A Constituent Member Association of the American Nurses Association

Volume 53 • Number 4 October, November, December 2008 Empower! Envision! Energize! Pre-conference 10/16/2008 Writing/Reviewing Continuing Nursing Education Applications

Objectives Writing an Individual CNE Application a. Describe 2 components of an adequate purpose statement b. Discuss 2 parts of measurable behavioral objectives c. List 2 components of content section of educational activity form d. Cite reasoning for 4-point Likert scale on evaluation e. List problem areas where application is not completed correctly Writing an Approved Provider Application a. Describe the three areas where AP applications are poorly completed b. Describe e components of the evaluation section of the AP application c. Discuss process of writing a narrative that shows that the unit is flexible and responding to problems appropriately Reviewing a CNE Application a. List 3 major areas to review carefully b. Discuss the “Gestalt” or wholeness of the application c. Describe the responsibilities of the reviewer, whether for your institution or for the NMNA approver unit.

Empower! Envision! Energize! 10/17/2008 Objectives

Empowered Nurses in the Work Place a. Describe 2 methods of improving the work environment b. Pathway to Excellence as a means of effecting change Envision: Lateral Violence: Change Institutional Culture a. Define lateral violence b. List 2 ways of stopping lateral violence SBAR: Efficient Communication in a Crisis a. List 4 parts of SBAR b. Describe how you will use SBAR to improve rapid, effective communication Energize: Being the Change You Want to See a. Describe what you are passionate about b. List 2 ways of keeping that flame alive c. List how to keep your sense of appreciation NMNA Annual Meeting Agenda, Speaker Bios and CE Hours on page 3

Presort Standard US Postage PAID Permit #14 The American Nurses Association Princeton, MN 55371 Endorses Senator Barack Obama See page 17 for more information 2 October, November, December 2008 The New Mexico Nurse

The New Mexico Nurse is published quarterly NEED INFORMATION? by the Arthur L. Davis Agency for the New Mexico Nurses Association with offices at 3018 Cielo Court, Here’s how to get in touch Ste B, Santa Fe, NM 87507, Phone: (505) 471-3324.

Academy of Med-Surg Nurses (AMSN) New Mexico Association of Neonatal Nurses Acceptance of advertising by the Arthur L. Davis Rio Grande Chapter, Contact: Steve Ross Contact: Raychelle Creech, (505) 839-2625 Agency does not imply endorsement or approval by 505-291-5474 or [email protected] the New Mexico Nurses’ Association of products New Mexico Board of Nursing advertised, the advertisers, or the claims made. American Assn. of Critical Care Nurses 6301 Indian School, NE, Suite 710 Advertising Rates Contact—Arthur L. Davis (AACN) Albuquerque, NM 87110 Agency, 517 Washington St., PO Box 216, Cedar Albuquerque Chapter, P.O. Box 36546 (505) 841-8340 Falls, Iowa 50613, (319) 277-2414. NMNA and the Albuquerque, NM 87156-6546 Arthur L. Davis Agency reserve the right to reject Heidi Radke, Chapter President New Mexico Developmental Disabilities Nurses any advertisement. Responsibility for errors in Email: [email protected] Association advertising is limited to corrections in the next issue Contact Person: Judi Murphy or refund of price of advertisement. American Assn. of Nurse Assessment (505) 332-6820 or [email protected] Coordinators Articles appearing in this publication express the www.aanac.org a website for members of assn. of Nightingale Scholarship League, Inc. opinions of the authors; they do not necessarily Long Term Care MDS Coordinators, offering CNE, Albuquerque, NM 87196-4416 reflect views of the staff, board or membership of on-line discussion, latest news updates. Contact Person: Ruth Franklin, (505) 294-8591 NMNA or those of the national or local associations. 1873 S. Bellaire Street, Suite 800 Denver, CO 80222 New Mexico Nurses Association 1-800-768-1880, Contact: Debbie Hoellen PO Box 29658 NMNA Board and Staff Santa Fe, NM 87592-9658 American Nurses Association (505) 471-3324 President: Mary Colleen Campbell, BSN, RN 600 Maryland Avenue, SW Ste. 100 West (first elected in 2005) Washington, DC 20024-2571 New Mexico Organization of Nurse Executives 1740 Belvoir Circle Clovis, NM 88101 (202) 651-7059 PO Box 4491 Hm: 575/763-7741 [email protected] Albuquerque, NM 87196 or their web site: Cell: 575/799-3101 Term Exp: 2009 American Society for Pain Management www.nmone.org Nursing 1st Vice-President: Vacant Contact: Linda Sorensen New Mexico Nurse Practitioner Council 4401 Royene Ave. NE, Albuquerque, NM 87110 Contact any Board of Directors Member at 2nd Vice-President: Fran A’Hern Smith, DNSc, RN (505) 724-6134 [email protected] [email protected] (appt. June 2003, elected 2003, appt. 2005, appt. 2nd VP 8/2006) 1332 Wellesley Dr. NE Albuquerque, NM 87101 Assn. of PeriOperative RNs, NM Emergency Nurses Association Hm: 505/321-6892 [email protected] Central NM Chapter Contact Jean Gomez at Wk: 505/841-4124 Term Exp: 2008 Contact Claudia Hoff, [email protected] [email protected] Secretary: Mary J. Sletten, DM(c), MSN, RN Association of Women’s Health, Obstetric and NM Wound, Ostomy, and Continence Nurses 1007 Cedardale Las Cruces, NM 88005-1247 Neonatal Nurses (AWOHNN) Contact Pat Collins at 505-473-1544 Hm: 575/525-2955 [email protected] or Contact: Kathleen Matta 505-690-6218 or [email protected] Wk: 575/527-7760 [email protected] Term Exp: 2008 Case Managers Society of American, PeriAnesthesia Nurses Assn. of NM Rio Grande Chapter Contact Corinne Flores, President 2007-08 Treasurer: Mary A.W. Ogle, MSN, RN, FNP, CNM Contact Carolyn Simon at 505-816-2059, [email protected] (first elected 2006) [email protected] OR: Elizabeth Ramos Valerie Boatright, Immediate Past President 343 B, County Rd 84-C Santa Fe, NM 87506 at 505-228-2238, [email protected] [email protected] Hm: 505/455-0251 [email protected] Term Exp: 2008 Desert Mountain Chapter NM School Nurses Association (NMSNA) American Society for Pain Management Nursing Contact Judith Bauer-Creegan, RN, BSN, MSN, Contact: Irene Zamora, RN, MSN, CNS President 505-272-8727 or [email protected] [email protected] (505) 882-0036 Directors: Legal Nurse Consultants, Greater Albuquerque Chapter If you would like your organization’s name and 1 Marleen L. Apodaca, MSN, RN (first elected in 2006) Contact Maria Scarpelli at 505-352-6562 phone # listed in the New Mexico Nurse, forward 3427 Painted Rock Dr., NW Albuquerque, NM 87120 or [email protected] your information to: Hm: 505/836-7723 [email protected] NMNA, PO Box 29658 Wk: 505/476-7925 Term Exp. 2008 New Mexico Association for Home Care Santa Fe, NM 87592-9658 3200 Carlisle Blvd. NE 2 C. Tiffany T. Baggs, BSN, RN (first elected in 2007) Albuquerque, NM 87110 1313 Doepp Drive Carlsbad, NM 88220 (505) 889-4556 Hm: 575/887-6725

3 Barbara Hickok, MPH, BSN, RN (first elected in 2004) 2729 Texas St. NE Albuquerque, NM 87110 Hm: 505/275-3910 [email protected] Wk: 505/827-2423 Term Exp: 2008

4 Leigh DeRoos, BSN, RN (first elected in 2007) 4644 Sandalwood Drive Las Cruces, NM 88011 Hm: 575/521-4362 [email protected] Term Exp. 2009

5 Lorena (Lorie) A. Kroeger, BSN, RN (first elected in 2007) 1925 Fairway Terrace Clovis, NM 88101 Hm: 575/742-2905 [email protected] Term Exp. 2009

6 Melanie E. Cogan, MSN, RN (first elected 10/2007) 99 Osito Los Alamos, NM 87544 Hm: 505/661-4094 [email protected] Term Exp. 2008sn.com Term Exp: 2009

NMNA Website: www.nmna.org NMNA general Email: [email protected] CNE application Email: [email protected] Office Phone: 505/471-3324 Office Fax: 877/350-7499 toll free

E.D.: Carolyn Roberts 3692 St. Rd. 14 Santa Fe, NM 87508-8063 Hm: 505/471-2169 [email protected] Cell: 505/577-0752

Lobbyist: Linda Siegle P.O. Box 720 Cerrillos, NM 87010 Hm: 505/471-7643 [email protected] Wk: 505/471-3563 Cell: 505/690-5850 The New Mexico Nurse October, November, December 2008 3 Nursing Information DISTRICT PRESIDENTS MISSION STATEMENT Web Sites AND CONTACTS New Mexico Nurses Association is committed NM Nurses Association: www.nmna.org to advocating for all licensed nurses, improving DNA 1, Albuquerque—Margaret Onuska, Information on the organization, calendar of health care, and promoting life-long learning. 3907 Hanett NE, Albuquerque, NM 87110, events, legislative update, on line registration Hm: 505/268-0723. for workshops, job listings for all kinds of health Core Values DNA 2, Santa Fe—Kimberly Stout, 7 care jobs, and Continuing Education applications • Promote the professional and educational Vuelta De la Tusa, Santa Fe, NM 87506, for workshops for nurses. advancement of nurses. [email protected], 505/992-1145. • Develop alliances with other professional DNA 4, Clovis—Stephanie Martin, health care organizations on issues affecting [email protected], 575-765-7379. NM Board of Nursing: nurses and health care. DNA 7, Carlsbad—Inactive but www.bon.state.nm.us • Enhance recognition of the contribution of contact—Tiffany Baggs, 1313 Doepp Drive, Lists board meeting dates, download the the nurse in health care. Carlsbad, NM 88220, [email protected], • Promote high standards of nursing practice Nursing Practice Act, Rules and Regulations, Hm: 505/887-6725. by upholding the integrity of the New download renewal forms, complaint forms, get DNA 10, Raton—Tina Bird, 649 Mora Ave., Mexico Nursing Practice Act. Raton, NM 87740, [email protected], Hm: information on recent rules and regulation • Improve access to health care services by 505/445-2821. changes, get names of board members. expanding opportunities for nurses. DNA 14, Las Cruces—Leigh B. DeRoos, • Foster personal and professional self- 4644 Sandalwood Dr., Las Cruces, NM 88011, advocacy. [email protected], Hm: 505/521-4362. NM Center for Nursing Excellence: • Advocate for nurses through legislative, DNA 19, Farmington—Dianne M. www.nmnursingexcellence.org regulatory, and policy making endeavors. Bonebrake, P.O. Box 887, Kirtland, NM 87417, Information on NMCNE activities to lessen revised 06/03/2008 [email protected], Hm: 505/598-0232. the nursing shortage, recognize nurses for their accomplishments, Links to nursing Inactive: organizations, workforce reports and much, DNA 3, Tucumcari; DNA 5, Roswell; DNA 6, much more. Hobbs; DNA 8, Española; DNA 9, Los Alamos; Speakers Biographies DNA 11, Taos; DNA 12, Silver City; DNA 13, Las Vegas; DNA 15, Alamogordo; DNA 16, Gallup; NM Nurse Practitioner Council: Mary J. Sletten, DM(c), MSN, RN is a DNA 17, Deming www.nmnpc.org faculty member of Dona Ana Community Information on the organization, activities, College, part time staff nurse at Memorial legislative initiatives, and formulary for sale to Medical Center, is working on her PhD through the University of Phoenix in Organization NPs. Management, with a concentration in workplace environment. Ms. Sletten is on

the American Nurses Credentialing Center’s American Nurses Association: Pathway to Excellence Governing Council. www.nursingworld.org Membership, bookstore to buy standards of Tamela Lewis, MEd, Harvard and MA various nursing practices, the Code of Ethics in Interpersonal Communications (Az State for Nurses, Online Journal of Nursing, press Univ.), Tamela has had a consulting business releases on various legislative initiatives, for the last 20 years, traveling all over the U.S. connections to state (constituent) nurses as a dynamic speaker and corporate trainer. associations, American Nurses Credentialling She is also a mediator with the U.S. Postal Center, and the American Academy of Nursing. Service.

Debra Perez, MBA in HCAdministration, Exceptional Nurse: BSN, is the President of Leadership Excellence www.ExceptionalNurse.com Solutions, served as the Content Expert for the A nonprofit resource for nurses and students NM Center for Nursing Excellence Clinical with disabilities. The email address is Teaching Institute Leadership courses, and is [email protected]. an exciting professional speaker.

Continuing Nursing New Mexico Nurses Association Annual Meeting Agenda Education hours:

Friday October 17, 2008 • Writing CE applications: each session is MCM Elegante Hotel, Albuquerque, NM 2.0 contact hours • The CE Application courses, Ms. Sletten, and Ms. Perez’s sessions: NMNA Members will be given voting cards for all issues requiring them. Provided by NMNA, an approved provider of the Virginia Nurses 11:30 a.m. Luncheon is served. Association, an Accredited Approver of the American Nurses Credentialing 12:00 p.m. Call to Order—Mary Colleen Campbell, President Center’s Commission on Accreditation. • Tamela Lewis’s sessions were 12:05 p.m. Roll Call by District—Members will stand when district is named approved by the NMNA, an Accredited Approver by the ANCC Commission on 12:08 p.m. Bylaws: Discussion of changes, vote on Bylaws changes. Accreditation.

12:20 p.m. Legislative Agenda— We cannot provide members with wording of bills, because they will not be drafted until January, 2009, but what we want is a sense of the membership on what issues are of great importance to you. Please be prepared to discuss your choices. ❏ Nursing education funding- maintain or increase? ❏ Nursing scholarships/ loan for service/ other? ❏ Whistle-blower ❏ Health care reform- ❏ Single payer? ❏ Mandatory coverage? ❏ Based on commercial insurance plans? ❏ Staffing- ❏ Is NMONE’s Voluntary Consensus Guidelines on Staffing good enough? or ❏ Mandatory Staffing committees with 50% bedside nurses in each facility? ❏ Patient safety [hours nurses can/ must work, mandatory overtime, on-call, etc.] ❏ Other – specify please ______

12:45 p.m. nstallation of Officers and Board members [only newly elected/ re-elected]

12:55 p.m. Quick break before 1 p.m. session begins. 4 October, November, December 2008 The New Mexico Nurse What Must We Do About Lateral Violence? Tamela Lewis (tamelalewis.com) AND at the same time have the discipline to confront says, “You can have your space and mine.” (In this the most brutal facts of your current reality, whatever context, “space” is simply a mapped off area— Lateral violence is showing disrespect to coworkers, they might be (p. 13).” emotionally, physically, verbally, etc.) So aggression subordinates, and bosses through bullying—verbally and passivity are “perfect partners,” though neither (put-downs), nonverbally (eye rolling), by what is done THE BRUTAL REALITY: THE PROBLEM choice is healthy. The healthy choice is assertiveness. (gossiping) and by what is not done (withholding The brutal reality is that the need for nurses Assertiveness says, “I have my space and you have information). is drastic and promises to only get worse. In an yours. I will respect your space and I expect you to international study, researchers found that one in respect mine.” Healthy people are both respectful of Stockdale Paradox three nurses plans to leave his or her position because others and expect respect themselves. Understanding the Stockdale Paradox is a positive of lateral violence (McMillan, 1995). "In the U.S., After spending many years as a mediator and approach to addressing the shortage of nurses created, 'the turnover rate is 33%-37% for clinical practicing communication specialist, I know it can be changed. in part, by lateral violence within the industry. The nurses and 55%-61% for newly registered nurses. The eradication of lateral violence can be done. Lateral author of the bestseller, Good to Great, says this Approximately 60% of newly registered nurses leave violence is a “brutal reality” but “never losing faith” about a key philosophy needed to make changes: their first position within six months because of some means taking steps to change Lateral Violence and “Confront the Brutal Facts, Yet Never Lose Faith!” form of lateral violence." (Beecroft, Kunzmman, & persisting in those changes. The nursing profession When the author (Collins, 2001) studied companies Krozek, 2001; McKenna, Smith, Poole, & Coverdale, can become a welcoming, friendly, safe environment that found themselves in dire circumstances that 2003; Winter-Collins & McDaniel, 2000) for every nurse. then went on to become great (productive, enjoyable “Registered nurse turnover costs up to two times place to work, etc.), he said, “We learned that a former a nurse's salary; the cost of replacing one RN ranges References prisoner of war had more to teach us about what it up to $145,000 depending on geographic location and Beecroft, P. C., Kunzmman, L., & Krozek, C. (2001). takes to find a path to greatness than most books specialty area (Wojick, Vitello, Freedman, Everett, Outcomes of a one-year pilot program. Journal of Nursing on corporate strategy. Every good-to-great company & Hagenmueller, 2005).” The problem is magnified Administration, 31, 575-576. had what we came to call the Stockdale Paradox: You by the projection of an RN shortage of as many Buerhaus, P. I., Donelan, K., Ulrich, B. T., Norman, L., & Dittus, R. (2006). State of the registered nurse workforce in must maintain unwavering faith that you can and as 800,000 by 2020. (Buerhaus, Donelan, Ulrich, the United States. Nursing Economics$, 24(1), 6-12.Aiken, will prevail in the end, regardless of the difficulties, Norman, & Dittus, 2006) L., et. al. (2002). Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction. Journal NOT LOSING FAITH: THE SOLUTION of the American Medical Association, 288. If facing the problem head-on is part of the Collins, J. (2001). Good to Great. New York: Harpers Stockdale Paradox, the other important component of Collins Publisher. the Stockdale Paradox is to know lateral violence can McKenna, B. G., Smith, N. A., Poole, S. J., & Coverdale, be fixed. The wonderful news about lateral violence J. H. (2003). Horizontal violence: Experiences of registered is that it can be eradicated from the industry. Know- nurses in their first year of practice. Journal of Advanced how, perseverance, and a commitment to “prevail Nursing, 42, 90-96. McMillan, I. (1995). Losing control. Nursing Times, in the end” can turn it all around. There are real 91(15), 40-43. solutions to real problems. Winter-Collins, A., & McDaniel, A. M. (2000). Sense of One small step is learning boundary setting. belonging and new graduate job satisfaction. Journal of Setting boundaries is a task that on the surface Nurses in Staff Development, 16, 103-111. initially appears simple, but once practiced, can Wojick, T., Vitello, J., Freedman, J., Everett, T., & stir up intense feelings in all participants. Lateral Hagenmueller, A. (2005). Six seconds EQ institute for Violence is really about aggression. Aggression healthcare leadership. Retrieved Retrieved June 14, 2005, says, “I will take my space and yours.” Passivity from http://www.healtheeq.com/problem.php. The New Mexico Nurse October, November, December 2008 5 ANA House of Delegates Meeting

Carrie Roberts one of the resolutions brought to the House and passing these directions on policy: The ANA House of Delegates (HOD) was held • addressing strengthening Social Security, in Washington, DC in June. This bi-annual • strengthening Medicare and urging changes event includes meeting with the presidents and to remove the no-negotiations on drug prices executive directors of all the constituent member section, associations, but the focus is on the 600+ delegates • addressing Global Climate Change, from around the country being provided with • domestic violence, reports by various sub-groups of ANA; electing • human trafficking, new officers and board or committee members; • the issue of mandated BSN degrees within learning about the most recent efforts of ANA 10 years of a diploma or associate degree and their partners to effect changes in health graduation, care policy, and the financial stability of ANA; • support of the Doctor of Nursing Practice for discussing, modifying, and passing or defeating NPs, proposed bylaws changes to ANA; and discussing, • and much more. modifying, and passing or defeating resolutions Attending the HOD is exciting, frustrating, and directing the policy-efforts of ANA. tiring, however you feel you are working to improve Hillary Rodham Clinton, who’d been endorsed the profession, and meeting nurses from across by ANA during the primaries spoke at the House Mary J. Sletten and Mary Colleen Campbell the US, Puerto Rico and Guam. ANY member of of Delegates about her long involvement in health at the House of Delegates. NMNA/ANA can run for a delegate position. The care reform, the importance of nurses being at the next House of Delegates is in June, 2010. Think table to help with policy decisions, and her support hotel- I depended on Mary’s reading the maps (yes, about running next year! of Barack Obama as the Democratic nominee. multiple maps), and Colleen Campbell’s watching The following day Senator Obama attended by street signs, and my avoiding hitting anyone else conference call. Attached are pictures (from the to get us safely, thank heavens, to and from the large-screen projectors of Senator Clinton speaking Hilton. before the HOD, and the picture of Senator Obama After ten years of attending HOD meetings, this during the conference call). was the absolutely best one! Not only did we pass Because of the size of the ANA meetings, they some important bylaws changes for ANA, and elect always are held in the biggest hotels in the city, a terrific board, but we were able to address every and by definition, the most expensive. NMNA is a small state, as far as membership and finances go, so our three delegates stayed off-site in less expensive places. This necessitated renting a car to get back and forth. (Riding the DC Metro was an option, however the meetings started at 6:30 a.m. and lasted until 11 p.m. at night and we were concerned about safety on public transportation that late at night). Oh, was travel to and from the Hilton an adventure! John F. Kennedy once said, "Washington, DC is a city that demonstrates Southern efficiency and Northern charm." If you have never driven in DC, let me tell you, the first three days it took us 60-90 minutes to find our way, the next two days took us 30-45 minutes, and the last day it took us 20 minutes each way. We saw the back streets of Georgetown, saw traffic Barack Obama (attending by conference circles with 6 or 7 exits and 3 lanes around it, and call). had to drive around the entire circle more than once to be in the proper lane to get the exit we Hillary Rodham Clinton needed, at least once a day! I never did figure out which way to turn when we got near Mary Sletten’s 6 October, November, December 2008 The New Mexico Nurse The Dream is Within Your Reach Finding Hozho Theresa Meyer RN or underserved population.You must also be a by Sheyenne Lewis New Mexico resident and accepted to a Nursing Many of us wonder if the dream of becoming a Program at a New Mexico College or University. Yadilhil shitaa’. Registered Nurse is within our reach. I wondered http://www.hed.state.nm.us as I was a Licensed Practical Nurse with another Workforce Investment Act—I was able to receive Ya’at’eeh abini. Shi ei Sheyenne Lewis yinishe. Bachelors Degree in another field. I was looking assistance as a displaced worker and homemaker Haashk’aan hadzohi nishli. Haaltsoi bashishchiin. at the prospect of going back to school in 2005. I under this Federal Program. My tuition and books Tlizilani dashichei. Doo tachiinii dashinali. Aa koo applied to two Associate Degree Nursing Programs: were paid for during the third and fourth semesters t’ao asdzani nishli. New Mexico State University at Alamogordo and of my Nursing Program. The program focuses on The phrase “Sa’a naghai bikee hozho” is what I Eastern New Mexico University at Roswell. I was training and skills development for adults to foster live by. Hozho exists only in the Glittering World. excited to be accepted to both programs but the independence from welfare programs. The New And through prayer, chants, ceremonies, and holy reality set in and I wondered how I was going to Mexico Department of Workforce solutions can words, we exist. Hozho is an art and it shows pay for my education. provide additional information for available WIA through our work. Hozho is in our spoken words, I looked at various programs and was able to funds. http://www.dws.state.nm.us in the love we give, in the eyes of our patients, and receive financial aid from all of them. Though I As a practicing Registered Nurse I have been in the hearts of us, azee neikahi. It is in all things had applied for various scholarships I was able to able to consolidate my student loans through New and connects all things. Hozho will not only guide fund my education with the following programs: Mexico Student Loans http://www.nmstudentloans. me in life but in my nursing career as well. Stafford Loans—These loans are federal org/ and pay 1.25% interest on my consolidated I have been educated by UNM’s best nurses to subsidized loans that are available through loans. Those individuals who have all their student restore Hozho in every individual. By integrating application through the US Department of loans with New Mexico Student Loans are able to science, medicine, and traditions, I will do my Education by completing the Free Application for repay them at 0% interest. The requirements for best to prevent illness and disease. But if disease Federal Student Aid. This Program is based on both interest rates require that the loans are in shall take its course, I will do my best to treat financial need. I was fortunate because I was able repayment and are not in default. the patient in need. With privilege, I accept the to qualify for funding for two of the three semesters As I continue with my education for my responsibilities, challenges, and happiness that of my Nursing Program. www.fafsa.ed.gov BSN and MSN I am in search of scholarships will come with nursing. With all said, may my New Mexico Higher Education Department and fellowships. I have applied for several colleagues and I preserve beauty, find harmony in Nursing Loan for Service—I was able to apply for scholarships listed at http://www.fastweb.com life and also find order again after Hozho has been the assistance through the NM Higher Education and will be looking for more money on http:// disturbed. Department. Applications are accepted by July www.brokescholar.com. These are free websites Hozho nahadsdlii. 1st every year. You must have a financial need that list available scholarships for many different Hozho nahadsdlii. and have to agree to work in a rural area or disciplines. Hozho nahadsdlii. an underserved population (i.e. Department of It may look daunting to pay for college but the Hozho nahadsdlii. Veterans Affairs, or Indian Health Services). money is available for those who are willing to ask A portion of the loan will be forgiven for each for it. Don’t be shy. The payoff in the end will be year of service in a rural area of New Mexico great and you will have yourself to thank for it. The New Mexico Nurse October, November, December 2008 7 RN Delegates To ANA’s Biennial Meeting Take Action To Work Toward Greater Nurse Retention, Address Public Health Issues

Silver Spring, MO—More than 600 elected than one year, delegates resolved to support the establishment of the nation’s Social Security registered nurse delegates to the American Nurses successful integration of new nurses into the work program, resolved to work with Congress and Association (ANA) passed several proposals environment, including residency programs, and to the President to strengthen Social Security designed to improve nurse retention rates while support nursing research efforts that demonstrate and extend its solvency beyond 2042. simultaneously advancing the public’s health at its effective plans for successful integration of new • ANA resolved to advocate for the expansion of House of Delegates meeting held in Washington, nurses into the work environment. Medicare from the traditional “medical model” D.C. Additionally, ANA delegates passed the following to include a focus on prevention, wellness and With one half of all new graduate nurses measures, many of which could have significant primary care services. leaving their first professional assignment in less impact on public health: • ANA resolved to advocate and promote than one year, delegates resolved to support the • Delegates approved a resolution that legislative and educational activities that successful integration of new nurses into the work recognizes the impact global climate change support advanced degrees in nursing. environment, including residency programs, and to has on the health of the world’s population Increasing the level of education required for support nursing research efforts that demonstrate and encourages nurses to advocate for change continued registration as a registered nurse effective plans for successful integration of new on both individual and policy levels. The by requiring RNs to attain a baccalaureate nurses into the work environment. measure calls on ANA to incorporate global degree in nursing within ten years after “Retention of nurses is a vital element in climate change into its legislative agenda, initial licensure, while maintaining the combating the critical nursing shortage. Nurse and support public policies that endorse multiple entry points into the profession. residency programs that provide a structured, sustainable energy sources and reduce • ANA further resolved to advocate for mentored environment will help new nurse greenhouse gases. legislation that increases access to oral health graduates progress from beginners to competent • ANA also resolved to advocate for research to care for older adults and support efforts to nurses. At a time when the nursing shortage identify real or perceived gaps and barriers to raise awareness of the importance of oral threatens to impact the quality of patient care, we health care for veterans and their families. health and preventive care for older adults. owe it to the nursing profession, and the public we • Recognizing concerns over the adverse affects • ANA resolved to begin a dialogue with the serve to work toward the successful integration of linked to food additives and contaminants, American Red Cross over the elimination of newly graduated nurses into the work environment ANA has resolved to work collectively its Chief Nurse Officer position, and to urge as well as improving the working conditions for with CMAs, affiliates and health care the Red Cross to re-instate a Chief Nurse experienced nurses,” said ANA President Rebecca organizations to eliminate purchasing milk Officer position at its national headquarters. M. Patton, MSN, RN, CNOR. and dairy products for use in the health care ANA members also resolved to increase industry that contain hormones. awareness and education among nurses about • ANA resolved to recognize the impact human the effects of intimate partner violence on the trafficking has on the public health and the health, safety and welfare of families, children and profession of nursing, and to advocate for and communities, and advocate for the use of evidence- seek opportunities to ensure nurses have the based clinical guidelines in caring and treating skill sets to properly identify and refer victims victims of violence. ANA endorses the use of of human trafficking. ANA has also resolved routine, universal and culturally sensitive intimate to advocate and support legislation that partner violence screening tools and protocols in further enhances protection and prosecution all nursing specialties and settings. in an effort to decrease the incidence of With one half of all new graduate nurses human trafficking. leaving their first professional assignment in less • ANA, one of the original supporters for the 8 October, November, December 2008 The New Mexico Nurse Workplace Safety And Needlestick Injuries Are Top Concerns For Nurses SILVER SPRING, MD—The American Nurses by a contaminated needle while working. This within four hours; two percent within the first Association (ANA) today announced the findings figure is virtually identical to the 2006 study in eight hours; three percent the next day; and one of the 2008 Study of Nurses’ Views on Workplace which 73 percent claimed to have experienced a percent more than 24 hours afterwards. Safety and Needlestick Injuries, an independent contaminated needlestick. In 2008, more than Ninety-five percent of nurses report taking a nationwide survey of more than 700 nurses. one-third (35 percent) reported two or more Hepatitis B vaccine to protect them from Hepatitis According to the latest research, nearly two-thirds contaminated needlesticks over the course of their B infection due to occupational exposure. (64 percent) of U.S. nurses say needlestick injuries career. and blood borne infections remain major concerns, When asked how nurses attained their most Availability of Safety Syringes and 55 percent believe their workplace safety recent needlestick injuries, the top three responses Illustrating the improved availability of safety climate negatively impacts their own personal include: while giving an injection (28 percent); syringes, only three percent of nurses say safety safety. before activating the safety feature (19 percent); syringes are not available in their healthcare “An overwhelming majority of nurses (87 and during the disposal of a non-safety device (19 facility, compared to seven percent in 2007. percent) say safety concerns influence their percent). According to survey respondents, the types decisions about the type of nursing they do and of safety syringes available in their healthcare their continued practice in the field. This study Underreporting of Needlestick Injuries facility include: manually retractable syringes exemplifies the serious concerns expressed by While the overwhelming majority of nurses (57 percent), retro-fitted syringes (49 percent) and nurses across the country. Concerns that may (91 percent) are familiar with their workplace’s automatically retractable syringes (37 percent). prompt nurses to leave the bedside, exacerbating protocol regarding needlestick injuries, 79 percent Nurses’ preferences for safety syringes include: the growing nurse shortage. To enhance the safety of those accidentally stuck by a needle while • No preference as long as it is a safety syringe climate of all healthcare workers, improvements working say they reported the incident, compared (41 percent) need to be made to the workplace environment and to 83 percent in 2006. • Automatically retractable syringe (34 percent) staffing levels,” said ANA President Rebecca M. Although the vast majority (86 percent)) of nurses • Manually retractable syringe (14 percent) Patton, MSN, RN, CNOR. believe their department strongly encourages and • Retro-fitted syringe with add-on piece (5 supports the reporting of needlestick injuries, percent) Workplace Safety Climate nearly three-quarters (74 percent) of nurses believe • Do not prefer to use safety syringe (3 percent) According to the study, the vast majority of needlesticks are still underreported, down from 86 • Prefer to try something new (3 percent) nurses (89 percent) say increasing workloads percent reported in 2006. and workplace stress levels (84 percent) impact How to Improve Safety Syringes workplace safety. When asked how their employer Evaluations and Treatment after Needlestick In 2006, 96 percent of nurses surveyed said ranks key issues, 35 percent of nurses perceive Injuries there was room for improvement in the design of patient care and organizational reputation as Nearly half (46 percent) of those who have been safety syringes. Similarly, in 2007, 95 percent first, followed by patient safety, infection control, stuck say, during their most recent needlestick believed design improvements were needed; and healthcare worker safety and staff productivity. injury, they received an evaluation or were treated in 2008, 94 percent state there still is room for Illustrating scenarios that could potentially within one to two hours; yet more than one-third improvement. increase errors in the workplace, the majority (39 percent) state they were not evaluated or Nurses nationwide say they would improve the of nurses surveyed (59 percent) say that when treated at all. Nine percent say they were treated design of current safety syringes by: pressure mounts, they feel the need to work faster, even if it means taking shortcuts. Results of the survey underscore the reality of 2008 2007 2006 nurses’ stereotypical self-sacrificing nature. When asked if they put patient care first before their own Hands and fingers stay behind the needle when personal safety at work, the vast majority of nurses activating the safety mechanism 64 percent 65 percent 71 percent (82 percent) say “yes.” Safety feature activated using one hand 63 percent 73 percent N/A Needlestick Injuries Sixty-four percent of nurses report being Syringe is permanently disabled after the safety accidentally stuck by a needle while working. mechanism is activated 62 percent 69 percent 72 percent This mirrors findings from the 2006 Study of Needlestick Injuries and Safety Devices. Although Needle withdraws into the barrel 57 percent 63 percent 63 percent in 2008, 75 percent report being stuck by a standard (non-safety) syringe, and in 2006, the Safety feature is integral to the design of the syringe 49 percent 61 percent 64 percent figure was 85 percent. Among those nurses reporting needlestick No add-on pieces such as sheaths, shields or caps 40 percent 45 percent 59 percent injuries, a staggering 74 percent have been stuck Continued to page 9 The New Mexico Nurse October, November, December 2008 9 Workplace Safety . . . Other Health and Safety Issues Medication Errors, also co-sponsored by ANA and Continued from page 8 This study reveals the vast majority of nurses Inviro Medical; and those from the 2006 Study of (86 percent) support universal healthcare, similar Needlestick Injuries and Safety Devices, which Although the 2000 Needlestick Safety and to a recent study conducted by Indiana University surveyed nurses, as well as directors of infection Prevention Act (NSPA), adopted as public law School of Medicine, in which more than half control, and was sponsored by Inviro Medical 106-430 by the 106th Congress, mandates that (59 percent) of U.S. doctors said they support Devices. institutions conduct annual product reviews and legislation to establish national health insurance. that nurses be involved in the decision-making Illustrating the impact of “going green” on the About American Nurses Association process, two-thirds (66 percent) of nurses state healthcare industry, nearly all nurses (97 percent) The American Nurses Association (ANA) is they do not have the opportunity to influence say they would be inclined to recommend a safety the only full-service professional organization the selection of sharps safety devices in their syringe offering environmentally friendly solutions representing the interests of the nation’s 2.9 workplace, compared to 58 percent in 2007 and 57 compared to competitive products if the safety million registered nurses through its 54 constituent percent in 2006. syringe created less medical waste. member nurses’ associations. The ANA advances “This study spotlights cause for concern when the nursing profession by fostering high standards those individuals most susceptible to on-the-job About the Survey of nursing practice, promoting the rights of nurses needlestick injuries are not a part of the selection Conducted in April, the 2008 Study of Nurses’ in the workplace, projecting a positive and realistic and evaluation process for sharps safety devices,” Views on Workplace Safety and Needlestick Injuries view of nursing, and by lobbying the Congress and says Gareth Clarke, chief executive officer of Inviro is based on an online, nationwide survey of nurses. regulatory agencies on health care issues affecting Medical Devices. “Yet, we know that 74 percent of The study is sponsored by the American Nurses nurses and the public. the nurses surveyed say they would not consider Association, with support provided by Inviro Medical working for an employer which does not provide Devices. About Inviro Medical Devices safety syringes.” Designed to capture opinions, concerns and Founded in 1988, Inviro Medical Devices experiences about the workplace safety climate and engineers and markets safe medication delivery An Ounce of Knowledge needlestick injuries sustained by nurses, this year’s systems, including the patented InviroSNAP!® While enrolled in their nursing education study was developed and co-sponsored by ANA with InviroSTRIPE® Safety Syringe, a manually program, three-quarters (75 percent) of nurses and Inviro Medical Devices (www.inviromedical. retractable safety syringe with an integral write- say they were provided with knowledge and skills com). For complete research results, please visit on stripe that allows critical information to be regarding needlestick injury prevention. Even so, http://nursingworld.org/MainMenuCategories/ recorded directly onto the syringe barrel. After the majority of nurses (62 percent) believe it would OccupationalandEnvironmental/occupational health/ years of research to develop its patents and refine be beneficial to receive more information about OccupationalResources/2008SafetyandNeedlestickSt its product designs, the company is addressing the needlestick injury prevention. More than one- udy.aspx growing $1.6 billion safety syringe market and quarter (29 percent) say they are not familiar with introducing its breakthrough infection control the Needlestick Safety and Prevention Act of 2001. • 32 percent have been a nurse for one to five technology in North America. Headquartered years in Atlanta, Inviro Medical Devices is becoming Advocacy for Safety in the Workplace • 12 percent have been nurses for six to 10 years a leading industry champion in the quest to The importance of a partnership is reflected • 8 percent have been a nurse for 11 to 15 years increase infection control awareness and to protect in the fact that more than two-thirds (68 percent) • 48 percent have been nurses for more than 15 healthcare workers, patients and the environment of nurses say they share the responsibility to years with innovative medical devices. For more advocate for workplace safety with their healthcare information, visit www.inviromedical.com. employer. Twenty-nine percent state they are their The survey’s margin of error is plus or minus 3 Editor’s Note—Camera-ready charts and graphs own primary advocate, and three percent say their percent. of key findings from the 2008 Study of Nurses’ employer alone is responsible. The survey findings build upon those captured Views on Workplace Safety and Needlestick from last year’s 2007 Study of Injectable Injuries are available by contacting www. nursingworld.org. 10 October, November, December 2008 The New Mexico Nurse A Perfect Compliment To Carrie’s Corner

Every Compliment by Carrie Roberts and nurses, improve health care and the When was the last time 39 1/2 years of nursing work environment. you received a compliment? I think I’ve worked in at least a third of nursing The association serves How did you respond? Did settings over the years: as a pool of support you acknowledge the person and mentorship, by saying, "Thank you. That • Med-surg. in a 650 bed hospital, for networking, means a lot to me!" Or, did • night supervisor in a 30 bed heart and lung and for information you respond in a way that hospital, about issues around Carrie Roberts made it difficult for that • head nurse on a women’s unit in a state the state that it is person to compliment you in mental hospital, addressing or wants to address. the future? • a CCU nurse in a 50 bed rural hospital, • Over the past five years NMNA has worked This Communication • OR circulating nurse, to bring into focus the issues of staffing, Booster Shot explores how • Newborn Nursery, long hours, the changing requirements of an Susanne Gaddis you respond when someone • pediatric office, aging “Nurseforce,” for allowing flexibility of says something nice. My • home care specializing in pediatrics (but scheduling for the nurse with young children hope is that this is a Communication Booster Shot also enjoyed caring for my elderly patients), or aging parents, or for aging bodies that you'll use often. • mid-size hospital Obstetric unit, cannot function a full-twelve hour, or even Learn It. Use It. Teach It. • family practice nurse practitioner for both eight-hour shift. If we do not want to lose the In-Joy, private practices and low-income clinics, collective wisdom of our “mature” nurses, we Susanne • clinical director for two different small- need to help the facilities in which we work college health offices, and for 7 years, understand these issues better. I’m delighted • the Executive Director for the New Mexico to say that hospitals and agencies are finally Communication Booster Shot #5 Nurses Association. hearing this and beginning to provide opportunities for mature nurses to work In all those years, and in all those settings, the shorter hours and for nurses to have flexible HOW TO ACCEPT A COMPLIMENT lessons I’ve learned include these: schedules. In Texas there is even a hospital In truth, there are behaviors that we can • The passion I bring to my work keeps me that allows nurses with young children to use that make others want to compliment us. Whole. When I strive to learn new skills, have the summer off! Conversely, there are other responses that can new attitudes, and am encouraged to be • The Pathway to Excellence and Magnet directly decrease the chances that they will creative in my care plans and interactions Recognition programs are the culmination of acknowledge our efforts in the future. with my patients, I remain engaged and all my late-night visions of what the nursing The first misstep is when we don't acknowledge productive. When life events or co-workers profession can be. a compliment. Here, we appear to ignore the and supervisors intervene to make work • NURSES are the reason patients go to person's words. The result? The person may routine, I become bored and less effective in hospitals. Not the doctors, not for spa- feel slighted, wondering whether you heard the my interactions with everyone. treatments and pampering. NURSING CARE comment at all. • When I’ve encountered lateral violence is what the patients require. I’ll grant the Another poor response is to acknowledge (sabotage by co-workers, eye-rolling, criticism physicians give a broad overview of what that the compliment, then follow it with a negative behind my back, down-right hostility, sexual care should entail, but the execution of that statement, such as: "Thank you for saying harassment, and screaming fits by surgeons), care is up to the individual nurses and the something! I just wish someone else would notice it has made me want to leave my job and/ or teams of affiliated health professionals who all of the hard work I'm doing around here." Or: leave my profession. assist in that care to help the patient heal and "I appreciate it. But, we've got a lot more work to • I did work in a factory for three months return to a productive life or die a peaceful do before this is finished." In both instances, the between nursing jobs. NO CREATIVITY death. We must take responsibility for that compliment is effectively derailed. there at all! I had dreams that my envelope- care, and work with the administrations Yet another "compliment squasher" is to stuffing monster machine was intentionally to improve the work environment, to staff downplay what is being said by deadpanning: "Ah, working against me. Minimum wage is just appropriately, to provide the tools necessary it's nothing," or "That's what I get paid for," or "It's not worth the stress of being a “working stiff.” to investigate and implement evidence-based just a part of my job." • I am a PROFESSIONAL. I have the practice, and to provide time to interact Finally, avoid disagreeing with those who responsibility of maintaining professional therapeutically with our patients and compliment you. "Oh no. That's not true," or "You've standards of care, the ethics of my care to my colleagues. got to be kidding" may create the impression that patients, co-workers and self, of practicing NMNA is holding its annual convention in you lack self-esteem. within the bounds of the Nursing Practice Albuquerque October 16th and 17th. We will have Act, and working to advance my profession. I presenters who will provide you with information "Sometimes you've got to go through Boo Hoo to get was a professional when I received my diploma on what empowered nursing looks like, feels like, to Woo Hoo"—Susanne Gaddis, PhD from Presbyterian-St. Luke’s Hospital in and ways you can help to achieve it; discussions Chicago, but understood my role much better on lateral violence in the workplace and a few after I’d achieved my BSN and my MSN. After techniques to counteract those behaviors; on a seven years as E.D. of NMNA, I’ve learned means of communicating significant changes in from members and board members, my patient conditions to others quickly and effectively; observations of disciplinary hearings at the and how to maintain that passion you have Board of Nursing, and my interactions with for nursing. The pre-conference is a full day of nurse leaders in New Mexico and nationally activities teaching how to write a CE application through the ANA the potential and pitfalls of for an individual activity, for approved providers professional nursing in the U.S. (hospitals and organizations offering lots of CE • During my career, just like during my activities), and for how to review a CE application education, I’ve had a very few stellar either for a facility, or for NMNA. This conference, mentors. One took me to my first Iowa entitled: Empower! Envision! Energize! will provide Nurses Association meeting and got me to you with things to think about, skills to help you join ANA. Dorothy, my supervisor, helped cope at work, and a renewed sense of purpose and me in my new role as a head nurse, and kept passion for the nursing profession. The Legislative me functioning when one of my patients Candidate reception for all candidates for the New committed suicide. Deborah was an instructor Mexico House and Senate is Thursday evening, who not only encouraged me to re-engage 6-8 p.m., October 16th at the conference site. This in the nurses association, but pushed me to gives you, the nurses of New Mexico an opportunity serve on committees, the board, and taught to meet with and discuss nursing and healthcare me to “see the BIG picture,” to recognize the issues with the candidates. We hope to see you at unintended consequences of proposed Rule the Thursday pre-conference if you’ve ever thought or law changes, to think about the future of about providing CE, at the legislative reception nursing and what would heal the profession that night, and at the exciting conference Friday. and help nurses to function in more creative, See page 3 for the information on the conferences, professional environments. and pages 12 & 13 for the NMNA Voter’s Guide, a • The nurses association has been a source bi-annual product to help you choose your senators of professional pride for all they do in New and representatives. Mexico and nationally to protect patients Carrie The New Mexico Nurse October, November, December 2008 11

Nursing Luminary Runs for the Legislature

A nurse is a candidate for State Representative • Greater Access to basic healthcare for NM owners, realtors, business managers, and many in San Juan County, representing part of residents, retired folks. Isn’t it time we had a nurse in the Farmington. AliceMarie Slaven-Emond earned • Tax savings through preventable healthcare, legislature to give a different “take” on healthcare, her MSN from Colorado University and BSN • Development of effective renewable energy aside from physician-dominated opinions? from Montana State University. She has worked sources, The New Mexico legislature does not pay its as a Family Nurse Practitioner since 1999, and is • Blending present energy wealth with legislators. They are paid a “per diem,” which owner of a health clinic. Among her accolades and demands of the future, is supposed to cover meals, travel, and lodging. awards, she has received the prestigious Robert • Supporting solutions for affordable housing If you’ve ever stayed in Santa Fe more than one Woods Johnson National Award for Community for our workforce, night, you are aware that costs in Santa Fe are Health Leadership Program in 2003, • Limiting regulations that negatively impact outrageously high. If the per diem covers the actual AliceMarie has shown a lifelong commitment to small businesses, costs of being in the city for 30 days ( in even years) community service; working with Scouts, 4-H, as • True education advancement for ALL, and and 60 days (in odd years), it certainly doesn’t pay a Foster parent, served on the San Juan County • Assisting rural communities to access urban the legislators for the loss of wages while they are Community Health Improvement Council; has been resources. there. To have a nurse willing to give up her wages the first woman president of several organizations, The New Mexico legislature has not had and put her health clinic on hold to run for the has lived in rural areas for more than 30 years, an actively practicing nurse member in many, legislature is an incredible sacrifice for the people and has experience with Indian Health Service. many years. Members of the legislature include of New Mexico. We should support ANY nurses’ This is Slaven-Emond’s second run for the a physician, a retired pharmacist, ranchers, efforts to represent their community and nursing legislative seat. She believes in: teachers and school administrators, businessmen- in the legislature. For more information, you can • Accepting Responsibility and Accountability (contractors, petroleum-dependent businessmen contact AliceMarie at: [email protected]. in the office, and many others), attorneys, insurance business- 12 October, November, December 2008 The New Mexico Nurse Voter’s Guide for Nurses

New Mexico Nurses Association 2008 Legislative Questionnaire Please Remember to Vote on November 4th. The following Will you support capital outlay from your area to help you local questions were asked of all candidates in contested general election community college or university purchase a SIM person? races. If you do not see your candidate or legislator, it is because ❏ Yes ❏ Not at this time ❏ Undecided they were running unopposed. 3. New Mexico does not have whistleblower protections for any 1. The nursing crisis in New Mexico and the U.S. continues to workers except under the Workers Compensation Act. Nurses grow. The latest data from the New Mexico Center for Nursing sometimes see incidents of unsafe care, violations of the Nursing Excellence indicates that 47% of both RNs and LPSs are over the Practice Act and/ or acts of fraud, but they are afraid to speak age of 50. The state has added 2,302 RNs over the last 5 years out regarding these abuses for fear of employer retribution. in new graduates and nurses moving to New Mexico. The NM Department of Labor predicts the state will need an additional Will you support a whistleblower law to protect health care 4520 RNs and 680 LPNs by 2012. If the current staffing trends employees from retaliation in their employment? continue, it is predicted that NM will not be able to fill 57% of its ❏ For ❏ Against ❏ Undecided nursing requirements by 2020. 4. A Public School Funding Formula bill increasing overall funding Currently many schools of nursing turn away qualified students by approximately $360 million will be introduced again in the because they do not have the facilities and/or the staff to accept 2009 legislative session. Schools will have the flexibility to use them. the extra funding for needs that they identify. We believe that many schools will use some of the extra money for the very The Legislature has provided $4.5 million to the Higher Education critical school nurse. Department to our community colleges and universities schools of nursing to expand the number of students they can educate. Do you think that schools should be mandated to have a certain number of nurses per student? a. Will you vote to continue the expansion of all nursing education ❏ Yes ❏ No ❏ Undecided programs in our higher education institutions so that more individuals can enter the profession of nursing? 5. In every hospital and with every insurance company, ❏ For ❏ Against ❏ Undecided providers (advance practice nurses included) must go through a credentialing procedure to allow them to practice at the b. Will you vote to expand funding for grants and scholarships for facility or receive reimbursement through the insurance qualified students who want to enter our schools of nursing? company. Unfortunately every facility/ insurance company ❏ For ❏ Against ❏ Undecided has its own credentialing procedure requiring providers to fill out multiple differently formatted forms. One way to help 2. One of the problems that schools of nursing experience is not address the healthcare worker shortage would be to create a enough clinical sites which are facilities where student nurses unified, reciprocal, standardized and streamlined system for go to get hands on patient experiences like hospitals, clinics, etc. credentialing all providers. One way to supplement this is by providing schools with SIM labs and SIM people which are computerized people who simulate Would you support legislation to require one uniform multiple diseases and conditions. They cost $50,000- $75,000. credentialing system for all entities? ❏ Yes ❏ No ❏ Undecided

Only those candidates running in contested races were surveyed this year. NMNA 2008 Candidate Survey Results – New Mexico Senate

Senate Candidate District/City Question 1a Question 1b Question 1c Question 2 Question 3 Question 4 Senate Candidate District/City Question 1a Question 1b Question 1c Question 2 Question 3 Question 4

George Munoz 4 Kent Cranves 21 Gallup DNR Albuq DNR

Beatrice Woodward 4 Jessical Lynn Wolfe 21 Continental Albuq DNR Divide DNR Bernadette Sanchez 26 Clint Harden 7 Albuq DNR Clovis DNR Spiro Vassilopoulos 26 Thomas Carr 7 Albuq For For Not at this time For Yes Yes Golden Eagle Tr For For Yes For Yes Yes Howie Morales 28 Silver City DNR Steve Komadina 9 Corrales DNR Joseph Gros 28 Silver City DNR John Sapien 9 Corrales DNR David Ulibarri 30 Grants For For Yes For Undecided Yes John Ryan 10 DNR Jose Silva 30 Victor Raigoza 10 Grants DNR Gallup DNR Mary Jane Garcia 36 Diane Snyder 15 Dona Ana DNR Albuq DNR Lee Cotter 36 Tim Eichenberg 15 Las Cruces DNR Albuq DNR Leonard Lee Rawson 37 Sue Wilson Beffort 19 Las Cruces DNR Albuq DNR Stephen Fischmann 37 Jason Burnette 19 Las Cruces Against Undecided For Against For For Albuq For For Yes For Undecided Yes The New Mexico Nurse October, November, December 2008 13 Voter’s Guide for Nurses

Only those candidates running in contested races were surveyed this year.

NMNA 2008 Candidate Survey Results – New Mexico House of Representatives

House Candidate District/City Question 1a Question 1b Question 1c Question 2 Question 3 Question 4 House Candidate District/City Question 1a Question 1b Question 1c Question 2 Question 3 Question 4

James Strickler 2 Farmington DNR Antonio Lujan 35 Las Cruces DNR Alice Marie Slaven- Emond 2 Farmington For For Yes For For Undecided Matthew Martine 35 Las Cruces DNR Sandra D. Jeff 5 Crownpoint DNR Andrew Nunez 36 Hatch For For Yes For Yes Yes Michael Lunnon 5 Gallup DNR Mike Tellez 36 Las Cruces DNR Raymond Clawson 6 Ranso DNR Jane Powdrell-Culbert 44 Corrales For For Yes Undecided No Yes Eliseo Lee Alcon 6 Milan DNR Lisa Cour 44 Rio Rancho For For Yes For Undecided Yes Andrew Barreras 7 Tome DNR Gloria Vaughn 51 Alamogordo DNR Timothy Lardner 7 Belen For For Undecided For Undecided Yes Douglas Post 51 Alamogordo DNR Elias Barela 8 Belen For For Yes For Yes Yes Nathan Cote 53 Las Cruces For For Yes For For For Paul Gabaldon 8 Belen DNR Stanford Locke 53 Las Cruces DNR Miguel Garcia 14 Albuquerque For For Yes For Yes Yes John Heaton 55 Carlsbad DNR Clara Pena 14 Albuquerque DNR Autry Reese 55 Carlsbad DNR Bill O’Neil 15 Albuquerque DNR Mary Frances Barron 57 Roswell DNR Teresa Zanetti 15 Albuquerque DNR Dennis Kintigh 57 Roswell DNR Edward Sandoval 17 Albuquerque DNR Candy Ezzell 58 Roswell DNR Ronald Toya 17 Albuquerque DNR George Peterson 58 Roswell Undecided Mimi Stewart 21 Albuquerque For For Yes For No Yes Nora Espinoza 59 Roswell DNR Howard De La Cruz Bancroft 21 Ellen Wedum 59 Albuquerque DNR Roswell DNR

Kathy McCoy 22 Jack Thomas 60 Cedar Crest DNR Rio Rancho For For Undecided For Undecided For

Janice Saxton 22 Paula Papponie 60 Placitas For For Yes For Yes Yes Rio Rancho DNR

Eric Youngberg 23 Jose Campos II 63 Albuquerque DNR Santa Rosa DNR

Benjamin Rodefer 23 Matthew Rush 63 Albuquerque DNR Portales DNR

Al Park 26 Anna Crook 64 Albuquerque DNR Clovis DNR

Rhead Story 26 Mario Trujillo 64 Albuquerque DNR Clovis For For Yes For Undecided Yes

Jimmie Hall 28 Craig Cosner 67 Albuquerque For For Yes For Yes Yes Tucumcari DNR

Shay Rose 28 Dennis Roch 67 Albuquerque DNR Tucumcari DNR

Justine Fox-Young 30 Sylvia Olson 68 Albuquerque DNR Maxwell DNR

Karen Giannini 30 Thomas Garcia 68 Albuquerque DNR Ocate DNR

Dona Irwin 32 Mel Root 70 Deming For For Yes For No Yes Las Vegas DNR

Phillip Skinner 32 Richard Vigil 70 Columbus DNR Ribera DNR

DNR – did not respond 14 October, November, December 2008 The New Mexico Nurse The New Mexico Nurse October, November, December 2008 15 ANA Offers E-Edition Of American Nurse Today As New Member Benefit

SILVER SPRING, MD—The American Nurses e-Edition is accessible in the Members Only section on Association (ANA) will offer the e-Edition of American www.NursingWorld.org. Nurse Today, the official journal of ANA, as a new HealthCom Media, a division of Health Affinities, benefit for ANA members. The American Nurse Today LLC, is a specialty publishing company located in e-Edition comes just one year after the premier of the Doylestown, PA. HealthCom Media also publishes print edition of the journal, which is the product of a Menopause Management, Assisted Living Consult and strategic partnership between HealthCom Media and Medicare Patient Management journals. the American Nurses Association. The American Nurses Association is the only full- Available online, the American Nurse Today service professional organization representing the e-Edition is unique in that it is an interactive, fully interests of the nation’s 2.9 million registered nurses digital journal complete with four color images and (RNs) through its 54 constituent member associations. rich-media content. The interactive quality of virtual The ANA advances the nursing profession by page turning, fully-searchable content in both current fostering high standards of nursing practice, and archived issues, hyperlinks and the ability to promoting the economic and general welfare of nurses embed streaming video and other rich-media content in the workplace, projecting a positive and realistic are just some of the capabilities a digital publication view of nursing, and by lobbying Congress and the can offer. regulatory agencies on healthcare issues affecting Rebecca M. Patton, MSN, RN, CNOR, president nurses and the public. of ANA, comments, “American Nurse Today sets the For more information, please contact Phaedra standard for providing enriching editorial content Brotherton, periodicals manager, American Nurses vital to nursing professionals. ANA is pleased to offer Association, at (301) 628-5027, e-mail: Phaedra. this additional benefit to members, keeping them [email protected]. informed through this convenient new format, and allowing them the flexibility to choose how best to keep up to date with the latest issues and trends of the profession.” American Nurse Today is read by over 175,000 nurses and is the only journal that reaches all 160,000 plus members of ANA. In addition to keeping nurses abreast of ANA’s advocacy for the profession, American Nurse Today provides valuable clinical practical and career information that nurses can assimilate into their busy careers immediately. The 16 October, November, December 2008 The New Mexico Nurse The New Mexico Nurse October, November, December 2008 17 The American Nurses Association Endorses Senator Barack Obama SILVER SPRING, MD –The American Nurses families than it does for the drug and insurance funding to improve the primary care and public Association (ANA) announces its endorsement companies.” health practitioner workforce; including loan of Senator Barack Obama (D-IL) in the 2008 “Both Senator Obama and Senator Clinton repayments, improved reimbursement and Presidential Election. The ANA represents the spoke at ANA’s House of Delegates in June about training grants. interests of the nation’s 2.9 million registered the need to move forward in unity to bring about Barack Obama has a history of advocacy for nurses. real, much needed change to our health care nurses and patients. In the Illinois senate, he “As President, Barack Obama will bring real system, and our nurses responded; ‘Yes we can’” helped lead efforts to protect nurses and improve change to our health care system,” said ANA Patton added. “Nurses represent the largest group the quality of health care. In the U.S. Senate, he President Rebecca M. Patton, MSN, RN, CNOR. of health care professionals in this country, and cosponsored the Safe Nursing and Patient Care “Nurses are consistently voted the most trusted working together, we can use our power in the Act, which limits mandatory overtime for nurses profession by the American people, and we, as a voting booth to make health care a priority, and to true emergency situations, and as President, profession, trust that Barack Obama will see that make Barack Obama the next President of the he has promised to sign this important legislation affordable quality health care is made available to United States.” into law. everyone.” Senator Obama is committed to signing ANA has been making presidential “I am honored to receive the endorsement of the universal health legislation by the end of his first endorsements since 1984. The endorsement American Nurses Association,” said Sen. Barack term in office that ensures all Americans have process includes sending a questionnaire on Obama. “The nurses of America serve our country high-quality, affordable health care coverage. nursing and health care issues to all of the tirelessly, and I share their belief that we must Barack Obama recognizes that nurses play a Democratic and Republican candidates, an bring affordable and accessible health care to all critical role in every aspect of patient care, and invitation to all of the democratic and republican Americans. My plan lowers health care costs for the nursing shortage ranks as one of the most candidates for a personal interview and an online the average American family by up to $2500 and pressing issues facing our health care system. survey of ANA’s membership regarding which finally makes health care work better for American Obama’s health care plan includes expanded candidate is most supportive of nursing’s agenda.

ANA Board Of Directors Endorses A Set Of Standards For APRN Regulation To Improve Access To Safe, Quality Care By Advanced Practice Nurses

SILVER SPRING, MD—At its June Board practice. To that end, the consensus model for APRN of Colleges of Nursing and the National Council of meeting in Washington, DC., the American Nurses regulation focuses on the regulation and credentialing State Boards of Nursing (NCSBN) APRN Advisory Association (ANA) Board of Directors endorsed a of nurses. Committee during four years of discussions and seminal document beneficial not only to the 240,000 All graduate level APRN education will be collaborative efforts in this groundbreaking effort Advanced Practice Registered Nurses (APRNs) in the required to include a broad-based education in the to create a unified vision; this vision which defines United States, but to the entire nursing profession role, and in the population to be served, and will, APRN roles, practice and populations served. The and to the public they serve. in addition, include three separate graduate-level goal is for full implementation of the new model by “A Consensus Model for APRN Regulation: courses in advanced pathophysiology, advanced health 2015. Licensure, Accreditation, Certification & Education assessment and advanced pharmacology as well The American Nurses Association (ANA) has been will, for the first time, when implemented, as a minimum of 500 hours of appropriate clinical an active participant in both the APRN Consensus standardize each aspect of the regulatory process experiences. As a result of implementation of the new Work Group and the subsequently formed Joint for APRNs, resulting in increased mobility, and will model, all developing graduate level APRN education Dialogue Group. In addition to ANA, members of the establish independent practice as the norm rather programs or tracks will go through a pre-approval, Joint Dialogue Group are the: American Academy of than the exception. This will support APRNs caring pre-accreditation or accreditation process prior to Nurse Practitioners Certification Program, National for patients in a safe environment to the full potential admitting any students to that program or track. Association of Clinical Nurse Specialists, American of their nursing knowledge and skill.” said ANA APRN educational programs must be housed within Association of Colleges of Nursing, American President Rebecca M. Patton, MSN, RN, CNOR. graduate programs that are nationally accredited Association of Nurse Anesthetists, American College The APRNs community is comprised of four and they must ensure that their programs adequately of Nurse-Midwives, American Organization of roles: certified registered nurse anesthetist (CRNA), prepare their graduates to meet eligibility for national Nurse Executives, National Organization of Nurse certified nurse-midwife (CNM), certified clinical nurse certification which leads to state licensure. Practitioner Faculties, National Council of State specialist (CNS), and certified nurse practitioner The “Consensus Model for APRN Regulation: Boards of Nursing, National Council of State Boards (CNP). Additionally, APRNs focus on at least one of Licensure, Accreditation, Certification & Education,” of Nursing APRN Advisory Committee, National six population foci: psych/mental health, women’s was developed by members of the APRN Consensus League for Nursing Accrediting Commission and health, adult-gerontology, pediatrics, neonatal, or Work Group, facilitated by American Association nursing compact administrators. family. Substantial challenges to educational expectations and certification requirements for APRNs, and the proliferation of nursing specializations have sparked debates on appropriate credentials, scope of practice, and state-by-state regulation of nursing scope of 18 October, November, December 2008 The New Mexico Nurse AMERICAN NURSES ASSOCIATION RE-ELECTS PATTON ANA delegates elect officers, board members and other leaders at House of Delegates meeting SILVER SPRING, MD—Delegates of the Elected to serve two-year terms as officers of the American Nurses Association (ANA) elected board were Debbie Hatmaker, PhD, RN, SANE-A, Rebecca M. Patton, MSN, RN, CNOR, of chief programs officer, Georgia Nurses Association, Lakewood, OH, to serve a second consecutive resident of Bishop, GA, elected as first vice two-year term as president of the nation’s leading president; Coleene “Kim” Armstrong, BSN, RNC, professional nursing organization representing the staff nurse, Tacoma General Hospital, resident major health policy, practice and workplace issues of Olalla, WA, elected second vice president; of registered nurses (RNs) in the United States. A Susan Foley Pierce, PhD, RN, acting dean at the slate of 30 candidates vied for leadership positions University of North Carolina Wilmington, resident during ANA’s 2008 elections. Patton and other of Oak Island, NC, elected secretary; and Marilyn nurse leaders were elected during the ANA House Sullivan, DSN, RN, LNC, CPE, staff nurse, of Delegates biennial meeting which occurred on Northshore Regional Medical Center, resident June 25-27, in Washington, DC. of Slidell, LA, elected treasurer. Both Hatmaker A nurse since 1980, Patton has extensive and Foley Pierce were elected to serve a second inpatient and outpatient experience and has been consecutive term. responsible for the start up and ongoing operations The director-at-large board members elected of ambulatory surgery centers, and of an inpatient include Florence Jones-Clarke, MS, RN, clinical acute and a skilled nursing facility. Currently, instructor, Virginia State University, resident of Patton is on leave from her position as the director Colonial Heights, VA; Karen Daley, MS, MPH, RN, of Perioperative Services for EMH Regional FAAN, PhD candidate, Boston College, resident of Healthcare System in Elyria, OH. Previously, she Stoughton, MA; and Carrie Houser James, MSN, served as director of Nursing, director of Surgical RN, CNA,BC, CCE, health educator, Brooks Health Services and director of Ambulatory Operations Center, resident of Orangeburg, SC. for hospitals in the University Hospitals Health The director-at-large staff nurse members System. include Linda Gural, RN, CCRN, staff nurse/ Patton has a Bachelors of Science in nursing intensive care unit, Community Medical Center, from Kent State University and a Masters of resident of Toms River, NJ; and Julie Shuff, RN, Nursing from Case Western Reserve University. CCRN, staff nurse, Bay Area Hospital, resident of She has held numerous ANA positions including Coos Bay, OR. treasurer (1998-2002), Board of Directors member The five nurses elected to the Congress (1994-1998), and delegate to the ANA House of Nursing Practice and Economics include of Delegates (2003-2005). In addition she has Merilyn Douglass, ARNP-C, ADM, family nurse served in several Ohio Nurses Association (ONA) practitioner, St. Catherine Hospital, resident of positions, including ONA first vice president Garden City, KS; Sara McCumber, RN, CNP, (1990-1992), ONA delegate (2005-2006), ONA CNS, nurse practitioner/care coordinator, Duluth finance committee member (2003-2005), and on Clinic-Elder Care, resident of Superior, WI; an Association of PeriOperative Registered Nurses Mary Callan, MS, RN, FNP, BC, family nurse task force on competencies (1999-2000.) practitioner, Highland Family Medicine, resident of Webster, NY; Thomas Stenvig, PhD, MPH, RN, CNAA,BC, associate professor, South Dakota State University College of Nursing, resident of Nunda, SD; and Linda Olson, PhD, RN, CNAA,BC, dean and professor of nursing, North Park University, resident of Chicago, IL. Four nurses were elected to the Nominating Committee: Ernest Grant, MSN, RN, nursing education clinician—burn outreach, UNC HealthCare, resident of Chapel Hill, NC; Alice Wyatt, MSN, APRN-BC, nurse practitioner, Kulbersh Women’s Center, resident of West Columbia, SC; Barbara Vogel, BSN, RN-BC, GNP, nursing supervisor, Monroe Community Hospital, resident of Rochester, NY; and Desma Reno, MSN, RN, CS, assistant professor of nursing, Southeast Missouri State University, resident of Jackson, MO. The New Mexico Nurse October, November, December 2008 19 ANA’s House of Delegates Pass Bylaws Amendments Opening Up Additional Membership Options and Strengthening the Nursing Profession

Washington, D.C., July 2, 2008 - Over 600 Center for American Nurses (the Center.) of Delegates, is reserved for someone who has nurse delegates attending the American Nurses These new affiliate opportunities will expand graduated within five years of taking office. Association’s (ANA) 2008 House of Delegates the association’s relationships to nurses in • The Congress on Nursing Practice and passed a series of historic bylaws including every type of nursing organization. Economics (CNPE): In order to keep the establishing a designated seat on the ANA Board • Associate Organizational Members CNPE at a reasonable number, while offering of Directors for a recent graduate of a nursing (AOMs): This amendment provides broader seats to nursing colleagues from affiliate program. opportunities for connections with ANA and groups, ANA’s delegates voted for a majority “We’ve always believed that there is strength in deletes the unnecessary reference to AOMs of CNPE members to be elected by the House numbers when it comes to RNs having a positive in ANA’s bylaws. CMAs can stay affiliated of Delegates and the remainder appointed impact in the workplace, in patient care and in with the independent and autonomous by the Board from affiliate organizations. public health policy—whether it’s pursuing safe organizations, the UAN and the Center, and Additionally, in unifying the profession, staffing levels or consumer access to high quality will be able to engage in those relationships Labor and Workforce Affiliates and health care. On behalf of our nation’s 2.9 million directly. individual national organizations will each RNs, I urge all nurses to keep looking ahead so • Multi-State Associations: ANA’s delegates have a position on the Congress. The new that together we can reach our shared goals of supported state CMAs retaining their configuration on the CNPE goes into effect achieving desirable workplaces, an even stronger voting status on a state basis if they chose with the close of the 2010 HOD. profession, and high-quality, safe, affordable health the existing bylaws option of combining into • CMA: Responding to some CMAs’ request that care for the public we serve,” said ANA President a multi-state CMA. This amendment goes they have more flexibility to meet their own Rebecca M. Patton, MSN, RN, CNOR. into effect at the close of the 2008 House of needs and that ANA not be so prescriptive “The bylaws amendments are designed to create Delegates, which occurred on June 27, 2008. about state structure, ANA’s delegates voted the preferred future for the association, while • Electronic Media: Acknowledging the to add language that states that CMAs have strengthening and providing additional choices changing technology and the potential articles of incorporation and constitution and for constituent member associations (CMAs) at for cost-efficient, appropriately handled bylaws that govern its individual members the state-level. With the leadership demonstrated electronic voting, ANA’s delegates voted to that are “harmonious with ANA bylaws.” by our delegates at our House, it is clear that permit electronic balloting for CMAs holding ANA will continue to build upon its rich, 100- their secret ballot elections for delegates plus year history of advocating for the rights of all to the HOD. This amendment specifies nurses, whether they choose to engage in collective that electronic balloting is permitted only bargaining or whether they choose to advocate if it preserves the integrity of the vote and individually for a better workplace,” said Linda takes effect at the close of the 2008 House of J. Stierle, MSN, RN, CNAA,BC, Chief Executive Delegates, which occurred on June 27, 2008. Officer, ANA. • Board of Directors: Ensuring that there The bylaws amendments passed are: are avenues through which newer RNs may • Affiliates: ANA has the freedom to enter into assume leadership roles, ANA’s delegates relationships with workforce advocacy groups established a designated seat on the ANA and with labor organizations as affiliates; Board of Directors for a recent graduate of these affiliates could potentially include both nursing program. This Board seat, which the United American Nurses (UAN) and the goes into effect at the close of the 2010 House 20 October, November, December 2008 The New Mexico Nurse Continuing Nursing Education Listings NMNA is now an ANCC-accredited approver- all CNE is ANCC approved! A: = Alternative Therapies

Date Location Title CE Sponsor Contact

10/13- Santa Fe Symposium of Integrative Medicine 15.5 UNM CME Michelle—505-272-6568 15/08 Professionals in the Land of Enchantment

10/16/08 Albuquerque Writing a Continuing Nursing 2.0 each NMNA CNE Approver Unit [email protected] Application workshop: session 505-471-3324 - The Individual CE application www.nmna.org Events -The Approved Provider App. - How to review a CE app.

10/17/08 Albuquerque Empower! Envision! Energize! 6.25 NMNA [email protected] Improving the work environment and and 505-471-3324 feeling good about it Heartpwr www.nmna.org Events

11/03/08 Albuquerque Ethical and Legal Conduct in 7.0 Healthcare Law www.healthcarelawconsulting.com Nursing: Theory and Application Consulting, LLC

11/7-8/08 ABQ Basic Trauma First Aide 13.0 Trauma First Aide Associates www.TraumaFirstAide.com

11/9/08 ABQ Trauma First Aide Advanced 6.5 Trauma First Aide Associates www.TraumaFirstAide.com

11/10/08 Albuquerque Ethical and Legal Conduct in 7.0 Healthcare Law www.healthcarelawconsulting.com Nursing: Theory and Application Consulting, LLC

any time at your home multiple titles various National Council of State Boards www.learningext.com computer of Nursing

anytime at your home multiple titles various Nursing Education of America www.nursingeducation.com computer or by 1-800-234-8706 book & mail

anytime at your home multiple titles various Western Schools www.westernschools.com computer or by 1-800-438-8888 book & mail

anytime at your home multiple titles various National Center of Continuing www.nursece.com computer or by Education 1-800-824-1254 book & mail

any time at your home multiple titles various American Nurses Association http://nursingworld.org/ce/cehome. computer cfm

any time at your home Diabetes: The Disease State and the 2.0 Diabetes Network, Inc. www.LibraryRiver.com computer State of the Disease Carol 505-363-9191 [email protected]

TBA New Mexico Understanding Infant Adoption 7.5 La Familia Inc. Jessica 505-766-9361 http://iaatp.com/home.asp

TBA Santa Fe Trauma First Aide 19.5 Trauma First Aide Associates Email: [email protected]

TBA San Diego, CA Trauma First Aide 19.5 Trauma First Aide Associates Email: [email protected]

TBA NYC, NY Trauma First Aide 19.5 Trauma First Aide Associates Email: [email protected]

TBA Northern NM Homeopathy—Medicine for the Whole 7.5 Mirus Foundation [email protected] Family

look at the NM and elsewhere Various CE activities-all ANCC various HEALTH EDucation Network http://www.health-ed.com/ website approved via Wisconsin Nurses Association

TBA Albuquerque Introduction to IV Procedures for 8.3 Central New Mexico Community Alicia West at 505-224-5204 Nurses and Non-nurse Professionals College

Any time on home computer School Nurse Emergency Preparedness 1.0 UNM Dept. of Emergency Rob Elgie Medicine [email protected]

Any time on home computer School Nurse & EMS Continuum of 1.0 UNM Dept. of Emergency Rob Elgie Care Medicine [email protected]

Any time on home computer School Emergency Preparation & 1.0 UNM Dept. of Emergency Rob Elgie Medical Response Plans Medicine [email protected]

Any time on home computer School Nurse Assessment & Triage 1.0 UNM Dept. of Emergency Rob Elgie Medicine [email protected]

Any time on home computer Special Emergencies & Gadgets 1.0 UNM Dept. of Emergency Rob Elgie Medicine [email protected]

Any time on home computer Emergency Care of the Airway 1.0 UNM Dept. of Emergency Rob Elgie Medicine [email protected]

Continued to page 21 The New Mexico Nurse October, November, December 2008 21 Continuing Nursing Education Listings NMNA is now an ANCC-accredited approver- all CNE is ANCC approved! A: = Alternative Therapies

Continued from page 20

Date Location Title CE Sponsor Contact

Any time on home computer Emergency Care of Musculoskeletal 1.0 UNM Dept. of Emergency Rob Elgie Injuries Part 1 Medicine [email protected]

Any time on home computer Emergency Care of Musculoskeletal 1.0 UNM Dept. of Emergency Rob Elgie Injuries Part 2 Medicine [email protected]

Any time on home computer Emergency Care of Spine Injuries 1.0 UNM Dept. of Emergency Rob Elgie Part 1 Medicine [email protected]

Any time on home computer Emergency Care of Spine Injuries 1.0 UNM Dept. of Emergency Rob Elgie Part 2 Medicine [email protected]

Anytime on home computer Scenarios #1 for School Health 1.5 UNM Dept. of Emergency Rob Elgie Nurses Medicine [email protected]

Anytime on home computer Scenarios #2 for School Health 1.5 UNM Dept. of Emergency Rob Elgie Nurses Medicine [email protected]

Anytime on home computer Scenarios #3 for School Health 1.0 UNM Dept. of Emergency Rob Elgie Nurses Medicine [email protected]

Anytime on home computer Scenarios #4 for School Health 1.0 UNM Dept. of Emergency Rob Elgie Nurses Medicine [email protected]

Various at your home Various titles, subjects Gerontology; various Clovis Community College/ www.ed2go.com/cloviscc/ times computer Complementary & Alternative ALLEGRA Learning Solutions then click on Health Care Continuing Medicine; Spirituality, Health and Education Healing; End of Life; and many more.

any time at your home School Nurse Emergency 1.0 UNM Emergency Medicine [email protected] computer Preparedness 505-272-1209 22 October, November, December 2008 The New Mexico Nurse

Office Use Only A constituent member association of the American Nurses Association CMA______DNA______P. O. Box 29658, Santa Fe, NM 87592-9658 www.nmna.org Exp date ______505-471-3324 Fax: 505-471-3314 Approved by ______Date ______Amt. enclosed ______Ck # ______Combined Membership Application ______for ANA/NMNA/ District membership, NMNA or NMNA/ District ONLY, and LPN Affiliate membership

Last name ______First name ______MI______DOB:______

Check preferred contact ❏ Home Address ______City ______

County ______State ______Zipcode______Hm. Phone (______) ______-______

Fax (______)-______-______Email: ______

OR ❏ Employer name ______

Street/POB______City ______

County ______State ______Zipcode ______Wk Phone (______) -______-______

Fax (______)-______-______Email:______

Basic nursing program/ City/ State ______License #______License State______

Graduation month/ year ______Highest degree held ______

Member of a collective bargaining unit? ❏ YES - specify what unit______❏ NO

______

❏ Trilevel: ANA/ NMNA/ District membership Active District “District 50” District Dues— All 3 Types of Members ❏ Full (employed fulltime or part time) $208.00 $17.84 $196.00 $16.84 a year a month a year a month Check Active Dues/ year district Districts ❏ Reduced 50% reduction in dues $104.00 $9.16 $98.00 $8.66 if any ❏ Not employed ❏ FT student ❏ New grad within 6 mo. of graduation a year a month a year a month ❏ 62 y/o and not earning more than Social Security allows 01—Albuquerque $12.00 ❏ Special—75% reduction in dues $52.00 $4.83 $49.00 $4.58 02—Santa Fe $12.00 ❏ > 62 y./o and not employed or 0 Totally disabled a year a month a year a month 04—Clovis/Portales $12.00 Choice of payment: 07—Carlsbad $12.00 ❏ Full Annual Payment ( submit application with a check payable to ANA for the yearly amount) ❏ Online (www.nursingworld.org—credit card only) 09—Los Alamos $12.00 ❏ E-Pay (This is to authorize monthly electronic payments to American Nurses Association, Inc. (ANA)). By 10—Raton $12.00 signing on the line, I authorize my Constituent Member Association (CMA)/ ANA to withdraw of 1/12 of 14—Las Cruces $12.00 my annual dues plus bank fees from my account. ❏ Checking—Please enclose a check for the first month’s payment; the account designated by the enclosed 19—Farmington $12.00 check will be drafted on or after the 15th of each month. 50—“At Large” $12.00 ______Monthly Electronic Deduction Authorization Signature ❏ Automated Annual Credit Card Payment This is to authorize annual credit card payments to American New Members Nurses Association, Inc., (ANA). By signing on the line, I authorize my Constituent Member Association (CMA)/ ANA to charge the credit card listed in the credit card information below for the annual dues on the District 1—Albuquerque 1st day of the month when the annual renewal is due. Diane Bentzen Lasondra Defreeze ❏ Monthly Electronic Payment through Credit Card Please complete the credit card information below and Sheila Jordahl this credit card will be debited on or after the 1st day of each month. Deborah Markee Monica Morales CREDIT CARD INFORMATION Lois Murphy ❏ VISA ❏ Mastercard Cherie Naffziger Bank Card Number and Expiration Date ______Vicki Niazi Patricia Nook Authorization Signature ______Judith Eileen Romero Printed Name on Card ______Amount ______District 2—Santa Fe Please mail your completed application to: New Mexico Nurses Association, P. O. Box 29658, Santa Fe, NM Alan Marx 87592 or American Nurses Association Customer and Member Billing, P. O. Box 17026, Baltimore, MD 21297- 0405 District 4—Clovis/Portales Melvina Fielden By signing the Monthly Electronic Deduction Authorization or the Automatic Credit Card Payment Authorization, you are authorizing ANA to change the amount by giving the above-signed thirty (30) days District 14—Las Cruces advance written notice. Above signed may cancel this authorization upon receipt by ANA of written notification Songcha Boice of termination twenty (20) days prior to deduction date designated above. Membership will continue unless this notification is received. ANA will charge a $5 fee for any returned drafts or chargebacks. Denise A. Hernandez Cheryl M. Lombadi ❏ NMNA-only or NMNA/ District- ONLY membership (Not ANA) Lisa Michelle Selby Melody Stryker Membership Category (check 1) Make check payable to: Jacquelyn Williams New Mexico Nurses Association ❏ NMNA only ❏ NMNA & active district only P.O. Box 29658 District 19—Farmington Santa Fe, NM 87592-9658 $128.00/ yr. $140.00/ year Tina Marie Ward

Active districts: 1—Albuquerque, 2—Santa Fe, 9—Los Alamos, 10—Raton, 14—Las Cruces, 19—Farmington Inactive Districts (50) All other “districts” are subsumed into “District 50”—At Large members—no dues. Merna G. Black—D07 ______Celmins, Nancy R.—D13 Debra D. Kilburn—D50 ❏ LPN Affiliate membership (Not ANA) Angela I. Montoya—D50 Jean Payton—D16 Membership Category (check 1) Make check payable to: New Mexico Nurses Association Kyle Rice—D12 ❏ NMNA only ❏ NMNA & active district only P.O. Box 29658 Melinda Jean Suhr—D12 $50.00/ year $62.00/ year Santa Fe, NM 87592-9658

Active districts: 1—Albuquerque, 2—Santa Fe, 9—Los Alamos, 10—Raton,14—Las Cruces, 19—Farmington All other “districts” are subsumed into “District 50”—At Large members- no dues.