Volume 81 • Number 2 • Summer 2018 Tennessee Nurse The voice for professional nursing in Tennessee since 1905

The Official Publication of the Tennessee Nurses Foundation Quarterly publication direct mailed to approximately 98,000 Registered Nurses in Tennessee. I Am TNA From the Thank You, TNA, Executive Director from Thirty Years What an exciting spring to the public, who believed a nurse was a nurse was a we have had here at TNA! We nurse, and that simply was not true. Title protection worked diligently to stop the was introduced so that only those individuals who were of Experience Registered Veterinary Nurse bill educated through a rigorous course of study and passed in the General Assembly. This a national licensing exam could be called nurses. We do bill would have changed the not want to go backward with the progress we have Joan Appleton, MSN, title of a Registered Veterinary made educating the public to who we are and what we RN, MTS, Ed.D.c, Nurse Educator, Faith Community Medical Technician to do. Just as Doctors of Veterinary Medicine are not called Nurse, Certified Lay Registered Veterinary Nurse. physicians, but have the distinct title of Veterinarian, Minister, UMC-Parish, The bill was introduced with the Veterinary Technicians wishing to have a unifying title, Nurse Specialization stated goal to standardize title should not be called nurses, but pick a distinguishing title and education for Veterinary Tina Gerardi, reflecting their care of animals. The Senate bill sponsor Childhood memories take Techs nationally, but there MS, RN, CAE stated this bill will be back in the next legislative session, me back to the first great was a great deal of corporate so we need to remain vigilant in following what is emotion I felt in third grade, money being used to assist with this endeavor. That gave happening nationally and continue to educate nurses and patriotism and learning to us pause, and then concern, that this bill may be much the public in Tennessee to protect the title nurse so that love my country. The pledge more than just a title change, there was no reason to the title can only be used for those nurses who care for of allegiance to the flag of Joan Appleton fast track this bill in Tennessee. Thanks to all the letter human beings. the United States of America writing, calls, visits and emails from nurses across the TNA also welcomed over 1200 nurses, faculty, and and singing the national anthem in our classroom made state to educate legislators, the members of the Senate students to our Annual Legislative Summit on April 4th. me so happy. This childhood emotion of patriotism is Agriculture Committee felt the same way and were ready The Summit was a huge success allowing attendees to analogous to the feeling I have had about being part of to defeat the bill. Prior to the vote, however, the bill understand the legislative process and bills of importance my professional organization in nursing since I was a sponsor tabled the bill for this legislative session. During the course of our lobbying efforts, several nursing student in 1986. I not only was a member of TSNA From the Executive Director continued on page 3 but was a representative from our program in my senior legislators, and nurses in TN, wondered what the big deal year. Now, thirty years later I continue to have the same was, stating “it’s only a title.” It is a big deal because the pride in being a member of TNA/ANA. It makes sense that Vet Techs want to benefit from the hard work nurses have to be the very best nurse you can be in your field, it takes undertaken to educate and gain the trust of the public, the support of what our State association, TNA, offers. without having to put forward any effort to educate the This is reflected in its mission: to promote and protect the public and gain their trust regarding what Veterinary Registered Nurse and advance the practice of nursing in Techs do. When the public hears “nurse,” they assume a order to assure a healthier Tennessee. level of education and professionalism that is unique to Most everyone likes a good biography, so I will the nursing profession. share briefly my nursing story. As a graduate nurse I Why should we care about this? If Vet Techs can bravely started my nursing career on a medical/surgical become nurses, then what other profession or group that floor in one of the top research hospitals in Memphis, is not regulated under Title 63, Chapter 7 of the Laws Tennessee. After passing my State Boards exam I was of Tennessee will want to become “nurses” to gain the put in charge on this floor of thirty beds. I was terrified, public’s trust and respect? Historically, nurses fought for but looking back I remember telling the LPNs working title protection because there were individuals calling with me, “Look, I realize you all have much more clinical themselves nurses, such as “baby nurse” or “office nurse” and they were not educated, trained nor did they I Am TNA continued on page 2 pass a licensing exam to be a nurse. This was confusing

Non-Profit Org. U.S. Postage Paid Princeton, MN IMPORTANT Permit No. 14 current resident or Tennessee Nurse Mailing Announcement

Don’t miss getting your copy of the Tennessee Nurse. Visit tnaonline.org today and click on FREE copy of the Tennessee Nurse–to update your mailing address. Thank you! Special Note to Faculty: Newly licensed RNs will not receive the Tennessee Nurse until they sign up for their free copy at tnaonline.org. Please distribute this information to all your graduates. Thank you. Page 2 Tennessee Nurse June, July, August 2018 I Am TNA continued from page 1 apprised of developments; until such time as I would get ready to go back to more hours. I always knew that I experience than I do, so all I ask is keep me straight!” would since nursing was not just a job to me but a calling. The Tennessee Nurse is the official publication of the We all laughed and had such a good time together My nursing practice now is part-time in nursing Tennessee Nurses Foundation, 545 Mainstream Drive, Suite 405, taking care of our patients despite the ups and downs. I education at a school of nursing and part-time in faith Nashville, TN 37228-1296 learned a lot from a terrifically gifted nursing supervisor, community nursing. My work is a shared ministry of Phone: 615/254-0350 • Fax: 615/254-0303 nursing scholarship and biblical scholarship. I realized Email: [email protected] and that made a positive impression on me to always be Published exclusively by the kind and understanding with those coming into nursing through my studies in the Master of Science in Tennessee Nurses Foundation and the behind me. Ten great years of clinical practice went by Nursing program that leadership was one of my strong Arthur L. Davis Publishing Agency, Inc. and then I was blessed to become a mother. All this abilities. TNA/ANA keeps me informed on nursing practice, government affairs, and continuing education TNF 2017-2018 Board of Trust time as I was tremendously busy with my nursing career, Sue MacArthur, President working overtime and beginning my studies in a Bachelor opportunities, all of which are crucial to nursing Tommie Norris, Vice President Degree program, I truly depended on TNA/ANA to keep leadership and practice. Now with a Master of Arts in Janice Harris, Treasurer me apprised of nursing developments and continuing Theological Studies, my focus is entirely on advocating, Dara Rogers, Secretary Haley Vance, Ex-Officio education opportunities. In addition to the blessing of educating, and clinical practice toward healthy patients, becoming a mother, was the opportunity to take time off families, and communities in body, mind, and spirit not Ashley Berry, Rebecca Bone, Donna Copenhaver, from full-time nursing to enjoy parenthood. My husband only locally and in our country but on the foreign field. Doris Davenport, Mary Bess Griffith, Amy Hamlin, Bill Jolley, was about to start a medicine residency program, and My education continues towards a Doctor of Education in La-Kenya Kellum, Sandy Murabito, Debra Sullivan that meant we would not see him too much. Staying Christian Leadership-Ministry. TNA 2018 Board of Directors home with our daughter was truly the best and most I exhort you to become a member of TNA/ANA. It Haley Vance, President wonderful situation. I did not lose track, however, of will serve you well beyond what you could expect for Sandy Murabito, Past President whatever your nursing field may be. You will find yourself La-Kenya Kellum, Vice President my nursing career and updates in nursing scholarships, Donna Copenhaver, Secretary thanks to TNA/ANA. I kept the minimum hours required wanting to become involved as well when you realize how Mary Bess Griffith, Treasurer per our State to keep my nursing license active and stay important this membership is to your nursing career. Trish Baise, Director – Operations Allyson Neal, Director – Membership Loretta Bond, Director – Government Affairs Laura Reed, Director – Practice Jenny Webb, Director – Education TNA Member Benefits Deb Chyka, Director – Presidents Council TNA 2018 District Presidents Carla Kirkland, District 1; Deb Chyka, District 2; Chita Farrar, Summer Focus District 3; Martina Harris, District 4; Christine Reed, District 5; Raven Wentworth, District 6; Vacant, District 8; Chaundel Presley, District 9; Vacant, District 10; Brad Harrell, District 12; Vacant, District 15

EDITORIAL TEAM Editorial Board: Jennie Anderson; Amy Hamlin; Kathleen Jones; Tommie Norris; Haley Vance, Ex-Officio TNA is pleased to welcome NSO. A leading provider of Managing Editor, Kathryn A. Denton Professional Liability Insurance. For over 35 years, Nurses Need help tackling life’s challenges? One Main is a TNA Staff Service Organization (NSO) has been safeguarding nursing company with over 100 years of experience and offers you Tina Gerardi, MSN, RN, CAE, Executive Director professionals from medical malpractice lawsuits and state Diane Cunningham, Office Manager personalized loan solutions in your community; simple, Wilhelmina Davis, Manager, Government Affairs board of nursing inquiries. NSO is the preferred provider clear loan terms with no prepayment penalties or hidden Kathryn Denton, Manager, Marketing, Member Services and IT of professional liability insurance for 30 state and national fees; loan specialists that are dedicated to helping meet Sharon Hinton, RN-BC, MSN, DMIN, CE Administrator & professional nursing associations, providing malpractice your needs; and loans that can help with the extra money Nurse Peer Review Leader insurance to more than 550,000 nurses. Learn more Tracy Depp, Communications Consultant you need for almost anything. OneMain has personal Anne Mitchell, Membership and Administrative Support about our coverage at www.nso.com. loans to fit your needs. Visit TNAonline.org, highlight Membership and click on Member Benefits for details. The official publication of the Tennessee Nurses Foundation shall be the Tennessee Nurse. The purpose of the publication shall be to support the mission of the Tennessee Nurses Foundation and Tennessee Nurses Association through the communication of nursing issues, continuing education and significant events of interest. The statements and opinions expressed herein are those of the individual authors and do not necessarily represent the views of the association, its staff, its Board of Directors, or editors of the Tennessee Nurse. Article Submissions: The Tennessee Nurses Foundation encourages submissions of articles and photos for publication in the Tennessee Nurse. Any topic related to nursing will be considered for publication. Although authors are not required to be members of the Tennessee Nurses Association, when space is Advance your career --TNA/ANA members receive CNE limited, preference will be given to TNA members. Articles and discounts and many courses are free. Browse hundreds of photos should be submitted by email to kdenton@tnaonline. TNA’s Visa Rewards Credit Card—Earn cash back and discounted online independent study modules for every org or mailed to Managing Editor, Tennessee Nurses Foundation, support TNA with every purchase. Low introductory rate with career need. Earn contact hours at significant savings. 545 Mainstream Drive, Suite 405, Nashville, TN 37228-1296. All no annual fee. Visit https://commercebank.com/tna to apply. articles should be typed in Word. Please include two to three Independent Study Modules formats include articles, sentences of information about the author at the end of the audio, multimedia, slides and video. Visit nursingworld.org article and list all references. Preferred article length is 750- 1,000 words. Photos are welcomed as hard copies or digital files at a high resolution of 300 DPI. The Tennessee Nurses Foundation assumes no responsibility for lost or damaged articles or photos. TNF is not responsible for unsolicited freelance manuscripts or photographs. Contact the Managing Editor for additional contribution information. Reprints: Tennessee Nurse allows reprinting of material. Permission requests should be directed to Tennessee Nurses Foundation at [email protected]. For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, [email protected]. TNF and the Arthur L. Davis Publishing Agency, Inc. reserve the right to reject any advertisement. Responsibility for errors in advertising A 10% tuition discount is available for eligible affiliates is limited to corrections in the next issue or refund of price of and members of TNA and their immediate family advertisement. members. Earn your RN-BSN or MSN-FNP online in as Acceptance of advertising does not imply endorsement few as 14 months. Visit onlinenursing.cn.edu/TNA to get or approval by the Tennessee Nurses Foundation of products started today! advertised, the advertiser, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this Foundation disapproves of the product or its use. TNF and Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product. Articles appearing in this publication express the opinion of the authors; they do not necessarily reflect views of the staff, Board or membership of TNA and TNF or those of the national or local associations. Respect comes with the job when you’re a U.S. Air Force Nurse. The reason? You’ll Copyright©2012 by the Tennessee Nurses Foundation. The be a commissioned officer with greater Tennessee Nurse is published quarterly in March, June, September responsibilities. Of course, with greater and December. Published free for TNA members and registered responsibility comes greater opportunity to The Tennessee Nurses Foundation offers scholarships nurses licensed in Tennessee. Others may request to be added to expand your areas of expertise or dig deeper into the Tennessee Nurse mailing list by contacting Kathryn.Denton@ what you do now. Find out how the Air Force can and grants to members of the Tennessee Nurses tnaonline.org. make your career in nursing even more rewarding. Association. Check out TNF’s Initiatives at https://www. airforce.com/healthcare tnaonline.org/about-tnf/tnf-initiatives/ For more information, call Sgt Jacob Valladares, 615-885-9781 Member Benefits continued on page 3 June, July, August 2018 Tennessee Nurse Page 3 Member Benefits – Summer Focus continued from page 2 Sources of From the President Retirement Income Most retirees derive their retirement income from three A Marathon Journey primary sources: Social Security retirement benefits, qualified retirement plans, and individual savings/investments. When I ran my first full marathon, it was hard. It was really hard. Race day was cold and rainy, and there was an Social Security Retirement Benefits abundance of people. I was determined though. Determined Social Security retirement benefits are intended to that the days spent training were not to go in vain. My goal provide only a portion of an individual’s retirement income. was to finish. I wasn’t trying to do anything spectacular, but I Traditionally, retirement benefits began at age 65. For those wanted to accomplish the feat of crossing the finish line after born after 1937, however, full retirement age when full overcoming those 26.2 miles. Let me tell you – when I crossed benefits begin, will increase gradually, until it reaches age that finish line, it was just as sweet as I thought it would be. 67 for those born in 1960 and later. A reduced benefit is I learned a lot from running that marathon. I learned to available, beginning at age 62. The monthly benefit amount Jennifer Freeman, be realistic – realistic about my fitness level and about what I is based on an individual’s past earnings record. A worker CLTC wanted to accomplish. I learned about dedication and pushing can earn a larger retirement benefit by continuing to work myself when things became frustrating or hard. I learned to E. Haley Vance, past full retirement age, up to age 70. Up to 85 percent of a retiree’s Social Security stay focused on the ultimate goal and not be distracted by DNP, APRN, retirement benefits may be taxable as ordinary income. Retirement benefits are subject objects along the way. I learned there were plenty of skeptics CPNP-AC to adjustment for inflation on an annual basis. who didn’t think I would actually finish. To those skeptics – I say thank you for motivating me even more! Qualified Retirement Plans Running a marathon reminds me a lot of nursing. Nursing is a journey. It isn’t a sprint to the A retirement plan is considered to be “qualified” if it meets certain requirements finish line, but a long pathway of learning and growing as a professional nurse. As a pediatric set by federal income tax law. In general, employer or employee contributions to a nurse practitioner, I view working towards Full Practice Authority for APRNs in Tennessee as qualified plan are currently deductible and the earnings are tax deferred until paid out something similar to that of running a marathon. It has not and will not be an easy journey. of the plan. Mandatory distribution rules typically apply and taxable withdrawals before When we look over the past few years, there has been a great deal of passionate work age 59½ may be subject to an additional 10% penalty tax.1 by APRNs across this state to move this effort forward. Though, there have been barriers • Employer-sponsored qualified plans: Employer-sponsored plans can generally be that have been encountered, no one ever said that barriers have to be permanent. I like classified as either defined benefit or defined contribution. Defined benefit plans to look at barriers and challenges as motivation to accomplish what the skeptics think is specify the benefit amount a participant will receive at retirement; an actuary impossible. I am confident that in the end this work will not be in vain. estimates how much must be contributed each year to fund the anticipated Nurses – moving forward together in unity to obtain Full Practice Authority benefit. The investment risk rests on the employer. Benefits are generally taxable. for APRNs in Tennessee is the right thing to do for our patients and the people of Defined contribution plans, such as 401(k), 403(b) or SEP plans, typically put Tennessee. We have an opportunity to be a part of providing high-quality, cost- a percentage of current salaries into the plan each year. The retirement benefit effective care in an accessible manner for individuals across this state. Obtaining full will depend on the amount contributed, the investment return and the number practice authority won’t happen overnight. I think we can all agree on that. However, of years until a participant retires. The investment risk rests on the participant. it can happen with years (yes, I said years) of dedication. As we continue to move Benefits are generally taxable. forward during this moratorium period, let us not waste time but rather utilize the time Sources of Retirement Income continued on page 13 and resources we have in front of us. Let us remain focused on the ultimate goal while putting blinders to the things that will try to distract us. Let us be realistic and strategic about the partnerships we build. Let us remain dedicated to the patients we serve. Let us commit to continue to advance the profession of nursing. From the Executive Director continued from page 1 When full practice authority for APRNs in Tennessee becomes a reality, I know it will prove to be just as sweet as crossing the finish line of your first full marathon. to nurses in Tennessee. They also benefitted from hearing the journey several nurse leaders from across the state have taken to become advocates for nurses and the patients we serve. We invite you to join us next year for the Summit and a day visiting your legislators. As summer is emerging, please begin to make plans to join us at the TNA/TSNA Annual Conference at the Embassy Suites in Murfreesboro on October 26-28. Our keynote speaker on Saturday will be Mary Jo Assi from Press Ganey and our plenary session speaker on Friday afternoon will be Sue Hassmiller, from the Robert Wood Johnson Foundation. Both are RNs and will offer perspectives on compassionate care and our current health care system. Look for more information on the TNA website and Facebook page!! I am excited to enjoy my first summer in Tennessee and hope to see many of you at Conference this autumn.

As a Registered Nurse, licensed in the state of Tennessee, you receive a free subscription to the Tennessee Nurse, provided by the Tennessee Nurses Foundation, but that does not include membership in TNA. Support the association that supports you. Join Today. Turn to page 19. Questions? Call 615-254-0350. We can’t wait until we welcome you into TNA!

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TNA & TSNA JOINT ANNUAL CONFERENCE Embassy Suites - SE Murfreesboro

Visit TNA’s Conference Site at: TNF Silent Auction https://tna.societyconference.com/v2/ The Tennessee Nurses Association and the Tennessee Student Nurses Association presents the 2018 TNA & TSNA Joint Conference, Advocacy in Action. The purpose of this joint conference is to promote mentoring opportunities between seasoned nurses and nursing students. We ask that you take some time to get acquainted with the future of nursing while you are with us.

Opening Plenary Speaker: Susan B. Hassmiller, RN, PhD, FAAN Susan Hassmiller is the Robert Wood Johnson Foundation Senior Adviser for Nursing. In partnership with Your shopping extravaganza! AARP, Hassmiller also directs We will get you moving with Zumba sessions on the Foundation’s Future of Saturday and Sunday mornings. Membership Assembly Begins Friday evening and ends Saturday at 4:30 p.m. Nursing: Campaign for Action. will offer you the opportunity to have your voice heard This 50-state and District as we debate healthcare issues and make decisions for The Tennessee Nurses Foundation will hold its of Columbia effort strives to the direction of the association and nursing. You will Thirteen Annual TNF Silent Auction and will offer a implement the recommendations of not want to miss the interactive poster session and, of unique assortment of items for sale, with proceeds going the Institute of Medicine’s report on the Future of Nursing: course, there will be plenty of general sessions to help to support nurses through TNF’s programs, as well as Leading Change, Advancing Health and will additionally you improve and stay inspired as a leader! opportunities to support fellow colleagues. Donations seek to build a Culture of Health. Hassmiller served as the On Friday night, during the welcome reception and are being accepted through 11:00 a.m. on Saturday, report’s study director. She is also serving as Co-Director exhibits, TNA and TSNA registrants are encouraged to October 27, the last day of the auction. A donation form is of the Future of Nursing Scholars program. Sue will share participate in the Costume Contest. Test your quirky or available in this issue of the Tennessee Nurse or online at with us her first-hand experiences with the current ghoulish creativity and compete for the best costume prize!! TNAonline.org. healthcare system. Saturday evening’s highlight will be our Awards Ceremony, which follows the keynote address. Enjoy TNA Achievement Awards Reception this time to honor our colleagues and to honor our Keynote Speaker: profession. The Ceremony will be followed by the Awards The TNA Achievement Awards Reception held on Mary Jo Assi, DNP, RN, FNP-BC, NEA-BC, FAAN Reception that allows us to enjoy fellowship and, of Saturday evening, October 27, offers an opportunity to course, to eat. honor nurses and other individuals by acknowledging Mary Jo Assi is the Associate their exceptional dedication and commitment to the Chief Nursing Officer for Let’s Vote! profession of nursing. Press Ganey. Mary Jo We ask all TNA members to consider nominating Assi leads strategies for Let’s someone today. The deadline for nominations is August strengthening caregiver 10. Visit https://tna.societyconference.com/v2/ for resilience and engagement, Vote! details. We have all crossed paths with outstanding reducing patient suffering nurses. Don’t put off sending in your nomination. and delivering compassionate, connected care. Mary Jo Exhibits & School of Nursing Luncheon will share highlights from the November 2017 book by Christina Dempsey, chief nursing officer for Press Ganey, The Antidote to Suffering: How Compassionate Connected Care Can Improve Safety, Quality, and Experience.

Closing Plenary Speaker: David Griffiths, MBA TNA members will vote for Board officers and Directors David Griffiths is the Sunday morning. Election results will be announced during Senior Vice President for the closing of the Membership Assembly. The slate of the Healthcare Division candidates will be at https://tna.societyconference.com/ of Aon Affinity. David has v2/ as soon as it is available. If you are unable to attend the overall responsibility for conference, Absentee Ballots are available. Information on the malpractice insurance requesting an Absentee Ballot is available in this issue of The Exhibits and Schools of Nursing Luncheon held program for Nurses Service the Tennessee Nurse. Organization (NSO). David is a Saturday, October 27, allows all attendees to visit with licensed property and casualty the large variety of vendors who exhibit and learn more insurance agent and has worked Membership Assembly about new products and services. It also offers a great on the NSO malpractice programs for the past 10 years. opportunity for graduates from the many schools of David works extensively on risk education often speaking nursing to visit with alumni and gives student nurses and at conferences on the topic of professional liability. Learn seasoned nurses the chance to network and get to know about actual case studies from a nursing liability expert, one another. Don’t Become a Case Study: Protect Your Nursing License.

Registered Nurse-Emergency Department One or More years’ experience in the ED TEAM relationships • strong physician/nurse relations • expanding services • Growing community area • Fantastic area to experience activities in the great outdoors • Great Schools and Colleges • 30 minutes from Chattanooga; 2 ½ from Nashville, Atlanta and the Great Smoky Mtns.; 1 hour from Knoxville All TNA members who attend this Annual Conference will be eligible to vote on all issues, positions, resolutions Please apply at: Tennovahealthcare.com - Cleveland and policies brought before the assembly. Don’t miss this For more information /assistance call: chance to let YOUR voice be heard! 423.559.6725 or email: [email protected] June, July, August 2018 Tennessee Nurse Page 5

Oct. ADVOCACY IN ACTION 26-28

2018 TNA Conference Registration Fees. Register NOW and Save! Visit: https://tna.societyconference.com/v2/

2018 TNA Conference Registration Fees Full Registration Friday Only Saturday Only Sunday Only Early Bird! Regular On-Site Early Bird! Regular On-Site Early Bird! Regular On-Site Early Bird! Regular On-Site Before Post-marked After Before Post-marked After Before Post-marked After Oct. Before Post-marked After Sept. 5 between Oct. 18 Sept. 5 between Oct. 18 Sept. 5 between 18 Sept. 5 between Oct. 18 Sept. 6 until Sept. 6 until Sept. 6 until Sept. 6 until Oct. 18 Oct. 18 Oct. 18 Oct. 18 TNA $300 $350 $375 $210 $230 $250 $230 $250 $270 $80 $100 $120 Member Non- $400 $450 $475 $260 $280 $300 $270 $300 $320 $100 $120 $140 Member TNA Members that are $255 $270 $295 $190 $210 $230 $210 $230 $250 $60 $80 $100 full time students or Retired Saturday - Exhibits and Schools of Nursing Luncheon (included in registration fee) Guest Ticket/s are $40 each

Hotel Information Tennessee Nurses Association Members Only Request for Absentee Ballot - 2018

Please send an absentee ballot for the 2018 Tennessee Nurses Association election. “Request for Absentee Ballot” must be received at TNA by September 26, 2018. I understand that mailing this ballot to me in the manner and form approved discharges TNA’s responsibility to me in the matter of absentee voting. Absentee ballots will be mailed September 27, 2018.

I further understand that requesting an absentee ballot removes my name from the list of eligible voters at the TNA Annual Conference. No “group requests” will be honored. Fill in this Request for Absentee Ballot form and For online room reservations, go to TNA’s direct link return it by: to Embassy Suites: http://embassysuites.hilton.com/en/ • Email to Diane Cunningham at [email protected] es/groups/personalized/M/MBTESES-TNA-20181025/ • Fax to (615) 254-0303 index.jhtml?WT.mc_id=POG You may also call the hotel • Mail to TNA, 545 Mainstream Drive, Suite 405, Nashville, TN 37228-1296. directly at (615)890-4464 or (800)362-2779. PLEASE NOTE: You must use the conference code of TNA to receive NOTE: Completed absentee ballots must be received at TNA headquarters by the close of business on the special rate. The special room rate of $146 single or October 19, 2018. double, $166 triple, or $186 quad per night plus tax will be available until TNA’s group block is filled. The cut-off date for the discounted rate is October 3, 2018. After this date, Name:______reservations are subject to availability. Embassy Suites Address: ______offers complimentary full breakfast and nightly evening reception, as well as complimentary guest parking. City/State/Zip:______District Number:______Member ID Number:______

Sponsorship Electronic Signature: (Required to receive ballot)______& Exhibiting Opportunities October 26-28,2018 Call for Resolutions Embassy Suites, SE Murfreesboro The Tennessee Nurses Association is issuing a formal Call for Resolutions for the 2018 TNA TNA & Membership Assemby to be held during the TNA & TSNA Joint Conference on October 26-28, 2018, at TSNA Exhibitors Only: $650 the Embassy Suites SE Murfreesboro, Tenn. Bronze Sponsorship: $1,000 - $2,499 Silver Sponsorship: $2,500 - $4,999 Resolutions can be submitted by any TNA member. Gold Sponsorship: $5,000 and above If you wish to submit a Resolution, please JOINT ANNUAL CONFERENCE Registration and detailed submit by email to Diane Cunningham at the TNA information available online: office, [email protected], no later CONTINUED ON PAGE 6 https://tna.societyconference.com than August 31, 2018. Page 6 Tennessee Nurse June, July, August 2018

TNA & TSNA JOINT ANNUAL CONFERENCE Continued from page 5 TNA ACHIEVEMENT AWARDS 2018 NOMINATIONS Call for Candidates The Tennessee Nurses Association Awards Program contributions to the field of nursing. For a complete TNA Members – Help Lead and Shape TNA Policy is designed to recognize nursing leaders and friends listing of Awards for nomination, please visit TNA’s Nominations Accepted Now for Several Elected of nursing. It is a great opportunity to identify those conference website at https:\\tna.societyconference. Positions who consistently perform above the standard— com. Deadline for receipt of TNA Award nominations the very best of the best. Awards are presented to must be in the TNA office no later than Friday, August Tina Gerardi, acknowledge exceptional dedication, commitment 10, 2018. Awards will be presented at the TNA Awards MS, RN, CAE, TNA Executive Director and professionalism. Nomination brings recognition to Reception, Saturday, October 27, 2018, during the 2018 OPPORTUNITIES TO LEAD, a colleague, and others who are making outstanding TNA/TSNA Annual Conference. Advocacy in Action

The Tennessee Nurses Association Nominating Thirteenth Annual Tennessee Committee is actively seeking nominations for Donation several positions that will be open for election on Nurses Foundation Silent Auction the TNA ballot at Membership Assembly on October Request 26th through 28th. A nomination to one of the Board Event Date: October 26-27, 2018 of Directors’ positions allows you to lead and make a difference in your state professional association. Held During the TNA & TSNA Joint Annual Conference YOU are the Voice of TNA!

Positions Available: A Donation Form is available below. • President-Elect – 1 position to be elected Or go to TNAonline.org • Vice President – 1 position to be elected • Treasurer – 1 position to be elected Proceeds help support the Foundation’s nursing scholarships and • Director, Education – 1 position to be elected grants. Your donation is tax deductible. We will appreciate your support! • Director, Membership – 1 position to be elected TNA• Nominating Committee – 2 positions to be elected Items should be new and unused. I encourage ALL of you who are interested in serving on the Board of Directors to fill out the Call for Candidates form, available at https://tna. Thirteenth Annual TNF Silent Auction LEADERSHIPsocietyconference.com and submit by email to Diane October 26 – 27, 2018 Cunningham at [email protected]. Embassy Suites SE - Murfreesboro TNA The submission deadline date is June 15, 2018. TNATNAOPPORTUNITIESTNANo handwritten, faxed or mailed Call for Candidates applications will be accepted. All Call for Candidates applications will be reviewed and LEADERSHIPselections made by the TNA Nominating Committee. Donor's Name/Business Name: LEADERSHIPLEADERSHIPLEADERSHIPThank you in advance for your willingness to serve. Donor Contact Person: OPPORTUNITIESOPPORTUNITIESOPPORTUNITIESOPPORTUNITIES Phone:______Fax: Email: ______TNA TNA Address: TNA City/State/Zip: LEADERSHIPLEADERSHIP LEADERSHIP OPPORTUNITIES Description of donated item (please submit one item per form): TNAOPPORTUNITIES ______OPPORTUNITIES ______LEADERSHIP ______OPPORTUNITIES ______

TNA DISTRICTS STATE NATIONALEstimated monetary value of donated item: $______Date:______District Committees TNA Committees, TNA Board The American Nurses District Board of Directors of Directors, Task Forces and Association, much like TNA, TNF Board of Directors has many opportunities to ______TNA DISTRICTSTNA DISTRICTSTNA TNADISTRICTS DISTRICTS STATESTATESTATE STATE NATIONALNATIONALNATIONAL TNA DISTRICTS STATE NATIONAL District CommitteesDistrict CommitteesDistrict NetworkingDistrict Committees Committees andTNA mentoring Committees,TNATNA Committees, Committees,TNATNA Board Committees, TNA TNA Board Board TNA BoardThe American American NursesThe Nurses AmericanThe American Nurses Nursesbecome involved. 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ways to serve on a national ways to serve on a national regarding this event please contact TNF’s Program Manager, Kathryn Denton, at 615-254-0350 or email of TNA? Your participation in TNA makes a di’erence. TNA, much like Association, Our member- become involved. When you join, you will receive valuable join, you will receive We lookEmail forward : [email protected] to hearing from you. 545 Mainstream Drive, Suite 405 of Directors will be happy to help answer any questions you may have. ship, made up of registered nurses just like you, volunteer their time Web : www.tnaonline.org Nashville, TN 37228-1296 [email protected]. Tennessee Nurses Association Tennessee Drive, Suite 405 545 Mainstream Nashville, TN 37228-1296 We look forward to hearing from you. Phone : 615-254-0350 Email : [email protected] : www.tnaonline.org Web to make this organization a viable part of the healthcare delivery US CONTACT system in Tennessee. Many nurses will say they are where they are today because of nurses they met in TNA. We invite you to become Tennessee Nurses Association involved today! A TNA sta’ member, or a member of the TNA Board 545 Mainstream Drive, Suite 405 of Directors will be happy to help answer any questions you may have. Nashville, TN 37228-1296 We look forward to hearing from you. areas. STATE practice, legislation, practice, legislation, TNF Board of Directors TNF Board of and healthcare leaders in and healthcare IFFERENCE you, volunteer their time of Directors, Task Forces and Forces Task Directors, of TNA Committees, Board academics, research and other academics, research Meet and network with nursing D A in your area opportunities District Committees OU CAN MAKE District Board of Directors District Board of TNA Networking and mentoring informaton at tnaonline.org at informaton District President’s contact District President’s TNA DISTRICTS TNA Help nurses in your area thrive Help nurses in your area Great place to meet colleagues Great Y Did you know that the association is completely run by the members the association Did you know that Our member- a di ’ erence. in TNA makes participation TNA? Your of ship, made up of registered nurses just like to make this organization a viable part of the healthcare delivery they are where Many nurses will say they are system in Tennessee. invite you to become nurses they met in TNA. We today because of the TNA Board or a member of member, involved today! A TNA sta’ will be happy to help answer any questions you may have. Directors of you. look forward to hearing from We LEADERSHIP OPPORTUNITIES June, July, August 2018 Tennessee Nurse Page 7 TNA Legislative Summit Highlights

The Tennessee Nurses Association’s 2018 Legislative Summit was held on April 4 at the War Memorial Auditorium in Nashville. Attendance was up from previous years, as more than 1,200 enthusiastic nursing students, registered nurses, and nursing faculty attended. TNA’s new Executive Director, Tina Gerardi, MS, RN, CAE, called the meeting to order and participants recited the Pledge of Allegiance. Summit attendees were then greeted by TNA’s President, Haley Vance, DNP, APRN, CPNP-AC, and the Tennessee Student Nurses Association’s President, Kamiko Ritchey, welcomed students and recognized schools in attendance. Thank you to our Sponsors and Exhibitors on page 8

Tina Gerardi Haley Vance Kamiko Ritchey Legislative Office Visits Attendees were encouraged to visit the Legislative Process and Bills Review Legislature and make appointments with their Legislators. Tina Gerardi, Wilhelmina Davis and Michael Warmsley, TNA Lobbyist, interacted during a Legislative Role Play session and took questions from attendees on best practices for speaking to Legislators. Students visit with Rep. Steve McDaniel

TNA’s Manager of Government Affairs and Lobbyist, Wilhelmina Davis, educated attendees on the Ms Davis explains SB2154 / HB legislative process and spoke 2288 – This bill was taken off of current legislation TNA is notice. TNA strongly opposes any watching and working on. future legislation in regards to changing licensing classification from veterinary technician to veterinary nurse. Panel of Peers

Students visit with Students visit with Students visit with Rep. Craig Fitzhugh Sen. Sara Kyle Sen. Dolores Gresham

Exhibits Information is power! Membership in the Tennessee Nurses Association and the American Nurses Association will keep you up-to-date on Legislation affecting the nursing LtoR: April Kapu, DNP, APRN, ACNP-BC; practice. Join Today! Katrina Robinson, BSN, RN; Carla Kirkland, MSN, RN, ACNP-BC; Nancy Anness, MSN, Your voice matters and together we and Haley Vance, TNA President APN, FNP-BC, RN can ensure the future of nursing.

A group of five nurse panelists inspired attendees as each spoke of their experiences Founded in 1905, TNA is the only full- that led them to where they are today, motivated attendees to serve their patients and service professional organization for the state’s their community, and spoke of the importance of being at the forefront of the nursing 110,000 registered nurses. The mission of TNA profession to affect change. Advocacy for patients and the profession does not stop at is to promote and protect the registered nurse the bedside. Each nurse has valuable and unique insights, which are important to the Attendees enjoyed and advance the practice of nursing in order to legislative process and can influence elected officials. Get to know your Legislators. time with exhibitors assure a healthier Tennessee. They will value your input. Page 8 Tennessee Nurse June, July, August 2018 Government Affairs

The second legislative session of the 110th Tennessee a disaster when the patient is present in this state. General Assembly completed its business and adjourned Authorizes a pharmacist in this state, in good faith, to Wednesday, April 25, 2018 and will return to Capitol Hill dispense to a patient without proper authorization at noon, Tuesday, January 8, 2019. or a valid prescription the number of dosages of a A VERY SPECIAL THANKS TO As with every legislative session, TNA worked on prescription drug necessary to allow the patient to issues particularly targeting the nursing profession and secure proper authorization or a valid prescription from OUR 2018 LEGISLATIVE SUMMIT the health and wellbeing of all Tennesseans. That being the patient’s prescriber. Prohibits the amount of the SPONSORS AND EXHIBITORS said, defense, certainly became the order of the day early prescription drug dispensed from exceeding a 20-day during this legislative session. Evidence of the power of supply. Allows prescription information to be obtained nurses and the influence of the nursing professionals from a prescription label, verbal medical order, verbal was recognized as the below bills TNA opposed, were prescription order, or any other means determined introduced and considered in committees this year, both to be legitimate in the professional judgement of the of which were withdrawn or taken off notice. pharmacist. Enacted as Public Chapter 0615 effective July 1, 2018. SB2154 Bell/HB2288 Ramsey -- Changes in veterinary licensing classifications. SB1869 Lunberg/HB1935 Zachary -- Assigning of Changes veterinary licensing classification from benefits to a health care provider. veterinary technician to veterinary nurse. Authorizes Amended and passed, removes all but one of the the board of veterinary medical examiners to adapt original bill’s provision that prohibit healthcare providers rules in accordance with the UAPA related the practice, from collecting out-of-network charges from an insured, application process, license renewal, license fee, and or the insurer on behalf of the insured without having penalties. Requires that licensed veterinary technicians in provided a notice as required by this bill. good standing on or before January 1, 2019 be granted a SB2025 Haile/ HB2440 Terry -- Prescriptions for registered veterinary nurse license upon renewal. TNA opposed SB 2154/HB 2288 for the following controlled substances - partial fill allowed. reasons: Sets out guidelines for the prescription for a controlled • TNA believes the title registered nurse has always substance that may be partially filled. Requires the been linked to the provision of care of humans. pharmacist to retain the original prescription at the • TNA believes the Registered Veterinary Nurse pharmacy where the prescription was first presented initiative would undermine the title “nurse” that and the partial fill dispensed and any subsequent fill will TNA fought hard to protect and have codified into occur at that pharmacy. Requires the pharmacist to notify law. the prescribing practitioner of the partial fill and of the • TNA believes in transparency of those who amount actually dispensed. Authorizes a pharmacy to provide care for human beings and those who care authorize a dispensing fee to cover the actual supply and for other forms of life and the title nurse should labor costs associated with the dispensing of the original remain distinctive prescription of an opioid. Prohibits a health insurance • And lastly, no other state has enacted such issuer or pharmacy benefits manager to utilize partial fills legislation, if passed Tennessee would have been of a controlled substance other than an opioid to reduce the first state to legislate title change payments to a pharmacist or pharmacy for dispensing multiple partial fills. SB1926 Briggs/HB 2122 Williams -- New Healthcare SB2095 Dickerson/HB2510 Favors -- Prescribing of Practitioner Act. Introduction of this bill would create a buprenorphine by certain nurse practitioners. new license for Tennessee physician assistants (PAs), the Essential Access Practitioner. If passed, it would have required the Board of Medical Examiners to establish an essential access practitioner license category and required the essential access practitioner license be available no later than July 1, 2019. TNA opposed this legislation for several reasons including the following: • Lack of data and evidence which support a creation of new license for a PA • No other state has such a model • Sponsors of the bill stated the creation of this new licensure would address the issues of primary care providers in rural areas. However, TNA believes data which shows Tennessee Advanced Practice Registered Nurses (APRNs), including Nurse Practitioners, Certified Registered Nurse Anesthetists, and Certified Nurse Midwives, elect That research paper isn’t going to write itself. to practice in Tennessee rural areas are effective primary care providers. Visit www.nursingALD.com A very special thanks to all TNA members for helping to gain access to 1200+ issues of official state nurses to defeat any legislation having a negative impact on publications, all to make your research easier! your profession and for your continued support and advocacy as we strive together to fulfill the mission of TNA “to promote and protect the Registered Nurse and advance the practice of nursing in order to assure a healthier Tennessee.” The following bills passed this legislative session, if not already enacted, will become law: SB1495 Haile/HB1489 Hazelwood -- Use of tanning devices by minors prohibited. Amended and passed, this bills allows a person between the ages of 16 and 18 to use a tanning bed provided the person is accompanied by a parent on their first visit and that the parent signs a health warning statement issued by the health department. Does not require the accompaniment of a parent for subsequent visits and specifies that the prohibition of any person under the age of 16 from using a tanning device applies to devices at tanning facilities. Enacted as Public Chapter 0608 effective April 2, 2018. SB1670 Green/HB1612 Pitts -- Honoring prescription Make your contribution for person displaced by natural disaster. As amended and passed, the bill defines “patient” to TNPAC today on TNA’s for purposes of this legislation to mean a patient from website www.tnaonline.org this state, or another state, who was displaced by June, July, August 2018 Tennessee Nurse Page 9 The introduced bill was amended to require the medical necessity under this bill for any prescription certain circumstances specified. Where the treatment Commissioner of the Department of Mental Health containing the words “medical necessity.” The value will provided by a healthcare practitioner is dispensing an and Substance Abuse Services (DMHSAS) to convene be determined by the committee and published through opioid, the healthcare practitioner may treat a patient a working group to examine the potential impact of the committee’s website. more than once within 10 days; provided, that the authorizing advance practice nurses and physician (2) adds in regard to this bill’s requirement to check healthcare practitioner may not dispense an opioid in an assistants in Tennessee to prescribe buprenorphine the database prior to prescribing an applicable controlled amount that exceeds the greater of: a five-day supply containing products for the treatment of opioid use substance at the beginning of a new episode of treatment per encounter; or half of the total prescribed amount. disorder and any potentially appropriate clinical settings that the check must be made prior to the issuance of each The healthcare practitioner may dispense the remainder for any such prescribing authority. Requires the working new prescription for the controlled substance for the first in a subsequent encounter. The partial fill requirements group to include a least one representative from the 90 days of a new episode of treatment. will not be mandatory prior to January 1, 2019, for a Department of Health (DOH), the DMHSAS, the Tennessee (3) removes bill’s requirement that the database be dispenser who has not updated the dispenser’s software Bureau of Investigation (TBI), the Tennessee Association checked prior to prescribing to an opioid naive patient or system. Further provides that a healthcare practitioner of Chiefs of Police, the Tennessee Medical Association, an acute care patient, both before the initial prescription may treat a patient with more than a three-day supply the Tennessee Nurses Association, the Tennessee and before a third prescription, and removes other of an opioid if the healthcare practitioner treats the Academy of Physician Assistants, the Tennessee Society references to and provisions governing opioid naive and patient with no more than one prescription for an opioid of Addiction Medicine, the Tennessee Recovery Coalition, acute care patients. Also removes this bill’s provision that per encounter and requirements specified are met. If a the Tennessee Association of Alcohol and Drug, and a practitioner has the professional responsibility to use healthcare practitioner treats a patient with more than a Other Addiction Services, the Tennessee Association heightened attention when prescribing to a patient who three-day supply of an opioid, the healthcare practitioner of Mental Health Organizations, Neighborhood Health, has recently been prescribed to by other practitioners. may treat the patient with no more than a 10-day supply Watauga Recovery Centers, and a facility licensed Also deletes this bill’s requirement for practitioners to and with a dosage that does not exceed a total of a as a nonresidential office-based treatment facility check the database prior to dispensing pursuant to any 500 morphine milligram equivalent dose. In rare cases by the DMHSAS. Requires any costs associated with prescription with written instructions indicating the where the patient has a condition that will be treated participation in the working group be borne by the earliest date on which the prescription can be filled. by a procedure that is more than minimally invasive individual participant or their respective associations or (4) retains the present law exception to checking and sound medical judgment would determine the risk organizations, except for those employed by the state. the database and situations where the quantity of the of adverse effects from the pain exceeds the risk of the The state will cover costs for those employed by the controlled substance which is prescribed or dispensed development of a substance use disorder or overdose state. Requires the working group, no later than February does not exceed an amount which is adequate for a event, a healthcare practitioner may treat a patient with 1, 2019, to submit a report regarding its findings and single, seven-day treatment period and does not allow up to a 20-day supply of an opioid and with a dosage that recommendations to the Commissioner of the DMHSAS, a refill and revises this provision to apply to a three-day does not exceed a total of an 850 morphine milligram the Commissioner of the DOH, the Health Committees of instead of seven-day treatment period. equivalent dose. Also, in rare cases after trial and failure the House and Senate, at which time the working group (5) removes the provision whereby informed consent is of reasonable, appropriate, and available non-opioid will cease to exist. not required if the informed consent was obtained within treatments for the pain condition or documenting the the six-month period prior to the date of treatment; and contraindication or intolerance of non-opioid treatments, SB2257 Norris/HB1831 Hawk -- Requirements for this bill defines childbearing age to between 14 and 44. Also inefficacy, or intolerance of non-opioid treatments, prescribing, dispensing, and reporting of opioids. This specifies that the special notice to a childbearing woman where medical necessity and sound medical judgment bill is the Governor’s TN Ready Opioid Initiative -- only applies if the woman is of “childbearing ability.” would determine the risk of adverse effects from the pain After much discussions and debate, the bill passed as (6) revises the prescribing limits of the bill. Under exceeds the risk of the development of a substance use follows: certain exceptions, a healthcare practitioner may not disorder or overdose event, a healthcare practitioner may (1) adds to the list of information a healthcare treat a patient with more than a three-day supply of treat a patient with up to a 30-day supply of an opioid practitioner must submit to the controlled substance an opioid and may not treat a patient with an opioid and with a dosage that does not exceed a total of a 1,200 database the ICD-10 code for any prescription that dosage that exceeds a total of a 180 morphine milligram morphine milligram equivalent dose; the healthcare contains an ICD-10 code (this provision will not be equivalent dose. Also, a patient may not be treated with practitioner must include the phrase “medical necessity” mandatory prior to January 1, 2019, for a dispenser an opioid more frequently than every 10 days; provided, on the prescription for any prescription issued pursuant who has not updated the dispenser’s software system however, that if the patient has an adverse reaction to to this provision. to enable submission of ICD-10 codes); and a value an opioid, a healthcare practitioner may treat a patient (7) revises the exceptions described above in the bill signifying opioid treatment is occurring pursuant to a with a different opioid within a 10-day period under summary in (1)-(6) to specify that the prescriptions must

Government Affairs continued on page 18 Page 10 Tennessee Nurse June, July, August 2018 District News District 1 District 2 District 3 President: Chita Farrar President: Carla Kirkland President: Deb Chyka

The January meeting of District 2’s Celebrate Nursing District 3 held their quarterly District 1 was a Legislative event on April 30 was well membership meeting on April Skills Workshop. Peg Watkins, attended and awards were 25, 2018 at Maggiano’s Little with League of Women Voters, given. Tina Gerardi, MS, RN, Italy. It was a fun meeting shared tips, and the importance CAE, TNA’s Executive Director, with three $1000 education of connecting with our and Wilhelmina Davis, TNA’s scholarships given to nursing legislators. In January, several Manager of Government Affairs students. The TNF District 3 members also volunteered and Lobbyist attended the educational scholarship was again this year at the Midsouth meeting as well. given to Jessica Eckenrode Mission of Mercy Dental clinic, who is a PhD doctoral student serving hundreds who came for at ETSU. Two additional scholarships were given to free dental care. Chita Farrar Carla Kirkland Deb Chyka two undergraduate nursing students – Tiffany Gesner, a student at APSU, and Nichole Gray, a student at Columbia State Community at Franklin. Student Excellence Award The education program was Global Health Outreach- Guyana. Presenters were Jessica Van Meter, Sally Dye, and Ali Grubbs. It was a heartwarming global initiative presentation about the partnership between Vanderbilt University, Vanderbilt University Medical Center, and the Guyana government. Thanks to Vanderbilt, a Bachelor’s Degree in Emergency Nursing curriculum was developed for nurses to treat major needs of the community and country. VUMC nurses, Vanderbilt faculty, DNP students, and doctors volunteer their time presenting curriculum and teaching emergency skills to nursing students (L to R) Tiffany Saunders from Tennessee enrolled in the small nursing program. Equipment and Wesleyan College; Cameron Schulz from South supplies are needed for this educational program. District College; Brittany Gadd from Roane State 3 members responded by having a global/community Community College; Heather Scudder from outreach service project for the meeting. Attendees UTHSC students at the dental clinic, with King University; Emily Spence from University brought stethoscopes to present to graduating seniors Laura Reed and Susan Jacob of Tennessee, Knoxville; Ashley Kyek from in the Guyana nursing program. Volunteers are needed Pellissippi State Community College. to assist with teaching and supplies are appreciated for The Step Ahead Foundation sponsored our February Not pictured is Yulia Kanevskaya from this global outreach initiative. If anyone is interested in meeting. The Foundation supplies free long acting Lincoln Memorial University. helping, contact Chita Farrar at [email protected]. reversible contraceptives to women in an effort to improve educational, economic, and health outcomes. March brought our big, Scholarship exciting, community event; an all Award candidate Meet and Greet, held at the University of Memphis University Center ballroom. Given Approximately 100 candidates running for county, state, and AwardsStudent Excellence Award U.S. races participated, with 400 Scholarship Award other volunteers, supporters, Clinical Award Nichole Gray receives and voters attending. This was Maureen Nalle Leadership Award $1,000 Educational planned in association with Wilhelmina Davis, Friend of Nursing Award Scholarship from League of Women Voters TNA’s Manager Hall of Fame Award District 3 Memphis/Shelby County. of Government Service Award Jessica Eckenrode Affairs and receives $1000 from Lobbyist, in TNF’s TNA District 3 attendance. Devan Fox Education scholarship. LtoR: Tina Gerardi, Maureen Nalle Friend of Clinical Award TNA Executive Leadership Award Nursing Award Director, Jessica Eckenrode and Chita Farrar, TNA District 3 President. Tiffany Gesner receives $1,000 Educational Scholarship from District 3

University of Memphis students, with District 4 Dr. Lisa Beasley, rest after the event President: Martina Harris Angela Deb Chyka Wilhelmina Our March meeting was sponsored by Memphis Scarbrough Davis District 4 held a Nurses’ Orthopedic Group, with Dr. Pokabla speaking on shoulder Week Celebration on April 24, injuries. Memphis City Councilman Frank Colvett, Jr. also 2018 in the Health Science joined us to discuss local matters of concern. Hall of Fame Award Service Award Center on the campus of Chattanooga State Community College. Rear Admiral Sylvia Trent-Adams, United States’s Deputy Surgeon General, was the keynote speaker and spoke of her role and the Public Health Service priorities to address the opioid crisis; health and the Martina Harris economy; and national security. TNA President, Haley Vance, and TNA Executive Director, Tina Gerardi, presented District 4 TNA member Raycene Sharon Allie Brown Representative JoAnne Favors with the 2018 District 4 District 1 members with Dr. Pokabla and Brewer Bailey Trailblazer Award, for her service as a nurse member of Memphis City Councilman Frank Colvett, Jr. Chapman June, July, August 2018 Tennessee Nurse Page 11 District News the Tennessee House of Representatives. After serving all RN’s who attend and also you must have your current District 6 held a meeting April 19th at Jackson- seven terms in the Tennessee Legislature, Rep. Favors will RN License # to register at the meeting for your free CE. Madison County General Hospital in the Medical retire at the close of this legislative session. Hope to see you in June! Founders Room B. Tina Gerardi, TNA Executive Director, was present to welcome attendees and meet members. Dr. Hernstein, Executive Director of Radiology at West TN Healthcare, was the guest speaker and discussed the role of the registered nurse in interventional radiology. We appreciate the wonderful hospitality shown by the interventional radiology department. Attendees were able to tour the department.

Haley Vance, DNP, Rep. Favors receives APRN, CPNP-AC; Rear TNA District 4’s Admiral Syliva Trent- Trailblazer Award’s Adams; Tina Gerardi, MS, RN, CAE

Tina Gerardi, MS, RN, CAE

District 6 President: Raven Wentworth Rear Admiral Sylvia Trent-Adams, PhD, RN, FAAN; Rep. Joanne Favors, MSN, RN and Dr. District 6 was well Mary Lambert, DNP, RN, FAAN from District 4 represented April 4th at the TNA Legislative Summit held at District 5 the War Memorial Auditorium. Students and faculty were Dr. Hernstein President: Christine Reed in attendance from Union University, the University of The next meeting will be held on July 12th. Details District 5 has been off to a Memphis - Lambuth and UT will be shared on our Facebook page - “TN Nurse’s great start for 2018 with our Martin - Parsons. Association - District 6” and emailed to TNA members. growing membership and a Please RSVP for this event. lineup of excellent speakers for our general meetings. Raven Wentworth For the first part of 2018, we District 9 chose to focus on the legal aspects of defending electronic President: Chaundel Presley documentation from Ballad Health Legal Team Frank District 9 has been busy Anderson. Then we focused working on a lot of necessary our attention in our last general tasks this spring. Since the Christine Reed meeting covering the opioid revitalization meeting, held crisis, reviewing history of how we got to the point January 4, the board has met we are today, and where we are going, from Assistant two times via Zoom taking care District Attorney William Harper. Then, the Honorable of needed business. In addition, Judge Goodwin shared the history of the drug recovery The University of Memphis – Lambuth Campus there was a district meeting court and how the program works to help rehabilitate on April 6 at TTU immediately offenders with intense rehab programs and incentives following the school’s pediatric for jobs well done. This is a 5 level program as each conference. The new and participant must meet certain strict criteria. There are revised district bylaws have over 3,057 treatment courts in the US; 75% of those who been the focus, and they are Chaundel Presley graduate remain drug free and $27.00 are saved for every ready to be voted on May 10. dollar spent on court and jail. The board is working to open the lines of communication We also had the pleasure of our TNA Executive with district members and keep them informed of future Director, Tina Gerardi, attending our last general meetings and events as they develop. meeting in April. She shared the TNA membership drive Jenny L. House Maffett reports that the 4th Annual for the week of Nurses Week. Tina shared some of the Pediatric Health & Wellness Upper Cumberland Mini- top legislation that TNA has worked on, including the Conference took place at the Whitson-Hester School opioid registry, and assisted in stopping the Veterinary of Nursing on the TTU campus within the Bell Hall technicians’ role being changed to a role that includes Union University Auditorium on April 6, 2018 and was attended by sixty- the word “nurse.” TNA also supported budget funding to five participants. Information for nurses in our area to provide more school nurses. utilize while caring for the pediatric population was given. District 5 also had a great success partnering with TNA Executive Director, Tina Gerardi, spoke about our local radio station and sponsors for Nurses Week to the Impact of Nursing Levels on the Healthcare and celebrate Nurses at “Nurse’s Night Out.” We had over Wellness in the Upper Cumberland (U.C.) Region. Staff 150 nurses who attended this fun event for free in which Development Coordinator, Brenda K. Thomas, at the generous sponsors provided food, games and multiple door TN Department of Health in the Upper Cumberland prizes to all those who attended. The guest speaker, Sharon Region shared information about the importance of Barger, shared her journey with cancer and the many Early and Periodic Screening, Diagnostic and Treatment nursing heroes who came into her life to make a positive (EDPST) of the pediatric population and their families. difference in her care and journey. District 5 gave away two Dr. Belinda Mandrell, the Director for the Division $50 gift cards for a Registered Nurse and also an LPN. We of Nursing Research at St. Jude Children’s Research were so proud to have our new banner and tablecloth for Hospital in Memphis, TN spoke to those present about our booth display. It was a wonderful and exciting evening Considerations in Caring for the Child and Adolescent celebrating nurses: inspire, innovate, influence. with Cancer. Please join us on June 19 for our next general meeting Jenny extends her many thanks to each speaker, TNA at Franklin Woods on the third floor, Summit Room, for District 9 for being a sponsor, the Whitson-Hester School learning how to provide safe patient handling and lifting of Nursing, and Tennessee Technological University for for the patient population. A free CE will be provided for UT Martin - Parsons Center supporting the conference this year. Page 12 Tennessee Nurse June, July, August 2018 Nurses Maintain #1 Rank Student Forum

Silver Spring, MD – For the 16th consecutive year, the Remember the day you If this concerns you, and if working with students as American public has ranked nurses as the professionals graduated from nursing school? a clinical instructor appeals to you, contact your local with the highest honesty and ethical standards, according Whether you graduated last community college or university and inquire about to a Gallup poll. The annual poll has ranked nurses as year, five years ago, or thirty-five qualifications and requirements for becoming a nurse the most honest and ethical out of a wide spectrum of years ago, I’m sure you can recall educator or preceptor. Look at the tuition benefits offered professions, including pharmacists and grade school the sense of accomplishment by your hospital, and consider getting a master’s degree teachers. and relief you felt as you walked in nursing. You have the ability to help reduce the nursing “Nurses provide much more than bedside care. We across the stage to be pinned, faculty shortage. It will take an investment of your time advocate for patients, deliver primary care, meet the were handed your diploma, and resources to receive the proper credentialing, but the complex needs of patients with chronic conditions, and shook hands with/hugged reward of building a new generation of nurses, who will volunteer for disaster relief efforts, and are a trusted your nursing professors. The in turn continue the cycle of developing new nurses and voice in boardrooms across the country,” said Pamela instructors who taught lectures Leah Henry, leaders, will be well worth the effort. F. Cipriano, PhD, RN, NEA-BC, FAAN, president of the and met with you after tests, TSNA Regional I appreciate you, and your future students will too! If American Nurses Association (ANA). and the clinical preceptors and Director Middle you are already a clinical instructor or a nursing professor, According to the poll, 82 percent of Americans rated floor nurses who coached you in thank you, thank you! You juggle teaching, grading, nurses’ honesty and ethical standards as “very high” or practical skills, all deserve appreciation and thanks. Their meeting with students, clinical practice, and personal/ “high.” The next closest profession, military officers, was investment in your education helped you become the family life. You impact the lives of many students, and rated 11 percentage points behind nursing. nurse you are today. through them, the lives of thousands of patients. You “Advocacy efforts have always been a core function I entered the nursing field with a background in are amazing. If not for your diligence, preparation, and priority for our organization, but there is still work education. I studied Linguistics as an undergraduate, encouragement, concept illustrations, and hands-on to be done, which is why we announced 2018 as the Year then obtained a Master’s in Teaching English as a Second coaching, my peers and I would not be joining the ranks of Advocacy. The public relies on nurses to promote a Language, and taught K-12 ESL for six years in the public of this honored profession. Keep up the good work! healthy America, and that includes access to affordable, school setting. When I was a teacher, it was very rewarding Leah serves as the Middle Regional Director for the 2017- quality care. ANA is committed to supporting and to see the faces of my students light up when something 2018 Tennessee Student Nurses Association as a liaison encouraging nurses to be advocates at all levels and to clicked, or to hear them explain a concept to their peers. between TSNA and schools of nursing in Middle TN. She be influencers of positive change for our patients, our When I made the transition to nursing, I was pleased to desires to equip student nurses to network with others in the colleagues, and our nation.” discover that my teaching skills would not go to waste. field and build informed opinions when healthcare policies Nursing provides teaching opportunities on a daily basis. are introduced and enacted. She graduated in May from I like to answer my patients’ questions and help them Union University’s Accelerated BSN Program (Hendersonville better understand their treatment. I often offer them my campus). (Reference available upon request) stethoscope, and enjoy seeing their eyes widen in surprise when they hear their own heartbeat or bowel sounds for Precious Prints Projects Wins Awards RN the first time. Teaching moments are everywhere. During the NSNA Convention in early April: SNA (Work the 10 month school schedule) As a nurse, you are in a unique position to not only from UT Knoxville College of Nursing won a Certificate Start date care for individuals, but to educate them on their body of Recognition for their Precious Prints Project. The August 1, 2018 processes. You are also in a perfect position to share your certificate says “For the Most Successful School $37,070 to $39,294 per year depending on educational preparation Medical, dental, life, pension, knowledge and expertise with nursing students across the Community Health Project National Student Nurses’ deferred compensation plan, paid leave and holidays, etc. state of Tennessee. Your skills and personal experience can Association “Service and Impact Beyond the Bedside” be used in the classroom and hospital setting to instruct 2018 Population and Global Health Program. Provide nursing services in Metro Nashville/Davidson County Schools. the next generation of nurses. The field of nursing is ever Bachelor’s degree from a state approved school of nursing; or Bachelor’s degree in another growing, yet there are not enough graduates to meet the discipline and a Master’s degree from a state approved school of nursing preferred. increasing job demand. This is due in part to the limited Emily Spence, SNA Candidates with accreditations earned in a foreign institute are encouraged to apply. number of students that nursing programs are able to member and student All public health nurses are required to complete a department approved accommodate. According to the AACN’s 2016-2017 report at UT Knoxville, Certificate in Public Health as a condition of continued employment. on Enrollment and Graduations in Baccalaureate and delivered a podium Graduate Programs in Nursing, over 64,000 qualified presentation at the Apply with the Health Department applicants were turned away from U.S. nursing programs NSNA Convention on http://www.nashville.gov/Portals/0/SiteContent/Health/PDFs/HR/MPHD%20 the Precious Prints Application%20for%20EmploymentREV8-28-17.pdf in 2016. This is largely attributed to restricted program budgets, insufficient faculty, minimal classroom capacity, Project. and limited clinical sites and preceptors.

Candidates Gather for Meet and Greet By Lisa Beasley DNP, APRN, NP-C, RN of these types of events for what promises to be an upcoming busy political season. On Saturday, March 3rd, approximately 100 candidates The idea for the event was conceived in late November running for political office gathered at the University of of 2017 with the actual planning beginning in mid-January. Memphis ballroom to meet potential voters. The non- Members of the planning committee for the Meet and partisan candidate Meet and Greet, organized by TNA Greet gathered every two weeks until the final three District 1 and the League of Women Voters Memphis/ weeks leading up to the event, as weekly meetings became Shelby (LWV), was the largest gathering of candidates at necessary. Carla Kirkland, District 1 President said, “We any one time in the history of Shelby County. Candidates wanted to do something to bring the community and for local, state and federal office were in attendance candidates together. We were thrilled to organize this event representing Republicans, Democrats and Independent with the League of Women Voters.” Each organization’s Parties. The total number who turned out for the contribution was unique to the event. Planning committee event was estimated to be about 500 people including members from District 1 include President Carla candidates, volunteers and citizens. Norma Lester, a Kirkland, President-Elect Lisa Beasley, and Jill Dapremont, Registered Nurse and Secretary for the Shelby County Nominating Committee. Planning committee members Election Commission, remarked on the enormity of the from the LWV Memphis/Shelby include Vice-President event and the tremendous amount of work that it took Barbara Williams, Secretary Sherry Hewlett, and former to put all of it together. TNA’s Manager of Government President, Peg Watkins. Local news anchor, Greg Hurst of Affairs, Wilhelmina Davis, came to the Meet and Greet WREG-TV, news channel 3 announced all of the candidates showing her support and solidifying the importance as each one walked across the stage. The University of Memphis was very generous in their support by providing free parking for all who attended the event, and the Student Nurses Association at the Loewenberg College of Nursing (University of Memphis) also made a large contribution by arranging for the EOE/M/F/D/V ballroom. Other sponsors included the Steamfitters Union YOUR CAREER Now Hiring Nurse Local 614, the National Association of Health Services MATTERS. Instructors in Memphis, TN! Executives, Planned Parenthood of the Greater Memphis Full-time and part-time opportunities available! Region, the Germantown Democratic Club, Shelby County Current Tennessee RN license or willing to obtain, MSN, 4 years of recent clinical experience, Alumni Chapter Delta Sigma Theta, Lisa Beasley, Jill self-starter, excellent communication skills, sense of urgency and results oriented Dapremont, Carla Kirkland, and Peg Watkins. To learn more and apply, email resumes to [email protected] or TNA District 1 and the LWV Memphis/Shelby are visit www.concorde.edu/careers hoping to organize more events in this political season to highlight issues important to both organizations and bring Be part of life changing work. Join Concorde. awareness to the importance of voting. June, July, August 2018 Tennessee Nurse Page 13 ANA’s Case for Evidence-Based Nursing Staffing Essential for cost-effective, high-quality hospital-based care and patient safety

Registered nurse (RN) staffing makes a critical difference for patients and the quality of their care. ANA champions the role of direct-care nurses and nurse managers in working with their hospital leadership to define the best skill mix for each hospital unit, recognizing the role of nurses in managing each patient’s treatment plan and continuously assessing each patient’s health status. Our work demonstrates that patients, nurses, and health care systems thrive with appropriate and Nurse staffing models affect patient care, which also Well-managed hospitals/health systems continuously flexible nurse staffing. For hospitals to succeed, tools drives health care costs. Safe staffing affects a range of balance competing needs to keep organizations fiscally and processes must support evidence-based staffing hospital-based care issues, including: sound. decisions driven by nurses who understand the dynamic • Medical and medication errors nature of patient care. • Length of stay Legislated nurse-patient ratios versus flexible, ANA bases its advocacy on research. ANA • Patient mortality nurse-driven staffing commissioned a comprehensive evaluation of nurse • Readmissions Some organizations advocate for legislated nurse- staffing practices as they influence patient outcomes and • Preventable adverse events, including falls, pressure patient ratios, believing that strict ratios will ensure health care costs. A white paper, authored by consulting ulcers, health care-associated infections, and other patient safety. Based on our experience with unintended firm Avalere, evaluated a review of published literature, complications consequences, ANA does not support numeric, fixed government reports, and other publicly available sources, • Nurse injury, fatigue, and low retention ratios. In many cases, to meet these ratios, hospital along with information gathered from a series of panels administrators have eliminated other care team positions of nurse researchers, health care thought leaders, and Findings point to the importance and cost- and then shifted noncore patient care work to nurses. hospital managers. effectiveness of nurse staffing decisions that are based This leaves nurses overextended and distracted from To read ANA’s first staffing white paper Optimal on evidence rather than traditional formulas and grids. To their core responsibilities of continuously monitoring Nurse Staffing to Improve Quality of Care and Patient foster innovation and transparency in staffing models, it patient status and implementing clinical treatment plans. Outcomes, visit info.nursingworld.org/staffingwp. is essential to capture and disseminate outcomes-based best practices. Conclusion Key Findings ANA supports direct-care nurses and nurse managers Best practices consider many variables when Staffing and Cost Containment in working with hospital clinical and management teams determining the appropriate care team on each hospital Nurse salaries and benefits are among the largest to address pressures to control costs while providing unit: components of a hospital’s expenses and thus are an easy high-quality care in a safe environment. Outcomes-based • Patients: Ongoing assessment of patients’ target when balancing budgets. However, decisions to cut staffing models require partnerships between nurses conditions, their ability to communicate, their labor costs are sometimes shortsighted when the long- and hospital/health system leadership, including those in emotional or mental states, family dynamics, and term impacts on cost and patient care quality are not finance, operations, and clinical areas. Together, we can the amount of patient turnover (admission and considered. find pragmatic solutions to complex and pressing issues. discharges) on the unit Other variables to consider in addressing hospital- • Care teams: Each nurse’s experience, education, based care costs include: info.nursingworld.org/staffingwp and training; technological support and • High-tech devices and procedures requirements; and the skill mix of other care team • Prescribed drugs and other medicine members, including nurse aides, social workers, and • Clinician and system practice insurance transport and environmental specialists • Facility construction, renovation, and maintenance

• Information technology investments and upgrades

Sources of Retirement Income continued from page 3 • Home equity: If a home is completely paid for, a reverse mortgage may provide additional income, • Individual qualified plans: Include the traditional without giving up home ownership. Individual Retirement Account (IRA) and the Roth IRA. Contributions to a traditional IRA may About the Freeman Financial Group be deductible and earnings grow tax deferred. The Freeman Financial is an approved partner of Distributions from a traditional IRA are taxable to the Tennessee Nurses Association. As a benefit of the extent of deductible contributions and growth. membership in TNA, you can receive your personalized Contributions to a Roth IRA are never deductible • Commercial deferred annuities: Commercial, retirement income evaluation report at no charge. and earnings grow tax deferred. If certain deferred annuities are purchased from a life Focusing on your specific needs and goals, Freeman requirements are met, retirement distributions from insurance company and can provide tax-deferred Financial Group will develop a strategy that is as unique a Roth IRA are tax free.2 growth through a variety of investment choices. as you are. For help putting your financial world in order • Nonqualified retirement plans: An employer contact Jennifer Freeman at Freeman Financial Group may set up a plan, often in the form of a deferred Other Income Sources (615) 690-1313 or email [email protected]. compensation plan, which does not meet federal Other retirement income sources include the requirements to be considered “qualified.” Benefits are following: 1 The rules and regulations surrounding qualified plans generally taxable when received. Such plans are often • Immediate annuity: An “immediate” annuity is are complex. This discussion is intended to be only a used as a supplement to qualified retirement plans. purchased from a life insurance company, typically brief, general description. State or local law may vary. with a single, lump-sum payment. Within one year 2 The discussion here concerns federal income tax law; Individual Savings after purchase, the annuity begins to make regular, state or local tax law may vary. Individual savings and investments are the third periodic payments to the annuity owner. 3 “Full retirement age” is the age at which an individual primary source of retirement income. An individual • Continued employment: On either a full or part- is entitled to “full” Social Security retirement benefits can choose to accumulate funds using a wide range of time basis. Wage and salary income is usually -100% of an individual’s Primary Insurance Amount. investment vehicles. The appropriate type of investment taxable and before-full-retirement-age3 earnings Under current law, this age will vary from 65 to 67, will depend on a number of factors such as an individual’s above a certain level may affect the amount of depending on an individual’s year of birth. investment skill and experience, risk tolerance, tax Social Security retirement benefits received. bracket, and the number of years until retirement. Below are listed some of the more commonly used choices. • Savings accounts: Including regular savings accounts, money market funds and certificates of deposit (CDs) at banks, savings and loans and credit unions. • Common stock: May also include other forms of equity ownership such as preferred stock or convertible bonds. Stock can be owned directly, in a personal portfolio or indirectly through a mutual fund. • Bonds: Includes corporate, government or municipal bonds. Bonds can be directly owned in a personal portfolio or indirectly held in either a mutual fund or unit investment trust. • Real estate: Individually owned investment real estate or indirect investment through a real estate investment trust or limited partnership. • Precious metals: Such as gold or silver, in the form of coins, bullion or in the common stock of mining companies. Page 14 Tennessee Nurse June, July, August 2018 Project Serve Events TNF Board of Tennessee Nurses Association (TNA) is honored to District 3 sponsor Project Serve, a service dedicated to meeting the Kudos to Dr. Shondell Hickson, District 3 member needs of others. During the month of April, nurses across District 3’s global/community outreach service project Trust – Request Tennessee selected a service project to be the hands and in April brought tears to Dr. Shondell Hickson who is from feet of love and hope to those in our communities and Guyana and has family in this third world country. Shondell for Volunteers surrounding areas. coordinated a project to collect stethoscopes from Austin Peay State University faculty. All faculty responded with The Tennessee Nurses Foundation (TNF) is District 1 27 new stethoscopes purchased for Guyana nurses in a accepting nominations for Registered Nurses and TNA District 1 participated in, and was a sponsor Bachelor’s degree for Emergency Nursing. After the global non-nursing Community Members to fill upcoming for, Healthy Tennessee Health Fair & Food Distribution initiative presentation, Shondell volunteered to join the positions on the Foundation’s Board. Saturday, April 28, 10-2, organized by Dr. Manish Sethi. Vanderbilt partnership as a DNP nurse and faculty helping Potential candidates must have an interest in District 1 nurses helped with health screenings, blood with curriculum and skills for the Bachelor’s Degree in fulfilling the mission and goals of the organization pressure checks, and counseling patients on healthy Emergency nursing program developed by Vanderbilt which includes promoting the professional image of lifestyle choices. nurses, faculty, and doctors. She plans to travel with the nursing, supporting nursing education, facilitating Vanderbilt nurses to personally hand out stethoscopes she leadership development, encouraging nursing collected to the graduating seniors in Guyana in September. research, and supporting overall professional health Shondell has plans to develop an APSU study abroad and wellness. Interested Registered Nurses must program in which she can accompany nursing students to hold active membership in the Tennessee Nurses Guyana. Kudos to Dr. Shondell Hickson for giving back to Association (TNA). nursing and her birth country. The Board meets quarterly, and Board members serve on a volunteer basis. Any interested candidates should send a statement of intent and resume via email to [email protected] (Attn: Amy Hamlin)

Continuing Nursing Education Updates

Sharon T. Hinton DMin, MSN, RN-BC Nursing Professional Development Specialist Nurse Peer Review Leader & Administrator for CNE Tennessee Nurses Association

Volunteers Needed Further your professional education as a Continuing Nursing Education (CNE) Peer Reviewer. TNA has openings on the CNE Peer Review Committee for TNA members interested in learning how to evaluate continuing education activities. The training workshop will be held June 11, 2018, 12:30-4pm at The Tennessee Hospital Shondell Hickson received a member Association Office, 5201 Virginia Way, Brentwood, TN recognition award from TNA District 3. 37027. Registration includes contact hours and light snacks. Contact [email protected] for more information.

TNA Offers CNE Provider Unit Workshop All TNA CNE Provider Units and those interested in becoming CNE Provider Units are encouraged to attend the CNE Provider Unit Workshop on June 12, 2018, 8:30- 3:30pm at The Tennessee Hospital Association Office, 5201 Virginia Way, Brentwood, TN 37027. Guest speakers from ANCC will conduct the workshop. The revised TNA forms and report requirements will be reviewed. $30 registration includes contact hours and lunch. Bring your team and learn together! Three or more from the same organization registering at the same time will receive a $5 discounted fee. Questions? Contact [email protected] Register online at https://tna.societyconference.com/v2/

LtoR: Melanie Wesley, RN; Dr. Manish Sethi; Connie McCarter, RN; Carla Kirkland, RN; Diana Baker, RN Enhance the value of your Continuing Education offering!

Second from left: Shondell Hickson Summit it to the Tennessee Nurses Association

The Tennessee Nurses Association is an approved provider of continuing nursing education by the Mariah Salim, RN and Rep. Antonio South Carolina Nurses Association, an accredited Angela Courtney, RN Parkinson and Denise approver with distinction, by the American Nurses Thornton Orr, RN Credentialing Center’s Commission on Accreditation.

Mariah Salim, RN Visit the Continuing Education link at www.tnaonline.org for details June, July, August 2018 Tennessee Nurse Page 15 Ethical Telehealth Practice

Telehealth is becoming more and more prevalent and must also employ exceptional critical-thinking skills and clinical judgment. Telehealth nurses are involved across the continuum. In addition, is almost purely a cognitive function, where the nurse delivers care through nursing many patients want to use their devices as part of their behaviors like support, education, advice and shared decision making using reasoning, healthcare. If you are interested in technology and how it intuition or nursing perception. As with all patient care the nurse must factor in the can help patients especially with access and cost, then this patient’s education level and understanding language. might be a specialty for you. Simply defined, this is care at a Convenience, decreased hospitalizations, cost reduction, are all great goals, but the distance where the patient and the clinician are connected nurse must always remember that patient safety comes first. Knowing when to urge by some kind of technology. mHealth, part of telehealth, and how to persuade the patient to seek a face-to-face higher level of care is a key refers to care that is facilitated with a mobile device like a nursing practice in this specialty. Additionally, the drive for efficiency and convenience phone or tablet. Telehealth can be done from a desktop as may lead to policies or expectations that might cause conflict for the nurse when well. Care might include video, audio, or email appointments recommending that the patient go to the emergency department. As with regular face- and consultations, secure messaging, as well as remote Kate Payne, JD, to-face care there will continue to be issues with patients not following up or not doing monitoring equipment linked by computer. RN, NC-BC what is recommended, but the hope is that having this teleway of doing care will help Using technology to deliver healthcare has many motivate the patient to improve their adherence to the treatment plan because it’s advantages. People in remote and underserved locations can get access to expert more convenient and it’s facilitated through their preferred technology. Not all patients care and support. Remote or smaller facilities in need of specialists or certain types will be able to take advantage of telehealth due to access and cost of the technology. of patient care can access things like remote intensive care or “e-ICU.” It can also However, almost all patients have access to a phone that can text. Text messaging has help empower patients by allowing them to stay where they are comfortable, avoid also shown to improve communication, care, coordination, and compliance with the a long trip, and still get the care they need. Both patients and clinicians are freed treatment plan, as well as decrease costs. from in-person visits for routine follow-ups or simple cases in which the diagnosis Ethical practice in telehealth nursing must account for the bio-psycho-social- and treatment are clear. Such convenience may also help to lower healthcare costs spiritual-cultural needs of the patient while working to improve their health. This values and improve outcomes. Imagine being able to access your provider from your bed the patient as a whole person including their device. Because of the lack of face-to-face about your bad cold symptoms without having to struggle to get dressed and travel contact, telehealth nurses must be able to connect and form a relationship that enables to the office. the patient to trust in the advice offered by the nurse. Ethical actions are grounded in Telehealth is also evolving from episodic care to treatment for chronic and complex the patient’s best interests and trust. Nurses must prioritize these interests even if it health issues. A hospital or health system serves as a central access point to the full creates conflicts with policy or organizational priorities. Telehealth nurses must also continuum of care including specialists. Users, like patients as well as payers, can have practical knowledge and wisdom, as well as the ability to reflect on their own trust that they will get high-quality care and expertise, that is not stand-alone, but actions and motives to be able to make that full assessment without ever touching a incorporated within an existing health system. Patients’ existing records are reviewed, patient. Nurses have always been good at high touch in a high tech environment. This is and expert diagnoses and results can be rapidly shared with a patient’s primary care just another venue for that skill. provider and/or treating specialists. Telehealth platforms are also being used to improve patient safety. Emergency room patients can be connected directly to a References available upon request pharmacist to review their medications. This can help reduce discrepancies and instead of repeating their medication list to multiple staff members the pharmacist can assist directly. They can also conduct the consult in the same program where they verify, complete, and archive each patient’s case. The most obvious ethical concerns with telehealth relate to privacy and confidentiality of patient information, which has been brought into sharp focus recently with the news about Facebook and the lack of privacy. Consumers certainly have to be informed of the risks and can choose to participate or not. Still the same technology that allows for telehealth can also create safeguards. Technology vendors, app developers and integrated health systems are certainly moving in this direction. Other ethical concerns relate to the lack of face-to-face contact with patients and their families. This poses a challenge even for experienced nurses. Telehealth nurses must have exquisite listening and communication skills. They have to rely on the caller’s self- reported history and symptoms. The nurse must listen for verbal cues and through questions and conversation gain information about the visual, tactile, and olfactory input necessary to make a complete assessment. To verify the assessment, the nurse

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April Morrison, the door opened to work in a Neuro/Trauma Intensive the limits of my clinical competencies. Through the DNP, FNP-BC, CLC Care Unit. Working in intensive care came with its DNP program, I became equipped with not only clinical own set of challenges. Never did I imagine going from knowledge, but also increased ability to coordinate It came as a shock to my entertaining people with music, to helping sustain their complex patient care, strong leadership skills, and family and friends when they life during their most vulnerable moments. In some ways, expanded clinical horizons. learned of my college major. coordination of care within this setting reminded me of While in the DNP program, I discovered the art Having invested a great deal my former days as a musician. You see, within a band or of breastfeeding. Having never had children of my of time and money into music orchestra, each instrumental section is responsible for own, I found the beauty, complexity, and science of throughout my grade school learning a particular part separately, then join the whole breastfeeding to be quite fascinating. As a result, I years, most everyone assumed ensemble to create a beautiful melody. Similarly, I was completed the DNP Capstone research project on a that becoming a professional now responsible for learning and knowing my part as a breastfeeding topic. Through completing the project, my musician was the natural April Morrison nurse, coordinating patient care, being an advocate, and research committee members challenged me to become progression. In fact, I had music joining the healthcare team to create the beautiful art of the expert on the topic, so I became a Certified Lactation scholarships to four different colleges, two of which were medicine. Consultant (CLC). The project was completed successfully, full rides! Each piece of music was meticulously practiced, After four years as a critical care nurse, I decided but I desired to learn more about lactation. measure after measure, note after note, ensuring there to continue my education as an Advanced Practice Before graduation, my dream came true when a was perfection. I hungered to learn the next piece, Registered Nurse (APRN). As a natural extension of my Pediatric office offered me a position as their APRN and excited at the thought of rising to the challenge while critical care experience, I thought pursuing a career as a Lactation Consultant. To ensure I was fully equipped to connecting with the audience, but something was Certified Registered Nurse Anesthetist (CRNA) was the fulfill the role, I heeded the advice of my DNP committee missing. next logical step. To my surprise, I was accepted to the members and pursed the International Board Certified In the fall of 2005, I attended King College on a only school to which I applied. Excited at my fortune, Lactation Consultant certification (IBCLC). Today, I am volleyball scholarship with a major in nursing. This made I shared the good news with family and friends, only to excited to share my passion for patient care, lactation, little sense to my community of support. With no family retract my excitement three weeks later. As much as I and the art of nursing with families in my community. history of medical personnel, having no exposure to work loved critical care, my satisfaction was in the daily patient Looking back on this journey, there are many twists within the medical community, and no experience with interactions rather than technical skill. Again, my family and turns that seemingly make little sense. How does a chronic or acute illness, the task was intimidating. The was surprised when I informed them that I would be musician go from being a critical care nurse to a lactation first few semesters were difficult, but guidance from entering a Doctor of Nursing Practice (DNP) program on consultant in a pediatric office? I do not have the answer, faculty and staff spurred me to continue the journey. the Family Nurse Practitioner track. but what I do know is that each of us is on a journey to To augment clinical rotations, I participated in a nurse Beginning the DNP course work and clinical develop the art of nursing. Each of us is called to learn internship on a Medical-Surgical floor, refining bedside rotations, my mind went back to that first semester of their part well and be ready to play your role when the skills and increasing my critical thinking. undergraduate nursing school, eyes wide open, having time comes. Your individual adventure does not have to While in nursing school, I developed a passion for little knowledge of the unfamiliar patient care setting, fit the mold in order to contribute to the glorious melody intensive care and desire to work with children. Although and scared stiff. The DNP-FNP program was almost a of patient care. Remain hungry to learn while pursuing the opportunity to work with Pediatrics never transpired, complete departure from my comfort zone and expanded challenging opportunities and you never know where the road may lead. Welcome New & Reinstated Members

District 1 Khan, Sandra Kovach, Heather Lee, Michael Lowe, Tausha Hull, Deborah King, Mary Lipscomb, Brenda McColpin, Rebecca Adkins, Tynika Baker, Vanessa Black, Dee Monday, Malinda Munsey, Brenda Muzyngo, Alexandra Sara Overstreet, Cindy Rima Blakney, Ashley Bolden Neal, Veronica Boyd, Toni Perrignon, Jordan Rolen, John Scates, Jr., Kimberly Bueltemann, Ebony Bumphis, Rachel Byrd, Leeann Shelton, Christina Shuey, Vicki Sickau, Kathlene Smith, District 5 Carmicahel, Elisabeth Cohoon, Ashanti Coleman, Angela Alice Stuart, Susan Toberman, Tawayne Tucker, Sydney Everett Baker, Travis Barner, Lori Bearup, Kara Courtney, Jenny Currington, Avery Dale, Melinda Evans, Whaley, Lesli Wright Brockwell, Kelley Buell, Robin Campbell, Roselee Cathey, Chante Fason, Kristin Fitchpatric, Marybeth Floyd, Suzie Terri Christian, Clayton Chroust, Michael Ciccarone, Glass, Margo Gordon, Helen Hoang, Lolita Horton, District 3 Judith Day, Susan Fannon, Linda Foretia Epse Asongayi, Gabrielle Jackson, Marianne Kirk, Kimberly Lewis, Christy Barbara Ball, Azmera Belay, Kristen Bertrand, Betsy Amanda Grindstaff, Brandi Haynes, Pamela Honeycutt, Matlock, Melanie Mays, Kimberly McGlothan, Ashley Bond, Linda Bonifield, Leslie Brietenmoser, Sonya Carter, Teresa Ignace, Jim Isabella, Christy Johnson, Laura Jones, McTyre, Marliatou Mohammad, Emma Murray, Norma Annie Cole-Bradley, Stephanie Davis, Kristina Doyle, Sudha Kumar, Tenecia Lancaster, Robert Land, Kimberly Oliver, Robert Parker, Vickie Pitman, Victoria Rogers, Raychel Enck, Bernita Gillette-Corsi, Jessica Hammack, Lilley, Carrie Lingerfelt, Dru Malcolm, Greta Marek, Shelly Spence, Autumn Spikes, Zabrina Thurman, Tasha Sarah Hayden, Katie Heebner, Sherry Hemby, Dottie Sheri McRae, Samuel Mitchell, Donna Mooney, Victoria Wilson, Lynn Wynn Hiatt, Laura Holzapfel, Holly Judge, Caitlin Kelley, Kerrin Pope, Lauren Rogers, April Shell, Becky Shelton, Jessica Kunze, Mai-Ling Lam, Jennifer Le, Tamara Legge, Patricia Stapleton, Jasmine Treadway, Karen Valk, District 2 Mansfield, Jennifer Massie, Marie Mattei-Weiland, Sherry Jessica Atchley, Juliana Bailey, Amanda Bell, Edy Murray, Pam Nelson, Eric Porterfield, Geri Reeves, Sheri District 6 Cerone, Stephanie Conder, Carissa Cooper, Arika Couch, Robertson, Karen Runyon-Delice, James Scales, Jennifer Karen Emison, Colton Gramse, Brittany Hart, Tayler Karen Culpepper, Bridget Daniels, Summer Delius, Melissa Scanlon, Patricia Scott, Chelsea Shay, Judson Smith, Johnston, Felicia Landrum, Damon Mays, Jordan Page, Foster, Hugh Friar, Pamela Gavin, Katelyn Gillooly, Farideh Tara Smotherman, Beth Strickland, Debra Summers, Hannah Shaw, Emily Swalm-Sommers, Krystal Turner, Golembiewski, Renee Hamilton, Hayley Hillard, Cindy Hailey Thomas, Patricia Thurman, Susanna Trabue, Dawn Grant Ulmer Hutson, Susan Johnson, Tammy Johnson-Janow, Sadia Vanderhoef, Shelby Vanfleet, Stacy Wallace, Rebecca Walton, Aaron Wiek, Samira Yusuf, Xiaoxiao Zhang District 8 Brandie Crawford, Nancy Lord Memphis VA Medical Center District 4 has exciting career opportunities available for Lisa Cahill, Brittany Carmon, Ann Ford, Shelia Green, District 9 Registered Nurses & Nurse Practitioners Martina Harris, Tara Henderson, Rebecca Hergert, Leslie Wendy Bottomley, Theresa Farlow, Michelle Jackson, Misty Knowles, Lisa McGraw, Charles Olsen, Shauna Wiley We invite you to join our team, where every day Samuel We Proudly Serve Our Nation’s Heroes! District 10 Michele Ellert, Jessica Johnson, Mary Radford, Vik Williams

District 12 YOUR SOURCE FOR Anna Curtis, Bonnie Miller

JOBS IN TENNESSEE District 15 Raina Eldridge, Vicky England, Jeannie Giese, Sammie For more information, contact: Angelique Graham, Nurse Recruiter, 901.523.8990; (OR ANYWHERE) Mosier, Erin Rains, Auna Searcy, Lisa Smallwood, Ralph by email at [email protected]; or, apply online at www.USAJobs.gov E.O.E Stewart June, July, August 2018 Tennessee Nurse Page 17 Member News

Andrew “AJ” Donadio is the Vice President of TNA’s District 9 (Upper Cumberland). He is The Murray State University Sharon Adkins has been running for County Commission Alumni Association honored reappointed to the Tennessee in Putnam County District 7 Florence Jones as one of four Healthcare Hall of Fame and won the primary moving alumni awarded the 2018 selection committee for the on to the general election to Distinguished Alumni Award next three years. be held August 2. Dr. Donadio in a ceremony held April 27 at is an Assistant Professor at the Murray Room of the CFSB Cumberland University where he Center. has been working since retiring Sharon Adkins, from the Navy Nurse Corps after A.J. Donadio, 24 years of active service. Florence Jones, MSN, RN DNP, RN-BC, CNE DNP, RN, TNA District 3 TNA District 9 NEA-BC, FACHE TNA District 1

Washington, D.C., May 2, 2018-- The American Academy of Nursing designated Nan During the University of Gaylord as an Academy Tennessee, Knoxville, College Edge Runner for her model, of Nursing’s commencement, Interprofessional Practice at the Sandra Thomas was recently Mary Lynn Brown received the Vine School Health Center: A honored with the Melva Jo Excellence in Teaching Award. School-Based Nurse-Managed Hendrix Lectureship Award Clinic (VSHC). The Academy’s from the International Society Raise the Voice Edge Runner of Psychiatric-Mental Health initiative recognizes nurse- Nurses. designed models of care Mary Lynn Brown, Nan Gaylord, PhD, that improve quality, impact Sandra Thomas, PhD, RN, ACNS, RN, CPNP-PC, cost, and enhance patient PhD, RN, FAAN CNE, CHSE PMHS, FAANP, TNA District 2 TNA District 2 satisfaction. FAAN TNA District 2

Dr. Mary Bess Griffith has been hired as the dean of the Rudy School of Nursing and Raven Wentworth was Deb Chyka received Health Professions at Cumberland awarded tenure and promoted the Daisy Award from the University. She will take over the to associate professor of nursing University of Tennessee, post in mid-summer. at Freed-Hardeman University in Knoxville College of Nursing Currently, Dr. Griffith is Henderson, TN. Congratulations during their commencement director of the department Raven! ceremony. of nursing and an associate professor at Bethel University in McKenzie, Tenn. Her educational Raven Wentworth, background includes a doctorate DN P, A PR N in nursing from the University Mary Bess Griffith, Deb Chyka, DNP, PhD(c), RN, CS, TNA District 6 of Tennessee at Knoxville as MSN, RN F N P, C N E TNA District 2 well as a Bachelor of Science in TNA District 10 Nursing and a Master of Science in Nursing from the University of Tennessee Center for the Health Sciences at Memphis. The Treasurer of the Tennessee Nurses Association, Dr. Griffith is a certified nurse educator, certificate holder in simulation, and is a certificated nurse practitioner. Congratulations to Chris White on his promotion to associate professor of nursing at Freed-Hardeman University in Henderson, TN. Dr. White was awarded tenure in 2017 and is Chair of the Nursing Department. Chris White, EdD, MSN, RN TNA District 6

Lin Zhan, Dean and Professor of the Loewenberg College of Nursing, University of Memphis, has been appointed to serve on the LeBonheur National Leadership Council. The National Leadership Council is designed to be a think tank with individuals from all walks of life and from many parts of the country, and to Lin Zhan, PhD, support LeBonheur in making RN, FAAN a difference in the lives of TNA District 1 children. Page 18 Tennessee Nurse June, July, August 2018 Benefits of Membership As the TNA Director of Membership, I spend a lot of time Tennessee Nurses talking to other Registered Nurses (RNs) about the Tennessee Nurses Association (TNA). The conversations start by asking, “Are you a member of TNA?” Sometimes nurses think they are members because they receive the Tennessee Nurse, Tennessee Nurses Foundation  Contribution Form actually all RNs in the state receive the newspaper as a free benefit. If the answer is no, I ask what stands in the way of becoming a member. Some nurses do not know membership Honor A Nurse dues can be paid monthly by automatic bank draft. This is The Tennessee Nurses Foundation (TNF) welcomes you to publicly recognize a nurse. With your $50 tax-deductible donation to how I have paid my dues for more than twenty years, and I do TNF, your honored nurse’s name will appear in the Tennessee Nurse,(mailed to over 90,000 RNs), as well as in the designated “Honor A Nurse” section of the Tennessee Nurses Association’s (TNA) website at www.tnaonline.org. A photo and brief paragraph not even think about it. Whatever the reason there is a way may also be submitted to further recognize your honored nurse. to make membership a reality. Allyson Neal, DNP, Make a statewide commitment to honor a special nurse that: Recently I have been asking TNA members why they are APRN, PMHNP- members? Often, I hear reasons such as “It is the professional BC, CNS-BC,  won an award  is a nurse family member  is a friend, or a colleague  is retiring  is dedicated to nursing and to patients  is in memoriam organization of RNs,” “It is practice protection,” “It is my CPNP, Director of  received a promotion  has a special event or occasion coming up  is in celebration of Nurses Week voice for the promotion of health” all of which are great Membership Patients and patient’s family members: reasons. Recently I had the pleasure of experiencing another  Honor A Nurse that truly made a difference in their care, or the care of a family member. benefit of TNA. Last year I was paired up in a mentor relationship with a senior nursing student. I thought it would be a good way to give back and to make sure at least one Your $50 donation will go toward continued support of the TNF and their work pertaining to scholarships, and grants that support student would see we really do not eat our young. I do think it is a good way to give the needs of nurses in Tennessee. TNF is a nonprofit, 501(c)(3) organization. Donations are tax-deductible to the fullest extent back and to usher a new nurse into the profession and I also know it was so much more allowed by law and support the mission of TNF. for me. My mentee and I talked on the phone, emailed, and text messaged on a regular DONOR INFORMATION basis. He told me about upcoming assignments, tests, and clinical check offs. We talked Donor Name: Email Address: about the importance of good nutrition, sleep, and exercise especially when we are Address: (Street) (City) (State) (Zip) stressed. I looked forward to our talks, I found myself feeling nervous on days he had tests, and I celebrated his successes with him. The time commitment was minimal and Phone Number: (Home) (Work) the rewards were numerous, it made me very excited about nursing once again. I was PAYMENT INFORMATION Authorized Payment Amount: $ honored to receive a graduation announcement with a hand-written note, thanking me (Minimum $50 donation for each nurse honored) for the support and encouragement and he promised to keep in touch.  Check payable to TNF is enclosed Yes, there are many benefits of being a member of TNA. I have always valued what  MasterCard/Visa/American Express/Discover TNA stands for, the protection of my title, the voice of nursing, and the promotion Card Number Exp. Date:____/____ Code: of health for the citizens of Tennessee. Now I also recognize the benefit of being in a Cardholder Name Address (Please Print) mentoring relationship with a nursing student, the rewards were not only for the City______State______Zip__ student but for me as well. I encourage each of you to embrace two activities that will HONORED NURSE INFORMATION move our profession forward, explore being a mentor and ask every nurse you come • Honoree’s Name & Credentials: into contact with if they are a member of TNA and if not encourage them to join, what a • Choose which quarter you would like the honored nurse listed in the Tennessee Nurse publication and the TNA website, great way to give back to our profession. (choose only one quarter for both listings) Winter Spring Summer Fall

• Comments regarding the Honored Nurse:

Government Affairs continued from page 9 • Include photo of Honored Nurse (if available) with contribution form or email to [email protected]. Photo requirements: digital photo that has been taken at a high resolution of 300 dpi (which equates into setting the digital camera to take the largest file contain the ICD-10 code for the primary disease documented in the patient’s chart size possible) or an actual commercially printed photograph, (we cannot accept photographs that have been printed on a desktop and the word “exempt” and otherwise revises the exemptions, as follows: (A) removes printer) the reference to “malignant pain” in regard to those patients undergoing active or • Send notification of gift to: palliative cancer treatment or hospice care; (B) adds an exception for the treatment of (Name) (Street) (City) (State) (Zip) patients with a diagnosis of sickle cell disease and for prescriptions issued by healthcare SUBMIT COMPLETED FORM TO: TNF  545 Mainstream Dr., Ste. 405  Nashville, TN 37228  Fax: 615-254-0303  Phone: 615-254-0350 practitioners who are treating patients in an outpatient setting of a hospital exempt from the pain management provisions of present law that holds itself out to the public as a pain management clinic; (C) adds an exception for the treatment of patients who neuroendovascular treatment. Authorizes the board to remove reference to facility’s have been treated with an opioid daily for 90 days or more during the 365 days prior to stroke-related designation if a hospital does not comply with board established April 15, 2018, or those who are subsequently treated for 90 days or more under one procedures. Establishes guidelines for pre-hospital assessment, treatment, education, of the exceptions in this bill; and (D) adds an exception for the treatment of a patient and transport of patients. who has suffered a severe burn or major physical trauma, and sound medical judgment Senate amendment 1 clarifies that the emergency medical services board’s would determine the risk of adverse effects from the pain exceeds the risk of the rules establishing protocol guidelines for evidence-based pre-hospital assessment, development of a substance use disorder or overdose event; and treatment, education, and transport of stroke patients will apply to “emergency medical (8) adds that the general assembly finds that patient access to information about providers” instead of “emergency medical responders.” controlled substances is crucial to combating the deadly opioid epidemic in this state and SB2674 Bailey/HB2348 Williams -- Prescribing of opioids to non-pregnant women that any obstacle to patients’ receiving information about controlled substances is a serious of child-bearing age. – As amended and passed, prior to prescribing more than a three- threat to public health. Any agreement purporting to limit the ability of a pharmacist day supply of an opioid or an opioid dosage that exceeds a total of a 180 morphine to discuss any issue related to the dispensing of a controlled substance with a patient is milligram equivalent dose to a woman of childbearing age, to: (1) Advise the patient contrary to the public policy of this state and is void and unenforceable. This includes, but of the risk associated with opioid use during pregnancy; (2) Counsel the patient on is not limited to, information about the risks, effects, and characteristics of the controlled appropriate and effective forms of birth control; and (3) Offer information about substance; what to expect when taking the controlled substance and how the controlled the availability of free or reduced cost birth control to the patient. This amendment substance should be used; reasonable alternatives to the prescribed controlled substance; defines “a woman of childbearing age” to mean any woman between the ages of 15 and any applicable cost sharing for a controlled substance or any amount an individual and 44. This amendment will not apply if: (1) The prescriber has previously taken all would pay for a controlled substance if that individual were paying cash. actions required by item (1) above with respect to the patient within the past three SB2361 Hensley/HB2220 Sexton C -- Report on the implementation of the months; or (2) The prescriber reasonably believes that the patient is not capable of Tennessee Prescription Safety Act of 2016. – Amended and passed, this bill authorizes becoming pregnant. If the patient is under 18 years of age, the physician may satisfy a pharmaceutical manufacturer or its representatives to engage in truthful promotion this amendment by advising, counseling, and providing information to the parent of off-label uses. or guardian instead of the patient. This provision does not prohibit a physician from advising, counseling, and providing information directly to the patient if not otherwise SB2405 Kyle/HB2606 Hardaway -- Requires department of children’s services to prohibited by law. This amendment requires the department of health to develop and develop instruction guidelines for child safety programs. publish guidance to assist prescribers of opioids in complying with the requirements Requires the Department of Children’s Services (DCS) to develop instructional of this amendment. Under present law, it is a Class D felony for any person to fail to guidelines for child safety training programs for members of professions that frequently provide any notification required under any regulations regarding controlled substances deal with children who may be at risk of abuse no later than January 1, 2019. Requires DCS or the Tennessee Drug Control Act. This amendment specifies that a physician who fails to work with any licensing board that creates a child safety training program to ensure the to provide the above information will not be guilty of a felony and will only be subject program accurately reflects best practices for identifying and reporting child abuse. to a civil penalty assessed by the physician’s licensing board, and only in cases involving a pattern of willful failure to comply. SB2413 Kyle/HB2448 Thompson -- Study on hepatitis C screening as a mandated health insurance benefit. Requires the commissioner of commerce and insurance to Now that the business of the 110th general assembly has concluded, legislators have study issues concerning the inclusion of screening for the hepatitis C virus as a part returned to their home districts and it’s time to begin the work of campaigning and of preventive services or as a mandated health insurance benefit for health insurance making ready for the August primary and November general elections. As a reminder, entities. Studies the benefits and costs of broad based targeted screening for the this year 18 Senate seats and all 99 seats of the House will be up for election, as well hepatitis C virus. Requires the commissioner to report to the Health committee of the as those who are seeking to become Tennessee’s next Governor. TNA continues to House of Representatives and the Health and Welfare Committee of the senate on or encourage members to become more involved with the legislative process, as well as before January 15, 2019. make plans to reach out to their local legislators. It is vital that nurses let their voices be heard across the state, after all, nurses in Tennessee are one of the largest voting SB2513 Ketron/HB2167 Ramsey -- Recognition of hospitals with stroke-related groups in the state. designations. Requires the board for licensing health care facilities to establish a procedure for As you begin to make plans for the summer and fall, please be mindful of the 2018 recognizing hospitals that have stroke-related designations. Recognizes a hospital as a TNA/TSNA Joint Conference, October 26-28, at the Embassy Suites in Murfreesboro. stroke-related designation if the hospital has an active certification as a comprehensive This year’s theme “The Year of Advocacy – Nurses – Inspire-Innovate-Influence – stroke center, primary stroke center, at acute stroke-ready hospital capable of providing Bedside and Beyond.” Online registration available now. Hope to see you there! June, July, August 2018 Tennessee Nurse Page 19

Foundation Invest in your practice, your patients, and your career. Many members will tell you they are where they are today because of their relationship with TNA and its’ members! Join the TNA and ANA Network Today!

Tennessee Nurses Association Membership Application 545 Mainstream Drive, Suite 405 • Nashville, TN 37228-1296 • Phone: 615-254-0350 • Fax: 615-254-0303 Please type or print clearly. Please mail your completed application with payment to TNA, 545 Mainstream Drive, Suite 405, Nashville, TN 37228-1296

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ANA/TNA Full Membership Dues ANA/TNA Reduced Membership Dues ANA/TNA Special Membership Dues TNA Individual Membership Dues Employed full or part-time $24.67 per month or Newly-licensed graduates (first 2 years), not 62+ and not employed, or totally disabled. $6.54 Any licensed registered nurse living and/or $290.00 annually. Includes membership in and employed, RNs who are full-time students, or age per month or $72.50 annually. Includes working in Tennessee. $17.09 per month or benefits of the American Nurses Association, 62+ and not earning more than Social Security membership in and benefits of the American $199.00 annually. Includes membership in and Tennessee Nurses Association and the TNA allows. $12.59 per month or $145 annually. Nurses Association, Tennessee Nurses benefits of the Tennessee Nurses Association District Association. Includes membership in and benefits of the Association and the TNA District Association. and the TNA District Association. American Nurses Association, Tennessee Nurses Association and the TNA District Association. American Nurses Association Direct Membership is also available. For more information, visit www.nursingworld.org. Communications Consent I understand that by providing my mailing address, email address, telephone number and/or fax numbers, I consent to receive communications sent by or on behalf of the Tennessee Nurses Association (and its subsidiaries and affiliates, including its Foundation, Districts and Political Action Committee) via regular mail, email, telephone, and/or fax.

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TO BE COMPLETED BY TNA STAFF State: District: Expiration Month: Year: Membership Status: Membership Type: Bill Method:  1. New  1. Full (100%)  1. A Amount Enclosed:  2. Renewal  2. Reduced (50%)  2. EFT Amount Discounted:  3. Reinstated  3. Special (25%)  3. CCM Approved By: SUMMER  4. TNA Individual  4. PD Today’s Date: DUES PAYMENT OPTIONS (please choose one) SIGNATURE REQUIRED BELOW Automatic Monthly Payment Options  Annual Payment  Payroll Deduction This is to authorize monthly electronic payments to Make check payable to TNA or fill out credit card information This payment plan is available only where American Nurses Association, Inc. (ANA). By signing on the below. there is an agreement between your line, I authorize TNA/ANA to withdraw 1/12 of my annual employer and the association to make Dues...... $ dues and any additional service fees from my account. such deduction. Optional TNPAC Contribution...... $ PARTICIPATING AGENCIES VA - Nashville, Memphis, Mountain Home, TN Nurses Foundation (TNF) Contribution.... $ Automatic Monthly Payment Authorization Signature Murfreesboro Total Dues and Contributions...... $ Regional Medical Center - Memphis By signing the Automatic Monthly Payment Authorization you are authorizing ANA to change the amount by giving the undersigned thirty (30) days advance written notice. Undersigned may cancel Signature for Payroll Deduction this authorization upon receipt by ANA of written notification of  Charge to My Credit/Debit Card termination twenty (20) days prior to deduction date designated below. Membership will continue unless this notification is  VISA  American Express  Authorization to Bill My Employer received. ANA will charge a $5.00 fee for any returned drafts or  MasterCard  Discover Number Company CHECKING ACCOUNT: Please enclose a check for the first month’s payment, which will be drafted on or after the Exp. date Do you work at the VA? Contact Person 15th day of each month using the account designated by Signature the enclosed check. Join TNA today for only Street or PO Box CREDIT/DEBIT CARD: Please complete the credit $11.15 a pay period. card information at right and this credit card will City State Zip be debited on or after the 1st of each month (VISA and (Many employers pay professional dues. TNA’s educational MasterCard Only on monthly draft plan). Check Payroll Deduction on the lower right-hand side of programs alone justify it. Ask your employer.) the TNA Membership application. A TNA staff member will send you a payroll deduction form to take to the VA payroll department to setup your TNA membership dues plan. It’s that simple. You will never miss $11.15 from your paycheck and you will have gained so much in return. If you have any questions, call 615-254-0350. A Higher Degree

TNA also has Payroll Deduction Dues plans set up at the: of Care Regional Medical Center – Memphis • Bachelor of Science in Nursing @ $12.08 per pay period • Accelerated BSN for Second-Degree Students • RN to BSN • Associate degree to BSN dual degree • LPN to BSN • Master of Science in Nursing • Post-Master’s Certificates • PhD in Nursing • Doctor of Nursing Practice (BSN or MSN to DNP) • Post-Doctoral Certificates • Professional Development Programs

Many graduate and undergraduate programs are available online. ETSU.edu/nursing 888-37-NURSE Bradford Health Services

About Bradford Health Services has been helping Tennessee nurses heal for decades. Bradford’s Healthcare Professional’s program is designed to help nurses and other medical professionals resolve issues surrounding their chemical dependency and the unique difficulties faced when reentering practice. Approach

Bradford’s innovative approach includes these key program components • Multi-disciplinary Evaluation • Relapse Prevention Therapy • Desensitization Group • Trauma Recovery Group • Grief and Loss Group • Adventure-Based Therapy

The program addresses • realities of the work place • demands and pressures that contribute to stress • burn out • depression Preparing Leaders. Promoting Health. • alcohol and drug abuse For over 50 years, LCON has been committed to the preparation of nursing professionals who share a common goal of promoting health of the global community. The goal is patient recovery and the successful Ranked #15 on U.S. News & World Report, Best Online Master’s in Nursing Programs return to professional practice. Assistant/Associate Professor For confidential help call us at 1-800-333-1865 The Loewenberg College of Nursing invites applications for a 9-month, tenure-track position as Assistant/Associate Professor. The following minimum qualifications are desired: or visit us at www.bradfordhealth.com

• Earned PhD or Doctorate in nursing or related field from an accredited school; eligible if near completion of a doctoral degree study; • Tenure-track positions require a research doctorate in nursing or a related field, with a record of funded research or demonstrated potential for developing a program of research; • Preference given for individuals with established programs of research and publications, as well as, clinical Excellent expertise in the areas of Health Equity, Adult Health, Mental Health, Acute Care, Gerontology, Community Health and/or APRN; • Previous teaching experience at graduate program level preferred; Nursing Career • Two (2) years of full-time, or equivalent, clinical experience as a practicing registered nurse and/or teaching expertise in mental health, acute care or FNP; Opportunities • A current, unrestricted RN licensure in the State of Tennessee and/or eligibility for licensure in Tennessee.

Review of applications will begin immediately and will remain open until the position is filled. Rank, Available in our tenure, and salary are competitive and commensurate with professional background and experience. The University of Memphis is an Equal Opportunity/Affirmative Action Employer. Appointment will be Kingsport, TN based on qualifications as they relate to position requirements without regard to race, color, national origin, sex, age, disability, or veteran status. Hospital For more information and to apply, visit our website at https://workforum.memphis.edu/postings/16497. Opening Fall of 2018 Employee Focused Benefits • Sign on Bonus Available for Qualified Applicants • New Integrated Orientation and On-boarding Process • Clinical Ladder for Career Development • Experienced Peers and Coworkers • 12 Hour Shifts

Looking for the Best and the Brightest • Patient Focused Nurses • Nurses That Understand Mental Health Issues and Physical Health Conditions in Patients • Nurses that are Critical Thinkers • Nurses that are Solution Oriented • Nurses that Participate in the Team Approach

Creekside Behavioral Health Email direct inquiries to [email protected] Apply online at: www.creeksidebh.com