CNSA Minutes

California Nursing Students’ Association

State Convention

Fairmont Hotel San Jose, CA

October 19-20, 2013

Those present: Kristi Miller, President; Allie Bryden, Vice President; Matthew Grayson, Secretary-Treasurer; April Lembi, Legislative Director; 1 Katrina Stell, Convention Director; Emily Barrow, Breakthrough to Nursing Director; Lilla Szakacs, Membership Director North; Samantha Ahwah, 2 Community Health Director; Patricia McFarland, Advisor; Brenda Brozek, Advisor; Susan Herman, Advisor; Susan Bowman, Advisor; Donna Kistler, 3 Advisor; Cathy Melter, Advisor. 4

Committee chairs: Trudy Chancellor, Image of Nursing. 5

Those absent: Lori Arotcharen, Communications Director; Patricia Iloure, Cultural Awareness Committee Chair. 6

Chapters represented: Antelope Valley College; Bakersfield College; Biola University; Butte College; California State University, Chico; California 7 State University, Fresno; California State University, Sacramento; California State University, San Marcos; Cypress College; Golden West College; 8 Grossmont College; Los Angeles Valley College; Monterey Peninsula College; Moorpark College; Mount Saint Mary’s College – Los Angeles; 9 National University - Fresno; National University – Los Angeles; National University – San Diego; Ohlone College; Point Loma Nazarene University; 10 Riverside Community College; Saddleback College; San Diego State University; San Francisco State University; San Joaquin Delta College; West 11 Coast University - Ontario; West Coast University – Los Angeles; West Coast University – Orange County; Western University, Health Science; 12 Yuba College. 13

Item Discussion/Outcome

House of Delegates called to order by K. Miller, President, TIME 1415 on October 19, 2013.

Welcome and Recognition of the Board of Directors and Committee Chairs. Introductions K. Miller Recognition of Annual Report.

Recognition of Advisors.

Recognition of Committee Members.

Roll Call Roll Call was conducted by the Secretary/Treasurer Credentialing and Quorum Credentialing report was given by the Vice President

There being greater than 1/3 of the credentialed delegates present, quorum was declared by the President

Adoption of the Rules

M/S Carried “I move that the printed rules for CNSA Business Meetings be adopted.”

Parliamentary Introduction of Parliamentarian Procedure Review Brief review of parliamentary procedures S. Bowman

Adoption of the Agenda

M/S Carried “I move that the adoption of the agenda as printed and authorize the president to make any emergency changes as necessary.”

Nominations and Nominations and Elections Committee report: Elections Committee Introduction of committee members, and nominations from the floor accepted. Eleven names were put in nomination from the floor, adding to the eight pre-slated candidates, resulting in 19 candidates on the ballot for 12 positions.

Convention Overview of convention. Recognition & appreciation of exhibitors and sponsors. update K. Stell

Bylaws A. Bryden

Motion from Bylaws Committee to adopt proposed bylaws: See Attachment A. ID #1-6 discussed seriatim.

M/S Carried Motion to Amend ID#3, add between paragraph 1 and 2: Any increase in CNSA dues greater than 50% in one calendar year must be approved by the House of Delegates. Any changes made to membership dues will be presented by the Board of Directors and reviewed at the following House of Delegates meeting.

Devin Gray/Alexis Broggi/Carried

Motion to Amend ID#5, ARTICLE XI. ASSOCIATION COMMITTEES, Section 4. Function, B. The Breakthrough to Nursing committee shall, add, as follows: 4. Maintain a repository of non-monetary resources for the Breakthrough to Nursing Chapter directors to utilize.

Eboni Cross/Richard Molina/

M/S Carried Motion to Amend the Amendment, strike and insert, as follows: 4. Maintain a repositorydatabase of non-monetary resources for the Breakthrough to Nursing Chapter directors to utilize.

Margaret McGurr/Eboni Cross/Carried

M/S Carried Motion to Amend/Carried as Amended

Adoption of Proposed Bylaws ID#1-6 as amended accepted by greater than 2/3 standing votes. Bylaws proposals

Vision and Mission Statements K. Miller

M/S Carried “I move to reaffirm the CNSA Vision Statement as: California Nursing Students: Creating the future by leading the way.’”

(Bryden/Barrow/Carried)

M/S Carried “I move to accept the CNSA Mission Statement as: California Nursing Students’ Association is a statewide community advancing the transition of the student to professional nurse through leadership development, education, mentorship, advocacy, activism, and stewardship.”

(Bryden/Lembi/Carried)

Resolutions Presentation of proposed resolutions from Resolutions Committee with changes agreed upon following yesterday’s hearing. A. Lembi

Resolution - #1 Motion from Resolutions Committee to adopt Resolution #1: IN SUPPORT OF STRENGTHENING THE NURSE LICENSURE COMPACT TO REMOVE BARRIERS IN DISASTER RELIEF, TELEHEALTH, LICENSURE REGULATION, AND THE DISPERSEMENT OF MOBILE HEALTHCARE WORKERS TO AREAS OF SHORTAGE. See Attachment B

AUTHOR: KRISTEN ZIMEL, NATIONAL UNIVERSITY

M/S Carried (Motion Carried)

Resolution - #2 Motion from Resolutions Committee to adopt Resolution #2: IN SUPPORT OF IMPROVING PERINATAL CARE FOR CHILDHOOD SEXUAL ABUSE (CSA) SURVIVORS. See Attachment C

AUTHORS: MAIRE ORLANDO AND KATRINA STELL, GROSSMONT COLLEGE

M/S Carried (Motion Carried) A. Resolution - #3 Motion from Resolutions Committee to adopt Resolution #3: IN SUPPORT OF AN INCREASING AWARENESS OF THE EFFECTIVENESS OF PATIENT AND FAMILY CENTERED CARE (PCC/FCC) IMPLEMENTATION IN A PATIENT CARE SETTING. See Attachment D

AUTHORS: ABIGAIL KENNEDY AND GERTRUDE CHANCELLOR, SADDLEBACK COLLEGE

M/S Carried (Motion Carried)

Resolution - #4 Motion from Resolutions Committee to adopt Resolution #4: IN SUPPORT OF AWARENESS AND ADVOCACY FOR CONSERVATIVE USE OF DIAGNOSTIC PROCEDURES INVOLVING RADIATION. See Attachment E

AUTHORS: JULIE MONTOYA, SANDY BURLANDO, VICTORIA CONLU, CHELSEA HALLFORD, AND CARRIE 4

WILLIAMS, CALIFORNIA STATE UNIVERSITY, SACRAMENTO

M/S Carried (Motion Carried)

Resolution - #5 Motion from Resolutions Committee to adopt Resolution #5: IN SUPPORT OF INCREASING AWARENESS AND EDUCATION OF ALARM FATIGUE TO PROVIDE A SAFER ENVIRONMENT IN THE HOSPITAL SETTING. See Attachment F

AUTHOR: MELISSA SADOWSKY, MAURINE CHURCH COBURN SCHOOL OF NURSING

M/S Carried (Motion Carried)

Critical Care Shota Mkrtumyan, RN, CEN, CCRN, Director of Operations of Critical Care Training Center Training Center $2,500 scholarship awarded to Scholarship Spencer Cho, CSU Sacramento

House of Delegates recessed by K. Miller, President at 1640 Hours on October 19, 2013 until Sunday morning. Candidate Presentations to follow.

House of Delegates reconvened by K. Miller, President, TIME 0803 on October 20, 2013. Voting VOTING BY DELEGATES, AND K. Miller VOTE CARDS SUBMITTED TO APPOINTED TELLERS. See Ballot Attachment L

Resolution - #6 Motion from Resolutions Committee to adopt Resolution #6: IN SUPPORT OF ADHERENCE TO PROFESSIONAL CONDUCT BY EACH CNSA CHAPTER. See Attachment G

AUTHOR: JORDAN BURNS, CNSA FRESNO STATE

M/S Carried (Motion Carried)

Resolution - #7 Motion from Resolutions Committee to adopt Resolution #7: IN SUPPORT OF INCREASING EDUCATION AND AWARENESS OF MENTAL HEALTH CARE NEEDS IN NURSING CURRICULUM. See Attachment H, As Amended

AUTHOR: DESIREE CULLUM, NATIONAL UNIVERSITY, FRESNO

M/S Carried Motion to Amend Resolution #7, 2nd resolved, insert and strike, as follows: RESOLVED, that the CNSA support and encourage its constituents to promote an increase in discussion of mental health care needs in across the nursing curriculum specific to the patient population targeted in each class; and be it further

(Maire Orlando/Kristi Harling/Carried)

M/S Carried Motion to Amend Resolution #7, 3rd resolved, insert, as follows: RESOLVED, that CNSA send a letter written by the author and approved by the Board of Directors to the Deans and Directors of each School of Nursing in California, advocating steps to further an awareness of mental health needs at the undergraduate level, where applicable; and be it further

(Ahwah/Lembi/Carried)

M/S Carried (Carried as Amended)

Resolution - #8 Motion from Resolutions Committee to adopt Resolution #8: IN SUPPORT OF PATIENT ACCESS TO ELECTRONIC HEALTH RECORDS: EMPOWERING PATIENTS BY IMPROVING ONLINE BASED COMMUNICATION. See Attachment I

AUTHOR: KATE NELSON, CALIFORNIA STATE UNIVERSITY SAN MARCOS

M/S Carried (Motion Carried)

Resolution - #9 Motion from Resolutions Committee to adopt Resolution #9: IN SUPPORT OF INCREASING AWARENESS OF HEALTH DISPARITIES AMONG UNDOCUMENTED IMMIGRANTS See Attachment J

AUTHOR: MARIA ESTRADA AND AMANDA GOFORTH, SAN DIEGO STATE UNIVERSITY

(M/S/Carried to extend debate by 5 minutes)

M/S Denied Motion to Amend, insert, as follows: RESOLVED, that California Nursing Students’ Association (CNSA) encourage its constituents to increase awareness of health disparities among undocumented people without encouraging additional resources be allocated to illegal immigrants; and be it further

(Eboni Cross/Jennifer Ericson/Denied)

(M/S/Denied to suspend the rules to allow additional time for debate on this resolution) 6

M/S Denied (Motion Denied)

House of Delegates recessed by K. Miller, President at 0935 Hours on October 20, 2013 for Endnote Speaker.

House of Delegates reconvened by K. Miller, President at 1035 Hours on October 20, 2013. Resolution - #10 Motion from Resolutions Committee to adopt Resolution #10: IN SUPPORT OF INCREASING EDUCATION AND AWARENESS OF RISK FACTORS FOR THE CHILDBEARING FAMILY RELATED TO RECEIVING A CESAREAN SECTION. See Attachment K

AUTHORS: BREENA LYONS AND ALANA DOAN. SAN FRANCISCO STATE UNIVERSITY NURSING STUDENTS' ASSOCIATION, SAN FRANCISCO, CALIFORNIA

M/S Carried (Motion Carried)

Selection of CNSA resolution “I move that CNSA adopt the resolution #10, IN SUPPORT OF INCREASING EDUCATION AND AWARENESS OF RISK to forward to FACTORS FOR THE CHILDBEARING FAMILY RELATED TO RECEIVING A CESAREAN SECTION, as the CNSA NSNA sponsored resolution in the 2014 NSNA House of Delegates.” K. Miller The chair suggested creating a blank by striking out all words between “that CNSA adopt the resolution #” and “as the CNSA sponsored resolution in the 2014 NSNA House of Delegates” and replacing with a blank.

Hearing no objection, the blank was created and resolutions # - 10, 7, 5, 3, 2, 1, and 4 were inserted into the blank.

Following a series of votes, the motion approved by majority:

M/S Carried “I move that CNSA adopt the resolution #4, IN SUPPORT OF AWARENESS AND ADVOCACY FOR CONSERVATIVE USE OF DIAGNOSTIC PROCEDURES INVOLVING RADIATION, as the CNSA sponsored resolution in the 2014 NSNA House of Delegates.”

(Chelsea Hallford/Sandra Benlaub/Carried)

CNSA Legislative Director 2012-2013 will submit Resolution #4 for consideration at NSNA 2014 House of Delegates. The Authors or CNSA Legislative Director 2013-2014 will present at NSNA 2014 House of Delegates.

President’s Address Kristi Miller, BSN, CNSA President addressed the House of Delegates. K. Miller

Election Results 2013-2014 Board of Directors, as elected by the CNSA delegates present at the CNSA Convention on October 20, 2013: Read by A. Bryden President: Matthew Grayson, Ohlone College & Vice President: Devin Gray, San Diego State University Presentation of Secretary-Treasurer: Joseph Vaughan, Antelope Valley College New Board Convention Director: Jennifer Ericson, San Diego State University K. Miller Legislative Director: Maria Estrada, San Diego State University Communications Director: Jireh Somera, Fresno State University Breakthrough to Nursing Director: Eboni Cross, California State University, Sacramento Community Health Director: Ashley MacRunnel, Point Loma Nazarene University Membership Director- North: Ella Demchuk, California State University, Sacramento Membership Director- South: Samantha Ahwah, San Diego State University Cultural Committee Chair: Jessica Gunthrie Montes, Antelope Valley College Image of Nursing Committee Chair: Melissa McClanahan, California State University, Sacramento

Meeting adjourned at TIME 1100. Scholarship and Awards Ceremony followed, See Attachment M.

Signature Signature

Kristi Miller, President Matthew Grayson, Secretary-Treasurer 16

Attachment A California Nursing Students’ Association PROPOSED BYLAW AMENDMENTS

To be presented to the House of Delegates for approval, October 18-20, 2013

ID # Current Bylaw Proposed Revision Rationale

With vast and extensive changes #1 ARTICLE III. OBJECTIVES AND proposed in the Institute of PURPOSES Medicine’s Report on The Future Section 1. K. To remain involved in shaping the future of Of Nursing, it is imperative that The objectives and purposes of nursing through active participation in the as future leaders within the this association shall be: California Action Coalition profession of nursing CNSA members play a role in the changes that will take place.

The CA Action Coalition plays a large role in implementing the recommendations of the IOM’s Report on The Future of Nursing, thus as nursing students within California and members of CNSA it is crucial to be involved.

#2 ARTICLE IV. MEMBERSHIP Section 1. Definition

Any student enrolled in a state- approved program leading to licensure

as a registered nurse (associate degree,

baccalaureate, generic Master's or generic Ph.D.) and any student who is a registered nurse enrolled in a program leading to a baccalaureate

degree with a major in nursing is Dividing types of membership eligible for membership in CNSA. into “constituent” and “non- Active membership may be extended Constituent” better identifies up to six months beyond completion current active members and non- of a student's program in nursing. constituent supporters of CNSA. It is also consistent with the

Section 2. Qualifications and Privileges organization of NSNA bylaws A. Active Members are:

1. Students enrolled in state- approved programs as Section 2. Qualifications and Privileges defined in Section 1 who are Categories of constituent Membership: The associate member category members in good standing should recognize different of a CNSA Constituent B. Associate Members are: subtypes of pre-nursing students. chapter; and First type is pre-nursing students 2. Afforded all the privileges 1. Pre-nursing students, including of membership in CNSA. registered nurses, enrolled in college pursuing a RN license. Second B. Associate Members are: or university programs designed as type is students with a RN license

1. Pre-nursing students, preparation for entrance into a pursuing higher levels of including registered program leading to licensure as a education. nurses, enrolled in college registered nurse or an RN to BSN or university program, and who are members in programs designed as good standing of a CNSA preparation for entrance Constituent chapter; and

into a program leading to 2. Registered nurses enrolled in college

licensure as a registered or university programs designed as

nurse or an RN to BSN preparation for entrance into a program who are diploma, associate, or program members in good standing leading to a bachelor degree in of a CNSA Constituent nursing program, and who are chapter; and 2. Afforded all the privileges members in good standing of a of membership in CNSA CNSA Constituent chapter; and except the right to hold 3. Afforded all the privileges of office as President or Vice membership in CNSA except the President at State and right to hold office as President or National levels. Vice President at State and National levels.

C. Individual Members are:

C. Individual Members are: 1. Eligible students, as identified in 1. Eligible students, as Section 1 2 A & B, who do not Needed to clarify that individual identified in Section 1, have membership in a constituent members do not have voting who do not have chapter available to them representation in the House of membership in a Delegates and that their eligibility constituent chapter 2. Afforded all the privileges of to hold office on the state and available to them; and membership in CNSA, except for national boards of directors is 2. Afforded all the privileges voting representation at the House determined by their enrollment of membership in CNSA of Delegates, and as identified in

except for voting Section 2 A & B as is appropriate status, similar to the eligibility of representation at the for their enrollment status. members who have a constituent House of Delegates. chapter available to them.

Section 3. Categories of Non-Constituent Membership

A. Sustaining Memberships D. Sustaining Memberships 1. Sustaining memberships shall 1. Sustaining memberships shall be open at the state be open at the state level to level to individuals, upon individuals, upon approval of approval of the Board of the Board of Directors, Directors, interested in interested in furthering the

furthering the development and growth of development and growth CNSA. of CNSA. 2. Sustaining members shall 2. Sustaining members shall receive literature and receive literature and other other information from

the information from the association but shall have none association but shall have none of the obligations or of the obligations or privileges privileges of membership. of membership.

B. Alumni Membership

1. Alumni membership shall be open at the state level to individuals who are registered nurses who had been CNSA members during

their pre-licensure or AD to BSN education and are interested in This provides a means for past furthering the development and members of CNSA and past growth of CNSA. members of the CNSA board of Directors to be recognized for 2. Alumni members shall be their part in the development of recognized at the annual CNSA and also provides a means

convention as “Alumni Member” for former members to continue

or “Alumni Board of Directors their support of their former Member” as appropriate and in organization and support for accordance with policy. future nurses. 3. Alumni members have none of the

obligations or privileges of membership.

E. Honorary Membership C. Honorary Membership 1. Honorary membership 1. Honorary membership may be may be conferred by a 2/3 conferred by a 2/3 vote of the Board vote of the Board of of Directors to persons who have Directors to rendered distinguished service or persons who have valuable assistance to CNSA, rendered distinguished Editorial change to correct nursing and/or nursing education. numeric order service or valuable 2. Honorary members have none of assistance to CNSA, the obligations or privileges of nursing and/or nursing membership. education.

2. Honorary members have none of the obligations or privileges of membership.

The Board Of Directors is legally #3 ARTICLE IV. MEMBERSHIP responsible for the fiduciary care Section 3. Fees, Dues, and Assessments of the organization by overseeing the assessment and planning for Each member in good standing must Each member in good standing must pay, its economic survival. pay, within the time of the conditions within the time of the conditions set by the set by the Board of Directors, annual Board of Directors, annual dues in the With an economy and market that change rapidly, the ability to dues in the amount determined by the amount determined by the Board of Directors and approved by the House of quickly respond to the needs of Board of Directors and approved by the organization by either Delegates. the House of Delegates. increasing or decreasing annual Payment of NSNA and CNSA dues is a dues is necessary. Payment of NSNA and CNSA dues is a pre-requisite for membership in pre-requisite for membership in CNSA in accordance with NSNA membership In years past, CNSA has been CNSA in accordance with NSNA affected by a declining market membership enrollment procedure. enrollment procedure. and with the help of the management organization, ACNL, CNSA was able to maintain its budgets and remain viable. This amendment allows the Board of Directors (with the help of the CNSA advisors) to act quickly, when necessary to ensure the financial stability of the organization.

Section 3. Vacancies #4 ARTICLE XI. ASSOCIATION COMMITTEES A. Declaring a vacancy Provides assurance to the 1. The president may declare a organization and to the vacancy in a position held by an membership that the elected committee chair upon responsibilities of elected chair receipt of a written resignation. positions are fulfilled

2. The Board of Directors, by two-thirds (2/3) majority vote may declare a vacancy in the chair position held by a member

elected to serve as the chair of the Image of Nursing committee

or the Committee on Cultural Awareness when evidence exists that the committee chair consistently neglects the duties or responsibilities of his/her position, does not meet the eligibility requirements, or engages in behavior that is unlawful, unethical, or inconsistent with the mission, objectives, or purposes of CNSA.

B. Filling a vacancy In the event of a vacancy in an elected committee chair Allows the CNSA BOD to ensure position, the Board of Directors all board and chair positions are

shall, by a two-thirds (2/3) vote, filled in order to fully serve the fill the vacancy by appointment organization. for the remainder of the term.

#5 Section 3. Functions Section 3 4. Functions

Committees shall develop Committees shall review existing committee functions and procedures and policies develop functions and procedures and submit them annually to the submit any revised policies and procedures Board of Directors. them annually to the Board of Directors.

A. The Legislative/Resolution committee The legislative committee is a shall: resource for students of the 1. Prepare and disseminate current events in legislation, as information regarding current well as the opportunities legislation related to the field available to them. of nursing. The resolutions committee assists 2. Prepare and disseminate and guides CNSA members in information regarding Nursing writing and presenting a Students in Sacramento Internship (NSSI) and resolution on pertinent issues in determine the annual interns healthcare for CNSA state from the applications convention. submitted 3. Provide information and resources to the CNSA constituency for developing a resolution. The Breakthrough to Nursing 4. Assist authors with the Committee acts as a resource for preparation and submission of local CNSA chapters to ensure resolutions to the CNSA nursing outreach is available to House of Delegates. 5. Preside at the resolutions California’s communities. hearing at the annual Additionally, The state level

convention and confer with organization ensures that local authors of resolutions level BTN committees are well following the hearing to supported. prepare revisions as necessary to present to the House of Delegates.

B. The Breakthrough to Nursing committee shall:

1. Prepare and distribute information regarding the Breakthrough To Nursing Recruitment Project Award and determine annual winners. 2. Assist in nursing outreach efforts within the community to increase the number of minorities interested in the profession of nursing and promote a positive image of nursing.

3. Assist with the creation and retention of local level Breakthrough To Nursing committees within California.

C. The Bylaws committee shall: 1. Review the bylaws of CNSA and In order to ensure that CNSA its chapters, recommend bylaws continue to fit the needs corrections or amendments as of the membership and appropriate, and ensure harmony organization and remain aligned among NSNA, CNSA and Chapter with NSNA, it is imperative that bylaws. a committee be in place dedicated 2. Prepare and distribute proposed to reviewing and amending amendments to CNSA bylaws with bylaws as needed. rationale in a timely manner according to Article XII of these

bylaws. 3. Preside at the bylaws hearing at the annual convention and assist delegates in developing motions to amend the noticed proposals, as necessary.

The CNSA Convention D. The Convention committee shall: committee is responsible for the

1. Prepare and disseminate planning, preparation and information regarding the annual CNSA convention. promotion of the annual CNSA 2. Assist with planning and convention to ensure that the preparation for the CNSA convention is well orchestrated Annual Convention and well attended by the membership. E. The Communication committee shall: 1. Prepare and distribute information regarding the newsletter and In order for the membership to be website award and determine aware of current events and annual winners. newly immerging information 2. Prepare and publish the CNSA relevant to nursing a committee official publication, Range of must be in place to ensure a direct Motion. line of communication between 3. Maintain CNSA website with current events and other pertinent the membership and the Board of information as requested by the Directors. CNSA Officers, Board of Directors, Committee Chairpersons and advisors and associated staff. 4. Maintain and update communications utilizing social media as applicable.

F. The Community Health committee shall: 1. Prepare and distribute information

regarding the Community Health The Community Health Project Award and the Multi- Committee acts as a resource for Chapter Community Service local CNSA chapters to ensure Project Award and determine public health outreach is available annual winners. to California’s communities. 2. Distribute information regarding Additionally, The state level community health issues and assist with community outreach projects organization ensures that local across the state of California level Community Health 3. Assist with the creation and committees are well supported retention of local level Community and up to date on newly emerging Health committees within health issues. California.

G. The Image of Nursing committee shall: Incorporating a committee into CNSA that is focused on 1. Promote a positive image of educating nursing students, nursing. nurses and the public on the 2. Assist local chapters in accurate image of the nursing planning, developing, and profession is essential for the participating in local and state profession’s continual growth. education, advocacy, and Improving nursing students’ and awareness programs related to a the public’s perception of nursing positive image of nursing will strengthen the voice of 3. Inform CNSA membership nursing as well as attract more regarding the image of nursing people to the profession. Building and the public’s perception of an environment of pride within the nursing profession through nursing will aide in the various means such as: writing recruitment and retention of articles for issues of Range of nurses to the profession. Motion, and updating the “Image of Nursing” page on the CNSA website. 4. Coordinate CNSA responses to appropriate and/or inappropriate

image of nursing issues in the media.

H. The Committee on Cultural Awareness shall: Due to the rapidly increasing 2. Advocate the need for increased cultural diversity of the U.S. and culturally competent nursing the patient populations, and the practice into nursing education increasing professional standards curriculum throughout the state. of culturally competent nursing 3. Work with CNSA Board of care, as well as the increased Directors and local chapters to demand for Complimentary and increase education in culturally Alternative Medicine (CAM) - it sensitive nursing practice and is important to increase the integrate culturally sensitive awareness of nursing students in awareness into all activities. culturally sensitive nursing 4. Inform CNSA membership practices through student regarding culturally sensitive advocacy and education nursing care, as well as current leadership programs issues and events through various means such as: writing articles for issues of Range of Motion, and updating the “Committee of Cultural Awareness” page on the CNSA website.

It is important to include that the #6 ARTICLE XII. AMENDMENTS bylaw amendment proposals must be made available to both the A. New bylaws may be adopted or A. New bylaws may be adopted or t delegates as well as the entire these bylaws may be amended by Section 1. These bylaws may be consistency at least one month a two-thirds (2/3) vote of the amended by a two-thirds (2/3) vote of prior to the annual convention. This has been noted in prior credentialed delegates present at the credentialed delegates present at an bylaws but has been re-worded an annual convention or special annual convention or special meeting for clarity. Giving the delegates meeting providing that a copy of providing that a copy of all proposals to and constituency time to review all proposals to the bylaws has the bylaws as prepared by the Bylaws the bylaw proposals allows for been sent to all delegates at least Committee has been sent to all amendments to the proposals to one month prior to the meeting. delegates and made available to the be carefully considered and CNSA constituency at least one month written in a timely manner, allowing the house of delegates to B. All proposed amendments shall prior to the meeting. be prepared by the Committee on deliberate efficiently. Bylaws and submitted to the Section 2. Amendment proposals, with Section 2 helps to clarify the process for members to submit Board of Directors for approval rationale, may be submitted to the possible amendments to the at least two (2) months before the Bylaws Committee by any CNSA existing bylaws. CNSA Convention and to the constituent member, constituent NSNA Committee on Bylaws for chapter, or the Board of Directors for Section 3 states the need for the approval at least one (1) month review at least 3 months prior to the bylaws committee to present before the CNSA convention. annual convention. bylaw amendment proposals to the board of directors prior to the C. An amendment to these bylaws B. All proposed amendments shall be annual convention. It is not shall become effective at the prepared by the Committee on Bylaws necessary for proposals to be submitted to the Board of close of the meeting at which and submitted to the Board of Directors Directors prior to submitting they are approved. for approval at least two (2) months them to the membership since before the CNSA Convention and to approval of proposals by the D. The Vice President shall make the NSNA Committee on Bylaws for Board of Directors is not editorial changes in the bylaws as required. needed provided that these approval at least one (1) month before

changes have been approved by the CNSA convention. Sections 3 and 5 provide for the Committee on Bylaws. CNSA bylaws to be congruent Section 3. The Bylaws Committee shall with NSNA bylaws. submit all proposed bylaw amendments to the Board of Directors prior to their presentation to the delegates and shall

submit a copy of the newly amended bylaws to NSNA following their approval at the annual convention or special meeting.

C. Section 4. An amendment to these bylaws shall become effective at the close of the meeting at which they are approved.

D. Section 5. The Vice President shall make editorial changes in the bylaws and changes required for conformity with NSNA (consistent with NSNA bylaws Article XIII, Section 4) as needed provided that these changes have been approved by the Committee on Bylaws and presented to the Board of Directors.

Attachment B

CARRIED

TOPIC: Resolution #1: IN SUPPORT OF STRENGTHENING THE NURSE LICENSURE COMPACT TO REMOVE BARRIERS IN 20 DISASTER RELIEF, TELEHEALTH, LICENSURE REGULATION, AND THE DISPERSEMENT OF MOBILE HEALTHCARE 21 WORKERS TO AREAS OF SHORTAGE 22 23 SUBMITTED BY: NATIONAL UNIVERSITY 24 25 AUTHOR: KRISTEN ZIMEL 26 27 WHEREAS, “The Nurse Licensure Compact (NLC), which enables multistate licensure among its 24 members, could similarly prove useful 28 to such locales in the event of disaster” (Kels & Kels, 2013, p.281); and 29 WHEREAS, “Implementing the NLC would benefit the public by enabling nurses to practice across state lines to serve in areas of need” 30 (Litchfield, 2010, p. 278); and 31 WHEREAS, Siow and Ng name the NLC as one of the “factors associated with a higher likelihood of internal migration” translating to 32 movement of mobile nurses where there is a shortage (2013, p. 135); and 33 WHEREAS, the World Health Organization (WHO) urges members to devise long-term strategic plans for implementing eHealth services, 34 including development of appropriate legal framework and infrastructure, which encourages public and private partnerships 35 (Republic of South Africa, 2012, p. 11); and 36 WHEREAS, “The current system of duplicative licensure for nurses practicing in multiple states is cumbersome and redundant to both 37 nurses and states” (Model Legislation & Rules, 2013); and 38 WHEREAS, NURSYS, the NLC’s centralized national database for disciplinary action, allows for full transparency to the public, instant 39 licensure verification, and increased communication between the state boards of nursing to provide better public safety 40 (Singh, 2012, p. 13); and 41 WHEREAS, “[The NLC] provides an effective solution to broad public policy issues that ignore state boundaries, but prevent federal 42 interference” (Nurse Licensure Fact Sheet for Legislators, 2012); therefore be it 43 RESOLVED, that the California Nursing Students’ Association (CNSA) encourage its constituents to support the NLC in order to better 44

align the nursing licensure process with the needs of the public; and be it further 45

RESOLVED, that the CNSA publish an article about this resolution in the Range of Motion magazine and any other relevant publications, if 46

feasible; and be it further 47

RESOLVED, that the CNSA increase student nurses awareness of the NLC by holding educational and informational sessions at the 48

annual CNSA convention, if feasible; and be it further 49

RESOLVED, that the CNSA send a copy of this resolution to the American Nurses Association of California, Association of California Nurse

Leaders, California Nurses Association, California State Association of Occupational Health Nurses, Nurse Alliance of

California, the California State Board of Nursing, the California Attorney General and all others deemed appropriate by the

CNSA Board of Directors.

Attachment C

CARRIED

TOPIC: Resolution #2: IN SUPPORT OF IMPROVING PERINATAL CARE FOR CHILDHOOD SEXUAL ABUSE (CSA) SURVIVORS

SUBMITTED BY: GROSSMONT COLLEGE

AUTHORS: MAIRE ORLANDO, KATRINA STELL

WHEREAS, the number of women estimated to have experienced childhood sexual abuse (CSA) consistently ranges between 12% and 40% across all socioeconomic, geographic, and cultural groups. CSA survivors suffer numerous long-term effects including a wide range of chronic mental and physical illnesses (ACOG, 2013; Hotelling, 2012; Ross, Roller, Rusk, Martsolf, & Draucker, 2009; Yampolsky, Wiesel, & Ben-Zion, 2010); and, WHEREAS, inherent to the childbearing process are many physiological and psychological factors that exacerbate the symptoms experienced by CSA survivors. They are particularly vulnerable to high stress and re-traumatization during vaginal examinations, the birthing process, breastfeeding, and examination of their newborns (Clark & Smythe, 2011; Coles & Jones, 2009; Hotelling, 2012; Ross, et al., 2009; Yampolsky et al., 2010); and “... are likely to experience perinatal complications, including hyperemesis, hypertension, bleeding, preterm delivery, low-birth-weight infants, low infant Apgar scores, and perinatal death… [and] …depression and anxiety during the postpartum period” (Ross et al., 2009, pg. 1); and, WHEREAS, health care providers are in a unique position to affect the perinatal outcomes of CSA survivors (McGregor, Julich, Glover, & Gautam, 2010; Ross et al., 2009). “The clinical encounter… is particularly problematic because it repeats the social power dynamics of the original sexual assault by placing the woman, once again, in a relatively powerless position compared with the professionals” (Coles & Jones, 2009, pg. 231); and, WHEREAS, current rates of disclosure to health care providers are as little as 4-10 % which makes it difficult to identify CSA survivors and modify interventions accordingly (Coles & Jones, 2009; McGregor et al., 2010); and, WHEREAS, Birth: Issues in Perinatal Care (2009) published a set of “universal precautions” for perinatal care based on suggestions by CSA survivors to protect undisclosed and disclosed survivors of CSA. The following precautions can be easily utilized for all women and are in concurrence with the principles of informed consent and nonmaleficence (Clark & Smythe, 2011; Coles & Jones, 2009): (1) Never assume consent. (2) Explain to the woman any professional touch, including examination or procedures, what is to be done, how it will be done, and why it is necessary. Where possible, explain and offer alternatives. (3) Explain baby examinations as carefully as an adult examination. (4) No procedure or examination should be “routine,” since most professionals will be unaware of the woman’s (or the woman’s mother’s) past history of childhood sexual abuse. (5) Obtain informed consent for maternal and baby touch, including examinations and procedures.

(6) Check in with the woman (or woman’s mother) during examinations: ask “Are you comfortable with this?” or “Is this OK with you?” (7) Stop or slow examinations at the woman’s request or in response to her distress. (Coles & Jones, 2009, pg. 235); therefore be it RESOLVED, that the CNSA encourage its constituents to advocate for increasing awareness of these universal precautions in perinatal

care; and be it further

RESOLVED, that CNSA increase awareness of these universal precautions in perinatal care through articles in the Range of Motion

publication, educational breakout sessions at the annual CNSA convention, if feasible, and other means deemed appropriate

by the CNSA board of directors; and be it further

RESOLVED, that the CNSA send a copy of this resolution to the California Association of Midwives, American Congress of Obstetricians

and Gynecologists (ACOG)/ District IX: California, American Nurses Association/California (ANA\C), Association of California

Nurse Leaders (ACNL), Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN)/California section,

California Association for Nurse Practitioners (CANP), California Board of Registered Nursing (BRN), California Institute for

Nursing & Health Care (CINHC), California Nurses Association (CNA/NNOC), Nurse Alliance for California, and all others

deemed appropriate by the CNSA Board of Directors.

Attachment D

CARRIED

TOPIC: Resolution #3: IN SUPPORT OF AN INCREASING AWARENESS OF THE EFFECTIVENESS OF PATIENT AND FAMILY CENTERED CARE (PCC/FCC) IMPLEMENTATION IN A PATIENT CARE SETTING

SUBMITTED BY: SADDLEBACK COLLEGE

AUTHORS: ABIGAIL KENNEDY & GERTRUDE CHANCELLOR

WHEREAS, according to American Journal Of Critical Care (AJCC), "family-centered care (FCC) is defined as an innovative approach to the planning, delivery, and evaluation of health care that is grounded in mutually beneficial partnerships among health care patients, families and providers" (Mitchell, Chaboyer, Burmeister, & Foster, 2009, p. 544) and WHEREAS, in January 2010, The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) “released a set of new and revised standards for patient-centered communication as part of an initiative to advance effective communication, cultural competence, and patient- and family-centered care” (JCAHO, 2011, p. 2); and WHEREAS, the American Academy of Pediatrics has “demonstrated a decreased length of stay, reduced medical errors, and improved staff satisfaction” with the use of “high quality patient- and family-centered care” (Eichner & Johnson, 2012, p. 397) and WHEREAS, FCC and PCC appear in the Healthy People 2020 report as integral to patient health, satisfaction, and health care quality (Kuo et al., 2012, p. 300) and WHEREAS, the American Heart Association (AHA) reports, “family members […] experience less anxiety and depression and more constructive grief behaviors if they are present during resuscitative efforts” (“Social and Ethical Issues,” 2011, p. 166); and WHEREAS, “80% of family members who have helped with some patient care stated that the act of caregiving resulted in the [patients] having a more positive outlook [as] family members both provide a link with home life that helps orient the patients and produce a calming effect and sense of security” (Mitchell, Chaboyer, Burmeister, & Foster, 2009, p. 544); and WHEREAS, 80-95% of families prefer teaching and care discussions to be at bedside (Kuo et al., 2012, p. 300); and WHEREAS, research from the UC Davis Health System indicates that including patients in more of the treatment and care-planning discussion is not only the right thing to do, it is also cost-effective” (“UC Davis study,” 2011); therefore be it

RESOLVED, that the California Nursing Students’ Association (CNSA) encourage its constituents to advocate for the incorporation of

FCC/PCC within all clinical care delivery settings; and be it further

RESOLVED, that the CNSA publish an article on this topic in Range of Motion, if feasible; and be it further

RESOLVED, that the CNSA demonstrate its ongoing commitment to increasing awareness of the principles of FCC/PCC and their

effectiveness in the health care system by providing education to faculty and students at the CNSA annual Convention during

break-out sessions, if feasible; and be it further

RESOLVED, that the CNSA send a copy of this resolution to the American Nurses Association\California, Association of California Nurse

Leaders, American Association of Critical Care Nurses, the Orange County Society of Pediatric Nurses, the National

Gerontological Nursing Association/California, and all others deemed appropriate by the CNSA Board of Directors.

Attachment E

CARRIED

CNSA SPONSORED RESOLUTION IN THE 2014 NSNA HOUSE OF DELEGATES

TOPIC: Resolution #4: IN SUPPORT OF AWARENESS AND ADVOCACY FOR CONSERVATIVE USE OF DIAGNOSTIC PROCEDURES INVOLVING RADIATION

SUBMITTED BY: CALIFORNIA STATE UNIVERSITY, SACRAMENTO

AUTHORS: JULIE MONTOYA, SANDY BURLANDO, VICTORIA CONLU, CHELSEA HALLFORD, CARRIE WILLIAMS

WHEREAS, the use of medical imaging procedures has increased annually from approximately three million in 1980 to over 70 million procedures today (Koontz, 2012); and WHEREAS, according to the US Environmental Protection Agency, there is no level at which radiation exposure is considered to be safe and free of risk (EPA, 2012); and WHEREAS, the U.S. Department of Health and Human Services has recognized medical imaging modalities which utilize ionizing radiation such as computed tomography, fluoroscopy, and radiography as potential carcinogens since the 2011 Report on Carcinogens, 12th Edition (NTP, 2011); and WHEREAS, according to a 2012 study funded by the US National Institute of Health of over 175,000 “children and young adults,” (p. 1) CT scans during childhood may lead to an increased risk of leukemia and brain cancer (NIH, 2012); and WHEREAS, Dr. Maria Neira of the World Health Organization stated, "Reduction of unnecessary radiation exposure by justification of radiological medical procedures is a major goal for the Global Initiative [on Radiation Safety in Health Care Settings]” (WHO, 2013, p. 3); and WHEREAS, accessibility of patient medical records, utilization of referral guidelines, and education of clinicians and technicians can reduce unnecessary procedure use and radiation exposure; optimization of radiological procedures can reduce inappropriate techniques and radiation doses; and utilization and compliance with radiation dose limits for medical workers can reduce excess population exposure (WHO, 2008); and; therefore be it RESOLVED, that the CNSA encourage its constituents to advocate for increasing awareness of the risks, benefits, and alternatives to

radiographic imaging studies; and be it further

RESOLVED, that CNSA and its constituents encourage patients to maintain personal records of all imaging studies conducted; and be it

further

RESOLVED, that the CNSA publish an article about this topic in the Range of Motion magazine, if feasible; and be if further 29

RESOLVED, that the CNSA send a copy of this resolution to the American Nurses Association\California, Association of California Nurse

Leaders, Association for Radiologic and Imaging Nursing\CA-Golden Gate Chapter, California Association of Clinical Nurse

Specialists, California Association of Colleges of Nursing, California Hospital Association, California League of Nursing,

California Nurses Association, California Organization of Associate Degree Program Directors, and all others deemed

appropriate by the CSNA Board of Directors.

Attachment F

CARRIED

TOPIC: Resolution #5: IN SUPPORT OF INCREASING AWARENESS AND EDUCATION OF ALARM FATIGUE TO PROVIDE A SAFER ENVIRONMENT IN THE HOSPITAL SETTING

SUBMITTED BY: MAURINE CHURCH COBURN SCHOOL OF NURSING

AUTHOR: MELISSA SADOWSKY

WHEREAS, the Joint Commission’s (TJC) Sentinel Event Alert (Issue 50), on April 8, 2013, states, “the constant beeping of alarms and an overabundance of information transmitted by medical devices such as ventilators, blood pressure monitors and ECG (electrocardiogram) machines is creating alarm fatigue that puts hospital patients at serious risk” (Eaken Zhani 2013); and WHEREAS, “the number of alarm signals per patient per day can reach several hundred depending on the unit within the hospital, translating to tens of thousands of alarm signals throughout the hospital every day [and] as a result clinicians become desensitized or immune to the sounds, and are overwhelmed by information – in short, they suffer from alarm fatigue” (TJC 2013); and WHEREAS, the Emergency Care Research Institute (ECRI) ranked alarm hazards as number one on their annually Top 10 Health Technology Hazards for 2013 and 2012, stating that, “alarm hazards remain a high-impact, high-profile patient safety concern [and] healthcare facilities can continuously improve the manner in which alarms are managed” (ECRI 2013); and WHEREAS James P. Keller, ECRI Institute’s Vice President, Health Technology Evaluation and Safety, states, “alarm-related adverse incidents typically involve one of the following: staff becoming overwhelmed by the sheer number of alarms; alarm settings not being restored to their normal levels after being modified to accommodate temporary conditions; and alarms not being properly relayed to ancillary notifications systems” (Keller 2011); and WHEREAS, “nuisance alarms represent the 95% of alarms that do not require a clinical intervention [and] reducing the overall occurrence of nuisance alarms is essential in creating and maintaining a safe clinical environment” (Welch 2012); and WHEREAS “From 2005 through 2008, the U.S. Food and Drug Administration Manufacturer and User Facility Device Experience (MAUDE) database received 566 reports of patient deaths related to monitoring device alarms” (Cvach 2012); and therefore be it RESOLVED, that the California Nursing Students’ Association (CNSA) encourage its constituents to support increased awareness and

education of optimal management of monitoring systems and their alarms; and be it further

RESOLVED, that the CNSA encourage and support further research and evidence based studies focused on enhancing patient safety by

implementing improved alarm guidelines and parameters and promoting innovative solutions in the clinical setting; and be it

further

RESOLVED, that the CNSA publish an article on alarm fatigue in Range of Motion magazine, if feasible; and be it further

RESOLVED, that the CNSA send a copy of this resolution and all supplementary material to the California Nurses Association, American

Nurses Association\California, Association of California Nurse Leaders, the Nurse Alliance of California, the California Board

of Registered Nursing, and all others deemed appropriate by the CNSA Board of Directors.

Attachment G

CARRIED

TOPIC: Resolution #6: IN SUPPORT OF ADHERENCE TO PROFESSIONAL CONDUCT BY EACH CNSA CHAPTER

SUBMITTED BY: CNSA FRESNO STATE

AUTHOR: JORDAN BURNS

WHEREAS, Provision 9 of the American Nurses Association's Code of Ethics for Nurses asserts, "The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values.." and, "..for maintaining the integrity of the profession and its practice.."; (2001) and WHEREAS, the National Student Nurses’ Association (NSNA) has published a Code of Professional Conduct while CNSA does not possess or publish such a document; (April 1999) and WHEREAS, CNSA bylaws state under Article I. Name and Auspices, “..the California Nursing Students’ Association..” [is] “..a constituent of the National Student Nurses’ Association..”; and WHEREAS, the California Nursing Students’ Association (CNSA) Values Statement states, "..the image and standards of nursing practice in all activities, according to the Code of Ethical Student Conduct, and the NSNA Code of Professional Conduct and NSNA Code of Academic and Clinical Conduct."; (2013) and WHEREAS, CNSA bylaws state under Article III Section 1. Objectives and Purposes, “..encourage collaborative relationships with ANA\California as well as all other nursing and health-related organizations."; and WHEREAS, the CNSA Values Statement further promotes, "..the professional and positive image of nursing in all media relations, public presentations, and publications."; therefore be it RESOLVED, that CNSA encourage each chapter to develop a Professional Code of Conduct or adopt the NSNA Professional Code of

Conduct for members to sign prior to attending any official CNSA meeting, conference, or event; and be it further

RESOLVED, that a copy of this resolution be sent to constituent chapters of CNSA, and all other individuals or organizations deemed

appropriate by the CNSA Board of Directors.

Attachment H

AS AMENDED

TOPIC: Resolution #7: IN SUPPORT OF INCREASING EDUCATION AND AWARENESS OF MENTAL HEALTH CARE NEEDS IN NURSING CURRICULUM

SUBMITTED BY: NATIONAL UNIVERSITY, FRESNO

AUTHORS: DESIREE CULLUM

WHEREAS, according to a report by the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Center for Behavioral Health Statistics and Quality (CBHSQ) “In 2011, there were an estimated 45.6 million adults aged 18 or older in the United States with any mental illness (AMI) in the past year” representing 19.6 percent of all adults in this country. Furthermore “in 2011 there were an estimated 11.5 million adults aged 18 or older in the United States with (serious mental illness) SMI in the past year”. This represented 5 percent of all adults in the United States (Center for Behavioral Health Statistics and Quality, 2011); and WHEREAS, the World Health Organization (WHO) and the World Organization of Family Doctors (Wonca) state: “Strong research evidence has revealed the multidirectional links between mental and physical health and illness. Thoughts, feelings and health behavior have a major impact on physical health status. Conversely, physical health status considerably influences mental health and well-being. Mental disorders can be precursors to physical health problems, or consequences of physical health” (WHO, 2008); and WHEREAS, multiple studies have shown “people with mental illness are twice as likely as the general population to be diagnosed with physical illnesses” such as; diabetes, cardiovascular and infectious diseases. Additionally those with severe mental illness (SMI) experience an increase in mortality risk and a shortened life expectancy compared to that of the general population. “The most common causes of death are often treatable effects of physical health” (Happell, Scott, Platania-Phung, & Nankivell, 2012); and WHEREAS, according to the Health Resources and Services Administration (HRSA) nursing is the nation's largest health care profession, with more than 3.1 million registered nurses nationwide (Health Resources and Services Administration, 2010). Furthermore nurses “are the primary providers of hospital patient care, and deliver most of the nation's long-term care” (American Colleges of Nursing, 2013); and WHEREAS, Whitehead contends “nurses have great potential to make a contribution to health promotion because of their education and access to the community. Nurses are also the largest group of health professionals and have a high degree of visibility and credibility within the community... therefore play a pivotal role in making health promotion and illness-prevention services available to all population groups, including those who are vulnerable and underserved (as cited in Wand, 2011, p.135). It is this aspect of nursing which indicate a need “for nurse-led health promotion, education and research across all settings and not just in primary care (Wand, 2011); therefore be it

RESOLVED, that the California Nursing Students’ Association (CNSA) promote awareness of mental health needs in the United States

through student-aimed publications, such as Range of Motion, if feasible; and be it further

RESOLVED, that the CNSA support and encourage its constituents to promote an increase in discussion of mental health care needs

across the nursing curriculum specific to the patient population targeted in each class; and be it further

RESOLVED, that CNSA send a letter written by the author and approved by the Board of Directors to the Deans and Directors of each

School of Nursing in California, advocating steps to further an awareness of mental health needs at the undergraduate level,

where applicable; and be it further

RESOLVED, that CNSA send copies of this resolution for review to the following: American Nurses Association\California, Association of

California Nurse Leaders, California Association of Clinical Nurse Specialists, American Psychiatric Nurses

Association\California, California League for Nursing, California Association of Colleges of Nurses any other organizations

deemed appropriate by the CNSA Board of Directors.

Attachment I

CARRIED

TOPIC: Resolution #8: IN SUPPORT OF PATIENT ACCESS TO ELECTRONIC HEALTH RECORDS: EMPOWERING PATIENTS BY IMPROVING ONLINE BASED COMMUNICATION

SUBMITTED BY: CALIFORNIA STATE UNIVERSITY SAN MARCOS

AUTHORS: KATE NELSON

WHEREAS, according to The Department of Health and Human Services Federal Register (2012), granting patient electronic access to their records “has the potential to empower patients to play a greater role in their own care coordination and could help assist in reducing the amount of redundant an duplicative imaging-orientated tests performed”; and WHEREAS, a study published by the American College of Physicians, 99% of patients given electronic access to their notes wanted to continue to have this access (Delbanco, 2012); and WHEREAS, “all patients should have an equal opportunity to access their electronic health information without barriers or diminished functionality or quality” (Health Information Technology, 2012); and WHEREAS, 72% of adult population use social networking as a source of information exchange (Brenner, 2013) but only 21% of the population who track their health data, utilize technology to do this” (Fox, 2013); and WHEREAS, the Department of Health and Human Services has issued a Blue Button Pledge encouraging public support by pledging “We pledge to make it easier for individuals and their caregivers to have secure, timely, and electronic access to their health information. We encourage individuals to use this information to improve their healthcare” (Blue Button Pledge, 2013); therefore be it

RESOLVED, that the California Nursing Students' Association (CNSA) pledge support to the Blue Button Pledge initiative.; and be it further

RESOLVED, that the CNSA publish an article about this topic in Range of Motion magazine, if feasible; and be it further

RESOLVED, that the CNSA send a copy of this resolution to the American Nurses’ Association\California, Association of California Nurse

Leaders, the California Nurses Association, the Nurse Alliance of California, the California Board of Registered Nursing,

National Coordinator of Health Information Technology, Kaiser Permanente, and all others deemed appropriate by the CSNA

Board of Directors.

Attachment J

DENIED

TOPIC: IN SUPPORT OF INCREASING AWARENESS OF HEALTH DISPARITIES AMONG UNDOCUMENTED IMMIGRANTS

SUBMITTED BY: SAN DIEGO STATE UNIVERSITY

AUTHOR: MARIA ESTRADA AND AMANDA GOFORTH

WHEREAS, according to the American Journal of Nursing (2012), an estimated, “11.2 million undocumented people were living in the United States… with more than half (53.5%) having a household income below 138% of the federal poverty line”; and WHEREAS, according to the study led by the Center for the Study of Immigration Integration by the University of Southern California, “There are more than 1.8 million unauthorized Latino adults in the state. They represent 7 percent of the state’s total population and are about two-thirds of the state’s undocumented population” (2010); and WHEREAS, the current Affordable Care Act states, that in order to be eligible for health care coverage, an individual must have a satisfactory immigration status; thus excluding undocumented and unauthorized people (US Congress, 2010); and WHEREAS, undocumented people are only eligible for emergency medical services, but are not eligible for primary care such as dental and regular check-ups (US Congress, 1966); and WHEREAS, “As we scrutinize our health care system for ways to improve access and outcomes while lowering costs, excluding a large resident population from systemic reforms…puts the burden of caring for the undocumented entirely on the shoulders of clinicians and the organizations in which they work” (Berlinger & Raghavan, 2013); and RESOLVED, that California Nursing Students’ Association (CNSA) encourage its constituents to increase awareness of health disparities

among undocumented people; and be it further

RESOLVED, that CNSA publish an article about this topic in the Range of Motion newsletter, if feasible; and be it further

RESOLVED, that CNSA encourage its constituents to be more informed of available resources posted on the CNSA website provided by

the authors and approved by the CNSA BOD; and be it further

RESOLVED, that CNSA encourage hospitals serving undocumented populations to bring this topic to their ethics boards by emailing

California hospitals an informational packet submitted by the authors using an email list provided by the

authors following approval of the packet and email list by the CNSA BOD ; and be it further

RESOLVED, that CNSA send a copy of this resolution to the American Nurses Association\California, Association of California Nurse

Leaders, the Nurse Alliance of California, the California Board of Registered Nursing, Catholic Healthcare West, Kaiser

Permanente, Sutter Health, Community Regional Medical Center, Stanford Medical Center, Loma Linda University Medical

Center, California Department of Veterans Affairs, and all others deemed appropriate by the CNSA Board of Directors.

Attachment K

CARRIED

TOPIC: Resolution #10: IN SUPPORT OF INCREASING EDUCATION AND AWARENESS OF RISK FACTORS FOR THE CHILDBEARING FAMILY RELATED TO RECEIVING A CESAREAN SECTION

SUBMITTED BY: SAN FRANCISCO STATE UNIVERSITY NURSING STUDENTS' ASSOCIATION, SAN FRANCISCO, CALIFORNIA

AUTHORS: BREENA LYONS & ALANA DOAN

WHEREAS, according to the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) (2011), “Cesarean delivery (CD) is the most frequently performed surgical procedure in the United States” (Campbell, p.310); and WHEREAS, according to data from the Natality Data File, National Vital Statistics System (2010), “The cesarean rate rose by 53% from 1996 to 2007, reaching 32%, the highest rate ever reported in the United States” (Menacker and Hamilton, p.1); and WHEREAS, while obstetric interventions are often necessary and warranted the National Center of Health Statistics (2010) states, “nonmedical factors suggested for the widespread and continuing rise of the cesarean rate may include maternal demographic characteristics (e.g., older maternal age), physician practice patterns, maternal choice, more conservative practice guidelines, and legal pressures”(Menacker and Hamilton, p. 6); and WHEREAS, according to the American College of Obstetricians and Gynecologists (ACOG) (2013), “Given the balance of risks and benefits, the committee on Obstetric Practice believes that in the absence of maternal or fetal indications for cesarean delivery, a plan for vaginal delivery is safe and appropriate and should be recommended to patients; and WHEREAS, evidence from ACOG (2013) states “Cesarean delivery on maternal request particularly is not recommended for women desiring several children, given that the risks of placenta previa, placenta accreta, and gravid hysterectomy increase with each cesarean delivery” (p.1) AWOHNN (2011) has stated that “primary CD is associated with a 47 percent increased risk of placenta previa, 40 percent increased risk of placental abruption in second pregnancy with a singleton and associated hemorrhage” (Campbell, p.314). Furthermore, “CD involves inherent risks of mortality and morbidity for both mothers and neonates” (Campbell, 2010, p.312). The complications and risk factors for neonates have been addressed by a previous resolution approved by the NSNA by Rutgers University; College of Nursing (2013) titled “In Support of Increased Education of the Childbearing Family Regarding Elective Induction and Elective Cesarean Births Before 39 Weeks of Gestation” (National Student Nurses Association, 2013). According to AWOHNN (2010), “Complications are known to occur both in the immediate hospitalization and after discharge, with some patients requiring readmission. These include hemorrhage necessitating transfusion (as opposed to postpartum vaginal hemorrhage, which is nearly as common but does not often require blood transfusion), fever, infection, pneumonia, thromboembolic incidents, psychological sequelae, increased length of stay and ICU admission” (Campbell, 2010, p.312); and WHEREAS, according to the World Health Organization (2010) “In order to reduce non-medically indicated caesarean sections, the reasons for use of the operation should be audited and monitored and, where necessary, appropriate health education and behavior-change strategies should be developed and implemented”(World Health Organization, 2010, p.2); and

WHEREAS, “Hospital nurses may feel that their part in the process occurs too late to influence change. However, all maternal health nurses can effect change by contributing to the formulation of hospital and clinic policies, developing needed measurement tools for further research, writing articles and integrating this information into labor and delivery classes and seminars” (Campbell, 2011, p. 317); therefore be it RESOLVED, that the California Nursing Students’ Association (CNSA) encourage its constituents to advocate for increasing awareness of

current cesarean section rates and the concomitant risk factors involved for childbearing families in the hospital setting; and

be it further

RESOLVED, that the California Nursing Students’ Association (CNSA) encourage its constituents to advocate for increasing education of

risk factors for childbearing families surrounding cesarean sections in the hospital and community settings, including but not

limited to prenatal courses, prenatal clinics, and primary provider offices; and be it further

RESOLVED, that the CNSA publish an article about this topic in the Range of Motion magazine, if feasible; and be it further

RESOLVED, that the CNSA send a copy of this resolution to the American Nurses Association, American Nurses Association\California,

Association of California Nurse Leaders, the California Nurses Association, the Nurse Alliance of California, the California

Board of Registered Nursing, American Congress of Obstetricians and Gynecologists, Office of Disease Prevention and

Health Promotion (National Health Information Center), National Child and Maternal Health Education Program, San

Francisco General Hospital, San Francisco State University, Kaiser Permanente, Stanford Medical Center, SHARP Memorial

Hospital, University of California San Francisco Medical Center, Sutter Health, UC Davis Medical Center, the Association of

Women’s Health, Obstetric and Neonatal Nurses, Day One Centers Inc., California State Military Department, Veterans

Health Administration, and all others deemed appropriate by the CNSA Board of Directors.

Attachment L CNSA Ballot SUNDAY OCTOBER 20, 2013 The following individuals are running for a position on the 2013-2014 CNSA Board of Directors. Vote for ONE candidate per office only. Please mark your ballot clearly by making an [X] in the bracket to the right of the candidates name for the specific office. Write-in candidates should be written in the space provided under each office; also mark an [X] in the adjacent box provided.

President Communications Director Matthew Grayson- Ohlone College [ ] Jireh Somera- CSU Fresno [ ] [ ] [ ] Community Health Director Vice President Reet Kaur- CSU Sacramento [ ] Devin Gray- San Diego State University [ ] Ashley MacRunnel- Point Loma Nazarene Univ. [ ] Zack Huddleston- CSU Fresno [ ] Angel Lee- National University, San Diego [ ] [ ] [ ] Secretary / Treasurer Membership Director - North Reanna Moon- West Coast University, LA [ ] Ella Demchuk- CSU Sacramento [ ] Joseph Vaughan- Antelope Valley College [ ] [ ]

[ ] Membership Director - South Convention Director Samantha Ahwah- San Diego State University [ ] Jennifer Ericson- San Diego State University [ ] [ ] [ ] Image of Nursing Committee Chair

Legislative Director Melissa McClanahan- CSU Sacramento [ ] Maria Estrada- San Diego State University [ ] Briana Clark- Saddleback College [ ] Alexis Broggi- CSU Fresno [ ] [ ] [ ] Cultural Awareness Committee Chair Breakthrough to Nursing Director Jessica Monte- Antelope Valley College [ ] Malayna Tolley- San Diego State University [ ] [ ] Eboni Cross- CSU Sacramento [ ] [ ]

Attachment M Scholarships and Awards Ceremony

ACNL Scholarship Awards – Sonya Tran, Western University, Health Science; Emily Elder, CSU Sacramento; and Carrie Williams, CSU Sacramento Rue/Lenihan Scholarship Award – Sabrina McKinney, CSU Sacramento Dignity Health Scholarship Awards – Esther Enas, Biola University; Spencer Cho, West Coast University; and Matthew Manglal-Lan, San Diego State University ANA/C Scholarship Award – Stephanie Peterson, San Diego State University Katie Bray Scholarship Award – Chelsea Hallford, CSU Sacramento Sparkplug Award – East Los Angeles College Convention Attendance Award – CSU Fresno Breakthrough to Nursing Project Award – Maurine Church Coburn School of Nursing Newsletter Awards – CSU Fresno and CSU, Sacramento Community Health Project Awards – Maurine Church Coburn School of Nursing and CSU, Sacramento Outstanding Member Award – Asha Koshy, Ohlone College Outstanding CNSA Board Member Award – Kristi Miller, BSN, CSU, Fresno Faculty of the Year Award – Deborah Goldstick, Golden West College