MNORN Newsletter November 2015

ELECTION DAY, NOVEMBER 3RD, IS OVER, New Book by BUT THERE IS STILL TIME TO VOTE IN THE Beatrice MNORN ELECTION! Kalisch Published by ANA Built on 10 years of extensive research, Errors of If you haven’t voted in the MNORN election yet, find your email Omission: How Missed Care Imperils Patients offers an in-depth from Election-America that has all the information you need to review of the correlation cast your ballot. between missed nursing care —standard, required nursing Voting will not take you long. Besides electing MNORN leaders, care that is left undone—and you will have the opportunity to tell us what topics you think adverse outcomes in both patient care and nurse staff ANA should be discussing next summer at the 2016 Membership retention. Assembly. We look forward to seeing what you think!

Errors of Omission provides Please take a moment to vote! guidance to help better understand the repercussions (If you didn’t get an email from Election-America, please contact of missed nursing care. It Kathi Koehn at [email protected]) unveils key strategies to help you avoid making future errors of omission. • Key areas of missed nursing care • Consequences of not providing care • Methods of studying missed care • The role of leadership and management in addressing missed nursing care

This is a must-have book for all nurses. Staff nurses and managers will find this book extremely valuable for their work in providing the highest standards of safe and quality care.

1 MNORN Newsletter November 2015 Save The Date for the Next MNORN Member Meeting

The Next MNORN Member Meeting will be held Tuesday, December 15th at 6PM at the Carondelet Center in Saint Paul.

Topic: an Update on What is Being Done To Advance Health Equity in .

Our speaker will be ThaoMee Xiong JD, MPH. ThaoMee is the director of the Center for Health Equity at the MN Department of Health. She previously held the position of policy director with the Minnesota Housing Partnership. She has experience in professional legal advocacy and public policy on issues related to poverty, immigration, refugee resettlement, domestic violence, housing, and civic engagement.

The format of our member meetings will allow ThaoMee the chance to talk about what is currently being done on the issue of health equity in MN and for her to hear from our members about what nurses are doing, and could be doing, about this very important issue.

What is Health? From WHO 1948 and Ottawa Charter for Health 1986

“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Health is a resource for everyday life, not the objective of living.”

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Marie Manthey remarks upon receiving the Academy’s Living Legend Designation last month.

75 years ago a nurse named Florence Marie Fisher colored in a little girl’s coloring book. The little girl was scared…worried she wouldn’t see her family again; she was confused and she felt abandoned. I was that little girl, and Florence Marie Fisher’s act of caring has been a constant source of a focused energy that has driven my every accomplishment—big or small— for my entire professional life.

35 years later I was in charge of a nursing unit management improvement project on a medical unit at the Hospital that resulted in the creation of . Even though I wrote the book on Primary Nursing, I can’t take credit for creating it. Primary Nursing was the result of staff nurses being permitted to design a care delivery system that was congruent with their values and education. It was a care delivery system that took power away from a faceless bureaucracy that could never really know or care adequately for patients and their families and gave it to the staff nurse at the bedside who could.

This was a time of great learning for me. It was then that the necessity for a culture built on each caregiver’s acceptance of “Responsibility + Authority + Accountability” became clear to me in both meaning and in universality. I learned how important it is for these elements to be clear and to be commensurate and how they apply to literally everything….from organizational structures of both hospitals and academia, and even more importantly, how they apply to the lives of all of us. I learned that in order to experience legitimate authority, one has to accept responsibly….and that in doing this, an individual is empowered and can leave victim thinking behind forever. Consciousness of choice can permanently replace victim thinking…

As my life evolved, I began to have a problem with substance abuse that led to addiction and loss of a job I loved …and was quite good at. Most of the work for which I am being recognized today took place while I’ve been in recovery from alcoholism. Today I am grateful to have my health and to be able to stand in my profession with the capacity to reflect fully on the past and to look thoughtfully into the future. They say, “Where you stand determines what you see.” I am so grateful to be here today, seeing all of you, and still being in love with the profession Florence Marie Fisher invited me to join—through nothing more than her highly attuned care of me as a person—when I was five years old.

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The American Nurses Association Advocacy Institute Experience 2015 - by ANAI fellow, Heidi Orstad

Imagine twenty-five nurses from across the country in one hotel in Washington DC representing their state’s nurses’ association: , , Maine, Minnesota, , Nebraska, Arizona, New York, , Tennessee, New Mexico and more.

One might think that the nurses called to this year-long Fellowship would come from fields of nursing steeped in policy. In fact, the career paths held by the nurses in the room proved to be as varied as the states represented. Present was a DNP Nursing Professor from Vanderbilt, a nurse attorney from Seattle, an ICU nurse from St. Louis, a long term care nurse from Nebraska, a geriatric NP and Nurse Midwife from North Carolina, an OR nurse manager from Arizona, a pediatric CNS from Michigan, a leader of care coordination for a health plan in MN, a FNP from Wyoming, and a hospice founder from New Mexico…. the list could go on and on.

What is the ANAI? The American Nurses Association explains “the American Nurses Advocacy Institute (ANAI) is designed to develop nurse's political competence, thereby expanding nursing policy leaders and grassroots capacity for the profession and health care. Endorsed by a state nurses association (SNA), each ANAI Fellow will provide counsel to the SNA in establishing legislative & regulatory priorities with recommended strategies to achieve, as well as contribute, to execution of actions to advance policy. Fellows will also serve as mentors to other SNA members. The year– long mentored program begins with the face-to-face sessions in Washington, DC and is supplemented with routinely scheduled conference calls, emails, and provision of support materials. Subjects such as bill analysis and preparing for and delivering testimony are examples of topics covered during calls. Each participant is asked to identify goals or a project they intend to address for their sponsoring SNA over the course of the months following the sessions in DC. ANA staff and volunteer mentors facilitate delivery of the DC program as wells as provide project support throughout the year.”(1)

The first night together as Fellows, solidarity grew. The nurses sought to understand how to represent the needs of their state association: “How do we understand the positions held by the ANA?”…”How do we understand the related bills before Congress? “…”How do we know how to articulate to our legislators effectively on

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The American Nurses Association Advocacy Institute Experience 2015 (cont.)

behalf of our state association? “…”What do we say?... What do we NOT say?... And to Whom?”

The Senior Associate Director of State Government Affairs for ANA and ANAI leader Janet Haebler, MSN, RN effectively anticipated these important questions and many more over the course of the three-day Advocacy Institute. She also introduced three influential nurse leaders to the Fellows: Minnesota House Representative Erin Murphy, RN, Mary Behrens, RN, MS, FNP-BC former Wyoming Legislator, and Dr. Irene Trowell- Harris, RN, Ed.D. Major General USAF, Retired, the former Director of the Department of Veterans Affairs Center for Women Veterans. These political leaders spoke about their paths in nursing and what lead them towards political leadership and public policy. They also helped the Fellows to understand the ebb and flow of the political process.

The next day, the ANAI leaders introduced experts in Public Relations to demonstrate how the Fellows could effectively present messages to political leaders and the media. The Fellows then met with ANA lobbyist, Michelle Artz, to better understand the two bills the ANA is actively seeking co-sponsorship for in the US Senate. After the lobbyist presentation, the Fellows gathered into teams to prepare for the “Day on the Hill”.

After an evening of fellowship, sight seeing, and dinner on the town, the ANAI teams woke early to walk to the Capitol where groups of 4-5 Fellows met with Senate teams from each state represented. Each nurse proposed the bills up for consideration and asked for the support of the Senator from their state, articulating why the bill made sense for the state’s citizens.

Following the “Day on the Hill”, the Fellows and ANAI leaders reconvened to reflect on the three day experience, discussing what the nurses learned and what they could expect during monthly ANAI conference calls to come. The Fellows echoed excitement about continuing the energy of the event and the relationships with the nurses they met. All in attendance echoed gratefulness to the ANAI leaders for preparing them well for ANA advocacy.

It’s not too early for MNORN members to start considering whether they would like to be an ANAI Fellow next year!

(1) http://www.cvent.com/events/2015-american-nurses-advocacy-institute-anai-/event- summary-2f421ffc80a64c86a324166ea4deede3.aspx

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OFFICE OF THE MINNESOTA SECRETARY OF STATE Notice of Vacancies in State Boards, Councils and Committees There are over 600 vacancies across 140 agencies. Please see the November 2015 Vacancy Notice on their website at: http:// www.sos.state.mn.us/index.aspx?page=308

Applications are due November 24, 2015

MATERNAL AND CHILD HEALTH ADVISORY TASK FORCE Appointing: Commissioner of Health Compensation: Expenses January 2016 Vacancies: Seven Members The advisory task force was created by the Legislature to advise the commissioner of Health on the health status and health care services/needs of MCH populations in Minnesota on the use of MCH funds for services through MDH; and the priorities for that funding.. No members shall be employees of the Minnesota Department of Health. Meetings are held on a quarterly basis in St. Paul, MN

MEDICAL SERVICES REVIEW BOARD DEPARTMENT OF LABOR AND INDUSTRY REHABILITATION AND MEDICAL AFFAIRS Appointing: Commissioner of Labor and Industry Compensation: $55 per diem plus expenses January 2016 Vacancies: Nine Seats including: ‐ One Physical Therapist Member ‐ Two Physician Members ‐ One Physician Alternate ‐ One Occupational Therapist Alternate ‐ One Alternate ‐ One Chiropractor Alternate ‐ One Physical Therapist Alternate ‐ One Employer/Insurer Alternate Additional Vacancies: ‐ One Hospital Representative – Alternate ‐ Two Physicians – Alternate ‐ One Labor ‐ Alternate The board advises the Department of Labor and Industry on medical matters relating to workers' compensation, makes determinations on inappropriate, unnecessary or excessive treatment under M.S. 176.103, subd. 2, and may issue penalties for violation of rules following a contested case procedure under chapter 14 under M.S. 176.103, subd.3. The MSRB meets quarterly in the Minnesota Room at the Minnesota Department of Labor and Industry.

MINNESOTA e‐HEALTH ADVISORY COMMITTEE Appointing: Commissioner of Health Compensation: None

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Ongoing Vacancies Include: Four Seats including: ‐ One Member – Clinical Research ‐ One Member – Clinic Manager (Notice of Vacancies in State Boards, Councils and Committees, cont.)

‐ One Member – Nurses Representative ‐ One Member – Health System Chief Information Officer This committee advises the commissioner on the following matters: 1) assessment of the use of health information technology by the state, licensed health care providers and facilities, and local public health agencies; 2) recommendations for implementing a statewide interoperable health information infrastructure, to include estimates of necessary resources, and for determining standards for administrative data exchange, clinical support programs, patient privacy requirements, and maintenance of the security and confidentiality of individual patient data; and 3) other related issues as requested by the commissioner. Meetings are held on a quarterly basis at the Minnesota Department of Health.

MN BOARD OF NURSING Appointing: Governor Compensation: $75 per diem January 2016 Vacancies: Four Seats including: ‐ Two Registered Nurses ‐ One Registered Nurse – Advanced Practice ‐ One The board licenses professional and practical nurses; and registers public health nurses; renews licenses; advanced practice registered nurses (certified nurse midwives, certified nurse practitioners, certified clinical nurse specialists, and certified registered nurse anesthetists); provides data services; approves nursing education programs; processes complaints about nurses; and imposes disciplinary action against nurse licenses. The 16 members must all be residents of Minnesota. The membership includes eight RNs, four LPNs, and four public members. RN and LPN members must have graduated from an approved school of nursing, be licensed and currently registered in Minnesota, working as a nurse in Minnesota, and have at least five years experience in nursing practice, nursing administration or nursing education immediately preceding appointment.One RN must have executive or teaching experience in a baccalaureate degree nursing program; one RN must have executive or teaching experience in an associate degree nursing program; and one RN must have executive or teaching experience in a practical nursing program. These programs must be approved by the board and at least two years experience must have occurred during the five years immediately preceding appointment. One RN must have national certification as a registered nurse anesthetist, nurse practitioner, nurse midwife, or clinical nurse specialist, and one RN must be practicing professional nursing in a nursing home at the time of appointment. The remaining four members must be public members as defined by Minnesota Statutes 214.02. A member may be reappointed but may not serve more than two full terms consecutively. The governor shall attempt to make appointments to the board that reflect the geography of the state. Board members who are nurses should reflect the broad mix of practice types and sites of nurses practicing in Minnesota. Meetings are scheduled monthly at 2829 University Avenue Southeast, . Additional time is required for committee and complaint review panel meetings. Committee meetings are scheduled on an ad hoc basis. The time commitment is approximately 150‐ 175 hours annually.

MN BOARD ON AGING Appointing: Governor Compensation: $55 per diem plus expenses January 2016 Vacancies: Six Members The board develops, coordinates, evaluates, and administers federal and state funds for programs for the aging; makes grants to seven area agencies on aging and non‐profit agencies; and serves as advocate for

7 MNORN Newsletter November 2015 older persons. The board consists of 25 members including at least one member from each congressional district. Five meetings a year are held on the third Friday of those months. Committee meetings are the preceding day. Meetings are held at 540 Cedar Street, St. Paul. (Notice of Vacancies in State Boards, Councils and Committees, cont.)

RURAL HEALTH ADVISORY COMMITTEE Appointing: Governor Compensation: Expenses January 2016 Vacancies: Six Seats including: ‐ One Hospital Representative Member ‐ One Consumer Member ‐ One Mid‐Level Practitioner Member ‐ One Long‐Term Health Care Member ‐ One Physician Member ‐ One Higher Education Member The committee advises the commissioner of Health and other state agencies on rural health issues. All members must reside outside the seven‐county metropolitan area. In making appointments the governor shall ensure that appointments provide geographic balance among those areas of the state outside the seven‐ county metropolitan area.. Meetings are held approximately five times per year at various locations in St. Paul, or elsewhere in the state, or by/with teleconferencing/video conference.

STATE ADVISORY COUNCIL ON MENTAL HEALTH Appointing: Governor Compensation: $55 per diem, reimbursed for expenses January 2016 Vacancies: Nineteen Seats including: ‐ Two Consumers ‐ Two Family Members ‐ One Parent ‐ One Professional Clinical Counselor ‐ One Psychologist ‐ One Mental Health Association Representative (aka Mental Health MN) ‐ One Registered Nurse ‐ One County Commissioner (Rural) ‐ One County Commissioner (Metro) ‐ One Marriage and Family Therapy Practitioner ‐ One MN Disability Law Center Representative ‐ One National Alliance on Mental Illness – Minnesota (NAMI‐MN) Representative ‐ Consumer Survivor Network Representative ‐ One MN Housing Finance Agency Representative ‐ One Department of Health Representative ‐ One MN Senate Member ‐ One MN House Member The council advises the governor, Legislature, and state agency heads about policy, programs, and services affecting people with mental illness. The council must have members appointed by the governor in accordance with federal requirements. In making the appointments, the governor shall consider appropriate representation of communities of color. Meetings are held on a monthly basis at Department of Human Services, 540 Cedar Street, St. Paul or 60 Empire Drive, St. Paul.

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TRAUMA ADVISORY COUNCIL Appointing: Commissioner of Health (Notice of Vacancies in State Boards, Councils and Committees, cont.)

Compensation: $55 per diem plus expenses January 2016 Vacancies: Six Seats including: ‐ One Neurosurgeon – Level I or II Trauma Hospital ‐ One Hospital Administrator – Level III or IV Hospital – Rural Area ‐ One Trauma Surgeon – Level I or II Trauma Hospital ‐ One General Surgeon – Trauma – Rural Area ‐ One Trauma Program Manager/Coordinator – Level III or IV Hospital ‐ One Nurse Practitioner or Physician Assistant – Level IV Hospital ‐ Rural The council is established to advise, consult with, and make recommendations to the commissioner of Health on the development, maintenance, and improvement of a statewide trauma system. Meetings are held four times per year at the Minnesota Department of Health Snelling Office Park location

Minnesota Crisis Link website now available

Minnesota has launched a Crisis Link website to connect people in crisis, including mental health and substance abuse, to services. The website identifies services by the location of the searcher and includes a live chat service.

The Crisis Link website is an important online resource for finding services for people in mental health crisis. Additional resources include: • Crisis phone lines by county, available to the public • Fast-Tracker, a resource for finding outpatient mental health services, available to the public • Psychiatric Assistance Line, or PAL, a child and adolescent psychiatric consultation service for physicians • Minnesota Mental Health Access, a resource for finding outpatient and inpatient mental health services, password required Hospitals and clinics are encouraged to make the Crisis Link website, local crisis line numbers and Fast-Tracker information available to patients and their families. The information can be posted, available as a handout in the waiting room or offered in other ways

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CLIMATE CHANGE AND PUBLIC HEALTH an Interprofessional Review

Changing climate is affecting our patients, our practices and our health care facilities. Recognize the Challenges; Prepare for the Needs.

Saturday, November 21st, 2015 7:40 a.m. – 5 p.m.

Register at: http://www.eventbrite.com/e/climate-change-and-public-health-an- interprofessional-review-registration-16568048479

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The Deadline for Submission of Abstracts for the 9th International Council of Nurses International Nurse Practitioner/ Advanced PracticeNursingNetwork (INP/APNN) Conference is November 30, 2015

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EMPLOYMENT OPPORTUNITY Nurse Practitioner – Adult and Geriatric Salary: $60,725.60 - $124,723.04 Annually Job type: Full-time Work location: North Minneapolis, Minnesota Open until filled, apply at www.hennepin.jobs

Be part of a team to develop a center of excellence in elder care services in North Minneapolis.

NorthPoint Health and Wellness Center is seeking an Adult and Geriatric Nurse Practitioner to provide primary health care to adults and elderly patients. This will involve staffing our satellite clinic at the Minneapolis Public Housing Heritage Park Senior Center in North Minneapolis. This position will participate in team based care for well and acutely and chronically ill adults. Care includes promotion of health, evaluation, and management of problems, preventive health teaching, and appropriate referral.

NorthPoint Health and Wellness Center actively partners to create a healthier community and works to provide a highly desirable place for health care that values diversity/inclusion, compassion, stewardship, innovation, and integrity.

Best Qualified Candidates will have: • Master's degree or higher in nursing from an accredited program and two or more years of full-time professional adult or geriatric nursing experience. • A valid license as a Registered Nurse issued by the state of Minnesota. • Adult or gerontological nurse practitioner certification by an agency authorized to certify professional nurses in advanced practice or an approved equivalent as provided under M.S. 148/284. • Knowledge of: ◦ Adult or gerontological nursing practice and medical history techniques. ◦ Appropriate diagnostic tests, therapeutic devices, legend drugs, therapeutic treatments, and referral agencies. ◦ Immunization and documentation standards and health management. • Skill in the operation of appropriate medical equipment. • Ability to: ◦ Walk and stand for long periods of time. ◦ Initiate Cardiopulmonary Resuscitation (CPR). ◦ Work independently and interdependently with professionals from other disciplines. ◦ Manage family-focused care and teach families how to maximize health and prevent disease. ◦ Provide consultation to medical and nursing personnel. ◦ Participate in community health planning. ◦ Make judgments and decisions under conditions of uncertainty and stress. ◦ Contribute and work cooperatively with other members of the medical team, interact with individuals of widely divergent lifestyles and cultures. Hennepin County offers an impressive benefits package that includes health, dental, life and short/long-term disability insurance, 11 paid holidays per year in addition to paid time off, a defined benefit pension plan (PERA), retirement savings programs, trade time for fitness, and many more.

To view complete online posting and to apply, visit www.hennepin.jobs

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