— W H A T H A P P E N E D —
Volume 42, No 1 Spring 2012 A Publication of the Washington State Nurses Association 2012 Legislative Session The Washington Nurse
ame Hall of F
Nurse s as Second Victim Helen Behan
L egislative Recap Session Helen Kuebel Frankie Manning Maureen Niland
Volume No 1 42, Gretchen Schodde
Spring 2012 Beverly Smith Meet the BIG NAMES of the 2012 WSNA HALL OF FAME. WE ARE TEAM WSNA. And we’re here to win.
September 23 – 25, 2012
Washington State Nurses Association 2012 Leadership Conference
Go online for full information: Conference Agenda, Speaker Bios, Lodging and Travel, Registration Form, and more. www.wsna.org/leadership Contents Helen Behan Helen Kuebel Frankie Manning Maureen Niland Meet the BIG NAMES Gretchen Schodde of the 2012 WSNA HALL OF FAME. Beverly Smith – Spring 2012 –
UP FRONT FEATURE LABOR COMMUNITY
5 You Were Represented 15 Cover Story: Hall of Fame 26 FAQ Weingarten Rights 34 NSWS Convention
5 Calendar 27 WSNA Gains Position 34 WSNF News NURSING PRACTICE on State Labor Council 6 In Focus 27 Report Card: MEMBERS 22 Campaign for Recently Settled NURSING NEWS Action Names New Contracts 35 The New Members List State Coalitions 8 ANA News 36 Membership Update 23 Special Section: LEGISLATIVE 10 News Briefs Nurses as the 37 In Memoriam “Second Victim” 12 District News 28 In Summary: • Supporting Colleagues KCNA, PCNA & IENA 2012 Legislative Session CONTINUING EDUCATION Following an Adverse Event • Recognizing and Helping 32 Important Legislation 40 CE Calendar the Nurse Second Victim of 2012 • Second Victim Trajectory 33 Budget Update
– Spotlight Events –
ANA House of Delegates WSNA Leadership Conference J&J “Promise of Nursing” Gala June 13 – 16, 2012 September 23 – 25, 2012 October 10, 2012 Washington, D.C. Chelan, WA Seattle, WA
The Washington Nurse | Spring 2012 | 3 WSNA Board of Directors & Staff
President Chair, Cabinet on Economic & General Welfare Julia A. Weinberg, RN – Bow Kathy Ormsby, RN – Yakima WASHINGTON STATE NURSES ASSOCIATION 575 Andover Park West, Suite 101, Seattle, WA 98188 Vice President Chair, Professional Nursing & Health Care Council Susan E Jacobson, RN, CCRN – Yakima Jeaux Rinehart, RN – Seattle 206.575.7979 • 206.575.1908 fax • [email protected] Secretary / Treasurer Chair, Legislative & Health Policy Council Verlee Sutherlin, MEd, MSN, RN – Nine Mile Falls Ed Dolle, RN – Port Orchard www.wsna.org Directors-at-Large Jennifer Graves, RN, MS, ARNP – Seattle The Washington Nurse (ISSN# 0734-5666) newsmaga- Judi M. Lyons, RN – Ellensburg zine is published quarterly by the Washington State Patricia Di Egido Tobis, RN – Seattle Nurses Association. It is distributed as a benefit of Ann Whitley, RN – Yakima membership to all WSNA members. A member rate of $10 per year is included in WSNA membership dues. Institutional subscription rate is $30 per year (Canada/ Executive Director Receptionist / Mail Clerk Mexico: US $36 per year; Foreign: US $49 per year). Judith A. Huntington, MN, RN Irene Mueller The information in this newsmagazine is for the benefit Special Projects Manager Assistant Executive Director, of WSNA members. WSNA is a multi-purpose, multi- Darlene Delgado, RN Nursing Practice, Education & Research faceted organization. The Washington Nurse provides a forum for members of all specialties and interests Executive Administrative Assistant Sally Watkins, PhD, MS, RN to express their opinions. Opinions expressed are the to the Executive Director Practice & Education Specialist responsibilities of the authors and do not necessarily Barbara Bergeron Robin Fleming, PhD, RN reflect the opinions of the officers or membership of Bookkeeper Education Specialist WSNA, unless so stated. Copyright 2012, WSNA. No Mary Reed Hilke Faber, MN, RN, FAAN part of this publication may be reproduced without permission. Assistant Executive Director, Occupational & Environmental Health Specialist Government Affairs & Operations Karen R. Bowman, MN, RN, COHN-S ADVERTISING Anne Tan Piazza Assistant Executive Director, Senior Governmental Affairs Advisor Labor Relations Information on advertising rates may be obtained Sofia Aragon, JD, BSN, RN Christine Himmelsbach, MN, RN on the WSNA website or by contacting the WSNA Political Action Coordinator Senior Labor Consultant Business Agent at 206.575.7979. Advertising dead- Richard Burton Barbara E. Frye, BSN, RN lines are: March 1, June 1, September 1, and December Communications Specialist Assistant Director, Labor Relations 1. Advertising will be accepted on a first come, first Lillie Cridland Margaret Conley, RN, ARNP served basis for preferred positions, pending space availability. WSNA reserves the right to reject advertis- Web & Communications Specialist General / Corporate Counsel ing. Paid advertisements in The Washington Nurse do Ben Tilden Timothy Sears not necessarily reflect the endorsement of the WSNA Contract Lobbyist General Counsel Members, Staff or Organization. Tamara Warnke Laura Anderson Operations / Systems Administrator Michael Sanderson CONTRIBUTOR GUIDELINES Duncan Taylor Paralegal Article ideas and unsolicited manuscripts are welcome Membership Coordinator Maria Pettit from WSNA members (300 word maximum). Please Mary Peterson Nurse Representatives submit a typed copy and digital copy (Microsoft Word, Debra Bessmer, BSN, RN Membership Processors or plain text) and include identified relevant photos, Sara Frey, JD, BSN, RN Patrick McGraw a biographical statement, your name, address and Louise Hohbach Barbara Friesen, BSN, RN credentials. It is not the policy of WSNA to pay for Carmen Garrison BSN, RN articles or artwork. Membership Processor / Clerical Support Kathi Landon, RN Kelly King Pat McClure, RN ARTICLE SUBMISSION DEADLINES Membership Processor / Jaclyn Perkins, BSN, RN Administrative Assistant, Labor Relations Michele Rose, BSN, RN Shastie Steinshouer Hanna Welander, BSN, RN Spring ...... February 15 Summer...... May 15 Administrative Assistant, Programs & Operations Terri Williams, RN Fall ...... August 15 Hue Tran Ed Zercher, BSN, RN Winter...... November 15 Administrative Assistant, E&GW Nurse Organizers LInda Garrett Jan Bussert, BSN, RN Tara Goode, BA, BSN, RN Communications Processor DESIGNED, EDITED & PRINTED IN THE USA Mara Kieval, BSN, RN Kathryn MacLeod
4 | The Washington Nurse | Spring 2012 You Were Represented Calendar
April ■ The WSNA staff and elected and appointed leaders represent your interests in a 25 Culture of Safety Workshop — wide variety of meetings, coalitions, conferences and work groups throughout the year, Skagit Valley Casino, Bow, WA anticipating and responding to the issues the membership has identified as priorities. In 26 WSNA CEARP Committee addition to many meetings with legislators, regulators, policy makers, other health care 26-27 Council of Nurse Educators and nursing organizations and unions, the following represents a partial listing of the (CNEWS) — Spokane, WA many places and meetings where you were represented during the last three months. 27 WSNA Cabinet on Economic and General Welfare • Alliance of Nurses for Health Environments • Pierce County Health Careers Council (ANHE) Policy/Advocacy Committee • Public Health Funding Roundtable 30 WSNA Occupational and Environment Health & Safety Committee • American Nurses Association (ANA) Board of • Puget Sound Health Alliance and Consumer Directors meeting Engagement Team meetings May • ANA/SNA Executive Enterprise Conference • Racial Equity Team 1 WSNA-PAC Board of Trustees • ANA Nursing Practice Network conference • Rebuilding Our Economic Future Coalition calls 3-6 NFN Labor Academy and NFN • Ruckelshaus Safe Staffing Steering Committee Board Meeting — Chicago, IL • ANA Congress on Nursing Practice and Meetings Economics • Senator Margarita Prentice retirement 8 Inland Empire Nurses Association Spring Gala — Red Lion Hotel • ANA IT/Business task force reception at the Park, Spokane, WA • ARNP Coalition Meeting • Toxic Free Legacy Coalition UW Annual Nurses Recognition • Council of Nurse Educators for Washington • United Labor Lobby 9 State (CNEWS) Banquet — Benaroya Hall, Seattle, WA • Washington Center for Nursing (WCN) Board • Collaborative on a Healthy Environment Meetings 10 KCNA Annual Spring Banquet — (CHE-WA) • WCN Faculty Compensation workgroup for Shilshole Bay Beach Club, Seattle, WA • Department of Labor and Industries Safe Master Plan for Education Patient Handling Steering Committee 11 PCNA Spring Banquet — • Washington Regional Action Coalition Landmark Convention Center, • Department of Labor and Industries rule- (WNAC) Steering Committee & Leadership Tacoma, WA making on hazardous drug exposure Subcommittee WSNA Professional Nursing • Federal Basic Health Option legislative 12 • WNAC Future of Nursing Leadership work and Health Care Council advisory committee group • Future of Health Care Conference including • Washington Chapter of Physicians for Social 18-23 International Congress of Nursing (ICN) Planning Committee Responsibility — Melbourne, Australia • Health Care Access Coalition (to maintain • Washington Community Action Network 19 WSNA Delegate Orientation for access to medications) (WA-CAN) Rally in Olympia ANA House of Delegates • Health Care Without Harm • Washington Health Foundation Board Meeting • Health Coalition for Children and Youth 19 WSNA Statewide Local Unit • Washington Patient Safety Coalition Steering Council Meeting — Seattle • HealthPact Forum Invitational meeting Committee Airport Marriott, Seattle, WA • Healthy Washington Coalition to Healthy • Washington State Board of Community and WSNA Board of Directors Washington Steering Committee Technical Colleges 21 • Inland Empire Nurses Association annual • Washington State Labor Council (WSLC) 28 Memorial Day Observed office closed legislative reception Executive Board June • Johnson and Johnson Promise of Nursing • WSLC Legislative Labor Caucus WSNA Disaster and Emergency Steering Committee planning meeting • WSLC Political Committee 7 Preparedness Committee • March of Dimes ‘Nurse of the Year’ celebration • WSLC reception for legislators for Western Washington • Washington State Public Health Association 8 WSNA Finance and • NFN National Executive Board meetings & Board meeting Executive Committees National Advisory Board meetings • Washington Toxics Coalition 13 ANA Nurse Lobby Day — Washington, DC • Northwest Organization of Nurse Executives • Wednesday Night Study Group Health (NWONE) Nursing Education & Practice 14 ANA Healthy Nurse Conference — Professions Lobby yearly retreat Commission National Harbor, MD • Western Governors University-Washington • Nursing Care Quality Assurance Commission ANA House of Delegates — • WSNA Legislative Advocacy Camp and 15-16 Meetings (NCQAC) National Harbor, MD Legislative Reception • NCQAC Continuing Competency Subcommittee • WSNA Nurse Legislative Day 28-29 Forum of State Nursing Workforce Centers Conference — Indianapolis, IN • NCQAC Nursing Practice Advisory Group for Consistent Standards of Practice July Subcommittee 4 Independence Day office closed • NSO Advisory Board • Nursing Students of Washington State (NSWS) Convention and Board meetings
The Washington Nurse | Spring 2012 | 5 In Focus
By Julia Weinberg, RN WSNA President
These past few breaks? Or being scheduled for mandatory uninterrupted meal and rest breaks for months have been overtime? These issues go on everywhere, nurses. Lastly, in response to what WSNA quite the adven- but they are more prevalent at some units has heard from you for the past several ture for me and or facilities than others. However, we all years, we introduced legislation to fix our many of our WSNA staff as we traveled recognize that a patient shouldn’t have to staffing law. We know that staffing com- around our state. We weathered the do unit-by-unit research to find out what mittees are not working as intended and snow, rain, wind and, yes, even a few kind of care they’ll receive. That’s why there are still no meaningful protections sunny days. We hit the road in January this is an issue for each of us. I could see in place to prevent unsafe staffing. to spend time with you, at your facilities in my conversations that we all “get it.” With the economic hardships of the past and in your communities, to talk about several years, the pressures on nurses WSNA’s Campaign for Patient Safety and have only increased. Across the state, in engage as many of our nurses as possible Three words: almost every facility (including my own), in this legislative fight. passion, vision, perseverance. we have seen layoffs, restructures and We nicknamed our city-to-city tour the This is our blueprint for success. unit consolidations. We have also seen “Rolling Thunder RV Road Show” and an increase in the discipline and termina- visited dozens of cities and hospitals in tion of many nurses, particularly some of We asked you to reflect on your own con- Washington. This traveling road show our senior nurses who have years if not cerns about staffing, and provided tools was a major component of our outreach decades of service without a blemish on for you to take action, such as contacting for the Patient Safety Campaign, and we their records. your legislators and letting them know just kept rolling into new locations to help your perspective as a nurse. I appreci- No denying it, we are in the midst of a educate, agitate and activate our nurses. ated the opportunity to enlist each and difficult fight, and there are challenges WSNA has never done anything like this every one of you. I want to thank many ahead. However, I want to urge you to before. I have to say, from my perspective, of you for your willingness to act right read the article in this issue about our it was productive—and fun too. then and there by writing those letters 2012 Hall of Fame inductees. While each I enjoy every opportunity to have meet- to your legislators. Wow! That was really fo these women took a different path ings in person with our nurses, and I like awesome work. towards success, it’s clear that they all talking with you about what’s going on shared a few common traits: passion, Going into this legislative session, we with you. On this adventure I was also vision and perseverance. They demon- knew it would be a challenging year for especially energized to share details about strate that we each have incredible power our three bills on staffing and patient what WSNA is up to. We held unity din- and an opportunity to make a difference. I safety. But we are doing this because ners in Tacoma, Vancouver, and Spokane applaud them for their accomplishments, WSNA has heard over and over from to follow up on our outreach with the but to me, a far better way to show my our nurse members and so many others RV. I was also able to join your WSNA respect is to aspire to embody those same that the biggest issue for nurses is “safe nurse reps and organizers as they walked traits myself. I am inspired by what they staffing.” We knew this would not be a around posting updates on your WSNA have achieved, and I honor that by push- short-term fight, and we are prepared to bulletin boards and meeting some of you ing myself harder. devote our time and resources to it until in the break rooms. I appreciated the we make meaningful change. Now think about what we, as WSNA many impromptu conversations that nurses, can achieve if we collectively act came from these activities. And we did make significant progress with passion, vision and perseverance. I with our bills this year. In particular, HB At all of these activities, we didn’t just ask know that as we continue to pursue our 2501 to limit mandatory overtime passed you to just listen to us. I learned so much Campaign for Patient Safety, there will be out of the House and was just a few steps by asking you questions and hearing your obstacles. However, when those difficult from the Senate floor when session ended. thoughtful responses to important ques- times occur, I plan to remember those We also returned to one of our core issues tions: What’s really going on at your facilities three words: passion, vision, persever- and introduced legislation again to ensure when it comes to staffing? Are you getting your ance. This is our blueprint for success. ■
6 | The Washington Nurse | Spring 2012 Creating healthier lives. It’s the Washington Way.
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The Washington Nurse | Spring 2012 | 7 News ANA
WSNA AND ANA SIGN ON TO ‘JOINING FORCES’ CAMPAIGN WSNA has joined ANA and the experts in the Department of Veterans Affairs (VA) UNIVERSITY OF VIRGINIA AND ANA CALL TO PROTECT in committing to “touch every nurse” in HEALTHCARE WORKERS FROM EXPOSURE TO BLOODBORNE DISEASES the country to raise awareness of post In the 10 years since the passage of the ANA, which launched the Safe Needles traumatic stress disorder and traumatic federal Needlestick Safety and Protec- Save Lives campaign in the late 1990s to brain injury. ANA has partnered with the tion Act, much progress has been made advocate for national legislation, was American Association of Colleges of Nurs- to reduce the risk of healthcare worker the first nursing organization to endorse ing, the Department of Veteran Affairs, exposure to bloodborne pathogens—yet the statement. Organizations endorsing National League for Nursing and sectors significant challenges remain. The Inter- the statement represent a wide range of of the nursing profession to support this national Healthcare Worker Safety Center nursing specialties, including surgical, national Joining Forces campaign. at the University of Virginia and ANA, infusion, medical-surgical, occupational Joining Forces is a comprehensive along with colleagues across the spectrum health, neonatal, and critical care, and national campaign launched by First of healthcare, have agreed on a Consensus many different settings, such as ambula- Lady Michelle Obama and Dr. Jill Biden Statement and Call to Action to address tory care and veterans affairs. Safety and to mobilize all sectors of society to give these issues. The statement has been educational organizations are also among our service members and their fami- endorsed by 19 nursing and healthcare the signers, along with AdvaMed, the lies the opportunities and support they organizations as a roadmap for future medical device trade association. deserve. Joining Forces is calling on all efforts on needlestick prevention. The idea for the Call to Action grew out of health professionals to be aware of the The Call to Action focuses on five pivotal a 2010 conference organized by the Safety specific health issues facing service mem- areas in need of attention: Center and supported by a grant from the bers, veterans, and their families. With National Institute for Occupational Safety the end of the war in Iraq and the draw- 1. Improve sharps safety in surgical and Health, marking the 10-year anniver- down in Afghanistan, over one million settings sary of the federal Needlestick Safety and service members are projected to leave 2. Understand and reduce exposure Prevention Act. Attended by over 100 key the military in the next five years. Some risks in non-hospital settings (which opinion leaders in sharps injury preven- will return amputees, and some will qui- include physicians’ offices, clinics, tion, including clinicians, researchers, and etly suffer with the “invisible wounds of home healthcare, and an array of industry and government representatives, war,” including post-traumatic stress other settings) the conference explored the impact of the disorder (PSTD), traumatic brain injury 3. Involve frontline workers in the federal law in reducing sharps injuries (TBI), depression, and other challenges. selection of safety devices and improving the safety of healthcare Our nation’s nurses must be prepared to workers, both in the U.S. and globally. care for this distinct patient population. 4. Address gaps in available safety devices, and encourage innovative Conference participants agreed that while Visit www.anajoiningforces.org to learn designs and technology significant progress has been made over more about PTSD and TBI. Equip your- the previous decade and a half in reducing 5. Enhance worker education and self to recognize, know about and make this risk in the U.S., more needs to be done. training appropriate referrals to quality programs The Consensus Statement delineates the and services. It is critical that we stand ongoing issues and current challenges in together to demonstrate leadership on the field. this issue to improve the military service members quality of care. ❱❱ The statement, along with a complete list of endorsing organizations, at www.healthsystem.virginia.edu/internet/safetycenter/Consensus_statement_sharps_injury_prevention.pdf
8 | The Washington Nurse | Spring 2012 News ANA
ANA WORKING TO ENSURE FULL CONTRIBUTIONS OF RNs ON 2ND ANNIVERSARY OF AFFORDABLE CARE ACT The American Nurses Association, an managed clinics qualify as “Essential able populations and feature services that advocate for health system reform for Community Providers” under state health promote long-term health and productiv- more than two decades, has been work- insurance exchanges that launch in 2014. ity, rather than just affordability. ANA ing with federal agencies in the two years contends that this package of essential Under numerous ACA provisions since enactment of the Affordable Care benefits must reflect a strong focus on pri- intended to create a more effective and Act (ACA) to ensure that patients have mary, preventive and community-based efficient health care system, new rules increased access to higher-quality health care, care coordination, chronic disease will affect APRNs’ eligibility to lead care, in large part by enabling registered management and wellness services. health care teams, provide primary care, nurses to practice to their fullest capabili- and receive reimbursement for services. Alarmed by the growing numbers of unin- ties. Provisions also will affect patients’ abil- sured individuals and families, rising As agencies engage in implementation ity to choose their preferred health care costs, and quality of care concerns, ANA of the law, ANA has been working to provider and to access services timely and has advocated for health reform since the ensure that RNs are fully included as conveniently. 1991 publication of Nursing’s Agenda for leaders and eligible health care provid- Health Care Reform. The guiding principle ANA also is emphasizing that new ini- ers in new, patient-centered, team-based of ANA’s reform efforts since the outset tiatives under the law must reflect and models of care, such as “medical homes” is that health care is a basic human right. measure nurses’ role in care coordination, and “accountable care organizations.” which can lead to better patient outcomes Equally important, ANA is urging that and lower costs. ANA is focusing on pro- advanced practice registered nurses tecting patients by ensuring that “essen- (APRNs) are specifically identified as tial health benefits packages” developed primary care providers, and that nurse- by the states meet the needs of vulner- ADVERTISEMENT
WSNA TO SEND 43 DELEGATES TO THE 2012 ANA HOUSE OF DELEGATES Preparations are underway for the 2012 meeting of the ANA House of Delegates (HOD), the highest governing body of ANA. The HOD meetings will be held Friday, June 15 through Saturday, June 16, 2012, at the Gaylord National Hotel and Convention Cen- ter in National Harbor, Maryland. More than 500 elected delegates will gather from across the country to set policy for ANA on critical nursing issues and to deliberate important proposals for the future direction and governance of ANA. WSNA will have 43 delegates in attendance at the meeting. Prior to the HOD meetings, delegates will have the opportunity to go to Capitol Hill to NursiNg meet with members of Congress and participate in an all-day ANA Nurse Lobby Day Program on Wednesday June 13th. rN to BsN degree ANA is also holding a one-day Healthy Nurse Conference on Thursday, June 14. The master of Nursing theme of the conference is “Nurses as Models of Wellness in Action.” Participants will Course content relevant to your attend sessions on integrating healthy habits into their home and professional lives clinical practice. and have the opportunity to earn continuing education hours. Topics include: Change • Nursing classes 1 day/week Anything: The New Science of Personal Success; Work-Related Sleep Loss and Fatigue: Pro- • BSN in Bothell, Everett and Mt Vernon tecting Yourself and Your Patients; Safe Staffing; Nurses Living Fit; Instant Stress Busters (minimum 4-5 quarters) for Nurses; environmental health topics and more. All nurses are invited to attend the • MN Friday classes (7 or 11 quarters) conference. [email protected] 425.352.5000 | www.uwb.edu ❱❱ Please visit the conference site for additional information at Get https://hnc2012.cistems.net/Public/registration_home.php Connected
The Washington Nurse | Spring 2012 | 9 News Briefs
WHOOPING COUGH REACHES EPIDEMIC LEVELS IN WASHINGTON STATE So far in 2012, more than 600 cases of get Tdap before or during pregnancy pass as well. Senior citizens who have close whooping cough (pertussis) have been on extra protection against pertussis to contact with children should also receive reported, compared to fewer than 100 their babies rather than just the typical a dose of Tdap. cases in the same time period in 2011. This maternal antibodies transferred during Test and treat suspected pertussis cases puts us on track to have the highest num- pregnancy. For women who were not Delays in recognizing and treating this ber of cases in decades. The Washington previously vaccinated with Tdap, vacci- disease can lead to increased spread and Department of Health is asking for health- nation during pregnancy is preferred, but worse clinical outcomes. Report pertussis care providers to help stop the spread of it may also be given post-partum before cases promptly to your local public health this disease by taking the following steps: discharge. agency. Vaccinate all women of Check the immunization status of all childbearing age, including pregnant your patients and vaccinate them if Make sure your practice has a system in women, with a one-time dose of they are not up-to-date for pertussis place to assure your staff and patients are pertussis (Tdap) vaccine up-to-date on all their immunizations It’s especially important for anyone who A new recommendation from the Advi- Be sure all your staff members get a Tdap. has or anticipates close contact with sory Committee on Immunization Prac- You can easily track all your young and babies to be current on their pertussis tices (ACIP) calls for pregnant women to adult patients’ vaccination status by using vaccine. This includes siblings of infants get pertussis vaccine during in pregnancy the Child Profile Immunization Registry who should be up-to-date on DTaP. All (after 20 weeks gestation). Women who (www.childprofile.org). adults should receive one dose of Tdap
❱❱ View the full letter from DOH and DOH’s guidelines for pertussis cases on WSNA’s homepage.
LOUISE KAPLAN TO DIRECT NEW NURSING PROGRAM AT SAINT MARTIN’S UNIVERSITY Long-time WSNA member Louise Kaplan, land. Prior to her role at the ANA, she was cine and evidence-based practice that is PhD, ARNP, FNP-BC, FAANP, has been a tenured associate professor at Washing- being developed in collaboration with the hired to serve as director for a new RN-to- ton State University (WSU) Vancouver, Shanghai University of Traditional Chi- BSN program at Saint Martin’s University. and has also taught for the University of nese Medicine (SUTCM). Another elective A new addition to the University’s College Washington, Pacific Lutheran University course is a practicum to study in Shanghai of Arts and Sciences, the RN-to-BSN pro- and George Washington University. Lou- at SUTCM. gram will enhance the ability of nurses to ise has maintained an active clinical prac- Class sizes will be small, offering close work in today’s demanding health care tice as a family nurse practitioner and has relationships with experienced, accessible environment and contribute to their served in leadership positions for numer- faculty members. Saint Martin’s will work communities in the spirit of service and ous local, state and national committees, with incoming students to help them stewardship. health task forces and advisory councils. obtain maximum transfer credit, and Louise served for 10 years on the WSNA For the RN-to-BSN program, Saint Mar- will assist them with seeking new career Legislative and Health Policy Council tin’s has designed courses to develop criti- opportunities after graduation. Students and as WSNA President from 2001 until cal thinking and the ability to translate will be able to enroll for part-time or full- 2003. During her term, she was the WSNA research into practice. Coursework will time study. Financial aid is available for representative to the Washington Nurse also focus on health policy, ethics, leader- students who are enrolled at least half- Leadership Council, which developed the ship, care coordination, and the promo- time. Washington State Strategic Plan for Nurs- tion of population health in the commu- “Saint Martin’s will serve RNs who want ing that led to the creation of the Washing- nity. An integrative capstone experience to strengthen their knowledge and skills ton Center for Nursing. She was inducted will allow students to synthesize their in order to effectively support what is into the WSNA Hall of Fame in 2010. learning and make it applicable to their known as the ‘triple aim’—better care future career plans. Students will have Most recently, Louise served as a senior for individuals, better health for popula- the opportunity to take electives, includ- policy fellow at the American Nurses tions and lower health care costs,” said ing a course on traditional Chinese medi- Association (ANA) in Silver Spring, Mary- Dr. Kaplan.
10 | The Washington Nurse | Spring 2012 News Joanna Boatman
JOANNA BOATMAN TO RECEIVE ANA ‘SHIRLEY TITUS’ AWARD
WSNA recently received As a two-term WSNA notification by ANA that President from 1989 to 1993, NATIONAL NURSES WEEK Joanna Boatman, RN, Joanna successfully led the Kalama, WA, past presi- Association in its difficult MAY 6-12, 2012 dent of WSNA and mem- fight back after the devas- National Nurses Week is officially cel- ber of the WSNA Hall of tating raids on WSNA by ebrated annually from May 6, (National Fame, will receive the other unions. In her first Nurses Day), through May 12, the birthday prestigious Shirley Titus term, she visited nearly of Florence Nightingale, the founder of Award during the 2012 every district and local modern nursing. ANA House of Delegates. bargaining unit (there were WSNA nominated Joanna more than 85 at the time) Beginning in 1998, May 8th was desig- for this award because of in WA State at least twice nated as National Student Nurses Day and her lifelong commitment to let nurses know she was as of 2003, National School Nurse Day has and outstanding contributions to WSNA listening and responding to their concerns. been celebrated on the Wednesday within and to the advancement of the economic It was her leadership and commitment National Nurses Week each year. and general welfare of nurses in Wash- to WSNA and ANA that enabled other WSNA is proud to join ANA in celebrat- ington State and across the nation. Joanna members to fight to preserve WSNA in ing Nurses: Advocating, Leading, Caring, has been an active member of WSNA this very difficult time, and her presence the theme of the 2012 National Nurses since her graduation from nursing school and willingness to listen had a reassuring Week. The purpose of the week-long cel- in 1951. effect on the membership. ebration is to raise awareness of the value The Shirley Titus Award was established In the 1950's, Kalama, like other small of nursing and help educate the public in 1976 in recognition of Shirley Titus who, towns, had no immediately available about the role nurses play in meeting the at the 1946 convention of the American health care and so it was not thought health care needs of the American people. Nurses Association, convincingly urged unusual when Joanna became the “nurse” In honor of the dedication, commitment, ANA to formally launch a national eco- in her home town. In addition to her regu- and tireless effort of the nearly 3.1 million nomic and general welfare program. The lar job, Joanna spent 25-30 hours a week registered nurses nationwide to promote purpose of the award is to recognize the sitting with dying patients, giving immu- and maintain the health of this nation, we contributions that an individual nurse nizations or other prescribed medications, are proud to recognize registered nurses has made to the ANA or to any of its state doing wound care, and providing respite everywhere during this week for the qual- nurses association affiliates and their eco- to parents while comforting ill children. ity work they provide seven days a week, nomic and general welfare programs. The The people in that community had their 365 days a year. honoree must have demonstrated exper- own “nurse” and were as proud of their tise in the professional and technical areas nurse as she was in caring for and about In honor of National Nurses Week, all reg- of economic and general welfare and have them. During World War II, she served istered nurses in America are encouraged made significant contributions to these as a member of the County Civil Defense to proudly wear the official ANA "RN" activities. The individual nurse must also team, scanning the horizon for enemy pin, or any other pin that clearly identifies have contributed to the improvement of planes. Years later, she was honored by them as registered nurses, on May 6, 2012. the quality of patient care. The award is the Washington State Patrol for her role presented every two years. in assisting citizens during the aftermath of the Columbus Day storm. During her more than 60 years in WSNA and ANA, Joanna served as both Presi- Joanna’s nursing career was spent pri-
SAVE THE DATE dent and as a member of the Boards of marily in the operating room, where for Directors for Lower Columbia and King more than 44 years, patients, doctors, and 2013 WSNA Convention County Nurses Associations. She twice fellow staff nurses all expressed confi- served as President of WSNA from 1989 dence in her abilities. As picket captain May 1—3, 2013 to 1993, and again in 2003-2005. during the long sixty-nine day strike at Virginia Mason in 1976, Joanna cham-
The Washington Nurse | Spring 2012 | 11 Districts KCNA & PCNA
pioned the role of the nurse as patient King County Pierce County advocate and devoted the last two weeks Nurses Association Nurses Association of the strike convincing administration DISTRICT 2 DISTRICT 3 that nurses’ input into patient care issues was essential. Annual Meeting & Spring Banquet 'Keeping the Magic in Nursing' Thursday, May 10, 2012 Friday, May 11th, 2012 Even today, she volunteers her time in Shilshole Bay Beach Club her community, meets with local unit Please join us for the Pierce County members across the state and continu- Join King County Nurses Association Nurses Association Annual Banquet! ally emphasizes the importance of the for the Annual Meeting & Spring Ban- The annual Nurses Week Banquet for point of view and concerns of the staff quet—Thursday, May 10, at the Shilshole the Pierce County Nurses Association— nurse. Whether it’s as a delegate to the Bay Beach Club. The event will include and any student nurses, nursing faculty, ANA convention or as a delegate to the presentation of the Shining Star nurse nurse practitioners, or retired nurses who National Council of State Boards of Nurs- awards, the annual auction (100% of would like to attend—will be at 5:30 p.m., ing, Joanna has always represented the proceeds benefit the KCNA scholarship Friday May 11th, at the Landmark Con- staff nurse. She was the first staff nurse fund), an opportunity to meet the 2012- vention Center in Tacoma. Tickets are $25 to become WSNA President, the first staff 13 scholarship recipients, and a gourmet per person. nurse to be appointed to the Washington meal to enjoy while gazing out at lovely State Nursing Care Quality Assurance Shilshole Bay. Please RSVP by sending us an email at Commission and the first staff nurse to [email protected], or visit Come and enjoy appetizers while visiting be elected as its Chair. the Pierce County Nurses Association with colleagues and perusing this year’s website at www.piercecountynurses.com Always politically active, Joanna has been silent auction, including handmade items for more information. actively involved in her political party and certificates to enjoy popular attrac- and in both WSNA-PAC and ANA-PAC tions. Over dessert, join the live bidding activities. She was the first woman mayor for such items as gourmet meals at local of Kalama and served four years on the restaurants and overnight stays within Kalama City Council as well as being chair easy reach of Seattle. for the Cowlitz County Planning Council. The cost of this event is $45 per KCNA She has also served two terms as Presi- member, $50 per nonmember, and dent of Washington Women United, has $40 per student. Register online at been a member of the Cowlitz County www.kcnurses.org (click on events). The Historical Society Board and a member registration deadline is April 30. of the Grange for more than thirty years, and has provided endless hours of com- munity volunteer work beautifying the roadsides along the freeway and other community areas. “Joanna Boatman is truly a ‘nurses’ nurse,’ and her work on behalf of staff nurses, the E&GW program and the profession is well recognized and will be long remem- bered. The enduring value of Joanna’s achievements lies in her efforts and suc- cesses in having the worth and dignity of every staff nurse recognized. She is most deserving of this honor,” said Julia Wein- berg, WSNA President. “We are delighted to share her achievements with the rest of ANA.”
12 | The Washington Nurse | Spring 2012 Districts IENA
Inland Empire Nurses Association DISTRICT 4
My fellow colleagues and IENA members: with legislators. Both Washington State Annual Spring Gala gubernatorial candidates gave a brief pre- May 8, 2012 As IENA president, I welcome everyone sentation, giving attendees the opportu- Red Lion Hotel at the Park back after the holidays. I hope each of you nity to hear their perspectives. Likewise, had a wonderful Christmas, Hanukkah, The Spring Gala is set for May 8th in the they heard our perspectives as well. Many Kwanza, and New Year with your loved Skyline Ballroom at the Red Lion Hotel nurses and students stood up to succinctly ones. It seems that the days still darken at the Park. We will present our annual let these two gentlemen know just how early, but we are at the point where we can awards, scholarships, and recognize nurs- strongly the nurses in Washington State see light at the end of the tunnel and Spring ing excellence in the Inland Empire. Our believe in the future of patient care, no will be here in a few weeks. I continue to keynote speaker is Tracey Whybrow, matter where it is provided. Just imag- hope that you will take time out of your who will discuss “Communications in ine actually having access to these can- busy schedules to attend an upcoming event Healthcare.” I have heard Ms. Whybrow didates and being able to provide a voice sponsored by your professional organiza- speak at two local American Association to nursing! Freedom of speech is such a tion and perhaps decide to join the Board of of Critical Care Nurses Annual Spring powerful tool. The candidates and elected Directors! Symposiums and can state without res- officials need to know, and occasionally be ervation that she is a dynamic presenter. Louanne E. Hausmann, RN, ADN, BSN, MA reminded, that they work for their con- IENA President stituents, not the other way around. That is just what occurred. I personally was ❱❱ If you would like to learn more about IENA, able to talk with three legislators about visit our website at www.spokanenurses.org. To Local Unit Dinner be notified of upcoming IENA events, please an area in nursing that stirs my passion. The January dinner with Local Unit send an email to [email protected]. This is an election year… let your voice be Chairs (LUC) was rewarding and pro- heard loud and clear! ductive. Many good ideas were shared for improving our continuing education pro- gram as well as enlightening the Board on Continuing Education what is happening in the Local Units. We By the time you read this, we will have were all very impressed that the LUC from held our annual Continuing Education Pullman drove to Spokane to join us! As Workshop and Dinner on March 6th at a member of a non-collective bargaining Mukogawa Commons. The topic was unit myself, I am very interested in what Alternative Care with a focus on Biother- is happening to our members and the dif- apy and Music Therapy. The Biotherapy ficulties they face that preclude deliver- lecture was presented by Sharon Men- ing the patient care that all professional dez, RN, Wound Care Specialist at Holy nurses know is so necessary. Family Hospital. Catharine Drum Scherer, MA, Certified Music Thanatologist gave the lecture on Music Therapy. Nursing Nurse Legislative Day and the provision of patient care has WSNA Nurse Legislative Day was held changed radically since I graduated 38 February 13th in Olympia. IENA again years ago. We now have so many specialty chartered a bus that left Spokane on Feb- areas that are essential to the provision ruary 12th with 30 WSU Nursing Students, of patient care. This was an eye opening two WSU Advanced Nursing Students, event for me. one Nursing Instructor, and me on board. We picked up another student in Ellens- burg. Nurse Legislative Day began with a workshop on the “hot buttons” for WSNA in nursing today and how to communicate
The Washington Nurse | Spring 2012 | 13 hurricane blizzard earthquake ood terrorist attack tornado volcano natural disaster
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Place your order by mail, phone or fax: Washington State Nurses Association • 575 Andover Park West, Suite 101 • Seattle, WA 98188 206.575.7979 phone • 206.575.1908 fax • [email protected] • www.wsna.org Feature Hall of Fame HALL OF FAME On Tuesday, March 27th, 2012 the Washington State Nurses Association inducted six new members into the WSNA Hall of Fame. In a ceremony held in Seattle, the inductee’s accomplishments and contributions were recognized and each spoke to the gathering of over 175 people about their careers.
WSNA unveiled its Hall of Fame in 1996, recognizing the dedication and achievements of Washington State registered nurses who have made significant lifetime accomplishments in the nursing profession. Each inductee has demonstrated excellence in the areas of patient care, leadership, education, public service, nurse advocacy, heroism, patient advocacy, or clinical practice, and for achievements that have value to nursing beyond the inductee's lifetime. In addition, each has demonstrated excellence that affected the health and/or social history of Washington State through sustained, lifelong contributions. “Induction into the Hall of Fame is the highest honor that we bestow on an individual. These six new inductees are truly remarkable. They have not only improved numerous lives throughout their careers, but they are each leaving a legacy that will advance health and nursing in Washington for years to come. WSNA is proud to add these six deserving individuals to our Hall of Fame. They truly exemplify and embody the spirit of compassion, perseverance, intelligence and courage that runs through the nursing profession.” — Judy Huntington, MN, RN, Executive Director of WSNA
You can find biographies of all the past Hall of Fame honorees on the WSNA website at www.wsna.org/Hall-of-Fame
The Washington Nurse | Spring 2012 | 15 With over 35 years of direct teaching experience, at all group passed. Helen was asked to replicate the pro- levels and with thousands of students, Helen Behan, HELEN BEHAN gram in Alaska, which she was able to successfully MN, RN, has helped to produce active, competent and do after spending a year there. caring nurses that continue to serve our communities and advance During her career, Helen also spent two years in Oregon serving our profession. Her personal dedication to lifelong learning and as the Director of Nursing at Umpqua Community College where service has inspired countless students to hold these same values. she worked to expand the healthcare curriculum and continuing Helen graduated from the Virginia Mason Diploma School of Nurs- education courses, in particular, assisting LPN’s and former mili- ing in 1951 and went on to complete her BSN at the University of tary medics with advanced placement courses to complete their Washington in 1953. She later earned her Master’s in Nursing at the RN requirements. University of Washington and completed a post-Master’s program Despite officially retiring in 1993, Helen continues to teach part in rehabilitation nursing. She began her career as time at Everett Community College. She also remains a public health nurse then moved on to delivering committed to fostering student success, helping Eng- direct patient care at Harborview, Boeing and with lish as second language students with their Nursing the Veterans Administration. Assistant Certification. Helen also currently serves Helen worked at the VA until an auto accident pre- as a Pastoral Care volunteer at Providence Hospital, vented her from lifting patients. No longer able to Colby Campus where she provides spiritual care and provide bedside care, she knew she had to pursue comfort to patients as only she can. other pathways. Associate Degree programs were Helen has been a member of WSNA since she became being expanded in Washington State and Helen was an RN in 1951, over 60 remarkable years. During that invited in 1971 to join the faculty of the new program time, she has served in numerous leaderships posi- at Seattle Central Community College. Using the com- tions with WSNA, the King County Nurses Associa- munity college system to expand access to nursing tion and Snohomish County Nurses Association. She education programs was a bold idea at the time and has attended nearly every WSNA Convention and 15 enabled a more diverse population to receive training. Nurse Legislative Days with her students, including Helen worked hard to help develop curriculum and the very first Nurse Legislative Day. She has also meet standards for national accreditation. been a longtime leader in the American Association of University Seeing the need to help promising students, she began assisting Women, including serving as the President from 2009-2011. students with tutoring on her own time to help them meet the rigor- We honor Helen for expanding the nursing profession to such a ous requirements. She has maintained that commitment to student diverse number of students from so many different circumstances success by continuing to tutor to this day. and beginnings and in so many different settings. Helen’s contribu- After finding a talent and passion for teaching, she took a teach- tions are invaluable. ing position at Everett Community College in 1973. When nursing moved toward the primary care model, Helen was asked to develop the Career Mobility LPN to RN program. The first class of LPN’s started in the summer of 1983, and every participant in the pilot
16 | The Washington Nurse | Spring 2012 Feature Hall of Fame
Left: Pam Pasquale and Helen Behan Center: Hall of Fame Member and Past WSNA president Joanna Boatman with retired nurse and longtime community health advocate Charlotte Ruff
Right: Washington Center for Nursing Executive Director LInda Tieman and Helen Kuebel
Helen Kuebel, MSN, RN, has consistently demon- served others in a humble manner, never calling strated a commitment to addressing the needs of HELEN KUEBEL attention to her part in the overall success of the underserved populations. Her dedication to reach- nursing program at Lower Columbia College and ing out and educating prospective nurses in rural communities will other programs across Washington State. However, she has still have a lasting impact on health in Washington. been honored by numerous organizations for these contributions including being named a ‘Friend of Rural Health’ by the Washington A graduate of the University of Michigan with a BSN and The Rural Health Association. Catholic University of America with a Master’s in Nursing, Helen spent more than 20 years at Lower Columbia College expanding and During her 20-plus year involvement with the Washington State improving the nursing education program. Starting first as a faculty Nurses Association, she has served as President of Washington member, she went on to serve as Dean and Director of Nursing State Nurses Foundation and Vice President of the WSNA. She has Programs at Lower Columbia. Upon her retirement also served two terms as president of the Council on in June of 2011, she was named Dean Emeritus by the Nursing Education in Washington State (CNEWS). Lower Columbia College Board of Trustees. Her involvement in these organizations speaks to her passion and commitment to ensuring the highest Her leadership and ability to think outside the box quality nursing education and practice. resulted in Lower Columbia College’s receipt of sev- eral grants that enabled the expansion of nursing Helen continues to contribute in her work as a con- education across the state of Washington through sultant to the Seattle/King County Workforce Devel- distance education with an emphasis on serving opment Council. She reviews programs, advises and rural and outreach students. By finding innovative communicates best practices for nursing and allied new ways to reach these students, she increased the health education projects involving six community supply of nurses who will ultimately provide qual- and technical colleges in the Seattle area. ity nursing care to rural patients and families. This For her work improving access to education, and work included development of the Rural Outreach therefore access to health care, we honor Helen Kue- in Nursing Education program which was recog- bel. Her leadership has been an asset to the nursing nized as a ‘Best Practice’ by Governor Gregoire. This profession and her innovative approach to education award-winning online program enables students to will continue to improve health in Washington, particularly in rural take courses remotely while completing clinical work at partner areas, for years to come. facilities in the state.
Nursing educators and administrators from other states across the country reach out to Helen, seeking her guidance in their efforts to replicate what she has done in their respective nursing programs. She also co-authored a chapter in the book Rural Nurse: Transition to Practice about the rural outreach program.
Helen has shown an amazingly keen sense of innovative and cre- ative thinking in her tenure at Lower Columbia College. She has
The Washington Nurse | Spring 2012 | 17 For nearly five decades, Frankie T. Manning, guidelines, research and resources still remain MSN, RN, has dedicated herself to public service FRANKIE MANNING in place today. through a nursing career spent in a number of Frankie’s visionary leadership is characterized roles within the U.S. Department of Veteran Affairs, on professional in her efforts to provide an intergenerational “Partners Program” boards, as a faculty member for several academic nursing programs linking veterans and junior high and high school students to build and through her service in the U.S. Army. mutual support systems. This program has served as the launch- She began her career in Tulsa, Oklahoma, as a staff nurse on a medi- ing mechanism for students to progress into health care with an cal-surgical ward for African American patients. She has had assign- emphasis on nursing. This collaborative program has served many ments in the U.S. Army Nurse Corps as head nurse, nursing super- minority and disadvantaged youth. She was also a co-founder in visor, director of quality improvement, Chief Nurse and Director of the early 1970s of the Family Clinic Service for women and children Education. During her service she was deployed to to provide one-stop preventive services in the local Saudi Arabia, functioning as special assistant to the minority community. commander for the 50th General Hospital and as the Frankie was selected as the first nurse to serve on the special projects officer with emphasis on counseling King County Board of Health in 2003. In 2004, she and guidance of soldiers who were non-deployable. was appointed by Governor Locke to serve as board After a 22 year military career span, she retired in member for a three-year term on the Washington 2000, with the rank of Lieutenant Colonel. State Board of Health. Frankie also served as the At the Department of Veteran Affairs, Frankie made State Board of Health representative on the Council significant contributions in education and clinical from 2006 through 2011. In February 2011, she was practice including expanding access to veterans appointed to the Governor’s Interagency Council throughout the Puget Sound region by developing on Health Disparities as a consumer representative. community outreach programs, clinics and mobile Frankie has also been recognized with numerous medical units. She helped establish veteran health awards , including the 2010 March of Dimes Nursing screening clinics at Pike Place Market, Bellingham, Legend award, and the 2004 American Organization Port Angeles, and Friday Harbor. She also developed of Nurse Executives (AONE) Community Partner- the VA learning opportunity residency program for ship Award. nursing students into a nationally-recognized program. She continues to serve her community through various organiza- Frankie has consistently developed programs to enhance services tions including WSNA, the King County Nurses Association, and the to patients and communities. This is reflected in her early work local chapter of The Mary Mahoney Professional Nurses Organiza- improving services to women veterans. In the early 1970s, prior tion. Frankie’s continued interest in improving the lives of others is to the many program initiatives for women veterans, she estab- reflected in the many hours of volunteer work she provides to elders, lished basic procedures and procurement of equipment to support the homeless and to other underserved populations. She has been women veterans. In the 1980s she chaired and guided the Women characterized by her nursing colleagues as a strong leader, visionary Veterans’ Program for Western Region of DVA. The standards of nurse, mentor, coach, and guide. care, policies and procedures including the improvement in clinical
18 | The Washington Nurse | Spring 2012 Feature Hall of Fame
Left: Frankie Manning Center: WSNA Senior Political Analyst Sofia Aragon, WSNA Vice President Susan E. Jacobson, and WSNA-PAC Board Member Pamela Newsom
Right: Maureen Niland with her sisters Carolyn Frazier and Diane Jones
Since the beginning of her career, Maureen Niland, Health Nursing at Holly Garden Community PhD, MS, BSN, RN, has shown a deep commitment MAUREEN NILAND Neighborhood in Seattle. to providing excellent patient care and fighting Maureen brought the same tenacity to her work against discrimination, particularly in health care systems and the as a nurse in the Air Force Reserve. She retired at the rank of Colo- provision of care. nel after over 25 years of service including flight nurse, assistant Maureen attended the De Paul Hospital School of Nursing in Norfolk, chief nurse, and Commander of the 40th Aeromedical Evacuation Virginia. An experience in school would go on to spur her passion Squadron. She also spent time both working with veterans in direct for social justice and deepen her belief that all people deserve to be patient care and working for the Veteran’s Administration as a treated equally. When she and a group of classmates were travel- nursing education instructor. ling to Florida for the Student Nurses Convention in 1960, several Maureen spent much of her career in teaching and education, work- restaurants along the way refused to serve Maureen’s ing in many different parts of the country. At both the African American classmates in the dining room and University of Washington and Seattle University, she would only let them eat in the kitchen. All of the developed and administered nursing undergraduate students on the bus refused to let this happen and curricula that increased the focus on prevention and they ended up not eating during the entire trip down on community health across the life span. She pio- to Florida. neered and designed the use of learning modules and Later, Maureen was employed as the head nurse of learning contracts. At Seattle University, she devel- a Coronary Care Unit (CCU) that had segregated oped and started the Master’s of Science in Nursing floors for white and African American patients. degree program which focuses on community health Faced one day with a patient care emergency, Mau- for vulnerable populations. reen made the decision to move an African American Throughout a busy career, Maureen has maintained patient into a semi-private room on the white floor. membership in WSNA since 1970 and has held lead- Despite being reprimanded by her boss, she contin- ership positions in the Washington State Nurses ued to make decisions based on patient needs and Foundation and the King County Nurses Associa- the administration soon stopped caring about her tion. She has also been active in Sigma Theta Tau and integration of the floors. During this integration, she Broadway House, an organization supporting low-income housing always took care to introduce the two patients sharing the room, for homeless women. knowing that the way patients were approached and introduced would have a huge impact on their experience and satisfaction. No Maureen retired from Seattle University in 2005 and was named patients ever complained. Professor Emerita before returning to serve as Acting Dean in 2009 and Special Assistant to the Dean in 2010. She has now re-retired, Maureen’s ability to bring different groups of people closer together but remains active in St. Patrick’s Parish in Seattle and the Public served her well throughout her career, including her work building Health Reserve Corps. Throughout her life, she has been a champion partnerships between physicians and ARNPs in clinics, improving for those who are vulnerable or without a voice, and continues to the educational experience for Hopi Indian students and finding lead by example today. grant funding from the Seattle Housing Authority for Community
The Washington Nurse | Spring 2012 | 19 Ever since she was a little girl, growing up on a and remembered her dream of building a well- dairy farm in Buckley, Gretchen Schodde, MN, GRETCHEN SCHODDE ness center. ARNP, FNP-BC, knew that she wanted to go into In 1986, Harmony Hill was formed, and in 1988, health and medical care. She received her bachelor’s degree in nurs- the Nordstroms purchased the property and allowed Gretchen to ing in 1968 and master’s in nursing in 1975, both from the University remain, rent free. They offered advice on how to grow the project, of Washington. and asked in return that Harmony Hill act as steward of the land. Soon after leaving school, she became a leader in the nurse prac- In 1994, after her mother was diagnoses with a serious jaw cancer, titioner movement in Washington State. The movement began in Gretchen started the center’s now-famous Cancer Program, modeled Colorado and the Washington-Alaska regional Medical Program after a smaller cancer retreat program in California called Common began looking into training nurses in this region with additional Wealth. skills. In the 1960s, many rural communities did not have adequate access to medical care because they Gretchen has spent the better part of the last 25 were too far away from bigger cities and there was years promoting healthy lifestyles and providing a a doctor shortage. Gretchen remembers the town haven for those seeking renewal. The Association of Darrington in the North Cascades that put up of Advanced Practice Psychiatric Nurses (AAPPN) a sign reading, ‘This town needs a doctor.” In 1973, recently recognized Gretchen with its first lifetime Gretchen became one of the first two nurse practi- achievement award—henceforth known as the tioners in Washington State and was sent to that Gretchen A. Schodde Lifetime Achievement Award. very town for on-the-ground work. Harmony Hill's best known program, the no-cost Gretchen went on to help pioneer the University cancer retreat and workshops, have given thou- of Washington’s first nurse practitioner program, sands of people tools to get through their cancer earning her Master’s degree along the way by lead- journeys, whether as a survivor, caregiver or loved ing courses and embarking on nearly a decade of one. Gretchen has been part of almost every Cancer teaching. Program workshop and retreat at Harmony Hill, assisting thousands of individuals along their cancer Gretchen harbored a dream, however, to help build journey. an educational, recreational health community. She left UW in the early 1980s, but was unsure what to do next. While spending time In addition, Harmony Hill offers other healthy living and nutrition teaching part time and working in clinics, she continued to feel there programs and workshops, yoga and Zumba classes, and a nurse was important work still ahead for her. renewal program. It has become a community space for weddings, birthday parties, non-profit events, poetry workshops and more. In 1985, Gretchen went to St. Andrew’s House in Union for a retreat, and she describes it as feeling like she had come home. Upon return- Gretchen Schodde has touched and improved the lives of thousands. ing a second time, she simply didn’t leave, and began living and volunteering at St. Andrew’s, sometimes sleeping in the pantry. When the adjacent property, now the site of Harmony Hill, went up for sale, Gretchen began renting from the family that owned it
20 | The Washington Nurse | Spring 2012 Feature Hall of Fame
Left: Gretchen Schodde and WSNA Education Specialist Hilke Faber
Center: WSNA past president Kim Armstrong with Hall of Fame member Muriel Softli
Right: WSNA Executive Director Judy Huntington and President Julia Weinberg present the Hall of Fame award to Beverly Smith
During her more than 55 years of service to WSNA, Nurses Association organizational assessment pro- Beverly Smith—although not a nurse—was fre- BEVERLY SMITH gram to help State Nurses Associations evaluate quently looked to for leadership and as a spokes- and improve their operations and services. person for the nursing profession. Most people who knew her never In 1984 she began a second career as a consultant and founded Bev- realized she was not a nurse because she was so passionate and erly Smith Consulting, but she has remained a tireless advocate knowledgeable about the issues impacting nurses and nursing. for nurses and an invaluable resource. She has served as WSNA’s Beverly first began working for WSNA as a consultant and parlia- parliamentarian for the past 11 years and as the parliamentarian for mentarian from 1956 to 1966, at which time she was hired as Assistant the Nursing Students of Washington State since its inception in 2007. Executive Director. In 1968 she was promoted to WSNA Executive Beverly is well-known and highly respected in Washington State Director and she held that position for nearly 16 years until retiring for her advocacy and civil rights, women’s rights, and the labor in 1983. Beverly was instrumental in initiating pro- movement, and she has been honored for numerous ductive joint meetings with key government officials, times for her activities. She served on the Governor’s the media, and other groups, including the medical Council on Productivity, the Center for Community association and the hospital association. Development, the Seattle King County YWCA, the It was Beverly who encouraged WSNA to move for- Washington State Council for Children and Youth, ward with an Affirmative Action Plan, and WSNA and the Board of Directors of the Washington Soci- was the first ANA constituent to be honored for ety of Association Executives. Beverly was a found- developing and supporting nurses of color and ing member and board member of Sound Savings minority backgrounds. and Loan—the Women’s Bank during a time when women had trouble getting loans from most com- Beverly believed in the importance of nurses being mercial banks. She served as president of the Seattle involved in the legislative and political process. In PTA and then on the Seattle School Board during 1972, WSNA established (PUNCH) Politically United the turbulent 60’s both as a member of the Board Nurses for Consumer Health – now known as the and as president. WSNA PAC. Again under her leadership, WSNA became the first state to form a political action com- Beverly has been an influential mentor to many. mittee, leading the way for other states and for the American Nurses It has been her great joy has been to watch Washington nurses Association (ANA). find their own voices and become leaders. Through her leadership and her ability to maximize the potential of those around her, she A sought-after speaker, she frequently conducted workshops and has dramatically changed the landscape for nurses and nursing in spoke to audiences locally and around the country. She served as Washington State. chair of the ANA Committee to Study the Roles and Functions of the American Nurses Association; developed the first regional sup- port group for state nurses association executives and presidents; and was a driving force and one of the architects of the successful movement to change the ANA structure to a modified federation. As a consultant, she assisted ANA in the development of a State
The Washington Nurse | Spring 2012 | 21 Nursing Practice News
— FUTURE OF NURSING —
Campaign for Action Names 12 New State Action Coalitions Twelve new state-based collaborations have been named Action identifying the key work for Washington State, capturing best Coalitions by the Future of Nursing: Campaign for Action, bring- practices, determining research needs, tracking lessons learned ing the total to 48 states with action coalitions, including the and identifying replicable models. This work will build on previ- Washington Nursing Action Coalition (WNAC). The Campaign ous success efforts in Washington. for Action is an initiative to ensure that all Americans have The WNAC Steering Committee has identified Recommen- access to high-quality, patient-centered health care, with nurses dations 2-7 of the IOM Report as the strategic focus areas for contributing to the full extent of their capabilities. Action Coali- Washington State: tions work with the Campaign to implement the recommenda- tions of the Institute of Medicine (IOM) report, The Future of • Expand opportunities for nurses to lead and diffuse col- Nursing: Leading Change, Advancing Health. laborative improvement efforts The coalitions are comprised of nursing, health care, business, • Implement nurse residency programs consumer and other leaders across the country. The new Action • Increase the proportion of nurses with a baccalaureate Coalitions announced in early March include: Alabama, Ari- degree to 80 percent by 2020 zona, Connecticut, Iowa, Maine, Nevada, New Hampshire, North • Double the number of nurses with a doctorate by 2020 Dakota, Oklahoma, South Dakota, Tennessee and Vermont. • Ensure that nurses engage in lifelong learning The Washington Center for Nursing (WCN), which includes • Prepare and enable nurses to lead change to advance WSNA, is the nursing co-lead organization for the Washington health Nursing Action Coalition (WNAC). The Washington Health Foundation (WHF) is the non-nursing organization co-lead. WNAC is continuing its work to bring together a diverse group of stakeholders from a variety of sectors to focus on developing ❱❱ For more details and to follow the work both nationally and locally go to the WNAC strategic plan for implementation. Priorities include www.wacenterfornursing.org/current-projects/nurse-of-the-future/
WSNA Hires Nursing populations in schools. She speaks fre- developments which may impact the Practice Staff quently on these topics and has published practice of nursing, delivery of health care, research in peer reviewed journals includ- and the association. She will be collaborat- WSNA is pleased ing Public Health Nursing, the Journal of ing within and outside the nursing profes- to announce the School Health, the Journal of School Nurs- sion making connections with key con- recent hiring of ing, and Teacher Education and Practice. stituents identified by WSNA leadership Robin Fleming, including faculty at schools of nursing. PhD, RN as the Dr. Fleming received her doctorate in Additionally, she will represent WSNA Nursing Practice Education and Leadership Policy Stud- for advanced practice issues including Specialist. She ies from the University of Washington in regularly attending ARNP specialty replaces Karen 2008. She serves as the Washington State group meetings such as ARNPs United Benson, PhD, RN, Director for the National Association of and the NCQAC ARNP Subcommittee. who resigned this past year. Robin has School Nurses, and has worked full time She will be reporting to Sally Watkins, been an independent researcher and as a school nurse at Franklin High School PhD, RN, Assistant Executive Director school health consultant whose exper- in Seattle. for Nursing Practice, Education, and tise is in school nursing and school health In her new position, Robin will assist in Research. practice and policy. Dr. Fleming also has forecasting, identifying, and analyzing conducted research on health and edu- significant emerging issues, trends and cational disparities, and on immigrant
22 | The Washington Nurse | Spring 2012 Nursing Practice Nurses as Second Victim
RECOGNIZING & HELPING THE NURSE “SECOND VICTIM”
Common Second Victim Physical Symptoms
• Uncontrolled crying or • Abdominal discomfort shaking • Sleep Disturbances • Increased blood • Nausea, vomiting, pressure diarrhea • Extreme fatigue / • Muscle tension exhaustion • Headaches
Common Second Victim Psychosocial Symptoms
• Extreme guilt, grief • Frustration, anger, NURSES AS SECOND VICTIMS • Repetitive, intrusive depression memories • Second-guessing • Difficulty concentrating career Supporting Colleagues • Loss of confidence, self • Fear of damage to Following an Adverse Event doubt professional life • Return to work anxiety • Avoidance of patient John Nance’s award-winning book, Why Hospitals Should Fly: The Ultimate • Excessive excitability care areas Flight Plan to Patient Safety and Quality Care, describes health care as a com- plex system with potential for catastrophic consequences. Health care is a Key Phrases that Indicate human enterprise—and as a result, it is imperfect. Any process involving Coping Difficulty humans will be prone to errors. We should recognize that it’s not a matter of if, but when, because humans will always make mistakes regardless of our training. In fact, most preventable harm done to patients is caused by “…sickening realization of what has happened.” unintended human error and systems failures. “This will alter the way I work from now on.” “I don’t deserve to be a nurse.” According to Donald Berwick, MD, outgoing administrator of CMS and “This has been a career-changing event for me.” former president and CEO of the Institute for Healthcare Improvement, few “This event shook me to the core. I’ll never be the same.” health care organizations use a systematic way of taking care of their clini- “This is a turning point in my career.” cians who find themselves involved in adverse events that harm patients. Instinctively as clinicians, when something bad happens, our hearts natu-
rally go out to the injured patient and family. They are the first and most Ways to Stimulate Conversation important victim. But clinicians are hurt too. And if we are really healers, with Second Victims then we collectively have a job of healing them too.
Nurses and other health care providers dealing with the emotional aftermath “Are you OK?” of a medical error have been described in literature as the “second victims.” “I’ll help you work through this.” Researcher Susan Scott, RN, MSN, at University of Missouri Health Care, “You are a good nurse working in a developed this commonly used definition: very complex environment.” “I believe in you.” A second victim is a health care provider involved in an unanticipated adverse “I’m glad that we work together.” patient event, medical error and / or a patient-related injury who becomes “Please call me if you would like to talk about it again.” victimized in the sense that the provider is traumatized by the event. Frequently, “I can’t imagine what that must have been second victims feel personally responsible for the unexpected patient outcomes like for you. Can we talk about it?” and feel as though they have failed their patients, second-guessing their clinical “I’m here if you want to talk.” skills and knowledge base.
The Washington Nurse | Spring 2012 | 23 Nursing Practice Nurses as Second Victim
RECOGNIZING & HELPING THE NURSE “SECOND VICTIM” When an error occurs, nurses report that they isolate themselves and with- draw in shame. Some will scrupulously review the moments of the event countless times, thinking “If only I would’ve…” They will condemn them- Key Actions for selves as being not good enough, and second-guess other clinical decisions. Supporting Individual Peers & Colleagues They will struggle to concentrate and suffer a host of physical problems. Unfortunately, the risk of making a subsequent error also grows when a “Be there” — Practice active listening skills and health care provider experiences the stress and symptoms of a second victim. allow the second victim to share his or her story. Offer support as you deem appropriate Therefore, offering a warm hand of support to an affected nurse isn’t just the ethical thing to do, it’s the safest thing to do. If you have experience with an adverse event or bad patient outcome yourself, share it. In 2007, a University of Missouri Health Care system survey reported that 1 “War stories” are powerful healing words. in 7 caregivers (14 percent) had experienced a patient safety event within the If you don’t have experience with an past year that had caused personal problems such as anxiety, depression, or adverse event or bad patient outcome, be concerns about the ability to perform one’s job. By 2010, a follow-up survey supportive and predict the victim’s needs. showed the number had climbed to 1 of every 3 caregivers (30 percent). Avoid condemnation without knowing Nurses are part of this vulnerable group. A study of nurses, physicians, the story — It could have been you! and pharmacists found that nurses were the group most likely to report Let your peer know that you still have negative emotions and fear of disciplinary action or punishment. faith in his or her abilities, and that he or she is a trusted member of your unit. Promoting a culture of caregiver support Determine a way that you can make Today too few nurses are supported adequately by their organizations fol- an individual difference. lowing an adverse event. However, several promising support models are being developed and implemented by Scott and by others. These programs raise awareness through all-staff education, and provide support from peers Key Actions for and specially trained rapid-response team members. Department Leaders One example is a program at University of Missouri Health Care, forYOU, Talk with the employee as soon as you which provides 24/7 free, confidential support to clinicians reacting to a become aware of the incident. stressful event or outcome. Trained peers from a range of disciplines sup-
Reaffirm your confidence in him port caregivers one-on-one, so the caregiver can explore normal reactions or her as a staff member. and feelings after adverse events. Additionally, forYOU educates cowork- ers and their families about the second victim phenomenon and prepares Consider calling in flex staff to allow time to compose thoughts, prepare if managers with tools to support second victims. an investigation is anticipated. As nurses, you can begin to promote this culture shift by advocating for Keep the second victim informed of likely implementation of robust provider support programs in your organiza- next steps in the event of an investigation. tion. An excellent resource to help an organization get started is Medi- Check on second victim regularly. cally Induced Trauma Support Services (MITSS), a nonprofit organization that helps support healing of patients, families, and clinicians affected by Be visible to all staff; physical presence during post-event helps decrease a medical trauma. Its Web site, at www.mitss.org, offers downloadable anxiety and shows accessibility. clinician-support toolkits and resources for organizations and individu- als. Please feel free to contact the authors directly for additional resources, literature, and support.
Adapted from Scott, S, Hirschinger, L and Cox, K. (2008). Sharing As John Nance wrote, human mistakes are inevitable. But when they occur, the load of a nurse “second victim”. RNWeb, 71(12): 38-43 we as healers can help alleviate our coworkers’ suffering, perhaps as well as our own. Resources reprinted with permission from the University of Missouri Health System. Operational since 2007, the forYOU Team is sponsored by University of Missouri Health System (MUHS) under the direction of the Office of Clinical Effectiveness (OCE) to support second victims within our health system network. The forYOU Team provides a form of 'emotional first aid' specifically designed to provide crisis support and stress management interventions for particularly stressful clinical events such as traumatic clinical events, failure of rescue efforts following prolonged intervention, adverse patient outcome related Ron Hofeldt, MD, is Director of Physician Affairs at Physicians Insurance. Patricia I. McCot- to a medical error, the death of a child, and any other event that is unusually emotionally ter, RN, JD, CPHRM, CPC, is the Director of Facility Risk Management and Provider Support challenging and stressful in our healthcare environment. For more information, visit www.muhealth.org/SecondVictim at Physicians Insurance. She can be reached at [email protected] or 206.343.6511.
24 | The Washington Nurse | Spring 2012 SECOND VICTIM TRAJECTORY
Stage Characteristics Common Questions Proposed Institutional Actions
• Error realized / event recognized. • Tell someone ➞ get help STAGE 1 • Stabilize / treat patient Identify second victims How did that happen? Chaos & • May not be able to continue care of Assess staff member(s) ability Why did that happen? Accident patient to continue shift Response • Distracted • Experience a wave of emotions
• Re-evaluate scenario STAGE 2 • Self isolate What did I miss? Observe for presence of lingering physical Intrusive • Haunted re-enactments of event Could this have been prevented? and/or psychosocial symptoms Reflections • Feelings of internal inadequacy
Provide management oversight of event STAGE 3 What will others think? • Acceptance among work / social structure Ensure incident report completion Restoring Will I ever be trusted again? • Managing gossip / grapevine Manage unit / team's overall response Personal How much trouble am I in? • Fear is prevalent (“rumor control,” especially) Integrity How come I can't concentrate? Evaluate if event debrief is indicated
Stages 1-3 may occur individually or simultaneously
• Realization of level of seriousness • Reiterate case scenario How do I document? • Respond to multiple “why's” Identify key individuals involved in event STAGE 4 about the event What happens next? Interview key individuals Enduring the • Interact with many different Who can I talk to? Develop understanding of what happened Inquisition "event" responders Will I lose my job / license? Begin answering "why" did it happen • Understanding event disclosure How much trouble am I in? to patient / family • Litigation concerns emerge
Ensure emotional response STAGE 5 Why did I respond in this manner? plan in progress if needed Obtaining • Seek personal / professional support What is wrong with me? Ensure Patient Safety / Risk Management Emotional • Getting / receiving help / support Do I need help? representatives are known to staff First Aid Where can I turn for help? and available as needed
• Dropping Out Provide ongoing support of the second victim. • Transfer to a different unit or facility Is this the profession I should be in? 1 Support second victim in search • Consider quitting Can I handle this kind of work? for alternative employment • Feelings of inadequacy options within institution.
• Surviving • Coping, but still have How could I have prevented STAGE 6 Provide ongoing support 2 intrusive thoughts this from happening? Maintain open dialogue Moving On • Persistent sadness, trying Why do I still feel so badly / guilty? (One of three to learn from event trajectories) • Thriving Provide ongoing support • Maintain life / work balance Support second victim in "making • Gain insight / perspective a difference" for future What can I do to improve our patient safety? 3 • Does not base practice / Encourage participation in case What can I learn from this? work on one event reviews involving event • Advocates for patient Encourage staff feedback on safety initiatives practice modifications
Throughout all stages, individuals may experience physical and / or psychosocial symptoms. Triggering of symptoms and repetitive thoughts regarding the event can occur anytime during stages 2-6.
The Washington Nurse | Spring 2012 | 25 Labor Relations Your Rights in the Workplace
FAQ: Weingarten Rights You have a right to union representation at investigatory interviews.
What is an “investigatory meeting”? What are Weingarten Rights? An investigatory meeting or interview is when As a union employee, you have a right to union you are asked to attend a meeting with your representation at investigatory interviews. manager or director about any issue that you Under the Supreme Court’s Weingarten decision, are involved with that could possibly lead to when an investigatory interview occurs, the fol- disciplinary action. This can include tardiness, lowing rules apply: overtime, patient complaints, peer complaints, etc. You should ask at the beginning of the meet- 1. The employee must make a clear request for ing, “Is this a meeting that can lead to disciplinary union representation before or during the action?” If they answer “Yes,” then you have the interview. The employee cannot be pun- If called into a right to ask for representation. If they say “No” ished for making this request. (Note: If you meeting with and indicate that you don’t need anyone, listen ask the employer, “do I need union repre- management, carefully to what is being discussed. If it starts to sentation?” the answer may be no. It is up read the following feel like it could lead to discipline, you have the to you to make the statement that you want (or present the right to invoke your Weingarten rights. union representation.) Remember, manage- Weingarten ment is not an appropriate representative, Why do I need representation? palm card) to the so if they offer you the nursing supervisor You need to take a representative from WSNA in management when or someone else to sit with you, that is not for meetings that could lead to discipline. While the meeting begins: adequate. the representative may not disrupt or obstruct the interview, management must allow the rep- 2. After the employee makes the request, the If this discussion resentative to speak and provide you with assis- employer must choose among three options. could in any tance and counsel. In addition, the representative The employer must either: way lead to my should take detailed notes of what you say and being disciplined • Grant the request and delay questioning what your manager says. Usually these meetings or terminated, until the union representative arrives are emotional for the RN involved. After walking or affect my and has a chance to consult privately out of the director or manager’s office, often the personal working with the employee; or RN doesn’t remember all that was said, how it conditions, I was said, and what was agreed to, etc. Having • Deny the request and end the interview respectfully request a note taker can also prevent the “He Said / She immediately; or that my union Said” situations. The representative can also help representative • Give the employee a choice of: 1) having you clarify confusing questions. be present at this the interview without representation, or Who can represent me? meeting. Without 2) ending the interview. Your first choice is your Local Unit Grievance representation 3. If the employer denies the request for Officers. To contact them, call WSNA or the offi- present, I choose union representation and continues to ask cers directly. If the Grievance Officers are not not to participate in questions, this is an unfair labor practice available, one of the other Local Unit Officers can this discussion. and the employee has the right to refuse to attend. You have the right to have a reasonable answer. The employee cannot be disciplined amount of time to get representation. for such refusal but is required to remain If they keep asking questions, can I leave? present until the supervisor terminates the No, stay at the meeting, but do not answer ques- interview. Leaving before this happens may tions until your representative has a chance to constitute punishable insubordination. arrive. Let them know, “I will listen but I’m going to withhold any comment until I can get a rep- ❱❱ Visit www.wsna.org/labor/weingarten/ to download resentative.” & print a Weingarten Rights pocket card
26 | The Washington Nurse | Spring 2012 Labor Relations News
WSNA Appointed a Seat on the WSLC Executive Board Judy Huntington, MN, RN, WSNA a position or policy on any local union or affiliate may submit resolutions to the Executive Director, was sworn in as an trade council. convention. At-Large Vice President of the Washing- WSLC officers are elected by affiliated By Constitution, 19 Vice Presidents are ton State Labor Council, AFL-CIO, at the members every four years. The elected elected by district to the WSLC Executive recent WSLC Executive Board meeting officers are the President, the Secretary- Board. In addition, At-Large Vice Presi- held in Olympia on February 8, 2012. Treasurer and the 27 Vice Presidents, who dents represent any international union Currently, there more than 600 local together comprise the WSLC Executive that pays per capita on 10,000 or more unions affiliated with the WSLC, repre- Board. The board meets quarterly and rank-and-file members, if that union is senting approximately 400,000 rank-and- establishes the WSLC's policies and pro- not already represented on the board. file union members working in Washing- grams in between conventions. AFL-CIO affiliated constituency groups ton State. The WSLC is the largest labor also have Vice Presidents appointed to Conventions are held annually. Delegates organization in Washington State and represent their unique interests. to WSLC conventions debate and estab- is the only organization representing all lish the organization's positions or poli- WSNA has been a member of the WSLC AFL-CIO unions in the state. Although cies on issues, candidates and programs for several years and many of WSNA’s not every AFL-CIO local or council is affil- by voting on motions and resolutions. Local Units are members of the WSLC’s iated, the WSLC represents the official Any credentialed delegate may intro- Central Labor Councils. position of the AFL-CIO in Washington duce motions to the convention, and any State. It operates by consensus and has no legal or constitutional authority to impose
❱❱ For more information about the Washington State Labor Council got to: www.wslc.org
LABOR RELATIONS REPORT CARD
The current economic environment continues By participating in the collective bargaining pro- We are proud of our successes and will continue to make negotiations challenging for collective cess, WSNA members are standing together and to hold the line, fighting for fair and equitable bargaining units throughout the state. WSNA continuing to demand strong contract language contracts that promote the interests and wel- negotiation teams, nurse representatives and that holds employers accountable. fare of WSNA-represented nurses. attorneys have worked hard to achieve fair con- tracts, with continued positive results.
Wage Increase Key Gains
●● Increase in the amount of preceptor pay ●● If the Board of Health approves a wage increase for any other employees during the life of this contract Spokane Regional No wages changes ●● The parties will begin negotiations related during the life of the to medical premiums no later than 9/1/12 the RN's will receive the equivalent increase Health District contract ●● WSNA shall participate on the Employee Insurance Committee
●● Added 3 steps to the wage scale ●● Increase in all pay, night shift differential, charge PeaceHealth 1st Year 2.0% ●● Improved language limiting nurse rates, and preceptor differential St. John 2nd Year 1.0% mandatory low census ●● Increased PTO maximum accrual limits Medical Center 3rd Year 1.0% ●● Increased employer contribution ●● Added domestic partner language to medical plans
●● Improved language related to EIB use ●● Improved grievance procedure language 1st Year 0.5% ●● Improved Callback language ●● Maintained Home Health nurse wages at Island Hospital 2nd Year 0.5% ●● Enhanced Military Spouse, Veterans par with the rest of the bargaining unit 3rd Year 0.5% status, Family medical leave and Domestic violence leave language
The Washington Nurse | Spring 2012 | 27 Legislative Affairs 2012 Sesssion Summary IN SUMMARY 2012 LEGISLATIVE SESSION
t the beginning of the year, just days before legislative session began, WSNA launched a A special thank you to the bold new initiative: the Campaign for Patient Safety. After hearing from you—our mem- WSNA members who made a bers—time and time again that staffing was simply not adequate in many of your units, we trip to Olympia during session knew we needed to try something different. Our best efforts to work in collaboration with to speak with their legislators Athe hospitals, including hundreds of hours of mediated meetings, have yielded little meaningful or testify at hearings: progress. Amanda Mackey As part of the campaign, WSNA pushed three bills forward in the Legislature, in collaboration Andrea Sehmel with the other healthcare unions and the support of the Washington State Labor Council. Each bill addresses a core patient safety concern and seeks to establish statewide safety standards to Angel Mathis protect patients and nurses: Angelo Fazio
• New statewide staffing minimums Bobbi Merriman-McClain • Uninterrupted rest and meal breaks Bobbi Woodward • Limiting mandatory overtime Brenda LaSalle Chris Birchem In January, with the launch of the campaign, we knew that we had an uphill battle. Legislators were simply not aware of the staffing and safety issues that nurses face on a daily basis. We also Debbie James knew that the Washington State Hospital Association and many hospital administrators would Ed Dolle fight tooth and nail to prevent the creation and implementation of any real protections in the Geraldine Falacy workplace for you and your patients. Ginny Cassidy-Brinn While we knew that this was an important issue to you, we were overwhelmed by your sup- Heather Stephen-Selby port and engagement for the campaign. At dozens of events across the state, WSNA brought Jeremy King information to your facilities, to unity dinners and local unit meetings and more. WSNA held an all-day Legislative Advocacy Camp in January, and a Nurse Legislative Day in February, which John Tweedy brought over 700 interested nurses and nursing students to Olympia to learn how to be effective Joni Hensley advocates for nursing priorities. Attendees also learned more about each legislative proposal in Julia Barcott the Campaign for Patient Safety and how to discuss these safety issues with legislators. Julia Weinberg Thousands of nurses helped move these bills forward this year—with visits to Olympia, hand- Karen Bowman written letter, phone calls, emails and more. On the strength of your efforts, we were able to make Kathryn Burger significant progress with at least one hearing on each bill. Libby Zadra WSNA is committed to continuing this fight for as long as it takes for meaningful change to hap- Lori Bethay pen. All components of our organization are working together to ensure that we come into the 2013 Legislative Session stronger than ever. We are spending the interim continuing to educate Louise Kaplan lawmakers, the public, and our members about the importance of safe staffing. Molly Murphy We need you to stay involved! Just because session is over doesn’t mean the work is over. Meet Sally Baque with your legislators when they’re back from Olympia, continue to write letters, talk to colleagues, Sarah Hartl volunteer for a campaign, or get involved in the WSNA-PAC. Steve Krauss If you have questions about how you can stay active this summer, contact Richard Burton, WSNA Susan E. Jacobson Political Action Coordinator, at [email protected]. Susan M. Jacobson Thelma Leuba ❱❱ Visit www.wsna.org/Campaign-for-Patient-Safety/ for more information about the Campaign for Patient Safety.
28 | The Washington Nurse | Spring 2012 — BY THE NUMBERS — 2012 LEGISLATIVE SESSION 2,010 Individual emails sent to legislators by WSNA members 600+ Nurses and nursing students at WSNA Nurse Legislative Day 1,000+ Handwritten letters and phone calls from WSNA members to legislators
— CAMPAIGN LEGISLATION —
House Bill 2501 to limit Senate Bill 6307 on new statewide mandatory overtime staffing minimums for safer patient care Cleared a major hurdle and was successfully Heard and passed out of the Senate passed out of the House of Representatives Committee on Health & Long-Term Care. The by a 57 – 41 vote. After moving to the Senate Ways & Means then held a hearing Senate, the bill was passed out of the on SB 6307, but it did not pass out of the Senate Committee on Labor and Commerce committee before the cutoff deadline. & Consumer Protection into the Rules Committee. Unfortunately, the bill was not moved out of Rules in time for a full vote on the Senate floor. Senate Bill 6309 to ensure full uninterrupted rest and meal breaks Heard and passed out of the Senate House Bill 2519 on new statewide staffing Committee on Labor and Commerce & minimums for safer patient care Consumer Protection. The bill was then Top left: WSNA president Julia Middle: Richard Burton, Sara referred to the Senate Ways & Means Weinberg greets attendees Frey, and Barbara Frye in A hearing was held in the House Committee Committee but did not pass out of the at Nurse Legislative Day Spokane for the Campaign on Labor & Workforce Development, but the for Patient Safety RV tour committee before the cutoff deadline. WSNA Environmental bill did not pass out of the committee before Top: Specialist Karen Bowman Below: A group of the cutoff deadline. speaks during a break- University of Washington out session at Nurse nursing students at Legislative Day Nurse Legislative Day
Tired of politics as usual? Get involved!
The WSNA Political Action Committee, along with WSNA member volunteers, will interview and evaluate candidates for their commitment to patient safety and support of the nursing profession beginning in the Spring through November of 2012. Key statewide offices include races for the Governor and State Attorney General.
We must elect Legislators who are committed to patient safety and recognizes the critical role nurses play in our health care system. We need your help during this election season to make our voice heard!
For information on how to get involved, contact Richard Burton, Political Action Coordinator, at [email protected] For questions on WSNA legislative activity, contact Sofia Aragon, JD, RN, Senior Governmental Affairs Advisor, at [email protected].
The Washington Nurse | Spring 2012 | 29 Legislative Affairs Photos
30 | The Washington Nurse | Spring 2012 ADVOCACY IN ACTION Through events like Nurse Legislative Day, Legislative Advocacy Camp, the WSNA RV tour, and Unity Dinners, nurses learned about the Campaign for Patient Safety and got involved in advocacy efforts. Thousands of WSNA members worked to move patient safety legislation forward during the 2012 Legislative Session.
Top left: Joni Hensley, Bobbi Top center: Senator Steve Woodward, Sally Watkins and Conway with RNs Amanda Angel Mathis participate in Mackey and Susan M. roundtable discussions during Jacobson, both of St. Clare Legislative Advocacy Camp Hospital, following WSNA's Legislative Advocacy Camp Far left: WSU nursing students share a table at Center: A break-out session Nurse Legislative Day during Nurse Legislative Day
Left: State Attorney General Top right: Ed Zercher talks and gubernatorial candidate with Susan Dunn, Grievance Rob McKenna addresses Officer at Virginia Mason, a crowd of more than 650 during a stop of the Campaign nurses and students at for Patient Safety RV tour Nurse Legislative Day Right: Gubernatorial candidate Jay Inslee greets Heather M. Stephen-Selby
The Washington Nurse | Spring 2012 | 31 Legislative Affairs Bills Passed
medical assistants held a certification as one or more of seven categories of Health Care Assistant, Categories A through F or no credential at all.
This bill will end the Health Care Assistant Certification, to be replaced by the Medical Assistant categories instead: Medical Assistant-Certified, Medical Assistant-Hemodialysis Tech, Medical Assistant-Phlebotomist, and Medical Assistant-Registered. Medical Assistant-Certified must com- plete a Department of Health approved training program and exam.
Scope of practice: The Secretary of Health is to adopt rules specifying the minimum qualifications for each category. All tasks may be delegated to the medical assistant by health care practitioner, including a registered nurse. Supervision requires the health care practitioner to be physically present and immediately available in the facility. The legislation contains explicit language that Medical assistants are not to exercise clinical (medi- cal or nursing) judgment.
• Medical Assistant-Certified: includes clinical tasks and medication administration limited to legend drugs, vaccines, and scheduled III-V controlled substance as authorized by a health care practitio- ner. DOH may further limit the drugs that may be administered. WSNA SHAPED SIGNIFICANT This certification is portable from facility to facility.
LEGISLATION IN 2012 • Medical Assistant-Registered have a more limited list of allowed clini- In addition to the WSNA Campaign for Patient Safety, we also helped shape cal tasks and may not administer medications, but may administer many pieces of health care legislation. Here is a brief overview of some of vaccines. A medical assistant-registered must be endorsed by a the bills that the Legislature passed this Session: health care practitioner, clinic, or group practice.
• Medical Assistant-Hemodialysis Tech performs the same duties as House Bill 1486 authorizes Washington phar- the current Health Care Assistant category G. macies to fill prescriptions written by advanced registered nurse practitioners in other states. • Medical Assistant-Phlebotomist performs capillary, venous, and arte- This will remove barriers to access to prescrip- rial invasive procedures for blood withdrawal. tion drugs for patients living near the borders The bill now allows Nursing Technicians to practice in clinics in addition of Idaho and Oregon, where some pharmacists to hospitals and long term care facilities. in these areas would not honor prescriptions by ARNPs licensed in those states. The Nursing Commission and other boards and commissions are to review and identify other specialty assistive personnel and the tasks House Bill 2247 expands the types of medi- they perform. The DOH will compile the information and submit to the cation that may be administered by a school legislature no later than December of 2012. employee to include topical medication, eye drops, and ear drops. WSNA worked with the House Bill 2473 allows Certified Nursing Assistants with advanced train- School Nurses of Washington and the Nursing ing to obtain a Medication Assistant endorsement onto a C.N.A license Care Quality Assurance Commission to develop in long term facilities under the direct supervision of a registered nurse. this legislation prior to session. Endorsed CNAs must demonstrate a license in good standing and com- Top: Louise Kaplan, plete a Nursing Commission approved training program and exam. The Senate Bill 6237 creates a career pathway for Sofia Aragon, Tammy legislation contains explicit language that Medication Assistants are not Warnke and others medical assistants by establishing a scope of join Governor Chris to exercise nursing judgment. Gregoire at the practice for medical assistants. While medical signing of HB 1486 assistant is a title held by health care workers House Bill 2229 requires nonprofit and public district hospitals to report Below: Senator Jeanne currently practice in primary care, hospitals, to the Department of Health employee compensation of the five highest Kohl-Welles and and other settings, there was no recognition of paid employees that do not provide direct patient care. This ensures more Jeremy King, Local Unit Co-Chair at Seattle this profession in Washington law. This is a risk transparency for rising hospital CEO salaries. Children’s Hospital to patient safety. Prior to this legislation, many
32 | The Washington Nurse | Spring 2012 Legislative Affairs Budget
House Bill 2341 requires non-profit hospitals to implement evidenced based community STATE HEALTH SERVICES AND HIGHER benefits, taking into account geography, the EDUCATION HANG IN THE BALANCE general population served by the hospital, the The Legislature goes into Special Session to reach a compromise leading causes of death, levels of chronic illness, on a state budget caught in partisan politics descriptions of the medically underserved, low- income, and minority or chronically ill popula- A weary legislature, recovering from two As a result, the Governor declared a spe- tions in the community. special sessions in 2011, faced serious chal- cial session that began on March 12th at lenges going into the 2012 legislative ses- noon for the primary purpose of finalizing Senate Bill 2319 is part of implementing federal sion this January. Since 2009, legislative the state budget. Because of severe par- health reform by establishing how the Washing- sessions focused on how to close state tisan and ideological divisions, it seems ton Health Benefit Exchange is to develop and budget shortfalls resulting in 10 billion the legislature has a long way to go before operate. Highlights include establishing rules dollars in cuts to vital health, human ser- reaching a compromise. for insurance products that could be sold inside vices, and higher education. The list of and outside the exchange, creates a process The handful of votes needed to make the cuts and eliminations to programs grows for certifying and rating qualified health plans, takeover possible makes it clear that the every year. In December, the Governor designating essential health benefits, state man- slimmer Democratic majority in the Sen- recommended to the legislature a half dated health benefits, and further study on how ate resulting from the 2010 elections cre- penny sales tax to generate 500 million to implement a Basic Health Plan option. ates barriers to addressing larger issues of needed revenue, a step forward in pre- such as fair and equitable revenue to fund Senate Bill 5620 establishes the scope of prac- serving vital health and human services. health services. The number of uninsured tice for certified dental anesthesia assistants, After WSNA members volunteered time in Washington is at an all time high, with who assist dentists in dental surgery. WSNA and effort to hold several public dem- many middle class families finding them- worked to clearly limit their scope of practice onstrations to preserve the health care selves in economic distress due to unem- so that their ability to adjust an intravenous line safety net and end cuts to programs such ployment. At risk in this budget battle is is only for the purpose of keeping the line open. as Apple Health for Kids and the Basic the health care safety net and accessible Medications are to be administered only under Health Plan, efforts seemed to pay off. The higher education, both necessary for the the direct visual supervision of the dentist. The House and Senate Democrats proposed a economic growth and recovery of our responsibility for monitoring a patient and budget with no new cuts to these services. state. determining the selection of the drug, dosage, To achieve this fair and equitable revenue and timing of all anesthetic medications rests The same partisan and ideological forces sources from closing two tax loopholes solely with the oral and maxillofacial surgeon that stall the state budget stalled the were proposed: one benefiting big banks, or dental anesthesiologist. Patient Safety Campaign in the Senate. and another narrowed a sales tax exemp- The same conservatives blocking prog- Senate Bill 5978 allows Washington, under tion for renewable energy equipment. ress on the state budget to push forward the Federal False Claims Act, to recuperate In a surprise move, the Senate Republi- harmful state reforms blocked the Patient false or fraudulent claims for Medicaid funds. cans recruited three Senate democrats Safety Campaign in the Senate. WSNA The state could recover between $220 million (Senators Jim Kastama of the 25th Leg- has the opportunity to help elect new up to $800 million in fraud prosecutions. This islative District, Rodney Tom of the 48th legislators and public officials who put allows an individual to file a civil suit against Legislative District, and Tim Sheldon of patient care in front of partisan politics another on behalf of Washington State (qui tam the 35th Legislative District) to force an in 2012. provision) alleging Medicaid fraud. The Office alternative budget that proposed more of the Attorney General may intervene and cuts to health, human services, and higher dismiss frivolous cases. The Joint Legislative education by a slim one vote margin. A Audit and Review Committee must conduct conservative agenda holds hostage bud- a sunset review of the Medicaid Fraud False get negotiations that aim to erode state Claims Act and it terminates on June 30, 2016. government and diminish state employee In most states, recovered dollars come from pensions, virtually eliminate state fund- pharmaceutical companies. WSNA worked to ing for family planning services, advance ensure protection for health care providers not charter schools and other “reforms.” intending to commit fraud.
The Washington Nurse | Spring 2012 | 33 Students NSWS Convention Washington State Nurses Foundation News
Nursing Students of Washington State Convention a Smash! NEW LOOK FOR THE WASHINGTON
By Chris Nelson STATE NURSES FOUNDATION
The Washington State Nurses Foundation The Nursing Students of Washington launched a new look and logo in March. State (NSWS), the WSNA-affiliated stu- The new design updates the logo, bringing dent group for the state of Washington, it back in line with the look and feel of had their annual convention on Saturday, WSNA and its affiliated organizations. March 10th at Great Wolf Lodge in Grand Through scholarships and grants, the WSNF Mound, Washington. Over 130 attendees helps build strong futures for nurses. The enjoyed the festivities, which included bold square logo symbolizes WSNF's role as speeches by WSNA President Julia a building block in the nursing community. Weinberg, RN; WCN Executive Director Linda Tieman, RN, MN, FACHE; Pacific Lutheran University’s Patsy Maloney, EdD, RN, BC, MSN, MA, OPPORTUNITIES TO GIVE CEN, NEA-BC; and Colin Tomblin, RN (2012) NSNA Break Through to Nursing (BTN) Director. YOU CAN HELP: AUCTION ITEMS NEEDED Breakout sessions included the International Service Learning Ever year, WSNF holds a silent auction at the E&GW Leadership Workshop presented by ISL President Rev. Michael Birnbaum; Conference. Poceeds are used for nursing scholarships and Disaster Preparedness in Nursing by Debbie Brinker, RN, MSN, small nursing research grants. Even if you can’t be there, you CCRN, CCNS; Breakthrough to Nursing by Colin Tomblin; and can join in the fun and help support the scholarship and grant Influential Leadership by Debbie Brinker and Chris Nelson, activities of WSNF by donating an item for the auction! Your NSWS President-elect, EMT-B. donations are tax-deductible. We are looking for the following The elections for the NSWS Board were very exciting as numer- popular items, or you can contribute money toward purchase ous positions had multiple applicants, with four candidates of these items to be auctioned: running for the Community Service Chair alone! The newly • Wine Baskets elected Board included the highest number of Community Col- lege students ever, as well as the largest geographic diversity in • Retail gift certificates the organization’s history! • Travel gift certificate
Overall, the convention was a grand success! Next year’s conven- • Restaurant gift certificates tion will be linked with WSNA’s 2013 State Convention at Tulalip • Hotel gift certificates Resort Casino, May 1-3, with the NSWS Convention being held • Theatre / Arts / Movie Tickets on May 4th. Many exciting plans are afoot, including unique • Sporting Event Tickets speakers, NCLEX review and break-out sessions, and lots of fun! • Family Event Tickets • Art
Chris Nelson is a student at Seattle Central Community College • Memorabilia and President of the Nursing Students of Washington State • Other fun items
Create your own custom basket filled with special items! For additional information please contact Barbara Bergeron at the WSNF / WSNA office 206.575.7979, ext 3024.
34 | The Washington Nurse | Spring 2012 Member News New Members
WHATCOM COUNTY Elder, Daniel Lynch, Susan Secrist, Katherine Doggett, Donald Seale, Jill Breting, Sarah Elliott, James Maddrell, Sarah Seeber, Whitney Erie, Emily Shevchenko, Vladimir Davis, Stephanie Emami, Azita Maestas, Mariaugh Senter, Steven Fladgard, Deanna Sinclair, Joelynn De Vries, Melinda Entus, Christopher Mambetkarimova, Aida Shirey, Maura Fleshman, Scot Singer, Marcella Garza, Catherine Eudy, Elizabeth May, Julie Smith, Joanne Gariando, Catherine Sorger, Kari Grainger, Andrea Fewing, Caroline Mc Evoy, Molly Spears, Erin Glasscock, Loredana Stafford, Laura Johnson, Emily Fredrickson, Karen Mccallum, Julia Spencer, Jennifer Green, Andrea Suarez, Laura Johnson, Kelsey Fullerton, Dominika Mcginnis, Joseph Spohn, Emma Griffin, Ashley Thornberg, Kristina Limanskiy, Sergey Gamzayeva, Ruzanna Mclaughlin, Sarah Stelmach, Leona Gruber, Rachelle Tiu, Brian Pitman, Jessie Gardner, Joseph Mecimore, Evan Sukhareva, Larisa Habassi, Zahirah Whitson, Ashley Riemann, Kylie Gibson, Janice Mendez, Christopher Swenson, Kajsa Handy, Kaitlin Zavala, Crystal Riley, Joseph Gillett, Avery Miller, Rebecca Taylor, Molly Hargrove, Julianne Zhuravleva, Oksana Sorensen, Breanna Girvan, Sarah Mitchell, Susan Teets, Erica Hirayama, Lori SPOKANE / ADAMS / Stigter, Kathleen Gordon, Debra Moellenberg, Chanda Tran, Suong Housden, Julieanna LINCOLN / PEND OREILLE Taussig, Kate Gould, Sydney Morse, Sean Truong, Kim Hughes, Stefanie Abrams, Angela Van Dalen, Chelsea Greenlee, Donna Myers, Mary Tsinker, Jenny Irby, Kerri Adams, Allison Vogt, Margaret Gritton, Alyssa Nagel, Darci Uber, Sabina Jensen, Candida Alverson, Lindsey Hale, Susan Navarre, Renee Ustemchuk, Vadim Johnson, Sarah KING COUNTY Anders, Karen Hancock, Nicole Neal, David Van Brenk, Michelle Jones, Timothy Agtarap, Sarah Anderson, Marian Hansen, Andrea Nelson, Madalyn Veit, Karen Kalsi, Shannon Alcaraz, Arnel Barnes, Angela Hanson, Sydney Ng, Karin Vijai, Sradha Kilyen, Ecaterina Anderson, Tara Bonilla, Marcia Harris, Nikela Nguyen, Trang-tam Vogelzang, Mary Lapraim, Randelle Andriyuk, Nataliya Boyer, Jennifer Hedrix, Rebecca Nguyen, Trinh Walker, Luanne Lehde, Connie Baccam, Vilaisouk Bruceri, Barbara Heller, Mallory Nichols, Catherine Wiley, Christina Lemon, Hudson Baumgartner, Leslie Bunton, Audrey Hendricks, Spencer Nicola, Jennifer Wilson, Heather Lewis, Austin Bellante, Amy Corey, Erin Henry, Stephanie Norby-slycord, Colette Wolczyk, Meegan Mackey, Erin Benares, Germaine Courchaine, Janice Hickman, Laicy Nyambura, Peter Wolfe, Jessica Mansour, Laurie Bhandarkar, Aparna Crogan-pomilla, Neva Hirsch, Anne Nyenhuis, Donna Wong, Tiffany-sieu Mason, Suzanne Bokma, Julia Dreckman, Tiarra Holmquist, Gabrielle Obligacion, Ma.isabel Wuest, Ekaterina Mayne, Abby Bond, Eleanor Emery, Julie Hornsby, Julie Oldenburg, Martha Young, Anisa Mcgee, Monica Brajtbord, Nancy Flaherty, Molly Hosking, Sarah Olsoe, Karin Zegers, Lauren Mendoza, Ramiro Cantor, Jane Fox, Michael Howard, Ken Olsson, Gloria Molina, Moonyeen Carrico, Amanda PIERCE COUNTY Garcia, Luis Hunt, Gabrielle Patterson, Sara Morton, Kolleen Clark, Jamie Aubert, Tiffany Gardner, Jana Iizuka, Amie Peets, Sharon Nery, Jocelyn Classen, Kathy Barnes, Heather Gregory, Jennifer Jacobs, Karen Perryman, Mary Nichols, Alexis Clawson, Brenda Bernard, Tryrena Gruver, Heather Jimenez, Corinne Picknell, Francie Nugent, David Connor, Sarah Bishop, Holly Haberman, Mel Jones, Karen Polston, Tenaya O'brien, Karrie Corcorran, Frances Blankman, Daniel Hain-flores, Michelle Karkoski, Elizabeth Presland, Anna Olson, Erika Cordero, Nicole Booker, Marie Hudson, Danne Kelley, Jessica Prim, Michelle Perez, Jennifer Coverson, Jaimee Breer, Stacy Johnson, Susan Keophila, Katherine Ralston, Kam Minnette Cowman, Jessica Brigham, Paulette Keller, Tara Kostova, Desislava Rebuck, Kathy Pierce, Carl Crocker-pearson, Cameron, Vanessa Kenney, Richelle Kovalenko, Philip Reisenauer, Sandra Polyashov, Mikhail Kathleen Cason, Kari Kent, Rebecca Krafft, Maryanna Reyno-rac, Rosemarie Pope, Deborah Crosby, Carol Chae, Albert Labau, Michael Lacey, Lana Rittenhouse, Carrie Proctor, Lauren Culver, Diane Chu, Jia Mei Legnard, Melissa Lachowitzer, Dayna Rosenberger, Kristen Reyes, Suzette Dalby, Kristine Cline, Dianne Lyakhov, Aleksandr Landis, Dale Roth, Bethany Richter, Ashley Daly, Cathleen Coulombe, Laurie Lybbert, Teresa Landrito, Sandra Faye Sabiniano, Fernando Rollins, Johanna Del Rosario, Rhiza Marie Crewe, Karen Matheson, Inga Larussa, Joanie Sakoda, Pornpimol Rosalin, Carmelita Desimone, Carmella Cromwell, Richard Mattie, Mary Leader, Megan Santschi, Amy Sabio, Deanna Jean Drake, Ross Dang, Minh-chau Mays, Jeffrey Lucero, Dennis Schmidt, Laura Schwesinger, Tammy Dugan, Denise Davis, Angelo Mccracken, Stephanie
The Washington Nurse | Spring 2012 | 35 Member News Update Member News New Members
What Did You Pay in 2011? Mcdaniel, Diane CHELAN / DOUGLAS BENTON / FRANKLIN Ries, Debbie Miklush, Lisa / GRANT Barajas, Jessika Sipma, Jennifer By Patrick McGraw Moody, Patricia Erickson, Stacey Barton, Adrienne KITSAP COUNTY Moskovitz, Carlie Hoeffler, Anne Connor, Christy Andrus, Brittany Would you like to know how much you Norris, Kelly Jackson, Christy Cordova, Monica Bennett, Alicia paid in dues to WSNA in 2011? O'brien, Charles Scott, Stephanie Herbst, Jessica Chatman, Joshua Padilla, Cassie Small, Chelsea Le, Vi-thao The Washington State Nurses Associa- Pantig, Noemi Polione, Shawna Medina, Ronda tion does not send, without a request from GRAYS HARBOR Petrie, Dennis Rafter, Bethany Menjivar, Nancy a member, a statement of annual dues Howard, Michelle Shea, Leslie Roney, Steven Monsrud, Kyle received. However, if you would like to Metcalf, Michelle Shide, Rebecca Sanchez, Nora Rood, Vanessa know the total amount of dues that you Steensrud, Margaret Vickers, Kelly Schaffer, Laura Salemi, Ateusa paid for your membership in 2011, please Wilcox, Krista Shreve, Rebecca Schneider, Tiffany KITTITAS COUNTY contact the membership department. Smock, Alison SNOHOMISH Stidham, Maria Clark, Lara The membership department can provide Thompson, Jeannine Dingman, Ann Dretke, Layne SKAGIT / ISLAND information over the phone to a mem- Tiffany, Melisa Schessler, Gail / SAN JUAN Harwell, Julie ber as to the amount of dues that were Vanhook, Kristy Loen, Christine WAHKIAKUM / COWLITZ Arneson, Kathryn collected in the previous year. A state- Wallace, Vickey Yu, Hannie Jones, Thor Atchley, Wendy ment can also be sent by mail or email if Whitney, Lindsey Bishop, Kara ALL OTHER COUNTIES requested by a member. Williams, Marissa CLARK / SKAMANIA Borisov, Natalya Diosdado, Amber Williams, Wendy Broeckel, Nickie A question that the membership depart- Clary, Kathryn Evans, Leeann Zipse, Camas Casbay, Karen ment receives during winter and spring Debarge, Kimberly Finch, Kathe is whether dues are tax deductible. Dues WALLA WALLA / Fewing, Adrian Flora, Megan payable to WSNA are not deductible as a COLUMBIA Garrett, Robert Groh, Amber charitable contribution for federal income Kovach, George Garrett, Teresa tax purposes. However, they may be CLALLAM / JEFFERSON Geroux, Gretchen YAKIMA / NORTH YAKIMA deductible under other provisions of the Wheeler, Deborah Granville, Hallie Larson, Andrea Internal Revenue Code. For more infor- Hobbs, Rebecca Luke, Steven THURSTON mation, please consult your tax advisor. Houston, Christie Mclaughlin, Nichol Cumiskey, Charles Huntley, Desiree The membership department may be Dills, Ruth Hurst, Andrew reached by phone by calling 206.575.7979, WHITMAN COUNTY Hurst, Delycia by fax at 206.838.3099 or by email at mem- Bishop, Julie Jager, Heather [email protected]. Johnson, Jessica Lahnan, Deanna Miller, Anne Parks, Michael Richards, Amy
MEMBERSHIP INFORMATION & EMPLOYMENT STATUS CHANGES
It is the responsibility of each nurse to notify the Washington State Nurses Association of any change in work status which may include, but is not limited to: name, address, phone number, FTE increase or decrease, leave of absence, medical leave, maternity leave, leaving or joining a bargaining unit. This change must be done in writing either by using a Change of Information Card or sending an email to [email protected]
The Cabinet on Economic and General Welfare (CE&GW) policy states: When a nurse is on an unpaid leave of absence, the dues are adjusted to the Reduced Membership Category during the unpaid Leave of Absence period. The accumulated dues payment is to begin within 90 days of return to work. The nurse will have up to twelve months to complete payment of these dues. It is the responsibility of the nurse to notify WSNA of this change in work status.
36 | The Washington Nurse | Spring 2012 Member News In Memoriam
Jeanne Quint Benoliel of the dying to introduce hospice models. 1919–2012 She provided consultation on research to developing nursing programs in Israel and Jeanne Quint Benoliel was a pioneer in the field Japan in the 1970's as well as in Sweden and of nursing research and the study of death Norway. and dying. Dr Benoliel championed the role of the nurse scientist and fought battles for During her career, she received numerous membership on prestigious national boards national and international awards for her work, on which only physicians had served. She including induction into the WSNA Hall of Fame eventually led these boards. Professor Emerita in 2004. She was also given honorary degrees in the School of Nursing at the University of from the University of San Diego, the University Washington, she served on the faculty for over of Pennsylvania, and from Yale University. Her 20 years, and was its first Elizabeth Sterling legacy is defined by the greater understanding Soule Professor in Nursing. The American of cancer care, the needs of entire families, and Academy of Nursing named her a Living Legend, the importance of open communication among nursing's highest recognition. health providers, patients, and family members. The hundreds of students she mentored Jeanne was born in National City, CA in 1919. She continue her work. completed RN training in 1941 and served in the Army Nurse Corps from 1943 until 1946. In 1962 She mentored faculty as well as students, she, along with the famed sociologists Anselm igniting Dr. Ruth McCorkle’s work in cancer care Strauss and Barney Glasser, conducted ground and Dr. Fran Lewis’ work with nursing families breaking research at the University of California, who have a member with cancer, and David San Francisco, studying communication with Kahn’s conceptualization of suffering. Most, if Quint of San Diego, CA, her nieces Bobbi Earle dying patients and hospital personnel. not all, of the regional nurse leaders in end of of Sand Point, ID and Patti Jensen of Priest River, life care in Washington State have either studied In 1970 she married Robert Benoliel. Their ID, Robert's 4 children, and many grand- and under Jeanne, or learned from her through her marriage was marked by a deep love for each great grand children. writings, courses, presentations and numerous other, joy in traveling the world, and spending workshops she gave throughout her career. Donations may be made to the Jeanne Q. time with family and ever growing numbers Benoliel Endowed Fellowship Fund which of grandchildren. Also in 1970, Jeanne joined She transformed the field of care for dying provides financial aid to UW School of Nursing the nursing faculty at the University of people. She was the first to bring the family doctoral students who are researching the Washington. She was a productive researcher, into care for the dying. Jeanne was the impact of life-threatening illness or end of life an accomplished teacher, and a prolific writer, first registered nurse to be president of the transitions. Donate online at: www.washington. having published six books and hundreds of International Work Group on Death, Dying edu/giving/browse-funds by searching under articles. She participated in developing some and Bereavement. She helped to create and "Nursing" for the Jeanne Q. Benoliel Endowed of the first doctoral programs in nursing in the organize a number of international thanatology Fellowship Fund or checks may be sent to UW US, and founded a graduate program preparing organizations and is recognized as one of the School of Nursing Advancement, Box 357260, nurses for leadership in community-based founders in the field of palliative and hospice Seattle, WA 98195. Make checks payable to "UW services for advanced cancer patients and care. School of Nursing," noting the Jeanne Benoliel their families. Her research continues to inspire others to focus Fellowship Fund. Much of her research focused on how one on system distress, enforced social dependency, learns to live with chronic illness and what it is and health outcomes for patients and the ❱❱ Visit www.wsna.org/hall-of-fame/Jeanne- like to live with a terminal illness. She studied families. Taken together, Jean’s contributions Quint-Benoliel/ to read more about Jeanne’s the concept of identity in the face of impending have helped shape the field of palliative care entry in to WSNA’s Hall of Fame. death, the conspiracy of silence that often and hospice care for many years. She has made Visit http://bit.ly/wlt12Y to read about surrounds the dying patient, and how illness many legendary contributions to nursing that Jeanne’s impact and contributions at the University of Washington. affects the caregiver. bring honor to the discipline.
She has worked with local, national and Her husband, Robert, preceded her in death international groups in thanatology and care in 1999. She is survived by her sister Diana M.
The Washington Nurse | Spring 2012 | 37 Member News In Memoriam
Marie Breden Chadwell Margaret "Maggie" Pat Hoyt 1922–2012 Franulovich 1929–2011
Marie Chadwell passed away on January 27, Margaret died of natural age causes on January Mary Patricia "Pat" Hoyt, avid skier, world 2012 at the age of 89. She was born in Galena, 5, 2012 in Bellevue WA. She was preceded in traveler and skilled nurse, passed away Dec. Kansas on July 19th, 1922 and was the youngest death by her husband, Rudy. Maggie (as friends 27, 2011. She will be remembered for her love of of five children of Earl and Dora Breden. She called her,) graduated from the University of life and good-humored courage while fighting was preceded in death by her husband Charles Portland, College of Nursing in 1944. She served Parkinson's Disease. Murray Chadwell; her parents; sisters Nellie in the Army Nurse Corps during the Second She is survived by her husband, James Hoyt of Haynes and Nadine Bryson, and brothers World War. Seattle, son Fred Hoyt (Michelle Barry) of Seattle, Clifford Breeden and Max Breeden. She is Margaret retired from the Sedro Woolley School son Tom of Issaquah, daughters Mary (Ed survived by several nieces and nephews. District as School Nurse for all elementary and Hoskins) and Jan of Idaho, four grandchildren Marie served proudly during WWII in the secondary schools in 1982. and two of her sisters. Army Nurse Corps, and attained the rank of She is survived by: daughter Carol O'Connell Pat was born in Waukegan, IL on June 7, 1929. 1st Lieutenant. Marie and Charles (Boots) and husband, Michael, of Renton, WA; daughter, She moved to California as a teen, where she were married in 1956 and moved to the Pacific Sharon Morris and husband, Jack, of Wasilla, ultimately discovered the two passions in her Northwest that same year, and lived in Renton, Alaska; son, Tim Franulovich, of Woodinville, life: her husband Jim and her nursing career. Pat Kent, or Auburn WA for past 55 years. Marie WA; grandchildren: Kelly O'Connell-Weisfield, graduated from St. Mary's School of Nursing, worked as a Registered Nurse at Valley Medical husband Jim, of Mercer Island. Amy O'Connell and spent the next 45 years as a skilled RN. She Center for 23 years, 22 of which were as the Colthurst, husband Mark, of Bellevue WA, was so proud of being an RN, and served in Nursing Services Administrator. She retired in Michael Morris, Anchorage, Alaska and Julie variety of capacities. 1979 due to a loss of her eyesight. Morris, Seattle WA; great-grandchildren: Conor In 1952 she married Jim, and over the years they Marie enjoyed traveling in the U.S. and overseas, Shewey, Julia Weisfield, Kate Weisfield, Maggie lived in California, Kansas, Idaho and Wyoming fishing, knitting, crocheting, reading - with the Colthurst and Charlie Colthurst. before moving to Washington in 1989. Pat had a help of "Books on Tapes," visiting relatives and Margaret loved her family and friends. She sense of adventure that was shared by Jim and friends, and volunteering for programs within enjoyed music, golfing, bowling, reading and together skied in the Alps, barged the Yangtze in her church. Marie was an avid Seahawks and spending time with friends and colleagues as China, cruised through the Panama Canal, horse Mariners fan, holding a season ticket and well as dining at the Skillet in Sedro-Woolley. packed in Montana, hiked in New Zealand, drove attending games until she could no longer all over France and Italy with good friends, and physically get there. At her request, there will be no public services. that's just scratching the surface. Margaret will rest with her husband Rudy and Marie will be buried with her husband "Boots" in other passed Franulovich family members Pat was an avid skier. Even in her final days Willamette National Cemetery in Portland, OR. at the Anacortes Washington Mausoleum. she was asking the doctors when she could ski Margaret asks you to remember her as you again. When she was living in Idaho, she'd pack ❱❱ Donations may be made to the United Christian knew her. a carful of kids up to Schweitzer. While living in Church in Renton, or the Hospice society. Washington, she'd hit the senior discount days at Crystal. Her journey lasted 82 years and ended two days after Christmas 2011.
❱❱ Donations in her memory may be made to the Northwest Parkinson's Foundation.
38 | The Washington Nurse | Spring 2012 Member News In Memoriam
Barbara E. Hughes Carines Mae Itchon Klinefelter Kathleen Tilley 1940–2011 1985–2012 1953–2012
Barbara E. Hughes, 71, died on Monday, Carines Mae Itchon Klinefelter, age 26, passed Kathleen Tilley passed away on Monday, December 26, 2011. Formerly of Kirkland, away on Sunday, January 15 in Renton. January 2, 2012 at Skagit Valley Hospital at Barbara had been living in Dubuque, Iowa to the age of 58. She was born to Kenneth G. and She is loved and survived by her husband be close to her family since her diagnosis of Jean E. Thompson on January 4, 1953 in Mount Edward Klinefelter, who she married in 2010. ALS in 2009. Vernon. She is also survived by her 2-month-old son Barbara was born in Dubuque on October 5, James Carlos, father Carlos, mother Agnes, She graduated from Mount Vernon High School 1940. She received a degree in Anthropology brother Carlo, and many family members. with the class of 1971, and married William Tilley from the University of Washington and a on December 17, 1971. Carines spent her childhood in Silverdale and nursing degree from Shoreline Community graduated from CKHS in 2003. She attended the In 1973, she graduated with a Nursing Degree College. She worked for Northwest Airlines as University of Washington and graduated Cum from Skagit Valley Community College. She a flight attendant for 48 years before retiring in Laude from Seattle University. She received her founded the Cardiovascular Lab at Skagit 2008. She worked as a nurse at Virginia Mason BS in Nursing in 2008, and worked at Harrison Valley Hospital and achieved certified status Hospital for 15 years, retiring in 2010 because Medical Center in Silverdale as a Labor/Delivery from the American College of Sports Medicine of her illness. and HOPE nurse, and Overlake Hospital in (ACSM). She worked for Skagit Valley Hospital During her lifetime Barbara traveled throughout Bellevue. for 38 years. the world experiencing and learning from other Carines was the president of Seattle University She raised her son Dirk in Mount Vernon and cultures in many third world countries in the SNA from 2007-2008 and very involved with became a proud grandmother in 2007. She Middle East, Africa and Asia. She climbed Mt. her nursing cohort, the college, and with the loved spending time with her grandson and Kilimanjaro and hiked to the base camp of Mt. Nursing Students of Washington State (NSWS). buying him toys and goodies. Everest. She completed The Stanley Expedition She was an individual who exemplified genuine hiking the breadth of Tanzania on foot to retrace She and Bill camped year round and enjoyed care and compassion that is the nursing the route taken by Henry Morton Stanley during going on cruises. She also enjoyed anything that profession. She touched many hearts during his epic search for the wandering missionary Dr. had to do with turtles. She had made plans to her time in nursing school and her career as an David Livingston. She also climbed Mt. Rainier. go to Trinidad next spring to assist with turtle L&D nurse at Harrison Hospital and Overlake Barbara went to Borneo to study orangutans conservation. Hospital. with Birute Galdikas, and went to Nepal Kathleen is survived by her husband William where she worked for The Dooley Foundation "Bill" Tilley; son Dirk M. Tilley; father Kenneth and providing medical assistance to the poor, and step-mother Pearl Thompson; sister Pamela where she worked with Mother Theresa at the DeMarco; brothers, Mike Thompson and Mark home for the sick and dying and at a school Thompson; and one grandchild, James L. Tilley. for the mentally handicapped. She traveled to Pakistan twice and had hoped someday to be Kathy was preceded in death by her mother able to travel to Afghanistan. Jean Thompson on March 22, 1996.
Barbara will be greatly missed by her many friends and co-workers from across the country ❱❱ Memorial contributions may be made who were fortunate to have been able to know to the Grande Riviere Nature Tour Guides Association (GRNTGA). www.widecast.org/ her and to share in her extraordinary life. What/Country/Trinidad/trinidad.html.
She is survived by her brother Dan and his wife You may offer your condolences and Doris and nieces Tina (Glen) Hasken, Julie (Mike, share your memories of Kathleen online at www.kernfuneralhome.com. Jr.) Schmaltz, and Kimberly (Rick) Dehn and eight grandnieces and nephews, all of Dubuque, Iowa. Funeral services were held in Dubuque. A celebration of Barbara's life will be held in the Seattle area in the spring of 2012.
The Washington Nurse | Spring 2012 | 39 Education Calendar
MAY 2012 Geriatric Pharmacology; Pacific Medical-Surgical Review and Exploring Reiki in Nursing Practice at Lutheran University/Tacoma; May Update—Online—Summer 2012; 8 AM-10:15 AM and Reiki I in Nursing Exploring Reiki in Nursing Practice at 18, 2012; Fee: $119.00; Contact Hours: University of Washington Continuing Practice at 10:45-4:15 PM; Soar With 8 AM-10:15 AM and Reiki I in Nursing 6.25; Register at www.plu.edu/~ccnl/ Nursing Education; June 11—August the Eagles, 28203 – 22nd Ave. S. Practice at 10:45-4:15 PM; Soar With or call 253.535.7683 19, 2012; Fee: $695; Contact Hours: Federal Way, WA 98003; July 15, 2012, the Eagles; May 4, 2012, 28203 22nd Adult/Geriatric Drug Therapy, 50. Contact: www.uwcne.org/secure/ 28203 22nd Ave. S., Federal Way, WA; Ave. S., Federal Way, WA; Contact display3.asp?SKU=12134-A-SP Contact Hours: 2.0 and 4.0; Fee: $35 Hours: 2.0 and 4.0; Fee: $35 and $85; Clinical Pharmacology Series 2012; University of Washington Continuing The Art of Precepting; University and $85; Information and registration: Information and registration: http://reikitrainingfornurses.com http://reikitrainingfornurses.com Nursing Education; May 18, 2012; Fee: of Washington Continuing Nursing $245/225; Contact Hours: 7.2. Education; June 12, 2012; Keeping Kids in the Classroom 2012; Women’s Health Drug Therapy, Contact: www.uwcne.org/secure/ Fee: $245/225; Pacific Lutheran University/Tacoma; Clinical Pharmacology Series 2012; display3.asp?SKU=12120-C Contact Hours: 7.0. July 16–17, 2012; Fee: $199.00; University of Washington Continuing Contact: www.uwcne.org/secure/ Contact Hours: 12.5; Register at Nursing Education; May 10, 2012; Fee: JUNE 2012 display3.asp?SKU=12136-C www.plu.edu/~ccnl/ $245/225; Contact Hours: 7.0. Assuring Pediatric Nutrition in the or call 253.535.7683 Contact: www.uwcne.org/secure/ Neuropsychotropic Drug Therapy, Hospital and Community; University Pediatric Assessment; Pacific display3.asp?SKU=12118-C Clinical Pharmacology Series 2012; of Washington Continuing Nursing Lutheran University/Tacoma; July University of Washington Continuing Geriatric Assessment; Pacific Education; June 27—June 29, 2012; 18–19, 2012; Fee: $219.00; Nursing Education; June 8, 2012; Fee: Lutheran University/Tacoma; May Fee: $545/595; Contact Hours: 20. Contact Hours: 12.5; Register at $245/225; Contact Hours: 7.2. 11, 2012; Fee: $119.00; Contact Hours: Contact: www.uwcne.org/secure/ www.plu.edu/~ccnl/ or call Contact: www.uwcne.org/secure/ 6.25; Register at www.plu.edu/~ccnl/ display3.asp?SKU=12135-C 253.535.7683 or call 253.535.7683 display3.asp?SKU=12122-C Documenting Continuing Touching Hearts: The Art & Science Immediate Response – Essential JULY 2012 Competency with a Portfolio; Pacific Patti Skills for Urgent Clinical Situations; of Labor Support for Nurses; Lutheran University/Tacoma; July 20, Ramos Family Education Center; June University of Washington Continuing Introduction to School Nursing; 2012; Fee: $69.00; Contact Hours: 3.5; 9, 2012; Fee: $125; Contact Hours: 6.0; Pacific Lutheran University/Tacoma; Nursing Education; Shoreline Register at www.plu.edu/~ccnl/ or call Contact: [email protected] July 10–13, 2012; Fee: $459.00; Conference Center; May 15, 2012; 253.535.7683 Contact Hours: 7.2. Contact Hours: 25; Register at Contact: [email protected] www.plu.edu/~ccnl/ or call 253.535.7683
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40WGUW_NursingSmarter4c_75x5.indd | The Washington Nurse 1 | Spring 2012 9/22/11 2:45 PM Education Calendar
AUGUST 2012 INDEPENDENT SELF STUDY High Cholesterol Pt. 3: Chinese Pharmacology – Neuropsychotropic COURSES Medicine Dietetics; Fee: $50; Drug Therapy: Contact Hours: 7 – 8.0; Wound Management (Winter/Spring Contact Hours: 12; Contact: Fee: $195 / 175* C Course); University of Washington AIDS: Essential Information for the www.healthcmi.com Pharmacology – Women’s Health School of Nursing; August 15 – Health Care Professional; Contact HIV - HIV/AIDS Education Drug Therapy: Contact Hours: 7 – 8.0; October 18, 2012; Fee: $3,795; Hours: 7.0; Fees: $55 D Contact Hours: 130.0, Contact: Implications for Nurses; Contact Fee: $195 / 175* C Dementia - Dementia in Older Adults; Hours: 7.0; Fee: $95 www.uwcne.org/secure/display3. C Pharmacology – Prescribing Contact Hours: 7.5; Fee: $195 asp?SKU=12140-C C HIV – Routine HIV Screening; Contact Scheduled Drugs; Contact Hours: 10; Exploring Reiki in Nursing Practice at Depression - IMPACT: Online Training Hours: 1.5; Fee: $Free C Fee: $195 C for Depression Care Management; 8 AM-10:15 AM and Reiki I in Nursing Legal Issues & Trends in Telephone RN Refresher Course; Fees Theory: Contact Hours: 17.5; Fee: $50 Practice at 10:45-4:15 PM; Soar With C Triage; Contact Hours. 1.2. A $500; Health Assessment and Skills the Eagles, 28203 – 22nd Ave. S. Domestic Violence - Domestic Legal Issues in Nursing; Contact Review: $500; Clinical Placement for Federal Way, WA 98003; August 18, Violence Recognizing and Hours: 4.0; Fees: $120 Precept Clinical Experience: $400 D 2012, 28203 22nd Ave. S., Federal Way, Responding to Victims; Contact D Telephone Triage Trivia; WA; Contact Hours: 2.0 and 4.0; Hours: 2.0; Fee: $20 C Legal Risks of Remote Triage; Contact Fee: $35 and $85; Hours. 1.0 Contact Hours. 1.0 A Ethics - Ethics as a Compass: A Model A Information and registration: The Pain Management Dilemma; for Dealing with Complex Issues in Managing Type 2 Diabetes; http://reikitrainingfornurses.com Contact Hours: 1.5; Contact: Patient Care; Contact Hours: 7.7; Contact Hours: 1.5; Contact: www.nphealthcarefoundation.org Wound Management Fundamentals Fees: $195 C www.nphealthcarefoundation.org Course—Summer 2012, A Wound Academy – Course 1 (Wound Ethics Related to Nursing Practice; Management of Persistent Certificate Program for Healthcare Assessment & Preparation for Contact Hours: 9; Fees: $200 D Pain; Contact Hours: 1.8; Professionals; August 20—September Fee: No Fee; Contact: Healing) ; 22, 2012; Fee: $595; Contact Hours: Everyday Encounters: www.nphealthcarefoundation.org Fee: $40; Contact Hours: 4.3 C 30, Contact: www.uwcne.org/secure/ Communication Skills for Successful Wound Academy – Course 2 (Lower display3.asp?SKU=12181-SP Triage; Contact Hours: 1.4. A Medical Spanish for Hospital Nurses; Contact Hours: 25 B Extremities and Pressure for Ulcers); Foot Care for the Older Adult; Rainier Fee: $60; Contact Hours: 6.8 C SEPTEMBER 2012 Medical Education Programs; Medical Spanish for Office Nurses; Wound Academy – Course 3 Contact Hours: 6.5; Contact Hours: 25 B Touching Hearts: The Art & Science (Dressing Selection & Infection); Contact: www.RainierMedEd.com of Labor Support for Nurses; Patti Medical Spanish for NPs, Physicians Tuition; Fee: $30; Contact Hours: 2.5 C Geriatric Health - Geriatric Health and PAs – Course A; Ramos Family Education Center; Wound Academy – Course 4 (The Promotion Lecture Series; Contact Contact Hours: 25 B September 8, 2012; Fee: $125; Role of Collagen in Wound Healing); Contact Hours: 6.0; Hours: 78 Fee: $460; 1.5 Fee: $30 C Medical Spanish for NPs, Physicians Tuition; Fee: $30; Contact Hours: 2.5 C Contact: [email protected] Grand Rounds - UW Nursing Grand and Pas – Course B; Wound Assessment and Medical-Surgical Review and Rounds; Contact Hour $10 per; Free Contact Hours: 25 B Documentation; Update—Online—Autumn 2012; to view New Telehealth Technology: Legal Fee: $60; Contact Hours: 2.0 C University of Washington Continuing Health Assessment and Risks & Call Center Benefits; Contact
Nursing Education; September 10— Documentation; Contact Hours: 20: Hours. 1.2 A Wound & Ostomy; November 19, 2012; Fee: $695; Contact Fees: $150 D Fee: $60; Contact Hours: 2.0 C Hours: 50. Contact: www.uwcne.org/ OTC Advisor: Advancing Patient Self- secure/display3.asp?SKU=12134-B-SP Hepatitis - Hepatitis Case Studies; Care; Contact Hours: 17.0; Contact: Contact Hours:. 5 C www.nphealthcarefoundation.org Exploring Reiki in Nursing Practice at 8 AM-10:15 AM and Reiki I in Nursing High Cholesterol Pt. 1: Western Pharmacology – Clinical Contact Hours: Practice at 10:45-4:15 PM; Soar With Medicine; Contact Hours: 7; Fee: $50; Pharmacology Series; the Eagles, 28203 – 22nd Ave. S. Contact: www.healthcmi.com 7 – 8.0; Fee: $195 / 175* C Federal Way, WA 98003; September High Cholesterol Pt. 2: Chinese Pharmacology – Adult/Geriatric Drug 22, 2012, 28203 22nd Ave. S., Federal Medicine Theory; Contact Hours: 4; Therapy: Contact Hours: 7 – 8.0; Way, WA; Contact Hours: 2.0 and 4.0; Fee: $50; Contact: ww.healthcmi.com Fee: $195 / 175* C Fee: $35 and $85; Information and registration: http://reikitrainingfornurses.com
CONTACTS
A Carol M. Stock & Associates B MedicalSpanish.com C University of Washington School D Intercollegiate College of Carol M. Stock, JD, MN, RN Ken Ryan of Nursing Nursing PO Box 31114 PO Box 190913 Continuing Nursing Education Washington State University Seattle, WA 98103 Anchorage, AK 99519 Box 359440 College of Nursing 206.789.0909 [email protected] Seattle, WA 98195 Professional Development [email protected] www.medicalspanish.com 206.543.1047 2917 W. Fort George Wright Dr. www.carolstock.com/videos/ [email protected] Spokane, WA 99224 communication.html www.uwcne.org 509.324.7321 or 800.281.2589 www.icne.wsu.edu
The Washington Nurse | Spring 2012 | 41 Need Help Organizing Your Continuing Competency Records?
This folder can be personalized to help you file information verifying compliance with the new NCQAC licensure renewal requirements.
Design your own file folder. Insert tab dividers (included) pertinent to your practice / education documents verifying compliance.
______Folders Billing Address Shipping Address ______x $10.00 per folder Name Name = ______Total ______Address Address ______If Paying by Credit Card: ______City City ______Cardholder Name State______Zip______State______Zip______Cardholder Signature ______Phone Phone Card Number ______Card Expiration
Place your order by mail, phone or fax: Washington State Nurses Association • 575 Andover Park West, Suite 101 • Seattle, WA 98188 206.575.7979 phone • 206.575.1908 fax • [email protected] • www.wsna.org Join WSNA and the Seattle Storm for Nurse Appreciation Night, August 30, 2012.
The Washington State Nurses Association and the Seattle Storm are once again teaming up to jointly promote the nursing profession and WNBA basketball. Mark your calendar for this fun night of basketball and stay tuned for special ticket offers.
Visit www.wnba.com/storm for the full Storm schedule, ticket packages & more.
Proud Partner of the Seattle Storm Washington State Nurses Association 575 Andover Park West, Suite 101 NONPROFIT ORG. Seattle, WA 98188 U.S. POSTAGE PAID Seattle, Washington Permit No. 1282
Because brilliance takes a spark. Energize your health care career with a certificate or degree.
UW Professional & Continuing Education partners with the UW Schools of Medicine, Nursing, Social Work and Public Health to offer you online, evening or weekend programs in nursing, health care administration, mental health, health informatics, gerontology, research, public health and more. Visit us online to explore your options.
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