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The Official THE Publication of the Alaska Nurses Association. Circulation 9,000. Distributed to every Registered Nurse and Licensed Practical Nurse in Alaska. Volume 64, Issue 2 • April/May 2014

The Legislative Issue

PB The official Publication of the Alaska Nurses Association THE official publication of THE Alaska Nurses Association 3701 E Tudor Rd., Ste. 208 • Anchorage, AK 99507 907.274.0827 • www.aknurse.org President’s Letter Published bimonthly: Feb., April, June, Aug., Oct., Dec. Jana Shockman, RN, CCRN-CSC Materials may not be reproduced without written permission Alaska Nurses Association President • Anchorage, AK from the Editorial Committee: Contact [email protected] Advertising: Contact [email protected] • 907.223.2801 AaNA Board of Directors Wow, we have been busy these past working diligently to plan the Alaska Nurses • President: Jana Shockman, RN, CCRN-CSC few months working for nurses in Alaska. Association Fall Conference, set for October • Vice President: Members of the Labor Program attended 3rd and 4th. The General Assembly will be Jane Erickson, ADN, RN, CCRN the AFL-CIO Legislative Fly-In to Juneau in held on October 5th. Save the Dates! The • Secretary: early February and two weeks later, another Editorial Committee has planned the next Kristin Fahey, RN • Treasurer: group of us traveled to Juneau for the Nurses several issues of The Alaska Nurse. Future Jennifer Hazen, BSN, RN Legislative Fly-In. Nurses from the Alaska issues will spotlight such subjects as wounded • Staff Nurse Director: Nurse Practitioner Association, Alaska School nurses, rural nursing, and military nurses. Arlene Briscoe, RN-BC Nurses Association, and Alaska Affiliate of the In this issue of The Alaska Nurse we • Rural Director: Julie Serstad, MSN, BSN, RN American College of Nurse Midwives joined are kicking off three new regular features. • Greater Alaska Director: with AaNA to collaborate on presenting a “Did You Know?” will be a recurring column Colleen Bevans, RN united message to the Alaska Legislature. focusing on an aspect of nursing or the • Labor Council Chair (Designee): Donna Phillips, BSN, RN We were able to speak with Governor Sean Association that may be unfamiliar to some • Directors At Large: Parnell and state legislators from the Senate nurses. “Meet the Board” will focus on Shelley Burlison, RN-BC and House about issues important to nurses. introducing the members of the Alaska State Janet Pasternak, BA, BSN, RN Board of Nursing. The next feature is one that Paul Mordini, MS, BSN, RN-BC The Fly-In was a great success and proof of Kimberly Kluckman, RN how we are stronger when we speak with a is near and dear to me: “A Touch of Heart.” Yvette Le Sueur, BSN, RN united voice. I and other members of AaNA Every nurse has a different reason for getting • Student Nurse Liaison: have testified on behalf of nurses on bills into nursing. All of us stay in nursing because Vanessa Glenn • Past President: before the legislature on topics such as of a genuine desire to help people and make a Susan Walsh, RN cyberbullying, chemical safety, temporary difference. All of us have or have had a special AaNA Labor Council health care workers, and updates to nursing person who inspires us. Maybe it was your first • ChaiR: statutes. It has been a whirlwind legislative nursing instructor, a mentor, a family member, Donna Phillips, BSN, RN • Vice-Chair: session with 20 more days to go. or a special patient. This feature will tell the Jana Shockman, RN, CCRN-CSC The Alaska Nurses Association inspirational stories of Alaska’s nurses. • Secretary: represented nurses with booths at the The Alaska Nurses Association is working Janet Pasternak, BA, BSN, RN Citywide Career and Job Fair and at the on behalf of all nurses in Alaska: hospital • Treasurer: Jennifer Hazen, BSN, RN American Heart Association Go Red for nurses, rural nurses, public health nurses, • Directors: Women Luncheon. At the Go Red Luncheon I long-term care nurses, clinic nurses, military Arlene Briscoe, RN had the privilege of having a short chat with nurses, nurse educators, advanced practice Lila Elliott, BSN, RN Yvette Le Sueur, BSN, RN Mark McEwen, the keynote speaker. Mark nurses, student nurses, school nurses, home Jane Erickson, ADN, RN, CCRN told the story of how heart disease and stroke health nurses, and specialty care nurses. In • PAMC BU Rep: have affected him and his family. The story of the center of the magazine you will find a Jennifer Hazen, BSN, RN his stroke and recovery touched me deeply. membership card. If you are not a member, I • soldotna BU Rep: Shelley Burlison, RN-BC Our Professional Practice Committee encourage you to become a member today. • KETCHIKAN BU Rep: completed and presented a white paper There are multiple levels of membership and Susan Walsh, RN on Neonatal Abstinence Syndrome. The I am certain we have the right fit for you. This • Affiliate Organizations: Alaska Affiliate of the American College of Nurse-Midwives Education Committee and Special Events is your opportunity to strengthen the voice of Alaska Home Care & Hospice Association Committee are finalizing the details for nurses in Alaska. Alaska Association of Nurse Anesthetists our Nurses Week event on May 9th and are Alaska Nurse Practitioner Association Alaska School Nurses Association Alaska Clinical Nurse Specialist Association Author Guidelines for the Alaska Nurse Inside This Issue The Editorial Committee welcomes original articles for publication. Preference is given to nursing and health-related topics in Alaska. Authors are not required to be members of the AaNa. 2 President’s Letter 12 Alaska’s Nurse Legislators format and submission: Articles should be Word documents in 10 or 12 point font, single or double spaced. There is currently no 4 AFL-CIO Legislative Conference 14 Did You Know? limit on the length of the article. Include the title of the article and headings if applicable. Author’s name should be placed after the title 5 Nurse Practitioner of the Year 16 Workers’ Compensation Board with credentials, organization and/or employer and contact information. Authors must identify potential conflicts of interest, whether of financial or other nature and identify any commercial affiliation if applicable. 6 Legislative Fly-In 16 A Touch of Heart All references should be listed at the end of the article. Photos are encouraged and may be sent as a .jpg file, as an email attachment or 8 Legislative Update 18 Mental Health First Aid on disc. Photographs send to the Alaska Nurse will become property of the AaNA. We hope that we will be sent copies, not originals, and prefer 10 Neonatal Abstinence Syndrome 18 Meet the Board emailed files. Photos should be provided with a caption and photo credit info and be high resolution. Be sure to double check the spelling, grammar, and content of your article. It is highly recommended that you 12 Nurses Support Heart Health 19 Calendar of Events have a colleague review your article before submission. Prepare the article as a Word document and attach it to an email to [email protected]. You may also mail the article on disc to: The Cover Photo: Alaska nurses chat with Senator Lisa Murkowski at the Legislative Fly-In. Twenty-six nurses Alaska Nurse, AaNA, 3701 E Tudor Road, Suite 208, Anchorage, AK from across Alaska along with participants from a variety of statewide nursing organizations participated 99507. If you have any questions, please email [email protected]. in the annual Nurses Legislative Fly-In in Juneau. See story page 6. Photo by Brian Wallace Photography

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2 The official Publication of the Alaska Nurses Association THE ALASKA NURSE • April/May 2014 3 Labor Lines

Labor Nurses Visit Juneau for Annual AFL-CIO Legislative Conference by Jane Erickson, RN, CCRN, AaNA Vice President addressed attendees next. Born and raised labor agreements to be involved in gas On February 5th and 6th, a well-organized in Yakutat, Mallott outlined his pro-worker, pipeline talks. group of nurses from the Alaska Nurses pro-union, and pro-Alaskan-hire stance. Like Gubernatorial candidate Bill Walker Association Labor Program spent time in the Department of Labor, Mallott says he stressed the importance of resource Juneau for the annual AFL-CIO Legislative is dedicated to hiring Alaskans for Alaskan development and Alaskan hire, explaining Conference. Mornings were spent in meetings construction jobs such as the gas pipeline. that Alaska needs to act like the owner of its learning of labor-related legislative issues, while Senator Mike Dunleavy, Chairman of the resources. afternoons were reserved for Capitol visits. Senator Labor and Commerce Committee Joe Balash, Commissioner of the We first heard from the AFL-CIO Labor informed attendees of Labor and Commerce Department of Natural Resources also spoke Lobbyists’ Panel: Don Etheridge, Barbara Committee priorities. Dunleavy explained that in favor of Alaskan hire, and explained that Huff-Tuckness, Fate Putman, Paul Grossi, Tom he comes from a long line of union workers he is working with gas buyers to determine Brice, and Cindy Spanyers, which covered and has devoted his entire career to education. the viability of mining natural gas. moving bills in the Legislature. Dianne Senator Dunleavy emphasized the need for Attendees also heard Berta Gardner Blumer, Commissioner of the Department of factual data and testimony on legislation in the deliver a legislative research report Labor and Workforce Development delivered Labor and Commerce Committee. on the cost of school vouchers, while a Department of Labor Update, assuring We then attended Capitol visits with Representative Mike Chenault delivered his attendees that the Department of Labor is our local representatives and senators. I was update from the Speaker of the House. committed on hiring Alaskans for all potential fortunate to meet with Representative Shelley A Labor Caucus legislative roundtable positions that the Alaska gas pipeline would Hughes, Representative Lynn Gattis, and discussion wrapped up the exciting and create. To accomplish this, the Department of Representative Bill Stoltze. informative event that allowed the nurses Labor is working with the tourism industry and Senator Hollis French and Representative of the AaNA Labor Program to meet creating many workforce readiness seminars. Chris Tuck presented “Minority Viewpoints.” with legislators and hear many opinions These seminars will work with Alaska’s young French, a Democrat, is currently running and updates on the issues that affect adults graduating from high school and for Lieutenant Governor, and favors raising Alaska’s workforce and development. The technical schools in order to best prepare them minimum wage while ensuring that it stays Alaska Nurses Association Labor Program for entering the workforce. An emphasis is “inflation-proof.” would like to thank the Alaska AFL-CIO placed on teaching young Alaskans “soft skills” Senator Lesil McGuire, who is also running for organizing the 2014 Alaska AFL-CIO such as time management and appropriate for Lieutenant Governor, on the Republican Legislative Conference and keeping our workplace behavior. ticket, presented “View from Senate Rules Labor Program members informed of Mike Monagle, Director of the Division Chair.” McGuire spoke of her involvement with important legislative and regulatory of Workers’ Compensation also provided the Arctic Commission and her work on project updates. information for the Department of Labor Update. Attendees learned that Alaska pays the highest premiums for workers’ compensation claims. The Division of Workers’ Compensation is working hard to engage employers in mediation and to encourage employers to rehire injured employees in which they have already invested much time and money. Several individuals are being trained to become mediators in order to facilitate this endeavor. Gubernatorial candidate Byron Mallott

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Kerry Dorius Named 2014 Nurse Practitioner of the Year Kerry Dorius, MSN, RN, ANP, FNP was honored by the Alaska Legislature on March 15th, congratulating her on being named the 2014 Nurse Practitioner of the Year by the American Academy of Nurse Practitioners. Senator Cathy Giessel, a longtime nurse practitioner, was the prime sponsor who presented the Legislative Citation to Kerry Dorius alongside Governor Sean Parnell. — DENALI CENTER — Dorius worked at the Girdwood Clinic from 1998 until January 2000 when the location was closed. When she learned the clinic was going to be closed, Dorius arranged A GOLDEN OPPORTUNITY for some of the equipment to be donated for a new local clinic, and then purchased all the remaining supplies. Kerry Dorius relocated the clinic and has been the clinic’s advanced nurse practitioner and executive director for the past ten years. Dorius generated community interest and sought support to keep the clinic going. She helped develop a new board of directors for Girdwood Health Clinic, Inc., and assisted The Denali Center is hiring for heart. We seek CNAs, LPNs, and RNs the clinic in obtaining non-profit status. She to provide nursing care in our loving, compassionate environment where tapped her massive statewide professional The Denali Center is hiring for heart. We seek CNAs, network of colleagues to help determine the bothLPNs, residents and and RNs staff toare provideencouraged nursing to live fully care and in to ourlearn loving,and grow. best course for Girdwood Health Clinic, Inc., Our award winning home-like environment promotes happiness by to expand services and become a sustainable compassionatefostering relationships environment amongst residents, where staff both and residents volunteers. and entity. As a result, the clinic has been at the If this is an environment where you would feel at home, please visit center of Girdwood’s health and wellness for staff are encouraged to live fully and to learn and grow. our website for a complete list of current openings. over a decade. Our award winning home-like environment promotes Through Kerry Dorius’s efforts, Girdwood Health Clinic, Inc. now has an onsite lab and Administrativehappiness Assistant by fostering Sr. relationships amongst a digital x-ray system. The clinic is able to Supports the Chief Nursing Officer (CNO), Administrators, or members of facility provide a sliding scale for fees, making health senior leadership teamsresidents, by providing staff clerical and and volunteers. administrative services and care affordable and obtainable to more assistance, requiring the use of judgement and discretion on a periodic basis. members in the Girdwood community. She If this is an environment where you would feel at home, dedicates many hours each week planning Administrative Assistant Sr. and troubleshooting ideas for improved, Supports the Chief Nursingplease Officer visit (CNO), our website Administrators, for or members of facility accessible, and sustainable health care for the senior leadership teamsa complete by providing list clerical of current and administrative openings. services and Turnagain Arm area. assistance, requiring the use of judgement and discretion on a periodic basis. The Alaska Nurses Association extends its congratulations to Kerry Dorius on receiving the well-deserved distinction of 2014 Nurse TO APPLY VISIT: BANNERHEALTH.COM/CAREERS Practitioner of the Year.

4 The official Publication of the Alaska Nurses Association THE ALASKA NURSE • April/May 2014 5 Legislative Fly-In: Nurses Share Issues in Juneau Twenty-six nurses from across Alaska on the services school nurses provide and the participated in the annual Nurses Legislative need to increase the base student allocation Fly-In to Juneau. The fly-in is coordinated by by at least $250 per student. School nurses the Alaska Nurses Association, but involves are funded by the same funds that pay for participants for a variety of statewide nursing teacher services, so it is important that there organizations including the Alaska Nurse is adequate funding to pay for all the services Practitioner Association, the Alaska Affiliate of needed to properly educate students. As the American College of the Nurse-Midwives, one school nurse stated, “if the students are the Alaska Association of Nurse Anesthetists wheezing, sneezing and seizing they can’t and the Alaska School Nurses Association. learn.” Commissioner Hanely is a former This year the nurses visited over 26 offices principal from Anchorage and he said he was of legislators and met with Governor Parnell well aware of the important services provided and Education Commissioner Mike Hanley. by school nurses. This year’s fly-in was kicked off by a All the nurses were advocating to meeting of the APRN Alliance, a coalition have Alaska apply for a Medicaid state plan of the four advance practice groups - nurse amendment (SPA) to cover reproductive health practitioners, nurse-midwives, clinical nurse services for Alaskans with incomes below specialists and nurse anesthetists - who 200% of poverty level. At present a women have come together to advocate for issues who is pregnant is eligible for services through of mutual concern. This group is working on Denali KidCare if her income is below 200% of draft legislative language that would bring poverty. Just six weeks after delivering, many all four groups under the title of Advanced women covered by Denali KidCare throughout Practice Registered Nurse (APRN) in Alaska pregnancy lose insurance coverage for statute. The meeting also included a reproductive health services such as pap tests, presentation by David D’Amato of the Alaska STD tests, and birth control. The SPA covering Primary Care Association about efforts in reproductive health services does not pay for Alaska to create medical homes. abortions, and in states that have adopted The school nurses, representatives from this program, they have actually seen a drop AaNA, and other nursing groups met with in abortion rates. It is estimated in Alaska that Governor Sean Parnell and Commissioner adopting this program would save the state of Education Mike Hanley to educate them $9.2 million a year.

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During this year’s fly-in four nurses testified in person at hearings on three different bills. AaNA past president Susan The Nurses Legislative Fly-In: Walsh and nurse practitioner Bethany Buchannan testified in favor of SB 151, an A First-Timer’s Perspective act relating to chemicals that are of high by Arlene Briscoe, RN-BC by Laura Delgado, RN concern to children. AaNA legislative chair, Arlene Briscoe, made the front page of the Until recently My experience of Juneau Empire newspaper with her testimony politics has been of little the Legislative Fly-In in favor of SB 128 which deals with cyber consequence to me. I can be summarized bullying. Arlene is a nurse at Providence voted in local, state, and in two words: Hospital’s psychiatric unit and has cared for national elections. It enlightening and many patients who have been the victims was the standard action empowering. Prior of cyber bullying. Patricia Senner, AaNA I took in having a voice to the Fly-In I was professional practice director, testified before and being a responsible intimidated at the the Legislative Budget and Audit Committee citizen, but it was never a passion, only a thought of lobbying for a cause but was regarding the difficulties the Alaska Board of duty. There is one passion I do have and amazed by how simple the entire process Nursing has had obtaining adequate funds to that is the profession of nursing. As with really is. I was truly taken back by how travel and accomplish the Boards business, most nurses, for me, nursing is a way of eager Legislators were to hear our voices even though there is over $1 million in life, not just a career. I wanted to take as nurses and Alaskans. After meeting surplus from nursing licenses fees. my career in another direction, to have a with several Legislators I realized that the The fly-in was a great success and all voice as a patient and nurse advocate. I’ve Fly-In was not only about advocating for the nurses have returned to their home done that all my nursing life until AaNA the issues that are important to us, but communities to continue to work on the Board Treasurer Jennifer Hazen suggested more so about educating Legislators as legislative issues of importance to nurses I become an active part of AaNA, and to how certain bills can affect nurses and and their patients. AaNA wants to thank our perhaps consider the position of Legislative our professional practice. I saw firsthand lobbyist Caren Robinson for setting up over Chair. I didn’t realize how far reaching that that our voice and presence in Juneau is 26 appointments and keeping the nurses on decision was. I recently participated in my making a difference and the simple acts track while in Juneau. first “Nurses Fly-In.” I had the chance to of writing a letter, meeting Legislators meet with my district Senator Kevin Meyer and testifying at public hearings can and Representative Charisse Millett and have tremendous impact to the state of numerous representatives and senators. I Alaska, its people and its nurses. Even was able to speak with Senator Meyer about if you are going without an agenda to SB 128 Electronic Bullying and actually promote, just meeting your Legislators testified at the Senate Judiciary Committee and making that initial personal regarding my concerns about the effects connection with them can set you up for on the bully and the victim. I spoke as future correspondence. a part of a committee to support school For future first timers, I would like nurses concerns about the administration to offer the following advice. First, if you of psychiatric medications. It was exciting to are speaking on an issue be prepared to see that our concerns and suggestions were answer the question answer the question acted on in such an immediate fashion. “What does this bill mean for Alaskans?” We were greeted with respect and were Next, have a short list of main points to introduced at a House session as guests of give to Legislators and have an electronic our representatives. It allowed me feel my version to email later to reiterate points voice made a difference, and I plan to keep in your follow-up/thank you letter. Lastly, speaking up for nurses and our patient wear practical shoes as you will be rights and needs. The AaNA Nurses Fly-In walking the icy sidewalks of Juneau to was my first chance to make a difference. get to the capital building.

6 The official Publication of the Alaska Nurses Association THE ALASKA NURSE • April/May 2014 7 Legislative Update: Bills the AaNA is following in the Alaska State Legislature 2014 by Pat Senner, MS, RN, ANP SB 169 – An act establishing in the determine licensing fees for that particular Department of Health and Social class of licensee. For some reason this hasn’t Education Funding – Because Services a statewide immunization been happening. Regulatory boards have been school nurses are funded through program having difficulty reading the budgets given to the moneys received by local them and determining where their money is school districts, the Alaska Nurses SB 169 would establish a State Vaccine being spent. At one meeting a Board will be Association has been tracking Assessment Council that would take private told they have a surplus of license funds and proposals to increase the base money from insurance companies and state the next meeting they will be told they have a student allocation (BSA). and federal funds to buy vaccines at the deficit, with no clear explanation as to why. discounted federal contract rates and then Governor Parnell spent considerable time For the Board of Nursing the actual costs make these vaccines available to Alaskan discussing education in his recent State of the of running the Board has risen about 20% health care practitioners. At present doctors State Address, calling 2014 “The Education in the past six years, while the Divisions and nurse practitioners have to keep two sets Session.” Parnell introduced a comprehensive overhead has risen around 40%. At the same of vaccines: one for those patients eligible education package (HB278/SB139) that time the Division has made it very difficult for for government subsidized vaccines and one (1) increases the Base Student Allocation Board members to travel to meetings like the for patients covered by private insurance or (BSA) by $201 over three years; (2) repeals National Council of State Boards of Nursing. private pay. The private insurance vaccines secondary school exams; (3) allows charter These travel expenses are paid for by the have to be bought upfront by the provider school application appeals and increases National Council at no expense to the state. at full price, and then the provider gets their funding; and (4) expands the tax credit On paper the Board of Nursing has a surplus reimbursed by the insurance companies as the program to allow more private-public of $1.9 million, but it turns out this surplus vaccines are given. This places a huge financial partnerships. Both bills are in the respective exists on paper only and no surplus actually burden on health care practitioners and as education committees of each body. exists. The Division’s shortfall at present is a result some practitioners have decided to Parnell’s FY 2015 budget also includes an approximately equivalent to the $1.7 million stop making vaccines available to patients at additional $25 million in one-time funds for they want in general funds. The Legislative their clinics. The establishment of the Vaccine K-12 education, and $1.2 billion to forward Budget and Audit Committee has been holding Assessment Council would make vaccines far fund education for FY 2016. hearings on this issue and we will report their more readily available to Alaskans by making it The BSA has not been increased for four findings. easier for providers to afford and manage their years. There are several other bills proposing vaccine supplies. an increase to the BSA. SB 147 by Senator SB 128 – An act relating to the crime The large pharmaceutical firms have come Berta Gardner (D-Anchorage) proposes to of harassment (electronic bullying) out full force in opposition to this bill. At one increase the BSA by $404 and adds an annual point they had five lobbyists going door-to- The Alaska Nurses Association testified in adjustment for inflation tied to the Anchorage door seeing legislators in the House. The bill favor of this bill. Attorneys in the Legislature CPI. SB 147 is in Senate Education. HB 331 by passed the Senate and is awaiting a hearing in have been working on the bill language to Rep. Les Gara (D-Anchorage) is a companion bill House Health and Social Services. make sure it protects the individual’s right to in House Education. free speech while also protecting individuals Most observers expect to see an increase from bullying. The bill has passed out of Senate pass this year, with an amount more than what HB 187 – An act relating to Judiciary and is waiting in Senate Rules. the Governor proposed but less than the levels professional and occupational contain in SB 147 or HB 331. licensing fees HB 210 – An act relating to crisis This bill would shift funding for regulatory intervention training for school SB 166 – An act relating to nursing boards investigators, such as the Board of and the Board of Nursing (BON) personnel and relating to restraint Nursing investigators, from licensee fees to and seclusion of students in public SB 166 makes some minor changes to general funds at a cost of $1.7 million per year schools update the Nurse Practice Act. The bill would to the general fund. This bill originally had a section relating create a designated seat for an advanced nurse This bill has focused attention on some to medication administration which has been practitioner (ANP) on the BON. An ANP has less than adequate accounting practices at removed after staff for the bill’s sponsor met had a seat on the BON for many years and this the Division of Corporations, Business and with school nurses during the Nurses Fly-In. act would place the ANP seat requirement in Professional Licensing. In theory the Division Our only remaining concern is that the bill statute. The bill would require that the Nurse is supposed to keep track of the actual currently requires that schools notify parents Executive in charge of the BON hold a master’s costs of each regulatory board, such as the when they have restrained a child within 24 degree in nursing. The bill passed out of Senate Board of Nursing, and then add in the costs hours, which the hospital nurses feel is way Labor and Commerce and now is in Senate of overhead for the Divisions and from this Finance. 8 The official Publication of the Alaska Nurses Association www.aknurse.org

SB 151 – An act relating to chemicals that are high concern for children and Working Together To Achieve Excellent Health the manufacture and sale of products containing certain flame retardant chemicals Two nurses testified in favor of this bill during the Nurses Fly-In. The bill states that a person may not manufacture or sell in the state a product that contains a chemical listed in the bill that inhibits flame production. These chemicals have been found to be potentially harmful to children and do little to retard A place to learn. flames. The bill has passed out of Senate HSS and is now in Senate Judiciary. A place to be. HB 134 – An act requiring Medicaid payment for medication compliance packaging, delivery, and dispensing services – The Mediset Bill Over one year ago the Department of Health and Social Services announced they would no longer pay an extra dispensing fee to pharmacists for making up medisets. This outraged the health care providers who work with persons with developmental disabilities, mental illness, and senile dementia. This bill would require payment for such services. Several nurses have repeatedly testified in favor of this bill. This bill is currently in House Finance. SHARP Loan Repayment Funding In addition to the above the Alaska Nurses Association has been lobbying against a $1.2 million dollar cut to the student loan repayment program for health care workers who work Current Nursing Openings Competitive Bene ts in underserved parts of the state or with Emergency Room Generous PTO – underserved populations. Nearly 20 nurses Outpatient beginning at 4.5 weeks were identified this year as being eligible for Outpatient Case Management Ten paid holidays this program. Even though the majority of the Inpatient/Med-Surg Comprehensive healthcare coverage 90 applicants accepted into this program are Sexual Assault Response Life and Disability Insurance from rural areas, somehow the rumor in the OB Flexible Spending Account legislature was that most of the money went Certi ed Wound Nurse Retirement plans to urban doctors. It did raise the question, in Well Child/Immunization Federal Tort Claims Coverage Alaska how do you define rural? Nurse Manager – Inpatient and OR Employee Wellness Center Medicaid Expansion Nurse Educator Diabetes Education and The Alaska Nurses Association has also been Case Management lobbying the Parnell administration to opt in to the Medicaid expansion for reproductive health services. This program is a 90-10 split between the federal government and the state, with the For additional opportunities or more information, please contact us or visit federal government picking up 90% of the cost. our websites today! It would pay for reproductive health services such as birth control and STD testing, but would not pay for abortions. As you can tell the Legislative Committee of YUKON-KUSKOKWIM HEALTH CORPORATION the Alaska Nurses Association has been hard at Headquartered in Bethel, Alaska work! Nurses do make a difference. www.ykhc.org (800) 478-8905 www.ykhcjobs.org

8 The official Publication of the Alaska Nurses Association THE ALASKA NURSE • April/May 2014 9 A 10 provider practice in Anchorage, Alaska Clinical Supervisor FULL TIME POSITION AVAILABLE We are seeking an experienced, dynamic leader to oversee and supervise the clinical activities and clinical sta .  PRIMARY RESPONSIBILITIES • ensure quality customer service Neonatal Abstinence Syndrome: • manage clinic professionally & efficiently • coordinate, schedule and train staff • coordinate day-to-day clinic operations • recommend and implement changes to improve delivery of services. A Growing Crisis  QUALIFICATIONS • BS Degree in Nursing by Jana Shockman, RN, CCRN-CSC • current Alaska RN license and symptoms that may start after the infant is Alaska Nurses Association President • recent supervisory experience discharged from the hospital. • read, write, and speak English The Alaska Nurses Association was The costs of NAS are substantial. In May • pass a criminal background check recently contacted by Representative Cathy 2012, the Journal of the American Medical If you like to stay busy, be a leader and Munoz to research Neonatal Abstinence Association published the results of a nine year interact with patients daily while delivering Syndrome (NAS) and to suggest some study to determine the national incidence of quality care, this is the job for you! Excellent bene ts package and salary to prevention and treatment strategies. The NAS and antepartum maternal opiate use and commensurate with experience. professional practice committee developed the national trends of health care costs related and presented a white paper during our to NAS. The JAMA article indicates that in Fax cover letter and resume to (907) 561-1862 or Legislative Fly-in. 2008 the average cost per day in the neonatal e-mail [email protected] Neonatal Abstinence Syndrome is defined intensive care unit (NICU) was $3500.00. as a complex set of symptoms displayed by According to Trawick, a Neonatal Intensive Care the neonate resulting from maternal usage admission for NAS can last from 3 days to as of opioids. This can be due to prescribed long as 80 days with an average length of stay medication, illicit drugs, or opioid treatment of approximately 30 days. Healthcare costs in medications such as Methadone or Suboxone. Alaska are typically above the national average Once the infant is delivered, it is no longer and as costs have generally increased over the receiving doses of the opioid from the last four years, the current costs can be assumed mother, causing withdrawal. Symptoms to be much higher. Nationally 77.6% of infants NOVA MEANS EXCELLENCE can start anywhere from birth to 5-7 days of treated for NAS were covered by State Medicaid age depending on the drug and amount of programs in 2009. (1) Norman D. Means, MD drug the mother used during her pregnancy. What can be done to prevent NAS? The Symptoms vary widely, ranging from irritability bottom line is that pregnancy and drug use are Acne Treatment • Chemical Peels and high-pitch crying, poor feeding with GI emotional and complex social issues. There will upset, to tremors and seizures. These infants be no single solution to the problem, but we Botox • Juvederm• Latisse can have long-term developmental issues feel that a multifaceted approach can help to including cognitive and motor delays, deficits reduce the incidence of NAS. These approaches Skin Tightening & Lifting in physical growth, neurological development, were presented in the AaNA white paper to Laser Hair Removal intelligence, social issues. Representative Munoz. NAS is on the rise. Nationally, between Firstly, increasing the availability of long- Laser Tattoo 2008 and 2011, the incidence of NAS tripled. term reversible birth control serves as the base Removal Alaska is seeing an increase in incidence as to our plan. A State Plan Amendment process well. Statistically, at Alaska Native Medical would increase the eligibility for Medicaid- Center, 3 out of 1,000 babies were diagnosed covered family planning services to persons at with NAS in 2012. In 2013, that number approximately 200% of the poverty level. This increased to 5 out of 1,000. William Trawick, would provide family planning services to those NNP, of Alaska Neonatology Associates notes persons who are in the so-called “gap.” For that his practice treated 154 infants for NAS example, a woman whose family income is low between 2008 and 2013. enough to qualify for Denali Kid Care is provided As significant as this seems, it is widely health care services under that plan. However, agreed among experts that these numbers are once she has delivered, her child qualifies for 907-561-NOVA (6682) known to be under-reported due to mothers assistance, but the mother is no longer eligible. 2421 E. Tudor Ste 108, Anchorage who deliver outside the healthcare system, Secondly, we proposed an expansion of

10 The official Publication of the Alaska Nurses Association www.aknurse.org

programs that promote home visits by nurses to families that are at risk. Studies show that these programs have measureable improved Now Hiring Director of Nursing. outcomes for these children. One such program is the Nurse-Family Partnership. There are two programs in Alaska: the Providence Nurse-Family Partnership and the Southcentral Foundation’s Nutaqsiivik Nurse-Family Partnership. Through this nationwide program, nurses visit WIC- eligible first-time mothers from their 28th week of pregnancy through the child’s second year of Neonatal Abstinence Syndrome: life. Nurses teach these women how to have a healthy pregnancy and a healthy baby, and about parenting skills and home safety. The nurses make referrals to available social services that might be A Growing Crisis needed and provide a support person to help the family create and reach attainable goals. Currently in Alaska, the only programs are in the Anchorage area. Thirdly, we proposed expansion of inpatient We’re looking for a passionate, treatment programs for pregnant women battling substance addiction. Few centers across the state talented Director of Nursing. will take pregnant women, and these centers face a drastic shortage of beds. Infants born to mothers in treatment can still be diagnosed with NAS, but the withdrawal is more controlled and $110,000-$135,000 can be less severe. The final step in our prevention strategy is Medical/Dental/Vision Insurance • 401(k) education and awareness. Require practitioners Paid Holidays • Profit Sharing who prescribe opioid pain medications to provide education to patients about the risk of Relocation assistance provided NAS. Educate practitioners about non-opioid pain treatment modalities. Launch an Awareness Campaign including televised and radio Public Responsibilities: Service Announcements and make educational • Collaborate with nursing program team to manage brochures available at pharmacies, public health the initiation of the AAS-Nursing and RN Programs clinics, birthing centers, and through health care at Charter College Anchorage providers. • Substitute teach as needed Pregnancy often propels women to work • Collaborate with Charter College leadership towards positive changes in their lives. Both pregnancy prevention and treatment of addiction to utilize best practices in nursing education in pregnant women is crucial of reducing the Qualifications: incidence of NAS. Treatment is also multidimensional. Babies • MSN required, Doctorate preferred diagnosed with NAS can require intense support- • 5 years of education and clinical experience ive care. But it is more than just having a bed in • Leadership and management experience the NICU. NAS affects the entire family. Any treat- • Must maintain certifications required to ment strategy should include support for the fam- practice nursing in Alaska ily as well as the infant. Trawick and his colleagues are working to develop a NICU division dedicated the treatment of NAS. They envision a combined Apply at www.chartercollege.edu/jobs care unit that provides a collaborative care team including obstetrical providers, substance abuse counselors, and social service providers. Prevention strategies combined with identification, treatment, and social support of mothers and infants is the key to reducing the growing public health crisis that is Neonatal Anchorage Campus Abstinence Syndrome. 2221 East Northern Lights Blvd., Suite 120 (1) Patrick, SW et al. Neonatal abstinence syndrome and associated health care expenditures: United States, 2000-2009. JAMA 2012;307:1934-1940

10 The official Publication of the Alaska Nurses Association THE ALASKA NURSE • April/May 2014 11 Nurses Support Alaska’s Nurse Legislators Heart Health Senator Cathy Giessel, MS, RN, ANP by Andrea Nutty On February 28th, nurses and staff from Alaska Senator “Being a legislator is very similar to taking the Alaska Nurses Association attended the Cathy Giessel is a care of a patient,” says Giessel. “Citizens come 2014 Go Red for Women Conference and nurse practitioner who to the legislator with concerns, and if you Luncheon, an event put on by the American represents Senate District listen carefully, you can get to the root of Heart Association to raise awareness and N, which covers Hillside their problem. The legislator needs then funds to combat heart disease and stroke Anchorage and the Upper to determine whether the citizen needs a in women. The event brought to a close Kenai Peninsula. Cathy was referral to a ‘specialist’ who can take care of American Heart Month as attendees visited raised in Fairbanks and has the citizen’s concern, or whether the problem informational booths and attended seminars worked in Anchorage as a needs some type of legislative action.” nurse for 40 years, starting on heart health. Senator Giessel’s passion is resource her career as a critical development. “Resource development is As a proud sponsor of the event, care nurse at the former Anchorage Community connected to jobs. When people have jobs they the Alaska Nurses Association provided Hospital. Her master’s degree was earned at are healthier, more productive, and are less blood pressure screenings and education UAA; her bachelor’s degree at the University of likely to engage in destructive behaviors like at our booth during the Health Expo, and Michigan. Cathy served on the Alaska Board of use of illegal drugs or committing crimes. We supplied material on healthy blood pressure Nursing for 7 years and as Chair for 5 years. In are a resource extraction state and that is where guidelines to attendees. 2010, she was named “Exceptional Leader” by the Alaska’s jobs are created,” Giessel explains. Christie Artuso, Ed.D., RN, CNRN, FAHA National Council of State Boards of Nursing. Her This year Senator Giessel has introduced and Providence Alaska Medical Center experience on the Board makes her well versed two bills of great interest to the Alaska presented a health education seminar on the issues that face nurses in the workplace. Nurses Association. The first is Senate Bill 166 entitled “Stroke for Women… Subtle Giessel has worked as a family nurse which updates obsolete statutes related to Signs… Subtle Risk” detailing the often practitioner in pediatric clinics, urgent care, pain the Board of Nursing. The second is SB 169 subtle symptoms of stroke in women, risk management, and alternative medicine. She which would establish a Statewide Vaccine factors, and how to take control of your own worked for 9 years performing contract work for Assessment Program. The program would health to prevent stroke. Artuso educated a rural school district. As a State Senator, time establish a Council that would oversee funds the audience on the sheer magnitude that constraints preclude her from working full time derived from state and federal funds, along stroke has on all of our lives: more women as a nurse practitioner. Presently, Senator Giessel with insurance company assessments, to die from stroke than from breast cancer, and does nurse practitioner volunteer work at a buy vaccines at discounted federal contract each year over 425,000 women suffer from homeless shelter in Anchorage. She states that rates, and would then be made available to stroke, 55,000 more than men. The Alaska she enjoys this opportunity to serve this group of Alaska’s health care practitioners. At present, Nurses Association thanks Christie Artuso Alaskans and she has learned so much serving in physicians and nurse practitioners have to for encouraging attendees to learn their risk this shelter clinic. keep two supplies of vaccines: one set for factors and to stop by our booth to receive a Normally Senate seats come up for election patients eligible for government-subsidized free blood pressure screening. every 4 years, but, due to multiple redistrictings, vaccines, and one set for patients covered Keli Hite McGee and Alaska Heart & Cathy has had to run for office three times over by private insurance. The two supplies of Vascular Institute presented the the past four years. In the next election, District vaccines must be stored and accounted for (See Heart Health page 15) N will cover the Hillside and East Anchorage. Like separately. Currently, the private insurance Representative Peggy Wilson, Senator Giessel’s vaccines must be purchased upfront by the experience as a nurse practitioner has helped her provider at full price, and then the provider adapt to these constant changes in districts. is reimbursed by the insurance companies as Cathy Giessel served for six years as the the vaccines are administered. The provider state-wide elected representative to the takes on the financial risk of expensive American Academy of Nurse Practitioners. vaccines expiring before being able to be She was also active in the Alaska Nurses used, and therefore not being reimbursed Association’s Legislative Committee for by insurance companies. This practice many years and the experience on the places a huge financial burden on health Committee helped spark her interest in care practitioners and, as a result, some the legislative process – which ultimately practitioners have decided to stop making led to her running for office. Cathy vaccines available to patients at their clinics. states, “Serving in both of these nursing The establishment of the Vaccine Assessment organizations and AaNA’s Legislative Program would make vaccines more readily Committee was a great educational available to Alaskans. experience and I would recommend it to Alaska nurses are very fortunate to have all nurses. You learn a lot from tracking Nurse Practitioner Cathy Giessel in the State bills, testifying before committees, and Senate. She is a tireless worker, devoted to listening to hours of public testimony.” nursing and promoting the health of all Alaskans.

12 The official Publication of the Alaska Nurses Association www.aknurse.org

Representative Peggy Wilson, RN Wrangell, AK– District 33 Representative Peggy Wilson has served in the Alaska State Legislature since 2000. Peggy is from Wrangell and has been a registered nurse over 40 years. She has worked as a nurse in many different Experience a new system of health care settings including as a school nurse and working at the hospital in Wrangell. health care organization located on the Alaska Native Health Campus. Our award- Even though Peggy has lived in Wrangell winning Nuka System of Care is based on customer-ownership and relationships. since 1997, District 33 has undergone drastic boundary changes on four separate occasions SCF is seeking dynamic Registered Nurses to act as Case Managers over the past 14 years. Currently, District 33 in our OB/GYN, Pediatrics and Primary Care Clinics in the Anchorage includes Wrangell, Ketchikan and Prince of Wales Island, but in the 2014 elections, the District Native Primary Care Center. will be losing Prince of Wales Island and gaining Experience the opportunity to practice population based case management in our Metlakatla and Hydaburg. Running for election award-winning Nuka System of Care, a designated medical home model. takes six months of intensive work when there is a primary. When district boundaries change, SCF offers competitive salaries, an excellent benefits package, a 401K it means getting to know new constituents and retirement plan, a sign on bonus and relocation assistance. Please visit our new communities. website and apply at www.southcentralfoundation.com Peggy states that being a nurse has helped or call Tess Johnson at (907) 729-5011 or email at her deal with the constant change she encounters [email protected]. as a legislator. “Nurses are adaptable and adjust more easily. They are problem solvers. They are taught to look at problems from many different angles and come up with possible solutions. They are taught to observe, and so make excellent legislators,” Wilson explains. We also might add that nurses are hard workers, and Representative EMPLOYMENT OPPORTUNITY Wilson and Senator Giessel are known as two of Bristol Bay Area Health Corporation the hardest workers in the Alaska State Legislature. www.bbahc.org Peggy states the character of the legislature has changed in the last 14 years, and it is now more difficult to get things accomplished. Now, many new legislators are rigid thinkers and are not willing to compromise. Compromising is how Located in beautiful Southwest Alaska, in the town of Dillingham, things get done. Being from Southeast where transportation BBAHC has many employment opportunites. Come and enjoy the is a challenge, transportation infrastructure has Alaska Native Cultures of the Aleut, Eskimo and Indian. Our become one of Representative Wilson’s passions. town is 2,460 strong and we serve a 44,000 square mile region of She is currently Chair of the House Transportation 34 villages with a total population of 8000. Committee. Peggy expressed concern about the health of Alaska’s transportation infrastructure and what that means for future economic growth in Please contact Human Resources at (907)842-5201 or the state. With diminishing state oil tax revenues by email at [email protected] or refer to our website at Peggy feels that it is time to look at alternative www.bbahc.org for more information funding sources for transportation. Estimates are that Alaska has a $20 billion backlog of projects BBAHC is an equal opportunity employer operating under the Alaska Native and and $700 million in deferred maintenance. American Indian Preference in Hiring provisions of PL93-638. Pre-employment The Alaska Nurses Association is forever drug screening and a completed background investigation and determination indebted to Representative Peggy Wilson for her that the applicant meets the eligibility criteria of the Alaska Barrier Crimes Act multi-year effort to get our bill passed banning and, where applicable, the Indian Child Protection Act, are prerequisites to mandatory overtime for nurses. Wilson is someone hiring. we can always go to with concerns about the practice of nursing in Alaska.

12 The official Publication of the Alaska Nurses Association THE ALASKA NURSE • April/May 2014 13 Did You Know? What Laws Govern Nurses? And other Updates from the Board of Nursing by Beth Farnstrom, RN forwards them to the Department of Law. If through both the Senate and the House Chair, Alaska Board of Nursing there are no changes, the draft regulations by the end of the current Legislative are sent to the Lt. Governor for signature. Session – which ends on April 20th – or REGULATIONS Thirty days after the Lt. Governor signs the the bill will “die in committee” and the The Alaska Board of Nursing is given draft regulations, they become effective process will need to start all over again next specific duties and powers by Alaska Statute nursing regulations. The latest regulation Legislative Session. Statutory changes are 08.68. One power is to adopt regulations project has been underway for over one difficult to make as bills require legislative pertaining to nursing practice. Regulations year. The regulation changes will be connections and much effort to follow the are rules and administrative codes issued effective March 19, 2014. The most up-to- system. The Board of Nursing is grateful to by government agencies. Because they date copy of the Statutes and Regulations Senator Cathy Giessel for her assistance in are adopted under authority granted can be found online at: introducing SB 166. by statutes, they are enforceable under http://commerce.alaska.gov/dnn/ the law and often include penalties for Portals/5/pub/NursingStatutes.pdf. Other Topics violations. Regulations for the Alaska Board The Board is pleased to announce of Nursing are included within the Alaska STATUTES that once again the Board has been able Administrative Code, Title 12, Chapter 44 Statutes are laws formally drafted and to decrease your license renewal fees to (12 AAC 44). These laws exist to regulate adopted by both chambers of a legislature. $165. All nurses will renew this year. Please the practice of nursing in order to keep the Statutes are created, removed, or updated start to prepare for the renewal process citizens of Alaska safe. when the Alaska State Senate and State by collecting your contact hours. When When the Board determines a House both pass a bill. Nursing Statutes are you submit your renewal, whether online regulation is necessary, the Board collects found in AS 08.68. The Statutes governing or on paper, you are certifying that on information, collaborates with experts the Board of Nursing need to be updated the date you signed you have completed in the field, and completes a draft of the and the Board of Nursing has been hard at your continuing competency rudiments proposed regulation, including a standard work to accomplish this. and that all information on your renewal of practice. The topics vary between The Board contacted legislators in form is accurate. Any mistakes found on competence, nursing education, delegation, hopes of finding an interested sponsor. your application are considered to be a licensing criteria, and more. Once the draft We are fortunate to have Senator Cathy falsification and a crime. If you have any is complete, it is sent to the regulation Giessel interested in sponsoring the Board’s questions when completing your renewal specialist. The regulation specialist legislation. The Board representatives form, please contact Dr. Nancy Sanders at translates the draft into “regulatory met with Senator Giessel to explain the the Board of Nursing. language.” The draft regulation is returned proposed Statute changes. The Senator It is your responsibility to make sure the to the Board and reviewed for content. had the bill drafted and then the Board Board of Nursing has your current address. The Board then has the option to approve reviewed the wording in draft bill language. Address changes can be sent to the Board the draft regulation or continue to edit. If On February 7, 2014 the Board of Nursing of Nursing either by mail or fax. Include the approved, the regulation specialist issues bill was read in the Senate and now will be date, new address, and signature. a notice of proposed regulation changes, known as SB 166. At the time of this writing, Please visit the Board of Nursing which includes 30-day public comment SB 166 has been referred referred to the website to join the Listserve so you will period. The regulation specialist collects all Senate Labor and Commerce Committee. receive timely announcements: comments and forwards them to the Board. The Board has contacted the Committee http://commerce.alaska.gov/dnn/cbpl/ All public comment is considered at the to try to hold hearings on SB 166. After professionallicensing/boardofnursing.aspx next Board meeting. If the Board the Labor and Commerce Committee The Board of Nursing wishes to thank recommends the bill, it will public member Kevin Dougherty for his possibly need to travel to four years of service. Congratulations to Erin other Senate Committees. Evans, MSN, RN who has been reappointed Eventually the bill will be for her second four-year term. And, the sent back to the Senate Board is pleased to introduce Carrie A. floor. When SB 166 passes Miller, LPN, from Juneau to fill the LPN seat, the Senate, the bill will be and Mary Grimwood from Cordova to fill the sent to the House for public member seat. committee review The Board of Nursing wishes you a and passage in Happy Nurse’s Week! the House. SB Retiring public member Kevin Dougherty, 166 needs to makes no changes, the draft regulations Denise Valentine, Beth Farnstrom, and are sent back to the specialist who then be moved Nancy Sanders

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Heart Health (continued from page 12) second health education seminar, “Heart Balance.” McGee outlined the importance of not only good heart health screening and care, but living a life that feels balanced to you. McGee taught audience members the U-MED BRANCH OPENING 2014 importance of learning how to say “no” in a society where we feel constantly bombarded to “do it all” and “have it all.” Easier said than done, but all the more worthwhile, these steps towards a balanced life are also steps towards a heart-healthy life. The American Heart Association was pleased to introduce Mark McEwen as the 2014 Go Red for Women Luncheon Program Key Note Speaker. Mark McEwen, a well-known TV and radio personality, was named a Stroke Ambassador in 2009 by the American Stroke Association for his advocacy, leadership, achievement, and philanthropy. Mark McEwen shared his stroke story with rapt audience members. In November 2005, Mark suffered a massive stroke while traveling and left curbside in a wheelchair, alone at Providence Dr. southwest corner an airport and unable to move or talk. His wife Denise’s relentless phone calls and the attention of a passerby saved his life. Given Our 31st branch, in the heart of the U-Med district at the corner of a survival rate of just ten percent, Mark beat Providence Drive and Piper Street will offer medical professionals the the odds and pulled through. After his stroke, convenience of a full-service branch right at their doorstep. And our local Mark had to relearn how to talk, walk, and experts, backed by first-hand local knowledge and experience, will provide perform everyday tasks. Since suffering his financial solutions we’ve developed specifically for the healthcare industry. stroke, Mark published the book Change in the Weather: Life after Stroke and spends From billing solutions and payroll to tools for managing the money much time advocating and speaking for the needed to purchase equipment and office space, nurses and medical American Heart Association and American professionals have counted on First National’s local banking experts for Stroke Association. more than 90 years. If you are beginning to think that heart disease and stroke seem an insurmountable Learn more about First National’s U-Med Branch at FNBAlaska.com health crisis, take heart: According to the American Heart Association, the rate of heart disease has decreased by a whopping 32 percent over the past two decades. Despite the good news, this decrease is not enough. Heart disease remains the number one killer Where Alaska’s business dreams grow. of women, and more research, outreach, and education must be done in order to continue the fight against the killer disease. Please join the Alaska Nurses Association (See SART page 14) on April 26th in Anchorage to continue Assisted the fight against heart disease at the 2014 Living for Your Alaska Heart Run. Sign up as a volunteer Patients for the American Heart Association. Join We Offer nurse colleagues to give free blood pressure Apartment style living with 24 hour screenings during the event with the Alaska awake care staff and a RN on-call to To Advertise Nurses Association. Go online to join Team triage residents’ needs. Accepting residents 55 and older. Certified for in The Alaska Nurse Alaska Nurses Association or to donate to Medicaid CHOICE Waiver and qualifies the American Heart Association. The nurses for most long term care insurances. contact Teresa Bracale of Alaska can make a difference in our Assisted Living offering Privacy, Dignity and Individualized Care [email protected] patients’ lives and in our own lives. Please visit 2030 Muldoon Road, Anchorage, AK 99504 heartrun.kintera.org/AKnurse to join our Phone (907) 338-8708 team or donate today. www.marlowmanor.com 907.223.2801

14 The official Publication of the Alaska Nurses Association THE ALASKA NURSE • April/May 2014 15 Longtime AaNA Leader A Touch of Heart: Appointed to Alaska Workers’ Sharing the Inspirational Stories ______of Nurses across Alaska Compensation Board A Beginning and an End: rules; the selection, retention, and removal of rehabilitation specialists and physicians A Story of Nurse Sisters under AS 23.30.041 and AS 23.30.095; the by Andrea Nutty implementation of the provisions of the At the recognition ceremony for nursing Workers’ Compensation Act; as well as the graduates in December 2013 at UAA, sisters provision and reporting of medical care Shelley Rogers and Londa Larson stood side by under the Act. Those regulations do not side, posing for photographs and smiling as they become effective unless approved by a celebrated Londa’s graduation. In many ways, majority of the members of the full Board. In the scene resembled a day seven years earlier addition to those duties, members serve when Shelley stood in cap and gown, celebrating more frequently on quasi-judicial “hearing her own graduation from the UAA BSN program panels” that typically convene in Fairbanks, in 2006. Both sisters have the type of eyes that Anchorage, and Juneau to hear and resolve sparkle with radiance and compassion but on this disputed benefits claims. Those hearings are day also carried a bittersweet note: as one sister’s generally chaired by an attorney/hearing nursing career began, the other’s had come to an officer who deliberates with the labor and unanticipated, premature ending. industry panel members to reach a decision Just three short years after becoming a nurse, and then drafts any needed orders for panel Shelley was diagnosed with breast cancer in member review and signature. 2009. She underwent a double mastectomy – half Donna Phillips, BSN, RN, Alaska Nurses Anyone can apply to serve on various prophylactic, half to rid her body of the disease. In Association Labor Council Chair was Boards and Commissions for the State of 2011, two families became one when Shelley mar- appointed by Governor Sean Parnell to the Alaska. The Office of the Governor relies ried Jim Rogers. The pair met shortly after Shelley Alaska Workers’ Compensation Board. The on citizens to come forward to fill these graduated, when both signed up to chaperone a three year term began March 1st, pending positions. Elizabeth Giardina, Director of science field trip for their sons at Knik Elementary full legislative approval. Phillips is a longtime Boards and Commissions was very welcoming School. Londa says that when Jim came into Shel- advocate and leader within the Alaska Nurses and easy to interview with, Phillips said, and ley’s life, he was “just what she needed.” Mean- Association. She began with the organization the process of applying was not difficult. while, Shelley worked on growing a seed she had in 1994 as an organizer and first treasurer of From the Office of the Governor, Boards planted in Londa’s mind years ago: the quest for the Providence Registered Nurses Bargaining and Commissions: “We appreciate your Londa to become a nurse. Unit. She has served many terms as the Labor interest in serving on a board or commission. It didn’t take convincing so much as it did sup- Council Chair, a position she holds today. This type of public service is among the most port. Londa had watched Shelley become a nurse In 2003 Phillips received the Service Award effective ways for Alaskans to participate in, a few years earlier, attending school while balanc- from the Alaska Nurses Association for her and take ownership of, their own governance. ing the trials of work and single motherhood. With tireless efforts working with membership Citizen membership allows Alaskans to three children of her own to raise, Londa began recruitment. She stated, “Nurses need provide advice to State agencies on specific taking prerequisite courses, and formally enrolled to know all the work the Alaska Nurses issues, provides regulation for industries, in the AAS Nursing program in Fall 2011 at UAA. Association does on their behalf. That is why ensures consumer protection, and impacts Shelley is vivacious, a cheerleader it is so important to greet the new nurses in official policies. Being appointed to a board for the people she loves. Shelley is our facilities.” or commission allows Alaskans to contribute the younger sister, but she’s also As a longtime advocate of worker and to the public process and make a positive Londa’s biggest supporter. Londa patient safety, Donna Phillips will serve in a impact in their communities.” Visit the Alaska has a calm and soothing presence, Labor seat on the Workers’ Compensation Office of Boards and Commissions website for and her eyes light up when she talks Board. A full board consists of nine Labor more information: gov.alaska.gov/parnell/ about the things she loves: and nine Industry members. Phillips is very services/boards-commissions.html her children and grand- pleased and honored to be able to help The Alaska Nurses Association is honored daughter, her sister, and workers in this way. to have Donna Phillips as our member and now, nursing. Shelley The Alaska Workers’ Compensation as a leader of the Association and thanks helped Londa to refo- Board periodically convenes meetings to Phillips for her tireless work on behalf cus whenever she got oversee and administer the functioning of of nurses, workers, and patients across discouraged during the Workers’ Compensation system. The Alaska. We extend our warm appreciation school, reminding Board reviews all regulations developed by and congratulations to Donna Phillips for Londa of the benefits the Department of Labor and Workforce her appointment to the Alaska Workers’ Development pertaining to “hearing panel” Compensation Board!

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and long-term goals. “She was a big support, a A rewarding career in the northernmost city great encourager,” Londa says. Shelley can see things in people that they themselves cannot. Shelley is honest and has great is closer than you think clarity of mind, a trait that allows her to be able to say, “This is what I see in you that I love in you,” Londa explained. Shelley’s support and guidance gave Londa strength during school, enabling her to pursue scholarships and graduate completely debt-free. In 2013, it started with a cough. A lung biopsy revealed the devastating diagnosis: Shelley has a Now recruiting for the Samuel Simmonds Memorial Hospital (SSMH) in Barrow, Alaska reoccurrence of breast cancer, and it has metas- following positions: is a facility unlike most others; it is located in the northernmost city tasized to other parts of her body. One single » Inpatient Med/Surg of the United States and serves a population that spans across a region larger than the state of Washington. word glares menacingly, a detestable utterance, » RN Case Managers painfully and mercilessly affecting a woman too » RN Phone Advice Serving the North Slope, a region that is colored by rich cultural diversity and beauty of the Inupiat people, Samuel Simmonds Memorial Hospital works to young, and so full of life. The word no one wants to » Emergency reserve the health of the region as well as the culture. hear. Terminal. » LDRP/OP By joining SSMH, you’ll be embarking on the adventurous journey as enriching as it is At the end of last year, just as Londa was don- rewarding. Here you’ll have the unique opportunity to provide healthcare to a ning a tasseled cap, Shelley was ending her nurs- vibrant community ready to share its culture and heritage. More than a once in ing career. She was no longer able to work in Adult a lifetime opportunity, you’ll provide care in a small community environment, Critical Care. The forced move left Shelley’s family partner with a familial, professional sta , and truly touch—and be touched by—the Inupiat people. It’s an experience you won’t forget. So join us today! without an income, as she also recently inspired someone else to become a nurse – her husband, visit us: www.arcticslope.org Jim, who is currently pursuing a BSN at UAA. Still, Shelley is strong. She’s inspired her sister Phone: 907.852.9204 and her husband to nursing careers. She helped Mail: PO Box 29, Barrow, AK 99723 Fax: 907.852.3365 | [email protected] Londa through her education every step of the Samuel Simmonds Memorial Hospital is an eligible IHS loan repayment site. For more information visit www.ihs.gov way, teaching her the stellar critical thinking skills and analytical abilities needed by nurses. Because of Shelley, Londa is able to reanalyze after any setback she faces. Currently working as a CNA at Alaska Native Medical Center, Londa is set to take the NCLEX in April, and to begin her long-awaited reward of becoming a registered nurse. Shelley has lots of plans for this year. She’s receiving palliative care and shows no sign of letting cancer rule her life. She recently took a much-deserved vacation to Costa Rica. Londa and Shelley are in talks of celebrating Christmas in Hawaii. In between family moments and infu- sions and schooling, Shelley continues to help Jim through nursing school and Londa with the transition from graduate to RN. Possessing an indomitable spirit and a giving nurse’s heart, Shelley Rogers continues to touch lives in spectacular, inspirational ways. Although her nursing career has come to a close, Shelley Rogers will always, always be a nurse.

16 The official Publication of the Alaska Nurses Association THE ALASKA NURSE • April/May 2014 17 Business Monthly quotes Representative Tarr tions is a small step towards treating Alaska’s Mental Health as stating, “Though many of us know how problems with suicide, addiction, and abuse.” to properly respond to a heart attack, only a The Alaska Nurses Association applauds few of us know what to do when confronted Senator Begich and Representative Tarr for First Aid: with someone having mental or emotional their efforts in making the Mental Health First crises. Creating an environment where people Aid program in Alaska no longer a dream of No Longer a Dream know how to properly respond to these situa- the future, but a reality today. by Jana Shockman, RN, CCRN-CSC At last fall’s General Assembly, AaNA passed a resolution to support efforts to develop a Mental Health First Aid program in Alaska, including supporting state and Meet the Board: federal legislation to fund these programs. Mental Health First Aid is a national program Introducing the Alaska Board of Nursing that teaches people the skills to identify, short while until she realized that hospital understand, and respond to signs of mental Dr. Nancy Sanders, PhD, RN nursing was not her nursing niche. illness and substance abuse disorders. The Executive Administrator, Dr. Sanders switched to community program is designed for everyone, not just Alaska Board of Nursing health nursing and worked in Juneau, An- health care providers. Alaska’s elected of- chorage, and Bethel. Realizing her passion ficials are working hard to support and fund by Jana Shockman, RN, CCRN-CSC for community health nursing, Nancy went Mental Health First Aid. The Alaska Board of Nursing is the to Seattle and obtained her master’s degree Senators Mark Begich (D-AK) and Kelly governing body for CNAs, LPNs, RNs, and in Community Health Care Systems and Ayotte (R-NH) introduced the Mental Health Advanced Practice Nurses. The Board is Cross-Cultural Nursing. After completing her First Aid Act of 2013. When asked about his responsible for nursing licensure, profes- degree, Dr. Sanders moved back to Alaska interest in mental health, Senator Begich sional practice, education, CNA certification and began teaching at University of Alaska stated, “I have been a vocal advocate for and education programs, and discipline. Anchorage. Dr. Sanders taught nursing at improved mental health services through Most of us have little contact with the UAA for 22 years, during which time she Mental Health First Aid training since I was Board except for our license renewal every attended summer semesters at Wayne State Mayor of Anchorage. I believe we need to two years. Behind the scenes, however, the University to complete her Doctorate in do all we can to increase awareness and re- Board is working hard to protect our nurs- 2000. sources for mental health services for Alaska ing practice and to keep the public safe. In 1999, Dr. Sanders was appointed to and across the country. My Mental Health The members of the Board are all working the Board of Nursing to fill the nurse educa- First Aid Act would increase mental health nurses except for two public members. Be- tor seat. She served on the Board until 2004 training for school officials, law enforcement ginning this issue we are kicking off a series when she retired from UAA. Dr. Sanders professionals, and emergency personnel so of articles entitled “Meet the Board” which served as Board Chair for several years. At the they know how to recognize and refer people will introduce you individuals who make up end of 2006 she was hired to be the Execu- with mental health issues. In addition to sup- the Alaska Board of Nursing. tive Administrator to the Board, a position port services and training, we must make sure First contact with the Board is often she continues to hold today. to do all we can to eliminate the stigma that, made with Nancy Sanders, PhD, RN. Dr. Dr. Sanders says she finds her job is sadly, sometimes prevents individuals from Sanders is not a member of the Board, but never boring and can be quite challenging. getting the health care they need.” is the Executive Administrator for the Board. Her position requires her to prepare the This January, the Senators were able Alaska is extremely fortunate to have a information for the Board members for their to secure $15 million in funding for Mental doctorally-prepared nurse in this position. quarterly Board of Nursing meetings, assist Health First Aid programs in the omnibus I was curious though, how exactly did Dr. investigators, and perform site visits for CNA appropriations bill. In a press release posted Sanders find her way to working for the and nursing educational programs through- on Senator Ayotte’s website announcing the Board of Nursing? Last week we sat down out the state. She feels that while this posi- funding, Senator Begich is quoted as saying, for an interview and a cup of tea. tion is more structured and less creative than “Mental Health First Aid training allows us to Dr. Sanders went to nursing being a nursing educator, it definitely make a real difference by teaching individu- school at the University of Oregon requires a broader scope of knowledge. als how to recognize the signs of mental and graduated with her bach- Like all of us who live and work in illness to gain a better understanding of early elor’s degree. Her first job out Alaska, Dr. Sanders appreciates the intervention. These funds will go a long way of nursing school was with the unique opportunities that she has to give Alaskans such as our teachers and Peace Corps. She taught nurs- here stating, “You can have experi- first responders better resources to keep our ing on the Caribbean Island ences in Alaska that you would nev- citizens healthy and safe.” of St. Lucia for 2 ½ years. When er have anywhere else.” Dr. Nancy At the local level, State Representative her time with the Peace Corps Sanders is an invaluable asset Geran Tarr (D-Anchorage) introduced HB was completed, Dr. Sand- to both the Alaska Board of 355 to authorize the Alaska Department of ers came to Alaska. She Nursing and the nurses Health and Social Services to administer a worked at a hospital across Alaska. Youth Mental Health First Aid (MHFA) training in Juneau for a program and accompanying grants. Alaska

18 The official Publication of the Alaska Nurses Association www.aknurse.org

...... 2014 AANP National Conference June 17-22, 2014 Calendar of Events Nashville, Tennessee Save the Dates! http://www.aanp.org/conferences ...... 2014 World Congress of Alaska’s Rural Health Conference Epidemiology AaNA Board of Directors Meeting “Making Today’s Vision Tomorrow’s August 17-21, 2014 Fourth Wednesday of each month Anchorage • www.epidemiology2014.com 4:30 to 6:00 pm Reality” ...... April 22-23, 2014 Maternal Child Health & AaNA Labor Council Meeting Anchorage, Alaska • www.akrhc.org Immunization Conference Fourth Wednesday of each month ...... “Advancing Wellness Across the 6:00 to 7:00 pm ...... 2014 Alaska Heart Run Lifespan” AaNA Professional Practice Committee Sponsored by AaNA! September 24-25, 2014 Contact for times: [email protected] Anchorage • www.alaskamchconference.org or 907-274-0827 April 26, 2014 ...... Anchorage, Alaska 2014 AaNA Fall Conference AaNA Legislative Committee www.alaskaheartrun.org Contact for times: [email protected] ...... October 3 & 4, 2014 Anchorage, Alaska • BP Energy Center or 907-274-0827 Alaska Brain Injury Conference ...... Check out www.aknurse.org/events for April 30-May 2, 2014 Providence Registered Nurses information on topics and speakers! 3rd Thursday of each month Anchorage, Alaska • www.nabis.org ...... 4pm-6pm ...... National Nurses Week 2014 2014 AaNA General Assembly RN’s United of October 5, 2014 Central Peninsula Hospital May 6-12, 2014 Happy Nurses Week from AaNA Anchorage, AK • www.aknurse.org Contact for times: 907-252-5276 ...... 2014 Alaska Child Maltreatment KTN Ketchikan General Hospital Nurses Week Banquet! Conference Contact for times: 907-247-3828 ...... Alaska Nurses Association November 17-19, 2014 Anchorage, Alaska Alaska State Board of Nursing – Designer Drug Update from www.akchildrensalliance.com Meeting Jennifer Messick, JD and ...... April 2-4, 2014 • Agenda deadline 3/12/14 AaNA President Jana Shockman, RN July 9-11, 2014 • Agenda deadline 6/18/14 Oct 22-24, 2014 • Agenda deadline 11/1/14 May 9, 2014 Contact Hours Remember to visit: www.aknurse.org/ The Alaska Board of Nursing has a listserv Port View Banquet Room – Alaska that is used to send out the latest information Experience Theater - Anchorage, AK index.cfm/education for frequent about upcoming meetings, agenda items, www.aknurse.org updates and information on local nursing regulations being considered, and other contact hour opportunities and conferences! topics of interest to nurses, employers, and ...... the public. To sign up for this free service, visit www.nursing.alaska.gov Inquiries regarding meetings and appearing on the agenda can be directed to: Nancy Sanders, PhD RN, Executive Administrator Alaska State Board of Nursing 550 West 7th Ave, Ste 1500 Anchorage, AK 99501 Ph: 907-269-8161 Fax: 907-269-8196 Email: [email protected] ...... Alaska Public Health Nurses Conference April 15-17, 2014 Hotel Captain Cook – Anchorage, Alaska https://www.signup4.net/public/ ap.aspx?EID=2014995E&OID=50 ......

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