OFFICIAL BULLETIN OF THE FLORIDA NURSES FOUNDATION Volume 68 • No. 4 Quarterly publication direct mailed to approximately 10,000 Registered Nurses and delivered electronically via email to 310,000+ Registered Nurses in Florida November 2020

Mission Statement Advancing the profession of nursing and promoting a healthy Florida FNA does not endorse advertised products, services, or companies, nor any claims made in paid advertisements. The Florida Nurse is proudly brought to you by FNA dues paying members.

President’s Message

Reflecting and Moving Forward

George Peraza-Smith, President FNA and organized assembly as well as our business feeling weary. However, I am proud of nurses meeting with many opportunities for attendees to who continue to show up and take care of their The Membership learn, interact, and network together. Our future patients and communities. Assembly’s theme this as a virtual organization is bright and promising. We will get through these challenging times. year on Re-Imagining This was not the year we were expecting. There is hope in our future. Continue to role FNA: Creating an Amazing On reflection of this year I cannot help model responsible behavior. Wash your hands Future challenges us thinking about all those we have lost to the often – wear a mask – social distance. And may to continue moving COVID pandemic. Nurses, health care workers, I add one more item to this mantra – take care of forward even during patients, family members, relatives, friends, yourself and your mental health. these challenging times; we have all been touched by this pandemic in The holidays are a time for celebration and maybe even in spite of some way and the impact from the enormous reflection. Let’s celebrate life and reflect on how these challenging times. losses. We are living in a new normal in a our past may inform our future. Together, let’s Thank you to Willa Fuller, divided society. It is difficult for me to put celebrate all that we were able to accomplish Kaitlin Scarbary, and the into words the cognitive dissonance I feel and this year and continue to dream for our amazing excellent staff at FNA. We weren’t just successful experience each day between the realities of future in 2021. Happy New Year! with our virtual membership assembly, it was our work and the reckless behavior of members AMAZING. The FNA team provided a structured in the community. We are all exhausted and Inside this Issue

President’s Message ...... 1 Welcome New FNA Members!...... 14-15 Notes from the Executive Director...... 2 Focus on New Grad ...... 16 Focus on the Foundation...... 3-4 Member Spotlight...... 17 Non-Profit Org. News from Headquarters...... 4 FNA Legislative Update...... 18 U.S. Postage Paid FNPAC...... 5 In Memorium...... 19 Princeton, MN Region News...... 6-7 SIG News...... 19 Permit No. 14 current resident or Student Forum...... 8 Nursing Community Members in the News ...... 9 QUIN...... 20 2020 Calendar of Events...... 9 Community Service Learning Bridges Gaps...... 21 State Employees...... 9 Workplace Bullying - A Silent Epidemic...... 22 LERC News...... 10 Tackling and Combatting Human 2020 Membership Assembly Recap...... 11 Trafficking as a Global Concern ...... 23 I Give You Permission to Fall Apart...... 12 When a LGBT+ Nurse’s Voice Grows Silent in the Workplace . . . 23 2020 FNA Icon Award Recipients ...... 12-13 Page 2 The Florida Nurse November 2020 Notes from the Executive Director

FNA Members: Come to the Table Owned and Published by, Florida Nurses Association 1235 E. Concord Street, Willa Fuller, BSN, RN, Executive Director 2. Learn the professional issues. The Orlando, FL 32803-5403 association has a Legislative Platform P.O. Box 536985, Orlando, FL 32853-6985 “If you are not at but also takes on issues as they arise. Telephone: (407) 896-3261 FNA has a Health Policy Special Interest FAX: (407) 896-9042 the table, then you are E-mail: [email protected] on the menu.” This is Group that any member can join. It meets Website: http://www.floridanurse.org a quote that is often monthly and is an effective way to bring Office Hours: 8:30 a.m. to 4:30 p.m., used to illustrate the your important issues to the forefront. Monday thru Friday importance of engaging Members not only discuss problems, they For advertising rates and information, please contact in the advocacy efforts also discuss solutions and strategies. We Arthur L. Davis Publishing Agency, Inc., PO Box 216, Cedar of your profession. also have a political action committee that Falls, Iowa 50613, (800) 626-4081, [email protected]. FNA The way that decision raises funds and endorses candidates that and the Arthur L. Davis Publishing Agency, Inc. reserve making works in the have stated they will support our issues. the right to reject any advertisement. Responsibility for Issues can also be addressed through our errors in advertising is limited to corrections in the next legislative arena, requires issue or refund of price of advertisement. presence by those who Board of Directors. They are accessible to Acceptance of advertising does not imply endorsement will be affected by any all members through our website or through or approval by the Florida Nurses Association of products Willa Fuller legislation. staff who can connect you. advertised, the advertisers, or the claims made. Rejection We often get calls from 3. Keep abreast of the news and monitor what of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer nurses demanding, “What is happening as it relates to healthcare lacks integrity, or that this association disapproves of is FNA doing about this?” They are most often not policy. the product or its use. FNA and the Arthur L. Davis members, nor have they ever been and usually, It is your responsibility as a professional Publishing Agency, Inc. shall not be held liable for any they are not aware of the process of making policy to be knowledgeable about the law, as well consequences resulting from purchase or use of an as regulations that affect your practice and advertiser’s product. Articles appearing in this publication changes. The assumption is that if we allow a express the opinions of the authors; they do not certain thing to occur, then we failed in protecting your patients. Nursing is more than just a necessarily reflect views of the staff, board, or membership nurses or protecting the profession. The truth is job! of FNA or those of the national or local associations. that we may have worked very hard on that issue 4. Get to know your local legislators. They are Published quarterly, February, May, August and but someone else, another group, may have had public servants that work for you. Introduce November by FNA, a constituent member of the American Nurses Association. more “boots on the ground.” The other reason for yourself as a registered nurse and tell Editor – Kaitlin Scarbary, 1235 E. Concord St., Orlando, such occurrences is that the legislator thought them that you are happy to be a resource FL 32803-5403 they were doing a good thing, but they didn’t have if they have a healthcare/nursing question. Subscription available at $20.00 plus tax, per year. enough knowledge about the issue to write the Always be professional and courteous. Don’t Members of FNA receive the newspaper as a benefit of demand anything. Offer to educate them membership. legislation properly and unintended consequences COPIES of The Florida Nurse are available on 35mm occurred. Over the years, we have made many about the issue. microfilm, 106mm microfilm, article reprints and issue “fixes” to those type of legislative events or we 5. Learn the 10 Commandments of copies through Bell & Howell, 300 North Zeeb Road, Ann have blocked legislation by educating legislators communicating with legislators. You can Arbor, Michigan 48106 about the negative impact of the legislation. We find these in the Legislative Toolkit on our have lobbyists who will try and intervene, but website. A quick highlight includes: Don’t Board of Directors then, so do the other influential groups who might be rude, don’t be insulting and for goodness 2019–2021 oppose us. sake, DO NOT LIE! If you don’t know the Officers answer to a question, just tell them you George Byron Peraza-Smith, will get back to them. That is perfectly DNP, RN, APRN, GNP, AGPCNP, President acceptable. Janice Adams, DNP, MPA, RN, President-Elect 6. Learn what you can about health care Justin Wilkerson, BSN, RN-BC, CHPN, CCRN, Vice President finance. It does not work like other Victoria Framil-Suarez, DNP, APRN, ANP-BC, Secretary Mavra Kear, PHD, APRN, BC, Treasurer businesses and nurses need to gain expert knowledge in this area to help contribute to Region Directors solutions and innovations that will improve Jill Van Der Like, DNP, MSN, RNC, Northwest Region the environment for nurses and patients. Marsha Martin, RN, CCRN, North Central Region You also want to appear knowledgeable Susie Norman, MSN, RN-BC, Northeast Region Shirley Hill, BSN, RN, East Central Region when they ask you questions that relate to Lottie Cuthbertson, finance, like “How will we pay for that?” MSN-ED, RN, LHRM, FCN, West Central Region 7. VOTE! But when you vote, educate yourself Darlene Edic-Crawford, DNP, APRN, Southeast Region about how that candidate will respond Sarah Gabua, DNP, RN, CNE, Southwest Region to issues related to your work concerns. Marie Etienne, DNP, APRN, FNP, PNP, PLNC, South Region What makes the most difference in getting Perhaps you belong to a certain party Director of Recent Graduates our voices heard? I can tell you that it is the and you always vote that way, but do you Kathryn Barrows, BSN, RN voices and votes of nurses in the individual know how your candidates feel about safe legislative districts. Legislators want to hear from staffing, mandatory overtime, the shortage LERC Liaison constituents. That is, they want to hear from of PPE during the pandemic, compensation Mark Welz, RN people who can vote for them. As a member of for nurses who acquire COVID-19 at FNA Office the most trusted profession, according to Gallup, work? Have a conversation with pertinent Willa Fuller, BSN, RN, Executive Director we have a unique opportunity to help both our candidates during each election. Don’t vote John Berry, Jr., Director of Labor Relations & Government patients and our profession by forming strong blindly or emotionally. Affairs relationships with policy makers and making our Kaitlin Scarbary, Associate Director of Programs, needs and desires known. We are forming a new FNA Legislative Action Technology, and Membership Marketing There are specific ways to do this when it Team, which will be an innovative pivot from comes to legislative advocacy. Here are a few our Legislative District Coordinator Program of strategies you can use to advocate for our issues: the past. We are collecting the names of members 1. If you are not a member, join your right now who are willing to “adopt” a legislator(s) professional association. Legislators look to and serve as a nursing “ambassador” from FNA email Bibi Lowton at [email protected] with associations as the voice of the profession. throughout the year. We will be holding a training your name, your legislator(s) and the district Your support not only enhances financial program for these volunteers and you will receive number. Our Advocacy Days 2021 is going to be a resources but it adds to the political clout a certificate and a pin you can wear when visiting virtual program next year so it is imperative that and power of an association. We provide the your legislator (even if it has to be on ZOOM these you contact your legislator before the end of the resources for you to be an effective advocate days). Team Members this year will be recognized year. Once you attend the training session, you for the profession. Resources include not at the 2021 Advocacy Days Program as well as the will know exactly how to do that. only the talking points and information, Membership Assembly as the Inaugural Class of If you are not an FNA member and are but mentors who are happy to support the FNA Legislative Action Team. Those seasoned interested in playing an active role in your the next generation of nurse advocates. team members are invited to serve as mentors to professional future, please take advantage of our The experiences nurses have had working those who are new to legislative advocacy and standard pricing for new members and join today through the COVID-19 pandemic should we hope to have more than one team member at www.floridanurse.org. Just click the “join” make it quite evident that the nursing voice for each legislator. To identify the legislators button and follow the links to pay your nursing is crucial. in your district, go to www.floridanurse.org/ POWER bill for the coming year! FindMyLegislator and insert your address and zip code. Please note the legislative district. Then November 2020 The Florida Nurse Page 3 Focus on the Foundation

The Florida Nurses Foundation is proud to announce the recipients 2020 Foundation Scholarship Recipients of the 2020 Scholarships and Grants. FNF President, Daleen Penoyer presented the awards during the 2020 Membership Assembly on Saturday, September 26. This year, the Foundation awarded 32 Sarah Baldeo scholarships and four research grants – their names are listed below. Taylor Bell Tori Adams Palm Beach Atlantic During Membership Assembly, the Foundation was also able to University of Florida University of Florida University recognize Ginger Pederson and Janet Naughton, authors of Pandemic in Charlotte Liddel Mary York Scholarship Lillian Hulla, Friend Paradise: Florida Stories from the 2020 Coronavirus Pandemic. The book (District 5 Charitable of Nursing District 6 features stories about the pandemic including one from FNA Board of Trust) Scholarship Director Member, Darlene Dempsey, APRN. The authors are donating all (formerly 18) Scholarship profits from the sale of their book to the Florida Nurses Foundation. It is available for purchase on Amazon. This year the Adi Bukin Emily Bowie Emma Calantoni Foundation was excited Florida Atlantic USF Sarasota Manatee Galen College of Nursing for the creation of a University Olive Seymour District 6 District 46 Olive Ramsey brand new scholarship Goodman Family (formerly 18) Scholarship Scholarship fund. The Elizabeth Nursing Scholarship Willis Scholarship fund was endowed by the Woodnote Foundation Simone Darville in honor of Elizabeth Samantha Cooney Fayola Delica Florida Atlantic “Betty” Willis, a lifelong University of Central Purdue Global University registered nurse who Florida University District 6 (formerly 18) dedicated herself to her District 8 Charlotte District 21 Lousie Fiske Generic Scholarship community through Anzalone Scholarship Memorial Scholarship nursing and education. Fund Mrs. Willis graduated in 1954 from the University of Alabama Mary Doan Shaamonde Joseph Ma. Aileen Go in its first class of Florida Atlantic Florida Atlantic Florida Atlantic nursing students. She University University University began her nursing work Ruth Finamore Marion County (District Edna Hicks Scholarship as the first Director Scholarship 3) Scholarship of Nursing Services at the South Pinellas American Red Cross. Kathleen Juezan Mrs. Willis continued Meaghan Loftus Florida Atlantic Jayson Ledford her work with the The University of Tampa University Florida Atlantic American Red Cross for District 6 (formerly 18) Nina Brookins (District University 28 years, serving on the Generic Scholarship 5 Charitable Trust) Mary York Scholarship South Pinellas county board of directors. As a result of her leadership, Fund a cadre of more than 300 volunteer Red Cross Nurses were recruited for Scholarship a new Nursing Committee to provide services to the community. The National Red Cross presented her the Easterbrook Award in recognition of her outstanding leadership and service. Mrs. Willis has served in many other roles in her community and is an advocate of education as Tamara Marcellin Melissa Loscalzo Yansu Luo well as health. Her new scholarship with the Florida Nurses Foundation Florida International University of Florida University of Florida will be awarded to a nursing student in Pinellas county who is University Elizabeth Willis Nursing Martha Russell actively involved in community organizations and volunteer work Connie Dorry Memorial Scholarship Scholarship and demonstrates capabilities and traits of leadership and community Fund Scholarship service.

Focus on the Foundation continued on page 4 Page 4 The Florida Nurse November 2020 Focus on the Foundation continued from page 5

Anne Mivida Petit- Ashley Mcfarlane Angela Quiroga Homme Florida Atlantic Florida Atlantic Florida Atlantic University University University District 6 (formerly 18) District 6 (formerly 18) District 14 Marcy Generic Scholarship Generic Scholarship Klosterman Fund Fund Scholarship

Jenna Rosenkrantz Amanda Russ Jatia Scales University of Florida University of Florida Keiser University District 4 Florida Nurses District 14 Marcy Northeast FL Great 100 Scholarship Klosterman Scholarship Scholarship

Rose St.Jean Karla-Maria Sumrall Nova Southeastern Anita Stephen American Sentinel University University of Florida University Marion County (District Mary York Scholarship Undine Sams 3) Scholarship Scholarship

Maria Weinstein Barika Williams Keairra Weekes Nova Southeastern Florida Atlantic Florida Atlantic University University University District 14 Marcy Agnes Naughton Mary York Scholarship Klosterman Scholarship Scholarship

2020 Foundation Research Grant Recipients

Francine Cole, PhD(c), MSN, ARNP, FNP-BC, CCM The Lived Experience of Children Lauren Holloway, MSN, RN, CIC News from and Youth with Special Health Care Reducing Maternal Mortality in Florida Needs and their Caregivers during Jacksonville University Health Care Transitions Imogene King Research Grant Florida International University Headquarters Undine Sams and Friends Research Award Press Play Armiel Suriaga, Beth Pratt, PhD, RN MSN-RN, PhD Candidate on Your Membership Spouses of Veterans with Mental A Multi-Year Investigation of the Socio- Health Challenges and Pet Dogs: demographic Factors of Opioid and Membership in your professional association is more affordable than Exploring Human-Animal Bonds Non-opioid Drug-Related Deaths among ever. In an effort to make membership more accessible to everyone, FNA Florida Atlantic University Older Adults in FL and ANA recently reduced dues by $117. It is now only $15/month for new Blanche Case Research Fund Florida Atlantic University members to join. That’s the same cost as a subscription to a certain popular Edna Hicks Research Fund streaming service. By joining FNA/ANA, you will gain access to valuable tools to advance your career and stay current. Go ahead and press play on your membership today! Join us at floridanurse.org/join.

The 2021 Scholarship and Grant Application Cycle opens on January 1! The application window will be open from January 1 - June 1, 2021. Applicants must attend a CCNE or ACEN accredited college or university to be considered for a scholarship or research grant. Some scholarships have specific criteria, such as geographic location or specialty, while others have general requirements. We encourage faculty to share this information with their students. They may apply at www.floridanurse.org /ScholarshipsGrants. November 2020 The Florida Nurse Page 5 FNPAC

The Florida Nurses Political Action Committee held a series of candidate interviews in September and October. Candidates completed a questionnaire prior to being interviewed on issues of relevance to the Florida Nurses Association, including public health and pandemic response, violence against nurses, safe staffing, state employees, school nurses, and the Florida Center for Nursing. The candidates were then given the opportunity to meet with FNPAC trustees over Zoom. The interviews were open for members of FNA and other specialty nursing organizations to join. After careful consideration and much discussion, the trustees selected several candidates to endorse in the 2020 General Election based on their responses to FNA’s key issues and their potential impact in the legislature. Below are the candidates that the FNPAC endorsed along with the outcome of their race.

2020 Florida Nurses Political Action Committee Candidate Endorsements

Candidate House/Senate District Party Loranne Ausley - Won Senate 3 Dem Patricia Sigman Senate 9 Dem Victor Torres - Won Senate 15 Dem Javier Fernandez Senate 39 Dem Michelle Salzman - Won House 1 Rep Allison Tant - Won House 9 Dem Joe Harding - Won House 22 Rep Stan McClain - Won House 23 Rep Tracey Kagen House 29 Dem Fred Hawkins - Won House 42 Rep Daisy Morales - Won House 48 Dem Scott Hottenstein House 57 Dem Andrew Learned - Won House 59 Dem Jennifer Webb House 69 Dem Fiona McFarland - Won House 72 Rep Kelly Skidmore - Won House 81 Dem John Snyder - Won House 82 Rep Omari Hardy - Won House 88 Dem James Bonfiglio House 89 Dem Joe Casello - Won House 90 Dem Linda Gonzalez House 93 Dem Maureen Porras House 105 Dem Clint Barras House 120 Dem

careers.kindredathome.com Page 6 The Florida Nurse November 2020 acknowledge and thank the legislators who took the incredible contributions to save lives, advance health time out of their busy schedules to join our forum equity, and protect vulnerable communities during and help educate our attendees on the importance the novel coronavirus pandemic through courage, of advocacy: Senator Gary Farmer (D-SD 34), compassion, creativity, and resilience. Representative Evan Jenne (D-HD 99), Senator Perry We honor the memories of all nurses and other Thurston (D-SD 33), and Rep. Vance Aloupis (R-HD healthcare workers who have lost their lives during 115). We acknowledge all nursing students from ASN, the COVID-19 pandemic as they were on the frontline BSN, and graduate programs who were able to attend caring for their patients and families. the event. Thank you Ms. Willa Fuller, Executive On August 30, Michael Gomez, a student in the Director of FNA & Dr. Patricia Messmer for a job well Benjamin Leon School of Nursing Miami Dade College done on FNA PAC & ANA PAC updates. We shared RN-BSN program and ASN graduate sang the National Greetings Fellow Nurses, information about the 10 Commandments of Effective Anthem at the Miami Marlins vs Tampa Bay Rays Communication with Legislators, How to Talk with game honoring the nurses and frontline workers. I am very pleased to report that FNA South Region Your Legislator, and discussed the importance of voter If you are not a member of FNA, I encourage you Members were well represented at the 2020 FNA engagement. We’d like to acknowledge the Volunteer to join by visiting www.floridanurse.org. Get involved Virtual Membership Assembly that was held on Leadership Council FNA President, Board of Directors, by joining a special interest group of FNA and any September 24-26 via Online Conference Platform. Staff, especially Kaitlin for their support. We’d also of the committees of the South Region. For more Congratulations to all the Lamplighter Award like to acknowledge the four past Directors of South information, please email me at metienne777@icloud. Recipients (25 years of Membership), Diamond Region: Barbara Russell, Jill Tahmooressi, Dr. Debra com. I implore to remain safe and to follow the Center Award Recipient – Dr. Daniel Little for 50 years of Hain, and Dr. Carmen Victoria Framil Suarez for their for Disease Control (CDC), Florida Department of Membership, and FNA ICON Awardees, especially outstanding leadership and support. Health and WHO guidelines by washing your hands, our own member from FNA South Region, Dr. Audrey Congratulations to Mrs. Barbara Russell for being wear your mask, and practice social distancing 6 Miller who won the Advanced Practice Nursing nominated by Dr. Patricia Messmer for the American feet apart to prevent the spread of the coronavirus Award ICON Award. You are all winners and you Academy of Nurses for recognizing her for her COVID-19. make us proud! Since we had to cancel the 10th Annual Symposium & Awards due to COVID-19 Pandemic, we would like to acknowledge all the nurses who were effectively communicate with them about issues nominated for awards from the various categories. impacting the nursing community. We would like to Advanced Practice Nurse Award: Ms. Edda Avila, extend our thanks to Rep. Webb and Senator Boyd for Dr. Heather Braithwaite, and Dr. Audrey Miller. taking the time to join us as well to our team at Public Community Action Award: Dr. Mary Massieu, Dr. Affairs Consultants for coordinating those meetings. Phyllis Rhymes-Johnson, Dr. Rosa Roche, Ms. Sharon FNA will be revamping its legislative program with a Rogers, and Ms. Rashida Stewart. Nurse Educator focus on building nurse liaisons in each region to serve Award: Dr. Andres Caiaffa, Dr. Ivette Hidalgo, and as a point of contact for legislators. More information Dr. Millicent Richards. Promoting an Environment will be announced soon! for Excellence in Nursing Award: Ms. Edlina Hilson. Self-care is essential - “Put Your Oxygen Mask on Nurse Researcher Award: Dr. Ruth Tappen. Nursing First.” Leader Administration/Academia Award: Dr. Joan The FNA WCEN Region would like to send Kudos Osborne. Congratulations to all of the nominees! It is to the Florida Nurses Association Staff for putting Nurse Practitioner’s Week is November 8-14, a great honor to be nominated by one of your peers together an outstanding 2020 Membership Assembly. 2020. Join FNA WCEN Region in partnership with for professional recognition. This year the Awards The Membership Assembly was innovative and the Nova Southeastern University Tampa campus for CE committee decided not to select winners in each attendees were extremely engaged in the programs. and CME courses in celebration of Nurse Practitioner category but to honor all of the nominees as each one Thank you to the FNA staff for all that you do every Week. There will be some dynamic Nurse Practitioners of them have contributed to their profession before day!! presenting! Here is a Sneak Peak of the Education and during this challenging year. During the Month of August 2020, The WCEN Summit and Speakers: We are happy to hear that the American Nurses Region held a “Wellness Check Meeting.” We spoke • Mon 11/09 – Florida Laws and Rules (2 hours) Association will extend the celebration of the year about our personal feelings during this COVID-19 – Dr. Janice Adams 10am-12pm of the nurse until 2021 as a result of the Coronavirus period of time. The meeting allowed many of us to • Tues 11/10 – Human Trafficking (2 hours) – Dr. COVID-19 and its impact on nurses. The World Health share comforting words with everyone and provide Charrita Ernewein 10am -12pm Assembly, the governing body of the World Health tips on self-care. • Weds 11/11 – HIV/AIDS (1 hour) – Kumar Organization (WHO), designated 2020 as the Year of On October 28, the WCEN Region held a Legislative Jairamdas - 12-1pm the Nurse and the Midwife to advance nurses' and Boot Camp hosted by FNA’s lobbying firm, Public • Thurs 11/12 – Safe and Effective Prescribing of midwives. We value and appreciate your dedication as Affairs Consultants. Controlled Substances (3 hours) – Dr. Edward nurses and your compassion to save lives every day. Keyna Cory, Jack Cory, and Erin Ballas reviewed the Briggs – 5pm-8pm On Monday, October 12, 2020 from 6:30pm- upcoming election with a focus on the counties within • Fri 11/13 - Sex Trafficking (1 hour) – Lenore 8:30pm, we held the FNA South Region Legislative the West Central Region as well the constitutional Walker Forum which was well attended with 45 attendees amendments on the ballot. Our attendees were joined virtually. We would like to give special thanks to by two Florida Legislators, Rep Jennifer Webb (D- All Nurse Practitioners (Advanced Registered FNA’s Lobbyists’ Firm and Public Affairs Team for H69) and Senator Jim Boyd (R, S21), both of whom Nurses), Nurses, and Nursing students are invited to organizing an amazing Panel of Legislators from gave tremendous insight into how nurses can build attend this event. More details will be posted to FNA’s South Region to be part of the forum. We’d like to relationships with their elected representatives and event page: www.floridanurse.org/events.

FLORIDA STATE UNIVERSITY COLLEGE OF NURSING

Now Accepting Applicants! FSU ONLINE Our Online Adult- GRADUATE Gerontology Acute Care Nurse Practitioner programs PROGRAMS prepare students for the Post Masters/Post DNP complex and evolving roles Certificate AG-ACNP Program of independent practitioners 22 graduate level credits of in intensive and acute care acute theory and 540 hours of environments. supervised clinical experiences FOR MORE INFORMATION in varied acute care delivery Please contact Carlos settings Urrutia, Director of Student AG-ACNP DNP Program Services at (850) 644-5638 or [email protected]. 78 graduate credits of DNP Visit us at nursing.fsu.edu courses, acute care theory and faculty directed project courses 1080 hours supervised clinical and nonclinical experiences in varied acute care delivery settings November 2020 The Florida Nurse Page 7

On October 26, the Northeast Region held COVID 19 is still here in Florida and in our Greetings to all members! I hope you a Legislative Boot Camp hosted by FNA’s region. We nurses know how that affects us, our attended the virtual membership assembly Lobbying Firm, Public Affairs Consultants. families, and those we interact with in our lives. which was virtual for the first time! It was an Keyna Cory, Jack Cory, and Erin Ballas reviewed We have the election under our belt. We hope there exceptional experience! I’d also like to thank the upcoming election with a focus on the will be policy changes that nurses will be involved the FNA staff for doing such an excellent job on counties within the Northeast Region as well the in to make our workplaces and our communities this! Time seems to be flying by! I do encourage constitutional amendments on the ballot. Our safer. Locally there are some new faces in our all members to monitor the FNA website for attendees were joined by two Florida Legislators, legislative delegation from this region. We hope to updates on future programs available, you Rep. Bobby Payne (R, H19) and Senator Audrey have a zoom webinar prior to the legislative session won’t be disappointed. I know these are trying Gibson (D, S6), both of whom gave tremendous so that nurses in our area will be aware of who will times for everyone with the pandemic ongoing insight into how nurses can build relationships be representing us at the State level. This will give presence and please wear masks and social with their elected representatives and effectively us an opportunity to work with local officials and distance for everyone’s safety! It has been communicate with them about issues impacting offer ourselves as a resource. Nurses know how to difficult for everyone but very necessary! It is the nursing community. We would like to extend identify issues and solve problems and we can “start so sad so many lives have been lost. our thanks to Rep. Payne and Senator Gibson for at home.” If any members in the Southeast Region I am excited so many activities are being taking the time to join us as well to our team at have ideas of ways for us to share information with continued with the technology of the virtual Public Affairs Consultants for coordinating those other nurses in our area about numerous issues meeting available! We will all be having virtual meetings. FNA will be revamping its legislative please contact me at [email protected]. I look regional meetings soon. I would encourage program with a focus on building nurse liaisons forward to a 2021 with hope for better times and everyone to join us. Check our FNA site for in each region to serve as a point of contact for confidence we will all be working together. updates. legislators. More information will be announced soon! Respectfully submitted. Shirley Hill, RN East Central Region Director

As with most everywhere else we have been consumed with the Covid-19 pandemic and the Hello Northwest Region, consequences of it – staffing shortages, unsettled schedules, resetting our lives to a new reality that I hope your 2020 International Year of the Nurse contains within it all types of changes to the way and the Midwife is finishing with a strong sense we used to live our lives. FNA will be holding a Virtual Region Summit of pride and hope for the future of our nursing With the election season almost over we go right early in 2021 to give members from every Region profession. into the Holiday Season. I am planning to have a a chance to hear more about FNA's priorities and The first FNA Virtual Membership Assembly Regional zoom meeting soon after the New Year activities planned for 2021 and meet and mingle was quite a success. Presentations were full of joy to start resuming Regional Activities and to start with other members within their Region. Stay and information, and inspired us to make positive planning our regional conference. I look forward tuned for a date coming soon! FNA is revamping contributions in our privilege of being a nurse in to working with you and planning great things. its Legislative Program and will be seeking challenging times. I wish you all health and hope you all have a volunteers to serve as liaisons to their local Many in our region are still recovering from the safe and enjoyable Holiday Season and New Year. elected representatives. More details will be effects of the hurricane season, and you are in our If you have any suggestions or concerns please feel sent soon! thoughts. To all, I wish you peace in the year of free to contact me at [email protected]. Please 2021. mention you are with the NC Region in the header Jill Van Der Like, Northwest Region Director so I give your email priority attention.

Diabetes Self-Management Education (DSME) your patient’s prescription for empowerment TEN POUNDS CAN MAKE A DIFFERENCE

For your patients who are overweight, losing five to seven percent of body weight (about 10 to 14 pounds for a person who is 200 pounds) can reduce their risk of developing type 2 diabetes by 58 percent. It's proven: Patients enrolled in DSME have healthier outcomes. They improve their self-care behaviors and have lower A1c Help your patients who have prediabetes or high blood pressure test levels. DSME helps your patients improve their quality of achieve their weight loss goals by referring them to the Centers for life and learn to control their diabetes - it can even save your Disease Control and Prevention’s National Diabetes Prevention Program. patients money. Participants work with a lifestyle coach during a one-­year lifestyle change program that includes 16 core sessions (usually one per week) and 6 For more information about accredited post-core sessions (one per month). or recognized programs that follow the National For more information about the program and how to refer your patients Standards, visit www.floridahealth.gov/diabetes. to locations near you, visit www.floridahealth.gov/prediabetes. CDC Grnnt 5U58DP001961-04 CDC Grant 5U58DP001961-04 Page 8 The Florida Nurse November 2020 Student Forum

Florida Nursing Student Association 2020 Convention

Nicole Petro, FNSA President the University of Central Florida for their local posted to our virtual platform for reference, and national legislative involvement in regards in case students were unable to attend the The Florida Nursing to registering to vote and many other outreach breakout session if they were in the House Student Association Fall events. The award for “Best of Breakthrough of Delegates. Our Keynote Speaker, Patrick 2020 Virtual Convention to Nursing” was awarded to Florida Gulf Coast Heyman, Ph.D., APRN, spoke on the topic of was an absolute success! University due to their education and outreach “Pulling Back the Mask” addressing many Due to COVID-19, to promote the nursing profession to younger concerns and questions that nursing students the FNSA annual generations. The Diamond Chapter award was may have had about what it is like to be convention was moved also given at the conclusion of the convention working with patients during the pandemic. He to an online format and this year. The Diamond chapter award is covered a variety of information and radiated the turnout surpassed an award given to the top Student Nursing passion as he spoke about how the COVID-19 expectations! We Association in the state for their excellence pandemic has affected the way that healthcare received outstanding in every aspect of their organization. This workers and patients have had to interact over feedback regarding our year’s award was given to Florida Atlantic the past months. Overall, the virtual platform breakout sessions and University’s Student Nurses Association. that was used for this year’s 2020 convention Nicole Petro our keynote speaker. The breakout sessions that were provided to was very easy to navigate and therefore led to At each House of students were very informative even though we a successful virtual convention. We are very Delegate meeting, we could not host our in-person dissection lab this excited to introduce our 2020-2021 executive had outstanding attendance from numerous year. The sessions allowed for an unlimited board and wish them all the best of luck while schools and their delegates. The discussion number of students to join the breakout room. guiding Florida’s nursing students! time for the resolutions was very inspiring Some of these sessions were even recorded and with different viewpoints being presented. A total of four resolutions were passed at our convention, these resolutions were: Seminole State College’s resolution titled “Increasing awareness of the need to implement legislation that mandates rear-facing car seat usage,” University of Central Florida’s resolution FNA Advocacy Days titled “In support of increasing awareness on the lack of pain assessments on patients of 2020 and Beyond color,” Florida Atlantic University’s resolution titled “In support of increasing use of topical treatments as adjunct or alternative pain Cynthia Tagliaferri, RN, BSN, DNP Student During a Talkback, held on the last day of management method” and Florida Atlantic Florida Atlantic University, College of Nursing the program, FNA board members introduced University’s resolution titled “In support of the a Program to be held at Yale School of Nursing use of person-first language when in reference In January, I eagerly boarded a bus to in May. The Program was designed for those to a disability or illness across all settings.” Tallahassee, to attend FNA Advocacy Days. I interested in learning about policymaking We were also able to award seven scholarships was part of a group of FAU College of nursing and how to campaign for office, in an effort to to nursing students across the state of Florida. students and faculty and I felt I had a great encourage nurses to strive for positions that FNSA was also successfully able to have the opportunity to learn how to find my voice strategically increase efforts to effect change. annual banner contest virtually this year, in making a difference in health outcomes We heard there was a limited enrollment for 50 allowing for Florida Atlantic University to win through advocacy and policymaking. persons nationwide, I applied and was thrilled this contest for the first time in five years. The enthusiasm I had in anticipation of to learn I was selected to represent Florida. Annual awards for the different Student Advocacy Days stayed with me throughout The COVID-19 Pandemic has caused a delay Nurses Association chapters were also awarded the two days of meetings with experts in in the Program, but I look forward to this at the convention. The award for “Best of understanding the Florida legislature as opportunity and thank the Florida Nurses Community Health” was awarded to Seminole well as meeting with members of the Florida Association, and my mentors Drs. Charlotte State College for their outreach that they did legislature. The rich, collaborative experience Barry, Rhonda Goodman, and Shirley Gordon even while practicing social distancing and while there inspired me to pursue another for their tireless dedication and unwavering doing outreach through virtual formats as well. opportunity that opened up on our last day in support for countless nurses and their The award for “Best of Legislative Advocacy Tallahassee. aspirations in advocacy and policymaking. and Political Action Award” was awarded to

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The Association of Rehabilitation Nurses (ARN) New Year’s Resolutions!!!! is proud to announce that Patricia A. Quigley, PhD MPH MS APPRN CRRN, FAAN, FAANP, FARN, Deborah Hogan, MPH, BSN, RN has been elected President of ARN. 2020-2021. President, State Health Care Professional Unit Dr. Quigley has a long legacy of distinguished leadership in ARN over her 43 years of membership. What a year 2020 has been! On behalf of the of the As a nurse scientist and advanced practice Florida Nurses Association Bargaining Unit, I want to nurse, she has influenced practice, education, thank all of you, our state health care professionals, for research and policy specific to patient safety, your dedicated service during this challenging time! rehabilitation outcomes, and population-specific You have worked tirelessly to care for the residents and rehabilitation. ARN is the specialty association visitors of Florida, as well as the wards of the state in representing approximately 4,800 rehabilitation our state institutions. I hope you know that our FNA nurses with diverse roles and positions across all Health Care Professionals Bargaining Unit will continue Patricia Quigley settings of rehabilitation care around the world. to support you in your work. Rehabilitation nurses practice in all settings, What should we expect in 2021? We know that we including freestanding rehabilitation facilities, hospitals, long-term subacute will face continued challenges in the new year with care facilities/skilled nursing facilities (SNFs), long-term acute care facilities, protecting state employees from COVID 19, but will comprehensive outpatient rehabilitation facilities (CORFs), home health continue to work with the members to secure adequate agencies (HHAs), and private practices. Dr. Quigley also is a member of the Debbie Hogan PPE equipment. American Nurses Association/Florida Nurses Assocation, Fellow in the In addition, we are committed to continue our American Academy of Nursing, and Fellow in the American Association of advocacy for all of you on other issues, whenever needed. Just as we worked hard Nurse Practitioners. for the pay increase for state employees in 2020, we will continue that effort in 2021 so that salaries will become more competitive with nurses and health care professionals in the private sector. We will also continue to represent our members in grievance issues and threats to their employment, just as we defended a member who was dismissed before the Public Employees Relations Commission (PERC). How can you help? What New Year’s Resolution can you make to help Dr. Teri Chenot, Jacksonville University, has been strengthen your Bargaining Unit? First, become a member and encourage your reappointed to the American Nurses Association’s co-workers to join as well. A strong membership brings respect from our state Center for Ethics and Human Rights Advisory Board leaders. Next, let us hear from you regarding any issues affecting your work through 2024. sites. Many state employees have participated in ZOOM calls scheduled by John Berry, our FNA Director of Labor Relations and Government Affairs. Please email John ([email protected]) or Bibi ([email protected]) to join and learn about our zoom calls. Lastly, you can become a leader either by volunteering to represent your workplace or running for office when elections are held next year for HCP President, Vice President and Secretary Treasurer. We hope to share more Teri Chenot information on these roles on the calls, so we hope you will join us! Let’s all resolve to support our Health Care Professionals Bargaining Unit more actively in 2021. Together, we can build a strong, successful state unit! Happy New Year!!!

2021 Calendar of Events View full calendar at www.floridanurse.org/events

2021 FNA Advocacy Days March 17-18, 2021 Online

FNA Region Summit January - Date TBA Online

Illumination of Caring Science: Stories of Excellence Conference Date and Venue TBA

7th Annual FNA Nursing Research and Evidence-Based Practice Conference July 11, 2021 Venue/Format TBA

2021 FNA Membership Assembly September 23-25, 2021 Mission Inn Resort, Howie-in-the-Hills, FL

Interested in presenting for FNA? Go to www.floridanurse.org/speak Members of FNA/ANA will be given priority.

We welcome all nursing students and registered Nurses regardless of membership status to all of our events unless otherwise noted. For registration and more information about FNA events, go to www.floridanurse.org/events. Page 10 The Florida Nurse November 2020 LERC News There is Strength in Numbers

John Berry, Director of Labor Relations & The results of the 2020 Election will have a critical needs and concerns to your elected representatives. Governmental Affairs impact on how the next stages of this crisis are There is strength in numbers. If you are not already handled. Policy-makers returning to the legislature a member of your professional association, join! Get Whether our members and those joining for the first time will have a pivotal involved with FNA’s Legislative Action Team, learn are fighting for increases in role in determining our next steps as a State. Now, the issues impacting nurses, build relationships with their contracts, advocating more than ever, it is important for you to voice your your legislators and BE THE VOICE OF NURSING. legislation for the betterment to the nursing profession, or endorsing and electing statewide and national leaders for our country, none of these tasks can be accomplished without the collective effort of our members. Nurses look for answers John Berry or solutions when dealing with a complicated case with a patient. They also look for answers when they don’t have the proper equipment or staff to care for their patients. They do this by a number of different ways. They meet with their supervisor, director and their administration if need be. Nurses meet with elected officials as well, to support, oppose legislation, or to help with any major problems that could be taking place at their hospitals that fall within the district of the legislator. Nurses do this by working together as a group. They organize to make their point heard. Collectively, they can accomplish anything. They are respected, and they are the most trusted profession. Nurses are on the frontlines everyday taking care of and advocating for their patients, who are your friends and loved ones. What these last eight months have taught us, if anything, is that we’ve seen the dedication, commitment and sacrifice of nurses, as well as the entire health care community. What we’ve also seen is what appears to be a lack of concern and consideration of science and our health care professionals as a whole by those we expect to protect us. Our nurses have fought for PPE when they feel like this is a basic expectation of employment. At the time of this writing, October 16, 2020, the United States has 8,182,384 positive COVID-19 cases confirmed and 222,323 deaths. I ask you to let that number sink in for a while. On this day, the state of Florida has 748,437 positive COVID-19 cases confirmed and 15,831 deaths. Please consider that number as well. It is important to note that there are other areas of the world where the virus has been managed more effectively, and we must ask why not in America, the greatest country in the world?

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This year, FNA held its first ever full virtual Graduated Nurses” and “First Person Language a report at the 2021 Membership Assembly. If Membership Assembly from September 23-26. The When Referring to Patients.” Those position you have an interest in any one of these areas, conference boasted several interactive areas for statements can be read in full at www.floridanurse. please volunteer by emailing Leslie Homsted at attendees including virtual awards hall, poster org/MA2020BusinessMeeting. [email protected] and let her know display, and exhibitor hall as well as a wall for The assembly also discussed several important which workgroup you would like to participate in. members to post on and converse. The conference topics including Diversity and Inclusion, Social began with a keynote presentation from Dr. Justice Response, and COVID-19 Pandemic Thank you to the sponsors of conference! Ernest Grant, President of the American Nurses Response. Platinum: Arthur Davis Publishing, Boiron Association, on the Year of the Nurse and Midwife There will be a call for volunteers to form Gold: Florida Nurses Foundation 2020. Dr. Grant spoke about the many activities that workgroups dedicated to each of those areas of Silver: Chamberlain University, Galen College of ANA has been involved in on the national level concern. The groups will determine the association’s Nursing, Herzing University, UF Online including advocating for adequate PPE for frontline course of action in each area and will provide workers, providing support and resources for nurses during the pandemic, adopting a resolution on Racial Justice, and much more. FNA was honored to have Dr. Grant join us for this special presentation. Our inspiring plenary sessions included “A Dialogue with Discrimination: Intersection of Nursing, Race, and Allyship” presented by Dr. Danielle McCamey, Dr. Ellen Mullarkey, and Dr. Ethlyn McQueen-Gibson. Dr. McCamey is the Founder and President of DNPs of Color and Dr. McQueen-Gibson is the Vice President. DNPs of Color strives to inspire, empower and transform the landscape of nursing by increasing diversity in the doctor of nursing practice degree. Their mission is to serve DNPs of Color through networking, mentorship and advocacy to increase diversity in doctoral studies, clinical practice and leadership. The closing plenary session on Saturday was “Savvy Self-Care for Nurses” presented by Alder Allensworth. The session included demonstration of several practical self-care and relaxation techniques that healthcare providers can use in their day-to-day routines to combat work-related stress. Multiple high-quality sessions were enjoyed during our breakouts as evidenced by outstanding session evaluations. One of the advantages of having a virtual conference this year, is that we were able to have a diverse group of presenters from around the country. Not only did we have presenters from all over the state of Florida, we also had speakers joining us from California, Illinois, South Dakota, Virginia, and Washington DC. The FNA Icon Awards were presented this year to honor outstanding members of FNA across the state. The awards were presented during the opening sessions of the conference and awardees were featured in the interactive virtual awards hall during the conference. FNA’s Business Meeting was held on Saturday, September 26. Two reference proposals were adopted by the assembly after vigorous discussion: “Adequate Professional Support for Recently Page 12 The Florida Nurse November 2020 2020 FNA Icon Award Recipients

Community Action Icon Award Mary Cash Award who inspires a vision for the nurses I serve. The Orlando Health nurses are on a pursuit of excellence and I aim to Rosa Roche, Tina Ellis, positively influence a professional practice environment PHD, APRN, PPCNP-BC MSN, RN, CTN-A where they can make their optimal contributions. I am so appreciative of the mentorship that I have received “I am deeply honored “I am truly honored and over the years, and to have had the privilege to work with and humbled for this humbled by my selection the dedicated nurses and executives at Orlando Health recognition in receiving for the 2020 Florida Nurses for the past 38 years. It is an honor to have the ability to the 2020 Florida Nurses Association Mary Cash make a difference every day.” - Jayne Willis Association Community Award. My gratitude goes Action Icon Award. Thank out to amazing nursing Education and Advocacy Award you for acknowledging my leaders nominating me, efforts to make a difference the award selection in our community.” - Dr. committee, and the many Rosa Roche patients, students, nurses, and mentors who have Nursing Innovation and Creativity Icon Award ignited my passion for cultural diversity enriching my nursing career and my life.” -Tina Ellis Cheryl Krause-Parello, PHD, RN, FAAN Nursing Administration Icon Award

Jayne Willis, MSN, RN, NEA-BC, CENP Christine E. Lynn College of Nursing, FAU

“I am both humbled and grateful to be awarded the FNA Nursing Administration Icon award. It is especially meaningful to receive this honor in 2020 the “Year of the Nurse”. My goal is to be a transformational leader

I Give You Permission to Fall Apart

By Sherry Stofko, MSN, RN equipped with PPE, with governance and policy, is ideal. But we are enduring. We are fluctuating or with coping mechanisms. In my 25 years as a through the stages of grief and, ever so slowly, we Reprinted with permission from Nevada hospital-based RN, I have never experienced such are moving towards acceptance and maybe even RNformation August 2020 issue widespread risk, fear, uncertainty, misinformation, finding meaning in it all. During this time, be gentle rapid change, and lack of strong leadership, let alone with yourself. Reach out for help. Finally make that Dear fellow nurse: all of this concurrently. For many, the associated counseling appointment. Find a support group. I give you permission to be anxious, fearful, emotional roller coaster involves denial, anger, Journal. Share. Practice self-compassion. Scream out angry, broken-hearted. I free you of your unwavering sadness, isolation, and boredom. For healthcare loud in the woods. When I feel emotionally flooded, sacrifice, loyalty, grit, and determination. I am workers, we have the privilege of adding in several I find calmness in pausing for a few seconds, then granting you liberty to experience your brokenness, heavier emotions: incorporating the acronym “RAIN.” It stands for: exhaustion, overwhelm, and grief. I encourage you • Shock: “How is this happening in the United • Recognize what is happening: thoughts, to drop into your shadow emotions and to let them States in 2020?” behaviors, emotions. out with a death wail or Irish funeral cry in the • Betrayal: “They want us to wear the same • Allow the experience to just be there without open Nevada landscape. I give you permission to fall mask for a week?” trying to change anything. apart. • Envy: “Stop complaining that you’re bored at • Investigate what you are feeling with Our lives took an unprecedented turn in mid- home when I’m getting pummeled at work.” curiosity and non-judgement. March, one we never anticipated, but certainly • Frustration: “If I get one more 500-word email • Nurture yourself with self-compassion and now find as no surprise: a respiratory-spread, about another new policy, I might crack!” self-care (Brach, 2013). communicable disease passed effortlessly around • Fear: “What if I bring it home to my family?” our globally-connected world and “suddenly” • Exhaustion: “I can’t bear to drag myself in Perhaps all this falling apart can help us come rocking the human race. How could “we” not have there again tonight.” together… together with our loved ones, with our had forethought and been ready for this? Clearly, • Terror: “The nightmares and insomnia are co-workers, with other nurses nationally. It is we were not prepared in any way; we were not killing me.” time to prioritize our self-care and strengthen our • Grief: “What happened to my old life?” resilience as nurses and as humans. Now, we ought • Guilt: “I wish I could do more.” to finally demand our employers recognize and mitigate the effects of work-related trauma on the All of these reactions are completely normal mental wellbeing of their employees. We must band during a disaster, a global catastrophe, a pandemic, together, focusing on what is important in our field: or any crisis event. The issue here is that this is safety, wellness, and solidarity of nurses, which not merely an incident; it’s ongoing with no clear inevitably and undeniably leads to improved safety end in sight. Our stress levels, and therefore our and wellness of the patients in our care and in our cortisol and epinephrine levels, are chronically communities. elevated. We are living in our sympathetic nervous Let us all give each other permission to fall systems - freeze, fight, or flight. We spend most of apart during this time. In the falling, I encourage our time trapped in a limbic hijack. As nurses, we us to explore ways to cushion the fall. And in our have no refuge – both work and home are incredibly collective falling apart, let us “fall forward together.” stressful. It’s during times like these when we discover if our coping mechanisms and resilience References: are strong enough to withstand the chaos and Brach, T. (2013). The RAIN of self-compassion. https:// uncertainty. www.tarabrach.com/wp-content/uploads/pdf/RAIN- And they are. My dear healthcare brothers and of-Self-Compassion2.pdf sisters, we are enduring. It may not be pretty; in fact, Chisholm, C., Personal conversation, 5/6/2020 it is probably embarrassingly messy. There should Moskowitz, M. (2020). Emotional world of healthcare be no shame in it. Times are really tough. Nothing providers. https://www.whiteboardpsychology November 2020 The Florida Nurse Page 13

Heather Scaglione Award to educate others about COVID 19. This great President’s Award public health threat was recognized by the Florida Rhonda Goodman, Nurses Association as early as February 2020. We Mary Lou Brunell, PHD, APRN, FNP-BC, immediately put together continuing education MSN, RN AHN-BC-FAANP sessions and community outreach. Our team then educated other nurses twice a week as the full effects of the COVID 19 pandemic began to unfold. Thank you to those that are part of the solutions: Penny Blake MSN, RN – President of the Florida Emergency Nurses Association And ENA members: Christi Jandora, RN, MSN, Joy Stout, BSN, RN, Michael Zonak RN, Jennifer Dennis, RN Ronela Arandella MSN, RN – Palm Beach County Critical Care Nurses Association Jennifer Kuretski, DNP, APRN – Palm Beach Nurse Educator Icon Award County Nurse Practitioner Council Lamplighter Award Recipients (25 Years Kirstin Pancione, DNP, APRN – Treasure Coast of Membership): Margo Baggs, Barbara Bixby, Lisa Wiese, PhD, MSN, Psychiatric Nurses Catherine Budd, Marlene Brennen, Judy Comeaux, RN, PHNA-BC, CNE Leah Chanov-Devary MeD, RN (ER) and Ana Patricia Dougherty, Rebecca M. Dunaway, Doris Juez, MSN APRN (ICU) Colleagues Good Samaritan Edwards, Marifrances Gullo, Laura Hanke, Deborah “I am so grateful to the Medical Center; Hogan, Kathryn Johnson, Leah Kinnaird, Gloria FNA for the energy and Debbie Hogan, BSN, RN and Barbara Russel, Lelaidier, Barbara Little, Kathleen Long, Margaret commitment to honor my MSN, RN FNA members with long track records of Marcus, Marsha A. Martin, Barbara Matthews, Jan colleagues through the advocating for public health and infection control. Meires, Anne Mitchel, Victoria Morson, Regina Icon awards. I am humbled Marsha Martin, RN, Lottie Cuthbertson MS, RN; Nolting, Martha Padilla, Joyce Patterson, Nancy by such a recognition this Marie Etienne DNP, APRN, George Peraza-Smith, Roberts, Phyllis Russo, Lynn Schoman-Finck, year, but I feel that I am a DNP, APRN Rosetta Smith, Pamela Snyder product of the dedication Linda Washington-Brown, PhD, APRN, Jan Van and caring by wonderful Der Like, DNP, RN Diamond Award Recipients (50 Years of mentors. This gratitude Adiena Herist MSN, APRN –pediatrics –South Membership): Daniel Little begins with Patricia Moran University Woodbery, my former Director of Nursing at Valencia As an aside: I’d like to mention that we were View more about each of the award winners at College. Pat taught me to use stories to teach and thrilled to be part of the reason that our organization www.floridanurse.org/MA2020Awards. actively challenge the students to complete their was recognized by the American Society of own ending to the story – long before anyone really Association Executives for our COVID 19 response. understood that the “flipped classroom” produced We have a wonderful team on the FNA staff! Thank the most learning. Fast forward ten years to teaching you all of you – es¬pecially Willa and Kaitlin who at Florida Atlantic University, and I am still learning helped make the COVID 19 lecture series happen!!” to teach effectively - with “Nursing Situations,” - Dr. Darlene Dempsey thanks to Drs. Charlotte Barry, Beth King, and Shirley Gordon, who fortunately put them in a book Florida Nurses Association Hall of Fame for educators!” - Dr. Lisa Wiese Florida Deborah Hogan, Nursing Research Icon Award MPH, BSN, RN Susan B. Fowler, Incredible organization! Veterans Hall PHD, RN, CNRN, FAHA Thank you to Willa Fuller and to all of the talented, dedicated staff of the Florida Nurses Association of Fame for their work in protecting the nurses of Florida. Along with my family, your support has inspired me to be a better nurse. I encourage all nurses in Florida to become involved with FNA. At this critical time, let us stand together to protect our patients and our practice. Advanced Practice Nursing Icon Award - Debbie Hogan

Audrey Miller, PhD, Florida Nurses Association Hall of Fame APRN, PPCNP-BC Marlaine Smith, “Firstly, I would like to PHD, RN, AHN-BC, FAAN thank the most gracious heavens above for all “It is such a special the blessings. Secondly, I honor to be inducted thank the loves of my life, into the Florida Nurses who share my heart and Association Hall of Fame. my soul, for keeping me I’m so grateful to the powerful. Finally, thank Florida Nurses Association you to my family, friends, and to those colleagues and colleagues for their who nominated me, continued support and especially Dr. Rhonda for being my cheerleaders. I could not have done it Goodman who coordinated without you all.” - Dr. Audrey Miller the nomination. I’ve been a nurse for 48 years and I’ve always been proud to Special Recognition Award call myself “nurse” above any other professional FNA Labor Attorney Don Slesnick title. Serving in my roles in practice and academia Darlene Dempsey, has been a privilege…truly sacred work of the heart. Congratulations are in order for FNA Labor DNP, APRN This recognition of my contributions to the profession Attorney Don Slesnick for being inducted into the calls me to remember the contributions of all those Florida Veterans Hall of Fame. “I am so honored to who taught me, supported me, challenged me and Mr. Slesnick is one of 20 Florida Veterans receive this award. I have cared for me along the way. Thank you to all my inducted this year. He was an Army Lt. Col. who to accept this on behalf of teachers, mentors, students, patients, colleagues served in Vietnam and in the Army for more than a lot of other nurses who and friends, especially Dr. Anne Boykin who 20 years. He is an Attorney and has also served rose to the occasion and brought me to Florida and the Christine E. Lynn as Mayor of the City of Coral Gables. He has been helped me coordinate an College of Nursing at Florida Atlantic University. FNA’s Labor Attorney for more than 25 years. education effort to help Last but not least, I’m grateful to my family for their the public and ourselves. many sacrifices as I pursued my career, especially I am honored to have my husband Brian, my biggest cheerleader.” - Dr. led a team of wonderful Marlaine Smith nurses who felt the need Page 14 The Florida Nurse November 2020 Welcome New FNA Members!

Northwest Melissa Srivibul Linden Ferguson Eva Concepcion-Cardona Jennifer Benvin Sharon Brown-Stewart Emily Stoerkel Lynette Ferri Yadiann Crespo-Padilla Brittany Bicknell Ivette Campa Marsha Buntley Aaron Stride Sandra Ferriere Omar Daniel Latoya Billups Jesus Capriles Dean Comey Courtney Suggs Casey Fox Juan De La Rosa Michael Blanco Emily Cobian Ashley Davis Emily Thornbury Echo Fox Caroline Deaterly Shirley Blot Clara Crespo Samantha Ervin Judy Tiu Natasha Gedeon Bethsaida Delva Christine Borges Corinna Cross Elizabeth Gibson Sandy Tompkins Sindhumol George Jennifer Dench Daniany Broche Sarah Desquesnes Avalon Gillooly Daniel Treglio Christine Gibbs Lilian Desamero Avery Burkowsky Armando Diaz Cindy Griffin Dakota Turner Paul Golub Renee Dimmick Kori Calhoun Katy Dubrasky Tania Hall Robert Turner Veruska Gonzalez Melissa Dolan Amber Camara Elsa Feikert Iara Linson Krissi VerWey Lynette Good Heather Domyan Zena Campbell Katlyn Hearn Kathleen Medenilla William Walkup Janet Gorion Debbie-Ann Duncan Dominek Campos Lizzy Heintz Morgan Myers Leigh Webb Thomas Gregorich Heather Duncan Lisa Caputo Michelle Husslein Bresnelt Nicolas Aleycia Wilkerson Sheri Hall Taniya Eldridge Lisa Ciaravino Michelle M Husslein Jennifer Brogan Palmberg Vanessa Wilt Luke Hammann Melissa Eller Danielle Collins Jennifer Johnson Amanda Reaves Elaine Zapata Alex Haverly Nicole Euliss Cecelia Cooper Jody Leers Robyne Soles Elizabeth Henson Janet Fansler Sandra Daniel Gladys Lopez Leigha Thursby Northeast Lidey Hernandez Alison Foster Jacqueline Detrich Johanna Newman Danna Walker Teya Hillary Tammy Franqueiro Bernith Devariste Jade Ousnamer Indrea Warren Laurel Bailey Diane Holmes Carla Frazier Lisa Dobson Katherine Puisis Christine Yeldon Julie Baker-Townsend Kassandra Indykiewicz Katie Gannon Dexter Dore Caroline Reed Patricia Barrozo Nadine Jacobson Tess Gates Henry Drummond Donna Rogol North Central Lisa Bradford Alicia Jagprashad Tashea Gordon Lynn Erickson Colleen Rolla Jeanne Brown Jacky Jean Pierre Lonna Grady Ricardo Espindola Christina Sisler Toni Baldwin-Dufour Cassiopia Cohen Michele Johnson Itai Gwede Jennifer Fleming Janelle Thomas Cheryl Barr Chanetta Devore Vanessa Judkins Karen Henderson Tiffany Ftacek Suzanne Van Hise-Fowles Rocy Barruel Dianne Duca Stephanie Kiefer Bryan Hevron Ariel Fuentes Julie Villa Amanda Beach Julie Fisher Katherine Knight Jamie Hofrichter Jane Fusilero Kendra Walters Kira Ben-Hamo Ryannon Frederick Jamie Koch Onyinye Ibequike marla Geltner Katy Wendel Junvi Berame Crystal Gonzalez Lorrie Kovac Eric Imondi Vivian Giraldo Tabitha Bickman Natalie Gott Karen Kreiner Brenda Jasper Elazar Greenwald South Serena Borrero Stacey Hamlin James Kulis Lamay Jimenez Monica Haas Erica Bradley Renee Hardy Jamie LeBlanc Elizabeth Jordan Erin Inga Jenny Acle Tamara Brown LaTonya Hudson Christine Lussier Alia Jundi Marieange Jean-Francois Belkis Aguila Salome Campbell Mary Jackson Nayda Marrero Cardona Dalal Kanaan Annu Joshi Dare Ajijo Denise Carmichael Ricky Kirby Tajalita Matthews Heidi Kipp Maria C Jweinat Solomon Ajijo Caitlin Christensen Laura Lakey Mackenzie Mauldin Leslie Kuebler Maureen Kerr Linda Alcide Kismet Clark Adrienne Lyons Saneicka Mccook Stacie Laviano Carole Kerwin Kain Nadja Aleman Angela Cofino Eileen Mahusay Charisse McGhee Elizabeth Lawhon Marjory Lamarre Octavio Alfonso Anecel Cuartocruz Donya Marshall Mandy McIntyre Veronica Lebron Melissa Leamon Valeriya Altukhova Kylie Denning Judith Matthews Melanie Miller Amber Leigh Mary Leavitt Greta Alvarez Lilian Estrada Donna McLendon Theresa Moore Noelle Leveque Ezechiel Madestin Lisabeth Alvarez Sean Fallon Alexander Mendez Danielle Morris Brittany Lomen Ana Marin Nadjia Anderson Melisa Flint Sarah Milone Paola Neira-Noboa Sara Manfre Kristen McCabe Sandra Aponte Shelby Fonley Caitlin Mosher Mignon Nielsen Sharron McKenna Mayra Medrano Tamara Argilagos Socarras Julie Funderburk Bartholomew Ndife Maria Noda Jennifer Mills Janelle Mentzel Janeisy Arguello Abigail Gabriel Mai Thanh Nguyen Kimberly Novak Davitt Miranda Guerdine Mercy Christopher Arocha Elizabeth Gaddis Heidi Page Jordan Olds Nedra Miranda Ashley Miller Jennifer Bandin Loida Garcia Kimberly Parikh Gay Ortega Amy Montanaro Harrieth Kokushubila Piya Barnett Deborah Grant April Parker Maureen Palmer Maria Moreno Mwalupindi Sabrina Beasley Briana Gregory Christy Price Kira Peterman-Diaz Phillip Musin Jennifer Nye Deanne Bellosa Mychayla Hardin Hayley Raiford Kris Phillips Laryssa Nakonecznyj Elizabeth Ortea Nadia Benmouna Marcelle Harrell Wilmanie Robert-Dossous Jonna Pinero Kristine Nordstrom Julia Panton Delisa Biggles Ryley Heinrich Maribel Rodriguez-Torres Oluwole Pitan Joann Ohser Karl Payoute Angela Bravo Matos Brittany Hendricks Karen Sabarita Ela Ramchandani Kathleen Paroda Martha Pellegrino Carlotta Brown Latissa Hill Mary Salmons Aquansatta T Rhim Alise Pastorik Rebecca Petit-Frere Shannon Brown Sarah Hill Lisa Smith Theodolinda RN Valery Paul Tania Pfiffner Dreivis Cabezas Cherie Hodge Tina Marie Solari Elizabeth Robinson Wendy Pitts Julie Piggott Jennifer Carcache Rebekah Holcomb Gaye Stanbery John Rothwell Melissa Poley Kimberly Pitter Xavier Carcache Carrie Hopkins Sara Steele Jessica Schonefeld Sharon Powell-Sims Keri Plonner Yanet Castro Rebecca Hunter Lorigel Villanueva Shannon Scott Stephanie Prescott John Profera Claudia Char Joshua Irving Sonya Willis Marie Senat Desir Kristina Ray Rafina Rahim Erica Charles Valerie Jacobson Kortni Stafford Jaime Reed Rachel Rairden Renette Charles Susan Kain East Central Paula Suhay Ronay Reed LaTandra Rhule Sumina Chhetri Jessica Laundree Joanna Swahtan Kristie Reynolds Angela Richardson Tamara Clarke-Chin April Lavergne-Hollinger Milagros Acevedo Michelle Tall Michelle Rhodes Magdala Roberts James Clayman Tiffany LeGault Lisa Bailey Marian Torres Alicia Rossiter Eridania Rodriguez Beatrice Coleau Shannon Long Jasmine Bales Cam Thao Tran Sharon Sabb-Oce Jose Rodriguez-Leiva Ginny Cone Fern Malloy Destini Bannister Gladyslene Villalonga Jeanine Scholl Tamara Rogers Raymundo Corrales Christina Martinez Johanne Beaulieu Lavonda Walker Veronica Sheen Marbelly Rosales Hortensia Corredera Hayley Mathis Michelle Beekman Robin Waller Kari Simpson Victoria Sage Sharon Cowles Lavonte McDaniel Dominique Bernard Michael Webster Barbara Smith Marie Samson-Joseph Jesusa Dela Cruz Whitney McFatter Jennifer Blake Kimberly Williams Courtney Sowell Paula Schultz Marta Delgado Janine McInturf Sarah Blizzard Ashley Stephen Dr. Tamecia Scott Jean Raynald Delice Hanna Mercer Vanessa Boston West Central April Stidham Erin Sharp Bethania Delucien Katesha Merriex Susan Bowles Laura Stilwell Michelle Shepherd Rosemary Dennery-Francis Bailey Mills Michelle Brathwaite Donna Adair Trina Talley Quawendella Skinner Mark Desmarattes Elizabeth Morgan Crystal Brettschneider Jennifer Adkins Cindy Tofthagen Naomi Smith Neoves Diaz Danielle Munson Tanya Brown Betty Alcover Rebeccah Vires Deborah Swain Lucie Dlugasch Christina Nobs Stacey Burey Paul Anderson Victoria Waechter Christina Tasso Gretel Dominguez Rebecca Norris Tangela Carlton Jeanne Antolchick Melissa Weiss Katherine Terry Keren Donaldson Carla Palma Maria Grisell Castineiras Lloyd william Antonio Rebecca White Daphne Tudela-Wilcox Duke Duke Danielle Pardee Tammy Chabot Sherrie Arnwine-McGowan Ashley Woods Nathalie Vachon Berthe Dupervil Hayley Pickett Lourdie Chachoute Isiaq Bakare Soo Yim Ursell Vernon Meredith Elliott Rachel Raymond Eliza Charles Barbara Barfield Colleen Wallace Chinedu Ezike laurel rhoton-selner Jennifer Codding Marecia Bell Southeast Annette Walsh Armanda Felix Emily Robidoux James Collie Liliana Benitez-Sims Rachel Worley Odeth Findlay Michelle Scott Christopher Cook Lisa Berard Kleysis Acosta Cardenas Kana Wright Andrea Ford Rachel Seay Lener Crockett Abraham Boereau Daniela Altidor Erita Yevdayeva Vickie Francoeur Gregory Shaw Nissa Cruz-Vickers Holly Brettel Nicki Andersen Vivian Zhang Madelin Fuentes Heather Sinisterra Haldi Paula Daniel Kathrine Brown Opal Anderson-Peters Natalie Garces Ciearra Smith Keith Darcy Jessica Burritt April Andrews Southwest Carla Garcia Dari Smith Paula De Lima Monteiro Michelle Canale Maria Aviles Yanelis Garcia Beceiro Nicole Smyrock Irina Dixon Emma Clarke Grecia Barreto Rachel Ball Widmarck Gardones Joletta Sommers Kelly Edmondson Sandra Coleman Theresa Bennati Ruth Bishr Kristina Goff November 2020 The Florida Nurse Page 15 Welcome New FNA Members!

Olga Gomez Saez LaQuitta McCoy Alexandria Portilla John Tadduni Melissa Grubb Gayna Mcdonald JoNell Potter Rocio Taveras Maria-Jose Gutierrez Lilyne Michele Mekoudjou Tchakonte Egemba Priscillia Naudia Thomas Jasmine Heraux Jose Mendieta Caitlin Quinones Mary Thompson Jose Hernandez Katherine Merriman Donna Randolph Jammy Tolentino Mayomy Hernandez Emerline Metellus Lidice Rankin Gracelle Toussaint Peter Hernandez Mary Anne Milone Roseline Raphael Elizabeth Ugokwe Rae Jacob Amanda Mitchell Randesha Robinson Taylor Urow maria jaurrieta Mayela Monzon Bianca Rodriguez Dayaline Urrutia Hernandez Mirelys Jimenez Ashley Morales Marilen Rodriguez Cleide Vanhorne Marie Joassaint Amy Moreno Natalia Rodriguez Caitlin Vasquez Justin Johnson Maria Moron Danay Rodriguez- Donna Vega Lakaye Johnson Latoya Mortimer Arritola Fernando Verdini Minimole Joseph Katrina Moya Kerleine Rosemey Wesguer Vilce Nadege Jules Fabiola Noel Yaima Salomon Raquel Watkins Christina Landivar Alexandra Nozier Macie Samples Karen Webb Julissa Leiva Elena Otero Chavez Mabel San Martin Leah Williams-Jones Maria Lindsay Sonia Page Rebeca Sanchez Shawn Woods Jayme Long Caroline Pallidine Julio Sanchez Maggie Yasona Chinedana Lubin Brisey Pedraja Hernandez James Yearwood Margaret MacLaren Christina Penaranda Adeel Siddiqui Agnieszka Zaporowska Yulia Maggart Lisyen Perez Tykicha Simonette Mahsa Malekiha Yanet Perez Caroline Smikle Other Ela Marquez Susan Peters Ijeoma Smith Jessica Marquina Lynda Pierre Orneisha Smith Shanshan An Kevyn Marshall Samlyne Pierre Sheree Smith Maricel Bolalin Suarez Rachel Matalon Dellayah Pleasure Annie Suarez Bas Trumpler Patricia Mazzeo Guiselle Ponce Guadalupe Sulbaran Julie Vatel

FIND YOUR FUTURE AT BAPTIST HEALTH

REGISTERED NURSES Caring for our patients begins with caring for our people. WE'RE LOOKING FOR EXPERIENCED NURSES

Questions? Reach out to [email protected] Page 16 The Florida Nurse November 2020 Focus on New Grad

Reference Proposal: Adequate Professional Support for Recently Graduated Nurses

Submitted by: Kathryn Barrows, BSN, RN, The Florida Nurses Association’s position of a supportive environment and authentic Director of Recent Graduates on adequate professional support for recently mentorship which is offered by seasoned nurses, Adopted by the FNA Membership Assembly on graduated nurses emphasizes course work, hands- professional education structures, comprehensive September 26, 2020 on training in real practice settings, and clinical nurse residency programs, a commitment to simulations to ensure readiness of new nurses. properly trained preceptors, hands-on clinical Statement of Concern Graduate nurses must be given adequate time and training and preceptorships with growth plans, The Florida Nurses support during their first year to acclimate to a healthy company culture, and utilizing employee Association recognizes rapidly changing professional environment. It is assistance programs to promote health and well- recently graduated not recommended for healthcare organizations being. nurses require a period to rush the “on the job” training process due to of structured support workforce demands if vital to the future success Recommendations for Action following graduation. of graduate nurses and poses the potential risk of The Florida Nurses Association will establish Providing resources insufficient patient care. a Task Force to meet identify needed actions to to recently graduated improve graduate resources and preceptor guide. nurses can help the Statement of Position transition from student It is crucial to public safety that chief nursing References to professional nurse officers, nurse leaders and other hospital AlMekkawi, M., & El Khalil, R. (2020). New graduate in acute care settings, administration increase the clinical facilities nurses’ readiness to practice: A narrative literature Kathryn Barrows reduce or close the available to educate undergraduate nurses and review. Health Professions Education, 6(3), 304 theory–practice gap and ensure there is a framework of support put in 316. http://dx.doi.org/10.1016/j.hpe.2020.05.008 remain invested in the profession. place. It is a shared responsibly to assess the Dudley, M., Khaw, D., Botti, M., & Hutchinson, A. F. (2020). The relationship between the undergraduate During the COVID-19 pandemic, the needs and challenges graduate nurses face and clinical learning environment and work readiness in availability of clinical sites diminished and help them acquire the skills necessary to be new graduate nurses: A pre-post survey study. Nurse hospitals suspended training, limiting clinical successful, high-functioning professionals. It is Education Today, 94, 10 4587. http://dx.doi.org/10.1016/j. experience to the undergraduate nurse. These also imperative that nurse managers, head nurses, nedt.2020.104587 challenges have required nursing organizations nurse educators, and senior nurse mentors on the Dyess, S. M., & Sherman, R. O. (2009). The first year to adapt; modifying training methods in which forefront of patient care are approachable and of practice: New graduate nurses’ transition nursing education is delivered. These education available to assist graduated nurses, especially in and learning needs. The Journal of Continuing models now rely heavily on simulation-based the first year of clinical practice. Education in Nursing, 40(9), 403-410. http://dx.doi. education, which replaces real experience with The Florida Nurses Association strongly org/10.3928/00220124-20090824-03 guided experience. One key challenge facing endorses implementing supportive strategies for Elshama, S. S. (2020). How to apply simulation-based learning in medical education? http://dx.doi. recently graduated nurses is feeling inadequately the newly graduated nurse to become a competent org/10.5281/zenodo.3685233 prepared for work due to a lack of clinical practice practitioner. Supportive strategies include: timely exposure. induction, appropriate orientation, the provision November 2020 The Florida Nurse Page 17 Member Spotlight

Sandra Walsh - Painting a Legacy in Nursing

Longtime FNA Member, Sandra M. Walsh, PhD, RN, FAAN has recently moved from Miami, Florida to live with her children, a son in North Carolina and a daughter in Vermont. Sandra has a PhD from University of South Carolina PhD, MSN – East Carolina University, MAEd Wake Forest University, and BSN-Duke University. Sandra is now living in North Carolina after serving as Adjunct Clinical Professor Florida International University 2016-2020, Clinical Professor University of San Diego 2011-2010, Research Consultant South Miami Hospital (Baptist 2003- 2013 Health Systems) Professor Barry University School of Nursing 2003-2012, Associate Professor University of Miami School of Nursing 1997- 2003 & Director of Nursing Research Visiting Associate Professor University of Miami School of Nursing 1996-1997 after being a tenured Associate Sandra Walsh presents Freedom Tower Professor (1995) East Carolina University School of Painting to SA Kathleen Rundle. Left to right: Nursing 1992-1996. Patricia Messmer, Kathleen Rundle, Sandra Sandra was instrumental in organizing a Walsh, Marie O. Etienne. Sigma Theta Tau International Beta Tau Chapter cruise conference from Miami to the Bahamas in January 9-11, 1999 with Dorothy Brooten (Dean at Case University) as the keynote speaker. From the time Sandra came to Miami, she donated her Freedom Tower Painting by Sandra watercolor paintings to fund nursing scholarships Walsh, PhD, RN, FAAN and nursing research grants for the Nurses Charitable Trust to award nursing scholarships and nursing research grants at the FNA South Region Symposium & Awards Conference. At the 2019 Symposium Sandra painted a Freedom Tower Painting for the keynote speaker, Kathryn Fernandez Rundle. State Attorney for Miami-Dade County. Kathryn was so appreciative; the painting hangs in her office. Benton House, assisted living and memory care communities, One of the great projects that Sandra and are looking for qualified professionals for the following colleagues conducted was a ten-year study (2006- positions: 2016) at the Veterans Administration in Miami, Florida. Walsh, S. M. & Prieto, M. C. & Olenick, LPN | CMT | CMA | CNA M. (2017). Painting door stories for veterans in Locations in Clermont, Jacksonville, Port Orange, & palliative care: A ten-year labor of love. Nursing St. Augustine. and Palliative Care, 1(6), 130-136. Sandra was Applicants must be able to successfully pass a drug screening and background check. one of 12 American Academy of Nursing Fellows Ideal candidates will have Geriatric and Long Term Care experience. to have her paintings displayed at the American Three shift options are available. Academy of Nursing virtual conference October 29-31. Painting honoring Year of the Nurse and We offer a comprehensive benefits package including Health, Dental, Vision, Life Insurance, PTO and 401(k) plan. Midwife 2020-2021 by Sandra Walsh AAN painting “Nursing Legacy Only those truly committed to growth need apply. Apply online at in Bloom” will be sent to be housed at Sigma Theta Sandra Walsh, PhD, RN, FAAN www.bentonhouse.com/careers/ or by texting Jobs to 242424. Tau International headquarters in Indianapolis for their 100th Anniversary.

Florida’s HIV STD Testing Law for Pregnant Women (64-D-3.042, F.A.C.) All pregnant women are to be tested for HIV, syphilis, hepatitis B, chlamydia and gonorrhea • At initial prenatal care visit • Again at 28-32 weeks, and • At labor and delivery

For more information, visit: floridahealth.gov/diseases-and-conditions/aids/prevention/perinatal.html or call 850-245-4336 Page 18 The Florida Nurse November 2020 FNA Legislative Update

Keyna Cory and Jack Cory As of this article, one election was still under Hillsborough County’s District 59, which opened Public Affairs Consultants, PA review. Senator Jose Javier Rodriguez, D-Miami, when Rep. Adam Hattersley, D-Riverview, decided to was down by 21 votes to first time candidate, Ileana run for a congressional seat. Garcia, in Senate District 37. With a small difference Republicans have controlled the Florida House in the vote, there will be a recount. There are ballots since 1996 and have long held large majorities. from military personnel serving overseas as well as While not all results were finalized Tuesday night, Florida residents living overseas that still need to it appeared that Republicans could hold about 77 of be counted and are not due into the Supervisor of the 120 House seats going into the 2021 legislative Elections Office until Friday November 13th. session, with Rep. Chris Sprowls, R-Palm Harbor, Among incumbents winning Tuesday night serving as speaker. were Doug Broxson, R-Gulf Breeze, Travis Hutson, R-St. Augustine, Randolph Bracy, D-Orlando, Linda Constitutional Amendments … Stewart, D-Orlando, Victor Torres, D-Orlando, There were six constitutional amendments Debbie Mayfield, R-Rockledge, Darryl Rouson, that appeared on the General Election ballot. D-Tampa, Joe Gruters, R-Sarasota, Gayle Harrell, Amendments can be proposed through citizens’ D-Stuart, and Lori Berman, D-Lantana. initiatives, with certain restrictions, including Keyna Cory Jack Cory Several former members are moving from the that the measures be limited to single subjects House to the Senate. Jason Brodeur, R-Sanford, Ana and not misleading. Four of the six amendments The 2020 General Election was held on November Maria Rodriguez, R-Doral and Loranne Ausley, on Tuesday’s ballot --- Amendments 1, 2 and 3 3. Besides the election for the President of the United D-Tallahassee, Rep. Ray Rodrigues, R-Estero, Rep. and 4 --- came through initiatives. The other two, States of America, there were 27 congressional Tina Polsky, D-Boca Raton, and Rep. Shevrin Jones, Amendments 5 and 6, were placed on the ballot by elections, 21 state Senate contests, and more than D-West Park. Former House members Jim Boyd, the Florida Legislature. 100 state House contests on Florida ballots. R-Bradenton and Danny Burgess, R- Zephyrhills will Florida voters approved four of the constitutional be joining the Senate. The Senate has one newcomer, amendments. The most contiguous amendment Voting … Jennifer Bradley, R-Fleming Island. was Amendment 2 that gradually boosts the state’s Florida has 14.44 million voters and over 11 minimum wage to $15 an hour. The hike in the million people cast their vote in this election. Clay, minimum wage will be phased in through Sept. 30, Miami-Dade and Palm Beach counties were still Florida House of Representatives … 2026, but it will represent a significant move in a counting votes late into election night. Osceola It was a good night for Republicans in the Florida state heavily dependent on tourism and the service County Supervisor of Elections lost its internet House as they defeated three incumbent Democrats, industry for jobs. It was put on the ballot with the connection and ballots had to be transferred to the gained members in open seats and successfully financial help of well-known Orlando trial attorney main office to be counted. But overall, elections ran defended districts targeted by Democrats. John Morgan. smoothly. There were three surprises where Republicans Meanwhile, about 57 percent of voters supported Collier County had the highest turnout with 90.25 defeated incumbent Democrats. Republican Linda Amendment 3, which, if passed, would have percent, with Sumter County, coming in second with Chaney defeated Rep. Jennifer Webb, D-Gulfport, eliminated Florida’s closed primary elections in 87.96 percent. Hardee County had the lowest turnout in Pinellas County’s House District 69, Republican state races. That was below the 60 percent threshold at 65.2 percent, while Hendry County was at 67.97 Dana Trabulsy unseated Rep. Delores Hogan needed for approval. The proposed amendment percent. Johnson, D-Fort Pierce, in St. Lucie County’s House would have allowed all registered voters to vote in Florida has three ways to vote: Vote by Mail, Early District 84, and Republican Tom Fabricio toppled primaries for state legislative seats, governor, and Voting and Voting on Election Day. In the past, Vote Rep. Cindy Polo, D-Miramar, in House District 103 Cabinet seats, regardless of party affiliation. The two by Mail was used by Republican voters but in this in Broward and Miami-Dade counties. candidates who captured the most votes would have election, it was the Democrats who casted their votes With regards to the open seats that the moved on to the general election under the proposal. by mail. Democrats were the ones who showed up Republicans wanted, Republican Fiona McFarland Another amendment on the ballot would at the polls on election day, but this year, it was the won one of the open seats in Sarasota County’s have made it more difficult to amend the state Republicans that dominated the polls. House District 72. Republican Demi Busatta Cabrera Constitution in the future. Amendment 4 sought to won the other open seat in Miami-Dade County’s require amendments to be approved by voters twice Florida Senate … House District 114. Those seats became open when before taking effect. But it was receiving just 47 Republicans have controlled the Florida Senate Rep. Margaret Good, D-Sarasota, ran for Congress percent support Tuesday night. since 1994 and going into election night, they had a and Rep. Javier Fernandez, D-South Miami, ran The Legislature by super-majority votes of both 23-17 majority. Democrats thought they could pick for the state Senate --- with both losing their races chambers agreed to put two proposed amendments up at least two open seats but were not successful. Tuesday. in front of voters for the general election: Former House member Jason Brodeur, R-Sanford Republicans held off Democratic challenges in Amendments 5 and 6, both of which passed with defeated Patricia Sigman, D-Altamonte Springs in several hotly contested districts across the state. overwhelming support. Senate District 9 and Rep. Ana Maria Rodriguez, That included Rep. Chuck Clemons, R-Newberry, Amendment 5 will increase from two to R-Doral won her race against Rep. Javier Fernandez, topping Democrat Kayser Enneking in North three years the length of time accrued “Save our D-South Miami in Senate District 39. Florida’s District 21; Rep. Elizabeth Fetterhoff, Home” tax benefits may be transferred from prior R-DeLand, defeating former Democratic Rep. Patrick homesteads. Henry in Volusia County’s District 26; Rep. Jackie Amendment 6 will allow homestead property- Toledo, R-Tampa, fending off a challenge from tax discounts for certain veterans with permanent Democrat Julie Jenkins in Hillsborough County’s combat-related disabilities to carry over to the District 60; and Rep. Mike Caruso, R-Delray Beach, veterans’ surviving spouses. defeating Democrat Jim Bonfiglio in Palm Beach Home Health Nursing opportunities: County’s District 89. 2021 Regular Session … Full-time, Per diem and Weekend positions with Sign on Bonus Democrats did receive a few key wins Tuesday, Now that elections are over it is time for the including Rep. Joy Goff-Marcil, D-Maitland, holding members of the Florida Nurses Association to Make Lives Better Including Your Own. We enrich lives every day. Every day is an opportunity for our associates to deeply off a challenge from former Rep. Bob Cortes, begin its grassroots program. Send an email to connect with people in a profound and personal way. Nurse on Call, part of the R-Altamonte Springs, in District 30 in Orange and congratulate the newly elected officials. Let them Brookdale family, is a Medicare certified agency providing home healthcare services. Seminole counties. Also, Democrat Andrew Learned know that you are available to answer any questions Our associates are the core of our mission. We offer competitive compensation, narrowly defeating Republican Michael Owen in they may have about the nursing profession. mileage reimbursement and a plethora of benefits for Full time and PRN associates. We will have Legislative Briefings prior to the Our full time benefits include generous PTO, Adoption benefit, MetLife legal plan, Pet 2021 Legislative Session to go over priorities and insurance plan and tuition reimbursement. We believe you can find purpose, meaning, introduce you to the legislators in your Region. and the chance to be a part of something bigger than yourself. You worked hard for your nursing license. Look for upcoming webinars to learn more about the · RN · LPN · Wound Care RN · Psychiatric/Behavioral RN We’re here to help you keep it. legislative process and how you can help move FNA issues forward! · Weekend (Baylor) RN · Clinical Manager (RN) At Chapman Law Group, our sole focus is licensed health care professionals like you . For more than 30 years, we have represented and defended nurses before the Board of FL Locations include: Nursing, Florida Department of Health, and state, federal and administrative courts for: West FL: Fort Walton/Destin, Port Richey, Tampa, Seminole/St Petersburg, Sun • Licensure and Compliance: Denials, renewals issues, failure to report City/Bradenton,Sarasota, Port Charlotte, Fort Myers/Naples • Impairment Program Matters: IPN/PRN referral and enrollment East FL: Coral Springs, Lake Worth, Port St Lucie/Okeechobee, Vero Beach, • Disciplinary Actions: Suspensions, revocations, restrictions, administrative complaints Melbourne, Orlando, Clermont/The Villages/Ocala, Daytona Beach, • Criminal Matters: DUI, drug diversion, prescription fraud, theft, assault Gainesville, Jacksonville • Professional Liability: Accusations of negligence, malpractice or deliberate indifference • Whistleblower Actions: Qui tam, Stark, Anti-Kickback To apply online and to see all of our opportunities visit our website: www.brookdalecareers.com Contact us today and let us put our experience to work for you. https://youtu.be/P_dR8YDvnI8 Relationship building lives here every day. 6841 Energy Court • Sarasota, FL 34240 Text Brookdale @ 97211 to receive additional information on our open positions (941) 893-3449 Equal Opportunity Employer/ Drug-Free Workplace www.chapmanlawgroup.com Veterans,transitioning active duty military and spouses encouraged to apply. November 2020 The Florida Nurse Page 19 In Memorium SIG News

Ethics SIG - Wrapping Up 2020 and Planning for Next Year

The FNA Ethics SIG was very active in 2020, end-of-life care for patients, and mental fatigue / holding seven meetings and hosting three burn-out for nurses. The Ethics SIG will reconvene webinars. The recurring themes throughout in 2021 with a new focus on the repercussions of our discussions this year revolved around the the pandemic. Some of the topics on the table will COVID-19 pandemic and the ethical challenges include increased cases of suicide, neglect of other that nurses face when caring for patients in this serious health issues due to fear of contagions, the new environment. Some of the specific topics ethics behind vaccine distribution, and providing that arose were ethical concerns over the lack of more support for fellow nurses. The first meeting appropriate PPE for nurses, reimplementation of in 2021 will be on January 19 at 6pm EST. More team nursing without proper training, jeopardized details at www.floridanurse.org/events.

Health Policy SIG

L: Judy Davies The Health Policy SIG remains one of the meeting and will continue to recruit from the most active SIGs in the FNA structure holding general membership. Karen Perez has continued Submitted by Deborah Hogan meetings monthly and engaging both members and to lead this group and we have recently elected Dr. students. At the most recent meeting, our lobbying Sonia Wisdom as the groups secretary. We thank It is with sadness that I remember Judy Davies, firm Public Affairs Consultants gave a summary them for their Leadership in these challenging who served as an active member of FNA and a of the state election and shared the committee times. If you are interested in joining this SIG, long-term president of District 40, dubbed "The assignments to date. They also shared a tentative any active member is welcome. We also encourage Fabulous 40" under Judy's leadership. According plan for our Virtual Advocacy Days and shared faculty to send their students to the meetings to to her son, she died of a stroke on March 25, 2020. what they thought engaging with legislators learn about health policy advocacy for nurses. She supported all of the members and encouraged during a pandemic might look like. We discussed The first meeting in 2021 will be on January 12 their involvement in FNA. the formation of the FNA Legislative Action Team at 7pm EST. For more information, email govt@ As a public health nurse, she also supported and how that would help to move FNA's Agenda floridanurse.org. community needs and advocated for public health forward. We recruited several volunteers at the nurses and their efforts! Page 20 The Florida Nurse November 2020 Nursing Community

The Importance of Nursing Organization Membership

Submitted by Diane Hogan, DNP, RN, MA on organization’s social media - blogs, Twitter, attendance is not mandatory. Participation behalf of the QUIN Council Instagram, and Facebook. is imperative though. We all have our time A major tenant of our profession is commitment management obligations. However, reserving the Nurses have a global to life-long learning and a well-educated workforce time to be involved and giving back are integral spotlight in this Year of is crucial to meeting our ever changing, complex to our ethical commitment to our profession. the Nurse and a great healthcare needs. Nurses need to be prepared with Membership fees may also present an obstacle. opportunity to speak up the appropriate level of education and training to Many organizations offer discounted fees for retirees for our profession and optimally perform within their scope of practice. or students. Check with your employer to see if fees nurses’ vast contributions Joining a nursing organization provides many could be covered under professional development. to quality healthcare. venues for professional development and career Once enrolled, access to the organization’s One effective way to tap advancement. Many organizations promote or resources, like webinars, is often at discounted or no into our powerhouse sponsor continuing education, credentialing cost. of influence and and certification programs, conduct educational advance leadership and webinars, and deliver professional conferences. Walk the Talk professional development Organization websites can provide a multitude of Be a role model at work; lead through is by joining a nursing resources and libraries, filled with position papers, example and increase awareness and talk up Diane Hogan organization. newsletters, toolkits, recorded webinars, and your professional organization involvement. Let’s take a look at journals. Educate nursing students on the importance of the upside of joining and being involved in a Joining an organization can be an employment joining a nursing organization, beginning with the professional nursing organization. Involved is “booster” where nurses can network, check out National Student Nurses Association. Take new the key word here –nurses need to be in the job opportunities, seek career advancement, and graduates and employees under your wing and be conversation and decision-making chain. It is get involved in leadership roles. Applying for a mentor, encouraging them to join a professional imperative to not only sign up, but to also be an an organization’s committee position, or even organization. informed and engaged member. running for an elected office can help develop role Many of you have already committed and are competencies and leadership skills. members of the FNA and or the ANA. Now you Why Join a Professional Organization? are urged to look deeper and seek out ways to be Nursing organizations are created for nurses Choosing a Professional Membership more involved in our nursing organizations. It is and run by nurses to advocate for nursing values There are more than 100 nursing organizations up to each of us, to contribute, to lead the way and and quality practices. Advocacy, a cornerstone to choose from and the decision of which one determine our professional nursing destiny. of nursing practice, serves to give voice to critical to join can be a bit daunting. There are general issues and policy affecting healthcare. Each organizations such as the American Nurses References nursing organization posts a Code of Ethics, a Association (ANA), which represents all of our 50 Davelaar, Michelle, PA-C, MMS, contributor; Top 5 collective commitment to advocate for excellence states via each state’s nursing association, like our Nursing Associations Every New Grad Should and a framework for decision-making, serving Florida Nurses Association (FNA). Nurses can also Join, retrieved from https://www.americanmobile. as a “contract” to uphold the highest values and belong to a specialty organization, with national com/nursezone/new-graduates/top-five-nursing- standards in nursing. and state/ regional chapters, such as the American associations-every-new-grad-should-join/ Every Nurse Should Belong to Professional Organizations Organizations are a trusted source of information Association of Critical Care Nurses and the Society (January 17, 2017) (Blog post). Retrieved from https:// on the current state of our profession, as well as, of Pediatric Nurses. Nursing leaders suggest the www.americansentinel.edu/blog/2017/01/17/every- trends and policy on the horizon. Membership ANA, and your state nurses association as a way nurse-should-belong-to-professional-organizations/ provides a platform to dialogue with nurses and to stay informed on events, policies, and scope Greggs-McQuilkin, Doris RN, BSN, MA. (2005, October). healthcare leaders from diverse perspectives and of practice issues that impact nursing quality and Why join a professional nursing organization? backgrounds. It is a place to share best practices, practice delivery. Next, you might consider joining a Nursing2005: October 2005 - Volume 35 - Issue - p 19 build comradery, lessons learned, explore new specialty nursing organization and build comradery Join ANA and Your State Nurses association.(ANA). ideas, inform evidence-based practice, and with peers in your specific line of work. Retrieved from https://www.nursingworld.org/ celebrate contributions. For example, there Membership is strictly voluntary and while membership/joinANA/ are many venues to express your ideas via an meetings and conferences are encouraged, Matthews, J., (January 31, 2012) "Role of Professional Organizations in Advocating for the Nursing Profession" OJIN: The Online Journal of Issues in Nursing Vol. 17, No. 1, Manuscript 3. DOI: 10.3912/ OJIN.Vol17No01Man03. Retrieved form http:// ojin.nursingworld.org/MainMenuCategories/ ANAMarketplace/ANAPeriodicals/OJIN/ TableofContents/Vol-17-2012/No1-Jan-2012/ Professional-Organizations-and-Advocating.html Nichols, Jeri, BSN, RN (September 26, 2020) (Nurselab) 10 Benefits of Joining Professional Nursing Organizations LIFE-CHANGING CAREERS and Associations. Retrieved from https://nurseslabs. com/10-benefits-joining-professional-nursing- organizations-associations/ Now Hiring Nurse Instructors! Schneider, Abigail, MSN, RN, (Clinical Content Manager, Jacksonville AMN Healthcare; RN.com); Nursing Organizations: The Role They Play in Professional Development. For nearly 50 years, Concorde Career Colleges has prepared thousands of Retrieved from https://www.rn.com/nursing- organizations-the-role-they-play-in-professional- people for rewarding careers in the healthcare industry. Visit nursingALD.com today! development/#:~:text=Membership%20in%20a%20 We specialize in education with a clearly defined purpose. professional%20nursing,in%20healthcare%20 Our goal is to prepare students for the most in-demand jobs in healthcare. occur%20almost%20daily.&text=Nursing%20 Search job listings organizations%20promote%20and%20 Qualifications to teach diploma and degree programs include: encourage,based%20practice%20to%20its%20 in all 50 states, and filter by location and credentials. members • Current RN license in Florida U.S. Department of Health and Human Services, Health Browse our online database of articles and content. • BSN (Diploma Program), MSN (Degree Program) Resources and Services Administration, (2018) • 3-4 years of recent clinical experience The U.S. Health Workforce Chartbook. Rockville, Find events for nursing professionals in your area. • Meet all state Board of Nursing qualifications Maryland: U.S. Department of Health and Human Services. Retrieved from https://bhw.hrsa.gov/sites/ Your always-on resource for nursing jobs, EOE/M/F/D/V default/files/bhw/health-workforce-analysis/research/ We offer: Medical/dental/vision, 401K retirement plan, paid holidays, vacation, hrsa-us-health-workforce-chartbook-part-1-clinicians. research, and events. and education reimbursement for full-time and part-time employees. pdf What are the Benefits and Services of Joining a Nursing To apply visit https://careers.concorde.edu/ Organization? (RN.com)’ Retrieved from https://www. registerednursing.org/what-benefits-services-joining- nursing-organization/ Apply with Concorde today! Williams, Lori; Declining Membership in Professional Train our future skilled Nurses. Nursing Organizations (Carson-Newman University). Retrieved from onlinenursing.cn.edu. November 2020 The Florida Nurse Page 21 Community Service Learning Bridges Gaps

Lynn Landseadel, DNP, RN, CNE for sixth grade students, with the nursing students J., Guix-Comellas, E., Estrada Masllorens, J., Vázquez Shannon Morse, PhD, RN, RNC-MNN, able to observe and document the findings. The Archilla, M…Escofet-Roig, A. (2017). Service learning LCCE, IBCLC health screenings took place over two days, with two and health education: Innovation in nursing education. additional hours spent screening students who had Procedia - Social and Behavioral Sciences, 237, 956 – Nurse educators frequently seek to provide been absent the day of the original exams. Although 961. Rodriguez, S. (2013). The impact of limited clinical sites experiential and immersive learning opportunities 115 students were eligible for the screening, thirteen on prelicensure nursing education programs: Current for their students. Clinical sites are becoming more parents opted out of the event, leaving 102 children issues and recommendations for the future. Retrieved difficult to secure (Rodriguez, 2013) and there is participating. The students, under the supervision from Sophia, the St. Catherine University repository an increasing awareness that preventive health of the faculty, proceeded to screen children in website: https://sophia.stkate.edu/ma_nursing/73 care largely depends upon the environment, the Kindergarten, first grade, third grade, and sixth grade, community, and family situations (Malcarney, as required by Florida law. About the authors: Pittman, Quigley, Horton, & Seiler, 2017). External Vision screenings were conducted using Lea practicum sites have become a viable alternative to symbols for Kindergarten, and Sloan letter charts for Lynn Landseadel, DNP, traditional hospital-based settings. These service- the other children. Eighteen children were referred RN, CNE, a former school learning projects, or community encounters that also for follow up with an optometrist, with the majority nurse, is a professor of provide clinical or practicum hours, help bridge the of the referrals going to the first and sixth graders. nursing in an associate’s gap between theory and practice. According to Morin- Fifteen students were referred for BMI of over 95% degree program at Fraile et al. (2017), service-learning courses may also or less than 5%. Three of the sixth-grade students Rasmussen College in the help students gain social responsibility and become were found to have curvatures of the spine requiring West Central Region. She is more actively involved in their own communities. follow-up with a physician. a member of Florida Nurses Several undergraduate nursing classes lend Comments from the nursing students were Association and currently themselves well to learning projects that meet the overwhelmingly positive, with one saying, “I serves as a trustee for course objectives as well as provide service to the didn’t think I would like to work in Pediatrics, but the FNA PAC, as well as community. One such course is Maternal-Child this has been really rewarding!” Another student on the operating board Health, which encompasses not just care of the family commented that he learned a lot about the differences of the Pasco Pediatric during pregnancy, birth, and parenting, but also in communicating with children. All students Foundation. strives to teach normal growth and development of reported a better understanding about growth and the child. Family Health courses are also the areas development, assessment skills, and working with Shannon Morse, PhD, in which clinical hours are most difficult to obtain families. MS, RNC-MNN, LCCE, (Rodriguez, 2013). For these reasons, community Nursing faculty were likewise satisfied with the IBCLC, is a professor of partnerships may be the solution. event. The school health screenings provided clinical nursing at Rasmussen To meet the requirement for clinical hours, as well experiences, met the needs of our community’s College, Central Pasco. as to serve a community need, our private college’s children, and has created a much-needed partnership She has been an active associate-degree nursing program collaborated with a charitable organization. Service-learning member and leader for the with a private faith-based K-12 school to provide projects such as these can be symbiotic in nature, and Association of Women’s the state mandated health screenings. Students beneficial to all concerned. Health Obstetrics and who needed clinical hours, either as a make-up Neonatal Nurses, Florida day or for additional learning needs, were invited References Section and is currently to participate. Two faculty members trained two Malcarney, M., Pittman, P., Quigley, L., Horton, K., & Seiler, serving as the AWHONN groups of six nursing students on the basic screening N. (2017). The changing roles of community health Florida Section Student procedures for vision, height, weight, and BMI. The workers. HSR: Health Services Research 52:1, Part II. Liaison. nursing faculty also conducted scoliosis screenings Morín-Fraile, V., Sancho Agredano, R., Galimany Masclans,

Holiday Greetings from the Board & Staff of the Florida Nurses Foundation & Florida Nurses Association Page 22 The Florida Nurse November 2020 Workplace Bullying - A Silent Epidemic

Dr. Palma Iacovitti DNP MBA RN workplace for all employees and patients; decrease systems. Data can be collected by population the risk of harm to patients, shield seasoned and subgroups, regions, or the nation. Should newly licensed nurses to practice under safe any national nursing organization or nursing Dr. Iacovitti has earned conditions avoiding needless distractions of being professional desire to contact their legislator her Bachelor’s in Nursing, bullied. or local representative to seek support for MBA and most recently Addressing bullying reduces the risk of losing mandating health organizations to introduce a Doctorate in Nursing veteran bedside nurses, reduces the financial a “No Tolerance” policy. Practice from University impact on organizations, reduces the risk of 5. Legislation for either a “No Tolerance” policy of Iowa. Her clinical increasing hospital acquired infections and most or resurrecting the Healthy Workplace Bill nursing experience importantly places perpetrators accountable for can ultimately help safeguard healthier work for nearly 25 years their pathological and unforgivable behavior. environments, nurses can practice under consists of pediatrics, safe conditions, maintain patient safety, emergency medicine, Proposed Solutions empower staff to report bullying without gastroenterology, Bullying is a multi-faceted hidden epidemic. retaliation, improve the quality of care women’s health, and solid Placing the following projected solutions in any in hospitals. WPB is unacceptable in any organ transplant. She given order is arduous. Solutions can happen occupation. is currently a Program Dr. Palma Iacovitti simultaneously, and each takes effort, patience, Manager for Surgical dedication, and time. Most nurses stay silent when they are oppressed Oncology Clinics at Baptist MD Anderson. 1. Leaders in all organizations must first and demeaned by workplace bullies even though The stakes for workplace bullying (WPB) are acknowledge bullying is transpiring then organizations have policies in place to address higher than school bullying because it affects rapidly discover a process to collaboratively lateral/horizontal violence. They are encouraged a person’s livelihood. The Workplace Bullying examine and manage nurse bullying in to speak to someone because they are not alone. Institute (WBI) defines bullying as “repeated, an effort that staff can work in a healthier Staying silent empowers bullies and their health-harming mistreatment of a person (the workplace. Everyone has a right to come behaviors. It can also lead the targets to suicide. target) by one or more workers that takes the form to work in a nonviolent and positive work of verbal abuse; conduct or behaviors that are environment. References threatening, intimidating or humiliating; sabotage 2. C-Suite collaborate with staff and create Gooch, K. (2016). Becker’s Hospital Review. 5 thoughts that prevents work from getting done; or some Leadership/Human Resources to enforce and statistics on nurse bullying. Retrieved from: combination of the three by a cruel perpetrator a “No Tolerance” policy together with an http://www.beckershospitalreview.com/human- (the bully)” (Namie & Namie, 2009). WPB impacts on-going evaluation of the effectiveness capital-and-risk/5-thoughts-and-statistics-on-nurse- physical and psychological health of nurses, of the “No Tolerance” policy. Perpetrators bullying.html threatens their working relationships, family, and Namie, G. and Namie R. (2009). The Bully at Work. are encouraged to be accountable for their careers. RN turnover will cost a hospital from Second Edition Naperville, IL: Sourcebooks, Inc. behavior and take responsibility for their $5.2M – $8.1M (Gooch, 2016). Bullying in the Namie, G. (2017). Workplace Bullying Institute. 2017 actions by making amends to those affected. workplace can cost over $4 billion yearly (2016). A WBI U.S. Workplace Bullying Survey. Retrieved from: 3. Nurses need to be brave by coming forward WBI 2017 survey reveals 19% of adult Americans http://www.workplacebullying.org/wbiresearch/wbi- and exposing their perpetrator. Otherwise 2017-survey/ have experienced abuse; 37% (including witnesses) their distorted, despicable, and hateful Nursing Solutions Inc. (2016). 2016 National have been affected by it; 63% of Americans now are conduct will continue. Healthcare Retention & RN Staffing Report. aware that workplace bullying happens; only 9% of 4. Nurse bullying databases must be Retrieved from: http://www.nsinursingsolutions. the targets are believed that they are being bullied; established. Currently, none are in existence. com/Files/assets/library/retention-institute/ 77% want a law against WPB (Namie, 2017). Databases are a valuable tool to measure, NationalHealthcareRNRetentionReport2016.pdf The rationale to stamp out WPB is to create assess and identify patterns in health a healthier, happier, satisfying, and positive November 2020 The Florida Nurse Page 23 Tackling and Combatting Human Trafficking as a Global Concern

Marie O. Etienne, DNP, APRN, FNP, PNP, PLNC, Slavery and Human Trafficking Prevention Month, this de Chesnay, M (2022) Human trafficking: The pandemic of Patricia R. Messmer, PhD, RN-BC, FAAN, is one of the reasons we are highlighting the important modern slavery in 5th chapter of C Holtz. Global Health Benjamín León School of Nursing, Miami Dade role nurses and other health care providers can play Care: Issues and Policies, (pp. 127-137). Jones and Bartlett College - Medical Campus in identifying and helping victims and survivors Learning of human trafficking. To gain more insight into the de Chesnay, M (2013a). Community model and resources. In M. De Chesney (Ed), Sex trafficking: A clinical guide for underpinnings of a human trafficking ring, stream the nurses (pp.51-62). Springer series “Jeffrey Epstein: Filthy Rich” on Netflix. de Chesnay, M (2013b). Psychiatric-mental health nurses and the sex trafficking pandemic. Issues in Mental Health Acknowledgments: Nursing, 34, 901-907. Marie O. Etienne is the Director of South Region IOM International Organization for Migration (2009). Caring - Florida Nurses Association, Professor of Nursing for trafficked persons: Guidance for health providers. at the Benjamín León School of Nursing, Co-Chair Retrieved from http://publications.iom.int/system/files/ of the Human Trafficking Taskforce of the Miami pdf/ct_handbook.pdf. Dade College (MDC), Medical Campus & Founder, Kiss, L. & Zimmerman, C. (2019). Human trafficking and President/CEO of Global Innovative Foundation. Dr. labor exploitation: toward identifying, implementing, and evaluating effective responses. PLoS Medicine 16 (1): Patricia R. Messmer is a Nursing Education & Research e1002740. https://doi.org/10.137/journal.pmed.10027 Consultant at the Benjamín León School of Nursing. Oram, S., & Domoney, J. (2018). Responding to the mental We also acknowledge Professors: Ileana S. Pino, health needs of trafficked women. Counseling and Marie O. Etienne Patricia R. Messmer DHSc, CRDH, Dadilia Garces, MD, David Gonzalez, Psychotherapy Journal, 11-16. MS, PTA, LMT, School of Health Sciences, Members United Nations Office on Drugs and Crime: Global Report on Background: Human Trafficking or “modern day of the Human Trafficking Taskforce of MDC, Medical Trafficking in Persons (2018). United Nations, (No. E .19. slavery” is a global problem and national public health Campus and Global Innovative Foundation Board of IV.2) issue that occurs in every state in the United States Directors. Victims of Trafficking and Violence Protection Act of 2000 with victims from legal, illegal business settings, and (2000). Pub. L. No. 106386, 8 U.S.C. 1101,7101, 114 STAT is considered a hidden epidemic (United Nations, References: 1464. 2018). It involves exploiting men, women, adults Chisolm-Straker, M., Baldwin, S., Gaigbe-Togbe, B., Ndukwe, N., Johnson, P., & Richardson, L. (2016). Healthcare and National Resources for Health Care Professionals: and children through force, fraud, or coercion for • United Nations – https://www.un.org/en/ the purpose of forced labor, involuntary domestic human trafficking: We are seeing the unseen. Journal of Health Care for the Poor and Underserved, 27(3), 1220- • Polaris Project: National Human Trafficking Resource servitude, slavery, commercial sex (forced prostitution) Center – http://www.traffickingresourcecenter.org or both, financial gain, or the removal of organs (Kiss 1233. Coppola, J. S. (May, 2016). Health professional role in • Coalition Against Trafficking in Women – http:// & Zimmerman, 2019). Florida ranks #3 in the U.S. for identifying and assessing victims of human Labor catwinternational.org Human Trafficking with half of the sex victims17 years trafficking. The Journal for Nurse Practitioners, 12 (5) • Child Exploitation/Operation Predator – http://www. old or younger. e193-e200. ice.gov/predator Human trafficking is a global problem; one of the Covenant House New York and Fordham University’s • The United States Department of Justice Hotline – world’s most shameful crimes, affecting the lives of Applied Developmental Psychology Department (2013). 1-888-428-7581 millions of people around the world and robbing Homelessness, survival sex, and human trafficking as • Global Innovative Foundation - www.gifoundation.org them of their dignity. The vast majority of the detected experienced by youth of Covenant House New York. victims detected globally are trafficked for sexual Retrieved from https://traffickingresource.org. exploitation, although this pattern is not consistent across all regions. There are over 20 million victims of human trafficking worldwide (ILO, 2019). The global human trafficking market is a $150 billion a year industry (deChesnay, M, 2022). Nearly every When a LGBT+ Nurse’s Voice Grows Silent country in the world is affected by human trafficking, point of origin, transit or destination, and victims from in the Workplace 127 countries but are reported to have been exploited in 137 countries. Globally, 1 in 5 victims of human Priscilla Horton, BSN, RN, MBA About the Author: trafficking are children. My name is Priscilla Horton. I am a Nurse Human trafficking tends to occur around To live among others Leader at Baptist MD Anderson in Jacksonville international travel-hubs with large immigrant who look like you FL. I have spent most of my nursing career in populations, notably California, Texas, Florida and yet do not share your oncology. I have a passion for advocacy, and love Georgia. The U.S. Justice Department estimates that same belief system, nor helping people! Outside of work, I enjoy spending 35,500–170,500 people are trafficked into the country understand what is plain time with my family, and traveling when every year. Human trafficking affects every community to see is difficult. Yet, possible. I am a Jacksonville native, and hold a in the United States across age, gender, ethnicity, we see LGBT+ persons Master of Business degree from the University and socio-economic backgrounds. Nurses and other treated differently, and of Saint Francis and am currently in a graduate health care providers (HCPs) are likely to interact with stigmatized by a culture Master of Nursing program with the University of trafficked victims, and are well positioned to assess the that does not understand Alabama. following red flags: 1) Is it safe for you to talk to me nor in many cases, try to right now? 2) Has a child stopped attending school? understand that we all 3) Has the person had a sudden or dramatic change want the same things – in behavior? 4) Is a juvenile engaged in commercial love, respect, and dignity. Priscilla (pictured sex acts? 5) Is the person disoriented or confused, In my organization I left) with her or showing signs of mental or physical abuse? 6) am a nurse leader who partner. Does the person have bruises in various stages of seeks equality for LGBT+ Come join the AHCA team! healing? Do you have to ask permission to sleep or members and helps them find a voice when their go to the bathroom? 7) Is the person fearful, timid, or fears are so loud, they grow silent. Today we can Registered Nurse Specialists with Florida’s Agency for Health submissive? change that mindset by doing these 5 things: Care Administration (AHCA) conduct on-site surveys of a Common indicators to help recognize human • Educate yourself about the LGBT+ variety of health care providers throughout the state . Some of trafficking: Does the person show signs of having community. Even better, become an ally. our excellent benefits include: been denied food, water, sleep, or medical care? Is the • Always address others as they prefer person often in the company of someone to whom through proper pronouns and preferred • Ten Paid Holidays Annually he or she defers? Or someone who seems to be in names. • Generous Annual & Sick Leave control of the situation, e.g., where they go or who • Seek out LGBT+ members in your • High Quality Health Insurance with Low Premiums they talk to? Does the person appear to be coached organization and create an open dialogue. • Free Life Insurance Plan on what to say? Is the person living in unsuitable • Always remember that LGBT+ members • Very Low Cost Retirement Plan conditions? Does the person lack personal possessions are prone to discrimination so initiate • Optional Deferred Compensation Plan and appear not to have a stable living situation? conversation with authenticity. • College Tuition Waiver Program Does the person have freedom of movement? Can • Understand that belief systems are just that, • Remote Working Program the person freely leave where they live? Are there beliefs, and respecting everyone’s is what it unreasonable security measures? (Coppola, 2016). is to be human. Labels are not important, so HCPs must know how to identify, assess, and manage long as they are respectful. the care of suspected victims of human trafficking. To learn more A study of 173 survivors stated 68% were seen by We very often fear what we do not know. about AHCA HCP; 56% went to ED or urgent care providers while Through education we can breakdown the fear of visit us at: trafficked. Once identified, victims should be referred the “unknown” and see one another as people who to support systems where they can obtain physical and love, respect, and treat each other with the dignity http://ahca.myflorida.com psychological care and be provided with the national each one of us deserves. It is my personal hope human trafficking hotline 24/7 – 1-888-373-7888 or that we will be at a point someday where labels do To learn more about RN positions with AHCA text “BeFree” (233733) with local organizations that not matter and designations such as LGBT+ do not in your area, visit our job site at: provide support services. January is the National exist, because we just do not need one! Human Trafficking Awareness Month and the National https://jobs.myflorida.com/index.html