The Official Publication of the Utah Nurses Association . sion rofes ne P les. O y Ro Man UTAH NURSE
Volume 24 • Number 4 November, December 2015, January 2016 Quarter ly public ation di rect mai led to ap proxima tely 30, 000 RNs a nd LPNs i Inside n Utah. PRESIDENT’S MESSAGE Medicaid Expansion I was recently in St George for a visit with my family out those times that allow us Page 3 and I had a great time seeing all the things there are to to enjoy not just our families do. Despite a few days of hot weather, we really enjoyed and friends, but also find all town had to offer. It reminded me how important it is time to talk to those you for each and every one of us to take care of ourselves. work with and to share time Although my family has often driven through the St. with colleagues as well as George area on the way to other places, this was the family. first time we stayed for a visit. I found it regenerating and In times of stress and fast rejuvenating. paced life, it is imperative to The Window St. George is one of many truly beautiful places in stop and take time to take to the Body: Utah. Now that school is back in session and families are care of ourselves as well. back in the busy groove of fast paced lives, it is important We spend our careers taking Catherine Coverston Oral Health to stop and take some time to review the wonderful care of others; it is time to summer you had with your families. Remember to seek take care of ourselves. Page 4 ATTENTION HOME HEALTH NURSES... The UNA board is seeking insight into present-day home-health nursing practice. If you currently work in home-health would Vaccines you please respond to the following questions (please send Across the We need responses to [email protected] – all responses will be kept Lifespan strictly confidential):
Page 6 your input! 1. What is current nursing practice expectations of RNs who work in home-health agencies? www.utnurse.org 2. How many and what type of unlicensed assistive personnel do RNs delegate to? 3. What types of patient care activities are currently delegated to unlicensed assistive personnel? 4. If the unlicensed assistive personnel have questions (during working hours), what is the RN Attention UNA availability to answer the questions? Members Members of the UNA board are not as familiar as you are with current home-health nursing practice and seek input from our members who participate in this area of nursing. If there is anything else You can now find us on Facebook. Just search Utah Nurses Association and look for the page with the that you feel would help us better understand home-health nursing practices, please feel free to add UNA logo. We will be posting updates for upcoming it to your response. events and information on conventions in our blog. Thank you so much. UNA Board of Directors
Presort Standard 1 President’s Message US Postage PAID 2 From the Editor Permit #14 Princeton, MN 3 Special Session on Medicaid Expansion current resident or 55371 4 The Window to the Body: The Effect of Oral Health on Overall Health 5 On the National Front 6 Vaccines Across the Lifespan 9 In Memoriam Content 11 GRC Committee News 11 From the Membership Committee Page 2 • Utah Nurse November, December 2015, January 2016
PUBLICATION 2015 BOARD OF DIRECTORS FROM THE President Catherine Coverston, PhD, RN Past President Kathleen, Kaufman, MS, RN First Vice President Peggy H. Anderson, MSN, RN The Utah Nurse Publication Schedule for 2016 Second Vice President Aimee McLean, BSN, RN, CCHP EDITOR Secretary Alana Jacobs, PhD, APRN Issue Material Due to UNA Office Treasurer Karen de la Cruz, MSN, RN, AACNP/FNP Feb/March/April 2016 December 7, 2015 Guidelines for Article Development DIRECTORS AT LARGE Aimee McLean, BSN, RN, CCHP The UNA welcomes articles for publication. There is Sharon K. Dingman, DNP, RN no payment for articles published in the Utah Nurse. Amy Marie White, BSN, RN Hello fellow Utah nurses! Fall us upon us and with the 1. Articles should be microsoft word using a 12 point changing colors in the leaves, we will see some changes font. STAFF MEMBERS at the UNA as well. The yearly election has now passed 2. Article length should not exceed five (5) pages Office Manager Lisa Trim and we will be welcoming in a few new board members 8 x 11 Continuing Education Open and others will take on new positions. As always, we 3. All reference should be cited at the end of the Lobbyist Justin Stewart continue to encourage each and every one of you to join article. Editor Aimee McLean, BSN, RN, CCHP the UNA and to participate in leadership for our state. 4. Articles (if possible) should be submitted Each and every voice is important and we would love to electronically. hear from all of you. I encourage letters to the editor with COMMITTEE things that excite you or infuriate you or just interest you. Submissions should be sent to: [email protected] or CHAIRS & LIAISONS If it is important to you it is likely important to many other Attn: Editorial Committee | Utah Nurses Association nurses across the state. We understand that life is busy By-Laws 4505 S. Wasatch Blvd., Suite 330B Continuing Education Open and sometimes we are not in a position to fully participate Salt Lake City, UT 84124 in professional organizations, but most of us can find Finance Karen de la Cruz, MSN, RN, AACNP/FNP Phone: 801-272-4510 Government Relations Kathleen Kaufman, MS, RN a few minutes to write an email or send a letter. Our Membership Sharon K. Dingman, DNP, RN careers are not only our livelihood; they are our passions. Nominating Ginette (Ginny) Pepper PhD, RN, FAAN, FGSA As you read this issue, please also be thinking of things Marguerite Brown, MS, RN that are important to you as a nurse or things you would Monte Roberts DNP, RN be interested in learning more about. Then drop us a quick line to let us know what you think. Let me know what you enjoyed, what you didn’t and what you would UTAH NURSES FOUNDATION like to see in future issues. Fall is a time for change; help President Marianne Craven, PhD, RN us to change in a way that better supports you and all NIGHTINGALE Kathleen Kaufman, MS, RN you do. Have a wonderful holiday season! TRIBUTE Catherine Coverston, PhD, RN ANA MEMBERSHIP The basic Nightingale Tribute to be offered in ASSEMBLY REPRESENTATIVES a nurses funeral will take Catherine Coverston, PhD, RN about two minutes to deliver Donna Richards, PhD, RN and can fit in many different areas of any funeral service. The PRODUCTION words, pronouns and content can and should Publisher Arthur L. Davis Publishing Agency, Inc. be changed to meet the circumstances. The presentation of a white rose by the speaker Editor and Publisher are not responsible nor liable for editorial or by all nurses in attendance is an optional or news content. salute to the nurse. To read and print the basic Utah Nurse is published four times a year, February, May, tribute, please go to: http://www.ksnurses. August, November, for the Utah Nurses Association, a com/the-nightingale-tribute.html or go to the constituent member of the American Nurses Association. Utah Kansas State Nurses Association and look under Nurse provides a forum for members to express their opinions. the publication tab. Views expressed are the responsibility of the authors and are not necessarily those of the members of the UNA. Articles and letters for publication are welcomed by the editorial committee. UNA Editorial Committee reserves the right to accept of reject articles, advertisements, editorials, and letters for the Utah Nurse. The editorial committee reserves utnurse.org the right to edit articles, editorials, and letters. Address editorial comments and inquiries to the following address: Utah Nurses Association, Attn: Editorial Committee 4505 S. Wasatch Blvd., Suite 330B Published by: Salt Lake City, UT 84124 Arthur L. Davis [email protected], 801-272-4510 Publishing Agency, Inc. No parts of this publication may be reproduced without permission. Subscription to Utah Nurse is included with membership to the Utah Nurses Association. Complementary copies are sent Nephi, Utah Utah Navajo Health System, Inc. to all registered nurses in Utah. Subscriptions available to non- We are a not-for-profit Community nurse or nurses outside Utah for $25. Circulation 30,000. Orthopedic Surgery | General Surgery Health Center providing medical, 24/7 Emergency Department dental and behavioral health care All address changes should be directed to DOPL at (801) 530- 6628. Obstetrical Care | Radiology w/MRI in neighborhoods throughout the northern portion of the Navajo Nation For advertising rates and information, please contact Arthur L. Respiratory Therapy | Full-Service Lab and southeastern Utah. 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Rejection of an advertisement does not imply a product offered for Our Nurses Make A Difference advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product Become Part of Our Team! Usually, a healthcare provider’s license is their most important or its use. UNA and the Arthur L. Davis Publishing Agency, asset. Disciplinary and malpractice action taken against that Inc. shall not be held liable for any consequences resulting Located just off Interstate 15 and only 30 license not only becomes public information, but can have minutes from Provo, Utah’s third largest city, a devastating impact on one’s ability to practice. Catherine from purchase or use of an advertiser’s product. Articles Larson has over 20 years of experience defending providers in appearing in this publication express the opinions of the Nephi offers a quiet, small town lifestyle with these matters. Her expertise can help guide you through this authors; they do not necessarily reflect views of the staff, easy access to big city amenities. challenging process. board, or membership of UNA or those of the national or local www.strongandhanni.com associations. It’s the perfect place to live and work. [email protected] • 801.532.7080 102 South 200 East, Suite 800, Salt Lake City, UT 84111 www.cvmed.net | Nephi, Utah | 435-623-3105 9350 South 150 East, Suite 820, Sandy, UT 84070 November, December 2015, January 2016 Utah Nurse • Page 3
All but Seven Republican Legislators Vote “NO” to Special Session on Medicaid Expansion in 2015 (Fiscal bottom-line outweighs human lives.) Kathleen Kaufman, GRC Chair (think hospitals, providers, pharmacies, and the like). RyLee Curtis, Senior Health Policy Analyst The gang had also announced its continued desire at the Utah Health Policy Project to call a special session in October to finally provide coverage to Utahns who desperately need it. The closed door meeting of the Republican caucus October is now here and 53,000 low-income on October 13th has shown the true lack of courage Utahns are still living in the Medicaid coverage gap, in our Republican legislators. Seven voted in favor Utahns want our lawmakers to buckle down to fix of an interim session to decide the matter…the rest it. Utah’s coverage gap is a man-made disaster that INTERNET NURSING voted no – a lack of support voted in private without requires effective public policy that is not beyond accountability to the public. No chance to debate in the reach of our legislature. Many of our red state UTAH NURSES ASSOCIATION receives its Internet public, no chance for the public to hear legislators’ neighbors are ready for a red state solution to the services due to a generous grant from XMission, actual positions. YOU need to determine how your coverage gap, and Utah seemed very close to Utah’s largest and best local Internet Service Republican legislator voted, hold them accountable, delivering a working template. Our state had an Provider. For more information on XMission’s and REMEMBER this lack of faith in the open unprecedented opportunity to lead on the biggest services and pricing visit XMission on the Web at democratic process. There will be no interim session health care dilemma facing 21 legislatures across the www.xmission.com or call 801-539-0852. to consider this crucial legislation and more Utahns country. will die waiting for care. With the King v. Burwell court decision behind us, Some history: In the aftermath of the U.S. Supreme the realistic policy-based challenges the Gang needs Please visit the Utah Nurses Court (SCOTUS) ruling that protected the Affordable to overcome are 1) budgeting the overall cost of the Association’s Web Page! Care Act’s (ACA) premium subsidies for over 80,000 program, and 2) determining who bears the risk if the Utahns, prospects were looking up for finally closing cost goes over projections. utnurse.org Utah’s Medicaid coverage gap. (Now approximately In interviews, both Sen. Brian Shiozawa and 53,000 minimum wage, part time employees are Speaker Greg Hughes indicated a desire to have Visit our site regularly for the most current updates the people who still need covered by a Medicaid hospitals, providers, and the pharmaceutical and information on UNA activities. You can expansion-type plan.) With the SCOTUS ruling, industries help the state mitigate the risks of obtain a listing of Continuing Education Modules generous providers who have been giving care potential cost overruns. While this seemed to be available through UNA or a listing of seminars and essentially for free will have many patients now able good news, it may have been a clever ploy to build conferences that offer CE credits. to buy subsidized commercial insurance and the up provider resistance so the bill could not pass. providers will receive commercial insurance rates for Some providers and facilities bitterly complained at their care. This is an improvement for the providers’ being assessed for providing Medicaid care. They bottom line. protest that they already are being reimbursed at “This ruling lets us really kind of ramp it up,” House very low rates by Medicaid. Are they overlooking www.nursingALD.com Speaker Greg Hughes, (R-Draper) told reporter Glen that many of their former charity patients will now Your always-on resource for nursing jobs, research, & events. Mills at ABC-4. “It’s not going to be in the next week have subsidized commercial insurance that will now or so, but now I think we’re a lot closer than we were reimburse them at regular commercial rates? And prior to knowing what the landscape would look like.” the former charity patients who go on Medicaid By “us,” Speaker Hughes is referring to the “Gang of actually would have SOME payment at admittedly • Search job listings in all 50 Six,” a special group of policymakers created on the low Medicaid rates. states, and filter by location last day of the 2015 legislative session to negotiate a We expect the Gang of Six to develop a funding & credentials solution to Utah’s coverage gap by a July 31 deadline. system that engages the state to put its “skin in The gang, made up of Gov. Herbert, Lt. Gov. Cox, the game.” So long as the plan follows the key • Browse our online database President Niederhauser, Speaker Hughes, Sen. principles of closing the coverage gap completely of articles and content Shiozawa, and Rep. Dunnigan has been meeting with a comprehensive health benefit and bringing the regularly ever since. maximum amount of tax dollars back to the state— • Find events for nursing we are on board with finding payment options. We But July 31st came and went, quickly, and without professionals in a solid proposal. Instead the gang put forth what they think a great place to start is to review the significant your area called a conceptual framework on which all the gang cost budget savings other states achieved after they could agree. Basically they agreed on three things: 1) expanded Medicaid. And look at the potential savings they all wanted to close the Medicaid gap completely in our correction system in Utah that serves as the and offer coverage to low-income Utahns earning largest mental health facility in Utah – paid for totally Find your between 0-133% FPL; 2) they wanted to draw down with tax dollars. the full federal funding available to the state under This article is a collaboration between Kathleen career today! the ACA to implement expansion; and 3) they wanted Kaufman, GRC Chair, and RyLee Curtis, Senior to assess the industries that will benefit most from Health Policy Analyst at the Utah Health Policy Project. expansion, and have them help pay for the program Your future starts here.
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Kristi Merrill, RDH Utah Department of Health Oral Health Program Intern now considered a complication of diabetes. If a patient with diabetes has uncontrolled periodontitis, it can induce insulin resistance and result in poor glycemic control (Kuo, According to the CDC, approximately 47.2% of adults in the U.S. ages 30 or older p. 420). Diabetic patients have an exaggerated response to periodontal pathogens have been diagnosed with some form of periodontal disease (CDC, 2015c). Periodontal due to the increase in circulating inflammatory mediators. When diabetes is unstable, disease is an infection of the tissues that surround and stabilize teeth so they can it promotes the breakdown of collagen. This breakdown occurs around teeth in the function in their proper place. Periodontal disease can affect not only the gum tissue gum tissue and in the bone support surrounding teeth, resulting in tissue destruction but also the alveolar bone of the jaw, both of which are responsible for supporting the and eventually tooth loss. Decreased wound healing is another complication of teeth (Kuo, p. 417). diabetes, which may contribute to existing periodontal condition by slowing healing. This occurrence can continue to cycle and hinder management or worsen the diabetic Why should nurses be concerned about the condition of a person’s oral condition (Kumar, p. 256). Management of both conditions is necessary when both are health? present. It is therefore important for all healthcare providers to be able to identify the presence of inflammation and poor oral health in diabetic patients so they can seek the Many diseases are in various ways, affected by oral health. The mouth is the treatment they need to manage their health. beginning of the gastrointestinal tract and is an entry window to the body. Oral health can be a determining factor in prognosis of diseases happening within the body. It is Cancer also a place where bacteria are constantly present, and vascularity running to teeth Cancer is a disease that can change every aspect of a person’s life, including their and gum tissue serves as a conduit for infectious bacteria to travel from the mouth oral health. Nurses can play an important part in the identification of oral cancer. The to the rest of the body, affecting it systemically. If a person has poor oral hygiene most common oral cancers found are related to the use of tobacco. Although oral and a systemic disease, this compromises a person’s oral as well as overall health. cancer is fairly rare (2-4%), about 75% of oral cancers are caused by tobacco use Nurses can play an important role in their patients overall health by understanding and (CDC, 2013). In 2013, approximately 42.1 million adults in the US smoked (CDC, 2015a). identifying the relationship between oral health and systemic disease. Statistics from 2012 show that of every 100 adults, 4 used smokeless tobacco (CDC, 2015d). The head and neck area is very vascular and oral cancer can easily spread Diabetes to vital organs like the lungs, heart, and brain. Oral cancer screenings are part of the Proper management of diabetes is very important to promote and protect both dental hygiene standard of care. Nurses can perform the same screenings and also oral and systemic health. With the increasing prevalence of diabetes, collaboration of discuss smoking cessation with their patients. healthcare providers has become even more important as health issues are addressed. In 2011, approximately 20.8 million people in the United States had been diagnosed Dental Infections with diabetes, an increase from 5.5 million in 1980 (CDC, 2015b). Due to their chronic In addition to periodontal disease, presence of tooth decay is relevant to all inflammatory characteristics, both diabetes and periodontal disease are exacerbated healthcare providers. In 2009, Utah hospitals saw over 8,700 patients in emergency by increased inflammatory marker levels, which are elevated when these conditions are departments for visits addressing dental and jaw concerns (Pew, p. 4). Patients are not adequately managed. Thus, if periodontitis is uncontrolled, then diabetes is less going to emergency departments for issues like tooth pain and sepsis from a dental controllable and vice versa (Kumar, 2015). Because of this relationship, periodontitis is infection because they delay treatment for their problems until they become major issues. These patients aren’t able to receive adequate treatment in the emergency department because hospitals aren’t equipped to provide dental care. Pew Center on the States (2012) reports that “A study of low-income patients with toothaches found that among those who went to an emergency room, 80 percent needed subsequent Moab Regional Hospital is a busy 17-bed care from a dentist” (p. 3). This occurrence creates a burden for emergency We Need RNs! Critical Access Hospital and is the leading departments and time and effort may be wasted when patients aren’t seen in Moab Regional Hospital is seeking dedicated, healthcare facility in Southeastern Utah, serving thousands of patients each year. appropriate clinics. qualified and experienced individuals with current According to the Pew Center on the States (2012), poor oral health affects children’s and unencumbered RN licensure in Utah (or compact academic performance due to missed school days. This can also translate to adults state) to work in Acute Care. missing work due to dental problems, which affects their income. Patients’ everyday lives are affected by the state of their health, including what is happening in the mouth. New Grads are encouraged to apply. MRH is eligible As more healthcare providers are able to assist with early identification of dental for some student loan forgiveness programs. problems, referrals can be made so patients can be treated in settings more suitable to fit their needs. For more information, please visit mrhmoab.org or contact Katherine Sullivan, Identifying Infection Director of Human Resources at In efforts to promote wellness, nurses can be great advocates for oral health. Nurses can help minimize the effects of oral infections like cavities and gum disease [email protected] or 435-719-3600 through prompt identification and referral to dental care providers. Healthy gum tissue is light pink, is tight to the teeth, does not bleed and is not painful. Signs and symptoms of infection include plaque and calculus (tartar) accumulation, red, swollen gum tissue, bleeding, gum recession, and aching or loose teeth (Kuo, p.420). If these Moab Regional Hospital are identified, regular visits to the dentist every six months should be encouraged as EOE well as consistent home care, including with brushing twice a day for two minutes and flossing once a day. Oral health is important to systemic health and the overall wellbeing of patients as described in the selected examples. Patients can truly benefit from nurses evaluating oral care as part of their assessment of the patients overall health. Oral health promotion is being integrated interprofessionally through programs like Smiles for Life. It was developed as a national oral health curriculum, and is endorsed by the American Dental Association, American Dental Hygiene Association, American Academy of Pediatrics, National Association of Community Health Centers, and many others (Smiles for Life, n.d.). Its online source, www.smilesforlifeoralhealth.org, has free educational modules for health professionals to use as they learn how to integrate oral health promotion. With the large workforce of over three million nurses and over 150, 000 nurse practitioners (Dolce, p. 1), evaluation and referral for dental care can be improved greatly as nurses understand their role in oral health promotion.
Resources A Costly Dental Destination Hospital Care Means States Pay Dearly. (2012). Pew Children’s Dental Campaign, 1-22. Dolce, M., Haber, J., & Shelley, D. (2012). Oral Health Nursing Education and Practice Program. Nursing Research and Practice, 1-5. Fast Facts. (2015, April 15). Retrieved July 30, 2015, from http://www.cdc.gov/tobacco/data_ statistics/fact_sheets/fast_facts/index.htm#ref Kumar, M., Mishra, L., Mohanty, R., & Nayak, R. (2014). “Diabetes and gum disease: The diabolic duo”. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 255-258. Kuo, L., Polson, A., & Kang, T. (2007). Associations between periodontal diseases and systemic diseases: A review of the inter-relationships and interactions with diabetes, respiratory diseases, cardiovascular diseases and osteoporosis. Public Health, 417-433. Number (in Millions) of Civilian, Noninstitutionalized Adults with Diagnosed Diabetes, United States, 1980–2011. (2013, March 2). Retrieved July 30, 2015, from http://www.cdc.gov/ diabetes/statistics/prev/national/figadults.htm Oral Cancer. (2013, July 10). Retrieved July 30, 2015, from http://www.cdc.gov/OralHealth/ publications/factsheets/oral_cancer/oc_facts.htm Periodontal Disease. (2015, March 10). Retrieved July 30, 2015, from http://www.cdc.gov/ OralHealth/periodontal_disease/index.htm Smiles for Life: A National Oral Health Curriculum. (n.d.). Retrieved August 1, 2015, from http:// www.smilesforlifeoralhealth.org Smokeless Tobacco Use in the United States. (2015, July 13). Retrieved July 30, 2015, from http://www.cdc.gov/tobacco/data_statistics/fact_sheets/smokeless/use_us/#national November, December 2015, January 2016 Utah Nurse • Page 5 ON THE NATIONAL FRONT
UNA sent Angela York to represent the state of Utah at the ANA-C/SNA Annual Lobbyist Meeting in Washington DC. Hot topics trending nationally included Medicaid Expansion, the AARP Family Caregiver Act, the Nurse Licensure Compact, APRNs -making the business case, transition to practice, best models; Community Paramedics delivering home health care in rural settings, mandatory immunizations and many more. ANA continues to keep the same stance in regards to the Nurse Licensure Compact. Taken from meeting minutes, “The RN Compact approved in May 2015 is being marketed and is referred to as the “enhanced” Compact based on higher standards to which NCSBN identifies as: (1) the criminal background check (CBC) (state and federal) and (2) restriction of those from ever having been convicted of a felony from acquiring a multistate license.” For background and ANA’s position which was reaffirmed at the 2015 Membership Assembly Please see http://www.nursingworld.org/MainMenuCategories/ Policy-Advocacy/State/Legislative-Agenda-Reports/ LicensureCompact and ANA Issue Brief: Nursing Licensure Portability Options and Information for Registered Nurses at http://www.nursingworld.org/ MainMenuCategories/Policy-Advocacy/Positions-and- Resolutions/Issue-Briefs. Do any of the above topics spark your interest? Wondering how these national issues affect you as a nurse here in Utah? Have an opinion on any of these matters? Pictured Above: Angela York (Utah), Kim Froehlich (Idaho), Robin Schaeffer (Arizona), Marketa Houskova If you would like to find out more, UNA would love to (ANA/California), Roxanne Gould (ANA/California), and Liz Dietz (ANA/California) have your voice in our Government Relations Committee. Please e-mail [email protected] and we will send you the latest information.
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JOIN OUR TEAM! Vaccines Across the Lifespan William Bee Ririe Hospital How to Determine if You are Missing Needed located in Ely, NV Audrey M. Stevenson PhD, MPH, MSN, FNP-BC Vaccine? A friendly rural community in Although most individuals are aware of the need Individuals are often unsure of the vaccines needed mountainous Eastern Nevada for childhood vaccines, a large number of teens for themselves or their family members. The Centers and adults have not received all recommended for Disease Control and Prevention has a number RN Positions Available vaccines. These vaccines are critically needed at of resources to provide both individuals healthcare $7,500 Sign On/Relocation Bonus all ages to prevent diseases and their sequelae professional information on vaccine topics. One tool We offer generous benefits; State retirement (PERS); including long-term illness, hospitalization, and that is particularly helpful is a quiz on required vaccines very competitive salaries. even death. The percentage of adults that have for adults and adolescents. (http://www2.cdc.gov/nip/ William Bee Ririe Hospital shall abide by the requirements of received all recommended vaccines is well below the adultimmsched/) 41 CFR 60-300.5(a) and CFR 60-741(a). recommended levels needed to achieve herd immunity. Contact: The purpose of this article is to provide nurses with Adult Vaccines (19 and older) Vicki Pearce, [email protected] information on the importance of promoting vaccines Although many adults may have received some 775-289-3467 Ext. 299 to individuals across the lifespan. or all of the recommended vaccines in childhood it is or apply online at www.wbrhely.org Vaccines are an important protective mechanism important for each individual to review their vaccine in order to keep individuals themselves as well as record to ensure that they are fully protected. The others in the community healthy. According to the following are the vaccines recommended for individuals Center for Disease Control (CDC), vaccine preventable 18 and older: diseases are responsible each year for an average • Influenza (yearly) of 226,000 hospitalizations due to influenza with • Tetanus, diphtheria, pertussis (Td/Tdap) mortality between 3,000 and 49,000 people due to • Varicella influenza and its complications, with the majority of • Zoster those being adult. There were approximately 32,000 • Human papillomavirus (HPV) for both Females and CLINICAL NURSING FACULTY cases of invasive pneumococcal disease in 2012, with Males approximately 3,300 deaths. Currently, in the United • Measles, mumps, rubella (MMR) Full time or part time teaching opportunity in the BS nursing program States, between 800,000 and 1.4 million people • Pneumococcal 13-valent conjugate (PCV13) on the Career Line. Specific needs in the areas of pediatrics, suffer from chronic hepatitis B, which can lead to • Pneumococcal polysaccharide (PPSV23) psychiatric-mental health, and adult acute care clinical courses. complications such as liver cancer. HPV is responsible • Meningococcal Other core areas include EBP, health assessment, health systems and for 17,000 cancers in women and 9,000 cancers in • Hepatitis A policy, and pathophysiology. MS required, doctoral degree preferred. men in the U.S. each year, with 4,000 women losing • Hepatitis B For a career line faculty position please apply at: their life each year from cervical cancer as a result of • Haemophilus Influenzae type B (HIB) https://utah.peopleadmin.com/postings/45592 HPV infection. Part time adjunct teaching positions also available–contact The factors that influence the need for vaccines Access Points Dr. Alexa Doig at [email protected] include: the age of the individual, personal health Historically the only place that an individual could conditions, occupation, lifestyle, international travel receive a vaccine was at the individual’s healthcare The University of Utah is an Equal Opportunity/Affirmative Action employer and educator. Minorities, and receipt of previous vaccines. provider’s office, which has changed in recent years. women, veterans, and those with disabilities are strongly encouraged to apply. Veterans’ preference In addition to receiving vaccines at your healthcare is extended to qualified veterans. Reasonable disability accommodations will be provided with adequate notice. For additional information about the University’s commitment to equal opportunity Why are Adult Vaccine Levels Low? provider’s office, individuals can receive most the and access see: http://www.utah.edu/nondiscrimination/. Older adults have traditionally had better vaccine recommended vaccines at pharmacies, Urgent Care rates for immunizations such of influenza and Centers and other community locations. In addition, pneumococcal than younger adults and teens. Many many employers recognize the importance of vaccinating younger adults assume that only children and teens employees and provide flu and other vaccines at the need vaccine. In many cases young adults aren’t workplace. aware that they may be missing vaccines that they didn’t receive in childhood such as vaccines against Implications for Nurses Hepatitis A and B. They may also not be aware that • Become a vaccine champion some vaccines, such as Tetanus and Diphtheria • Be familiar with and recommend all of the vaccines booster doses every 10 years to continue to provide needed by your patients protection as the vaccine’s efficacy begins to wane. • Set the example by ensuring that you have Another reason that many adults don’t receive received all of the recommended and required vaccines is that they are unaware of the seriousness vaccines to protect your health and the health of of particular diseases and do not feel susceptible to others. contracting the disease. Few adults today have ever personally experienced or known anyone who has had For more information and helpful vaccine tools go to: many of the diseases that vaccines prevent, leading http://www.cdc.gov/vaccines to a false perception of safety that actually harms For a vaccine app: http://www.cdc.gov/vaccines/ the entire community. Adults are also susceptible schedules/hcp/schedule-app.html to misinformation about the need for or safety of particular vaccines.
Symbii Home Health and Hospice is now hiring RNs, CNAs, PTs and OTs in the following counties: Weber, Davis, Salt Lake, Wasatch, Utah, Carbon and Emery. Come be a part of our fast growing team!
Please send resumes to [email protected] or call 801-493-8926. November, December 2015, January 2016 Utah Nurse • Page 7
The Utah Department of Corrections IS HIRING! Invitation to apply for the following positions: Come work in a dynamic ASSOCIATE DEGREE NURSING PROGRAM environment as part of a • Nursing Program Instructor multidisciplinary, collaborative team! MSN, nursing education experience required. Current openings: NURSING ASSISTANT PROGRAM Physician, physician assistant, • Nursing Assistant Instructor psychiatrist and registered nurses. Long term care experience required. We offer a competitive compensation and benefits View full job descriptions at: package, with paid holidays, vacations, sick leave, http://www.navajotech.edu/index.php/human-resources health insurance and retirement. Contact Human Resources at 505-786-4109 SEE STATEJOBS.UTAH.GOV Page 8 • Utah Nurse November, December 2015, January 2016
from the Board and Staff of the Utah Nurses Association November, December 2015, January 2016 Utah Nurse • Page 9
Telehealth: IN MEMORIAM 2016 Spanning the TELEMEDICINE Care Continuum CONFERENCE Conference & Joann Benson passed away September 2015. She Judith Kiernan passed away July 28, 2015. Judy SEATTLE, Telehealth 101 went to LPN school in 1961 and returned again in 1977 served as Assistant Dean for Community Service WASHINGTON Workshop – $300 MARCH 21–23 for her RN degree at Weber State College. She worked in and Faculty Practice at the University of Utah College the Operating Room at the University of Utah for 25 years of Nursing. In October of 1986, she accepted the Visit www.nrtrc.org and retired in 1990. position as Director of Nursing for Medical/Surgical Call 406-237-8665 and Rehabilitation at the Health Sciences Center. for information Leonore Bonacci passed away August 31, 2015. She Relentless in her pursuit of education and knowledge, studied nursing at St. Luke’s Hospital School of Nursing Judy then pursued her doctoral degree. She earned in Chicago and graduated in 1942. During World War her PhD in Health Service Administration in 1992 from II, she enlisted in the Army Nurse Corps and served in the University of Utah. Dr. Kiernan was presented England, France, Luxembourg, Austria and Germany. In the 1995 Administration Award by the Utah Nursing 1945, she served in Weimar, Germany, at the liberation Association, an award given annually to an individual of the Buchenwald concentration camp. In Utah, she who demonstrates excellence in nursing service worked as a nurse in Salt Lake City and enjoyed a administration, including skills in management, decision- RN to BSN Online Program MSN Online Program long career as an operating room nurse at Carbon and making and dedication to continually improving the • No Campus • Classes That Fit Castleview Hospitals, she retired as the OR Supervisor nursing profession. Visits Your Schedule and Administrator at Castleview Hospital. • Liberal Transfer • Competitive Hughlene Skousen Urry passed away August 12, Credits Tuition Nga Trieu Carman passed away September 4, 2015. 2015. Hughlene attended nursing school in Salt Lake She attended, graduated from, and was honored by the City, Utah, where she graduated with a Bachelors Degree BSN-LINC: 1-877-656-1483 or bsn-linc.wisconsin.edu University of Utah. She spent years caring for others in Nursing in 1947. She spent many years serving others and worked in various areas such as the ICU, mental as a nurse at the Salt Lake General Hospital and the MSN-LINC: 1-888-674-8942 or uwgb.edu/nursing/msn health, pediatrics, and hospice. She also attended and University of Utah hospital. graduated from Westminster becoming a Family Nurse Practitioner, continuing her mission to nurture the world and care for those in need.
You work hard developing your educational programs Make your best exceptional
Learn how to apply at www.utnurse.org/Education
• PN-RN Program We are seeking Registered Nurses Ephraim & Richfield Campuses in the following areas and locations: • LPN Program • Home Health (Tucumcari and Clovis) • ICU (Clovis) Ephraim, Nephi & Richfield Campuses • Case Management (Clovis) • Outpatient (Clovis) • Med Surg/ER (Clovis and Tucumcari) • Pediatric (Clovis) Affordable housing and • Nursing Leadership (Clovis) tuition assistance is available. We offer an excellent compensation and benefits package. Contact us today for We are an equal opportunity employer and all qualified applicants will more details! receive consideration for employment without regard to race, color, age, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic Melissa Blackner: protected by law. 435-893-2232 Or Amber Epling: For more information contact: 435-893-2228 [email protected] www.phs.org (575) 769-7339 or (575) 769-7166 www.snow.edu/alliedhealth PHS is committed to ensuring a drug-free workplace Page 10 • Utah Nurse November, December 2015, January 2016
Nursing Grant-in-Aid Scholarships – Utah Nurses Foundation – Guidelines
The guidelines listed below shall be followed to assist in ensuring the best possible coordination of efforts in receiving and processing nursing student requests for scholarships. Scholarships will be awarded for tuition and books only. NURSING GRANT-IN-AID SCHOLARSHIPS Application SCHOLARSHIP INFORMATION • Scholarships must be postmarked by June 1 or October 1 of each calendar year to be Date: considered. Name: • Applicants will receive notice of the Board’s recommendations by July 15 and October 15 of Present each calendar year. Address: • Recipients are only eligible to receive scholarships twice. • Applicants must abide by the criteria listed below. Street City State Zip GENERAL SCHOLARSHIP CRITERIA Permanent Address: The applicant must: • Have a cumulative grade point average, which is equivalent to a 3.0 or higher on a 4.0 scale. Street City State Zip • Be a United States citizen and a resident of Utah. Telephone Home Work • Have completed a minimum of one semester of core nursing courses prior to application. Number: • If a student in undergraduate nursing programs, be involved in the school’s chapter of the Please indicate school of nursing to which you would apply a UNF scholarship. National Student Nurses Association. • If a registered nurse completing a Baccalaureate Degree or an Advanced Nursing Degree, be a member of Utah Nurses Association (state only) or a member of Utah Nurses Association/ American Nurses Association. Starting Date: Expected Graduation Date: • Submit a personal narrative describing his/her anticipated role in nursing in the state of Utah, which will be evaluated by the Scholarship Committee. • Submit three original letters of recommendation. Letters submitted from faculty advisor and Current and previous nursing experience (if applicable) - Attach Resume
employer must be originals addressed to the Utah Nurses Foundation Scholarship Committee. • Be enrolled in six credit hours or more per semester to be considered. Preference will be given to applicants engaged in full-time study. • Demonstrate a financial need. All of the applicant’s resources for financial aid (scholarships, Where did you obtain your information about UNF and its scholarship program? loans, wages, gifts, etc.) must be clearly and correctly listed (and include dollar amounts and duration of each source of aid) on the application • The Scholarship Committee shall consider the following priorities in making scholarship Reason for scholarship need. recommendations to the Board of Trustees ¡ RNs pursuing BSN Description of scholarship amounts requested ¡ Graduate and postgraduate nursing study (itemize tuition and books for each quarter or semester as well as financial support available). ¡ Formal nursing programs - advanced practice nurses Please use this format and attach to application. ¡ Students enrolled in undergraduate nursing programs Semester Expense Description Amount Requested Financial Support Available • The Applicant is required to submit the following with the completed application form: • Copy of current official transcript of grades (no grade reports). $ $ • Three letters of recommendation. Estimated total for academic year: $ $ ¡ One must be from a faculty advisor and ¡ One must be from an employer. (If the applicant has been unemployed for greater than 1 year, one must be from someone who can address the applicant’s work ethic, either List amounts of all other financial support available (i.e. awards, loans, gifts, scholarships, through volunteer service or some other form.) tuition reimbursements, wages, parents, spouse). Please attach to application. ¡ At least one should reflect applicant’s commitment to nursing. ¡ All must be in original form and must be The undersigned applicant agrees that if this application is accepted and an award made, the ¡ Signed and addressed to the UNF scholarship committee. applicant will be bound by the terms and conditions of the award. The applicant certifies that the above statements are true and correct and are given for the purpose of obtaining a UNF • Narrative statement describing your anticipated role in nursing in Utah, upon completion of the scholarship. The Utah Nurses Foundation is authorized to verify the statements contained herein nursing program. and all information contained on this application will be held in confidence. • Letter from the school verifying the applicant’s acceptance in the nursing program. Signature: Date: • f Copy o ID from National Student Nurses Association or Utah Nurses Association with membership number. Send completed application to:
AGREEMENT UTAH NURSES FOUNDATION In the event of a scholarship award, the nursing student agrees to work for a Utah Health Care c/o Utah Nurses Association Facility or Utah Educational Institution as a full-time employee for a period of one year, or part-time 4505 South Wasatch Blvd #330B for a period of two years. Salt Lake City, UT 84124 Student recipient agrees to join the Utah Nurses Association within 6 months of graduation at the advertised reduced rate. If for any reason the educational program and/or work in Utah is not completed, the scholarship If you have any questions regarding the application, you may send an email to monies will be reimbursed to the Utah Nurses Foundation by the nursing student. [email protected].
SimpleWreath specializes in handmade, natural looking wreaths Southwest Region that enhance the beauty of your home, both inside and out. Indian Health Service The Southwest Region Indian Health Service is seeking Registered Nurses in multiple specialties including Medical/Surgical, ER, OB/L&D and Leadership Roles. Bring your innovative spirit to improve the health status of our Native American population. Etsy: Why Nurses Choose IHS: http://www.etsy.com/shop/ • Loan Repayment Program – simplewreath Up to $20,000 annually • Competitive Salaries • 10% evening/night differential Facebook: • 25% weekend differential https://www.facebook.com/ • 26 vacation days simplewreath • 13 sick days, 10 Federal holidays • Numerous health plans to choose; E-mail: continue in retirement [email protected] • Transfer opportunities–1 license/50 states • Outstanding Federal Retirement Plan, and much more Custom orders & monograms Our nursing career opportunities are available in rural and urban locations throughout available! the states of Arizona, Nevada and Utah. The Southwest Region also has the largest Plan to attend Promise Hospital’s RN open house Medical Center in the Indian Health Service on November 19th and 20th from 9–3 or reach out to Please enjoy [email protected] • (801) 408-2116 located in downtown Phoenix. Nurses interested in a rewarding career, please contact 10% off with Kevin Long at 602-364-5178, or Best of State email Kevin at [email protected]. coupon code: 2015 Winner www.promise-saltlake.com NURSE10 Nursing I hope we’ll talk soon. Your Southwest adventure awaits you. November, December 2015, January 2016 Utah Nurse • Page 11 Join UNA Today! Visit w g ww.utnurse.or
GRC COMMITTEE NEWS Camp Laurel, a private, co-ed, residential camp in Maine seeks a Nurse Manager, Charge Nurses and Staff Nurses. Often claimed as one of New England’s premier summer camps, Laurel boasts excellent facilities and a well-staffed medical Kathleen Kaufman, MS, RN, GRC Chair you are important to them. Include you address with zip team. NPs, RNs, LPNs and Recent Grads are all welcomed to code so they KNOW you are a constituent. Hold YOUR apply. Excellent Salary, Travel Allowance, Room and Board. legislator accountable and do convey your appreciation as For more information visit www.camplaurel.com, The interim session has moved on and we have heard email [email protected] or call 800-327-3509. passionate testimony about legalization of medical marijuana well as you criticism. in the Health and Human Services Committee hearings. The Government Relations Committee is looking The upcoming meeting will most likely be about care for the for someone to step up into leadership position in this elderly in this state with AARP pushing for greater delegation committee. We have one person who is willing to be co- to CNAs in the home and Rep. Rebecca Chavez-Hauck chair. Would you like this opportunity and challenge? We do presenting information on death with dignity. To see what all our work online so you do not need to travel and most the Interim schedule is, go to www.le.utah.gov and open work is done during the 45 day general session in January, the calendar. The scheduled material for each committee is February, and March. Some years there are many issues posted by at least 24 hours before the interim meeting…and touching nurses and healthcare in Utah…some year not sometimes several days earlier. so many. If you are interested, please contact Lisa Trim in The major topic left on the interim agenda will be the care the UNA office. Lisa will pass your interest on to Kathleen of the elderly. Two meetings of the HHS committee have Kaufman who, due to health issues, is going to have to step already covered possible legalization of medical marijuana in down from this position. I have enjoyed working with this Utah and the first session of the interim focused on liability committee and I hope to stay active on the Hill…I will be glad issues for health care providers and possible expansion of to mentor you if needed—Kathleen. the Medicaid drug list to include more psycho-active drugs. Of course the elephant in the room is the hanging issue of increasing access to healthcare for the poor in Utah. Please see the article on Medicaid Expansion in this newsletter. Provo Canyon School is looking Please take action. Call or email, or do both, YOUR legislator for RNs to join our team, working and explain your position. Always begin the subject line with together to hope, heal, and inspire. “Constituent is concerned about….” This tells the legislator Basic knowledge of normal/abnormal psychology is helpful.
For more information and to apply, FROM THE visit us directly at: MEMBERSHIP www.provocanyon.com/careers COMMITTEE
Contributing authors RN–BSN Sharon K. Dingman, DNP, RN, Chair Lori Goucher, MSN, RN Angela York, BSN, RN Hello Members, RNs Needed Already licensed as a The Membership Committee continues to listen to our members and respond to the 2014 Survey regarding the Expanding community-based Registered Nurse? members interests and accomplishments. As members, ambulatory healthcare center needs if you have news about what the UNA members are doing in your area, please send us an email so we If you are looking to expand your may include you and your activities in our Membership • RN Care Coordination Supervisor education and take the next step in your Updates in the Utah Nurse in the future. Continue to • RN – triage (2) nursing career, contact us today. watch the UNA Website for news updates. • RN – staff (2) Online Classes Available We are in the works of updating the content of UNA’s website. Part of UNA’s mission to “advocate, educate Send CV to and be a voice for all nurses in Utah,” involves having Applications will be accepted for an online presence with quality resources. If you have [email protected] FALL 2016 from April 18 – July 1. suggestions, questions or comments on items we should include or improve upon with our online community— please let us know by calling into our office or emailing our membership committee at [email protected]. Our intern from the University of Utah, Angela York, Contact us for has completed her internship with a project geared more information towards teaching new and existing members of UNA [email protected] how to inform policy with advocacy tools online. Please stay tuned to the website regarding this valuable 801-863-6317 resource for our members. www.uvu.edu/nursing Page 12 • Utah Nurse November, December 2015, January 2016 NURSING EDUCATION
UTAH STATE UNIVERSITY IS SEEKING APPLICANTS for Nursing Program Coordinator at Our Tooele Campus.
For more information about available opportunities, please visit jobs.usu.edu.