Nov, Dec 2019, Jan 2020 Official publication of Idaho Alliance of Leaders in & Idaho Center for Nursing IDAHOVolume 42, • No. 3 Quarterly publication direct mailed to approximately 26,000 RNs and LPNs in Idaho.

These organizations are members of the Idaho Center for Nursing. NLI-IALN UPDATE INSIDE THIS ISSUE ANA IDAHO PRESIDENTIAL REPORT Brie Sandow, MSN, RN, NEA-BC, RNC-OB A Healthy Idaho Begins with Nurses ANA Idaho President PAGE 2

LETTER FROM THE EDITOR: Karen S. Neill, Ph.D., R.N., SANE-A, DF-IAFN leadership involves guiding the analysis of what is Portraits of Courage President, NLI and IALN happening and crafting mitigation strategies to move Sara F. Hawkins, PhD, RN, CPPS PAGE 3 Email: [email protected] the organizations ahead. These efforts are guided by an active organizational strategic plan, frequent With Sincere Thanks to Mark Siemon In January I will end my communication with stakeholders, and consistent RN Idaho Editorial Board Member PAGE 3 two years as president of both messaging and support to members. FEATURE: the Nurse Leaders of Idaho Engagement is not only about the leadership Miss Castevens, Loved as a Friend, Trusted (NLI) and the Idaho Alliance of being engaged, but how an engaged membership as a Nurse and Remembered as a Patriot PAGE 4 Leaders in Nursing (IALN). Both benefits both the organization and the profession. of these organizations have The organization as a whole thrives when individual Interview with Russ Barron, continued to grow and expand members are engaged; like the old adage, a rising tide Executive Director, Idaho PAGE 5 services during the past two raises all ships. It is often said that individuals may not FEATURE: years. I am confident that this see tangible results from their personal membership From Bedside to Barracks will continue with my successor, without begin engaged, but by their membership the Patrick Moody, BSN, RN PAGE 6 Joan Agee, becoming president entire association benefits. Our former president, Joan Save the Dates PAGE 7 in January 2020. Karen S. Neill Simon, commented on the association’s progress and There are many achievements said that “everyone wants to be on a winning team.” FEATURE: and successes to celebrate. Certainly, the big ones That is so true. NLI members have demonstrated that Serving Those Who Served: Caring at the Boise VA are forming the Idaho Center for Nursing that has culture. We have seen more nurse leaders join NLI, Chris Reeder, BSN, RN PAGE 7 pulled the professional nursing associations in Idaho more abstracts and posters submitted to the LEAP PRACTICE MATTERS: together, focusing on the recognition of nurses and planning committee, more visits and followers to the expanding the annual Nurse Recognition Dinner, and Joy in the Workplace and the Triple Aim website and more interest in NLIs ongoing programs Joan Agee, DNP, RN, CNOR, FACHE PAGE 8 importantly to all Idaho nurses, the refocusing of RN than in past years. IDAHO to showcase achievements of Idaho nurses, The Idaho Center for Nursing works to promote Employer Support of the Guard and Reserve Trudi Poole, MSN, RN, CDE PAGE 8 events and scholarship. a culture of engagement and active participation in Being the president put me in the position to see addressing issues that impact the profession and FEATURE: and appreciate all of the behind the scenes work that the overall health of Idahoans. There appears to be a The Color Code Part I: What’s Your MO in Healthcare? keeps these associations moving ahead and nursing culture among nurses that strongly supports the Idaho Megan Guido PAGE 9 gaining increased attention in the public domain. Center for Nursing’s tagline: “A Healthy Idaho Begins IDAHO CENTER FOR NURSING PARTICIPATING This experience has demonstrated two things that with Nurses.” I knew were important. They are that leadership and ORGANIZATION UPDATES: Executive Director Report engagement count! Randall Hudspeth, PhD, APRN-CNP/CNS, FAANP PAGE 9 Leadership in an organization involves being open WANT TO RECEIVE to suggestions, being willing to accept the opinions IDANA Update and desires of others and being able to take in stride RN IDAHO ELECTRONICALLY? Gus Powell, MSN, CRNA PAGE 10 the barriers and limitations imposed or the unintended Subscribe at AWARDS AND RECOGNITIONS: consequences of decisions taken. Successful Idaho Nursing Awards and Recognitions PAGE 11 tinyurl.com/IDGreen Local Nurse Embarks on Groundbreaking Environmental Non-Profit Org. Health Nurse Fellowship Program PAGE 11 U.S. Postage Paid LIKE US ON FACEBOOK Idaho Nurses Recognized at Princeton, MN the Annual Nurse Recognition Permit No. 14 current resident or Celebration Dinner for Distinguished Careers PAGE 12 FEATURE Charting Idaho’s Nursing History www.facebook.com/IdahoNursesAssociation/ turns 10 Years Old PAGE 13 FEATURE FOLLOW US ON TWITTER Local Couple Represents Idaho on Capitol Hill Robert and Carmelita Jones PAGE 14 @IDAHONURSES In Memorium PAGE 15 Page 2 • RN Idaho November, December 2019, January 2020 ANA IDAHO PRESIDENTIAL REPORT

Brie Sandow, MSN, RN, NEA-BC, RNC-OB nurses and IDAHO ANA Idaho President management working Email: [email protected] together. Collaborative RN Idaho is published by efforts among state Idaho Alliance of Leaders in Nursing In June, I attended the hospital associations, & Idaho Center for Nursing 2019 ANA Membership nurse executives, and 6126 West State St., Suite 306 Boise, ID 83703 Assembly in Washington D.C. ANA-affiliated state Dori Healy, ANAI President- nurses associations Direct Dial: 208-367-1171 elect, Randall Hudspeth, result in balanced Email: [email protected] ANAI Executive Director state-level staffing Website: www.idahonurses.nursingnetwork.com and I proudly represented legislation that benefits RN Idaho is peer reviewed and published by the interests of Idaho’s patients, nurses, and the Idaho Alliance of Leaders in Nursing & the ANA Idaho President, approximately 25,000 hospitals. Idaho Center for Nursing. RN Idaho is distributed Brienne Sandow with registered nurses (RNs). oo Nursing Workforce to every and Licensed Practical President-Elect Dori Nurse licensed in Idaho, state legislators, employer We advocated for nurses Development: Nurses Healy meeting with Brie Sandow executives, and Idaho schools of nursing. The total on Capitol Hill, considered continue to represent the Idaho Delegation quarterly circulation is over 25,000. RN Idaho is proposed ANA bylaw and policy revisions and cast the largest group of on Capitol Hill. our vote for candidates seeking election to the ANA providers published quarterly every February, May, August, and November. Board of Directors. whose services are directly linked to quality and cost-effectiveness. Increased demands for RNs Editor: ANA Idaho in the coming years will be driven by an aging Sara F. Hawkins, PhD, RN, CPPS Executive Director population. Dori and I urged lawmakers to support Editor Emerita: Randall Hudspeth H.R. 728/S. 1399, the bipartisan Title VIII Nursing Barbara McNeil, PhD, RN-BC with Brienne Workforce Reauthorization Act of 2019, which Sandow, and Dori would reauthorize nursing workforce development Executive Director: Healy at the 2019 programs through fiscal year 2024. Title VIII Randall Hudspeth, PhD, MBA, MS, APRN-CNP, ANA Membership FAANP provides the largest source of federal funding for Assembly in Editorial Board: Washington D.C. nursing education. oo Home Health: Advanced practice registered Michelle Anderson, DNP, APRN-CNP, FNP nurses (APRNs) provide high-quality, affordable Sandra Evans, MAEd, RN Here are the highlights! health care especially in areas where access Pamela Gehrke, EdD, RN • ANA Hill Day: Dori Healy, ANAI President-elect, to physicians is limited, such as remote rural Beverly Kloepfer, MSN, RN, NP-C and I spent the day before Membership Assembly Karen Neill, PhD, RN, SANE-A, PF-IAFN areas. Currently APRNs with patients who need traversing Capitol Hill meeting with the members of Gus Powell, MSN, CRNA home health care services are required to have our Idaho delegation to discuss issues important Katie Roberts, MSN, RN a physician verify their assessments. Medicare to nurses. We had the opportunity to engage with Laura J. Tivis, PhD, CCRP policy prevents these APRNs from providing Senators Risch and Crapo, as well as Congressmen appropriate, timely care for their patients. Dori and RN Idaho welcomes comments, suggestions, Simpson and Fulcher, on safe staffing, nursing I asked lawmakers to support the bipartisan Home and contributions. Articles, editorials and other workforce development, home health, and workplace submissions may be sent directly to the Idaho Health Care Planning Improvement Act (H.R. 2150 violence. Center for Nursing office via mail or e-mail. / S. 296), which will allow nurse practitioners (NPs), oo Safe Staffing: Safe staffing is crucial to the provision of high-quality patient care. Achieving the right staffing levels requires ANA Idaho Presidential Report continued on page 4 JOIN ANA IDAHO TODAY WE NEED YOU! Membership application http://nursingworld.org/joinana.aspx For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 elcomes New & Returning Members Washington Street, PO Box 216, Cedar Falls, Iowa ANA Idaho W 50613, (800) 626-4081, [email protected]. IALN and the Arthur L. Davis Publishing Agency, Inc. reserve the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections in the June 1- September 3, 2019 Nampa next issue or refund of price of advertisement. Randy Williams Acceptance of advertising does not imply Iona Annie McKeeth endorsement or approval by the Idaho Alliance of Paula Williams Coeur D Alene Leaders in Nursing or by any professional nursing Parma organization that is affiliated with the Idaho Center Boise April McGuire Kuna for Nursing, of products advertised, the advertisers, Tina Marostica Mary Walters Jacquelyn Bass or the claims made. Rejection of an advertisement Stephanie Sibal Franklin does not imply a product offered for advertising is Post Falls Misti Newson Amy Pabawena Lewiston without merit, or that the manufacturer lacks integrity, Sue Pederson Veronica McDuffee Katie Roberts or that these associations disapproved of the product or its use. The affiliated nursing organizations and the Jim Percy Hamilton Christie Vincent Preston Arthur L. Davis Publishing Agency, Inc. shall not be Sarah Browning Mary Smith Morgan Selmer Rhyma Manning held liable for any consequences resulting from Gabbie Gray purchase or use of an advertiser’s product. Caitlin Donesley Hazelton Meridian Rexburg Articles appearing in this publication express Sandra Evans Joyce Lagrange Skylar Pasta the opinions of the authors. They do not Amy Demordaunt Nancy Nadolski Naomi Thompson necessarily reflect views of the staff, Makenzie Perren Josephine Dillon Hilo Christina Ruddick board or membership of affiliated Anne Church Gary McMahon nursing organizations, or those of the Salmon Caldwell Marianne Schiers national or local associations. Jamie Marin Allison Baker Idaho Falls Heather Brady Geralita Fox Melissa Helgeson Aroquiaraj Sandou Star Chubbuck Jennette Longcor Lisa Miller Chelsea McBride November, December 2019, January 2020 RN Idaho • Page 3 LETTER FROM THE EDITOR Portraits of Courage

Sara F. Hawkins PhD, RN, CPPS Editor, RN Idaho Email: [email protected]

The Veterans Administration (VA) is exemplar in their advocacy for patient-centered care. The launch of the “My Life: My Story” program provides for staff and volunteers to sit with veterans for one-on-one interviews designed to supplement the with a 1,500-word narrative (Kesling, 2019). The effect of this narrative has been remarkable in changing the perspective of the caregivers – reminding them of their mission and who they are serving (Kesling, 2019). The narratives honor the story teller, many of whom in silent courage have carried the burden of wartime memories, observations, and actions. In the end, these 1,500 word portraits of courage, allow healthcare providers to increasingly Sara F. Hawkins relate to their patients and respond to their needs in a much more personal and meaningful way. Narrative is a powerful tool providing the reader an account of personal experience and perspective. Understanding how others experience health, illness, war, and peace creates context, amplifies our capacity for caring and compassion, and perhaps, can even unite us. I am certain there was no better way to honor our Veterans and active duty military this year than by sharing their stories. Stories of character, courage, and advocacy particularly from the point of view of registered nurses in the military. The combination of which results in extraordinary portraits of courage! Research into the behavior of U.S. Military personnel suggests that courage is a readiness for sacrifice motivated by a perceived responsibility to protect, an outcome of which is human security, peacekeeping, and protecting the interests of a now global state (Kucera & Gulpers, 2018). Interestingly, Kucera and Gulpers maintain that modern military courage must more closely align with care ethics, described as a way of thinking that enhances relations with others (p. 361). When considering the care ethic and behaviors of nurses, courage is ethical – moral risk-taking actions, despite the fear we may have for ourselves and others (Hawkins & Morse, 2014, p. 268). An attribute of this courage is manifest in advocacy and the outcome is the prevention of patient harm. Hence, the parallels between the military and nursing are compelling. Courage is central for the functioning of both military and healthcare organizations. As we are reminded of our missions and we accept and internalize these missions, we are compelled to do the right thing without hesitation or compulsion. This November, I invite you to contemplate the courage of our Idaho veterans, active duty military personnel, and others who advocate on their behalf. This issue of RN Idaho is dedicated to sharing Idaho’s narratives and portraits of courage.

References Hawkins, S. F., & Morse, J. (2014). The praxis of courage as a foundation for care. Journal of Nursing Scholarship, 46(4), 263-270. Kesling, B. (2019, September). To improve care, veteran’s affairs asks patients their life stories. The Wall Street Journal. Retrieved from https://www.wsj.com/articles/to-improve-care- veterans-affairs-asks-patients-their-life-stories-11562146202 Kucera T., & Gulpers L. (2018) A military ethic for new missions. In: Caforio G., Nuciari M. (eds) Handbook of the Sociology of the Military. Handbooks of Sociology and Social Research. Springer, Cham

With Our Sincere Thanks, a Farewell to Outgoing Editorial Board Member Mark Siemon

Mark Siemon PhD, RN, PHNA-BC, CPH served on the Editorial Board for RN Idaho from August 2017 until August 2019. Mark grew up in Ketchum, Idaho, and he received his Bachelors of Science in Nursing from Boise State University in 1993. He worked as a Public Health Nurse (PHN) at Central District Health Department in Boise from 1993-95, before moving to Arizona and New Mexico where he worked as a PHN with American Indian communities, 1996-2008. He received a dual Masters Degree in Public Health and Community Health Nursing from the University of New Mexico (UNM) in 2006. He Mark Siemon was a Robert Wood Johnson Foundation Fellow with the UNM Health Policy Collaborative, and he graduated with his PhD in Nursing in 2014. Mark taught undergraduate public health and population health nursing course at UNM (2011-2013), Boise State University (2013-2016). He spent the past three years helping to care for his aging parents, and he recently accepted a faculty position at Southern Utah University in Cedar City, UT where he will continue to promote public health and population care nursing education. Page 4 • RN Idaho November, December 2019, January 2020

ANA Idaho Presidential Report continued from page 2 • Report of the Professional Policy Committee: Committee facilitated four Dialogue Forums, The ANA Professional Policy Committee, a standing which included broad recommendations for clinical nurse specialists (CNSs), and certified committee of the ANA Membership Assembly consideration. These forums were: Human nurse midwives (CNMs) to order home health care comprised of seven Constituent/State Nurses Trafficking, DACA Recipient’s Eligibility to Take the services without physician approval. Association (CSNA) or Individual Member Division NCLEX, Removal of Outdated ANA Language to oo Workplace Violence: One in four nurses (IMD) members appointed by the ANA Board of Increasing Vaccination Compliance, The Invisibility has been abused in the workplace, but nurse Directors, presented their recommendations for of Nurses in the Media, and Geriatric Care. abuse can be prevented with collaborative consideration. • Report of the ANA Board of Directors: Significant approaches. For years, ANA has advocated oo ANA Dues Policy: Membership Assembly work has been done to foster collaboration within to end nurse abuse, raising awareness about representatives were asked to decide if the Value the ANA Enterprise, which includes ANA and its the threats and pushing for administrative and Pricing Pilot (VPP), which included Idaho, should subsidiaries: American Nurses Credentialing Center legislative solutions. Dori and I had informative be institutionalized into ANA policy or discontinued (ANCC), American Academy of Nursing (Academy), discussions with lawmakers regarding the recently and wound down. Idaho has been a staunch and American Nurses Foundation (Foundation). The introduced Workplace Violence Prevention for supporter of value pricing, crediting the pilot with ANA Enterprise was formed to drive excellence in Health Care and Social Service Workers Act helping our State reach record high membership practice and amplify nursing’s voice and vision among (H.R. 1309/S. 851) that would require the numbers in recent years. I am thrilled to share that policy leaders, industry influences, and employers. Occupational Safety and Health Administration value pricing was approved to be institutionalized With global reach, the ANA Enterprise aligns initiatives (OSHA) to develop standards requiring health into ANA policy! It will continue to be a core with key nursing issues and provides nurses with care and social service employers to write and strategy for increasing membership penetration support and resources to succeed across all practice implement a workplace violence prevention plan and growth in Idaho. specialties and at every stage of their career. to protect employees from violence incidents in the oo Presidential Endorsement Process: workplace. Membership Assembly representatives voted to rescind the 1985 House of Delegates policy, Establishment of a Policy Regarding Presidential Endorsement and Presidential Endorsement Procedure. This policy did not require that ANA endorse a candidate, but it did mandate that the endorsement process be conducted every four years and that the ANA-Political Action Committee (PAC) Board of Trustees make a recommendation regarding endorsement to the ANA Board of Directors. The 2019 Membership Assembly, including Idaho, voted to adopt a revised ANA Idaho President-Elect Dori Healey, policy, ANA Presidential Election Engagement, ANA President Ernest Grant, ANA Idaho which focuses on educating and engaging ANA President Brienne Sandow, and ANA Brienne Sandow and members on Presidential candidates’ health care Treasurer Jennifer Mensik celebrating a Dori Healy with Senator Jim Risch. policies, rather than endorsing a specific candidate. successful first day of the Membership oo Dialogue Forums: The Professional Policy Assembly in Washington D.C. FEATURE

Miss Castevens, Loved as a Friend, Trusted as a Nurse and Remembered as a Patriot

When the United States entered into fighting 1910, when she was 18 years old, Geneva started of Duty in War Zone. St. Luke’s Hospital has its first during World War I, each state was asked by nurses training at the St. Luke’s Hospital School of gold star on its nurses’ service flag.” the federal government through the Red Cross Nursing in Boise. She graduated in 1913. Initially The Idaho State Nurses Association of Graduate Nursing Service to recruit nurses to serve in the worked at the hospital in surgery and also on the Nurses and the Red Cross Committee responded Army Nurse Corps. The target was to recruit wards. Geneva was one of the exceedingly popular to her death by passing the following Resolution: one million nurses. The president of the Nurses nurses at St. Luke’s and surgeons were specifically The following resolutions anent [regarding] Association had the responsibility to provide the anxious to obtain her services when they had the death at London, England, Miss Geneva recruitment list. This became a problem for Idaho delicate cases. Castevens, a graduate of St. Luke’s Training because nurse licensure was voluntary at that School, and the first of the Boise Red Cross time and less than 100 nurses had a license. This Nurses to report for duty abroad and the first to meant that there was no inventory of all nurses in meet death on foreign soil, have been passed by Idaho to contact for recruitment. When nurses the Idaho State Association of Graduate Nurses were notified, Geneva Castevens was the first and the State Committee of Red Cross Nursing nurse to enlist. Six nurses from St. Luke’s and Services. several from Saint Alphonsus were identified Whereas, on October 15, 1918, our friend and and went to Europe in 1918 to nurse wounded co-worker, Geneva Castevens, in the service of soldiers. The nurses from Idaho had their photo her country, finished a life of faithful ministry to taken with the hospital when they arrived. the sick; Geneva Castevens is identified by the arrow in the Be it resolved that we, the members of the photograph below. State Association of Graduate Nurses and State committee of the Red Cross Nursing Service, express in this way our recognition of our loss as organizations and as individuals. Quiet, patient, She was active in the Idaho State Association of faithful and efficient, Miss Castevens was loved Graduate Nurses. When the war started, she joined as a friend, trusted as a nurse and died as a the Red Cross Nursing Service and was the first patriot. Boise Red Cross Nurse to report for duty aboard. Be it further resolved, that these resolutions While in France she became ill and was returned to be inscribed in our records and that a copy be London. forwarded to Miss Castevens’ family. On October 15, 1918, Geneva Castevens died in London, England, of pneumonia at age 25. Most The Idaho Statesman printed the Resolution likely she contracted the flu during the flu epidemic under the headline, “Pay Tribute to Faithful of 1918 that became known as the Spanish Flu. Nurse.” The Association also sent the family a She was the first nurse from Idaho to die on foreign copy of the Resolutions and flowers which the soil. The Idaho Statesman headline on October 18, family responded to with a thank you card. The Geneva Castevens RN was was born in Illinois 1918 read: “Nurse from St. Luke’s Makes Supreme thank you card can be found in the Association’s and came to Idaho with her sister and brother- Sacrifice.” The article further stated that, “Miss archived materials at the Idaho State Historical in-law. They settled at Deer Flat near Kuna. In Geneva Castevens Dies of Pneumonia at Her Post Society, Boise, Idaho. November, December 2019, January 2020 RN Idaho • Page 5 An Interview with Russ Barron, MBA, Executive Director, Idaho Board of Nursing

Introduction: There is much interest among Idaho nurses are 1,252 RNs living in Washington and having an Idaho license. For Oregon, 356 nurses about the new Executive Director at the Board of Nursing have an Idaho license. Should those states join the NLC, the Idaho BON will lose a (BON). This is the first time that Idaho has had a non-nurse significant amount of revenue from license fees. Incidentally, for our remaining surrounding in the leadership role at the BON, although other states states, Nevada, which is a non-compact state has 91 Idaho licensed nurses, Montana, have often had non-nurses in that role. RN IDAHO took the a compact state, has nine, Wyoming, a compact state, has four and Utah, a compact opportunity to interview Mr. Barron as a means for Idaho state, has 10. nurses to become familiar with him. How is the BON funded? In Idaho there are three primary ways that agencies get Since starting on June 10, what has challenged you funded, (1) Federal Funds. (2) State Funds, or (3) Dedicated Funds from fees for services the most in your new role? I really had to hit the ground provided. The legislature makes decisions on what funds are used and how much can running from day one. The BON was in the initial few weeks of be used. Our budget is approved by the Legislature, but the money is generated by the the RN re-licensure cycle and the governor’s office had some agency itself in terms of license fees. The money that nurses pay for their license supports assignments that needed to be completed. Also, it was the Russ Barron all of the activities of the BON. This is why Washington and Oregon joining the NLC and middle of graduation season and hundreds of applications from recent graduates were ceasing to license in Idaho would negatively impact the BON financially, and the Board being processed. It was a bit challenging because the Associate Executive Director who would have to consider ways to meet budget needs. was an RN had also retired, but luckily, she had been covering the Executive Director Review of nursing education programs is a main function of the BON. How role for six months and she left me with information on the status of everything and what do you plan to meet this responsibility? Very soon I have a conference call with the needed attention first. Interestingly, the evening of my first day was the board meeting of deans and directors of the 10 Idaho nursing programs that educate RNs. That group, the the Idaho Center for Nursing, which I attended with the BON chair, Judy Taylor, MSN, RN. Council of Nursing Education Leadership (CNEL), is a unified group with common issues. It was good to meet many of the nurse leaders in Idaho when I first started. Needless to I look forward to a very positive working relationship with them and filling the Associate say, not being a nurse there was a high learning curve but I had some great support to Executive Director position will be key to the schools having a ready resource in the BON help me. office. How did your previous experience impact your new role at the BON? I came How do you see the BON impacting the future ? The primary to this role with a great deal of experience working in state government. I had been with mission of the board is public safety and protection. Part of meeting that mission is to the Idaho Department of Health & Welfare for more than 20 years, and for the last 18 be effective and responsive to nursing needs and working to remove barriers that keep months I had served as the Director of the department. That is a governor appointed qualified nurses from being part of the workforce. This involves timely responses to role, and much like a presidential cabinet member being replaced when a new president questions, efficient processing of license applications, consistent and correct messaging takes office, the same is true for the H&W Director. I was appointed by Governor Otter to the people we license, being helpful to resolve issues and being mindful that delays can and Governor Little chose his own team. I was fortunate to have the skill set and impact the nursing workforce. experience that the BON members were seeking and to be able to transition into this role. Is the board of nursing concerned about the emergence of new for profit Being familiar with the state system and knowing many legislators and state employees schools of nursing coming into Idaho? I think it is important to provide educational has served me well in my initial work at the BON. The work has focused on budget opportunities for individuals wanting to become nurses. At the same time, the BON is preparation, administrative rule changes, Board meetings, working with the Governor’s concerned about the educational quality as evidenced by the consistent measure of the office team, the administrative logistics of managing state contracts, expenses, and first time NCLEX pass-rate of these programs’ graduates, the truthfulness and disclosure personnel items, and learning about the nursing profession. to students about cost and the articulation of academic credits, the way schools will How has your orientation to the nursing profession been managed? Not recruit faculty in the communities they want to be present, and the impact that more having a nursing education, I knew that I had much to learn about the profession and nursing programs and more students will have on the already limited clinical experience its many nuances. But I have some great resources. Our current board chair is a former availability. Certainly, Idaho will need more nurses because of the increasing demand from BON Associate Executive Director and has been a strong resource. The board members population growth, especially an older population that will need more nursing care, and have approved my attendance at several conferences this year to help me learn and they the impact of an aging nursing workforce that will retire from active practice. I understand have all been readily available to answer questions. Also, we have one RN on staff at the that the current numbers of graduates do not sufficiently impact the needed nursing BON. From the professional organization perspective, the Executive Director of the Idaho workforce numbers. However, we must ensure that Idaho has solid nursing programs that Center for Nursing is also a former BON chairman and has helped to orient me to the will prepare highly qualified individuals to enter the nursing workforce as we consider more professional issues and has facilitated meetings with state nursing leaders. The National educational opportunities. Council of State Boards of Nursing held their BON Executive Workshop and their annual Do you have anything special that you want to communicate to Idaho nurses Delegate Assembly. I attended both and have begun developing relationships with the who read RN IDAHO? I want to say that I appreciate this opportunity to be a part of the Executive Directors from other states. I was happy to learn that some states also have nursing community. I see this as a very interesting, and integral role and I believe I have the non-nurses in the BON Executive Director role. Overall, I would say that I am learning leadership and management experience to continue the board’s progressive history. I also much, and I am becoming comfortable with knowing what my resources are and when to feel that Idaho nurses can be confident that I have already developed strong relationships ask questions and when to just listen. Thus far, everyone has been welcoming and helpful. with Idaho nurse leaders who have been very willing to help me, and the board, be What has been your initial focus at the BON? The Board wanted me to focus on successful. Look for some changes in the future to the BON website, the office systems, the operating systems within the board office. I have been meeting with staff and learning and the efficiency and stability of the BON staff. We are working together to better serve and evaluating the systems that exist to determine if they need revision, replaced or if they the citizens of Idaho and the nurses who work here. can remain. I have concentrated on building a cohesive team among the board staff and meeting with them to determine their job goals, satisfaction levels and what I can do to help them. I have made some organizational changes designed to improve customer service and efficiencies within the office. I have also been recruiting for the professional Nursing Education at Home: Associate Executive Director nursing staff position. What initiatives can we expect for 2020? A focus of the Governor’s Office has RN to BS been regulatory reduction. For agencies like the BON, that means looking at the rules and Interdisciplinary Gerontology Master’s seeing how they can be reduced or eliminated. Some of that work began before I came PhD to the BON, and we are continuing it now. An example is Rule wording that speaks to certified nurse aides (CNAs). The BON does not regulate CNAs; that is the role of the Dept. of Health & Welfare. We can work with them to see that BON needs are met within their Rules and eliminate those rules in the BON documents. Another example are Rules that speak to how Medication Assistants are certified. There is only one person in Idaho in that role and upon investigation, the person is not actually currently performing those functions. This might be a role that we can eliminate and reduce an entire Rule section. It provides us an opportunity to determine the need for this role and if one exists, we stand ready to draft appropriate legislation or rules to support the need. On a more global level, Earning a Bachelor’s in nursing online, 2020 has been proclaimed The Year of the Nurse and the ! Next year is the 200th anniversary of the birth of Florence Nightingale, and in her honor, many activities are becoming a gerontologist, or getting a PhD being planned around the world to highlight the nursing profession. without having to quit your job or move. The Do you foresee any significant Nurse Practice Act revisions being proposed Institute of Medicine recommends that nurses for the 2020 Legislature? The focus thus far has been on Rule. The BON did have some proposals in the past that were passed and are currently law. At this time we are not practice at the top of their degree. At the seeking any Statute changes in the upcoming legislative session. University of Utah, the “top” has no limit. If Washington and Oregon join the Nurse License Compact (NLC), how will that impact Idaho? Currently neither state is a member of the NLC. There is some activity in Washington state to join the NLC. That would benefit nurses who live in Idaho College of Nursing | 801.587.3194 and work in Washington because they would not have to obtain two licenses. However, [email protected] | many nurses live in Washington and work in Idaho, either as insurance company case nursing.utah.edu/programs managers or as direct employees of an Idaho agency, and thus the Washington based nurse would no longer need to purchase an Idaho license. As of September 2019, there

Utah-Idaho Ad 2019.indd 1 6/26/2019 10:28:27 AM Page 6 • RN Idaho November, December 2019, January 2020 FEATURE

Most combat outposts (COPs) are in austere From Bedside environments too far away to quickly transport an urgent patient with immediate needs back to Barracks to a traditional FST or combat support hospital by helicopter and this is where we come in. My Patrick Moody BSN, RN, ST, CNOR unit has a unique mission with the acronym of Perioperative Nurse, CPT (USAR) “GHOST-T” or Golden Hour Offset Surgical Team nd 932 FST – GHOST-T / SOTF-A – Trauma with the capability to infiltrate and Email: [email protected] exfiltrate by helicopter into these outposts, setup or occupy a treatment site and provide damage I am the operating room (OR) manager at Eastern control resuscitative and surgical care. Our job Idaho Regional Medical Center (EIRMC) in Idaho is to expand the medical ring so that soldiers Falls, Idaho and supervise a staff of approximately can receive treatment within an hour of injury. 70 employees. The registered nurses (RNs), surgical The ED/OR setup in the morale, welfare, and Additionally, we have the capability to leave these technologists and operating room aides are the heart of recreation room (MWR) complete with outposts and push closer to mission point by four- the OR and scramble to provide safe, topnotch care to the pool table. wheeler or razor in order to support the combat the people of our community. My role is to support the elements. team in any way I can, whether it be to improve staffing, hats of the perioperative support home and work-life balance, or to speak on their world. I hand scrubbed behalf to our administrative team. I am also a graduate instruments, ran the field student pursing a master’s degree in nursing leadership steam sterilizer and held and management; but these roles and the last four the surgical scrub role classes towards my degree are on hold for now due to a while relying on non- U.S. Army Reserve deployment. surgical team members to Deployment for a registered circulate if needed. I may nurse on a forward surgical be the lead nurse on a team (FST) is unlike any other non-surgical trauma patient nursing job in Afghanistan or and the very next patient Iraq. Most people presume that wind up working the left/ we are at one of the two large right medic position while posts in Bagram or Kandahar getting IV access, labs A field steam and exposing the patient’s with a nice air-conditioned sterilizer hospital and beds to sleep in body. Roles are not static in at night. In reality, we only get any way and every hand is utilized during all phases of those on occasion when we GHOST-T team members patient treatment due to our limited staff size required to increase our mobility throughout country. First Lieutenant come “home” to re-set gear and This is the closest I cannot say that there is a typical day for a Patrick Moody RN re-supply. The FST is traditionally comprised of fifteen organic to the front line the GHOST-T, but an ideal day is when we do nothing members consisting of one ED, ICU and OR nurse along Army places its medical but read books, steal ’s sudoku or just with combat medics, surgical technologists and licensed personnel outside of the hang out and chat. Sometimes it feels like all we do is practical nurses. The team is supported by two general combat medics. While rehearse mass casualty or MASCAL drills or practice and one orthopaedic surgeon along with three nurse we are a team of twenty implementing a walking blood bank as efficiently as anesthetists. Most FSTs in theatre set up in hardstand soldiers, the GHOST-T possible to a point that it feels mundane. As those buildings at smaller posts away from the two large posts does not move as a men go out on their missions, we tell them to stay safe and receive patients by air or ground from combatant whole unit. Instead, we because we do not want to work, and we mean it. teams all around the country. are further broken down Doing nothing means nobody got hurt tonight! A wife, into several smaller child or parent will not be opening a door in four to packages of four to twelve hours to strangers wearing fancy blue uniforms eight personnel and go with gold braiding and perfectly placed awards within Unit morale patch where the risk of injury 1/32nd of an inch from standard. We do not have to is highest to the combat watch a group of the most masculine men console arms soldiers. Some of these missions are months long each other or see American flag draped litters carried in established COPs and we rotate teams while others by grieving teammates during an Honor Walk to be are as short as twenty-four hours with our arrival just loaded into a C130, delivered at Bagram and eventually after an area has been secured and occupied. the Old Guard at Dover Airfield. An RN is typically the officer-in-charge (OIC) during I guess that is why I do it. Both my dad and step-dad these missions. When a team pushes out with a larger were in the Navy, my brother served in both the Navy element of eight soldiers, I am usually alongside a and Army, several grandfathers served as well. I joined surgical technologist functioning in a circulator role. On because it is what I knew, but I continue to support one mission with a team of four, I was the only surgical America’s finest hoping to do nothing while preparing to asset to aid the surgeon and CRNA, so I held many do anything! Dutch flight crew delivering supplies November, December 2019, January 2020 RN Idaho • Page 7 FEATURE SAVE Serving Those Who Served: An RN THE DATES National Nurse Recognition Dates Perspective on Healthcare at the Boise VA Certified Nurses Day March 19, 2020 Chris Reeder BSN, RN of High Reliability Organizations (HRO), Strategic Nurses Week Email: [email protected] Analytics for Improvement and Learning (SAIL) metrics, the Survey for Healthcare Experiences May 6-May 12, 2020 Some were drafted, of Patients (SHEP) inpatient survey, Just Culture, Idaho Nurse Recognition Event during others volunteered. The Employee Engagement, Lean Six Sigma, Leadership, Nurses Week – profound sense of commitment, Effectiveness, Accountability and Development May 12, 2020, 5:30-9PM, Stueckle Sky bravery, and passionate (LEAD), Engage, Develop and Grow through Center, Boise State University, Albertson desire to defend our Country’s Education (EDGE), and an RN Residency Program. Stadium. interests abroad resounds These programs all utilize evidence-based practice among each of them. They to improve the quality of care and customer service Idaho Center for Nursing and Idaho are the United States to our Veterans. These initiatives reflect Boise VA Alliance of Leaders in Nursing Army, Navy, Marines, leadership priorities and are significant investments in Spring Workforce Forum Air Force, Coast Guard, employees that directly result in materially improved April date TBD and National Guard patient care and patient satisfaction. Chris Reeder Veterans. They served and What does it mean to work at the Boise VA and Nurse Leaders of Idaho sacrificed during WWII, Vietnam, Korea, the Gulf serve those who served? It is an opportunity to show National AONL Affiliate Meeting Wars, and during many other conflicts around how much our Veterans are appreciated. To come December 4-5, 2019 San Antonio, TX. the globe where our Veterans have been placed into work every day looking forward to having a Nurses Day at the Capitol in harm’s way to defend our Country’s interests. small role in a Veteran’s treatment, recovery or help There are currently more than 38,740 Veterans to resolve a Veteran’s concern and to show that they February 20, 2020 8AM-Noon who have entrusted their healthcare to the Boise are valued. As an RN, and former LPN, I have had Legislative Conference VA Medical Center. That number grows every year the pleasure of meeting many incredible Veterans February 20, 2020 1300-1600 and employees, including registered nurses (RNs) over the years. I have provided care to WWII veterans American Nurses Association of Idaho and licensed practical nurses (LPNs), at the Boise who are stoic, honest, and genuine. They always VA have the distinct honor of providing superior want to tell stories about others who have sacrificed Nurses Day at the Idaho Capitol service and high-quality care to each of these valued and often forget the sacrifices they, themselves, have February 20, 2020 8AM-Noon Veterans. made. They bear their pain in silence. Legislative Conference in Boise The Boise VA provides healthcare services in I have February 20, 2020 1300-1600 communities as close as Caldwell and Mountain met Vietnam Home and as far away as Salmon. Services are Veterans who ANA Delegate Assembly provided in large communities such as Boise and came home to June 19-20, 2020 Washington DC small communities such as Burns. shame and who, Idaho Association of Nurse now, finally have Anesthetists and NPI a glimmer of Idaho Legislative Reception & Capitol hope that their Day service will be remembered January 23-24, 2020 as valiant by a Nurse Practitioners of Idaho grateful nation. Winter Conference I have met Gulf War Veterans, younger than my children, who bear the mental and physical scars of February 29, Coeur d’Alene war in service to our Country. As a Nurse at the Boise AANP Health Policy Conference VA, it is not my purpose to judge these Veterans. My March 8-10, 2020, Washington, DC purpose is to serve. To be present. To Listen. To be a AANP National Conference resource. To help and to heal. My purpose is to fulfill June 23-28, 2020, New Orleans, LA The Boise VA offers a wide range of services and President Lincoln’s promise “To care for him who highly qualified nursing professionals, all dedicated shall have borne the battle...” Idaho Board of Nursing to supporting unique, Veteran-specific needs. I have the best job in the world. I am a United January 30-31, 2020, Boise, ID Service offerings include the Veteran’s Outreach States Veteran. I am a patient at the Boise VA. And, I April 23-24, 2020, Boise, ID program, routine, urgent and emergent care, am privileged and honored to work as an RN serving pain management, podiatry, surgery, psychiatry, those who served. July 30-31, 2020, Boise, ID cardiology, pulmonology, vascular, Women’s Photos Courtesy Boise VA. Boise.VA.gov. health, oncology, urology, and endoscopy services, Accessed 9/12/19 substance abuse and post-traumatic stress disorder programs, telehealth and homeless care services. These are just a few of the many amazing and comprehensive services offered by the Boise VA, all designed with a Veteran-centric approach. The Boise VA strives to continually improve the quality and scope of services we provide to accommodate the changing complexity and needs of our Veteran population. Within just the last few years, the VA implemented quality improvement and training programs which include the principles

Program for Recovering Nurses

Addiction Intervention and Recovery Services for Nursing Professionals Do you know a nurse or a colleague who needs help for drugs/alcohol or mental health problems? Please contact us for assistance. This program is an alternative to disciplinary action offered by the BON. For immediate assistance, please call us at 800-386-1695 www.southworthassociates.net Page 8 • RN Idaho November, December 2019, January 2020 PRACTICE MATTERS Joy in the Workplace and the Triple Aim

Joan Agee DNP, RN, CNOR, FACHE Based on the growing concerns over burnout, In summary, to support the focus of the triple aim Email: [email protected] the IHI spent time and resources to study the impact leading to improved patient care, it is paramount of burnout and to identify a strategy to combat the for you face the perils of burnout. You can influence In 2008, the Institute of Healthcare Improvement issues. This concern for healthcare burnout led the the work environment to create joy that leads to (IHI) developed the Triple Aim Framework. With a focus IHI to convene with select organizations to investigate decreased risks of burnout. Evidence-based strategies on improving patient care, this framework introduced what can be done to temper the dangers of this are available to guide this work (Perlo et al., 2017). IHI three dimensions with a simultaneous pursuit that epidemic. Through this collaborative work among developed virtual learning about improving joy in the includes improving the health of populations, improving organizations, the framework guiding the creation workplace which can be accessed at: http://www. the patient experience of care, and reducing per capita of joy in work was published with outlined steps to ihi.org/education/WebTraining/Webinars/joy-inwork/ costs (IHI, 2019). The triple aim became the framework decrease burnout and add joy to work (Perlo et al., Pages/default.aspx utilized by healthcare organizations around the world. 2017). Fast forward to 2016, the IHI has introduced As a nurse leader, you have the opportunity and References another concept to help drive the pursuit of the privilege to create joy in the workplace. Simple American Association of Critical-Care Nurses. (2016). triple aim: joy in work. Perlo et al., (2017) published strategies that include employee rounding and AACN standards for establishing and sustaining a large body of evidence on what brings joy to the providing positive recognition can lead to joy and healthy work environments: A journey to excellence. workplace. However, the concept has created some decreased employee turnover (Stuart, Nordstrom, Retrieved from https://www.aacn.org/wd/hwe/docs/ confusion among the public; believing that the IHI Ames, & Beckstrand, 2017). Fitzpatrick, Bloore, and hwestandards.pdf Feeler, D. (2019, September 2). The IHI supports adding changed the triple aim framework to a quadruple aim Blake (2019) add the following commentary: the fourth arm to the triple aim framework [web log framework. This perception is incorrect. Derek Feeley, Achieving joy in work may seem like a monumental post]. Retrieved from http://www.ihi.org/communities/ IHI President and CEO, emphasizes that while the IHI task, but it is not. Leaders should start by blogs/the-triple-aim-or-the-quadruple-aim-four-points- supports organizations adding a fourth arm to the checking in with themselves. Are they optimistic? to-help-set-your-strategy triple aim framework such as joy in the workplace, the Do they contribute to creating a positive "vibe" Fitzpatrick, B., Bloore, K., & Blake, N. (2019). Joy in primary focus of the triple aim remains patient care in their area? They should also check in with work and reducing nurse burnout: From triple aim to (2019). each other, which can help build and nurture quadruple aim. AACN Advanced Critical Care, 30(2), With that said, the IHI has certainly spent time and their relationships. Leaders should pay attention 185-188. doi: 10.4037/aacnacc2019833 resources on the concept of joy. This focus is the result to the body language of staff members during Institute for Healthcare Improvement. (2019). Triple Aim of growing evidence indicating that providers and conversations about shifts and current situations. for populations. Retrieved from http://www.ihi.org/ nurses are experiencing burnout. According to Perlo Something as simple as having a senior leader Topics/TripleAim/Pages/Overview.aspx. Perlo, J., Balik, B., Swensen, S., Kabcenell, A., et al., (2017) this burnout is epidemic. Burnout affects such as a chief executive officer, chief operating Landsman, J., & Feeley, D. (2017). IHI Framework patient care and lowers staff engagement, which can officer, or chief nursing officer visit patient care for improving joy in work. Retrieved from Institute for negatively impact the goals of the triple aim. Risks areas monthly to shake hands and say "thank you," Healthcare Improvement website: http://www.ihi. leading to burnout include staff shortages, practice "we appreciate you," and "we know you've been org/resources/Pages/IHIWhitePapers/Framework- changes, and ambiguity of roles that can lead to the working really hard, and we couldn't do it without Improving-Joy-in-Work.aspx loss of joy or engagement (Sherman, 2019). Other risk you" makes a big impression. Ensuring that leaders Sherman, R. (2019). Finding joy in the workplace. AJN: factors include “wasteful and non-value-added work, are knowledgeable about tough situations and American Journal of Nursing. 119(4), 66-69. doi: ethical dilemmas, poor teamwork, lack of respect, acknowledging staff contributions can go a long 10.1097/01.NAJ.0000554557.54393.5f and concerns regarding physical safety” (American way toward addressing burnout. (p.187) Stuart, D., Nordstrom, T., Ames, K., & Beckstrand, G. Association of Critical-Care Nurses, 2017). (2017). Appreciate: Celebrating people, inspiring greatness: O.C. Tanner Institute

Employer Support of the Guard and Reserve

Trudi Poole MSN, RN, CDE exiting by the hundreds because of importance of the three-legged Email: [email protected] inability to resolve conflicts arising stool. One leg represents the military, from employee military commitments. another leg represents the employers I belong to an Through outreach, recognition, and and the final leg is the family. It is organization, the Employer educational opportunities we increase vital that each leg supports the other Support of the Guard and awareness and provide assistance to in order for the reserve and guard Reserve (ESGR), comprised resolve such conflicts between service members to be successful and stand of dedicated volunteers members and their employers. The together. seeking to make an impact ESGR has over 54 committees in all As nurses, in any practice, we on the lives of our Guard and 50 states, the District of Columbia, can step up to support our service Reserve service members. and all U.S. territories. members. During my tenure with The Department of Defense This summer, Eastern Idaho ESGR, I have learned that something (DOD) chartered the ESGR Regional Medical Center (EIRMC) as simple as covering extra shifts in 1972 in response to the hosted an event to show support for those on military orders relieves draft ending. Members of Trudi Poole for their employees that are “Citizen their stress. Offering family support the Guard and Reserve were Soldiers.” Administrators, department and having situational awareness directors and key staff attended. Major General of family needs reassures those Idaho Adjutant General, Michael J. Michael J. Garshak deployed. Upon return from service, Garshak made the trip from Boise’s Gowan Field, helping the service member transition back to to recognize and address the great work going civilian life and employment reduces feelings of on at EIRMC and other employers throughout our being overwhelming. Last, an occasional hug and a community. Major General Garshak spoke of the big thank you for both the citizen soldier and their family’s sacrifices can make all the difference in the world. Ashton Living Center, a skilled nursing facility, I have been a practicing nurse for 39 years and is now hiring for RN Charge Nurses as an active member of the ESGR, I have seen Full time or part time positions available. first-hand how important it is to lend support and We do pay a travel perk to anyone who drives more than encouragement to our team, no matter what the 10 miles one way to work in our facility. calling may be. Let us celebrate the freedoms we Full time benefits for 32 plus hours average a week - enjoy and this month. Let us shout out the Army’s includes PTO and insurance benefits. battle cry “HOO-AH” to all nurses for our role in Part-time - modified benefit package if working at least helping the community. “HOO-AH” to support our 20 hours average a week. National Guard, Reserves and all our war heroes. Apply online at ashtonmemorial.com or “HOO-AH” to stand proud to be a part of this great submit resume to [email protected] nation! To learn more about volunteerism with Call Suzanne at 208-652-7461 # 1020 for more information. ESGR, visit https://www.esgr.mil/ November, December 2019, January 2020 RN Idaho • Page 9 FEATURE

The Color Code – Part I: What’s Your MO in Healthcare?

Editor’s Note: This article is the first in a three-part There are some key things to understand about Color Yellows are motivated by fun. That doesn’t mean series on, “The Color Code.” The second article will cover code. It’s based on the premise that your core color – your they want to party all the time (but they probably know effective communication using Color Code and the third motive – is innate. You were born with it. We recognize that where a good party is). They process relationships and article will cover using Color Code to build effective teams environmental factors and life can impact your personality work through the lens of having a good time. Work is and meeting the needs of your staff. but it’s not going to change your driving core motive. (I’m a necessary but can’t we have fun while we’re doing it? Personality tests are often great for retreats or team Blue and always will be!) Another way to think about core Yellows are charismatic and need to be adored. building. When shopping around for what test to give motive is “What gets you up out of bed each morning?” your team, just know that Color Code is different than There are four different motives – the Code behind the Megan Guido is the Chief most of the ones you may be familiar with like Myers colors: Marketing & Community Briggs, DISC, etc. Developed by psychologist Dr. Taylor Reds are motivated by power. They want to get Relations Officer at Pullman Hartman, Color Code goes beyond just the behaviors things done as quickly and efficiently as possible! They are Regional Hospital, where of people (the what) and digs in to the motive (the why). super productive and enjoy challenging adventure. They she teaches Color Code at “Why does this person always need to be right?” “Why are attracted to leadership positions because that’s how new employee orientation. can’t he make a decision?” “Why is she so sensitive? I’m they can get things done. Reds need to be respected for She is a certified Color just trying to help.” their expertise. Code trainer and conducts Color Code helps you understand why someone Blues are motivated by intimacy. Not sex like the workshops and presents on behaves the way they do by understanding their driving Reds think of intimacy. No, this is about deeply connecting Color Code to professional core motive. It’s more than just a fun assessment. Color with people and doing important, meaningful work that and community organizations. Code can change your life! I know. I’ve been teaching changes lives, organizations or the world. Blues need to be Megan Guido She is a certified life coach, it for more than ten years and I see the positive impact understood. married and has five grown it has as a tool for understanding yourself and your co- Whites are motived by peace. Peace within children. You can learn more at www.colorcode. workers, friends and family. It can help managers accept themselves and peace in their external world. Things need com or if you are interested in holding a Color Code and utilize the unique strengths and talents of each color to be in balance for a white. If their mojo is good, they are workshop for your team, please contact her at to form effective teams and effectively guide individuals. pleasant, productive and steady. However, if something is [email protected]. Enjoy Megan’s podcasts In addition, it helps people to tailor their communication off in their internal or external spheres, they feel off. Whites on moinhealthcare.com. styles to work more effectively with different colors (e.g. a need to be accepted for their individuality. Red talking to a White). EXECUTIVE DIRECTOR REPORT NURSING 2019: Reporting on the Health of Nursing in Idaho

Randall Hudspeth PhD, APRN, FRE, FAANP The story that has impacted the greatest number in Idaho to share some resources and both have Executive Director, Idaho Center for Nursing of nurses has been the opening of an Idaho office expanded membership in 2019. Email: [email protected] and having a physical presence back in Idaho by the Without a doubt, the Idaho Alliance of Leaders American Nurses Association of Idaho (former in Nursing has changed the most in 2019. A new set Near the end of each the Idaho Nurses Association). Because of the large of bylaws has transformed the organization into being year it is good to assess the reduction in membership dues, increasing numbers the only non-profit nursing philanthropy in Idaho. The overall health of Idaho’s most of Idaho nurses have joined the association. There focus is on positively impacting the nursing workforce to trusted profession. Nursing remains much opportunity for membership growth, improve the overall health of Idaho citizens. IALN relies can claim that title because but in one year the membership has almost doubled. on grant funding and charitable contributions to pay for for the past 20 years nursing ANAI has increased communication to members and its programs and activities. The focus areas of the IALN has been voted the most has promoted state-based programs to help nurses are, (1) ongoing research of the Idaho nursing workforce trusted profession by the achieve continuing education requirements and to have data, (2) producing a biennial nursing workforce report public as reported by Statista an active voice in public policy. The success of ANAI that details the supply, demand, and educational and Forbes (2019). This study can be attributed to the many nurses across the state information, (3) developing impact plans and mitigation shows that Nursing has an who believed in the importance of having a professional strategies to meet workplace demands from employers 84% trust rating compared to Randall Hudspeth association that is present in the state, engaged to and the public, (4) working to align Idaho public policy 67% for physicians and 66% represent nurses to the public in meetings other than to meet the 2010 IOM recommendations for the future for pharmacists. By comparison, car salespeople tie with nursing meetings, and that effectively communicates of nursing, (5) positioning nursing to be in a leadership members of Congress at an 8% trust rating, having the with all nurses on a regular basis. role to impact the development of a culture of health in least trustworthiness reported by the public. The Nurse Leaders of Idaho expanded its Idaho, (6) supporting the Nurses on Boards Coalition as The Idaho Center for Nursing (ICN) completed its membership in 2019 to include nurses engaged a part of the goal to have 10,000 RNs on various boards one year anniversary in October. This is a collaborative in leadership at all levels. Nationally, the American nationally by 2020, and (7) supporting and promoting collection of independent professional nursing Organization of Nurse Executives (AONE) evolved the recognition of nurses in Idaho. membership organizations that agreed to work together to become the American Organization of Nursing A major benefit of the ICN and having one supporting mutual interests that benefits the respective Leadership (AONL), and NLI, as a constituent centralized office for nursing organizations that choose associations. The benefit has been seen by eliminating organization, did the same when it comes to to participate has been the savings achieved through conflicts between groups that cause confusion membership. NLI is focused on improving the education common cost sharing. Organizations pay for the items among stakeholders and the public, promoting cost of the Idaho nursing workforce through educational they want to utilize such as internet, bookkeeping and sharing to decrease operational expenses, increasing and mentorship opportunities. Successful programs for CPA series, insurance, office space and management communication between organizations, participating NLI are the nursing leadership three-day course that is time. This has resulted in less duplication and mutually to support nursing’s voice statewide through held twice annually across Idaho, that being Lewiston noteworthy savings to each organization. communications such as the websites, RN IDAHO and and Boise in 2019, the nurse refresher course that Other noteworthy endeavors include the transition at the Idaho Legislature. The ICN participants today helps nurses who have lapsed licenses refresh their of the Idaho Nurses Foundation, which is covered are the American Nurses Association of Idaho (ANAI), practice and return to having a full active license, new elsewhere in this edition of RN IDAHO. Nurse Leaders of Idaho (NLI), Council of Nursing nurse residency program that assists with transition to Education Leaders (CNEL), Idaho Association of Nurse practice, mentorship and preceptoring for graduate References Anesthetists (IDANA), Nurse Practitioners of Idaho students and working collaboratively with the CNEL to Forbes. (2019). America’s most & least trusted professions. (NPI) and the nursing philanthropy, Idaho Alliance of maximize student clinical placement opportunities. Retrieved from https://www.forbes.com/sites/ Leaders in Nursing (IALN). ICN is open to welcoming The Nurse Practitioners of Idaho and the Idaho niallmccarthy/2019/01/11/americas-most-least-trusted- other nursing groups to participate, such as the School Association of Nurse Anesthetists both have robust professions-infographic/#55aee0b37e94. National Academies of Medicine. (2010). IOM report. Nurses of Idaho, and specialty nursing organizations that organizations that focus on the needs of the Advanced are active in the state. Retrieved from https://www.nursingworld.org/practice- Practice Registered Nurses that they represent. They policy/iom-future-of-nursing-report. have partnered as the two large APRN organizations Page 10 • RN Idaho November, December 2019, January 2020 IDANA UPDATE Thank You Military CRNAs!

Gus Powell, MSN, CRNA twice to Afghanistan with forward surgical teams, as well as counter narcotics Immediate Past President, IDANA operations south of the border. Additionally, he was attached to 2nd Marines while Email: [email protected] he was active duty Navy. Aaron has commanded the 915th Forward Surgical Team in preparation for their deployment to Afghanistan. He is presently assigned to the Certified Registered Nurse Anesthetists (CRNAs) have a 7305th Medical Training Support Battalion as a Senior observer, controller, and trainer. long history of serving in the United States military. Starting Aaron has been married to his wife Shana for 24 years, and they have two sons. In with the civil war, nurse anesthetists began administering his civilian practice, Aaron has been a solo practice partner/owner of Treasure Valley anesthesia to wounded soldiers in harsh environments. Anesthesia since 2005, practicing in Ontario, Oregon and Meridian, ID. Since then, CRNAs have continued that legacy of In 1971, Paul T. Beisser, III received a excellence and service to our country by providing the vast Vietnam lottery draft number of 69. Paul joined majority of anesthetics for military forward surgical teams to Army ROTC and graduated with a forestry this day. To function in such remote locations with limited degree in 1976, and was commissioned as a supplies highlights the independence and skill level that 2nd Lieutenant in field artillery. Following three these CRNAs possess. Many CRNAs in Idaho have served and a half years of active service, he went to or are currently serving in the military, and it is an honor and inactive reserves while completing nursing a privilege to highlight two that have sacrificed so much for Gus Powell school at the University of Northern Colorado. their patients and our country. After a short time, Paul was accepted to the Lieutenant Colonel Aaron Gopp, US Army George Washington University program for Reserves, has served over 28 years in the US nurse anesthesia, where he earned a Bachelor military. Enlisting in 1987, he worked as a Nuclear of Science in Nursing. He had numerous Power Engineering Laboratory Technician, assignments in the Air Force as a CRNA, responsible for the radiation monitoring and including Williams Air Force Base in Arizona, controls, as well as reactor systems chemistry and Osan Air Base in the Republic of Korea, controls aboard nuclear powered cruisers. where he was the Chief CRNA (94-95). Paul He attended the University of Colorado on a also worked as a CRNA at Offut Air Force Base (92-94) in Omaha, NE, Landstuhle Navy ROTC scholarship, where he earned a Regional Medical Center in Germany, and Nellis AFB, Nevada. While stationed Bachelor of Science degree in nursing. Following in Germany, he had the honor and privilege to represent the Air Force on a State graduation, he was commissioned as a Naval Department team as the Assistant Squadron Commander going to Baku, Azerbaijan Officer in May, 1997. In 2001, he left the active and deliver excess hospital supplies to four area Medical Centers. The highlight of duty Navy to attend the University of Iowa nurse his career and highest honor was to deploy to Muscat, Oman in early support of the anesthesia program on a US Army scholarship. war in Afghanistan on October 20th, 2001. Paul forward deployed to Jacobabad, He was commissioned with the Army Reserves in Pakistan on an air base there, and commanded a Mobile Field Surgical Team before 2001. During his 28 years in the military, he has been deployed numerous times, Thanksgiving. The team consisted of Paul, an orthopedic and general surgeon, a including twice to the Persian Gulf region and Iraq. In addition, he has deployed special care physician, an OR nurse, an OR technician, and a respiratory therapist. They carried only enough gear in backpacks to do two trauma cases. Paul had a draw over vaporizer, a battery powered pulse oximeter, and a manual cuff with a precordial stethoscope attached for blood pressure readings. It was the highlight of Paul’s career to be able to do a remote anesthetic for stabilizing surgery in the field with the draw over vaporizer. He hated seeing what war did to our military members, but was so glad to be there and use his training to save lives in such austere conditions with a great team. Paul returned to the USA on March 21, 2002 and retired from active duty after 22 years total service on December 31st, 2002. Paul DREAM TEAM states that “because of my training and military assignments, I was an independent nurse anesthesiologist.” Paul currently continues his CRNA career as a partner with Madison Anesthesia Services, P.A. in Rexburg, ID, where he has practiced since November, 2002. Thank you to all the CRNAs and nurses of all roles who have served in any branch of the military. Please take time to recognize and thank your local colleagues who have sacrificed so much for our country. Happy Veterans Day!

OPENING NOVEMBER 2019! Consider a health care career at Kootenai Health, and you can live, work and play in beautiful Coeur d’Alene, Idaho.

» Tuition assistance for continued education » Kootenai Kids day care within walking distance » Competitive salaries with 12 percent differential for nights and 8 percent differential for weekends » Magnet designation » Extensive on-site professional development opportunities » 100 percent employer-paid health insurance premiums for full-time employees. Part-time employees pay $60 per month. » Robust and incentive-driven wellness program » Voted “Best Place to Work” in Modern Healthcare magazine » Family-friendly community with fantastic outdoor recreation Follow us on Facebook at Including ICU, Med/Surg, activities KootenaiHealthCareers » Relocation packages available Cardiology & Imaging, OR and PACU To speak to a recruiter and learn more about job opportunities, call (208) 625-4620 or visit us online at kh.org/careers

2003 Kootenai Health Way | Coeur d’Alene, ID 83814 November, December 2019, January 2020 RN Idaho • Page 11 AWARDS AND IDAHO NURSING RECOGNITIONS CATEGORY: CATEGORY: the sole reason my delivery went so smoothly. I’m not sure why Carrie and I connected as we did, but she felt ACADEMIC AWARDS AND DAISY AWARD RECIPIENTS like a dear friend by the end of the day and I was sad to see her go. She told us that at one point during her FUNDING Editor’s Note: An acronym for Diseases Attacking shift she was told to change rooms and she refused the Immune System, The DAISY Foundation was because she had to stay and see my baby born. She Mary A. Nies, PhD, formed in November 1999, by the family of J. was also determined that I give birth before her shift ended at 6 pm, because, again, she just wanted to RN, FAAN, FAAHB, Director Patrick Barnes who died at age 33 of complications see me have my daughter (and luckily that happened). of , Idaho of Idiopathic Thrombocytopenic Purpura (ITP). The When her shift ended, we hugged, and both started State University, Kasiska nursing care Patrick received when hospitalized crying. She said it had been a long time since she Division of Health Sciences profoundly touched his family. They started The had cried after a delivery but for some reason, we had College of Nursing DAISY Foundation and the DAISY award to “ensure that nurses know how deserving they are of our connected to the point that emotions ran that high. Two days later, she just happened to see my Research Award: society’s profound respect for the education, husband coming up from the cafeteria and was able to Excellence in Receiving training, brainpower, and skill they put into their stop by and see me and the baby. We were both so Extramural Grant Funding work, and especially for the caring with which happy that she was able to come to see us before we from Mountain West they deliver their cares” (accessed https://www. checked out of the hospital. She even remembered the Clinical Translational daisyfoundation.org/about, July 3, 2019). exact time my girl was born! Research Infrastructure Long story short, Carrie was the best thing that Network (CTR-IN), June, 2019 CARRIE WOOD RN Rexburg could have happened to us during our labor and delivery. I can’t say enough good things about her; Grant Funding: Carrie was an she deserves every praise available to her. I’m just so Principal Investigator $250,000. Eugene ANGEL during my grateful for her and the experience she allowed us to Washington Engagement Award; Funded by delivery and I’m so have. Patient-Centered Outcomes Research Institute so grateful she was (PCORI) Title “Using Social Media to Raise Pre- assigned to our room. Diabetes Awareness for Rural Idaho Latinos” She was the sweetest, most encouraging Nursing Instructor $65,000.00 - $70,000.00 Annually person throughout the experience and probably 11 month – Full Time – Evening classes 2 positions available Incumbent will provide instruction to post-secondary students in assigned content area, both technical and general education and other related activities. Minimum Qualifications: Local Nurse Embarks on • Obtain CTE certification within three years and maintain it throughout employment time. • Master's degree in nursing or enrolled in a master's degree in nursing Groundbreaking Environmental Health • Five years' experience in medical . Nurse Fellowship Program For complete job description & to apply, visit www.cei.edu/hr Kelly McCarthy, MS, RN-BC, CHSE in order to expand knowledge and engagement of health Email: [email protected] professionals on critical environmental health issues. The fellowship kicked off earlier this summer with a Psychiatric Mental Health Nurse Practitioners (PMHNP) Local nurse Kelly McCarthy was recently selected transformative meeting in Philadelphia, where together Join Our Team! to represent Idaho in the Alliance of Nurses for the nurse fellows learned about environmental health and Positions available for Healthy Environments’ (ANHE’s) groundbreaking new environmental justice from environmental health nurse • Nurse Practitioners environmental health nurse fellowship program. ANHE, experts and community leaders. The meeting created • Full or part-time the only national nursing organization focused on the awareness of the many factors affecting the environment intersection of health and the environment, has designed and the many ways nurses can get involved. Over the next Busy, well established behavioral health clinic in the Treasure Valley. We this first-of-its-kind fellowship program to train nurses to year, the fellows will interact and learn together in monthly provide psychiatric inpatient and outpatient care. work with communities in tackling serious environmental webinars and will meet again in person next spring, all Flexible hours | Paid Time Off | Medical & Dental insurance health threats, including toxic chemical pollution, water while working to improve environmental health in their Direct deposit | 401K with match | Competitive wages contamination, climate disruption and communities. “We see this program having a Qualifications: related health impacts, and more. Funded positive impact on communities nation-wide • Psychiatric Mental Health (PMHNP) with or the by the Kresge Foundation, the program has who are facing environmental challenges, and ability to obtain a valid state of Idaho license. a particular focus on environmental health we hope this program will be considered as a • Complete initial psychiatric evaluations including clinical risk assessment and treatment recommendations. Prescribe, equity and justice, specifically addressing the practice model across the country for nurses administer and review medications. disproportionate impact of environmental and for informing leaders and the public You may fax or email your CV to: ATTN: Katie Gillies exposures on vulnerable groups. about the significant work nurses are doing in Fax: (208) 888-0884 Email: [email protected] Kelly has been a nurse for 13 years at environmental health,” said Azita Amiri, PhD, Kootenai Health. She became interested RN, ANHE mentor and assistant professor in environmental health while working with of nursing at the University of Alabama in patients and witnessing firsthand the impacts Huntsville. our environment has on patient care and To learn more about the ANHE recovery. Environmental Health Nurse Fellowship The program includes 30 ANHE fellows Kelly McCarthy and the program participants, visit https:// from across the United States, with three envirn.org/anhe-fellowship/. Follow ANHE from every EPA region. The fellows hail from Alaska to on Facebook and Twitter @enviRN to view updates of the Puerto Rico and many states in between. In addition to nurse fellows work throughout the program. geographical diversity, the fellows are diverse in terms of age, nursing specialty and expertise, educational About the Alliance of Nurses for Healthy attainment, race and ethnicity, gender, and more, reflecting Environments the diverse nation and communities they serve. Paired The Alliance of Nurses for Healthy Environments is with expert environmental health nurse mentors, each the only national nursing organization focused solely on fellow will conduct a project in their community to address environmental health issues. The mission of the Alliance is a community-identified environmental health need and to promote healthy people and healthy environments by build support for community-driven solutions. In addition, educating and leading the nursing profession, advancing each fellow will work to educate health professionals and research, incorporating evidence-based practice, and colleagues in their communities about environmental health influencing policy. envirn.org Page 12 • RN Idaho November, December 2019, January 2020 AWARDS AND IDAHO NURSING RECOGNITIONS Idaho Nurses Recognized at the Annual Nurse Recognition Celebration Dinner for Distinguished Careers

The annual nurse Recognition Celebration Dinner and southern Montana. The business grew from employing a few nurses to honors nurses from throughout Idaho who have been having hundreds of employees. recognized by their facilities, professional organizations Professional involvement never escaped Verlene. She served as a board or their communities for achievements that promote the profession and contribute member and president of the Idaho Home Health Association and went on to to the overall health of Idahoans. Additionally, nurses themselves select peers serve on the national board of directors for the American Federations of Home who have retired after distinguished careers that enhanced the professional Health Agencies and also served on committees for the National Homecare status of nurses and that have made substantial and sustained contributions to Association. Starting in 1985, and continuing through 2007, Verlene was the profession. appointed by successive Idaho Governors, Evans, Batt, Kempthorne and Otter, to In 2019, two retired nurses were recognized for having distinguished careers serve terms on various state boards, including the Board of Dental Examiners, Board of and for making significant contributions to nursing in Idaho. Verlene Kaiser Medicine, Board of Occupational Therapy, and the Board for Residential Care Facilities. BSN, RN, FNP and Jan Moseley MBA, BSN, RN, NEA-BC were honored at the Verlene was also very involved with the Idaho Nurses Association (INA) and served November dinner. as INA president in the 1980s, during the years when federal laws changed and Verlene Kaiser grew up in northern Washington mandated that foundations be separate entities and have separate financial records State and graduated from the Sacred Heart School from membership organizations. Her leadership efforts are credited with the successful of Nursing that was affiliated with Gonzaga University. launching of the Idaho Nurses Foundation (INF). The newly formed INF pulled five As a military wife in the 1960s she worked in seven separate nursing scholarship funds together, including the large Florence Whipple states and held a variety of nursing positions. She Education Fund, under the direction of a separate board of directors from INA. moved to Boise in 1971 when her husband joined Nationally, Verlene served on the American Nurses Association’s (ANA) Institute Boise Cascade. She worked for the Central District of Nursing Practice, and on several National Council of State Boards of Nursing Health Department in the newly formed Home Health committees on practice and program development. She was appointed to the Division. Thinking that she needed more education, Governor’s committee on the Idaho Commission on Nursing and Nursing Education she enrolled in the first Boise State Family Nurse and was also appointed to serve on the board of the Idaho Vocational & Technical Practitioner Certificate program and graduated among Education Council. She was a member and also chairman of the Boise State University the first ten students from that program in 1978 and Friends of Nursing fund development that later joined the Boise State University became a licensed NP. Foundation. She was one of the initial six nurses who worked to establish a chapter of Verlene Kaiser That same year she started a Home Health , the national nursing honor society, at Boise State University, and agency with two other nurses. After three years she became the sole owner of she was a founding member of the Nurse Practitioners of Idaho organization. Community Home Health, Inc. Over the following 18 years she and her husband Beginning in the mid 1990’s, Verlene assumed the role of INA Historian and expanded the business to cover 48,000 miles of central Idaho, eastern Oregon began to collect the chronological story of nursing in Idaho. This work led to her partnership with Randy Hudspeth and together they formed VKRH Publications that resulted in the only nursing history book every written about the evolution of nursing from the Idaho Territory to current times. Their landmark book was published in 2009 and was recognized by the Idaho Library Association for its contribution to documenting nursing’s history in Idaho. Verlene was recognized for her many years of sustained contributions to nursing and to the State of Idaho.

Jan Moseley retired this year from Kootenai Health after serving as the Director of Professional Practice. She has 40 years of dedication to nursing and has impacted many nurses throughout her career. Jan has served in many roles at Kootenai Health, but perhaps her greatest achievement has been working to have Kootenai Health designated the second Magnet facility in Idaho, and to have been awarded that designation for three successive designations cycles. Jan has served professional nursing in Idaho in multiple ways. She is a former president of Nurse Leaders of Idaho (NLI) and was honored as Nurse Jan Moseley Leader of the Year by NLI in the past. She has served on the nursing advisory committee for Washington State University College of Nursing and was appointed by Governor Otter to serve on the Idaho Board of Nursing, where she is currently the chairperson for the Program for Recovering Nurses. In 2018 she was recognized by School District 271 with their Superstar Award, and in 2019 she was nominated for the very prestigious DAISY Lifetime Achievement. Perhaps the greatest honor to Jan was from the nurses who have worked with her throughout the years. Many described her as instrumental in helping them develop as clinical nurse leaders. She supported the staff in all aspects of the Shared Governance structure and she was an influence in guiding the profession. Her dedication to creating the Shared Governance structure was forward thinking years ago and has since given every nurse an outlet for their voice as a means to impact positive change. Jan’s efforts as an advocate for patient care and employee engagement helped to create and support nurse excellence and to elevate nursing practice in an effort to provide nurses with the opportunity to do their best work every day. Peer sentiment is often the most rewarding outcome of a well lived career. The nurses who know Jan best said that it is difficult to sum up all her accomplishments over her 40 years as a nurse, and that her achievements would be difficult for any nurse to accomplish. The best gift is knowing that nurses feel Jan’s impact, contributions and legacy to nursing will live on for years to come! Both Verlene and Jan were awarded crystal bowls with plaques commemorating their recognitions. November, December 2019, January 2020 RN Idaho • Page 13 FEATURE

Charting Idaho Nursing History Turns 10 Years-Old

In December 2009, Verlene Kaiser and Randy Verlene Kaiser and Randall Hudspeth have crazy with messages, calls, and asking them to Hudspeth published the only book that chronicles provided outstanding documentation on the proofread for us. nursing history in Idaho, Charting Idaho Nursing evolution of nursing in Idaho with the publication What part of the process did you enjoy History. Over 3,000 books were printed. Verlene of their book, Charting Idaho Nursing History. They most? For Verlene it was meeting nurses, their was a former president of the Idaho Nurses wrote that Idaho nurses consistently contributed families and enjoying their stories. For Randy it was Association and had served as the INA historian during wars, epidemics, and natural disasters. the day the first book came off the press and he for 10 years. Randy had a student experience They built hospitals, established nursing schools, knew they were finished with edits after nine months when he served as NSNA Imprint editor and had introduced health departments and nursing homes of solid writing and re-writing, almost every night the opportunity to work with the American Journal and started home health agencies. and weekend. For both of them, it was so much of Nursing editor, Thelma Schorr. He admired her Idaho’s first nurses had to overcome huge better than they ever envisioned. Vicky Goettsche’s 1988 book “Making Choices, Taking Chances: barriers as they forged ahead to build hospitals art work on the cover is a treasure and made the Nursing Leaders Tell Their Stories.” He felt a similar and schools and a professional nursing book’s cover distinctively Idaho. It is hard to fully story could be told for Idaho. organization, now the Idaho Nurses Association appreciate the cover in its final appearance, but Verlene and Randy (INA), that survived because of the deep it is the map of Idaho with the traditional nursing shared a common commitment of these nursing pioneers. The book candleholder and the arms and hands of a nurse vision of what an also contains stories written by nurses and by gathered together. Idaho nursing history family members and other contacts for deceased What advice do you have for nurses who book would be. nurses who made contributions in Idaho. want to write a book? Begin with a business Verlene had already Why did you want to write this book? plan to establish a strong foundation and to limit outlined many of (Verlene Kaiser) I have a love of history and future problems. Utilize experts for book design, nursing’s major nursing. As state historian for the Idaho Nurses copy editing, printing and marketing. No matter events by decade Association (INA), I received all kinds of information how good of a writer you think you might be, hire a and had interviewed about nurses. I quickly realized the passion of the professional editor and expect each sentence to be nurses who were contributors; this information needed preserving. modified. Finally, a well thought out marketing plan still alive and could I started organizing the collected materials by as part of the business plan is essential. While the share the stories of decade and stored it. In 1983, while state president writing of the book is important, the marketing plan earlier days. They and preparing for INA’s 75th anniversary, I worked for the book with timely follow through and follow up started collecting with INA members to establish a nursing timeline of will make or break the book’s presence. and organizing data dates and events. The deciding factor to write the How did your past nursing experiences in 2002. Along the way they hired a publishing history of Idaho nursing came when I saw stacks of influence the writing of this book? (Verlene) consultant and formed their own publishing boxes in the INA office containing years of meeting Working in nursing from the west coast to the company, VKRH Pubs. They invested $35,000.00 minutes and other historical items dating back to east coast opened my eyes to the differences and to launch the publication through their own 1909. similarities in nursing practice. During the research company. Most of 2009 was devoted to copy How did you decide what the contents process, I was better equipped to recognize and editing, publication design and marketing. In should be? We knew the story was greater than understand the influences on nursing practice that December 2009 the book was printed. After a collection of single stories and needed to include nurses educated in other states brought to Idaho. publication there was much interest, but it took what was happening as Idaho grew beyond (Randy) What did influence me was my appreciation two years to recapture the initial investment. Once the world of nursing. It became a challenge to of being dedicated to something. Dedication was that was accomplished, they were in a position to tell the real story because there were so many truly exemplified in those nurses whose names donate book copies and enjoyed seeing the book inconsistencies. We collected many stories and we appeared decade after decade as leaders in Idaho be used as a reference. tried to select the ones that we could validate as nursing. They gave selflessly. I grew up Catholic and After seven years of information collecting being the most accurate. Verlene took the primary the Sisters were a significant part of my youth and and verifying stories with Idaho nurses, it was responsibility for working on the individual stories education. While writing this book I gained a much interesting to note that within six months of and Randy worked from her outline to write the deeper appreciation of them when I wrote about the publication, people from across Idaho wrote to tell chapters. Completing a chapter and then finding incredible hardships they overcame as pioneers in of additional details or question why a previously conflicting information and having to go back and Idaho as they built 10 hospitals and started schools unknown event was not included. complete more research to finally settle on the truth of nursing. The legacies we have today are because Six months after publication, RN IDAHO editorial and making it an interesting read was hard. We so many nurses gave so much of themselves and board member Dorothy Witmer, EdD, RN, wrote spent a lot of time on the phone supporting each dedicated their lives to caring for others. My own “The Story Behind the Story.” Excerpts of that May other’s efforts, and we know we drove our spouses nursing experiences are nothing in comparison. 2010 article are re-published here:

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Full-Time Surgical Services RN Benefits Now Hiring! competitive compensation 75% Clinical Nursing Instructor position in package, including company Tillamook, OR paid medical, dental, vision, life and short term disability insurance For detailed information visit OCCC’s Employment Opportunities Apply online www.wchcd.org at oregoncoastcc.org EOE Contact: Robin 541.426.5415 | Jennifer 541.426.5309 Page 14 • RN Idaho November, December 2019, January 2020 FEATURE Local Couple Represent Idaho on Capitol Hill

Robert and Carmelita Jones providers. There are currently 5,000 providers, with VA looking to add an additional Email: [email protected] 2,000. Urgent care providers can be used for injuries or illnesses that need to be treated immediately but are not life threatening. It is important to note that the eligibility Members of the Veterans of Foreign Wars (VFW) recently stormed Capitol Hill criteria requires that the veteran must be enrolled in the VA health care system and they to communicate their legislative agenda to Congress. More than 70 members of the have to have received care from VA or a VA-community provider in the preceding 24 Veterans of Foreign Wars National Legislative Committee and VFW leadership met with months. The urgent care facility must also be part of VA’s contracted network. their Senators and Congressmen to give their perspective on issues affecting veterans, Department of Veterans Affairs Secretary Robert Wilkie told VFW members that the military and their families. the rate of Veterans Suicide is a “national tragedy” and suicide prevention is President Bob Jones of Rexburg, Past All-American State Commander and National Donald Trump's number one veteran’s priority. A recent suicide data report by VA Legislative Committee Member of the Department of Idaho VFW, and his wife, (2019) found veterans total 18% of adult suicides in the United States, with an average Carmelita, Past State President and Past National Legislative Ambassador of the VFW of 20 veterans and service members who die by suicide every day. Of those veterans, Auxiliary, represented Idaho in the Nation's Capital. They visited the Congressional only six are actively enrolled in VA. Reports have also consistently found veterans ages Offices of Senators Jim Risch and Mike Crapo, and Representatives Mike Simpson and 18-34 to be most likely to die by suicide. Russ Fulcher. There is substantial evidence from comprehensive studies that concludes Primary issues discussed included cannabinoids are effective for treating chronic pain, chemotherapy-induced nausea Veterans health care through the and vomiting, sleep disturbances, multiple sclerosis spasticity symptoms, and possibly Department of Veterans Affairs (VA). The post-traumatic stress disorder. VA operates the largest integrated health Yet, minimal federal research has been conducted regarding medicinal cannabis. It care system in the country, which is tasked is imperative VA providers are fully educated and understand the potential impact of with providing veteran-centered, timely cannabis use for those who receive legal prescriptions from outside VA. and high-quality care to more than seven Women veterans make up about 10% of the veteran population and are the fastest million veterans. VFW members across the growing cohort within the veteran community. VA has made progress in gender- country have made it clear they prefer to specific health care for women, but more is needed. VA must ensure it addresses receive health care at VA. They prefer VA privacy concerns, expands the amount of time new mothers are given to find health Advocates Bob and Carmelita because they like the quality of care they care coverage for their newborns and makes other improvements to women veteran’s Jones with Senator Jim Risch. receive, which is equal to or better than the health care. private sector. Still, veterans want VA to hire more doctors to improve access, fix its The Veterans of Foreign Wars of the U.S. is the nation’s largest and oldest major aging infrastructure, and improve customer service. war veterans’ organization. Founded in 1899 and chartered by Congress in 1936, the Recognizing that the VA cannot be everything to everyone, VFW members have VFW is comprised entirely of eligible veterans and military service members from the also called for a seamless and easy-to-understand community care program. The active, Guard and Reserve forces. With nearly 1.7 million VFW and Auxiliary members VFW-supported VA MISSION Act of 2018 addresses these concerns and makes other located in almost 6,500 Posts worldwide, the nonprofit veterans’ service organization improvements to the VA health care system. The VA MISSION Act provides veterans is proud to proclaim “NO ONE DOES MORE FOR VETERANS” than the VFW, which the option of using VA-approved private urgent care when VA facilities are not easily is dedicated to veterans’ service, legislative advocacy, and military and community accessible. As part of the Act, the VA now has a network of urgent care community service programs.

Reference U.S. Department of Veteran’s Affairs. (2019). Mental health: Suicide prevention. Retrieved from https://www.mentalhealth.va.gov/suicide_prevention/data.asp

Joining Your Professional Organization

“The rising tide raises all ships…” Engaging with your professional organization has many benefits for both you and the professional as a whole. No one is expected to join every organization but choose the one that best meets your professional needs and join it. Membership is important and it sustains the organizations which in turn benefits every professional nurse and helps promote and benefit the profession as a whole. Joining is easy! It can be accomplished on the organization website. Visit the website HOME PAGE of the association you want to support and follow the instructions how to join. All of the nursing organizations listed below participate in the Idaho Center for Nursing.

RNs: idahonurses.nursingnetwork.com/

Nurse Practitioners: npidaho.enpnetwork.com/

CRNAs: idahoana.org/

Nurse Leaders of Idaho: nurseleadersidaho.nursingnetwork.com/ November, December 2019, January 2020 RN Idaho • Page 15 Parting Words

Rolonda Bjornson BSN, RN email: [email protected]

The majority of my nursing career was in flight nursing. RN Idaho is pleased to honor Registered jobs over her career as they moved with her AIR Idaho Rescue grew during a time when accidents Nurses, now deceased, who graduated from husband’s job. She retired from nursing at age 72. were common place. We were so heavily regulated and Idaho nursing programs and/or served in it really was cumbersome at times. But through vigilance, Idaho during their nursing careers. Included Jones, Louise, 1938-2019, Idaho Falls. She and yes, even annoying regulation, air medical travel information, if known or when space allows, graduated from Idaho Falls LDS Hospital school of became much safer. Safety was our #1 priority. Period. will include the date when deceased and nursing and later obtained a BSN from Incarnate Every other priority that came along had to go through the the Idaho nursing program from which they World College in San Antonio, TX. She taught in the filter of “how does this contribute to safety?” graduated. LPN program until she retired. Safety was The names will be submitted to the burned into my soul American Nurses Association for inclusion in Larsen, Melanie, 1952-2019, Caldwell. She because my life and a memoriam held in conjunction with the ANA obtained her LPN from Caldwell Memorial Hospital the life of my friends House of Delegates. Please enable the list’s in 1970. depended on it. inclusiveness by submitting information to ed@ Checklists, debriefs, idahonurses.org. Lirgg, Willimae (Billie), 1931-2019, Boise. communication, and She graduated in Oakland, CA and accountability were Cembalisty, Elizabeth, 1936-2019, Nampa. moved with her husband to Boise in 1952. She mandatory. We had She worked at Hillcrest Nursing Home and Eden worked as a RN until she retired in 1990. a culture where we Park Nursing Home, as well with several physician called each other offices. Nebeker, Gregory, 1961-2019, Idaho Falls. out. It was not always He graduated from the University of Utah College pretty or comfortable Coates, Cathy, 1954-2019, Boise. She was of Nursing and later from the Mayo Clinic School of but it was necessary. a 1976 BSU graduate, she began her career in St. Anesthesia. He worked as a CRNA and started his Image retrieved from We did an analysis of Luke’s Emergency and continued in the ICU/CCU. own interventional pain practice. https://www.nps.gov/grte/learn/ news/news-release-13-65.htm every serious event or even potential Cook, Jeannette Rose, 1930-2019, Boise. Pinkston, Juanita M., 1921-2019, Twin Falls. Labeled for re-use event and I am She completed the St. Luke’s Hospital LPN program She was a well-known nurse in the Magic Valley. so thankful that it set the stage for AIR Idaho to remain in 1966 and worked at Nampa State School and She became an LPN at age 40 and worked in the accident free since 1990. Hospital, Boise Convalescent Center and Heritage OR at Magic Valley Memorial Hospital. She later So it is with patient safety in our hospitals. We do not Assisted Living. obtained her RN and the nursing supervisor at the have to accept mistakes as unavoidable. Most can be Hazeldel and Skyview Manors. She then obtained prevented when safety is the #1 priority of everyone on Crisp, Ila (Marie), 1922-2019, Boise. She her BSN and began teaching in the nursing the team. Honesty, reflection, communication, and a graduated from St. Luke’s Hospital nursing school program at the College of Southern Idaho. She commitment to improve are what make the difference and then became a registered x-ray technician and retired in 1988. and comprise the culture. It must be the culture. was the initial RN at M.S.T.I. She remained there until Rolonda retired from her recent role as a Quality she retired in 1985. Scott, Lorna Jeanne, 1933-2019, Nampa. Specialist after 43 years with EIRMC in Idaho Falls, Idaho. She graduated as an LPN from the Mercy Hospital Crow, Lois Jean, 1944-2019, Blackfoot. She nursing program. After becoming an LPN she graduated with a BSN from Idaho State University worked for Dr. Saltzer. and later worked at Bingham Memorial Hospital and later with the Women-Infant-Child (WIC) program Servatius, Debra Sue, 1955-2019, Boise. NURSING FACULTY OPPORTUNITIES! until she retired. She graduated from Boise State University with City College at Montana State University a BSN. She worked 40 years in many areas of Billings is seeking FT and PT Mental nursing, including NICU, Emergency and being a Davidson, Kathy, 1952-2019, Idaho Falls. She Health and Management faculty. graduated from the Ricks College nursing program . She was instrumental in starting the and later obtained a BSN at Idaho State University. Saint Al’s Sexual Assault Nurse Examiner program. Share your knowledge with the next She has worked at the Family Practice Residency, generation of eager nursing professionals through classroom and clinical experiences. Delonas, Edward, 1931-2019, Blackfoot. He St. Luke’s, Saint Al’s, and Weiser Memorial Join our dedicated Faculty team that is truly graduated with a BSN from Idaho State University in Hospital. student focused. 1976 and later obtained a master’s at Brigham Young University in 1988. He was a co-owner of Sagehurst Stephens, Sonja, 1914-2019, Middleton. Nursing Home in Blackfoot and also worked as a RN She became a nurse at age 50 and spent her time at Bingham Memorial Hospital. caring for others and her family. For more information contact: Susan Floyd, Edwards, Patricia (Trish) Marilyn, 1950-2019, Stratton-Gorman, Ruth Ann, 1944-2019, Director of Nursing, MSU – Billings City College Boise. She was raised and educated in England Post Falls. She spent her nursing career as a [email protected] | (406) 247-3073 and came to the United States after completing her nursing supervisor, teacher, leader and mentor. nursing education. She worked as a RN across the She co-authored the book “The Effective Nursing Treasure Valley in many private practices. Assistant” published by McGraw Hill. To access electronic copies of Hansen, Mary Hazel (Tubbs), 1924-2019, Sutton, Heddy, 1946-2019, Sunnydell. She RN Idaho, please visit Rexburg. She worked as an LPN at Golden Living graduated from Ricks College nursing program and http://www.nursingald.com/publications Center and cared for many people in their homes. worked 20 years as an RN in a physician office or as a hospice nurse. Harris, Linda Kay (Cenell), 1945-2019, Pocatello. She first graduated as a LPN from Thompson, Dolores Jeanne (Sloan), 1928- Sacred Heart Hospital in Idaho Falls, and later she 2019, Boise. She graduated from Mt. Carmel graduated from the Saint Alphonsus Hospital nursing School of Nursing, Pittsburg, PA, in 1950. She program and became an RN. She worked at Sacred worked throughout her career. She worked for 21 Heart in Idaho Falls and at Bannock Memorial in years at the Ada County Central District Health Pocatello and finally finished her 28 year career as Department and retired in 1988. She was an active the Maternal Child Health Director at Fort Hall. She member of the Idaho Nurses Association. retired in 1996. Trueworthy, Dorothy (Dottie), 1934-2019, Holder, Claudia Dee, 1944-2019, Boise. After Burley. She graduated from an LPN program and graduating from nursing school she worked at Saint worked in the Magic Valley. Alphonsus for 12 years in ISU and as a hospital coordinator. Wren, Velma Eloise (Allred), 1931-2019, Nampa. She became an LPN while she was Howard, Glendora Faye, 1927-2019, Boise. raising her family. She worked in Nampa during her She became a LPN in 1962 and worked at multiple career. Correctional care. Committed careers. Now hiring! (Throughout the state of Idaho)

Registered Nurses Licensed Practical Nurses Correctional Medical Specialists Now Offering a Sign On Bonus for LPN’s and RN’s Apply by 9/18/19

Contact Jocelyn Lee | [email protected] | (615) 660-6806