OFFICIAL BULLETIN OF THE FLORIDA NURSES FOUNDATION Volume 66 • No. 1 CIRCULATION 290,000 TO EVERY REGISTERED NURSE & NURSING STUDENT IN FLORIDA March 2018

Mission Statement Serve and support all Registered Nurses through professional development, advocacy and the promotion of excellence in every area of professional nursing practice.

FNA does not endorse advertised products, services, or companies, nor any claims made in paid advertisements. The Florida Nurse is proudly brought to you by FNA dues paying members.

President’s Message

Janegale Boyd was recognized. Following lunch, the attendees network with others from their profession. We visited their legislators and voiced concerns about want to thank Senator Daphne Campbell (a nurse) The 2018 FNA issues involving the workplace and workforce. (District 38), Representative Robert Olszewski Advocacy Days was held John Berry, FNA Director of Labor Relations (District 44), and Representative Richard Stark on January 17 – 18, 2018 and Government Affairs, and Deborah Hogan, (District 104) who stopped by to support the in Tallahassee, FL at the FNA State Unit President, also visited many nursing profession. Florida State Conference legislators and discussed issues surrounding The second day of the conference always brings Center. We want to State Employees. esteemed speakers to discuss important and thank our Capitol Circle The Legislative Reception was held at the Sponsor, Arthur L. Davis Doubletree where attendees got to mingle and President’s Message continued on page 6 Publishing, and our exhibitor, Feel Good, Inc. We could not host these events without the support of our sponsors and exhibitors. Approximately 125 nurses and nursing students registered for this event. On Wednesday, attendees were able to meet FNA’s lobbying team from Gray|Robinson, PA. Rheb Harbison, Larry Cretul, and Jessica Love helped us understand the Florida legislative process and committees as well as the major issues facing the 2018 Florida Legislature. Janegale Boyd, FNA President, assisted the audience in a little role-playing offering effective communication tips before visiting the legislators in the afternoon. Several conference attendees represented nurses in the Health Innovation Subcommittee meeting where FNA Call for Abstracts on page 5 Inside this Issue Non-Profit Org. U.S. Postage Paid Princeton, MN President’s Message...... 1 LERC/Professional Practice Advocacy ...... 7 Permit No. 14 current resident or Notes from the Executive Director ...... 2 Nursing Community ...... 8 Calendar of Events ...... 3 Student Forum ...... 9 Members in the News ...... 3 Region News ...... 10-12 Focus on Foundation ...... 4 Beyond Bedside Nursing ...... 13 Lung Cancer Screening Rates Remain Low ...... 4 QUIN Council ...... 14 FNA Research Conference ...... 5 Infectious Disease ...... 15 Page 2 The Florida Nurse March 2018 Notes from the Executive Director

Willa Fuller, RN Executive Director Owned and Published by, Florida Nurses Association The Florida Nurses 1235 E. Concord Street, Foundation is the ultimate Orlando, FL 32803-5403 example of nurses helping P.O. Box 536985, Orlando, FL 32853-6985 nurses. In the past 35 years, Telephone: (407) 896-3261 the Foundation has grown FAX: (407) 896-9042 from the initial donation E-mail: [email protected] Website: http://www.floridanurse.org of $10,000 received from Office Hours: 8:30 a.m. to 4:30 p.m., the District 5 Nurses’ Monday thru Friday Charitable Trust to over $1,000,000. The majority For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington of contributions have been Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, made by nurses In honor of their colleagues in the [email protected]. FNA and the Arthur L. Davis Publishing form of $10,000 endowed funds. Several years Agency, Inc. reserve the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections ago the Foundation Trustees voted to “uncap” the in the next issue or refund of price of advertisement. original funds to encourage donations to take them Acceptance of advertising does not imply endorsement or approval by the Florida Nurses Association of products to the next level of $15,0000. This “Reach Higher” advertised, the advertisers, or the claims made. Rejection of an campaign will not only result in more funds for the advertisement does not imply a product offered for advertising Foundation, but will also create larger scholarships is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. FNA as these funds reach the next level. Many of these and the Arthur L. Davis Publishing Agency, Inc. shall not be funds are named for past FNA heroes and some held liable for any consequences resulting from purchase are designated for nursing specialties, research of or use of an advertiser’s product. Articles appearing in this the students are enhancing their publication express the opinions of the authors; they do not geographic locales. Within these categories there is necessarily reflect views of the staff, board, or membership of great diversity in the opportunities for scholarships Sustaining Membership program FNA or those of the national or local associations. applicants. The Big Hairy Audacious Goal (BHAG) and recognizing donors at their Published quarterly, March, June, September, and Annual Convention in a more December by FNA, a constituent member of the American of the Foundation is to become apremier funding Nurses Association. source for nursing scholarships and research in substantive way. These donors Editor - Vicki Sumagpang, 1235 E. Concord St., Orlando, will receive the newsletters and FL 32803-5403 this state. While it sounds like a challenge, we have Subscription available at $20.00 plus tax, per year. Members 0ver 250,000 licensed helping hands who could an invitation to the convention of FNA receive the newspaper as a benefit of membership. make this a reality. We encourage Florida’s nurses so they can be present when COPIES of The Florida Nurse are available on 35mm scholarships are awarded. A donation of $30 is microfilm, 106mm microfilm, article reprints and issue copies to “adopt” the Foundation as a favorite charity and through Bell & Howell, 300 North Zeeb Road, Ann Arbor, support nursing scholarship in Florida. required for individual sustaining membership Michigan 48106 This year and in the past, the Foundation has and this donation is also accessible on the FNA been able to raise funds and support nurses after Foundation page on the website. Board of Directors disasters, such as hurricanes. The Nurses in Need If you are a former Sustaining Member, please 2017–2019 funds have allowed to support nurses during life look for a mailer soon. This support has been crises with things and small as license renewals integral to the success of the scholarship program. Officers to those as significant as helping them to make The students have endowed SIX funds over the past Janegale Boyd, RN, President Vacant position, President Elect mortgage payments. But in order to do more, we 10 years, honoring nurses who have contributed significantly to FNSA through service. Anne Peach, MSN, RN, NEA-BC, Vice President need more support from Florida nurses. Barbara Russell, MPH, RN, CIC, Secretary The Foundation has awarded over $376,000 in Ann-Lynn Denker, PhD, ARNP, Treasurer Grants and Scholarships since 1986 and is poised to add to that number in June of this year. You can Directors find a description of the funds on the FNA website Janice Hess, DNP, ARNP, FNP-BC - East Central at http://www.floridanurse.org/foundationGrants/ Justin Wilkerson, BSN, RN-BC, CHPN, CCRN - North Then you can donate to the fund of your choice or Central Pamela Delano, MSN, MBA, RN - Northeast to the general fund at http://members.floridanurse. Jill Van Der Like, DNP, MSN, RNC - Northwest org/4DCGI/donate/donate.html?MenuKey=123. Carmen “Vicky” Framil, DNP, ARNP, ANP-BC - South Both FNA and FNF have a proud Rhonda Goodman, PhD, ARNP, FNP-BC, AHN-BC, tradition of building a strong FAANP - Southeast support system attributed to the Susan Torres, MSN, RN LHCRM - Southwest determination and persistence Jose Alejandro, PhD, MBA, R-BC, CCM, RACHE, FAAN of nurses. We are proud to - West Central have a heritage of being self- Director Recent Graduates sufficient and building strong Hannah McRoberts, BSN, RN Super donor Sue Korsberg (right, with Clare organizations with hard work, perseverance and unity. FNA Office Good) enjoying the Foundation Luncheon at the Willa Fuller, BSN, RN, Executive Director 2015 Membership Assembly. Donations like Sue’s The work of the Foundation exemplifies caring beyond the John Berry, Jr., Director of Labor Relations & helped us to be able to assist four nurses with Government Affairs expenses after Hurricane Irma. bedside. This year we are asking nurses to donate Vicki Sumagpang, MSN/ed, RN, $35 for our 35th Anniversary to help us ascend to Director of Programs & Member Engagement Another way to donate is through an FNSA the next level. Who knows? You could be the next Rheb Harbison, Senior Director Government Affairs, Sustaining Membership which goes directly to scholarship or grant recipient. For questions, email Gray Robinson Attorneys at Law students who participate through FNSA. This year [email protected].

http://www. Partners with floridanurse.org

Every time you shop online, make sure you visit www.floridanurse.org and Published by: click on the Amazon link. Arthur L. Davis Publishing 365 days of Easy Access to all Agency, Inc. of your shopping needs March 2018 The Florida Nurse Page 3 Members in ATTENTION FNA MEMBERS! 2018 Events the News YOUR EMAIL ADDRESS IS NEEDED. FNA communicates via email throughout APRIL 14, 2018 the year. In order to receive all email 8th Annual South Region Symposium & Dr. Rhonda Goodman was updates, please send your personal email Awards Banquet inducted as a Fellow of the address along with your name and member Gulf Stream Park Spot of Kings Theatre American Association of Nurse number to [email protected] as 901 S. Federal Highway Practitioners during the annual soon as possible. Hallandale Beach, FL 33009 conference in June 2017 held in Philadelphia. Dr. Goodman APRIL 14, 2018 is an associate professor of nursing at the Christine E. 7th Annual North Central Region Lynn College of Nursing Conference in Boca Raton, Florida and The Villages in Gainesville teaches both undergraduate and 8000 NW 27th Blvd. • Gainesville, FL 32606 graduate nursing courses. She is the founder of the Guatemala Study Abroad Program in nursing APRIL 18, 2018 and is the Faculty Advisor for the FAU Student Lessons Learned from Irma — Nurses Association. She was named Distinguished FNA SW Region Event Teacher of the Year at FAU and has won awards in Avow undergraduate teaching, community engagement in teaching, faculty service, and global nursing. 1095 Whippoorwill Lane • Naples, FL 34105 Jean Hannan, PhD, ARNP, APRIL 19, 2018 assistant professor at Florida West Central Region Spring Meeting International University (FIU) Topic: Human Trafficking Nicole Wertheim College of Banquet Masters Nursing & Health Sciences, has 3355 49th Street North been selected as a Fellow of the Clearwater, FL 33762 American Academy of Nursing (FAAN). She has achieved this recognition through more than MAY 10, 2018 three decades of research and East Central Region Quarterly Meeting scholarly contributions in the Nurse Week Celebration field of maternal child health nursing. Dr. Hannan FNA Headquarters was inducted into the American Academy of 1235 E. Concord Street Nursing on October 7, 2017. Orlando, FL 32803

MAY 17-18, 2018 IPN/FNA Annual Conference Renaissance World Golf Villages News 500 South Legacy Trail St. Augustine, FL 32092 Nurses ranked #1 for the Most Honest and RN to BSN Online Program MSN Online Program JULY 28, 2018 Ethical Profession by the 2017 Gallup Poll for No Campus Visits — Enroll Part or Full Time 4th Annual Research & Evidence-based the 16th consecutive year. 84% of those polled Practice Conference describe nurse ethics as “very high” or “high.” • Liberal Credit • No Thesis Harry P. Leu Gardens Congratulations, nurses! Thank you for all that Transfers Required you do on a daily basis. 1920 N. Forest Ave. • Orlando, FL 32803 • Nationally • No Entrance Accredited Exams OCTOBER 25-27, 2018 Classes That Fit Your Schedule — Competitive Tuition Florida Nursing Student Association Convention Consult our website: www.uwgb.edu/nursing Hilton Daytona Beach Oceanfront Resort Call 888-674-8942 or Email [email protected] 100 N. Atlantic Ave Daytona Beach, FL 32118

To register for FNA events go to: https://tinyurl.com/q3bl6wm.

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Stacy Simon, Senior Editor, News Lung cancer screening guidelines American Cancer Society Medical Content and News Staff The American Cancer Society recommends that doctors talk to their patients about having a low-dose CT scan to check for lung cancer if they meet Very few people who could benefit from lung cancer screening – mostly current all of these criteria: and former smokers – are actually getting the tests, according to findings from • 55 to 74 years old American Cancer Society researchers. The authors say this means more patients • In fairly good health (healthy enough to withstand treatment) and health care providers need to be informed about the screening guidelines for • Have at least a 30 pack-year smoking history (equal to smoking a pack a lung cancer. The study was published February 2 in JAMA Oncology. day for 30 years or 2 packs a day for 15 years) The United States Preventive Services Task Force (USPSTF) began • Are either still smoking or have quit smoking within the last 15 years recommending in December 2013 that certain people at high risk for lung cancer have yearly screening with low-dose CT scans. The American Cancer Society The screening should be done at facilities that have the right type of CT study compared the proportion of people who were up-to-date with screening in scanner, a lot of experience using the scanners for lung cancer screening, and 2010 – before the recommendation was in effect – to the proportion of people who a team of specialists who can provide appropriate follow-up care for people were up-to-date with screening in 2015 – after the recommendation was in effect. whose results indicate a possible problem. They found the screening rates to be very low in both years – just 3.3% in Like all screening, low-dose CT scans of the lungs carry benefits and risks. 2010 and 3.9% in 2015. The authors calculate that to mean only 262,700 out of One drawback of a CT scan is that it finds a lot of abnormalities that turn out 6.8 million people eligible for lung cancer screening in 2015 received it. Lead not to be cancer but that still need to be checked out to be sure. This may lead author Ahmedin Jemal DVM, PhD said, “The reasons for the low uptake in to additional scans or even more-invasive tests such as needle biopsies or even screening are probably varied, and likely include lack of knowledge among both surgery to remove a portion of lung in some people. A small number of people smokers and doctors as to screening recommendations as well as access to high who did not end up having cancer have actually died from these tests. The quality screening.” people who are most likely to benefit from screening are those at highest risk A previous study by Jemal and his colleagues showed that screening everyone for lung cancer, such as people with a long history of smoking. eligible could prevent up to 12,000 lung cancer deaths a year in the US. Because of the risks associated with low-dose CT scanning, and the possibility of doing more harm than good for people who are less likely to have lung cancer, the American Cancer Society recommends doctors discuss screening with people who are at high risk for developing the disease and help them make an informed decision. REAL WORK-LIFE BALANCE • Originally published on cancer.org; republished with permission from the American Cancer Society. Focus on Foundation

Relocate to beautiful North Florida, and join a collaborative mental health care team as a REGISTERED NURSE

The Best Benefits • Relocation reimbursement up to $5,000 To apply for these positions visit • Eligible for student loan forgiveness programs https://jobs.myflorida.com • Advancement opportunities Keyword – Nurse The Florida Nurses Foundation provides • College tuition waiver program Location – Chattahoochee, annual scholarships and grants for Gainesville or Macclenny Florida graduate and undergraduate Expand your career opportunities at students enrolled in ACEN or CCNE Coming soon: Educational leave, get accredited nursing education programs. • Florida State Hospital, Chattahoochee paid while attaining your next degree! North Florida Evaluation and Your generous donations to the • For more information contact: Treatment Center, Gainesville Foundation support future generations Kevin Bist, Recruiting Consultant of nurses and research initiatives led by • Northeast Florida State Hospital, [email protected] nurses. Macclenny Call or text 850-274-4287 Please help us continue funding the future of nursing by donating today.

Mark your Calendars! The scholarship cycle for the Florida Nurses Foundation is open from January 1 to June 1. Please visit the Foundation page on the FNA Website to download the application. Please take the time to review available research grants and scholarships in your geographic area or nursing area of interest. Applications are only accepted online. Please follow instructions.

http://www.floridanurse.org/foundationGrants/ March 2018 The Florida Nurse Page 5 FNA RESEARCH CONFERENCE: Highlighting Contributions to the Body of Nursing Knowledge

The Florida Nurses Association is proud to promote the practice a wealth of doctorally prepared participants from our Research Special of Nursing Research and the work of all levels of nurse researchers. Interest Group and our Florida Nurses Foundation Trustees who are integral Participation in our annual conference is growing and our goal is to create a in the success of this conference. Our goal is to provide a non-threatening, forum where experienced researchers can serve as role models and mentors, environment for researchers to interact, educate, learn and grow. and potential and novice researchers can hone their skills and received We also encourage interested novice nurses to attend this conference mentoring and support from their more seasoned colleagues. as an introduction to nursing research so that they can have first-hand This interactive conference continues to evolve and we invite you to knowledge of how research and evidence-based inquiry can make a become a part of it growth and development. We are fortunate to have difference to nursing practice and patient care. We look forward to seeing returning attendees as well as many new faces at the conference this year. Please find the Call of Abstracts in this issue. Contact us at [email protected] if you have questions about participating or attending this conference. To register go here: https://tinyurl.com/yd97kqhr

Sponsored by: ***Call for Abstracts***

The FNA Board of Directors is committed to supporting and showcasing colleagues conducting nursing research. You are invited to submit abstracts for the 4th Annual Nursing Research and Evidence- Based Practice Conference scheduled for Saturday, July 28, 2018 at Leu Gardens in Orlando, FL. Abstracts can be submitted for podium or poster presentations. The purpose of this conference is to promote communication and dissemination of performance improvement projects and nursing research that is being conducted in diverse academic, clinical, and/or community settings throughout Florida. Abstracts will be peer reviewed by members of the FNA Nursing Research Special Interest Group. Submissions are due by Friday, May 11, 2018 You will be notified of abstract acceptance no later than Friday, June 8, 2018 Guidelines for submission can be found under the Resource tab at www.floridanurse.org

Thinking of Joining?

The best way to join is through the FNA website at: www.floridanurse.org and click on the join icon.

You can join both ANA and FNA from our site and it is less confusing than joining from the ANA site. Please note that many members who are joining from the ANA site think they have a full membership. Please check with us if you were seeking full FNA and ANA membership. Feel free to call our office at (407) 896-3261 for assistance. Page 6 The Florida Nurse March 2018

President’s Message continued from page 1 and Stacia Hays, a pediatric nurse practitioner, not accomplish what we do without your presented information on human trafficking and support and leadership. current issues surrounding healthcare. advice on how to recognize victims in the clinical Stay tuned and mark your calendars for Joe Baker, Jr., gave an overview of the FL and educational settings. 2019 FNA Advocacy Days. It will be held in Board of Nursing and the nurse compact On behalf of the Florida Nurses Association, March 2019 (Dates soon to be determined). license taking effect on January 19th, 2018. we want to thank the attendees for being engaged Mark Fontaine, Executive Director, Florida and bringing your expertise and your voice to Alcohol and Drug Abuse Association, spoke our gathering. You, as nursing professionals, on the Florida Opioid Epidemic: Issues, have the vision, the knowledge, the resources, SPONSOR Impacts and Initiatives. Robin Hassler and the experience to help us pave the way Thompson, Executive Director, The Survive into the future of healthcare. You are truly our & Thrive Advocacy Center (STAC), Michelle greatest asset today and tomorrow, and we could Gaines, Director of FL Dept. of Education,

EXHIBITOR

University of West Florida nursing students 2018 FNA Advocacy Days visiting with Representative Cary Pigman

2018 BLI Scholarship Recipients: (from left to right) Teresa Goss, Stacia Hays, Kurt Blackman, and Center: Anne Peach with East Central Region participants FNA President, Janegale Boyd at the steps of the Capitol

Rep. Jay Fant with Chelsea Hall-McArthur

Human Trafficking Panel: (from left to right) Michelle Gaines, Robin Thompson, Senator Daphne Campbell addressing the Legislative and Stacia Hays Reception

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John Berry, Director still required to pay an agency fee. of Labor Relations & The FNA Labor and Employment Governmental Affairs Council, as well as other labor organizations in the state, strongly This year, myself and oppose this legislation because Debbie Hogan, State Unit it takes away an employee’s President, spent the day free choice as to whether or not at the Capitol educating they want to be represented by our state representatives collective bargaining. We also and their staff about HB highlighted the inequity of the fact 25 and its companion bill that the police, firefighters, and in the Senate, SB 1036, correction officers were exempt Debbie Hogan and John Berry met with an aide from which is entitled, Labor from this legislation. They are Senator Powell’s office to discuss SB 1036 Organizations. Ultimately, all first responders, which we what this bill does is if a Labor Organization does explained, so are the nurses. This bill has passed front lines every day and are the first to be called not represent 50% of the eligible members then that in the House, and at the time of this writing, is in for hurricane duty and any other healthcare related organization would be decertified by the State. There committee in the Senate. emergencies or disasters and that it’s time for the would be no representation for any of those employees The other item that Debbie and I discussed was the Governor and the legislature to recognize that and it’s who chose to be represented collective bargaining. update on our current contract negotiations with the long overdue. While we are grateful that we also have We explained that basically, that we opposed this State. Debbie shared that we were just here a week nurses that VOLUNTEER for these events to assist attack on organized labor. Florida is already a “right to earlier, to testify before the Joint Select Committee on those that work for the state, we have some concern work” state and employees who choose not to belong Collective Bargaining. The Governor has not offered that in other states they are paid for these services. We to the union, are not required to, whereas in some nurses a significant pay increase in seven years. would like to see the work of our nurses be properly other states, employees who select not to belong are We emphasized to them that our nurses are on the acknowledged for the value it provides to our citizens. State Employee News

On Behalf of the Health was owed to them after we learned that there was so In Solidarity, Care Professional much confusion and hesitancy on the part of certain Debbie Hogan, President, Bargaining Unit of agencies to do the right thing. The state has shown Professional Health Care Unit | FNA, OPEIU the Florida Nurses us documentation that payment was made and Local 713 Association, I want to wish special compensation time accredited. This is a great you a healthy, happy 2018! victory for the FNA membership. If there are those of you who feel that you haven’t been compensated As we continue to appropriately, please contact FNA Headquarters at move forward this year, (407) 896-3261. it’s important for us, as I also wanted to let you know that there were a health care professionals, number of grievances statewide that were won by to consider what our our members and it’s important to realize that WE, professional resolutions Deborah Hogan, MPH, as members, are the ones who are powering our will be in 2018. I hope BSN, RN, FNA State State Bargaining Unit. Our efforts are essential for that one of your goals will Unit President,LERC the successes like these. be to become more active Liaison Chair Of course, your leadership has also been in your State Bargaining Unit. working hard on your behalf. We are currently It may be tempting to ask, “What’s the State unit in negotiations in Tallahassee demanding a wage done for me lately?” Well, let me tell you. increase “across the board” for our professionals, as The Florida Nurses Association filed a major Class well as an increase in the shift differential pay. We Action grievance in regards to the payment of our will also be testifying before the State stressing the members who worked during and after Hurricane importance of these pay increases. Irma. We wanted to ensure that people who should Your Unit Leadership is continuously working to have been compensated did, in fact, receive what protect your contract. Page 8 The Florida Nurse March 2018 Nursing Community Strategies to Successfully Provide Floridians an Adequate, Qualified Nurse Workforce 2017

3. RESEARCH – Serves as the foundation read something and think “I can help fix this.” on which actions are built and outcomes Identify something that you want to be a part of evaluated. and help to implement the action steps to lead 4. POLICY – Relates to the processes that will to solving the problem. Remember that there is strategically guide planning to meet future power in numbers – engage your friends and needs. colleagues to become a part of the solution. For the 16th year in a row, nurses have been As stipulated in Florida statute (464.0195), Please visit the FCN website (www. named the most trusted professional in the the Florida Center for Nursing (FCN) publishes FLCenterForNursing.org) to read the full United States, according to the 2017 edition a STATEWIDE STRATEGIC PLAN in order to document. It is available under the Forecasts & of Gallup’s annual poll. A random sample of address nurse manpower issues in our state. The Strategies tab. The Plan provides information U.S. adults rated nurses’ honesty and ethical FCN Board of Directors and Staff identified four on each of the areas related to what the ISSUES standards as very high or high. The public trusts primary areas in need of action: are, what SOLUTIONS are needed to address the you to take care of them. We hope that The Plan 1. EDUCATION – Relates to both the academic issues, and recommended ACTION STEPS toward provides you the information and guidance you and health industry settings and opportunities resolving the problems. need to be an active participant in resolving the for nurses to achieve education progression. YOU can be a part of the solution!! Nurses are issues facing nurses, and thus patients. 2. WORK ENVIRONMENT – Relates to the culture wonderful influencers. Familiarize yourself with On behalf of the FCN Board of Directors and of the work place, retention issues, and supply this information. You may see some issues that Staff, I want to thank you for all that you do to and demand challenges faced by employers. you are dealing with on a daily basis. You may care for people of Florida.

Focus on Recent Graduates Director, Recent Graduate My name is Hannah McRoberts, and I am your Recent Graduate Director. I am an Adventist University Alumni, and currently am working in a PCU unit at Florida Hospital East Orlando. My goal as the New Graduate WeWd need your voice! i! Representative is to Leadership Opportunities educate new nurses about Committees and Task Forces the resources and benefits Community Service of being a member of FNA. Innovation and Product Design I plan on doing this by Advocacy and Health Policy advocating for safe transition from classroom to Program Creation bedside. I look forward to working with FNA in order to provide the safest care for our patients We know you’re busy but this is important! Teamwork and community. lessens the workload and increases outcomes! Contact us at [email protected] to connect with our New Grad Special Interest Group and New Grad Liaison. New graduate members have an opportunity to create the future for FNA.

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Balance work, family and faith Come join the AHCA team! as you earn your Nursing degree from Palm Beach Atlantic Registered Nurse Specialists with Florida’s Agency for Health Care Administration (AHCA) conduct on-site surveys of a University. Our RN to BSN, MSN, variety of health care providers throughout the state. Some of and DNP programs give you our excellent benefits include: the freedom and flexibility to • Ten Paid Holidays Annually earn your degree on your own • Generous Annual & Sick Leave time, allowing you to serve your • High Quality Health Insurance with Low Premiums patients on a higher level and • Free Life Insurance Plan • Very Low Cost Retirement Plan advance your career. • Optional Deferred Compensation Plan • College Tuition Waiver Program • Remote Working Program

To learn more about AHCA visit us at: http://ahca.myflorida.com To learn more about RN positions with AHCA in your area, visit our job site at: https://jobs.myflorida.com/index.html March 2018 The Florida Nurse Page 9 Student Forum

Hello FNA, about the human trafficking injustices and opioid nurses from across the state, crisis happening in Florida and the part we play and further developing our I want to extend to you towards a solution. Our students had the privilege leadership skills. all a warm welcome from to use their voice to advocate for our patients and In the words of Jennifer Donnelly, all our nursing students our profession to our legislators. It truly was an “We who have means and a voice must use them to across our Sunshine State! invaluable educational tool for students to learn how help those who have neither.” Our valued profession As students, we had the to concisely and clearly deliver information and to has always done just that, giving a voice to the incredible opportunity make sure our voices are heard. voiceless, and I know that we will continue to use to partner and come The consensus from our students was that our position to advocate for the health and benefits alongside FNA and attend Advocacy Days was a powerful experience to be of our patients in our state whether we are students Advocacy Days. We had a part of and to witness how passion for an issue or experienced nurses. Thank you for setting the 25 pre-licensed students means something and as students, we can initiate example and inspiring us. in attendance. A special positive changes and be able to garner support for shout out goes to the important matters. It truly was remarkable to see Ms. Sarah Thurlow is a rising nursing leader who following schools for sending students, professors, our very own students next to experienced and wise is devoted to providing quality and compassionate and consultants to Tallahassee to engage in such an nurses advocating with one voice for a common healthcare to her future clients. She is enrolled at important piece of nursing: Adventist University purpose. Our students saw that our profession is a Florida Atlantic University and is pursuing a dual of Health Sciences, Florida Atlantic University, true calling that is so much bigger than them. degree in Nursing (BSN) from the College of Nursing and Florida State University, Miami Dade College, Pasco They saw that we will never be “just” nurses Health Administration from the College of Business. Hernandez State College, and University of West but are advocates, policy changers, educators, She is also enrolled in the Honors in the Major Florida. We missed having the Pensacola State and leaders! We are a powerful group that truly is for Nursing at FAU and is currently undergoing College students, who at the last minute were not able stronger together and a force to be reckoned with. undergraduate research related to nursing leadership to attend due to the winter weather travel warnings. We are proud and honored to be future nurses and in long-term care facilities. She is currently president As students, we could not be involved in professional to one day have the privilege of joining the ranks of of the Florida Nursing Student Association, which development and leadership opportunities if it was such a prestigious, brilliant, caring and invaluable is the largest professional organization for nursing not for the support from our faculty and Deans. group. students in the state of Florida and serves on the Our FNSA undergraduate students who attended What our state organization is up to next is Council of State Presidents Committee on the got to experience our legislative process hands on. attending NSNA National Convention, April national level. After graduating in May 2019, she We were educated on current bills and policies and 4-8th, in Nashville Tennessee. We look forward to plans on working as a BSN prepared nurse in Florida taught how to craft a compelling elevator speech continuing to advocate and speak on the resolutions striving to provide holistic, compassionate and to pitch to our lawmakers. We also learned more we are presenting, networking with other student competent care to her future patients. Human Traf ficking Florida Ranks Third in the Nation for Human Trafficking

Stacia Hays, a urinalysis or X-ray. Many people will deny being to our expertise in assessing the patient, family, and DNP, CPNP-PC, CNE a victim and may become angry, while others may community, nurses are critical in helping to identify admit that they are being trafficked. For guidance and respond to victims of human trafficking. Although slavery is with questions to ask in a suspected trafficking thought to be a thing of situation, consult the website Polaris Project.org. Stacia Hays is a practicing Pediatric Nurse the past, it exists in every For assistance, you can contact your local law Practitioners and works on the faculty at the state in the form of human enforcement agency, call the National Human University of Florida. As a member of the National trafficking. Florida ranks Trafficking Hotline at 888-373-7888, or text HELP Association of Pediatric Nurse Practitioners, Stacia is third in the nation for this to BeFree (23733). Something anyone can do to help a member of the coalition workgroup that is drafting modern day slavery which stop human trafficking is to upload a photo of your and supporting state and federal legislation to build uses people as objects, hotel room to the app Traffickcam. The photo is then awareness of human trafficking. Working closely forcing the labor or sexual placed into a national database identifying hotel with Partners for Vulnerable Youth, the workgroup exploitation of millions chains used in suspected trafficking locations. is developing the education and training for nurses, of women, children, and Nurses have the ability to connect victims to school personnel, and other disciplines to identify men. It is estimated that there are 30 million victims resources, and there are a variety of agencies that are victims of human trafficking. of human trafficking worldwide, with 800,000 new ready to assist after a victim has been identified. Due victims every year. In 2016, Florida ranked third in the country in reported cases of trafficking. Traffickers target vulnerable populations; the majority of victims are women, minor children make up half of the cases, with the number of victimized LGBTQ youths on the rise. It is a well- organized business, generating more than 30 billion dollars in profits every year. An estimated 87% of victims had at least one encounter with a healthcare provider during captivity, but were not recognized as victims. Just as nurses are on the frontlines of Open for identifying victims of domestic abuse and other high risk situations, we can be the first step in opportunity identifying someone who is being trafficked. Nurses should assess for patients who are dirty, malnourished or dehydrated, suffering from The relationship between the clinician and addiction, have dental or head and neck trauma, the patient is at the heart of everything or have prominent tattoos. Many traffickers will we do. So you are not part of a system. “brand” their adolescent victims with a name, or the You’re part of a family. word “daddy,” or a barcode. Women may have pelvic infections, genital trauma, or be seen repeatedly for Registered Nurse other frequent infections. Other signs of trafficking • Patient and family teaching/education include the inability to state where they live or • Patient-centered care attend school, not having any form of identification, • Partnering with skilled clinicians or are accompanied by someone who will not leave them alone or allow them to speak for themselves. Call us today at If you suspect someone is a victim of human 855-KND-AT-HOME (855.563.2846) or visit trafficking, here’s what you can do: www.kindredathome.com/careers Similar to a domestic abuse situation, do not directly confront the trafficker or alert the victim to your suspicions. A priority is to try to separate the EEO © 2016 Kindred at Home CSR 188925-08 victim from the trafficker. If being evaluated in an inpatient setting, this may be possible by ordering a procedure the victim must receive alone, such as Page 10 The Florida Nurse March 2018 Region News

East Central Region Brevard, Flagler, Lake, Orange, Osceola, Seminole, Sumter, Volusia

Janice Hess Regional Director

East Central Region Meeting with East Central Region Holiday Brunch at Dubsdred Mary Lou Brunell, Executive Director, Taproom in Orlando, FL. East Central Region Update Florida Center for Nursing. Future East Central Region Quarterly Meetings Marti Hanuschik, East Central Region Program Grand Canyon University is working with are scheduled for August 23 and November 15, 2018 Director, hosted the final 2017 quarterly regional East Central Region to develop a new graduate at the FNA headquarters. Speakers to be announced. meeting at FNA headquarters November 16, 2017. nurse initiative. Hannah McRoberts, the FNA Mary Lou Brunnell, FCN Executive Director, Board New Graduate Liaison and East Central We are saddened to presented a discussion of nursing workforce FNA member, has been active in the discussion announce that Jan Hess has trends for FL and the East Central FL region. as to how FNA can engage and assist new nurse tendered her resignation due On December 3, 2017 the annual regional graduates as they transition into their direct to personal reasons. Jan is a Christmas Brunch was held at Dubsdread patient care role. long time dedicated member Taproom in Orlando, FL. Members attending Please save the following dates so you can of FNA who has made great celebrated the start of the holiday season and attend regional activities: contributions on the local and a networking opportunity to meet and greet May 10, 2018 Willa Fuller, FNA Executive state level for over 30 years. We new members. The informal brunch discussion Director, will offer a presentation on Violence in are thrilled to welcome another centered on the importance of nurses joining their the Workplace. Additionally, this is Nurse Week dedicated member Marti professional organization as well as the important and there will be a celebration honoring and Hanuschik to the role of East Marti role FNA plays in political advocacy for patients recognizing regional nurses. Anyone wishing to Central Region Director. Marti Hanuschik and the nursing profession. Members attending assist with organizing this celebration, please call has been serving as the event were encouraged to attend FNA Advocacy Days or email [email protected]. coordinator for the past several years and we are Jan. 17-18, 2018 to engage in advocacy efforts. grateful for her willingness to step into this role.

North Central Region Alachua, Bradford, Citrus, th Columbia, Dixie, Gadsden, 2018 7 Annual FNA North Central Region Conference: Gilchrist, Hamilton, Jefferson, Lafayette, The Role of the Nurse in Emergency Preparedness Leon, Levy, Madison, Marion, Suwannee, Taylor, Union, Wakulla Justin Wilkerson Saturday, April 14, 2018 Regional Director 8:00 am – 4:30 pm

North Florida Retirement Village Tower Club Ballroom 8000 NW 27th Blvd. Gainesville, FL 32606

Register at YOUR CAREER Now Hiring Nurse Instructors! MATTERS. Jacksonville, Miramar, Orlando, Tampa www.floridanurse.org For nearly 50 years, Concorde Career Colleges has prepared thousands of people for rewarding careers in the healthcare industry. We specialize in education with a clearly defined purpose. Our goal is to prepare students for the most in-demand jobs in healthcare.

Qualifications we’re looking for include: Registration Natural Disasters can strike at any given time, with • Current RN license in the state of employment • Meet all of the qualifications as set or without warning. 2017 was a prime example when FNA Members: $50 • BSN required, MSN preferred forth by the Board of Nursing in Hurricane Irma covered almost the entire state of Florida. • 3 years of recent clinical experience the state of employment Non-members: $75 As a result, counties were searching for healthcare We offer: Medical/dental/vision, 401K retirement plan, paid holidays, vacation, and education Students (Pre-licensure): $25 reimbursement for full-time and part-time employees. professionals to man shelters and to assist with the storm’s To apply, email resumes to [email protected] or visit www.concorde.edu/careers EOE/M/F/D/V Registration includes 6 contact hours, aftermath. This conference will address legal, ethical, Be part of life changing work. Join Concorde. continental breakfast, featured speakers, and professional considerations for the role of the nurse poster session, and lunch. in emergency preparedness. How can we as nurses be better prepared in the case of emergencies and become ONLINE Registration closes on Monday, April 9, stakeholders in finding solutions to national, state, and local 2018. Registration fees increase by $15 at door. challenges before another disaster strikes? Cancellation policy: No refunds after Monday, April 5, 2018 Abstract Submissions for Poster Session Register at www.floridanurse.org under the Conferences Tab Contact Stacia Hays at [email protected] or Vicki Sumagpang at [email protected] Contact Hours: Six (6) to be requested from FNA Provider (#50-3103). Deadline for abstract submission is March 10, 2018

Please note - Hotel arrangements are on your own. Closest hotels to venue are:

Best Western Gateway Grand Doubletree by Hilton Gainesville 4200 NW 97th Blvd 3726 SW 40th Blvd Gainesville, FL 32606 Gainesville, FL 32608 Reservation Line: 352-331-3336 Reservation Line: 353-375-2400 March 2018 The Florida Nurse Page 11 Region News

throughout the night in the presence of positivity of West Florida (UWF) School of Nursing. As a and delicious cuisine amongst professionals. The nursing educator, I know that every student will Northeast Region energy and enthusiasm of the Northeast FL group touch many lives throughout their nursing career. Baker, Clay, Duval, inspired 5 more people to join FNA that night. Under I am active in the Sigma Theta Tau International Nassau, Putnam, the leadership of their Region Director, plans are in Honor Society of Nursing, National League St. Johns motion to facilitate upcoming events for the nursing for Nursing, and serve as the Student Nurses community to educate and unite our profession. Association Advisor at UWF. I also enjoy service Pamela Delano FNA Northeast Region is one of the many through the Pensacola Bay Area IMPACT 100, the Regional Director sponsors at the 2018 Patient Safety Forum scheduled Florida Guardian ad Litem program, and the UWF on March 2, 2018 at Jacksonville University in Community Garden. I have been married to David Jacksonville, FL. The 2018 Patient Safety Forum for 31 years, and we have four children. is a wonderful opportunity for interdisciplinary Please reach out to me concerning the needs for healthcare professionals to network and learn more our region. Northeast Region Update: about patient safety from internationally recognized experts with the aim of improving quality of care Wishing you all the best in 2018! “There is immense power when a group of and health outcomes. The expertise provided by Jill Van Der Like people with similar interests gets together to work these renowned speakers will promote synergy and toward the same goals.” These words rung true on inter-professional collaboration to enhance quality th January 12 when nurses throughout the Northeast and safety education and scholarship. Please visit FL region gathered together for the first meeting https://www.ju.edu/qsen/events-presentations/ of the year. With about 20 attendees from diverse patient-safety-forum-2018.php for more information. backgrounds and a variety of experience levels, there was robust discussion regarding the benefits of membership and a vision for the year was crafted with multiple perspectives. Northwest Region Bay, Calhoun, Escambia, Franklin, Gulf, Holmes, Jackson, Liberty, Okaloosa, Santa Rosa, Walton, Washington Happy National Nurses Week! Jill Van Der Like Regional Director May 6–12, 2018

Northwest Region Update

Hello Florida Nurses Association,

My name is Jill Van Der Like, and I am honored to introduce myself as the new Northwest Florida Region Director. I was born in Pensacola, and never left, so I am looking forward to service in my beautiful community. I received my Associate of Science in Nursing- Registered Nurse degree at Pensacola State College, Registered Nurse to Bachelor of Science in Nursing 2018 Northeast Region Meet & Greet at University of South Alabama, a National Certification Corporation certification for Inpatient Ideas for future NE FL nurse-led events included Obstetrics, Master of Science in Nursing/Nursing educational presentations on transitioning from Education at University of West Florida, and bedside to leadership, wellness for nurses, bullying Doctor of Nursing Practice at University of Miami. and incivility, social media etiquette and the image I have been a registered nurse for 31 years, and I of nursing in the public eye. Personal experiences am currently the Director of the Nursing Skills were shared and new connections were made & Simulation Learning Center for the University

We have opportunities for nurse educators at our Florida campuses. Family Nurse Practitioner Program Director – Orlando Graduate Nursing Program PhD in Nursing/Nursing Science or DNP; FNP-C required Full-Time Faculty – Tampa Undergraduate Nursing Program, Terminal Degree in Nursing required Family Nurse Practitioner Faculty – Tampa Graduate Nursing Program PhD in Nursing/Nursing Science or DNP; FNP-C required Clinical Coordinator – West Palm Beach Graduate Nursing Program, Terminal Degree in Nursing required Experience pristine, well-equipped facilities and the unparalleled support of a system dedicated to producing top performers in the healthcare industry.

To apply for Orlando and Tampa opportunities, send your CV to [email protected] and to apply for West Palm Beach opportunities, send your CV to [email protected] Page 12 The Florida Nurse March 2018 Region News

Leader: Administration/ Academia Award, to bring forward important issues that affect culminating with the distinguished South healthcare, nurses, and the care we provide. Region, FNA member Nurse of the Year! Please SAVE THE DATE for “Temporary South Region Protective Status: the Impact on SWFL Healthcare Broward, Miami-Dade, OPPORTUNITIES STILL OPEN: Organizations.” February 28, 2018 5:30pm at Florida Monroe Call for Scholarship submission to Elizabeth Southwest State College, 8099 College Parkway, Fort Olafson at [email protected] due by 3/1/2018. Myers 33919. Presented by Yemisi Oloruntola-Coates, Carmen “Vicky” Framil Scholar must be present to accept the award. System Director Diversity and Patient Care Civil Regional Director Call for Nurse Awards nominations to Jill Rights, Language Services. More details to follow. Tahmooressi at [email protected] by 2/17/2018. Please SAVE THE DATE for “Lessons Learned Recipients must be present to accept the award. from Irma,” April 18, 2018, 5:30pm at AVOW, Ispiri Call for electronic poster submissions to Sheree. Building, 1095 Whippoorwill Lane, Naples, FL 34105. [email protected] 3/1/2018. Day of event, poster to An esteemed panel of community leaders, acute care South Region Update be viewed ELECTRONICALLY only via single file leaders, EMS, and long term care Leaders will make per jump-drive nurse participant in jpeg format. up the panel and discuss the lessons learned before, No physical posters will be displayed. Electronic during and after Irma. More details to follow. Posters received by 4/1/2018 will be eligible for Please contact me at [email protected] prize recognition day of event. with any questions regarding membership or the Please plan early as seating is a premium for this upcoming events. legendary South Florida event: annual Symposium 8th Annual South Region and Awards Ceremony with individual event ticket Florida Nurses Association $75 FNA Member, $90 non-member; Advanced Table purchase seating for 10 @ $650. Symposium and Awards Ceremony Contact Florida Nurses Association at 407- Saturday April 14, 2018 896-3261 for registration payment or visit www. 8:00am-2:30pm “Hot” Breakfast & floridanurse.org LIMITED SEATING: At the door, Luncheon Buffets Included exact cash payment only if seating available.

Location: Gulfstream Park Sport of Kings Theatre 901 S. Federal Highway | Hallandale Beach, FL 33009 Southeast Region Come and network among the 250+ nurses Indian River, Martin, Okeechobee, Palm Representing a portion of the 250,000+ strong Beach, St. Lucie FNA SWFL members catching up, and nurses who practice in Florida. Rhonda Goodman celebrating new and exciting journeys in 2018. • 3 Nurse CE Hours to be applied for Regional Director From left to right Susan Torres, • Included in registration payment is a Theresa Morrison, and Ernest Klein. Breakfast (8am) & Lunch buffet (noon) • Nursing Student Mentorship & Scholarships • Review of the Literature, Evidence Based Southeast Region Update Practice & Nursing Research Poster Session West Central Region • Vendor Sponsor Display Area including Gold, DeSoto, Hardee, The Southeast Region has no planned events/ Silver and Bronze Level Sponsorship Hernando, Highlands, meetings scheduled at this time. FNA will keep • Nurse Awards for: Registered Nurse Practice Hillsborough, you posted as soon as events are scheduled. Award; Nurse Researcher Award; Advanced Manatee, Pasco, Practice Nurse Award; Nurse Educator Award; Pinellas, Polk, Sarasota Community Service Award, Promoting an Environment of Excellence Award, Nurse Jose Alejandro Regional Director Southwest Region You’ve earned your Charlotte, Collier, dream job. Glades, Hendry, Lee West Central Region Update Susan Torres A region planning meeting was held on Regional Director We’ll help you find it at January 4 where 17 members attended and provided valuable input on how to invigorate nursingALD.com the region with activities. A West Central Region Leadership Council was created with the following Your free online resource for individuals: Janice Adams, DNP, MPA, RN; Gayle nursing jobs, research, and events. Southwest Region Update Russell, PhD, RN; and Rebecca Falanga, MBA, RN. The group has been tasked to implement quarterly Happy New Year! I hope all of our members and meetings, explore annual educational conference their families had a wonderful, peaceful Holiday and collaborate with schools of nursing. If you are Season and are looking forward to a fun filled, interested in serving on any committees, please feel prosperous 2018! SWFL Region is very busy working free to reach out to me at [email protected].

Veterans’ Homes RNs, LPNs, & CNAs needed at all locations

Lake City The Robert H. Jenkins Jr. Veterans’ Domiciliary Home

Daytona Beach The Emory L. Bennett State Veterans’ Nursing Home

Land O’ Lakes The Baldomero Lopez State Veterans’ Nursing Home

Pembroke Pines The Alexander “Sandy” Nininger State Veterans’ Nursing Home Panama City The Clifford C. Sims State Veterans’ Nursing Home

Port Charlotte The Douglas T. Jacobson State Veterans’ Nursing Home

St. Augustine The Clyde E. Lassen State Veterans’ Nursing Home

Port St. Lucie The Ardie R. Copas State Veterans’ Nursing Home

For employment opportunities at the homes, call the FDVA Human Resources Office at (727) 518-3202, Ext. 5579 or visit the People First website at https://jobs.myflorida.com/joblist.html March 2018 The Florida Nurse Page 13

BEYOND BEDSIDE NURSING

Sandy S. Weiss, MBA, RN, completion of a Masters of Business Administration nurses. Teaching and research are important fields LHRM, CPHQ, CPPS in Healthcare Management (MBA-HCM), my career to educate the next generation of nurses. Nurses can shifted into the realm of quality, risk and safety. also be legal nurse consultants, risk managers, or Nursing is a career path Currently, I work as a project manager for a quality patient safety directors. Many of these nurses also that many misunderstand. measurement developer. attend law school! Nurses can start and run their While preparing to embark There are over 3.3 million active Registered own companies, from small consulting practices on this nursing journey, I Nurses in the United States and over 238,000 in the to home health care companies. Business and recall many friends could state of Florida (Kaiser Family Foundation, 2017). nursing degree combinations are ideal for running not envision me being a Demand for RNs is expected to grow 15% from 2016- operations in the acute and ambulatory care setting. nurse. What did this mean? 2026 (Bureau of Labor Statistics, 2017). An aging The last hospital I worked for even had an RN as the I love people, I want to population, baby boomer nurses retiring, and an Chief Executive Officer! better the community, and increase in prevalence of certain chronic diseases Next time you talk to someone about nursing and I want to give back. How contribute to the need of RNs. they have trouble seeing past working as a bedside could one not see me as a Clearly, not all of these nurses work in the nurse in the acute care setting, please remind them nurse? In that moment, I realized that their image of hospital setting, which is frequently envisioned that the career possibilities are truly endless! nursing differed from mine. when pondering the profession. As of May 2016, My mother was my inspiration; she worked in only about 30% of nurses worked in general Sandy S. Weiss is an inductee into the 2017 Florida home health care marketing in my formative years. medical surgical hospitals (United States Bureau of Nurses Leadership Academy (FNLA). FNLA is a My vision of a nurse was calling on physicians and Labor Statistics, 2017). From my own observations, partnership program of the Florida Nurses Association other referral sources to ensure patients had the care most nurses do start out in the acute care setting, and the Florida Nurses Foundation with the purpose they needed upon discharge. That image of what a but can move around after a year or two of of developing future nursing leaders. The goal is to nurse could do further evolved when we started a practice. Insurance companies hire nurses to help provide tools, education and opportunities to registered family business in 2009. My undergraduate studies monitor their patients’ care, and also assist in the nurses to assist them in becoming active members and focused on Psychology, and my plan was to attend authorization process to move through the care skillful leaders in the Florida Nurses Association. law school. However, after helping with the family continuum. Case Managers help assist patients business, my eyes were opened. At that point I and their families through their hospitalization, References realized, nurses could do anything! and work with insurance companies to monitor Bureau of Labor Statistics. (2017). Occupational Outlook Testing the waters, I started as a Licensed the patients’ care. They also function as discharge Handbook: Registered Nurses. Retrieved from https:// Practical Nurse (LPN). I quickly moved on to an planners to help ensure patients understand www.bls.gov/ooh/healthcare/registered-nurses.htm their needs upon discharge. Nurses are needed Kaiser Family Foundation. (2017). Total Number of Associated of Science in Nursing (ASN) program Professionally Active Nurses: Florida. Retrieved and obtained my license as a Registered Nurse (RN). throughout various industries in sales and from https://www.kff.org/other/state-indicator/total- Shortly after passing boards, I was recruited to work marketing. Having the ability to articulate a product registered-nurses/?currentTimeframe=0&sortModel=% in marketing for an acute inpatient rehabilitation to physicians and other decision makers to inform 7B%22colId%22:%22Location%22,%22sort%22:%22asc hospital. About a year later, I was recruited to do a and educate them regarding a device or medication %22%7D similar job for a much larger hospital system. The is a needed skill. Nurses are frequently sought for United States Bureau of Labor Statistics. (2017). role within the acute care setting opened my eyes medical or scientific writer positions in public and Occupational Employment Statistics. Retrieved from to administrative roles available to nurses. Upon private sectors. Academia is another option for https://www.bls.gov/oes/current/oes291141.htm#ind

Nurse-Family Partnership Start First-Time Moms on a Lifetime of Success

Alain Glen, BSN resource cost savings (out-of-pocket payments including savings on medical care, child In our over-connected world, we hear endless welfare, special education and criminal justice) debate about affordable healthcare and the politics boosting the savings to $58,721 per family. The therapeutic trust cultivated with the mom surrounding it. As nurses, we see the challenges and her Nurse-Family Partnership nurse builds through a different lens, through the eyes of our This investment in a child’s early life yields her confidence to relate what’s happening with clients. We never tire of exploring ways to ensure continued savings long after the program ends at other professionals. Practitioners will see this as better outcomes for them, find ways to work more age 2. a continuum of care that builds self-efficacy for efficiently and invest our talents wisely to meet their Unlike other programs that may look good on young moms to communicate and advocate more increasing needs. paper or sound good politically, Nurse-Family confidently with caregivers and family members. Fortunately, a national program called Nurse- Partnership cultivates a true bond between mom To learn more or share this information with Family Partnership that is currently available in and nurse. The nurse doesn’t come in with his or her other providers call or text (954) 900-9957 or visit Florida is changing the way we serve and support own agenda, rather the nurse is there for the mom www.nursefamilypartnership.org. expectant moms. First-time moms in poverty who at critical decision points. Our nurses get to know participate in the program get a personal nurse each mom intimately—what both motivates her and Alain Glen, BSN is the Nurse Consultant assigned to them, at no cost —by their side— inhibits her progress. It’s a shared agenda of “yes, Southeast Region of Nurse-Family Partnership and a through every challenging and exciting moment of you can,” and “yes, you will!” member of the Florida Nurses Association. pregnancy and their baby’s first two years of life. Imagine how that positively impacts the odds for babies born into poverty. This long-term relationship with a young mom earns her trust to give her support she can count on to help her be the best mom she can be. Nurses see a young woman grow as a mother and accomplish her goals. Florida has the third largest number of Medicaid births nationwide. The typical mom that is enrolled in NFP in Florida is 20-years-old, unmarried (89 percent) and receives Medicaid (65 percent). Since 2008, Nurse-Family Partnership has served over 3,100 families in poverty in 16 Florida counties. Data bears out the program’s potential for economic success. According to Dr. Ted Miller of the Pacific Institute for Research and Evaluation, using the average cost of care for a family in Florida at $8,961, he predicts that by a child’s 18th birthday: • State and federal cost savings will average $22,126 per family; and • Broader societal savings (like potential gains in work, wages and quality of life) along with Page 14 The Florida Nurse March 2018 QUIN Council

Contemplating a Transition to Retirement: Personal Reflection

Linda L. Smith, ARNP, MN, M. Div, CARN-AP freeing process. However, it must be something I do Intervention Project for Nurses intentionally or it never occurs. Taking time to discern what is next and allowing answers to rise up from This article is the last of the series on transitions in within, rather than automatically taking action and nursing by members of the QUIN Council. My topic is planning the future, is a spiritual process. I am finding transitioning into retirement. I’d like to share a personal a call deep within me to take more time just “being” reflection exploring some of the emotional and spiritual and wanting to “wait and see.” aspects of contemplating retirement. Carl Jung, the renowned Swiss psychologist says It’s a timely topic for me. This month I will turn 65 “one cannot live the afternoon of life according to the and recently received a Medicare card in the mail. program of life’s morning for what was great in the This is hard for me to believe! How did this happen so morning will be of little importance in the evening and quickly…wasn’t I just 35? I am finding at this time in my what in the morning was true that evening have become life I am doing a lot of reflecting on my career, my life, a lie.” and what’s next? I find myself doing a reexamination of my core I have been a nurse for 43 years, and being a nurse has been a large part of values. Spending time in reflection allows me to ask myself questions like what my identity, my sense of belonging and meaning. The nursing profession has do I really want…what brings me life energy now…what is nudging me from been such a gift to me in many ways. There is a measure of deep satisfaction within …what brings meaning. This form of inquiry is often inconsistent with in trusting that I have made a contribution, yet it is also a humbling process to what society tells me is expected. As James Finley, author of The Contemplative step back and consider my vocation as one part of my life story. As caregivers it Heart, states…“in contemplation we begin to see that, as we grow older, we are may seem selfish to ask “is this the right time to slow down, do something else, being awakened to deep, simple and mysterious things we simply could not see or retire?” As we often hear, self-care is essential to a balanced and healthy life. when we were younger.” The values we hold dearly earlier in life have evolved Yet, this has been a challenge for me personally…as I have always been driven. in meaning in our second half (or last quarter) of life. I’m noticing values I once I would focus on balance when I was overwhelmed and then rest and let go for held dear are changing. At this time, I find close and authentic relationships a while, only to find myself busy and tired again. Today I’m giving myself more with family and friends and spiritual matters hold the most meaning for me. permission to contemplate and reflect. I am also giving myself permission to say Some things I am finding helpful in my own process about “what’s next” are: it’s okay to desire a slower pace. prayer and meditation; attending retreats; reading books by spiritual mentors; When I was a theology student at Emory University, I learned of the concept journaling; spending time in conversation with trusted friends and family of “luminal space.” This seems to be where I find myself today. Author and members - sharing my hopes and getting their feedback and taking long walks spiritual teacher, Richard Rohr, in his book Falling Upward: A Spirituality for in nature. the Two Halves of Life, defines luminal space as a time between “what was” Walking in nature helps me to trust the process of life. If I pay attention, I see and the “next”…a time of waiting and not knowing. This in-between space life reflecting back to me. Life’s four seasons, it’s transitions, it’s beauty…even often brings many feelings such as uncertainty, anxiety, and also can include in winter when things appear seemingly dead…new life comes…new energy… excitement. Luminal spaces are common to all stages of life. We all experience new beginnings. And so it is, that whether I continue to work, or how much, numerous transitions such as when becoming a nurse, getting married, this time of discernment and intentional reflection will help me trust in what is experiencing the loss of a loved one, changing career paths or moving into some next. form of retirement. I admit I have much to learn and want to trust that each of us will come to Pausing in life or waiting and not knowing, are counter cultural in western unique and diverse answers which have meaning for us. I also imagine more society. We place high value on being busy, having a full schedule, being questions arising! My hope is that my unique answers will bubble up from successful and “in control”- thinking we know what’s next. I am learning within rather than through grabbing hold too quickly to relieve uncomfortable that opening up some time and space to reflect rather than plan can be a feelings that may arise. Still I hope to continue to leave space to discern and reflect so I may learn what is my truth for “what’s next.” I would love to hear from you on this topic and what you are learning and finding useful to you. Please email me at: [email protected]. For more on this topic, I suggest authors like Richard Rohr, Falling Upward: A Spirituality for the Two Halves of Life and Immortal Diamond, Joan Chittister’s The Gift of Years: Growing Older Gracefully and Parker Palmer’s soon to be released, On the Brink of Everything: Grace, Gravity and Getting Old. I also am a favorite of spiritual teachers and authors Anne Lamont’s Plan B. and Thomas Merton’s classics including New Seeds of Contemplation. March 2018 The Florida Nurse Page 15 Infectious Disease Focus on Direct Care Zika in Florida – Moral Distress “Knowing what’s right doesn’t mean much unless you do what’s right.” In 2018 it is “Still a Thing” and — Theodore Roosevelt is the“New Normal” Rose Rivers, PhD, RN, NEA-BC, FNAP

Darlene Edic-Crawford, DNP, ARNP As a member of a profession that enjoys public trust, morality and moral courage are critical virtues for nurses. In February 2016, we identified Travel related Morality is beliefs about right or wrong, good or bad, Zika in Florida. In July of 2016, we identified locally virtuous or evil. Moral courage is about character. Moral transmitted cases of Zika in Miami-Dade County. We distress occurs when we believe we know the ethically managed the outbreak through the efforts of multiple appropriate action, but perceived barriers, e.g., lack of state, local and federal agencies, and private partners. time, power structures, policies or legalities, insufficient Many lessons were learned and we hope remembered. courage, etc., hinder our taking action. Unresolved moral In 2018, Zika almost feels like a thing of the past. distress leads to decreased quality of care, job stress, The Florida Zika Hotline is now shut down. People turnover, etc. are encouraged to call their local County DOH with Initially moral distress may present itself in the form of questions. The CDC deactivated the Zika Emergency frustration, anger, or anxiety. These are common reactions operation command post in September 2017. Zika to a variety of stress inducing situations and may not be recognized as moral distress. is not getting the same press as before. But – Zika As nurses, if we believe we played a part in compromising our standards or violating is not “gone.” We live in a beautiful state that is home to the 2 mosquitos a moral standard, we may react to being morally distressed with guilt. Guilt conflicts known to carry Zika. We also live in an area where people love to travel to, can have a tremendously crippling and tormenting effect on our lives including evacuate to, and immigrate to. When people come to our area from areas of illness, compulsive behavior, and workaholic tendencies. Guilt hidden in the recesses known, ongoing local Zika transmission they can carry this virus with them. of our minds causes disillusionment and interrupts enjoyment in our work and life. Our fellow Floridians enjoy going to vacation and/or to visit friends and It is important to recognize moral distress as residual negative effects may linger family in areas of known Zika local transmission – they can bring Zika home long after the morally distressing situation has ended. I personally experienced this with them. This can be transmitted to a sexual partner who did not travel. negative residual effect many years after a situation occurred as a new nurse. At that If local mosquitos bite someone newly infected during travel then those local time, I didn’t have the courage or knowledge to effectively advocate for my patients. I mosquitoes can transmit the virus to others. This is why the link between doubted my judgment as a new nurse. local health departments and local mosquito control is so important. This is I venture to say that most, if not all, nurses carry some moral residue from why the link between frontline providers and their health departments must situations where they felt they morally compromised themselves or allowed be solid. themselves to be compromised. When our deeply held and cherished beliefs and As licensed healthcare providers in Florida we need to be aware of Zika. We values are threatened or betrayed, these feelings can be lasting and powerfully should all know: concentrated in our thoughts. 1) Where are the areas of ongoing Zika transmission and how to take Nurses are routinely faced with issues that could lead to moral distress, e.g., careful travel histories; dealing with futility of care, “false hope” issues; perceived practitioner competency 2) What are the signs and symptoms of Zika exposure; issues; concern regarding adequacy of staffing; expectation to carry out orders 3) How to diagnose Zika? What tests to order and where to order them; deemed inappropriate; making decisions that could have a powerful effect on 4) How to treat those with suspected or confirmed Zika; others, failed advocacy, etc. We apply our values, beliefs and fears to these situations. 5) How to report suspected or confirmed cases of Zika; and Regardless of the reason, when we are put in situations that dishonors our values and 6) Signs to be aware of in infants that could signal need to evaluate for beliefs, we are at risk for moral distress. Ongoing education is important to avoid an previously undetected in-utero Zika exposure. attitude of moral certitude, “our view is the only moral or “right” course of action and anyone who disagrees is simply wrong.” The courage to act for moral reasons The Department of Health for Florida has made a website that is updated with wisdom and integrity despite the risk of adverse consequences is paramount to daily so that visitors and people who live here can check for numbers of travel nurses emotional and spiritual well-being. Maya Angelo declared that, “courage is the related Zika cases in each county and for any local transmission cases of Zika. most important of all virtues, because without it we can’t practice any other virtue http://zikafreefl.org with consistency.” The CDC has a website to check if areas around the globe have ongoing Unfortunately, not all organizations have a sound ethical foundation and a local Zika transmission. https://wwwnc.cdc.gov/travel/page/zika-travel- supportive environment encouraging nurses and others to speak up. However, courage information with moral compass allows us to stand firm on values, principles and convictions The CDC has extensive educational materials to learn about the signs honoring our beliefs; accept full accountability for our actions; provide a foundation and symptoms to be aware of. https://www.cdc.gov/zika/ There are now for integrity and strength for change. Given the potential risk, we may choose to turn commercially available testing at least 3 labs in the state of Florida and a blind eye or be silent about ethical concerns, but as Dr. Martin Luther King states, any licensed practitioner can order a blood and/or urine tests for Zika. For “Our lives begin to end the day we become silent about things that matter.” those without insurance, if certain criteria are met then there is still testing available through the Bureau of Public Health Labs (BPHL) without a charge. Dr. Rivers is the Founder, Principal and Primary Consultant for Restoring Joy The “FREE” test for ‘all’ pregnant women in Florida is no longer available. It to Leadership, a Christian Spiritually based organization dedicated to helping is important to be aware that any case of Suspected Zika is reportable upon leaders maximize their potential to make a difference in the lives of others as well SUSPICION in the State of Florida. Knowing how to contact your local DOH as their own. She has served as Vice President and Chief Nursing Officer for St. Epidemiology Program to ask questions, present cases, and make reports is Vincent’s Medical Center, Jacksonville, Florida and Shands Healthcare (now UF of the utmost importance. Learn who your local contact is and find out if a Health) Gainesville, Florida. She is an active American Nurses Credentialing Center phone or FAX report is the preferred method of communication. Review magnet TM appraiser. Dr. Rivers has broken many barriers and received numerous with them the testing criteria through the BPHL and through commercial accolades during her nursing and leadership career, which spans more than 30 years. labs. A link to find your local contact is provided. http://www.floridahealth. She is recognized locally and nationally for her plight to ensure that healthcare gov/diseases-and-conditions/disease-reporting-and-management/disease- issues pertinent to nursing, patients and their well-being are addressed. Dr. Rivers reporting-and-surveillance/surveillance-and-investigation-guidance/_ has numerous presentations and publications to her credit. Although acknowledged documents/chd-epi-contacts.pdf for her many professional achievements, Dr. Rivers is well known for her role as a Have a plan! In Florida, remember, Travel history of the person AND their mentor, encourager, advocate, and friend to countless co-workers and people in the sexual partner, symptom history (Rash, fever, red eyes, joint pain) is part of community. She has a passion for learning and enjoys helping others achieve their the “new normal.” maximum potential. Myself, (Darlene Edic-Crawford) and my coworkers for CNI are available to answer questions from any Florida Nurse regarding Zika. CNI (Chickasaw Nation Industries) has been federally contracted with the CDC to provide field We invite our members to submit articles of interest to nurses in assignees in Local Health Departments to help with educational outreach direct care for this feature. regarding Zika. To learn more about this innovative program see: https://www. cdc.gov/pregnancy/zika/research/lhdi.html

Darlene Edic-Crawford is a Public Health Outreach Nurse – ZIKA for CNI NURSING OPPORTUNITIES IN TALLAHASSEE, FL (Chickasaw Nation Industries) since March 2017. CNI is contracted to the CDC for field placement with the Palm Beach County DOH. Darlene is a part of the Now Hiringg CDC Zika Pregnancy and Birth Defects Task Force field assignees with the Local Health Districts. ARNP & RNs/LPNs Contact information: • Darlene Edic-Crawford, DNP, ARNP, [email protected] Inpatient/Residential • Ann-Marie Chase, BSN, RN, [email protected] Programs • Vidya Maharaj (Epidemiologist), [email protected] Visit www.apalacheecenter.org or call Stephaniee • Roslyn Arnold BSN, RN, [email protected] at for additional information. • Michele-Ange Etienne, RN, [email protected] 850-523-3212