The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association

Volume 118 • No. 2 • May 2018

Quarterly publication direct mailed to approximately 82,000 RNs and LPNs in Colorado NURSE From the Desk of Colorado Nurses the CNF President Association President... Professional Nursing What is the Colorado Nurse Organizations Practice Act?

A Call to Action: Rethink, Refocus and Restructure Donna Strickland, MS, RN, PMHCNS-BC, CSP President Sara Jarrett, EdD, MS, CNS, RN President, Colorado Nurses Foundation You’ve probably heard by now that Colorado’s Nurse Practice Act will go into Sunset Review in 2020. Before we It is time to act on the issues of duplication, overlap talk about Sunset (in the next article), let’s first look at just of mission and other activities of the many numbers what a Nurse Practice Act is all about. of professional nursing groups. The profession has a More than 100 years ago, state governments responsibility to its members to provide meaningful established boards of nursing (BONs) to protect the opportunities for professional engagement beyond the public’s health and welfare by overseeing and ensuring the workplace. It is up to the members of the profession to safe practice of nursing. The practice of nursing is a right become the leaders through formal professional groups granted by the state of Colorado to protect those who Donna Strickland to continue support, review and development of such need nursing care. professional documents as the Code of Ethics, the Social Sara Jarrett Today, BONs regulate and oversee nursing practice by enforcing the nursing laws Policy Statement, The Standards of Practice, Specialty of Colorado. Practice Standards and many others. BON structures and decision-making powers and authority are unique for each CNF President continued on page 3 state. Individuals who serve on a BON are appointed or elected to their position. State law dictates the membership of the BON, which typically includes: RNs, LPNs, APRNs, and Consumers. In Colorado, BON members are Governor appointees.

Responsibilities of a BON vary from state to state but generally include: • Enforcing the state’s nurse practice act (NPA) and nurse licensure • Accrediting or approving nursing education programs • Developing practice standards • Developing policies, administrative rules and regulations and • Addressing violations of the NPA (one example, is that every felony should be reported to the BON)

Every nurse in the U.S. is responsible for knowing the state’s NPA and regulatory requirements for nursing for every jurisdiction in which they hold a license. Since Happy National Nurses Week! laws, rules and regulations may change over time, it is also found on each BON’s website. May 6–12, 2018 CNA President continued on page 2

Non-Profit Org. U.S. Postage Paid Princeton, MN INSIDE Permit No. 14 current resident or Executive Director’s Column...... 3 CNA Legislative Efforts 2018...... 10-11 Government Affairs & Public Policy Committee. . 4 Care Without Assumption: A Conceptual Peer Assistance...... 5 Framework for Transgender Nursing Care. . 12 New Graduate Corner ...... 6 Faith Community Nursing in Colorado . . . . 15 Friends of Nursing 2017 Scholarship Awards. . 7 District & Special Interest Group Reports. . 16-17 Colorado Nurses Foundation Honors American Nurses Association...... 18 Nightingale Luminaries...... 8-9 Medical Marijuana...... 19 2 • Colorado Nurse | May 2018 The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association

CNA President continued from page 1 In addition to Scope of Practice, a NPA details information about licensure requirements, including A violation of the NPA is serious and can result in a initial licensures, renewing or reestablishment of complaint being filed with the BON. Some examples of licenses. violations of NPA are negligence, impaired practice by Most nursing students and some nurses are drugs or alcohol or a mental health condition, stealing surprised to learn the purpose of the NPA is to protect from a patient/client, including medications, providing the public. So, compassion and knowledge go hand treatment or care that should be provided only by a in hand. If you think about it, if someone calls him or physician or APRN, falsifying records, boundary issues, herself a nurse, then she/he would have the education including abusing a patient physically or sexually and and training required to perform the requirement associated with being “a nurse.” COLORADO NURSE (ISSN-8750-846X) is published 4 times annually, involvement in criminal conduct. This is not an exclusive February, May, August, and November, by the Arthur L. Davis Publishing list. The BON utilizes its authority to decide whether To shine on the job, it’s critical to know how to Agency, Inc. for the Colorado Nurses Foundation, 2851 South Parker Rd, misconduct or safe practice has occurred and what action prevent and navigate disciplinary issues. And, this gets Ste 1210, Aurora, CO 80014; Mailing: P.O. Box 3406, Englewood, CO 80155-3406. should be taken. Violations are taken very seriously since significant attention in any NPA. Subscription may be purchased for $20 per year, $35/2 years, $25 per year they can put patients at risk. This is why every nurse is • Grounds for discipline – Did you know that for foreign addresses. responsible for understanding his/her scope of practice forgetting to renew your license on time or For advertising rates and information, please contact Arthur L. Davis and other requirements outlined in the law. defaulting on a student loan are grounds for Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Nurse Practice acts in each state are laws that define discipline? Iowa 50613, (800) 626-4081, [email protected]. CNF and the Arthur L. Davis Publishing Agency, Inc. reserve the right to reject any advertisement. relationships of the nurse and “scope of practice.” • Investigating a complaint filed against a nurse. Responsibility for errors in advertising is limited to corrections in the next The range of activities and services as well as the Did you know that anyone can file a complaint issue or refund of price of advertisement. qualifications for practice. The acts are intended to against a nurse? Acceptance of advertising does not imply endorsement or approval by the protect patients from harm as a result of unsafe or • Board hearing process – Did you know that Colorado Nurses Foundation of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product incompetent practice, or unqualified nurses. a nurse who is the subject of a complaint is offered for advertising is without merit, or that the manufacturer lacks provided the opportunity for due process (which integrity, or that this association disapproves of the product or its use. CNF and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for When was the last time you read your NPA? is guaranteed by the U.S. Constitution? any consequences resulting from purchase or use of an advertiser’s product. I’m guessing you were given a copy of the Act when Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of you started nursing school. Be honest now, did you The first person who said, “ignorance is bliss” was CNF or those of the national or local associations. ever read it? I would guess that most of you did not probably not a nurse because not knowing information Colorado Nurses Foundation wants to hear from you and welcomes see a need. After all, it’s not like it’s particularly fun or in your Nurse Practice Act can result in disciplinarian letter to the editors. Correspondence may be sent to Colorado Nurses easy to read all that legal jargon. There are 127 pages action against your license, ranging from reprimand to Foundation, 2851 South Parker Rd, Ste 1210, Aurora, CO 80014; Mailing: P.O. Box 3406, Englewood, CO 80155-3406; email, info@ of rules and regulations attached to the Nurse Practice suspension, or even revocation. coloradonursesfoundation.com. Act in Colorado. To submit an article for publication, please consider the following But the truth is, if you are going to be successful as So, are you ready to read your NPA? Don’t know guidelines. a nurse, (and one that others look to as an example) how to find your NPA? 1. Topic is current and relevant to RN practice. 2. 500 word limit you’ll need to know what is your NPA. Did you Of course, you can locate at the Colorado 3. Individuals may submit articles for consideration by emailing know that there are now two states that requires Department of Regulatory Affairs website under http://www.coloradonurses.org/publication/. jurisprudence examinations prior to licensure? That’s Nursing (https://www.colorado.gov/dora). Another Material is copyrighted 2015 by the Colorado Nurses Foundation and may at least one way to get people to read and understand way is to go to the National Council of State Boards of not be reprinted without written permission from CNF. their Nurse Practice Act. Wondering if you live in one of Nursing (NCSBN) site (https://www.ncsbn.org/npa.htm) Co-Editors: Eve Hoygaard, MS, RN, WHNP (30) the two states? See the answer below! which has a map with contact information (LINK) for M. Colleen Casper, RN, MS, DNP (16) every Board of Nursing (BON); use the BON website to CNA Executive Director: Colleen Casper, RN, MS, DNP locate your Nurse Practice Act and to find information COLORADO NURSES FOUNDATION about Colorado’s. Your scope of practice is governed Come Join our by the state in which your patient lives, if you do EXECUTIVE COMMITTEE Amazing Team! telehealth. President: Sara Jarrett Answer to question in first paragraph: Texas and Vice President: Margaret Mulhall Great Benefits! Secretary: Carol O’Meara Kentucky law now require taking (and passing) a nurse Treasurer: Carol Brookshire jurisprudence examination prior to licensure. Nurses in Colorado are among the best in the BOARD MEMBERS Now Hiring Full Time Lola Fehr, Eve Hoygaard, Judith Burke, country and work hard to practice safely and Linda Satkowiak, Norma Tubman competently. Your BON is working diligently to support RNs & LPNs & CNAs nurses in this effort. COLORADO NURSES ASSOCIATION Apply @ careers-junipercommunities.icims.com The next Colorado Nurse will talk about the EXECUTIVE COMMITTEE CALL US @ 303-458-1112 (Ask for Kristen) upcoming Sunset Review of the NPA. President: Donna Strickland (31) Vice President: Susan Moyer (20) President-Elect: Secretary: Carol O’Meara (30) Treasurer: Linda Stroup (20)

BOARD OF DIRECTORS Region I Director: Region I Director: Laura Rosenthal (30) Kathy Shaw (30) Region II Director: Region II Director: Hilary St. John (3) Lori Rae Hamilton (4) Region III Director: Region III Director: Sandie Nadelson Mary Ciambelli (31) Director-At-Large: Director-At-Large: Ingrid Johnson (16) Jody DeStigter (9) New Graduate Director: Adam Diesi (16)

DNA PRESIDENTS SIG #2: Colleen Casper (Liaison) DNA #3: Anne Zobec, Colorado Springs DNA #4: Kathryn Carpenter, Model, CO DNA #5: Contact Sandi Nadelson at [email protected] DNA #6: Charlotte LeDonne, Alamosa, CO DNA #7: DNA #9: Contact Colleen Casper at [email protected] for additional information DNA #12: Contact Colleen Casper at [email protected] for additional information DNA #16: Christine Schmidt, Denver, CO DNA #20: Annette Cannon, Lakewood, CO DNA #23: Contact Colleen Casper at [email protected] for additional information SIG #30: Afton Williamson, Denver, CO SIG #31: Karen Lyda, DNP, PMHNP, RN To contact any person listed above, please use the CNA/CNF office numbers/address/email address. CNA Contact Information: Ph: 720-457-1194 • Fax: 303-200-7099 Email: [email protected] CNF Contact Information: Ph: 720-457-1004 Email: [email protected] www.coloradonurses.org The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association May 2018 | Colorado Nurse • 3 Executive Director's Column

Story of Advocacy in Action

Colleen Casper, DNP, RN, MS to understand how hospital based RN providers define being able to report “near misses” in care delivery “involvement in staffing decisions” and the correlation related to quality and safe staffing. We had a shared At the 2017 Annual DNA 16 Sponsored Legislative of that process with patient and staff outcomes knowledge of the CDPHE “complaint line.” Our Dinner, Colorado State Senator Irene Aguilar (District (Houser, et al, 2012, JONA, 42:7/8,pp375-382). discussion highlighted that, in fact, there is currently a 32) announced an interest in talking with any RN’s who We determined that this was not a good time for a method to confidentially report staffing, or any work are willing to work with her on nursing workforce and successful Colorado legislative bill regarding staffing. environment, related concerns that put patients at risk. staffing issues in critical care. Senator Aguilar shared Yet, we persisted. CDPHE leadership recommended that we collaborate that constituents of hers had brought to her concerns CNA recognizes that nurse staffing is not a one size on a strong and formal communication of the available of critical care nurses not having enough staff to fits all. We also recognize the critical role RN’s play existing systems. Further, CDPHE shared their plan consistently deliver the surveillance and interventions in assuring effective monitoring and early detection to then report those complaint trends annually to the required for safe patient care. of real or potential complications, as well as timely CDPHE governing board, the Colorado Board of Health. In follow up, in May of 2017, myself as Executive coordination of essential care provided at the bedside CNA would like to thank Senator Aguilar, CHA Director of Colorado Nurses Association (CNA) and as (critical care, home care, nursing home care, medical staff Gail Finely, CDPHE staff Randy Kuykendahl and a previous critical care nurse and hospital administrator, surgical care). For many years, we have said there is not Larry Wolk, MD, MSPH, and Gil Romero in advising, partnered with a current critical care RN member of enough evidence to support mandating nurse staffing supporting and advancing this conversation. Where CNA, and the CNA lobbyist Gil Romero to meet with and now we know better. We know that patient we started in this process is different from where we Senator Aguilar. What followed was a yearlong series morbidity, mortality, and hospital economic success is ended, not uncommon in the world of policy and of meetings with the above-mentioned individuals dependent on competent and adequate RN staffing. politics. The outcomes achieved are the result of along with representatives from Colorado Hospital CNA is interested in assuring that the conversation persistent and collaborative efforts to work towards a Association (CHA) and the Colorado Department of safe staffing in Colorado remains current and solution. We insisted on achieving a change that was of Public Health and Environment (CDPHE). CHA includes RN’s who are closest to the patient as well as focused on patient safety and would support increasing represents Colorado hospitals and health care systems, administrative and regulatory leaders. awareness and action for responsible RN staffing. and CDPHE licenses facilities that provide acute, long As we reviewed the key wins from the 2008 efforts, Please watch for more detailed communication term, assisted living, and home based care. we were reminded of the legislative mandate (SB08- from the Colorado Department of Public Health and Initially, we explored the potential of a legislative 196) for the Hospital Quality Report Card that was to Environment regarding the utilization of the “near approach, i.e. a nurse-staffing bill. We were cognizant include standardized reporting of nationally recognized miss” reporting line. of many factors that could influence the success of Nurse Sensitive Indicators. (See article in this issue by In the event you want to make a report, please do that effort. Some of those included known workforce Elizabeth Adle) We knew we needed useful data to so at this link: https://www.colorado.gov/pacific/cdphe/ shortages, particularly in rural areas, and, Colorado’s support meaningful conversation and solutions. health-facilities-complaints. history of resisting mandated nurse:patient ratios, Recently, CNA, CHA, and CDPHE met at the including a stakeholder based process in the 2008 Colorado State Capitol with Senator Aguilar to discuss Legislative session. Those efforts resulted in a pilot study the possibility of care providers of all disciplines

CNF President continued from page 1 acknowledge the sheer size of this profession in the US – over 3 million. (Most of the other health professions As the profession looks to its future, I would like to in the US are below the one million mark.) offer the following points for consideration. First, we The questions now before us include: How and should consider the focus and mission of organizations where do we start? What should be the process? Who to include advocacy and professional citizenship, clinical should provide a plan? How do we best communicate practice and certification, education and accreditation, to the entire community of nurses in the US? and workforce issues. Second, how do we best engage There are a lot of dots to be connected…I hope that members of the profession for involvement and work in we (the profession) can find our way through the maze multiple geographic areas: international, national, state of complexity to some new and updated approaches and local? Third, the economics related to professional to this topic. The largest profession needs a much organizations – the cost of membership for individuals greater percentage of its members to be involved and the expense to run a viable organization. Fourth, and committed to the support and survival of the the profession and its groups must also consider profession in the future as we its members’ desire. how to best use social media in any re-organizational How shall we begin this work? The time has come, activities. Additional information of significance is to the time is now. RN to BSN Online Program MSN Online Program No Campus Visits —­ Enroll Part or Full Time

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Angela Petkoff, BSN, RN support and to the Senate and House sponsors: Sen. monitoring program upon prescribing first refill and MSN-AGNP Student at University of Colorado - Smallwood, Sen. Todd, Rep. Kraft-Tharp and Rep. allowing for opioids to be prescribed electronically. Anschutz McKean. For additional information on the eNLC and how it may impact your RN license, go to: www. HB18-1003: Opioid Misuse Prevention Colorado Nurses Association’s Government Affairs colorado.gov/pacific/dora/Nursing_Compact. This bill establishes an opioid and other substance and Public Policy (GAPP) committee has been hard use disorder study committee. at work since January. Lawmakers have proposed a Other bills GAPP has supported number of significant nursing and healthcare-related this session include: HB18-1006: Infant Newborn Screening bills in this year’s legislative session. This article presents This bill updates Colorado’s current newborn some of the legislation GAPP has focused on through SB18-024: Expand Access Behavioral Health Care screening program by requiring more timely mid-March 2018, when this article was written and This bill provides appropriates money from newborn hearing screening. submitted. the marijuana tax cash fund to develop a loan Most significantly, the Enhanced Nurse Licensure repayment and scholarship program for behavioral HB18-1094: Children and Youth Mental Health Act Compact (eNLC), Senate Bill 27 (SB18-027), was a health care providers working in underserved areas. This bill extends indefinitely the ‘Child Mental Health major success at the start of the session. CNA and Treatment Act’ and renames it the ‘Children and GAPP advocated for the bill, and it whipped through HB18-1136: Substance Use Disorder Treatment Youth Mental Health Treatment Act’ with some both chambers with swiftness rarely seen in the This bill utilizes money from the marijuana tax cash revisions to the act. This bill allows a parent or legislature. SB18-027 arrived on Governor John fund to increase access to inpatient and residential guardian of a child or youth who is not eligible for Hickenlooper’s desk a mere seven days after it was substance use disorder services by adding these Medicaid to continue to seek mental health services introduced, and it was the first bill he signed into law services to the Colorado Medical Assistance for the child or youth without unwarranted child this session. The quick adoption of the eNLC prevented program. welfare involvement. gaps in licensure for RNs holding a multistate license. The GAPP committee would like to thank everyone SB18-022: Clinical Practice for Opioid Prescribing More highlights from the 2018 legislative session will who reached out to their legislator to ask for their This bill contains measures to increase safety be shared in the August issue of the Colorado Nurse. If in opioid prescribing including limiting amount you would like to be informed sooner or receive more of opioids that may be prescribed in particular detailed information, check out the GAPP online forum instances, requiring query of the prescription drug on the CNA website, coloradonurses.org. Save the Date

Be sure to check CNA Calendar for All Activities at www.coloradonurses.org

2018 ANA National Nurses Week May 6-12, 2018 Positions Open: Nurses Inspire Innovate Influence President-Elect Free Webinar (1 year as President Elect and 2 Years as President) Vice President (2 year term) Reach Out to Colorado Nurses Event – Region 1 Director (2 year term) CNA Wants to Hear from You CO Division of Youth Services is May 2, 2018 Medical Center of the Rockies Region 2 Director (2 year term) expanding our nursing services! Longs Peak Room Region 3 Director (2 year term) 4pm – 8 pm Director At Large (2 year term) We are now recruiting 35+ Nominating Committee (2 year term) additional RNs and NPs. Call for Nominations Colorado Nurses Association Board of Directors Colorado Nurses Association Annual Please check Colorado Nurses Association website for: Check the state of CO website for job postings at Membership Assembly & Job Fair Bylaws with description of Board Roles September 15, 2018 https://www.colorado.gov/pacific/dhr/jobs District & Regional Map for Visual of Radisson Hotel Denver Southeast Director Representative Areas Peggy Baikie I-225 & Parker Rd Links for Nomination Submission Medical Operations Coordinator 7:30 am – 4:30 pm Submission due date July 31, 2018 P 303.916.1277 | [email protected] Advocacy & the Colorado Nurse Practice Act

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Valley. Recognizing the importance of the simulation’s message, media outlets have chosen to feature the campaign in their publications including Westword, The Mountain Mail, and the Colorado Springs Gazette. The second round of the media campaign began in January 2018 and ran through the end of March. This round focused on the following counties: Logan, Las Animas, La Plata, and Eagle. For more information on the One Degree campaign and to download the app, please visit www. shifttheinfluence.org.

In September 2017, Peer Assistance Services, Inc. of alcohol and other substances can help prevent those The Colby Community College Nursing Program, listed among the launched a statewide public awareness campaign disorders, avoid disease and injury, improve family and nation’s top three percent of vocational, career, and community college nursing schools by Nursing Schools Almanac, offers practical called One Degree. Available online and as a mobile work life, and promote overall well-being. and associate degree nursing programs in two locations. application, the One Degree campaign provides Peer Assistance Services, in partnership with We are seeking qualified applicants for the following position: Coloradans with a free, easy to use, platform to application developers, Kognito Solutions, has ASSOCIATE DEGREE NURSING INSTRUCTOR - Full Time in Colby learn how to have conversations about alcohol been able to bring this campaign to 7 counties in and marijuana with friends, family members, and Colorado through paid media. Employing strategies QUALIFICATIONS: • Kansas RN license and CPR certification required coworkers. The goal of One Degree is to empower its such as radio ads, bus tails, print, and social media • MSN required users to talk to each other about making small changes has made the One Degree campaign a success. SALARY: Mid-30s to improve their health. Since its inception, the campaign has been viewed Twenty-five percent of Americans drink at levels over 24 million times statewide. Although the first For complete job description visit www.colbycc.edu that could lead to health or other problems – yet, round of paid advertisement was concentrated in To apply, submit a letter of application, resume, all postsecondary most people who drink too much do not have a Denver, Otero, and Morgan counties, the campaign transcripts and references to: Human Resources, Colby Community College serious alcohol use disorder – or what we used to call reached many other counties, such as El Paso, Larimer, 1255 S. Range • Colby, KS 67701, materials may be emailed to [email protected] “alcoholics.” Talking with those around us about use Arapahoe, Broomfield, and parts of the San Luis Review of applications will begin immediately and continue until the position is filled. EOE

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Patricia Abbott RN the health care system. https://www.nursingworld.org/ strength in numbers, its expertise from their frontline CNA & SIG 30 Member practice-policy/health-policy/ roles and use their voices to positively influence Health This ‘show of strength’ to advocate for patients and Care Policy. Thank you to all the nurses in Colorado who used safe care is a commitment that needs to be ongoing. their impassioned voices and commitment to patient Throughout the 2018 Legislative Session there have been Take A-Ways: safety to convince legislators, Democrat and Republican many bills that directly affect patient care and safety. It - There is strength in numbers and there are over of the need to support SB 18-027, Enhanced Nurse is empowering to see that nurses, throughout the state, 80,000 nurses in Colorado. The strength of the Licensure Compact (eNLC). When signed by Governor are contributing to policy discussions using the Colorado nursing profession has shown it does have impact Hickenlooper, it became the first bill to be passed into Nurses Association (CNA) on-line forum. on legislation and this needs to be ongoing. law in the 2018 session and one of the fastest bills to be “If Not Now, When?” was an article in the Colorado - The voice of nursing does influence health policy. passed in the Colorado Legislature. The voice of Colorado Nurse, February 2018, submitted by Sara Jarrett EdD, RN. - Value the expertise you have as individual nurses nurses helped to ensure the bill was passed. Your In this thoughtful reflection, Dr. Jarrett stated, “Nursing and acknowledge how valuable that is to all commitment to ensure public health and safety showed needs to acknowledge and act with a sense of urgency aspects of the health care system. legislators the impact and strength of a unified nursing to address the ever changing healthcare and nursing - Take some time each week to be engaged in profession. landscape.” https://cna.memberclicks.net/colorado- the discussions regarding health care policy on On the American Nurses Association website, it is nurse-newspaper the CNA on-line forum. You will find this to stated that nurses offer a unique and expert perspective Colorado nurses did act with a sense of urgency and be enriching for yourself and it is vital to the that influences every aspect of the health care system. positively influenced the passage of SB 18-027. We must profession. Nurses do have a key voice in ongoing efforts to improve keep up this momentum and continue to be engaged - The State of Colorado, legislators and most public health. The timely passage of SB 18-027 is an in public policy that affects so much of what we do importantly patients, need your insight and example of what the nursing profession is able to offer as a profession. Now is the time for nursing to use its wisdom, which can only be heard when you use your voices.

Join your peers and the members of Colorado Nurses Association in shaping the nursing care available in the Nursing Sensitive Measures in Colorado State of Colorado!

Elizabeth Adle, MAT, BSN, RN, NEA-BC At the 10-year mark of the Association’s work to develop Colorado’s nursing sensitive measures, CHA Colorado Hospital Association (CHA), which believes it is essential to evaluate current evidence- represents and serves more than 100 hospital and based practice to ensure the measures reported are New Graduate health systems throughout the state, is committed to indicative of nursing practice and meaningful to those providing relevant and meaningful nursing sensitive viewing the data. This data is currently available to the RN Corner measures data. With that in mind, the Association public via the Colorado Hospital Report Card site. is currently working with Colorado nursing sensitive The Association’s plan of action includes asking measures and has upcoming plans to remain current some of Colorado’s major health systems to designate with evidence-based best practice. an appropriate direct-care nurse to assist CHA in Early Career Nurses In 2008, Governor Bill Ritter signed into law Senate reviewing current best practices and research and Bill (SB) 08-196 concerning the inclusion of nursing develop recommendations for improvement. As Adam Diesi, BSN, RN sensitive quality measures in the comprehensive hospital defined in SB 08-196 a “Direct-Care Nurse means a CNA Board Member – Representative Recent information system. The nursing sensitive measures registered nurse who is engaged in direct patient care Graduate were implemented to address nurse satisfaction as well responsibilities in an inpatient hospital unit setting for as patient outcomes influenced by nursing care. The more than 50 percent of his or her working hours.” Greetings New Nurses and Happy Nurses Week! This Colorado measures include: skill mix, nursing care hours Additional voting members will include two at large week we celebrate you and your dedication to Inspire, per patient day, voluntary turnover, nursing education representatives from the Colorado Nurses Association, Innovate, and Influence! Congratulations on choosing and certification, patient falls prevalence, patient falls a CDPHE representative and a registered nurse and a career that has the power to touch the lives of so with injury and the practice environment scale (PES) project manager from CHA. Meetings will be open to many. You have joined the ranks of 3.6 million other that measures scores for the following subscales: nurse the public. CHA also plans to include two non-voting nurses nationally and over 80,000 nurses in Colorado. participation in hospital affairs; nursing foundations for members: a nurse researcher and a graduate nursing The American Nurses Association and The Colorado quality of care; nurse manager ability, leadership and student to assist with research and analysis. Nurses Association are here to assist you with your support of nurses; staffing and resource adequacy; and The focus will be two-fold: to evaluate the current professional development needs as you move forward collegiality of nurse-physician relations. practice including the measures utilized and data in your new career as a nurse. If you have questions SB 08-196 authorized the Colorado Department obtained and delineating recommendations and or concerns, please do not hesitate to reach out of Public Health and Environment (CDPHE) Executive plans including specific and pertinent nurse sensitive to our team or connect with us on social media. Director to designate CHA with managing the data measures as well as creating an annual report to be #Nursesweek2018 collection and public reporting of the nursing sensitive submitted to CDPHE and the Board of Health. measures for hospitals with 100 or more licensed beds. Questions can be directed to Gail Finely, CHA Vice Be Well, In Colorado, there are 30 hospitals that meet this President Rural Health & Hospitals, at gail.finley@cha. Adam designation. org or 720.330.6027.

Announcing Career Opportunities You’ve Been Waiting For! State of Wyoming, Department of Health, Aging Division, Healthcare Licensing and Surveys is recruiting for Now Hiring Lead Health Facility Surveyor Full Time and PRN RNs and LPNs at Recruitment ID: HSHP10-07568 • Crowley County Correctional Facility in Olney Springs You will serve as a Lead Health Facility Surveyor for Non­-Long Term Care, within the Health Care Surveillance Branch, State Office of Healthcare New Licensed Graduates Welcome! Licensing and Surveys, Wyoming Department of Health, supervising Competitive Salary and Pay Based on Experience. health facility surveyors in conducting surveys and investigating complaints in accordance with Wyoming State Statutes and agreement To learn more, please contact: with the federal Centers for Medicare and Medicaid Services (CMS). Cyndy at 615.263.3148 For more information or to apply online go to: Apply online at jobs.corecivic.com https://www.governmentjobs.com/careers/wyoming and search HSHP10. CoreCivic is a Drug Free Workplace & EOE - M/F/Vets/Disabled. Open until filled. EEO/ADA Employer. The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association May 2018 | Colorado Nurse • 7 Friends of Nursing 2017 Scholarship Awards Sigma Theta Tau Cris Finn, PhD, RN, FNP, FNE, CFC recognition to Caring for Colorado was awarded. A total of $55,000 in scholarship monies was awarded, International Families, Friends of Nursing (FON) members and raised in the past year by donations to FON, special supporters celebrated with 21 nursing students as they events, investments and member dues. Two new Alpha Kappa Chapter at received FON scholarship awards. The undergraduate scholarships were presented in memory of Joseph and Large Scholarship Awards and graduate nursing scholars represented nine Ann Pfost by their daughter, Greta Pollard, and another colleges and schools of nursing in Colorado. Rick honoring Don Pollard by his wife, Greta. The overflow Crandall served as emcee for the event while Ruth crowd luncheon was held in the ballroom of Lakewood Thank you to all who celebrated and honored O’Brien, Chair of the FON Scholarship and Grants Country Club on April 8. For more information please our scholarship recipients this year. We awarded Committee, presented scholarship awards. A special contact Cris Finn, President FON, [email protected]. $9,000 in scholarships to the following students: Colorado Christian University • Susan Adamson – CCU BSN Scholarship • Rikki Haskins – CCU BSN Scholarship • Tiffany Parsons – CCU BSN Scholarship

Regis University, Loretto Heights School of Nursing • Mackenzie Laird – Margaret Metzger Scholarship

University of Colorado, College of Nursing • Jessica Anderson – M. Jean Watson Scholarship Adams State University, Alamosa Regis University, Loretto Heights • Caitlin McCarthy – Henrietta Loughran • Jessica Worker – Olga S. Miercort Scholarship School of Nursing, Denver Scholarship • Jenna Euler – Friends of Nursing Scholarship • Morgan Nestingen – Henrietta Loughran Colorado Christian University, Denver • Toni Johnson – Verda Richie Memorial Scholarship Scholarship • Susan Adamson – Georgia Imhoff • Mirabel Usongo – FON/Leila B. Kinney Scholarship • Ann Wislowski – Henrietta Loughran Memorial Scholarship Scholarship • Ana Nielson – Friends of Nursing Scholarship University of Colorado, Helen & Arthur Johnson/ Beth-El College of Nursing, Colorado Springs Congratulations to these well deserving nursing Colorado State University, Pueblo • Isabel Kirk – Donald Pollard Scholarship scholars. • Terra Chambers – Joseph & Ann Pfost • Elizabeth Schneider – Friends If you have questions about scholarships for next Memorial Scholarship of Nursing Scholarship year please contact the committee chair Dr. Cris • Stacie Gray McCue – Friends • Kate Wogan – St. Lukes’s Alumnae Scholarship Finn at [email protected]. of Nursing Scholarship • Olivia Navarro – Wayne T. “Dusty” University of Colorado, College of Nursing, Denver Biddle Memorial Scholarship • Jill Bastman – Viola Baudendistel Memorial Scholarship Colorado Mesa University, Grand Junction • Kimberly Lowdon – Georgia Imhoff • Lexie Sutcliffe – Ruth Harboe Memorial Scholarship Memorial Scholarship • Amy Lynde – Greta Pollard Scholarship

Metro State University of Denver University of Northern Colorado, Greeley • Laura Batch – Friends of Nursing Scholarship • Claudia Gomez Betancourt – Shirley Rarey • Elizabeth McDonald – President’s Scholarship Memorial Scholarship • Rita Zerfoss – Fern Howard Award • Alexandra Lessem – Josephine Ballard/ Presbyterian Scholarship 8 • Colorado Nurse | May 2018 The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association Colorado Nurses Foundation Honors Nightingale Luminaries

Carol O’Meara Jacinda Heintzelman is an Assistant Professor of advocating for Pediatric and Young Adult Congenital Nursing at CSU Pueblo. She is nominated for innovative Heart patients in addressing their palliative care needs. Continuing the tradition of recognizing excellence in research to study the effects of cannabis use during Brandi Schimpf is Mobile Stroke Program Manager nursing professional engagement and citizenship, the pregnancy on fetal development and pregnancy at University of Colorado Hospital nominated for Colorado Nurses Foundation will honor 52 outstanding outcomes. creating an innovative program to decrease time from nurses at the 33rd Annual Nightingale Luminary Awards Nate Hinze is an educator with UC Health Life onset of stroke symptoms to treatment by bringing gala to be held Saturday, May 12, 2018 at CU South. Line Critical Transport nominated for innovation in advanced technology directly to the patient. Nurses in Clinical Practice and Nurses in Administrator, developing creative simulations for training Life Line Kierra Shaffer is Clinical Nurse Manager, Senior Educator, and Researcher of Non-Traditional Roles are Employees. Behavioral Health, at Lutheran Medical Center. She is nominated for Advocacy, Innovation and Leadership. Brianna Hoffner is Assistant Professor, Lead nominated for her advocacy of aging behavioral health Meet the luminaries for 2018: Advanced Practice Provider, and Nurse Practitioner in patients, including those who have been incarcerated Medical Oncology at University of Colorado School and have either probation or pending parole. ADMINISTRATOR, EDUCATOR, RESEARCHER, of Medicine. She is nominated for her leadership in Mary Shry is Case Management Supervisor at Mercy OR NON-TRADITIONAL ROLES achieving the goal of providing patients with same day Regional Medical Center in Durango. She is nominated access to care for symptom management relating to for her advocacy in assisting an auto accident victim and Elyse Bueno is a Nurse Manager at University of their cancer treatment utilizing a Nurse Practitioner led his family with a difficult situation. Colorado Hospital nominated for her innovation in model. Lou Ann Cheslock Skinner is a Nurse Home Visitor creating an ICU Procedure Team to improve the quality, Laura Johnson is Associate Chief Nurse, Inpatient with the Valley Wide Health Systems Nurse Family safety and continuity of patient care for patients needing Mental Health, Grand Junction Veterans Health Care Partnership Program in Alamosa. She is nominated for a tracheotomy or PEG Tube Insertion in the ICU. System. She is nominated for innovation in instituting a advocating for first time mothers and their children. Andrea Burch is Vice President and Chief Nursing protocol for proactively identifying veterans at risk for Charee Taccogno is Chief, Utilization Management, Officer at Lutheran Medical Center. She is nominated suicide related to chronic pain. US Air Force Academy. She is nominated for leadership for her leadership in improving the patient experience as April Kendall is a Senior Manager at East Morgan in improving access to patient care by partnering well as improving employee engagement. County Hospital in Brush, Colorado nominated for with clinic staff, solving problems, and re-engineering Deb Center is Education Program Director and her advocacy in the development of a program to processes for patient referrals. Lead Coach at the Colorado Center for Nursing provide information and education specific to Women’s Brenda Tousley is Senior House Manager at Banner Excellence. She is nominated for leadership in a project Healthcare needs. Fort Collins Medical Center. She is nominated for her designed to develop highly functioning and impactful Sylvia Kurko is Manager of Education Resources at leadership in improving mortality associated with sepsis interprofessional teams at Federally Qualified Health Penrose-St. Francis Health Services. She is nominated for and ensuring that national standards are being met. Centers. advocating for Penrose-St. Francis associates and nursing Linda Young is Director of Clinical Services at Lauren Cittadino is a Critical Care Clinical Nurse students to obtain needed training in the EPIC electronic Mercy Regional Medical Center in Durango nominated Specialist at Swedish Medical Center nominated for medical record system. for leadership in obtaining equipment and providing innovation in improving the outcomes of patients with Sarah Lancaster is Clinical Nurse Manager in education to improve the care of morbidly obese aneurysmal subarachnoid hemorrhage through the the Emergency Department at St. Mary’s Hospital patients and to reduce injuries to staff caring for these creation of a multidisciplinary protocol for the prevention Medical Center in Grand Junction. She is nominated for patients. and treatment of cerebral vasospasm. leadership in making the Provider In Triage process a Laura-Anne Cleveland is Director at Swedish reality at St. Mary’s Hospital to improve patient care in CLINICAL PRACTICE Medical Center Southwest ER. She is nominated for the Emergency Department. advocacy in serving with the Colorado Disaster Recovery Kathleen Martinez is Clinical Policy Oversight Jessica Anderson is Director of the Center for Team in Texas, Puerto Rico and the US Virgin Islands Manager and Interim Director of Nursing Innovations Midwifery and Assistant Professor at University of after a series of four hurricanes. and Outcomes at Children’s Hospital Colorado. She Colorado Denver College of Nursing. She is nominated Deborah Fleming is a Nurse Manager at UC is nominated for innovation in creating a Policy and for her leadership in creating an active Colorado Health Memorial Hospital nominated for innovation Procedure on line management system to make clinical nurse midwifery affiliate of the American College of in decreasing wait times and improving the patient policies easy to find, easy to read and easy to follow. Nurse Midwifery with the goal of strengthening nurse experience and employee engagement in the Outpatient Kristen Oster is a Perioperative Clinical Nurse midwifery statewide and meeting the needs of women Oncology Infusion Clinic. Specialist at Porter Adventist Hospital. She is nominated and their families. Cassondra Franco is Public Health Nurse Clinical for leadership in reducing pressure injury occurrences in Emily Bankhead is a Nurse Practitioner and Certified Coordinator at Chaffee County Public Health nominated the head and neck surgical population. Diabetes Educator at Evans Army Community Hospital for advocacy for mothers needing breastfeeding Victoria Owens is Vice President, Emergency in Fort Carson, CO. She is nominated for her advocacy support. She created the Healthy Start program to Services, Swedish Medical Center nominated for in improving the care of diabetic patients through address the needs of these mothers and their families. advocating for emergency department patients by development of Team Based Diabetic Management Katherine Glass is Care Coordinator and Clinic working to change pain management and narcotic courses. Supervisor at Valley View Hospital. Kati is nominated prescribing practices in the ED. Kristen Blair is a Labor and Delivery Nurse and for advocacy in coordinating care for high-risk Christine Peyton is Clinical Practice Specialist at Perinatal Bereavement Coordinator at Parkview Medical cardiovascular patients during transitions of care. Children’s Hospital Colorado. She is nominated for Center in Pueblo. She is nominated for her advocacy of

RN Refresher Course

If you want to reenter the health care profession as an RN, or if you feel Honor a Mentor for Colorado Nurses intimidated by recent changes in technology, join our RN Refresher course. Foundation Scholarship Fund Course offered each Fall, Spring, and Summer academic semesters The Colorado Nurses Foundation (CNF) currently All names of mentors and mentees will be shared has scholarships that are awarded every year. Many in the Colorado Nurse. Donation amounts will Contact: Cheryl Hawkinson, MSN, RNC-OB, CNML, CNE of the scholarships are designated and other awards remain private. 719-255-5184 | [email protected] are open to “all” who meet the basic requirements To honor your nurse mentor and make a https://www.uccs.edu/bethel/nursing-programs/rn-refresher.html that are available on our website at www. donation in her or his name, please visit the coloradonursesfoundation.com. coloradonursesfoundation.com website and click We would like to encourage you to consider on the “About” button. The donation information making a donation in honor of a nurse, a nurse can be found at the bottom of that page. If you Home Care of the Grand Valley mentor, or a nurse who has had a major influence would like to mail CNF a check, please note your Glenwood Springs Branch in your career as a nurse. Every nurse can identify mentor name(s) and send to CNF, P.O. Box 3406, formerly Columbine Home Health an exceptional individual(s) who has served their Englewood, CO 80155. development in some way. The CNF encourages you Looking for Pediatric Home Health RNs to take time and reflect on your career. Who are those PRN position to join our amazing team in the individuals who helped you develop, find that niche Roaring Fork Valley role or job, challenged you to be better and stronger as a nurse? We invite you to recognize your mentors by making a donation to this scholarship fund. 970-945-6455 www.homecareofthegrandvalley.org The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association May 2018 | Colorado Nurse • 9 Colorado Nurses Foundation Honors Nightingale Luminaries women, friends and family experiencing perinatal loss Kimberly Kassab is a Charge Nurse at Porter Deborah U-Ren is a Registered Nurse in the through establishing processes and providing knowledge Adventist Hospital in Denver. She is nominated for Neonatal Intensive Care Unit at St. Mary’s Hospital and and support to hospital staff. leadership in implementing a process for nursing Medical Center in Grand Junction. She is nominated for Shelly Cannon is a Staff Nurse in the Post assessment of the aggressive patient and establishing advocating for minimizing antibiotic use in newborns Anesthesia Care Unit at Lutheran Medical Center. She a team for consultation and intervention in the with the goal of reducing unnecessary NICU admissions is nominated for advocating for the safety of patients management of these patients. and reducing the separation of infants and mothers. receiving opioids in the hospital setting by promoting David Lammers is a Clinical Resource Specialist Kate Volle is a Critical Care RN at Penrose St. Francis the use of Opioid Patient Risk Assessment Tool. in the Emergency Department at St. Mary’s Health Services in Colorado Springs. She is nominated Nancy Cole is a Staff Nurse at Ute Mountain Ute Hospital in Grand Junction. He is nominated for for her leadership in creating an evidence-based Health Center in Towaco, Colorado. She is nominated leadership in partnering with the cardiac group to ensure program to improve clinical outcomes for intensive care for advocating for betterment of maternal and child that ST Elevation Myocardial Infarction metrics were met. patients by increasing patient mobility. health of the Ute Mountain Ute Tribal Community Carmencita Lorenzo Lewis is an ICU Registered Shelly Weber is a Staff Nurse at St. Joseph Hospital through clinical care, education, and public health out Nurse at Porter Adventist Hospital. She is nominated for in Denver. She is nominated for innovation in reducing reach and community collaboration. innovation in creating a nurse driven evidence-based Central Line Blood Stream Infections through creation Michelle Deuto is a Recovery Nurse Advocate at program to mitigate alarm fatigue in the critical care of an improved central line dressing kit and instructional West Pines Behavioral Health and Lutheran Medical unit. video and by ensuring competency certification for Center. She is nominated for advocating for pregnant Kristen Lynch is a Certified Nurse Midwife at East bedside nurses. and newly delivered addicted women through creation Morgan County Hospital in Brush, Colorado. She is Stephanie Wong is a Clinical RN Level III at UC of a support program. nominated for innovation in implementing a “Spa Pap” Health in Aurora. She is nominated for her leadership Maggie Devlin is a Registered Nurse at UC Health to promote relaxation for women having Pap Smears, in unifying seven policies related to epidural use into a in Fort Collins. She is nominated for advocacy of older which increased the number of patients coming in for single policy, thereby decreasing variability in practice adults and people with serious and chronic illness preventative care. and improving compliance with evidence based through education and utilization of advanced directives. Jodi Olson is Structural Heart and Valve Disease standards. Nicole Downs is a Clinical Nurse in Labor and Program Coordinator at the Cardiovascular Institute of Nadia Yanez is a Nurse Manager at Valley Wide Delivery at Penrose St. Francis Health Services in North Colorado/Banner Medical Group Western Region. Health Systems in Alamosa. She is nominated for Colorado Springs. She is nominated for innovation in She is nominated for leadership in creation of the leadership in improving tobacco cessation rates among designing and implementing a practice change to reduce Valve Clinic and the Structural Heart and Valve Disease the patients at Cesar Chavez Family Medical Center. This postpartum hemorrhage in new mothers. Program that increased the options for care for patients intervention will help reduce morbidity and mortality Natalie Fiore is Sexual Assault Nurse Examiner in need of advanced catheter based therapy in Northern related to COPD, Cardiovascular Disease and Lung Cancer. Coordinator at The Medical Center of Aurora. She Colorado. is nominated for leadership in establishing and Kim Powell is a Family Nurse Practitioner in the HIV These nurses represent the best of the over 80,000 expanding a program to provide a safe environment for Primary Care Clinic at Denver Health. She is nominated nurses in Colorado. They demonstrate commitment to examination of sexual assault victims as well as providing for advocating for transgender individuals by developing actions and outcomes in caring for their patients, their experience and expertise to have these cases successfully a training curriculum to improve transgender care and profession and their community. Twelve of these nurses prosecuted. initiating a transgender primary care clinic. will receive Nightingale Awards. Read about the twelve Christine Gray is a Case Manager at Parkview Vivian Rodriguez is a Registered Nurse in Obstetrics Nightingale Recipients and their accomplishments in the Medical Center in Pueblo. She is nominated for at SLV Health in Alamosa. She is nominated for being an August issue of Colorado Nurse. innovation in creation of Policies and Procedures and advocate for expectant parents by teaching childbirth a Performance Based Evaluation Tool for Stoma Site education classes as a volunteer community service marking and for the creation of an Ostomy Support in order to reduce anxiety and improve the birthing Group. experience. Michele Hayo is a Registered Nurse at Mercy Ginenne Sullivan is an Education Coordinator Medical Center in Durango nominated for leadership at Children’s Hospital. She is nominated for her Foster Hope. in addressing the issue of Emergency Nurse Lost innovation in using technology to teach utilization of Foster Love. Compassion resulting in the provision of more holistic nasal midazolam for seizure prevention to health care Foster a Child. care. professionals in rural areas. Karen Kaley is Specialty Shift Coordinator at St. Kelly Tuohy is a Charge Nurse at University of Give the gift of family. Learn how you can become Joseph’s Hospital in Denver. She is nominated for Colorado Hospital in Aurora. She is nominated for a foster parent. Training and support provided. advocating for newborns to reduce the need for innovation in implementing acute stress disorder and unnecessary antibiotics and increase the time new post-traumatic stress disorder screening for Burn Center Call today! 303-458-7220 x204 | [email protected] mothers spend with their babies. patients, allowing for early identification and treatment. Health issues affect us all... Some issues can affect the ability to practice safely. Safe, caring, and confidential

services are offered to nurses and nursing students. If you, or someone you know experiences problems caused by alcohol or other substance use, mental health, physical, or emotional difficulties, call today. 303.369.0039 10 • Colorado Nurse | May 2018 The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association Legislative Connection Dinner 2018

Rebecca Sposato MS, RN Bachelor Science Degree in Nursing and HB18 -1114: DNA 16 Member Licensure of Genetic Counseling and several bills addressing opioid addiction and treatment. Bipartisan cooperation was a common theme at Another benefit of the legislative dinner is the 18th Annual Legislative Connection Dinner held connecting with student nurses and giving January 30th at the Scottish Rite Masonic Center. Every them an early start in advocating for the year the event brings together the State’s lawmakers profession. For many students, the Legislative and nurses from multiple specialties, student nurses Dinner is their first encounter with CNA. to discuss the health issues affecting the people of Lysa Mikes from Front Range Community Colorado. The evening had the highest attendance College responded that she was “excited ever with 56 nurses, 96 students and 18 legislators to bring change to the healthcare industry for a total of 170 guests. The event was organized and make safer working environments for by DNA #16 with C.J. Cullinan serving as mistress nurses who endure injuries and assaults.” of ceremonies, with DNA 23, SIG 23, SIG 30, SIG 31, District 16 thanks everyone who made Senator Aguilar & Representative Buckner & Colorado Center of Nursing Excellence, Colorado the event a success, and is grateful to the Student Attendee Colleen Casper Association of Nurse Anesthetist, Front Range of staff of Scottish Rite Masonic Center, Association of Neonatal Nurses as sponsors. and also to First Baptist Church for Bipartisan cooperation was already evident in the extending use of their parking lot. And remarkable accomplishment of the near unanimous also thank all the following legislators passing SB18-027: Enhanced Nurse Licensure Compact for their attendance. within eight days of its first reading at the opening of 71st General Assembly. Sponsoring Senator Jim Senator Irene Aguilar: District 32 Smallwood describes it as a win-win for nurses and Senator Larry Crowder: District 35 patients by improving the application for multistate Senator John Kefalas: District 14 nurse licensure candidates. Gil Romero, from Capitol Senator Tim Neville: District 16 Success Group and lobbyist for CNA, introduced each Senator Smallwood: District 4 legislator and inquired about upcoming sponsored Senator Jack Tate: District 27 bills. Several lawmakers shared the goals of transparent Senator Nancy Todd: District 28 billing and increasing the number of healthcare Senator Rachel Zenzinger: District 19 professionals in rural counties. Senator Irene Aguilar wants to establish channels for nurses to report unsafe Representative Susan Beckman: District 38 Representative Todd, Mr. Todd GAPP Co-Chairs Angela patient care situations. Many legislators expressed Representative Jeff Bridges: District 3 & CNA Member CJ Cullinan Petkoff & Patricia Abbott respect for nurses’ dedication and essential role in Representative Janet Buckner: District 40 Colorado’s future. Representative Daneya Esgar: District 46 Next several nurse leaders informed the audience Representative Tracy Kraft-Tharp: District 29 about upcoming legislative bills supported by CNA. Representative Susan Lontine: District 1 Patricia Abbott and Angela Petkoff who chair the Representative Barbara McLachlan: District 59 Government Affairs and Public Policy (GAPP) committee Representative Paul Rosenthal: District 9 are closely following HB18-1086: Community College Representative Cole Wist: District 37 CNA LEGISLATIVE EFFORTS 2018

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Representative Smallwood Representative Buckner & & CNA Member Karren Representative Representative Colleen Casper Kowalski Beckman Representative Lee McLachlan Representative Esgar

GAPP Co-Chairs Angela Representative Bridges & CNA Representative Wist & Representative Zenzinger & Petkoff & Patricia Abbott Member Carol Goldstein CNA Member Judith Burke Kathy Crisler SIG 30 Members CNA LEGISLATIVE EFFORTS 2018 EOE/M/F/D/V Continuing Education Opportunities YOUR CAREER Now Hiring Nurse • Bone Marrow Transplant Certified Nurse (BMTCN®) Review Class Instructors in Denver! (Metro Denver)-May 22nd – 23rd MATTERS. • Stroke Symposium (Northern Colorado)- May 23rd – May 24th Full-time and part-time opportunities available! • Trauma Nurse Core Curriculum-1 Day Provider Renewal (Metro Denver)- June 1st For over 30 years, Concorde Career Colleges has prepared thousands of people for rewarding • Quality in Cancer Care (Northern Colorado)- June 16th careers in the healthcare industry. Our goal is to prepare students for the most in-demand jobs in • Advanced Burn Life Support© (Metro Denver)- June 19th healthcare. Nursing instructors will be responsible for delivering academic instruction for clinical and/or theory components of the Practical Nursing or Associate’s Degree in Nursing Program. • Trauma Nurse Core Curriculum (Metro Denver)- July 19th – 20th • ELNEC (Northern Colorado)- September 12th – 13th Qualifications we’re looking for include: • Advanced Practice: Leading Healthcare into the Future Current Colorado RN license or willing to obtain, MSN, 4 years of recent clinical experience, (Metro Denver)- September 28th self-starter, excellent communication skills, sense of urgency and results oriented

To learn more and apply, email resumes to [email protected] or For more details or additional courses, please go to: visit www.concorde.edu/careers uchealth.org (Click on Classes & Events Tab) Be part of life changing work. Join Concorde. 12 • Colorado Nurse | May 2018 The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association Care Without Assumption: A Conceptual Framework for Transgender Nursing Care

Denise S. Morris, Ed.D, MSN, RN fetal development. Along with the Folic Acid Coalition, by gender, gender insensitive assessment tools, HIPPA Patsy Starke, BSN, RN, CHPN a mascot named Folic Acid Man was created and Patsy violations, assessment of high risk behaviors and Reprinted from DNA Reporter became Folic Acid Man to attend community functions; potential negative outcomes such as suicide. A lack of February, March, April 2018 Issue thus, reaching Delawareans to promote the benefits of curricular preparation in gender-affirming care creates Folic Acid. Patsy received the Dr. Katherine Esterly Award additional barriers resulting in health inequities and Denise received her Doctorate for lifetime contribution to Perinatal Development in adverse outcomes. According to Reisner et al. (2015), a in Education from Wilmington Delaware from the March of Dimes. Patsy has worked community sample of transgender patients indicated University, her Masters in Nursing in the field of Hospice for the last 15 years, and is a a 24% incidence of discrimination which resulted in from Wesley College, and her Certified Hospice and Palliative Care Nurse (CHPN). Patsy the postponement or delay in needed care. In addition, primary nursing diploma from began her Transition to her true self, as a Transgender these patients screened positive for depression and other Beebe School of Nursing. She Woman, in April of 2016, and she refers to that as her negative psychosocial symptoms. Grant et al. (2011) is currently teaching graduate second birthday after a lifetime of struggles with her indicated key barriers to seeking healthcare included nursing courses at Wesley gender identity. Patsy now dedicates her life and nursing stigmatization, discrimination and fear of being refused College. A strong advocate for career to: End of Life Care, LGBT healthcare, mainly care because of their gender status, and even verbal inquiry based education and Transgender Health Care, and advocacy for LGBT equality harassment and physical attack. active participatory learning, Denise involves students issues. She is a proud member of WPATH, GLMA, SAGE, in research and evidence based practice in a variety and HPNA. She is a prolific writer in poetry and short Lack of Knowledge of community and small group settings focused upon stories on Medium.com where she publishes her works. One key functional barrier to transgender care is health promotion and wellness. Her professional interest the lack of provider knowledge without assumption. focuses on vulnerable population health, the spirituality Transgender individuals have been a part of world The current nursing curricula inadequately defines of caring in nursing, complementary and alternative cultures historically, yet the support for the healthcare and addresses appropriate transgender care and healing, and promoting a culture of curiosity in nursing of such populations has only received attention in may contribute to false thinking that may lead to education. Dr. Morris has pending publications in recent decades. The World Professional Association heterosexism and homophobia (Zuzelo, 2014). In the Journal of Holistic Nursing and The Clinical Nurse for Transgender Health (WPATH) published Standards addition, the Transgender patient is forced to educate Specialist. In addition, she serves as a member of of Care (7th edition) in 2012, which focused on the the nurse on the limited knowledge currently available the Graduate Committee for Wesley College, and is medical and psychological approaches that foster the for his or her care. Transgender people are already a member of the American Nurses Association, the highest quality of care for this vulnerable population marginalized, feeling oppressed, grappling with social Delaware Nurses Association, the World Professional (Coleman, et al, 2012). While these standards support and healthcare disparities, and in need of medical Association for Transgender Health (WPATH), the an understanding of surgical, hormonal, cosmetic, and attention, and now they must stop and educate the National Association for Clinical Nurse Specialists, and psychological care, it does not identify nursing care and person they expect to help them (Biederman, 2016). This the American Holistic Nurses Association. Denise was nursing related etiologies for transgenderism. lack of knowledge will clearly affect the confidence level recently honored with Excellence in Teaching Award Further, an extensive review of the literature offers of the patient and prevent seeking care or withholding for her contributions to nursing and health professions few evidence based articles related to nursing care key information that supports informed decision making. education. Denise can be reached at denise.morris@ or nursing implication for transgender individuals. Nurses can do better. Nurses want to know. wesley.edu. According to Berreth (2003), the dearth of literature regarding nursing care for the transgender person A Guiding Framework Patsy was born in 1959 as puts this population at risk for a plethora of problems Using a combination of the critical (Weaver and Olsen, William Patrick Starke. She is a associated with uniformed nursing care. For nursing to 2006) and interactional paradigms (Gillis & Jackson, 1996 graduate from the University properly address the needs of this special population, it 2002) we created a model entitled “Care without of Delaware with a Baccalaureate is incumbent upon nurses to conduct patient-centered Assumption” (see Figure 1). This model is grounded of Science in Nursing and a minor research that is based upon the life experiences of the in key assumptions that nursing practice must move degree in Biological Sciences. transgender that is grounded in a conceptual framework toward the elimination of social struggle and oppression Patsy’s focus in nursing has always specific for nursing care and nursing education. in society, while fostering the examination of the been in the field of Community phenomena through the eyes of the people experiencing Health where she began her Negative Outcomes it. The model aims to shift the paradigm for nursing career providing migrant health As holistic practitioners, nurses are positioned to to that of a gender transcendent world view. Nursing care for Delaware’s migrant population. She worked explore these life experiences and to create a conceptual ontology is innately caring, therefore, to be a nurse, one in the area of health promotion for Delaware Division framework (McCabe, 1988). The absence of a framework is called to develop the full potential of caring expressed of Public Health, and was instrumental in forging to guide nursing in the provision of care that is without ethically and without bias. Like many nursing models the a partnership with the March of Dimes Folic Acid assumption can easily lead to unintended prejudices and components include the nurses affect upon the patient Coalition to develop strategies to promote folic acid, discriminatory behaviors (McDowell, 2016). Examples domain, the systems domain, and the domain of nursing as a necessary vitamin in pre-conception health to aid of such unintended consequences are referring to the practice. It includes, however, suggested drivers that in preventing neural tube defects in the early stages of patient by non-preferred pronouns, room assignment support inclusive gender neutral educational preparation,

Join our team of 30 RNs along with Drs. William Schoolcraft, Eric Surrey, Robert Gustofson, Laxmi Kondapalli, Sara Barton and Lauren Ross Ehrhart who provide care for more than 2,000 infertility patients each year.

Please send resume to Diane Tindall at [email protected] The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association May 2018 | Colorado Nurse • 13

Coleman, E., Bocktin, M., Botzer, P, Cohen-Kettenis, P., DeCuypere, G., Feldman,J., ….Zucker, K. (2012). Standards of care for the health of transsexual, transgender, and gender-nonconforming people, 7th ed. International Journal of Transgenderism, 13. Gillis, A., & Jackson, W. (2002). Research for nurses: Methods and interpretation. Philadelphia, PA: F. A. Davis Company Grant, J.M., Mottet, L.A., Tanis, T., Harrison, J., Herman, J.L., & Keisling, M. (2011). Injustice at every turn: A report of Figure 1. Care without the National Transgender Discrimination Survey. Retrieved Assumption Model. Nursing from http://www.thetaskforce.org/static_html/downloads/ model conceptualizing a gender reports/reports/ntds_full.pdf transcendent nursing world view. McCabe, S.V., (1988). Male-to-female transexualism: A case for holistic nursing. Archives of Psychiatric Nursing 2(1), 48-53. Source: D. Morris & P. Starke Retrieved from http://web.b.ebscohost.com.wesley.idm.oclc. (2017) copyright pending. org/ehost/detail/detail?vid=3&sid=bb1117eb-62eb-4f70- Used with permission. 9d16-9fb4ea123172%40sessionmgr101&bdata=JnNpdGU9 ZWhvc3QtbGl2ZQ%3d%3d#AN=107524303&db=c8h Reisner, S. L., Hughto, J. M., Dunham E. E., Helflin, K. J.,

ASSUMPTION Begenyi, J. B., Coffey-Esuivel, J., & Cahill, S. (2015). Legal protections in public accommodations settings: A CARE WITHOUT WITHOUT CARE critical public health issue for transgender and gender- nonconforming people. The Milbank Quarterly, 93, 484- 515. doi: 10.1111/1468 - 0009.12127 Weaver, K. & Olson, J. K. (2006). Understanding paradigms used for nursing research. Journal of Advanced Nursing, 53(4), 459 - 469. doi: 10.1111/ j.1365 -2648.2006.03740.x Zuzelo, P., (2014) Improving nursing care for lesbians, bisexual, and transgender women. Journal of Obstetrics, Gynecology relationship building, self-assessment, process framework will foster a culture of curiosity for research and Neonatal Nursing, 43(4): 520 -530. doi:10.1111/1552- management, and a culture of ongoing research that regarding inclusivity and embrace a world view of gender 6909.12477. will establish evidence based protocols and dispel the transcendence in nursing care. As with all models, myth associated with transition. By using the framework, additional research and testing is necessary. the nurse can move the domains and drivers along a continuum from Assumption to Non-assumption. References The use of such a framework will provide the Berreth, M.E. (2003). Nursing Care of transgendered foundational position for nursing practice and nursing older adults: Implications from the literature. Journal Expand your clinical teaching skill set! The Center’s next Clinical Scholar training classes will be July 16-20, 2018. This education that might mitigate discriminatory actions of Gerontological Nursing: (July 2003) 44-9. Retrieved from http://search.proquest.com.wesley.idm.oclc.org/ popular workshop will increase your clinical teaching skills and foster normalization of sexual diversity. Additionally, and help educate the next generation of Colorado nurses. central/docview/204146140/FB3C240071044A68PQ/6? the Care without Assumption framework offers support accountid=45950 Growing Diverse Nurses Through Mentoring. Join our for the creation of core competencies for transgender Biederman, D. & Hines, D. (2016). Barriers to care for Mentor Training Institute on August 17-18, 2018 to help increase care, gender sensitive assessment tools, and a protocol nursing diversity. We will provide you with the tools needed to transgender people: A conversation with Dana Hines, become an effective mentor for diverse nursing students. of universal standards of interaction for nursing (Starke, PhD, MSN, RN. Creative Nursing; 22(2), 128-134. Springer personal communication, 2016). Nurses who use the Publications. doi: 10.1891/1078-4535.22.2.128 See www.ColoradoNursingCenter.org, contact us at [email protected] or (303)715-0343 x17

Awards Committee Seeks Nominations Comegrow with us! The CNA Awards Committee is seeking nominations for the 2018 CNA Awards which will be presented at the 2018 CNA Membership Assembly on September 15, Due to increasing census, we are hiring additional 2018. Awards will be presented in the following categories: • Margie Ball Cook Award for a CNA member who has advanced equal opportunities in nursing for members of minority groups. Full-time RNs for Night Shift and • Sara Jarrett Award for a CNA member who has contributed to nursing practice and health policy through political and legislative activity. adding RNs to our PRN pool. • CNA Leadership Award for a CNA member who has served as a leader in CNA through service on the Board of Directors or on a committee or task force. We seek Nurses with experience in Residential Treatment • CNA Emerging Leader Award for a CNA member who has been a nurse for no environments, for Addiction, Detox, Psychiatric, or more than ten years and who is emerging as a leader in CNA or a DNA. • Carol O’Meara Award for a CNA member who has made sustained dual-diagnosis patients. contributions to CNA. We provide a rare retreat for our patients with a serene Nominations will also be accepted for the CNA Hall of Fame. The CNA Hall of Fame was established in 2004 to honor CNA Members whose dedication and landscape and top-notch amenities to promote achievements have significantly affected the Colorado nursing profession. Nominees a healthy recovery environment. for the Hall of Fame may be living or deceased. Criteria for the Hall of Fame are: 1. The nominee must have demonstrated leadership that affected the health and/ or social history of Colorado through sustained, lifelong contributions in or to Competitive Pay * Comprehensive Benefits nursing practice, education, administration, research, economics or literature. Advancement Opportunity * Beautiful Location 2. The achievements of the nominee must have enduring value to nursing beyond the nominee’s lifetime. To learn more and apply for employment with us, please visit 3. The nominee must have been prepared in a formal nursing program. 4. The nominee must have worked in or represented Colorado. www.advancedrecoverysystems.com/careers/ or 5. The nominee must be or have been a CNA member. call Michael Vernon at 954.354.8338, Ext. 4029. To nominate an individual for any of these awards, send a statement to the CNA We are an Equal Opportunity Employer. Awards Committee which describes why your nominee should receive the award. Include the name of your nominee as well as your name and contact information. Please limit your statement to two double-spaced pages. Email your statement to [email protected]. Deadline for receipt of nominations is August 1, 2018. The Awards Committee may seek additional information regarding the nomination. In addition to these state level awards, each DNA is invited to designate a DNA Nurse of the Year. Selection of the DNA Nurse of the Year is determined by the DNA. DNA Nurses of the Year will be honored at the Awards Presentation at the CNA Membership Assembly. DNA’s should submit the name of their DNA Nurse of the Year, along with a statement about why the nurse was selected to the Awards Committee by August 15, 2018. Email information to [email protected]. Contact Carol O’Meara, Awards Committee Chair, at 303 779 4963 or an advanced approach to patient care [email protected] with any questions regarding CNA Awards. 14 • Colorado Nurse | May 2018 The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association Introducing the Colorado Nurses Association 2017-2018 Board of Directors Part II

Board of Director Members: of emergency, surgical, oncology, plus medical and benefits of the Association, advocate for registered Mary Ciambelli, PhD, RXN, PMHCNS-BC surgical areas during her 13-year nursing career. Most nurses and engage registered nurses in their own Kathy Shaw, DNP, RN recently Hilary has been an Assistant Nurse Manager at professional development. Ms. DeStigter sees the two different hospitals. Hilary was born in England, has nursing profession as a quilt, many different colorful In the February 2018 Colorado Nurse, you were worked as a flight attendant and traveled extensively. pieces and different shapes, and when we all work introduced to half of the Board of Directors. As Ms. St. John has also lived in many different countries together we are a beautiful piece of art. DeStigter promised, this article introduces the other half of our including the Middle East. Her great passion is leading also serves on the CNA Continuing Nursing Education current Board. In the interim, Dr. Terry Schumaker and inspiring others to improve healthcare delivery Advisory Council, formerly known as the Approval DNP, RN has resigned her position from the Board of and to be responsive to our ever-changing healthcare Board. Directors. The Colorado Nurses Association (CNA) industry with a special interest in diversity. At Large Representative: Ingrid Johnson, DNP, and the Board of Directors thanks her for her years of Region III Representative: Mary Ciambelli, MPP, RN works as a project director at the Colorado service to DNA 7 and to the Board. In September 2018 PhD, RXN, PMHCNS-BC lives in Silverthorne CO. She Center for Nursing Excellence and is in her first term as we will be electing a President Elect, Vice President, is employed by Mind Springs Health, a non-profit an At Large Director. Dr. Johnson was inspired to run Treasurer, three Regional Directors and an At Large community mental health center serving the Western for the BOD because of her contact with nurses who Director. For more information about the roles and Slope. As a psychiatric mental health clinical nurse work in rural and underserved areas and observing the responsibilities of the officers and Board members, specialist with prescriptive authority she is a long- impact of advocacy on our profession. She believes please consult the CNA. By-laws on our website www. term member of Special Interest Group (SIG) 31. Dr. that our profession must welcome all registered coloradonurses.org. Ciambelli has served in a variety of roles in local and nurses to join the Association to ensure that Colorado Region II Representative: Lori Rae Hamilton, RN, state-wide nursing and health care groups. Her current has a vibrant nursing workforce for years to come. MSN lives and works in Region II which encompasses focus is to engage nursing students, registered nurses, Dr. Johnson’s hope is to build a stronger and more Colorado Springs, Pueblo and a large portion of the graduate students and advanced practice nurses in empowered membership base across Colorado. south eastern and southern portion of Colorado. Region III to develop a thoughtful, unified, evidence At Large Recent Graduate: Adam Diesi, RN, BSN is Ms. Hamilton is the Dean of Instruction for Trinidad based voice during the upcoming Sunset of the Nurse serving in his second term in this position. He is a Past- State Junior College in Trinidad, Colorado which has Practice Act. President of the Colorado Student Nurses Association both LPN to ADN programs and an associate degree Region III Representative: position is vacant for where he enjoyed working with, and advocating for, program. She also serves as an advisor for the Colorado 2nd representative. the student nurses of Colorado. He is employed as Student Nurses Association for the past several years. At Large Representative: Jody DeStigter, MS, a Cardiac Intensive Care Unit nurse with a passion to Lori Rae is a member and Past-President of DNA 4. RN-BC is employed as the Professional Development help and to provide a voice for up and coming nurses Ms. Hamilton is focused on engaging undergraduate Specialist at University of Colorado Health Longs so that they may be successful in the nascent stages of nursing students in both associate and baccalaureate Peak Hospital. She is in the second year of the first their careers. programs in their student association and championing term of this position. Ms. DeStiger is an educator Thank you to all members of the Colorado Nurses new graduate nurses as they transition to practice. at heart and actively participates in a variety of Association Board of Directors. It is the work of the Region II Representative: Hilary St. John, RN, learning opportunities and wants to support others Board of Directors to shape the future and prioritize MSN, BSN lives in Region II and has worked in a variety in professional development. Her goal is to share the membership voices. Friends of Nursing Fundraiser and Celebration Members of Friends of Nursing (FON) Phyllis and Rod Wicklund; Dr. Juanita and their friends and families celebrated and Tom Tate; Donna and Dr. Karl the season December 1st at a Holiday Bernklau; Dr. Marilyn Krajicek, Dr. Amy Event at The Lakewood Country Club. Barton and Dr. David Barton; Andy and There were 85 in attendance and Judy Robinson, Dr. Sara and Howard everyone had a great time while raising Jarrett; Dr. Cris Finn and husband Ken funds for nursing scholarships. and family; Dr. Ann Smith; and Dr. Ruth The highlight of the evening was a O’Brien to name a few. performance by the Skyline Chorus. If The silent auction exceeded you have not seen their performance it expectations. Thank you to those who is a must see. They do an outstanding bid on our wonderful baskets and show. vacation get away. If you have items for Visiting with them were LaFawn the silent auction for the Scholarship Deck the Halls members at tables Biddle, life member of FON; Dr. Amy Luncheon please contact Cris Finn Barton (President FON) and Dr. David Silent auction and A SAP. Friends of Nursing welcomes all who are interested Barton, Dr. Cris Finn (Past President members The purpose of Friends of Nursing in its activities. The organization is governed by elected FON) and husband Ken and family, and is to advance professional nursing officers and a board of directors. Its funding comes photographers Jim Medford and Gerry Case. by providing scholarships for quality education in from membership fundraising efforts. With no office, FON Co-founder Greta Pollard and husband Donald baccalaureate and higher degree programs in Colorado no paid staff, no overhead, minimal expenses and enjoyed the festive evening with long-time members Schools of Nursing. In 2017 just under $60,000 was 100 percent volunteer effort, all monies go totally to awarded to 21 scholars. support the purpose.

SBIRT Training Available Online at No Cost Earn CNE credits! Screening, brief intervention and referral to treatment (SBIRT) training is now available online. Learn to screen patients for alcohol and drug use and practice motivational interviewing. Training Includes: – SBIRT overview – Interactive simulations to practice YOUR SOURCE FOR motivational interviewing skills with adolescents and/or adults JOBS IN COLORADO To access online training visit: www.SBIRTColorado.org/online-training

www.PeerAssistanceServices.org (OR ANYWHERE) [email protected] • 303.369.0039 x245 See Peer Assistance Column on Page 5 The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association May 2018 | Colorado Nurse • 15

Faith Community Nursing in Announcing Colorado Nurses Colorado Association as an ANCC Elaine Taylor, RN Accredited Approver Every day Faith Community Nurses in Colorado are making a difference in our communities. We are more than 300 RNs embedded in familiar community places Colleen Casper, DNP, RN, MS, Executive Director mobilizing resources so that everyone has access to health care. We are working hard to close the gap in health disparities and inequalities. We advocate for The Colorado Nurses Association (CNA) is pleased to announce it wholistic health care. is now an Accredited Approver Organization for American Nurses You may see us volunteering at the free clinic promoting access to healthcare Credentialing Center (ANCC). or encouraging wellness at the health fair. You may see us promoting a walking ANCC Accreditation is a voluntary, peer review process intended to ministry at the church or serving soup to the homeless. We are the ones with strengthen and sustain the quality and integrity of continuing nursing flu shots and aspirin. Because health care is critical to the well-being of our education. Approvers demonstrate excellence in evaluating providers of communities, we believe that the work we do as Faith Community Nurses will create continuing nursing education (CNE) for quality and excellence in curriculum change, not only in individual lives but also in our communities. design and delivery. Accredited approver organizations, like CNA are It has been twenty years since the University of Colorado School of Nursing credentialed to assess, monitor and assist CNE providers in adherence to taught the first course of Faith Community Nursing. Now the Foundations in Faith comprehensive, evidence-based ANCC criteria. Community Nursing Courses are available state-wide online. These courses are As an Accrediting organization, CNA will assess providers of continuing designed to prepare actively licensed registered nurses with the skills necessary for nursing education and ensure they adhere to rigorous global standards set this specialty practice. forth by ANCC. Organizations approved by CNA will now be known for In Colorado we have a state-wide organization encouraging us in our endeavors: providing the highest quality continuing nursing education. Faith Community Nursing in the Rockies supports all Faith Community Nurses We are proud to be acknowledged by ANCC for our commitment and through its website, workshops, networks, and scholarships. (www.fcnrockies.org) excellence in recognizing organizations that provide the highest quality Our organization is supported by membership dues and donations. Its purpose is to continuing education for nurses. Please see the Colorado Nurses Association advance faith community nursing as a specialty in Colorado. We support research website www.coloradonurses.org for information/education on the steps and provide continuing education programs. Over the past 20 years, our experience your organization can take to become an Approved Provider of continuing has shown us that the work being done by Faith Community Nurses has made a nursing education or to provide individual educational activities. Please note positive impact in our community. As an example, Elaine Taylor, MHA, BSN, RN, FCN we are offering virtual “Conversations with the Nurse Peer Review Leader” is one of the many faith community nurses in Colorado. She had the privilege of on April 3 & May 23, 2018. Please watch our calendar and website for more opening a free clinic. It started with a conversation that generated action. It became information to be able to call or video chat with our Nurse Peer Review Leader, a reality due to her persistent effort and unwavering dedication of the church. Connie Pardee, PhD, RN, who will answer your questions regarding approved Who would’ve thought in 2018 there would still be a need for a free clinic. Despite continuing nursing education at your organization. the Affordable Care Act, about 350,000 Coloradoans still do not have health Colorado Nurses Association Continuing Nursing Education Advisory insurance. The affordable part of the ACA is still elusive. The high cost of insurance Council looks forward to working with you and/or your team to support ANCC continues to be the number one reason for not having insurance. And 10% of accredited continuing nursing education. We can support Individual Activities Coloradoans say they didn’t get needed doctor care because it was too expensive. you may like to sponsor, as well as Accredited Provider status to provide a (www.coloradohealthinstitute.org) variety of multiple individual or ongoing continuing nursing education activities. The Good Samaritan Clinic Please contact Colorado Nurses Association for more information or go to our opened its doors on January 6 and website and click Education for more information. is committed to connecting people with quality health care, meaningful volunteer opportunities and trusted educational experiences. “We are called as nurses to care about the physical, emotional, and spiritual well-being of others. If the church is not a place for healing, then where can we go?” says Elaine Taylor. Everyday in countless large and small ways, Faith Community Nurses make our communities a better place. These moments of advocacy change lives. For more information, contact Westberg Institute for Faith Community Nursing. (www.churchhealthcenter.org) “The call to serve involves something special, to which we must be attentive…” Pope Francis

CONTACT: Michelle Beasley, BSN, RN Director of Nursing Recruitment Relocation bonuses available | Excellent benefits Email: [email protected] IHS or NHSC loan repayment program eligible Phone: 928-729-8394 16 • Colorado Nurse | May 2018 The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association District & Special Interest Group Reports

Associations’ website and found that ANA and the go above and beyond what is required to ensure that DNA 3 Hospice & Palliative Nurses Association (HPNA) have students are successful in their academic endeavors. worked together and developed a call to action related Dr. Simone stated “Your work with our students is to palliative care. The action plan has twelve key first class and, from my experience, you have always Anne Zobec, RN, MS, AOCNP recommendations (see American Nurse Today: May been willing to pitch in as a valuable team member. Board Member 2017, Volume 12, No. 5). The list of action items is quite You are very deserving of this recognition.” Join us in extensive. celebrating this honor for Angie! Kate Peterson provided our spring program on We are not ready to act on them all, but felt that we It is with great sadness that DNA 6 reports the loss March 12 about her Quality Improvement (QI) project would start by promoting the conversations through of Louise Sowards, RN, BSN, MSN. Louise was an active “Implementing an early mobility program in the ICU.” increasing awareness of models, education on how member of DNA 6 and her community in the San She discussed how her involvement with CSNA and these conversations happen, and supporting both Luis Valley. Louise loved nursing in various roles and CNA gave her the skills to thrive in her nursing career. practitioners and patients in moving to open and clear facilities in the San Luis Valley throughout her nursing She has been very successful in implementing QI communication about serious illness conversations. We career. She also loved teaching nursing at numerous projects. Kate also presented this information at the invite you to join us in the conversation. institutions over the years and directed the Trinidad ANCC Magnet conference in Houston! State Junior College nursing program from 2009-2012. We were delighted to promote this program to Louise inspired her daughter Jodi to become a nurse, nursing students. and Jodi now directs the TSJC Valley Campus nursing We are making plans for a Nursing Week program. Thank you Louise for the many patients, Celebration at a local restaurant in May. DNA 6 students and nurses you have mentored and guided over the years. Charlotte Ledonne, RN, BSN, MA, LPC For information, call Charlotte Ledonne, nurse President DNA coordinator with the San Luis Valley Area Health Education DNA 5 Center at [email protected] or 719-589-4977. The District 6 Colorado Nurses Association and the SLV AHEC hosted the 14th SLV Nightingale Event on Sandie Nadelson, RN, PhD February 16th at Adams State University. Reina Chacon, Monica Hinds, Zina Horton, Laura Lewis, Misty Palacios, The CNA District 5 held a DNA 16 Patricia Robertson, Vivian Rodriguez, Leroy Romero, T.J. March meeting to discuss goals Salazar, Lou Ann Cheslock Skinner and Nadia Yanez for the coming year and how were recognized for their commitment to their patients Christine Schmidt, President to enhance Western Colorado and providing excellent nursing care. Vivian Rodriguez, nurses’ involvement. Those in SLV Health, Lou Ann Cheslock Skinner, Valley Wide Our major event of the year, the 18th Nurse attendance felt that we need Health Systems and Nadia Yanez, Valley Wide Health Legislator Connection Dinner, was a great success! to have a strong focus in order Systems, were selected as luminaries for the statewide Measuring the great turnout, the very positive to promote participation. We event in Denver on May 12, 2018. comments in the evaluations received, and the great decided that focusing on palliative care and improving Angie Medina, faculty at positive energy resulting from the recent passage the quality and number of serious illness conversations Trinidad State Junior College, of the enhanced nurse licensure compact bill due to between health care providers and the community Valley Campus, was nominated overwhelming support from nurses, we continue to be is an important need we should help meet. During by President Dr. Simone to proud to sponsor this annual event. We had a turnout the meeting, we searched the American Nurses receive the inaugural Dale P. of 174 including 18 legislators and over 80 students. Parnell Distinguished Faculty Some comments from attendees included: Excellent – State of Wyoming, Department of Health, Aging Division, recognition by the American best ever! – good – helpful information about how to Healthcare Licensing and Surveys is recruiting for Association of Community connect personally and meaningfully with legislators,” Health Facility Surveyor Colleges (AACC). She will be and “All was great! – good – keep it going – so Recruitment ID: HSHP09-07627 & HSHP09-07975 highlighted for the difference she gratifying to hear appreciation and recognitions from You will serve as a Health Facility Surveyor within the Health Care is making in the lives of students legislators – 1st time attended – valuable!” CJ Cullinan Surveillance Branch, State Office of Healthcare Licensing and Surveys, Angie Medina, Wyoming Department of Health, conducting surveys and investigating at the 2018 Annual Convention DNA 6 Member also received high praise for being, “warm, dynamic,” complaints statewide in accordance with Wyoming State Statutes and to be held in Dallas, Texas from and, “a wonderful presenter.” Much appreciation goes agreement with the federal Centers for Medicare and April 28 – May 1, 2018. Nominees for the faculty to all our wonderful colleagues who helped set up, Medicaid Services (CMS). distinction recognition should: Demonstrate passion for host, and take down the event. And many thanks to For more information or to apply online go to: the students and the classroom, show willingness to our generous co-sponsors, SIGs 30 and 31, DNAs 3 and https://www.governmentjobs.com/careers/wyoming support students, inside and outside of the classroom, 23, the Colorado Association of Nurse Anesthetists, the and search HSHP09. Open until filled. EEO/ADA Employer. be inclined to participate in college committees, and Front Range Association of Neonatal Nurses, and the Center for Nursing Excellence. The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association May 2018 | Colorado Nurse • 17 District & Special Interest Group Reports

Plans for spring events include speaker Maro this endeavor by hosting the SIG 30 monthly meeting Casparian, Director of Consumer Protection from the SIG 30 in Arvada and covering pediatric content. Denver District Attorney Office on scams/fraud/identify The SIG 30 meetings are held the first Wednesday theft and elder abuse, arranged by Nan Morgan to of the Month. The meeting announcements are Janece Moore, MSN, RN, FNP-BC be held April 17 at Kaiser Franklin building. Nan also sent via the ENP network. Sign up for SIG 30 has us group registered to volunteer for Project Cure announcements at csapn.enpnetwork.com. Join us at Special Interest Group 30 (SIG 30), Colorado Society Tuesday March 20, 6:00-9:00pm, everyone is welcome the next meeting. of Advanced Practice Nurses group, recently awarded to join us. The American Association of Nurse Practitioners scholarships to three students. Tu Nguyen, Meghan Don’t miss our annual Nurses Night at the Rockies, (AANP) will be hosting their 2018 national conference Abrams and Josh Zucker are each the recipients of a coordinated annually by Mary Kershner, on Thursday in Denver. The conference will be held downtown at $500 scholarship. May 10 at 6:40pm, during National Nurses Week the Colorado Convention Center June 26 - July 1, 2018. In 2017, SIG 30 set out to improve the monthly for the Colorado Rockies vs Milwaukee Brewers. For more information visit the AANP website at www. meetings by expanding the educational content and New this year is that after Mary’s discussion with aanp.org/conferences/national-conference. meeting locations. In February, SIG 30 was successful in Rockies marketing representative, the Rockies will officially create “health care appreciation night, “with a donation from every purchased ticket to go to Colorado Nurses Foundation. We had 300 nurses attend last year, the highest number since this event began in 1997, and hope to top that this year. Updates from the Department DNA 16 meetings are held the 3rd Tuesday of the of Regulatory Affairs month from 6-8pm with announcements posted on CNA website along with e-mails to district 16 members. RSVP to [email protected]. The Enhanced Nurse Licensure Compact DNA 20 (eNLC) has Arrived in Colorado

Under the new compact, nurses may provide care to reviewed by the State Board of Nursing, have been Norma Tubman, RN, MScN patients in other eNLC states without having to obtain reverted from a multi-state to single-state credential. additional licenses. There are currently 29 member states This group should immediately submit their fingerprints Kudos to Allison Windes, DNA 20 Fundraiser, who in the expanded pool within the eNLC, including Florida, to the Colorado Bureau of Investigation (https:/www. sold 30 tickets to members, families, and friends to Wyoming, Oklahoma, Georgia, and West Virginia - colorado.gov/cbi/fees-and-forms) for subsequent Board attend the musical The Producers on April 8 at the which did not participate in the original compact. review. Once fingerprints are submitted and reviewed Lakewood Cultural Center. The $120 raised will go Nurses holding a Colorado multi-state license by the Board, these licensees will be converted to towards funding our $1500 annual nursing scholarship. issued before July 21, 2017 have been automatically multistate status, if qualified. At our March meeting, Ashley Stone RN, MSNc, placed into the new compact as part of a grandfather For more information on the eNLC and updated Independent Contractor/Consultant with StoneGale, provision with no further action needed. application requirements, visit https://www.colorado. LLC did team building exercises with attendees. In But a new fingerprint-based criminal background gov/dora/Nursing_Compact. April, we were honored to have Representative Brittany check requirement is a fresh reality for many nurses Pettersen (D) as our speaker. Representative Pettersen in the state, including new applicants. The fingerprint spoke about HB-1003 Opioid Misuse Prevention which background check is one of 11 uniform requirements she is sponsoring. The bill addresses measures to within the eNLC, which Colorado joined with the prevent misuse of opioids in Colorado. The personal adoption of Senate Bill 18-027 earlier this year. story behind her interest in opioid misuse made her In addition to new applicants, Registered Nurses and presentation especially compelling. Licensed Practical Nurses who were issued a multi-state Congratulations to Annette Cannon who, through license between July 21, 2017 and January 18, 2018 were Platt College SON and Cannon Health Care Consulting required to obtain fingerprint background checks and and Education, gave two presentations at the 11th have them reviewed by the State Board of Nursing before Annual Partners in Education and Integration of April 19, 2018 in order to maintain multi-state licensure. IENs Conference held April 25-29, 2018 in Montreal, Nurses falling within the “gap” who missed the April Canada. Annette gave an oral presentation titled 19 deadline, and still have not had their fingerprints “Integration in Employment” and a poster presentation titled “Promoting Transition and Development of Clinical Practice through Culturally Responsive Teaching.” For information on DNA 20 meetings, contact Top 100 Critical Access Hospital for the 7th time! President, Annette Cannon at [email protected] Live, work, and play in an outdoor enthusiast’s paradise in the or see the CNA website. Western Colorado mountain town of Gunnison.

ONCOLOGY RN, Full-time, excellent benefits! Volunteers of America is actively seeking additional Must have a cancer specific knowledge base and clinical skills in cancer RNs, LPNs, & CNAs in all six of our locations. If you BECKS COMMUNICATION SERVICE care beyond what is acquired in basic nursing. RN Licensed in the state of desire to make a difference in someone’s life, come and Colorado. Oncology: Chemotherapy and Biotherapy course and maintained join our dedicated health care team. We offer competitive thereafter. OCN within 2 years of hire. Nurse Call Intercom pay, excellent benefits, opportunities for advancement and TIME-SAVING CCTV Paging Apply online at a rewarding work environment. If you feel you are the right www.gunnisonvalleyhealth.org COMMUNICATIONS Telephone candidate to assist in our mission to provide quality care, SYSTEMS Access Control please apply at www.careerswithvoa.org or apply in-person by visiting us at the following locations: Service & Expansion All Brands • 23 1/2 hour-a-day Service Denver College of Nursing The Homestead of Montrose 7165 Ivy Street, Commerce City, CO 80022 1819 Pavilion Drive, Montrose, CO 303-287-1001 • Fax 303-287-1919 Horizons Health Care and Retirement Community 11411 Hwy 65, Eckert, CO Laurel Manor Care Center Part-time, Didactic, Simulation lab, 20 S Chelton Road, Colorado Springs, CO Skills lab and Clinical Nursing Faculty Senior CommUnity Care PACE Good nurses are the future of quality healthcare. The road to success 11485 Hwy 65, Eckert, CO begins with a quality education facilitated by dedicated professionals. 2377 Robins Way, Montrose, CO At DCN, we focus all of our resources and attention on the important task at hand: Preparing students to work as nursing professionals. Valley Manor Care Center Additional requirements and 1401 South Cascade, Montrose, CO job information may be found at www.edaff.com. We look forward to hearing from you! DCN is accredited by the Higher Learning Commission (HLC). The college’s

baccalaureate and associate nursing programs are accredited by the Accreditation c For more information, please contact Liza Lucero, Commission for Education in Nursing (ACEN) 3343 Peachtree Road NE, Suite 850, Executive/Human Resources Assistant at 970-209-6202. Atlanta, GA 30326 (404) 975-5000. 18 • Colorado Nurse | May 2018 The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association American Nurses Association

When Nurses Speak, Washington Listens

The American Nurses Association strives to interests of patients, consumers and/or the profession represent nurses on Capitol Hill, provide support for while serving on a committee, council or board. state nurses associations as they advance their own advocacy agendas, and help federal agencies and Q2: Nurses influencing elected officials and other elected officials propose and enforce new laws that will key decision makers (April – June) advance the nursing profession. ANA serves to amplify Highlighting efforts to impact change with key nurses’ voices as policies are conceived, debated, and decision makers that are local, state or federal. Could be implemented. We create long-lasting relationships with employer specific, immediate community/county, state nurses and their representatives, working to establish a legislative/regulatory, or federal. Individual influence as health system where care is accessible, of high quality, well as participation in a coalition. and recognizes the nursing profession as an integral component. Q3: Nurses get out the vote! (July- September) Registered nurses represent the largest segment With the approach of election day, emphasis of health professionals, with more than 3.6 million will shift to political examples. Highlighting nurses experience: actions, any challenges / barriers as well nationwide. Nurses not only represent an incredible leveraging their position as most trusted profession to as strategies and any words of wisdom or tips for force by sheer numbers, but policymakers rely upon impact policy change and 2018 campaigns. Will feature colleagues. If providing in writing, please include a their expertise as they work to improve our nation’s nurses who participated in a campaign, currently in or high-resolution picture. health system. For 16 years, nurses have outranked all running for an elected or appointed position, and/or Questions or submissions should be directed to Janet other professions in Gallup’s annual honesty and ethics have a productive relationship with their elected official. Haebler, [email protected], at ANA. survey and are viewed as the most trusted profession. Throughout the year, we will feature examples Q4: Global Impact and Making every year a year of ANA members advocating for patients and the GET ENGAGED: of advocacy (October – December) profession in various roles and settings, hosted at Continue highlighting nurses who have had an www.RNAction.org as well as shared through social #BedsideandBeyond impact within their community, state, or at the federal media. The advocates’ stories will be paired with level, while also expanding to experiences beyond associated tools and ANA products & services. Each Each quarter will have a dedicated theme, building the US borders. Considering 2019 and future policy quarter will have a dedicated theme, building from from local to more global examples, but overlap will occur. issues relevant to the nursing profession, will include local to more global examples, but overlap with other an analysis of the November election results as well as quarterly themes will occur. Q1: Nurses advocating locally (January – March) insight on potential impact of political advocacy, and Nurses are advocates every day, so examples are Highlighting efforts at the bedside or in the tips and words of wisdom on how to make every year a endless and no illustration is too small. Please consider community both for individual and/or groups of patients year of advocacy at any level in any role and setting. sharing your story and being recognized by ANA and and/or nurses. Some examples: patient-focused practice your colleagues. changes/process improvements; workplace safety policies To learn more about ANA advocacy efforts and what Send either a brief written description (under 150 addressing issues such as staffing, workplace violence, you can do to help, visit: http://www.nursingworld.org/ words) OR a video (less than a minute) capturing your safe patient handling and mobility; and representing the MainMenuCategories/Policy-Advocacy.

Just Because You Received This Publication, Doesn’t Mean You Are A CNA Member The Official Publication of the Colorado Nurses Foundation in partnership with the Colorado Nurses Association May 2018 | Colorado Nurse • 19 Medical Marijuana In Memory... Information for providers

Eve Hoygaard, MS, RN, WHNP Membership Chair, Colorado Nurses Note: This is primarily intended to inform General risks of marijuana use Association providers treating patients > age 18 years for whom a Note: These mainly represent evidence from recommendation for medical use of marijuana is being studies of recreational cannabis users focused on We honor the memory of and acknowledge the considered. adverse health effects. Only content areas where work of these recently deceased nurses in our state. “Cannabis” is used interchangeably with there is “substantial” research evidence are presented. Sharing the names and other information about “marijuana.” Cannabinoids refer to chemical Furthermore, the studies informing the evidence our nursing colleagues is one way we honor their components of cannabis (i.e., THC or cannabidiol statements below are “observational” in design, thus, memory. [CBD], including synthetic versions). for most of these statements, causality cannot be clearly established (e.g., cannabis use and schizophrenia BALICH, CHRISTINE, RN (94) passed away in Effectiveness may “travel together” rather than represent a February 2018. A graduate from Seaton School • There is substantial evidence that cannabis or causal relationship). Thus, these findings should be of Nursing, she was in the Cadet Nursing Corps. cannabinoids are effective for: extrapolated with caution, especially in the context of She spent her entire career at Penrose Hospital in ú Treatment of chronic pain in adults – primarily medical marijuana use. Colorado Springs. 1,2 neuropathic pain. JORDEN, MARY GRETCHEN, RN (91) passed ú Treatment of chemotherapy-induced nausea • There is substantial evidence: away in March 2018. She joined the U.S. Army 1 and vomiting. ú That cannabis use is associated with increased Nurse Corps during WWII in 1945 to attend Mercy 1,4 ú Improving patient-reported multiple sclerosis risk of motor vehicle crashes. Hospital in Denver where she later worked. 1,2 (MS) spasticity symptoms. ú That cannabis users, including adolescent and KNOEPKE, JEAN, RN (87) passed away in • There is moderate evidence that cannabis or young adult users, can develop cannabis use March 2018. She worked in Colorado Springs. 4 cannabinoids are effective for: disorder. NELSON, BERNICE, RN (95) passed away in ú Treatment of short-term sleep outcomes ú That adolescent and young adult cannabis February 2018. She worked as a RN for 33 years. (associated with obstructive sleep apnea, users are more likely than non-users to use This included serving 2 years in the US Army during 1 4 fibromyalgia, chronic pain, MS). and be addicted to illicit drugs in adulthood. WWII. ú Treatment of drug resistant seizures with ú That frequent cannabis users are more likely TRUBY, JOAN ANNA (MEISTER), RN (86) CBD in children and young adults with Dravet than non-users to have memory impairment received RN and MSN at Yale and a Master’s in 3 4 syndrome. (lasting a week or more after last use). Public Health at University. Her career in Public • There is limited evidence that cannabis or ú That THC intoxication can cause dose-related Health included Colorado State Nursing Director 1 4 cannabinoids are effective for: acute psychotic symptoms. and Director of the Division of Community Health ú Increasing appetite/decreasing weight loss ú That cannabis use is associated with Services. associated with HIV/AIDS. development of schizophrenia, with highest WOOLEY, MILDRED, RN (97) was a 1942 1,4 ú Improving provider-measured MS spasticity risk among most frequent users. graduate of Bethel SON in Colorado Springs. Her symptoms. ú That frequent cannabis smoking is associated 43 year career included different settings prior to 1,4 ú Improving Tourette syndrome symptoms. with chronic bronchitis. 25 years as a Public Health Nurse. ú Improving anxiety symptoms (in context of ú That cannabis smoke contains many of the assessment of social anxiety symptoms). same cancer-causing chemicals as tobacco We received information about the death of 4 ú Improving post-traumatic stress disorder smoke; however, there is mixed evidence as to those nurses honored above. All of them lived in, (PTSD) symptoms. whether cannabis smoking is associated with worked in and/or were educated in Colorado. 4 • There is no or insufficient evidence that lung cancer. Membership in the Colorado Nurses Association is cannabis or cannabinoids are effective for all ú That THC crosses the placenta and into not required for inclusion. other diseases and conditions, due to lack of fetuses of women who use cannabis during To honor a deceased nurse, RN or LPN, in the 1 4 published clinical trials. pregnancy; and THC is present in breast milk Colorado Nurse, please send basic information (as 4 and passes into breastfeeding infants. full name, city were they worked/lived/received their Side effects nursing education with year of graduation, and/ • From clinical trials, the following side effects References or area of practice) to Eve Hoygaard (hoygaard@ 1. National Academy of Sciences, Engineering, and were reported significantly more often among msn.com). We reserve the right to edit material participants receiving cannabinoids than among Medicine. 2017. The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence submitted and endeavor to verify all information controls: dizziness, disorientation/confusion, included in this column. If you note an error, please euphoria, dry mouth, drowsiness/somnolence, and Recommendations for Research. Washington, DC: The National Academies Press. https://doi. advise us and a correction will be published. Your nausea, fatigue/asthenia.2 org/10.17226/24625. assistance will be greatly appreciated. 2. Whiting PF, Wolff RF, Deshpande S, et al. Cannabinoids Drug interactions for Medical Use: A Systematic Review and Meta-Analysis. Note: The lack of a cited interaction does not JAMA 2015;313:2456-2473. preclude the possibility that a drug interaction exists 3. Devinsky O, Cross JH, Laux L, et al. Trial of Cannabidiol for (and no studies have yet reported an interaction with Drug-Resistant Seizures in the Dravet Syndrome. N Engl J that particular drug). Med 2017;376:2011-2020. There is evidence of clinically important drug- 4. Colorado Department of Public health and Environment. drug interactions between cannabis or cannabinoids Monitoring Health Concerns Related to Marijuana in and the following medications: chlorpromazine, Colorado: 2016. www.colorado.gov/cdphe/marijuana- health-report clobazam, clozapine, CNS depressants (e.g., barbiturates, benzodiazepines), disulfiram, hexobarbital, More information hydrocortisone, ketoconazole, MAO inhibitors, • www.colorado.gov/cdphe/categories/services- phenytoin, protease inhibitors (indinavir, nelfinavir), and-information/marijuana 4 theophylline, tricyclic antidepressants and warfarin. • email: [email protected]

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