Vermont Nurse ANA-Vermont Connection...Vermont Nurse Connection Letters to the Editor If you wish to submit a “Letter to the Editor,” please address it to: ANA-Vermont Attn: Vermont

current resident or

Presort StandardUS Postage

PAIDPermit 14

Princeton MN55371

Vermont Nurse Connection

ANA-Vermont Official Publication

Quarterly Publication direct mailed to 19000 Registered Nurses LPNs and LNAs in VermontVolume 19 bull Number 4 October November December 2016

Inside

EBP SymposiumPage 4

Itrsquos Official VSNA is now ANA-VermontPage 3

ANA-Vermont Fall ConventionPage 7

Presidentrsquos LetterCarol Hodges MSN RN-BC

As usual much was accomplished at both ANA Lobby Day and Membership Assembly You can check out Christinersquos overview on both of these activities in this issue of the VNC The ANA Department of Government Affairs arranged Lobby Day for all nurses registered to participate The morning breakfast and briefing went over the main talking points for bills that were of substantial importance for all nurses Since the Vermont trio have been doing this for a number of years now our familiarity with both the policy issues and the congressional staff we were meeting with allowed us to not only cover the three bills chosen by ANA but also to discuss candidly our concerns for nurses and the healthcare environment specific to Vermont needs Even though we got much work done there is more work that needs to be done to continue to support all nurses

Nurses continue to be the largest group of healthcare providers whose services are directly linked to quality and cost-effectiveness RNs are responsible for reducing medical errors and decreasing the number of preventable hospital-acquired injuries andor illnesses (Kane 2007) In 2011 Needleman identified that increasing the number of RNs can yield a cost savings of nearly $3 billion through the prevention of adverse patient events

Letrsquos talk about why nurses and the public need to understand the value of the Nursing Workforce Reauthorization Act HR2713 This bill was introduced by Representatives Lois Capp (D-CA) and David Joyce

(R-OH) and would reauthorize the Title VIII of the Public Service Act through 2020 Title VIII funding helps to support nursing education from entry-level preparation through graduate study For five decades this funding has provided loans scholarships and program support to over 450000 nursing students and nurses This type of support has helped to build the supply and distribution of qualified nurses needed in all healthcare settings

The US Bureau of Labor Statisticsrsquo (BLS) has projected that the employment of registered nurses will grow by 19 between the years of 2012ndash2022 Currently

there are 520000 nursing students in the United States to fill the void of the growing demand for RNs and the replacement needs of over one million by 2022 Without funding for preparation and progression in nursing education there will not be enough nurses to care for the baby boomers like myself who will be reaching retirement age at the estimated rate of 10000 people per day between now and 2019

Your role in helping to sustain funding and support for nursing education is needed Please contact Congressman Welch to co-sponsor this important legislation

and also contact Senators Leahy and Sanders to co-sponsor a Senate Bill for the Title VII Nursing Workforce Reauthorization Act which was introduced to the Senate in late July It is extremely important for nurses and especially for the health of all Vermonters To learn more about HR 2713 go to RNActionanaorg andor campaignforactionorg The campaign for action website will link into Vermontrsquos Future of Nursing or go directly to VermontNursingorg

The ANA-Vermont website has been updated ANA-VermontorgWe will continue to update and expand the website so look out for

e-mails and keep checking

Do you want to stay updated on the latest ANA-Vermont has to offerLearn of webinars offered by the ANA How you can earn CEU hours

lsquoLike Usrsquo on FacebookFollow us on Twitter VTnurses

Questions regarding our social media and websiteE-Mail membershipanavermontorg

SAVE THE DATE

ANA- Vermont (Carol Hodges MSN RN-C President Christine Ryan RN MSA

Executive Director Caroline Tassey MSN ARNP Membership Assembly Delegate) and

Congressman Welch

Page 2 bull Vermont Nurse Connection October November December 2016


Official publication of ANA-Vermont a constituent member of the American Nurses Association Published quarterly every January April July and October Library subscription price is $20 per year ISSN 1529-4609

Editorial OfficesANA-Vermont 100 Dorset Street 13 South Burlington VT

05403 PH (802) 651-8886 E-mail vtnursevsna-incorgEditor Jean E Graham

AdvertisingFor advertising rates and information please contact Arthur L

Davis Publishing Agency Inc 517 Washington Street PO Box 216 Cedar Falls Iowa 50613 (800) 626-4081 salesaldpubcom ANA-Vermont and the Arthur L Davis Publishing Agency Inc reserve 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-Vermont 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-Vermont and the Arthur L Davis Publishing Agency Inc shall not be held liable for any consequences resulting from purchase or use of an advertiserrsquos product Articles appearing in this publication express the opinions of the authors they do not necessarily reflect views of the staff board or membership of ANA-Vermont or those of the national or local associations

ContentANA-Vermont welcomes unsolicited manuscripts and

suggestions for articles Manuscripts can be up tobull 750 words for a press releasebull 1500 words for a feature articleManuscripts should be typed double-spaced and spell-checked

with only one space after a period and can be submitted1) As paper hard copy

2) As a Word Perfect or MS Word document file saved to a 3 12rdquo disk or to CD-Rom or zip disk

3) Or e-mailed as a Word Perfect or MS Word document file to vtnursevsna-incorg

No faxes will be accepted Authorsrsquo names should be placed after title with credentials and affiliation Please send a photograph of yourself if you are submitting a feature article

All articles submitted to andor published in Vermont Nurse Connection become the sole property of ANA-Vermont and may not be reprinted without permission

All accepted manuscripts may undergo editorial revision to conform to the standards of the newsletter or to improve clarity

The Vermont Nurse Connection is not a peer review publication Articles appearing in this publication express the opinions of the authors they do not necessarily reflect views of the staff board or membership of ANA-Vermont or those of the national or local association

Copyright Policy Criteria for ArticlesThe policy of the ANA-Vermont Editorial Board is to retain

copyright privileges and control of articles published in the Vermont Nurse Connection unless the articles have been previously published or the author retains copyright

ANA-Vermont Officers and Board of DirectorsPresident Carol HodgesVice President Secretary Meredith RobertsTreasurer Nik ZnamenskisDirector at Large Patty DeNicolaExecutive DirectorGovernment Affairs Christine RyanMembership amp Marketing Eileen Rodgers

2016 ANA-Vermont Foundation BoardPresident Mary Anne DouglasVice President Amy CurleyTreasurer Nik ZnamenskisSecretary Paula Howard Carol Hodges

VNC DirectorEditorJeannie Graham

Committee ChairpersonsBylaws VacantGovernment Affairs Christine RyanMembership amp Publicity Task Force VolunteersNominations amp Elections Task Force VolunteersNursing Practice VacantEducation Deborah SanguinettiVermont State Peer ReviewLeader of NEMSD Carol HodgesPsychiatric Special Interest Group Maureen McGuireCongressional Coordinator Christine RyanSenate Coordinator for Sanders Christine RyanSenate Coordinator for Leahy Christine RyanANA Membership Assembly Representatives Carol HodgesAlternate Representatives Caroline Tassey

RecognitionANA-Vermont would like to acknowledge Board

member Patty DeNicola RN BSN Patty has served as a Director on the ANA-Vermont Board since 2014 Patty DeNicola RN BSN has been a committed and participatory board member of ANA-Vermont She speaks on behalf of Vermont nurses and always delivers a creative and thoughtful approach to improving the work of ANA-Vermont and supporting the Vermont nurse and nursing students

At this time I would like to personally apologize and inform the readership of the Vermont Nurse Connection(VNC) that Patty DeNicola RN BSN has been omitted from publication under the heading ldquoANA-Vermont Officers amp Board of Directorsrdquo This error was accidental and has been corrected

ANA-Vermont is incredibly grateful and fortunate to have such committed and visionary participation from our board members The important work of our state association could not be achieved with out the voluntary time efforts expertise and professionalism that our board members contribute

Patty thank you for all your contributions and support ANA-Vermont apologies for the VNC omission and appreciates your understanding

Sincerely

Christine Ryan RN MSAANA-Vermont Executive DirectorGovernment Affairs

Published byArthur L Davis

Publishing Agency Inc

wwwANA-Vermontorg

Are you interested in contributing an article to an upcoming issue of the Vermont Nurse Connection If so here is a list of submission deadlines for the next 2 issues

Vol 20 1 ndash October 17 2016Vol 20 2 ndash January 16 2017

Articles may be sent to the editors of the Vermont Nurse Connection at

ANA-VermontAttention VNC

100 Dorset Street Suite 13South Burlington VT 05403-6241

Articles may also be submitted electronically to vtnursevsna-incorg

Deadlines for theVermont Nurse Connection Letters to the Editor

If you wish to submit a ldquoLetter to the Editorrdquo please address it to

ANA-VermontAttn Vermont Nurse Connection100 Dorset Street 13South Burlington VT 05403

Please remember to include contact information as letter authors may need to be contacted by the editors of the VNC for clarification NOTE Letters to the Editor reflect the opinions of the letter authors and should not be assumed to reflect the opinions of the ANA-Vermont

Jean Graham Editor

Looking to advance your career at an award-winning community hospital in a locale that will have you wondering why you ever chose

to live anywhere else

Come join the Northwestern Medical Center family where we consistently earn top honors for patient care and continually look for new and innovative ways to improve Be part of a

team where you can make a difference all while enjoying the quality of life

Vermont provides

Nursing Positionsbull RN Practice Manager Primary Care

bull Experienced Emergency Department RNsbull ASPIRE RN Residency Program for

New Graduate RNs

wwwnorthwesternmedicalcenterorg

Seeking a

Full-Time LPN

At Cathedral Square wersquore dedicated to ldquoHealthy Homes Caring Communities and Positive Agingrdquo Wersquore looking for an energetic Licensed Practical Nurse (LPN) who wants to help local seniors age with comfort and dignity Our dedicated and experienced staff work to provide the highest level of care with a focus on personal attention to residents

If yoursquore an LPN consider this full-time opportunity with a local leader in affordable housing The successful candidate will provide charge nurse duties care and services to our residents at our licensed assisted living facility Applicants must have a valid Vermont LPN license and preference will be given to candidates with experience in a long term care setting Evenings every other weekend

Cathedral Square is ranked as one of the 10 Best Places to Work in Vermont by Vermont Business Magazine CSC offers a competitive salary and excellent benefits We encourage qualified applicants to submit resume or application to jobscathedralsquareorg

Winner of ldquoBest Places to Work in Vermontrdquo2015 and 2016

October November December 2016 Vermont Nurse Connection bull Page 3

Voices of Vermont Nurses

premiered at VSNA Convention 2000 and is available from the ANA-Vermont Office at

ANA - Vermont100 Dorset Street 13

South Burlington Vermont 05403

Price $20 each book (plus $395 for postage and handling)

Make check or money order payable toVERMONT STATE NURSES FOUNDATION

Name ____________________________________

Address __________________________________

City ______________________________________

State __________________ Zip ______________

Vermont (July 1 2016) At its Annual Business meeting in September 2015 the Vermont State Nurses Association (VSNA) voted unanimously to change itrsquos longstanding name from VSNA to ANA-Vermont Along with the name change the association will be changing its logo The roll-out of the new name and logo begins this month Our website has also changed to wwwANA-Vermontorg

Founded in 1914 ANA-Vermont has been the representative voice of Vermont registered nurses and is the statersquos premier nursesrsquo membership association affiliated with the American Nurses Association (ANA) To reflect its relationship with the ANA and its joint mission the VSNA Board suggested changing the name to ANA-Vermont which the VSNA membership voted to do in October 2015

ANA-Vermontrsquos Executive Director Christine Ryan RN MSA stated ldquoWe decided the name change would make our association more visible and recognizes the power and representation its affiliation with ANA

brings to its membership Our new logo will reflect our relationship with ANA by reflecting its colors and design The new name and logo will represent our partnership with the ANA our umbrella organization and the valuable role the nursing profession plays within the healthcare environmentrdquo

ANA-Vermont is the statersquos leading nursing organization representing over 400 registered nurses and growing Through ANA-Vermont registered nurses can be involved in the decisions that allow them to practice the profession of nursing health care practice and workplace legislation practice standards and ethics workplace issues including occupational health and safety ANA-Vermont is at the forefront of improving the quality of health care for all Vermonters For more information about membership with ANA-Vermont see our website at wwwANA-Vermontorg

VSNA Becomes ANA-Vermont

RN or LPN - 2nd Shift

The Residence at Shelburne Bay a premiere Level III hospitality-oriented senior living community is currently accepting applications for an RN or LPN for 2nd shift this would include every other weekend

Applicants must havebull Good verbal and written communication skillsbull Be nurturing caring compassionatebull Strong work ethicbull Current Vermont licensebull Assisted Living experience preferred however will train

the right candidatebull Must be able to pass nationwide criminal amp VT state

adult amp child abuse background checks

The Residence at Shelburne Bay offers excellent starting pay and benefits

If yoursquod like to make a difference in our residentsrsquo lives please reply with Resume to

Dan Daly Executive Directorddalyresidenceshelburnebaycom or call 802-383-9137

or mail toThe Residence at Shelburne Bay

185 Pine Haven Shores Road bull Shelburne VT 05482Attn Dan Daly

residenceshelburnebaycom

JOIN OUR TEAM

at Northeastern Vermont Regional Hospital located in Vermontrsquos historic and rural Northeast Kingdom NVRH is proud to offer a positive working community in which to

grow learn and excel in your profession

Various Nursing and Nurse Practitioner positions are currently available in MedSurg Emergency Services

OR Day Surgery and Physician PracticesNew grads are welcome and encouraged to apply

For a full listing of available positions and tocomplete the online application visit the Employment

Opportunities pages at wwwNVRHorg

NVRH offers competitive wages shift differentials per diem premiums and a generous benefits package for PT and FT

employees working 20 or more hours per weekBenefits include medical dental vision 401K retirement

plan tuition reimbursement paid vacation daysmembership to local gyms and more

NVRH is an Equal Opportunity Employer

Make A Difference As A Home Health Nurse

Call on the full range of your nursing skills and help individuals regain independence stay healthy and find peace of mind One-to-one patient care Advanced acute care needs in the home Point-of-care technology Support and collaboration with an interdisciplinary team Working in or near your community Flexible schedules


Priscilla Smith-Trudeau

Leadership is critical to advancing the nursing profession All levels of an organization require strong nursing leadership to establish a healthy work environment Strong leadership is particularly crucial at the point of care where most front line staff work and patient care is delivered To develop the leadership skills necessary to support the development of healthy work places current and future nurses will need guidance and mentoringi One of the most sacred relationships among teams of people is that between leaders and followers This relationship so central and crucial depends to an extraordinary degree on the clearly expressed and consistently demonstrated values of the leader as seen through the special lens of followers This is why leadership and ethics are inextricably woven togetherii

Leadership is an art something to be learned over time not simply by reading books Leadership is more a weaving of relationships than an amassing of information

~ Mas DePree

Whether you are a registered nurse licensed practical nurse or a licensed nursing assistant providing a service to patients and their significant others you have followers Perhaps the only agreement about a leader is that he or

Nursing Leadership at All LevelsThe Art of Self-Leadership

she is recognized by the simple fact that others are following the direction he or she establishes So what am I talking about In 2005 I returned to my clinical practice as a per diem on a busy acute care floor My first day on duty it was clear to me that I needed to find someone who could teach me the ropes and the ins and outs of the way the unit operated It didnrsquot take me long to observe that there was a seasoned nursing assistant who could lead the way I simply said ldquoTell me where to be and whenrdquo and I was off and running as her follower I knew I was in the presence of a person who practiced self-leadership She didnrsquot have a degree in nursing What she did have was life experience and years of working with patients with disabilities She was proficient enthusiastic and committed to the work Leadership is not about a position it is about staying committed to the vision mission and values at all levels of the team

A leader is one who knows the way goes the way and shows the way

~ John Maxwell

The question arises continuously about the traits an individual needs to lead Personal trait theories of leadership endeavored to differentiate leaders from other people and identify the universal attributes DuBrin (1995) summarizes much of the research on traits in his book on leadership General personality traits include self-confidence honesty integrity and credibility

assertiveness emotional stability enthusiasm a sense of humor warmth high tolerance for frustration self-awareness and self-objectivity On the other hand task-related personality traits include initiative sensitivity to others and empathy flexibility and adaptability internal locus of control courage and resilienceiii In their highly acclaimed book Kouzes and Posner (1987) contend Honesty is absolutely essential to leadership After all if we are willing to follow someone whether it be in to battle or into the boardroom we first want to assure ourselves that the person is worthy of our trust We want to know that he or she is being truthful ethical and principled We want to be fully confident in the integrity of our leadersiv There are numerous websites that offer questionnaires for people searching for their leadership traits I am an advocate of following TR Ramachandranrsquos advice when he says ldquoLooking for leadership Look in the mirrorrdquo Socrates says ldquoKnow thyselfrdquo Aristotle said ldquoKnowing yourself is the

beginning of all wisdomrdquo Pondering these quotes can be the beginning of opening a privileged window into onersquos leadership traits and the discovery of onersquos leadership style

Searching for leadership styles can be a complex process of researching numerous theories that began in the 1840s There are as many theories on leadership as there are philosophers researchers and professors that have studied and ultimately published their leadership


Tips for Self-Leadership

Develop self-awareness in all areas of your life

Be aware of the uniqueness of yourself

Step back and learn from what life is revealing to you

Live in the present moment

Focus on success actively rejecting pessimism

Be a lifelong leaner

Set goals for your life

Unleash your imagination and energy

Act with integrity

Trust your judgement

Primary Care RN opportunities(East Corinth and Wells River VT)

Ideal applicants will have valid VT nursing license experience with phone triage phlebotomy patient education

electronic health record and knowledge of medical equipment used in diagnosis and treatment of patients in an

outpatient primary care setting

We offer competitive wages Health and LifeSTDLTD insurances 401 K with company match Earned Time Off

and Paid Holidays

E-mail resume to HRlittleriversorg or send to Director of Human Resources Little Rivers Health Care 146 Mill St

Bradford VT 05033 EOEwwwlittleriversorg


theory The research and scholarship of Cummings et al reveal that leadership focused on task completion alone is not sufficient to achieve optimum outcomes for the nursing workforce and that efforts by organizations and individuals to encourage and develop transformational and relational leadership are needed to enhance nurse satisfaction recruitment retention and healthy work environments particularly in this current and worsening nursing shortagev Like the song says lsquoAll Roads Lead Back to Yoursquo If you are a member of the nursing staff you are a leader whether you like it or not Your actions affect others and that in essence is leadership How you walk talk dress and whether or not you go the extra mile all have an impact on those around you Self-knowledge has long been established as one of the hallmarks of great leaders and the gateway to practicing self-leadership

According to Mans and Sims (1995) there are three basic assumptions that underlie the idea of self-leadership

1 Everyone practices self-leadership to some degree but not everyone is an effective self-leader

2 Self-leadership can be learned and thus is not restricted to people who are ldquobornrdquo to be self-starters or self-motivated

3 Self-leadership is relevant to executives managers and all employees ndash that is to everyone who worksvi

Every day nursing staff at all levels can choose to grow and focus on the practices and attitudes that enable them to cultivate and sustain self-leadership The path to self-leadership takes time and perseverance The journey is filled with highs lows and some pleasant surprises Knowing who you are what resonates with you what you truly believe in ndash these things inform every single action you take every day There are several different aspects of self-leadership The most important is the ability to acknowledge understand and be mindful of onersquos own values viewpoints strengths weaknesses leadership predisposition and emotional and spiritual needs As a leader how are you showing up Are you complaining and criticizing or are you purposefully leading by example When at work are you thinking about your life at home or is all of your being fully present and fulfilling your purpose In the nursing profession purpose is the most essential core of self-leadership Without purpose there is no mission vision or reason for being According to David Brings PhD LP (1998) purpose is the ideacutee fixe the recurring theme the touchstone of self that flows beneath the surface like an underground spring nourishing the continuous and future expressions of who we arevii Purpose has also been termed the ultimate driving force of life a calling and the reason we are born People who practice the art of self-leadership work from their strengths in ways that make their limitations irrelevant and their purpose ignites a sense of the possible Being around

people who practice self-leadership can be inspiring to others to bring out the best in themselves to pursue excellence

If you want to awaken all of humanity then awake all of yourself If you want to eliminate the suffering in the world then eliminate all that is dark and negative in yourself Truly the greatest gift you have to give is that of your own self-transformation

~ Lao Tzu

This article is dedicated to Sandra Hoyt Licensed Nursing Assistant

Priscilla Smith-Trudeau MSM RN BSN CRRN CCM HNB-BC is an author speaker and healthcare leadership management consultant specializing in workforce diversity Priscillarsquos research and consulting has been focused on understanding nursing work group cultures

(Endnotes)i Schulling K (2012 April 3) Importance of leadership in

nursing Retrieved May 15 2016 from httpskerrischuilingwordpresscom20120403importance-of-leadership-in-nursing

ii De Pree M (2008) Where do ethics and leadership intersect In Leadership jazz The essential elements of a great leader (p 123) New York Doubleday

iii Dubrin A J (1995) Leadership Research Findings Practices and Skills Boston Houghton-Mifflin

iv Kouzes J M and B Z Posner (1987) The Leadership Challenge How to get extraordinary things done in organizations San Francisco CA Jossey-Bass

v Cummings GG MacGregor T Davey M Lee H Wong CA Lo E Muise M Stafford E (2010) International Journal of Nursing Studies 47(3) pp 363-385

vi Manz CC amp Sims H P (1995) Super-leadership Beyond the Myth of Heroic Leadership in The Leaderrsquos Companion Insights on leadership through the ages (p 217) New York NY Simon amp Schuster

vii Cashman Kevin (1998) ldquoPathway One Personal Masteryrdquo Leadership from the Inside Out Becoming a Leader for Life (p 64)San Francisco CA Berrett-Koehler 1998

Without ANA-Vermontthere would beNO influence on laws rules and

Scope of Practice

NO national collaboration

NO professional protection

NO state accrediting body for continuing education

NO role model for the next generation

NO voice for nursing

It Pays to Join Your Professional Association

Vermont Psychiatric Care Hospital

Attention RegisteRed nuRses

Make a career change change a life

ldquoThe system of care for those that deal with psychiatric disabilities is changing in Vermont and the Vermont Psychiatric Care Hospital is a great

place to work and to become a part of this changerdquo~ Grace RN PN2 Charge

We have a new compensation plan

To view and apply visit our websitewwwcareersvermontgov

Your opportunity to make a difference in the lives under your care awaits

Valley Vista an inpatient alcohol and chemical dependency treatment facility located in beautiful Bradford VT is currently seeking full time and per diem RNs amp LPNs

How you can helpbull Obtainingcomprehensivenursingassessmentsofpatientsattimeofadmissionbull Initiatingnursingprocessbyplanningcoordinatingimplementingandevaluating

nursing care based on clinical knowledge patient needs and data collectionbull Recognizingandinterpretingsymptomsofchemicaldependencywithdrawaland

medications based on established medical protocolsbull Assistingmedicalstaffasnecessaryandappropriatebull Performingmentalstatusevaluationtodetermineneedforfurtherpsychiatricevaluationbull Triagingpatientinjuriesandillnessesbull Documentationofcareprovidedincludingassessmentsinterventionsand

treatment plans related to patient carebull Maintainingclosecommunicationwithclinicalstaffregardingmedicalinformation

that may impact patient treatment andor continued carebull Assessingcarerelatedtochangeinpatientconditionandinitiatingrevisionsas

needed-utilizingappliednursingdiagnosticstandardsbull Processingadmissionrequestsschedulingandintakeprocessasnecessary

BenefitsMedicaldentalvisioncarelifeinsuranceand401keligibilityforfulltimeemployment as well as paid time off paid holidays an idyllic setting and great place to live with unlimited recreational opportunities

To applySendresumeandcertificationstojennygilmanvvistanet

23UpperPlainbullBradfordVermont05033wwwvvistanet

No phone calls please

Ask about our LPN signing bonus

Our nurses rehab specialists and social workers deliver patient-centered

care in a better place the home

NOW HIRINGHome Health RN

(full-time and part-time)

Hospice Triage RN (part-time)

Home Health RN IV Infusion(per diem)

RN Central Care Coordinator(full-time)

Infection ControlInsurance Authorization RN (full-time)

Contact HR at hrcvhhhorg or go to wwwcvhhhorgcareers for additional information or to apply

Visit us facebook

Online at wwwcvhhhorg or call 802-223-1878

For the past 25 years the Maine Migrant Health Program (MMHP) has provided health care access to migrant and seasonal farmworkers (MSFWs) throughout the state of Maine

We are seeking a Nurse Clinical Coordinator (CC) to coordinate clinical services of an all-mobile health center Current RNFNP license in the state of Maine

Monday-Thursday Competitive salary and benefits

SIGN ON BONUSSend resume and cover letter to mmhpmainemigrantorg For a complete job description visit wwwmainemigrantorg EOE

Clinical Coordinator

The University of Vermont RN to BS Program

bull CreditgivenforpreviouseducationandRNlicensurebull Part-timeprogramwithonlinenursingcoursesdesignedforworkingadults

bull FormoreinformationvisithttptinyurlcomUVMRNtoBSOremailMargaretAitkenmeduvmedu


Lobby DayChristine Ryan RN MSA

ANA-Vermont Executive DirectorGovernment Affairs

bull Over 300 nursesstudents were on Capital Hill advocating for the nursing profession and patients

bull Thousands more were advocating virtually through online phone and social media efforts throughout the day

ldquoIt is truly an extraordinary time to be a nurse and advocating for health carerdquo said ANA President Pamela F Cipriano PhD RN NEA-BC FAAN who welcomed participants and several speakers US Senators Joseph Manchin III (D-WV) Richard N Burr (R-NC) and Jeff A Merkley (D-OR) on June 23 2016 This is a prime opportunity to educate our lawmakers about the issues that are important to us (such as safe staffing) We know that when there are not enough nurses (patient) mortality goes up Wersquore the last line of defense and you represent millions of people who rely on us each dayrdquo

ANA President Pamela F Cipriano PhD RN NEA-BC FAAN also addressed recent gun control legislative activity ldquoIrsquod be remiss if I didnrsquot mention our feelings of sadness around the recent events in Orlando She told nurses about the Congressionally-imposed longstanding ban on the Centers for Disease Control and Prevention from conducting research on gun violence Is that anti-science or what Cipriano asked We have to lift the ban and act on the evidencerdquo

Vermontrsquos delegation Carol Hodges MSN RN-C ANA-Vermont President Caroline Tassey MSN ARNP ANA-Vermont Delegate and Christine Ryan RN MSA ANA-Vermont Executive DirectorGovernment Affairs had the opportunity to meet with Congressman Welch and staff representing Vermontrsquos political leaders Our dialogue covered a range of topics from gun violence the opioid crisis and NPrsquos receiving full prescriptive authority and the nursing shortage

National Legislation discussed with our Washington DC representatives

bull The Registered Nurse Safe Staffing Act-HR2083S1132

bull Title VIII Nursing Workforce Reauthorization Act-HR2713

bull The Home Health Care Planning Improvement Act-HR2713S578

ANA Lobby Day 2016 proved to be a success for nurses nationwide and an opportunity to represent the interests of the nationrsquos 36 million registered nurses and the patients we care for For additional information about national legislation and advocacy efforts visit the ANA at nursingworldorg

ANA-Vermont visits Washington DC to participate in ANArsquos Annual Lobby Day

and Membership AssemblyJune 23-25 2016

ANA- Vermont (Carol Hodges MSN RN C President Christine Ryan RN MSA Executive Director

Caroline Tassey MSN ARNP Membership Assembly Delegate) and Congressman Welch

ANA-Vermont (Christine Ryan RN MSAExecutive Director Caroline Tassey MSN ARNP Membership

Assembly Delegate Carol Hodges MSN RN C President)meet with Senator Leahyrsquos staffers Frieda Lynn Arenos

and Kathryn N Toomajian

BSN-LINC 1-877-656-1483 or bsn-lincwisconsineduMSN-LINC 1-888-674-8942 or uwgbedunursingmsn

RN to BSN Online Program MSN Online Program

bull No Campus Visitsbull Nationally

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Established in 1884 the Vermont Veteranrsquos Home is a 130-bed licensed nursing home that raises the bar on high-quality person-centered care that is provided to our Veterans and Members Join us and be part of innovative programs such as Namaste and an Alarm and Restraint free campus

Become part of our healthcare team

For more information or questions regarding available positions please contact

Joyce Santacross Human Resources Administrator at (802) 447-6535

or email joycesantacrossVermontgovVVH Website httpvvhvermontgov

Job Openings httphumanresourcesvermontgovcareers

The State of Vermont offers an excellent total compensation package The State of Vermont is an

Equal Opportunity Employer

GGreensboro Nursing Home offers a unique opportunity to deliver exceptional patient care in a supportive environment of caring and knowledgeable staff

while enjoying excellent pay and outstanding benefits including a 401k with a match We are a 30-bed non-profit rehab and long term care facility Our

small size allows us to deliver the most personal care possible and our team cares about each other as much as we do our residents As a non-profit we are focused on our community not our bottom line We are located only a

half hour fhalf hour from Morrisville or St JohnsburyApply in person or forward resume to Bill White Greensboro Nursing Home

47 Maggies Pond Road Greensboro VT E-mail wwhitegnhvtorg

Hiring LNAs

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E-mail simplewreathgmailcom

Custom orders amp monograms available

Please enjoy 10 offwith coupon code

NURSE10




Membership AssemblyChristine Ryan RN MSA


Advocacy and the theme ldquoShaping the Futurerdquo were the focal points of much dialogue at this yearrsquos Membership Assembly In her address ANA President Pamela Cipriano PhD RN NEA-BC FAAN stated ldquoConsumers are critical to our future We need to create a preference (for nurses and nursing care) in their hearts and minds We want them to say ldquoWhere is my nurserdquo Cipriano said ldquothe ANA and nurses must increase their footprint or influence and leverage the power of the nationrsquos 36 million nurses rdquoThe American Nurses Association (ANA) Membership Assembly 2016 consisted of three full days of representatives from all fifty states joining together to accomplish the following

bull Nurses participated and engaged on key issues Patients and Families as Co-Creators of Safety Changing the Game Nursing Advocacy for Sexual Minority and Gender Diverse Populations and Dealing with Substance Use Disorder in Nursing

bull Membership Assembly representatives elected six members to the ANA Board of Directors and three members to the Nominations and Elections Committee

bull Nurse leaders voted on extending the Value Pricing Pilot Criteria for Organizational Affiliates and ANA Dues Policy

bull Annual regional business meetings were heldbull Multiple dialogue forums were scheduled such as

Opioid Dependence and Associated Drug Related Overdose and Deaths Nurses on Boards Efforts State and National and Association Membership Acquiring Engaging and Retaining New RNs

The keynote speaker Knitasha Washington DHA FACHE Executive Director of Consumers Advancing Patient Safety shared a personal story about her father who died from a preventable medical error following surgery and her journey from health care administrator to patient and family engagement advocate ldquoI canrsquot tell you what that felt likerdquo Washington said ldquoI worked in a health care system that I trusted and it failed merdquo

Knitasha Washington ldquourged nurses to work toward more effectively engaging patients and their families in their own health care as well as in helping to shape health policyrdquo ldquoYou need to ask yourself how are you engaging patients-not just at the point of care or bedsiderdquo Washington said ldquoIt should be all along the continuumrdquo

Washington shared patient engagement models and encouraged nurses to increase diversity within the nursing profession and work toward eliminating health disparities ldquoShe further emphasized that health care professionals must be aware of their own biases so they can change their behavior and responsesrdquo

ANA-Vermont attends Membership Assembly June 24- 25 2016

Washington DC Pictured are Caroline Tassey MSN ARNP Membership

Assembly Delegate Christine Ryan RN MSA Executive Director and Carol

Hodges MSN RN C President

ANA-Vermont (Caroline Tassey MSN ARNP Membership Assembly Delegate

and Carol Hodges MSN RN C ANA Vermont President visit Senator

Sandersrsquo Office






SAVE THE DATE

ANA-VermontAnnual Fall Convention

October 14 2016at the Shelburne Museum

Shelburne VT

For more information visit the ANA-Vermont website

httpwwwANA-Vermontorg

UVM Graduate Nursing Programsbull MasterrsquosSciencendashClinicalNurseLeader(CNL)programprepares

graduatestocoordinatepatientcareandofferdirectcareincomplexcircumstancesthroughtheutilizationofthelatestinnovationsinhealthcarebasedinevidence-basedpractice

bull DoctorofNursingPractice(DNP)programpreparesgraduatestoprovideprimarycareasadvancedpracticeregisterednursesinoneoftwotracksAdult-GerontologyNursePractitioner(AGNP)orFamilyNursePractitioner(FNP)

bull PostMSDoctorofNursingPractice(DNP)programpreparesregisterednurseswithamasterrsquosdegreeinnursingtoassumerolesinadvancednursingpracticeasanursepractitionerorasanexecutivenurseleaderinavarietyofhealthcaresettings

FormoreinformationvisithttpwwwuvmeducnhsEmailcnhsossuvmedu


The Arthur L Davis Publishing Agency Inc

2017 ScholarshipVermont State Nurses

Foundation Inc100 Dorset Street Suite 13South Burlington VT 05403

(802) 651-8886

Applications for the $1000 scholarship are open to ANA-Vermont members who are

currently enrolled in an undergraduate or graduate nursing program and who

are active in a professional nursing organization

Submit your application by August 1 2017 by filling out the

online formhttpsdocsgooglecomforms

d1HOXJkAdlshV2ioeRV3fkEsr16_rDxVh-2ec3ttST_hUviewformc=0ampw=1

Application for the 2017Pat amp Frank Allen

Scholarship

Vermont State Nurses Foundation Inc

100 Dorset Street Suite 13South Burlington VT 05403

(802) 651-8886

The Pat amp Frank Allen Scholarship is a $150000 award given to a registered

nurse who is a matriculated student in an accredited nursing program

Applications must be submitted by August 1 2017 You do not have to be

a member of ANA-Vermont but priority will be given to ANA-Vermont members

please go online to fill out the formhttpsdocsgooglecomforms


Application for the 2017Judy Cohen Scholarship



(802) 651-8886

The Judy Cohen Scholarship is a $2000 award given to a registered nurse who is in a baccalaureate or

higher degree accreditednursing program

Applications must be submitted by August 1 2017 You do not have to be a member of ANA-Vermont but priority

will be given to ANA-Vermont members

To apply for the scholarship please fill out this form

httpsdocsgooglecomformsd1HOXJkAdlshV2ioeRV3fkEsr16_rDxVh-

2ec3ttST_hUviewformc=0ampw=1

Marilyn Rinker Leadership Scholarship Application

Application ndash 2017 deadline March 25 2017

Name _____________________________________________________________

Address ____________________________________________________________

Telephone ____________________ Email Address ______________________

Vt RN Lic _____________________ VONL member since _________________

School of Nursing _____________________________________________________

Currently in which year 1 2 3 4 year of graduation (if applicable) _______________

Graduate school _______________________ 1st yr _________ 2nd year _________

expected date of graduation ______________

If employed in nursing current employer __________________________________

Currently receiving Financial Aid Grants Scholarships Yes _______ No _______

If yes please list the sources ______________________________________________

Please attach to this form1 Reacutesumeacute2 Most recent transcript of grades demonstrating a cumulative average of 30 (B)3 A brief essay (500 words or less) describing nursing leadership experience and

aspirations community service experience commitment to serve in Vermont and financial need

4 At least two (2) letters of recommendation (at least one academic and one work related)

5 Evidence of acceptance in an accredited program leading to an advanced degree in nursing if not yet matriculated

I understand that if I receive an Advanced Degree Nurse Leaders Scholarship I commit to practice nursing in Vermont for a minimum period of two years following graduation

Student signature ______________________________ Date _________________

Return application (with attached materials) before March 25 2017 to

Martha Buck VAHHSVONL148 Main Street Montpelier VT 05602

(802)223-3461ext 111 Marthavahhsorg

Vermont Organization of Nurse LeadersMarilyn Rinker Leadership Scholarship for Nurses in an Advanced Degree Program Announcement

ObjectiveTo promote graduate level nursing education in Vermont in support of nursing leadership talent to meet the health care needs of our state

Purposebull To provide scholarship support in the amount of $2500 per year for a qualified

individual to participate in an approved course of study leading to an advanced degree

Qualifications of applicantsbull Possession of Vermont RN license in good standingbull A member of VONLbull Demonstrated commitment to nursing leadership (Vermont preferred) as

evidenced by participation in professional seminars organizations work accomplishments project recommendations of peers

bull Currently enrolled or accepted in an accredited program that will lead to an advanced degree in nursing

bull Willingness to commit to completing the program as indicated by realistic timeframe

bull Individuals agree to practice in Vermont for at least two (2) yearsbull GPA of 3 or Bbull Two supportive professional recommendations

Special Considerationsbull Individuals who have sought funding through employment or other resources

where availablebull Individuals with demonstrated financial needbull Individuals currently working in the field of nursing education

Application Process1 Applicants must first be accepted into an accredited program that will lead to an

advanced degree in nursing2 Eligibility criteria include proof of academic excellencepromise pledge

to practice in Vermont following graduation short essay two (2) positive professional recommendations

3 Vermont Organization of Nurse Leaders will select a candidate based on the following criteria in order of importance academic excellence commitment to Vermont leadershipcommunity service financial need

The Award will be announced at the Nursing Summit Spring 2017 Winner will be notified in advance

For more information visit our website wwwvonlorg


ANA-Vermont News

Years in the Nursing Profession 95 years

Education PN diploma- New Hampshire Community Technical College ADN- Vermont Technical College (VTC) BSN- in progress VTC

PositionTitle RN at the VA Medical Center (VAMC) in WRJ VT

What is your background I worked on and off for a few years as a private caregiver

After becoming an LPN I obtained a position at the VAMC on a medical-surgical floor After passing the RN NCLEX I entered into the Transition-to-Practice Nurse Residency Program at the VAMC Recently I was hired to the PrePost-Anesthesia Care (PACU) unit

Areas of interestspecialty bull Med-Surg ndash It provided me with an excellent nursing

foundation I highly recommend at least 1 year preferably more of med-surg experience for new nurses Although I am no longer working there I still love it

bull Perianesthesia Nursing ndash I am excited to be working in this specialty now I am a member of American Society of PeriAnesthesia Nurses (ASPAN) with the goal of eventually taking the CPAN certification exam

bull Veterans ndash I LOVE caring for the Veterans I consider it my way of honoring them and ldquogiving backrdquo for their service to us A unique feature of the VA Hospital is the camaraderie among the patients They look out for each other particularly while sharing a room as inpatients I try to take time to listen to their stories Their military service impacted their lives in such an immense way and often still seems so fresh to them even if it had been a long time ago I had patients share with me that one of the things they like about the staff is that we ldquoreally seem interestedrdquo in hearing their stories and that sometimes ldquothis is the only timerdquo they get to share them I remember a particular WW2 Vet who told me that he never shared the stories with his family because they didnrsquot want to hear them Being unable to share something so important to him with the people he loved caused much loneliness for him throughout his entire life

What inspired you to join the nursing profession I wish I could give some noble answer to this question but truth be told I had gotten

divorced and needed to find a job that would provide a good wage and benefits I was 46 years old had never been to college and basically had been a stay-at-home mother of 10 children (yes - all biological) I had some experience with private-duty caregiving so I thought nursing was the obvious way for me to go Not confident that I could actually do

college-level work in 2003 at 47 yrs old I began taking classes In 2007 at 51 yrs old I graduated with a Practical Nurse diploma and in 2015 at 59 yrs old I graduated with an Associate Degree in Nursing Currently I am enrolled in the BSN program at VTC I came away with not only the education and profession but with a new-found confidence ndash I am capable to learn and do new things

I am an example to my children in that one is never too old to go to college or pursue a dream and that hard work does pay off

Why is being a ANA-Vermont member important to you

I am 1 person 1 voice who can only do so much but I believe collectively much can be accomplished It is important to have diversity of ideas and experience

Describe what is important to you about the nursing professionWhat is important for me as a nurse is to provide the best care I can to every patient

I have contact with I represent the VAMC and my actions reflect back on the VA I want to bring comfort peace kindness dignity etc to patients during what is often a stressful time Whether a nurse is good or bad will make all the difference from a patient perspective

Is there any advice that you have received that has influenced you in your nursing career

The only advice I remember was when I told a nurse friend that I was going into nursing She said ldquoDonrsquot do it You will injure your back It will affect you for the rest of your liferdquo That stuck with me and is part of the reason I have been a member and instructor of the Safe Patient Handling committee for the past 7 years Fortunately the VA hospitals are leaders in safety for patients and staff We have a minimal lift policy that states we cannot lift more than 35lb individually and there is a variety of equipment available to make this possible

ANA-Vermont Profile Susan Boles RN

Susan Boles

Get help finding help

Dial 2-1-1 a local call in VermontOutside of VT dial 802-652-4636

wwwvermont211org

Mobile app download addressesApple httpsitunesapplecomusappvermont-2-1-1id1056232248ls=1ampmt=8Google httpsplaygooglecomstoreappsdetailsid=comvermont211app

Opportunity Awaits

RN - Labor amp Delivery (Full-time)RN - PsychiatricBehavioral Health (Full-time)

RNLPN - Physician Practice (Full-time amp Per Diem)

To view all current job opportunities please go to

wwwspringfieldmedorgcareers

Apply OnlineIf you do not have access to the internet you may come to our

Human Resources Department and apply on our applicant computer system

401(k) healthdentalvision life short and long-term disability wellness program massage therapy acupuncture skin care hypnotherapy fitness center and weight watchers reimbursement educational loan options

tuition reimbursement and much more

25 Ridgewood Road Springfield VT 05156 Equal Opportunity Employer



ANA-Vermont News

Julie AllainShay Allbee

Kathleen AtkinsKathleen Boyd

Kimberly CareyHannah ConstantyChristina Crawford

Debra CurrierRachel Eggum

Karen FarnsworthCynthia Frimpong

Sarah GilroyLaurene GrandeDeborah HansonKristina Holden

Flora JesticeAndrew Kehl

Arlene LawSuzanne Leavitt

Kathy LewisRosemary McGinty

Christina MelvinTyler MolleurLisa Murphy

Tara PacyMichael Pierce

Daniel PutignanoKaitlin ReeseHeidi RichardAngela SmithDonna Tatum

Michelle TavaresPaulette ThabaultMelanie Whitaker

Welcome ANA-Vermont New Members

IS YOUR NURSING ORGANIZATION PLANNING AN

EDUCATION PROGRAM

CONSIDER APPLYING FOR CONTACT HOUR APPROVAL

FOR MORE INFORMATION CALL THE ANA-Vermont OFFICE (802) 651-8886

The Northeast Multi-State Division (NE-MSD) is accredited as an approver of continuing education in

nursing by the American Nursesrsquo Credentialing Centerrsquos Commission on Accreditation

April ndash June 2016

ANA-VermontMembership Application


Vermont State Nursesrsquo Foundation mdash Honor a

Nurse CampaignNursing continues to be the most trusted

profession as indicated in annual surveys This attests to the collective contributions nurses make as they care for patients families and communities Efforts of individual nurses however deserve special recognition by colleagues employers patients families and friends There are many reasons to Honor a Nurse such as to thank a mentor to acknowledge excellent care given by a nurse to a patient to celebrate a milestone such as a birthday or retirement or to recognize a promotion Just think for a moment you will know a nurse to honor Celebration The honored nurses and the persons nominating them will be recognized at the ANA-Vermont Convention in 2016 The honored nurses each will receive a certificate identifying the person recognizing herhim as well as the reason for the honor Submit nominations by September 1 2016 All contributions are tax deductible to the full extent allowed by law VSNF is a 501(c)3 organization Nominations this year are online

Please go here to nominate someone httpgooglZ0F4f

Question Why should I be concerned about nursesrsquo misuse of

alcohol and drugs

Answer Substance use disorder (SUD) is a disease that

affects nurses about as frequently as the general adult population Most nurses with SUD are unidentified unreported untreated and may continue to practice where their impairment may endanger the safety health and lives of their patients (National Council of State Boards of Nursing January 2014)

_____________________________________________

Question I suspect that a nurse colleague may have a problem

with alcohol or drugs What should I do

Answer As a nurse you have a vital role in helping identify

nurses who may have SUD You have a professional and ethical responsibility to protect your patients from potential harm by reporting suspected diversion illegal drug use or excessive alcohol use to your nurse manager or supervisor (National Council of State Boards of Nursing January 2014) You may file a complaint of unprofessional conduct with the Board of Nursing however there is no legal obligation to do so

_____________________________________________

Question What can a nurse manager do about a nurse who may

have SUD

Answer The nurse manager can be alert to signs and

symptoms of unsafe practices related to SUD The manager is responsible to investigate intervene and report according to facility policy and legal mandates (National Council of State Boards of Nursing May 2014)

_____________________________________________

QuestionHow does the Vermont Board of Nursing handle a

report of possible SUD

Answer The nurse who self-reports may be eligible to

participate in the Boardrsquos voluntary and non-public Alternative Program Information is available on the Boardrsquos website at httpswwwsecstatevtusprofessional-regulationlist-of-professionsnursingalternative-program-resourcesaspx

When a report of possible unprofessional conduct is received the Office of Professional Regulation may open an investigation The investigation may result in disciplinary action against the nursersquos license Discipline may include suspension revocation or conditions on the nursersquos license An independent evaluation by a pre-approved professional may be required before the nurse returns to practice

_____________________________________________

QuestionHow does the Vermont Board of Nursing monitor

a nurse who has received treatment for SUD and who returns to nursing practice

AnswerBoard of Nursing monitoring may be imposed

through a voluntary Alternative Program contract or pursuant to a Board Order Monitoring typically includes participation in a substance abuse treatment program or counseling participation in recovery group meetings abstinence from alcohol and un-prescribed drugs random drug and alcohol testing employment in a supervised setting temporary prohibition on administering controlled drugs and monthly employer reports This monitoring may continue through three or more years of nursing practice

_____________________________________________

Question What are the benefits of the Alternative Program

AnswerAs long as the participating nurse is in compliance

with or successfully completes the requirements of the Alternative Program contract no information about the nursersquos participation is publically released and the nursersquos license remains unencumbered The Alternative Program provides comprehensive structured support for the nursersquos continued recovery Monitoring is in place to protect the public from unsafe practice and to provide continuing reassurance to the employer that the nurse is able to practice safely

_____________________________________________

QuestionHow can I get more information

AnswerReview our website at httpswwwsecstatevtus

professional-regulationlist-of-professionsnursingaspx or call our office at 802-828-2396 For a confidential consultation about the Alternative Program call 802-828-1635

ReferencesNational Council of State Boards of Nursing (January 2014)

What You Need to Know About Substance Use Disorder in Nursing Chicago National Council of State Boards of Nursing

National Council of State Boards of Nursing (May 2014) A Nurse Managerrsquos Guide to Substance Use Disorder in Nursing Chicago National Council of State Boards of Nursing

Questions and Answers about Nurses and Substance Misuse From the Vermont

Board of Nursing

Specialty Organizations

nRN to BSN-- Designed for working RNs-- Option for 100 online OR

online enhanced by on-campus meetings once a month

-- Learn from clinical experts and healthcare leaders

Southern Vermont College provides a quality affordable private liberal arts based career launching education in a beautiful setting We have an excellent baccalaureate Nursing program with experienced and clinically competent faculty

Southern Vermont College affirms a deep belief in the potential of every individual We embrace diversity in all its forms fostering excellence and personal responsibility in each member of our community Grounded in the liberal arts our programs prepare students to look beyond boundaries to engage their communities and to excel in their professional endeavors

Pre-Licensure BSN program also available

Find out more at svcedunursing802-447-6300nadmissionssvcedu

St Johnsbury Health amp Rehabilitation Center

Seeking RNs amp LPNs

Please apply by email to philipbrowngenesishcccomCall 802-748-8757or apply in person

1248 Hospital Dr Saint Johnsbury VT 05819

Visit wwwgenesishcccom

Stay informed from coast to coast

bull Access over 600 issues of official state nurses publications to make your research easier

bull Search job listings in all 50 states

bull Stay up-to-date with events for nursing professionals

wwwnursingALDcom


Quality Care Close to HomeNorth Country Hospital is a 25 bed critical access private nonprofit acute care community hospital with physician practices serving twenty communities in a two-county area in the rural Northeast Kingdom of Vermont

We are currently seeking applicants for the following positions

bull House Supervisor RNbull Emergency Dept RNbull Maternal Child RNbull MedSurg RNbull ICU RN

At North Country Hospital quality patient care is our greatest commitment employees are our greatest asset excellent patient experience is our greatest accomplishment and the health of the community is our greatest responsibility

For additional information contact Tina Royer Human Resources(802) 334-3210 ext 407 bull E-Mail troyernchsiorg

North Country Hospital189 Prouty Drive Newport VT 05855

wwwnorthcountryhospitalorg

Confidental Contact info802-828-1635

89 Main Street3rd Floor

Montpelier VT

Websitewwwsecstatevtus

professional-regulationprofessionsnursingaspx

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Official publication of ANA-Vermont a constituent member of the American Nurses Association Published quarterly every January April July and October Library subscription price is $20 per year ISSN 1529-4609

Editorial OfficesANA-Vermont 100 Dorset Street 13 South Burlington VT

05403 PH (802) 651-8886 E-mail vtnursevsna-incorgEditor Jean E Graham

AdvertisingFor advertising rates and information please contact Arthur L

Davis Publishing Agency Inc 517 Washington Street PO Box 216 Cedar Falls Iowa 50613 (800) 626-4081 salesaldpubcom ANA-Vermont and the Arthur L Davis Publishing Agency Inc reserve 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-Vermont 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-Vermont and the Arthur L Davis Publishing Agency Inc shall not be held liable for any consequences resulting from purchase or use of an advertiserrsquos product Articles appearing in this publication express the opinions of the authors they do not necessarily reflect views of the staff board or membership of ANA-Vermont or those of the national or local associations

ContentANA-Vermont welcomes unsolicited manuscripts and

suggestions for articles Manuscripts can be up tobull 750 words for a press releasebull 1500 words for a feature articleManuscripts should be typed double-spaced and spell-checked

with only one space after a period and can be submitted1) As paper hard copy

2) As a Word Perfect or MS Word document file saved to a 3 12rdquo disk or to CD-Rom or zip disk

3) Or e-mailed as a Word Perfect or MS Word document file to vtnursevsna-incorg

No faxes will be accepted Authorsrsquo names should be placed after title with credentials and affiliation Please send a photograph of yourself if you are submitting a feature article

All articles submitted to andor published in Vermont Nurse Connection become the sole property of ANA-Vermont and may not be reprinted without permission

All accepted manuscripts may undergo editorial revision to conform to the standards of the newsletter or to improve clarity

The Vermont Nurse Connection is not a peer review publication Articles appearing in this publication express the opinions of the authors they do not necessarily reflect views of the staff board or membership of ANA-Vermont or those of the national or local association

Copyright Policy Criteria for ArticlesThe policy of the ANA-Vermont Editorial Board is to retain

copyright privileges and control of articles published in the Vermont Nurse Connection unless the articles have been previously published or the author retains copyright

ANA-Vermont Officers and Board of DirectorsPresident Carol HodgesVice President Secretary Meredith RobertsTreasurer Nik ZnamenskisDirector at Large Patty DeNicolaExecutive DirectorGovernment Affairs Christine RyanMembership amp Marketing Eileen Rodgers

2016 ANA-Vermont Foundation BoardPresident Mary Anne DouglasVice President Amy CurleyTreasurer Nik ZnamenskisSecretary Paula Howard Carol Hodges

VNC DirectorEditorJeannie Graham

Committee ChairpersonsBylaws VacantGovernment Affairs Christine RyanMembership amp Publicity Task Force VolunteersNominations amp Elections Task Force VolunteersNursing Practice VacantEducation Deborah SanguinettiVermont State Peer ReviewLeader of NEMSD Carol HodgesPsychiatric Special Interest Group Maureen McGuireCongressional Coordinator Christine RyanSenate Coordinator for Sanders Christine RyanSenate Coordinator for Leahy Christine RyanANA Membership Assembly Representatives Carol HodgesAlternate Representatives Caroline Tassey

RecognitionANA-Vermont would like to acknowledge Board

member Patty DeNicola RN BSN Patty has served as a Director on the ANA-Vermont Board since 2014 Patty DeNicola RN BSN has been a committed and participatory board member of ANA-Vermont She speaks on behalf of Vermont nurses and always delivers a creative and thoughtful approach to improving the work of ANA-Vermont and supporting the Vermont nurse and nursing students

At this time I would like to personally apologize and inform the readership of the Vermont Nurse Connection(VNC) that Patty DeNicola RN BSN has been omitted from publication under the heading ldquoANA-Vermont Officers amp Board of Directorsrdquo This error was accidental and has been corrected

ANA-Vermont is incredibly grateful and fortunate to have such committed and visionary participation from our board members The important work of our state association could not be achieved with out the voluntary time efforts expertise and professionalism that our board members contribute

Patty thank you for all your contributions and support ANA-Vermont apologies for the VNC omission and appreciates your understanding

Sincerely

Christine Ryan RN MSAANA-Vermont Executive DirectorGovernment Affairs

Published byArthur L Davis

Publishing Agency Inc

wwwANA-Vermontorg

Are you interested in contributing an article to an upcoming issue of the Vermont Nurse Connection If so here is a list of submission deadlines for the next 2 issues

Vol 20 1 ndash October 17 2016Vol 20 2 ndash January 16 2017

Articles may be sent to the editors of the Vermont Nurse Connection at

ANA-VermontAttention VNC

100 Dorset Street Suite 13South Burlington VT 05403-6241

Articles may also be submitted electronically to vtnursevsna-incorg

Deadlines for theVermont Nurse Connection Letters to the Editor

If you wish to submit a ldquoLetter to the Editorrdquo please address it to

ANA-VermontAttn Vermont Nurse Connection100 Dorset Street 13South Burlington VT 05403

Please remember to include contact information as letter authors may need to be contacted by the editors of the VNC for clarification NOTE Letters to the Editor reflect the opinions of the letter authors and should not be assumed to reflect the opinions of the ANA-Vermont

Jean Graham Editor

Looking to advance your career at an award-winning community hospital in a locale that will have you wondering why you ever chose

to live anywhere else

Come join the Northwestern Medical Center family where we consistently earn top honors for patient care and continually look for new and innovative ways to improve Be part of a

team where you can make a difference all while enjoying the quality of life

Vermont provides

Nursing Positionsbull RN Practice Manager Primary Care

bull Experienced Emergency Department RNsbull ASPIRE RN Residency Program for

New Graduate RNs

wwwnorthwesternmedicalcenterorg

Seeking a

Full-Time LPN

At Cathedral Square wersquore dedicated to ldquoHealthy Homes Caring Communities and Positive Agingrdquo Wersquore looking for an energetic Licensed Practical Nurse (LPN) who wants to help local seniors age with comfort and dignity Our dedicated and experienced staff work to provide the highest level of care with a focus on personal attention to residents

If yoursquore an LPN consider this full-time opportunity with a local leader in affordable housing The successful candidate will provide charge nurse duties care and services to our residents at our licensed assisted living facility Applicants must have a valid Vermont LPN license and preference will be given to candidates with experience in a long term care setting Evenings every other weekend

Cathedral Square is ranked as one of the 10 Best Places to Work in Vermont by Vermont Business Magazine CSC offers a competitive salary and excellent benefits We encourage qualified applicants to submit resume or application to jobscathedralsquareorg

Winner of ldquoBest Places to Work in Vermontrdquo2015 and 2016








Name ____________________________________

Address __________________________________

City ______________________________________

State __________________ Zip ______________


















JOIN OUR TEAM

















~ Mas DePree





~ John Maxwell















Act with integrity







and Paid Holidays












~ Lao Tzu












Scope of Practice




































Visit us facebook

































Accredited















Hiring LNAs


simplewreath




NURSE10





















Sandersrsquo Office






SAVE THE DATE



Shelburne VT












(802) 651-8886








Scholarship



(802) 651-8886










(802) 651-8886










Name _____________________________________________________________

Address ____________________________________________________________





































ANA-Vermont News





















Susan Boles



wwwvermont211org


Opportunity Awaits












ANA-Vermont News
















EDUCATION PROGRAM













alcohol and drugs



_____________________________________________





_____________________________________________


have SUD



_____________________________________________






_____________________________________________





_____________________________________________




_____________________________________________








Board of Nursing


















wwwnursingALDcom











Montpelier VT





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Name ____________________________________

Address __________________________________

City ______________________________________

State __________________ Zip ______________


















JOIN OUR TEAM

















~ Mas DePree





~ John Maxwell















Act with integrity







and Paid Holidays












~ Lao Tzu












Scope of Practice




































Visit us facebook

































Accredited















Hiring LNAs


simplewreath




NURSE10





















Sandersrsquo Office






SAVE THE DATE



Shelburne VT












(802) 651-8886








Scholarship



(802) 651-8886










(802) 651-8886










Name _____________________________________________________________

Address ____________________________________________________________





































ANA-Vermont News





















Susan Boles



wwwvermont211org


Opportunity Awaits












ANA-Vermont News
















EDUCATION PROGRAM













alcohol and drugs



_____________________________________________





_____________________________________________


have SUD



_____________________________________________






_____________________________________________





_____________________________________________




_____________________________________________








Board of Nursing


















wwwnursingALDcom











Montpelier VT





Yoga scrub pants by











functional

Try a pair today

Available now at





~ Mas DePree





~ John Maxwell















Act with integrity







and Paid Holidays












~ Lao Tzu












Scope of Practice




































Visit us facebook

































Accredited















Hiring LNAs


simplewreath




NURSE10





















Sandersrsquo Office






SAVE THE DATE



Shelburne VT












(802) 651-8886








Scholarship



(802) 651-8886










(802) 651-8886










Name _____________________________________________________________

Address ____________________________________________________________





































ANA-Vermont News





















Susan Boles



wwwvermont211org


Opportunity Awaits












ANA-Vermont News
















EDUCATION PROGRAM













alcohol and drugs



_____________________________________________





_____________________________________________


have SUD



_____________________________________________






_____________________________________________





_____________________________________________




_____________________________________________








Board of Nursing


















wwwnursingALDcom











Montpelier VT





Yoga scrub pants by











functional

Try a pair today

Available now at










~ Lao Tzu












Scope of Practice




































Visit us facebook

































Accredited















Hiring LNAs


simplewreath




NURSE10





















Sandersrsquo Office






SAVE THE DATE



Shelburne VT












(802) 651-8886








Scholarship



(802) 651-8886










(802) 651-8886










Name _____________________________________________________________

Address ____________________________________________________________





































ANA-Vermont News





















Susan Boles



wwwvermont211org


Opportunity Awaits












ANA-Vermont News
















EDUCATION PROGRAM













alcohol and drugs



_____________________________________________





_____________________________________________


have SUD



_____________________________________________






_____________________________________________





_____________________________________________




_____________________________________________








Board of Nursing


















wwwnursingALDcom











Montpelier VT





Yoga scrub pants by











functional

Try a pair today

Available now at
























Accredited















Hiring LNAs


simplewreath




NURSE10





















Sandersrsquo Office






SAVE THE DATE



Shelburne VT












(802) 651-8886








Scholarship



(802) 651-8886










(802) 651-8886










Name _____________________________________________________________

Address ____________________________________________________________





































ANA-Vermont News





















Susan Boles



wwwvermont211org


Opportunity Awaits












ANA-Vermont News
















EDUCATION PROGRAM













alcohol and drugs



_____________________________________________





_____________________________________________


have SUD



_____________________________________________






_____________________________________________





_____________________________________________




_____________________________________________








Board of Nursing


















wwwnursingALDcom











Montpelier VT





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Sandersrsquo Office






SAVE THE DATE



Shelburne VT












(802) 651-8886








Scholarship



(802) 651-8886










(802) 651-8886










Name _____________________________________________________________

Address ____________________________________________________________





































ANA-Vermont News





















Susan Boles



wwwvermont211org


Opportunity Awaits












ANA-Vermont News
















EDUCATION PROGRAM













alcohol and drugs



_____________________________________________





_____________________________________________


have SUD



_____________________________________________






_____________________________________________





_____________________________________________




_____________________________________________








Board of Nursing


















wwwnursingALDcom











Montpelier VT





Yoga scrub pants by











functional

Try a pair today

Available now at





(802) 651-8886








Scholarship



(802) 651-8886










(802) 651-8886










Name _____________________________________________________________

Address ____________________________________________________________





































ANA-Vermont News





















Susan Boles



wwwvermont211org


Opportunity Awaits












ANA-Vermont News
















EDUCATION PROGRAM













alcohol and drugs



_____________________________________________





_____________________________________________


have SUD



_____________________________________________






_____________________________________________





_____________________________________________




_____________________________________________








Board of Nursing


















wwwnursingALDcom











Montpelier VT





Yoga scrub pants by











functional

Try a pair today

Available now at


ANA-Vermont News





















Susan Boles



wwwvermont211org


Opportunity Awaits












ANA-Vermont News
















EDUCATION PROGRAM













alcohol and drugs



_____________________________________________





_____________________________________________


have SUD



_____________________________________________






_____________________________________________





_____________________________________________




_____________________________________________








Board of Nursing


















wwwnursingALDcom











Montpelier VT





Yoga scrub pants by











functional

Try a pair today

Available now at


ANA-Vermont News
















EDUCATION PROGRAM













alcohol and drugs



_____________________________________________





_____________________________________________


have SUD



_____________________________________________






_____________________________________________





_____________________________________________




_____________________________________________








Board of Nursing


















wwwnursingALDcom











Montpelier VT





Yoga scrub pants by











functional

Try a pair today

Available now at







alcohol and drugs



_____________________________________________





_____________________________________________


have SUD



_____________________________________________






_____________________________________________





_____________________________________________




_____________________________________________








Board of Nursing


















wwwnursingALDcom











Montpelier VT





Yoga scrub pants by











functional

Try a pair today

Available now at











Montpelier VT





Yoga scrub pants by











functional

Try a pair today

Available now at

Documents

Vermont Nurse ANA-Vermont Connection...Vermont Nurse Connection Letters to the Editor If you wish to submit a “Letter to the Editor,” please address it to: ANA-Vermont Attn: Vermont