To provide leadership for the profession of nursing across diverse settings.

OCTOBER 2012

SDONE Board President’s Message Rochelle Reider, MSN, RN, NE-BC, FACHE President: Rochelle Reider, Mitchell The Value of Mentors Past President: Nancy Nelson , Rapid City As I take on the responsibility as the President of SDONE, I take

Secretary: comfort in knowing our outgoing President, Nancy Nelson, will Tracy Harrington , Platte mentor me to the degree I feel I need for a smooth transition. Strong mentorships lead to favorable succession management. Treasurer: Cathy Dill, Spearfish Over the years, I have experienced leadership in many forms – as a preceptor of many Public Relations: students, a nursing professor, a member of a quality improvement team, a frontline nurse Carla Borchardt , Sioux Falls leading a change in nursing practice, a nursing director, an officer of a professional

Program: organization, a vice president. The opportunities for nurses are endless and we need those

Cindy Sage, Yankton who have experience in the new roles we take on to show us the way. Andrea Mueller , Rapid City

Bylaws: I can easily name the many nurses who have been my mentors, in both formal and informal Debra Leners, Sioux Falls ways. These women and men helped shape the nurse I have become. It is incumbent upon nurses, as professionals, to consciously support and mentor colleagues. We have a District I Chair: Beth Cavanaugh, Rapid City responsibility to prepare the next generation to be strong and successful nurses.

District II Chair: Jaci Eberhart, Eureka Regardless of formal positions within an organization, learning comes from all directions –

District III Chair: vertical and horizontal. Honest and direct feedback and the maturity to accept constructive Paula Hamann , Sioux Falls input are paramount to effective mentoring and growth.

District IV Chair: Being in a state of constant change is now the norm in healthcare. This has led to a Donna Brosz , Freeman continuous need for nurses to up-skill in all settings and at all levels to keep pace with the Aging Services Committee: evolution of nursing. The “seasoned nurse” no longer holds all of the expertise, as newer Wendy Mead , Sioux Falls nurses are often found mentoring those more experienced in the use of technology. And

Council on Acute Care: newer nurses need to be aware of the value that years of unique experiences brings to a Deb Colson, Rapid City caregiver’s perspective.

Public Policy: Deb Fischer -Clemens, Sioux A mentor is a trusted advisor. We all need them. My advice is to make sure you have Falls mentors. And make sure you are a mentor to others in our profession. Nursing Workforce Center: Carla Borchardt, Sioux Falls Rochelle Reider

SDONE Newsletter October 2012 Page 1 of 12

SDONE LEADERSHIP AWARD KAY SANTEMA

(Nancy Nelson, President SDONE, and Kay Santema)

Kaleen (Kay) Santema was recognized as the recipient of the Leadership in Nursing Award at the annual 2012 SDAHO Awards Luncheon. Kay joined the nursing profession in 1968 and has served as a tireless leader for nursing at Sanford Health for the past 43 years. She has provided leadership through her various roles as Staff Nurse, Head Nurse, House Supervisor, Nursing Administrator, Vice President of Patient Care Services and currently as the Vice President of Cancer and Support Services. Kay's leadership style demonstrates a style that is integrity filled, ethical, with a calm synthesis that looks at historical trends and knowledge of current needs. She holds the highest standards for professional nursing making sure her decision not only resolves the short term needs but with a meaningful understanding of what the impact of the decision will be for the future of the professional discipline. She has been a participating author on three professional journal articles.

Kay has lived and worked in the Sioux Falls community, raising her family while being a very active community member. She served as a board member for several organizations such as Make-A-Wish, the American Red Cross, the Calvin Christian School Board, The Susan G. Komen Race Committee, the Sioux Valley Home Care Service Visiting Nurses Association, the Midwestern Health Service Board, Infant Loss, the Sioux Empire Arts Council and the Shalom Christian Reformed Church Council.

In addition to serving on community boards, she has been an active member of the Association of Cancer Executives, The Organization of Nurse Executives and the American Organization of Nurse Executives. Her leadership awards are numerous; including the Wisdom Keeper Award, was granted a Lean Healthcare Certification, was a graduate of the Sioux Falls Chamber of Commerce Leadership, and was Citizen of the month.

SDONE SCHOLARSHIP RECIPIENTS

PAULA HAMANN AND BARBARA HESPEN

SDONE Newsletter October 2012 Page 2 of 12 Paula Hamann was the recipient of a $750.00 SDONE continuing education scholarship. Paula is enrolled in a Bachelor of Science in Nursing program at American Sentinel University. Paula has been a nurse for 37 years and a Nursing Director for 32 years at Sioux Valley Hospital/Sanford USD Medical Centers serving in many leadership roles and nursing departments with her current position being Special Projects Director. This keeps her busy with such projects related to accreditation and regulatory compliance, Magnet, and mentoring and coaching of potential new nursing leaders through the Advisory Company. Paula has also taken the time to serve two terms as the Chairperson for SDONE District III and has increased membership in SDONE in that District through her leadership and excellent educational offerings at the meetings.

Barbara Hespen was the recipient of a $750.00 SDONE continuing education scholarship. Barb is enrolled in a DNP program through American Sentinel University and has been employed full-time as a nursing professional for 25 years. She has worked in various staff nurse and managerial roles in the hospital settings throughout her career and had served as Chairperson for District 1. She currently is the Director of Risk Management for Regional Health and also serves as the Director of Accreditation/Certification.

HEALTH CARE POLICY UPDATE Deb Fischer-Clemens, MHA, BSN, RN SDONE Government Relations (605)322-4668

FEDERAL UPDATE  Congress has approved a short-term spending measure that prevented a government shutdown at the end of the September, 2012.

 The commission that advises Congress on Medicare payment issues grappled with bundled payments and how to refine the hospital readmissions reduction program.

 CMS launched a series of teleconferences for providers and other stakeholders on the implementation of health care reform, beginning with an update on the Medicaid expansion.

Obama administration releases sequester report The White House released a report detailing plans to implement the automatic spending cuts that will occur in January as a result of the sequestration enacted in the Budget Control Act (BCA). Along with ten-year discretionary spending caps, the BCA implements a sequester of automatic reductions in spending of $1.2 trillion. Medicare payments are not exempt from the sequester, but are limited to reductions of no more than 2 percent for a fiscal year.

SDONE Newsletter October 2012 Page 3 of 12 The administration makes clear in this document that it has very little flexibility to allocate the sequester cuts among programs. Basically, each program within the major sequester "buckets" will receive a percentage cut equal to all other programs in the bucket. The non-exempt “buckets” being cut include:  Medicare spending  discretionary defense spending  mandatory defense spending  discretionary non-defense spending  mandatory non-defense spending

The cuts are based on a straight extension of fiscal year (FY) 2012 spending levels in light of the fact Congress has not enacted any appropriations bill for FY 2013 yet. Enactment of the house-passed, six- month continuing resolution may alter the administration's projections modestly.

The total amount cut from Medicare during the portion of FY13 subject to the sequester (January - September 2013) is $11.065 billion. The document enumerates cuts to the two Medicare trust funds but does not break out cuts by provider.

"No amount of planning can mitigate the effect of these cuts," the OMB wrote. "Sequestration is a blunt and indiscriminate instrument. It is not the responsible way for our nation to achieve deficit reduction. The report leaves no question that the sequestration would be deeply destructive to national security, domestic investments and core government functions."

The report was released amid criticism from lawmakers and many stakeholders who agree with the OMB's assessment and are pushing for congressional action to head off the cuts.

The American Hospital Association, along with the American Medical Association and the American Nurses Association, released a report on September 12 that found up to 766,000 health care and related jobs would be lost by 2021 as a result of Medicare sequester cuts.

"Hospitals' ability to maintain the kind of access to services that their communities need is being threatened," said AHA President and CEO Rich Umbdenstock. "Cuts to hospital services could create devastating job losses in communities where hospitals have long been an economic mainstay."

EXCERPT FROM AN EDITORIAL WRITTEN BY STEVE DAVIS Romney has promised to repeal the reform law on his first day of office.

In reality, there is little a president can do to undo laws that were enacted during the prior administration.

The courts have determined that if a program is established by Congress, only Congress can get rid of it.

So while the law could be repealed by Congress, it would be difficult even with Republicans in control of Congress. If Republicans win back the Senate, it’s unlikely they would have the 60 votes needed to repeal the law. However, a Republican-led Congress could try to weaken the law via the budget process and slow implementation via a new HHS secretary.

SDONE Newsletter October 2012 Page 4 of 12 States Would Get More Exchange Flexibility Romney has indicated that states would be given flexibility to experiment with health policy to reduce their uninsured populations. How to develop health insurance exchanges, and subsidies, would be left up to the states, according to the site.

Vice presidential nominee Paul Ryan (R-Wis.) has called on states to contract with health insurers or third-party administrators to operate exchanges. Such exchanges would be required to offer insurance products that have the same level of benefits as those offered to members of Congress through the Federal Employees Health Benefits Program.

Christopher Condeluci, an attorney at the law firm Venable LLP, who served as tax counsel for the Senate Finance Committee during the crafting of the health reform legislation said, “I would argue that a Romney administration would want to work on a bipartisan basis when it comes to the exchanges, which could mean private exchanges could serve as an alternative to the state exchanges envisioned by the reform law.”

Governor Daugaard has announced that South Dakota would not set up an insurance exchange, but instead would step aside to let the federal government come in and do it. He stated that this decision is, in part, based on the cost to run an exchange.

An exchanged is more than a website where you pick your coverage, according Dave Hewett, President of the South Dakota Association of Healthcare Organizations. Hewett served on the committee that spent several months looking at how an exchange might work. He does support the Affordable Care Act, but does not blame the governor for opting out of a state-run exchange. Hewett said, “He had to make a decision. It’s appropriate that it’s at the federal level, given the high fixed costs associated with a health insurance exchange and the demographics.”

Hewett went on to say that the idea itself has merit for individuals and business owners. “This can change the dynamic of how insurance is offered. If I had 10 employees, I could say to my employees instead of me offering this one plan, I will give you ‘x’ amount of dollars and you can go purchase insurance. Some may pocket the difference.”

Remember to VOTE November 6, 2012

Have you paid Membership in SDONE is a great value – dues are only $50 annually. your 2013 Members who have not renewed their dues will be removed from the SDONE dues? membership list after March 31, 2013. See the last page of this newsletter for a membership renewal form.

SDONE Newsletter October 2012 Page 5 of 12

IN THE NEWS

Academy of Medical-Surgical Nurses offers free scope and standards of practice resources The Academy of Medical-Surgical Nurses (AMSN) has released two new editions of their scope and standards of practice as free resources for medical-surgical nurses. Scope and Standards of Medical-Surgical Nursing Practice, 5th Edition, and the Scope and Standards of Medical-Surgical Clinical Nurse Specialist Practice, 2nd Edition, are now available online on the AMSN website. "Our goal as a professional nursing association is to help not only our members but all nurses in their quest for personal and professional development and improved patient care," said Cynthia Hnatiuk, EdD, RN, CAE, AMSN executive director. These resources can be used as the basis for job descriptions, performance appraisals, peer review, quality assurance and certification activities. Visit www.amsn.org/scopeandstandards to download the scope and standards. (AMSN, news release, 9/12/12)

IOM standing committee to examine credentialing research in nursing The Institute of Medicine (IOM) Standing Committee on Credentialing Research in Nursing will discuss issues related to research on credentialing of nurses and organizations. The American Nurses Credentialing Center (ANCC) will serve as the credentialing arm and as a leader in sponsoring this research agenda for nursing. Marilyn P. Chow, DNSc, RN, FAAN, vice president for national patient care services at Kaiser Permanente, will chair the committee along with 13 other committee members. The IOM standing committee will maintain surveillance of the field, discuss planning and program development efforts and serve as a focal point for discussions and potential ad hoc studies requested by the sponsor and approved by the IOM and the National Academies. Topics may include: emerging priorities for nursing credentialing research; research methodologies and measures relevant to nursing credentialing research and outcomes assessment; the impact of individual and organizational credentialing in nursing on improving health care quality; and strategic planning for moving the field of nursing credentialing research forward. For more information and to sign up for notices about the committee's activities, visit the IOM website. (ANCC, news release, 9/17/12)

Joint statement released in support of academic progression for nursing students Leaders and representatives from the American Association of Colleges of Nursing (AACN), the American Association of Community Colleges (AACC), the Association of Community Colleges Trustees (ACCT), the National League for Nursing (NLN) and the National Organization for Associate Degree Nursing (N-OADN) joined together to endorse a Joint Statement on Academic Progression for Nursing Students and Graduates. With the shared goal of preparing a well-educated, diverse nursing workforce, this consensus statement represents the shared view that nursing students and practicing nurses should be supported in their efforts to pursue higher levels of education. The supporting organizations are committed to working together to ensure that nurses pursuing advanced education can proceed seamlessly into associate, baccalaureate, master's and doctoral programs. (AACN, press release, 9/18/12)

Nurses rank number five on list of top 10 coffee-drinking professions A new national survey conducted by Career Builder and Dunkin Donuts ranks nurses number five on the top 10 list of professions who consume the most coffee. The yearly survey conducted to celebrate National Coffee Day on September 29, shows that coffee plays a major role in helping professionals perk up at work with 43 percent of respondents reporting that they are less productive without a cup of coffee. Joining nurses on the top 10 list are: food preparation/service workers; scientists; sales representatives; marketing/public relations professionals; editors/writers/media workers; business executives; teachers; engineering technicians; and IT managers/network administrators. Among the other survey results: 63 percent of workers who drink coffee actually drink two cups or more each workday; the majority of younger workers need coffee for energy and motivation, as 62 percent of workers aged 18 to 24 say they are less productive without coffee; 64 percent of workers in the Northeast drink at least one cup per day, compared to the South at 54 percent and the Midwest and West at 51 percent; and overall, 47 percent of female workers claim they are less productive without coffee, compared to 40 percent of male workers. The survey included more than 4,100 workers nationwide. (PR Newswire, news release, 9/25/12)

SDONE Newsletter October 2012 Page 6 of 12 New study measures nurse manager role in regard to nurses, patient safety According to a new study published in the Journal of Applied Psychology, when nurses feel safe admitting to their supervisors that they have made a mistake regarding a patient, they are more likely to report the error, which ultimately leads to a stronger commitment to safe practices and a reduction in the error rate. Deirdre McCaughey, assistant professor of health policy and administration at Penn State, and her colleagues examined the notion that care providers may experience a conflict between the strong enforcement of safety procedures on the one hand, and the reporting of safety/patient errors on the other hand. The researchers surveyed 54 nursing teams in four hospitals in Belgium to determine if the leadership actions of nurse managers were aligned with the verbal expectations they had given to staff nurses, as well as to examine the effect of that congruence on nurse/employee commitment to following safe work protocols and willingness to report a patient treatment error. Six months later, the team then examined the relationship between fostering safety and reporting patient errors to determine if they were related to a reduction in errors regarding patients. The researchers found that when nurse managers' spoken expectations regarding safety aligned with their commitment to safety, their teams had a stronger commitment to acting safely while carrying out work duties, as well as a greater rate of reporting errors. In addition, this greater emphasis on safety resulted in a reduction in patient treatment errors. (Penn State, news release, 9/26/12)

RWJF study: nurses' assessments of care accurately reflect hospital quality A new study funded by the Robert Wood Johnson Foundation (RWJF) Nurse Faculty Scholars program and the National Institute of Nursing Research (NINR) reveals that nurses are accurate and reliable assessors of the quality of care in the hospitals in which they work. The study, published in the journal Research in Nursing and Health, analyzed existing data including nurses' reports on quality of care from a variety of standard national reports. The research team asked nurses, "How would you describe the quality of nursing care delivered to patients in your unit?" Responses could be: excellent, good, fair and poor. The researchers found that nurses' reports that the quality of care was excellent did correspond with higher levels of patient satisfaction, better scores for processes of care and better results for patients in the hospital with regard to mortality and failure to rescue. For every additional 10 percent in the proportion of nurses reporting that the quality of care on their unit was excellent, there was a 3.7 point increase in the percent of patients who would recommend the hospital, and a five percent decrease in the odds of mortality and failure to rescue for surgical patients. Researchers also report that nurses' reports of excellent quality were higher in hospitals known to have good work environments that support professional nursing practice. (RWJF, news release, 10/3/12)

Study suggests work-family conflict translates to health issues for nurses A new study by The George Washington University School of Public Health and Health Services (SPHHS) suggests that nurses and other health care employees who reported high conflict between their job duties and obligations at home had almost double the chance of suffering from neck or shoulder pain in the last three months compared to workers without the conflict. The study, published in the American Journal of Industrial Medicine, also reports that workers with the highest work-life imbalance had nearly a three times greater risk of reporting arm pain during that period. The researchers say that hospital workers, and especially nurses, often pull double shifts or work the night shift, and in some cases are handling heavy volumes of very sick patients. The conflict between on-the-job duties and home responsibilities can, as this study suggests, lead to chronic bodily pain—and possibly other health problems. Study lead author, Seung-Sup Kim, a postdoctoral scientist and professorial lecturer at SPHHS, says that the consequences of that unhealthy cycle are serious and affect not just hospitals, but society at large. He also reports that the work-home conflict might exacerbate shortages of key health professionals caused when burned-out nurses or other health professionals retire early or leave the field because of the stress. The study suggests that workers distracted by issues at home or by ongoing muscular pain might be more likely to call in sick or if they do show up for work might provide less than attentive care. (SPHHS, news release, 9/27/12)

ASHRM issues guidance on defining, measuring safety events for improved patient care The American Society for Healthcare Risk Management (ASHRM)—a personal membership group of the American Hospital Association (AHA)— issued the first in a series of white papers offering guidance on defining and measuring serious safety events (SSEs) for prevention purposes. ASHRM created the Getting to Zero initiative to guide its members and the health care community in a proactive approach to reduce risks that lead to SSEs and improve patient safety. A key component in this proactive process is to share lessons that providers and risk managers have learned from managing and preventing SSEs. The white paper includes information such as common definition for SSEs; rapid identification and prevention of SSEs; SSE investigation through a skill-based model; and SSE measurement techniques to determine the effectiveness of prevention methods to save lives and resources. For additional information and to view the white paper, click here. (ASHRM, new resources, 10/8/12)

National Association for Healthcare Quality issues Call to Action for care quality/patient safety According to the National Association of Healthcare Quality (NAHQ), to enhance overall quality of care, strengthen patient safety protection and minimize costly medical errors, health care provider organizations should expect all clinical staff to be accountable for achieving meaningful quality improvements and reporting potential safety risks.

SDONE Newsletter October 2012 Page 7 of 12 This allows health care professionals to feel empowered and protected when reporting concerns about potential risks and adverse events, they report in their new Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems issued this week. NAHQ reports that the Call to Action provides detailed recommendations adopting best practices to enhance provider institution quality, improve ongoing safety reporting and protect staff. NAHQ collaborated with several national health care professional organizations in developing the recommendations, including AONE, the American College of Physician Executives, American Health Information Management Association, American Medical Association, American Nurses Association, American Society for Healthcare Risk Management, National Association Medical Staff Services, National Association of Public Hospitals and Health Systems, National Patient Safety Foundation and The Joint Commission. For more information, visit www.NAHQ.org. (NAHQ, news release, 10/16/12)

New toolkit targets reduction of C. difficile infections The Agency for Healthcare Research and Quality (AHRQ) released a new toolkit to help hospitals reduce C. difficile infections by reducing inappropriate use of antibiotics, which may contribute to infections. Boston University School of Public Health collaborated with Montefiore Medical Center and the Greater New York Hospital Association/United Hospital Fund to develop the toolkit for AHRQ and the U.S. Centers for Disease Control and Prevention (CDC) with help from 10 New York hospitals. The toolkit incorporates lessons learned from hospitals that served as intervention sites. (AHRQ, Toolkits, 10/12)

NCSBN launches National Nursing Database The National Council of State Boards of Nursing (NCSBN) has launched a new National Nursing Database (NND), a repository of information including nursing licensure and disciplinary statistics for nurses in the U.S. and the territories of American Samoa, Guam, Northern Mariana Islands and the Virgin Islands. The NND is derived from NCSBN's Nursys—a national database for verification of nurse licensure, discipline and practice privileges. The new database is comprised of data obtained directly from the licensure systems of U.S. boards of nursing (BONs). NCSBN expects the NND to be a resource for researchers, educators and the general public. (NCSBN, news release, 10/15/12)

Future of Nursing: Campaign for Action launches new website The Future of Nursing: Campaign for Action launched a new website – www.CampaignforAction.org. A joint initiative of AARP and the Robert Wood Johnson Foundation, the Campaign is working to transform health care through nursing. As the largest segment of the health care workforce and the professionals who spend the most time with patients, nurses bring essential experience and insight to efforts to improve access and quality and lower health care costs. The new website supports the Campaign for Action's work to promote nurse leadership in health care delivery and policy, nurse academic progression, and interdisciplinary collaboration in both education and practice. The new website offers:

. An online community featuring active discussion and information-sharing to bring together people who want to advance the Campaign for Action's work. · Information on the more than 80 health care, nursing, business and consumer organizations that share the goal of transforming health care by focusing on nursing. · Background on the Campaign's framework and information on its progress to date. · State pages showcasing the work of each state Action Coalition. · Evidence that describes the research and analysis upon which this work is grounded, much of it from the Institute of Medicine.

The new online community also offers opportunities for people to showcase their work and share the latest news; webinars hosted by leading experts across health care, business and government; discussions; a listing of Campaign for Action events around the country; and opportunities to ask questions and find resources and tools. The Campaign provides a voice and vehicle for nurses to lead and manage system change and to ensure patients get the care they need when and where they need it. Learn more and join the effort by logging onto www.CampaignforAction.org.

SDONE Newsletter October 2012 Page 8 of 12

AONE OPPORTUNITIES Register now for AONE-AACN's 11/19 webinar: Academic-Practice Partnerships- If Not Now...When? On November 19, AONE and American Association of Critical Care Nurses (AACN) will offer a webinar on practice partnerships presented by AONE past president Linda Q. Everett, PhD, RN, NEA-BC, FAAN and Susan M. Swider, PhD, RN, APHN-BC. This webinar will present the history, benefit and challenges of academic-practice partnerships in nursing. In 2011, the AONE-AACN Task Force on Academic- Practice partnerships developed a toolkit to help academic and practice organizations develop and enhance their existing partnerships. The focus of this work is to enhance nursing practice and education to foster nursing's role in improving the health of the public. Click here to learn more, download discussion questions and register for the 11/19 webinar.

AONE Foundation now accepting proposals for nurse staffing and outcomes research grant The AONE Foundation for Nursing Leadership Research and Education is now accepting proposals for the Michael Warner Nurse Staffing and Outcomes Research Grant, sponsored by Cerner Corporation. A grant of $4500 will be awarded to a novice nurse researcher(s) to study the adoption of innovative technology in nurse staffing and scheduling to meet patients' and families' needs and the relationship to quality and cost outcomes in the practice setting. Special consideration will be given to proposals from unit-based or organizational-based research programs/initiatives. Proposals are due by November 15, 2012 and the grant recipient(s) will be selected by December 15, 2012. To apply for a grant, please visit the AONE Foundation website.

Dare Mighty Things Theodore Roosevelt 26th President of the 1906 Recipient of the Nobel Peace Prize

In the battle of life, it is not the critic who counts; nor the one who points out how the strong person stumbled, or where the doer of a deed could have done better.

The credit belongs to the person who is actually in the arena; whose face is marred by dust and sweat and blood who strives valiantly; who errs and comes short again and again, because there is no effort without error and shortcoming; who does actually strive to do deeds; who knows the great enthusiasms, the great devotion, spends oneself in a worthy cause; who at the best knows in the end the triumph of high achievement; and who at worst if he or she fails, at least fails while daring greatly.

Far better it is to dare mighty things, to win glorious triumphs even though checkered by failure, than to rank with those timid spirits who neither enjoy nor suffer much because they live in the gray twilight that knows neither SDONE Newsletter October 2012 victory nor defeat. Page 9 of 12

EMPLOYEMENT OPPORTUNITY

Coteau des Prairies Hospital and Clinic 205 Orchard Drive Sisseton, SD 57262 (605) 698-7647

Coteau des Prairies Hospital and Clinic (CDP) is seeking a Director of Nursing (DON) who is a dynamic, hands on leader committed to creating best practices in a professional and supportive work environment for all the nursing staff.

The DON reports directly to the Chief Executive Officer (CEO) and is responsible for directing the professional nursing and support personnel within our busy rural hospital. The DON provides leadership and management for the nursing staff in accordance with the mission, values, policies, and philosophy of CDP as well as manages the overall development and performance of the staff. The DON ensures that the hospital is a high quality care provider and fosters a culture of service excellence which anticipates & responds to the needs of our customers. In addition, maintains compliance with mandatory training initiatives, competencies and licensure requirements; complies with all CDP and departmental programs, policies and procedures. This position serves on the executive management team and is responsible for analyzing, reporting, making recommendations and developing strategies to improve quality and department productivity.

(CDP) Hospital & Clinic is a 25 bed, independent critical access, acute care, community non-profit hospital, serving approximately 21,000 residents in the Glacial Lakes in Northeastern South Dakota, and West Central . Currently, we are building and expanding our facility by 21,000 square feet including a new ER, birthing center, clinic, lab, and imaging areas. The anticipated completion date is December 2013.

Sisseton is a city of approximately 2,500 located on the Northeast slopes of Coteau des Prairies or “Hills of the Prairies”. The area is known for its beauty and recreational opportunities such as fishing, hunting, golfing, boating, horseback riding, arts, theatre and festivals. Within a 20 to 30 minutes drive there are 30 lakes and many state parks. Whether you prefer country living or lakeshore living there are many prime real estate offerings to choose from.

The educational requirements for this position include: Bachelor’s degree from an accredited school of nursing is required. Master’s degree is preferred or progress towards the completion of the Masters degree. Minimum five years of progressively responsible management experience or an equivalent combination of education & experience. Candidates must have a current RN licensure to practice in South Dakota and must be ACLS certified. Must be organized and demonstrate strong management and leadership skills. Must be detail-oriented and an effective communicator. Must be able to motivate, inspire, and communicate with individuals and groups.

Qualified candidates should submit their resume/application to Human Resources at [email protected] or mail them to the address listed above. Please feel free to contact CDP Human Resources at any time with questions. Thank you for your time and we look forward to hearing from you.

Sincerely, Leslie Hendrickson Director of Human Resources

SDONE Newsletter October 2012 Page 10 of 12

HEALTH CARE ORGANIZATIONS STILL STRUGGLING TO ATTRACT AND RETAIN WORKERS ESPECIALLY NURSES, SURVEY FINDS U.S. health care organizations are not making significant progress in the war for talent, and are finding it especially difficult to hold on to registered nurses and Recommended Books SDONE 2012 Goals other critical-skill workers, according to a survey by Watson Wyatt Worldwide, a PILOTSAn increased USED numberTO TEACH of health HOSPITALS care organizations ABOUT PATIENT are utilizingSAFETY the lessons learned from aviation accidents, Charge Nurses’ Guide: Navigating the Path leading global consulting firm, and the American Society for Healthcare Human and what the airlines have done to prevent them, according to an article in the New York Times. Several DISTRICT III Paula Hamann Education Resources Administration (ASHHRA), an AHA personal membership group. More of Leadership hospitals are using professional pilots to train critical-care staff members on the principles of applying aviation SDONE District 3 met on June 1, 2012 at Sanford USD  Expand member knowledge of public policy issues than two-thirds (69 percent) of the 110 health care providers surveyed reported Cathy Leary, RN & Medical Center in Sioux Falls, SD. having difficulty retaining critical-skill workers to a moderate or great extent. Scott J. Allen, PhD safety to their work. The training provides lessons on cockpit procedures, including communication protocols,  Participate in the annual Nurses Day at the checklists, and crew briefings with the goal of improving patient care. These programs have been well Andrew Burnett, Ph.D., Ethicist presented: “Moral Distress: Across industries overall, only 43 percent of companies have similar retention Nurse Manager’s Survival Guide, 3rd Edition- Legislature problems. Retaining registered nurses is the most difficult staffing challenge received at participating organizations, with many employees saying they have more confidence performing The Personal Side of Professional Ethics.” Practical Answers to Everyday Problems  Support educational scholarships facing health care providers, with 84 percent listing it among their top three Tina M. Marrelli, MSN, MA, RN, C their jobs, due to posted checklists, which include reminders on such things as checking the identity of the Welcome to our new SDONE District 3 members:  Continue to collaborate with SDBON and SDAHO staffing challenges, followed by pharmacists (39 percent) and rehab therapists (33 patient and drug allergies. "I'm seeing errors caught virtually every day" in the operating room, said Dr. percent). According to the survey, health care organizations are implementing Nurse Entrepreneurship: The Art of Running  for Just Culture education Your Own Business Timothy Dowd, chairman of the anesthesiology department at Vassar Brothers, which recently implemented Charlotte Charles--Director of Patient Care various initiatives to address the staffing situation, including adjusting pay levels to Services, Madison Community Hospital  Create a resource list of topics/presentations and better reflect the market, providing reimbursements and forgiving loan payments Adrianne E. Avillion, DEd, RN aviation-based patient-safety training. for educational studies, and implementing flexible work arrangements. The survey  Dianne Dorale--Siouxland Urology speakers  Support the South Dakota Regional Action noted, however, that few employers are improving other aspects of their employee Relationship-Based Care: A Model for  Kristi Fjellanger-- Chief Nursing Office, Select benefits, including health insurance, paid time off or retiree medical benefits, Transforming Practice Specialty Hospital Coalition (RAC) which offer possible opportunities to improve the attraction and retention of Mary Koloroutis  Joy Gebhard--Women's Center Supervisor, Avera critical-skill workers. Membership McKennan To Do Harm  Beth Graff--Director of Clinics and Community Pt.  Continued membership drives at the state and Julianne M. Morath, RN, MS

Services, Madison Community Hospital district levels with a goal of 110 members  Conduct and analyze periodic Survey Monkey  Gina Myers--Director of Nursing, Siouxland Surgery Center member needs assessments  Joni Vaughn--Special Projects Coordinator, Sanford  Identify and implement action plans for needs USD Medical Center identified through member needs assessment surveys SDONE District 3 Meetings scheduled for this year:  Renewal notices sent by Treasurer November 2, 2012-- Avera Education Center at the  Connect with schools of nursing faculty and

Orthopedic Institute, Sioux Falls, SD students in leadership tracts

Web Site Enhancement and Membership Communication  Further enhance the website and maintain currency

 Include association highlights in the newsletter

AONE: www.hospitalconnect.com and on the website, including district minutes and SDONE: www.sdone.org Board information SD Center for Nursing Workforce: www.sdcenterfornursing.org SD Board of Nursing: www.state.sd.us/dcr/nursing

The SDONE Newsletter is sent electronically four times a year. Please submit articles or information to Carla Borchardt, [email protected]

SDONE Newsletter October 2012 Page 11 of 12 2013 SDONE Membership Form

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Employing Institution/Agency______Phone______

Employer’s Address______Email______

City/State/Zip______FAX______

Your Title______# Years in Position______

Educational Background ____Masters ____BS or BSN ____Certification______Associate Degree ____Diploma ____Other______

Are you an AONE member? ____Yes ____No

Name of SDONE member that brought you to the organization:______

Please send completed application form with $50.00 annual dues. If you are a new member and you are joining after June 30, the dues are $25.00 and will cover the remainder of the calendar year.

Cathy Dill, SDONE Treasurer Spearfish Regional Hospital 1440 N Main Spearfish, SD 57783

Email: [email protected]

FOR OFFICE USE ONLY – District: ______Membership #:______Check #: ______Date:______

SDONE Newsletter October 2012 Page 12 of 12