use to facilitate the transition of new graduates? Yes, the National Council of State Boards of Nursing (NCSBN) has a key initiative focused on new graduate transition. The Council has developed a toolkit which is available on line at https:// www.ncsbn.org/1603.htm. Mark your calendar. The 2011 Nursing Summit is scheduled for September 23 and 24 in connection with the Wyoming Nurses Association annual meeting in Gillette. Stay tuned for more information about both the Summit and the WNA meeting. The WCNHCPs is the nursing workforce center for the State of Wyoming. The mission of the center is to strengthen the nursing workforce through on-going collaboration, communication, and consensus building to meet the health needs of the people of Wyoming. For further information, please visit the WCNHCP’s webpage at wynursing.org. December 2010, January, February 2011 Wyoming Nurse • Page 13 AANANA NEEWSWS

ANA Applauds ANA and WNA Dues ANA Ready to Work the Launch of Increase with Congress

the Center for It has been a busy year at ANA! We have been working for Silver Spring, MD–The American Nurses Association you and for nursing, and are committed to continuing to make (ANA) is eager to work with the incoming Congress to your membership an invaluable resource in many ways: advance issues of importance to nurses and patients. ANA Innovation From a professional standpoint, consider ANA’s was pleased to see the significant role played by nurses leadership in working for nursing quality: Magnet™ Hospitals; in this election, as candidates and on campaigns. ANA’s Silver Spring, MD–The American Nurses Association a National Center for Nursing Quality; special nursing resource Nurses Campaign Activity Night (Nurses CAN) was a (ANA) was proud to participate in an event to announce the web pages on immunization programs, disaster preparedness, tremendous success and the association will continue to launch of the Center for Medicare and Medicaid Innovation. and more. These are programs you can use, rely upon, and be ensure nurses’ voices are heard in the 112th Congress. The Center for Innovation, a program funded by the Affordable proud of. “The incoming Congress includes the largest Care Act through the Center for Medicare and Medicaid From a political standpoint, our lobbyists have been freshman class since 1948,” said ANA-PAC Chair Mary Services (CMS), will test innovative approaches to improving working tirelessly on your behalf and in the best interests of Behrens, RN, MSN, FNP-C. “We see this as a significant health care delivery, payment and quality. Its ultimate goal is nursing. The details of healthcare reform are being worked out opportunity to educate new lawmakers on the legislation to lower health care costs while improving quality. and ANA is at the table, making sure that nursing voices are that impacts nurses, the largest group of health care ANA President Karen Daley, PhD, MPH, RN, FAAN, heard, and that your elected officials understand the reality of professionals, and the patients we serve.” spoke at the launch event, “Nurses share the Center’s focus what happens at the bedside. We are also successfully fighting Among ANA’s priorities with the new Congress will be on improving the quality of care, with patients at the center of for workforce funding, safe patient handling and increased protecting the provisions already enacted by the passage of all we do. Nurses have a unique perspective that comes from financial support for educational programs for student nurses the Affordable Care Act. This historic legislation benefits being the patient’s partner across the continuum of care and and nursing educators. both the nursing profession and health care consumers, in all health settings.” President Daley continued, “To truly From a personal standpoint, consider the practice helps ANA remains committed to reform which expands access transform our health care system, it is essential to identify and career building opportunities: job search and development to care and serves to strengthen and improve our health new models to improve quality while containing or reducing at ANA’s Career Center, free and reduced cost CE modules care system for generations to come. costs. Nurses’ education, skills and professional scope make and webinars, discounts on ANCC professional certification, them indispensable contributors to the successful development and the new Mosby’s Nursing Consult–ANA Edition. We The American Nurses Association (ANA) is the only and implementation of evolving patient-centered care delivery have a lot to help you advance yourself, your career, and your full-service professional organization representing the models. We believe that the Center needs to explore a full profession. interests of the nation’s 3.1 million registered nurses range of new models of care, including those led by advanced Of course, the costs to serve our members and to represent through its constituent member nurses associations, its practice registered nurses.” the profession have continued to grow. To help ANA stay organizational affiliates, and its workforce advocacy The Center for Innovation will be testing care delivery current with inflation, the ANA House of Delegates approved affiliate, the Center for American Nurses. The ANA models with a focus on certain criteria, many of which rely a dues escalator that is tied to the Consumer Price Index-Urban advances the nursing profession by fostering high heavily on nurses: (CPI-U) with a cap of no more than 2% per year. The increase standards of nursing practice, promoting the rights of • Patient-centered primary care is implemented every 3 years. nurses in the workplace, projecting a positive and realistic • Care settings beyond acute care During the WNA Annual Meeting held at the WNA view of nursing, and by lobbying the Congress and • Coordination of care, especially with targeted Convention on September 17, 2010 in Cheyenne the WNA regulatory agencies on health care issues affecting nurses populations such as geriatric membership voted to also increase WNA membership dues in and the public. • Interdisciplinary planning, care and communication addition to ANA increase in January. • Evaluation of appropriateness of services, chronic care Beginning January 1, 2011 Wyoming Nurses Association management services and creating and disseminating membership dues will increase by a total of $6 on an annually patient decision-support tools basis. The $6 is broken down as follows: ANA increase by $4 and WNA increase by $2. Nurse Managed Health Clinics (NMHCs) are a care model If you have any questions on the above, please feel free that ANA has touted as improving coordination of care, quality to contact me Tobi Lyon, WNA Executive Director email and efficiency. Recognizing the contributions of NMHCs, the [email protected] or phone 1-800-795-6381 or Susan Affordable Care Act authorized a $50 million dollar grant Rimland ANA Director of Membership Billing Services email program to expand the reach of these clinics over the next four [email protected] or phone 301-628-5181. years. NMHCs provide primary care, health education and Please know that we value your membership and preventive services that often serve low-income populations in commitment! We will continue to work to serve our members, underserved areas. If you are interested in learning more about and to advance and protect the nursing profession. innovative nurse-led programs, please visit the American Academy of Nursing’s “Raise the Voice Campaign” at, http:// www.aannet.org/i4a/pages/index.cfm?pageid=3301 Page 14 • Wyoming Nurse December 2010, January, February 2011 WWNANA PPaymentayment ScheduleSchedule Wyoming Association Membership Application PMB 101, 2816 Dogwood Avenue • Gillette, WY 82718 • Phone: 1-800-795-6381 Annual Payment *EDPP Payroll Full Deduction

WY #01 Cheyenne: Member Full - $271.00 $23.08 $22.58 *LAST NAME / FIRST NAME / MIDDLE INITIAL CREDENTIALS/ SOCIAL SECURITY # Reduced Full - $135.50 $11.79 $11.29 Special Full - $67.75 $6.15 $5.65 *STREET OR PO BOX # BASIC SCHOOL OF NURSING/ HOME PHONE WY #02 Casper: *CITY / STATE / ZIP GRADUATION: MONTH / YEAR WORK PHONE Member Full - $256.50 $21.88 $21.38 Reduced Full - $128.25 $11.19 $10.69 EMPLOYER NAME *R. N. LICENSE # FAX Special Full - $64.13 $5.84 $5.34 WY #03 Sheridan: EMPLOYER ADDRESS / CITY / STATE / ZIP E-MAIL Member Full - $258.50 $22.04 $21.54 Reduced Full - $129.25 $11.27 $10.77 TITLE / POSITION MAJOR CLINICAL, PRACTICE, OR TEACHING AREA RECRUITED BY Special Full - $71.38 $6.45 $5.95

WY #06 Rock Springs: MEMBERSHIP CATEGORIES Member Full - $257.00 $21.92 $21.42 PLEASE CHECK ONE Reduced Full - $128.50 $11.21 $10.71 Special Full - $64.25 $5.85 $5.35 ❑ FULL ANA/WNA MEMBERSHIP WY #10 Gillette: RN employed full or part time WY #14 Lander and Riverton WY#15 Torrington: ❑ REDUCED 50% OF FULL ANA/WNA MEMBERSHIP DUES (NEW GRADUATES) Member Full - $261.00 $22.25 $21.75 RN who is unemployed Reduced Full - $130.50 $11.38 $10.88 - or - over 62 years of age & earning less than maximum allowed receiving Social Security benefits Special Full - $65.25 $5.94 $5.44 - or - enrolled in baccalaureate, masters or doctoral program, at least 20 credit hours per year - or - RN FIRST YEAR, WITHIN SIX (6) MONTHS AFTER GRADUATION WY #12 Laramie: Member Full - $286.00 $24.33 $23.83 ❑ REDUCED 75% OF FULL ANA/WNA MEMBERSHIP DUES (RETIRED) Reduced Full - $143.00 $12.42 $11.92 - RN who is over 62 years of age and unemployed Special Full - $71.50 $6.46 $5.96 - or - who is totally disabled WY #17 Evanston/Kemmerer: ❑ WNA ONLY MEMBERSHIP Member Full - $256.00 $21.83 $21.33 Reduced Full - $138.50 $11.17 $10.67 RN employed full or part time Special Full - $64.00 $5.83 $5.33

PAYMENT OPTIONS WY #16 Cody/Powell WY #50 Undistricted: ❑ FULL ANNUAL PAYMENT BY CHECK Member Full - $251.00 $21.42 $20.92 Reduced Full - $125.50 $10.96 $10.46 ❑ PAY BY ELECTRONIC DUES PAYMENT PLAN (EDPP) Special Full - $62.75 $5.73 $5.23 Read, sign the authorization, and enclose a check for the first month’s payment (amount shown in bold above); one-twelfth (1/12) of your annual dues will be withdrawn from that checking account monthly, in WNA Only State Membership addition to an annual $6.00 (50¢ per month) service fee (total is amount above). Member Full—$177 $15.25 $14.75 AUTHORIZATION: This authorizes ANA to withdraw 1/12 of my annual dues and any additional service fees from the checking account designated by the enclosed check for the first month’s payment. ANA is * Includes a $0.50 service charge Electronic direct payment plan authorized to change the amount by giving the undersigned 30 days written notice. The undersigned may cancel this authorization upon receipt by ANA of written confirmation of termination 20 days prior to the Make Check Payable to: American Nurses Association deduction date as designated above. ANA will charge a $5.00 fee for return drafts. Send Check & Application to: SIGNATURE FOR EDPP AUTHORIZATION: ______Wyoming Nurses Association PMB 101 ❑ PAY BY CREDIT CARD 2816 Dogwood Avenue ___ Full annual payment—automatic annual credit card payment (automatic renewal) Gillette, WY 82718 ___ Monthly payment from credit card Phone: 1-800-795-6381 ___ Full annual payment—one year only

______Visa/MasterCard ______Expiration date Welcome New WNA Members

District 1 Suzannah Averill, Cheyenne Shelly Montgomery, Carpenter District 2 Teresa Corkill, Casper Jane Hartsock, Casper Venessa Yoosook, Casper District 3 Jenny Heuck, Sheridan Trudy Munsick, Dayton District 10 Loresa Brinkerhoff, Gillette District 15 Brenda Sturm, Torrington District 17 Kevin Mueske, Riverton District 50 Lynn Campbell, Jackson Jennifer Padilla, Lovell Phillip Reints, Pinedale Betty Zernik, Jackson WNA Only Cheryl Hewitt, Irwin