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MAGAZINE OLUME 51, NO. 2 NO. 51, OLUME V

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WASHINGTON WASHINGTON STATE NURSES ASSOCIATION NURSES STATE WASHINGTON

A PUBLICATION OF THE OF PUBLICATION A

NURSE THE THE

THE WASHINGTON NURSE Biennial Report WSNA elections 2021 Washington State Nurses Convention VOLUME 51, NO. 2 SPRING/SUMMER 2021 Why I give...

WASHINGTON STATE QUITLINE Since 2000, the Washington State Quitline has helped tens of thousands of Washingtonians quit smoking. Easily refer your patients at Quitline.com for free one-on-one counseling from a Certified Tobacco Treatment Specialist. Your patients “I believe in supporting may also be eligible for free medication and a tailored plan to help them quit smoking, vaping, or other tobacco. No insurance required. the WSNA-PAC so that we can advocate for candidates who will ...... go to Olympia and advocate for nurses and patients.” Scan the QR code or visit doh.wa.gov/quitlinetraining to get the new free Quitline resources to help you help your clients live longer, healthier lives. — Clarise Mahler, RN

REFER YOUR PATIENTS AT QUITLINE.COM Learn more at doh.wa.gov/quitlinetraining.

English: 1-800-QUIT-NOW (1-800-784-8669) • Español: 1-855-DÉJELO-YA (1-855-335-3569) Both numbers are toll-free and offer translation in 240+ languages Learn more about WSNA-PAC and make your contribution at wsna.org/pac To request this document in another format, call 1-800-525-0127. Deaf or hard of hearing customers, please call 711 (Washington Relay) or email [email protected]. ARE YOU TAKING OUR ADVANTAGE OF THESE MEMBER BENEFITS? STRENGTH COMES FROM

Savings of up to 40% on general dentistry and EACH Significant discounts on 35% on specialty dentistry 2021 Washington State Nurses Convention ANCC certification Speakers Elections and appointments 2021 Resolution: Supporting Diversity, Equity and Inclusion OTHER PAGE 8

SPRING/SUMMER 2021 NURSING PRACTICE 2019-21 BIENNIAL REPORT 62 Accepting constructive WSNA members are eligible to apply for criticism Legal and identity theft the $2,500 Healthcare Partners Fund FRONT protection at a reduced rate scholarship and to receive a 5% discount on 63 New online courses help you tuition for four terms when enrolled in one of 5 Letter from the President 26 Introduction 54 Elected and earn CNE and enhance your many nursing-related programs appointed officers professional competency 6 News briefs 28 Strategic priorities 55 Staff organization chart 64 Nurses’ guide to mental 6 Calendar 30 Health access 56 Affiliations and related health support services 32 Safe staffing organizations CONVENTION 36 Nursing practice 58 Central Washington IN MEMORIAM 8 Our strength comes Region Nurses from each other 38 Action on 2019 66 Joan Therese Garner resolutions Association 10 Featuring... 40 Quality and safety 58 Inland Empire Nurses REGIONAL EVENTS 12 Meet the candidates Association WSNA members have access to these and many 67 for 2021 elections 45 Membership growth King County Nurses and engagement 59 King County Nurses Association other benefits through WSNA, ANA and AFT.* 13 How to vote for elected offices Association 48 Occupational and 67 Rainier Olympic Nurses 21 Call for appointments environmental health 59 Northwest Region Association Learn more at wsna.org/membership/benefits. Nurses Association 22 2021 WSNA resolution: 49 Association vitality MEMBERS AND STAFF Supporting Diversity, 60 Rainier Olympic Equity and Inclusion 50 Statements on systemic Nurses Association 68 Kyla Arama delivers life- racism and health equity * AFT benefits apply only for those members who are 61 Southwest Region saving care in West Africa represented by WSNA for collective bargaining 24 Why I give: WSNF donors are stepping up to support 52 Where your dues go Nurses Association 70 WSNA staff updates nurses in need 53 Volunteer organization chart PHOTOS COVER AND THIS PAGE: BEN TILDEN BEN PAGE: THIS AND COVER PHOTOS

SPRING/SUMMER 2021 THE WASHINGTON NURSE 3 LETTER FROM THE PRESIDENT

VOLUME 52, ISSUE 2 • SPRING/SUMMER 2021 ADVERTISING CONTRIBUTOR GUIDELINES DESIGNED AND PRINTED IN WASHINGTON STATE Copyright 2021, WSNA. No part of this publication Information on advertising WSNA welcomes the submission may be reproduced without permission. rates may be obtained from the of manuscripts and artwork. Executive Editor I ATTENDED MY FIRST WSNA CONVENTION IN SEATTLE The Washington Nurse (ISSN# 0734-5666) is WSNA website or by contacting Please contact Ruth Schubert Sally Watkins published by the Washington State Nurses Association Martin Hsiung at (206) 575-7979. at [email protected] with in 1981. At the time, I was working in Tacoma in an inpatient Editor and distributed as a benefit of membership to all Advertising is accepted on a submissions, article ideas or psychiatric unit — my first job out of nursing school. I heard WSNA members. A member subscription rate of $10 first-come, first-served basis for further questions. It is not Jennifer Carson per year is included in WSNA membership dues. The preferred positions depending the policy of WSNA to pay for Designer about the convention because my facility was represented institutional subscription rate is $30 per year (Canada/ on space availability. WSNA articles or artwork. Ben Tilden by WSNA for collective bargaining. It was from that gath- Mexico: US$36 per year; foreign: US$49 per year). reserves the right to reject The information in this magazine is for the benefit advertising. Paid advertisements ering that I knew I wanted to be a part of this association. of WSNA members. The Washington Nurse provides in The Washington Nurse do The convention was dynamic and full of energy. The a forum for members of all specialties and interests not necessarily reflect the to express their opinions. Opinions expressed in endorsement of WSNA members, speakers’ topics were innovative and challenging. Atten- the magazine are the responsibility of the authors staff or the organization. dance was impressive, and I was exposed to “movers and and do not necessarily reflect the opinions of the officers or membership of WSNA unless so stated. shakers” in the world of health care. I met nurses from all over the state; it was the first time I started networking. This was helpful in gathering information about prospective facilities where I was interested in working. In 1981, Judy Huntington was the president of WSNA. It was amazing how well that woman could speak! I recently visited with Judy to share memories of that convention 40 years ago. After rereading the speech she gave to nurses in 1981, Judy exclaimed, “Oh yes, it was a busy time!” One of the issues brought forward to the House of Delegates (now known as the General STAFF Assembly) was about the entry into practice: Were we setting our goals for the RN entry level to be 575 Andover Park West Executive Director Senior Web and Design Specialist the baccalaureate degree or the associate degree? Today, we have come a long way on this issue. Suite 101 Zachary Seikel Sally Watkins, PhD, RN Ben Tilden Seattle, WA 98188 Nurse Organizers In 2019, the Washington Center for Nursing reported that 58.9% of practicing RNs statewide have (206) 575-7979 Executive Assistant Labor and Operations Tara Barnes, RN BSN degrees. WSNA began advocating streamlining the process of AD-to-BSN education years ago. [email protected] Mary Mainville Executive Officer Will Nesper, RN Then and now, the Washington State Nurses Convention is a time to come together and address Anne Tan Piazza, MBA Visit our website at wsna.org. Administrative Assistants Ryan Rosenkranz, BSN, RN, CCRN the greatest challenges of the time and set a course for the future. As Judy said in her 1981 speech, Joline Railey Director of Labor and General Counsel and Director “As individuals, it is impossible to monitor and respond to all the challenges and changes impacting Jeremy Raughton Organizing Strategies of Collective Bargaining Gerard Friesz Michael Sanderson us daily. Yet, the very economy and survival of our profession demands that we do. It is through BOARD OF DIRECTORS Receptionist Matty Whitman Associate Director of Labor Counsel our nursing associations and our united efforts that we have the greatest potential for power President Labor Advocacy Pamela Chandran Lynnette Vehrs, MN, RN (Spokane) Office Manager and influence.” Jayson Dick, MBA, BSN, RN Jacob Harksen Martin Hsiung At this year’s Convention, taking place April 28–29, we will zero in on the vital issues of today. Vice President Nurse Representatives Senior Labor Consultant Jennifer A. Graves, RN (Seattle) Director of Finance We’ll consider the Board resolution on diversity, equity and inclusion and have Dr. Ben Danielson Brenda Balogh, RN Christine Watts, MN, RN Mary Reed Secretary / Treasurer Sue Dunlap, RN speaking about creating a culture of anti-racism in health care. Keynote speakers and panelists Chief General Counsel Vee Sutherlin, MSN, RN, MEd (Nine Mile Falls) Accounting Specialist Travis Elmore, BSN, RN, RN-BC will address the experience and lessons of the COVID-19 crisis on nursing. Just as importantly, Timothy Sears Hue Tran Sara Frey, JD, BSN, RN Chair, Cabinet on Economic and General Welfare we’ll hear about cultivating kindness — something we all need right now after what we’ve been Barbara Friesen, BSN, RN Paralegal Julia Barcott, RN (Yakima) Finance Program Manager Carmen Garrison, BSN, RN Jeanna Te-LaCevita through in 2020! Patrick McGraw Chair, Legislative and Health Policy Council Mara Kieval, BSN, RN Yes, it will be a virtual meeting, but that will not take away the joy of coming together, sharing Strategic Researcher Justin Gill, DNP, ARNP, RN (Gig Harbor) Membership Specialist Sydne James, BSN, RN Ian Mikusko stories and advocating for all of us! Our speakers and agenda are vibrant and interesting, and we Katie Parrish Chair, Professional Nursing and Health Care Council Michelle Moore, BSN, RN, IBCLC Director of Nursing Practice are working to instill a sense that we’re all coming together to support each other and celebrate our Chuck Cumiskey, MBA, BSN, RN (Olympia) Membership Associates Bret Percival, RN Gloria Brigham, EdD, MN, RN Kelly King Shawn Reed, RN accomplishments. The Washington State Nurses Convention will not be a disappointment. Directors-at-Large Anna Murray Laurie Robinson, RN Education Director I look forward to (virtually) seeing you all April 28 and 29! Christina Bradley, MSN, RN (Tacoma) Shastie Steinshouer Samuel Scholl, BSN, RN Megan Kilpatrick, MSN, Susan Glass, MS, RN (Spokane) Jaclyn Smedley, BSN, RN ARNP-CNS, AOCNS Adam Halvorsen, BSN, RN (Richland) Director of Marketing and Janet Stewart, RN Communications Rosa Young, MSN, RN, MPA (Seattle) Hanna Welander, BSN, RN Director of Public Affairs Ruth Schubert Ed Zercher, BSN, RN Jennifer Muhm, MPA Marketing and Communications Lynnette Vehrs, MN, RN Resource Nurse Representative Public Affairs Associate Director Program Manager Terri Williams, MS, RN Katharine Weiss, MPA WSNA President Jennifer Carson Organizers Digital Media Specialist Crystal Doll Matthew Vivion Anne Mansfield PHOTO: MERYL SCHENKER MERYL PHOTO:

SPRING/SUMMER 2021 THE WASHINGTON NURSE 5 NEWS BRIEFS • CALENDAR NEWS BRIEFS NEWS BRIEFS FROM THE EXECUTIVE DIRECTOR

ANA launches National Commission WELCOME Dear WSNA members, CALENDAR to Address Racism in Nursing After much thought and many sleepless In January, leading nursing organizations National Black Nurses Association (NBNA), APRIL 2021 Welcome Pacific-Northwest convened for the inaugural meeting National Coalition of Ethnic Minority Nurse nights, I decided to retire and resign my 28-29 Washington State to launch the National Commission to Associations (NCEMNA) and National Asso- position as WSNA’s executive director Nurses Convention Address Racism in Nursing (the Commis- ciation of Hispanic Nurses (NAHN). The by the beginning of October 2021. Chinese Nurses Association as a sion). The Commission will examine the Commission members and organizations 29 Elections – deadline I notified the WSNA Board of Directors, for nominations issue of racism within nursing nation- represent a broad continuum of nursing new organizational affiliate wide and describe the impact on nurses, practice, ethnically diverse groups and as well as WSNA staff, of this decision patients, communities and health care regions across the country. in November. I provided a year’s notice wsna is excited to announce its newest organizational affiliate, the Pacific-Northwest MAY 2021 systems to motivate all nurses to confront WSNA is part of the ANA Western to give the board ample time to engage Chinese Nurses Association (PCNA). PCNA is committed to uniting and celebrating systemic racism. Region of Constituent and State Nurses in a national search and to be able to nursing among the Chinese American nursing community — aiming to establish a 11 Elections – deadline The Commission is being led by the Associations and will be contributing to to mail ballots assist with a smooth transition as the platform for its members to make connections and exchange career resources, as American Nurses Association (ANA), the Commission. ■ next executive director is selected. well as diversify future nursing workforce and improve minority health status. 17 Legislative & Health Policy Council By October 2021, I will have been Our new partnership with PCNA will allow us to incorporate more diverse voices 31 Memorial Day – office closed in this role for almost five years and will and perspectives into our work of advocating for all nurses in Washington state. have practiced as a registered nurse The WSNA Board of Directors created the organizational affiliate program to bring together the expertise and voices of nursing. Together, we more effectively JUNE 2021 for more than 45 years. It has been Congratulations to 2020 an awesome experience and quite advocate for the varied needs of nurses and the future of the profession. 1 Education Steering The WSNA Board grants organizational affiliate status to organizations of regis- Committee Nurse of the Year award winners the journey! From my perspective, no tered nurses that meet certain criteria, including having a formal organizational 7 Legislative and Health career could be more fulfilling. I have in december, March of Dimes honored 18 nurses in Washington state structure and established formal goals. Our organizational affiliates are represented Policy Council never been bored! I am very proud of with 2020 Nurse of the Year awards. These annual awards are given all we have accomplished and sincerely in the WSNA General Assembly, have a voting seat on the Professional Nursing and 8 Elections – ballot tabulation to extraordinary nurses in all areas of the nursing profession across look forward to being able to stay Health Care Council, and are entitled to submit the names of qualified registered 10 Nominating and the state. nurse representatives for appointment to ad hoc groups and task forces. ■ Search Committee WSNA is proud to recognize three of our members who received involved in different capacities. 18 ANA Membership Assembly a 2020 Nurse of the Year award: Thank you for the opportunity to 25 Finance and Executive serve WSNA as the executive director. Committee Crystal Almazan, RN Bloodworks Northwest nurse or thank the entire nursing wages, hours and working MULTICARE TACOMA GENERAL HOSPITAL profession. Appointments (and conditions of bargaining unit Crystal received the Clinical Care award, which is given to hold “Thank a masks) are required to give members across the state. JULY 2021 Sally Watkins, PhD, RN Nurse” blood drive to nurses who demonstrate excellence in delivering blood. Congratulations to the 5 Independence care directly to patients in any clinical setting. Executive Director during Nurses Week BWNW is an independent, Spokane Regional Health Day – office closed Bloodworks Northwest (BWNW) non-profit organization that has District, Seattle/King County Chad Markward, RN will honor Washington’s nurses provided a safe, lifesaving blood Public Health – Staff, Seattle/ SEATTLE CHILDREN’S AUGUST 2021 with a “Thank a Nurse” Virtual supply to 95% of hospitals in the King County Health – Super- Chad received the Behavioral Health Pacific Northwest for over 70 visors and Whatcom County Blood Drive during Nurses TBD Board of Directors award, which is given to nurses who work in Week, May 6 to 12. Every year years. For more information, visit Health Department on mental health and addictive services. during Nurses Week, nurses are bloodworksnw.org. ■ negotiating and ratifying honored for the vital role they successor agreements. In SEPTEMBER 2021 Courtney Pittman, BSN, RN addition, congratulations go play in the health and well-being EVERGREENHEALTH of communities. This year, it’s out to members at PeaceHealth 6 Labor Day – office closed Local Units continue to Courtney received the Emergency award, which even more important to honor United General Medical Center negotiate agreements is given to nurses who work in emergency nurses’ life-saving contributions for ratifying an agreement that during the pandemic OCTOBER 2021 rooms, flight services or ambulance services. during the COVID-19 pandemic. extends contract coverage for Please encourage members During the COVID-19 pandemic, RN case managers who recently 7 Constituent Candidates for Nurse of the Year awards are nominated by their of your personal and profes- WSNA Local Unit leaders and voted to join WSNA. Representative Council sional networks to donate blood negotiating team members For information about your colleagues. If you’d like to nominate a fellow nurse for a 2021 Nurse during Nurses Week using the continue to meet with manage- Local Unit, visit wsna.org/union/ of the Year award, visit nurseoftheyear.marchofdimes.org to learn donor code NURS to honor a ment to negotiate successor local-units. ■ more. Nominations are scheduled to open in May. ■ agreements that address the

6 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 7 CONVENTION CONVENTION

OUR STRENGTH COMES FROM In 2019, the World Health Organi- as the Year of the Nurse for other We are strong, but we need each In the pages that follow, you’ll learn We look forward to zation named 2020 as the Inter- reasons: the innumerable and other to help us keep going. During more about our virtual 2021 Washington seeing you on our national Year of the Nurse and enormous sacrifices nurses this year’s Washington State Nurses State Nurses Convention. By attending computer screens EACH OTHER Midwife — meant to celebrate the have made during the COVID-19 Convention, we hope nurses across this year’s convention, we hope you will April 28 and 29. 200th birthday of Florence Night- pandemic. Washington state will feel connected to feel better equipped to lead change, Washington State Nurses Convention ingale and highlight the impor- Nurses do what nobody else and supported by others who have also improve health and just keep going Online April 28-29, 2021 tance of nurses and midwives. will do, in ways nobody else can felt the heavy weight of the pandemic in 2021. But 2020 widely became known do, in spite of all we go through. on their shoulders.

8 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 9 CONVENTION | SPEAKERS CONVENTION | SPEAKERS FEATURING…

Craig Clapper, PE, CMQ/OE Linda Cohen Jennifer Graves, MS, RN Katie Haerling, PhD, RN, CHSE Safety expert Professional speaker and consultant Vice President, Washington Associate Professor, University State Nurses Association of Washington – Tacoma Craig Clapper is a consulting engineer Linda Cohen works with who has 30 years of experience associations and leaders to improve Jennifer Graves has been a proud Katie Haerling is an associate professor improving reliability in power, transpor- communication, boost teamwork member of the health care community at the University of Washington tation, manufacturing and health care. and improve the client experience in the Pacific Northwest for her Tacoma’s School of Nursing and He specializes in failure analysis, event through further engagement in acts entire, multi-decade career. Before Healthcare Leadership. Katie’s recent analysis, reliability improvement and of kindness. Linda’s first book, “1,000 joining Kaiser Permanente as the Vice research includes examining student safety culture improvements. Mitzvahs: How Small Acts of Kindness President for Quality and Safety in and faculty experiences debriefing Prior to entering private practice, Can Heal, Inspire and Change Your both the Northwest and Washington after virtual simulation activities and Craig worked for multiple consulting Life,” is an inspirational guide to a life Markets and serving as the Regional comparing the cost-effectiveness companies, including Healthcare of gratitude. Chief Nursing Executive in Washington, of virtual and mannequin-based Performance Improvement (HPI), Jennifer was the Senior Vice President simulation activities. Performance Improvement Interna- for Patient Safety and Quality at the tional, and Failure Prevention Inc (FPI). Washington State Hospital Association.

Ben Danielson, MD Roxanne Filson, MBA Jennifer Muhm Cheryl Peterson, MSN, RN Clinical Professor, Department of Program Manager, Health Care Division, Director of Public Affairs, Washington Vice President for Nursing Programs, Pediatrics, University of Washington Aon, Affinity Insurance Services, Inc. State Nurses Association American Nurses Association Dr. Ben Danielson is a pediatrician and Roxanne Filson is a program manager Jennifer Muhm has worked in public Cheryl Peterson is the Vice President advocate for the health and well-being in the health care division of Aon’s affairs for 20 years, specializing in of Nursing Programs at the American of children and families with low Affinity Insurance Services, Inc. — government relations and political Nurses Association. In this role, incomes. For 20 years, he served as the where she works with more than 70 communications. In her role as she provides senior leadership to medical director of Seattle Children’s national, state and specialty health Director of Public Affairs for WSNA, departments responsible for guiding Odessa Brown Children’s Clinic — a care professional organizations. Jennifer led efforts to pass the Rest policy development, as well as post he resigned from in November Roxanne has been part of the Affinity Breaks and Overtime Protection and advises the ANA CEO, president and 2020 to protest what he identified as team for eight years and frequently Workplace Violence bills in 2019. She membership on the full range of policy racist and discriminatory practices presents at professional organization has served as a key liaison with the and practice issues facing the nursing at Seattle Children’s. He is currently a meetings on health care risk Governor’s Office and other state profession. clinical professor of pediatrics at the management and other insurance- agencies throughout the COVID-19 University of Washington. related topics. crisis, fighting for the protections and supports nurses need.

CONVENTION KEY DETAILS Suzanne Gordon Molly Voris Journalist and author Special Advisor for Pandemic Health WHEN CNE PRICING REGISTRATION Response and Senior Policy Advisor for Suzanne Gordon is an award-winning Public Health and Health Care, Office of journalist and author who writes April 28-29, 2021 Earn up to 8.25 CNEs. This is a $100 Standard rate Visit nurseconventionwa.org Washington State Governor Jay Inslee live, virtual event and live partici- to register online. Registration about health care delivery and health $50 WSNA members using pation is required to obtain CNE. closes at 11:59 p.m. Sunday, care systems and patient safety. She WHERE ANA Premier Member Molly Voris is the Special Advisor April 25. for Pandemic Health Response and has published several books about Online. Attendees will receive an discount code ANA50 SPEAKERS the Senior Policy Advisor for Public nursing’s contribution to health care. access link via email prior to the WSNA members, be sure to Suzanne coined the term first day of the convention. To learn more about our TECHNICAL RECOMMENDATIONS use your ANA Premier Member Health and Health Care for Washington presentations and speakers, discount code (look for the Governor Jay Inslee. In these roles, she “Team Intelligence” to describe the To ensure the best possible virtual visit nurseconventionwa.org. “Enter promo code” link on the advises the governor on the state’s constellation of skills and knowledge AGENDA experience, we recommend registration form) to get the needed to build the kind of teams upon accessing the convention on a discounted registration rate. COVID-19 health response, leads policy Visit nurseconventionwa.org to development and provides guidance which patient safety depends. view the full convention agenda. desktop or tablet. on health care issues.

10 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 11 CONVENTION | CANDIDATES FOR ELECTION CONVENTION | CANDIDATES FOR ELECTION

ON THE BALLOT BOARD OF DIRECTORS care system, and this can also be done through the legislative process. I have „ HOW TO VOTE FOR ELECTED OFFICES been a member of the Washington PRESIDENT State Universal Health Care Work Group Meet the from September 2019 to present. I am a The 2021 WSNA Elections will than are eligible to be elected, Voting procedure for Cabinet on Economic and General occur by mail ballot following that portion of your ballot will elected offices Welfare — including the Economic strong advocate for nurses and patients. Lynnette Vehrs, MN, RN the 2021 WSNA General be invalidated and will not be The process for voting by mail and General Welfare Nominating/ candidates for I am asking for your vote to elect me to Inland Empire Nurses Association Assembly meeting on April 28. counted. Write-in candidates on ballot shall be in compliance with Search Committee and delegates Spokane a second term as your WSNA President.” All eligible WSNA members* will the ballot are allowed. the WSNA bylaws and procedures to the 2022 AFT Convention. 2021 elections receive a ballot via the mailing To be counted, all mail established by the WSNA Board An up-to-date list of members Education: Baccalaureate, Washington address we have on file. To ballots must be returned no running for election and their State University; Master’s, Washington State of Directors. The WSNA Nominations / Search Committee and the update your mailing address, later than 4:30 p.m. June 7, 2021. All WSNA members are candidate profiles, including University. Position: Retired; volunteering VICE PRESIDENT visit wsna.org/membership/ Please mail your ballot early self-declared candidates, can Economic and General Welfare (E&GW) Nominating / at homeless medical clinic. Present office: eligible to vote for elected WSNA update-info. to ensure it arrives at Integrity officers, members of the Board of be found at www.wsna.org/ Search Committee thank all of the nurses who have WSNA President. Past office: Legislative and Be sure to carefully follow Voting Systems prior to June news/2021/2021-wsna-elec- Health Policy Council — eight years total with Justin Gill, DNP, NP Directors, councils and the WSNA chosen to run for elected office this year. WSNA is the voting instructions enclosed 7. Ballots will be counted by Nominations/Search Committee. tions. Attendees of the virtual four of the years as the chairwoman; Inland Northwest Regional Nurses Association with your ballot and use the Integrity Voting Systems and 2021 Washington State Nurses a member-driven organization; YOU are WSNA, and Empire Nurses Association Board of Directors Bothell All members who are registered volunteer, elected leaders like you are essential to enclosed voting envelopes. official election results declared nurses may also vote for delegates Convention may also view the and President. Certifications, honors and Education: ADN, Whatcom Community For each position listed on the on June 8, 2021. slate of candidates during the awards: Lifetime Achievement Award for to the ANA Membership Assembly. keeping members’ voices at the forefront. College; DNP, Yale University. Position: Nurse ballot, do NOT vote for more *In order to receive a ballot and be Only members who are convention via the online event All members featured in these pages have IENA. Professional memberships: ANA/WSNA/ Practitioner, Providence Medical Group. Prior candidates than the total platform. IENA, League of Women Voters, Health Care eligible to vote, you must be a duly represented for collective consented to run for WSNA elected offices (as of positions: Nurse Practitioner, CHI Franciscan; number eligible to be elected. accredited member of WSNA on or bargaining (union members) for All-WA. Nurse Practitioner, Skagit Regional health; If you vote for more candidates February 2021) and will be included on the ballot. before March 28, 2021. may vote for members of the “I envision Washington State Nurses Registered Nurse, PeaceHealth & Skagit Valley Elections will take place by secret mail ballot shortly Hospital PCU/Cardiac. Present office: Chair, Association as an organization of following the conclusion of the 2021 Washington State Legislative and Health Policy Council. Past power and influence. This was well office:Council Member, Legislative and Health Nurses Convention. demonstrated at the beginning and Policy Council; ANA-PAC Board of Trustees; Committee Member 2016, WSNA Delegate to WSLC during the COVID pandemic. It is ANA Presidential Endorsement Advisory SECRETARY TREASURER DIRECTOR AT-LARGE (3 POSITIONS) 2017, AFT Delegate 2017-2018, elected Delegate to amazing how much has changed in a Taskforce Certifications. Certifications, honors the ANA 2020 Membership Assembly. Appointed It’s not too late to self-declare year. Every step of the way, WSNA has and awards: ANA Nurse Advocate Award 2014; Attendee to the 2018 ANA Quality and Innovation Whatcom Community College Foundation Martha Marie Goodall, ADN, RN Phoebe Dang Lim-Vuong, MSN, DNP-FNP Conference Orlando, Florida. Certifications, honors or be nominated! been there working closely with the Members who want to self-declare their candidacy Board (2021). Professional memberships: Inland Empire Nurses Association King County Nurses Association and awards: Daisy Award at St. Joseph Medical Governor’s Office, the Department of ANA, WSNA, ARNPs United of Washington State. Mead Kent Center 2018, CMSRN, Food Service Director of Year. for an elected office, or express interest in appointed Health, Washington State Public Health Professional memberships: WSNA, UFCW21, ANA, “As a member of WSNA since becoming Education: ADN, Spokane Community College. Education: MSN, Rush University; DNP-FNP candidate positions, may still do so by submitting a Consent to along with multiple hospitals and clinics. Employer: Providence Holy Family Hospital. Current 2023, Johns Hopkins University; BS, Biochemistry, ONS member, Puget Sound ONS member, AMSN Serve form by 5 p.m. on April 28 (the day of General The entire focus was advocating for a registered nurse, I feel that WSNA has Offices:Board of Directors Secretary/Treasurer, ANA University of Washington. Employer: Zoom+Care Academy of Medical Surgical Nurses. been a major piece of my professional Assembly). Consent to Serve forms may be submitted our nurses and the patients they care Delegate, Providence Holy Family Hospital Local Unit Prior position: Charge Nurse, DaVita Dialysis. “I have been a registered nurse for 11 years identity. I have had the opportunity to Chair, Conference/Staffing Committees, Inland Honors and Awards: Clinical Nurse Leader, member electronically or via postal mail. For more information for. We have opened our minds and after a 30-year career managing large food hearts to the discrimination of people serve as a member and chair of the Empire Nurses Association. Certifications, honors of the Sigma Theta Tau honor society. Professional and to submit a form, visit wsna.org/serve. Nomina- and awards: WSNA outstanding Local Unit Chair, memberships: ANA, ANNA, AANP. service operations at Boeing, Microsoft and of color. We are listening and building Legislative and Health Policy Council. I tions will also be accepted during our virtual General believe that nursing needs to be present Habitat for Humanity Build. Professional member- the FAA and Hospitals and Restaurants. I new pathways to be diverse, inclusive ships: WSNA, AFT, ANA, IENA. Assembly. Those nominated during General Assembly at every policy discussion at the state, knew it was the right profession for me and equitable with our population of John J. Gustafson, RN because I saw how much nurses helped my will also appear on the mailed ballot. national and international level. I am “I have been active in WSNA since I became Rainier Olympic Nurses Association nurses and the public we take care of. mom who had cancer for 18 months and her committed to promoting the role of a registered nurse. Currently I serve on Poulsbo All WSNA members in good standing, whether or WSNA has Hope! We have Hope for our last 18 days of life. The nurses helped make nurses at every level of health care the Cabinet as Secretary/Treasurer and as Education: AAS, ADN Nursing Tacoma Community not you are represented for collective bargaining by future. We have Hope for better and things better for my mom. After becoming WSNA, have the right to run for and/​or be appointed safer working conditions. We have Hope delivery. I look forward to the opportu- Providence Holy Family Hospital Local Unit College. Position: Registered Nurse, Certified nity to serving WSNA further through Chair. By being involved, I hope to help mold Medical-Surgical Registered Nurse, CHI St. Michael a nurse, I decided to lean in and learn all I to the WSNA Board of Directors, Councils and Commit- for the citizens of Washington state for continued membership on the Board of the future of nursing.” Medical Center. Prior positions: Certified Nurse could about the profession and I simply fell in tees and as a WSNA delegate to the 2021-2023 Amer- patient safety laws and practice. I wish Tech and Certified Nursing Assistant, St Joseph love with WSNA. The history and the people to continue on this pathway as your Directors.” ican Nurses Association (ANA) Membership Assembly. Medical Center; 30-year professional management are mind blowing... My eyes are wide open. WSNA President. I started in Tacoma as experience including dietary manager experience There is a phrase that AFT has that I heard Only WSNA members represented for collective at Valley Medical Center and San Joaquin General a psychiatric nurse, cardiac intensive for the first time when I was a WSNA Nurse bargaining (union members) have the right to run for Hospital and at large food service operations at care, and then a skilled home care nurse delegate in Pittsburgh (Stand up, Speak up, the WSNA Cabinet on Economic and General Welfare Boeing, Microsoft and Federal Aviation Adminis- for 18 years. I retired from teaching at tration. Past office: Cabinet member Economic, and Show up.) I realized I did that, always have. and the E&GW Nominating / ​Search Committee, as Washington State University College General Welfare 2017-2019; Bargaining Team Member I also know I will continue to do it for as well as a delegate to the 2022 American Federation of Nursing. I have worked at all of my 2018-2019 St. Joseph Medical Center; appointed long as I live. The nursing profession means of Teachers (AFT) Convention. patient care facilities under a WSNA PAC Board of Trustees 2017-Present. St. Joseph everything to me because as a bedside contract. I am a very strong supporter Medical Center elected Grievance Officer 2016-2019, Co-Chair of Nurse Staffing Committee, Conference nurse I get a unique opportunity every day of our collective bargaining agreements to do whatever I can to make things better and the union branch of WSNA. I am for the patients. At the same time, I also can passionate about quality health care. I advocate for the profession by listening want constructive changes to our health and observing and helping to make things

12 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 13 CONVENTION | CANDIDATES FOR ELECTION CONVENTION | CANDIDATES FOR ELECTION

better on a wider scale for the Nurses and allowed me to leverage my experiences to supported by WSNA and its membership to Brenda Shaw, BSN, MSN-Ed., RN many others. During the pandemic, our share and engage WSNA by bringing another meet the needs of Washington state nurses Inland Empire Nurses Association ADMINISTRATION RESEARCH hospital and my floor had two outbreaks and voice to the table for the community/public and the people we serve with both passion Spokane I advocated for safer PPE and PAPRs with health challenges. I have a strong back- and dedication.” Education: RN, Christ Hospital School of Nursing, Rachel Wang, MHA, BSN, RN Anne Hirsch, PhD, BSN success. I also reached out to my co-workers ground as an educator and policy maker that Cincinnati, OH; MSNEd, Western Governors King County Nurses Association King County Nurses Association if there were things I could do to help them. I continues to be a priority for me to remain University; EdD, Liberty University. Position: Retired Martha Galvez, RNC Seattle Seattle appreciate what UFCW21, SEIU and WSNA did informed and engaged. As an active clinician Prior positions: Sacred Heart Medical Center – Staff Southeast Region Nurses Association Nurse, Charge Nurse, Assistant Mgr. Student Mentor. Education: BSN, Seattle University; MHA, University Education: BSN, Washington State University; PhD, together for us. There are future opportuni- addressing the social determinants of health Pasco of Washington. Position: NeighborCare Health, Indiana University. Position: Associate Dean for ties working together. Safe Nurse Staffing and health disparities the opportunity to (Med-Surg, ICU, Oncology, Outpatient, Cardiac Education: Associate Degree in Nursing. Position: Step-down.) Director of Nursing District: King County. Present Academic Affairs, University of Washington School of Matters and Nursing Complaints are Gifts and engage, dialogue, get the job done so we can Staff Nurse, Kadlec Medical Center.Current office: office: PNHCC member 2017-2021. Certifications, Nursing. Prior positions: Seattle University Associate opportunities to improve and as Co-Chair of get health care to all. The changes in delivery Kadlec Medical Center Local Unit Chair, WSNA-PAC “Motivation comes from the willingness to honors and awards: Ambulatory care board Dean; Washington State University Senior Associate the Staffing Committee at my hospital I can of health care have moved well beyond the Trustee. Certifications, honors and awards: Certi- stay involved with WSNA, allowing me to stay certification. Dean/Interim Dean; Pacific Lutheran University reach out to nurses and ask them what they hospital as we engage in telehealth and fication in Perinatal Nursing ANCC. Professional up on current nursing trends, etc.” Associate and Interim Dean. Certifications, honors memberships: ANA. and awards: KCNA Shining Star Award, AAN and need to resolve a complaint. Resolutions virtual care for those most vulnerable with Suzanne Scott, RN, MSN, NEA-BC FAANP. matter. As a Trustee for the PAC Board, I a lens of diversity, equity and inclusiveness. “Stay involved and informed in current labor Rainier Olympic Nurses Association have a say and have influence to advocate The work of WSNA is never done and it takes and nursing policies.” PROFESSIONAL NURSING Lacey for issues and legislation most important for the membership to drive our future and get Education: Virginia Commonwealth University, PRACTICE nurses. I have passion, empathy and compas- safe, quality and innovative care to all.” AND HEALTH CARE COUNCIL Medical College of Virginia and University of sion in my soul. I will work hard during my WSNA NOMINATIONS / Colorado Health Sciences Center. Position: Chief term to make improvements and serve the Nursing Officer, Southwest Service Area, Providence Angelica Joy Schmidt, MSN PH, BSN St Joseph Health. Prior position: U.S. Army Nurse profession and organization I love to the best SEARCH COMMITTEE CHAIR King County Nurses Association DIRECTOR AT-LARGE, Corps. Certifications, honors and awards: Inductee, Seattle of my ability. I would appreciate your support Order of Military Medical Merit 9A proficiency desig- STAFF NURSE (2 POSITIONS) Education: BSN, Grand Canyon University; MSN and vote. I will never sit on the sidelines.” Charles C. Cumiskey, MBA, BSN, RN nation (Army certified expert in nursing), ANCC Nurse Public Health, Grand Canyon University. Position: MEMBER (4 POSITIONS) Rainier Olympic Nurses Association Executive, Advanced Board Certification. Sara Morgan Bergenholtz, RN Olympia Evening Care Nurse (PACU), Seattle Children’s Hospital. Prior positions: Travel Nurse – pediatric Heather Stephen-Selby, MSN, FNP North Central Washington Region Nurses Education: Good Samaritan School of Nursing, Susan Baek, RN ER and PACU; RN, Phoenix Children’s Hospital ER. King County Nurses Association Association Portland, OR; BSN, Saint Martin University, Lacey, King County Nurses Association Present office: Local Unit PACU – charge nurse; Renton Wenatchee WA; MBA, University of Washington Tacoma. Federal Way ETHICS AND HUMAN RIGHTS housewide Healthy Work Environment Committee Education: ADN, Vancouver General Hospital Education: AST, Wenatchee Valley College; BSN, Position: Chief, Patient Logistics Center, Madigan Education: Kyoungki University, Inchon, Korea. Chair. Certifications, honors and awards: CPEN School of Nursing; MSN, Seattle University College WGU. Position: Staff Nurse, Confluence Health: Army Hospital Center. Prior positions: Nursing Care Position: Staff Nurse, Virginia Mason Medical Center. Rosa Dell Young, MSN, MPA, BSN (expired), CPN (expired). Professional memberships: of Nursing; AAS Business, Kwa University. Position: Central Washington Hospital, Medical-Behavioral Quality Assurance Commission (NCQAC) 2001 – 2012 Prior positions: Nurse manager at St. Joseph Medical King County Nurses Association WSNA, ANA. Director Clinical Services, HealthPoint Community Health. Prior positions: LPN, Midvalley Hospital, Practice Manager Commission; GroupHealth; Sisters Center, Tacoma; House Supervisor at St. Francis Seattle Health. Prior positions: WSNA Assistant Executive Omak WA. Certifications, honors and awards: of Providence. Present office: Chair, Professional Hospital, Federal Way. Current office: Virginia Mason Director of Nursing Practice and Education; Spokane COVID Vaccine Clinic (Education and administration Nursing and Health Care Council. Past office: Profes- Education: BSN, Seattle University; MSN, Seattle Local unit secretary and treasurer. Professional Community College Student Health Director and of vaccines), volunteering at the Humane Society. sional Nursing and Health Care Council, 2017-2019 University; MPA, Seattle University. Position: memberships: ANA. FNP; Spokane Community College, Dean of Nursing; Professional memberships: WSNA, ANA. appointed, delegate at ANA Membership Assembly Substitute Nurse, Seattle Public Schools. Prior Rotary Club Provider FNP; Renton Technical College, 2017-2019 and 2019-2021. position: Nursing Supervisor, VA Puget Sound “I am passionate about increasing equal Healthcare System. Certifications, honors and Dean of Nursing and Allied Health; Group Health Susan Glass, MS, RN Family Nurse Practitioner. Certifications, honors and access to quality health care and education “It is our professional responsibly as nurses awards: Sigma Theta Tau; Served in USAFR (20+ Inland Empire Nurses Association awards: Faculty of the Year Renton Technical College, to be involved in our professional organiza- years) Retired LTC; mentoring other young nurses. and supporting healthcare workers’ rights Spokane Ethics and Human Rights WSNA, Governor’s Award and wellbeing in Washington state. In tion. These are challenging times in health Present offices: WSNA Board Member (2 Terms), Education: BSN, Washington State University; MS KCNA Board, Alternate and Delegate to ANA for Innovation IBEST, Heart of HealthPoint multiple pursuit of this, I have worked to develop and care and in our democracy. We need to be occasions. (Nursing) Arizona State University. Position: Retired. shapers of our future. I’m a strong advocate Membership Assembly. implement a Shared Governance model at Prior positions: VA 15 years, nurse coordinator; WSU “I have been an active member with WSNA my hospital and am currently the elected clinical faculty seven years. Present offices: BOD, for safe staffing and patient safety. I’ve had for several years as an educator, leader, Chair of the Nurse Practice Committee. Each WSNF Board President, Bylaws Committee; IENA the fortune to be a trainer facilitator for Team Vesna Javanovich, BS, RN innovator, clinician and a former employee. of these endeavors presents the chance to treasurer and Investment Committee. Professional STEPPS, Crucial Conversations and Arbinger King County Nurses Association I strongly believe the work of WSNA carries empower nurses to take ownership of their memberships: ANA, Sigma Theta Tau. Outward Mindset, which all promote and Renton the voice of all nurses whether with the practice and to promote decisions that advocate quality and evidenced-based Education: Lake Washington Institute Of Technology legislature, policies, advocacy or with the put their patients first. I have a talent for communication which is key to evidence- School Of Nursing; Bachelor’s In Business Education, Evette Runyan, RN Nadezda Petrovic Alfa Bk University. Position: Clinical media. Remaining engaged is still exciting consensus building, and as a former political Central Washington Region Nurses Association based leadership. It would be an honor and privilege to serve the WSNA in any way I can Manager / Quality Assurance Specialist, Harvard and an honor to be part of an organization science major, I bring a well-developed Yakima Partners Health. Prior positions: KBC Zemun Medical that continues to lead the nation on understanding of the legislative process Education: Yakima Valley Community College. to serve to strengthen our profession.” Center, CRNA, ICU RN. Present office: PNHCC. workplace safety, scope of practice, and to the table. I feel that now more than ever, Position: Behavior Health Charge RN, Astria policy development that impacts health it is important to raise our voices and use Toppenish Hospital. Prior position: Astria Regional Hospital ACU Charge RN, Preceptor. Present office: care for those who live in our communities. our unique abilities and understanding of Astria Toppenish – Local Unit Secretary/Treasurer. I am a passionate voice for those who are healthcare to effect change. If elected, I will Past office: Secretary/Treasurer at Astria Regional, underserved and underrepresented in our advocate for those laws and policies directly Negotiation Committee, Nurse Practice Committee. communities. My most recent work as an Certifications, honors and awards: Daisy Award FNP and Director with community health has Winner 2018. Professional memberships: ANA, AFT.

14 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 15 CONVENTION | CANDIDATES FOR ELECTION CONVENTION | CANDIDATES FOR ELECTION

is working hard towards making positive Joan Owens, PhD, RN of the toughest challenges of their careers. Joni Hensley, BSN, RN Jessica Lewellen, RN EDUCATION changes towards improving diversity and Inland Empire Nurses Association Nurses are also historically the fiercest Central Washington Region Nurses Association Inland Empire Nurses Association equity within our committee commitments Spokane advocates for their patients — and now, Everson Spokane Antwinett Lee, EdD, MSN-CNS, BSN, RN and WSNA. If elected, I will work to continue Education: ADN, Spokane Community College; more than ever, it is time for us to advocate Education: BSN, Washington State University; Education: Associate Degree, Blue Mountain King County Nurses Association this important work along with the other PhD, University of Northern Colorado. Position: for ourselves. As a Legislative and Health BS Environmental Science, Western Washington Community College, Position: Psychiatric Lynnwood duties of the committee I am selected for.” Associate Dean Undergraduate Nursing, Assistant University. Position: Retired. Prior professional Nurse, Providence Sacred Heart. Prior positions: Professor, Gonzaga University. Prior positions: Policy Council Member for the past four Education: BSN, Michigan State University; MSN, years, I have enjoyed building relationships experience: I was a public health nurse for Whatcom 2007-2009 Montana State Hospital, 2010 Franklin Spokane Community College, Spokane, Co-Nursing County Health Department for 31 years serving Hills Rehabilitation, 2009-present DSHS individual Seattle University; EdD, Seattle University. Position: Department Chair, Instructor; Washington State with our legislators. I also had the honor Interim Dean, School of Health Sciences, Seattle in many capacities in public health throughout respite caregiver. Offices: Participated and volun- AT LARGE University, Spokane, Instructor; Gonzaga University, of being a Fellow in the American Nurses my career. Last professional work experience teered during last negotiations (contacting local Pacific University. Prior positions: Personal Health Spokane, Clinical instructor; Sacred Heart Medical Services Supervisor with Public Health-Seattle & King Advocacy Institute — a year-long program was with the WA State Dept of Health during start businesses, communicating with other local unions, Center, Spokane, RN, Birthplace and Peds After which focused specifically on advocacy by of pandemic. Past office:Served on PAC board, passing out pamphlets to union members, texting County; Clinical Performance Lab Director at Seattle Pamela Pasquale, MN, RN Hours; RJO Painting, Spokane, RN, Wellness University; Nursing Director at Lake Washington nurses, for nurses. I have never been one to Legislative Committee and was Local Unit Chair for members about upcoming local unit meetings, North Central Nurses Association Consultant; Healthteam Northwest, Spokane, many years. Certifications, honors and awards: taking pictures of local businesses in support, Institute of Technology. Certifications, Honors Wenatchee RN, Pediatric Homecare; SJI Corp/NEC Business sit quietly when there is work to be done. As and Awards: Washington State Nurses Association Currently certified in Infection Control and as a Faith helping out at rally, being a member of group Education: Baccalaureate, Everett CC; Master’s in Network Solutions, Spokane, Telco Operations Chair, I will continue to foster these relation- Community Nurse; past certification as Community tasked to prep for possible strike). Shop steward for (WSNA) Ethics and Human Rights Award Recipient; Manager; Valley Hospital And Medical Center, Honored as a Nurse Influencer by the University of Nursing, University of Washington; Shoreline CC ships to bring real-time nursing concerns Health Nurse and Environmental Health Specialist my unit. Delegate for the Spokane Regional Labor Labor Management AA. Position: Foot Care RN. Prior Spokane, RN, Charge, Pediatrics and Mother/Baby and issues to the forefront of our legislator’s Luminary project; Currently assisting in the re-write Council, currently on the executive board. Delegate Washington at the 100th year Centennial Celebration; Children’s Hospital And Medical Center, Seattle, RN Student Nursing Organization Leadership Award: positions: home health, home care, nursing home minds and agendas.” of Scope and Standards of Public Health Nursing at Spokane Alliance. Participated as a voting member charge nurse, nurse delegation, RN faculty, Assisted Charge, Acute Care Float Pool, & Infant Medical (national group). Professional memberships: WSNA, at WSLC Convention 2019, 2020 as a delegate for the For exemplary leadership and selfless acts of time Unit; Deaconess Medical Center, Spokane, RN and dedication to the nursing program at LWTech; Living RN, Home Care Aide certification developer, NWRNA, APIC Spokane Regional Labor Council CNA instructor, Foot care RN. Past office: WSNA Charge, Pediatrics. Present office: IENA Director at King County Nurses Association Shining Star Award: Large. Certifications, honors and awards: Maternal “Since retiring from public health last year, I “I wanted to start being more involved at Outstanding Nurse; Mary Mahoney Professional Board of Directors: 1995-1997, 2011 – 2013; PNHCC AT LARGE (3 POSITIONS) Council Chair, 2017-2019, Member PNHCC multiple Newborn Nursing, National Certification Corporation, feel called to continue to serve my commu- the state level after our 2019 negotiations Nurses Organization Outstanding Service Award: Sigma Theta Tau, Delta Chi-at-Large Chapter May, Service in the role of President; Nomination for the Dr. four-year terms since 1993. Certifications, honors nity outside of governmental public health. I at Sacred Heart. Participating in my union and awards: ANA Board Certified, Gerontology. Golden Key International Honor Society, Professional Stephanie Wahlgren, BSN, RN Martin Luther King Jr. Humanitarian Award, Seattle memberships: AACN Organizational Leadership Northwest Region Nurses Association have always appreciated the efforts of WSNA and being a voice for my local has been truly King County Department of Public Health. “WSNA will come out of this pandemic Network, National Consortium for Building Healthy Sedro-Woolley and made many nursing friends during my rewarding. Seeing union members working “I have loved serving on the Professional stronger and even more important as the Academic Communities, Association of Women’s Education: Associates in Nursing, Skagit Valley past involvement with the Association. I was together as one opened my eyes to the Health, Obstetric and Neonatal Nurses. Nursing and Health Care Council and want leader and advocate for the public, nurses College; BSN, University of Washington. Position: so pleased to see the development of new strength we have when we fight together. to continue to serve on the PNHCC Council. and for the ever-evolving areas where Emergency Nurse, Saint Joseph Medical Center. committees and am excited to share my Now with COVID-19 changing everything, I nurses provide health care. There has been Prior position: Skagit Valley Hospital staff nurse in energy and free time to help. I currently hold want to keep fighting for our members’ rights I believe in promoting healthy communities PCU, ER. Certification, Honors and Awards: SANE-A, through education, advocacy and outreach. overdue recognition of the importance of LEGISLATIVE AND HEALTH a certification in Infection Control and was during this pandemic. Over the last two years SANE-P, Kathleen Marshall Award 2019, Nurse of the very involved in working with my nursing I have been a delegate and an executive As a nurse leader, I desire to empower nurses nurses in the front line of acute care, but also POLICY COUNCIL Year innovator 2019. Professional memberships: and nursing students to elevate the profes- those who work in schools, long-term care WSNA, IAFN, Forensic Nurse Academy, Mount Baker colleagues in Long-Term Care in my public board member for the Spokane Regional sion of nursing through evidence-based communities, outpatient settings, research, Nurse Practitioner Association. health role. I also participated in developing Labor Council, where a group of us re-started practice, equity, inclusion and compassion education and more. In the last four years, CHAIR healthcare guidelines and making visits to our local YELL (Young Emerging Labor “Working with sexual assault survivors is nursing homes during outbreaks when I Leaders) group. As the YELL Secretary-Trea- for one another.” PNHCC has expanded its own oversight to an honor that I do not take lightly. Their support nurses in these specialized practice worked at the State early in the pandemic. I surer I now have experience in developing Erin Allison, BSN, RN, CEN strength and courage to come forward believe that nurses will continue to be called and reviewing policies. I have also been a settings with the new LTC Nurse Practice Northwest Region Nurses Association Mikey O’Sullivan, MSN, BSN, RN about a vulnerable time in their life and the on for IP advice and feel that we should be at voting delegate at the Washington State Committee. WSNA will also emerge with new Bellingham willingness to trust me with their history and Inland Empire Nurses Association leadership as our current guiding force, Sally every table where healthcare is discussed. I Labor Council for two years, and currently Spokane Education: ADN, Whatcom Community College; their evidence increase my courage and Watkins, retires. It will be a great benefit for BSN, Western Governor’s University. Position: recently became certified as a Faith Commu- participate in the SRLC PAC.” BSN, Morningside College; MSN, Purdue strength and motivates me to work for them Education: the new executive director to have members Emergency Dept RN, PeaceHealth St. Joseph nity Nurse but haven’t become established University Global. Position: Nursing Professor, Medical Center. Prior positions: Private Home Care through better legislation. Giving voice to a because of the COVID outbreak. So, I have Spokane Community College. Prior positions: Unify with extensive prior experience and very hard topic and to advocate for their safe, Gemma Aranda, MS, BSN, RN involvement to help with the current work CNA; Caregiver for Adults with Developmental reached out to a very impoverished area in Community Health, RN; Siouxland Community Health Disabilities; Non-nursing: Mechanical Engineer for trauma-informed, patient-centered, quality King County Nurses Association Center, RN, Prenatal Services Manager; Crittenton to maintain our goals and vision and to help Whatcom County and am helping to deliver Bellevue Nebraska State Energy Office, Undergraduate and care motivates me to work at the state level. food to homebound individuals and to get Center, RN, Prenatal Services Director. Current us grow. After a two-year hiatus, I would like Graduate Research Assistant for Midwest Roadside Education: Bachelor of Science in Nursing. Position: Offices: Professional Nurses and Health Care to again lend my strengths and experience Safety Facility. Present office: LHPC Councilmember I have expertise in my knowledge and skills to know other community members. There Registered Nurse, Overlake Medical Center and Council, OEHSC; IENA Board Secretary. Professional 2017-Present. Certifications, honors and awards: for serving sexual assault survivors, intimate has also been the opportunity to participate Evergreen Health Care. Certifications, honors and memberships: IENA, WSNA, ANA, WAHIMSS, WEA, to PNHCC to especially include our new LTC Committee within the ever-evolving role of Certified Emergency Nurse, ANAI Fellow; Mt. Baker, partner violence survivors, nonfatal strangu- in committee work in this community and awards: Third Academic Honors BSN 1992-1995 AHE, AWHONN, SSH. Community involvement: ED Practice Council, Search and Rescue. Profes- Present offices: Overlake PACU Unit Rep and Board Secretary for Spokane Ballet Ensemble. ‘nurse practice.’” lation survivors and those affected by child my goal is to help with access to healthcare sional memberships: ENA. Mt. Baker, ED Practice when plans are more developed. There is a Overlake Hospital Grievance Officer.Past office: sexual and physical abuse.” Overlake Hospital Contract Negotiation Team 2017. “I have been a board member of Inland Council, Search and Rescue possible interest by Northwest Center for PH Empire Nurses Association since moving to “The COVID-19 pandemic has given light Practice to help with data collection and I Washington state. For the past year, I have to the resource gaps and socioeconomic am hoping to work with them at some point. served on the PNHCC and OEHSC commit- disparities in the U.S. health care system. WSNA involvement in home health and policy tees. I enjoy representing the East side of the Nurses are an essential and irreplaceable development would be wonderful!” state and working closely with nurse leaders part of the interdisciplinary healthcare team on these committees. I want to continue my and have worked tirelessly throughout this work with PNHCC because the committee pandemic despite being faced with some

16 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 17 CONVENTION | CANDIDATES FOR ELECTION CONVENTION | CANDIDATES FOR ELECTION PAID ADVERTISEMENTS

Karin E. Banks, BSN, RN CABINET ON ECONOMIC Sean Dumas, BSN, RN Central Washington Region Nurses Association VICE CHAIR AT LARGE (7 POSITIONS) King County Nurses Association Selah AND GENERAL WELFARE Shoreline Education: BSN, Lewis & Clark State College BA Edna P. Cortez, RN Kathryn Ennis, ADN Education: BSN, University of Washington. Position: Kinesiology/Physical Therapy. Position: Behavior King County Nurses Association Rainier Olympic Nurses Association Nursing Supervisor Public Health – Seattle & Health RN, Astria Toppenish Hospital. Prior positions: CHAIR Edmonds Puyallup King County. Prior positions: Nursing-UWMC, Nursing Supervisor, Acute Care, PEDS Clinic, Ortho- GroupHealth, Shoreline School District. Present pedic, Nursing Clinical Instructor in past 20 years. Education: Rockford Memorial School of Nursing. Education: Associate Degree in Nursing, Tacoma office: Cabinet on Economic and General Welfare Help people get Professional memberships: WSNA, ANA, American Julia R. Barcott, RN Position: PACU Nurse, Seattle Children’s Hospital. Community College. Position: Registered Nurse member at large. Psychiatric Nurses Association. Central Washington Region Nurses Association Prior positions: 30 years nursing experience at St. Clare Hospital. Present office: E&GW Cabinet well, and stay well Yakima various areas in the hospital. Critical care nursing Member. “It will be a privilege to represent my nursing “Political aspects in regards to healthcare – pediatric ICU, cardiac ICU, neonatal ICU, ECMO HealthHUB offers expanded health Education: RN, Yakima Valley Community College. “1. I want to have a voice in keeping nurses colleagues as a WSNA Cabinet member. (interest), Education, Global nurse via Position: RN, ICU Med Surg, Astria Toppenish specialist, ground infant transport team, Flight The work of many nurses throughout the nursing, Emergency department, Urgent care. safe across the state of Washington. I started services, a professional care team, medical missions, Interested in advocating Hospital. Prior positions: ICU/Critical Care Unit Care Present office: Vice Chair, WSNA Cabinet on volunteering with the WSNA during the initi- state and in the greater Seattle area needs health and wellbeing products, and for mental health, nurses’ workload, human RN at Yakima Regional Hospital; Dialysis RN, COVID continued representation and advocacy. RN. Offices: State and National: Current & previous Economic and General Welfare. Past office:King ation of the Workplace Violence Act. I joined wellness programs. We’re hiring for the rights.” County Nurses Association – Board of Directors. Support that will continue to ensure safe, Cabinet Chair, AFT Delegate, WSIC Delegate, NFN, other members in Olympia to speak with following positions: WSLC Women’s Rights Committee, ANA Delegate Certifications, honors and awards: Daisy award fair, appropriate working conditions and recipient (Seattle Children’s Hospital). lawmakers about this bill and it later became Ingrid Anderson, BSN, RN (past/present), AFT Women’s Rights Committee, AFT, a law. I’ve enjoyed my first year volunteering leadership during this COVID epidemic. Nurse Practitioner NHP, PPC Speaker, present AFT Civil Women’s Human King County Nurses Association Our patients and families deserve the best Licensed Practical Nurse (LPN) Rights Conferences; Local unit: Astria Toppenish as a cabinet member, and I would enjoy a Snoqualmie second year. possible care. It will be an honor to represent Customer Health Care Concierge Hospital Co Chair, (past) Astria Toppenish Hospital the brave women and men that care for Education: ADN, Bellevue College; BSN, University Co Chair, Sec/Treas, Negotiating Committee, Staffing SECRETARY/TREASURER 2. I’m not afraid to speak up for myself and our patients courageously. Thank you for of Washington. Position: Registered Nurse, Overlake Committee. District: Yakima District Board Member, Apply to join our team Hospital Medical Center. Present office: Member of Founding Member – Central WA Region Nurses David Jacob Garcia, MSN, RN for others. If something is wrong, I’m great at considering me for a WSNA Cabinet position.” Policy Council; delegate to 2020 ANA Membership at cvs.jobs/HUBS Association. Certifications, honors and awards: Southeast Region Nurses Association communication and problem solving. I’m also Assembly. Prior Office: Vice Chair, WSNA-PAC Board. Dial Scholarship, WSNA Rising Star and Outstanding Pasco great at acknowledging achievements when Certifications, honors and awards: CEN, SANE, Darryl Johnson, BSN, RN Negotiation, 2018 AFT Hero Award. Professional things are right.” TNCC, ACLS, PALS. Professional memberships: memberships: WSNA, ANA, AFT, WSLC Education: BSN, Washington State University; MSN, Inland Empire Nurses Association WSNA, ANA, KCNA, AAPPN, PSR. Western Governors University. Position: Floor Nurse Spokane Observation Unit, Kadlec Regional Medical Center. “Through WSNA, we have united during this Education: BSN, Washington State University. “As a nurse with a background in Emergency Present offices: Cabinet on Economic and General Susan E. Jacobson, RN pandemic to support each other. This is what Position: Staff Nurse, Providence Sacred Heart Welfare member; Local unit vice-chair of local unit; Central Washington Region Nurses Association nursing, sexual assault and forensic curing, we are best at! We know what is broken in our Medical Center. Present office: Local Unit officer. Kadlec co-chair of the staffing committee, repre- Yakima as well as psychiatric nursing, I have a unique Past office: SHMC Negotiation team member. Certi- health care system and we also know how sentative for Nurse Practice Council in my hospital. Education: South Puget Sound Community perspective and understanding of how our fications, honors and awards: CCRN, TNCC, Most to fix it. Standing together, we can continue Certifications, honors and awards: PCCN. College School of Nursing; RN-BSN in progress, outstanding WSNA negotiation team. health care system is and isn’t working. I to rise up and advocate for safe working Chamberlain University. Position: Critical Care staff have advocated for changes in legislation conditions, patient safety, better staffing, “I want to continue to support our members nurse, Kittitas Valley Healthcare. Prior positions: “What motivates me to increase my involve- and helped secure passage of bills, including and fighting for social justice. My passion is and help with crafting creative solutions Critical Care Charge Nurse; ACLS Instructor; ment in WSNA is that relevance of public the rest break bill in 2019. I hope to have the to continue this fight with you! In solidarity that we need to address the concerns of our Critical Care Residency Instructor; Critical Care Residency Preceptor/Nursing Student Mentor; engagement to present-day problem solving privilege of continuing to serve as a nurse we have achieved much and improved our members. What I bring is my perspective and in nursing that is extremely important to me and patient advocate with WSNA.” experience with being co-chair in my local Rapid Response Team program co-creator; Safe profession and our communities. Let’s march Lifting Instructor; Annual Nursing Skills House-wide and is much needed in today’s world. There is forward together.” unit, in the negotiating team, a co-chair in Education Instructor; Float Pool – Astria Regional a big difference between input and participa- staffing committee, and member at large for Medical Ctr (aka Yakima Regional, Providence Yakima tion. It is easy to like or dislike on Facebook. the cabinet of E&GW.” Med Ctr, Providence St. Elizabeth Hospital), Yakima, People are quick to give input through social 1991 – 2018. Critical Care Charge Nurse – St. Peter’s Hospital, Olympia, WA., 1987 – 1991. Critical Care media and during comment periods, which Charge Nurse; House Supervisor; Medical/Surgical are essentially opportunities to sound off Charge Nurse – Mason General Hospital, Shelton, with their opinions, but effective solutions Wash., 1984 – 1987. emerge only when people participate in decision-making through forums where they engage in listening, collaborating and weighing the trade-offs, especially when they have an invested interest. As a local officer I am constantly pursuing efforts to collaborate and help build community, because building community and working together make the work of local advocacy more likely to be successful. I have learned through my experience during negotiations that building community is the fabric of a successful campaign that has well-engaged nurses that are informed about city and community

18 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 19 CONVENTION | CANDIDATES FOR ELECTION CONVENTION | CALL FOR APPOINTMENTS

issues and have greater trust and confidence • Julia Rose Barcott Bylaws Committee Washington State Nurses Foundation E&GW NOMINATING / • Justin Gill CALL FOR APPOINTMENTS in decision-making they elected me and The committee proposes changes to the (WSNF) Board of Trustees trusted me to make. The challenge now is not SEARCH COMMITTEE • Lynnette Vehrs Join a WSNA council WSNA bylaws, including amendments and/ WSNF helps to advance the nursing profes- simply to have more civic engagement by • Martha Galvez or committee or revisions. The committee also edits and sion and facilitate nursing’s contribution to local nursing staff but to solicit and use the • Martha Marie Goodall prepares resolutions for presentation to the the health of the community by distributing ideas and knowledge in ways that are helpful MEMBER (3 POSITIONS) • Mikey Anne O’Sullivan General Assembly. funds for nursing educational scholarships to WSNA. I believe I can be that voice.” • Phoebe Dang Lim-Vuong The WSNA Nominations / Search Committee At least 3 and not more than 7 appointments and grants for special projects. The Board Lisa Bullek, RN • Rosa Dell Young will be meeting this summer to prepare Central Washington Region Nurses Association • Sara Morgan Bergenholtz of Trustees also supports fundraising for the Ruby Crisostomo Tan BSN, RN Yakima • Susan E. Jacobson recommendations for appointments to the WSNA Nominations / Search Committee Foundation. King County Nurses Association Education: ADN. Position: RN Behavioral Health, • Susan K Glass WSNA Councils and Committees. Appoint- Not fewer than 5 nor more than 9, a majority of Maple Valley The committee prepares the ballot for Charge, Astria Toppenish Hospital. Prior positions: ments are for two years, beginning Aug. 1, election of WSNA officers, directors, councils whom shall be members of the WSNA Board of Education: BSN, University of Washington. Position: Same Day Surgery, Ortho Neuro / Astria Regional 2021, through Aug. 31, 2023. and delegates to ANA Membership Assembly. Directors at time of election. Inpatient Acute Hemodialysis Nurse, Fresenius 2001-2020. Medical Care. Prior positions: Catholic Health The recommendations prepared by the Committee members also prepare a list of 2022 AFT CONVENTION candidates for appointment to WSNA coun- Initiatives, Telemetry Neuro Med – Surg. WSNA Nominations / Search Committee NEW APPOINTED POSITIONS Anjanette Bryant, RN will go to the WSNA Board of Directors at cils and committees (excluding Economic Central Washington Region Nurses Association and General Welfare positions). The WSNA Board of Directors has added Jon Olson, RN Ellensburg DELEGATES (20 POSITIONS) its August 2021 meeting, at which time the Southwest Region Nurses Association 2 appointments new appointed positions this year. If you’re Education: ADN, Yakima Valley Community College. • Anjanette Bryant Board will make the appointments to the Kelso WSNA Councils and Committees. looking for additional ways to serve, please Position: Staff RN in Surgical Outpatient, Kittitas • Clara Bucio-Martinez Finance Committee Education: Associate Degree in Nursing. Position: Valley Healthcare. Prior positions: Yakima Memorial • Darryl Johnson If you or your colleagues are inter- indicate your interest in the positions below Charge Nurse in Emergency Department, Peace- Surgical Outpatient and PACU; Yakima Regional • David Jacob Garcia ested in serving on any of these councils Responsibilities of the committee include on the Consent to Serve form. Health St. John Medical Center. Prior position: ACU, PACU, Float pool, Admission RN; Lahey Clinic presenting the annual WSNA budget to the • Diane Cantu or committees, you can access the WSNA Firefighter/EMT Chehalis Fire. Previous Offices:Unit Hospital Open heart stepdown, Vascular; Swedish Board of Directors for approval; monitoring Vice President/President Pro Tem – 90s, Political • Edna Cortez Washington Center for Nursing Medical Center Open heart stepdown, Cardiology; “Consent to Serve” form at the WSNA the budget throughout the year; recom- affairs PAC late 90s, National delegate for WA mid/ Baptist Memorial Desoto Medical/Surgical; Hearth- • Evette F. Runyon (WCN) Staff RN Board position website at www.wsna.org/serve. The form mending changes in finance policies and early 2000s, ANA National delegate for Washington stone assisted living; Family healthcare of Ellensburg; • Janie Patterson The WCN is a nonprofit, statewide nursing mid/early 2000s. Professional memberships: CEN must be completed and submitted no later dues structure; and serving as the audit Royal vista nursing home. Prior office: Local Unit: • Jessica Lewellen organization that addresses nursing short- over 20 years Co-chair at Yakima Regional Hospital. Professional than June 1, 2021. If you have any questions, committee. • Jon S. Olson ages and builds a robust and diverse nursing memberships: ANA. please contact Mary Mainville, WSNA exec- “I would like to be placed as a delegate for • Julia Barcott At least 3 appointments and not more than 7, workforce to support a healthier Washington. 21-22. I have been very involved in my ENA on “Working for different organizations with and • Karen Ennis utive assistant, at [email protected] or including the WSNA secretary / treasurer, vice The Board meets quarterly, at minimum, in president, and 1 board member. the state level and delegate on the national without unions and see what a dramatic • Karin Banks 206-575-7979, ext. 3030. addition to an offsite strategic planning level for many years. I had previously done difference [sic]. We need to continue to push • Lisa Bullek Appointments will be made to these Occupational and Environmental session. Board members are encouraged the national WSNA as state rep in the past, for better health care for out-patients and • Martha Galvez WSNA Councils and Committees: to participate on various committees or Health and Safety Committee the last year when multiple people from each better work environments for us and our • Martha Goodall subcommittees. state went, I believe the year Obama spoke future nurses.” • Ruby Tan Professional Nursing and The committee identifies workplace and envi- at the event. I will be slowly pulling back • Sean Dumas Health Care Council ronmental health and safety concerns of the Community and Long-Term some from the ENA side and felt it time to be • Susan E. Jacobson nursing profession and develops strategies Responsibilities of the council are defined Care Committee involved in WSNA more, once again. Many • Susie Cervantes to effectively address them. ANA MEMBERSHIP by the WSNA Board of Directors, but The Community and Long-Term Care Day on the Hill events nationally with ENA as • Tristan Twohig may include forecasting workforce and 1 member each from Board of Directors, Cabinet Committee identifies and addresses well as with WSNA.” ASSEMBLY (2021-2023) work environment trends, and promoting on Economic and General Welfare, Legislative and issues of importance to nurses working in Health Policy Council, Professional Nursing and nursing continuing education, research and Health Care Council, and 2 at-large. community and long-term care settings; DELEGATES/ALTERNATES (13 POSITIONS) evidence-based nursing practice. increases awareness within WSNA and the • Anita A. Stull 4 appointments WSNA Political Action Committee broader nursing community about viable • Antwinett Lee (WSNA-PAC) Board of Trustees employment opportunities in these settings; • Charles C. Cumiskey Legislative and Health Policy Council and strengthens transitional care processes The committee plans and implements between these settings and acute care. • Clara Martinez Based on WSNA’s identified priorities, the endorsements, fundraising, candidate-sup- Three one-day meetings per year; • David Jacob Garcia council recommends to the Board of port activities and political education. The additional work outside of meetings. • Edna P. Cortez Directors a state legislative agenda, reviews committee also oversees the Health IQ • Erin Allison proposed legislation and makes recommen- survey of candidates for state offices. Seven members (including one Chair) • Heather Stephen-Selby dations for WSNA’s response and activity • Four (4) members must either work or have 11 trustees. Every effort shall be made to appoint • Ingrid Anderson recent experience in community and/or level. The council also educates the WSNA trustees to represent each congressional district long-term care • Jan Bussert membership in understanding the legislative and 1 representative of the state at-large. • Janet Stewart priorities and presents the annual Legislative • Three (3) members will have a demonstrated • Jessica Lewellen Day in Olympia. interest in supporting community and • John J. Gustafson long-term care nurses, as well as improving 3 appointments • Jon S. Olson care transitions between acute and long-term care • Judith (Judy) Huntington

20 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 21 CONVENTION | RESOLUTION ON DIVERSITY, EQUITY AND INCLUSION CONVENTION | RESOLUTION ON DIVERSITY, EQUITY AND INCLUSION

WHEREAS, WSNA recognizes that as we develop RESOLVED that WSNA’s Professional Nursing Definitions our profession to one that represents and and Health Care Council will develop a white References 2021 WSNA Resolution reflects the communities we serve, there are paper on the issues of health inequities and SUPPORTING DIVERSITY, EQUITY AND INCLUSION White fragility is defined as a defensive many factors we need to address and over- related recommendations for the nursing American Federation of response by a white person when their come to ensure that nurses are prepared to profession in Washington State; and Teachers Passes Resolution The WSNA Board of Directors and Cabinet on Economic and General Welfare Expanding Its Efforts to Combat whiteness is highlighted or mentioned, consistently provide culturally competent RESOLVED that WSNA’s Legislative and Health (Cabinet) recognize that discrimination in any form is harmful to society or their racial worldview is challenged, care*; and Racism, Aligning Itself with whether or not this response is Policy Council will review proposed legis- the Movement for Black Lives. as a whole and in opposition to the values and ethical code of the nursing conscious; discomfort and defen- WHEREAS, WSNA through the union, collective lation with a diversity, equity and inclusion (2020, June 17). American profession. The WSNA Board of Directors and Cabinet are committed to siveness on the part of a white person action and collective bargaining, has used lens, and be proactive in addressing Federation of Teachers. https://www.aft.org/ address issues of social and health disparities and racial justice. when confronted by information about our collective voice to help improve the lives anti-discrimination bills; and racial inequality and injustice. press-release/american-fed- The purpose of this Resolution is to reiterate the significance of a of nurses and our communities by increasing RESOLVED that WSNA’s Cabinet will develop eration-teachers-passes-res- Cultural humility is a humble and pay, improving working conditions and model contract language to address diver- olution-expanding-its-ef- nondiscriminatory stance and provide guidance in creating inclusive respectful attitude toward individuals promoting policies that confront inequality; sity, racial justice and cultural competency*; forts-combat strategies for the provision of nursing care for individuals of all ages and of other cultures that pushes one to and challenge their own cultural biases, and ANA Pledges to Oppose Racism from all populations. and Discrimination. (n.d.). ANA. realize they cannot possibly know WHEREAS, bias can affect workplace culture, RESOLVED that WSNA will reaffirm our commit- everything about other cultures, and lead to microaggressions*, and negatively Retrieved Dec. 1, 2020, ment to foster an environment that supports https://www.nursingworld. approach learning about other cultures impact the health, well-being, and produc- as a lifelong goal and process. diversity, inclusion, and cultural humility*, org/news/news-releases/2020/ WHEREAS, discrimination is an unresolved • 8.5% Asian, there were 10.2% of RNs who tivity of employees, and the employees most ana-calls-for-racial-justice-for- public health crisis that impacts both identified as such, suggesting that this Cultural humility was established and to proactively address and dismantle due to the limitations of cultural negatively affected are often those who are communities-of-color/ mental and physical health and adds population is overrepresented in nursing oppressive systems and practices in the competence. Some professionals, like part of historically marginalized groups, Home Page. (n.d.). Health to the stress in individuals of color and by 20% workplace; and social workers, medical professionals, BE IT THEREFORE Policy Institute. Retrieved Dec. marginalized groups; and or educators, believed themselves to RESOLVED our Board of Directors and Cabinet 1, 2020, Notes be culturally competent* after learning RESOLVED that WSNA will develop annual goals will direct that our entire association commit https://hpi.georgetown.edu WHEREAS, the communities who experience some generalizations of a particular the greatest health disparities are those 1. According to the WCN report, it is estimated and measurable objectives to carry out the to becoming a culturally humble association Racism is a public health culture. Cultural humility encourages resolutions and document the progress by: who have been historically marginalized that 62,393 RNs are practicing in the state; an active participation in order to learn emergency. (n.d.). WSNA. the 2.1% discrepancy in race representation made; Retrieved Dec. 1, 2020, and under-represented in our workforce; about a patient’s or client’s personal, 1. Interrupting microaggressions* as they would be approximately 1310 RNs. cultural experiences. https://www.wsna.org/ and RESOLVED that the WSNA Board of Directors occur in our association and workplaces, news/2020/racism-is-a-public- 2. King and Pierce Counties both have lower The National Institutes of Health and Cabinet will review and revise WSNA’s WHEREAS, the population of Washington rates of white nurses than across the state (NIH) defines cultural humility as “a whether they are intentional or unintentional, health-emergency foundational documents for incorporation of State is reported to be: (74.0% and 75.6%, respectively). lifelong process of self-reflection and and use these as opportunities to educate, Secretary’s Directive 19-01 diversity, equity and inclusion language; and 3. The over representation of Asians is only the self-critique whereby the individual not learn, grow, listen, and respond with respect; Reaffirming the Department • 79.5% White, 81.4% of Registered Nurses case in King County (16.4%), Pierce County only learns about another’s culture, but RESOLVED that WSNA will make education 2. Embracing respectful dialogue and coura- of Health’s Commitment practicing in the state identified as being one starts with an examination of her/ (13.1%), and the North Sound Accountable available regarding cultural competency* geous conversations about racism, privilege, to Diversity, Inclusion, and white, suggesting that this population is Community of Health (Snohomish, Skagit, his own beliefs and cultural identities.” Cultural Humility. (n.d.). 8 Cultural humility is the “ability to and implicit bias for our local leaders white fragility*, and oppression; overrepresented in nursing by 2.1%. Island, San Juan, and Whatcom counties, Washington State’s Registered 8.9%); Asians are underrepresented in all maintain an interpersonal stance that is and members striving to ensure fair and 3. Increasing our institutional and personal • 13% Hispanic/Latino, just 4.4% of RNs Nurse Workforce: Results of a other regions of Washington State. other-oriented in relation to aspects of equitable treatment of people of color, as understanding of tribal sovereignty, identified as such, suggesting that cultural identity that are most important 2018 Survey. (n.d.). Retrieved well as members of other marginalized colonialism, and historical trauma; Dec. 1, 2020, this population is underrepresented in to the [person].” communities; and 4. Encouraging opportunities for ongoing https://depts.washington. nursing by 66%; WHEREAS, achieving a workplace that is Microaggression is a subtle, often edu/fammed/chws/publica- representative of members from the RESOLVED that WSNA local units, regions, and training and learning in the areas of diversity, • 5.1% two or more races, just 3.1 % of unintentional, form of prejudice. Rather tions/washington-states-regis- communities to increase access to than an overt declaration of racism or elected leaders will continue to partner inclusion, cultural humility*, oppression, and RNs identified as such, suggesting that tered-nurse-workforce-results- resources and programs, improve health sexism, a microaggression often takes with national, state and local organizations equity; of-a-2018-survey/ this population is underrepresented in outcomes, and promote health equity; the shape of an offhanded comment, around diversity to provide outreach to nursing by 40%; an inadvertently painful joke, or a 5. Recognizing cultural humility* as a White defensiveness’. (n.d.). and communities of color and work towards continuous journey of self-awareness and In Wikipedia. Retrieved Dec. 1, • 4.1% Black/African American, just 2.3% of pointed insult. increasing the diversity of the RN workforce reflection; and 2020, RNs identified as such, suggesting that WHEREAS, WSNA recognizes that diversity, Culturally competent health care is through recruitment targeted particularly at https://en.wikipedia.org/ this population is underrepresented in inclusion, and cultural humility* in our defined as the ability of providers and underrepresented groups; and 6. Ensuring the association’s hiring practices wiki/White_defensiveness nursing by 44%; workforce are essential to achieving our organizations to effectively deliver reflect our commitment to fostering cultural health care services that meet the RESOLVED that WSNA will begin to collect diver- White Fragility Book Summary vision and mission and to supporting our diversity by Robin J. DiAngelo. (n.d.). • 1.8% Native American/Alaska Native, efforts to increase equity and inclusion social, cultural, and linguistic need sity demographic data on its membership, just 0.5% of RNs identified as such, of patients. RESOLVED, that WSNA will encourage white Retrieved Dec. 1, 2020, within the association; and wherever possible including new member https://www.shortform. suggesting that this population is A culturally competent health applications, striving to engage members allies to listen and to support and protect care system can help improve health com/summary/white-fragili- underrepresented in nursing by 73%; WHEREAS, we acknowledge and recognize and elect leaders that are representative Black, Latinx, American Indian, Asian/Pacific ty-summary-robin-j-diangelo the lack of diversity and inclusiveness in outcomes and quality of care; and can • 0.8% Native Hawaiian or Other Pacific contribute to the elimination of racial and reflective of the diversity of Washington Islander Americans, LGBTQ, and non-white WSNA’s governing documents and our Islander, just 0.4% of RNs identified as and ethnic health disparities. State; and indigenous families, neighbors and commu- Additional resource association has the responsibility and such, suggesting that this population is nities from racial inequities, so as to advance Okun, T. (2020, June). Disman- opportunity to promote equity through RESOLVED our Board of Directors and Cabinet and attain equal educational, health and underrepresented in nursing by 50%; and will direct our entire association commit- tling Racism Works Web changes to internal policies, procedures, economic opportunities afforded to all in the Workbook. Retrieved from systems, and practices; and ment to electing Black, Latinx, American pursuit of life, liberty and happiness. DRWorks. Indian, Asian, Pacific Islander, LGBTQ and dismantlingracism.org non-white indigenous nurses to serve on the Submitted by the Board of Directors and the WSNA Board of Directors and Cabinet; and Cabinet on Economic and General Welfare.

22 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 23 CONVENTION | WHY I GIVE

Why I give: WSNF donors are stepping up to support nurses in need

By Sue Glass, RN, MS, CCRN President, Washington State Nurses Foundation

hen we started 2020, The Year of the perhaps they will reciprocate and give to subse- Nurse and the Nurse Practitioner, we had quent generations of nurses. no idea what we were getting into — and, WSNF scholarships are given to well-qualified boy, did we get into things! While there nursing students across Washington state who will have been innumerable changes around soon be joining our profession or are pursuing grad- us, one thing has remained the same: our I’m a true believer“ that uate degrees in nursing. Many students live in rural Wneed to help others. communities near community colleges that do not it is through giving Since 1982, The Washington State Nurses cheerfully and serving have robust scholarship programs. Your donations Foundation (WSNF) has depended on caring people help ensure students from all corners of the state others that we receive like you to generate funds to support the future of have access to scholarship dollars. our blessing. Education nursing through scholarships and grants. In 2020, I believe that each and every one of us, simply your donations helped WSNF fund scholarships for has always played an because we are in nursing, care about others 12 students totaling $25,000. important and significant and are committed to helping others. The more However, nursing students need more help to role in my life. Therefore, generous your donation, then the greater need attend nursing programs and achieve their educa- I give to the best of my that it can help fulfill. "Through Their Eyes" is part of The Mask Project, by artist Jessica D. Perez. The original tional goals. ability. It’s my way of purpose of the artwork is in gratitude to the front lines and the nurses of this pandemic. paying it forward. How can you give? Why I, and others, give to WSNF — Rosa Young, WSNF Trustee Soon, we will celebrate all nurses at the virtual 2021 All of us on the WSNF Board of Trustees are Washington State Nurses Convention April 28-29, committed to helping the next generation of nurses. and again during Nurses Week, May 6-12. These I give to WSNF because I remember being the recip- Giving to WSNF is an are great opportunities when you can demonstrate 2021 Nurses Week ient of scholarships during my college years and opportunity to give your support and care for others by donating to always promised myself that I would give back to back to the nursing WSNF. Your donation can be made in honor or in help others in need. Every year, I make donations memory of a special person (nurse or non-nurse), profession and invest in Honoring Nurses - Honoring Ourselves to my alma maters and to WSNF as a way to help or “just because.” the next generation achieve their goals — just as the future of nursing. However you choose to give, every dollar will the generations before me made donations so that — Vee Sutherlin, WSNF Trustee be used to help support scholarships for nursing Join us for our Virtual Nurses Week Celebration I could realize my dreams. students. Please dig deep and give generously to If we each give as much as we can, then help us invest in the future of nursing. together we can truly make a difference in the lives Friday, May 7th 6:00-7:30pm of so many nursing students. And, in turn, as those ” who received scholarships enter the profession, Celebrate our Nurse of the Year & scholarship winners Keynote Presentation - "Zen at the Bedside"

Since 1982, The Washington State Nurses Foundation (WSNF) has worked to advance the nursing profession in Washington state and contribute to the health of our community. As a nonprofit 501 (c)(3) organization, its mission is to raise funds for the Request a $5 coffee gift card clinical and educational advancement of nurses — as well as help nurses in need. Visit wanursesfoundation.org for more information or to donate online. (R.O.N.A. members only) If you prefer to donate by check, please mail your contribution to: Washington State Nurses Foundation, 575 Andover Park West, Suite 101, Tukwila, WA 98188 www.RainierOlympicNurses.org

24 THE WASHINGTON NURSE SPRING/SUMMER 2021 BIENNIAL REPORT BIENNIAL REPORT BIENNIAL REPORT BIENNIAL REPORT BIENNIAL

s for so many people and organizations, WSNA’s work over the past two years can be effectively divided into “Before COVID” and “After COVID.” We entered the 2019-2021 Biennium with a robust list of activ- ities to support the strategic priorities of WSNA. Then COVID-19 hit, overwhelming our nurses, hospitals and communities, and much of WSNA’s focus quickly shifted to supporting our members facing a historic pandemic. We pushed public officials for proclamations, directives and policies to protect and support nurses. We negotiated with BIENNIAL employers for Memorandums of Understanding to address the extreme impact of COVID-19. We shared the latest research and guidance on safety and nursing practice. We held employers accountable for workplace and patient safety standards. But for all that WSNA Astaff did, it was really you, our nurses — in Washington, across the country and throughout the world — who did the hard work of showing up and caring for patients and their families through the uncertainty, fear and heartache of an unknown and devastating virus. Before and throughout the pandemic, WSNA continued our work on the Strategic Priorities approved by our Board of Directors in 2019. In this Biennial REPORT Report of Achievements, you’ll read about our work to implement landmark 2019-2021 2019 laws on preventing workplace violence and on rest breaks and mandatory overtime protections. You’ll see how we joined with other unions in Washington state in an unprecedented campaign to win fair contracts across the Providence system. You’ll learn about our work to shine a light on the myriad roles and unique challenges faced by nurses working in long-term and community care settings. You’ll also read about our efforts to highlight racism as a public health threat and develop diversity, equity and inclusion knowledge and strategies within our organization. We did all of this together, and together we will get through the COVID-19 crisis and continue our work to improve the professional development, safety and working conditions of nurses across our state.

Lynnette Vehrs, MN, RN WSNA President

Sally Watkins, PhD, RN WSNA Executive Director

26 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 27 BIENNIAL REPORT | STRATEGIC PRIORITIES BIENNIAL REPORT | STRATEGIC PRIORITIES BIENNIAL REPORT BIENNIAL REPORT BIENNIAL

2019-2021 ● HEALTH ACCESS Ensure equitable access to health services so that all people can attain their highest level of health and receive the right care by the appropriate provider, in the right place, at an affordable cost.

● STRATEGIC PRIORITIES STRATEGIC SAFE STAFFING PRIORITIES STRATEGIC Achieve safe nurse staffing in all settings to ensure STRATEGIC health and optimize quality of care.

● NURSING PRACTICE PRIORITIES Empower nurses to advocate, educate, promote, and protect the practice of nursing to colleagues, managers, and the broader community in order to practice to the In 2019, the Washington State Nurses Association Board of Directors full extent of their training, experience and education in delivering optimal care. approved seven strategic priorities to focus the work of the association on areas of greatest importance to registered nurses and the organization. Within those priorities, WSNA staff developed specific goals and ● QUALITY AND SAFETY action steps and reported back to the Board on a regular basis. Promote the adoption of effective behaviors and practices that will positively impact the safety of registered nurses and patients and lead to improved quality outcomes for all residents of Washington.

● MEMBERSHIP GROWTH AND ENGAGEMENT Remain the leading voice and advocate for the diverse registered nurses who live and work in Washington state through continued membership growth and active member engagement.

● OCCUPATIONAL AND ENVIRONMENTAL HEALTH Promote healthy and safe environments for nurses, and environmental justice for all the communities nurses serve.

● ASSOCIATION VITALITY Strengthen WSNA’s operation, programmatic infrastructure and economic stability to ensure continued success by a diverse leadership and staff in advancing association priorities.

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HEALTH ACCESS Promoting equitable

BIENNIAL REPORT BIENNIAL access to health care is REPORT BIENNIAL fundamental to our role of caring for all patients and communities. Over the past biennium, WSNA focused on adequate public TH ACCESS TH health funding, nursing WSNA MEMBER SERVES ACCESS TH

HEAL workforce recruitment and HEAL

• ON SANE TASK FORCE • retention, ensuring access to affordable care, public health and promoting health WSNA member Stephanie Wahlgren, equity to meet the needs of BSN, SANE, was named to serve on the state-level Sexual Assault Washington state residents. Coordinated Community Response Legislature invests $40 million to ACHIEVEMENTS Task Force after passage of the bill retain and recruit nurse educators that created it in 2020. The Task STRATEGIC PRIORITIES STRATEGIC PRIORITIES STRATEGIC ~ Together with partners, Force is charged with developing wsna went into the 2019 legislative session with statistics in hand: Around the increased state funding for model protocols ensuring sexual state, more than 800 qualified nursing school applicants were being turned away foundational public health assault victims receive a coordinated each year. The primary reason was vacant faculty positions. There simply were not services by $22 million in WSNA helps win $50 million community response when presenting enough nurse educators to teach the courses, even though programs had available 2019, with an additional for care at any hospital or clinic student slots. $28 million in 2020. down payment on public health following a sexual assault. A survey of nurse educators conducted by the Washington Center for Nursing and the ~ Secured $40 million in the Stephanie’s experience as a Nursing faculty, infrastructure Sexual Assault Nurse Examiner and Council of Nursing Education in Washington state budget to boost nurse State identified that the number one reason nurse who are required faculty salaries in community her position on WSNA’s Legislative to have earned SNA, along with public health organizations, has been asking the State and Health Policy Council has educators considered leaving their positions and technical colleges. Legislature to find a dedicated and sustainable public health funding stream was low pay, followed by lack of a manageable a master’s degree in informed development of state order to teach, were ~ Successfully advocated for 20 years. We joined with our allies to get what we considered down policies and bills that address sexual workload. Nursing faculty, who are required to very often making for legislation creating a payments on foundational public health funding of $22 million in 2019 and assault and violence. have earned a master’s degree in order to teach, Sexual Assault Coordinated $28 million in 2020 in the state budget. were very often making less than new registered less than new Community Response Like nothing in living memory, the coronavirus pandemic put a spot- nurses graduating from two-year programs and registered nurses Task Force to develop light on the need for strong and effective public health agencies. After going to work as staff nurses in local hospitals. graduating from Compounding the problem, the survey model protocols ensuring WGovernor Jay Inslee declared a state of emergency on two-year programs sexual assault victims found that 38 percent of community and tech- Feb. 29, 2020 and with COVID-19 cases hitting their first and going to work receive a coordinated nical college nursing faculty and 40 percent of peak in Washington state, the State Legislature passed a as staff nurses in community response at four-year college and university nursing faculty local hospitals. any hospital or clinic. COVID-19 response bill that included $125 million for state expected to retire by 2027. agencies to support COVID-19 response. The bill also stated WSNA, together with our union partners, that an individual under quarantine during the COVID-19 made nurse educator funding a legislative outbreak is eligible to receive unemployment insurance priority in 2019 — talking with lawmakers about the need to increase nurse educator benefits. Governor Inslee signed the bill on March 17, 2020. salaries in order to ultimately increase the state’s output of new nurse graduates. While that emergency funding was urgently needed, it did not solve the issue of a The 2019 Workforce Education Investment Act designated $40 million solely to dedicated public health funding stream to rebuild our public health infrastructure — a increase nurse educator salaries. critical component of being prepared for the next public health emergency. Public Nurse educator salaries remain a priority for WSNA. The COVID-19 pandemic health funding was a priority going into the 2021 Legislative Session, which was still highlights the need to graduate more highly skilled nurses to ensure we have enough in session as this issue of The Washington Nurse magazine went to press. ■ nurses to safely care for all patients. ■

30 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 31 BIENNIAL REPORT | SAFE STAFFING BIENNIAL REPORT | SAFE STAFFING

SAFE STAFFING Achieving safe staffing has

BIENNIAL REPORT BIENNIAL long been a top concern REPORT BIENNIAL of our members and a strategic priority for WSNA’s Board of Directors. In this past biennium, WSNA won a landmark bill to protect breaks and end AFE STAFFING AFE STAFFING AFE S S

• the abuse of mandatory • overtime for nurses. ACHIEVEMENTS

~ Won passage of the landmark Breaks and Overtime Protections bill

STRATEGIC PRIORITIES STRATEGIC ~ Worked to improve PRIORITIES STRATEGIC enforcement of the 2017 Nurse Staffing Law by filing numerous complaints with the Washington State Department of Health and working with stakeholders to make recommendations in the required Dec. 31, 2020 report to the legislature.

An unfortunate remark from one state senator that nurses in rural hospitals “probably play Hundreds of nurses and other health care workers filled the Capitol steps on April 24, 2019, cards for a considerable amount of the day” created a firestorm of memes online. for a rally supporting passage of a clean rest breaks and over-time protections bill.

Unprecedented member This followed an intense legislative campaign, with cooperation between the three biggest unions representing health care workers in Washington state: WSNA, engagement drove passage SEIU Healthcare 1199NW and UFCW 21. Nurses from around the state held one-on-one meetings with their elected representatives, testified in Olympia and sent thousands of landmark legislation of emails to legislators to encourage passage of SHB 1155. An unfortunate remark from one state senator that nurses in rural hospitals “prob- this was the legislative fight that launched a thousand memes. TOP WSNA members Ingrid Anderson ably play cards for a considerable amount of the day” made international news after a and Lindsey Kirsch testified in support of the Breaks and Overtime WSNA blog post went viral. The blog post was shared on Facebook more than 50,000 Protection bill.

hen our 2017-2019 Biennial Report of Achievements went to press, we were times, generating more than 176,000 comments, and spawned memes and related MIDDLE WSNA staffer Travis Elmore speaks still awaiting the final outcome of our push to secure legislation to ensure posts across the social universe. at the April 24 rally. BOTTOM Rally attendee holds sign calling for breaks for nurses and end the abuse of mandatory overtime. The story was picked up by more than 200 news outlets located in three countries passage of SHB 1155. After a tumultuous final couple of weeks that included beating back in the first seven days after the blog was posted and had more than half a million social two bad amendments, the Breaks and Overtime Protection law (SHB 1155) media interactions. News outlets included CNN, Fox News, The New York Times, The passed both houses of the State Legislature on April 24, 2019 and was Daily Mail (UK), CBS News, Mother Jones and The Hill. signed into law by Governor Inslee on May 8, 2019. WSNA and our members were able to channel that outrage into an effective online W TILDEN BEN PHOTOS:

32 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 33 BIENNIAL REPORT | SAFE STAFFING BIENNIAL REPORT | SAFE STAFFING

„ WSNA STAFFING COMPLAINTS

In fall 2019, WSNA conducted complaints in a certain unit WSNA submitted 22 of the 31 • Cascade Medical Center (1) BIENNIAL REPORT BIENNIAL an audit of staffing plans of the hospital that remained complaints received — some • Kadlec Regional Medical REPORT BIENNIAL submitted to DOH by its unresolved by the Nurse issued jointly with other Center (1) represented facilities and Staffing Committee months facilities and some issued • Astria Sunnyside Hospital (2) discovered a wide variance after being submitted. ADOs separately. The facilities • MultiCare Good Samaritan in compliance levels. While filed by WSNA members named in the complaints Hospital (1) some hospitals submitted provided critical evidence of include: • Skagit Regional Medical robust staffing plans, other ongoing staffing issues. Center (1) WSNA’s online advocacy for the Breaks and Overtime Protection bill included • Virginia Mason AFE STAFFING AFE facilities failed to submit The DOH report to STAFFING AFE

S selfies with the theme of #BreaksAreALifesaver. Nurses stepped up, sending Medical Center (2) • PeaceHealth United General S

• 17,363 emails to legislators in support of SHB 1155. any plan at all. Sixteen the legislature includes a Medical Center (3) • • PeaceHealth St. John Medical complaints received by summary of complaints and Center (1) • MultiCare Tacoma General DOH “alleged that the investigations: • CHI Franciscan St. Joseph Hospital (1) and on-the-ground advocacy campaign that put nurses and other health hospital failed to submit a Medical Center (3) nurse staffing plan to the Complaints received 31 Most of those complaints care workers center stage. Thousands of nurses called their legislators • Skyline Hospital (1) department in the required Complaints closed remain open investigations 6 • University of Washington and even sent packs of playing cards to the senator who made that timeframe or failed to submit without investigation Medical Center (1) as of December 2020. That unfortunate remark. updates.” is because DOH stopped Complaints authorized • St. Clare Hospital (1) Throughout 2019 and 25 all investigatory work to

STRATEGIC PRIORITIES STRATEGIC On April 24, 2019, hundreds of nurses and other health care workers for investigation PRIORITIES STRATEGIC 2020, WSNA worked with • PeaceHealth St. Joseph reallocate staff to COVID-19 Medical Center (1) filled the Capitol steps for a rally supporting passage of a rest breaks nurses serving on Nurse Open investigations 24 response during the early and overtime protections bill that excluded the two bad amendments Staffing Committees to iden- • Kindred Hospital Seattle – First months of the pandemic. Hill (2) tacked on at the last minute. tify where there were prob- Closed investigations 1 DOH began investigations • Whidbey General (1) That afternoon, nurses and techs crowded the Senate galleries and lems — such as numerous again in July 2020. silently watched with bated breath as the vote count ticked up to 32-16. The House took up the bill shortly thereafter and passed it off the House floor by a vote of 70-24. Cheers broke out in the hallway outside the he passage in 2017 of House Bill 1714, which and UFCW 21. The group of stakeholders was gallery after the bill finally passed. WSNA WORKS added more structure and oversight to the able to reach agreement on two recommen- The bill codifies uninterrupted breaks and says that mandatory TO IMPROVE Nurse Staffing Law, was a big victory. But, as dations to be included in the report: 1. Nurse prescheduled on-call may not be used in lieu of scheduling employees with all legislation, it’s only as effective as it Staffing Committees should develop and to work regularly scheduled shifts. This bill took effect for most hospitals ENFORCEMENT OF works in the field. adopt charters, defining the process they on Jan. 1, 2020 and will go into effect for Critical Access Hospitals and THE 2017 NURSE The bill included a requirement for the will use to review complaints and document sole community hospitals on July 1, 2021. Washington State Department of Health decisions, and 2. DOH should clarify the Nurses swarm into the Capitol building and file into the STAFFING LAW (DOH) to submit a report to the legislature proper agency and procedure to investigate House and Senate chambers to watch as the bill is passed. WSNA, SEIU 1199NW and UFCW 21 issued a joint statement following passage of the Breaks and Overtime Protection bill: on Dec. 31, 2020. WSNA worked to ensure complaints of retaliation specifically prohib- that the report addressed key concerns ited in the law. “After nearly a decade of work by thousands of hospital nurses, from nurses about staffing committees and WSNA, along with our union partners, techs, patients and supporters, Washington is joining many other states, hospital compliance with the law. Our experi- made several additional recommendations including Oregon and California, in better protecting hospital patients. ences illustrated deficiencies in enforcement that will be included in the report’s appendix, By guaranteeing rest breaks to nurses and other frontline caregivers of the law, and WSNA filed 22 complaints with including a recommendation that hospitals be during their long shifts, and prohibiting mandatory overtime, Wash- the DOH by the end of 2020, supported by required to submit staffing plans to DOH annu- ington hospitals will reduce the chances for medical errors.” the Staffing Concern/Assignment Despite ally using a standard template and making WSNA shared details of the bill and implementation steps with Objection (ADO) forms our members filed to hospital-level nurse staffing committee members at a series of education events held across the state in fall call out problems in their facilities. meetings open unless in executive session. 2019 and spring 2020. ■ The Nurse Staffing Law also required that The current Nurse Staffing Law sunsets DOH convene a stakeholder group prior to in 2023. Over the next biennium, WSNA and the submission of the Dec. 31, 2020 report to the other unions that represent nurses will be the legislature and named the participants of working to determine recommended adjust- that group as WSNA, the Washington State ments and next steps. ■ Hospital Association, SEIU Healthcare 1199NW 34 THE WASHINGTON NURSE SPRING/SUMMER 2021 T SPRING/SUMMER 2021 THE WASHINGTON NURSE 35 BIENNIAL REPORT | NURSING PRACTICE BIENNIAL REPORT | NURSING PRACTICE

LONG-TERM CARE INTRODUCTION LONG-TERM CARE OVERVIEW LONG-TERM CARE TASK FORCE

ong-term care is a growing field in nursing, LONG-TERM CARE / OVERVIEW Skilled nursing Adult family homes and the challenges are growing alongside the Most residents living in skilled nursing Adult family homes are licensed for up to six WSNA Community-Based demand. Our original goal in this issue of The communities require direct nursing supervi- persons. The number of homes has grown and Long-term Care Washington Nurse Magazine was to examine sion because of complex health care related substantially since 1995. A nurse may own Nurse Practice Task Force Assisted the challenges facing long-term care, explore Skilled to multiple medical issues. In addition, one or several adult family homes and there- This specialty task force was

COVER STORY COVER living nursing a vision for what it can be and celebrate the community Adult according to the National Center for Health fore can coordinate care similar to assisted approved by the WSNA Board of Home community contributions of the thousands of Washington health family LONG-TERM Statistics, 47.8% of nursing home residents living nurses although the majority of these Directors in 2018 to shine a light home nurses who are the backbone of the long-term services were diagnosed with Alzheimer’s disease homes do not have a licensed person who on the work being done by our care system. or other dementia. Skilled nursing care is owns them or is the manager of record. With registered nurse colleagues in this Since Life Care Center in Kirkland became WSNA GROWS highly regulated, and nurses must assure up to six residents, adult family home care growing sector. Goals for the task Ground Zero for coronavirus in the United States, the CARE NURSING that licensing requirements are met. The can be more individualized, especially for force include the following: Lpandemic has exposed many of the significant, systemic LONG nurse’s role includes extensive multi-system residents with memory loss. Residents have • Identify and address issues of challenges facing this critical system. assessments and documentation of medical the same complex health care issues as with NURSING According to the New York Times, residents and importance to nurses working and social, memory loss and mental health other community settings. IN WASHINGTON in long-term care settings. staff at nursing homes and other long-term care facili- By Pam Pasquale behavior as well as skin health and falls. Registered nurse delegators are an ties accounted for one-third of all coronavirus deaths in RNs oversee care staff and coordinate with integral part of this system, and practice is • Increase awareness within the United States as of May 11, 2020. Across 7,700 facili- health care providers, discharge planners/ regulated under Washington State law. The WSNA and the broader ties, tests have confirmed over 153,000 cases, with many ong-term care covers only expected to grow. The U.S. facilities, 540 assisted living nursing community about ORGANIZATIONAL case managers and community partners. RN delegator visits the home frequently to more doubtless unconfirmed. Long-term care facilities many different care Congressional Budget Office facilities and 3,135 adult family Resident needs may include wound care, assess residents for any medical changes the opportunities of working are prime vectors for contagious disease, and the elderly settings, including skilled estimates that by 2050, one- homes. Together, they serve IVs, injections, rehab, dialysis and hospice and train caregivers to provide for those in long-term care as a viable and medically fragile patients in these settings are at nursing, assisted living fifth of the total U.S. population more than 67,000 people. care. Nurses also oversee infection control, care needs within their licensure. The RN employment opportunity. extremely high risk. facilities and adult family will be 65 or older, up from Without skilled, professional care staff CE and immunizations. Nurses delegator constantly updates assessments • Strengthen the transitional TERM The crisis poses another set of challenges for those must be present 24 hours a day. and individual care plans as health care care processes between homes. It is a sector that 12% in 2000 and 8% in 1950. nurses, alternative care providing in-home care and the families who rely on acute care settings and LTC Lcontinues to grow as people look As of January 2020, the community options would needs evolve. them. Families and nurses alike must balance the risk Assisted living communities community-based settings, of infection against the needs of patients in in-home for community-based options Washington State Department not be successful. considering the respective AFFILIATE PROGRAM

BIENNIAL REPORT BIENNIAL Today, most assisted living communities Home care REPORT BIENNIAL care settings — a choice made all the more difficult by that meet their medical care of Social and Health Services’ In 2018, the Washington roles and responsibilities of offer an extensive menu of personal care Home care agencies employ RNs for hourly the medically fragile nature of the patients in need and and assisted living needs. And roster of licensed communities Center for Nursing and the acute care and LTC nurses. limited personal protective equipment for caregivers. services as well as health management. care, either paid privately or by insurance. the need for long-term care is included 209 skilled nursing University of Washington Center • Work with the Washington The pandemic may cast a new light on the issue, Communities devoted to seniors with Skilled home health services include wound State schools of nursing but long-term care has been too-often overlooked by for Health Workforce Studies memory loss are common throughout the care, patient and caregiver education, intra- to better integrate LTC/ policy makers in the United States for years. Like our conducted a survey with the goal state. Registered nurses and LPNs are now venous or nutrition therapy, administration skilled nursing care practice PRACTICE entire health care system, the demands created by a Work setting of RNs practicing in Washington of identifying practice areas and necessary to oversee services to assure the of injections and monitoring serious illness into the curriculum. for-profit system put nurses in an impossible position RN attitudes. The report focused safety and appropriate care of community and unstable health status. One such agency CAREIN THIS SECTION: residents, and assisted living regulations provides hourly care to pediatric popula- • Current task force members all too often, and caregivers are consistently stretched 6.4% on the approximately 63,122 RNs Other 17.3% have become complex. As the primary tions who are on ventilators or have multiple represent education, The WSNA Board of Directors thin and under-resourced as they care for those with 26 Long-term care nursing in Washington Correctional Facility 0.8% Ambulatory Care who were actively employed Insurance Claims/Benefits 1.0% medical staff, nurses need comprehensive complex care needs requiring almost hourly management, LTC practice, long-term needs. Ambulatory Care Setting 16.2% Other 1.8% 28 Busting myths about long-term Dialysis Center 1.1% and practiced in Washington ER nursing and policy. To draw Meanwhile, nurses whose work is supported by Policy/Planning/Regulatory/Licensing Agency 0.6% assessment skills and a current medical supervision to prevent complications and As the professional care nursing public funding are often under-compensated, with few School of Nursing 2.2% state. They found that nearly 12% knowledge base in order coordinate ongoing family or caregiver training. ■ in a broad spectrum of views complex resident medical needs. Nurses and experience, task force 32 Kristin Knudson, private-duty pediatric or no benefits and little institutional support for their 7.2% worked in long-term care, critical work. 11.8% Community Health interact daily with community providers, members are not required Long-term Care or Hospice Community Health 2.1% which included assisted living Occupational Health 0.6% to be WSNA members. 34 Ellen Rabideau, assisted living When we have contained this pandemic, we must Assisted Living Facility 1.2% health care providers, discharge plan- Home Health 4.1% Public Health 1.2% facilities, home health, created the organizational ners/case managers and community part- 36 Robert Butzerin, skilled nursing all continue the work to support and advocate for the Hospice 1.7% School Health Service 3.3% hospice and nursing nurses who work in long-term care to receive the support Nursing Home/Extended Care 4.8% ners. They coordinate with hospital case Pamela Pasquale, MN, RN, has Would you like to be a 38 Reducing errors through home/extended care. managers and discharge planners; indi- had a passion and experience part of this work? and resources to care for themselves and the patients in community based and long electronic health records vidual resident health care providers; and WSNA is seeking additional association for more they serve. 57.4% term care settings for over home health, hospice and palliative care 30 years. She has advocated members of the Community-Based 40 Caring for aging patients: Hospital Hospital 57.4% workers to allow residents to stay in their for issues related to these and Long-Term Care Task Force. To Liability risks for nurses working in ➾ settings while serving as long-term care settings Missing data: 0.7% of respondents. Percent calculations do not include missing data. familiar surroundings with support. a member of the PNHCC express your interest, email Sally Source: Washington Center for Nursing, “Washington State’s Registered Nurse Workforce: Results of a 2018 Survey” affiliate program in 2018 to bring and Board of Directors. Watkins at [email protected]. PHOTO: ISTOCK/MA_RISH PHOTO: than 100,000 registered 24 SPRING/SUMMER 2020 THE WASHINGTON NURSE 25 26 THE WASHINGTON NURSE SPRING/SUMMER 2020 27 together the expertise and voices nurses who live and work in LONG-TERM CARE MYTHS LONG-TERM CARE MYTHS LONG-TERM CARE NURSE PROFILES LONG-TERM CARE NURSE PROFILES of nursing. Together, we more Washington state, we are MYTH 1 Long-term care requires effectively advocate for the less critical thinking LONG-TERM CARE / ASSISTED LIVING

AFE STAFFING AFE Long-term care nursing is a specialty The thought that long-term care nurses are expected STAFFING AFE within community health nursing and to think less clinically or critically than other nurses couldn’t be further from the truth. Long-term care

S provides health services, preventive S always working to advance care, intervention and health nurses must possess strong analytical and critical ELLEN RABIDEAU, RN thinking skills and the ability to carefully examine

education to communities or specific clinical situations using the nursing process. These varied needs of nurses and the populations. Duties often include skills provide a crucial perspective that can make an Ellen Rabideau is Health Services Ellen’s philosophy: How she got into long- What makes it hard

• Provide holistic care term care nursing • immediate difference in the lives of their patients. Director of Prestige Senior Care “Time is one big factor. As the RN, routine

LONG-TERM CARE / MYTHS / CARE LONG-TERM optimizing activities of daily living of East Wenatchee, an assisted Ellen is guided by the holistic care model Ellen’s career in long-term care started a assessments of the residents must be and the independence of patients Consider the following example: A patient with a chronic cough had multiple diagnostic studies living community recently and endeavors to meet every person’s decade before she became an RN with a completed as required by our assisted with chronic illnesses or disabilities. conducted to determine the underlying cause of purchased by a company that goal of living happy, healthy and well. She position doing activities in a small memory living contracts. But many of our resi- nursing practice and ensure Long-term care nurses work in a the cough. The patient’s care team could not find owns several buildings. addresses their physical, mental and spir- care community of about 20 residents. dents experience changes of condition or variety of community settings, such an answer. The assisted living registered nurse In addition to the traditional itual/emotional needs in close personal Later, she moved to Montana, where she hospitalizations between scheduled re-as- future of the profession. as skilled nursing facilities, assisted proposed that the potential cause of the chronic role of the RN to assess and relationships. worked at a small skilled nursing facility, sessments. It’s a day-to-day endeavor of cough was a side effect of a blood pressure medi- manage medical issues, the “Being involved in the direct care of the first as a cook, then as dietary manager. keeping caught up with each individual’s living communities, rehabilitation cation, Lisinopril. The registered nurse was correct, role requires a good amount residents allows us to build trusting rela- She cross-trained as a CNA. changing needs and keeping required centers, schools, home health and and the puzzle was solved. This example demon- of social work and case tionships,” Ellen said. “Getting to know Ellen completed her associate’s documentation current. Plus having hospice. The long-term care setting strates strong critical thinking assessment skills management. Critical thinking the residents and their family members degree at Kankakee Community College the time to support and train care team nurses’ ability to practice is a rich and valuable learning that helped address a complex and costly problem. skills are essential for day-to- well, advocating for the residents when in Illinois, one of the top accredited members, from continuing education to Nurses in the long-term care setting must maintain day symptom management their conditions change, listening to the nursing programs in the state. Ellen was immunizations.” We now have four environment to hardwire assessment proficient medication knowledge, including drug skills, to gain firsthand experience as is an understanding of the residents and helping them meet their unsure which career path to take, and BUSTING dose calculations, drug management and phar- developmental needs of the needs and being available in times of need so when she was offered a position in with complex health problems and What makes it rewarding macology. Continuing professional education and older population in order to are invaluable to our work. Overseeing the an ICU upon licensure, she took it. She training supports ongoing competency. Relationship building. “In this setting, to learn to work as interdisciplinary provide age-appropriate care. entire care team allows us to offer conti- felt very fortunate to be mentored by her the care team and residents get to know team members. It is interesting to The role also requires nuity of care throughout all of the shifts.” colleagues to develop the knowledge base each other on a familiar level,” Ellen said. MYTHS contemplate the various perspectives MYTH 2 Long-term care nursing providing ongoing instruction Getting to know patients over time and excellent assessment skills to manage to the full extent of their is for older nurses “The families trust us to steward the care organizational affiliates: to the care team and residents, also gives Ellen and her colleagues the current complex medical care. of long-term care nursing. of their loved ones in their absence; this Asserting that long-term care nursing is for older delegation of tasks to team ability to see their needs clearly and Ellen was moved to return to working In this article, we examine is an immense and joyful responsibility. nurses who can’t keep up with a fast pace is members when the RN is not advocate for interventions and treatment with older adults after caring for a the myths and realities of long- There are lessons to be learned through ABOUT misguided and false. Some people further suggest there and providing ongoing changes that can make a meaningful patient in ICU who was given aggressive inter-generational connectivity.” term care nursing practice. that long-term care nursing is the last stop before communication, documentation difference. She tells the story of a long- end-of-life treatments while the family retirement. In fact, long-term care nurses often and coordination of services both term care resident who suffered from a supported and advocated for their loved carry a significant case load while caring for patients in-house and out-of-community. neurological condition that caused pain one’s end-of-life wishes. She decided to training and education. LONG-TERM of all ages, in different care settings, with multiple and tremors that were uncontrolled. “We be an advocate for and learn more about comorbidities. were able to advocate for a supplement working with older adults. Within a year, For example, a long-term care nurse is often and appropriate medication changes that Ellen and her husband had moved back assigned to care for residents with a variety of made an actual difference. The resident to Montana where she began working in • ARNPs United of Washington CARE stable and unstable comorbidities, such as conges- was relieved of these troubling symptoms a small facility and quickly advanced to tive heart failure, dehydration, dysphasia, severe through the end of his life.” Assistant Health Director. She and her rheumatoid arthritis, irritable bowel syndrome husband have been in Wenatchee two and diabetes. While addressing patient needs and years and she is now the sole nurse in changes in condition, the registered nurse may also NURSING her assisted living community. She over- be scheduled to conduct an admission assessment sees and coordinates the care of 42 older “GETTING TO KNOW THE RESIDENTS AND THEIR FAMILY for a patient coming from the hospital. To be able State By Albert Munanga, DrBH, MSN, RN to effectively manage this workload, a long-term adults and roughly a dozen front-line MEMBERS WELL, ADVOCATING FOR THE RESIDENTS WHEN ACHIEVEMENTS team members. care nurse must be physically and intellectually fit THEIR CONDITIONS CHANGE, LISTENING TO THE RESIDENTS and capable of multitasking and collaborating with AND HELPING THEM MEET THEIR NEEDS AND BEING AVAILABLE stakeholders expeditiously. IN TIMES OF NEED ARE INVALUABLE TO OUR WORK.” 28 THE WASHINGTON NURSE SPRING/SUMMER 2020 SPRING/SUMMER 2020 THE WASHINGTON NURSE 29 34 THE WASHINGTON NURSE SPRING/SUMMER 2020 SPRING/SUMMER 2020 THE WASHINGTON NURSE 35 • Mary Mahoney Professional ~ Dedicated issue of

STRATEGIC PRIORITIES STRATEGIC Nurses Organization PRIORITIES STRATEGIC The Washington Nurse magazine to long-term • Pacific-Northwest Chinese and community-based The Washington Nurse magazine Nurses Association. care to raise awareness focuses on long-term care • School Nurse Organization and highlight the work of of Washington (SNOW) nurses in this key sector. ong-term care was identified in our 2019- much as one-third of all coronavirus deaths 2021 Strategic Priorities as a growing in the United States. The WSNA Board grants ~ Held “We Won! Now field in nursing that deserved our atten- The pandemic may have cast a new light organizational affiliate status What?” workshops across tion. The challenges are growing along- on the issue, but long-term care has been to organizations of registered the state to educate side the demand, and nurses working in too-often overlooked by policy makers in nurses that meet certain criteria, nurses on new laws. L long-term and community-based care are too the United States for years. Like our entire including having a formal WSNA President Lynnette Vehrs (top photo) and WSNA Director of Nursing Practice Gloria ~ Added new organizational often isolated as professionals. health care system, the demands created organizational structure and Burnham (right photo) at the Dec. 7, 2019 “We won! Now what?” event in Spokane. affiliates to bring diverse We featured long-term care in the Spring/ by a for-profit system put nurses in an established formal goals. Our perspectives to the Summer 2020 issue of The Washington impossible position all too often, and care- organizational affiliates are work of WSNA. Nurse, with content contributed by WSNA’s givers are consistently stretched thin and represented in the WSNA General ~ Implemented new Learning Long-term Care Task Force. The goal was to under-resourced as they care for those with Assembly, have a voting seat on “We won! Now what?” education Management System, examine the challenges facing long-term long-term needs. the Professional Nursing and events reach hundreds of nurses creating a strong platform care, explore a vision for what it can be and Meanwhile, nurses whose work is Health Care Council, and are for developing and delivering celebrate the contributions of the thousands supported by public funding are often entitled to submit the names after passage of the Workplace Violence legislation and Breaks and Overtime Protec- professional development. of Washington nurses who are the backbone under-compensated, with few or no bene- of qualified registered nurse tions legislation in 2019, WSNA held education events around the state. of the long-term care system. fits and little institutional support for their representatives for appointment The “We won! Now what?” workshops were an opportunity for nurses to learn As we were putting together the maga- critical work. to ad hoc groups and task forces. what they could do to ensure successful implementation of new laws. Nurses also zine, Life Care Center in Kirkland emerged When we have contained this pandemic, We look forward to had the opportunity share innovative tips and apply an “ounce of prevention” to as Ground Zero for coronavirus in the United we must all continue the work to support expanding the organizational enhance self-safety in their workplaces. States, and the pandemic exposed many of and advocate for the nurses who work in affiliate program in the coming the significant, systemic challenges facing long-term care to receive the support and biennium, adding to the diversity this critical system. Early in the pandemic, resources to care for themselves and the of perspectives that enhance EVENTS WERE HELD IN: residents and staff in nursing homes and patients they serve. The task force will our work as an organization. Bellingham, Oct. 24, 2019 Vancouver, Sept. 24, 2019 Tacoma, Feb. 8, 2020 other long-term care facilities accounted become a standing committee of WSNA in Kirkland, Nov. 12, 2019 Yakima, Sept. 26, 2019 Seattle, Feb. 8, 2020 for tens of thousands of COVID cases and as the coming biennium. ■ Spokane, Dec. 7, 2019 PHOTOS: BEN TILDEN BEN PHOTOS:

36 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 37 BIENNIAL REPORT | ACTIONS ON 2019 RESOLUTIONS BIENNIAL REPORT | ACTIONS ON 2019 RESOLUTIONS

● Gun Violence ● Protection of Health Care ● Disaster Emergency ● Health Care Workplace ● Develop, Participate and Report Submitted by the Occupational and Workers and Patients in Preparedness Violence Prevention on a Safe Staffing Task Force ACTION ON 2019 Environmental Health and Safety Committee Safe Patient Handling Submitted by the Professional Submitted by the Cabinet on Economic Submitted by the Cabinet on Submitted by the Professional Nursing and Health Care Council and General Welfare, Legislative Council, Economic and General Welfare In August 2019, WSNA joined Nursing and Health Care Council Professional Nurse and Health Care Council, and Occupational and Environmental BIENNIAL REPORT BIENNIAL the Alliance for Gun Responsibility, a WSNA and the Professional Nursing WSNA has worked at both the national REPORT BIENNIAL RESOLUTIONS Health and Safety Committee statewide organization that “works WSNA’s website has a new section on and Health Care Council’s emergency and state levels to advance safe At the 2019 Washington to end the gun violence crisis in our safe patient handling that includes preparedness work was overwhelmed On May 21, 2019, Governor Inslee staffing. Our initial planning work with State Nurses Convention, community and to promote a culture legislation and policy, key research by an emergency no one was signed into law the Workplace AFT and ANA was thrown off schedule of gun ownership that balances rights and links to resources provided by prepared for: the COVID-19 crisis. We Violence Prevention Act, which due to the COVID crisis. While federal our members approved five with responsibilities.” WSNA is now WSNA, federal agencies, researchers look forward to continuing work on legislation related to staffing is on resolutions that directed the updates our state’s workplace violence listed as a partner in the Alliance’s and safety organizations. emergency preparedness as the crisis in health care statute to provide more hold, both AFT and ANA did reach work of WSNA and its councils work, along with the Washington State The Winter 2021 issue of The abates. During the 2021 legislative specificity around what hospitals must agreement on the following: Medical Association, the Washington Washington Nurse included an article session, WSNA is advocating for and committees on priority include in their required workplace • Laws and regulations affecting safe State Public Health Association, the on all-person safety in the lifting, many worker protection bills to issues. While the COVID-19 crisis violence prevention plans and training. staffing levels for nurses must have Washington Education Association, movement and transfer of patients. better protect nurses during the next necessarily redirected WSNA’s This law was passed unanimously by protections for ancillary staff. the Washington Chapter of the health emergency. both the Washington State House focus to meet the emerging • Developing laws, regulations and American Academy of Pediatrics, and of Representatives and Washington needs of our members, we many more. This partnership provides hospital-level plans for staffing must

ACTION ON 2019 RESOLUTIONS 2019 ON ACTION State Senate. RESOLUTIONS 2019 ON ACTION be staff-nurse led. made substantial progress WSNA and our members with educa- In the fall/winter of 2019-2020, on the 2019 resolutions. The tion resources and opportunities to WSNA held a series of “We Won! Now • Safe staffing should be a component following provides highlights take action. What?” workshops around the state to of Magnet status and the Pathway to of our work in each area. educate nurses on the updated statute Excellence Program. This needs to and how to keep themselves safe. be evaluated with the input of staff The full resolutions are WSNA developed model contract nurses. available at wsna.org/about/ language for workplace violence • Nurses would benefit from the leadership-and-governance. prevention and is currently assessing opportunity to learn how hospital the implementation status of the finances and budgets work to better workplace violence law. understand where money comes from and where it goes. At the state level, WSNA partic- ipated in a series of stakeholder meetings with union partners and the Washington State Hospital Association, providing input on the December 2020 report back to the legislature on the 2019 Nurse Staffing Law. We initiated campaigns at various local units to highlight safe staffing concerns and encouraged member participation though Assignment Despite Objection (ADO) complaint

THE forms. We are tracking hospital A PUBLICATION OF THE WASHINGTON STATE NURSES ASSOCIATION | VOLUME 49, NO. 1

WASHINGTON NURSE THE WASHINGTON compliance with the staffing law

oklc ilne eiltv roiis New nursing workforce data Legislative priorities Workplace violence NURSE MAGAZINE WINTER 2019 and have filed dozens of complaints with the Washington State Depart- ment of Health and L&I’s Division of Occupational Safety and Health. #EndNurseAbuse WSNA members have also met with

VOLUME 49, NO. 1 Governor’s Office staff and legislators

WINTER 2019 at WSNA’s Lobby Day.

Governor Jay Inslee signs the Workplace Violence Prevention Act into law, May 21, 2019. WSNA added a new section on safe lifting to its website. Safe staffing remained a top issue for WSNA during the 2019-2021 biennium.

38 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 39 BIENNIAL REPORT | QUALITY AND SAFETY BIENNIAL REPORT | QUALITY AND SAFETY

ADVOCACY WITH PUBLIC OFFICIALS WSNA WINS MAJOR QUALITY AND From the beginning of this crisis, WSNA has been at the table advocating for PROTECTION FOR stronger protections for nurses with the Governor’s Office, our state’s Depart- NURSES WITH ment of Health, Labor & Industries, Employment Security, public health officials, PROHIBITION BIENNIAL REPORT BIENNIAL SAFETY state legislators and our congressional delegation. Every step of the way, WSNA ON USE OF REPORT BIENNIAL worked with public officials for inclusion of protections for our members. CARCINOGEN FOR At its core, our work PPE STERILIZATION is about promoting The results of this advocacy include: behaviors and practices that positively impact APRIL 10, 2020 Governor’s Memo- MAY 18, 2020 Governor’s Procla- hen WSNA heard that hospitals were consid- randum on Workers’ Compen- mation Reducing Restrictions the safety of registered ering using ethylene oxide, a known carcin- sation During the COVID-19 on, and Safe Expansion of, W ogen, to clean face masks, we launched into nurses and patients and Emergency provides new Non-Urgent Medical and Dental action to put a stop to this cleaning process.

ALITY SAFETY AND lead to improved quality workers’ compensation guidance, Procedures issued, based on ALITY SAFETY AND Nurses at some WSNA-represented facilities

QU outcomes for all residents including assumption that recommendations from a small QU

• had reported respirators and face masks being • of Washington. After the COVID-19 exposure happened on workgroup that was led by WSNA the job, and paid leave during any Executive Director Sally Watkins collected for reprocessing using ethylene oxide coronavirus pandemic hit quarantine period. and Washington State Hospital to decontaminate. The Food and Drug Adminis- our state, much of our focus Association Board Chair Bill tration (FDA) has concluded that ethylene oxide was on ensuring the safety of APRIL 13, 2020 Governor’s Procla- Robertson. Provisions include is carcinogenic to humans and that exposure to nurses and their patients. mation on High-Risk Employees requiring facilities to: ethylene oxide increases the risk of lymphoid and Workers’ Rights protects • Have appropriate PPE for workers. cancer and, for females, breast cancer. ACHIEVEMENTS high-risk workers from dangerous WSNA sent cease and desist letters assignments and guarantees • If a certain area does have an STRATEGIC PRIORITIES STRATEGIC demanding an immediate halt to the reusing PRIORITIES STRATEGIC ~ Successfully advocated alternate assignment or access to outbreak, hospitals need to be for COVID-19 policies and accrued leave and unemployment prepared to surge their hospitals of any face masks, including N95 and other practices at the state and benefits when alternate assign- beds, staff and ventilators. respirators, that had been decontaminated by the ethylene oxide cleaning process. In addition, hospital levels to protect the ments are unavailable. • Implement social distancing and safety of nurses and patients. strong hygiene measures within WSNA reported this hazard to Labor & Industries’ APRIL 2020 DOSH Hazard Alert their offices and hospitals. Division of Occupational Safety and Health. ~ Created new Safe from the Department of Labor & As a result of our advocacy, the Washington Patient Handling and Industries prohibits the use of • Screen patients and visitors for symptoms. State Department of Labor & Industries issued Mobility resources. carcinogenic ethylene oxide in a Hazard Alert on April 29, 2020 prohibiting the PPE decontamination processes. • Use their clinical judgment for ~ WSNA advocates on all fronts use of ethylene oxide for cleaning of face masks, what is considered necessary during COVID-19 crisis including N95s, that included the following THE COVID CRISIS APRIL 2020 Used our childcare care, using telemedicine when directive: survey, completed by nearly appropriate. “Hospitals and clinics are required to use has been going on for more than a year. From have not come through this unscathed. As 1,000 members, to engage public • Implement policies to protect their ethylene oxide (EtO) sterilizer systems the chaotic early days of PPE shortages and this report goes to press, half a million Amer- officials statewide to provide workers and seek their feedback. for their intended and manufacturer-approved guidance that seemed to change daily, to icans have died of COVID-19, including nurses, childcare options for nurses and other health care workers. purposes. EtO sterilizer systems must NOT be the winter surge and vaccine rollout, WSNA who have been exposed to and infected with JULY 29, 2020 Governor Inslee used to sterilize masks, respirators, PPE or items staff and members have been advocating for COVID at a much higher rate than the rest of APRIL/MAY 2020 Worked with King updates the Proclamation worn by humans.” what nurses need. We’ve pushed employers, the population. County and the City of Seattle on High-Risk Employees and public health officials and elected leaders for Critical care and emergency department to secure free hotel rooms for Workers’ Rights and extends a wide range of policies and actions. We’ve nurses are exhausted, and many have left their nurses who feared exposing it through the duration of the lifted up the voices of members in the media jobs. Nurses in other units of the hospital are family members in the absence of current state of emergency. and online to make our case. We continue dealing with this virus — as they take care of accessible testing. pushing hospitals to follow official procla- patients who have COVID and comorbidities. mations, safety directives and policies put Still other members have faced furloughs and in place to support and protect health care low census amid the pandemic. workers — and are filing complaints with the state when they do not. These are some of the many actions The vaccine brings hope for an end, but we have taken to keep nurses we know our nurses and community members informed, supported and safe. ➝

40 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 41 BIENNIAL REPORT | QUALITY AND SAFETY BIENNIAL REPORT | QUALITY AND SAFETY

SEPT. 17, 2020 Hazard Alert from Department DEC. 3, 2020 Governor’s Proclamation ADVOCATING IN THE MEDIA of Labor & Industries and Department of on Non-Urgent Medical and Dental ADVOCATING Health clarifies steps hospitals must take Procedures outlines additional IN YOUR FACILITIES WSNA lifted up member voices and concerns in the media, earning hundreds of articles that leverage the public’s trust of nurses to protect employees and patients from requirements for health and dental Over the course of the pandemic, WSNA to win policies that protect and support them. We issued statements (often jointly with other health care unions), provided hospital-acquired COVID-19. Provisions facilities to prevent COVID-19 outbreaks. negotiated Memorandums of Understanding

BIENNIAL REPORT BIENNIAL include: WSNA successfully advocated for at more than 20 facilities, including information and set up interviews with reporters that spread our message across the state, the nation and the world. REPORT BIENNIAL additional provisions for hospitals, provisions such as: • All staff must be trained on COVID-19 Issues covered lack of PPE, the silencing of nurses and other health care workers, nurse shortages, furloughs, COVID-19 including: procedures, infection control proce- • Paid administrative leave outbreaks in hospitals and nurse burnout. dures, how to report a potential COVID-19 • Requiring hospitals to provide notifica- when quarantined. Here are some COVID-related news stories featuring WSNA members, staff and statements. exposure, and how to safely don and doff tion to staff of high-risk exposure within • Immediate access to EIT/PTO. masks, respirators and other personal 24 hours and COVID-19 test results • Timely notification of exposure KING5 WASHINGTON HOSPITALS FACE NURSING KUOW OVERLAKE HOSPITAL SAID IT FOLLOWS NATIONAL PUBLIC RADIO SEATTLE NURSES protective equipment. within 24 hours. to COVID-19. SHORTAGE AS PANDEMIC CAUSES BURNOUT SAFETY GEAR GUIDELINES, BUT ITS POLICIES SCROUNGE FOR MASKS TO STAY SAFE ON • COVID-19-positive and COVID-19- • Requiring randomized, voluntary COVID • Maintenance of health insurance AMONG STAFF (1/15/21) SHOW OTHERWISE (6/18/20) PANDEMIC’S FRONT LINES (3/20/20) if unable to work. ALITY SAFETY AND suspected patients must be physically surveillance testing in times of non-con- ALITY SAFETY AND • Float premiums. TACOMA NEWS TRIBUNE OPINION: COVID-19 KNKX UW MEDICINE TO FURLOUGH SOME CROSSCUT CORONAVIRUS TURNS SEATTLE INTO QU isolated from non-infected persons. ventional PPE use. QU BIDDING WAR FOR WASHINGTON STATE WORKERS AND CUT PAY FOR SENIOR LEADERS AMERICA’S LABORATORY (3/18/20) • •

• Incentive pay for picking up • Disposable respirators and procedural • Requiring accurate PPE supply and bed NURSES IS BAD HEALTHCARE POLICY (1/9/21) (5/12/20) additional shifts. THE SEATTLE TIMES SURGE OF CORONAVIRUS masks must be replaced daily at the capacity reporting to the WA HEALTH • Additional banks of paid TACOMA NEWS TRIBUNE COVID-19 OUTBREAK THE SPOKESMAN-REVIEW FROM SHORTAGES TO PATIENTS EXPECTED AS OFFICIALS MARSHAL beginning of each shift for every database daily and development of time-off hours. AMONG STAFF, PATIENTS AT PUYALLUP FURLOUGHS, PANDEMIC GIVES IN-DEMAND EMERGENCY SUPPLIES, HEALTH WORKERS employee and immediately upon a PPE work group to include employees HOSPITAL. UNION FILES COMPLAINT NURSING PROFESSION A STRESS TEST TEST POSITIVE (3/18/20) employee request when soiled or and union representatives. (12/18/20) (5/6/20) damaged during the shift. Multiple-shift • Requiring hospitals to follow nurse SEATTLE GAY NEWS JOINT STATEMENT FROM use of disposable respirators/​masks is staffing, meal and rest breaks, and KREM 2 ‘WE ARE NEAR BURNOUT’: SPOKANE ICU KUOW ‘WE’RE GOING TO RUN OUT OF MASKS’: SEIU HEALTHCARE 1199NW, WASHINGTON NOT allowed. JAN. 8, 2021 Establishing Health Emergency mandatory overtime laws when providing NURSE SHARES STRUGGLES 8 MONTHS INTO HEALTH CARE WORKERS PUSH BACK ON STATE NURSES ASSOCIATION AND UFCW 21

STRATEGIC PRIORITIES STRATEGIC Labor Standards (SB 5115) bill pre-filed PRIORITIES STRATEGIC • Employees who enter the room of non-urgent services, procedures and COVID-19 PANDEMIC (11/18/20) RESTARTING ELECTIVE SURGERIES (4/24/20) ON PROHIBITION OF LARGE EVENTS DURING for introduction in the Washington State COVID-19 OUTBREAK (3/11/20) a patient with suspected or confirmed surgeries. Senate. This bill provides a number of KNDU NURSES ASK FOR COMMUNITY HELP IN KING5 WASHINGTON NURSES CALL FOR MORE COVID-19 must follow Standard Precau- protections for workers during a health BATTLING COVID-19 (11/18/20) PROTECTIVE GEAR BEFORE RESTARTING KING5 WASHINGTON NURSES CONCERNED FOR tions and use a NIOSH-approved N95 emergency. It was amended on the floor ELECTIVE SURGERIES (4/23/20) HEALTH AS HOSPITALS FACE MASK SHORT- JAN. 5, 2021 Worker Protection Act TACOMA NEWS TRIBUNE EDITORIAL: TACOMA or equivalent or higher-level respirator, of the State Senate to only apply to the AGES (3/10/20) (HB 1076) pre-filed for introduction in the FRONT-LINE HOSPITAL WORKERS SHOULDN’T OREGON PUBLIC RADIO ‘IT’S TERRIFYING’: HOW gown, gloves and eye protection. COVID-19 pandemic and not to future Washington State House of Representa- HAVE TO FIGHT FOR FAIR PAY DURING COVID FRUSTRATIONS FLARED FOR NURSES AT SW THE STRANGER SEATTLE HEALTHCARE WORKERS health emergencies. This bill passed out • Hospital respirator procedures must tives, with input and support from WSNA. (11/13/20) WASHINGTON HOSPITAL (4/9/20) SAY THEY AREN’T GETTING WHAT THEY NEED of the Washington State Senate on Feb. ensure that all respirator users are The Act gives workers a new way to help TO PROTECT THEM FROM CORONAVIRUS 23 and moved to the House as this report THE SEATTLE TIMES AS CORONAVIRUS SPREADS, medically cleared, fit-tested and trained. enforce the standards Washington state (3/9/20) went to press. FRONTLINE WORKERS PRESS INSLEE FOR • PAPRs/​CAPRs may only be used if they has said are important, such as meal and MORE INFO ON WHERE PERSONAL PROTEC- THE SPOKESMAN-REVIEW WASHINGTON HEALTH are within manufacturers’ acceptable rest breaks, wage theft and safety viola- JAN. 13, 2021 Providing Health Care Workers TIVE EQUIPMENT IS GOING (4/3/20) OFFICIALS DEPART FROM CDC GUIDELINES conditions. tions. Several WSNA members testified in with Presumptive Benefits During a ON PROTECTIVE EQUIPMENT AMID CORONA- support of this bill. It was making its way THE SEATTLE TIMES SILENCING NURSES AND • Staff are prohibited from working or Public Health Emergency (SB 5190) VIRUS OUTBREAK (3/7/20) through the Legislature as this report DOCTORS WILL MAKE THE CORONAVIRUS being on the premises if exposed to bill introduced in the Washington State went to press. CRISIS WORSE (4/3/20) MOTHER JONES NURSES ARE RAISING RED FLAGS COVID-19, and all staff who test positive Senate. This bill provides presumption ABOUT HOSPITALS’ CORONAVIRUS RESPONSE must be excluded from work and isolated eligibility for health care workers who KEPR TV “WE ARE GOING TO DIE,” KADLEC NURSE JAN. 6, 2021 Increasing Worker Protections (3/5/20) according to Centers for Disease Control need to quarantine or utilize workers’ (HB 1097) bill pre-filed for introduction CALLS ON FEDERAL GOVERNMENT, BUSI- and Prevention (CDC) guidelines. in the Washington State Senate. This bill compensation while out sick with KOMO LOCAL HOSPITALS WORRY ABOUT NESSES TO PROVIDE PPE (4/3/20) BECKER’S HOSPITAL REVIEW WASHINGTON STATE COVID-19 or any disease that is the STAFFING AS U.S. REPORTS ANOTHER SURGE NURSES SEEK GREATER TRANSPARENCY creates new protections around retal- BLOOMBERG HOSPITALS TELL DOCTORS THEY’LL subject of a declared federal or state IN COVID-19 CASES (11/12/20) ABOUT CORONAVIRUS, UNION SAYS (3/5/20) iation for reporting unsafe workplace BE FIRED IF THEY SPEAK OUT ABOUT LACK OF conditions. WSNA members testified in health emergency. Senator Jeff Holy (R – Spokane) introduced this bill after TACOMA NEWS TRIBUNE STAFFERS AT TACOMA GEAR (3/31/20) support of the bill, which was making HOSPITAL WITH COVID OUTBREAK WORK talking with WSNA members in Spokane. THE HILL HOSPITALS THREATENING TO FIRE its way through the Legislature as this WHILE AWAITING SURVEILLANCE TEST WSNA members testified in support. This WORKERS FOR SPEAKING OUT ABOUT CORO- report went to press. RESULTS (11/2/20) bill passed out of the Washington State NAVIRUS SHORTAGES: REPORT (3/31/20) Senate on Feb. 25 and moved to the TACOMA NEWS TRIBUNE TACOMA HOSPITAL’S PROPUBLICA EXPIRED RESPIRATORS. REUSED House as this report went to press. COVID-19 PROBE GROWS WITH 18 CASES NOW MASKS. NURSES IN THE NATION’S ORIGINAL REPORTED; TESTING EXPANDS (10/30/20) COVID-19 EPICENTER OFFER SOBERING ACCOUNTS OF WHAT COULD COME. (3/28/20)

42 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 43 BIENNIAL REPORT | QUALITY AND SAFETY BIENNIAL REPORT | MEMBERSHIP GROWTH AND ENGAGEMENT

MEMBERSHIP

BIENNIAL REPORT BIENNIAL GROWTH REPORT BIENNIAL AND ENGAGEMENT As the leading voice

ALITY SAFETY AND for registered nurses in QU

• Washington state, we strive to engage and grow our membership in all arenas.

ACTING IN OUR COMMUNITIES ACHIEVEMENTS ENGAGEMENT AND GROWTH SHIP

WSNA distributes thousands of masks to frontline workers “Mask up” PSAs On July 26, 2019, WSNA members from Sacred Health and Kadlec joined other Providence health care ~ Won strong contracts at

workers, labor allies and community supporters for a rally at Providence Headquarters in Renton. MEMBER Sacred Heart Medical Center •

Due to the national shortage of PPE and the lack of effective federal In the beginning of September 2020, WSNA ran public service in Spokane and Kadlec STRATEGIC PRIORITIES STRATEGIC action to secure and produce more, our national union, American announcements (PSAs) on local television stations in the Tri-Cities, Regional Medical Center in Federation of Teachers (AFT), donated about 180,000 surgical masks Spokane and Vancouver/Portland areas to encourage members of the Major contract wins at Providence Richland through organizing, and face shields to Washington state. public to “mask up.” With the coronavirus far from under control, and engagement and statewide WSNA held 10 events in 2020 to distribute these supplies to resistance to wearing masks emerging in some parts of the state, we facilities fueled by union solidarity unity with other unions. health care workers, their families and community members. Our felt it was important to use nurses’ trusted voices to encourage mask- and member engagement thanks go to AFT for procuring and sending these much-needed wearing and, we hoped, make a difference in Washington’s efforts to ~ WSNA Member Ingrid masks and face shields to our state. tamp down virus transmission and COVID-19 cases. ■ the growing corporate influence in health Heart Medical Center in Spokane since Anderson stepped up to care has been a top concern for our members November 2018. run for State Senate in the PRIORITIES STRATEGIC for a number of years. More and more, our Kadlec and Sacred Heart nurses each 5th legislative district — hospitals are merging or creating affiliation held rallies early in 2019; in May, they joined in running an outstanding agreements with large health systems in our a Unity Picket held simultaneously in Spokane campaign and earning the „ ENFORCEMENT EFFORTS state. and Richland. WSNA members at both hospi- endorsement of Governor In 2018 and 2019, Providence Health & tals brought their nurses together and spread Inslee. Ingrid fell 57 votes shy As of the end of 2020, including financial penalties • Evergreen Health • Seattle Children’s Hospital Services, the largest health care provider the word through the media; eventually, they of securing this seat, but we WSNA had filed 19 in instances of serious • Grays Harbor • Skagit Regional Hospital in Washington state, came to negotiating began preparing to go on strike. They would are so proud of her for the complaints against 15 violation citations. Community Hospital • St. Joseph’s Medical tables across its entire five-state region with have been the first WSNA strikes since the campaign she ran during this hospitals with L&I’s Division WSNA members partic- • Providence Kadlec Center Tacoma a mission to slash sick time and PTO benefits, Kadlec nurses’ strike of 1993. most unusual election year of Occupational Safety and ipated in the investigations, Regional Medical Center • UW Medical Center – Montlake and gut health insurance stability. On July 26, 2019, WSNA members from while also serving as a nurse Health (DOSH) for issues sharing stories of unsafe • MultiCare Good • UW Medical Center – Northwest In 2019, WSNA, SEIU Healthcare 1199NW, Sacred Health and Kadlec joined Providence related to lack of PPE, practices such as being Samaritan Hospital in her community hospital. • Virginia Mason Medical Center unsafe working conditions, forced to use the same • MultiCare Tacoma UFCW 21 and OPEIU Local 8, representing a health care workers represented by SEIU failure to follow Governor respirator for days or even General Hospital total of 20,000 health care workers at facili- 1199 and UFCW 21, labor allies and commu- Proclamations and failure weeks, lack of proper social • Overlake Hospital ties across the state, created the Providence nity supporters for a rally at Providence to follow the September distancing and ventilation, Medical Center United Coalition to support each other and Headquarters in Renton. We brought our Hazard Alert issued jointly lack of timely testing and • Peace Health Southwest jointly hold executives accountable for solu- message directly to multi-millionaire execu- by the Washington State being forced to work after Medical Center tions at our many bargaining tables. We knew tives because managers in local Providence Department of Health testing positive for COVID. • Peace Health St. Joseph’s that we needed to stand together to go up facilities refused to address urgent prob- and DOSH. DOSH issued WSNA filed DOSH Hospital – Bellingham against a corporation like Providence. lems including workplace and patient safety violations at several complaints for these • Providence Sacred Heart facilities highlighted below, hospitals: Medical Center WSNA had been in tough negotiations for concerns, cuts to sick time and paid time off, a new contract at Kadlec Regional Medical and competitive benefits and wages to recruit

PHOTOS: BEN TILDEN BEN PHOTOS: Center since September 2018 and at Sacred and retain nurses.

44 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 45 BIENNIAL REPORT | MEMBERSHIP GROWTH AND ENGAGEMENT BIENNIAL REPORT | MEMBERSHIP GROWTH AND ENGAGEMENT

„ UNITY COMMITMENT ANNOUNCED FOR PATIENT CARE AND SAFETY BY THREE UNIONS AT PROVIDENCE

On Dec. 10, 2019, the three unions representing

BIENNIAL REPORT BIENNIAL Providence workers announced a unity commitment: REPORT BIENNIAL After many months of taking action together, and also coor- dinating our unions and taking strike authorization votes, our unions’ leadership feels that now is the time to take the next steps in our campaign. We recently made a unity commitment to heighten our level of coordination and express our pledge to each other as we move ahead on our campaign for fair contracts. In a historic moment, UFCW 21, SEIU Healthcare 1199NW and WSNA leadership have pledged to coordinate efforts that will move us all forward as healthcare workers and achieve the critical advances needed at Providence to provide better patient care and safety.

SHIP GROWTH AND ENGAGEMENT AND GROWTH SHIP The essence of our unity commitment is: If you take on ENGAGEMENT AND GROWTH SHIP Kadlec Regional Medical Center nurses Ryan Nurses at the Kadlec Regional Medical With a tentative agreement in hand, By mid-November 2019, 15,000 nurses and other healthcare one of us, you take on all of us. Rosenkranz, Adam Halvorsen and Emily Klug Center strike authorization vote on Sacred Heart Medical Center nurses workers at Providence-owned hospitals across the state joined the rally in Renton on July 26, 2019. Oct. 29-30, 2019. held a vigil on Jan. 8, 2020 to had voted to authorize strikes. We are all negotiating with a massive employer that support UFCW 21 and SEIU 1199NW MEMBER made $24 billion in revenue and has $11 billion in reserves. MEMBER Providence workers who had yet to • • reach agreements. Providence is a single employer whose actions of putting profits before patients threatens the care and safety of our patients, our communities and our members. We recognize Providence responded by making an unimpressive statement that we can push back against Providence most effectively to the media that “the most effective venue for discussing labor when we work together as a team. KEY DATES contracts is at the local bargaining tables,” and “We have full confi- Thousands upon thousands of our members, in counties dence that our local leaders, who are bargaining these contracts, spanning the state, work for this employer that is a registered have presented strong pay and benefits packages that are aligned STRATEGIC PRIORITIES STRATEGIC SEPT. 12, 2018 First bargaining session at AUG. 22, 2019 Sacred Heart and Kadlec DEC. 18, 2019 Top officers and member non-profit making billions in profit. Providence has refused PRIORITIES STRATEGIC Kadlec. nurses join statewide Providence Unions leaders from WSNA, UFCW 21 and SEIU with our values and advance our commitment to creating an excep- to address concerns over patient care and safety. They have Day of Action with “sticker up” campaign. 1199NW meet with Governor Inslee to tional work experience for our caregivers.” continued to make proposals that would take away tens of NOV. 5, 2018 First bargaining session at express their concerns. After a powerful organizing campaign, WSNA members at both Sacred Heart. OCT. 24–25, 2019 Nurses at Sacred Heart millions of dollars of member benefits that have been earned vote to authorize a strike. JAN. 3, 2020 After ongoing discussions, Kadlec and Sacred Heart voted to authorize strikes in late October over decades. They have failed to offer compensation that FEB. 25, 2019 Sacred Heart nurses rally at three unions (WSNA, UFCW 21 and SEIU 2019. It took many more weeks of tough bargaining, exceptional would help recruit and retain high-quality staff in all our Riverfront Park in Spokane, drawing 200 OCT. 29–30, 2019 Nurses at Kadlec vote to 1199NW) representing 13,000 health solidarity and unity with SEIU 1199 and UFCW 21 before we reached facilities. nurses in near-freezing temperatures to authorize a strike. care workers at Providence hospitals agreements. Our members made their opinions clear in an unprece- demand a contract that keeps nurses NOV. 10, 2019 Nurses at Sacred Heart throughout Washington agreed to On Dec. 9, 2019, Kadlec nurses ratified a contract that preserved and patients safe. dented show of unity when they voted to authorize strikes for and Kadlec write open letters to their pause plans to announce a strike during PTO accruals and caps for all current nurses, enhanced staffing and patient care and safety throughout the state of Washington. marathon negotiations. MARCH 15, 2019 Kadlec nurses rally for a communities in their local newspapers workplace violence language and included wage increases of 10% Now, we as the leaders of our three unions have taken the fair contract at John Dam Plaza Park (The Spokesman-Review in Spokane and JAN. 7, 2020 The Sacred Heart bargaining over the life of the contract plus a ratification bonus. unprecedented step of entering into this unity commitment in Richland to demand a contract that the Tri-City Herald in Kennewick). team reaches a tentative agreement with On Jan. 16, 2020, Sacred Heart nurses ratified a contract that to guide and focus our coordinated efforts, so that we may keeps nurses and patients safe. NOV. 25, 2019 The Kadlec bargaining team management. included no takeaways on Paid Time Off and Earned Illness Time, no more effectively negotiate with Providence and ultimately MAY 9, 2019 Simultaneous Unity Pickets reaches a tentative agreement with JAN. 8, 2020 WSNA and UFCW 21 hold a changes to short-term disability, ratification bonuses that captured reach new contracts that protect workers and patients alike. at both Sacred Heart and Kadlec draw management. Candlelight Vigil for Patient Safety and a full retro pay, wage increases of 10% for the duration of the contract hundreds of nurses and their supporters. Faye Guenther, President, UFCW 21 DEC. 9, 2019 Kadlec nurses vote to ratify Fair Contract in Spokane. and enforceable language on staffing and workplace safety. Diane Sosne, President, SEIU Healthcare 1199NW JULY 26, 2019 Sacred Heart and Kadlec their contract. Our unified work to win great contracts across the entire Prov- JAN. 16, 2020 Sacred Heart nurses vote to nurses join SEIU 1199NW, UFCW21, OPEIU idence system in Washington state provides a model for taking on Sally Watkins, Executive Director, Washington State Nurses DEC. 10, 2019 WSNA, UFCW 21 and SEIU ratify their contract. Local 8, labor partners and community ■ Association 1199NW made a Unity Commitment to large health systems. supporters at a “Rally for Patients Before fight for patient safety. The essence of Profits” at the corporate headquarters of the commitment is, “If you take on one of Providence in Renton. us, you take on all of us.” PHOTOS: RYAN ROSENKRANZ AND BEN TILDEN BEN AND ROSENKRANZ RYAN PHOTOS:

46 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 47 BIENNIAL REPORT | OCCUPATIONAL AND ENVIRONMENTAL HEALTH AND SAFETY BIENNIAL REPORT | ASSOCIATION VITALITY

OCCUPATIONAL ASSOCIATION

BIENNIAL REPORT BIENNIAL AND VITALITY REPORT BIENNIAL Much of our work in this ENVIRONMENTAL arena is behind the scenes: strengthening operations and infrastructure. In 2020, HEALTH the WSNA Board of Directors Our focus is on promoting added a focus on addressing healthy and safe issues of diversity, equity

environments for nurses and and inclusion in our VITALITY SSOCIATION A

WSNA outlines plan to address organization and our work. • environmental justice for systemic racism and health equity all the communities nurses ACHIEVEMENTS serve. as for so many organizations across the country, the death of George Floyd at the hands of police officers in Minneapolis on May 25, 2020 and the ensuing demonstrations across the ~ WSNA Board of Directors ACHIEVEMENTS developed a Resolution ATIONAL AND ENVIRONMENTAL HEALTH ENVIRONMENTAL AND ATIONAL country were a wake-up call for WSNA that we needed to step up our efforts to address racism ~ Won passage of the as a public health threat. WSNA published strong statements about the need to address systemic and plan to address Workplace Violence racism and pledged to look inward at becoming a more anti-racist organization — while also issues of diversity, OCCUP

• equity and inclusion.

looking outward to support initiatives to reduce the health inequities that infect our health PRIORITIES STRATEGIC Prevention bill and educated

nurses on violence- WSNA held “We Won! Now What?” sessions around the state. care system. ~ Moved forward with prevention strategies. TOP RIGHT: WSNA Director of Nursing Practice Gloria Brigham delivers practical tips for personal We have held trainings on racism and microaggressions with WSNA staff and board members plan to create Regional safety, Nov. 12, 2019. BOTTOM RIGHT: Bellevue and Seattle-area members at Wilde Rover Irish and are working to infuse all of our work with diversity, equity and inclusion principles. Nurses Associations. ~ Developed an interactive Pub in Kirkland on the evening of Nov. 12, 2019. BOTTOM LEFT: Katharine Weiss, WSNA’s public affairs associate director, gives an overview of the newly passed laws, Oct. 25, 2019. A key objective established by the WSNA Board of Directors was to produce the Resolution stress management video being put forward at the 2021 Washington State Nurses Convention (see page 22). The resolution and resource list to provide sets forth specific actions WSNA will take to put the Board’s commitment to addressing racial self-care support to nurses Unanimous legislative win justice and health disparities into action. ■

STRATEGIC PRIORITIES STRATEGIC during the pandemic. strengthens workplace violence statute n September and October 2018, nurses The Workplace Violence Prevention Act Move to regional nurses associations continues were punched, choked, kicked, scratched updated our state’s Workplace Violence in In 2018, the WSNA Board of Directors approved a plan to create Regional Nurses Associations, and threatened with death. Nurses Health Care statute to provide more speci- combining multiple existing WSNA Districts to better meet the needs of members. These involved in two serious incidents at Kadlec ficity around what hospitals must include in professional organizations are supported by a portion of membership dues and are intended Regional Medical Center in Richmond their required workplace violence prevention to provide educational opportunities, scholarships and networking on a local level. Over the and an incident at St. Joseph Medical plans. past two years, the transition to regional nurses associations has progressed, with one region ICenter in Tacoma shared their stories in the In the fall and winter of 2019-2020, WSNA completing the transition and another two well on their way. ■ Winter 2019 issue of The Washington Nurse, held a series of workshops throughout the Rainier Olympic Southwest Region Central Washington Region and WSNA brought nurses and lawmakers state to educate nurses on the updated Nurses Association Nurses Association Nurses Association together in small group meetings to advo- statute and how to keep themselves safe. The former Pierce County Encompassing Clark, Plans for the central region, cate for improvements to workplace violence While the COVID-19 crisis pulled most Nurses Association has a Cowlitz, Lewis, Pacific, encompassing Kittitas and new name, recognizing the Skamania and Wahkiakum Yakima counties, are well prevention laws. of WSNA’s safety focus to addressing issues scope of the region that counties, the Southwest underway. The new regional Spurred by the shocking stories and like PPE shortages and hospital practices that now spans seven counties: Region Nurses Association association is now registered in photos of workplace violence in health weren’t safe for nurses or patients, we know Pierce, Thurston, Kitsap, has completed paperwork the State of Washington and has care settings, legislators in both houses of that the problem of workplace violence has Mason, Grays Harbor, and welcomed a founding applied for 501(c)(3) nonprofit Jefferson and Clallam. Board of Directors. Elections status with the IRS as this the State Legislature unanimously passed not gone away and will require our renewed are planned for fall 2021. biennial report goes to press. the Workplace Violence Prevention Act. On attention. ■ Founding board members are May 21, 2019, Governor Inslee signed the building the foundation, with a goal of electing the new bill into law. TILDEN BEN PHOTOS: VIVION MATT PHOTO: board in 2021.

48 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 49 BIENNIAL REPORT | STATEMENTS ON SYSTEMIC RACISM AND HEALTH EQUITY BIENNIAL REPORT | STATEMENTS ON SYSTEMIC RACISM AND HEALTH EQUITY

WSNA members and staff joined in the health care workers’ march in Seattle calling out racism as a public health emergency. BIENNIAL REPORT BIENNIAL REPORT BIENNIAL

On June 5, 2020, with a peaceful protest by health care workers planned in Seattle for the following day, WSNA’s president and chair of the Cabinet on Economic and General Welfare issued a joint letter to our members supporting efforts led by Black organizations to protest systemic racism and bring attention to racism as a public health emergency.

A letter to our nurses WE AS A COUNTRY ARE FACING A DOUBLE Registered nurses have a long history As the letter states, ​“To the extent CRISIS. We are fighting to slow the spread of of working with our partners in law enforce- possible, we support the application of the coronavirus and to get nurses and other ment to address mental illness and violence these public health best practices during health care workers what we need to safely in our community and workplaces. We recog- demonstrations that call attention to the care for our patients. We are also facing nize that many of us have family, spouses pervasive lethal force of white supremacy. the crisis of systemic racism manifested in and friends that work in law enforcement However, as public health advocates, we the killing of George Floyd and many other who share our deep concern and outrage do not condemn these gatherings as risky Black and brown people at the hands of the at racist acts. Across the country, we have for COVID-19 transmission. We support police. Racism is a public health emergency seen officers ​“take a knee” in solidarity with them as vital to the national public health as much as the coronavirus pandemic is, but protesters. and to the threatened health specifically On May 31, 2020, WSNA posted a statement on social media to stand in solidarity with those calling for justice, to call out

STATEMENTS ON SYSTEMIC RACISM AND HEALTH EQUITY HEALTH AND RACISM SYSTEMIC ON STATEMENTS racism as a public health crisis and call on our profession to examine the myriad ways racism manifests itself in our health it can’t be solved by developing a vaccine, The issues we are speaking out against of Black people in the United States. We EQUITY HEALTH AND RACISM SYSTEMIC ON STATEMENTS care system. Our Facebook post reached more than 100,000 people and was shared more than 900 times. instituting widespread testing or social are systemic. We are calling on our law can show that support by facilitating safest distancing. enforcement colleagues to recognize protesting practices without detracting from This is why as nurses, as a professional racism as a major issue, self-reflect on the demonstrators’ ability to gather and demand WSNA statement calling for an end to systemic racism, racial violence and police brutality association and as a labor union, WSNA is impact of racism and their relationships with change.” “I CAN’T BREATHE.” Racism has a 400-year history in patients and their communities. That is why supporting the efforts led by Black orga- the community, accept accountability and We also recognize that the choice to When we hear those words, our auto- America — and the hand of racism rests we cannot remain silent. nizations to protest systemic racism and commit to true reform to address racism. participate in any in-person demonstration matic response as nurses is to listen and try heavily on the health care system and The Washington State Nurses Associa- bring justice for George Floyd, Breonna Racism has a 400-year history in is individual — and that many, especially to help, to try to preserve life. public health. We know that people of color tion stands in solidarity with all those who Taylor, Manuel Ellis and too many other Black America that has taken Black lives for those at high risk for COVID-19, won’t be But in the case of the killing of George face systemic barriers to accessing health are calling for an end to systemic racism, people who have died at the hands of law hundreds of years. Nurses are called on to comfortable participating in an in-person Floyd just a few days ago, those words are care and being listened to or heard. It is the racial violence and police brutality. We also enforcement officers. advocate for their patients and their commu- protest. Nurses have never been known to also a call to action — a call to speak out reason African American women face higher are calling on our profession to look hard at These crises are intertwined. The hand nities. That is why we cannot remain silent. stand by and do nothing when our patients and act against racism and the killing of yet rates of maternal death and why the burden the many ways racism manifests itself in our of racism rests heavily on the health care That is why the Washington State Nurses are hurting. Now is no different. Nurses are another Black person at the hands of those of the coronavirus pandemic is falling more health care system and in patient care. We system and public health. We know that Association stands in solidarity with all those also known for critical thinking and being who are supposed to serve and protect. heavily on people of color. It is why African must do better. people of color face systemic barriers to who are calling for an end to systemic racism, thoughtful educators. Now is no different. George Floyd’s death comes on the Americans have the highest death rate and We know that a statement is not enough accessing health care and being listened racial violence and police brutality. We encourage you to make the right deci- heels of a deeply troubling couple of weeks shortest survival of any racial and ethnic and that this is not an isolated incident. We to or heard. We also know that COVID-19 is WSNA supports the principles outlined in sion for yourself and keep your eyes open — when Breonna Taylor and Ahmaud Arbery group in the U.S. for most cancers. It is why are calling for action. For action to bring having a disproportionate impact on people the ​“open letter advocating for an anti-racist for other opportunities to support systemic were senselessly killed. It comes on the African Americans are almost twice as likely George Floyd’s killers to justice and justice of color. Black Americans are more likely to public health response to demonstrations changes that will improve the health and heels of a white woman calling the police to die from a firearm than their white coun- for the many victims of racist violence develop COVID-19 and have a higher rate against systemic injustice occurring during safety of our communities in the coming and threatening the safety of Christian terparts. And, it is why we as nurses must before him. of hospitalization, mechanical ventilation the COVID-19 pandemic” spearheaded by weeks and months. and death. Add to that the disproportionate University of Washington infectious disease Cooper in New York’s Central Park. And this look racism in the face and call it what it is. Lynnette Vehrs, MN, RN, WSNA President on the heels of countless other Black deaths This is a public health crisis — one that economic impact on Black and brown experts and signed by 1,288 public health Julia Barcott, RN, Chair of the WSNA Cabinet communities, including greater rates of job professionals, infectious diseases profes- at the hands of law enforcement and those has taken Black lives for hundreds of years. on Economic & General Welfare who seek to do harm to someone who does Nurses are called on to advocate for their losses, and the public health crises of the sionals and community stakeholders.

not share their skin color. VIVION MATT PAGES: BOTH PHOTOS coronavirus and racism are inseparable.

50 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 51 BIENNIAL REPORT | WHERE YOUR DUES GO BIENNIAL REPORT | VOLUNTEER ORGANIZATION CHART

WHERE YOUR VOLUNTEER ORGANIZATION CHART

BIENNIAL REPORT BIENNIAL Union-represented REPORT BIENNIAL DUES GO District / Region Associations WSNA members only

A portion of your dues go to your Regional Nurses E&GW Nominating / Some of your dues go directly to your district or region (amount varies by region). Search Committee  Association. This amount All WSNA members varies according to your Nomination / Search Member (3 elected) specific region. Committee  Of the remaining General Assembly Member (4 elected)

WHERE YOUR DUES GO YOUR WHERE amount, 75% goes to WSNA Cabinet on Economic Of the remaining amount, 75% goes to WSNA; 25% goes to our national affiliates. Member (2 appointed) The governing and official voting (see chart for how WSNA and General body of the WSNA membership Welfare  uses its portion of your 75+25 dues) and 25% goes to the Chair American Nurses Associ­a­ Vice Chair CHART ORGANIZATION VOLUNTEER How WSNA uses its portion of your dues Board of Directors tion and to AFT Health­care Secretary / Treasurer Member (7) President (elected) (union members only). GOVERNMENT RELATIONS LABOR RELATIONS AND ORGANIZING Washington State Professional Nursing and Health Care Council For our union members, 3.94% 54.1% Nurses Foundation Vice President (elected) Elected by and accountable to Board of Trustees Secretary / Treasurer (elected) union-represented members 8% of the dues that go to Chair (elected) Director at Large (3 elected) WSNA are allocated to their Member at Large (elected) Member (5-9 appointed) Director at Large (Staff Nurse) (2 elected) Member (Research) (elected) local unit and the Cabinet Chair of Cabinet on on Economic and General Economic and General Welfare Member (Education) (elected) Executive Committee  Welfare (4% each). Chair of Professional Nursing Member (Practice) (elected) INFORMATION TECHNOLOGY Legislative and Health and Health Care Council Member (Administration) Chair The percent­ages above are 5% Policy Council Chair of Legislative (elected) Vice Chair and Health Policy Council based on collec­tive bargaining Member (Ethics and Human Secretary / Treasurer Rights) (elected) Chair (elected) dues rates. The percent­ages BUSINESS AND ACCOUNTING Fulfills the duties delegated to Member (4+ appointed) vary depending on the type 7.65% Member at Large (3 elected) it by the General Assembly and of member­ship you have Member (4 appointed) as defined in the Bylaws Local Unit ADMINISTRATION with WSNA. AND Leadership Council  GOVERNANCE Occupational and 9.13% WSNA-PAC Board Environmental Health Local unit chairs or designees PUBLIC RELATIONS of Trustees and Safety Committee AND Executive Committee PUBLICATIONS Member (11 appointed) Member (1 from Board 6.43% President of Directors) Vice President Local Units  Member (1 from Cabinet on OCCUPANCY Secretary / Treasurer AND INSURANCE Economic and General Welfare) 2.99% Member (1 from Legislative and Health Policy Council) Member (1 from Professional PRACTICE AND Bylaws / Resolutions Finance Committee  Nursing and Health Care Council) EDUCATION Member at Large (2 appointed) 6.15% Committee  Secretary / Treasurer Chair (appointed) (serves as Chair) Standing (permanent)  committee Member (2 to 6 appointed) Vice President Member of the Cabinet on Union members only Economic and General Welfare  MEMBERSHIP SUPPORT Member (0-4 appointed) Provides information to 4.61% Accountable to Task forces of limited duration and/or additional committees may be formed for a specific topic or purpose at the discretion of the Board of Directors.

52 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 53 BIENNIAL REPORT | ELECTED AND APPOINTED OFFICERS BIENNIAL REPORT | STAFF ORGANIZATION CHART

ELECTED AND APPOINTED OFFICERS STAFF ORGANIZATION CHART BIENNIAL REPORT BIENNIAL REPORT BIENNIAL

BOARD OF DIRECTORS E&GW NOMINATIING/ PROFESSIONAL NURSING WSNA NOMINATIONS/ EXECUTIVE DIRECTOR SEARCH COMMITTEE AND HEALTH CARE COUNCIL SEARCH COMMITTEE Sally Watkins PRESIDENT Lynnette Vehrs Lucas Meredith CHAIR Suzanne Baek Charles C. Cumiskey Debra Brinker VICE PRESIDENT Jan Bussert LABOR AND OPERATIONS Josephine Ashley EXECUTIVE OFFICER Jennifer A. Graves Judith (Judy) Huntington FINANCE COMMITTEE Mary Ellen Biggerstaff Anne Tan Piazza SECRETARY/TREASURER Christy Case Susan E. Jacobson Vee Sutherlin SECRETARY/TREASURER/CHAIR Annie Hetzel Frankie Manning Vee Sutherlin Julia R. Barcott Anne Hirsch DIRECTOR OF LABOR AND DIRECTOR OF MARKETING SENIOR LABOR CONSULTANT DIRECTOR OF FINANCE DIRECTOR OF NURSING PRACTICE DIRECTOR OF PUBLIC AFFAIRS CHART ORGANIZATION STAFF ORGANIZING STRATEGIES AND COMMUNICATIONS Christina Bradley WSNA PRESIDENT Vesna Jovanovich Christine Watts Gerard Friesz Mary Reed Ruth Schubert Gloria Brigham Jennifer Muhm Charles C. Cumiskey Lynnette Vehrs Antwinett Lee WSNA POLITICAL ELECTED AND APPOINTED AND OFFICERS ELECTED Justin Gill Rayanne Lilley ACTION COMMITTEE VICE PRESIDENT Susan Glass Mikey Anne O’Sullivan ASSOCIATE DIRECTOR OF Jennifer Graves Christopher Birchem LABOR ADVOCACY Adam Halvorsen Jordan Pai Palimar Jayson Dick Amy Boultinghouse Judi Lyons Martha Goodall Jennifer Reinhardt Hilke Faber Rosa Young Anne Poppe Suzanne Scott Martha Galvez LABOR ADMINISTRATIVE AND PUBLIC AFFAIRS ACCOUNTING SPECIALIST ADMINISTRATIVE ASSISTANT ADMINISTRATIVE ASSISTANT Jamilia Sherls SYSTEMS SPECIALIST NURSE REPRESENTATIVES ASSOCIATE DIRECTOR John Gustafson Hue Tran Joline Railey Annelise Zappone Heather M. Stephen-Selby Jeremy Raughton Brenda Balogh Katharine Weiss Evelyn Street Sue Dunlap BYLAWS/RESOLUTIONS LEGISLATIVE AND HEALTH Jessica Wang Travis Elmore POLICY COUNCIL Lynnette Vehrs – President COMMITTEE Sara Frey MARKETING & Rachel Wang (Xue Geng) CHIEF GENERAL COUNSEL FINANCE PROGRAM MANAGER COMMUNICATIONS EDUCATION DIRECTOR CONTRACT LOBBYIST Barbara Friesen PROGRAM MANAGER Timothy Sears Carmen Garrison Patrick McGraw Megan Kilpatrick Melissa Johnson CHAIR Jennifer Carson Jan Bussert Mara Kieval Rachel Geng Justin Gill Sydne James WASHINGTON STATE GENERAL COUNSEL / Michelle Moore OCCUPATIONAL & Judy Huntington Erin Allison DIRECTOR OF COLLECTIVE Bret Percival DIGITAL MEDIA SPECIALIST ENVIRONMENTAL NURSES FOUNDATION BARGAINING MEMBERSHIP ASSOCIATES HEALTH SPECIALIST Shawn Reed Matt Vivion Anita Stull Ingrid Anderson Mike Sanderson Kelly King Karen Bowman Laurie Robinson EXECUTIVE ASSISTANT Anna Murray CHAIR Sam Scholl Gemma Aranda Shastie Steinshouer Mary Mainville Sue Glass Jaclyn Smedley Susan Dunn LABOR COUNSEL Janet Stewart SENIOR WEB & DESIGN SPECIALIST Pamela Chandran Hanna Welander CABINET ON ECONOMIC Lynn Nelson Ben Tilden Jennifer Graves Jacob Harksen Ed Zercher AND GENERAL WELFARE Stephanie Wahlgren RECEPTIONIST Judi Lyons RESOURCE NURSE MEMBERSHIP SPECIALIST Matty Whitman Lynnette Vehrs – Ex Officio Frankie Manning REPRESENTATIVE Katharine Parish CHAIR Terri Williams Julia R. Barcott Pam Newsom PARALEGAL Vee Sutherlin Jeanna Te-LaCivita VICE CHAIR OFFICE MANAGER OCCUPATIONAL AND Rosa Young ORGANIZERS Edna Cortez Martin Hsiung ENVIRONMENTAL HEALTH Tara Barnes & SAFETY COMMITTEE STRATEGIC RESEARCHER Crystal Doll SECRETARY/TREASURER Ian Mikusko Anne Mansfield Martha Marie Goodall Karen Bowman Will Nesper Ryan Rosenkranz Sean Dumas Annie Bruck Zachary Siekel AFT EXTERNAL ORGANIZING Kathryn Ennis Sally Budack CAMPAIGN CONSULTANT Minh Nguyen Employee Jacob Garcia Edna Cortez PROJECT ORGANIZERS Crystal Kosik Butch De Castro (Open) On contract (Open) Janet Stewart Mikey O’Sullivan Reports to Ruby Tan Consults with

54 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 55 BIENNIAL REPORT | AFFILIATIONS AND RELATED ORGANIZATIONS BIENNIAL REPORT | AFFILIATIONS AND RELATED ORGANIZATIONS

AFFILIATIONS AND RELATED BIENNIAL REPORT BIENNIAL ORGANIZATIONS REPORT BIENNIAL

AFL-CIO AFT Nurses and American Nurses Nursing Students of Washington Center Washington State Washington State Health Professionals Association Washington State for Nursing Labor Council Nurses Foundation

The American Federation of WSNA’s affiliation with the The American Nurses Nursing Students of The Washington Center for Widely considered to be the The Washington State Nurses Labor and Congress of Industrial American Federation of Association (ANA) is the Washington State (NSWS) is Nursing (WCN) is the nonprofit “voice of labor” in our state, Foundation (WSNF) supports Organizations (AFL-CIO) is the Teachers (AFT) enhances the premier organization the only statewide student statewide nursing organization the Washington State Labor the nursing profession in democratic, voluntary federation power of nurses to advocate representing the interests nursing association in whose goal is building a Council (WSLC), AFL-CIO, Washington state by funding of 55 national and international for quality patient care, of the nation’s 4 million Washington state, dedicated diverse, highly qualified represents and provides nursing scholarships and labor unions that represent 12.5 professional standards and registered nurses. to the advancement of nursing nursing workforce to support services for hundreds of local providing financial assistance million working men and women. improved working conditions. ANA advances the nursing education in order to promote a healthier Washington. WSNA unions throughout Washington to nurses in need. The AFL-CIO works tirelessly It also gives WSNA national profession by fostering high the highest standards and best Executive Director Sally state. Since its inception in 1982, to improve the lives of working AFL-CIO affiliation. standards of nursing practice; practices for nursing students Watkins, PhD, MS, RN sits on The WSLC’s core WSNF has awarded hundreds people, including ensuring all AFT represents nearly promoting a safe and ethical in the state of Washington. WCN’s Board of Directors. programs are legislative of thousands of dollars in working people are treated fairly, 200,000 health professionals work environment; bolstering NSWS is the state chapter advocacy, political action, scholarships to nurses and with decent paychecks and and is the second-largest the health and wellness of of the National Student communications and media nursing students enrolled AFFILIATIONS AND RELATED ORGANIZATIONS RELATED AND AFFILIATIONS benefits, safe jobs, dignity and nurses union in the AFL-CIO. nurses; and advocating on Nurses Association and an relations, plus assistance with in community colleges, ORGANIZATIONS RELATED AND AFFILIATIONS equal opportunities. AFT has engaged in several health care issues that affect independent organization organizing campaigns. baccalaureate and advanced The AFL-CIO advances multi-union initiatives nurses and the public. ANA is supported in part by the Currently, there are degree programs in all corners legislation to create good jobs on issues of importance at the forefront of improving Washington State Nurses more than 600 local unions of Washington state. By and advocates for strengthening to members, including the quality of health Association. affiliated with the WSLC, helping nurses advance their Social Security and private advocating for safe staffing care for all. representing approximately education, WSNF donors help pensions, ensuring fair tax and safe lifting, addressing the Founded in 1896, and 550,000 rank-and-file union encourage nurse recruitment, policies, and making high- growing problem of workplace with members in all 50 states members working in our diversify the nursing quality, affordable health care violence and ensuring that and U.S. territories, ANA is state. The WSLC is the largest profession, and improve available to all. school children have enough the strongest voice for the labor organization in our state nursing care and the health of The federation helps make nurses to adequately care for profession. and is the only organization our communities. safe, equitable workplaces and their needs. representing all AFL-CIO give working people a collective unions in the state. voice to address workplace injustices without the fear of retaliation. And, the AFL-CIO fights for social and economic justice and strives to vanquish oppression in all its forms.

Organizational The WSNA Board of Directors created the organizational affiliate program to bring together the ARNPs United of Mary Mahoney Professional Pacific-Northwest Chinese School Nurse Organization affiliates expertise and voices of nursing. Together, we more effectively advocate for the varied needs Washington State Nurses Organization Nurses Association of Washington of nurses and the future of the profession. ARNPs United is a nonprofit MMPNO’s mission is to provide PCNA’s aim is to establish a SNOW supports school nurses The WSNA Board grants organizational affiliate status to organizations of registered nurses organization dedicated to financial aid and scholarships platform for members to make in the delivery of health services promoting ARNP practice to students of African heritage connections and exchange designed to improve the health that meet certain criteria, including having a formal organizational structure and established by coordinating legislative, who pursue studies leading to career resources with one and academic success of formal goals. Our organizational affiliates are represented in the WSNA General Assembly, have educational and networking careers in professional nursing. another. Their mission is to students. a voting seat on the Professional Nursing and Health Care Council, and are entitled to submit activities of Nurse Practitioners diversify future nursing work- the names of qualified registered nurse representatives for appointment to ad hoc groups and throughout Washington state. force with the hope to improve task forces. minority health status.

56 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 57 BIENNIAL REPORT | CENTRAL WASHINGTON REGION NURSES ASSOCIATION ● INLAND EMPIRE NURSES ASSOCIATION BIENNIAL REPORT | KING COUNTY NURSES ASSOCIATION ● NORTHWEST REGION NURSES ASSOCIATION

CENTRAL WASHINGTON REGION NURSES ASSOCIATION INLAND EMPIRE KING COUNTY NORTHWEST REGION Formerly Districts 6, 18 and 28: Yakima County (Toppenish and NURSES ASSOCIATION NURSES ASSOCIATION NURSES ASSOCIATION Sunnyside) and Kittitas County (Cle Elum, Thorp, Kittitas)

• Creating professional development and Nursing education BIENNIAL REPORT BIENNIAL As you may already know, WSNA reorganized This past two-year period has been a bit • Specific projects for the Seattle & Thank you to members in Island, San Juan, Skagit, REPORT BIENNIAL the boundaries of its regional professional leadership training opportunities. different for everyone, including the Inland King County Nurses Association (KCNA) King County Public Health Nurse- Snohomish and Whatcom counties for all your hard organizations in December 2018. The goal • Creating scholarship opportunities. Empire Nurses Association (IENA). In the provided a variety of educational Family Partnership Program: work amid difficult circumstances in the past year. of this change is to provide an active local summer of 2019, we voted to become a Thanks also for helping get our new region off the workshops for RNs and nursing students. • Seasonal influenza vouchers for association for all WSNA members. Ellens- • Creating a home for rural nurses to have region and saw the addition of nurses in ground in 2019-20. Our Board of Directors invites you to Participants received certificates of uninsured parents. burg and Yakima are the most active districts, a local connection for education or other Ferry and Whitman counties to our member- completion that can be used for license visit nwrna.org to find out about NWRNA benefits and so we took the lead in the regionalization professional activities. ship. Since our administrative assistant renewal. Topics included: • Safe sleep sacks. opportunities for involvement. process. We look forward to including our retired in August 2019, we have focused • Supplies for a family event. The past two years have seen us grow from three new regional members. Your new Board of Directors on rebuilding our infrastructure, rewriting • Community Grants separate districts into a single region. Highlights our Bylaws and updating our Policies and • Nonviolent communication include: The following volunteers have committed as • Learning About Homeless Resources Region formation Procedures. training for nurses. core founding board members of CWRNA: We anticipate hiring an executive director • Becoming a Nurse Educator Funds to assist members The new Central Washington Region Nurses Janna Hagarty, Kay Greenwood, Julia Barcott • Home safety straps for families. this year and have high hopes of that change Association (CWRNA) is moving forward. We and Judi Lyons. They will serve as we build • Trauma Informed Care & Harm We have created a number of programs to assist helping with outreach to our membership • Funds for COVID-19 supplies for are registered with the State of Washington the foundation of CWRNA in 2021. Our goal is Reduction members, including Certification Testing assistance, and have applied for 501(c)(3) nonprofit throughout our region — as ours is one of the families (masks). Continuing Education assistance and Member to recruit candidates and conduct elections • Money Matters

AND EMPIRE NURSES ASSOCIATION NURSES EMPIRE AND largest in square miles. status with the IRS. We have created new for the board, who will take office in 2021. • Purchase of Graco Pack ‘n Play Project funding. We also provide assistance to bylaws and articles of incorporation, which We had plans for a fabulous 2020 Gala, • Self-Care Mini Retreat: Being Here playards. members to attend the biennial Washington State INL THWEST REGION NURSES ASSOCIATION NURSES REGION THWEST

• will be voted on by all members. but the pandemic changed that. We took a Now Nurses Convention.

What is happening now?

What will the new region mean to you? hiatus from our usual programming in 2020, NOR

We are currently building our structural • DIY Tactics: Managing Distress in Nursing scholarships Helping the next generation of nurses •

With your involvement, we can make a but plan to return this fall with our very base. This consists of completing the legal Response to Traumatic Situations difference: successful Legislative Reception. ■ We provided requirements to become a nonprofit region NWRNA awarded four $1,000 scholarships in 2020. In • Mentor Link: Stress Management scholarships addition, we awarded $100 to all nursing students who • Making nurses more visible in our of WSNA, as well as building the board During COVID-19 for nursing applied for a 2020 scholarship, as a way to acknowl- communities. and committee processes, consolidating students in resources and planning for activities to • Book Clubs: “The Moment of Lift” edge the difficult year faced by students. We also • Creating partnerships in areas such as King County connect with members. One of our goals and “How to be an Antiracist” provided financial assistance to educational programs community health, emergency response who showed is to find ways CWRNA can be valuable to that send students to the Nursing Students of Wash- and disaster preparedness, and home- academic ington State Convention. Our Scholarship team will our members. As we build our region, we Community grants less community agencies. excellence and involvement in social look forward to connecting and finding continue to develop our program to ensure that we help KCNA grant projects address a current justice issues. In 2019, 18 students each students most deserving and in need of assistance. • Building mentoring opportunities ways to enrich your career. You can health need, involve a KCNA member, received $3,000 — totaling $54,000. In between nurses. find us on Facebook @cwrna and email collaborate with a nonprofit organization 2020, 18 students received $3,000 each Career-building educational opportunities at [email protected]. ■ — totaling $54,000. • Making our voices heard on issues such and are conducted within a six-month NWRNA conducted our first conference in 2020. This In 2019, we provided additional as violence in the workplace. timeframe. We encourage participation online event featured sessions on cultivating personal scholarship funds of $3,000 to Mary COUNTY ASSOCIATION KING NURSES of student nurses, registered nurses and leadership qualities and developing mindfulness tech- Mahoney Professional Nurses Orga- other health care professionals. A task niques. We will look for opportunities for more online nization. We provided $6,000 to the force made up of five to six members learning for members in 2021, and we look forward to from a variety of health care back- organization in 2020. „ WHAT ARE REGIONAL AND DISTRICT NURSES ASSOCIATIONS? meeting in person in 2022!

CENTRAL WASHINGTON REGION NURSES ASSOCIATION NURSES REGION WASHINGTON CENTRAL grounds reviews project applications. Charitable donations As a member of WSNA, you are also a member Central Washington Northwest Region Southeast Region In 2019 and 2020, grants included Building our region KCNA donated to 30 local nonprofit of the regional or district nurses association Region Nurses Association Nurses Association (planned) the following projects totaling $19,000: Our Board of Directors has worked to educate members Kittitas and Yakima Island, San Juan, Skagit, Currently includes Districts organizations that serve people expe- that includes your county of residence. Regional on the region’s mission to provide opportunities for counties Snohomish and Whatcom 5 and 15 • Funding for 10 promotoras to attend riencing homelessness, foster children, and district nurses associations are unrelated connection, professional growth and community counties Asotin, Benton, Columbia, a Cardiac Arrest Survival Summit. at-risk youth, seniors and food banks. to Local Units and are not involved in collective Inland Empire Nurses involvement. We developed a website (nwrna.org), Franklin, Garfield, Klickitat Donations ranged from $200-$1,000. We bargaining (union) activities. These professional Association King County Nurses and Walla Walla counties • Healthy snacks for patients at the distribute an online newsletter to members and Adams, Lincoln, Pend Association provided a total of $11,000 in 2019 and organizations are supported by a portion of your Seattle/King County Clinic. connect with members through Facebook and Twitter. Oreille, Spokane, Stevens King County Southwest Region $17,000 in 2020. ■ membership dues and are intended to provide and Whitman counties Nurses Association • First aid supplies and classes for You can get involved. We are looking for volunteers educational opportunities, scholarships and Rainier Olympic Clark, Cowlitz, Lewis, Othello Tiny House Village. for our Scholarship, Education and Communications networking on a local level. North Central Nurses Association Pacific, Skamania and teams. Join us to enrich the professional growth • Wound care supplies for a In recent years, many districts transitioned Region (planned) Clallam, Grays Harbor, Wahkiakum counties of our members. ■ Currently includes District 7 Jefferson, Kitsap, Mason, homeless shelter. to regions; there are eight current or planned Chelan, Douglas, Ferry, Pierce and Thurston regional nurses associations in Washington state, Grant and Okanogan counties • Sponsorship of Brain Power with remaining transitions still underway. counties Chronicle event.

58 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 59 BIENNIAL REPORT | RAINIER OLYMPIC NURSES ASSOCIATION BIENNIAL REPORT | SOUTHWEST REGION NURSES ASSOCIATION

RAINIER OLYMPIC NURSES ASSOCIATION SOUTHWEST REGION NURSES ASSOCIATION Formerly Pierce County Nurses Association Formerly Districts 10, 11, 19, 21 and 27

BIENNIAL REPORT BIENNIAL The last two years have been filled with Education events Scholarship recipients Thank you, members in Clark, Cowlitz, The district/region was also repre- REPORT BIENNIAL change for our association. We expanded We’ve continued to offer educational Every year, we award scholarships to four Lewis, Pacific, Skamania and Wahkiakum sented at the WSNA Constituent Repre- to support nurses, not only in Pierce County events for nurses each year. In the age of levels of nursing students: counties, for your hard work and dedica- sentative Council meetings. We joined but, in Thurston, Kitsap, Mason, Grays virtual events and after canceling events tion to the profession! with other regions in the state to conduct Harbor, Clallam and Jefferson counties. In in spring 2020, we’ve increased our • Students who are working on their first In 2020, SWRNA worked to build the the first region-wide CE activity, “Trans- 2019, membership voted on new leader- offerings since fall 2020. Over the last two RN degree in an ADN or BSN program. foundation to be your local professional forming Trauma: Sustainable Practices” ship and bylaws, and in 2020, our new years, events were held on the following • Graduating high school seniors who are association. We did a lot behind the online workshop, in March. expanded membership voted on a new topics: planning to pursue a career in nursing. scenes — completing paperwork with We also welcomed our founding name. We are now in the final steps of the the state, IRS, etc. — so that we could Board of Directors: Jonathan Chase, Karla transition to our new name: Rainier Olympic • Hospice & Palliative Care • LPNs who are in an LPN to RN program. look toward 2021 as a period to develop Fowler, Didi Gray, Jennifer Sanford and Nurses Association. While our name has • Emerging Environmental Health Issues • Rainier Olympic Nurses Association programs to serve our members. Marva Petty. We hope to conduct our first changed, our tradition of supporting, and the Relevancy to Nursing Practice members who are furthering their While we have been building the Board elections in the fall. We urge you encouraging, empowering and engaging education. region’s structure, we have also had the to consider volunteering to help lead our nurses has not altered. • DIY Tactics: Managing Distress in opportunity to assist our members and association as we develop services for our Response to Traumatic Events And, of course, 2020 also brought AWARDEES the community. Last year, we developed members. If you are interested, contact changes in response to the pandemic. • “Lions and Tigers and Bears, Oh My” the Buswell Grants, awarding four grants Marva at [email protected]. After canceling our spring 2020 events, Understanding Polyvagal Theory Florence Golda Scholarship totaling $675 to aid members at Peace- We are working to create an online Winner (PCNA member) RAINIER OLYMPIC NURSES ASSOCIATION NURSES OLYMPIC RAINIER we’ve pivoted to virtual events, but our to Defeat Anxiety Health SW Medical Center local unit in home for your local professional associ-

focus of supporting nurses remains front Cheryl Dann (2019) need of financial assistance. The grant ation. Keep an eye on your email inbox in ASSOCIATION NURSES REGION SOUTHWEST • Racism, Social Determinants of and center. Linda Trader (2020) was made possible by a donation from the coming months for details about our Health & COVID-19, Parts 1 & 2 Nayung Yim (Nancy) (2020) the son of a retired RN who received care new website. Nurses Week • Incivility In Nursing College Level Scholarship at the hospital. We also made financial Thank you to all members for your Historically, our largest event each year contributions to the Free Clinic of SW support and your hard work! ■ Ashley Eubank (2019) is our Nurses Week Banquet & Annual Washington and to the Clark College Fundraising Paola Loza (2019) Meeting. At this event, we recognize our Foundation for nursing scholarships. Each year, we host two main fundraising Kaia Moan (2019) Nurse of the Year and honor our schol- In the future, we hope to expand to events: Annual Bowling Tournament in Alexandra Heldrich (2020) arship winners. Our 2019 Nurse of the providing financial support to other February and a silent auction as part of Samantha Jones (2020) Year was A. Cooksey Trent, BSN, RN, and educational institutions in the geographic our Nurses Week Banquet in May. While Heidi Russell (2020) our 2020 Nurse of the Year (celebrated area, as well as providing for community our 2020 Silent Auction was canceled, we Hailee Saul (2020) at a virtual Nurses Week event) was Leah resources. raised over $8,000 from fundraising in Rebecca Schulz (2020) Goodwin, BSN, RN-BC. 2019 and 2020. LPN to RN Scholarship Connections with future nurses Renee Ann Cosca (2019) Each year, we spend time in the commu- Jihye Gaty (2020) nity meeting with nursing students, as High School Level Scholarship well as high school students, who are Yamile Merino (2019) exploring careers in nursing. We also have nursing student representatives Susan Nguyen (2019) join us at board meetings to share their Danika Peterson (2019) perspectives. Dèneeka Smith (2019) Star Sturgis (2019) Trinity Marden (2020) Grace McLaughlin (2020) Miyamora Rosenthal (2020) Kylynn Stringer (2020) Clara Trajico (2020)

In 2019, we awarded $10,500 in scholarships to nursing students. In 2020, we awarded $12,750. ■

60 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 61 NURSING PRACTICE | ACCEPTING CONSTRUCTIVE CRITICISM NURSING PRACTICE | NEW ONLINE COURSES NURSING PRACTICE

PEARLS FOR PRACTICE Accepting constructive criticism By Megan Kilpatrick, MSN, ARNP-CNS, AOCNS WSNA Education Director

The mention of the word “criticism” can instantly bring up feelings of dread, failure and defensiveness. However, criticism can be an important opportunity for growth, self-reflection and self-awareness for the professional nurse. Criticism or feedback can be given in formal or informal settings by a supervisor, peer or colleague. Here’s a few tips on how to receive criticism with grace. GET YOUR LEARN ON

SEPARATE THE CONSTRUCTIVE DON’T TAKE IT PERSONALLY! RESPOND WITH CURIOSITY FROM THE DESTRUCTIVE. AND ASK FOR SPECIFICS. Criticism should build up, not tear Constructive criticism is a commentary What needs to be improved? Does the New online courses help you down. Learning to differentiate on your work, not on YOU. Pause feedback giver have any resources between the two is key. Demoralizing, and take a deep breath, and work that might help you address the earn CNE and enhance your hurtful comments or insults are not to separate your emotions from the issue? Specific criticism will provide part of healthy, constructive criticism. criticism you have received. This will a definitive place to start to address professional competency Reflection and mindfulness can help allow for clarity in identifying tangible the issue. identify criticism that is not given ways that you can improve and grow. WSNA is proud to officially launch our new Learning Management respectfully. System (LMS). This new online platform hosts learning modules created by WSNA that members can complete for CNE credit. These Remember: Constructive criticism is designed to help you learn and grow! It can also foster better teamwork modules are offered free of charge to WSNA members. While CNE is and communication, and improve patient safety. Nobody’s perfect, and we all need help living up to our potential Do you have an idea To access the new LMS, not required to maintain licensure, CNE may be used to demonstrate from time to time. for a learning module visit http://cne.wsna.org. continuing competency as part of licensure renewal or maintain a topic? Let us know Members will need to professional certification. by contacting WSNA create a profile with a Education Director username and password. Additional resources The new LMS offers several benefits: a cleaner and sleeker look, mobile compat- Megan Kilpatrick at This new LMS is not ibility, and the ability to store and retrieve certificates earned after completing [email protected]. linked with the previous 5 tips for gracefully accepting constructive criticism CNE courses. It is also much more user-friendly! More courses will be platform, so all members https://www.entrepreneur.com/article/250304 added to the LMS over will need to re-register How to respond gracefully to destructive criticism As of February 2021, six courses are available: the next year, and we are with the new system. https://www.psychologytoday.com/us/blog/nurturing-self-compassion/201704/how-respond-gracefully-destructive-criticism always looking for future • Nurse Practice and ARNPs • Service Animals topics that address the How to accept criticism • Intro Discipline Process • Legislative 101 needs of nurses in the https://sintelly.com/articles/how-to-accept-criticism professional practice • Protecting Nurses from Aerosol • Radiation Exposure Awareness environment. Transmissible Diseases for Nurses All courses are designed to be self-paced; users may pause a course as needed and resume without having to begin the course again. Megan Kilpatrick, MSN, ARNP-CNS, AOCNS is on staff as WSNA’s education director. A nurse for 17 years, she is passionate about helping nurses discover and maintain their love of the nursing profession.

62 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 63 64 THE NURSING PRACTICE WASHINGTON NURSE call ortextoneofthese crisishotlines forimmediate response: yourself,thoughts call911 ofkillingorhurting orhopelessness,anxiety, orhavehadbeguntoacton If you feeloverwhelmed As anurse onthe front linesofmanagingcare duringthe COVID-19 pandemic,youare encounteringuniquechallengesand Services GuidetoMentalHealthSupport Nurses’ stressors unlike anyother. The realities ofthe toprovide situationare care changingyourability toyourpatients,spendtimewith your family, andgoaboutyourdailylife.The stress youphysically, maybeaffecting interpersonally, andemotionallymore than You willlikely feelarange ofreactions tostress andtrauma youexperienceduringthispandemic.What mightthislook like for anything you’ve everexperienced. you? Herearesomecommonsymptomsofexcessive stress: mechanisms and find the support youneedtoaddressmechanisms andfindthe support thisstress. This willlookdifferent foreachperson. support For many, these feelingswillsubsidewithtimeaswebegintorecover. The thingistodevelopcoping important

SPRING | WHE

MENT You arenotalone. /SUMMER 2021 AL HEALTH N T Physical Symptoms: startle response,startle nausea,nightmares orflashbacks,chronic exhaustion. anger, fear, frustration, irritability, anxiety, sadness, guilt, difficulty maintaining Emotional Responses:anger,fear, frustration, sadness,guilt,difficulty anxiety, irritability, Sleep Disturbance:nightmares, trouble falling asleeporstayingasleep. Difficulty ThinkingDifficulty Clearly: emotional balance. Problematic orRiskyBehaviors: risktaking,increased useofalcohol Unnecessary ordrugstonumb. concentratingdifficulty orremembering instructions. Social Impacts: becoming clingyorneedy. O SEEK bysadness,depression, IMM Resources to supportthementalhealthandresilience ofnurses. blamingothers, conflictswithcoworkers orfamilymembers, withdrawal andisolation, EDIAT rapid rate, heart muscletension,headaches, GIdistress, breathing, difficulty high . You canalso E H There ishelp andsupport available. Disorientation or confusion, difficulty problem-solving Disorientationorconfusion,difficulty ormakingdecisions, ELP Text HOMEto741741 Crisis Text Line: 1-800-985-5990 ortextTalkWithUs to66746 SAMHSA DisasterDistress Helpline: 1-800-273-TALK (8255) National SuicidePrevention Lifeline:

DEVELOPED BY THE AMERICAN PSYCHIATRIC NURSES ASSOCIATION AS A PART OF THE WELL-BEING INITIATIVE and getthe help they needrecover completely. A peer support group gives you the opportunity tobothgiveandreceive withother nurses. group This support A peersupport givesyouthe opportunity creates a GroupJoin aPeer Support Warmlines provide in-person free when you andconfidentialsupport Use aWarmline All nurses duringthistimeofincreased should seekoutsocialandpeersupport stress. Talking withpeoplewho might When toSeekSocial&Peer Support sense of shared experience between youandyourcolleagues,remindingsense ofshared experiencebetween youthatare notin thisalone. need someonetojustlisten.You’ll beabletospeaksomeonewho is understand whatyouare goingthrough canhelp normalize yourexperience,help youprocess yourcompassionfatigueand To group: findapeersupport empathetic aboutwhatyouare goingthrough. trauma, andreduce yourstress. Keep ortreatment. isnotthe samethingasmentalhealth services inmindthatpeersupport Here aresomeways todothis: who experienceimpactstotheir mentalhealth During the pandemic,youwilllikely seethese First, it’s toknowthatmostpeople important • • • • • health professionals who provide therapy, And, there are arange oflicensedmental providers through atelehealth platform. Join Nurses Together: ConnectingThrough Conversations forpeer-to-peervideocallsat has experiencedamentalhealthorsubstanceuseissueandmayunderstandwhatyouareexperiencing. Visit www.nami.org for theirlistingofWarmlines thatgiveyouaccesstospeakwithsomeonewho gethappy.app.link/ANA gives youaccesstoateamableoffersupport24/7at Download theHappyApp,anurse-specificplatformthat Ask yourHumanResources orEmployeeAssistanceProgram Department groups aboutpeersupport orsimilar Search groups onlineforsubstanceusesupport suchasAlcoholics Anonymous,Narcotics Anonymous, Smart Recovery, andothers.Smart services organizedservices through yourworkplace. medication management,andmore. Mental Health When toSeek Treatment If your stressreactions: If you experience: • • • • • • • • YOU SHOULDSEEKOUTMENTAL HEALTH TREATMENT... Persist forseveral weeks daily functioning withyour Interfere or sleepinghabits Dramatic changes ineating Social withdrawal and anxieties Excessive fears,worries and lows Feelings ofextreme highs (sadness orirritability) Prolonged depression Confused thinking • • • • • • • • • www.ena.org/nursestogether Are overwhelming Continue toworsen Substance abuse physical ailments Numerous unexplained Denial ofobvious problems Suicidal thoughts and activities with dailyproblems tocope Growing inability Delusions orhallucinations Strong feelingsofanger NURSING PRACTICE SPRING/SUMMER 2021

THE

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W MENT ASHINGTON NURSE AL HEALTH . 65 IN MEMORIAM | JOAN GARNER REGIONAL | KING COUNTY NURSES ASSOCIATION ● RAINIER OLYMPIC NURSES ASSOCIATION

IN MEMORIAM REGIONAL EVENTS WSNA Membership Notice

If you are currently a member KING COUNTY RAINIER OLYMPIC and have had a change in your employment situation … NURSES ASSOCIATION NURSES ASSOCIATION Please complete a Change of Information Form web kcnurses.org facebook @kingcountynurses instagram @kcnurses web rainierolympicnurses.org or email your changes to [email protected]. The King County Nurses Association Visit our website at RainierOlympicNurses.org to stay up to date on Change of Information Form is available on the WSNA cordially invites you to our 118th all our events and activities. website under “Membership,” Annual Gala, a very special 2021 Nurses Week or you can contact the evening celebrating nurses and Our 2021 Nurses Week Virtual Celebration, “Honoring Nurses – WSNA Membership Depart- the nursing profession! Plan on Honoring Ourselves,” will be held on Friday, May 7, 2021. We hope ment at (800) 231-8482 or attending this special event that you will join us as we honor our Nurse of the Year and scholarship (206) 575-7979 to request one. launches National Nurses Week. ABOVE Karen Bowman, Joan Garner and Hilke Faber at recipients. This fun, virtual event will include a keynote presentation, please note It is the member’s Joan’s retirement party, Sept. 12, 2007. : When: Thursday, May 6, 2021 “Zen at the Bedside.” We’ll also be sharing the recipe for a signature responsibility to notify WSNA TOP RIGHT Barbara Bergeron, Barbara Frye, Judy Huntington cocktail and mocktail for toasting our guests of honor and all nurses. and Joan Garner move into WSNA’s new in writing of any changes in Time: 6:30-7:45 p.m. headquarters office, May 13, 2000. address, employer, FTE status, As a way to celebrate all our members during this difficult time,

BOTTOM RIGHT Joan at the WSNA Convention, April 11, 2011. layoff or leave of absence. Location: Zoom Rainier Olympic Nurses Association will be sending $5 digital coffee cards to all members who request one. Find out more at RainierOlym- Write to: Cost: $25 for members/$35 nonmembers/$10 nursing picNurses.org. students. All fees will be donated to the KCNA Schol- Joan Therese Garner Membership WSNA arship Fund Nurse Huddles Joan Therese Garner (nee Fenelon), of Maple married on July 17, 1976, at Holy Cross Church in 575 Andover Park W, Suite 101 Registration: Register online at kcnurses.org by April 28, 2021 Rainier Olympic Nurses Association is partnering with the Trauma Valley, died March 11, 2021, at the age of 84. She North Portland. In 1981, she joined the Oregon Seattle, WA 98188 Resilience Team (TRT), part of Pierce County Medical Reserve Corps, died at home in the presence of family. Born Dec. Board of Nursing as the assistant director of Stephanie Staples of Your Life Unlimited will bring to hold several Virtual Nurse Huddles this spring. TRT volunteers 5, 1936, in Iowa City, Iowa, she was adopted by nursing practice and discipline. After nursing her energetic brand of real inspiration to this event. will facilitate the sessions and provide brief, practical trainings on Maurice and Anna Fenelon (nee Schiel) on Feb. 4, stints at the VA hospitals in Portland and Seattle, A re-wired nurse, coach and keynote speaker, Steph- compassion fatigue and self care. 1937. Joan was married to Rick Garner on July 17, then at Providence Hospital from 1988 to 1993, anie works with busy health care professionals from What is a Nurse Huddle? It’s a place to talk; a place to share how 1976, until his passing on Jan. 19, 2007. she joined the Washington State Nurses Asso- the Mayo Clinic to the Middle East. She delivers the pandemic has impacted you; a place to build resilience through Joan attended Our Lady of Victory Academy ciation as Director of Nurse Practice, Education idea-packed programs proven to increase feelings of sharing your experience; a place to support each other through a in Waterloo, Iowa. Upon graduation, she went and Government Relations. She became known hope, happiness, empowerment and ability to apply debrief about the pandemic; a place to learn skills and to increase our to nursing school at Creighton Memorial St. as a champion of nurses, using her position to actionable positive change for participants. collective resiliency through conversation and connection with other Joseph’s Hospital in Omaha, Neb., graduating lobby for greater nursing rights until her retire- nurses. Visit RainierOlympicNurses.org to register for an upcoming Festivities will include: in 1960. After a short stay in Ann Arbor, Mich., ment in 2008. event: May 10, 2021 from 6-8 p.m. and June 10, 2021 from 6-8 p.m. where she worked as a nurse at the University Joan was a true champion of people, not • Shining Star Nurse Awards: 2020 and 2021 awards of Michigan Hospital, Joan moved to Milwaukee. just nurses. In retirement, she volunteered with will be announced. Fundraising While there, she worked at St. Joseph’s Hospital Habitat for Humanity, as well as the Parish Nurse, Please consider donating to the Rainier Olympic Nurses Associa- • Scholarship recipients: Meet our 18 incredible 2021 awardees, and attended classes at Marquette University Prayer Shawl and Helping Hands ministries at St. tion Scholarship Fund. Each year, we award thousands of dollars in each being awarded $3,000. from 1962 to 1968. Joan spent the following Barbara’s Catholic Church in Black Diamond. But scholarships to nursing students. Since we’re not holding in-person three years in Denver, splitting time between most of her retired days were spent doing what • Make a difference in the lives of nursing students: Throughout fundraising events right now, we’re ramping up our Monthly Giving nursing at St. Luke’s Hospital and furthering she enjoyed most: loving and caring for her two the evening, you will have a chance to donate to the KCNA Campaign. Please visit https://rainierolympicnurses.org/monthly-giv- her education at Loretto Heights College in the grandchildren, Brayden and Cadence, who gave Scholarship Fund. Let’s see if we can meet our fundraising goal ing-campaign/ to learn more and donate to support future nurses. school’s BSN program. She earned a bachelor’s her much consolation in her later years. by the end of the evening! We also hope you’ll save the date for our 2022 Bowling Tourna- ment on Saturday, Feb. 26, 2022. We’re looking forward to getting degree in nursing in 1971 and a master’s degree Joan is survived by her daughter, Sarah • Be informed: Important KCNA business updates will be shared back to the lanes. in nursing in 1973 from the University of Oregon. Garner of Maple Valley; her two grandchildren; about election results and Bylaws amendments. During the next eight years, Joan began her brother-in-law, Mike Garner of Gresham, Get involved teaching as a clinical instructor at the University Ore.; and many nieces, nephews, extended • Fine-dining restaurant Canlis has crafted a unique signature of Portland School of Nursing — where after one family members and friends. She is preceded cocktail just for this event. Both a cocktail and a mocktail Rainier Olympic Nurses Association is led by a fun, welcoming group year, she was promoted to assistant professor in death by her parents; husband; sister, Sr. Mary recipe will be sent to participants in advance. Be ready of nurses who serve as officers and directors. We encourage you ■ and began working in the ICU at Emanuel Andre Fenelon; brother, Richard Fenelon; and to say cheers! to come to a board meeting, see how things work and get more Hospital. It was there where she met her soul- aunt, Virginia Hill. ■ involved. Email us at [email protected] for details of mate, Rick Garner, a nursing student whom she upcoming board meetings. ■ PHOTOS: BEN TILDEN AND ARCHIVAL AND TILDEN BEN PHOTOS:

66 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 67 MEMBER SPOTLIGHT | KYLA ARAMA DELIVERS LIFE-SAVING CARE IN WEST AFRICA MEMBER SPOTLIGHT | KYLA ARAMA DELIVERS LIFE-SAVING CARE IN WEST AFRICA

BRIDGING HOPE

Kyla shows off a snakebite informational poster with Chief Kyla (far right), The Bridge of Hope volunteers The Bridge of Hope finances emergency The team of volunteers and onsite q For more information about Health Officer Dr. Lamin Serry (pictured here with Kyla). and onsite medical staff pose outside Sierra surgeries for patients in its Sierra Leone medical staff hold a meeting at the The Bridge of Hope, Dr. Serry is pivotal to the success of the snakebite treatment Leone’s first snakebite treatment center. clinics. Here, Kyla poses with one of snakebite treatment center. visit thebridgeofhope.us. center and frequently travels from village to village on his her inguinal hernia surgery patients. motorcycle to talk to residents about snakebite care.

She brought me along with her on the trip, crisis across the developing world. Almost erators. The best antivenom we could obtain In the meantime, we’ve reached out Kyla Arama delivers and I loved it. After that experience, I devel- two years ago, I partnered with ASF to create was a reconstitutable powder we imported to UNICEF and offered them use of our oped a passion for health care in developing a snakebite training program for the health from France. bush clinics when the vaccine arrives. Our live-saving care countries. care workers in our clinics in Sierra Leone. What’s the most rewarding aspect? onsite medical staff is trained to admin- I later went on to attend nursing school In the beginning of 2020, we traveled to the Seeing our staff members in Sierra ister vaccines, and we have a generator to in West Africa at the University of Washington and started country to help establish a new snakebite Leone provide exceptional care to snake- provide the continued power needed to taking annual trips to Sierra Leone through clinic and directly train the workers on how bite patients. They are so passionate about store and refrigerate vaccines. The Bridge of Hope. to best treat snakebites. this work and love being able to provide Since water access is also a huge Tell me about your work establishing Since February 2020, the clinic has snakebite treatment for members of their problem in Sierra Leone, we are currently every day, washington state nurses dedi- care and encourage healthy habits through the first snakebite treatment center in treated 51 snakebite patients and saved community. That’s really the ultimate goal working on getting more wells drilled cate themselves to providing exceptional education. Sierra Leone. How did that come about? countless lives in the process. of our work: to ensure health care workers throughout the country to encourage care in their own communities. But for Kyla Right before COVID-19 reached West In addition to providing curative and What is the most challenging aspect of there are trained and equipped to deliver more handwashing and limit the spread of Arama, a neonatal ICU registered nurse at Africa in February 2020, Kyla and five Seat- preventative medical care in the two clinics treating snakebites in West Africa? long-term, sustainable health care. They COVID-19. the University of Washington Medical Center tle-area nurses (including WSNA members we’ve established in the country, we also Most snakebites in Sierra Leone occur are still in regular contact with us and let us What advice do you have for other (UWMC) and WSNA member, patient care Casie Lamp and Rachel Murray) traveled to regularly meet with community members to in bush villages, where treatment is often know whenever they get a new snakebite nurses who want to become more involved doesn’t stop after she clocks out from her Sierra Leone to help deliver care and estab- ask what health needs they have. During one sought from a natural healer in the commu- case. They’re crushing it! in a cause that’s important to them? night shift in the NICU. For the past 13 years, lish the country’s first snakebite treatment of my trips there, many of them mentioned nity — which won’t effectively treat snake- With so many health disparities in West When I became Head of Medical Kyla has also worked to improve the health center. they don’t have access to medical treatment bites. It can be frustrating sometimes, but Africa, it feels good to know we’re finally Programs at The Bridge of Hope, I didn’t of patients thousands of miles away from We recently sat down with Kyla to learn for snakebites — which are very common we must remain mindful that Sierra Leone making a dent in something. know if we would be able to meet the needs Seattle. more about her volunteerism. in Sierra Leone and oftentimes deadly if left has a completely different health care What’s next for you and The Bridge of of the community in Sierra Leone. But I As a volunteer for the nonprofit organi- What inspired you to start volunteer- untreated. In fact, the World Health Organi- system than the U.S. As an organization, we Hope? learned that if you put the time and energy zation The Bridge of Hope, Kyla has helped ing? zation (WHO) named snakebite poisoning as want to honor and respect the local culture, Since Africa has closed its borders to into the work, and find the right partners to create a self-sustainable medical system in When I was 16 years old, a nonprofit a neglected tropical disease in 2018. while encouraging health outcomes that outsiders due to COVID-19, we won’t be help you, anything is possible. Sierra Leone, a developing country on the organization that does work in West Africa When I returned to the U.S., I began benefit the community. going back this year — and probably not If nurses see a problem in health care, southwest coast of West Africa. As Head visited my church [The Bridge of Hope]. researching how to treat snakebites. That’s Having access to good, sustainable in 2022. Unfortunately, WHO predicts that whether here in Washington or in a devel- of Medical Programs, Kyla partners with My mom, who is a NICU nurse at Swedish when I stumbled upon Asclepius Snake- antivenom is also a challenge to find in developing countries most likely won’t have oping country, we have the power to fix it! ■ local healthcare providers in Sierra Leone Issaquah, wanted to go and provide medical bite Foundation (ASF), which is a Seattle developing countries because they often widespread access to a COVID-19 vaccine to implement a framework for preventative assistance at a bush medical clinic there. nonprofit that addresses the snakebite don’t have access to cold storage or refrig- until 2024.

68 THE WASHINGTON NURSE SPRING/SUMMER 2021 SPRING/SUMMER 2021 THE WASHINGTON NURSE 69 WSNA NEWS | NEW STAFF

WSNA STAFF UPDATES HERE ARE SOME OF THE NEW STAFF WSNA HAS WELCOMED. Be prepared for Pamela Chandran Shawn Reed, RN, SANE Laurie Robinson, RN LABOR COUNSEL NURSE REPRESENTATIVE NURSE REPRESENTATIVE the unexpected. Get a WSNA emergency preparedness kit. Pamela Chandran is the Shawn Reed joined WSNA Laurie Robinson has been an daughter of two union as a nurse representative in RN and WSNA member since stewards ­— a high school December 2020. Shawn’s 1987. She spent her nursing teacher and a junior seven years of experience career in the emergency college professor who as a registered nurse is department and as a trauma taught anatomy to nursing rooted in emergency medi- service coordinator. MSRP $74.95 students. She received cine and psychiatric nursing. Laurie has served as a ‘First Responder’ kit Member price $55 her undergraduate degree Prior to joining WSNA, she grievance officer for 15 years from Dartmouth College, worked across hospital and participated in many Sling bag AM/FM radio (2) 12-hour light sticks First aid pack: a master’s degree from systems to build a grass- contract negotiations. Being (16) Datrex emergency drinking Hygiene pack: (2) Zip baggies (3) 2” � 2” gauze pads, (1) 5” � 9” water pouches (1) tissue packet, (3) moist towlettes, abdominal pad, (10) plastic strip the University of Southern roots effort to provide local a strong nurse advocate, it Flashlight with two D cell batteries bandages, (1) roll Kendall tape, (3) Datrex packet of 18 food bars (1) biohazard waste bag, (1) n-95 California, and her law and comprehensive training has always been her dream dust mask, (2) sanitary napkins and Hooded poncho antiseptic towlettes, (2) antibiotic ointments, (1) pair vinyl gloves and 84” � 52” thermal blanket (1) zip baggie Deck of playing cards degree from UCLA in the to nurses for the care of to work for WSNA as a nurse (3) alcohol wipes (2) Air-activated 12-hour body / (3) Trash bags (1) Pair leather palm gloves David Epstein Program in victims of sexual assault and representative. hand warmers Whistle Public Interest and Policy. intimate partner violence. Laurie was born and Before entering law Shawn was active raised in Washington state. school, Pamela worked and vocal in her role as an Most of her life has been BILLING ADDRESS SHIPPING ADDRESS YOUR ORDER for health care employee executive board member spent in the Yakima Valley. o Same as billing address unions for seven years as a for SEIU1199NW and has She enjoys gardening, ______LINE 1 NUMBER OF KITS ( ______× $55) ______union organizer, representa- lobbied on behalf of nurses fishing and animal Name ______tive and contract negotiator. at all levels of government: rescue — a cause that Address Name LINE 2 SHIPPING ($12.50 per kit) ______Since graduating from law locally, statewide and tugs at her heart. ______Address LINE 3 SUBTOTAL (line 1 + line 2) ______school, Pamela has primarily nationally. Advocacy is one ______represented registered of Shawn’s core values. ______City LINE 4 TAX (subtotal × 10%) ______nurses and other health care Prior to relocating to ______City professionals. Spokane in 2014, Shawn State Zip LINE 5 TOTAL (line 3 + line 4) ______Pamela speaks lived in Pennsylvania and State Zip Phone frequently on union-related Texas — where she came to issues and diversity, equity understand the power and and inclusion (DEI) matters, importance of unions and TO OF PAMELA CHANDRAN: BEN TILDEN. BEN CHANDRAN: PAMELA OF TO CREDIT CARD PAYMENT

and is a chapter editor for union protections. In her PHO

Place your order by mail, phone or fax. the treatise Developing spare time, she is an avid ______Labor Law. reader and enjoys spending Cardholder Name Card Number Pay by credit card, or, if ordering by mail, you time with friends and family. ______may also pay with a check written to “WSNA.” Cardholder Signature Card Expiration

575 ANDOVER PARK WEST 206-575-7979 PHONE [email protected] EMAIL SUITE 101 206-575-1908 FAX WSNA.ORG WEBSITE SEATTLE, WA 98188 PHOTO OF SHAWN REED: DYLAN K JOHNSON STUDIOS. JOHNSON K DYLAN REED: SHAWN OF PHOTO

70 THE WASHINGTON NURSE SPRING/SUMMER 2021 WASHINGTON STATE NURSES ASSOCIATION 575 ANDOVER PARK WEST NONPROFIT ORG. SUITE 101 U.S. POSTAGE PAID SEATTLE, WA 98188 PERMIT NO. 1282 SEATTLE, WA

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