South Dakota Nurse

THE OFFICIAL PUBLICATION OF THE SOUTH DAKOTA NURSES ASSOCIATION Vol. 8 • Number 2 Quarterly publication direct mailed to approximately 19,000 Registered Nurses and Licensed Practical Nurses in South Dakota JUNE 2017

Please Save the Dates President’s Message for the South Dakota Nurses Association Annual Convention Margie Washnok World Health Organization’s website (http://www who. . President, South Dakota Nurses Association int/topics/health_promotion/en/) also includes activities and resources for people of all ages and stages to I am continuing the incorporate into their daily activities . The Healthy People SDNA: The Next 100 Years challenge for all nurses in SD 2020 website (https://www healthypeople. gov/2020/. to participate in ANA’s “Year topics-objectives) provides the list of the objectives with of the Healthy Nurse,” which resources to meet the objectives . began this January . The months Make sure you add this year’s SDNA Convention of are open in the website where October 1 & 2, 2017, in Yankton, to your calendar . The suggested activities for each title is: “The Next 100 Years ”. The districts hosting the month are included . Challenge convention have some exciting educational topics . Watch each other to become healthier . your emails and mail for updated information concerning The suggested activities under the 2017 convention . April for “Combating Stress” At the time you are reading the SD Nurse, Tom Stenvig, included a webinar, ideas to Margie Washnok Eric Ollila, and I will be attending the ANA Membership assist in dealing with fatigue, Assembly in DC . The ANA bylaws will be reviewed and books to read to reduce stress . Each month includes and voted on . We will provide information to the SDNA ideas that we can utilize to improve our health, not just for Bylaws Committee, to make the necessary changes to our that month, but throughout our lives . The website to access bylaws, based on ANA’s changes . The changes will be previous and present months is: http://www nursingworld. . discussed and voted on at this year’s SDNA Convention . org/healthynurse2017 We will share other updates and information from the In the last South Dakota Nurse’s Quarterly Newsletter, ANA Membership Assembly with the members at the Sunday, October 1, 2017 & I included the US Department of Health and Human 2017 SDNA Convention . Monday, October 2, 2017 Services website to provide additional resources to Make sure you sign up for the free service of the ANA improve our health . The website is: https://www .hhs . SmartBrief, which provides a variety of topics related to Kelly Inn gov/programs/prevention-and-wellness/index html. The nursing practice, based on evidence-based practice . The Yankton, South Dakota link to sign up is: http://www smartbrief. com/subscribe. Please mark your calendars today for the annual South Dakota Nurses Association’s Convention where you will have the opportunity to hear from nursing leaders and clinical experts on leadership, clinical and self-care topics. The convention also provides you an opportunity to network and build professional relationships with nurses from throughout South Dakota.

Presort Standard US Postage PAID Index Permit #14 SDNA Board of Directors...... 2 Save the Date ...... 10 Princeton, MN A Change of Plans ...... 3 SDNA Leadership Opportunities...... 11 current resident or 55371 South Dakota Nurses Foundation...... 5 Consent to Serve Form...... 11 Legislative News...... 6-7 District News ...... 12 SDNA 2017 Nurses Day at the Legislature. . . . 8 SDNA Calendar of Events ...... 13 SDNA Award Criteria...... 9 SDNF Donors...... 13 SDNA 2017 Awards Nomination Form ...... 9 ANA News...... 14 SDNA Core Issues Task Force Report...... 10 Membership Application ...... 15 Page 2 South Dakota Nurse June, July, August 2017 SDNA Board of Directors

The SOUTH DAKOTA NURSE is published quarterly every March, June, September and December by the South Dakota President Government Relations President, District 8 & 9 Nurses Association (a constituent member of the American Term: 2015 – 2017 Committee (GRC) Chair Term: 2015 – 2017 Nurses Association) and Arthur L . Davis Publishing Agency, Term: 2016 – 2018 Inc . All rights reserved by copyright . This newspaper or Margie Washnok Eileen Bruner parts there of must not be reproduced in any form without District 4 Carrie Clausen-Hansen Home: 256 .2338 permission in writing from the publishers . Cell: 380-4561 District 4 Office: 688 4126. Office: 229 8478. Cell: 380 7320. eileen bruner@sdstate. edu. Subscription rate is $12 per year to non-members of the washnok@midco .net Home: 877 3766. Association . drmargie washnok@presentation. edu. carrie clausenhansen@yahoo. com. President, District 10 ADVERTISING Term: 2016 – 2018 For advertising rates and information, please contact Arthur Vice President Core Issues Task Force Chair Julie Dangel L . Davis Publishing Agency, Inc ,. 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081 . SDNA Term: 2015 – 2017 Term: 2015 – 2017 Office: 321-9497 Marie Cissell and the Arthur L . Davis Publishing Agency, Inc . reserve the Nancy Fahrenwald julia dangel@sdstate. edu. District 10 right to reject any advertisement . Responsibility for errors in District 8 & 9 Cell: 381-0170 advertising is limited to corrections in the next issue or refund Office: 688-5178 of price of advertisement . marieanncissell@gmail .com President, District 11 nancy fahrenwald@sdstate. edu. Term: 2015 – 2017 Acceptance of advertising does not imply endorsement or approval by the South Dakota Nurses Association of products President, District 1-3 Kathy Jorgensen advertised, the advertisers, or the claims made . Rejection of an Secretary Term: 2016 – 2018 Home: 267 4260. Term: 2016 – 2018 Cell: 660 .6763 advertisement does not imply a product offered for advertising Linda De Long is without merit, or that the manufacturer lacks integrity, Dawn R . Warren Home: 393-0247 kathy jorgensen@usd. .edu or that this association disapproves of the product or its use . District 2 ldelong@edutechassociates com. SDNA and the Arthur L . Davis Publishing Agency, Inc . Office: 394-5481 SDNA Staff shall not be held liable for any consequences resulting from dawn warren@usd. edu. purchase or use of an advertiser’s product . Articles appearing President, District 4 Eric Ollila in this publication express the opinions of the authors; they do Term: 2016 – 2018 Executive Director not necessarily reflect views of the staff, board, or membership Treasurer Marlys Volzke PO Box 1015 Pierre SD 57501 of SDNA or those of the national or local associations . Term: 2015 – 2017 Office: 229-5646 Phone: 271 7708. Deb Fischer-Clemens volzke@abe midco. net. Fax: 888 600. 1232. CIRCULATION, ARTICLES, LETTER TO THE EDITOR, ETC . 2015 deadlines for articles submitted to the South District 10 contactus@sdnurses org. Dakota Nurse: Jan . 12 – March issue, April 13 – June issue, Home: 770 9265. President, District 5 & 7 July 13 – Sept . issue, and Oct . 12 – Dec . issue . Office: 322 4668. Revised Nov. 2016 Term: 2015 – 2017 deb fischerclemens@avera. org. The South Dakota Nurse accepts and encourages manuscripts Pat Sudbeck or editorials . We will determine which letters and articles Home: 928 3202. are printed by the availability of publication space and patricia .sudbeck@avera org. appropriateness of the material . We welcome signed letters of 300 words or less, typed and double spaced and articles of 1,500 words or less . All materials should be mailed to: South Dakota Nurses Association, P O. . Box 1015, Pierre, SD 57501 or e-mailed to: contactus@sdnurses org. .

The views expressed in the articles and editorials are those of the individual contributors and do not necessarily reflect the You’ve earned your dream job. viewpoint of SDNA . We’ll help you find it at RNs, LPNs, and CNAs South Dakota Nurse is the newsletter of the South Dakota Nurses Association . Direct inquiries about SDNA or this nursingALD.com Sign on bonuses are available newsletter to: Your free online resource Contact: South Dakota Nurses Association for nursing jobs, research, and events. Tiffany Schlomer, CEO PO Box 1015, Pierre, SD 57501 Mobridge Care and Rehabilitation Center Phone: 605-945-4265 | Fax: 1-888-600-1232 1100 Fourth Ave E, Mobridge, SD 57601 Email: contactus@sdnurses org. 605-845-7201 Website: www .sdnurses org.

‘Like’ us on Facebook! www facebook. com/sdnurses. Montana State Hospital & The New MSH Galen Forensic Mental Health Facility Published by: Registered Nurses Arthur L. Davis If you are innovative and thrive on challenging employment Publishing Agency, Inc. opportunities, consider joining the dedicated treatment team at Montana State Hospital & the new MSH Galen Forensic Mental Health Facility to share in our commitment to provide quality inpatient psychiatric services for our citizens. We are presently recruiting for the following positions: Omaha Tribe of Nebraska Full-Time, Part-Time, Short Term (Per Diem) Carl T. Curtis Health Education Center $31.00 possible entry – per experience and Nursing in the Omaha Indian Reservation differential for nights and weekends. in a culture rich in history with connection to the land. ***Earn additional differential pay of $2.00 per hour for South Dakota Association of evening shifts and $1.50 per hour for weekend shifts.*** Seeking Registered The State of Montana, DPHHS is an EEO Employer. Nurses & CNAs Nurse Anesthetists For more information and application materials To inquire about As one of the first nursing specialty apply through the Montana Job Service at open positions, groups, CRNAs have a long http://statecareers.mt.gov Contact Paulette Tyndall standing commitment to high [email protected] standards in a demanding field. Or contact Montana State Hospital, 402-837-5381 x148 Human Resources Department | Warm Springs, MT 59756 For more information & to join us, please visit: Phone (406) 693-7031 or 7034 • FAX (406) 693-7059 Fax: 402-837-5303 www.sdana.com June, July, August 2017 South Dakota Nurse Page 3 A Change of Plans M. Claire May, SDNF Community Board member mother is a CRNA (Certified Registered Iowa . “I want to serve the rural hospitals Nurse Anesthetist) and talked me into the In a word or two: and help keep the option for surgeries in So, how does that John Lennon lyric go? “Life is healthcare profession . I took her advice the rural community ”. what happens when you are making other plans!” “Life” and jumped into SDSU’s accelerated BSN Animal husbandry is Hurtig’s professional mission is all is precisely what “happened” for Chas Hurtig and program,” remarked Hurtig . Within a year remarkable because: one encompassing . He desires to “competently Kyle Anderson when they started their post secondary he had earned his BSN and was working in must care about and pay and compassionately deliver quality education, which did not include nursing . Hurtig and Sanford’s ICU (Intensive Care Unit) . attention to market . healthcare in an innovative and efficient Anderson each received a Marianne Stenvig Scholarship “I found nursing to be very rewarding manner that is individualized for each from the South Dakota Nurses Foundation in 2016 . And with many opportunities . I was addicted to Nursing is fascinating client through a team approach during their stories are a good read . the career and ICU nursing . I worked a lot because: of opportunities every situation of life whether in the of overtime because the more time I spent and one is learning always . hospital or public ” . He finds nursing Chas Hurtig on the unit the more I would experience challenging and difficult but rewarding and learn,” he said . “I feel this helped me Would love to work with: and supportive . “Keep your nose down form the foundation I am building upon Peter Pronovost . and work hard . You can do all things in the [Mount Marty College, Master of through Christ who strengthens you ”. Science in Nursing] Anesthesia Program ”. Dream place to live: And from whom does Hurtig acquire Hurtig identified some similarities acreage by our farm . his inspiration for such a mission in life? between agronomy and health care . None other than his family! “I have had “You always must be thinking ahead in My one word description: great leadership from my parent’s and the agricultural industry . Taking a lot of Sparkplug . want to be the best leader I can for my different factors into account and making children,” Hurtig admitted . “This gives me quick but important decisions,” he stated . Family thinks I am: a drive for knowledge and inspires me to “While taking care of a patient, there (Gabriella’s response) be the best ”. are multiple things occurring and ever “Daddy!” Besides his parents, Hurtig’s family changing . Watching and predicting the includes wife Heather and two and half patient’s hemodynamic responses to an occurrence and year old daughter Gabriella . “My wife and I farm a little making a quick decision is imperative ”. over a hundred acres of crop land . I love the farm and In applying those “think ahead” and “quick decision” hope to have my kids grow up experiencing agriculture ”. skills in the medical profession, Hurtig indicated there is He enjoys sports, especially football . “I have a passion no room for complacency . “There is always more to learn!” for the sport of football . I have volunteered as a coach and He related his immense admiration of the healing quality hope to again give my time to coaching when I am done of the nursing profession . “I am always amazed how with school,” he said . Because of Hurtig’s love of nature Recruited to Iowa State to play football, Hurtig nurses can take someone at a terrible low time in their life and the outdoors, boating, water skiing, and bicycling anticipated a degree in finance and expected a career in and lift them up back to a stronger person ”. are his summer activities while winter pursuits involve banking and to continue farming . Football was and still is Upon graduation, Hurtig anticipates gaining experience snowmobiling, snow skiing and ice fishing . a passion for Chas Hurtig . and developing his skills working in a larger medical But life happened! “This was right in the heart of facility . At some point he would like to put his career to the financial decline and housing bubble collapse . My good use in the farming community of his origin, Hull, A Change of Plans continued on page 4

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Before ONE Month of Age: Hearing Screening

Before THREE Months of Age: Hearing Evaluation

Before SIX Months of Age: Early Intervention

It is critical that hearing loss be identified and addressed before infants develop language and speech problems. South Dakota School for the Deaf offers early intervention services for children who are deaf or hard of hearing and their families at no cost.

Established in 2015, the South Dakota Early Hearing Detection and Intervention (EHDI) Collaborative, a partnership between USD and the Department of Health State EHDI program provides training and evidence-based resources to healthcare professionals on infant hearing screening and follow-up.

For information contact Haifa A. Samra at [email protected] or Jessica Messersmith at [email protected] Page 4 South Dakota Nurse June, July, August 2017 A Change of Plans continued from page 3 RN (Rapid Response Team) and humor and humility ”. He interjected, PRN (as needed) in the Cath Lab In a word or two: “From a nursing perspective, I Kyle Anderson (Catheterization Laboratory) are also appreciate his vulnerability, demanding . Most remarkable medical milestone: philanthropy, and advocacy . I Anderson explained the role of tissue/organ procurement/ continue to enjoy his comedy and a Rescue RN . “We are a hospital transplantation/donation . commentary as the new host of the wide resource that supports nursing late show, even though I must confess staff, patients, and their families,” Nursing is fascinating because: it is I rarely have the time to watch it he remarked . “We are not assigned a blend of arts and sciences . regularly these days ”. our own patients so we can acutely Anderson enjoys “dabbling in respond to any need in the hospital Would love to work with: Patch many different hobbies” including including rapid responses, code Adams . camping, hiking, backpacking, blues, strokes, traumas, behavioral rock climbing, and snowboarding . emergencies, or overwhelmed Could also be: a Lego engineer/ “However, due to our busy schedules staff ”. He added, “Other job roles designer . of work and school, my wife and I include transporting patients to often settle for a walk through the procedures and scans that need Dream place to live: a mountainous neighborhood with our dogs,” he nurse monitoring, placing difficult Sioux Falls . confessed . “Thankfully, we have IVs, and acting as a liaison or the summer semester off and are advocate between nursing staff and My one word description: advocate . looking forward to a two-week trip to physicians .” Alaska!” Family thinks I am: an eccentric and As with Chas Hurtig, Kyle Anderson was on another “Perhaps the most profound part Besides his wife Kelsey and idealistic liberal . career path when “life happened ” . “The nursing of my job is that people, often in the their canines, Stella and Nymeria, profession chose me!” remarked Anderson . most vulnerable state of their lives, Anderson is still very connected “Initially I was a pharmacy major; however, after trust that I will advocate on their behalf and care for with his parents, Rhonda and Erick, and siblings, Jennifer taking the freshman advanced chemistry and shadowing them both compassionately and competently,” clarified and Megan . a pharmacist, I knew it wasn’t right for me . So, I declared Anderson . Both Anderson and Hurtig encourage those in nursing myself a nursing major and the rest is history,” Anderson So where does this future Family Nurse Practitioner studies to apply for one of the South Dakota Nurses testified . “Looking back, I’m glad that a seemingly find his inspiration? Famed satirist Stephen Colbert is Foundation Scholarships . Hurtig remarked, “It is a great impulsive decision at the time led me on the path to Anderson’s muse! “I’ve always been a huge fan of satire organization that helps many grow professionally . Do not finding such a challenging, satisfying, and meaningful in general, but Stephen Colbert holds a special place in be intimidated! Just apply because they are here to help profession ”. my heart . Through his portrayal of an over-the-top and aspiring students ” . Anderson succinctly remarked, “I Anderson, who attends SDSU College of Nursing, farcical television pundit, he shed light onto much of know you’re sick of paperwork, but I assure you this is strives to complete his Masters of Science in Nursing the hypocrisy and corruption that exists in our culture well worth your time and effort!” Family Nurse Practitioner specialization . His days and politics,” he stated . “I appreciate how he can hold a Information for the various SDNF scholarships is also include a work schedule at Sanford USD Medical mirror up to society and force us to critique ourselves and found at http://www sdnursesassociation. org/Main-Menu/. Center in Sioux Falls, SD where his duties as Rescue acknowledge our flaws, all while maintaining a sense of South-Dakota-Nurses-Foundation/Scholarships .

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Your Feedback on Improving South Dakota Nurses Foundation Offers 2017 the South Dakota Nurses Scholarships: Application Deadline October 1, 2017 Foundation Scholarship Carman Timmerman, EdD, RN 4 . SDNA membership preferred Application Process SDNF Treasurer and Scholarship Committee Chair 5 . Career goals consistent with South Dakota Nurses Foundation purposes of education, research and Carman Timmerman, EdD, RN October 1, 2017 is the deadline for the 2017 South service SDNF Scholarship Committee Chair and Dakota Nurse Foundation scholarships . Here is a short 6 . Evidence of leadership, compassion, involvement in SDNF Treasurer summary of each of these scholarships: professional organization(s), professional activities, and community service . First off, thanks to those who completed the South South Dakota Nurses Foundation Scholarship (2) Dakota Nurses Foundation (SDNF) Scholarship Survey Amount—$1000 Dr. Carl and Leona Stadler Scholarship (1) as published in the last issue of the SD Nurse. Forty-five Purpose—To support a registered nurse pursuing Amount—$500 people responded to the survey, predominately at the a master’s or doctoral degree with the career goal of Purpose—To support a male student enrolled in an 2017 Nurses Day at the Legislature in Pierre . Most of education program . accelerated nursing baccalaureate degree program the respondents were enrolled students in some form of Criteria Criteria nursing program . 1 . Current South Dakota resident 1 . Current South Dakota or Minnesota resident To summarize, here are the responses to the South 2 . Current South Dakota RN license 2 . Male student accepted or enrolled in the accredited Dakota Nurses Foundation (SDNF) Scholarship Survey: 3 . Member of SDNA for at least one year SDSU Accelerated Option program • The most common way that people find out 4 .Graduate student pursuing a master’s or doctoral 3 Cumulative. GPA 3 0 . or higher at time of about SDNF scholarships is from advisor/mentor/ degree in nursing or a related field in an accredited application faculty, followed by colleague/fellow student and program with the goal of practicing nursing in a 4 . Career goals consistent with South Dakota Nurses financial aid office . South Dakota high need area or teaching in a South Foundation purposes of education, research and • The most important incentive to apply for Dakota baccalaureate or higher degree nursing service a scholarship is the dollar amount of the education program 5 Evidence. of leadership, compassion, and scholarship, followed by the simplicity of the 5 . Cumulative GPA 3 0. or higher upon completion of community service application . highest degree, i e. ,. baccalaureate nursing program • The main barrier to applying for an SDNF or master’s in nursing program scholarship is that the scholarship doesn’t apply 6 . Career goals and personal qualities congruent with Application Materials for Scholarships: Access the South Dakota Nurses Association to the respondent, followed by the application South Dakota Nurses Foundation purposes (SDNA) website at www .sdnursesassociation org/. process being too complicated/too time- 7 . Evidence of leadership, compassion, involvement in South Dakota Nurses Foundation/Scholarships/ consuming and the short time span between professional organization(s), professional activities, South Dakota Nurses Foundation Scholarship. finding out about the scholarship and the and community service scholarship application deadline . Alternatively, contact the South Dakota Nurses • Suggestions for improving the SDNF scholarship Association office at contactus@sdnurses org. or 605- Rita H. Walsh Scholarship (1) 945-4265 . process are providing more advertising/ Amount—$1000 information, simplicity of application, including Purpose—To support a registered nurse pursuing a Questions About Scholarship Applications: more non-SD residents and accelerated students, higher level of nursing education . The scholarship will be Contact Carman at 605 391 4053. . or less emphasis on GPA, face-to-face interviews and awarded annually for the spring semester . carmantimmerman@gmail com. informing the SD student nurses association . Criteria 1 . Current South Dakota resident Our next steps will be to review your responses and 2 . Current South Dakota RN license Application Deadline for Scholarships: to make changes that reflect your opinions . Two points I 3 . RN pursing a bachelor’s degree in nursing or RN October 1, 2017 want to make about SDNF scholarships: to master’s degree in nursing (bridge track) in an • The scholarships are guided by the South Dakota accredited program Award Date for Scholarships: Fall 2017 Nurses Foundation’s purposes of education, 4 . Demonstrates need research and service . 5 .Demonstrates the qualities of patient advocacy, Supporting the South Dakota Nurse Foundation: • With the exception of the SDNF scholarship, the patient education, compassion and peer mentoring The fact that these scholarships are available scholarships’ criteria reflect the wishes of the underscores the generosity of South Dakota nurses as donors who fund the scholarships . Marianne M. Stenvig Scholarship (1) well as their families and friends . We thank you for that Amount—$1000 generosity . If you are interested in donating to the South Within the next couple of months, the 2017 South Purpose—To support a male registered nurse in Dakota Nurses Foundation, your gift will help sustain Dakota Nurses Foundation Scholarships will be posted pursuit of his educational goals . the Foundation’s efforts to endorse the nursing profession on the South Dakota Nurses Association website Criteria as SDNF promotes positive health care changes in (www .sdnursesassociation org. ) . If meeting the 1 . Current South Dakota resident South Dakota . Please make your check payable to South scholarship criteria, potential applicants are 2 . Current South Dakota RN license Dakota Nurses Foundation Fund and send your check encouraged to apply for more than one scholarship . 3 .Male RN pursuing a graduate degree in nursing to South Dakota Community Foundation ~ Box 296 ~ October 1, 2017 is the application deadline for all (preferred) or a related field in an accredited program Pierre, SD 57501 . South Dakota Nurses Foundation Scholarships . If you have questions, please feel free to contact me at carmantimmerman@gmail com. . The fact that these scholarships are available underscores the generosity of South Dakota nurses as well as their families and friends . We thank you for that generosity . If you are interested in donating to the South Dakota Nurses Foundation, your gift will NOW HIRING! help sustain the Foundation’s efforts to endorse the nursing profession as SDNF promotes positive health care changes in South Dakota . Please make your check payable to South Dakota Nurses Foundation Fund Salem Care and Rehabilitation Center is looking for dedicated, and send your check to South Dakota Community hardworking employees for the following open positions: Foundation ~ Box 296 ~ Pierre, SD 57501 .

Want to make an impact on serving youth RNs LPNs CNAs interested in the Health Care Field? Full-time & Full-time & Full-time & Consider Quentin Burdick Job Corps Center; a part of the Part-time Part-time Part-time nations’ largest residential education and vocational training program for economically disadvantage youth. Now Seeking • Nursing Assistant/Home Health Aide Instructors If interested in any of these positions, please contact Shannon Ladd, Director of • LPN Nursing, at (605) 425-2203 to set up an interview, or feel free to stop by and pick To learn more about these opportunities please contact Rachel Stevenson at 701 857-9607 or via email at [email protected] up an application at 500 Colonial Drive, Salem, SD 57058. Page 6 South Dakota Nurse June, July, August 2017 Legislative News

Full Practice Authority for Certified Nurse Practitioners and Certified Nurse Midwives Update on 2017 Legislation - Senate Bill 61

Gloria Damgaard, Executive Director, Governor Daugaard Signs Frequently Asked Questions South Dakota Board of Nursing Senate Bill 61 with SD APRN Coalition on New Legislative Changes During the 2017 South Dakota Legislative to CNMs and CNPs South Session, Senator Deb Soholt and Representative Jean Hunhoff sponsored Senate Bill 61, a bill Dakota Nurse Practice Act to modernize SDCL 36-9A, the practice act for certified nurse practitioners (CNPs) • When will these new laws take effect? and certified nurse midwives (CNMs) . July 1st, 2017 . The bill, enacted by the legislature and • What will change? signed by Governor Daugaard goes into • The BON will be solely responsible effect on July 1, 2017 . SDCL 36-9A was for licensing, determining practice, initially enacted into law in 1979 with and disciplinary functions of CNMs no major updates since that time . The and CNPs . Currently the BON and new changes bring South Dakota up to Board of Medicine co-regulate CNMs speed with national standards for the and CNPs . education, practice and regulation of • Collaborative Agreement CNPs and CNMs . Requirements . Currently all CNMs One of the major changes repeals and CNPs are required to have an the requirement for the CNP and CNM approved physician collaborative to have a written collaborative agreement agreement to practice fully . As of July with a physician in order to practice to their 1st collaborative agreements will not be full scope . This includes performing advanced required to practice full scope for CNMs assessments and evaluations, prescribing Pictured Back Row Left to Right: Nicole Gibson, Diana and CNPs that verify they have a minimum treatments and medications, ordering diagnostic VanderWoude, Lobbyist Kitty Kinsman, Robin Arends, of 1,040 hours of practice as a licensed tests and signing official documents . After July 1, Bryan Wermers, Diana Berkland. Front: Gloria Damgaard, CNP or CNM . 2017, current collaborative agreements that are on file Senator Soholt, Governor Daugaard, Representative • What will happen with the collaborative at the Board of Nursing will be retired . A transition Hunhoff, Nancy Fahrenwald, Susan Rooks, agreement(s) I have on file? to practice requirement was added to the practice act Linda Young and Karen Pettigrew. • On Monday, July 3rd, 2017 the BON will retire and requires a newly licensed CNP or CNM to complete all collaborative agreements of CNMs and CNPs 1,040 hours of practice in collaboration with a licensed licensed prior to January 1st, 2017 . The BON’s licensure verification website will be updated to physician, CNP or CNM . Extensive research demonstrates with the regulation of advanced practice nurses across remove collaborative agreement information . the safety of CNP and CNM practice and provides the the country . Less than 5 states have this joint model of • All CNMs and CNPs licensed after January 1, 2017 basis for removal of the written collaborative agreement . regulation in place . will be required to verify completion of a minimum SDCL 36-9A will continue to define collaboration and The authority to approve education programs for the of 1,040 practice hours as a licensed CNM or CNP require CNPs and CNMs to collaborate with other preparation of persons to meet licensure requirements prior to the BON retiring their agreement . An healthcare providers and to refer and transfer patients is another change made by the enactment of Senate Bill APRN Practice Verification Form will be placed on as appropriate . The legislation removes the contractual 61 . Institutions planning to implement a CNP or CNM the BON website in June . agreement that ties the license of the CNP and CNM to program of study leading to licensure must now apply • New applicants licensed after July 1st, 2017 must a physician, it is not meant to discourage collaboration . to the Board of Nursing for approval . This is to assure verify practice hours . Those that cannot verify Collaboration remains as a requirement in the revised that all graduates applying for licensure meet the same 1,040 hours of practice as a licensed CNM or CNP practice act . Removal of the contractual collaborative educational requirements . will be required to submit a collaborative practice agreement is consistent with CNP and CNM practice in The Board of Nursing acknowledges the work of agreement with a SD licensed physician, CNM, or our surrounding states as pictured . the SD APRN Coalition consisting of representatives CNP to meet the minimum practice requirement . Updates to the scope of practice include combining from nursing education, regulation and practice that Upon receipt of verified practice hours the practice the advanced practice nursing scope and the overlapping drafted this legislation and all supporting documents . agreement will be retired by the BON . scope with medicine into one scope of practice which We also acknowledge the work of Senator Soholt and • Is collaboration still required? Yes . The change in is more reflective of the current practice . The new law Representative Hunhoff along with the APRN Coalition law only removes the required contractual agreement contains a comprehensive listing of the allowed scope of lobbyist, Kitty Kinsman, who made this effort successful . practice . It does not expand or limit the current scope of with physicians . CNMs and CNPs are still required to collaborate with other healthcare providers and refer practice for the CNP and CNM . These practitioners are Collaborative Agreement Requirements in and transfer patients as appropriate if the care required required to hold two licenses, one as an RN and one as an Surrounding States Advanced Practice Registered Nurse (APRN) . They have extends beyond the scope of their education, training, the full scope of practice for both the RN and the APRN and skills . which distinguishes them from other advanced providers . • Can an employer require an agreement? Yes . Another significant change to SDCL 36-9A is the Employers may require an employment contract removal of the joint regulation of CNPs and CNMs by outlining practice requirements specific to their the Board of Medical and Osteopathic Examiners and the practice sites . Employment documents do not need to Board of Nursing . The regulation of CNPs and CNMs is be sent to the BON . placed solely with the Board of Nursing . This is consistent • Will my scope of practice change? No . The changes only modernize the statutes language and are more descriptive and reflective of current practice . The intent was not to expand or limit current practice .

Contact Linda Young at Linda Young@state. .sd us. or 605-362-2772 for additional questions .

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[email protected] Hiring: 605-987-5659 ext. 129 Contact: Karen Fleming, CEO To view and apply for positions: Armour Care and Rehabilitation Center https://recruiting.ultipro.com/ACA1001/ 106 Braddock | Armour, SD 57313 | 605-724-2911 June, July, August 2017 South Dakota Nurse Page 7 Legislative News

2017 Legislative Report

Brittany Novotny, JD, MBA to declare an emergency . This bill implements the recommendations of the Chief Justice’s Mental Health Task Force to address mental health issues in the judicial During each legislative session, members of the Government Relations Committee system . Additionally, the bill allows Certified Nurse Practitioners and Clinical (GRC) meet weekly to discuss bills of interest to the SDNA . The GRC consists of a Nurse Specialists with the psychiatric certification to perform certain psychiatric geographic representation of politically active nurses from across the state . The or psychological examinations consistent with their scope of practice . Previously, GRC reviews each bill introduced to determine if SDNA will take a position on the examinations could only be conducted by a licensed psychiatrist or psychologist . HB bill . These decisions are driven by the Legislative Agenda of the SDNA . The five 1183 passed the House of Representatives 50-17, passed the Senate 32-2, has been basic tenants of the SDNA Legislative Agenda are to support: professional nursing signed by the Governor, and became law immediately due to an emergency clause . practice, access to quality and affordable health care, public health, occupational and SDNA closely monitored SB 136, an act to permit and regulate the practice of environmental health, and human rights . The full version of the Legislative Agenda can licensed certified professional midwives (CPM) . This bill establishes an independent be found on the SDNA website www sdnurses. org. . board, the Board of Certified Professional Midwives, provides for the licensure of The 2017 Legislative Session was certainly a busy one for SDNA! There were 390 CPMs who meet certain licensure requirements, and allows CPMs to practice within bills introduced during South Dakota’s 2017 legislative session . SDNA reviewed and a prescribed scope of practice . This topic has been debated for decades and SDNA has tracked all 390 bills, but focused on bills that impact nurses and your patients . opposed prior versions of this legislation . We appreciate willingness of the proponents This year, SDNA directed its efforts on passage of SB 61, an act to update, revise, to discuss their legislation prior to session and to incorporate language to address many and repeal certain provisions relating to nurse practitioners and nurse midwives . concerns that SDNA identified . Ultimately, because those concerns were addressed by SDNA joined with the South Dakota APRN Coalition to support passage of SB 61 . this bill, SDNA was neutral on SB 136 . SB 61 modernizes the 1979 Nurse Practice Act by adopting national standards for It was certainly a busy session, but also reminds me of how lucky we are to have the regulation of Certified Nurse Practitioners (CNP) and Certified Nurse Midwives such engaged and passionate members . I want to say thank you to the SDNA Board (CNM) . This bill removes the collaborative agreement required for CNPs and CNMs of Directors, the SDNA Government Relations Committee and especially to the GRC to provide services in South Dakota, except for new graduates in transition to practice . chair, Carrie Clausen Hansen . Thank you for your time and your passion for the These changes will bring South Dakota in alignment with surrounding states that nursing profession . currently have full practice authority . Additionally, this bill moves the regulation of I would also like to thank each nurse and nursing student that participated in the CNPs and CNMs solely under the Board of Nursing . This bill was strongly opposed by legislative process, whether you responded to the SDNA Action Alerts and contacted the SD State Medical Association . However, all of the hard work paid off and we are local legislators or you attended Nurses Day at the Legislature and talked with your happy to report that SB 61 passed the Senate 35-0, passed the House of Representatives legislators at the Chili Supper . Legislators love to hear from nurse constituents . Thank 62-6, has been signed by the Governor, and will become law on July 1st . you for your participation and for representing nurses . SDNA also supported SB 140, an act to require schools to provide instruction in hands-only cardiopulmonary resuscitation . This bill requires schools to include Have a great summer! cardiopulmonary resuscitation skills within the curriculum, including the skills necessary to perform hands-only CPR . SB 140 passed the Senate 33-0, passed the House of Representatives 65-3, has been signed by the Governor, and will become law on July 1st . SDNA supported HB 1183, an act to provide and revise certain provisions regarding mental health procedures in criminal justice, to make an appropriation therefor, and SimpleWreath

IMMEDIATE OPENINGS FOR RNs AND LPNs AVAILABLE AT THE Please enjoy 10% off with SOUTH DAKOTA VETERANS HOME coupon code: NURSE10 Caring for America’s Heroes!

The South Dakota Veterans Home remains open Etsy: www.etsy.com/shop/simplewreath for business and is excited about our new facility! E-mail: [email protected] Custom orders and monograms available! Come join us as we enter into this wonderful phase caring for South Dakota Veterans in the beautiful southern Black Hills! The nursing department has a wonderful new organization and we welcome all those that have a loving, caring, and willingness to provide services to our heroes, spouses, and widows of our veterans . Immediate positions are available for RNs and LPNs. RNs and LPNs wage is DOE and can be discussed at interview . Relocation expenses are provided for RNs and can also be discussed at interview . Available positions provide full benefits for the employee including, but not limited to, health insurance, life insurance, paid sick and vacation leave, retirement, major medical, and much more .

If you are interested and you qualify, please contact Sue Beyer, 605-745-5127, sue.beyer@ state.sd.us. Paper applications are no longer accepted and you can log on for an application at http://bhr.sd.gov. All applicants are subject to drug testing and background checks and employment is contingent on a negative result . $2500 Signing Bonus Page 8 South Dakota Nurse June, July, August 2017 SDNA 2017 Nurses Day at the Legislature

2017 NDL group pic on the Capitol stairs with Governor Daugaard Every NDL event was well attended

All regions of South Dakota had both a seat at the table and SB61 Bill Signing Ceremony representation during the annual chili dinner

The 2017 NDL luncheon South Dakota Gov. Dennis Daugaard addresses the luncheon attendees

Nursing Opportunities Available • ER Nurse Supervisor • Emergency Room Nurse • Medical / Telemetry Unit Nurse • Outpatient Clinic Nurse Hiring CNAs, RNs and LPNs Sage Memorial Hospital is located in Northeastern Arizona, Ganado, Arizona Will train individuals to become CNAs. For more information contact: Ernasha McIntosh, RN, BSN, IDON, 928-755-4501, [email protected]. Applications available at http://sagememorial.com/careers/ Submit applications to the Human Resources Department, 605-397-2365 605-426-6622 605-472-2282 Fax#: 928-755-4659, [email protected] June, July, August 2017 South Dakota Nurse Page 9 Sdna Award Criteria SDNA 2017 Awards The South Dakota Nurses Association sponsors PIONEER IN NURSING AWARD was developed these annual awards for nurses, given during the to recognize the nurse who has contributed to the Nomination Form SDNA Annual Convention in Yankton on October profession or to history by being the first so that 1-2, 2017 . Nominations for the following awards others may follow . This award recognizes a nurse who Nomination for: will be taken until August 1, 2017 . For complete exemplifies the spirit that motivates other nurses to (Please Circle One) award criteria please visit our website at http://www . follow on a path less traveled . sdnursesassociation org. or contact the SDNA office at Pioneer in Nursing Award Criteria (must meet all District Nurse of the Year Award contactus@sdnurses org. . criteria): • The nominee must be an SDNA member. Rookie of the Year Award DISTRICT NURSE OF THE YEAR AWARD was • The nominee must have helped guide the course Distinguished Service Award of nursing in South Dakota . developed to recognize a nurse in each SDNA district Nursing Practice Award who has contributed to the district and profession in a • The nominee must have contributed talents to the significant way . This award criteria and award winner is profession by being the “first,” whether that is Joy of Nursing Award determined by each individual district . within practice, education, program development, Pioneer in Nursing Award administration, government, community activities, or any other first . SDNA Hall of Fame Award ROOKIE OF THE YEAR AWARD is for the The Nurse Educator Award new SDNA member who has contributed energy and commitment to SDNA . SDNA HALL OF FAME AWARD recognizes Nominee: Rookie of the Year Award Criterion: an individual’s lifelong commitment to nursing and • The nominee must have been an SDNA member that commitment’s impact on the health and/or social Name:______history of South Dakota . Up to five nurses may be for at least one year, but not longer than three Address:______years . inducted each biennial year into the SDNA Hall of Fame . ______Hall of Fame Award Criteria (must meet all criteria): DISTINGUISHED SERVICE AWARD acknowledges • The nominee(s) must have demonstrated E-mail: ______specific contributions and achievements of an individual leadership that affected the health and/or social Telephone:______or group and provides formal recognition of SDNA history of South Dakota through sustained, member(s) singled out by colleagues for accomplishments lifelong contributions in or to nursing practice, Employer:______in a given field of endeavor . The Award may be awarded education, administration, research, economics, or Employer Address:______for professional achievement in nursing, outstanding literature . ______contributions in the community, for dedicated service to • The nominee(s) must have worked in or the association, to name a few possible categories . represented South Dakota . Distinguished Service Award Criteria (must meet all • Achievements of the nominee(s) have enduring Nominator: criteria): value to nursing beyond the nominee’s lifetime . • The nominee must be an SDNA member. (Note: Nominees for the Hall of Fame Award may Name:______• The Distinguished Service Awards represents a be living or deceased.) Address:______more highly specialized type of award than the broad special interest categories reflected in other ______The Nurse Educator Award acknowledges SDNA Awards . E-mail: ______• Distinguished Service Awards must be in keeping a Registered Nurse who serves as a faculty member with goals and purposes of SDNA . at one of the South Dakota nursing programs . The Telephone:______recipient is recognized by peers to be exemplary in • A Distinguished Service Award must not be Employer:______exploited for commercial purposes . the areas of teaching effectiveness and facilitating Examples of Possible Distinguished Service Award learning for students in nursing . This nurse also Other Contact Information:______Categories: participates actively in professional nursing activities • Human Rights as well as, the community in which he or she lives, Please submit complete nomination form to the • Membership Activities demonstrates leadership skills, has a strong ability to SDNA Office, 1005 South Phillips #2, Sioux Falls, • Specialty Work work with others, and is seen as a mentor for future SD 57105 by August 1, 2017 . Nominators must • History nurse educators . The Nurse Educator Award is awarded provide narrative statements describing the nominee’s • Ethics jointly by SDNA and NEDDS (Nursing Education compliance with established criteria for the award as Deans and Directors) . A letter of support by the dean/ explicitly and concisely as possible . chair of the nominee’s school is recommended . The Awards Committee shall consider all NURSING PRACTICE AWARD acknowledges a Nurse Educator Award Criteria (must meet criteria as nominations and inform the SDNA Board of Registered Nurse involved in direct patient care . The noted below): Directors of the award recipients . Award recipients recipient, through strength of character, commitment, • The nominee must be an SDNA member will be invited to attend the SDNA Convention for and competence, receives peer recognition as one who • The nominee must demonstrate teaching presentation of awards . If an award recipient cannot contributes to advancement of nursing practice . effectiveness through one or more of these be present, the presentation will be made in absentia . Nursing Practice Award Criteria (must meet all criteria: criteria): ú application of nursing knowledge that • The nominee must be an SDNA member. facilitates students’ learning to the highest • The nominee, through application of nursing level knowledge, must assist patients to function at and ú use of creative teaching strategies in class room maintain optimum levels of health and activities, presentations as persons, as family members, and as members of ú mentorship of new nursing faculty to the role of their community . teaching RN Charge Nurse! • The nominee, through direct nursing practice, • If the nominee has a regular clinical supervision must provide innovations to help and encourage assignment, the nominee must demonstrate When I walked through the door at Menno-Olivet peers in nursing and is a role model, inspiring effective supervision strategies in the clinical Care Center for the first time as a Certified Nursing peers to improve quality of practice, and has setting to facilitate students’ application of Assistant, I knew this was a place that I would love contributed to improvement of quality of direct theoretical knowledge to patient care to work. It was a happy place. The residents and patient care . • The nominee must participate in service activities staff are fun and it continues to be a joy working with Other considerations include: through one or more of these criteria: • Participation in community affairs ú assumption of a leadership role in the nursing them. With encouragement from the nurses here, I • Recognition by peers program became an RN myself. Anything is possible at M-OCC! • Participation in organizational affairs ú participation in committee work at the ~ Dawn, RN, MDS Coordinator • Ability to work with others university or college level • An innovative outlook ú service as a student organization advisor For more information call us at such as the South Dakota Student Nurses (605) 387-5139 or stop by for a JOY OF NURSING AWARD recognizes the Association tour of our facility. Registered Nurse who, through the years of practice, ú initiation of efforts that enhance the success of continues to truly love all aspects of nursing . nursing graduates Joy of Nursing Award Criteria (must meet all ú service in a leadership position in SDNA Menno-Olivet Care Center criteria): • The nominee must have a sustained record of 402 S. Pine St • Nominee must be an SDNA member. scholarship in the art of teaching, research, or Menno, SD 57045 • Nominee has practiced nursing for at least 5 years. contribution to improved health in the community • Nominee has been a formal or informal mentor to through one or more of these criteria: students or new graduate nurses . ú recognition by peers for their scholarship of A competitive wage and • Nominee has collaborated with and is respected teaching a comprehensive benefit by nursing colleagues and other health ú dissemination of scholarship through program are offered. professionals . presentations, publications, or as a consultant We are an Equal Opportunity • Nominee exemplifies the “Joy of Nursing” in care ú initiation of a unique project that enhanced the Employer/Drug Free workplace. and relationships . health of the community Page 10 South Dakota Nurse June, July, August 2017 SDNA Core Issues Task Force Report

Marie Cissell, Chair Nation initiative to my nursing staff members and we mangers’ stress and Eating better to help manage chronic Kristi Riggs and Rochelle Reider, decided to make some changes with our food choice stress . (http://nursingworld org/healthynurse2017-april. ) Committee Members options to more healthy choices . This is one way we May’s theme is Women’s Health, National Fitness and as nurses can role model choosing healthy snacks over Sports Month, June is Men’s Health, Cancer Awareness The SDNA Core Issue Task Force focus for the year unhealthy habits ”. and Skin Health, July is Healthy Sleep and August is “Healthy Nurses, Healthy Nation TM. ” The Grand According to the ANA website (healthynurse 2017), is Happiness . The topics are yet in development but Challenge Model seeks to: engage nurses, improve the focus for April is combatting stress . The ANA website should be available as each month approaches . Visit the nurses’ health and create a healthy nurse population . relays that stress is a factor of health for a nurse and each website http://nursingworld org/MainMenuCategories/. The task force is encouraging nurses to send examples nurse’s stress affects care of patients and family . Stress can ThePracticeofProfessionalNursing/2017-Year-of-Healthy- related to each month’s topics of what is being done affect retention of nurses in the workforce . An opportunity Nurse/default aspx. each month to see what webinars, at your workplace to marie .cissell@sdstate edu. or nurses to learn more about how to handle stress is a books and articles are recommended . There are also other marieanncissell@gmail .com . We will be placing examples webinar which will be held on April 19th (12 pm CDT recommendations listed . on facebook and sending out examples through email to and 1 pm MDT) Living & Working Mindfully: Exploring The Core Issues Task Force will be discussing the the members of SDNA . Mindfulness Techniques for Self-Care, Leadership & Healthy Nurse, Healthy Population at the SDNA June The topic for March was nutrition . A project that was Nursing Practice . Other webinars available are Success event in Sioux Falls on June 21st (See announcement in successful for the Avera Queen of Peace Hospital in under Stress: Leading a Stress Free Environment; Your paper) . We would like to have a discussion on where the Mitchell, SD was changing the food choice options . The Mind and Body on Fatigue; and Dealing with Fatigue: focus for task force should be for the second half of the following activity was submitted by Kristi Riggs: Strategies for Nurse Leaders . Textbooks recommended are year . If you cannot attend, you are invited to send your “We have a “sunshine club” on Med/Surg/Peds/Swing Self-Care and You: Caring for the Caregiver; Information thoughts to Marie Cissell, chair . We are looking for more Bed which sells snack foods for a collection of funds to Overload: Framework, Tips, and Tools to Manage in members for this task force so feel free to email Marie both replenish the snacks as well as fund gifts for the Complex Healthcare and Environments; and Errors of Cissell with your interest . team members (baby gifts, farewells, weddings, flowers Omission: How Missed Nursing Care Imperils Patients. You can follow the ANA social media campaigns, for funerals, etc) . I introduced the Healthy Nurse, Healthy Two pertinent articles are Empowerment reduces first-line #FitNurseFriday and #healthynurse on Facebook and Twitter .

Sioux Falls VA Health Care System

Working with and for America’s Veterans is a privilege and we pride ourselves on the quality of Save the Date! care we provide. In return for your commitment to quality health care for our nation’s Veterans, the VA Please plan on attending the SDNA Conference focusing on: offers an incomparable benefits package. 1. Techniques to de-escalate patient and family behaviors. The Sioux Falls VAHCS is currently recruiting for 2. Increasing your situational awareness for personal safety. night and day RN and LPN healthcare positions 3. Preparing for potential active shooter situations. in the following clinical areas. 8 hour, 12 hour and 4. Describe drugs that are being abused in our communities and work environments. intermittent shifts available, depending on location. 5. Review disciplinary actions that can be taken by the SD Board of Nursing. • Inpatient (med/surg, mental health) 6. Assist in identifying areas for the SDNA Core Issues Task Force to address. • Long-term Care • Emergency Department • Outpatient Clinics June 21, 2017 Applicants can apply online at www.USAJOBS.gov 8:00am-4:00pm They all come together at the Orthopedic Institute Auditorium (Ground Floor) Sioux Falls VA Health Care System. Located on the Avera McKennan Hospital Campus To be a part of our proud tradition, contact: 810 E. 23rd Street Sioux Falls, South Dakota Human Resources Mgmt. Service 2501 W. 22nd Street Sioux Falls, SD 57105 Be watching for the brochure with more detailed information! (605) 333-6852 www.siouxfalls.va.gov June, July, August 2017 South Dakota Nurse Page 11 SDNA Leadership Opportunities CONSENT TO SERVE The South Dakota Nurses Association (SDNA) is c .Each CITF Chairperson shall coordinate and looking for RN leaders who want to be a mentor, an preside over CITF meetings, report CITF plans, South Dakota Nurses advocate, and actively involved in shaping the future propose positions and activities to the Core Issues of the nursing profession. Coordinator prior to each Board meeting . Association All candidates for office must submit a “Consent d . The CIC and each CITF Chairperson shall work to Serve” form, your statement, and a photograph of together to prepare accurate reports for the BIOGRAPHICAL DATA yourself by July 1, 2017 to the SDNA Office. To obtain Annual Book of Reports . They may also prepare a “Consent to Serve” form or to learn more about each of articles for The Nurse as necessary to keep Nominee for the Office of: the leadership positions, please visit the SDNA Website SDNA members abreast of their progress . ______at www sdnurses. org. or call the SDNA Office at (605) The SDNA Board of Directors meet 4 times a year: 945-4265 . There is also a “Consent to Serve” form in the February, via phone conference; April, in Mitchell Name:______June 2017 issue of “South Dakota Nurse ”. during the Spring Workshop; July, usually done If you have any questions or would like further via phone conference so no travel is required, and Address:______information on how to run for one of these offices please October, during the state convention (site varies City:______Zip:______contact Roberta Olson, Nominations Committee Chair yearly) . at roberta olson@sdstate. edu. or the SDNA office at Tel: home:______contactus@sdnurses org. or (605) 945-4265 . CONTINUING NURSING EDUCATION work:______The Nominations Committee is seeking interested COMMITTEE SDNA members who wish to serve in leadership roles . a This. committee shall be composed of four fax:______• President members . Three members will be elected in E-mail:______• Vice President accordance with ARTICLE XI for two-year • Treasurer terms, with two members being elected in odd School/College of Nursing: • Core Issues Task Force Chair years and one member being elected in even ______• Two (2) Continuing Education Committee years . One member who actively practices in Members academia and/or continuing education will be Additional Professional Education: • Two (2) Nominations Committee Members Board-appointed to chair the committee for a ______three-year term . DUTIES OF THE PRESIDENT b . This Committee shall be responsible for: Area of Practice: The President shall: 1 Assessment,. planning, implementation and ______a . Serve as the official representative of SDNA and as evaluation of continuing education activities its spokesperson on matters of policy and positions; for SDNA; Present Position and Place of Employment: b . Preside over meetings of Membership, the Board, 2 Assurance. that the ANCC Commission on and the Executive Committee; Accreditation standards and guidelines are ______c Serve. as ex-officio Member of all SDNA utilized in planning continuing education committees, except Nominations Committee; activities for nurses; Professional Organization Activities at District d .Direct the activity and supervise performance of 3 . Serving as a resource for Districts, Members, (Region), Council, State, National Level(s) for the SDNA’s Chief Executive Officer; and others on CNE activities and issues . past five years, including Student Association office: The President may delegate duties to another Board ______Member as necessary and appropriate . NOMINATIONS COMMITTEE a . The Nominations Committee shall be composed Current SDNA Member District: DUTIES OF THE VICE PRESIDENT of five members, all of whom are elected by the ______(Number or City) The Vice President shall: members-at-large to two year terms in accordance a Assume. the duties of the President in the with Article XI; Signature______President’s absence or at the discretion of the b .Two members will be elected in odd years and Date______President; three will be elected in even years; b . Succeed to the office of President for the unexpired c .The individual receiving the highest number of Please attach a signed statement of your personal term if the office of President is vacant; votes in that election cohort will serve as chair position regarding current nursing and SDNA issues. c . Assume other duties as assigned . during the second year of their term; Limit your statement to a maximum of three sentences. d .Members of the Nominations Committee shall Send (1) this form, (2) your statement, and (3) a DUTIES OF THE TREASURER not be eligible to run for election as a Member of PHOTOGRAPH of yourself The Treasurer shall: the Board, as a District President or CITF Chair, a . Monitor SDNA’s fiscal and financial affairs; nor as a Delegate to ANA Membership Assembly, by July 1, 2017 to SDNA, 1005 b .Provide reports of SDNA’s financial status to nor for election to the Government Relations South Phillips #2, Sioux Falls, SD 57105. the Membership, the Board, and the Executive Committee; Committee; c . Provide for the receipt, deposit, and disbursement of all SDNA funds; d Ensure. sound, accurate, timely management of SDNA books, accounts, and record-keeping WHEN DISASTER STRIKES... procedures, processes, and systems; e Ensure. compliance with applicable ANA, governmental, and grant financial management and SOUTH DAKOTA RESPONDS. reporting requirements . In honor of Volunteer Week and National Nurses BOARD RESPONSIBILITIES AND LEADERSHIP Week, sign up today to make a difference! DUTIES a The. Core Issues Coordinator (CIC) shall be a member of the SDNA Board of Directors and elected for a two-year term by the SDNA membership . b The. Core Issues Coordinator will work collaboratively with each CITF Chairperson .

Cherry County Hospital Seeking Full-Time RNs

We offer a competitive wage and benefit package. Contact Kathryn Renning, DON Phone 402-376-2525 Fax 402-376-1627 Email [email protected] Mail Cherry County Hospital 510 North Green St., PO Box 410 Registered and Ready for Anything. Valentine, NE 69201 South Dakota’s Health & Medical Volunteers. http://www.visitvalentine.org http://cherrycountyhospital. org/getpage.php?name=index isit us online today: SERV.SD.gov Page 12 South Dakota Nurse June, July, August 2017 District News

The message was a scripture verse from Philippians 4:13 A Board of Nursing member is committed to speak District 1, 2, 3 Report “I can do all this through Him who gives me strength” regarding current disciplinary action being seen nurses . Greetings from West River! Districts 1, 2, & 3 met at and short message to take one day at a time to relax and Maria Eining, Director HPAP, was suggested as the Hilton Garden Inn in Rapid City on January 10, 2017 . renew themselves especially during this stressful time . another speaker . Election of officers was held and by unanimous vote, Dr . Bill Ludwig, Pharmacist at Lewis Drug, was Carman Timmerman was elected as the District 1, 2, and Pat Sudbeck mentioned as a possible speaker: Ardelle will contact to 3 Secretary for 2017-2019 . Congratulations to Carman see if it is possible for him to be a part of the workshop . and thank you to Dr . Dawn Warren who served as district Adam Weber pastor at Embrace church will be secretary 2015-2017 . District 8-9 Report contacted as a motivational speaker . Julie Dangel will The District meeting in March was held at the Welcome to spring?!?!? If your weather is like around contact to see if he can be a part of the workshop . Colonial House restaurant on March 14, 2017 . The next here, we get a beautiful day, followed by clouds and wind . Topics applicable to all aspects of nursing to be meeting will be May 9, 2017 at 5:30 at Minerva’s in I do appreciate those nice days that we have had . included . Rapid City . Meetings in 2017 have brought in a variety of events, Core Issues Task Force discussion on what nurses see or non-events . We did cancel the January meeting due as needs in the community will be led by Marie Cissell . Linda De Long, President to weather concerns . In February, we did not have a Nurse educator Becky McDugle has developed the Districts 1, 2, & 3 monthly meeting since a number of members were able goal and objectives for the workshop and is working on to attend the NDL event in Pierre . There was a great CEU’s . turn-out of legislators, RNs and CNP’s and we were able Cost of workshop is $60 for members and $30 for District 4 Report to lobby for passage of the Advanced Nurse Practice students . Continental breakfast and box lunch will be Ahhh Spring! New growth, fresh start, graduations . legislation, and it passed!! provided within the fee . District 4 will be celebrating the new beginnings for In March Deb Fisher-Clemens gave us a detailed Vicky Buhr will contact HyVee or other places to see graduating Presentation College student nurses with a explanation of the Obama Care Health Policy, as well as about coffee, water, and continental breakfast . Welcome to the Profession lunch on Thursday, April reviewed some of the parts to the failed proposed new Panera will be contacted for box lunch . 27th . We wish the new grads luck as they will be taking Health Care Policy . One needs to admire anyone who Advertisement will be through Facebook with the NCLEX exam and begin their careers in the exciting can keep all of the changes straight! It was an educational members and SDNA website . We will request Eric to profession of Nursing . opportunity for local legislators, instructors, nurses, and send invitation to surrounding associations to attend the A brief meeting will be held after the meal . A special nursing students . The meeting was held at the Pheasant workshop . treat for the “seasoned” nurses will be a tour of the Restaurant in Brookings . Brochure will be done electronically . Will ask Eric to state of the art Presentation College Sim Lab which is prepare the brochure when speakers scheduled to be completed this summer . are finalized . One of the items on the meeting agenda will be Those assigned a task should get staffing the First Aid station at the Brown County Fair, back to Darcy S-J with answers as August 14-20, 2017 . This opportunity is open to all soon as possible . nurses, SDNA members and nonmembers . There will For future meetings we thought be two nurses scheduled for 2 hour time slots . This is a we would investigate a meeting fun volunteer opportunity in a relaxing and better yet, with Web-X . Vicky Burh was air conditioned spot at the fair . Stop by the First Aid going to check into how to set motor home located on the south side of the Home Arts up the meeting, if there is a cost, building for a cold bottle of water and see who’s working . etc . Webinar presentations were Contact Marlys Volzke to sign up . discussed . District 4 wishes to recognize all nurses as we look For future meeting would like forward to celebrating the honored profession of Nursing topics that are applicable to nursing . during Nurses Week, May 6-12, 2017 . Anna A-G . will check on grad students who need to present and to Sincerely, have this 6 times per year . Another Marlys Volzke, RNC, BSN topic was simulation and its use . District 4 President Save the date for fall convention Volzke@abe midco. net. SDNA and the SDSU NSA organization will combine in Yankton October 1 and 2 . 605-216-0256 for our April meeting . It will be on campus, Wagner Hall, #332 . SDNA will be providing pizza and talking to the Respectfully submitted, students about the importance of being an active member Marion E . and Julie D . District 5-7 Report of their professional nursing organization . The date and District 7 members provided a packet of goodies time are: 4/25 @ 6pm . Alyssa Stauffacher from Avera for the Dakota Wesleyan University Nursing Students will be speaking . Everyone is welcome . District 11 News during their finals week with a message from SDNA . Our May meeting will be held at the lake home of Spring has come and the growing season is here Lois Tschetter . In June Carol Peterson will host the again! District 11 has been working on the 2017 SDNA meeting . Please watch for complete details in your email Convention, scheduled for October 1 and 2 at the Best announcements from Contactus@sdnurses org. . If you Western Kelly Inn in Yankton . Mark your calendars for aren’t getting monthly updates about meetings check your our convention, “SDNA: The Next 100 Years ”. We are junk mail box and/or contact Eric . working on the program issues and the silent and live Here’s to a great spring and summer!! auctions . At our February meeting, Dr . Jean Yockey offered Eileen Bruner-Halverson, President a presentation to SDNA members, students, and other nurses about Navy ship nursing . This presentation was very well received by all present and included various District 10 Report aspects of nursing in this realm . Meeting Notes April 4, 2017 During our March meeting, Representative Jean Members Present: Darcy S-J , . Julie D , . Marion E , . Hunhoff presented an interesting presentation on the Marie C ,. Ardelle K ,. Laura E . student guest, Sandy T ,. 2017 South Dakota Legislative session . As in previous Anna A-G ,. Vicky B . years, Jean held our interest for the entire time . After her Call to order by President Julie Dangel at 1804 . presentation, she had a question-answer session wherein Meeting turned over to the primary planners of the many thought-provoking questions were presented and Workshop Scheduled June 21, 2017 at the Orthopedic Jean responded in kind . This wonderful presentation Institute Auditorium . Title is: Healthy Nurse, Healthy was well received by the SDNA members present, nurse Work Environment, and Healthy Populations . guests and some other student nurses from USD as well Some speakers have been contacted and expressed as Mt . Marty College, totaling 34 individuals . Jean interest . concluded her presentation by encouraging all present Sergeant Jamie Buteyn from the Sioux Falls Police to become active as nurses in South Dakota as well as Department Street Crimes has been confirmed to speak encouraged students to become members of the South on situational awareness, domestic violence and being Dakota Nurses Association prepared for an active shooter for approximately 90 At this meeting, we also heard that the total funds minutes . There is no honorarium as this is part of their raised at the Pizza Ranch Fundraiser for the Servant community service . Hearts Free Clinic in October was $441 00. . This money Pat Kniep, Special Assistant Attorney General, has has been sent to the free clinic as they are solely funded been contacted to see if he is available to discuss issues by donations . related to current drug trends in our community . Darcy Jensen, who is the local director for drug and Respectfully submitted, alcohol recovery program was contacted but is unable to Kathy Jorgensen present as she will be out of town . President, SDNA District 11 June, July, August 2017 South Dakota Nurse Page 13 SDNA 2017 Calendar of Events

If you have events that you want posted on the SDNA August Native American Day Calendar of Events, please contact the SDNA Office at Awards Nominations Due October 9 (605) 945-4265 or by email at contactus@sdnurses org. . August 1 SD Nurse Article Submission Deadline – SDNA BOD Meeting December Issue June August 21 October 17 2017 ANA Membership Assembly June 8-11 September November Labor Day Veterans Day July September 4 November 10 SDNA Consent to Serve Forms Due Thanksgiving July 1 October November 23 Independence Day SDNA Board of Directors Meeting July 4 October 1 December SD Nurse Article Submission Deadline – SDNA Annual Convention District Leadership Reporting Form Due to September Issue October 1 & 2 SDNA Office July 17 Yankton, SD December 1 Christmas Day December 25

SDNF Donors

A special “Thank you!” to the following individuals who have donated to the South Dakota Nurses Foundation since January 1, 2017. The great support is appreciated!

Jeremy & Michelle McGregor William & Carla Texel Rodney & Karen Pettigrew Kathy Jorgensen Mike & Julia Dangel Ellann K . Petersen Wesley & Lois Tschetter Randy & Adele Jacobson Deb Fischer Clemens Doris Heine Caring for America’s Heroes Paula Goddard Craig & Patricia Shaver Robert & Judith King in Big Sky Country – George & Lenore Whaley Ardelle Kleinsasser Donald & Linda Erlenbusch No bigger opportunity, Judith Niklason Dr . Kay Foland Carol Jean Peterson no greater reward! David & Roberta Olson Gary & Mary Brendtro John Jacoway & Linda Kropenske Marlin & Joyce Fjelland Nurse Practitioners, Verna Schad Kathryn Vigen several locations in Montana Joe & Mary Edelen Eugene & JoAnn Goodale Cynthia Elverson Thomas E . Stenvig Generous Benefits Package which Gary & Audrey Stevens Mary Ingram may include Recruitment Incentive or Education Debt Reduction Program (EDRP)

Strand-Kjorsvig Living Center Watch USAjobs.gov PO Box 195 • 801 Main Street for a current listing of vacant positions. Roslyn, SD 57261 RN or LPN: FT (3 Nights/Week) and PT (2 Nights/Week) For questions contact Both including every 3rd weekend and holiday. Candace Pescosolido Starting mid-May. Must have compact or SD license and be CPR certified. Competitive wages, at (406)447-7853 or sign on bonus and possible $10,000 if eligible. Patricia Pruett @ (406)447-7108

Call or email to Pennie or Shannon at 605-486-4523 or [email protected] to apply. EOE Page 14 South Dakota Nurse June, July, August 2017 ANA News

American Nurses Association and Hospice & Palliative Nurses Association Call for Palliative Care in Every Setting

SILVER SPRING, MD – The American Nurses The results of the comment period yielded extensive ABOUT ANA Association (ANA) and Hospice & Palliative Nurses feedback and additional resources that aided in the The American Nurses Association (ANA) is the premier Association (HPNA) have partnered to issue the Call for document’s completion . The Call for Action, which has organization representing the interests of the nation’s Action: Nurses Lead and Transform Palliative Care . This been reviewed and approved by members of the ANA 3.6 million registered nurses. ANA advances the nursing Call for Action supports the belief that seriously ill and and HPNA Boards of Directors, outlines twelve key profession by fostering high standards of nursing practice, injured patients, families, and communities should receive recommendations . These recommendations support the promoting a safe and ethical work environment, bolstering quality palliative care in all care settings . conclusion of the Call for Action and outline the steps the health and wellness of nurses, and advocating on “Every nurse should have the knowledge and ability necessary to achieve quality primary palliative nursing, health care issues that affect nurses and the public. ANA to facilitate healing and alleviate suffering through the regardless of setting . is at the forefront of improving the quality of health care delivery of safe, quality, and holistic person-centered “This call to action is the blueprint for America’s 3 6. for all. For more information, visit www.nursingworld. primary palliative care ”. said ANA President Pamela F . million nurses to transform the care and culture of serious org. Cipriano, PhD, RN, NEA-BC, FAAN . “Nurses within illness, by sharing a common framework for the delivery the palliative care specialty may practice in designated of primary palliative nursing care to all patients and ABOUT HPNA palliative and hospice teams – our call is for all nurses families, whenever and wherever they need it,” said HPNA The Hospice and Palliative Nurses Association was to take action to transform palliative care across all CEO Sally Welsh, MSN, RN, NEA-BC . “Now it is up to established in 1986 and is the national professional specialties and care settings ”. all nurses to take action ”. organization that represents the specialty of palliative In January 2016, ANA and HPNA convened the Nurses are encouraged to lead and transform palliative nursing, which includes hospice and palliative nurses. Palliative and Hospice Nursing Professional Issues Panel . care in practice, education, administration, policy, HPNA has over 11,500 members and 50 chapters This panel was tasked with completing an environmental and research . To learn more about the Call for Action: nationally. HPNA works together with the Hospice and assessment, examining palliative care nursing within Nurses Lead and Transform Palliative Care, visit http:// Palliative Credentialing Center and the Hospice and today’s health care system, and identifying steps and nursingworld org/CallforAction-NursesLeadTransformPall. Palliative Nurses Foundation to promote our mission, to strategies for nurses to lead and transform palliative care . iativeCare . advance expert care in serious illness, and our vision, After five focus areas were identified for examination, the to transform the care and culture of serious illness. Visit ______Call for Action was drafted and widely disseminated for http://hpna.advancingexpertcare.org to learn more. public comment .

ANA Enterprise Launches Healthy Nurse, Healthy NationTM Grand Challenge

SILVER SPRING, MD – The ANA Enterprise action to improve their health in five key areas: physical Nurses Association is organizing a “Show Me Healthy launched the Healthy Nurse, Healthy Nation™ (HNHN) activity, rest, nutrition, quality of life, and safety . The Nurses” 5K run . Grand Challenge, a new initiative designed to transform HNHN Grand Challenge will also provide a web platform Both individuals and organizational partners can get the health of the nation by improving the health of to inspire action, cultivate friendly competition, provide information and sign up for the HNHN Grand Challenge America’s 3 6. million registered nurses, on May 1 . Sage content and resources to users, gather user data, and serve by visiting www healthynursehealthynation. org. . Products (a part of Stryker Medical) is a corporate sponsor to connect nurses with each other, and with employers and The launch of the HNHN Grand Challenge precedes of the HNHN Grand Challenge . organizations . There will also be health challenges related the annual National Nurses Week (May 6-12), which “The ANA Enterprise has a long-standing commitment to the key areas, such as a quality of life challenge with celebrates the many contributions nurses make to keep to ensuring the health and wellness of the nation, and daily tips to reduce stress, in May, and a safety challenge America healthy . Nurses, hospitals, and other health we want nurses to be role models of good health,” said with tips on safe patient handling and mobility in June . care stakeholders are encouraged to download the ANA Enterprise CEO Marla J . Weston, PhD, RN, FAAN . Seventy state nurses associations, hospitals, nursing National Nurses Week Resource Toolkit, which includes “Nurses are committed to caring for their patients, and schools, and other healthcare organizations have already materials to help promote this annual observance in local they often put their own health aside . As a result, nurses signed up as partners and committed to a variety to health communities and in the media . are less healthy than the average American due to the goals, from increasing physical activity and improving The American Nurses Association (ANA) has demands of shift work, higher levels of stress, and lack of nutrition to preventing burnout . Aurora Health Care in designated 2017 as the “Year of the Healthy Nurse,” with access to healthy food ”. Milwaukee, for example, started a “Tender Loving Care” the tagline, “Nursing: the Balance of Mind, Body, and The HNHN Grand Challenge will connect and engage Cart to reduce stress, compassion fatigue and depression Spirit ”. Each month, ANA will highlight various health, individual nurses, employers of nurses, state nurses among nurses by offering massages, aromatherapy, Reiki, safety, and wellness topics to help guide nurses on their associations, and specialty nurses associations to take healing touch, and nutritional support, and the Missouri journey toward their best health ever .

The ANA Enterprise CEO Named One of Modern Healthcare’s “Top 25 Women in Healthcare”

Silver Spring, MD – The in terms of membership . Her stature continues to expand leverages this influence to advocate for adding nurses on ANA Enterprise is pleased and enhance ANA’s success in advocating for the nation’s prominent and high-impact national workgroups across the to announce that Modern registered nurses . In December 2016, Forbes described National Quality Enterprise . Healthcare has selected ANA ANA as “an increasingly politically powerful lobbying In addition to her ANA role, Weston is co-chair of Enterprise CEO Marla J . force in Washington and state capitals across the country ”. the Nurses on Boards Coalition, which is working to Weston, PhD, RN, FAAN, as “It is an honor to receive this recognition from Modern transform health care by placing at least 10,000 registered one of its 2017 “Top 25 Women Healthcare,” said Weston . “I am proud to be among such nurses on health care-related boards and governing bodies in Healthcare ”. The prestigious an impressive group of visionaries and leaders—especially by 2020 . biennial program honors highly at this pivotal moment in health care . I will continue to Weston has dedicated her career to improving the work accomplished health care advocate for nurses to have a seat at key decision-making and public policy environment for nurses and quality of executives who are making a tables and to speak up, because no one is better equipped care for patients . She has been a leader in a broad range positive difference in the field . to advocate for consumers than registered nurses ”. of roles, including direct patient care in intensive care Marla J. Weston, Modern Healthcare selected Weston promotes a strong national voice for nursing and medical-surgical units, nurse educator, clinical nurse PhD, RN, FAAN, Weston due to her leadership in her role as CEO of the American Nurses Association specialist, director of patient care support, and nurse ANA Enterprise CEO skills and accomplishments in (ANA); the American Nurses Foundation, ANA’s executive . health care, mentorship of female health care executives, charitable arm, and the American Nurses Credentialing The “Top 25 Women in Healthcare” honorees come and her contributions to health care at the local, state and Center (ANCC), an ANA subsidiary that promotes from all sectors, including hospitals, health systems, national levels . Modern Healthcare also honored Weston excellence in nursing and health care globally through physician organizations, insurance, government, vendors with placement on the 100 Most Influential People in credentialing programs . and suppliers, trade and professional organizations, and Healthcare list in 2014 . She accomplishes this by forging partnerships among patients’ rights groups . Weston and fellow honorees were Since becoming CEO in 2009, Weston has transformed nursing groups working on national initiatives central featured in the February 27 print edition of Modern ANA into one of the fastest-growing national associations to nursing, including care coordination, performance Healthcare and online at www ModernHealthcare. .com/ measurement, and consumer-centered care . Weston Top25Women . June, July, August 2017 South Dakota Nurse Page 15

South Dakota Nurses Association Membership Application PO Box 1015, Pierre, SD 57501 P: 605.945.4265 | F: 888.600.1232 | E: [email protected] Welcome *last name / first name / middle initial credentials New Members *street or po box # basic school of nursing home phone/

*city / state / zip graduation: month / year work phone/1jh21

employer name *r. n. license # fax/ District 1, 2 & 3 District 10 employer address / city / state / zip e-mail Denise Buchholz Cassandra Heuer Emily McKeen Karla Abbott title / position major clinical, practice, or teaching area Recruited by Kathy Boston Julie Van Dam Jennifer Lamprecht District 4 Ann Sarutzki-Tucker Membership Categories Lisa Lee Bobbie Kelly please check one Lisa Duncan Full ANA/SDNA Membership District 5-7 RN employed full or part time Stephanie Klein District 11 Tammi Chaney Reduced to 75% of Full ANA/SDNA Membership Dues (Student) Elizabeth Powell RN enrolled in baccalaureate, masters or doctoral program, at least nine (9) credit hours per calendar year Becka Schelske

Reduced to 50% of Full ANA/SDNA Membership Dues (NEW GRADS get a 2-year rate) RN who is unemployed District 8 & 9 - or - over 62 years of age & earning less than maximum allowed receiving Social Security benefits Alham Abuatiq - or - enrolled in baccalaureate, masters or doctoral program, at least 20 credit hours per year - or - RN first year, within six (6) months after graduation (Receives rate for 2 years)

Reduced to 25% of Full ANA/SDNA Membership Dues (Retired) RN who is over 62 years of age and unemployed - or - who is totally disabled

SDNA ONLY MEMBERSHIP RN employed full or part time

According to Federal tax law, you may claim 50% of your annual SDNA/ANA dues as a tax deduction. The other 50% are used in lobbying activities and are not tax deductible.

Membership Type Monthly (EDPP) Annual Full ANA/SDNA Membership $23.59 $277.00 Student ANA/SDNA Membership $17.82 $207.75 New Grads ANA/SDNA $12.04 $138.50 Membership Retired ANA/SDNA Membership $6.27 $69.25 SDNA Only Membership $16.04 $186.50 Payment Options Full Annual Payment by Check

Pay by Electronic Dues Payment Plan (EDPP) Read, sign the authorization, and enclose a check for the first month’s payment (amount shown in bold above); one-twelfth (1/12) of your annual dues will be withdrawn from that checking account monthly, in addition to an annual $6.00 (50¢ per month) service fee (total is amount above). Authorization: This authorizes ANA to withdraw 1/12 of my annual dues and any additional service fees from the checking account designated by the enclosed check for the first month’s payment. ANA is authorized to change the amount by giving the undersigned 30 days written notice. The undersigned may cancel this authorization upon receipt by ANA of written confirmation of termination 20 days prior to the deduction date as designated above. ANA will charge a $5.00 fee for return drafts. Signature for EDPP Authorization:

Pay by Credit Card ____ Full annual payment—automatic annual credit card payment (automatic renewal) ___­­­­­­­­_ Monthly payment from credit card ____ Full annual payment---one year only ______Visa/MasterCard ______Expiration date Page 16 South Dakota Nurse June, July, August 2017

Opportunities for full-time staff are available in the following positions:

• Advanced Practice Registered Nurse, Extended Care

• Advanced Practice Registered Nurse, Mental Health

• Advanced Practice Registered Nurse, Primary Care & Specialty Medicine

• Registered Nurse, Extended Care For more information: • Registered Nurse, Mental Health Visit www.USAJobs.gov or contact • Licensed Practical Nurse, Extended Care Human Resources [email protected] US Citizenship required or candidates must have Human Resources proper authorization to work in the US. Applicant(s) 4801 Veterans Drive selected for a position may be eligible for an award St. Cloud, MN 56303 up to the maximum limitation under the provision (320) 255-6301 of the Education Debt Reduction Program. Possible recruitment bonus. EEO Employer. EEO Employer

Located sixty-five miles northwest of the twin cities of Minneapolis and St. Paul, the City of St. Cloud and adjoining communities have a population of more than 100,000 people. The area is one of the fastest growing areas in Minnesota, and serves as the regional center for education and medicine.

Enjoy a superb quality of life here—nearly 100 area parks; sparkling lakes; the Mississippi River; friendly, safe cities and neighborhoods; hundreds of restaurants and shops; a vibrant and thriving medical community; a wide variety of recreational, cultural and educational opportunities; a refreshing four-season climate; a reasonable cost of living; and a robust regional economy!

Our Nurses Are When you’re a nurse at Avera, you join a team of caring people who love their work just as much as you do.

Passionate What’s so great about our nurses? About Compassionate Care They’re good communicators with positive attitudes.

They’re engaged with their coworkers and responsive to their patients.

Not to mention they lead the industry in clinical excellence at more than 300 locations in a five-state area.

Choosing Avera – Learn more about our exciting career opportunities at AveraJobs.org Avera is an Equal Opportunity/Affirmative Action Employer, Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity