Volume 71 • Number 4 Winter 2008 I Am TNA 2008-2009 Convention Wrap by Laurie Acred-Natelson, MSN, RN, CNAA, BC Nursing Collaborative Liaison Tennessee Organization of Nurse Executives

Only through the strong recommendation of a new and refreshing acquaintance at the University of Tennessee at Martin in West Tennessee did I embark on what would be a versatile and rewarding profession–Nursing. The year was 1972. I had always enjoyed the sciences during high school, yet simply had never entertained the idea of a healthcare career. Laurie Acred-Natelson My inspiration to become an architect changed when my college colleague became a true mentor as I watched her caring for people, not only those in institutionalized settings, but persons that she encountered in everyday life. The realization that perhaps I could have a similar impact in the lives of people was an exciting revelation. Much unlike today, there was considerably less competition to achieve a first-pass admission to nursing school, and the next day I was in the nursing classroom learning anatomy and physiology. I was making a rewarding investment that The 2008-2009 TNA Board of Directors, including newly-elected officers and District Presidents, were installed would lead me to unconditionally enjoy what I do everyday. Sunday morning at the Annual Convention. Board members included in the photo are front row, from left, Janice One of the most important things that nursing has taught Harris, District 15 President; Jennie Walls, District 5 President; Beth Smith, TNA President Elect; Charlene me is that no matter what you do in life, you can apply Stewart, District 8 President; back row, from left, Tommie Norris, TNA Vice President; Diane Ruppel, District nursing knowledge, skills, and societal interactions. 1 President; Sharon Bailey, TNA Treasurer; Mary Gunther, District 2 President; Lena Patterson, District 4 What I have learned is that when you encounter a zone President; Sharon Craig, District 3 President; Ruby Black, District 10 President; and Doris Glosson, District 12 of “discomfort” you can do your best work when you are President. On the stage are from left, La-Kenya Kellum, TNA Secretary; and Sharon Adkins, TNA Executive (continued on page 2) Director. Not shown in photo is Laura Beth Brown, TNA President. TNA Annual Convention Ethics and Pandemic Planning Proves Great Success by Kate Payne, JD, RN occur, but when. Consider recent weather disasters and Attendees at the 2008 Tennessee Nurses Association Director of Ethics, Saint Thomas Hospital, Nashville you will begin to understand what the impact might be on Annual Convention, The Power of One, held October 24- the health care system when an illness goes global. Such 26 at the Franklin Marriott Cool Springs, Franklin, Tenn., The leaves have fallen, public disasters are characterized by needs that quickly were motivated and enlightened by discussion on issues of cold weather has come, and overwhelm human and material resources. Decisions will current importance to the nursing profession, educational we know that the flu season is have to be made about who gets often scarce resources. offerings, special activities, networking with colleagues, here because we all got our flu Health care professionals will have to wrestle with their and poster presentations. shot, right? Right! Along with duty to continue to provide care in the face of what could The educational offerings during the Annual Convention concerns about regular flu, the be real personal danger from exposure. Each of us will covered many areas of current interest including ethics, possibility of an avian or “bird have to reflect on the ethical issues related to being a advanced practice nursing issues, nurses and health policy, nurse. To get clear on your ethical obligations, you should flu” pandemic will again be (continued on page 5) heightened. seek to understand what a pandemic is, what the It’s beyond the scope of this impact might be, and what to do to prepare. column to provide a thorough Presort Standard What is a global pandemic? US Postage analysis of all the relevant Kate Payne It’s important to remember that influenza is PAID literature, the emergency plans Permit #14 of government and individual the king in terms of overall global mortality. Flu/ Princeton, MN health care facilities. Suffice it to say, there has been pneumonia ranks eighth as a leading cause of death current resident or 55371 intense interest and planning activity in the last few with about 200,000 hospitalizations and 36,000 years for a bird flu pandemic. Each state and the federal deaths in the United States each year. government have preparedness plans easily accessed There have been three pandemics in the last online. The World Health Organization (WHO) and The century. The Spanish flu of 1918 killed 20-50 Centers for Disease Control and Prevention (CDC) track million worldwide, more than 500,000 in the U.S. the issue on a global basis. A brief list of some of the It remains the most devastating pandemic in recent websites and articles used in this column appears at the history. In Tennessee there were 7,721 recorded end for additional reading and information. Authorities say that the question isn’t if a pandemic will (continued on page 9) Page 2 The Tennessee Nurse December 2008, January, February 2009 I Am TNA and sound decisions must be made to accommodate the (Continued from page 1) needs of our demanding healthcare future. I have been a The Tennessee Nurse is the offi cial publication of the member of the Tennessee Nurses Association (TNA) since Tennessee Nurses Association, 545 Mainstream Drive, Suite 405, challenged to do what seems to be impossible. As a nursing 1990 and am kept abreast of nursing trends and tribulations Nashville, TN 37228-1296 superior once said, “when you get comfortable in your job, in our state and country through the various publications Phone: 615/254-0350 • Fax: 615/254-0303 you should be looking for another one.” That was over 25 and venues offered through the outstanding efforts of this Email: [email protected] Published exclusively by the years ago, and I shall never forget. That comment made organization. There is an abundance of opportunities made a significant impact on me and the choices that I would Tennessee Nurses Association and the available through membership in TNA including and not Arthur L. Davis Publishing Agency, Inc. make subsequently. My goal was to thwart mediocrity and limited to, nursing partnerships, collaboratives toward maximize the resources within my control. After serving common goals, legislative news and contacts, career center TNA 2008-2009 Board of Directors Officers as critical care educator and nursing director for critical resources, volunteer activities, and new knowledge and Laura Beth Brown, President; Susan M. Sanders, Past President; care/specialty services, I returned to school to obtain a innovations to assure that we are practicing in congruence Beth Smith, President Elect; Tommie Norris, Vice President; master’s degree in nursing with a concentration in health with patient safety initiatives. Just surf www.tnaonline.org La-Kenya Kellum, Secretary; Sharon Bailey, Treasurer systems’ management. This process was fulfilling, as I was and you will see the breath of possibilities including timely able to network with professionals of similar backgrounds TNA 2007-2008 District Presidents issues in nursing practice that can impact your ability to Diane Ruppel, District 1; Mary Gunther, District 2; from across our state and beyond. Since that time, I have an informed voice in support of our profession. Sharon Craig, District 3; Lena Patterson, District 4; have served as medical/surgical director at Fort Sanders Nursing in Tennessee has considerable diversity from the Jennie L. Walls, District 5; Vacant, District 6; Regional Medical Center in Knoxville and most recently Mississippi River west to the Appalachian Mountains Charlene Stewart, District 8; Vacant, District 9; focused on growth of the neuroscience service line. east, with each area possessing unique strengths and Ruby Black, District 10; Doris Glosson, District 12; With the reality of budget cuts looming in our state, opportunities toward provisions for high-quality, efficient, Janice Harris, District 15 schools of nursing will not be exempt unless we raise and effective healthcare deliveries for each individual EDITORIAL TEAM community awareness and actively intervene. We must population. Editorial Board: Ruth Elliott, Chair; Karen Anderson; position ourselves to become more active in public I am privileged to have a supportive family, including Patricia Arangie; Loretta Byrne; Linda Finch; Amy Hamlin; discussion to prevent further hindrances to the attraction parents who continue to live in my West Tennessee Kathy Martin; Joan McCuen; Sarah Mynatt; Tommie Norris; and education of high-quality nursing students. We cannot birthplace town of Dyersburg who operate a family shoe Tamara Robertson; Beth Smith; Melvin Viney afford a decrease in the number of nurses. We have already store and working farm. My favorite extracurricular Managing Editor: Cheri M. Glass been faced with the reality of a deficit in qualified faculty activities include fishing and bicycling. My sister and TNA Staff I enjoyed “catching the limit on redfish” during a recent Sharon A. Adkins, MSN, RN, Executive Director Florida vacation. My husband and I monitor the evolution Kathy A. Denton, Member Services & IT Administrator of growing vegetables and he is always providing Cheri M. Glass, Communications & interesting recipes for me to experiment on him. Yes, I am Marketing Administrator TNA. Karen Langeland, Executive Assistant The official publication of the Tennessee Nurses Association shall be the Tennessee Nurse. The purpose of the publication shall be to support the mission of the Tennessee Nurses Association through TNA/ANA Membership the communication of nursing issues, continuing education and significant events of interest. The statements and opinions expressed herein are those of the individual authors and do not necessarily RNs Professional Practice represent the views of the association, its staff, its Board of Directors, or editors of the Tennessee Nurse. Insurance Article Submissions: The Tennessee Nurses Association encourages submissions of articles and photos for publication in the Tennessee Nurse. Any topic related to nursing will be considered for Only 75¢ a day publication. Although authors are not required to be members of the Tennessee Nurses Association, when space is limited, preference will Membership in the Tennessee Nurses Association and be given to TNA members. Articles and photos should be submitted the American Nurses Association is like having your own by email to [email protected] or mailed to Managing Editor, professional practice insurance policy. The premium (dues) Tennessee Nurses Association, 545 Mainstream Drive, Suite 405, is only 75¢ a day. Here are 10 ways that TNA/ANA insures Nashville, TN 37228-1296. All articles should be typed in Word. your profession… Please include two to three sentences of information about the author at the end of the article and list all references. Preferred article 1. TNA monitors and protects the Nurse Practice length is 750–2000 words. Photos are welcomed as hard copies or Act… your ability to practice as a nurse. digital files at a high resolution of 300 DPI. The Tennessee Nurses Association assumes no responsibility for lost or damaged articles or 2. TNA advocates for Legislation to improve your photos. TNA is not responsible for unsolicited freelance manuscripts practice environment and the health of the citizens or photographs. Contact the managing editor for additional of Tennessee. contribution information. 3. ANA works at the federal level to assure safe Reprints: Tennessee Nurse allows reprinting of material. needles, safe patient staffing and safe patient Permission requests should be directed to the Tennessee Nurses handling to provide a safe work environment. Association to [email protected]. 4. ANA maintains the Code of Ethics for Nurses Advertising: For classified or display advertising rates and which was first developed in 1926 to give guidance insertion orders, please contact the Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, to professional nurses in the practice setting. IA 50613, at 800-626-4081 ext. 1311 or [email protected]. The 5. ANA develops and publishes the Scope and Tennessee Nurses Association and the Arthur L. Davis Publishing Standards of Practice for Nursing which underpins Agency, Inc. reserve the right to reject advertising. Responsibility your professional practice. for errors in advertising is limited to corrections in the next issue 6. TNA and ANA actively support efforts to end the or refund in the price of advertisement. The print of advertisements nursing shortage. does not imply endorsement or approval by TNA of the products 7. TNA/ANA brings your voice to the state and advertised, the advertisers, or the claims made. Likewise, the national health policy tables. appearance of advertisers, or Tennessee Nurses Association members, does not constitute an endorsement of the products or 8. ANA and TNA collaborate for you and the nursing services featured in this, past or subsequent issues of the publication. profession with other healthcare organizations, TNA and the Arthur L. Davis Publishing Agency, Inc. shall not be locally, nationally and internationally to improve held liable for any consequences resulting from purchase or use of an healthcare. advertiser’s product. 9. Your membership in TNA/ANA allows you Copyright ©2008 by the Tennessee Nurses Association. The to become part of an influential and effective Tennessee Nurse is published quarterly in March, June, September statewide and national network of registered nurses and December. Published free for TNA members and nurses licensed who impact the nursing profession. in Tennessee. Others may subscribe annually by contacting cglass@ tnaonline.org. Articles appearing in The Tennessee Nurse express the 10. TNA keeps you informed about issues that affect opinion of the authors; they do not necessarily reflect the views of YOU! the staff, Board, or membership of TNA or those of the District and National associations. That’s a lot to get from an “insurance policy”! December 2008, January, February 2009 The Tennessee Nurse Page 3 From the President School Nurses whose manual dexterity and experience are needed to TNA President’s A legislative study committee released a one-page report carry out the plan–does it remind you of the RN-LPN- in March on the health crisis in public schools. While the CNT roles? We have the solution in addressing the issues committee recommended increasing the school nurse to before us; actually Esther Lucille Brown identified Annual Convention student ratio, a funding mechanism was not identified. these for us in 1948. She was a social anthropologist The Departments of Health and Education voiced support at the Russell Sage Foundation for more than 30 years. Address for this issue on numerous occasions, as did multiple Among her contributions were ground-breaking studies legislators. TNA hopes to work with the Administration of the professions and stimulation of the development of by Laura Beth Brown, MSN, RN and the Legislature next session to increase the presence of medical social science. Her research on nursing stimulated TNA President school nurses in Tennessee. professionalization and nursing education’s move into the university. The accuracy of her research findings on I started my first editorial this Volunteers Administering Medications nursing and psychosocial aspects of patient care led many time last year by thanking each The Tennessee Epilepsy Foundation passed legislation to assume that she was a nurse. Our next challenge is of you for electing me, this year that allows trained volunteers to administer seizure nothing short of reinventing nursing as we know it today. let me start by simply telling medications in schools. While TNA voiced strong So, I will end now with a story on the Power of One. you what an honor it has been to opposition to the original bill and provided testimony at Dr. Ethel Percy Andrus, a retired high school principal, serve the state of Tennessee and almost every committee meeting, the Legislature passed founded an organization in 1958. This group evolved from one of the most nurse-friendly the bill. However, we were successful in getting the bill one person’s determination and drives to influence change states in America. I wanted to amended to require a joint report from the Departments of and policy–it started as the National Retired Teachers share with you my following Education and Health be filed with the Legislature on the Association (NRTA), which Dr. Andrus had established speech from the TNA Annual status of the school nurse program and details on seizure in 1947 to promote her philosophy of productive aging Convention in October. medications being administered by volunteers in schools. and in response to the need of retired teachers for health I have three key focuses Laura Beth Brown insurance. At that time, private health insurance was to engage you in during Advanced Practice Nurses Co-Owning virtually unavailable to older Americans; in fact, it was this short address: one is Professional Limited Liability Corporations not until 1965 that the government enacted Medicare, accomplishments, two is strategic direction, and the third TNA proposed and passed a bill that adds Advanced which provides health benefits to persons over age 65. Dr. is the Power of One. Practice Nurses to the list of medical professionals who Andrus approached dozens of insurance companies one • TNA established a robust Capital Campaign to build can co-own a PLLC with a physician. by one until she found someone willing to take the risk of the Tennessee Center for Nursing Excellence this insuring older persons. She then developed other benefits year, and year-to-date we have raised more than Scholarships and programs, including a discount mail order pharmacy $300,000 toward our goal of $2 million dollars TNA’s partnership with Gov. Phil Bredesen’s service. Over the years, NRTA heard from thousands • We have had the most successful year in the administration on the Tennessee Graduate Nursing–Loan of others who wanted to know how they could obtain Tennessee Nurses Political Action Committee Forgiveness Program was funded in the Governor’s budget insurance and other NRTA benefits without being retired (TN-PAC) contributions, raising more than $9,000 and passed by the Legislature. In a tight fiscal year, this teachers. After 10 years, Dr. Andrus realized the time had before convention and exceeding our total PAC was a major success for TNA. come to create a new organization open to all Americans. contributions collected annually in the past five Today, we know this as AARP (the American Association years. Long-Term Care of Retired Persons). In 1963, Dr. Andrus established • We have created what I think is the most Gov. Bredesen demonstrated once again his an international presence for AARP by founding the comprehensive policy and guidelines on both commitment to health care by proposing changes to the Association of Retired Persons International (ARPI), with political endorsements and contributions. Our delivery of home based care. While TNA was originally offices in Switzerland and Washington, D.C. Today, AARP organization now has a process that not only seeks concerned over volunteers being granted authority in the is 38 million strong. It is an active group–52% of voters in the legislators’ opinions, but we track these through a Nurse Practice Act, TennCare Bureau officials confirmed the 2006 mid-term elections were 50 and older. formal survey process and balance their suggestions that volunteers could only be used in the home health You see, one person can influence many. Dr. Andrus is against past voting records and what our members setting for these purposes and would never be permitted in a force of social change. say. the nursing home setting to use the exemption. TennCare Regardless, of your allegiance and associations, I hope • We have created and implemented a coalition and also assured TNA that a member would be involved in the you leave here this week with a changed mind on how you policy development plan through our alliance with rulemaking process. plan to influence the people you serve, and I can’t go any Southern Strategies Group that has enabled us to So what is the challenge going forward? I am so proud, further without mentioning get out and VOTE. reach throughout the state and establish meaningful as I know you are, to be a member of a profession who On behalf of the Board of Directors and TNA staff, I legislative relationships, recruit new members is at the forefront of advocacy for comprehensive health want to express our deep appreciation for your response in and advance members and the community on the care. In nursing’s policy agenda, we have advocated a new attending this event. We would also like to thank our many knowledge of nursing issues. paradigm of health care for the state that emphasizes: sponsors and exhibitors this year for their ongoing support • We have experienced a 10% increase in TNA • Health not illness and education. membership in 2008–keep in mind we have • The patient not the provider So as you make your journey through this convention had a flat line in membership since 2003–most • Communities not institutions to go to places you may be called, needed or personally associations in the nation are experiencing decreases, • Early prevention rather than late intervention desire, go in peace and may God abundantly bless each but in Tennessee we are on a growth curve. Not • And a value for quality of care not just cures. of you in the work you do for your noble profession for it only have we grown in TNA, but we have increased is said, that all work that is worth anything is done in state only membership by 30% since its inception in You see our charge is to think outside the realms of faith. 2006. nursing as we know it today. It is to determine safe work • We are incredibly friendly in our organization with environments, respond to the research that says nurses are References our willingness to be volunteers–of the 230 nurses not safe working extended hours without breaks, respond AARP. “A Life of Service.” http:// www.arp.org/ who completed a TNA member volunteer survey, to the demand for more faculty–not just with salaries, but makeadifference/volunteer/articles/a_life_of_service.html 87% of the respondents said they volunteer in an by studying the issues that affect our quality of education, Brown, Esther Lucille. Nursing For the Future. New York, Sage Foundation 1948 activity that utilizes their nursing expertise, 91% and being prepared to respond to the nursing shortage volunteer locally, and 13% of our Tennessee Nurses Davis, Kenneth. Don’t Know Much About Anything Else. differently. New York: Harper Collins, 2008. 7, 15. volunteer internationally. These members use their You see we’ve just touched the surface… think expertise in volunteering in the community and about the young child that was born in 1821 in Oxford, abroad–think about that… Tennessee nurses are Massachusetts. During the Civil War, she carried supplies making a difference. to soldiers and nursed the wounded, for which she was • Under the leadership of our Executive Director and called the “Angel of the Battlefield.” Her legacy didn’t end her staff we have produced a balanced budget both there as she founded the American Red Cross–educated at in prior year performance and CY09. home, she became a school teacher and her only medical • Our education efforts have surpassed prior year experience was nursing an invalid brother. benchmarks in both applications for CE and provider And think about Mother Cabrini, born in 1850 and applications. declared a Catholic Saint in 1946, she was the thirteenth • I believe that our state has the most inclusive child of an Italian farmer. She trained to be a school approach to addressing nursing issues. The coalition teacher and established the Missionary Sisters of the between TNA, the Tennessee Organization of Nurse Sacred Heart to teach poor children. In 1889, she came to Executives, the Tennessee Hospital Association, America where she opened many orphanages, schools and the Tennessee Center for Nursing, and the Board of free healthcare clinics–you see our challenge is bringing Nursing is as collaborative and strong as I have seen. practice to education and education to practice–and in all We should be very proud of the workforce efforts ways the patient must be at the center of our motives–not we have made in addressing work place issues with the profession. practical common sense solutions and not laws. I encourage us to learn from others on how to problem • Our legislative accomplishments were strategic and solve–when we have discussions about unlicensed assistive successful. Prior to the Legislature convening, TNA personnel and their boundaries let’s examine the broad met with the Tennessee Medical Association and scope of engineering–it’s a profession that employs persons walk-in clinics over TMA’s proposed supervision with varying degrees of ability and training. Engineering rules of APN’s for the Board of Medical Examiners. enterprises require the services of three groups: TMA has delayed any further discussions on these professional engineers whose primary functions are rules in large part because of our intervention. planning and directing; technicians, skilled in developing details of the plan and in supervision; and skilled laborers, Page 4 The Tennessee Nurse December 2008, January, February 2009 Part Of Your ANA/TNA Dues Are Tax Deductible! From the Executive Director You are allowed to deduct, as a professional/business Sharon Adkins, MSN, RN around workplace environment and the increase in lateral expense, the percentage of dues that are NOT used by TNA Executive Director violence, increased patient acuity and the physical demand ANA or by TNA for political activities such as lobbying at on nurses, nursing faculty shortages, lack of appropriate the legislature. In 2008, the non-deductible percentage for I write this on the eve of numbers of registered nurses in schools, increasing costs and ANA’s portion of the dues is 31.44%. The non-deductible Election Day. Your TNA President decreasing funding, barriers to practice and access to care percentage for TNA’s portion of the dues is 23.4%. Laura Beth Brown and I have for our patients…not necessarily new problems, but certainly just returned from a meeting in newly acute. Deductible Amounts: Washington, D.C. with other state Traditional methods of problem solving might not be Full membership in both ANA and TNA paying $274 @ presidents and executive directors. enough and we might need to change our ways. Solutions to 45.2%—the deduction would be $123.85. After days of meeting with these issues require new thinking, new partnerships and new Reduced membership in both ANA and TNA paying colleagues about the direction ways of cooperating. The Webster’s New World Dictionary $137 @ 45.2%—the deduction would be $61.92. of our profession, weeks of defines collaboration in this way: “1. To work together, 2. TNA State-Only member paying $190 @ 76.6%—the watching the economic implosion To cooperate with the enemy,” an interesting “take” on the deduction would be $145.54. and months (seems like years) of word. Perhaps some of those we have considered our “enemy” election rhetoric, my brain is tired. in the past are just the groups we need to partner with now Sharon Adkins In an effort to unwind, I to develop creative strategies. We need to look beyond our began going through some of traditional teammates and seek out other stakeholders, other my favorite quotes (I collect them) and I came across this one industries who have been successful in addressing change and from Margretta Madden Styles: “Imagine a world without innovation. nurses. Think of a world without persons who know what Rather than being reactive, TNA is making an effort to be nurses know; who believe as nurses believe; who do what proactive. Rather than being the “lone ranger” on issues, TNA nurses do; who have the effect that nurses have on the health is seeking to join with others in collaborative partnerships. As of individuals, families, and the nation; who enjoy the trust an example of this focus, the Tennessee Nurses Association is that nurses enjoy from the American people. Imagine a world a member of the Tennessee Nursing Partners Collaborative. like that, a world without nurses.” This partnership includes the Tennessee Organization of Well, that really got me thinking! The impact that nurses Nurse Executives, Tennessee Hospital Association, Tennessee have on the lives of all and the wealth of knowledge and skills Center for Nursing, Tennessee Society of Healthcare Human in nursing is immeasurable. I don’t want a world without the Resources Administrators, Tennessee Health Care Association compassion and care that nurses embody. I don’t want a world and Tennessee Deans and Directors of Nursing. This without the wisdom and creative thought that nursing brings group works together to identify and share best practices in to policy tables and decision making. I don’t want a world recruitment and retention of nurses, staffing and workplace without smart nurses. improvement, and manager development. Thankfully, we do have a world with smart nurses, but, in In the legislative arena, TNA will be forming strategic the words of Albert Einstein, “we can’t solve problems using partnerships to move health care issues forward. As a partner the same thinking we used to create them.” We face issues with CHART, Campaign for a Healthy & Responsible Tennessee, TNA will support the anti-smoking efforts the group puts forth. As voices join together, the volume increases. At the end of the day, we all want the same things …a healthy community with access to appropriate, safe, quality patient care. TNA is committed to join forces with others to reach that goal. December 2008, January, February 2009 The Tennessee Nurse Page 5 2008-2009 Convention Wrap president-elect shall be limited to one term. An (Continued from page 1) The Tennessee Nurses Association would like to officer or director who has served twelve (12) months express its sincere appreciation to Jim McCarter, or more of a two-year term shall be considered to palliative care, information for nurse managers, workforce husband of TNA member Connie McCarter, District have served a full term. advocacy, ensuring patient safety, women’s health and 1, for contributing his time and photography expertise e) The term of office shall begin at the adjournment of others. The exciting educational conference offered a total in taking numerous convention photos. The Annual the House of Delegates. of 7.75 contact hours of outstanding Continuing Nursing Convention photos in this issue were taken by Jim Section 8. Duties Education that provided an McCarter, and TNA staff members Kathy Denton and f) The Immediate Past President shall important forum for interactive Cheri Glass. 1) facilitate the annual evaluation of the Executive discussion, and exchanging ideas Director; with other nursing professionals. 2) serve on the Committee on Operations Convention began Friday The HOD adopted the following two new resolutions: 3) serve on projects or other committees at the request morning with the opening of the President or Board of Directors; House of Delegates session, 2008-01 CHART Resolution to Reduce Tobacco Use followed by Kate Payne, JD, RESOLVED, THE UNDERSIGNED ORGANIZATION ARTICLE VII RN, Director of Ethics at Saint ENDORSES THIS INIATIVE TO: Standing Committees Thomas Hospital, who presented • Significantly increase the excise tax on cigarettes Section 1. Definition Why Ethics Matter in Nursing and extend a tax to other tobacco products; and There shall be eight standing committees of the Practice. • Ask the Governor and the Tennessee General House of Delegates as follows: Continuing Education Also on Friday, Laura Faber, Kate Payne Assembly to adequately fund tobacco prevention and Review; Education; Nominating; Nursing Practice; from Fox 17 News in Nashville, cessation programs Reference; Operations; Public & Professional Relations; served as emcee for the TNA Awards Luncheon. Each • Protect Tennessee workers by supporting a and Government Affairs and Health Policy. A Standing year during its annual convention, the Tennessee Nurses comprehensive Smoke Free Workplace law with no Committee can create a Task Force and/or Working Association takes time to recognize and honor those who exemptions Committee to accomplish the work of the committee as have contributed greatly to the nursing profession and the determined by the needs of the committee. organization. Please be sure to read the separate article on RESOLVED, That the undersigned organization will: Section 2. Composition the 2008 TNA Award Winners in this issue. • Inform its members and, whenever possible the a) All standing committees with the exception of the general public of its endorsement of this Resolution; Nominating Committee shall be composed of at Advanced Practice Issues Forum and Council Meeting and least five (5) members approved by the Board of Nearly 30 attendees participated in the TNA Advanced • Inform the Governor and members of the Tennessee Directors. The Nominating Committee shall be Practice Nurses Council meeting on Friday evening to General Assembly of its endorsement of this composed of five (5) elected members. Membership discuss issues important to their nursing practice and elect resolution to the extent permitted by law and urge its will represent diversity of scope of practice and a new Vice Chair to serve on the Executive Committee. members to do so also. geographic location. Jane Thayer, DNP, RN, ACNP-BC, was elected by b) The Committee on Operations shall consist of the acclamation and will serve a two-year term as Vice Chair. RESOLVED, That this resolution shall be subject to Treasurer as chair, the Immediate Past President and The other officers for the 2008-2009 APN Council include sunset in 2013 if not reaffirmed by the TNA House of 3-5 additional members who are not members of the Diane Pace, Chair; Jennifer Hanley, Chair-Elect; Dava Delegates. Board of Directors. Shoffner, Secretary; Renee Burk, MSN, RN, APRN, BC, c) Committee functions shall be specifically set forth Secretary-Elect; Pam McKinney, MSN, RN, APRN, BC, 2008-02 Support for School Health Services in other sections of these Bylaws and as may be Treasurer; and Stella Nwokeji, RESOLVED, That TNA actively work to increase the determined by the Board of Directors. RN, NP-BC Treasurer-Elect. ratio of registered nurses in schools to On Saturday, Susan Cooper, the recommended 1 registered nurse to Section 4. Accountability MSN, RN, Commissioner of 750 students; and be it further b) A written annual report must be submitted to the the Tennessee Department of Tennessee Nurses Association office to be received Health, delivered the keynote RESOLVED, That TNA work with key stakeholders, 60 days prior to the annual meeting of the House of address entitled The Health of agencies and the Legislature to provide Delegates. our State. adequate funding for a comprehensive school health program; and be it further ARTICLE VII House of Delegates Standing Committees The House of Delegates RESOLVED, That TNA advocate with health care Section 5. Vacancies opening on Friday included a and educational stakeholders, including a) A vacancy on a standing committee, except the welcome from Beverly Berger, Susan Cooper but not limited to the Tennessee School Nominating Committee, shall be filled according to Vice Mayor of Franklin, Board Association, the Tennessee TNA Policy & Procedure. Tenn., and greetings from Sharon Craig, TNA Music City Education Association, the Tennessee Section 6. Responsibilities District 3 President. Ruth Elliott, TNA Vice President, Organization of School Superintendents, a) The Committee on Operations shall delivered the Nightingale Tribute and a moment of silence to increase all school based physical and 5) annually review TNA Policies and Procedures in memory of those TNA members who had passed away mental health care funding sources; and 6) and develop new policy and procedures as needed during the past year. be it further for approval of Board of Directors; Laura Beth Brown, MSN, RN, TNA President, delivered 7) evaluate and recommend to the Board of Directors her President’s Address, followed by greetings and a report RESOLVED, That TNA work with the appropriate any initiative which would aid in Long Range on the Tennessee Association of Student Nurses (TASN) agencies and organizations to establish Planning; and given by incoming TASN President Heather McQuistian, a policies and procedures for reimbursing 8) evaluate and advise the Board of Directors on other student at Middle Tennessee State University. Libby Lund, school health services, including issues as deemed appropriate. MSN, RN, Executive Director of the Tennessee Board of services provided by school based b) The Committee on Education shall Nursing, gave a brief overview of the activities and actions health centers, so that these services 1) promote and support professional development of the Board of Nursing during the past year. are part of the continuum of health care and education through statewide planning and Sharon Bailey, MSN, APN, RN-C, TNA Treasurer, available to children and adolescents; implementation; presented the Treasurer’s report and gave an update on and be it further 2) maintain channels of communication with the the Capital Campaign to build the Tennessee Center appropriate ANA organizational unit, TNA for Nursing Excellence. Bailey reported that a total of RESOLVED, That funds available through the districts, and other organizational units of TNA; $352,731 had been collected thus far, including grants from Medicaid program to reimburse 3) review and compile materials related to HCA and the Memorial Foundation. health professionals in the school for professional development and education; Doris Davenport, DSN, RN, PNP, President of the administrative, case management, and 4) serve as the provider unit for continuing education; Tennessee Nurses Foundation, gave a report on the direct services should be reinvested in 5) plan TNA’s annual meeting and other education activities of the Foundation during the past year followed school health services; and be it further activities and aid in the procurement of volunteers by a report from the Tennessee Nurses Professional to work at these meetings; and Assistance Program (TnPAP) given by Mike Harkreader, RESOLVED, That this resolution be subject to sunset 6) evaluate and advise the Board of Directors on other MS, RN, CARN, TnPAP Executive Director. in 2013 if not reaffirmed by the TNA issues as deemed appropriate. Carole Myers, PhD, RN, Chair of the Tennessee Nurses House of Delegates. c) The Committee on Continuing Education Review Political Action Committee (TN-PAC), gave a report on shall the PAC. The House of Delegates also passed a motion to amend 1) implement the policies and procedures of the the TNA Bylaws as follows: continuing education approval process; House of Delegates Actions 2) review the continuing education approval process The House of Delegates sunset eight resolutions, ARTICLE VI and recommend needed changes to the Board of including 1993-06 Support for Coordinated School-Based Board of Directors Directors; Health and Mental Health Services as an Integral Part Section 5. Responsibilities 3) serve as the approver unit for continuing education; of TennCare and other Networks Funding Health Care; a) The Board of Directors shall and 1998-02 In Support of Tax Justice; 1998-04 Support of 3) establish and approve policies and procedures 4) evaluate and advise the Board of Directors on other Managed Health Care Organizational Accountability; for the transaction of business, coordination issues as deemed appropriate. 2003-01 Passage of Medicare Access to Rehabilitation of association activities, and operation and Re-letter subsequent sections Services Act S569/HR1125; 2003-02 RN Legal Authority maintenance of TNA Headquarters; to Delegate and Supervise LPNs Seeking to Perform IV Section 6. Term of Office ARTICLE VII Therapy; 2003-03 TNA Membership in the Center for d) No officer or director shall serve more than eight Standing Committees American Nurses; 2003-04 Chart Resolution to Reduce (8) consecutive years on the Board of Directors f) The Committee on Nursing Practice shall Tobacco Use in Tennessee; and 2003-05 School Nurse to unless completing a term as president; and no officer 1) review and analyze practice trends and issues for Student Ratio. shall be eligible to serve more than two consecutive terms in the same office, except the president and (continued on page 6) Page 6 The Tennessee Nurse December 2008, January, February 2009 2008-2009 Convention Wrap TNA Elections and Installation of the 2008-2009 Board (Continued from page 5) of Directors Newly elected officers of the Tennessee Nurses professional nurses in Tennessee and recommend Association include Beth Smith, President Elect; Tommie programs, policies and strategies to enhance the Norris, Vice President; and two members of the TNA practice of professional nursing; Nominating Committee including Lena Patterson and 2) review and analyze health problems that are Chad Scott. responsive to policy interventions and recommend The 2008-2009 TNA Board of Directors were installed those options to be addressed by the Association, into office on Sunday following the announcement of the its members, and the nursing community; election results. 3) promote research, policy and practice excellence by professional nurses in Tennessee; TNA 2008-2009 Board of Directors Carole Myers Meredith Sullivan 4) enhance the visibility of professional nurses in Laura Beth Brown, President; Susan M. Sanders, Past policy, political, and practice environments; President; Beth Smith, President Elect; Tommie Norris, 5) advocate for a safe, equitable and satisfying work Vice President; La-Kenya Kellum, Secretary; Sharon environment that supports professional nursing Bailey, Treasurer practice and optimal patient care; 6) evaluate and advise the Board of Directors on TNA 2007-2008 District Presidents issues of concern to diverse nursing groups; Diane Ruppel, District 1; Mary Gunther, District 2; 7) advise and make recommendations to the Sharon Craig, District 3; Lena Patterson, District 4; Jennie Committee on Government Affairs and Health L. Walls, District 5; Vacant, District 6; Charlene Stewart, Policy in the development of the Health Policy and District 8; Vacant, District 9; Ruby Black, District 10; Legislative Platforms for TNA; Doris Glosson, District 12; Janice Harris, District 15 8) investigate and recommend to the Board of Directors such campaigns of public enlightenment or education as it may deem appropriate; 9) evaluate such issues of ethics as may come before TNA and to make recommendations to the Board Amanda Matthaei, TN-PAC Vice Chair, left, and of Directors; and Lowell Adkins, husband of TNA Executive Director 10) evaluate and advise the Board of Directors on other Sharon Adkins, conduct the successful TN-PAC issues as deemed appropriate. Auction with Lowell serving as auctioneer. HOD Motions Approved A motion was adopted that the TNA House of Delegates suspend the effective date for the amendment to the By- laws to Article VI, Section 6. Term of Office until after the conclusion of the election of officers conducted at the 2008 Annual Convention. A motion was adopted that TNA pursue the inclusion of APN signatures on the handicap license plate application form that presently is limited to physicians and Christian Science Monitor signatures. The motion was adopted. A motion was adopted that TNA pursue the inclusion of APN signatures as examiners for Tennessee Peace Officers.

The Tennessee Nurses Foundation The Tennessee Nurses Foundation General Session on Enjoying networking with colleagues during the Sunday morning featured a presentation by Fern Richie, Schools of Nursing Luncheon and Exhibits on Leading the Congo Line dance during Fun and DSN, RN, APRN-BC, entitled Behind Closed Doors: Saturday are, from left, Lovie Bassett, District 3; Games–New Orleans Style on Saturday night is Leo Unraveling the Effects of Domestic Violence. Shirley Brown, District 12; and Linda Baker, District Lindsay, District 3, as he and his dance partners During this year’s convention, the Tennessee Nurses 12. circulate through the crowd. Foundation (TNF) hosted a Silent Auction for the third year as the event proved so successful in the past. The Silent Auction is held to raise more money to fund TNF programs. This year’s auction was also a tremendous success due to the donation of numerous items and generated $5,016. Regular donations to TNF to fund its programs totaled $2,934, and contributions to TNF for the Capital Campaign during convention totaled $6,326.

Making new friends is part of the excitement at Annual Convention, and District 4 member Wanda Bunce, left, enjoys meeting Debbie Clark new Other attendees try their expertise to a different member from District 5 and first time attendee at beat while Line dancing. convention during the Welcome Reception hosted by District 3 on Friday afternoon.

Billie Kennett, center, outgoing District 10 President, admires a necklace during the TNF Silent Auction.

The Tennessee Nurses Political Action Committee (TN-PAC) The TN-PAC General Session on Sunday morning featured Meredith Sullivan, TNA Lobbyist, who presented a Legislative Overview. During convention, The Tennessee Nurses Political Action Committee (TN-PAC) received $5,777 from donations, pledges and proceeds from the TN-PAC Auction.

Convention attendees keep it in step while Line dancing to the music played by a DJ during fun night. Dianne Greenhill, District 1, enjoys playing Bingo with colleagues during the Saturday night event. December 2008, January, February 2009 The Tennessee Nurse Page 7 2008 TNA Achievement Awards TNA Special Lifetime initiates and supports programs and activities which Thompson serves as Professor and Options Coordinator Achievement Award promote nursing and TNA. of the Acute and Critical Care Advanced Practice Option The recipient of the Jones is a long time and very active member of TNA at the University of Tennessee Health Science Center. 2008 TNA Special Lifetime at both the district and state level. Her contributions to the Achievement Award is E. Dianne Association most closely reflect the mission and goals of Greenhill, EdD, RN, Memphis, TNA and the nursing profession. She is a mentor and role Tenn. model to students, providing them with the “professional” This award recognizes a focus of their new role. She is a valued colleague, a skilled retired TNA member who has faculty member, and a vital TNA member. demonstrated excellence or Jones currently serves as Associate Professor of Nursing outstanding contributions to at Walters State Community College in Morristown, Tenn. nursing and TNA, continued participation in TNA and E. Dianne Greenhill, TNA Awards for Nursing Excellence nursing, and achieved state and/ EdD, RN, left, is This annual award recognizes outstanding performance or national recognition by the presented with the in multiple areas of nursing practice. Nominees may be profession. This award is given 2008 TNA Special selected from the areas of nursing education, direct care, by the TNA Board of Directors. Lifetime Achievement advanced practice, and nursing administration. Greenhill has spent her Award by Laura Beth Selection criteria is specific to the major area of professional career educating Brown, MSN, RN, practice, but reflects outstanding performance in Louise Browning, left, former Executive Director of and counseling nurses for TNA President. these areas: promoting and maintaining excellence the Tennessee Nurses Association, and E. Dianne four decades. She has touched in professional practice; commitment to the nursing Greenhill, EdD, RN, co-authors of the book A 100 Year the lives of thousands of students…students who are profession and TNA; contribution to professional History of the Tennessee Nurses Association, received successfully practicing nationwide and fondly remember development of other nurses (publications, presentations, the 2008 TNA Friend of Nursing Award. her as a stern but capable instructor. research); leadership which improves the quality of nursing She has not only contributed to the advancement of care (education, administration, etc.); and professional and TNA Friend of Nursing Award health care in Tennessee, she has also participated in community service. E. Dianne Greenhill, EdD, RN, and Louise Browning, research on issues of public health, school nursing, nursing This year, TNA presented the Award for Nursing former Executive Director of the Tennessee Nurses education, and gerontology. She has and continues to be Excellence to winners in the two areas of Nursing Association, co-authors of the book A 100 Year History of deeply involved in community service and continues to be Administration and Nursing Education. the Tennessee Nurses Association, received the 2008 TNA a very active participant in the Association. Friend of Nursing Award. An author for 30 years, she has dedicated her life to TNA Award for Nursing This award recognizes an individual or group that has advancing the education and preserving the history and Excellence in Nursing demonstrated excellence or outstanding contributions legacy of nurses in Tennessee. In the words of a colleague, Administration to nursing and to the Tennessee Nurses Association, and “the nursing profession is better because of the dedication This year’s recipient of contributions may be professional, monetary, or literary. and service by Dr. Greenhill and Tennessee is a better the 2008 TNA Award for It can be said, that before you know where you’re place to live.” Nursing Excellence in Nursing headed…you need to know where you’ve been. The Administration is Donna Herrin, recipients of this year’s award have helped TNA remember TNA Alma E. Gault MSN, RN, NEA-BC, FACHE, and document their history, their journey, and their roots. Leadership Award Memphis, Tenn. The authors of A 100 Year History of the Tennessee Nurses The recipient of the 2008 Herrin is a professional Association have left you with a legacy for today and for TNA Alma E. Gault Leadership nursing role model in every the future. Award is Nancy Moody, DSN, sense of the word. She has RN, Harrogate, Tenn. always been in the forefront Donna Herrin TNA Outstanding This award recognizes when promoting excellence Legislator Award a member of TNA who in the profession…for the direct care provider, the nurse U.S. Congressman Bart demonstrates outstanding manager, and nursing leaders. She is a mentor to others, Gordon, Representative of the leadership qualities in all values and pursues life-long learning, is widely published 6th District of Tennessee, is dimensions of nursing practice. and has demonstrated her skills as an outstanding the recipient of the 2008 TNA The recipient demonstrates Nancy Moody, DSN, administrator. Her light shines brightly in the state and the Outstanding Legislator Award. active involvement in projects, RN, left, accepts nation as she steps into her role as incoming President of This award recognizes an organizations, or programs the TNA Alma E. the American Organization of Nurse Executives. outstanding legislator who has with a focus on improving the Gault Leadership She currently is Senior Vice President and Chief demonstrated support of the health of the population as a Award from Laura Nurse Executive for Methodist LeBonheur Healthcare in TNA legislative agenda and whole or of aggregates of the Beth Brown, TNA Memphis and holds an appointment as Clinical Associate the nursing profession, and Bart Gordon population, utilizes strategies Professor at the University of Alabama Huntsville. promoted legislation which President. U.S. Congressman such as political involvement, enhances adequate and safe legal action, or raising public opinion to implement TNA Award for Nursing nursing care and healthcare for desired changes in health status/health outcomes, and Excellence in Nursing the people of Tennessee. demonstrates the capacity to inspire others–within and Education (continued on page 8) outside of nursing–to actively support improved health for Carol Thompson, PhD, RN, the community. ACNP, FNP, FCCM, FAANP, Moody’s spirit, to do the very best for others, is Memphis, Tenn., is the 2008 one of her most outstanding leadership characteristics. recipient of the TNA Award Her enthusiasm and drive make you want to follow her for Nursing Excellence in wherever she leads. She has vision and the passion and Education. skills to see that vision come to fruition. She is a founding Thompson consistently member of the Tennessee Center for Nursing and has and conscientiously maintains inspired untold numbers of students and colleagues in excellence in her own practice Carol Thompson her role of nursing faculty and now serves as President of and promotes excellence in the Lincoln Memorial University in Harrogate, Tenn. practice of students who study under her. She is future oriented in her planning and is TNA Outstanding recognized as a gracious and generous colleague who is Member Award a mentor and support to others. She teaches the ideal, yet Kathleen Jones, MSN, RN, pragmatic, way to care for clients both by the relaying of APRN, BC, Gray, Tenn., is information and by her example. She is widely published the recipient of the 2008 TNA and blends the “scholarly” with the “skills” in her teaching. Outstanding Member Award. She is truly a role model for her colleagues and for the This annual award is nurses of the future. presented to the TNA member whose contributions most closely reflect the mission and goals of TNA and the nursing profession. The recipient of this Kathleen Jones, MSN, award demonstrates professional RN, APRN, BC, leadership and service to recipient of the 2008 TNA/ANA at district, state, TNA Outstanding or national levels, promotes Member Award, was TNA membership and political joined by her husband, activity of nurses, represents Pete Jones, during TNA and the nursing profession the TNA Awards through media channels, Luncheon. health organizations, business or government agencies, and Page 8 The Tennessee Nurse December 2008, January, February 2009 2008 TNA Achievement Awards TNA Deans & Directors Award (Continued from page 7) Tennessee Wesleyan Sponsors and College–Fort Sanders Nursing Congressman Gordon has a long history of support at Department, is the recipient of the federal level for nursing and health care issues. He is the TNA Deans and Directors Exhibitors currently co-sponsor on such ANA bills as the Nursing Award for the sixth consecutive The Tennessee Nurses Association would like to School Capacity Act, the Mental Health Parity Act, the year. Now in its seventh year, acknowledge the following sponsors and exhibitors of APRN Medicaid Reimbursement Act, the Prohibition this award is given annually the 2008 Annual Convention. Through their support, of Mandatory Overtime Act, and the Safe Staffing Act. to Deans and Directors of any TNA continues to offer quality education and networking He is always a thoughtful and realistic advocate for the nursing program with 100% opportunities for Tennessee nurses. Please express profession and for the improved health of our citizens. faculty membership in the your appreciation to these organizations and their The work he does at the national level is work he does for Tennessee Nurses Association. Ruth Elliott, EdD, RN, representatives. Tennessee as well. Both the Dean and the faculty Associate Dean and Gordon, of Murfreesboro, has served as 6th District members have demonstrated Silver Partner the value and importance of Professor, Tennessee Congressman since 1985. Arthur L. Davis Publishing Agency membership in the professional Wesleyan College– organization the Tennessee Fort Sanders Nursing BlueCross BlueShield of Tennessee Nurses Association. Department, accepted Vanderbilt School of Nursing the 2008 TNA Deans and Directors Award Bronze Partner on behalf of the Johnson & Johnson college. OnLine Linkup Marsh

TNA Presidents Copper Partner Membership Award Bank of America TNA District 12 received the TNA Presidents Membership Schools of Nursing Luncheon Sponsors Award with a 22% increase in OnLine Linkup membership. This award is given Union University School of Nursing Accepting the 2008 TNA Outstanding Employer to the TNA District Association Award for Deaconess HomeCare are, from left, Ann with the highest percentage of Exhibitors Galbreath, Case Manager, Waynesboro Office; Betsy growth based on the percent Aquinas College Cummins, Regional Manager; and Nancy Pipkin, increase from the previous year. Biosphere Medical Inc. Director of Selmer and Lexington offices. Because of the way this Cumberland Heights award is calculated, the Gideons International TNA Outstanding Employer Award opportunity is often missed to Linda Baker, right, Grace Healthcare, LLC The recipient of the 2008 TNA Outstanding Employer recognize larger Districts that accepts the TNA GS3 America Award is Deaconess HomeCare, Fayetteville, Tenn. have made significant increases Presidents Membership This award recognizes a health care agency, school of in membership numbers. There Award from Laura Beth Intego Systems nursing or other employer demonstrating commitment to are two such districts that Brown, TNA President. John Hancock Financial Network nurses and nursing excellence. deserve our congratulations, Laerdal Medical This year’s recipient has a long standing tradition and TNA would also like to Merck & Co. Inc. of quality, innovation and stability and is committed recognize District 3 for a 12% increase in membership and Plexus Biomedical to providing the best possible working conditions for District 1 for a 10% increase. Project B.R.A.I.N. of the Tennessee Disability Coalition its employees by providing an environment of open Sanofi-Aventis communication, accountability, and collaborative problem Schering Plough solving. This employer has a reputation for quality Tennessee Board of Regents Online Degree Programs patient care, outstanding case management and a caring Tennessee Center for Nursing professional staff. Tennessee Nurses Political Action Committee Tennessee Professional Assistance Program The College Network The Medical Center of Central Georgia, Inc. Union University School of Nursing University of Tennessee Health Science Center at Memphis University of Tennessee Knoxville Upshire-Smith Laboratories Vanderbilt School of Nursing December 2008, January, February 2009 The Tennessee Nurse Page 9 Ethics and Pandemic Planning dying. Only the patients identified in the very first stages evidence about the real danger to nurses and how to mange (Continued from page 1) are likely to receive treatment, as they are most likely to it. Nurses should demand reciprocity from the public and survive. This will require a different mind set in terms government, as well as health care leaders, by insisting that deaths. The 1957 Asian flu killed 70,000 in the U.S. and of who gets treatment. Rationing access to beds and adequate resources are available to maximize their safety. another 2 million worldwide. The 1968 Hong Kong flu ventilators as well as those that can run them will be Insist on N95 respirators and use them properly to reduce killed 1 million globally with roughly 34,000 U.S. deaths. inevitable. Most of those affected will require some form exposure and prevent virus spread. Regular surgical masks Pandemic influenza is a global flu outbreak from a new of medical care. Surge capacity at non-traditional sites are most likely inadequate. Assure that other personal influenza virus that spreads easily from person to person. inside and outside hospitals such as conference rooms, protective equipment is well stocked. Reinforce practices With a new virus, people will have little or no immunity large auditoriums or schools might be needed. Currently that will serve you in a pandemic. Continue to use good and vaccines will be unavailable. There is little or no time supplies of antivirals are inadequate and there is no hand hygiene and coughing practices. Don’t settle for to plan, and vaccines if developed, come later so little can vaccine for H5N1, though research is continuing on both that colleague that won’t wash their hands from patient to be done for those already exposed. Consequently people fronts. patient. Stay home if you are sick, make your colleagues will be sicker. It might last 12-36 months, coming in More than health care will be affected. Eventually do so too. Participate in developing decision making waves of six-eight weeks, separated by months as the virus the loss of workers, perhaps the need for quarantine will criteria that are evidence based which supports ethical changes and adapts to humans. affect the delivery of food, power, and water. People may practice. All levels of an organization must think about H5N1 is the virus involved in bird flu. This virus become desperate and the breakdown of social order may what it would mean to have 40% of the workforce out in was first seen in humans in1997, with 18 cases in Hong occur. That may open the door to other disease outbreaks all industries. Human resources will be key to planning Kong, six of which were fatal. This highly virulent virus associated with poor sanitation, lack of food and water, for such a loss. What is the plan for ensuring that utilities is responsible for the deaths of millions of domestic and violence, or lack of access to medical care. And the function, and that all can get food, medicines and shelter? wild birds in Asia, Eastern Europe, the Middle East, and economic impact, on top of our current financial situation, Start talking now with your colleagues and leaders before Africa. Most bird flu strains don’t infect across species, but could be catastrophic. Less than half of U.S. businesses patients show up infected. Every nurse should know their concerns about H5N1 have increased since 2003 with more have a plan for how to deal with something like this. facility and state plans for responding to a pandemic, and human infections and deaths reported in Asia, as well as know what their role is. the same regions as bird related deaths. As of September What To Do: Preparedness and Ethics Nurses will also have to collaborate inside and outside 10 there have been 387 cases of human exposure with 245 Predicting when and if a pandemic will occur is the hospital due to a lack of beds and need for alternative deaths. Though this is a small number, more than half of difficult at best. But it’s clear from the potential threat spaces and supplies to care for the many affected and the cases have been fatal. Most of the human infections that planning is a must, an ethical obligation. Two big the dying on a community wide basis. Since a pandemic have been from dead birds handled by people, with four priorities will be to save as many lives as possible and can’t be predicted, there is no time like the present to possible cases of human-to-human transmission within keep society functioning. The two go hand in hand. work on relationships within and without health care family clusters. These small human-to-human numbers The usual way we make health care decisions: you are organizations and the community. Have a communication show that transmission hasn’t been sustained beyond one sick–you come to the hospital–you get care–may not plan with family, close friends, and work. Know what person. This is the big fear–that the virus will adapt and apply. It may depend on what your job is: are you a first your surrounding neighbors are doing, what your block is human-to-human transmission will be sustained initiating responder? Or perhaps a trucker that transports food, or doing, and look out for the especially vulnerable people. the pandemic. Many authorities feel that the Spanish flu a power plant worker. Should such people have a higher Government plans have recommendations on how to will pale in comparison to a bird flu pandemic because of priority for care, for vaccine, because we need them to prepare your home to help you deal with limited resources the ease by which people travel the globe. It will spread keep society functioning? It may also depend on age, and services. quickly and widely by simply walking onto a plane with other comorbidities, and an assessment of the probability If a pandemic occurs, unprecedented demands will someone. of survival. Who will make these decisions and what be made on nursing knowledge, skill, and moral resolve. criteria will be used? Can a person appeal a decision not True no one can fully prepare for such an event, but it’s Worst Case Impact to treat their loved one or to stop treatment? All facilities better to become involved in planning than be afraid. If it’s It’s impossible to predict exactly what might happen, should have a plan for this. Nurses must engage in critical not happening, make it happen, get involved, and at least but start by imagining the worst weather emergency you thinking and ethical reflection about such decisions. Partly talk about it. It will help to minimize risk and ensure that have ever experienced in your nursing career. Think about because this is different than the usual way decisions are nurses can work safely to care for the public, their families what this means in a hospital with staffing, equipment, made. The potential for moral distress is high, as nurses and themselves. Nurses have always been at the forefront travel, getting basic necessities. Now imagine it affects will have difficulty providing the care they feel is needed of public health disasters and our skills, knowledge, and every kind of job including those that support societal or stopping care on patients that they normally wouldn’t. care can make a difference. infrastructure like electricity, power, natural gas, water. It The American Nurses Association Code of Ethics for lasts for months and comes in waves, as the virus changes Nurses (The Code) should be looked to as a standard to Websites and References and sickness affects day-to-day living. Social disruption help guide ethical reflection and planning. It describes the 1. Department of Health and Human Services (HHS). (2008) would be significant. Workers of all kinds, especially values, duties and commitments of nurses. A pandemic Planning and response from U.S. government avian and nurses, will be faced with the decision of weighing the may call provisions of The Code into question because pandemic flu information. Available at: http://www. of the shift in ethical priorities. The most fundamental pandemicflu.gov./index.html. November 1, 2008. safety of themselves and their families being exposed 2. World Health Organization (WHO). Epidemic and against the worth of their job. Estimates are that 30-40% commitment threaded throughout The Code is the nurse’s pandemic alert and response (EPR). (2008) Available at: of the workforce could be out sick, caring for someone commitment to the dignity and value of each and every http://www.who.int/csr/disease/avian_influenza/en/ who is sick, or just plain scared to leave home. person he or she comes in contact with. index.html. Accessed November 1, 2008. Some estimates are that 15-35% if the population Patient care in a pandemic may pose a direct risk to 3. The Centers for Disease Control and Prevention (CDC). could be affected with the virus. This could translate into the nurse and other caregivers. Ethics demands a balance (2008) Avian influenza (Bird flu). Available at: http:// 89,000 to 207,000, others estimate 500,000 deaths in the of advocacy and self-protection. There will be many www.cdc.gov/flu/avian/. Accessed November 1, 2008. U.S. Worldwide deaths are estimated at 100 million, with that say nurses and other health care professionals owe 4. Fowler, MDM, (Ed.) (2008) Guide to the Code of Ethics 314,000 to 734,000 hospitalizations, 18 to 42 million a heightened duty to provide care even in such a crisis. for Nurses. Interpretation and Application. Silver Springs, outpatient visits, and 20 to 47 million additional illnesses. Nurses are indeed obligated to care for all patients, Maryland: Nursebooks.org. but sometimes the risks of harm to the nurse may 5. Touhey JF. (2007) A matrix for ethical decision making in With numbers like these, medical resources would be a pandemic. Health Progress; Nov-Dec:20-25. quickly exhausted including caregivers, key equipment outweigh that obligation. Assessment of the risk must be 6. Berlinger N and Moses J. (2007) Bioethics backgrounder. like ventilators, and space for the living as well as the nonjudgmental based on current knowledge and scientific The five people you meet in a pandemic—and what they need from you today. Available at: http://www. thehastingscenter.org/News/Detail.aspx?id=1398. Accessed November 1, 2008. First National Consensus Model for APRN Regulation Described in Report Now Available on Nursing World and ANA NurseSpace

The First National Consensus Model for APRN In summary, the Consensus Model for APRN Regulation is now available on the American Nurses Regulation includes: description of a futuristic model Association (ANA) Web site, http://nursingworld.org/ for regulation of APRNS that includes requirements DocumentVault/APRNs.aspx and readers are encouraged for education, accreditation, certification and licensing; to provide feedback and discuss the report on ANA a definition of the Advanced Practice Registered NurseSpace at http://ananursespace.org/news/details/p/ Nurse; a definition of broad-based APRN education; a future-aprn-model-for-regulation/. You must be a model for regulation that ensures APRN education and member of ANA to take part in the blog discussion. certification as a valid and reliable process, that is based Advanced Practice Registered Nurses (APRNs) have on nationally recognized and accepted standards; uniform expanded in numbers and capabilities over the past several recommendations for licensing bodies across states; a decades with APRNs being highly valued and an integral process and characteristics for recognizing a new APRN part of the health care system. Because 240,000 APRNs role; and a definition of an APRN specialty that allows for are presently prepared to care for the current and future the profession to meet future patient and nursing needs. health needs of patients, the education, accreditation, The APRN Regulatory Model will be implemented in certification and licensure of APRNs need to be effectively every state and program by 2015. aligned in order to continue to ensure patient safety while ANA believes strongly in the value of Advanced expanding patient access to APRNs. Collectively, APRN Practice Registered Nurses. APRNs are one of the keys to stakeholder nursing organizations, including ANA, solving America’s health care crisis, which was outlined in persisted for nearly four years to complete this first ever ANA’s Nursing Agenda for Health Care Reform. We have model in order to achieve greater alignment of the elements been working for the APRN community for decades, and needed to prepare APRNs to be competent practitioners we continue to work for you today. and ensure public safety. Page 10 The Tennessee Nurse December 2008, January, February 2009

2009 TNA Events April 7, 2009 2009 TNA Legislative Summit War Memorial Auditorium Nashville, Tennessee

October 16-18, 2009 2009 TNA Annual Convention Chattanooga Marriott Chattanooga, Tennessee For details visit www.tnaonline.org!

The Tennessee Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Have Concerns? If you have any concerns regarding a program that has been approved by the Tennessee Nurses Accelerate Your Career! Association for continuing nursing education, please Six Common Job Search Road Blocks what the company does and feel secure in your industry contact Karen Langeland, Executive Assistant, at and How to Avoid Them knowledge. [email protected] or call 615-254-0350. Are you having trouble securing second round Bad-mouthing previous employers Updated forms and applications are now available on interviews? Does it seem as though your job search has When asked what you liked least about your previous the TNA website at www.tnaonline.org simply stalled out? You might be making some of the same position, be careful not to sound too negative and definitely mistakes that countless other job hunters are making while do not bad-mouth a past supervisor or coworker. Keep your The Tennessee Nurses Association is accredited as an searching, applying and interviewing for new employment answers as positive as possible. approver of continuing nursing education by the opportunities. The following list examines these common American Nurses Credentialing Center’s Commission job search related blunders and offers advice on how to Appearing unprofessional on Accreditation. bypass them: Dressing appropriately for an interview is just one small part of your professional appearance. Make sure that your Limiting your resources email address, outgoing voicemail message and personal Relying on only a few job posting resources limits the web pages make a favorable impression as well. amount and quality of opportunities that you have access to. Spread your efforts across multiple mediums and Forgetting to ask questions multiple sources to ensure a more thorough job search. Ask intelligent and open ended questions during the interview that show you have done your research and that Underutilizing your network you are genuinely interested in learning more about the When searching for a job, remember to tap into your position and the company. network of friends and professional contacts to get things When it comes to the mistakes candidates make moving. It is quite possible that someone in your network throughout the entire job search process, the list goes on has the connections necessary to help you land your dream and on. The key to avoiding most of them is using common job. sense. Now that you are aware of the most common of these errors, you can be sure to steer clear of them to Not doing your homework ensure a successful job hunt. Interviewers want to feel confident that you have researched both the position and the company prior to Visit the TNA Career Center today to view our list of the interview. Be sure to know what the position entails, exclusive opportunities at www.tnaonline.org! December 2008, January, February 2009 The Tennessee Nurse Page 11

a person to really look at the nature of what they do while A daunting task for nurses Happiness at Work they are at work. Because caring for other’s needs first and foremost “A person will not be happy with their job if they are has been the venerable mantra of nursing, it is not the by Diane E. Scott, RN, MSN spending too much time in activities that do not engage traditional nature for a nurse to focus on their own and energize them,” states Pryce-Jones. She affirms that emotional well-being. The journey to happiness at work Being happy at work is a fundamental element of a if an individual spends the greatest percent of their day may seem to be a daunting task. person’s life satisfaction. Because work is an integral doing what makes them happy, they become much more Keeping in mind that every nurse’s journey to career part of a person’s identity, the professional role that one productive and committed. “You really can complete happiness is different, the Center for American Nurses has assumes is frequently the means by which a person feels tasks much more efficiently and to a higher standard if started a unique initiative designed to assist nurses increase the most valued and derives their self-esteem. (1) Within a majority of your day is spent on the work that is most their career self-awareness and discover what gives them the profession of nursing, there is a positive correlation meaningful to you.” energy and meaning at work. between career satisfaction, self nurturance and life In the fall of 2008, the Center for American Nurses satisfaction. (2) Given work’s powerful influence in the Job satisfaction verses happiness at work will launch a career coaching program. Career coaches measure of one’s self-worth, it seems to reason that there Each year, healthcare organizations spend countless are not recruiters, but professionals with specific training are significant positive outcomes of experiencing happiness man-hours and considerable financial resources measuring in assisting people to discover their unique skills, talents at work. employee satisfaction. Information obtained by these and passions. Through individual phone conversations, surveys can be valuable, but the danger exists when they provide tools to guide in the self-discovery process The business case for happiness at work employees do not see concrete actions as a result of the and help people consider career choices that will make Experiencing happiness at work not only produces information (5). them the most happy. These services are designed to be significant personal consequences for employees but is also Pryce-Jones notes a distinct difference between convenient and affordable, but most of all, designed with a a factor for business success. (3) Business and healthcare satisfaction and happiness. She says, “The major mission to help individual nurses discover success in their organizations are recognizing the direct connection difference between employee satisfaction and happiness is journey to career happiness. between employee happiness and enhanced productivity control. Satisfaction is determined by factors such as pay, For more information, please visit www. and improved outcomes. Jessica Pryce-Jones is the co- working environment and benefits. Happiness is a part of centerforamericannurese.org. Diane Scott, RN, MSN is the founder of iOpener, a British based firm that works with job satisfaction but really concerns what you can control President of the Nursing Mentors Group and a consultant businesses around the world to increase their employee’s and influence.” Pryce-Jones clarifies that control is a with the Center for American Nurses. happiness. “Businesses and teams often focus on success fundamental element of happiness at work. “What people are in most control of is reaching their own potential.” References and assume that people will be happy as a result, but 1. Gini, A. (1998). Work, Identity and Self: How We Are success is not the same as happiness. It will not lead to The journey of happiness Formed by The Work We Do. Journal of Business Ethics, long-term business commitment, loyalty or motivation, 17(7) 7707-714. whereas being happy at work does.” Businesses value her Determining how to reach one’s own potential and learning what truly makes them happy is an individualized 2. Nemcek, MA. (2007) Registered nurses’ self-nurturance firm’s mission as demonstrated by Pryce-Jones’ growing and life and career satisfaction. AAOHN Journal. 55 (8). client list that includes the World Health Organization, process. It is unique for every person because people bring 305-310. Shell Oil and Baxter Healthcare. with them a host of past experiences and a full spectrum 3. Boehm, J.K. and Lyubomirsky, S. (2008) Does Happiness of natural tendencies. When healthcare organizations Promote Career Success? Journal of Career Assessment, The time you spend at work implement a one-size fits all strategy for employee 16: 101-116. Being happy at work is important, in part, because retention, their well-intended efforts often garnish few 4. U.S Department of Labor. http://www.bls.gov/tus/charts/ concrete results because what makes a person happy and Accessed September 2008. people spend the majority of their time working. According 5. Lusty, D. (2007). How to avoid the pitfalls of employee- to the U.S Department of Labor, during the work-week, the fulfilled is different for each individual. The greatest success will come by focusing on helping an employee satisfaction surveys Human Resource Management average employed American spends more time working International Digest. 15, (6), pg. 3. than with any other activity of daily life. (4) Because so with their personal journey to happiness. much of a person’s daily life is spent at work, it behooves

Tennessee Association of Student Nurses Elects New Officers by Raycene Brewer, MSN, RN Treasurer: Billie Matchett, Roane State Community TNA and TASN Liaison College Break Through to Nursing (BTN)/Legislative Director: Following the theme, Nursing: A Tribute to the Armed Maggie Metz, Tennessee Wesleyan College Forces, the 2008 Tennessee Association of Student Nurses West Regional Director: Joey Velie, Jackson State (TASN) Convention opened October 4 in Gatlinburg, Community College Tenn., with the presentation of colors by nursing cadets Middle Regional Director: Patricia Perry, Middle of Carson-Newman College ROTC. Attendees recited the Tennessee State University Pledge of Allegiance to the United States flag. The keynote East Regional Director: Hailey Armstrong, Tennessee presenter, Commander (ret) Patricia (Tish) Breeding, Wesleyan College MSN, RN, called nursing students to bond as a nursing community of noteworthy service in duty, honor, courage, TASN members and chapters were honored during the and loyalty. The Tennessee Nurses Association (TNA) closing events also: Lobbyist, Meredith Sullivan, addressed the audience Chapter Awards: regarding the role of government–the plan and politics, TASN Chapter Award: Middle Tennessee State the process. Another highlight included an address by University the National Student Nurses Association (NSNA) Vice Community Service: Tennessee Wesleyan College President, Laura Chapman. Most Represented School: Roane State Community A pre-convention party at the Gatlinburg Aquarium College was provided by the East Tennessee Nurse Recruiters. Legislative Award: Tennessee Wesleyan College The students started an early Saturday morning session Most Increase in Membership: Middle Tennessee preparing for the registered nurse licensure exam State University (NCLEX) followed by the annual business meeting. Afternoon breakout sessions included additional NCLEX Individual Awards: review course preparations, trauma nursing emphasis, Spirit of Nursing: Lacresha Seals, Middle Tennessee pharmacology lectures, and the Tennessee Professional State University Assistance Program (TnPAP.) Lunch was provided by the Outstanding Community Service: Shelaina Lewis, Navy Recruiters. Middle Tennessee State University The convention closed on October 5 in Gatlinburg with Outstanding Legislative Involvement: Sarah Sexton, the election of state officers: TASN Board President: Heather McQuistion, Middle Tennessee State TASN Outstanding Officer: Lacey Mangum, TASN University Board Vice President: Sarah Bumpas, Tennessee Wesleyan Outstanding Faculty Member: Lisa Kirkland, College Tennessee Wesleyan College Secretary: Laura Lee Demastus, South College Page 12 The Tennessee Nurse December 2008, January, February 2009 LEGISLATION TNA Members Develop Legislative Strategies for Next General Assembly by Meredith Sullivan, TNA Lobbyist

As a professional organization, the Tennessee Nurses Association represents the 70,000+ nurses in the State of Tennessee. Yet as a membership organization, TNA works on behalf of our members to understand and meet their needs. To that end, TNA has been working diligently in the last several months to place our members at the heart of our policy development and government relations work. While we want to represent all 70,000 nurses, we want our members to have additional opportunities to influence what we do and how we do it. TNA’s efforts to collect better information from our members focused around two areas: TNA meetings and a TNA Member Health Policy Survey. For the meetings, I have traveled the state and spoken at almost every TNA District meeting. I provide background on TNA’s legislative work and how members can get more engaged. These three pillars, as we are calling them, summarize I then allow a considerable amount of time for members to the major concerns of our membership. To address these communicate issues they want TNA to address legislatively concerns, a task force for each pillar was established. and how they think we should do this. This information The task forces will review the survey results and has been compiled and provided to TNA staff for their recommendations from members, collect additional review. qualitative and quantitative data, and then develop three to The latter assessment tool was a membership survey five-year plans to meet the needs of our members. distributed electronically in September. Almost 300 Serving on one of these task forces is a great members from a cross section of practice areas answered opportunity for members to understand better the questions about the importance of 15 different policy legislative process and provide invaluable input and matters. Members also got the opportunity to give specific expertise on the significance of the issues and how best to recommendations for addressing these issues. The TNA address them. If you are interested in participating in the Government Affairs and Health Policy Committee was development of TNA’s legislative strategies, please contact provided the survey results. Some of the survey results are Cheri Glass at [email protected]. included in the two graphs on the right. We greatly appreciate the time members took to submit this information. Please know that your voices have been To focus our mission and message, the Government heard and we are using your opinions to guide our future Affairs and Health Policy Committee took this information actions. You have a crucial role in this process and we and developed three task forces around three main issues: appreciate the time and energy you dedicate to better the nursing profession and Tennessee’s health care system. I look forward to continuing to work with you to improve health care in Tennessee.

to build a large base of donors who give regularly. We will were also made based upon poll data and other be most successful if we create a culture of giving that is factors related to the potential success for each not sporadic or isolated. Giving to the PAC is ideally a candidate. routine, reflecting an important professional obligation • Political Party–The PAC Committee wanted to and investment. We are especially proud of the number ensure that a proportional amount of money was of donations that came from first-time givers during this given to candidates in both parties based upon that election cycle. Hopefully these one-time givers will follow party’s percentage of representation in the respective the lead of those that have been faithful givers for years. chamber. This consideration only came at the very Last year, the PAC was focused on three operational end when the amounts were analyzed to ensure they goals: transparency, accountability and effectiveness. Each are made in the best interest of TNA. of these is essential to being good stewards. To this end, TNA Lobbyist Meredith Sullivan compiled this data we want to describe how decisions were made regarding and presented it to TN-PAC committee members with Reflections and TN-PAC contributions during the 2008 election cycle in recommendations for contribution amounts based upon our state (remember: TN-PAC only makes contributions to TN-PAC’s budget. With limited funds, contributions were Thanksgivings candidates for state-wide offices and the TNA Board only made to maximize investments in key candidates and key makes endorsements in state races). We have made being races. Please note that a contribution does not constitute an by Carole R. Myers, PhD, RN, APRN transparent about what we do a priority, as well as being endorsement. The list of candidates who received TN-PAC and Meredith Sullivan, TNA Lobbyist accountable to TNA members and those who support TN- contributions is published in this issue of the Tennessee PAC by their donations. As you review how decisions are Nurse. When you see these candidates, thank them for The election season is made, we hope you will also appreciate the steps we took their commitment to advance the nursing profession and behind us now. We know who to make our processes more effective. improve patient care. Let them know we look forward to the winners and losers are, Prior to making contribution decisions, the PAC working with them in the next legislative session. Offer and now it is time to turn our Committee analyzed all general election candidates using your help in making sense of bills related to professional attention back to the business the following criteria: nurses and the health of all Tennesseans. of advancing the interests of • Survey Results–A policy survey was sent to all A decision was made this year that will help the PAC be professional nurses and the candidates to provide an opportunity to voice their influential during the legislative session. All PAC members health of all Tennesseans ideas about and commitment to resolving issues are now included as members of the TNA Government through legislative and other related to the nursing profession. These questions Affairs and Health Policy Committee. This move to processes of state government. addressed issues affecting school nurses, bedside increase collaboration and coordinate efforts should better Your Tennessee Nurses Political nurses, the patients who we serve, advanced practice leverage the efforts of the two committees and make us Action Committee (TN-PAC) is nurses and other various issues. All surveys were more effective during both the election season and the Carole R. Myers very active during an election scored on a scale of 1-5, based upon completeness, legislative session. season. You may not know that commitment to nursing issues, and quality of ideas It was good to see many of you at the TNA convention. we work very hard after the election results are known. In outlined. The TN-PAC appreciates your support. We thank you for this article, we will reflect on the work of TN-PAC during • Voting Record–For incumbents, committee and visiting our booth, for your contributions to the PAC, for the past election season in Tennessee and the work before floor voting records from 2007 and 2008 on key your participation in the TN-PAC auction, and for your us with the next session of the Tennessee legislature. TNA bills were documented. A percentage was feedback about how to maximize the effectiveness of the This past year, TN-PAC contributed a total of $18,300 given based upon how often the legislator voted in PAC. to 63 candidates, 17 running in Senate races and 45 in support of TNA positions on these key bills. TN-PAC is a non-partisan organization. Make your House races. We also made contributions to the House/ • Legislative Position–For incumbents, consideration contribution now online at www.tnaonline.org. Click on Senate Joint Democratic Caucus. You may not know…there was given as to whether they served on a key the on the Click Here to Contribute Now link in the upper are times between election cycles when we make strategic committee, had a leadership position on key right hand corner below the TN-PAC logo to reach the contributions from TN-PAC for very specific purposes. committees and/or held a leadership position within secure online PAC contribution form. Although we were successful in raising $18,560 during the their party’s caucus. Help us “PAC a Punch for Nursing” in Tennessee! past election cycle ($5,700 at the TNA Annual Convention), • Election Details–Recommendations for contributions we are convinced that the best way to position the PAC is December 2008, January, February 2009 The Tennessee Nurse Page 13 LEGISLATION TN-PAC Contributions to Candidates 2008 Tennessee General Election TN-PAC Contributions for Candidates, House of Representatives District Candidate 1 Jon C. Lundberg Bristol 69 David Shepard Dickson 3 Jason Mumpower Bristol 70 Joey Hensley Hohenwald 4 Kent Williams Butler 71 Stan Wheeler Guys 5 David Hawk Greeneville 73 Jimmy Eldridge Jackson 9 Mike Harrison Rogersville 76 Mark Maddox Dresden 11 Eddie Yokley Greeneville 77 Judy Barker Union City 13 Harry Tindell Knoxville 81 Jimmy Naifeh Covington 15 Joe Armstrong Knoxville 82 Craig Fitzhugh Ripley 19 Harry Brooks Knoxville 89 Jeanne Richardson Memphis 24 Kevin Brooks Cleveland 90 John DeBerry Memphis 29 JoAnne Favors Chattanooga 91 Lois DeBerry Memphis 31 Jim Cobb Spring City 32 Dennis Ferguson Harriman TN-PAC Contributions for Candidates, Senate 33 Jim Hackworth Clinton 35 Dennis “Coach” Roach Rutledge District Candidate 37 Bill Harmon Dunlap 2 Ron Ramsey Blountville 38 Leslie Winningham Huntsville 4 Micheal Williams Corryton 40 Cleveland D. Bain Smithville 6 Jamie Woodson Knoxville 45 Debra Maggart Hendersonville 8 Doug Overbey Maryville 46 Stratton Bone Lebanon 10 Andy Berke Chattanooga 49 Kent Coleman Murfreesboro 12 Becky Ruppe Rockwood 51 Mike Turner Old Hickory 14 Eric Stewart Belvidere 55 Gary Odom Nashville 18 Diane Black Gallatin 56 Beth Harwell Nashville 18 Jim Hawkins Gallatin 57 Susan Lynn Lebanon 20 Joe Haynes Goodlettsville 58 Mary Pruitt Nashville 22 Tim Barnes Clarksville 59 Sherry Jones Nashville 24 Roy Herron Dresden 60 Ben West Hermitage 26 Dolores Gresham Somerville 61 Charles Sargent Franklin 26 Randy Camp Humboldt 62 Curt Cobb Shelbyville 28 Jim Kyle Memphis 63 Glen Casada College Grove 30 Beverly Marrero Memphis 64 Tom DuBois Columbia 32 Mark Norris Collierville 66 Bob Bibb Springfield Democratic Joint Caucus 67 Joe Pitts Clarksville Republican Senate Caucus TN-PAC Donors January–October 31, 2008 Laurie Acred-Natelson Mary Lynn Brown Kimberly Currier Amanda Matthaei Sharon Adkins Susan Buckles Ann Cushion Linda McBride Adrienne Ames Roma Burriss Carol Dalglish Connie McCarter Sharon Bailey Leanne Busby Doris Davenport Kathleen McCoy Diana Baker Martha Butterfield Gretchen Davis Margaret McKelvey Linda Baker Sydney Byrd Ruby Davis Rita Milner Carol Haynes Barraza Gloria Calhoun Elizabeth Dayani Ellen Morris Virginia Trotter Betts Judy Campbell Margaret Disheroon Carole Myers Bonnie Black Susan Compton Ronda Eckert Sarah Mynatt Ruby Black Colleen Conway-Welch Frances Edwards Maureen Nalle Jean Blackburn Patty Cornwell Mary Ellen Ehman-Faust Northeast TN Nurse Mimi Bowling Ruby L. Cox Ruth Elliott Practitioners Association Raycene Brewer Sharon Craig Zaida Forester Judy Norton Mike Briley Gary Crotty Elizabeth Gammada Anita Norwood Join TNA Today! Allie Brown Patricia Crotty David Garmany Prudie Orr Janet Brown Patricia Cunningham Michele Gibson-O’Grady Jane Owen Laura Beth Brown Nancy Gilliam Janie Parmley Larry Goins Charlynne Parson Caroyln Graff Lena Patterson Pauline Grammer Wanda Perry Greater Memphis Area Julia Powell Advanced Practice Nurses Virginia Racker 2009 TNA Legislative Summit Diane Greenhill Katherine Ramsey Marni Groves Suzette Renfrow Mary Gunther Mary S. Richie Sandy Halford Ardyce Ridolfo April 7, 2009 Evelyn Hall Jane Robison Mike Harkreader Dara Rogers War Memorial Auditorium Janice Harris Diane Ruppel Christa Hedstrom Zoila Sanchez Nashville, Tennessee Kari Hmelo Susan Sanders Derenda Hodge Susan S Williams Sandy Holford Donna Seely Susan Hossler Frances W. Billie Sills Susan Jacob Beth Smith Make plans now to attend this Mary Johnson Tracey Stansberry Patricia Johnson Karen Starr special event designed for nurses and Patricia Jordan Sherri Stevens Claire Karas Charlene Stewart nursing students to become more La-Kenya Kellum Peggy Strong involved in the legislative process! Billie Kennett Cathy Taylor Marjorie King Jane Thayer Tharon Kirk Linda Thompson Patricia Kraft Clare Thomson-Smith Visit www.tnaonline.org for details. Letha Lehman Denise Thornton Norma Lester Cheryl Tilley Frances Likis Deborah VerBeek Laura Long Jennie Walls The Tennessee Nurses Association is accredited as a provider of continuing nursing education Sandra Lowery Reba Walters by the American Nurses Credentialing Center’s Commission on Accreditation. Benita Lynch Karen Ward Edna Mason Mitzi Wright Page 14 The Tennessee Nurse December 2008, January, February 2009 Tennessee Nurses Foundation “Nurses Leading to the Future” 2009 TNF Scholarly Writing Contributors Contest

The Tennessee Nurses Foundation is sponsoring a scholarly writing contest for TNA members. A $1,000 Sharon Adkins Margaret Disheroon Leslie Klein Beth Smith award will be presented to the winner as part of the Alive Hospice TNA District 10 Patty Kraft Christine Smith celebration of Nurses Week 2009. Mona Baharestani TNA District 15 Karen Langeland Elaine Smith Criteria: Sharon Bailey Shelly Donahoe Jan Lee Soli Deo Gloria Foundation 1. Registered Nurse Diana Baker Burgin Dossett Sandra Lowery Kathy Sorrell 2. TNA member Linda Baker Frances Edwards Edna Mason Brenda Spurbeck 3. Paper is publishable Valerie Ballard Joellen Edwards Linda McBride Karen Starr as submitted. Jody Barnwell Lizanne Elliott Connie McCarter Julia Strickland Misty Belew Ruth Elliott Patsy McClure Peggy Strong Manuscript requirements: Cheryl Black Joanne Favors Margaret McKelvey Tennessee Association of 1) Should be written on one of the following topics Jean Blackburn Delores Fox Pam McKinney Student Nurses • Nursing research–how you utilize your research in Marion Bogen Nan Gaylord Glenda Mendina Joanne Taylor daily practice. Mimi Bowling Patricia Geeting Ellen Morris Jane Thayer • How you demonstrate leadership in your daily Barbara Brennan Diane Greenhill Sarah Mynatt Betty Thompson practice no matter what the setting Raycene Brewer Luke Gregory Jane Owen Carolyn Trabue • How you influence the use of evidence–based Allie Brown Marni Groves Diane Pace Jennie Walls practice in the setting in which you work. Laura Beth Brown Judy Gunter Barbara Padovich Karen Ward • Successful strategies to mentor and sustain the Mary Lynn Brown Mary Gunther Janie Parmley Eloise Waters “new” nursing workforce. Pam Brown Beth Hallmark Felicya Parsels Leslie West 2) Must not have been previously published. Susan Buckles Jennifer Hanley Charlynne Parson Carolyn Whitaker 3) Maximum of 10 pages (inclusive of references) Wanda Bunce Mike Harkreader Lena Patterson Susan Whitaker 4) Double spaced, 10–12 point font. Martha Butterfield Janice Harris Patricia Pitman Sue Willoughby Judy Campbell HCA Foundation Julia Powell Jennifer Woody A completed application must include: Freida Cavaness Pamela Hinds Donna Pruitt Janice York 1) All applicant contact information including email and Debra Clark Derenda Hodge Ardyce Ridolfo TNA identification number. Colleen Conway-Welch Wanda Hooper Jane Robison *Contributors to the 2) Two (2) copies of the manuscript. Sharon Craig Susan Hossler Donna Roddy Tennessee Nurses Gary & Pat Crotty Susan Jacob Dara Rogers Foundation (TNF) for the Deadline for submission: March 2, 2009. Submissions Doris Davenport Jan Jones Diane Ruppel period of October 2007 must be postmarked by this date. Fax submissions are not Elizabeth Dayani Kathleen Jones Susan Sanders through October 2008. accepted. Margaret Denault La-Kenya Kellum Donna Seely Entries will be judged by blind review by selected Kathy Denton Billie Kennett Kathryn Skinner nursing experts. The winner will be notified by certified mail. Please mail submissions to TNF Scholarly Writing Contest 545 Mainstream Drive, Suite 405 Nashville, TN 37228-1296

The Tennessee Nurses Foundation presents the keepsake book by E. Dianne Greenhill, EdD, RN, and Louise Browning, CAE

Purchase your special keepsake book, rich with the fascinating story of the history of the Tennessee Nurses Association for the past 100 years and filled with many priceless photographs.

Excerpts from book: The passage of a law to regulate the practice of nursing in Tennessee [in 1911] signaled a great victory, but the act was far from perfect….” Page 9

“With our superintendent of nurses...we sat at sewing machines in the hospital dining room. And what were we doing? We were making obstetric gowns, hemming sheets and curtains, making drapes and other linens for surgery....” Page 13

“The bill [to remove the site approval process for nurse practitioners’ prescribing privileges] passed the House in 1994…. Immediately after the bill passed...the sponsor, with a smile of relief, raised his arms toward the ceiling and loudly proclaimed: ‘Free at last, free at last…thank God Almighty, the nurse practitioners are free at last’.…” Page 71

Price is $25 including Shipping and Handling, with all proceeds going to the Tennessee Nurses Foundation to help support its programs.

Make checks payable to the Tennessee Nurses Foundation. To order, visit www.tnaonline.org and click on Market Place. December 2008, January, February 2009 The Tennessee Nurse Page 15

TENNESSEE CENTER FOR NURSING EXCELLENCE Capital Campaign Donors Nightingale Honor $10,000 & over Luke & Susan Gregory Leslie Klein Judy Powell Sandra Lowery Patty Kraft TNA District 3 Teresa Martin Margaret Laning HCA Foundation Rick Rickard Donna Latham Memorial Foundation Ardyce Ridolfo Trena Lawson Dara Rogers Jan Lee Legacy Society $2,500 - $9,999 Susan Sanders Mary Levy Gary & Pat Crotty Kathryn Skinner Shaunda Lewis Tennessee Deans & Directors Carolyn Smeltzer Laura Long 15% TNA District 1 Christine Benz Smith Sam Maceri TNA District 5 Sandra Thomas Mary Maynard TNA District 6 TNA District 10 Polly McArthur Linda McBride President’s Council $1,000–$2,499 Friend of Nursing $25–$249 Constance McCarter The Tennessee Nurses Foundation & Sharon Adkins Adrienne Ames Patsy McClure Tennessee Nurses Association Sharon Bailey Patricia Arangie Mike Morel need your help to fill the lamp with contributions Virginia Trotter Betts Susan Bailey Ellen Morris to build the Center for Nursing Excellence! Mike Briley Diana Baker Judy Norton Ann Duncan Linda Baker Anita Norwood To date we have reached 15% of our goal. Bill & Frances Edwards Jean Bigger Jane Owen Mike & Ruth Harkreader Ruby Black Lena Patterson To contribute, visit www.tnaonline.org Billie Kennett Bonnie Black Frances Phillips Charlynne Parson Ed Blackman Patricia Pitman TNA District 2 Marion Bogen Cynthia Powers TNA District 4 Gerry Bosworth Mary Rhoads TNA District 15 Barbara Brennan Mary Richie Greater Memphis Area Advanced Raycene Brewer Lindsey Robertson Practice Nurses Janet Brown Jane Robison Vanderbilt School of Nursing Pam Brown Donna Roddy Wm B. Stokely Jr. Foundation Judy Campbell Diane Ruppel Judy Carson Zoila Sanchez Leadership Circle $500–$999 Shelley Caswell-Moore Jenny Sauls Jean Blackburn Susan Clark Suzy Scott Laura Beth Brown Chris Clarke Donna Seely Mary Lynn Brown Donna Clement Victoria Slater Martha Butterfield Misty Collins Barbara Smith Ruby Davis LuAnn Cook Beth Smith Ruth Elliott Colleen Conway-Welch Elaine Smith Dianne Greenhill Mary Coward Patricia Smith Wanda Hooper Susan Crawford Lynn Spaw Jan Liff Joan Creasia Charlene Stewart Edna Mason Evelyn Cummings Marian Stewart Maureen Nalle Doris Davenport Peggy Strong Jonathan Norris Peggy Davis Virginia Sullivan Janie Parmley Kathy Denton Billie Summers Billie Rhea Phillips Burgin E. Dossett, JR MD Cathy Taylor Joan Pierce Jennifer Easley Joanne Taylor Dava Shoffner Leslie El-Sayad Linda Thompson Karen Starr JoAnne Favors Teresa Wallace Alive Hospice Linda Foster Jennie Walls TNA District 8 Elaine Fralix Karen Ward WSCC Class of 2007 & Lynn Goodman Georgita Washington CardioVascular Associates, PC Sue Grover Carolyn Whitaker West TN Nurse Practitioners Janice Harris Susan Whitaker Pamela Hinds Patricia Williams Partners in Caring $250–$499 Debbie Hooser Mike & Sue Willoughby Julie Atkeison Kimberly Horder Debra Wollaber Carol Blankenship Susan Jacob Café Press Mimi Bowling Patricia Johnson Hoops LP Sharon Craig Janet Jones TN Association of Student Nurses Judy Eads Kathleen Jones Joellen Edwards La-Kenya Kellum *As of 11/04/08 Nan Gaylord Tharon Kirk Page 16 The Tennessee Nurse December 2008, January, February 2009 New/Reinstated Members Member News District 1 Samuel, Erica Lyn Schlemmer, Sandra R. Scholten, David Christa Hedstrom, EdD, Hallie Murrey Bensinger, Vincena Brown, Kimberly D. E. Scott, Samantha Dee Sixieme, Erin Lynn Stanly, Apryl RN, was one of three Vanderbilt Butler, Niambi Robinson Cade, Darel L. Davis, Cassand W. D. Steele, Erica L. Stone, Laura McCarter Stone, Sharon Medical Center research assistants Dodson, Mignon LaJoyce Elion, Angela Michelle Fountain, Irene Summers, Judith H. Sweeney, Kimberly Tatum, who recently received awards for Mattie Dobbs Goode, Sarah Guthrie, Shala Coots Harger, Thy A. Truong, Dawn M. Vanderhoef, Stephanie Willis excellence at the Fifth Annual Donna M. Herrin, Christina Hillhouse, Lisa R. Hurt-Dennis, Vaughn, Linda C. Wade, David Lawrence Workman Research Staff Awards luncheon. Deborah Jean Jensen, Leslie Caren Kennedy, Angie T. Hedstrom was the recipient Kilpatrick, Brenda M. Kinney, Elizabeth M. Knox, Jennifer District 4 of the award for Excellence in Koonce, Cathy Logue, Sandra Madubuonwu, Yolanda A. Annie N. Burrus, Susan R. Buttrey, Victor Czerkasij, Laurie Research Contributing to a Multi- Mays, Julie N. Overbey, Tania Renee Parker, Lakecia N. D. Davis, Curtis Dush, Linda H. Dwyer, Stephanie Leanne investigator Team. She is manager Purnell, Tracy Putt, Amanda Lindsay Ruiz, Victoria Ann Gehrke, Gregory R. Joyner, Lauren McKaig, Karen Y. Morris, of patient care services in the Salopek, Daphne Euniece Shields, Anne-Marie Snell, Paula J. Deanthia A. Odem, Kayla Theresa Patton, Carlina L. Pendon, Clinical Research Center where Spears, Terri F. Sykes, Ginger Lynn Thompson, Shirley Ann Kathy J. Pentecost, Barbara Ferrell Ponder, Melissa LeMoyne she supervises a staff of 26 nurses and support personnel who Thorn, Diane Yates Trent, Janet A. Tucker, Sheryl Denise Rice, Stacey Ryder, Georgette McKenzie Smith, Lynda Marie work to conduct investigator-initiated clinical research. Tucker, Leanne Marie Venesky, Anita M. Ward, Pamela Smith, Brenda Lyn Spurbeck, Charlotte Grant Webb, Sherrie Washington, Elaine Watson-Coburn, Tina Williams, Anna I. L. Wheeler, Pamela F. Wright Diane Todd Pace, PhD, Winston District 5 RN, FNP, FAANP, Assistant Dean for Faculty Practice at the District 2 Dawn Marie Arapakos, Kimberley Ann Bell, Doris J. University of Tennessee Health Laura Elizabeth Beasley Lockett, Kathy C. Brewer, Cannon, Debra E. Clark, Amy L. Cook, Lisa Ann Davenport, Science Center/Memphis College April Dawn Bryant, Sandra Cecil, Jeffrey A. Cooke, Mark Penni Yvonne Dingus, Barbara S. Duncan, Mary P. Ernst, of Nursing, was elected to the J. Ellison, Lindsay M. Fuson, Terry Ann Maeko Harrison, Courtney Marie Finney, Pamela J. Gray, Vanessa M. Greene, national Board of Trustees for Mary Sue Hodges, Dawn Pauletta Jeffers, Jennifer Lett, Chrystal Inell Hall, Melanie Paige Horton, Jenny Beth Jones, the North American Menopause Nancy B. Moody, Katherine Hope Morgan, Sharon K. Susan Miranda Peoples, Michelle Ann Peters, Kimberly Society (NAMS) at their 19th Payne, Deborah H. Sparks, Nancy S. Sprouse, Margaret Michelle Pratt, Priscilla A. Redwine, Elaine L. Smith, Mary annual scientific event in Paulette Suttles, Judith A. Vaughan, Susan Myers Wall, Beth Urbani, Kathy J. Wasco Orlando in September. Founded Mary Louise Ward, Pamela Wilmouth, District 6 in 1989, NAMS is a nonprofit District 3 Sherry McClanahan Blackford, Robert Cravens, Marsha scientific organization whose Mission is to promote the Linda Abercrombie, Melanie M. Allison, Michelle Forsyth, Lisa Mulherin, Christine Pratt, Tracy Lytle Saddler health and quality of life of women through an understanding Arnold, Debra A. Arnow, Betty L. Ashe, Caden D. Austin, District 8 of menopause. Pace has been a member of NAMS since Cathy Lynn Bachmann, Kathryn Beesley, Petra A. Blake, Marguerite Dianne Clark, Amy L. Huff, Heather 1996. She is a Certified Menopause Practitioner (2002) with Karen L. Brady, Ashley Brown, Matthew R. Bumbalough, Michelle Robbins, Patricia A. Stotts NAMS as well as a Certified Clinical Densitometrist with the Amy Elizabeth Burks, Devin S. Carr, Mary Emma Carter, International Society of Clinical Densitometry. Prior to joining Jessica M. Chepa, Kitty H. Cook, Cathy A. Cooper, Loretta District 9 the UT Health Science Center, Pace was Nurse Practitioner/ S. Crosby, Sandra K. Daniel, Teresa Diane Davis, Amanda Amy M. Cripps, Judy Duvall, Stacey L. Maynard, Nurse Scientist with The Regional Medical Center at Decker, Melinda Jl Dickinson, Michelle L. Drew, Donna Kimberly A. Spivey-Schwartz Memphis, The Health Loop. Jean Fairchild, Kim Ann Frazier, Mekeesah L. Gould, District 10 Elizabeth Hallman, Beth Fentress Hallmark, Lora A. Cynthia A. Eblen, Susanne D. Marsidi, Donna P. Waddell Suzy Scott, MSN, RN, Harnack, Jennifer Ellen Harper, Hillary J. Hatcher, Nicole CWOCN, was recently R. Herndon, Jennifer A. Hicks, Cherry L. Houston, Eric District 12 recognized by the American F. Howard, Bethany R. Kossick, Susan Rae Levy, Debbie Shirley R. Brown, Janet L. Call, Tracy L. Douglas, Academy of Nurses in its Raise K. Locke, Erica M. Lockett, Cynthia A. McBride, Adam Brittney Lauren Hudson, Tammy H. O’Bryan, Erin L. the Voice Campaign. As part McPartlin, Windle Morgan, Elizabeth B. Morrell, Robin Tabor, Patrice Darlene Tolton of the Campaign, the Academy Mutz, Sarah C. Pakron, Brenda C. Petrus, Amanda Leigh District 15 is showcasing stories of nurse Phillips, Brian D. Pollock, Laura Jene Ratliff, Andrea Southida Bates, Bobbie A. Bell, Lexine R. Leonhart, “Edge Runners”–the practical W. Reed, Susan L. Reskiewicz, April A. Reyes, Anabel Julie Faith Ludwig, Amy Murdock, Stephanie Davie innovators who are transforming Graves Robertson, Jennifer Rowe, Anna Samuel, Jayanthi Nipper, Sara E. Ramsey America’s health care system through nursing solutions. Scott wrote the Perioperative Pressure Ulcer Prevention Program (PPUPP): An Innovative Effort to Prevent Pressure Ulcers in Surgical Patients which showcases the Memphis VA’s nursing research and aggressive approach to improving patient safety and outcomes

District 2 District News The District 2 officers for 2008-2009 include: President, Mary Gunther, Email: [email protected] District 1 President Elect, Melvin Viney 2008-2009 District One Officers and Board Vice President, Jan Witucki Brown President, Diane Ruppel Recording Secretary, Mary Lynn Brown President Elect, La-Kenya Kelluym Treasurer, Mary Jane Johnson Vice President, Laura Long Secretary, Tommie Norris Mary Gunther, PhD, RN, CNE Treasurer, Madge Saba District 2 President

Board of Directors District 12 Bradley Harrell Greetings from District 12 which includes Dyer, Dianne Greenhill Lauderdale and Tipton counties. Shayla Green We were pleased that Linda Baker, District 12 Joyce Moore Immediate Past President, accepted the President’s Julie Atkeison Membership Award during the TNA Annual Convention at the Franklin Marriott Cool Springs. District 12 received Nominating Committee the award as our District experienced the largest increase Diane Brown in membership of any TNA District in the past year with a Faye Grimes 22% gain. District 12 will begin 2009 with goals that include Thanks to all for attending the state annual convention. increasing membership with more accessible participation All of your efforts to attend are greatly appeciated! for all members. New District 12 officers include: Diane L Ruppel, MSN, RN, APRN, BC Doris Glosson, President, Tipton County, District 1 President Email: dnglosson@ google.com Belinda Douglas, Treasurer, Lauderdale County Faye Sigman, Vice-President, from Dyer County

Doris Glosson, RN, CNO District 1 President

Visit www.tnaonline.org, click on About TNA, District Associations, to locate contact and meeting information for all TNA District Associations. December 2008, January, February 2009 The Tennessee Nurse Page 17 Vanderbilt University School of Nursing Honors Top 100 Leaders during Centennial Celebration A group of 100 Vanderbilt University School of of the Tennessee Department of Health in 2007. In 2005, She played pivotal roles in both the development of a national Nursing alumni and faculty were honored in October as she began her state service as a special policy and health certification exam in this specialty and in the establishment of “100 Leaders–100 Years” during the school’s Centennial advisor to Governor Phil Bredesen, charged with developing the Ear Nose and Throat Nursing Foundation. Celebration. The following members of the Tennessee Nurses Tennessee’s Health Care Safety Net. Association were included in this prestigious group of leaders Ginger Trundle Manley, MSN, RN, CS in the world of nursing and TNA leadership and staff would Charlotte Covington, MSN, RN, CS, FNP Manley was recognized for her leadership in the extension like to extend their sincere congratulations to each of them. Covington was recognized for her development of new of advanced practice nursing. She was the first advanced roles for nurses and nurse practitioners. As a Registered Nurse practice nurse to Chair the Tennessee Board of Nursing and Susie Adams, MSN, RN, APRN, BC in the Vanderbilt Medical Center Emergency Department, first nurse faculty member to have a private faculty practice Adams was recognized as one of the early educational she was one of the first flight nurses, created the role of at Vanderbilt. As a specialist in sexual health for more than leaders to identify the need for the advanced practice the Emergency Department educator, and was one of the 25 years, she developed the Manley Model of Sexual Health, psychiatric-mental health nurse practitioner role and to first Trauma Course instructors for the Emergency Nurses which is widely used to assess and treat issues of human integrate that role within primary care settings. Adams Association. sexual dysfunction. led Vanderbilt School of Nursing in the development of the Psychiatric Mental Health Nurse Practitioner (PMHNP) Elizabeth Dayani, MSN, RN, CPC Ann Minnick, PhD, RN, FAAN program, one of the first in the nation. Dayani was recognized as a national leader in primary Minnick was recognized for her national and international care, outpatient services, and home health services. For more contributions to quality and health services initiatives Sharon Adkins, MSN, RN than 30 years, she has developed and implemented innovations that have influenced workforce, educational, and clinical Adkins was recognized for her leadership as Executive in health care delivery. She has been involved in state and regulatory policies. Currently she is Senior Associate Dean Director of the Tennessee Nurses Association (TNA) where national legislative and regulatory initiatives including the of Research and Co-Director of the PhD program at the she works as an advocate for the more than 70,000 nurses development of the Joint Commission on the Accreditation of Vanderbilt School of Nursing. in Tennessee in the legislative community and educational Healthcare Organizations home care accreditation standards. arenas to advocate for the profession and quality patient care. Linda Norman, DSN, RN, FAAN Her passion for nursing is evident in her accomplishments Marilyn Dubree, MSN, RN Norman was recognized for her commitment to nursing at both the state and national levels. In her 20 plus years at Dubree was recognized for her leadership in nursing education for more than 30 years, 14 of which have been at Vanderbilt Medical Center, she developed and directed the and healthcare. She has served in nursing and nursing Vanderbilt University School of Nursing as the Associate Center for Parish Nursing and Health Ministries. administration for Vanderbilt Medical Center (VMC) for Dean of Academics. She serves on the research team more than 30 years and has served as Chief Nursing Officer to evaluate the effectiveness of The Johnson & Johnson Adrienne Ames, MSN, RN since 1994. In 2007, she became VMC’s first Executive Chief Campaign for Nursing’s Future related to the nursing Ames was recognized for her dedication to nursing Nursing Officer and currently oversees more than 4,000 shortage. practice. Ames led the way for accountability in nursing nurses throughout the medical center’s campus and satellite practice and involvement of staff in the decision-making clinics. James C. Pace, DSN, MDiv, RN, APRN-BC process that involves their practice and work environment. Pace was recognized for his leadership in palliative She helped develop one of the first nursing staff bylaws in the Frances McGaughy Edwards, MSN, RN care. He developed the Adult Nurse Practitioner Program nation that provided the structure and the foundation for this Edwards was recognized locally and nationally for her with a focus in palliative care utilizing local and nationally accountability and decision making. contribution to nursing through activism and service. She has recognized sites for student preceptorships. He is an ordained served the Tennessee Nurses Association as a Board member, Episcopalian minister. He was instrumental in developing the Carolyn Bess, DSN, RN President, and Chair and Treasurer of the Tennessee Nurses joint degree between the schools of nursing and divinity at Bess was recognized for her teaching in the BSN and Political Action Committee. She has served as Chair of the Vanderbilt. MSN programs at Vanderbilt School of Nursing for more American Nurses Association Political Action Committee than 37 years and designing one of the first distance RN to and lobbied extensively for nurses and health care in both the Bonnie Pilon, DSN, RN, CNAA, FAAN MSN programs in the U.S. Her leadership in curriculum Tennessee State Legislature and the U.S. Congress. Pilon was recognized for all of her activities related to the development and evaluation was evident during major practice mission of the Vanderbilt School of Nursing, which curriculum revisions and accreditation visits. Mentorship Carol Etherington, MSN, RN, FAAN includes oversight of more than 10 different faculty practice for registered nurse students is a hallmark of her career at Etherington was recognized for her work in rural areas sites and satellite sites that serve elementary schools, domestic Vanderbilt. from Appalachia to Angola and in urban areas from Nashville violence shelters, and congregate living high rise apartment to Sarajevo. She has focused on traumatized populations, buildings for disabled and frail elderly. She serves as a Virginia Trotter Betts, MSN, JD, RN, FAAN designing and administering programs to address mental consultant to University Community Health Services, Inc., the Betts was recognized as a national and international health health needs of individuals, families and communities newest Federally Qualified Health Center in the state. and mental health policy leader. She currently serves as impacted by crime, war or disaster. Commissioner of the Tennessee Department of Mental Health Julie Rosof-Williams, MSN, RN, CS and Developmental Disabilities and previously as the Senior Betsy Kerr Hay, PhD, RN Rosof-Williams was recognized for her leadership and Advisor on Nursing and Policy to the Secretary of the U.S. Hay was recognized for her doctoral work with elderly clinical work in child maltreatment. For the past 18 years, Department of Health and Human Services. Her leadership nursing home residents and with the assisted-living she has provided medical-legal evaluations for children and within the nursing profession includes serving as President of community. She is an end-of-life trainer with a mission to adolescents who may have experienced sexual abuse/rape. the American Nurses Association and the Tennessee Nurses graduate students who are able to provide compassionate, She helped develop and currently coordinates the Vanderbilt Association. knowledgeable care to dying patients and their families. School of Nursing Forensic Nursing Program, which is part of the Adult Nurse Practitioners Program. John Michael Briley, DNP, RN, APRN, BC Leslie Higgins, PhD, RN, CFNP Briley was recognized for being an ardent supporter of Higgins was recognized for her research interests that Judy Sweeney, MSN, RN advanced practice nursing education. He has served as a include patient understandings of chronic illnesses and how Sweeney was recognized for developing and integrating preceptor for numerous pharmacy and nursing students for those understandings affect patients’ willingness to make the essentials of the BSN program into the new pre-specialty the past 14 years. He founded Primary Care Specialists– the therapeutic changes nurses prescribe. She has served as a curriculum, an expedited track toward becoming a nurse South, LLC in 2006 and not only continues to be active in his family nurse practitioner in Nashville for more than 30 years. practitioner. It was one of the first of its kind in the country. private practice but also in the Tennessee Nurses Association She was one of the first faculty to put an entire course on the in various roles. Beth Colvin Huff, MSN, RN, FNP, CS internet and to use the computer lab for testing purposes. Huff was recognized for her career in gynecologic cancer. Laura Beth Brown, MSN, RN She worked for 12 years in the Division of Gynecologic Cathy Taylor, MSN, DrPH, RN Brown was recognized for her contributions as a leader Oncology at Vanderbilt Medical Center. Since 1997, she has Taylor was recognized for being appointed as Assistant in the home health industry. She has led the efforts in coordinated the Vanderbilt Colposcopy Clinic where she sees Commissioner for the Tennessee Department of Health’s establishing Vanderbilt as one of the dominant home care patients who have had an abnormal Pap test. Bureau of Health Services Administration (BHSA) in May providers in the state of Tennessee, ranking among the top 2007. The BHSA is responsible for the administration of 25% in “Home Care Elite” in the nation. Brown is the current Joyce Laben, MSN, JD, RNCS, FAAN Tennessee’s 89 rural and six metropolitan county health President of the Tennessee Nurses Association. Laben was recognized for her development of the current departments and 13 regional offices, which provide both Tennessee Forensic Mental Health System as well as her primary care and prevention services. Peter Buerhaus, PhD, RN, FAAN lifelong commitment to the mentally ill in the criminal Buerhaus was recognized for his nationally renowned justice system. A nurse and an attorney, she co-authored two Betsy Weiner, PhD, RN, BC, FAAN work in research, especially as it relates to reshaping public reports that led to the creation of the first mental health court Weiner was recognized as a pioneer in multimedia policy regarding the nursing shortage. He is Director of the in Tennessee, co-authored books on mental health law for development in nursing. She is internationally known for Center for Interdisciplinary Health Workforce Studies in nurses and has written multiple articles on legal/ethical issues her leadership in nursing informatics as well as emergency the Institute for Medicine and Public Health at Vanderbilt in health care. planning and response. Her passion, leadership, and University Medical Center. dedication have moved Vanderbilt School of Nursing to a Frances Likis, MSN, DrPH, RN, FNP, CNM, W major informatics leader in the world. Leanne Busby, DSN, RN, APRN, BC, FAANP Likis was recognized for her contributions to women’s Busby was recognized for her dedication to education health care and to the midwifery and nurse practitioner Carolyn Whitaker, MSN, RN, APRN, BC, FAAN nurses at Vanderbilt School of Nursing. Busby is currently professions as an editor, author, educator, and clinician. She Whitaker was recognized for her vision of nursing, a Professor of Nursing at Vanderbilt. She served as Director is Editor-in-Chief of the Journal of Midwifery & Women’s establishing the role of family nurse practitioner and of the Family Nurse Practitioner Graduate Specialty at Health, co-editor of the textbook Women’s Gynecologic establishing the first nurse-practitioner run clinic in Red Vanderbilt for seven years and helped facilitate the opening of Health, and the author of several journal articles and book Boiling Springs, Tenn. She recognized the need for and the Vine Hill Community Clinic. chapters. developed the role of the registered nurse in schools throughout the state and supported the coordinated school Susan Cooper, MSN, RN Ann Patterson Luther, MSN, RN, CS, CORLN health program in the Tennessee General Assembly and Cooper was recognized for making Tennessee history Luther was recognized for her contributions in advancing elsewhere. when she became the first nurse to serve as Commissioner the specialty of Otorhinolaryngology and Head-Neck Nursing. Page 18 The Tennessee Nurse December 2008, January, February 2009 American Nurses Association/Tennessee Nurses Association Membership—It’s Your Privilege!

Tennessee Nurses Association Membership Application

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

Last Name First Name Middle Initial Street or PO Box Number City State Zip County Last Four Digits of Social Security Number Email Home Phone Work Phone Cell Phone Home Fax Work Fax Pager Employed at as Employer’s Address Academic Degree(s) Certification(s) Graduation from basic nursing program (Month/Year) / RN License # State Date of Birth / /

Membership Categories (please choose one category)  ANA/TNA Full Membership Dues Employed full or part-time $23.34 per month or $274.00 annually. Includes membership in and benefits of the American Nurses Association, Tennessee Nurses Association and the TNA District Association.  ANA/TNA Reduced Membership Dues Not employed, RNs who are full-time students, newly-licensed graduates, or age 62+ and not earning more than Social Security allows $11.92 per month or $137 annually. Includes membership in and benefits of the American Nurses Association, Tennessee Nurses Association and the TNA District Association.  ANA/TNA Special Membership Dues 62+ and not employed, or totally disabled $6.20 per month or $68.50 annually. Includes membership in and benefits of the American Nurses Association, Tennessee Nurses Association and the TNA District Association.  TNA Individual Membership Dues Any licensed registered nurse living and/or working in Tennessee $16.34 per month or $190.00 annually. Includes membership in and benefits of the Tennessee Nurses Association and the TNA District Association. American Nurses Association Direct Membership is also available. For more information, visit www.nursingworld.org. The Center for American Nurses (The Center) Membership The Center is a professional association whose mission is to create a community of nursing organizations that serves individual, non-union nurses by providing programs, tools and policies that address their workplace concerns. Membership in The Center is included in all dues categories except TNA Individual Membership.  If you DO NOT wish to be a member of The Center, check the box at left.

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 Authorization to Bill My Employer  Payroll Deduction This payment plan is available only where there is an agreement between your employer and the association to make such deduction. Company PARTICIPATING AGENCIES Contact Person VA - Nashville, Memphis, Mountain Home, Murfreesboro Regional Medical Center - Memphis Street or PO Box Bordeaux Hospital - Nashville Nashville General Hospital City State Zip (Many employers pay professional dues. TNA’s educational programs alone justify it. Ask your employer.) Signature for Payroll Deduction