The Official Publication of the Virginia Nurses Foundation

November 2014 Circulation 98,000 Registered Nurses and 2,300 Student Nurses Volume 22 • No. 4

Virginia Nurses Today is provided on a complimentary basis to all registered nurses in Virginia. To find out more about the benefits of becoming a VNA member, please see page 15

Leadership Excellence Scenes From VNA’s Fall Health Insurance Awards Conference and Access to Care After ACA’s First Enrollment Update Period

Joyce Hahn

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Campaign Helps Virginia Nurses Foundation Advance Institute of Medicine’s Announces 2014 Award Recipients Call for More Nurse Leaders

Four years after the release of a groundbreaking report on nursing, nurses are assuming positions of power in government, health care, and other sectors. On the fourth anniversary of the release of the Institute of Medicine’s (IOM) landmark report on the future of the nursing profession, more nurse leaders are stepping into positions of power and influence – and efforts to prepare even more nurses for leadership are gaining ground. When the IOM issued its call, it said more nurse leaders are needed to improve health and health care in the United States. The Committee on the Robert Wood Johnson Foundation (RWJF) Initiative on the Future of Nursing, Campaign continued on page 9

2014 Leadership award winners and nominees gather at the VNF Gala

The Virginia Nurses Foundation (VNF) announced the recipients of annual awards honoring those in the Commonwealth who made special contributions to the nursing profession. Winners were announced at VNF’s Annual Gala, held at the Jefferson Hotel in late September. Jeffrey S. Cribbs, president and chief executive officer of the Richmond Memorial Health Foundation, served as honorary chair and gave keynote remarks. Dr. Lauren Goodloe received the Virginia Nurses Association’s highest award, the Nancy Vance award. Established in 1948, this award is presented to a nurse in Virginia who demonstrates character above reproach and unusual qualities of unselfishness in service. Dr. Goodloe, who was sworn in as president of the Virginia Nurses Association on September 26, 2014, currently serves as the director of medical nursing and geriatric services and administrative director of VNF Gala’s nursing research at Virginia honorary chair Commonwealth University Jeffrey S. Cribbs Non-Profit Org. and Friend of U.S. Postage Paid Medical Center and Princeton, MN assistant dean for clinical Nursing award Permit No. 14 operations at Virginia recipient current resident or Commonwealth University Denise Daly Konrad School Of Nursing. “Dr. Goodloe is a consummate professional who Dr. Lauren Goodloe has demonstrated her passion, skill and courage in receives the Nancy delivering and advocating for quality nursing and Vance Award from last healthcare for the past 33 years,” said Jay Douglas, year’s recipient, executive director of the Virginia Board of Nursing. Florence Jones-Clark 2014 Award Recipients continued on page 6 Page 2 November, December 2014, January 2015 Virginia Nurses Today www.VirginiaNurses.com President’s Message

I am honored to serve the nurses of the and exceed – in the next is the official publication of the Virginia Nurses Commonwealth as the new president of the Virginia two years. We’ve learned Foundation: 6912 Three Chopt Road, Suite H, Nurses Association. VNA represents the interests that you’re joining VNA Richmond, Virginia 23226, a constituent of the more than 100,000 registered nurses in the for a variety of reasons, member of the American Nurses Association. Commonwealth, and it is my privilege to lead this including networking www.VirginiaNurses.com organization that is the voice of nursing in Virginia. opportunities, continuing [email protected] I am joined by an accomplished board, ready to education, and the Phone: 804-282-1808 serve our members and continue our significant advancement and support Lauren Goodloe progress towards the goals in VNA’s strategic plan. of your profession. In the The opinions contained herein are those of the We are so pleased that Loressa Cole, our immediate next year, we’re focusing on individual authors and do not necessarily past president, will continue to serve VNA as a outreach to younger nurses, including an enhanced reflect the views of the Foundation. board member, providing important perspective social media presence and the development of a gained during her two years of outstanding service young professionals special interest group. Virginia Nurses Today reserves the as VNA president. (For more about our newest board Nurses represent the largest segment of right to edit all materials to its style members, please see page 13). healthcare workers in our state, so it is essential and space requirements and to One of my first priorities as president is the that we leverage the public policy arena to advance clarify presentations. expansion of our educational offerings and venues our profession. to reach more nurses in the state. In addition Our board works with our legislative consultant VNF Mission Statement to offering a new Spring Conference in 2014, and our government relations committee to help The mission of VNF is to continue programs of we’re working in partnership with Old Dominion ensure that our legislators and policymakers support and innovation for nurses and nursing University to begin offering continuing education recognize VNA as the voice of nursing in Virginia. in the Commonwealth. in both distance learning and on-demand formats. This year, we plan to increase our efforts in Look for our first on-demand continuing education grassroots advocacy by expanding our legislative VNT Staff program to be available in November 2014! visibility initiatives and providing on demand Janet Wall, Editor-in-Chief Our membership has grown 24% since 2012, an legislative advocacy training modules. Our annual Kristin Jimison, Managing Editor incredible rate of growth that we hope to sustain – Legislative Day will be held on February 3rd in Richmond – we hope you’ll make plans to join us! Virginia Nurses Today is published quarterly I am excited to continue our partnership with the every February, May, August and November by Looking for the Virginia Action Coalition, an initiative of the Virginia the Arthur L. Davis Publishing Agency, Inc. perfect career? Nurses Foundation and AARP Virginia as we work Copyright © 2012, ISSN #1084-4740 to implement the recommendation in the Institute Subscriber rates are available, 804-282-1808. Look no further than... of Medicine’s Future of Nursing report. Virginia is nursingALD.com consistently named as one of the top three action For advertising rates and information, please Find the perfect coalitions in the country. For a comprehensive contact Arthur L. Davis Publishing Agency, Inc., nursing job for you! update on the accomplishments and future plans of 517 Washington Street, PO Box 216, Cedar Falls, the Virginia Action Coalition, please see page 11). Iowa 50613. (800) 626-4081, [email protected]. Thank you for this exceptional opportunity to serve Virginia nurses as VNA president. I look VNF and the Arthur L. Davis Publishing forward to the continued growth and advancement of Agency, Inc. reserve the right to reject any our profession. advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement.

Acceptance of advertising does not imply endorsement or approval by the Virginia Nurses Foundation of the products advertised, the advertisers or the claims made. Rejection of an can ruin any shift advertisement does not imply that a product The Flu offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. VNF and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of advertisers’ products. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of VNF, or those of the national or local chapters.

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Published by: By contracting the flu, health care providers not only place a burden on their coworkers Arthur L. Davis but also run the risk of spreading the disease to their patients. Publishing Agency, Inc. Fortunately, there’s an easy way to prevent it: Get a flu vaccination. For yourself. South University - Richmond For your patients. Faculty Openings Adjunct Faculty Opportunities exist for undergraduate nursing program. Requirements: Masters or PhD in Nursing; experience in Med Surg.

Adjunct Faculty Opportunities are also available for graudate MSN FNP Program Visit: http://www.vdh.virginia.gov Learn more/Apply: www.southuniversity. or call the Virginia Immunization Helpline at: edu/careers or email CV to hrrichmond@ 1-800-568-1929 southuniversity.edu. www.VirginiaNurses.com Virginia Nurses Today November, December 2014, January 2015 Page 3 CEO Report An Eye on Professional Growth

One of the primary services your professional though plans are still in the beginning stages • For those of you organization – any professional organization – – promise an excellent slate of both state and interested in should provide is the opportunity for continuous national speakers. Make no mistake… this advancing your learning. I’d like to highlight a few new is a conference intended for all nurses in all education through a opportunities the Virginia Nurses Association work settings and all practice areas. We will be traditional institution Janet Wall offers: sharing more with you in the February 2015 of higher learning, • Regardless of licensure requirements, issue of Virginia Nurses Today and, to members, we will be creating continuing education should always be at the via our monthly VNA Voice newsletter and a comprehensive directory of all Virginia top of your list. It’s at the very heart of what conference-specific emails. nursing programs. This directory, which is enables us to excel at what we do. Many of made possible by a Robert Wood Johnson you attended the highly praised Leadership • Mental health in the community is top of mind Foundation grant awarded to our Virginia Symposium we presented as part of the for all of us. We know it will “take a village” and Nurses Foundation, will be available online in recent Fall Conference. For those of you who tremendous effort to successfully address the the 1st half of 2015. weren’t able to join us, we have some great shortfalls of our healthcare system and ensure news! Thanks to the generous support of that no one falls through the cracks in care. Our • Last year we launched our first Legislative Old Dominion University who videotaped the Fall Conference will take an interprofessional Visibility Initiative aimed at ensuring nurses session, the Leadership Symposium will now be lens to the challenge by including nurses as well were top of mind during the legislative session available to you via our website. This is a great as other healthcare professionals in thoughtful and legislators were well-informed about nursing opportunity for you to earn 3.25 contact hours discussion, engaging education and team-based and issues critical to the profession. We learned from your personal computer or perhaps as part breakouts to examine ways in which we can some great lessons from the experience and of a series of hour-long department meetings. makes advances in this critical area. Look for are excited to be partnering with a number For more information, including comments more information on our website in the months of other nursing organizations to make our from Leadership Symposium attendees, ahead. We plan to open registration in early 2015 effort bigger and better. We’re organizing visit the leadership development section of spring. groups of nurses and student nurses to greet virginianurses.com. legislators as they arrive for the day, meet with • Interested in providing quality education for them, and observe relevant subcommittee • Legislative Day will be here before you know your organization? In addition to the programs meetings. If you’re interested, but new to the it (February 3) and registration is now open! VNA offers, you can also create programs legislative process, this is a great opportunity Exhibitor and sponsor opportunities are also and apply for contact hours through our CE for you to “learn the ropes” of advocating for the available for this great event that draws 300- Approver Unit, which is accredited by ANCC. nursing profession. We will provide the tools 400 nurses! Read more on page 1. Don’t miss We will be hosting a day-long training session you need and pair nurses new to advocacy with out on Early Bird registration pricing! for individuals who are new to the application experienced nurses who will serve as mentors. process. If you would be interested in learning Visit bit.ly/visibilityforRNs for more information. • Mark your calendars for May 8, 2015, the more, email Germaine Forbes at vnacea@ date we hold our new Spring Conference virginianurses.com. She will share additional These are all wonderful opportunities to expand at the Jepson Alumni Center on University information with you in the weeks ahead. your knowledge and grow your personal career as of Richmond’s beautiful campus. We’ll be well as help to shape the profession. I encourage you unveiling our new Staffing Toolkit and – to engage! Page 4 November, December 2014, January 2015 Virginia Nurses Today www.VirginiaNurses.com Virginia Nurses Foundation Gala 2014

VNF Gala Silent Auction and Raffle Best Basket Winners

Bon Secours Memorial College of Nursing “Wheeling in Fall”

Riverside Regional Medical Center Nursing Deparment “Simple Self Medication” 2014 Leadership Excellence Award

Virginia United Nominees Methodist Homes, Inc. Director of Nursing Emerging Nurse Leader Nurse Administrator The Director of Nursing is responsible for the day-to-day operations and long term management of the Healthcare Center, a 40-bed private pay Vonnie Adams, RN, BSN Veronica Brill, MSN, RN facility within a Continuing Care Retirement Community (CCRC). Nurse Manager, ACE Unit, Riverside Regional Director of Clinical Operations , University of § Diploma in Nursing at a minimum; Bachelor’s degree preferred Medical Center Vriginia Health System § Current state license as a Registered Nurse § Three to five years of progressive nursing management experience, Stephanie Bernier, RN BSN preferably in a long term care setting Nichole Davis, RN, BSN § Knowledge of state and local regulations regarding long term care Public Health Nurse, Richmond City Health District Director, Emergency Services and House Supervision, LewisGale Hospital Pulaski Please send resume to: [email protected] Kristin Dayton, RN,BSN Clinical Coordinator, Bon Secours DePaul Eileen Dohmann, RN, MBA, NEA-BC Vice President, Quality and Patient Safety, Mary Amanda Deinlein, RN, PCCN Washington Healthcare Nurse Clin IV Clinical Nurse, Sentara Martha Jefferson Practitioners Hospital Lisa Edwards, MSN, RN, CNML Virginia Cardiovascular Specialists, one of the largest private John Green, RN, BS Director Emergency Department, LewisGale cardiology practices in Virginia with 38 board-certified cardiologists in Hospital Montgomery 7 offices in the Richmond area, is seeking Nurse Practitioners to join Charge Nurse, Bon Secours St. Mary’s Hospital our practice. Ideal candidates will have at least 3 years as an adult Joy Gilman, BSN, RN, CNML nurse practitioner with cardiology experience. No nights, weekends, Celia Grinstead, RN, BSN Nurse Manager, MedSurg, Riverside Regional Director Medical Pediatric and Post Surgical Unit, or on call. Competitive compensation and benefit package. All of our LewisGale Hospital Montgomery employees are the best in the business, and we are proud to share a Medical Center common goal of excellence with compassion for our patients. Kimberly Harper, RN, BSN Amy Iveson, MSN, RN Please send resumes to: [email protected]. Director Emergency Services, Riverside Walter Reed Administrative Director of Emergency and Critical Hospital Care Services, Bon Secours Mary Immaculate Hospital Christina Lam, PhD-C, MSN, RN Join Our Team Assistant Undergraduate Program, Director, James Pamela Jones, BSN, MBA, RN Madison University Nursing Vice President Quality, CJW Medical Center Please visit our website at www.hopva.org Frances Manly, BSN for our latest job openings. Tiffany Linkowitz, ACNS-BC, RN, MS Interim Manager, Sentara Martha Jefferson Administrative Director, Bon Secours Memorial Hospital Regional Medical Center Rosalie Mendoza, BSN, RN, CNOR Staff Nurse OR, LewisGale Hospital Montgomery Nora Paul, RN Administrative Director Surgical Services, Bon 675 Peter Jefferson Parkway, Suite 300, Charlottesville, VA 22911 Cathryn Mitchell, RN BSN Secours Maryview Medical Center 434-817-6900 Senior Clinical Analyst for Quality, Riverside Doctors’ Hospital Williamsburg Michelle Quesenberry, MSN, RN Director, Medical Surgical and Skilled Nursing Megan Parsons, RN Units, LewisGale Hospital Pulaski Charge Nurse, Valley Health Systems Julie Sanford, DNS, RN Kevin Shimp, MSN, RN, CNML Department Head of Nursing, James Madison NURSING INSTRUCTOR (POSITION #FO305) Nurse Manager, VCU Health System University MSN, RN licensed. Minimum of two years of medical-surgical acute care clinical experience or its equivalent within the past five Daphne Terrell, MS, BSN, RN Kevin Shimp, MSN, RN, CNML years. Clinical Instructor, Virginia Commonwealth Nurse Manager, VCU Health System NURSING INSTRUCTOR FOR PRACTICAL University School of Nursing NURSING (POSITION #FO202) Valerie Sommer, MSN, RN, CEN Associate degree in Nursing and an unrestricted RN license. Sadie Thurman, RN, BSN, CEN Nurse Manager, Bon Secours Maryview Medical Minimum of five (5) years of medical-surgical clinical experience System Director, ED, Riverside Health System Center or its equivalent within the past eight (8) years. Crystal Toll, MSN, RN, CCRN, PCCN Full-time nine-month teaching faculty-ranked appointments. Sue Winslow, DNP, RN, NEA-BC, APHN-BC Nurse Manager, UVA Health System Salary range: $41,263 – $69,510. Director of Nursinmg Education and Community Services, Sentara Martha Jefferson Hospital Additional information is available at the College’s Website: Joanne Williams-Reed, DNP, MS, RN-BC www.reynolds.edu CNS Manager,Education Department, Sentara AA/EOE/ADA/Veterans are encouraged to apply. Princess Anne Hospital www.VirginiaNurses.com Virginia Nurses Today November, December 2014, January 2015 Page 5 Virginia Nurses Foundation Gala 2014

Nurse Educator Julie Strunk, PhD, RN Staff/Frontline Nurse Assistant Professor, James Madison University Luis Becerra, RN, BSN, MSN Melori Caudill, BSN Nurse Educator ED, Bon Secours DePaul Hospital Julie Strunk, Phd, RN Clinical Team Leader, LewisGale Hospital Pulaski Assistant Professor of Nursing, James Madison Kathy Faw, MSN, RN University Amy Chodorov, BSN, RN, CCRN RN, Clinical Nurse Assistant Professor, Bon Secours Memorial College IV, VCU Medical Center- Surgical Trauma ICU of Nursing Dyana Williams, MSN, RN Clinical Outcomes Analyst, LwisGale Hospital Fran Concklin, RN-BC, CRNI, VA-BC, BS Linda Hulton, PhD RN Montgomery Staff RN, Centra Health DNP Program Coordinator, James Madison Univeristy Kathie Zimbro, PhD, RN Charlie Freer, RN Director, Clinical and Business Intelligence, Sentara Staff Nurse Ambulatory Care Services, LewisGale Shelly Orr, MS, BSN, RN Clinical Instructor Healthcare Hospital Montgomery Virginia Commonwealth University School of Nursing Nursing Informatics Stephen Furman, RN, CCRN Registered Nurse, VCU Health System Holly Pugh, MSHA, BSN, RN-BC, CIN CHSE Margaret Atkins, RN BSN Director, Clinical Simulation Center, Bon Secours IT Nurse Liasion, Riverside Doctors’ Hospital Vivian Jones, BSHS, RN-C Memorial College of Nursing Williamsburg Rheumatology Nurse, McGuire Veterans Affairs Medical Center Miriam “Mimi” Tornrose, RN, MSN Laurie Brock, MSN, RN Education Coordinator II, University of Virginia EPIC EMR Nurse Informaticist, University of Virginia Clare Patterson, BSN, RN, PCCN Health System Health System Clinical Nurse III, VCU Health System

Nurse Researcher Dawn Coble, BSN, RN Shelia Sowers, RN Senior Clinical Analyst, LewisGale Hospital Pulaski Staff Nurse Medical Pediatrics Post-Surgical Unit, Tara Albrecht, PhD, ACNP-BC, RN LewisGale Hospital Montgomery Assistant Professor, Virginia Commonwealth Susan Cutrell, MSN, RN University School of Nursing IMPAACT Manager, Sentara Norfolk General Hospital Jack Speed, RN,MS Charge Nurse 5 South Orthopedic Unit, Bon Kyungeh An, Ph.D., RN Donald Douglas, BS, RN, CEN Secours St Mary’s Hospital Associate Professor, Virginia Commonwealth IT&S Senior Clinical Analyst, LewisGale Hospital University School of Nursing Montgomery Karen Sween, BSN, RN, CRRN Clincal Nurse III, VCU Health System Mamoona Arif Rahu, PhD, RN, CCRN Lisa Lucas, DNP, RN, MBA/HCM Nurse Clinician, Virginia Commonwealth Director of Clinical Informatics, Mary Washington Ashley Viars, RN, BSN, PCCN University Health System Healthcare Registered Nurse, University of Virginia Health System Diana Behling, DNP, RN, MJ Susan Tanner, RN, BSN, MSN CPPS Manager OB Right Program, Sentara Norfolk RHS System Director Clinical Informatics, Riverside Joanne Yoder, RN, BSN General Hospital Health System Clin III Staff Nurse, Sentara Martha Jefferson

Rebecca Gilbert, MSN, RN, CCRN Kelly Via, BSN Clinician IV, University of Virginia Clinical Information System Specialist-FirstNet, Martha Jefferson Hospital

Special Recognition Melori Caudill, BSN Clinical Team Leader Lewis Gale Pulaski

A few words about Melori from her nominator: Lori has earned the respect of her peers for her willingness to address and resolve concerns in a timely manner. Her focus is on customer service and quality care, and she is a true emerging nurse leader. VNF apologizes for her omission on the evening of the Gala.

Nursing at a new level

At Novant Health, we combine world-class Qualifications: technology and dedicated clinicians – like • Associate’s degree is required you – to create something truly remarkable. • Bachelor’s degree is preferred Our RN team is growing in the following • One year of nursing experience is required areas: OR, critical care, ER, L&D and • Current RN licensure in the state of behavioral health. Virginia is required Manassas and Haymarket, Virginia To apply online, please visit jobsatnovant.org.

EOE Page 6 November, December 2014, January 2015 Virginia Nurses Today www.VirginiaNurses.com 2014 Award Recipients continued from page 1

• Hollie Moneyhan, Bon Secours St. Mary’s Hospital Denise Daly Konrad, current director of strategic • Sarah Frazier, Carilion Clinic, Roanoke initiatives and policy at the Virginia Health Care Campus Foundation and former director of the Nurse • Tamara Bryant, Centra Health Leadership Institute, was recognized with the Friend Lynchburg General Hospital of Nursing award for her dedication to furthering the • Lyn Rose Calderoni, Centra Health leadership skills of nurses throughout Virginia. Virginia Baptist Hospital “Nurses need to be empowered to lead from the • Deb Leser, Inova Fair Oaks Hospital bedside to the boardroom, and Denise has been • Marcia DePolo, Inova Fairfax Hospital instrumental in creating the framework for nursing • Aurora Newcomer, Inova Loudoun leadership development in our state,” said Dr. Shirley Hospital Gibson, president of the Virginia Nurses Foundation. • Jennifer Redd, LewisGale Hospital The VNF Gala was sponsored and supported Montgomery by many Virginia hospitals and health systems. • Maureen Garmey, Sentara Martha Bon Secours Virginia was the Gala’s Diamond Jefferson Hospital sponsor. Platinum sponsors included Chesapeake • Nancy Young, Mary Washington Hospital Regional Medical Center, Richmond Memorial • Marsha Lewin, Sentara Norfolk General • Nursing Informatics – Tammy Kemp, Health Foundation, Riverside Health System, James Hospital Carilion Clinic Madison University, University of Virginia Medical • Kimberly Nelson, Virginia Commonwealth • Frontline/Staff Nurse – Darlene Salvani, Center, Virginia Commonwealth University Medical University Medical Center VCU Medical Center Center, Sentara Healthcare, HCA Capital Division, • Sheri Harsanyi, Virginia Hospital Center • Emerging Nurse Leader – and Centra Health. The Virginia Council of Nurse • Regina Cooley, Winchester Medical Center Michelle Keesling, LewisGale Hospital Practitioners was the Gala’s Bronze sponsor. Pulaski Also honored at the Gala (for more information see • Winners of the 2014 Virginia Nurses pages 4 & 5): Foundation Leadership Excellence Awards • Winners of the Virginia Nurses Foundation • Winners of the 2014 Magnet Consortium • Nursing Administration – Marie Duffy, JoAnne Kirk Henry Nurse Leadership Award for Magnet Excellence in Clinical Inova Mount Vernon Hospital Scholarship Nursing: • Nursing Education – Karen Rose, • Renee Hammel, Crossover Ministry • Natalie Drawdy, Bon Secours Memorial University of Virginia School of Nursing • Christine Wagler, Harrisonburg Regional Medical Center • Nursing Research – Linda Bullock – University of Virginia Health System Community Health Center www.VirginiaNurses.com Virginia Nurses Today November, December 2014, January 2015 Page 7 2014 Nurse Leadership Award Winners Emerging Nurse Leader Nurse Administrator Nursing Informatics

Michelle Keesling, BSN, RN Marie Duffy, DNP, RN, FNP-BC, NEA-BC Tammy Kemp, DNP, RN, NEA-BC Chemotherapy RN, Palliative Care and Chief Nursing Officer, Inova Nursing Support Services, Informatics and Oncology Nurse Navigator, and Clinical Mount Vernon Hospital Practice, Carilion Clinic Coordinator, LewisGale Hospital Pulaski Dr. Duffy is an exceptional leader who has made Dr. Kemp is an integral part of the leadership Ms. Keesling is an exceptional nurse and a huge contribution with her expertise, cordial team. She serves as an international informatics developing leader at LewisGale Hospital Pulaski, communication style and exemplary professional and operational speaker, consultant as well as nurse possessing the respect of her co-workers, the practice and leadership. She has exemplified researcher. Her ability to integrate clinical knowledge physician staff, and each patient she touches. professionalism and a transformational leadership and operational experience to create and enhance Her many accomplishments include developing style that has moved Mount Vernon Hospital to an workflows for clinicians and operational leadership a palliative care program, constructing a nurse exemplary nursing culture while supporting her has elevated nursing practice, and her quest for quality navigator program, and serving as co-chair of the fellow colleagues and providing opportunities for of care and improved nursing practice has resulted Nursing Professional Development Council. She is the leaders and managers to be autonomous in in multiple system wide improvements. Additionally, a person of action and is always willing to assist, their work. She has a keen sense of commitment to Dr. Kemp has invented and developed a nationally guide, and instruct – regardless of the task. leading Inova Mount Vernon Hospital nursing. competitive acuity product that is presently patent pending. Frontline / Staff Nurse Nurse Researcher Nurse Educator

Darlene Salvani, BSN, RN, BMTCN Linda Bullock, PhD, RN, FAAN Karen Rose, PhD, MS, RN, RAAN Clinical Nurse, Virginia Commonwealth Jeanette Lancaster Alumni Assistant Dean, Research and Innovations and University Medical Center Professor of Nursing, Associate Professor, University of Virginia Associate Dean for Research, and Director, School of Nursing Ms. Salvani’s expertise is an important asset on PhD program at the University of Virginia the Bone Marrow Transplant unit. She is a dedicated As program director, Dr. Rose spearheaded member of the Shared Governance committee that Dr. Bullock is a distinguished nurse researcher her school’s efforts to transform their traditional works on innovative ideas to improve the quality of who has positively affected public health nursing program and to expand the enrollment capacity care delivered on her unit, as well as the diabetic practice through her research to improve the lives of their RN to BSN program. During that time, counsel team that uses research to find the best of women and children, particularly low-income she used innovative approaches to curriculum treatment and management for diabetic conditions. rural women. Throughout her career, Dr. Bullock’s redesign and to faculty development in order to She has also received her Bone Marrow Transplant work has been in collaboration with state health continue to enhance faculty’s professional roles. certification. All of these things give Darlene a departments to address the health needs of a very Her passion for providing students with unique substantial knowledge base to help others navigate vulnerable population and to train those that serve opportunities to enhance their educational complicated or stressful situations and ultimately these women and children. Dr. Bullock’s success as experiences while providing service to patients and make her a great leader. a research has enhanced the image of professional their families across our health system, illustrates nursing. her commitment to maintaining respect for human dignity and the uniqueness of all persons

Crater Health District SEEKING Public Health Nurse Manager Sr. (#04916) This position will provide professional leadership to the District. Plans, directs, organizes, manages and evaluates nursing, clinical, and RN to BSN Online Program MSN Online Program Nursing Instructor – Southside Regional occupational health related programs and activities for the District’s seven local health departments. Position ensures adherence to District, No Campus Visits ­— 24 Hour Tech Support Medical Center School of Nursing State, Federal standards through assessment, planning, management and evaluation and participates in planning for disasters and emergencies. • Liberal Credit • No Thesis Southside Regional Medical Center (located in historic Peters- This position oversees the management of 55 full time/wage positions, Transfers Required burg, VA, which is 30 minutes South of Richmond, VA) has a disciplines include clinical and non-clinical positions. As a community full time Nursing Instructor position available with our School based organization we provide a variety of services to the public. We are • Nationally • No Entrance of Nursing. This position will provide clinical, classroom and located two hours from the beautiful beaches and mountains of Virginia. Accredited Exams lab instruction, orient students to the clinical area, demonstrate Our headquarter office is in Petersburg, approximately 25 miles from proper procedures, supervise clinical performance, evaluate and Richmond, Virginia. Classes That Fit Your Schedule — Competitive Tuition counsel students as to their progress and performance. Must Generous benefits package offered - Salary is negotiable to $85,000. have a Master’s Degree in nursing from an accredited college or For complete job description and to apply go to www.vdh.virginia.gov. university and have at least 2 years of experience as a Registered Only online applications are accepted. BSN-LINC: 1-877-656-1483 or bsn-linc.wisconsin.edu VDH is an Equal Opportunity Employer. Nurse in a clinical practice environment. Please apply online at: MSN-LINC: 1-888-674-8942 or uwgb.edu/nursing/msn www.srmconline.com Page 8 November, December 2014, January 2015 Virginia Nurses Today www.VirginiaNurses.com Virginia Nurses Foundation Gala 2014 Magnet Consortium Award Winners for Magnet Excellence in Clinical Practice Natalie C. Drawdy, RNC-MNN Deb Leser, MSN, RN, CEN, CPEN Nancy Young, Staff Nurse – NICU, BSN, Bon Secours Memorial Regional Medical Center Inova Fair Oaks Hospital RN, NIC Mary Washington Hospital Natalie collaboratively authored developmental Deb has worked extensively on the Code care NICU outcomes and late preterm infant Stroke protocol for IFOH. She collaborated with a Nancy developed the NICU Cuddler program for initiatives with the developmental care team. multidisciplinary team on the hospital-wide Code the NICU. She sought to build a bridge between Additionally, she’s changed the culture of the Stroke Task Force and she was instrumental in volunteers in the community and helping sick, unit by championing the mother infant skin- writing the protocol, designing the algorithm and stable babies be comforted and soothed while to-skin process during surgical birth. Natalie teaching tools and then overseeing the deployment of admitted in the NICU. Without her assistance, planned and implemented annual celebrations the stroke algorithm not only in the IFOH Emergency this program would not have been a reality. for baby friendly progress for the entire hospital Department, but also across the entire house Her program has the potential to be adopted by during National Breastfeeding Week. She has also where Deb is a tireless advocate for patients and a other units in the hospital because of the global participated as an instructor for the Maternal powerful resource for staff. Deb’s work has resulted need for cost containment in health systems and Newborn Certification classes held for BSR Mother in a significant improvement in the care for stroke utilization of volunteers to increase partnership infant nurses. patients and was instrumental in the success of our between health systems and the community. NICU recent Joint Commission Stroke Center application nurses see the value of volunteer cuddlers in the Hollie K. Moneyhan, BSN, RN-BC and site visit. NICU and now ask for them daily. The program Bon Secours St. Mary’s Hospital has also increased RN nurse satisfaction as Marcia DePolo, RN, CCRN, CNRN, CPAN evidenced by ongoing RN surveys. Hollie is a Clinical Care leader focused on Inova Fairfax Hospital driving outcomes to ensure optimal patient care. Marsha Lewin – BSN, RN She is involved in shared governance at SMH With care and compassion, Marcia educates and Sentara Norfolk General Hospital and was chosen to be an escort during initial advocates for patients and families as they deal and re-designations for Magnet status because of with the crisis of a traumatic injury. She is also a As the chair of her unit Practice Council, her strong communication skills. Hollie is caring valuable preceptor and situational teacher, sharing Marsha has co-led the pilot of the Johns and compassionate while also holding her staff her knowledge and skills as a primary preceptor Hopkins Falls Risk Assessment Tool on her unit, accountable. She is known for her outstanding and also mentors and guides “new grads,” students participated in education, and promoted the ability to connect with patients, families, and new hires to her unit. Marcia understands and tool’s addition into the Sentara Electronic Health physicians and members of the interdisciplinary values the documentation of errors and events, Record. Through the work of Marsha and her team. analyzes information, and proposes solutions, and team, the Johns Hopkins Tool was implemented is always the first person to recognize others for the as the tool for Falls Risk Assessment for 8 Sarah Frazier, BSN, BS, RN good work they do. hospitals within Sentara in October 2013. As a Carilion Clinic – Roanoke Campus result of this effort, falls with injuries are down Aurora Newcomer, BSN, RN, CIME considerably and Sentara Norfolk General is Sarah has provided care for patients in the Inova Loudon Hospital meeting both organization and National Database immediate postoperative phase of recovery of Nursing Quality Indicator metrics for falls with and observed that transient hypothermia Aurora is an excellent team leader who motivates injury for the year. was a recurring issue in her patients. Sarah and challenges all the members of the team to and her research partner recognized that find solutions to the challenges on their units Kimberly Nelson, MSN, RN-BC, ACNS- measures to prevent transient hypothermia were regarding Catheter-Associated Urinary Tract BC, CHFN, CCPC, CCRP, RDCS neither actively nor consistently in place. This Infections (CAUTIs). Aurora has guided this process VCU Medical Center team designed and successfully executed an improvement initiative and assisted in changing Institutional Review Board approved two-phase her facility’s culture. Due in large part to to her Kimberly standardized processes to assure quality improvement project. Because of these leadership and guidance, CAUTIs have decreased by timely treatment for patients experiencing chest strong preliminary results, they were awarded 76%. pain, disseminating this work at the national a Research Acceleration Program (RAP) grant level. She has also presented nationally on blood enabling them to continue the study. Jennifer Redd, BSN, RN, CEN glucose control in cardiac surgery patients LewisGale Hospital Montgomery later this year. Since she worked with a team on Lyn Rose Calderoni, BSN, RN, CCRN her unit to revise and refine their central line Centra Health Lynchburg General Hospital Jennifer has achieved a Level IV (from VI levels) processes, the unit has not had a CLABSI since on the clinical ladder for the past three years and December 2012. Kimberly has demonstrated a Lyn exemplifies the role of the dedicated is a Certified Emergency Nurse. She was awarded commitment to specialty certification serving as registered nurse. She is an outstanding the facility Innovator Award in 2012 for her idea an item writer for 2 cardiovascular exams. clinician and has a unique ability to motivate to improve staff recognition in the Emergency her colleagues to excel in clinical practice Department. Through her work on the Impact Sheri Harsanyi, BSN, RN, CCRN and through her efforts, interdisciplinary Team, she has been able to stimulate and inspire Virginia Hospital Center communications and collegiality have improved the ED staff to complete 100% patient call backs for on the Medical Emergency Team, resulting in eligible patients. Jennifer’s commitment to patient Sheri is an exceptional nurse who sets an improved patient outcomes. Her contributions satisfaction scores resulted in an overall increase to example for her colleagues. She is a leader with to the shared governance process highlight her the 90th percentile. an exceptional work ethic and passion for her leadership abilities, and she consistently strives to profession, putting the needs of patients at the grow in her knowledge. Maureen Garmey, BSN forefront of her decision-making. She is a true Sentara Martha Jefferson Hospital leader in nursing practice. Tamara Bryant, RNC-OB, FM, RNIV Centra Health Virginia Baptist Hospital Maureen has worked collaboratively through a Regina Cooley, BSN, RN team approach to deliver high-quality and safe care Winchester Medical Center As HCAHPS leader, she has reviewed data, to patients providing individualized, complex pre- shared it with her team members and posted all post procedural protocol driven care. An example Regina identified a breakdown in teamwork scores for staff and physicians. She organized her that illustrates the application of the Professional within her unit and consequently helped develop entire unit into HCAHPS domains with each staff Practice Model is through a patient scenario. an education program that focused on working member assigned to one of the domain teams. She Maureen worked diligently with a patient. Maureen together with nurses in order to provide the best encouraged her coworkers to be leaders by helping recognized the patients desire to be in control care for patients. From this program, a committee them focus on the scores and develop action and advocated on the patient’s behalf to meet was created that focuses on teamwork. This plans. A main focus has been “Communication her specified needs. On the day of the procedure, committee’s initiatives have had a transformative with Nurses.” As a result of her efforts, scores Maureen walked staff through the procedure to effect on overall patient satisfaction, the unit have improved to 72nd and 82nd percentile assist in reminding them of the specific precautions score going from the 21st percentile to the 71st rankings. to deliver safe care to this patient. The procedure percentile. The teamwork initiative led by Regina was a success, Maureen has been credited for her directly impacted and improved overall staff attention to detail, collaboration with the team, satisfaction and patient care. and communication with the patient the entire care delivery process. www.VirginiaNurses.com Virginia Nurses Today November, December 2014, January 2015 Page 9 Campaign continued from page 1 The Campaign for Action is working to cultivate more nurse leaders and implement other IOM report recommendations. In November, it will announce at the IOM, urged public and private health care entities to recruit nurse leaders leadership training scholarships for emerging nurse leaders. Action Coalitions and encouraged nurses to prepare themselves for leadership. Today, the Future of are also are working to cultivate nurse leaders at the state and local levels. The Nursing: Campaign for Action – a joint initiative of RWJF and AARP – is putting Virginia Action Coalition, for example, sponsored an event in 2011 recognizing new emphasis on the report’s leadership recommendation – and nurses and their 40 young nurse leaders in Virginia, and other Action Coalitions are taking steps employers in government and other sectors are responding. to develop emerging nurse leaders in their respective states. In September, retired military nurse Linda Schwartz, DrPH, MSN, FAAN, was confirmed to a high-ranking position at the U.S. Department of Veterans Affairs. Leading Change Last year, Marilyn Tavenner, MHA, BSN, RN, became the first nurse to assume Nurses, of course, have been leading change since the dawn of the profession. the helm of the Centers for Medicare & Medicaid Services, an $820 billion agency Florence Nightingale founded modern-day nursing in the 19th century, ushering that manages coverage for 100 million Americans. In 2011, Patricia Horoho, RN, in changes to health care and science that helped improve and save the lives MSN, MS, became the first nurse appointed as Army surgeon general. And in 2009, of untold millions. Clara Barton founded the American Red Cross; Margaret Mary Wakefield, PhD, RN, was named administrator of the Health Resources and Sanger pioneered the women’s health movement; and Mary Eliza Mahoney, the Services Agency, which oversees more than 100 programs and 3,000 grantees. first black nurse in the United States, co-founded an organization for minority “We have more nurses in top government positions, and top leadership positions nurses. in health care and in other industries as well,” said Melanie More recent nurse leaders include Shirley Chater, PhD, BSN, Dreher, PhD, RN, FAAN, dean emeritus of the college of nursing at FAAN, who served as the commissioner of the Social Security Rush University and Rush University Medical Center. Dreher, in “The IOM report has Administration during the Clinton administration, and Sheila fact, chairs the board of Catholic Health East Trinity Health, the Burke, MPA, RN, FAAN, who ran former Senate Majority Leader second-largest not-for-profit health care system in the United States provided a body Bob Dole’s Senate office before becoming executive dean at the – an indicator of the progress nurses have made in recent decades, of evidence and John F. Kennedy School of Government at Harvard University. she said. “You wouldn’t have seen a nurse in this position 20 years credibility around Still, Dreher would like to see nurses advance more quickly ago.” the value that nurses into powerful positions. Data measuring nurses’ movement into Angela Barron McBride, PhD, RN, FAAN, chair of the RWJF bring as leaders,” leadership positions is not available. “There is no master list,” Nurse Faculty Scholars program National Advisory Committee and McBride said. But broadly speaking, she said, nurse leaders author of The Growth and Development of Nurse Leaders, agreed. said Shirley Gibson, are still regarded as exceptions to the general rule that defines “We’ve made a lot of progress,” she said, rattling off the names of Virginia Action nurses as “helpers, but not doers.” numerous influential nurse leaders and noting that more than 130 Coalition co-lead. Historically, nurses have not been included in most policy hospital CEOs are nurses. debates and few were at the proverbial table when major decisions about health care reform were being made in recent Raising Awareness years. The IOM report played a major role in raising awareness about the need for Even now, many say, little has changed. Tavenner, for example, was one of more nurse leaders and the critical role they can play in system change, McBride only four nurses who made it on to Modern Healthcare’s list of the 100 most said. Shirley Gibson, DNP, MSHA, RN, FACHE, president of the Virginia Nurses influential people in health care this year, according to an article on NurseZone. Foundation and co-lead of the Virginia Action Coalition, agreed. Action Coalitions, com. And only 6 percent of hospital boards include nurses, according to a in place in all 50 states and the District of Columbia, are the driving force of the survey conducted in 2010 by the American Hospital Association. Campaign for Action and are working to implement IOM recommendations on nurse Yet nursing is the largest and most trusted health care profession, and leadership and other issues. “The IOM report has provided a body of evidence nurses spend more time with patients than other providers and see patients in and credibility around the value that nurses bring as leaders,” she said. “Before their broader environments – in their communities and homes and with family the report was released, making that case was an uphill battle. Now we have the members, Dreher said. More nurse leaders are needed in all sectors to share evidence we need to move forward.” their unique insights into factors that affect health and health care and the best Changing cultural norms have also played a role in elevating the role of nurses, ways to engage caregivers and loved ones in patient care. “No one understands McBride added. Today’s nurses are more likely to have “full careers” – with fewer patients – the person part of the patient – the way nurses do,” she added. and shorter interruptions for caregiving and other reasons – and are better Ultimately, though, the onus to become leaders is on nurses themselves, positioned to advance up organizational ladders. Nurses are also working in more Dreher said. “We have the talent and the knowledge to lead, and people are interprofessional settings and, as a result, are better understood by other health waiting for us to take charge. Nobody is holding us back, but us.” professionals and able to take advantage of more leadership opportunities. And unlike the past, many of today’s senior nurses put a higher value on mentoring the next generation of nurses, she said. Young nurses, for their part, increasingly see themselves as future leaders, McBride noted. “What you have now is a real understanding that entry into the field is just the beginning of a career. Nurses now go on to earn higher degrees, and there is more awareness that they are on a developmental trajectory.” Jacquelyn Campbell, PhD, RN, FAAN, program director of the RWJF Nurse Faculty Scholars program, agreed. “Things have definitely changed,” she said, “but there is still an important need for mentors and current leaders to bring younger nurses along.” And that is a key goal of the RWJF Nurse Faculty Scholars and other programs designed to develop nurse leaders, including the RWJF Future of Nursing Scholars program, New Careers in Nursing, and the RWJF Nursing and Health Policy Collaborative at the University of New Mexico. Partners Investing in Nursing’s Future, a partnership between RWJF and the Northwest Health Foundation, also supports numerous programs dedicated to cultivating nurse leaders.

“The ADCP at EMU gave me, a full-time employee and mother, a wonderful opportunity to enhance my education and broaden my career with endless possibilities.”

 Julie Knowles, RN, BSN It’s time for that next step…

• Attend one night a week on campus • Accelerated – complete your nursing major in about 17 months RN to BS • Accredited academic excellence • No direct patient care clinical requirements program • Now transferring 45 credits for RN diploma • Study in a small group with other practicing RNs

Adult Degree Completion Program 1-888-EMU-ADCP • [email protected] Harrisonburg, Va. • emu.edu/adcp Page 10 November, December 2014, January 2015 Virginia Nurses Today www.VirginiaNurses.com Scenes from VNA’s Fall Conference www.VirginiaNurses.com Virginia Nurses Today November, December 2014, January 2015 Page 11

Virginia Action Coalition Update

2014 has been a busy and productive year for unique pilot programs that can successfully Wood Johnson Foundation article (see page 1) the Virginia Action Coalition on both the state and be duplicated by other community colleges and regarding promoting nurses to board and other national level. universities in Virginia. An announcement of the leadership positions. first grant award is expected in November 2014. Leadership The workgroup also reached out to the Virginia VNF and VAC featured on ABC 8 in Richmond! The Leadership Workgroup continued efforts on State Board of Higher Education and met with the Watch Shirley Gibson, VAC colead and VNF a state level by planning and hosting a Leadership State Council on Higher Education in Virginia to president at http://bit.ly/vacabc8! Symposium as part of the VNA Fall Conference discuss education barriers currently experienced by Sponsored by Care Advantage held in Richmond in late September. In addition, nursing students pursuing a BSN degree. VAC’s goal they surveyed Virginia CNOs to determine which is to remove these barriers and make the academic VAC hosted Cultivating Diversity in Academia hospitals currently have a nurse serving on their progression process more seamless across the state. and the Workforce, a roundtable on diversity in board and also solicited feedback from hospitals that Efforts by VAC to remove barriers in the education nursing featuring Patricia Polansky, RN, MS, already have a nurse on their board. The workgroup process and encourage nurses to further their Director, Program development & implementation also coordinated the 2014 Leadership Excellence education are major steps to backfill the growing for the Center to Champion Nursing in America, as awards, receiving more than 70 nominations in 6 shortage in Virginia created by growing demands of a speaker. Pat directs policy and program strategies categories. The winners of the Leadership Excellence the aging population and the increased number of contributing to the campaign, with a focus on awards were announced at the 2014 VNF Gala (see patients with medical insurance. Consistency and nursing education, leadership and interprofessional page 7). VAC’s 40 Under 40 emerging young leader seamless transitioning in education will also benefit collaboration. recognition program has been promoted by the nurses returning to the workforce after an extended Under the guidance of the national campaign, national Campaign for Action as the model for other absence, making it easier for them to satisfy each state action coalition will be addressing the states to use for recognizing young nursing leaders. educational requirements. The Department of Health issue of future sustainability and how to fund Professions Workforce Data Center recently released continuing efforts at both the state and national Access to Care statistics on education progression, showing that levels. As part of these efforts, the Campaign for The Access to Care Workgroup achieved a major 51% of Virginia’s registered nurses currently hold a Action selected nine states to participate in a pilot milestone when VAC and AARP hosted a meeting BSN. program assisting states with fundraising efforts. this summer attended by the leadership of the Virginia was one of the nine states selected to four APRN professional association groups. This Interprofessional Collaboration participate and work with Campbell & Company was the first time in recent history that all APRN The Interprofessional Workgroup, in partnership a national marketing firm, to create a fundraising practice groups came together for the purpose with VNF and the Medical Society of Virginia, saw campaign. Our fundraising taskforce is led by of identifying mutual initiatives and programs completion of the first evolvetm pilot program which Shirley Gibson and members include Janet Wall, to advance APRN practice in Virginia. The group emphasized the importance of a nurse leading VNF chief executive officer, Kevin Shimp, RN, discussed the gaps between the Virginia Practice or playing a major role on the patient care team. MSN, CCRN, CNML, Nancy Littlefield, DNP, MSHA, Acts and Consensus Model for APRN Regulation and A second evolve co-hort is scheduled for the fall of RN, FACHE and Pam DeGuzman, RN, MSN. Each brainstormed the development of a strategic plan 2014. In addition, this workgroup is evaluating other taskforce member will enlist help from volunteers for implementation of the APRN Consensus Model paths to pursue to continue its efforts to promote to identify potential donors and contributors and in Virginia. APRN leaders recognized the need to education and professional programs to enhance the participate with the fundraising efforts. build a strong relationship as one group to provide role of the nurse in the workplace. If you are interested in joining the work of the a forum to align statutes and regulations in Virginia Virginia Action Coalition, please contact Janet Wall with the Consensus Model. The common goal is National Activities at [email protected]. to advance the role of the APRN while removing Most recently, Shirley Gibson, VAC co-lead, identified barriers to practice including APRN participated the development of a national Robert titling, identification of the four APRN roles, sole regulation by the Board of Nursing and practice and prescribing independence. Since this first meeting, the four APRN groups have been working to advance initiatives and taking steps to continue collaborative efforts to remove identified practice barriers. A follow-up meeting was held on October 18th in Richmond. Additionally, the Access to Care workgroup is continuing its research project on the bedside RN. The study is under review by the Institutional Review Board and work has begun on the proposal for the Clinical Nurses Specialist study.

Academic Progression The Academic Progression Workgroup continues its efforts to help create a seamless education progression path for Virginia RNs pursing a BSN. An updated and expanded RN to BSN Directory was completed and is posted on the VNA website. The directory is a valuable tool for nurses seeking information about RN to BSN program options in Virginia. The Academic Progression Workgroup, in partnership with VAC leadership and the Virginia Nurses Foundation, announced plans to award two grants to foster the development pilot programs for seamless nurse education. The grants will be awarded to partnerships of a Virginia community college and a Virginia university who are developing

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You’ve always dreamed of Electronic Death Registration being a nurse. System Goes Live in November Now find your dream job at nursingALD.com

FREE to Nurses! by David H. Trump, MD, MPH, MPA Chief Deputy Commissioner for Public Health & Preparedness Virginia Department of Health

For the past three years, the Virginia Department of Health’s Division of Vital Records (DVR) and Office of Information Management and Health IT worked diligently to add a module for the electronic filing of death records to the Virginia Vital Events and Screening Tracking System. I am happy to announce that the new module will go live on November 1, 2014. The Electronic Death Registration System (EDRS) facilitates the workflow between the individual who certifies the death certificate and the funeral home facility. • EDRS is a secure system based on the Code and Regulations governing vital records and on the business requirements for certification of death, which were gathered through stakeholder meetings with physicians, funeral directors, deputy registrars, decedent affairs, and others. • EDRS begins with creation of a death record that can be initiated either by a physician’s office, hospital or funeral home facility • Through built-in workflow, the record is transmitted for action and PREPARING NURSES TO LEAD, CHANGE, electronic signature allowing for a more timely completion of the death AND IMPACT THE WORLD FOR CHRIST certificate • Training and registration for the new system began last month. For (DNP) information on the web-based training classes and the registration DOCTOR OF NURSING PRACTICE process, please visit http://w‌ w w.vdh.virginia.gov/Vital_Records/edrs‌ PATHWAYS • For practice settings with more than five EDRS users, we ask that you appoint a Facility User Administrator who will have privileges to set up ONLINE* RESIDENTIAL** accounts and manage passwords

POST-MASTER OF SCIENCE IN POST-BACHELOR OF SCIENCE IN † Use of EDRS is voluntary and the traditional method of certifying a death NURSING TO DNP NURSING TO DNP/FNP remains an option, but I encourage you to review the EDRS information on the (MSN) (BSN) DVR website and sign up to use this new system. We are confident that the Electronic Death Registration System will be convenient to use and will provide †Family Nurse Practitioner *Some residency and WWW.LIBERTY.EDU/DNPPROGRAM @LIBERTYUNURSING more efficient and timely death certification services to the citizens of the **Residential program includes practicum are required. 1-855-LUNURSE (586-8773) /LIBERTYUNIVERSITYNURSING some online courses. Virginia. , ANCC , ® names and logos are names and logos are , Magnet , ® ® , ANCC Magnet Recognition , ® and Journey to Magnet Excellence and Journey ® National Magnet Conference The Magnet Recognition Program registered trademarks of the American Nurses Credentialing Center. All rights reserved. All rights Center. Credentialing Nurses American of the trademarks registered

EOE/AA. Women, minorities, veterans and persons with disabilities are encouraged to apply. encouraged with disabilities are and persons veterans minorities, Women, EOE/AA. HEALTH CARE LEADERS ARE BUILT ONE TEAM MEMBER AT A TIME. Thanks to our 10,200 team members, our list of national achievements continues to grow. We are a Magnet ® hospital — the fi rst in Richmond to achieve this prestigious designation. We won the 2014 American Hospital Association–McKesson Quest for Quality Prize — AHA’s top award for quality and safety. And for four consecutive years, we have been recognized by U.S.News & World Report ® as the #1 hospital in the metro Richmond area. In return, we offer more than 400 work/life benefi ts including competitive pay, generous benefi ts, fl exible work options, prepaid tuition, on-site child and elder care and much, much more.

Discover more at vcuhealth.org/careers www.VirginiaNurses.com Virginia Nurses Today November, December 2014, January 2015 Page 13 2014/15 Newly Elected Board Members

Secretary Director-At-Large Commissioner on New Grad Nursing Education Rebecca Myers, MSN, RN Northern Shenandoah Valley Chapter Cheryl Boggs, M.Ed, BSN, Melody Eaton, PhD, MBA, RN RN, CNE Current Position: Director-at-Large, August Advocacy Chapter Clinical Nurse Manager New Graduate Current Position: Valley Health Central Virginia Chapter Professor, Department of Education: Nursing Current Position: BSN, MSN (Health System James Madison University Management and Certification Registered Nurse, Virginia in Nursing Education), Commonwealth University Education: Shenandoah University Medical Center Doctorate Nursing—George Mason University Rebecca Myers VNA: Education: MBA—George Washington Member since 2008; served Cheryl Boggs BSN – Virginia Melody Eaton University as Chapter 12 Vice President; Commonwealth University BSN—James Madison Chapter 12 President. M.ED – Virginia University Commonwealth University Recent Experience: VNA: Adjunct nursing faculty member at Shenandoah Recent Experience: Registered nurse on inpatient VNA Legislative Visibility Initiative (Weekly Updates- University; active nurse leader working in the acute care pediatric unit, experienced high school Periodic visits to General Assembly-mentoring students); clinical nurse manager role in an acute care biology and science teacher Continuing Education (CE) Reviewer, American Nurses facility. Volunteered at local free medical clinic and Credentialing Center; Virginia Rep for Federal Lobby community wellness events, educating community Day on Capitol Hill; VNA State Legislative Committee; members on heart health awareness. Active in Virginia Delegate for the State Convention Delegate promoting clinical nurse excellence at the bedside and Commissioner on Assembly; Virginia Policy Representative for the National furthering education, interdisciplinary teamwork, and Congress communication. Nursing Practice Recent Experience: Professional: Certified Nurse Educator (CNE), National League for Nursing 2008-Present), James Susan Winslow, DNP, RN, Madison University Department of Nursing, Professor Director-At-Large NEA-BC, APHN-BC (2013-Present), Longwood University Department of Piedmont Area Chapter Nursing, Nursing Program Director and Department Patricia Prahlad, MSN, RN, Current Position: Chair (2009-2013) CPHQ Director of Nursing Organizational: American Association of Colleges Northern Shenandoah Education and Community of Nursing (AACN) –Virginia State Legislative Liaison Chapter Services (2011-2013); Virginia Association of Colleges of Nursing Sentara Martha Jefferson (VACN). Secretary (2009-2013); Legislative Coalition of Current Position: Hospital Virginia Nurses (LCVN) (2004-Present) including Bylaws Adjunct Nursing Faculty, Committee Member (2010) and Chairman (2004- 2008) Shenandoah University Education: Southern Region Pathway DNP—University of to Excellence Coordinator, Susan Winslow Virginia CAMP NURSE: Valley Health Systems Make a difference in the life VNA: of a child at Westview on the Member since 1982 Education: James, Goochland, VA this (Chapter 7), Nominations Committee member, Patricia Prahlad BSN—Misericordia summer. Join our camp family University Treasurer (2006-2008). of 208 campers and 60 staff from June 7 – Aug. 7. MSN—Shenandoah Recent Experience: Competitive salary and room & board for Registered University Director Nursing Education/Community Services, Nurses who love children and the outdoors. Recent Experience: Magnet Program Director, Martha Jefferson Call the office at (804) 457-4210, or e-mail Southern Region Pathway to Excellence Hospital, (2002 – Present) [email protected] Coordinator, Valley Health Systems (2012 – present); www.westviewonthejames.org Adjunct Nursing Faculty, Shenandoah University (2012 A United Methodist Outdoor Ministry – present).

As parents and health care providers you want to do everything you can to protect your children’s and younger patients’ health.

HPV (Human Papillomavirus) is a common virus that can cause cancer if left untreated. About 17,000 women and 9,000 men are affected by HPV related cancers in the United States every year.

The HPV vaccination is a simple and preventative solution and recommended for preteen girls and boys age 11-12 years. The immune response to this vaccine is better in preteens and could mean more effective future protection.

The HPV Vaccine can be safely given at the same time as other recommended vaccines, including Tdap, meningococcal, and influenza vaccines and is completed with a series of 3 doses over 6 months.

To learn more about HPV and all of the recommended preteen vaccines visit: www.cdc.gov/vaccines/teens.

For more information contact us: Virginia Department of Health Division of Immunization 1.800.568.1929 Page 14 November, December 2014, January 2015 Virginia Nurses Today www.VirginiaNurses.com Health Insurance Coverage and Access to Care After ACA’s First Open Enrollment Period: A Policy Update

Joyce A. Hahn, PhD, APRN-CNS, NEA-BC, FNAP Medicaid The Commonwealth Fund Survey does point The first open enrollment period has ended and the out remaining vulnerabilities. Medicaid is one In states that did not reported results are encouraging. A Commonwealth of the vulnerabilities. In states that did not expand Medicaid, the Fund survey (July, 2014) provides early evidence that expand Medicaid, the uninsured rate for adults uninsured rate for adults the Affordable Care Act’s coverage provisions are living under the poverty level was twice that living under the poverty helping to decrease the uninsured rates among young for poor residents in states that had expanded level was twice that for adults, Latinos, and people with low and moderate Medicaid eligibility. Americans who can’t afford poor residents in states incomes. These have historically been the Americans the new health insurance marketplace plans that had expanded yet earn too much to qualify for Medicaid now most at risk of being uninsured. The Affordable Care Medicaid eligibility. Act Tracking Survey (http:www.commonwealathfund. find themselves in the “gap.” ACA intended for org/acaTrackingSurvey/index.html) conducted April the states to expand their Medicaid programs 9- June 2, 2014 found the uninsured rate among to cover the nation’s poorest families and pick American adults aged 19-64 declined from 20% in up the Americans in the coverage gap. To date, 24 states have not expanded Medicaid (Altman, 2014). A visualization of the effect of Medicaid expansion July-September 2013 to 15% in April-June 2014. Young Joyce Hahn adults (19-34 yr. olds) account for more than half of decisions in the south (JAMA, 2014) demonstrates that southerners are more the decline in the number of uninsured adults. This age group is viewed as likely than other Americans to be uninsured with the southern state poverty new entrants to the labor market and far less likely to have job-based health rates above the national average. Nearly 80% of the 4.8 million uninsured insurance when compared to older adults (Collins, Rasmussen, Garber, & Doty, Americans who fall into the coverage gap live in the south with this southern 2013). A summary enrollment report for the Health Insurance Marketplace coverage gap disproportionately affecting people of color. This JAMA health issued by HHS (May 1, 2014) reports similar data findings reporting 2.2 policy infographic can be accessed at http://jama.jamanetwork.com/article. million or 28% of the Marketplace enrollees during the open enrollment period aspx?articleid=1883025. were young adults between the ages of 18-34 (http://aspe.hhs.gov/health/ reports/2014/MarketPlaceEnrollment/Apr2014/ib_2014Apr_enrollment.pdf). APRNs Providing Care for the Vulnerable The Commonwealth Fund survey (July, 2014) also reported the uninsured rate A 60 Minutes episode (April 6,2014) featured two nurse practitioners, Teresa among Latinos had dropped from 36% in July-September 2012 to 23%. Overall Gardner and Paula Meade, who drive an aging RV called the Health Wagon in the drop from 20% to 15% uninsured represents an estimated 9.5 million fewer southwestern Virginia bringing health care to the vulnerable of Wise County. uninsured adults (ages 19-64). The Health Wagon is financed through federal grants, private donations, and corporate grants. These NPs see 20 patients a day and report their patients are Access to Care uninsured and part of the coverage gap vulnerable population. Their patients Of the newly insured, Increased access to care is reported by the are proud people in desperate need of health care access. 62% reported they survey with 6 of 10 adults or 60% reporting they would not have been have used their plans to go to the doctor or hospital Conclusion able to access or have to fill a prescription. Three quarters of the adults The Affordable Care Act aims to expand health insurance for up to 32 afforded medical care surveyed with new insurance coverage found it million uninsured Americans. States have considered and acted on hundreds of ACA related laws with 22 states having laws to restrict or oppose some of prior to being insured. very or somewhat easy to find a new primary care physician and are able to get appointments “within the reform provisions (NCSl.org). ACA debate had been divided by partisan views reasonable time frames” (Commonwealth Fund since 2010. While critics continue to share their opinions that ACA is having Survey 2014). Of the newly insured, 62% reported they would not have been able no impact on the uninsured, the data shows that the uninsured American to access or have afforded medical care prior to being insured. population is decreasing significantly. Our nation’s health care problems have not been solved and more work is required to ensure that those eligible for coverage under ACA’s reforms are reached. This requires the ongoing work of federal and state policy makers, insurers, and other stakeholders and presents an advocacy opportunity for nurses. There is also a role for APRNs practicing at the level of their educational preparation to reach out to the vulnerable gap coverage populations. Founded in 1902 as a school of nursing, the Georgia Baptist College of Nursing is the oldest nursing program in Georgia. Over its 111-year history, the College has graduated References Altman, D. (2014). How Obamacare is doing better but feeling worse. The Kaiser more than 7,350 nurses. Since its founding, the College remains dedicated to educating Foundation Think Tank Washington Wire, August 13, 2014. Retrieved from http:// the person, fostering the passion and shaping the future of nursing. The College merged kff.org/health-reform/pool-finding/Kaiser-health-tracking-poll-july-2014 with Mercer University in 2001 and offers the following degrees: Bachelor of Science CBS News 60 minutes. April 6, 2014. Affordable care for those still uninsured: The Health Wagon. Retrieved from http://cbsnews.com in Nursing, a Master of Science in Nursing, a Doctor of Nursing Practice and a Ph.D. Collins, S.R., Rasmussen, P.W. & Doty, M.M. (2014). Tracking trends in health system in nursing. The College of Nursing is one of four academic units within the Mercer performance: Gaining ground: Americans’ health insurance coverage and University Health Sciences Center. access to care after the Affordable Care Act’s first open enrollment period. The Commonwealth Fund.1760(16). The Journal of the American Medical Association. Visualizing health policy: The College of Nursing invites applications for the position of Coordinator of the Understanding the effect of Medicaid expansion decisions in the south. Doctor of Nursing Practice (DNP) degree program. The DNP Coordinator will assume JA M A 311(24), p.2471. Retrieved from http://jama.jamanetwork.com/article. leadership for recruitment, curriculum oversight, and program evaluation. The successful aspx?articleid=1883025 National Conference of State Legislatures (2014). Health reform. Retrieved from http:// candidate will also have major responsibility for overseeing and teaching program www.ncsl.org/research/health-reform.aspx offerings. In addition, the coordinator will organize, and evaluate courses and clinical The Commonwealth Fund (2014). Affordable Care Act tracking survey. Retrieved from experiences for nursing students, in collaboration with other nursing faculty members. http://www.commonwealthfund.org/acaTrackingSurvey/index.htm U.S. Department of Health and Human Services (2014). Health insurance marketplace: The Coordinator will report to the Associate Dean for Graduate Programs, as well as the Summary enrollment report for the initial annual open enrollment period (October Dean. 1, 2013 - March 31, 2014). Retreived from http://aspe.hhs.gov/health/reports/2014/ MarketPlaceEnrollment/Apr2014/ib_2014Apr_enrollment.pdf Faculty responsibilities include: plan, implement, and evaluate nursing degree curriculum, participate in university and community service activities, satisfy committee appointments, and engage in professional activities. Teaching, scholarship, and service are components of work expectations of faculty. The successful candidate is required to have: n - An earned doctoral degree in nursing from an accredited college/university u - An unencumbered Georgia Registered Nurse license r

- Prior academic experience required; prior full-time graduate online teaching experience s

preferred. to i RN BSN n

Preference will be given for candidates who are eligible for unencumbered licensure as g  Cost & time savings, affordable tuition and up to 10

an Advanced Practice RN in Georgia (family nurse practitioner preferred), as well as those .

with two years of experience in the Advanced Practice role and two years of experience graduate credits v

as a DNP.  Part-time to balance school with work and family life i r This position will be on the Mercer University Atlanta Campus.  Face-to-face classes once a week, instead of online g

Applicants must complete the brief online application at https://www.mercerjobs.  Guaranteed admission agreement with all VCCS schools i com and attach 1) a curriculum vitae, 2) a statement of research/scholarship interests n

 Individualized practicum & the chance to study abroad i and professional goals, 3) a statement of teaching philosophy, and 4) the names and addresses of three references. Review of applications will continue until the position is a filled. ADA/EEO/Veteran/Disability Deadline: Mar. 1 for fall ‘15 entry . e d

www.mercer.edu u www.VirginiaNurses.com Virginia Nurses Today November, December 2014, January 2015 Page 15 Mid-Level Provider What’s in it for Me? Category Update Joining Your Professional Nursing Association

Nurses often ask “Why should I join? What’s in it The American Nurse – ANA’s award-winning bi- by James Pickral, VNA Legislative Consultant for me” when considering joining VNA. The best way to monthly newspaper answer this is to go right to the source – the thousands OJIN – The Online Journal of Issues in Nursing – The Department of Health Professions (DHP) of VNA members across the Commonwealth. We asked Peer-reviewed, posted online three times a year recently convened a workgroup to discuss the your fellow nurses who’ve joined in the last 18 months ANA SmartBrief – Daily eNews briefings designed advisability of developing a mid-level provider to share with us why they joined VNA. for nursing professionals, delivered to your email box category. This meeting was held at the direction Capitol Update – Monthly e-newsletter covering the of the Joint Commission on Health Care (JCHC). Here’s what’s “in it” for them – and for you. status of nursing issues in Congress and the Agencies The workgroup included a nurse practitioner; a Nursing Insider – Weekly e-newsletter with ANA physician’s assistant; several physicians; a hospital Dual Membership news, legislative updates and events administrator; and representatives from the Virginia Join two professional organizations for the price of Navigate Nursing webinars – webinars on current Hospital and Healthcare Association, free clinics, one! Members of VNA also receive membership in the and emerging topics provided free or at significant the Rural Health Association, the Medical Society of American Nurses Association and all the membership savings to members. Recent topics have included Virginia, and medical schools. benefits of both organizations. safe patient handling, reducing staff turnover and There was in-depth discussion regarding the increasing job satisfaction. newly passed Missouri legislation (see sidebar), Continuing Education including whether or not this type of legislation We’re creating new continuing education programs is appropriate for Virginia. General patient access for nurses throughout the Commonwealth. We’re Networking/Community Joining VNA gives you an immediate connection to issues were also discussed. also developing and launching new options for you to other Virginia nurses, and a real sense of community. Consensus was that Virginia should wait to see learn and access quality educational programming – Members have opportunities for networking on the how the Missouri model develops and whether or options that fit into your busy schedule. This year, we’re local level at chapter meetings and on the state level at not other states follow suit. Workgroup participants debuting our first web-based CE modules available on our conferences throughout the year, and we all know were very uncomfortable with the lax supervision demand AND testing a live-stream distance-learning that making connections is crucial. model contained within the MO bill. There was program. The VNA Career Center is an amazing resource for also a general consensus that this would not help All of these new learning opportunities are in members looking for a new position, to advance their to alleviate the lack of primary care in medically addition to our in-person conferences and chapter career, and connect with employers looking for talent underserved areas (MUAs). meetings. Our September 2015 Fall Conference will and accomplished nurses. The workgroup’s recommendation to JCHC will be focus on the complex issues surrounding mental as follows: healthcare, and in May, we’ll host our first annual • Wait and see how the Missouri model Spring Conference. Local VNA chapters also provide Advocacy develops and what other states do. continuing education events on an ongoing basis, When it comes to advocating on behalf of nurses, • Suggest the state look at ways to increase Don’t forget: members receive a significant discount VNA is the only organization that speaks for the residency slots and explore ways to on all continuing education opportunities and receive 100,000+ nurses throughout Virginia. Our lobbyist, incentivize primary care physicians to have access to more than 60 free and discounted CE leadership, and members work passionately to educate practice in MUAs. modules through ANA. our legislators and state policymakers on issues crucial to the advancement of the nursing profession. There was brief discussion regarding provisional News and Information We update our members weekly during our legislative licensure but it was not detailed. The workgroup Stay up to date on the news and issues affecting calls and send legislative e-blasts with breaking news does not have plans to meet again. nursing through our free, members only publications during the legislative session. VNA will continue to follow this issue and keep and members only website areas. Members receive More opportunities are now available for nurses you informed as it progresses. exclusive access to interviews, evidence based to become involved with public policy and advocacy research, and much more. in Virginia. Every February, we hold our Legislative Day, a day of interactive education focused on What’s Going on in Missouri with Mid-Level Here’s a sampling of member publications: preparing nurses to be advocates for their profession. Providers? VNA Voice, our monthly e-news – a compilation Members are encouraged to be a part of our of important statewide news, relevant articles, and grassroots Legislative Visibility Initiative, where groups • New Missouri legislation lays out a pathway the latest goings on at VNA, including our Nursing of experienced nurses and student nurses greet for a medical school graduate who has Newsmakers section. legislators as they arrive for the day, meet with them, completed the first two steps of licensure to Virginia Nurses Today Members Only Edition – and observe relevant subcommittee meetings. If you’re work as an Assistant Physician (not to be an expanded digital version of Virginia Nurses Today interested, but new to the legislative process, this confused with a Physican’s Assistant). with content available only to our members. is a great opportunity for you to “learn the ropes” of • The Assistant Physician would be directly Legislative e-blasts and Member Newsflash advocating for the nursing profession. supervised by a licensed physician for 30 – email briefs with up-to-the-minute news on our The bottom line: there’s so much in it for you as a days, after which time they could treat legislative activities and breaking news relevant to member of your professional association. Join VNA patients under a collaborative practice nurses. today and help us amplify the voice of nursing in agreement. American Nurse Today – Monthly journal (six Virginia! • The Assistant Physician can only practice print/six electronic) featuring peer-reviewed clinical, Visit http://bit.ly/joinvnatoday to become a member! in a medically underserved area (MUA) practical, practice-oriented, career and personal within 50 miles of where the supervising editorial. physician practices. • Prescriptive authority is derived from the licensed physician and for purposes of reimbursement Assistant Physicians are considered Physician›s Assistants.

Holiday Greetings

from the Boards & Staff of the VNF and VNA Page 16 November, December 2014, January 2015 Virginia Nurses Today www.VirginiaNurses.com Nurse Practice Conscientious Objection When Care Collides with Nurses’ Morals, Ethics

Last winter, two high-profile — and very tragic — cases pitted family “If members of the nursing staff wished to be excused from participating in members against hospital administrations and stirred debates nationwide this patient’s care for anything other than palliative care and comfort measures, about brain death, policies and laws, and ethics. No matter where they practice, they have every right to do so.” nurses may have wondered what they would do if they found themselves in When it comes to nursing practice, there are two broad categories in which similar circumstances — whether they could object to providing patient care. RNs can conscientiously object to participate — based on provisions addressed The answer is a qualified “yes.” in the Code of Ethics, according to Marsha Fowler, PhD, MS, MDiv, RN, FAAN, a member of the ANA’s professional issues panel steering committee, which has First, the two cases been leading a revision of the Code. According to published reports, Jahi McMath, 13, was admitted into a Nurses can refuse to participate in all instances of an intervention — California children’s hospital for surgical procedures to address sleep apnea. such as an abortion or sexual reassignment surgery — based on religious or Following surgery, she developed a complication, went into cardiac arrest, and moral grounds, said Fowler, an ANA\California member. RNs who hold these was declared brain dead by two hospital-associated physicians and ultimately strong beliefs should make their objections to participate in these types of a court-ordered physician. Her family fought to have her remain on a ventilator interventions or procedures known at the time of hiring, Fowler said. until she could be transferred to an undisclosed facility where she could be “If that’s not possible for some reason, the nurse should make her or his given additional “life-sustaining” measures. objection as timely as possible so the nurse manager can find a replacement,” Marlise Munoz was 14 weeks pregnant when she was found unconscious at she said. home. She was declared brain dead and carrying a nonviable fetus; her family Vicki Lachman, PhD, MBE, APRN, FAAN, added that for nurses to ethically wanted her taken off life support, noting her wishes, the media reported. But object to participating in an intervention, that intervention “must challenge this time, the hospital where she was admitted objected — citing a Texas law their moral integrity — and not be based on false motivation. It really has to it believed required them to keep her on life support until her fetus could be violate a deeply held conviction of what’s right or wrong. A nurse might believe delivered. Again, a legal battle ensued. A judge ultimately ruled that the hospital that the sanctity of life trumps all.” was misapplying the law, and the hospital removed her from life support. The Code does not allow nurses to refuse care based on prejudice, Members of the American Nurses Association (ANA) Ethics and Human discrimination or dislike. For example, they can’t refuse to take care of someone Rights Advisory Board were not aware whether RNs objected to providing care because the patient abuses alcohol or because the patient is homosexual, in these specific cases. However, nurse ethicists did find it crucial to ensure according to Lachman, chair of ANA’s ethics advisory board. that all RNs understand that they can conscientiously object to participating in To decrease the chances of having to object on moral or religious grounds, interventions if certain criteria are met. nurses ideally should practice in settings where they are less likely to be confronted with interventions — such as abortions, cardiac transplants or Confronting difficult decisions palliative sedation — that conflict with their beliefs, Lachman said. Nurse ethicist Anita Catlin, DNSc, FNP, FAAN, followed the Munoz case in the The other broad category in which nurses can conscientiously object involves national press. a specific intervention with a specific patient, Fowler said. A common example “Nurses have a right to conscientiously object to participate in technologically of this ethically sound objection is when a nurse is asked to participate in an supported treatment of a brain-dead person,” shared Catlin, a member of ANA’s intervention that goes against a patient’s autonomy and expressed desires, as ethics advisory board. “Additionally, when a woman and her surrogate have in the patient’s not wanting a blood transfusion, antibiotics or other lifesaving made their wishes known, it is unethical to go against these wishes as stated in measures. ANA’s Code of Ethics for Nurses with Interpretive Statements. Given the fast pace of technology and other advances, nurses may increasingly find themselves in ethically challenging situations, Lachman noted. Additionally, many sensitive cases that might have been kept private in decades past are now being played out in the media, according to Fowler.

Parting words To make a conscientious objection, Fowler said nurses should follow the lines of authority and the structures that are in place in their facilities. They also can contact their organization’s ethics committee or patient ombudsman. And they must be aware of an obligation not to abandon a patient. “Once a nurse begins treating a patient, she or he is legally bound to care for that patient until another nurse is available to assume responsibility for the patient,” Lachman said. And although it may take courage to conscientiously object — particularly given some workplace cultures — not doing so can have dire consequences for the individual nurse and for the nursing profession. “Most of the time, nurses just remain silent and do not make their objections known. They also worry that their decision will place a burden on colleagues by giving them more work,” Lachman said. “If nurses cannot move away from these situations, it becomes intolerable. They experience moral distress, emotional These are exciting times at the Winchester Medical Center, our award-winning Magnet facility within Valley Health! and physical fatigue, and burnout. Therefore, organizations must provide nurses Our $160-million expansion is now complete, featuring our architecturally stunning new North Tower. Here, you with the staffing necessary to maintain their moral integrity, and nurses need will fi nd our four spacious state-of-the-art Critical Care Units and our exceptional Maternal-Child areas. Urgent, to participate only in patient care that is not morally compromising. “ newly emerging and chronic health conditions are expertly diagnosed and treated utilizing evidence-based practice Fowler added, “Nurses need to accommodate and support colleagues who guidelines by our highly qualifi ed and compassionate staff. We are NOW expanding our team of Magnet RNs – in conscientiously object and provide an environment that preserves professional short, this is your chance to be among the best of the best in Nursing today. integrity.” ASK ABOUT OUR $5,000 SIGN-ON BONUS! ~ Susan Trossman is the senior reporter for The American Nurse. UP TO $3,000 FOR RELOCATION ASSISTANCE! STAFF RN OPPORTUNITIES WINCHESTER MEDICAL CENTER Earn a Credential Surgical Services • Home Health • Emergency Department That’s in Demand Nationwide Critical Care • Float Pool “Top 15” ranked nursing school Looking for a bigger and brighter future? We are seeking Registered Nurses with a dedication to excellence MSN that matches our own. We offer competitive salaries and a dynamic professional practice ladder program. Our Practice specialties for all interests comprehensive benefi ts package includes up to 100% in tuition reimbursement to further advance your nursing MASTER OF SCIENCE State-of-the-art nursing degree. To see a listing of all currently available openings, visit www.valleyhealthnurse-jobs.com. Join our IN NURSING (MSN) informatics and facilities Nursing Talent Community and then apply online to be given immediate consideration to become a Magnet nurse. Community of scholars We look forward to hearing from you! DNP with broad faculty expertise

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As the 2015 General Assembly session Criminal Background Checks for New Applicants products as Schedule IIs, which will also require approaches, the Board of Nursing (BON) and the The issue of criminal background checks legislation. It is uncertain as to whether or not DHP Department of Heath Professions (DHP) have has been an issue that has engendered much will seek to have a bill on this matter introduced. developed several pieces of potential legislation discussion among the states that participate in the for introduction. While the BON may submit ideas Nursing Compact. Virginia is receiving increasing for legislation, they must go through several steps pressure from other compact states on this item. before they actually become bills. Legislative The proposed legislation would mandate criminal initiatives are approved by the BON and input background checks prior to initial licensure for from stakeholders is sought. These potential pieces Registered Nurses and Licensed Practical Nurses. of legislation then go through a vetting process Those already holding a license from the Board which begins with the DHP director, who makes of Nursing would not be required to submit to a recommendations on each proposed bill to the criminal background check. The Master of Science in Family Nurse Practitioner secretary of health and human resources, who then makes recommendations to the governor. Potential Department of Health Professions Potential BON legislation that is approved by the Governor can 2015 Legislation either be included in his legislative package for the 2015 session or DHP can be given the green light to Reporting Requirements for Home Health Care find a member of the General Assembly who would Agencies be willing to patron the bill. Potential legislation that does not receive the Governor’s approval is not There has been increased scrutiny over the introduced unless an outside group decides to take last year around home healthcare workers. DHP the issue up on their own. is seeking legislation to mandate reporting of Below are some pieces of legislation either put misconduct or substance abuse by health care forward by the Board of Nursing or the Department workers within the home health setting. Reporting of of Health Professions. None of these bills has the the above is already mandatory for other health care BE inspired, BE challenged, final approval of the Governor’s Office as of the date institutions to include hospitals and assisted living BE prepared, BE Next. of this publication. facilities. • Enjoy being part of an interprofessional community of learners with Jefferson College, Board of Nursing Potential 2015 Legislation Scheduling of Tramadol and Alfaxalone Carilion Clinic and the Virginia Tech Earlier this year, the DEA re-scheduled both Carilion School of Medicine. • Earn your degree in 8 part time Restricted Volunteer Licenses tramadol and alfaxalone as Schedule IV drugs. This semesters. change reflects the concern of both drugs’ abuse • Participate in online course work and These would give the BON the authority to issue potential. As Virginia maintains its own schedule lectures that work with your schedule. a restricted volunteer license. These licenses would (which may not be more lenient than the DEA’s) it • Precepted clinical experiences arranged in partnership with faculty. apply to Registered Nurses, Nurse Practitioners, and is periodically necessary to update our schedule Licensed Practical Nurses and could only be used for when the DEA makes changes. In addition, the DEA volunteer work in certain practice settings such as has recently re-scheduled all hydrocodone combo- www.jchs.edu free clinics. Restricted volunteer licenses are already [email protected] • 1-888-985-8483 in place for several other professions regulated by DHP.

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In today’s health care environment, patients rely To move away from silos to a team-based approach, time to teach, Alex recommended that Angela examine on multiple providers for their care. For that care Chaboyer, Wallis and Getherston make the following the patient’s skin during the transfer in order to to be safe and of the highest quality, the Institute recommendations in their article “Implementing complete her admission assessment. Although Alex of Medicine, the nursing community and others bedside handover: strategies for change management,” had previous experiences working with Mrs. Hall, she have recognized the need for health care providers as reported in the Journal of Clinical Nursing. An was surprised to learn that Mrs. Hall had developed to embrace a collaborative, team-based approach organization’s leadership team should: a stage-three pressure ulcer on her sacrum and had to care. Patients, health care team members and • Commit to a collaborative and interdisciplinary, breakdown on her hips and heels bilaterally. the organization all benefit from interprofessional or interprofessional, team approach. teamwork. • Be open to input from all staff members. Lessons learned • Encourage frequent and honest conversation. Alex, Tara and Angela worked together as a How can evidence-based teamwork be • Be patient. Change in organizational culture team and were able to identify a care issue that implemented? takes time. required immediate attention and action. It takes an Providers need to promote a change in interprofessional team to optimally care for a patient. If organizational culture from an environment of Case scenario it weren’t for Tara, Mrs. Hall’s pressure ulcer might not working in silos to one that supports interprofessional Mrs. Hall was a frequent visitor to the pulmonary have been noticed until later in the shift. Input from collaboration. This, in turn, improves communication unit in the small urban community hospital. She each health care team member influences the patient’s and reduces errors. One approach supported by the acquired COPD from years of smoking, gained 30 plan of care regardless of the health care setting. A Agency for Healthcare Research and Quality (AHRQ) pounds and needed frequent medication changes team-based approach provides unique perspectives is TeamSTEPPS®, an evidence-based system that just to maintain her current oxygenation needs. Alex that will benefit patient care quality and safety. supports improving teamwork and communication was the nurse assigned to care for Mrs. Hall and skills with the goal of optimizing patient outcomes and remembered her from previous admissions. What Alex Practice recommendations improving patient quality and care. didn’t realize was that Mrs. Hall lived alone and had • Teamwork is essential in improving patient TeamSTEPPS has been successful as the been cared for inconsistently by multiple unlicensed safety. foundation for many evidence-based teamwork and caregivers since her last discharge. Since Alex “knew” • Speak up … recognize that you have a unique quality improvement initiatives by using a three- the patient and was unusually busy that shift, the perspective to share. phase approach. The first phase is for the organization admission assessment was unfortunately swift and • Acknowledge interprofessional expertise and to establish a multidisciplinary change team that incomplete. value input from others. assesses the need for practice change and that is Tara, a new physical therapist, was assigned to • An evidence-based teamwork system improves committed to providing quality care by implementing evaluate Mrs. Hall’s mobility. Before the assessment, communication among health professionals and evidence-based practices (EBP). Phase two focuses she read the patient’s history and physical exam report impacts patient care. on planning, staff education and putting EBP into and quickly identified Mrs. Hall as being at high risk practice. Honest communication is crucial in this for pressure ulcers. Tara asked Alex and a nursing Implications phase, because some team members may be resistant student, Angela, to help her with getting Mrs. Hall Highly functioning teams: to practice changes and will need to share concerns out of bed. Without hesitation, both the nurse and the • Are one element in high-quality care. and ask questions. The last phase of TeamSTEPPS nursing student agreed to assist in Mrs. Hall’s mobility • Protect patient safety. is sustainability. The purpose of phase three is to assessment. Alex noticed that Mrs. Hall’s mobility • Reduce duplication of services and save sustain and spread improvements regarding teamwork status had declined, as she was no longer able to sit organizational resources. performance. Sustainability can be achieved by unassisted. • Improve community access to care. asking for honest feedback from staff and by providing Immediately, Tara determined that Mrs. Hall was continual reinforcement and support. exceptionally weak and unable to support her own ~ Marie-Elena Barry is a senior policy analyst in weight while sitting. Recognizing this as an opportune Nursing Programs at ANA. www.VirginiaNurses.com Virginia Nurses Today November, December 2014, January 2015 Page 19 ANA News Immunizations are not American Nurses Foundation Releases American Nurse just for children. Documentary Study Guide

SILVER SPRING, MD – The American Nurses viewing “The American Regardless, of age, Foundation (the Foundation), the philanthropic Nurse.” Nurses and other arm of the American Nurses Association, today health care stakeholders released The American Nurse: Healing America – A who screen the film and all adults need Film Companion Guide for Academic and Clinical use the companion guide Nursing. The guide is meant to accompany the 2014 are encouraged to first immunizations to help feature documentary, “The American Nurse: Healing identify specific learning America,” a Carolyn Jones- directed film that objectives to enhance the explores critical issues, including aging, war, poverty experience. them prevent getting and incarceration through the eyes of nurses. Both Lim and Pace believe that, “The companion “This film should be seen by every student and guide to the film is a rich resource for nurse practitioner in health care,” said Foundation Chair educators and professional colleagues alike; it offers and spreading serious Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN. “It numerous activities, exercises and resources that captures how patients want to be treated and why can be used to meet a variety of learning outcomes.” patients say – year after year – that nurses are the “The American Nurse” documentary, which diseases. most trusted professionals. The new guide makes premiered during Nurses Week 2014 and continues it easy to incorporate the film into academic and to play in select theaters, focuses on the work and professional education.” lives of five nurses and explores how society views New York University College of Nursing (NYUCN) nurses and the challenges of “healing America.” The will use the guide in its introductory Professional film is part of the American Nurse Project and made Make sure your patients Nursing course. Commissioned by the Foundation possible with the support of Fresenius Kabi, a global and developed by NYUCN’s Fidelindo A. Lim, health care company specializing in medicines and DNP, CCRN, and James C. Pace, PhD, MDiv, ANP- technologies used to treat chronically and critically are up-to-date with BC, FAANP, FAAN, the guide provides specific ill patients. suggestions for interactive discussions, writing To learn more about the film, visit www. assignments, and other strategies and activities to AmericanNurseMovie.com. For more information all recommended guide both discussion facilitators and learners after about the Foundation, go to www.givetonursing.org. vaccinations.

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For more information contact us: Virginia Department of Health Division of Immunization 1.800.568.1929 Page 20 November, December 2014, January 2015 Virginia Nurses Today www.VirginiaNurses.com