current resident or

Presort StandardUS Postage

PAIDPermit #14

Princeton, MN55371

Special Points of Interest:

• OpposetheMICRABallotMeasure:AcostlythreattoyourpersonalprivacyCalifornianscan’tafford- page 4

• Congratulationstothe2014EllisIslandMedalofHonorRecipients!-page 8

• AmericanNursesAssociation\California

Awards-page 14

• ANA\CaliforniaCalendarofEvents-page 15

ANA\C is AN AffiliAte of the AmeriCAN Nurses’ AssoCiAtioN

Volume 19 • Issue 3July, August, September 2014

Monica Weisbrich

Join the ANA\C Today!Information on page 14

President’s PerspectiveMonica Weisbrich, RN

President ANA\C 2013-2015president@anacalifornia.org

As I begin my President’s Perspective, I realize that threequartersofmytermaspresidentis complete. In this shortperiod of time you and I haveexperienced many changes inourprofession.Tonameafew:

• TheevolutionoftheFutureofNursingCampaign

• TheimplementationoftheAffordableCareAct(ACA)

• Theinceptionofcollaborativeallianceswithalliedhealthprofessionals

• Thegrowthandinfluenceofsocialmedia.

YourBoardofDirectorshasbeenandcontinues tobehard at work guiding you in this time of change and ofgreatopportunity.Leadershipskills,credibility,analyticalskills and a sense of urgency have beenmanifested as itbecame apparent the future is going to be different fromthe past. Understanding and accepting these changeswill require patience, correct and current informationand a forumwherebyone canparticipate inopendialog.Building alliances among our nursing associations andprofessional allied healthcare colleagues will lead toenvironmentsmoreamenabletomeetingtheneedsofourpatients.

Your Board is participating in multiple allianceslooking for ways to best address these changes in thehealthcare system. The changes are coming quicklyand the sense of urgency at finding the correct solutionsNOW is present.Whether the issue is scope of practice,legislative or in the education sector, ANA\C is in theforefront representing you. I, as your president, ammost pleased at the feedback I receive from you themembers. We are a big state with multiple individualpersonalities that need to be taken into account whenlooking for solutions. ANA\C is working diligently todevelop strategieswhichwillultimately result inavisionofpracticebarriersbeing removedand theempowermentofnursesareality.Seemslikeabigorder.Yesit isbut ifone takes small steps to beginwith and experience shorttermwinsnothingisimpossible.Hereareafewexamples

Iwant to sharewith you.YourBallot Committeeis hard at work looking for future leaders. I alsoinvite you to support your Ballot Committee byrunning for an office.The consent form is on thewebsitewww.anacalifornia.org I am confident theBallot Committee will find those leaders willingto run for office. I know these future leaderswill commit to continuing the work of ANA\C.The ANA\C General Assembly has moved to anannual event to provide a more frequent way formembers to gather for networking. The QuadCouncil,formedwiththeAssociationofCaliforniaNurse Leaders (ACNL), brings the Tri-Councilconcept down to the State level and MelanieKrupa, RN your Education Director represents

you. Through the California Action Coalition and GayleSarlatte, RN, ANA\C is addressing new nursing roles—Care Coordinator role and Informatics Technology (IT)specialist are two examples. At the national level theNational Council of State Boards of Nursing (NCSBN)deals with the Consensus Model and regulatory issuesof the model. Workplace issues are dealt with throughthe California Institute for Nursing and Healthcare (TheInstitute) of which ANA\C participates at the advisoryboard level. The Institute deals with issues within thestate educational system and job placement. ANA\CwasamajorsponsorfortheHealth, Heathcare and Economic Development (AHEAD) conference and Elissa Brown,RN,DirectorofPracticerepresentedyouasapresenteratthefirstevertwodayconference.Dr.DianneMoore,VicePresident representedyouatCertificationDayatCedars-SinaiMedicalCenter.Visibilityatthesevenuesisopeningdoors for ANA\C and increasing our credibility as TheStateNursingAssociation.

I personally, alongwithmyBoard,want to thankyouforyourcontinuedsupportaswemovethroughthismazeof change into aworld of opportunity for all nurses. Ohand don’t forget to reply to yourBallotCommitteewhentheycome acallen.Untilnexttime

SAVE THE DATE!ANA\C General Assembly

2014Pasadena City College

“Nurses Leading the Way to Positive Outcomes”Friday,September5,2014–FilmandDiscussionEvening

Saturday,September6,2014–General Assembly withkeynotespeakerLindaBurnesBolton,Dr.PH,RN,FAAN

andSpecialGuestCandaceCampbell,DNP,RN

Page 2 • ANA\C The Nursing Voice July, August, September 2014

Published by:Arthur L. Davis

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Help us stay in touch: Do you have a new address or

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YoucanhelpAmericanNursesAssociation\California‘stay in touch’ by updating your contact information.Call ANA\C at 916-447-0225, e-mail us at anac@anacalifornia.orgorreturnthisformto:

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Article Submittal to ‘The Nursing Voice’ANA\California accepts and encourages

manuscripts and editorials be submitted forpublication in the association’s quarterly newsletter,The Nursing Voice. We will determine whichletters and articles are printed by the availabilityof publication space and appropriateness of thematerial. When there is space available, ANA\Cmembers will be given first consideration forpublication.Wewelcomesignedlettersof300wordsorless,typedanddoublespacedandarticlesof1,500words or less, typed and double spaced. ANA\Cwill accept larger narrative if space permits. Formore information please email TheNursingVoice@anacalifornia.orgorcall916.447.0225.

ANA\California’s official publication, ‘TheNursing Voice’editorialguidelinesandduedatesforarticlesubmittalisasfollows.

1. Letters, Articles and Manuscripts should beword processed and double-spaced on one sideof8½x11inchwhitepaper.Manuscriptsshouldbe emailed to Editor at TheNursingVoice@anacalifornia.orga. Letters, Articles and Manuscripts should

include a cover page with the author’sname, credentials, present position, addressand telephone number. In case of multipleauthors, list the names in order in whichtheyshouldappear.

b. The Nursing Voice reserves one-timepublication rights. Letters, Articles andManuscripts for reprintwill be accepted ifaccompaniedwithwrittenpermission.

c. The Nursing VoicereservestherighttoeditLetters, Articles and Manuscripts to meetstyleandspacelimitations.

d. Letters, Articles and Manuscripts may bereviewedbytheEditorialStaff.

e. Letters,ArticlesandManuscriptssubmittedbymembers’ ofANA\Cwill be given firstconsideration when there is an availabilityofspaceinthenewsletter.

f. Letters,ArticlesandManuscriptssubmittedtoANA\Cwillbepublishedasspaceallowsunlesscontentisofatimelynature.

g. Letters,ArticlesandManuscriptsprintedinTheNursing Voicedonotnecessarilyreflectthe views of ANA\C, its membership, theboardofdirectorsoritsstaff.

2. Photographs should be in jpeg format andemailed with the name of the Letter, Articlesor Manuscript referenced in the subject line.Email to TheNursingVoice@anacalifornia.orgPhotographsshouldbeofclearquality.Writethename(s) of thepersonsdisplayed in thephoto intheorderinwhichtheyappearinthebodyoftheemail.

3. E-mail all narrative to TheNursingVoice@anacalifornia.org

ANA\C Wants To See You….IN THE NEWSHaveyouoroneofyourcolleaguesbeenrecognizedfor an accomplishment, elected to office, won anaward,receivedagrantorscholarship,launchedanewventure?Tellusabout it!Sendname,address,phonenumber,andnewsto–

E-mailto: TheNursingVoice@anacalifornia.orgMailto: ANA\California‘INTHENEWS’ 1121LStreet,Suite508 Sacramento,CA95814Faxto: 916.442.4394

AmericanNursesAssociation\CaliforniaisanAffiliateoftheAmericanNursesAssociation

The Nursing VoiceistheofficialpublicationoftheAmericanNurses’Association\California

ANA\CislocatedinTheSenatorOfficeBuilding1121L.Street,Suite508Sacramento,CA95814

Office916-447-0225–Fax916-442-4394AssociationE-mailanac@anacalifornia.org

TheNursingVoiceEditorE-mailthenursingvoice@anacalifornia.org

ANA\C 2013-2015 BOARD OF DIRECTORS – Officers:MonicaWeisbrich,BSN,RN-President;DianneMoore,PhD,MN,MPH,CNM,RN-VicePresident;AliceLeeBenjamin,RN,MSN,ACNS-BC,PCCN-Secretary;DonnaDolinar,RN,BSN,MPA-Treasurer.Directors;Elizabeth“Liz”Dietz,EdD,RN, CS-HP-Legislative; Elissa Brown, MSN, PMHCNS-BC-Practice; Melanie Krupa, RN, MSN, CNOR-Education;PhillipBautista,BSN,RN,PHN-Membership.

ANA\CaliforniaExecutiveDirector&LegislativeAdvocate: Hon.TriciaHunter,RN,MN

ANA\CaliforniaLobbyingFirm: GovernmentRelations Group

ANA\CaliforniaAdministrativeOfficer&MemberServices: SamanthaMarcantonio

EditorialCommitteeChairperson: LouiseF.Timmer,EdD,RN

Staff: Hon.TriciaHunterRN,MN SamanthaMarcantonio

The official publication of the ANA\C shall be The Nursing Voice. The purpose of this publication shall be to support the mission of ANA\C through the communication of nursing issues, continuing education and significant events of interest. The statements and opinions expressed herein are those of the individual authors and do not necessarily represent the opinion or views of ANA\C, it’s staff, the Board of Directors, our Affiliates or the publications editors. Likewise, the appearance of advertisers, and/or their views and opinions, do not constitute an endorsement of products or services featured in this, past or subsequent issues of this publication.

CopyrightbytheAmericanNursesAssociation\California.

The Nursing Voice is published quarterly starting inJanuary;copymustbereceivedbythefirst(1st)ofNovember,February, May, and August to be included in the nextpublication. The publication is complimentary to ANA\Cmembers, schools of nursing and their nursing students,affiliates of the association and their memberships. If youwould like to submit a letter, article, or manuscript, forpublication please read ‘Article Submission forTheNursingVoice’inthisissueforsubmissiondetails.

If you would like to receive this publication or youwould like to stop receiving this publication please email,write,callorfaxANA\Cwithyourinformation.Pleasestateyourfullnameasitappearsonthepublication,thecompletecurrentaddressand/oraddresscorrectionandaphonenumbershouldwe need to contact you.Or, fill out andmail in theUpdateRequestFormfoundin thisnewsletterandsendit toANA\Cattheaddresslistedabove.

Reprints and Submissions: ANA\C allows reprinting ofnewslettermaterial.PermissionrequestsshouldbedirectedtotheANA\CofficeinSacramento.(916)447-0225.

Advertising:AdvertisingRatesContact–ArthurL.DavisPublishing Agency, Inc. 517 Washington St., PO Box 216,CedarFalls,IA50613,800-626-4081,sales@aldpub.com.

ANA\C and the Arthur L. Davis Publishing Agency, Inc. reserves the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement. Acceptance of advertising does not imply endorsement or approval by ANA\C of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. ANA\C and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product.

Assistant/Associate Professor of NursingThe College of Graduate Nursing of Western University of Health Sciences is seeking Master’s or Doctorally prepared Registered Nurse to teach in Psychiatric/Mental Health. We are seeking both classroom (lecture) and clinical faculty. The lead faculty position is a tenure track full-time position.

REQUIREMENTSA Master’s or Doctorate in Psychiatric/Mental Health Nursing preferred. Certification in Psychiatric/Mental Health Nursing through the American Nurse Credentialing Center preferred. Clinical experience in Psychiatric/Mental Health Nursing is required. Teaching experience in either a clinical or academic setting is required.

Send an electronic letter of interest and CV to Dr. Mary Lopez, Associate Dean, College of Graduate Nursing

at mlopez@westernu.edu.

Western University of Health Sciences is an equal opportunity employerand does not discriminate against individuals on the basis of race, religion,

national origin, sexual orientation, gender, marital status, age, or disability.

July, August, September 2014 ANA\C The Nursing Voice • Page 3

Legislative

OnMarch23,2010,PresidentObamasignedtheAffordableCareAct.Thelawputsin place comprehensive health insurance reforms thatwill roll out over four years andbeyond.

OVERVIEW OF THE HEALTH CARE LAW2010: A new Patient’s Bill of Rights goes into effect, protecting consumers from theworst abuses of the insurance industry. Cost-free preventive services begin for manyAmericans.2011:PeoplewithMedicarecangetkeypreventiveservicesforfree,andalsoreceivea50%discountonbrand-namedrugsintheMedicare“donuthole.”2012:AccountableCareOrganizationsandotherprogramshelpdoctorsandhealthcareprovidersworktogethertodeliverbettercare.2013:OpenenrollmentintheHealthInsuranceMarketplacebeginsonOctober1st.2014: All Americans will have access to affordable health insurance options. TheMarketplaceallowsindividualsandsmallbusinessestocomparehealthplansonalevelplayingfield.Middleandlow-incomefamilieswillgettaxcreditsthatcoverasignificantportion of the cost of coverage.And theMedicaid programwill be expanded to covermore low-incomeAmericans.All together, these reformsmean thatmillionsof peoplewhowerepreviouslyuninsuredwillgaincoverage,thankstotheAffordableCareAct.

ABOUT THE LAWTheAffordableCareActputsconsumersback inchargeof theirhealthcare.Under

the law, a new “Patient’s Bill of Rights” gives the American people the stability andflexibilitytheyneedtomakeinformedchoicesabouttheirhealth.

COVERAGE• Ends Pre-Existing Condition Exclusions for Children: Health plans can no

longerlimitordenybenefitstochildrenunder19duetoapre-existingcondition.• KeepsYoungAdultsCovered: If you are under 26, youmaybe eligible to be

coveredunderyourparent’shealthplan.• EndsArbitraryWithdrawals of InsuranceCoverage: Insurers can no longer

cancelyourcoveragejustbecauseyoumadeanhonestmistake.• GuaranteesYourRighttoAppeal:Younowhavetherighttoaskthatyourplan

reconsideritsdenialofpayment.

COSTS• EndsLifetimeLimitsonCoverage:Lifetimelimitsonmostbenefitsarebanned

forallnewhealthinsuranceplans.• Reviews Premium Increases: Insurance companies must now publicly justify

anyunreasonableratehikes.• HelpsYouGettheMostfromYourPremiumDollars:Yourpremiumdollars

mustbespentprimarilyonhealthcare–notadministrativecosts.

CARE• Covers Preventive Care at No Cost to You: You may be eligible for

recommendedpreventivehealthservices.Nocopayment.• Protects Your Choice of Doctors: Choose the primary care doctor you want

fromyourplan’snetwork.• RemovesInsuranceCompanyBarrierstoEmergencyServices:Youcanseek

emergencycareatahospitaloutsideofyourhealthplan’snetwork.

As the first open enrollment period came to a close March 31, 2014, the overalloutcomewaspositiveandthePresidenthadthefollowingmessage;

Tuesday,April01,2014Helloeveryone,Lastnight,thefirstopenenrollmentperiodundertheAffordableCareActcametoan

end.Andthisafternoon,weannouncedthat7.1millionAmericanshavenowsignedupfor

privateinsuranceplansthroughthenewHealthInsuranceMarketplaces.7.1millionThatdoesn’tcountthemorethan3millionyoungadultswhohavegainedinsurance

under this law by staying on their families’ plans. It doesn’t count the millions morewhohavegottencovered through theexpansionofMedicaidand theChildren’sHealthInsurance Program. It doesn’t include themore than 100million folkswho now havebettercare--whoarereceivingadditionalbenefits,likemammogramsandcontraceptivecare,atnoextracost.

Now, millions of our fellow Americans have the comfort and peace of mind thatcomeswithknowingthey’renolongerleavingtheirhealthandwell-beingtochance.Formanyofthem,qualityhealthinsurancewasn’tanoptionuntilthisyear--maybebecausethey couldn’t afford it, or because a pre-existing condition kept them locked out of adiscriminatorysystem.

Today, that’s changed. And while our long-broken health care system may not becompletelyfixed,it’swithoutquestionalotbetter.That’ssomethingtobeproudof--andthere’snogoodreasontogoback.

Regardlessofyourpolitics,oryourfeelingsabouttheAffordableCareAct,millionsmoreAmericanswithhealthcoverageissomethingthat’sgoodforoureconomyandourcountry.

At the end of the day, that iswhat this law -- and the other reformswe’re fightingfor,froma21st-centuryimmigrationsystemtoafairerwageforeveryAmericanwho’swillingtoworkforit--areallabout:

Makingsureourcountrylivesuptoourhighestideals.IamthankfultobeyourPresidenttoday,andeveryday.AndIamproudthatthislaw

willcontinuetomakelifebetterformillionsofAmericansintheyearstocome.Thankyou.PresidentBarackObama

Key Features of the Affordable Care Act by Year

Page 4 • ANA\C The Nursing Voice July, August, September 2014

Legislative

TheAmericanNursesAssociationCaliforniahas joined abroad and bipartisan coalition of nurses, doctors, communityhealth centers, hospitals, local governments, public safety,business and labor unions to fight a November 2014 ballotproposition drafted by trial lawyers out to profit frommalpractice lawsuits. This ballot measure was carelesslythrowntogetherwithnoinputfromthehealthcarecommunity.Ifpassed,itwillincreasecosts,threatentheprivacyofpersonalprescription drug information, and will jeopardize people’sabilitytoseetheirtrusteddoctors.

The measure’s main provision will quadruple the non-economic damages cap on California’s successful MedicalInjury Compensation Reform Act (MICRA), the law thatgoverns legalproceedings if someone is injured in amedicalprocedure. This single change will triple trial lawyers’ legalfeesinthenon-economicdamagesportionofmedicallawsuitsfiledagainsthealthcareprovidersandhospitals.(Note: Under MICRA, economic damages for past and future lost wages, past and future medical costs, and punitive damages are unlimited.)

Iftriallawyersgettheirway,malpracticelawsuitsandjuryawardswillskyrocket.Someonewillhave topay thosecosts.Andthatsomeone…isyou.

The measure contains two other unrelated provisionsdealing with drug testing and prescription drug databaseswhichwereintentionallyincludedbythebackersinanattempttomisleadvotersbytakingthefocusoffthelawsuitprovisions.The prescription drug database poses serious privacy risksfor California patients. And the drug testing provision wasincluded for political, not policy reasons. In fact, one of themainsupportersofthepropositionadmittedtotheLos Angeles Times thatthedrugrulesareintheinitiativebecausetheypollwell,callingtheseprovisions“theultimatesweetener.”

Here’s why the Lawyers’ Health Care Lawsuit Ballot Measureshouldberejected:Costly for Consumers

According to a study by California’s former LegislativeAnalyst, the new lawsuits and massive payouts under thispropositionwillincreasehealthcarecostsacrossallsectorsby$9.9billionannually.Thatamountstomorethan$1,000ayearinhigherhealthcostsfortheaverageCaliforniafamily.

AndCalifornia’s current independentLegislativeAnalyst’sOffice (LAO)warns the proposition could increase state andlocal government medical liability and health care costs by“hundredsofmillionsofdollarsannually,”placingtheburdenofthisadditionalcostonalltaxpayers.

Threatens People’s Personal PrivacyThis measure forces doctors and pharmacists to use a

massive statewide database filledwithCalifornians’ personalmedicalprescriptioninformation.Amandategovernmentwillfindimpossibletoimplement,andadatabasewithnoincreasedsecurity standards to protect your personal prescriptioninformationfromhackingandtheft–none.

Andwhocontrolsthedatabase?Thegovernment–inanagewhengovernmentalreadyhastoomanytoolsforviolatingyourprivacy.

Jeopardizes People’s Access to their Trusted DoctorsIf California’s malpractice cap goes up, you could also

loseyourtrusteddoctor.ManydoctorswillbeforcedtoleaveCaliforniatopracticeinstateswheremalpracticeinsuranceismoreaffordable.

Respected community clinics, including PlannedParenthood,warnthatspecialistslikeOB-GYNswillhavenochoicebut toreduceoreliminatevitalservices,especiallyforwomenandfamiliesinunderservedareas.

Here’sHowYouCanGetInvolvedPlease join ANA\CA and become an official member of

Patients and Providers to Protect Access and Contain Health Costs,thecampaigntoopposethetrial-lawyer-sponsoredballotmeasurethatwillincreasehealthcarecostsandreducepatientaccesstocare.

To join, visit theNo campaignwebsite. From thewebsiteyoucan:

• Sign up to add your name to the growing list ofindividuals andgroups opposed to theMICRAballotmeasure.

• Get important facts,downloadsandinformationthatwillhelpyouspreadthewordaboutthiscostlymeasure

• Contribute to the campaign to help fight the triallawyers.

• Be part of our outreach team. If you have directpatientcontact,becomepartofouroutreachteam.Sendan email to info@stophigherhealthcarecosts.com. Ourcampaignwillenrollyouinaspecialprovideroutreachprogram. You’ll receive talking points and othermaterialstohelpyouexplaintoyourpatientswhytheyshouldopposethisflawedballotmeasure.

• Participate in message/media training. Thecampaign is also looking for physicians interestedin taking on a more public role speaking tocommunity groups about why this ballot measureshould be defeated. Send an email to info@stophigherhealthcarecosts.com if you want toparticipate in themedia training being offered by thecampaign.

Weurgeyoutogetthefactsandjointhecoalitionopposedto thismeasurebyvisitingwww.StopHigherHealthCareCosts.com.

Increased costs. Losing your doctor. Threatening your privacy.

Exactlywhathappenswhentriallawyersplaydoctor.

Oppose the MICRA Ballot MeasureA costly threat to your personal privacy Californians can’t afford

Keynote Speakers

Paul Weygandt, MD, JD, MPH, MBA, CCS, FACPE, VP Physician Services,

J.A. Thomas & Associates “CDI: From a Physician’s Point of View”

Jon Elion, MD, FAC, President/ CEO, ChartWise Medical Systems, Inc.

“Clinical Documentation Improvement: Stories from the Front”

August 4–5, 2014 • Washington, DC

CDI Summit: Leading the Documentation Journey

Accurate clinical documentation is a vital component to patient care, physician satisfaction, and revenue cycle strategies. CDI specialists, along with clinical care providers and senior management, must contribute to organizational success and ensure the right information is available at the right time.

The AHIMA CDI Summit is dedicated to leading the documentation journey and exploring the challenges presented by today’s complex healthcare environment.

The summit offers:• Keynote addresses from nationally recognized industry experts• A range of presentations on best practices, innovation,

implementation, and ICD-10-CM/PCS• Interactive sessions that showcase real world examples and

advance networking opportunities• Critical insights to move CDI programs forward

Go to ahima.org/events for more information and registration!

Premier Sponsor

Supporting Sponsors:

ahima.org/eventsMX9663

Attend the CDI Summit and stay for the Clinical Documentation Improvement Practitioner (CDIP)Exam Prep Workshop!

August 6–7Washington, DC

July, August, September 2014 ANA\C The Nursing Voice • Page 5

ANA/ANF

Of the 535 voting member of Congress, only 6 ofthem are nurses! Now is the time to support medicalprofessionals to be elected to Congress. We needpolitical leaders with knowledge of healthcare to makeimprovements to the U.S. Healthcare System since itrepresentsahugeportionofU.S.GDP.Getinvolved,vote,andencourageotherstovote.

ANA PAC Endorses Registered Nurse Lois Capps

SinceCongresswomanCappsfirst got elected in 1998, shehas continuously co-sponsoredlegislation that would advancethe nursing profession. Mostnotably, she introduced theRegistered Nurse Safe StaffingAct(H.R.1821).She isalso theco-host of the House NursingCaucus and has helped torecruit over one hundred otherRepresentatives to join thecaucus.

Late last year, ANA-PACendorsed Congresswoman

Cappsforre-election.Congresswoman Capps speaking at ANA’s 2013

awards ceremony, where she was presented with the

When Nurses Talk... Washington Listens!

Lois Capps

Regis University is accredited by The Higher Learning Commission and a member of the North Central Association. ncahlc.org. The Loretto Heights School of Nursing is accredited by the American Association of Colleges of Nursing — Commission on Collegiate Nursing Education (AACN-CCNE).

With an advanced nursing degree from Regis University, you’ll not only transform your career, you’ll transform the quality of healthcare for your community. Our graduates are prepared to be part of the solution. Take our AACN-CCNE accredited programs online or on campus, and take advantage of our generous credit transfer policy.

• RN-BSN

• RN-MS, Nursing

• MS, Nursing: Leadership

• Gerontology Certifi cate

• Doctor of Nursing Practice

• Graduate Academic Certifi cate in Health Care Education

Programs include:

YOU’RE MEANT TO MAKE

A DIFFERENCE.OUR PROGRAMS HELP YOU MAKE MORE OF A DIFFERENCE.

YOU’RE MEANT TO MAKE

A DIFFERENCE.A DIFFERENCE.OUR PROGRAMS OUR PROGRAMS HELP YOU MAKE HELP YOU MAKE MORE OF A MORE OF A DIFFERENCE.

HELP YOU MAKE HELP YOU MAKE MORE OF A MORE OF A DIFFERENCE.MORE OF A MORE OF A DIFFERENCE.

LOOK OUTWARD. INQUIRE WITHIN.Learn how to transform this ad at

regis.edu/californianurse

regis.edu/californianurseDon’t wait! Classes start August 25

Congressional Nurse Advocate Award. CongresswomanCapps will also be the 2014 recipient of the Diane F.Cooper Lifetime Achievement Award at the Nurse.comNursing Excellence GEM Awards ceremony June 27 inUniversalCity,CA.Thisawardhonorsoutstandingnursesacross the country who reflect commitment, enthusiasmandadvocacy for thenursingprofessionand is sponsoredbyCedars-SinaiMedicalCenter.

For more information on Congresswoman Capps,please go to www.CappsforCongress.com and for moreinformationaboutANA-PACgotowww.rnaction.org.

Saint Alphonsus Health System is a four-hospital regional, faith-based Catholic ministry serving southwest Idaho and eastern Oregon.

Opportunities available in:• Intensive Care • Med-Surg• Coronary Care • Rehab• Emergency • OB/NICU Department • Main OR• Clinical Support Team • Nursing (Float Pool) Professionals

To learn more and to apply, please visit

www.saintalphonsus.org/careersOr call Roxanne Ohlund 208-367-3032

or Rick Diaz 208-367-3118

Mercy Medical Center has been building a rich history of care in our community for more than 100 years. We have grown from a small one-story wooden structure into a major healthcare provider with a new 186-bed main campus, offering the latest in facility design and technology. Wherever you work throughout our system, you will find faces of experience with dedication to high quality, and personalized care.

Your new career is waiting for you atMercy Medical Center, apply today at

mercymercedcares.org

Page 6 • ANA\C The Nursing Voice July, August, September 2014

Welcome New MembersAntonioAbarcaMinetteAbelgasSharlethaAdamsAdejokeAdedejiOlajumokeAdeyemiMichaelAquitaniaAgbisitPatienceAgohAmberAguilarRebeccaAgundezKathleenGrimleyAhnNicoleAinsworthOluyemisiAkindeleMiaAlcala-VanHoutenAgnesAlicarLauraAllenRaymondAllumAprilLeilaniAloiauChristineAltavillaKellyAminLiceriaAmoguisStefanieAmoiaNicoleAndalTaraAndersonTeresaAndersonAudraAndrakinMariaSophiaGraceAngAnnaAntonowich-JonssonUgochiEstherAnyanwuNeilChristopherApelesManjitK.AraichPaulAraulloCaylinArbuluMaryArnoldPatrickArringtonKasedAsadTaraAsamiGilbertAspirinRonkeAtaneNatalieAtkinsonSuzanneAutorSueAyresGiselaAyudanteAniBagdasarianPreetpalBainsRebeccaAnnBairdTeresaL.BakerDianL.BakerDebraBakerjianAutumnRuthBaldassanoAprilBalunsatRichardBanagaleHananBanerjiEbonyNicoleBankheadVeronicaBarberTanithBarcroftZohrehBarootiArianaBarreraPatriciaBarryLyzahNicoleC.BatiBobbieNellBattle-CarterAprilBauzonMaryE.BeckerAmberBelandChadBelcher

KeishaBellamyJulieBell-QuinlanEileenBeltranAnnH.BensonCharleneBentleyJosephineBequillaPatriciaBergerYosiefHiabuBerhaneMarthaBerrierJoannieBerry-MahanPetrinaBeugreAnnaBhargava-MorenoSheeraMayBiascaJenniferBirladeanuHayleyBlackerKatherineO.BleeMarshallH.BlueNatalieBoehmAshleyBoughAmberBoyadjianViolaBoyleKimberlyBravoDeborahDeniseBrewer-MarshallPatriciaBridewellRayleneBringasGladysBrisco-RocheHeatherBruceCatherineBurgerAngelaD.BurlingMitziCabalticaGregoryCaliwagPeter-ReubenCalixtoShelbyCaninoJinaCansonSueanneWrightCantamessaHeatherCantrellCherelynCapiendoDanielleCapraraAidalynCarinoMariCarranzaVirginiaCarrieriKohlmanMarylynnRachealCarrollMichelleCartasJanaCarterYoleeS.CasagrandeMaryJoA.CascarelliBiancaCastroRomaJoyCastroJenniferCastroKatherineCatesCeciliaCaytonCandaceJ.Celello-BuchananReginaReneeCendejasJoliCeraldeJudithChabotCharlotteChadwickNeilChanJeanChandler-RobledoRebeccaChangSheilaCharles

JodyCharlesHerleenChatthaKellyCheathamJillChenHelenChenAlanChhithChhayChhouJoanChiangTiffanyChildersNwabudeChiomaLoisChoKatherineChongPeggyChouLaurenChristensenCarlaChristensenChristineChunSendyChuopTerriChurchWilliamClawsonConstanceCluffDupiMarieCoganBarbaraCohoonRuthAnnetteColbertEricJ.CollierMiakodaCollinsMeganCollinsMelodyComendadorKristenConnorMarieD.CorbinCynthiaCorkernAshleyCornerGabrielaCoronaLauraJ.CorsonClarissaCortesTerryCottleDianeCristobalKataunyaCummingsMelindaCuthbertMelissaDahlAnsonDaineRebeccaAnneDanielsMariaDanielyanTerryDaoKimberleeDavidsonMarilynDavisMeghanDavisDavidJ.DavisCynthiaDavisLizbethDeLeonJulieAnneDeSantiJuanitoDavidDeVeraVirginiaDeatherageGeriReneDeCoitoRoseDelRosarioFelicitasA.DelaPhilbertDelaPenaJessicaRodriguezDelaRosaMariaDelapaz-VargasJoelDelfinOliveDelizoShandaDellnerMaureenDelrosarioMaricrisDemayoCherrieAnneDemayo

MaryKathleenDenecocheaJinDengRosineDer-TavitianPragyaDevkotaCarolinaDiazBeatrizDiazMerandaDimerySallyDivittorioMargaretDrabowiczKarenDuderstadtKimDueckNathanDuerGlendaDumayasElizabethDunnBichLieuDuongJaymeDupuisCarolynR.DurandetteLatonjaDurdenRochelleEubanksEatonWendyEdwardsMelindaElaydaJaymeeElderKimberlyEllisAmyEllisCameronEmeryBrentAlanEngelAdamEnglishShannonEnochsAlyssaErinEriksonMayteChristinaErikssonColetteErkeJaneErnstthalEricLeeEscobedoBrittneyDanielleEspinozaOlgaEsquivel-DavisKishaEstisLelandEstrellaMarilouEusebioTanG.EvangelineMeghanAnneFagueAlisonFairhurstNancyFarrellJenniferFennessyBerniceFergusonShissicaFernandezJosephFernandezHannahFernandez-GoticoTabithaFerreiraJenniferFickAshleyFillingerBrendaFischerBarbaraFisherTracyFlanaganMaryLouiseFlemingErynFlemingKarenFlemingSimonyKanashiroFleshmanAlmaFloresJenniferFloydWendyFoadHelenFortsonRhondaR.Foster

DorineFowlerJeanneFrancoAlishaFranklinYamilethFranklinKrystleFrazierLisandraFreilichKristinFreoTiashiraGadlinMaryElizabethGageEuniceGalangDignaGallagherCourtneyGalleAbenaI.GallegosSaraGallegosRosemaryGallegosAnnGallowayLeeGaluskaVanessaGambalaAntonetteGamillaArleneCuadraGarciaChessieGarciaOscarGarciaMariaGarciaYolandaGarciaMoniqueGauldenNancyGeJeanetteGeageaJillianGeeMereteB.GelgurJeffGenoniThaoGiangDebbieGildayKristiN.GillespieBelindaGillisCherylGirkinErickaGivensEileenGlaragaJeanneMarieSuntayGlassErikaL.GoffLorraineGoldDarrenGoldenAnaGomez-MarekRosieGonzalesMargaretGonzalezMaryGoodePriscillaGoodrichCynthiaGoodrichAndreanGrahamKaranGrandaBethGrantTheresaE.GrassauJamieAndreaGravesSavannahGrayGinaGrecoAnnGreenRachelC.GreveSusanGrossSherieRoseGuiaoKirstenGundersonNataliaGuzmanJeniceGuzmanTeresaGwinnMichelleHaYvonneHack

MarilynDawnHadaLindaHadleyRussellHaightEdHallLisaHallNataliaHallerLisaHaltonFeliciaHamadLisaHammJasmineHanadaKarenHanfordRosemaryHansanJennieChinHansenPamelaHansinkCindyLeeHardemanFrancineHardyApinyaHarlandEdnaM.HarrisStaciHarrisonTheresaHarvathIsobelHarveyJackieHastyMichelleAlexandriaHauckKrisHaugKarenHawkinsErinHayesJeaniceHaysDerekHeafnerAnnHeffernanOlgaHeinmanNicholeHelmXeeHengEkaHerlambangJuanAntonioHernandezMarilynHernandezGrisselHernandezWendyP.HessSerenaHestandNoetaHesterVirginiaHewittLisaHillPauline(Tony)AntoinetteHiltonDonnaLeeHinesHeatherHochsteinTamaraHollandJessicaHolstiAllisonHoltAnnemarieHoschMariJoHoughTyraHowardCynthiaHowardMaryHoyJackHsuKristinaHuberMariaHuntLeigherinHurdCliftonHutson-JoullianLynnyHuynh-NguyenIolaIrelandMelindaIslikerKathrynJacksonShelbyJacksonBettyJackson

CarolineJacksonSusanJacobsonDimpleJadavPamelaJamesTrayR.JaniceDanieveJapsonMirandaJaramilloJoMaichelJavierJuanJimenezCynthiaJohansenGregoryJohnsonKristineJohnsonRobyn-MichelleJohnsonHollyJonesSaulJonesRoxaneJorbina-LobatonJohnPaulJosonMaryJosoyStedhamSoonA.JungRobbinMarlanaKaanana-GerrasKarterKalushLindaKamalKathrynKareliusArleneKarimSangaroonKastSarahDeanneKatzerEstherKatz-WillsonKathyKealerErinKearinsMollyKeatingMaribelKegelNancyKehoeAimieKeiganSabineKellerDevinKellyMaryKellyAlinaKendrickKatharineKentCherylKentTracyKentzTeresaKerrIreneKhyAnneKimmKhamilleKliatchkoMariaS.KlingMelindaR.KluzekCindyKnothStephenieKnoxDimitrinaKolevaChristineKoraibanLeaKoshkinChristinaKosofskyNatalieB.KrengBurleneKriderEvgeniyaKrolKellyKulekLindsayKustichIvy-JohannaCabreraLaSalleDonnaLabelSuzyLakuWayneP.LamYanLamCatherineLambert

July, August, September 2014 ANA\C The Nursing Voice • Page 7

Welcome New MembersCharlotteLandonMariaVenusLarrosaJamieLastMajellaLeamyIrvinLeeDianaC.LeeEricaLeeJocelynLeeEuniceLeeAndreaLee-RigginsBarbaraLellSarahLemingsJacquelineLeoReannaLeonSherrieAnnLeonardShandaLewisDeborahLewisKatrinaLewisSondraJillLeySharieLiebergMarionHLingerJuanitoLingoDianeLisiMaricrisLisingChunmeiLiuAdrianaLlanosCastroDinaLolli-AbitriaDouglasLongCynthiaLopezVirginiaLorenczAmberLorenzoKarenS.LounsburyJenniferLowGinaLoweAnnE.LoweNancyLowellJefferyLowersTheresaLoyaJenniferLubetichM.W.LucasJasminRLumbadMaryLushCourtneyH.LyderSandraLynJayneMaddenRoxanaMaganaTheresitaMagbanuaLuzMMagroInezMunozMahonNgocMaiJamesMajorMavisMaladoJonathanMallLoriMaloneySahleeMamarilMarilynMandasAlmaRizzaManuelBeverlyMarchettiJosephVMarianoCatherineMarinWhitneyMariucciNathalieMaroisEmilyMarquardtMichelleMarquezRheaMarquez

GinaMarrottStephanieMarshAdrienneMarshMargaretMartinElizabethMartinAmyMartinezGenesisMathisPatriciaMatzollSoniaMaxinMitosMayorMarthaMaysDeborahMcBrideMargoMcCafferyNathanMcCainKarenMcDonaldCarlaMcGavinLauraG.McGuireMariaMcKinneySabrinaMcKinneyDebbieMcKnightJenniferMeaneyMariaMedinaCarrieMeerMelissaMehaffieRohiniA.MehtaMichelleMelendezLoriMarieMendelRomyrMendozaLourdesM.MenendezWilliamMertzLilianaValderramosMetzgerAmandaMilesLeanneMillerYekaterinaMillerBritneeMillerTeresaMillerJulieMillerElizabethMillsCaitanyaMinDefeiMinRosangelaMinakawaMiyoMinatoNatalieMiraflorTammieMischelElenaMariaMjeldeLauraMoeRichardMolinaJennilleMonacoKathrynMoneyReginaMontgomeryLisaMoodyElizabethMoraShaunaMorainMichelleMoralesEliaMorganRitaD.MorrisTimothyA.MorrisseAnastasieMpomboMaureenMukoraCatherineMullinNancyMurakamiEmilyMurdockAislinnMurphyMichelleDanaMurray

ManuelaNavarretteCarolynNavarroReinaNazarenoEvelynNdakiTracieNeffMaryBelleNelsonArceJulieNeradLynetteNerneySherriAnnNewlandAlanP.NewmanGiangNguyenHanhNguyenKevinKimNguyenThymaiNguyenAmyNguyenJanM.NickStephenJamesNolanDoraL.NoriegaLornaM.NybergUzomaVictoriaObiAnnObrienBrianO’BrienPrinceOcanseyFestusO.OdehVeronicaNdidiOditaRoseliOestreicherAngelaOfoegbuOladapoOgunnaikeSabrinaH.OkadaKirstieOkuraAntionetteOlivarezAndreaOliverJillOlmsteadAllysonOlnessCynthiaOlsonAntonioOrellanaTheresaOrjiakorVeronicaOrtizLoisElaineOwensCynthiaLouisePachecoAgustinDominicPacisHeatherPackardKalliePahwaRachellePakesKristinaPaladiniKeriPalumboMurrayErinPannellAprilPanozzoAnaitaPanthakyLeonaAnneParryAmyPasettiCherylPassanisiJuliaPasterskiNishaPatelCynthiaPazAmyPeareAlejandroPedraza-MccarronSarahR.PeeryJanetDasallaPenaDianePerdueMariaPerezLavonnePerezJaneM.PerlasSharonePerlman

SuePetersonHeatherPfisterRosaPhamStaceyPhaneufRaymondPhillipsChristinaPiattCristinaPicacheChristaPilgrimElisePiliwaleMaryElPilkingtonR.J.PlummerLyndseyPodestaXiaoPonMariaPonceMelodyPopeErinPopeMaureenPorrasIrvingIanPradoMaryBethPrendergastZabrinaProutyIsabellBienePurdyChristinQuarryRobinQuinnLisaRadesiPhoebeRadunsRosalbaRamirezJacquelynRamirezLisaRamirezAprilRandallPamRankinFarzanehRaoufiLynetteRaquelJessicaReedCarolReederJamesChristopherReedyJenniferReeseAmorRegnerMaryReidDeniseReinerMelissaReppChristineReslerCatherineReyesYeseniaReyesHopeRichardsSherrieR.RichardsonJosephineCarpioRidadIsabelRinkJanRoJaniceARobertSharonRobertsKelleyRobinsonJamesRocanellaKristinaTorresRodriguezViridianaRodriguezRachelRodriguezRachelleRoganAmyRohnerGracielaRojasRobertaRomano-GrubbsAmyRonanJanetRongavilla-TaniguchiCamayRooneyLeslieTRoseRachelRosser

NoelleRozakosElgeneRualoSusannRuizMiriamRussomLorenaRutanajuntraAnthonyRyanAlmaSagmit-CasipitAlenaSahagunEkiSalamiRelyndoManaloSalcedoRelyndoManaloSalcedoMaricelSalinasMelissaSalisburyMalindaSalterIsraelSamaniegoJoelleSamselBlancaSanchezMathewSanchezJanaSandersGuadalupeSandersRebeccaSandovalMargaritaSandovalSarahSanfordNadiaSanjariAdrienneCoelSantiagoArcadioDeVeraSantosMaeSarmientoShereneSavoiaMaryMScheffkiLindaScheiberAmySchnaidAnna-JoySchneelochLoriSchneemanReneeSchneiderJoAnnSchultzSerwaScorzaBrendaSegovianoElenaF.SeitzGingerSellKelliSellersSemiraSemino-AsaroNoraBaoananSerranoKimberlySettenNadiaShabotiBetseyShankJessicaL.SharverDebraJ.SheetsKateG.SheppardAnnaShulyanskayaAngelicaSilveoTracySimePearlLillianSimonElizabethSimpsonParmindraSinghSanfordSkolnikSharonSmithTeresaSmithJenniferLangSoderlundNidathSouthall-ConnorTrinaSouzaJulieannSparksDonnaSperoLauraSpriggsCasieStaffPaulStark

JaniceStewartChristyNStmarieCarmenStoreyJoyceStramlerBarbaraStrawCourtneyStriflerNatalyaSturtzRajupenderSupraiLaneSwartzAlexanderSykoraLillaSzakacsAndrewSzalasGonzaloTafoyaGagahTambaMonicaPaolaTanseyDawnmarieGaivinTastorLisaTaylorLisaTaylorVictoriaTegardenRichardTejadaThokozileTemboHelenTempleJessicaTheilenAbbyThomasPatresiaThomasErleneThomasMaryThomasScottThompson-BakerLaurineTilleyVeronicaTimpleSiwiS.Toh-djojoElvinTolentinoBrittneyTolleWaluanaT.TomlinKellyTomlinsonLindaTorresLindaM.TowleKatherineTranHieuTranChristinaTruellMargaretJ.TurlingtonKelleyTurnerAliciaTuvidaDeboraTylerArpunchanickUdomdejNellyUteborMarkVaccarinoJenniferValasaMichelleVallejoMyrnaValmeoAbigailVargasJenniferVargasBarbaraVaughanLeticiaVazquezGabrielaVazquezGaryVealeTeresaVelasquezPaulaMVentoJeremyYvesVergaraJeremyVerhinesJamieS.VikAnaVillacortaArcelynVillanuevaMariaVillarDianeVines

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Page 8 • ANA\C The Nursing Voice July, August, September 2014

Congratulations to the 2014 Ellis Island

Medal of Honor Recipients!

ANA\California memberSalpyAkaragianRN-BC,MNisoneoftherecipientsofthe2014EllisIslandMedalofHonor.

NECO sponsors the EllisIsland Medals of Honor whichare presented annually toAmerican citizens who havedistinguished themselves withintheir own ethnic groups whileexemplifying the values of theAmericanwayoflife.

Salpy Akaragian has dedicated countless hours oftime tomaking theworld around all of us a better placeand she is known to do this with a smile, truly lovingevery moment of the journey. She has worked tirelesslycreating clinics for children to receive proper medicalcare, helping students aspiring to healthcare roles asnurses andmore.Shehas supportedArmenian-AmericannursesinherfoundingoftheArmenianAmericanNursesAssociation inCalifornia andworkedwith them tobringhealthcaretoArmenia.AkaragianestablishedArmenian’sfirst baccalaureate nursing school that now boasts morethan 400 graduates and initiated the Magnet journey intwoArmenianhospitals.As founder andpresident of theArmenian International Medical Fund, Akaragian hasparticipated in the development of innovative healthcareprojects.Akaragian is nursing at its finest promoting thehighestlevelofexcellenceateverystep.Congratulations!

PastMedalists includesixU.S.Presidents,oneforeignPresident, Nobel Prize winners and leaders of industry,education, thearts,sportsandgovernment,andofcourseeverydayAmericanswhohavemadefreedom,libertyandcompassionapartoftheirlife’swork.

Congratulations!

ANA\California memberPatricia McFarland was therecipient of the 2014 AONEMe n t o r Awa r d , w h i c hrecognizes a nurse in executivepracticewho has been exemplaryin supporting the professionaldevelopment of his or hercolleaguesbyservingasamentoror advisor.A nurse for nearly 40years, Patricia is best known forher commitment to the nursingprofession and interests ingerontology.

Patricia is the CEO for theAssociation of California Nurse Leaders, a professionalorganization representing nurse leaders in hospitals, healthsystems, academia, research and business. Prior to joining

Patricia McFarland

Salpy Akaragian

UCDavisMedicalCenterinSacramento,CaliforniajoinstheranksofeliteorganizationsacrossthenationwithitsnewMagnetRecognition®status,whichwasgrantedJanuary13,2014bytheAmericanNursesCredentialingCenter(ANCC).Thedesignationisthenation’shighestformofrecognitionfornursing excellence and a benchmark for the quality of carepatientsreceive.

“UC Davis has a long history of demonstrated nursingexcellence, and theMagnetRecognition® is a testament tothe dedication and hardwork of our nurses and their care-team colleagues,” said Carol Robinson, chief patient careservicesofficeranddirectorofnursingatUCDavisMedicalCenter.

The Magnet Recognition Program® was developedby the ANCC to recognize health-care organizations forquality patient care, nursing excellence and innovationsin professional nursing practices. To achieve designation,the medical center provided written documentationdemonstrating qualitative and quantitative evidence aboutpatientcareandoutcomesaspartofarigorouscertificationprocessthatalsoincludedamulti-day,on-sitevisitbyANCCappraisers.

Four appraisers interviewed 1,298 nurses, medicaland ancillary staff members from all inpatient units, theemergency department, Perioperative Services, AmbulatoryServicesandthePrimaryCareNetwork,aswellaspatientsand families. Only about 7 percent of U.S. hospitals

achieveANCCMagnetRecognition®.UCDavis is the25thorganizationinCalifornia,andtheonlyoneinSacramento,toreceivethehighlyregardedrecognition.

UC Davis Medical Center impressed appraisers witheveryday practice of interdisciplinary collaboration,teamwork and nurse driven initiatives that demonstrate aculture of quality and excellence.According to theANCC,Magnet designation indicates an organization in which

UC Davis Medical Center, Sacramento Receives Magnet Recognition

Nurses in the Nurse Residency Program and direct care staff who served as Magnet site visit escorts pause for a picture following the Nurse Residency session with Magnet appraisers.

Staff from across the organization gather in the Comprehensive Cancer Center auditorium to listen to the phone call from the Commission on ANCC Magnet Recognition® on the decision to award UC Davis Medical Center Magnet Recognition.

nursescanflourishasprofessionals.Theseselecthealth-careentities place an emphasis on providing their nursing staffwith the professional autonomy to make clinical decisionsat patient bedsides. They also involve nurses in decisionsregarding the patient-care environment as well as enablemore interdisciplinary collaborations with other care-teammembers.

Patricia McFarland Receives the AONE 2014 Mentor Award

the Association of California Nurse Leaders (ACNL)Patricia worked in both the clinical and administrativefields for Mercy Healthcare Sacramento. In her 37 yearsof nursing, shehasworked in a variety of settings. PatriciaservedontheSteeringCommitteeoftheCaliforniaStrategicPlanningCommittee forNursing and is currently theChiefCustomerAdvocate for CALNOC. In addition to her otheractivities, Patricia also serves as the executive officer forthe California Nursing Students Association (CNSA) andthe California Association of Colleges of Nursing. Sheis a past chair of the California Coalition of SpecialtyOrganizations. Patricia is the 2004 recipient of the DianeF. Cooper Lifetime Achievement Award from NurseWeekand the2004Presidents›AwardfromtheAmericanNursesAssociation\California.PatriciawasinductedasaFellowintothe American Academy of Nursing in November of 2007.PatriciaLenihanMcFarlandreceivedherMasterswithhonorsfromtheUniversityofCalifornia,SanFrancisco.

Our cOmmitment is tO be aninnOvative leader in

prOviding excellence innurse anesthesia educatiOn

and cOmmunity service.

Kaiser PermanenteSchool of Anesthesia

CALIFORNIA STATE UNIVERSITY FULLERTON

WWW.KPSAN.ORG

Kaiser PermanenteSchool of Anesthesia

CALIFORNIA STATE UNIVERSITY FULLERTON

July, August, September 2014 ANA\C The Nursing Voice • Page 9

Author’s note: I was a SAFRA scholar this summer (2013). I worked with the San Francisco VA, attended multiple lectures from experts in the field, participated in patient Physician visits, and attended support groups. It was fascinating. I want to share what I learned. Thank you for publishing the article.

~RyeHuber,PhD,MS.RN

Anacquaintance toldmerecently thatshe teachesreligionandhasastudentwhoisa nursing student.During class the student pondered, did her teacher haveParkinson’sdisease?Howwould you recognize Parkinson’s disease (PD)?Would you use the age-oldcriteriaofaslowshufflinggait,cogwheelrigidity,blankfacialexpressionortremor?Our older colleagues may have learned these criteria along with the pathophysiology,manifestations, and treatment of PD. In fact, much has been discovered in the pastseveraldecades,muchofwhichdeviatesfromwhatwewerepreviously taught.But…ifyouweretoadmitapatientwith,perhaps,abrokenhiporanupperrespiratoryorurinarytractinfection,andyounoticedintheHistorythatyourpatienthadPD,wouldyoumakecertainnecessaryconnections?HowwillPDaffecttheperson’shospitalization?

AnursecaringforonewithPDmustbecognizantofthecomplexitiesofthediseasewhichaffectactivitiesofdailyliving.Thecarecanbecomplicatedrelatedtomotorandnon-motoraswellasneuropsychiatricdiseasemanifestations,andmedicationsandtheirsideeffects.

PD is the second most common neurodegenerative disorder of adults yet there islittletonocontentinnursingschoolcurriculumdevotedtoPD.Oneofthemorerecentfindings is that the decrease or lack of dopamine producing cells is not limited to aspecific area, the substantia nigra, aswas previously thought. The pathophysiology ofPDisfarmorecomplex, involvingLewybodies, theproteinalpha-synuclein(themajorcomponentoftheLewybody).Alpha-synucleinispresentthroughout the central nervous system. There seems to be a protein misfolding problem or a change in its bindingcapacities leading eventually to neuron death. Therefore, as the disease progresses,we first seebrainstemeffects, thenmidbrain, and finally the cortexwhereweobservechangesphysically,cognitively,emotionally,andbehaviorally.

Patientswill usually presentwith slowness or tremor.However,more common nonmotor or prodromal symptoms are constipation, fatigue, apathy, depression, pain,stiffness. Sounding similar to several othermaladies such as aging, thyroid problems,osteoarthritis,MultipleSclerosis,ChronicFatigueSyndrome,Lymedisease,thecommoncold or flu?Other early signs of PD have been identified, such as decreased sense ofsmell.Evenaslighttremorofalittlefingercanbeoverlooked.

Yet, itmaybe that early diagnosis of PD is extremely important.Wedo know thatthe non-pharmacological treatments such as PT,OT aremore effective if begun early.Withthebesttreatmentonecanfunctionforyears,decades.ThemostcriticalreasontoidentifyPDand carefully chose treatments in the hospital pertains to physical therapy(PT)occupationaltherapy(OT)andmedicationadministrationandsideeffects.

Fallingmaybe themost threateningconsequenceofPD. It is best tobeginPTandOT before the person begins falling. More advanced PD persons experience posturalinstability including retropulsion (backward motion), imbalance, and festinating gait(increased walking speed in an effort to catch up with a displaced center of gravity).Exercise and stretching, standing/stepping/walking/taichi are effective in preventingfalls. Earlier treatment is preferred because falls are notorious for leading to fearof falling and eventually a feeling of “total helplessness.” OT improves the homeenvironment,forexample,byremovingarearugs,changingtheheightofthebathtubandtoilet.

PDdoesnotsuddenlyworsen.However,thesymptomsmaybeexacerbatedbyillness,infection,dehydration,orachangeinmedication.

There are a variety of medication classes used to treat PD. Carbidopa/Levodopa(Sinemet®)combinationof theabove twocompoundswith levodopabeingaprecursorof dopamine. This medication essentially replaces dopamine in the brain. Since theSinemet dosages so dramatically affect function, they must be given precisely on theindividual schedule for each patient. It may be given 14 to 18 times a day! And themultipleadditionaldrugsforPDpatientsaswellasmedicationsforspecificsideeffectsand/ormanifestationsofPDareintricatelyinvolved.Ofcourse,theadministrationofallofthesemedicationsdependsondiet,sleep,activity,psychologicalandemotionalfactors.

A plethora of side effects must be faced. For example, dopamine agonists leadto excessive daytime sleeping, dopaminergic drugs can cause compulsions such asgambling,eating,shopping,orhypersexuality.Levodopacanleadtoseveralsymptomsfrom nausea and dizziness to the “on/off” phenomenon and dyskinesias (jerky orwrithing movements). MAO-B inhibitors can cause nausea and vomiting, orthostatichypotensionandinsomnia.Sinemeteffectsoccuroverawindowoftimeandwidth.Overthe course of the disease, this Sinemet window narrows andmore time is spent withdyskinesiasordiseasemanifestations.

Too little Sinemet does not have enough (therapeutic) effect on the manifestationsof PD; toomuch causes very uncomfortable side effects. The interesting thing here isthatmostPDpatientspreferthedyskinesiastothedisease’smanifestationsandthereforeprefer the larger dose of Sinemet. Remember Michael J. Fox’s body undulations(dyskinesias)?Thisishispreference.

FundamentaltoadvancedPDisthe“on-offphenomenon.”ThisreferstothecomplexprocessbywhichSinemetactsforshorterandshorterperiodsoftime,ordoesn’tkickinatall,orinsomecases,veryerratically.WhentheSinemetdosehasprovidedabenefitand improvement in symptoms the patient is considered “on.”When the symptoms oftremor, stiffness or slowness re-emerge he is “off.” I was fortunate to witness thisphenomenon.WhenthepatientcametotheVAforhisregularvisithewasbarelyabletostand,walk,move,ortalk.HewasthengivenSinemetand,after20minutes,hestoodup,donnedhishatandcoat,clearlybidus“goodbye,”anddancedoutthedooranddownthehall.

As a result of the escalating unpredictable response to carbidopa/levodopa, manyof the other medications utilized help smooth out the response to dosages. Whenhospitalized, every effort must be given to getting the patient his medications at thescheduled time. Diet should be managed in relation to medication; protein should beavoidedforonehourbeforeandafterSinemetadministrationbecauseproteinscompetewithdopaminefortransport.

Referralforsurgicalmanagement-deepbrainstimulation(DBS)-isalsoanoptionforthosewhose symptomsareuncontrolledbypharmacotherapy. If thepatienthasaclear

response to carbidopa/levodopa in their “on” state the surgery may be possible. Thissurgery ismore safeandeffective thanpreviousPDsurgeries suchaspallidotomyandthalamotomy.Briefly, the surgeons place one or two thin flexible electrodes deep intothe frontal lobe(s)of thebrain into theglobuspallaidus internaand/or thesubthalamicnucleus (both in the basal ganglia). Then, a wire is threaded behind the ear (s) andconnected to thepulsegenerator implanted into theupper chest.Thereafter, thepowersourcewhichdeliverselectricalimpulsesismanagedexternallybyapractitioner(oftenaNursePractitioner).PDpatientshaveexperiencedremarkablerelieffromDBSformanyyears.Thepost-opmanagementofDBSsurgeryisfascinating.DBSsurgerycouldopencuttingedgemeaningfulnursingcareers.

PDpersonssufferinmanyways.Theyareembarrassedbytheirbehavior,theget-up-and-gonatureoftheirmovements,especiallybythedyskinesias.Neck,shoulder,andlowbackpainarecommon,causedbydystonia(impairedmuscletone)andrigidity.Researchshowsthatpatientsandcaregiversaremostbotheredbythenon-motorsymptoms.

Wehaveknownfor longthatPDismanifestedbyauniversalslowinginwalking,anarrowinggait,“freezing,”andslowedspeech.Wenowrecognizetheriskofaspirationpneumoniaduetoslowedeatingandswallowing,anddrooling.Eliminationisaffected.Dementiaanddepressionarerelativelycommon.Sleeppatternsareaffected.Thediseaseand/orthemedicationscancausetoolittleortoomuchsleep.

Lessfamiliaristherelativelycommon“sleepbehaviordisorder.”PDpersons’dreamscanbesovividthatthepersonwillactthemoutbyswingingarms,etc.Theymayinjuretheirsleeppartnersbychokingorhittingthemorinjurethemselvesbyhittingawallorfurniture (often in thehospital).Thisbehavior couldbe superimposedonPTSD.Theircaregiversareoftensaints.YoumightwanttoasktoobserveaPDsupportgrouptohearthesesaints’stories.

ItisstronglyrecommendedthateachPDindividualhaveprepareda“HospitalizationKit”totaketothehospitalifadmitted.Anexampleofakitisonthefollowingwebsite.

An excellent source for PD is http://www.parkinsons.va.gov/patients.asp. These areoutstandingvideosfor thepublicpreparedbytheSanFranciscoVAPADRECCoffice.ThereisahospitalspecifickitfreeforpatientsfromTheNationalParkinsonfoundationcalledthe“awareincarekit.”

Nurses are entrusted by the Board of Registered Nursing to “ensure the safety,comfort, personal hygiene, and protection of patients.”When you next admit a patientwithaHistoryofPD,takespecialcaretofamiliarizeyourselfwiththedisease.Youwillthen give the vital comfort, attention, patience, and educationwhich these remarkablepatientsandtheircaregiversrequire.

The Hospitalized Parkinson’s Patient

Page 10 • ANA\C The Nursing Voice July, August, September 2014

RN Day - A Day at the Capitol, April 7th, 2014

On a Friday night at my local chapter meeting ofthe California Nursing Student Association (CNSA) Ifirst heard about the Nursing Student in SacramentoInternship(NSSI)andtheopportunityitwouldprovidetobeapartofathreedayinternshipwithAmericanNursesAssociation (ANA). The event startswith the attendanceof RNDay- A day at the Capitol and would follow twomore days attending committee meetings and hearingsas well as meeting with representatives. I was intriguedby the announcement and made further inquiries aboutwhattheapplicationprocesswasandwhenitneededtobesubmitted.Iquicklyrealizedthattheduedatewasaroundthe corner, the nextWednesdaymorning to be exact.Asa first semester nursing student I am still adjusting tothe heavy workload that is required by California StateUniversity Sacramento (CSUS) BSN program and tothrowanotherduedateonmyplateat the timewasabitunsettling,butIfeltadeterminationtogoforit.Ispenttheweekend preparingmy submission and somehow fit it inwith all theotherpressingduedates. I am soglad that Idid.Iwasoneofthetworecipientschosentotakepartinthisamazingexperiencetogainadeeperunderstandingofourverypowerfuldemocraticprocess.

My lifeprevious to scrubsand IVmedicationswasasa legal clerk for theLegislativeCounselBureau. Iwas apart of the legislative process in a truly physical way.Iwasoneof themanywhodidn’tgohomeat theendofan eight hour shift. Instead we spent the night at workbecause language in a bill needed to be amended orbecause publication changes had to be made that nightbefore it could be released to the bill room. With thiswork I came to understand the process in general aboutbills and how they need to be moved through variouscommittees or appropriations, but I did not realize howan individual citizen could play an essential role in thisprocess. By taking part in this internship my eyes wereopen to new possibilities. Despite growing up in theheartofourstatecapital Ihadnever thoughtof trying tomake an appointment with my district representative inthe Senate or Assembly, or know that I may play a roleineducatingthesemembersonaparticularbill thatI feltstronglyabout.ThisexperiencechangedthatformeandInowseeanewopportunity tobe involved inpolicy fromtheperspectiveofaconcernedconstitute,futureregisterednurse,andcareproviderforourmostvulnerablecitizens.

ThefirstdayoftheinternshipstartedoffwithaspecialacknowledgementbythemanymembersofANA\C.ThenaveryinformativelecturewasprovidedbytheHonorableTriciaHunter, ExecutiveDirector ofANA\C, and former

Assemblywoman, which gave personal insight to thelegislative process and the different pieces of the puzzleof how a bill ismade and supported to becoming a law.The presentationswere relative to us all even though theaudiencewas comprised of various levels of nurses fromadvancedpractitioners,newlylicensed,andstudentnurses.Regardless of our experience levels we could stand asone voice involving issues that impact our professionandthepatientswecarefor.Iwasinspiredbythewealthof knowledge that each member possessed and theirwillingness to share their expertise. The contacts thatI made that day will stay with me and only add to myresourcesforinsightonnursingissues.Wewereinstructedonprotocolformeetingwithourlocalrepresentativesandwereencouraged tomakeourownappointments.Wenotonly were able to meet with legislative staff members,but were able to have a meeting with my co-intern’srepresentativeSenatorHannah-Beth Jackson,who said tous“nursesaremypeeps.”ThisexperiencefilledmewithasenseofpridefortheprofessionIhavechosentopursueandaconnectionwithhowimportantourvoiceis.

The next two days were packed full of attendinghearingcommitteesandvisitstootherrepresentativeswithour guides from ANA\C.We also had the great fortuneto accompany the Honorable Tricia Hunter on some ofhermeetings.These includedobservingaboard thatwasinterviewing new candidates forAssemblyMember seatsin the upcoming elections. This was a highlight for meto see the process of how support from a professionalorganization can play an active role in aligning withcandidateswhoalsoshareconcernsoncurrentlegislation.Through these kind of alignments a candidate is ableto voice to the people that they are going to fight forbills that nurses are standingbehind.Wealso attended apublicmeetingat theboardof registerednurses. Itwasapublic forumon a proposed pilot project for paramedics.Therewererepresentativesfromthemedicalfield,nurse’sorganizations, and fire chiefs of the counties it wouldeffect. The debate was very compelling on all sides andreminded me how there really are no black and whiteissues. I also witnessed how important the process ofdebate is.Onlywith the consideration of themany sidesofanissuecanmemberscometoadecisionthatwillbestserveourpublic.

The experience of participating in the NSSI left mefeelingdeeplymovedandstimulated tobemore involvedinourprocessofgovernmentandpolicymaking.Idecidedto run for Legislative Director of our CNSA chapter atCSUS,andwaselected.Partof theresponsibility for thisposition is to form a committee and draft a resolutionthis summer thatwouldbepresented toour statechapterofCNSA this fall. If chosen itwould bemoved forwardand presented at the national conference next year. Ihope to use the awareness that I gained over these threedays to helpmoldmywords into a tool of expansion forourpractice as studentnurses and to impact the liveswetouch. Iamso thankful tomyfaculty forallowingme toaltermyscheduledmidtermsandclinicaltimetoallowmetopursue thisopportunity.Myadvice toanyonewhohasatingeofinterestinthisexperienceistogoforwardwiththat feeling.Dowhatyoucan tomake thisopportunityapartofyourhistory.Ihaveincreasedmyunderstandingofhowimportantitistofollowourintuitionandtodowhatis within our power to make this world a more humanesocietygovernedbylawsthatsupportustocareandthrive.

Nursing Student in Sacramento Internship

(NSSI) Program Receives Award

CaliforniaNursing Students’Association (CNSA)waspresented with National Students’ Nursing Association’s(NSNA) “Educate Yourself...Facilitate Change” 2014Legislation/EducationStateProjectAwardfortheNursingStudent Sacramento Internship (NSSI) program duringthe NSNA 62nd Annual Convention held at the GaylordOprylandResortandConventionCenterinNashville,TNonApril9-13,2014.

CNSA President Matthew Grayson commented, “TheNSSI project was the submitted project to be consideredfor this award. Thank you to Association of CaliforniaNurseLeaders(ACNL)andAmericanNursesAssociationCalifornia (ANA\C) for their ongoing partnership andsupporttothisaward-winningproject.”

TheCaliforniaNursingStudents’Association (CNSA)Nursing Student in Sacramento Internship (NSSI) is asponsored three day internship position which is opento all CNSA members. Two students are selected toparticipate inNSSIeachyear.Thestudentmustcompletean application and write a political essay which isreviewed by a committee. The students who are chosenarriveinSacramentoandhelpfacilitateRNDay–ADayat theCapitalwith staff.Thenext three days the studentinternwill be trained by legislative nursing professionalsandlegislativeadvocate(s)representingtheANA\Conthelegislativeprocessatthestatelevel.

The two interns will meet executive members ofANA\C, sit-on a multitude of legislative committeemeetings, meet with California senate and assemblymembers, research legislation and understand how it isprioritized, participate in legislative “me too,” and gainrecognition including a diploma of completion and anarticlepieceintheCNSARangeofMotionnewsletterandinANA\C’sTheNursingVoice,aswellasbefeaturedonthewebsite.

Stephanie Smith, Student Nurse at CSU Sacramento2014 NSSI Recipient

Concorde Career College is a nationally recognized and accredited, for-profit education company that prepares committed students for successful employment in a rewarding healthcare profession through high caliber training, real world experience and student centered support. We’re looking for people who want to make an impact at one of the best post-secondary career training institutions in the country. Experience the fulfillment of contributing to a nursing program that provides quality education and training to future generations of healthcare professionals.

Nursing instructors needed for the following locations:• San Diego • San Bernardino • Garden Grove • North Hollywood

Requirements:• Current California RN license.• Minimum of a BSN.• Minimum of 4 years clinical experience in the last 5 years.

Contact: Recruitment DepartmentPhone: 877-866-2340 • Fax: 877-866-2344

Apply online at http://jobs.concorde.edu orsend resume to jobs@concorde.edu

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July, August, September 2014 ANA\C The Nursing Voice • Page 11

Ashley Diamond, MPH Student Nurse at CSU Northridge

2014 NSSI RecipientIfIaskedaroomfulofpeople toshare thefirst image

that pops into their head when they hear the words,“Registered Nurse,” I imagine that some would conjureup images ofwomen in old-fashionedwhite dresseswithwhite hats selflessly caring for patients at the bedside.Others, who did not read Nurse Cherry Ames booksquiteasavidlyasachildas Idid,mightenvisionamoremodern scene with nurses wearing scrubs, competentlyusing both technology and therapeutic human interactionto meet their patients’ needs. I doubt that the words,“Registered Nurse,” would cause many to picture RNsin professional business attire meeting with legislatorsto advocate for the nursing profession and high-qualitypatientcare.Whilethismightnotbeatraditionalviewofwhatnursesdo,duringmyNursingStudentinSacramentoInternship (NSSI) I learned that legislation significantlyimpacts the way that nurses’ are able to provide patientcare.Consequently,itisimportantfornursestounderstandthe legislativeprocess,andhowwecanuseourvoices tohelp legislators make informed decisions when it comesto issues that impact the nursing profession and patientcare.AsanNSSIinternIhadthewonderfulopportunitytolearnfromnurseswhoaredoingexactlythis.

Currently a student in California State University,Northridge’s second degree Accelerated-BSN program,I took the scenic route tonursing, first earningaB.A. inpolitical science. While at one time my career dreamsincluded potentially going into politics, I ultimatelychose to pursue a career in nursing so that I couldmoredirectly serve people. Nurses have the incredible honorand opportunity to support and care for patients andtheir families during some of their most vulnerable,difficult, and beautiful life moments. When I chose topursuenursingIthoughtIwasleavingthepoliticalrealmbehind. Then I learned about NSSI, and the chance toexplore the intersection between legislation, policy, andnursing. During my NSSI experience I met nurses whoarenotonlyprovidingexcellentpatientcareintheclinicalsetting,butarealsousingtheirvoicestoimpactpolicyandlegislation.Ilearnedthattherealmsofnursingandpoliticsare not separate realms, but instead are often intricatelyinterconnected.

NSSI is a collaboration between theAmericanNursesAssociation\California (ANA\C), the Association ofCalifornia Nurse Leaders (ACNL), and the CaliforniaNursing Student Association (CNSA). This year Iwas one of two CNSA member applicants selectedfor the internship. Over the course of three days myfellow intern and I attendedRNDay at theCapital,metwith our local legislators and their staff, and attendedlegislative hearings. A highlight of the experience wasobserving Tricia Hunter, Executive Director of ANA\C,testify at a hearing about paramedics’ scope of practice.ThroughobservationanddiscussionwithTriciaabout thehearing Iwas able to better understand howprofessionalorganizations like ANA\C examine complex legislativeand policy issues, and make decisions about whetherto take a neutral, supportive, or oppositional stance onan issue. Another highlight was meeting with my locallegislators’ offices. In addition to meeting with stafffromAssemblyman JeffGorell’s office,my fellow internand Iwere able tomeetwithmy state Senator,Hannah-Beth Jackson and her staff. It was encouraging to seehow highly Senator Jackson, and all of the legislativestaffmemberswemetwithregardnursesandthenursingprofession.

Iwould like to thankANA\C,ACNL, andCNSA forthe opportunity to participate in NSSI. The experiencehelped me better understand how legislation and policyimpact nursing and patient care, and how we as nursesand nursing students can impact legislation and policy.I am inspired to find ways to use my voice to advancethe nursingprofession, andto encouragemy peers to dothesame.

ANA\C Board Member Donna Dolinar, Award recipient Jill Bormann,

ANA\C President, Monica Weisbrich

Participants at the 2014 RN Day - A Day at the Capitol

Left to rightKristin Dampier, Camila Gomez, Ella Ignacio,

Jessica Cordova, Jennifer Spahr, Dr.Pam Kohlbry

NSSI recipients receive recognition for completion of the NSSI program

from left to right: Roxanne Gould, Phillip Bautista, Tricia Hunter, Stephanie Smith,

Ashley Diamond, Marketa H., Nicole Bloom

RN Day - A Day at the Capitol, April 7th, 2014

Emergency Room RNOak Valley Hospital District is searching for full-time and per diem Emergency Room Registered Nurses in Oakdale California. OVHD offers a culture that is focused more on that one on one patient and caregiver experience. If you’re looking for an organization that truly believes in honoring and taking care of its team members which in turn offers excellent patient care outcomes, Oak Valley Hospital District is your employer of choice.

Our full-time RN position offers a competitive salary and excellent benefits. We also offer a pension plan of 15.9% of an employee’s annual salary each year that the District places into an employee’s account. The employee doesn’t need to contribute. For the right candidate, we also offer relocation assistance and temporary housing.

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Page 12 • ANA\C The Nursing Voice July, August, September 2014

NCSBN 3rd Scientific SymposiumAn Overview by Tricia Hunter, RN, MN

The3rdNCSBNScientificSymposiumwasheldApril10th2014 inArlington,VA.TheprogramisbasedontheresearchgrantsthattheNCSBNprovideseveryyear(over2 million) for research possibly leading to new regulations. The keynote speaker wasDianaMason,PhD,RN,FAANwhose topicwas ‘FromScience toPolicy:ContinuingtheNightingaleLegacy.’Akeypointofherpresentationwas thatdata isnecessarybutnotsufficientforchange.SheisworkingonastudycalledtheIntersectionofMediaandPolicy:AcasestudywhichfocusesontheBRNdebaclewithdiscipline.Thefindingsofthestudywillbereadyforpublicationsometimeattheendoftheyear.

The program divided into three groups presenting research that could impactregulation. The three areas were Education, Practice and Regulatory. The Educationtrack included virtual nursing care for school childrenwith diabetes: a transformativemodelcreatingadatarepositoryfortrackingstudentnursingerrorsandnear-misses;useof a validation study to analyze entry-level nursing practice between triennial practiceanalysis cycles; and a multisite, mixed method examination of student and facultyexperiences and interactions in clinical practice. The Regulatory track was looking atunlicensedcarebyCNA’s.

IattendthePracticetrackwhichincluded:JeriL.Bigbee,PhD,RN,FNP-BC,FAANpresentedastudyonNursesandPopulation

Health:AMulti-factorialStudypaid forby theMooreFoundation.The research is thefirstonratiosandexperienceandeducationeffectsoncommunityhealth.Countieswerethe unit of analysis. Data was used from the NCSBNNurseyDatabase and 33 Stateswere part of the sample. BSN and experience (defined by the number of years fromgraduation)hadthegreatestimpact.Mammographyscreeningrates,teenagebirthrates,andpercentageofadultsreportingfairorpoorhealth.

Laurie Badzek, JD, LLM, MS, RN, FAAN presented on a study ExpandingRegisteredNursesScopeofPractice:AMethodforIntroducingaNewCompetencyintoNursingPractice.Thisisastudybeingdonewith21MagnetHospitals.Thestudyusesgenomicsas theexemplar and is ayearlonggenomiceducation initiativeand2controlMagnetHospitals.

ChristineSzweda,MS,RN,NE-BCpresentedEvaluating theUseofHumanPatientSimulationtoImproveCriticalThinkingCompetenciesandPerceivedSelf-ConfidenceofNewGraduateNursesintheICU.Theexperimentalgroupofparticipants’perceptionsoflearningandapplicationwerepositive.ImprovementsofparticipantsintheinterventiongrouponPBDSreassessmentratingswerenotassignificantashoped.

Alison Trinkoff, ScD, RN, FAAN spoke on Long-TermCare Regulation: Training,Leadership,andQualityOutcomes.Thestudyexaminedtheassociationofeducationandcertificationamongnursinghomeadministratorsanddirectorsofnursingwith residentoutcomes.Thefindingsindicatethatinvestmentinthesetwothingsimprovepatientcare.

Nancy Lerner,DNP,RN presentedNursingHomeQualityDeficiencies Increase inFacilities with High Nursing Staff Turnover. The objective was to examine CNA andlicensednurse turnover in relation todeficiencies of care in nursinghomes.The studydeterminedthatturnoverisrelatedtoqualityproblemsasmeasuredasdeficiencies.

Kihye Han, PhD, RN presented on Do Training Regulations for Certified NursingAssistants Influence Job Satisfaction. The study investigated associations amongstate regulations,CNA training and job satisfaction.The study determined to increaseretentionofCNA’sandimproveworkquality,regulationsregardingtraininghoursneedtobeexamined.Additionalfocusonworklifeskillsshouldalsobeconsidered.

FormoreinformationonNCSBNoranyoftheabovementionedstudiesgotowww.ncsbn.org.

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July, August, September 2014 ANA\C The Nursing Voice • Page 13

Elissa Brown, ANA\C Director for Practice

ManynurseshaveheardabouttheVeteransHealthAdministration’s(VHA)proposednewNursingHandbook,which includesmodified language topromotequalitynursingpractice, including recognition of advanced practice registered nurses (APRNs) as fullpracticeproviders.

The process of rewriting andmodernizing the Nursing Handbookhas taken a number of years, withhope that it will soon be adopted.The new language corresponds tothe Institute of Medicine (IOM) and

Future of Nursing Initiatives, particularlytherecommendationthatnursesbeauthorized

topracticetothefullextentoftheireducationandtraining.Thelanguagepromotesimprovingthequality

ofcare,assuringpatientsafety;andincreasingaccesstocare–includingprimarycare,mental health care and other specialty care, surgical and diagnostic services requiringanesthesia,andpainmanagement.ItwouldalsostandardizeAPRNpracticesandpoliciesacross theVAHealthcare system, andwouldbe congruentwith current policies in theU.S.ArmedForcesandIndianHealthservices.

ANA\California (ANA\C), alongwith the other supporters of adopting the NursingHandbook,believes thathealthcareservicesforVeteranswhohaveservedourcountrysowell,isanumberonepriority.AkeyelementinthemodifiedVHANursingHandbookisthepermittingofAPRNstohavefullpracticeauthority.ThiswillmeanthatAPRNsintheVHAsystemwillbeabletopracticemoreindependently,withouttherequirementofphysiciansupervisionorcollaborativeagreements.Thiswillhelpmeetthegrowingneedforhealthcareservices.

TheCaliforniaActionCoalition(CAAC)hasjoinedwithothersacrossthenationinpromoting adoption of theVHANursingHandbook.Work on the 8 future of nursingrecommendations continues through the CA AC work groups and regions, includingmanynursesaround the state.Workgroup#1– focusesonbreakingdownbarriers tonursingpractice.TheCAACalsohousestheCaliforniaAPRNCoalition,whichconsistsof representatives from the four CaliforniaAPRN organizations,ANA\California, andtheBRN.TheCaliforniaAPRNCoalition specificallydealswith removingbarriers toAdvanced PracticeNursing.With these structures in place, andmany nurses involvedinwork groups, coalitions andmultidisciplinary efforts,California iswell prepared toaddressAPRNandothernursingissues.

On a national level, although there has been some opposition to the handbookchanges, the AmericanNurses Association (ANA) andmore than 50 national nursingassociations, and AARP, and U.S. Congress members, have expressed support for

D aughters of Charity H ealth SystemCELEBRATES THEIR JOURNEY

“As we acknowledge our 12th year as a health system, we know this past decade attaches to our long and

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With over 120 years of expertise, O’Connor Hospital continues to provide clinical excellence and compassionate health care to the residents of Santa Clara County. Please visit our website at http://oconnor.dochs.org

Careers at DCHS –With a calling to care, Daughters of Charity Health System has served the California coast for over

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As a full-service acute care hospital, Saint Louise Regional Hospital is committed to delivering compassionate patient-centered health care encompassing body, mind and spirit for the communities of southern Santa Clara County. Please visit our website at http://saintlouise.dochs.org

For over a century, Seton Medical Center has continued to provide quality, patient-centered health care to the local communities of San Francisco and Northern San Mateo County. Please visit our website at http://seton.dochs.org

Serving the Southeast Los Angeles community, St. Francis Medical Center provides quality health care for each and every person. Please visit our website at http://stfrancis.dochs.org

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The Veterans Health Administration Modernized Nursing Handbook

adoption of the updated VHA Nursing Handbook. They acknowledge the value ofallnurses in thehealthcareworkforce; and theneed to recognizeAPRNsasqualified,licensed,highlyeducatedproviderswhoarevaluableandnecessaryaskeyprofessionalscapableofdeliveringvalued,evidence-basedqualitycare.

Perhaps,bythetimethisarticleisread,significantprogresswillhavebeenmadeinthe adoption of the newNursingHandbook by the VHA, and in recognizingAPRNsas fullpracticeproviders.Furthermore, thehandbookcanserveasamodel fornursingpracticewithinandbeyondtheVHA.

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Page 14 • ANA\C The Nursing Voice July, August, September 2014

Membership

American Nurses Association\

California AwardsThefollowingawardsareopenfornominationandmaybe

presentedtoanyANA\Californiamemberat thenextANA\CaliforniaGeneralAssemblyonSeptember6,2014.

Florence Nightingale AwardThisaward recognizes thedeliveryofoutstandingdirect

patientcarebyaRegisteredNurse.

Ray Cox AwardThis award recognizes the lifelong commitment of an

individualRegisteredNurseinthefieldofnursingandtheirimpact and dedication to the advancement of nursing as aprofessioninthestateofCalifornia.

Elizabeth “Betty” Curtis AwardThis award recognizes a Registered Nurse who is

an advocate on behalf of nursing and health care in thelegislature,regulatoryboards,orotherpublicpolicyarenas.

JoAnne Powell AwardThis award recognizes a person who demonstrates

outstandingleadership,research,orcontributionstothebodyofknowledgeaffectingnursing.

Please submit your nomination(s) to the ANA\C Awards Committee at donnadolinar@anacalifornia.org include the nurse’s name, contact information and a brief bio or

CV, and your rationale for the nomination.

Responses are due to the committee by July 15, 2014.

Formoreinformationabouttheseawardsandthenominationprocess,pleasecontacttheANA\Cofficeat916-447-0225or

anac@anacalifornia.org

Office of Admissions3100 Telegraph Avenue

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510.869.5511admissions@samuelmerritt.edu

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July, August, September 2014 ANA\C The Nursing Voice • Page 15

ANA\California Calendar of Events

AllANA\Cmembersarewelcomeandencouraged toattendmeetingsof theBoardofDirectors.MeetingsareheldinSacramentoattheANA\CofficelocatedinTheSenatorOfficeBuilding,1121LStreet,Suite508,Sacramento,CA.95814.Meetings begin at 10:00 am. unless otherwise noted.Anymember interested in attending aBoardmeeting isasked to notify theANA\C staff at least oneweek prior to themeeting date by calling 916-447-0225.Memberswillreceiveinstructionsforparkingandentryintotheofficebuildingatthattime.

June 2014

6th ANA\CBoardofDirectorsMeetingSacramento,CA.Meetingwillstartat10:00am.

7th CNSApresents‘You’reHired!AchievingSuccessinToday’sRNJobMarket’–9:30am.-12:30pm.Fromm120-XavierAuditorium,SanFrancisco,CAformoreinformationgotowww.cnsa.org

10th-14th ANAMembershipAssemblyWashingtonDCformoreinformationgotowww.nursingworld.org

July 2014

16th ANCCAnnualSymposiumonContinuingNursingEducation,Orlando,FLformoreinformationvisitwww.nursecredentialing.org/CNE-Symposium

August 2014

1st The Nursing Voice–Articlesubmissiondeadline–Forinformationaboutsubmittingandarticle,pleaseseepage2ofthisnewsletterfor The Nursing Voice‘ArticleSubmissionGuidelines’orcall916-447-0225.

1st NSNASummerLeadershipConference,TheMt.SinaiMedicalCenter,GoldwurmAuditorium,ICAHNBuilding,FirstFloor,formoreinformationgotowww.nsna.org

6th ANA\C1stQtrFinancialReview

September 2014

6th BoardofDirectorsMeeting–locationTBA

20th-27th NurseExecutivesDelegationtoCostaRica;SponsoredbyPeopletoPeopleCitizenAmbassadorProgramsVisitfacilities,experienceinformationsocialeventsandroundtablediscussionswithfellownurses.Tolearnmorevisitwww.peopletopeople.com/AONEorcall877.787.2000

October 2014

8th-10th MagnetConference®,Dallas,TX,formoreinformationvisithttp://www.nursecredentialing.org/MagnetConference

17th-19th CNSAConvention, SheratonFairplexHotelandConventionCenterPomonaCalifornia

November 2014

1st The Nursing Voice –Articlesubmissiondeadline–Forinformationaboutsubmittingandarticle,pleaseseepage2ofthisnewsletterforThe Nursing Voice‘ArticleSubmissionGuidelines’orcall916-447-0225.

4th-5th 2014ANAStaffingConference,HyattRegency,NewOrleans,NewOrleans,LAformoreinformationgotowww.nursingworld.org

5th ‘ConsenttoServe’formswillbeacceptedupuntil11:50pm.thisdateforthe2015-2017electionperiod to be voted on by membership beginning December 3rd, 2014

6th-9th NSNAMid-YearConference,HiltonPortland&ExecutiveTower,Portland,ORformoreinformationgotowww.nsna.org

10th-14th ACNLFoundationforLeadershipExcellence,EmbassySuites–AnaheimSouth,GardenGrove,CA92840formoreinformationgotowww.acnl.org

12th ANA\C2ndQtrFinancialReview

December 2014

3rd Onlinevotingopensforthe2015-2017electionofOfficersandDirectorsforANA\C

5th ANA\CBoardofDirectorsMeeting,Sacramento,CAmeetingwillbeginat10:00am.

11th-14th ACNL&CINHC–BuildingaFoundationforLeadershipExcellence

January 2015

28th Closeofthe2015-2017onlinevoting;resultswillbepostedonline,inthenewsletterorbycalling916.447.0225

28th ANA\C3rdQtr.FinancialReview

February 2015

1st The Nursing Voice–Articlesubmissiondeadline–Forinformationaboutsubmittingandarticle,pleaseseepage2ofthisnewsletterforThe Nursing Voice ‘ArticleSubmissionGuidelines’orcall916-447-0225.

4th-6th ANAQualityConference, On the Frontline of Quality: The Future of Health Care,DisneyCoronadoSpringsResort,Orlando,FLformoreinformationgotowww.nursingworld.org

March2015

6th-7th 2013-2015BoardmeetingandorientationofnewBoardofDirectors,Sacramento,CA

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Page 16 • ANA\C The Nursing Voice July, August, September 2014

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