Nursing in the Newborn Intensive Care Unit: a CHALLENGING and REWARDING CAREER
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Volume 23 • Number 4 / Fall 2006 ■ Changes in Uniform ■ NURSING IN THE ■ Nursing Faculty Licensing Law: NEWBORN INTENSIVE Shortage: A View Implications for Nursing CARE UNIT of Nebraska NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM Nursing Faculty Demographics DEPARTMENT OF SERVICES • DEPARTMENT OF REGULATION O FFICIAL P UBLICATION OF THE N EBRASKA AND LICENSURE • DEPARTMENT OF FINANCE AND SUPPORT B OARD OF N URSING When it’s time forfor youyou to make your move, Where will youyou go?go? s it a whisper? Or do you hear the sound of confidence – of a person driven to make their mark. ITo leave a legacy. These are the professionals of BryanLGH Medical Center – a group of industry leaders who share the belief that outstanding patient care starts with professionals who accept nothing less; of themselves, of their peers, of their resources. If your inner voice is telling you you are capable of more, you’re ready for a career with BryanLGH Medical Center. • Neurosciences/PCU • Clinical Nurse Specialist High-Risk Labor and Delivery Find out more about our industry-renowned comprehensive nursing orientation program, continuing education opportunities and a wealth of additional benefits designed to provide you with the resources you need to be able to focus on what’s really important — your patients. For information on career opportunities, or to apply, please visit our website at: www.bryanlgh.org. Surround Yourself With Excellence Lincoln, Nebraska Equal Opportunity Employer. FALL 2006 PUBLISHED BY THE NEBRASKA BOARD OF NURSING Nebraska Nursing News is published quarterly by the Nebraska Board of Nursing 301 Centennial Mall South contents Lincoln, NE68509 fall2006 402.471.4376 • fax 402.471.1066 http://www.hhss.ne.gov/crl/nursing/ Nursingindex.htm ADA/EOE/AA features 2005 Nebraska State Board of Nursing NURSE ROLE WITH UNLICENSED 7 PERSONNEL IN THE PHYSICIAN’S OFFICE Joyce Bunger, BA Mary Bunger, RN, BSN Julie Brauer, RN, BSN An Overview of Enrollment and Marcy Echternacht, RN, MSN Graduation Trends in Nebraska Nursing Nancy Gondringer, RN, MA, CRNA 11 Crystal Higgins, RN, MS Education Programs Deanna Lloyd, LPN Sandra Mann, MS Mary Megel, RN, PhD NURSING IN THE NEWBORN Dawn Nickel, LPN INTENSIVE CARE UNIT: A Challenging Jacqueline Ross, RN, BSN 13 Lori Smith, RN, BSN and Rewarding Career Changes in Uniform Licensing Law: Nursing and Nursing Support 16 Implications for Nursing Professional Staff Charlene Kelly, RN, PhD Executive Director New Licensure for the Clinical Nurse Sheila Exstrom, RN, PhD 21 Specialist Nursing Education Consultant Karen Bowen, RN, MS Nursing Practice Consultant Nebraska Center for Nursing Ruth Schuldt, RN, BS Compliance Monitor 25 Overview of Current Activities Nancy Holmgren, RN, BSN Nurse Aide and Medication Aide Program Manager NURSING FACULTY SHORTAGE: 22 A View of Nebraska Nursing Faculty CREATED BY: Demographics Virginia Robertson, President [email protected] departments Publishing Concepts, Inc. 14109 Taylor Loop Road Little Rock, AR 72223 4 Executive Director’s Message 5 President’s Message 6 Board Meeting Schedule 17 Licensure Actions 22 Advisory Opinion FOR ADVERTISING 26 Registry Action on Nurse & Medication Aides INFORMATION: 28 Nebraska Nursing History Kristen Hudson 30 Practice FAQs [email protected] 501.221.9986 • 800.561.4686 30 For More Information edition 10 on the Alice Osborn, RN and Nicole Shoemaker, student from Clarkson College, with infant in the NICU at Creighton COVER University Medical Center. www.thinkaboutitnursing.com NEBRASKA NURSING NEWS 3 EXECUTIVE DIRECTOR’S MESSAGE Executive Director’s Message Each year the music and violence on TV and in the movies. This generation Credentialing Division of is techno savvy, culturally diverse, independent, entrepreneur- the Department of ial, likes unstructured living, wants their own space, sexual Regulation and Licensure openness and defiance of authority. sponsors an All Board Finally, the Millennium generation is influenced by the fall Members Meeting. This all-day event is an of the Berlin wall, expansion of technology, the roller coaster annual training session for members of economy, latch key kids, Columbine and guns in schools, boards from all of the health professions. This year’s topic was death keel to Social Security, multi-million dollar salaries, nat- Discipline: Past and Present. Much interesting information ural disasters, continued acceptance of drugs and violence, hip was presented throughout the day. One of the most enlighten- hop, women as leaders and 9/11. This group are independent ing presentations was by the keynote speaker, Donna Mooney. thinkers, independent spenders, cyber literate, lack social Ms. Mooney is a long-standing staff member of the North graces and skills, are health conscious and globally concerned Carolina Board of Nursing. Her topic was generational issues. but locally apathetic. She focused on the effect generational issues have on the disci- This may all seem over simplified, but when you analyze pline process, but her comments are applicable to interaction behaviors and interaction between generations it all starts to between the generations at work, in the social setting and in make sense. Examples given included approaches to requesting the family. time off, expectations for compensation, retention and recog- We currently have members of four generations in the nition issues and assignments and work settings. In many employment setting. Generations are defined by the individ- work settings we have Baby Boomers as the decision makers ual’s date of birth. Traits of the generations result from influ- for workers from Generation X and the Millennium genera- ences of world events that have occurred during the person’s tion. Learning to communicate between the generations and lifetime. understand what is important to each of us is a difficult task, The current generations are: but one that must done. Traditionalists – born between 1922 and 1943 From the regulatory perspective, public protection does not Baby Boomers – born between 1943 and 1960 lend itself to creativity in fashioning outcomes/sanctions. Generation X – born between 1960 and 1980 Regulations are rules that all professionals are expected to live Millennium – born between 1980 and 2000 by. Applying those rules to generations of independent Tradtionalists are influenced by the Great Depression, the thinkers who defy authority is a real challenge. It is no wonder New Deal, World War II, the GI Bill and the birth of Social that the regulators who enforce the laws and the young work- Security. Their traits include patriotism, loyalty, fiscal conser- ers who are not used to living with strict rules are frustrated. vatism, faith in institutions, paternalistic and a strong family This is not an issue that will go away. New generations will structure. Most traditionalists were raised with a stay-at-home continue to develop and be in conflict with the generations mother. preceding them. This has always happened, but as the world Baby Boomers are influenced by the booming birthrate at moves and develops faster and faster the generations change the time they were born, economic prosperity, expansion to more rapidly. Where historically a generation may have lasted the suburbs, Vietnam, Watergate, Civil Rights Movement, the 100 years or longer, the generations now change about every Kennedy Years, Woodstock and Haight-Ashbury. Their traits 20 years, resulting in the convergence of very different-think- include being the “me” generation, flower children, lack of dis- ing people living and working together. cipline, idealism, conspicuous consumption, questioning As a Baby Boomer I welcome the fresh thinking and cre- authority and women’s lib. ativity of the Generation X’ers and the Millenniums. You keep Generation X is influenced by Sesame Street, MTV, TV, us thinking and asking questions and you keep us young. divorce, end of the Cold War, acceptance of drug use, advent of computers, birth of 401 K’s, acceptance of women in the workplace, AIDS, crack cocaine and other street drugs, rap Charlene Kelly 4 NEBRASKA NURSING NEWS PRESIDENT’S MESSAGE President’s Message Criminal background criminal mistreatment of children or vulnerable adults, checks are required by exploitation of vulnerable individuals federal law for childcare b. There be a time-limited licensure bar for other serious workers. These checks are also crimes—drug trafficking, embezzlement, theft, arson required in several states for employment c. There be a case-by-case licensure bar to lesser offenses as teachers, park and recreation service 5. Consider mitigating and aggravating circumstances that workers, bankers, weapon dealers, and bur- may have a bearing on prior criminal conduct glar alarm company workers. Criminal 6. Reserve the privilege to waive either the time-limited or background checks are commonly required for nursing students permanent licensure bars if extraordinary circumstances war- prior to beginning clinical experiences. However, in Nebraska, rant such action we do not require such checks for nursing licensure. At the recent 2006 Delegate Assembly, NCSBN Model Do you think it is important to conduct criminal background Nursing Practice Act language was adopted consistent with these checks for nursing licensure applicants? This controversial issue recommendations from 2005. Please keep in mind that the is under regulatory scrutiny at the present time. Momentum is Model Nursing Practice Act exists simply as a model, and each growing toward requiring