Nursingmatters May 2016

Page 1

Nursingmatters May 2016 • Volume 27, Number 4

www.nursingmattersonline.com

INSIDE: What if …

Celebrate Nurses Week!

2

Nursing achievements

5

Center for Nursing History

Longtime College of Nursing Dean Sally Lundeen is retiring June 30, capping a UW-Milwaukee career that’s spanned more than three decades.

9

Caring has bittersweet price

16

(UWM PHOTO/TROYE FOX)

Lundeen shifts energy from global to family She was an American Field Service exchange student in Japan, just 16 years old and far from her small hometown of Galesburg, Illinois. Sally Lundeen had no idea of the role she’d eventually play in the University of Wisconsin-Milwaukee’s College of Nursing, but during that self-described “life-changing” experience, the seeds were already being planted. The time abroad fueled the young Lundeen’s interest in international travel and cultural understanding. “We’re all really alike in many ways,” Lundeen said. “But the nuances of various cultures really affect everything – family, education and health.” The notion directly influenced her vision for the College of Nursing. She would help build longstanding health partnerships locally and worldwide during

her 31-year tenure there, including the last 15 as its dean. Now, as Lundeen looks toward her retirement June 30, she also looks back at helping shape the college’s work in community nursing, global health and interdisciplinary research. “In my estimation the role of a good urban research university is to provide ways that our students can connect and create knowledge about the community where we are located, as well as global health,” she said. Coincidentally, as the college celebrates Lundeen’s impact, it’s also celebrating

its 50th anniversary with a series of April events. Included on the schedule are a reception focused on the college’s community partners and a 50 Distinguished Alumni Reception. Many of those alumni crossed paths with Lundeen. She came to UW-Milwaukee as a professor in 1985, rose to become the College of Nursing’s interim dean in 1999 and was installed as its permanent dean in 2001. She’s the longest-serving dean in the college’s history, and has guided it through the crucial missions of education, research and community outreach. Two of the college’s ongoing initiatives – the Silver Spring Community Nursing Center, established in 1987, and the House of Peace Community Nursing Center,

continued on page 4


May • 2016

Page 2

Nursingmatters is published monthly by Capital Newspapers. Editorial and business offices are located at 1901 Fish Hatchery Road, Madison, WI 53713 FAX 608-250-4155 Send change of address information to: Nursingmatters 1901 Fish Hatchery Rd. Madison, WI 53713

Nursing is so much more Kaye Lillesand Editor, Nursing Matters‌

Editor........................................... Kaye Lillesand, MSN 608-222-4774 • kayelillesand@gmail.com Managing Editor................................... Julie Belschner 608-250-4320 • jbelschner@madison.com Advertising Representative.................... Teague Racine 608-252-6038 • tracine@madison.com Recruitment Sales Manager.......................Sheryl Barry 608-252-6379 • sbarry@madison.com Publications Division Manager.................. Matt Meyers 608-252-6235 • mmeyers@madison.com Nursingmatters is dedicated to supporting and fostering the growth of professional nursing. Your comments are encouraged and appreciated. Email editorial submissions to klillesand@sbcglobal.net. Call 608-252-6264 for advertising rates. Every precaution is taken to ensure accuracy, but the publisher cannot accept responsibility for the correctness or accuracy of information herein or for any opinion expressed. The publisher will return material submitted when requested; however, we cannot guarantee the safety of artwork, photographs or manuscripts while in transit or while in our possession.

The profession of nursing is more than just caring for the ill in acute and long-term care. There is a large, and growing larger, part of the profession that works on keeping people and their environments healthy. Areas where nurses exert their skills and influence include schools, Public Health Departments, Occupational Health, Insurance and Workers Compensation, Clinics, Nursing

Kristin Baird, RN, BSN, MSH President Baird Consulting, Inc., Fort Atkinson, WI Joyce Berning, BSN Mineral Point, WI Mary Greeneway, BSN, RN-BC Clinical Education Coordinator Aurora Medical Center, Manitowoc County Mary LaBelle, RN Staff Nurse Froedtert Memorial Lutheran Hospital Milwaukee, WI Cynthia Wheeler Retired NURSINGmatters Advertising Executive, Madison, WI  Deanna Blanchard, MSN Nursing Education Specialist at UW Health Oregon, WI Claire Meisenheimer, RN, Ph.D. Professor, UW-Oshkosh College of Nursing Oshkosh, WI Steve Ohly, ANP Community Health Program Manager St. Lukes Madison Street Outreach Clinic Milwaukee, WI Joyce Smith, RN, CFNP Family Nurse Practitioner Marshfield Clinic, Riverview Center Eau Claire, WI Karen Witt, RN, MSN Associate Professor UW-Eau Claire School of Nursing, Eau Claire, WI © 2015 Capital Newspapers

Education and Correctional Health, and other countries, just to name a few. To be successful, besides understanding the health of the individual or population, nurses need to understand the systems and politics functioning at the local, state and national levels. For example, I was appalled when I learned that in Flint, Michigan, there was only one nurse for the entire school system. Think of how much more quickly the symptoms of lead poisoning would have been recognized if there had been more nurses involved. It was interesting to note that within two weeks after the fact that there was only one nurse was made public, 28 new school-nurse positions were approved. Often legislators and

administrators believe we cannot afford school nurses. I believe that is a “penny wise and pound foolish” idea. And, as the Flint example shows, besides costing more, look at the pain and suffering that will occur for years. Are we as a state ignoring potential water contamination and other dangerous environmental factors? Ask a Public Health Nurse what her concerns are. This issue has stories that demonstrate the breadth and depth of nursing careers and the contribution that nurses make to keep our society healthy.

WHAT IF ...

EDITORIAL BOARD Vivien DeBack, RN, Ph.D., Emeritus Nurse Consultant Empowering Change, Greenfield, WI Bonnie Allbaugh, RN, MSN Madison, WI Cathy Andrews, Ph.D., RN Associate Professor (Retired) Edgewood College, Madison, WI

Nursingmatters

What is Reiki? Brenda Zarth

According to William Lee Rand, founder and president of The International Center for Reiki Training, Reiki started in Japan and “is a Japanese technique for stress reduction and relaxation that also promotes healing. It’s administered by laying on of hands and can be easily learned by anyone.” Reiki is energy work. As a concrete scientist it’s hard to understand or appreciate Reiki. There doesn’t appear to be anything concrete about it. As a spiritual person who derives joy from gardening and watching my flowers grow, I can appreciate energy work. Being in my garden brightens my mood, and gives me energy and a sense of fluidity. Dr. Masaru Emoto’s work with water shows that water molecules respond to a positive message. Children feel relief when you kiss a wound on their finger. People grow better when supported with loving family and friends. I can feel

Reiki is a Japanese technique for stress reduction and relaxation that also promotes healing.

positive energy from a church choir singing, I can feel a sad painful heaviness when surrounded by grief. Being in a healing profession and wanting the best for my patients I have always tried to focus on the needs of my patients. I’m always looking for strengths in them that I can use, and weak areas that need more support. I had a home-health patient with multiple problems, including diabetic

Photo on front: WWII Army nurses in the Philippines are liberated after three years as POWs.

neuropathy. She wanted me to trim her toenails but she was having severe pain in her feet. She was lying in bed with her eyes closed, crying and whimpering, having a really bad day – and the pain pills weren’t working. She was so miserable, my heart went out to her. She said to go ahead and trim her toenails because she couldn’t feel her feet anyway. I quietly cupped her feet in my hands and said a little prayer, asking for the pain to come out of her feet and give her some relief. I was imagining my body as a cylinder, drawing the pain from her feet and, like an electrical current, sending it through my body and down into the floor. She suddenly stopped crying and said, “Whatever you are doing my feet are feeling better.” I trimmed her toenails and moved on. I was amazed at the relief she seemed to have, because she had obviously been in agony. My friend Debbie learned her husband had been cheating on her and wanted a divorce. She had been a devoted wife and mother, but her life was suddenly turned

continued on page 7


www.nursingmattersonline.com

Page 3

May • 2016

Join a team that supports you – professionally and personally ��

ďż˝

Correct Care Solutions is now seeking healthcare

ďż˝

ďż˝

ďż˝

ďż˝ ďż˝

ďż˝

ďż˝ ďż˝

ďż˝ ďż˝

��

ďż˝

� � ����������� �

�� � �

professionals to join our team in sites throughout Wisconsin.

Healthcare Opportunities Include: PRN: Licensed Practical Nurse, RN, Nurse Practitioner Full-Time: Licensed Practical Nurse, RN Part-Time: Licensed Practical Nurse, RN, Nurse Practitioner

We offer competitive compensation and benefits! Please apply online at jobs.correctcaresolutions.com

or contact Tammy Lamb at 615-870-2580 for immediate consideration. CCS is an EOE/Minorities/Females/Vet/Disability Employer

Be part of something REMARKABLE If you’re an experienced BSN or ADN RN with at least one year of experience, you’ll find remarkable opportunities at Wisconsin’s #1 hospital. RN Direct Care Positions • Emergency Department • Float • Medical/Surgical • ICU • Surgical Services

RN Coordinator Positions • Generations • Gynecology/Oncology • Organ Procurement Organization • Transplant

Apply online at uwhealth.org/careers or contact Susan Hanauer, professional nurse recruiter, at shanauer@uwhealth.org or 800-443-6164.

HN-45334-16

Remarkable Nursing Careers.


May • 2016

Page 4

Lundeen

NATIONAL NURSES WEEK

continued from page 1 established in 1991 – provide primary care and health promotion in poor neighborhoods, along with clinical experience for nursing students. “Those centers not only provide remarkable services to people in the community,” Lundeen said, “but give our students an opportunity to see the best of what nursing can be in community settings.” The College of Nursing reaches out internationally, continuing research and educational partnerships with programs in China, South Korea, Kenya, Malawi and other areas of Asia and Africa. The college’s Center for Global Health Equity supports study-abroad programs, research and exchanges of faculty. All of that occurs within a strong and growing culture of nursing research, with particular emphases on geriatrics, informatics and health technology, global health, community-engaged health and self-management science. In the past five years, two major National Institutes of Health grants have supported the Self-Management Science Center, which researches and promotes better ways for people to manage chronic conditions. Such work, Lundeen said, has earned the college national and international research renown. She said she believes it

Nursingmatters was a factor in UW-Milwaukee’s elevation to the top tier of research universities. UW-Milwaukee earned “R1” status from the Carnegie Classification of Institutes of Higher Education in 2016, making it one of only 115 schools to have that highest research-centric rating. Lundeen is a strong proponent of interdisciplinary research and education, matching academic areas such as engineering, information sciences and social welfare with such traditional academic health disciplines as nursing, public health and health sciences. “It’s the way the universities of tomorrow must operate,” she said. “If we don’t start educating our students together, I don’t know how we can expect them to work together in teams in practice.” Although she has enjoyed her work as a professor and dean, she said she looks forward to stepping back and spending more time with her family – including four children, six grandchildren under age 7 and her 95-year-old mother. She plans to stay involved with UW-Milwaukee and nursing organizations, and spend time on her own research and writing – work largely put aside when she assumed administrative roles and responsibilities. So Lundeen doesn’t view leaving UW-Milwaukee as a retirement in the traditional sense. “I just see it,” she said, “as a shift in focus and energy.”

Celebrating

Nursing Excellence We applaud your dedication, professionalism and steadfast commitment to the patients and families we serve.

You are remarkable.

1-888-VITERBO • www.viterbo.edu/nursing • La Crosse, Wisconsin

Viterbo is ...Nursing BSN Program

• Offered on campus

BSN Completion

• Classroom format, one morning a week in four Wisconsin locations • 100 percent online format ND-45236-16

Doctor of Nursing Practice (DNP) Program • BSN to DNP Family NP Adult-Gero NP • MSN to DNP For practicing NPs • Hybrid course delivery

Celebrating National Nurses Week May 6–12, 2016


www.nursingmattersonline.com

Page 5

May • 2016

School Nursing: 21st Century-style Valerie Hon, BS, RN, NCSN

School nurses are members of a health care team, offering a unique connection to students on a daily basis. Models of care in the school Valerie Hon setting vary widely across Wisconsin, related to local control by school boards. The title of school nurse is reserved only for Wisconsin licensed registered nurses who have completed approved coursework in community/public health nursing. Many school nurses in Wisconsin have advanced degrees or have become certified in their professional area, using the credentials of National Certified School Nurse. With students at the center of school-nursing actions, the goal is for each student to be a healthy student so s/he may be available for learning. School nurses typically have a varied work day. The day may include any or all of: communicable disease control and prevention in collaboration with a local health department, immunization review and advisement, administration of gastrostomy tube feedings or medications, ventilator care, individualized care-plan development, staff training, monitoring tasks delegated to others, review of each medication order received, health education and promotion, chronic disease management, collaboration with the care team on student response to interventions, interaction with parents and staff, member of committees, policy development, teaching students skills for disease management, diabetes care, field-trip preparations and student planning teams – and that’s only some of what happens in a school setting. The following exemplify the innovative work of school nurses. Again, students are the center of the programs.

Turn traditional values into today’s sexual education Margaret VanDen Heuvel, MSN, RN, School Nurse, Oneida Nation School System/Oneida Community Health Services Population-Based Program In 2014, the Oneida Nation Margaret School System VanDen Heuvel embarked on a journey to restore human growth and development through organization of strong community support. The school system, Community Health Nursing and Prenatal Care Departments, and Faith Community of the Oneida People collaborated to create a culturally relevant human growth and development program called, in the Oneida

language, “L<nunhat#nyehse>.” This translates to mean “their lives are changing; puberty.” Through the use of an Advisory Council, “L<nunhat#nyehse>” was developed to provide sexual education to students in fourth-grade through eighth-grade. “L<nunhat#nyehse>” addressed traditional roles, responsibilities and values of what it means to become an Oneida woman and man. Additionally, teachings included health and family life, as well as human growth and sexuality – parts of the body, human reproduction, and characteristics that distinguish between maleness and femaleness.

Completing the circle: innovation in school-based asthma care Freddi Adelson, MS, RN, School Nurse Consultant, Wisconsin Department of Public Instruction and Kathleen Shanovich, MS, RN, CPNP, Freddi Adelson Nurse Practitioner, UW-School of Medicine and Public Health, Pediatrics The Healthy Learner Collaborative of Wisconsin is a group of nurses from clinical, hospital and school settings who have worked during Kathleen the past five years Shanovich on promoting school nurses as integral members of a student’s health care team. The work includes improving communication between school nurse and the child’s primary-care provider. An area of interest for the group has been school-nurse access to electronic medical records. The project was a result of that focus and builds on the successes of the School Health Collaborative NemoursLink program in Delaware. NemoursLink allows read-only access to electronic medical records by school nurses throughout Delaware. The Healthy Learner Collaborative of Wisconsin group added an innovative strategy of secure two-way communication between school nurse and primary provider within electronic medical records. Dr. Sujani Kakumanu, University of Wisconsin-Madison School of Medicine and Public Health allergist, working with members of the Healthy Learner Collaborative of Wisconsin, submitted and obtained a grant from the National Coordinator for Health Information Technology, U.S. Department of Health and Human Services, to fund development of technology infrastructure to support the School Health Care

Link Partnership. The project goals are to improve care for students with asthma and to increase the number of asthma action plans in schools. The strategies to achieve these goals are to provide school nurses with read-only access to the electronic medical records and a direct communication link to the provider, using direct secure messaging. A pilot started in April 2016 in three schools in the Madison Metropolitan School District to trial school nurse electronic medical records access and communication technology. School nurses in the pilot schools received HIPAA and Care Link training. During the pilot, school nurses are supported by coaches who troubleshoot any technical problems and help them integrate electronic medical records access into their daily workflow. The project will expand to all elementary-school students with asthma in the Madison Metropolitan School District at the start of the 2016-17 school year. Members of the Healthy Learner Collaborative of Wisconsin believe the project has the potential to expand to other chronic conditions seen in school-aged children, including diabetes, seizures and serious allergies, as well as streamlining communication and care coordination.

Implement ‘Heart Safe Schools’ program Debbie Brown, RN, NCSN, School Nurse, Sun Prairie School District Schools are small communities with thousands of people coming through the doors every day. School nurses need Debbie Brown to be prepared for all types of health conditions and emergencies. Statistics show 1 in 50 schools in America will be impacted by a cardiac arrest each year. School nurses play an integral role in medical-emergency preparedness, including developing policies and procedures, providing staff training, giving care and evaluating school

response after an emergency. One of our schools, Royal Oaks Elementary, was dedicated to being prepared for a cardiac emergency. After doing research to see what we could do differently to improve our process, we learned about the National Heart Safe School Accreditation from the Sudden Arrhythmia Death Syndrome Foundation. There are seven criteria for a school to meet to earn this certification. The RN plays a part in each of the seven criteria, including: • ‌develop health plans for students with chronic cardiac condition, • ‌offer screening/risk assessments, • ‌help coordinate and run emergency drills, • ‌provide staff and community awareness, • ‌advocate for automated external defibrillators in every school building, and • ‌provide education and training on CPR to both staff and students. The most rewarding part of this process has been teaching the students cardiopulmonary resuscitation. We recently ran the second-annual hands-only CPR training for our fourth- and fifth-grade students. The students learned how to recognize an emergency, call for help, check for signs of life, provide chest compressions and operate an automated external defibrillator. The students were excited but attentive. Their level of maturity with the difficult topic was impressive! We had several parents share stories of a child coming home and talking about the event with the family. The enthusiasm from our students has spread to their parents; this month we will be offering a “Hands Only CPR” opportunity at a parent meeting. This past spring Royal Oaks Elementary became the first school in Wisconsin to earn the National Heart Safe School Accreditation! Going through this process not only made the school, but our entire community, safer. While the focus may have been on cardiac emergencies, I believe we are now more prepared to respond to any health emergency. Hopefully we never experience a cardiac event at our school, but if we do, we are ready.

SELECT SPECIALTY HOSPITAL OF MADISON SALUTES ALL OF OUR DEDICATED NURSES!

For inForMation on JoininG our teaM, Please Call our Hr oFFiCe at (608) 260-2897 or Visit our weBsite at seleCtMeDiCal.CoM

national nurses week MAY 6-12


May • 2016

Page 6

Nursingmatters

Where is your hospice? Ryan Klaustermeier, RN, CHP

I am frequently asked the question, “Where is your hospice?” The question comes from all members of the commuRyan Klaustermeier nity, including many health care providers in every discipline. The question concerns me. It leaves me with the impression that many people think hospice is a place. Hospice is not a place. As nurses we must be committed to ensuring that every member of the community knows what hospice is, and what hospice is not. And hospice is most definitely not a place. Hospice is a philosophy of care. Hospice surrounds an individual, her family and her friends with support, guidance and resources to enrich each of her remaining days. This philosophy of care can be provided anywhere the individual calls home. In fact there is no regulation that a hospice recipient must have a permanent physical address to receive hospice services. The hospice benefit does not discriminate based on housing type; even individuals experiencing homelessness can receive hospice care. Hospice care can be provided anywhere and everywhere,

Hospice is about meeting people where they are, not where we think they should be – figuratively and literally. It is their journey, not ours. We should not assume as health-care providers that the individuals we serve would even want to be anywhere other than where they call home, to die.

and, within reason, should be provided anywhere and everywhere. That clarification highlights how greatly the title of this article needs to be addressed – “Where is your hospice?” The answer is, “Anywhere and everywhere. Wherever you need it to be.” Hospice is about meeting people where they are, not where we think they should be – figuratively and literally. It is their journey, not ours. We should not assume as health-care providers that the individuals we serve would even want to be anywhere other than where they call home, to die. Another misconception heard frequently from health-care providers comes across in a statement, “We will just send them to the inpatient unit” or “She needs inpatient hospice.” There are definitely

occasions where this is true, but overall the concept of an inpatient level of care is not well understood. Under the Medicare Hospice Benefit there are four levels of care: Routine Home Care – provided wherever the patient calls home, General Inpatient Care, Continuous Care and Respite Care. When a provider says “She needs inpatient,” the provider is not actually referring to a place, but rather to a level of care. The inpatient level of care has specific criteria that must be met in order for a patient to qualify; a patient cannot just be sent to “inpatient” without meeting the appropriate criteria. A summary of that criterion is offered by the National Hospice and Palliative Organization. The organization states that to qualify for General Inpatient Care the patient

requires “symptom management that cannot feasibly be provided in any other setting.” Multiple settings can meet this level of care – including, but not limited to, an inpatient hospice facility, an acutecare hospital or a skilled-nursing facility. Once a patient’s symptoms have been resolved, she no longer qualifies for an inpatient level of care and must return to Routine Home Care. This also means she needs to leave that current setting and return to the location she calls home. I share this to encourage health-care providers to be mindful that just because someone is dying does not necessarily mean he or she qualifies for an inpatient level of care. So, where is your hospice? The National Hospice and Palliative Organization website informs that the term hospice shares the same linguistic root as hospitality. The word hospitality has many synonyms; my favorites are warmth and kindness. One of the definitions of hospice that MerriamWebster.com offers is “lodging for travelers …” So to me, hospice is about providing warmth and kindness to travelers – travelers of life who are nearing the end of their journeys, travelers who need shelter. In providing them “hospice” we are providing a shelter of love, warmth, kindness and support. None of which requires a dwelling.


www.nursingmattersonline.com

Page 7

May • 2016

What if ...

continued from page 2 upside down. She said she felt “unstable and without purpose, incapacitated.” We visited a friend who knew Reiki and who had immediate sympathy for Debbie. They went into a quiet room; Debbie laid on a bed with the Reiki master concentrating over her. The Reiki master started thoughtfully and purposefully moving her hands over and on Debbie’s body. Debbie later said that when she went into the room she felt like a gob of pudding, like she didn’t have any structure. The Reiki master seemed to gradually re-stack the vertebrae in her spine, starting at the bottom and gradually working toward her head like a child building a block tower. She said it was amazing; she felt her vertebrae each popping back into place. When she came out of the room she was standing taller and seemed more confident. According to William Lee Rand, “While Reiki is spiritual in nature, it is not a religion. It has no dogma, and there is nothing you must believe in order to learn and use Reiki. In fact, Reiki is not dependent on belief at all and will work whether you believe in it or not. Because Reiki comes from God, many people find that using Reiki puts them more in touch with the experience of their religion rather than having only an intellectual concept of it.” While Reiki is not a religion, it is still important to live and act in a way that

Clement J. Zablocki VA Medical Center

Thank you to all VA Nurses for your commitment to serving our Nation’s Heroes.

The Reiki master started thoughtfully and purposefully moving her hands over and on the patient’s body.

The Daily Plan® enhances patient safety by involving patients in their care, and encourages patients and their families to better understand their care. Patients are encouraged to ask questions if something seems different than planned, which enables them to become more active members of their healthcare team.

You are our Veteran’s advocates and protectors in their time of need.

5000 W. National Ave. Milwaukee, WI 53295

William S. Middleton Memorial Veterans Hospital 2500 Overlook Terrace Madison, WI 53705

For more information, visit va.gov, vacareers.com or usajobs.gov

Are you interested in working at a place where you can be part of a team that provides quality care to their residents? Reiki is energy work.

promotes harmony with others. Mikao Usui, founder of the Reiki system of natural healing, recommended that one practice certain simple ethical ideals to promote peace and harmony, which are nearly universal across all cultures. Visit www.reiki.org for more information. Visit brendashealthplan.blogspot. com or email BrendaZarth@gmail.com with comments.

Clinical Adjunct Faculty, Lecturer – School of Nursing Clinical faculty are responsible for planning, implementing and the evaluating of assigned student learning experiences in the clinical setting in the traditional and/or post baccalaureate undergraduate nursing program(s). We currently have several open positions for faculty with expertise in one of the following areas: maternal‐child, psychosocial/behavioral health, and public health experience. The clinical faculty work in collaboration with the corresponding theory course instructor(s). Formal mentoring support is provided for new faculty along with significant faculty development resources. Qualifications: • Minimum of Master of Science in a nursing degree • Current license to practice as a registered nurse in the state of Wisconsin. • At least two years of full-time or equivalent direct care experience in nursing. • Previous teaching experience (clinical/didactic) preferred. PHYSICAL DEMANDS AND WORK ENVIRONMENT The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Oak Park Place is now hiring: Here at Oak Park Place, we are looking for strong Registered Nurses to join our growing team. We offer excellent development programs, training, compensation, and support! We truly have a patient first mindset, and are looking for like-minded individuals to partner in providing quality care for all of those we serve. We are always looking for excellent individuals and look forward to reviewing your resume should you be interested in a career with us! If you enjoy working in a fast paced, rewarding, stable environment with a family like team,

We Want You! Please apply online at

www.oakparkplace.com or call

(608) 663-8600

for more information about our current openings.

Other Qualifications: Demonstrate multicultural competence – the awareness, knowledge, and skills needed to work with others who are culturally different from self in meaningful, relevant, and productive ways. The candidate must actively support the mission of the college by working with faculty, staff and students to share in our core values - truth, compassion, justice, partnership, and community. To Apply: Send a letter of application, resume, and references to: Edgewood College Human Resources – LRSN 1000 Edgewood College Drive Madison, WI 53711 E-mail: humanresources@edgewood.edu

Equal Opportunity Employer

Senior Living Facility Rehabilitation Facility Skilled Nursing Facility

Assisted Living Facility

718 Jupiter Drive, Madison, WI 53718


May • 2016

Page 8

Nursingmatters Reprint in a series written by Signe Cooper and introduced by Laurie Glass in Nursingmatters

BEST WISHES DEAN SALLY LUNDEEN ON YOUR UPCOMING RETIREMENT. Thank you for your visionary leadership at UWM for over 31 years.

Gertrude H. Lohmann – 1881-1963

e e k W s e s r u Happy N Exceptional Faculty Top Rated Programs of Research

Largest Nursing Program in WI R-1 Doctoral Research University Top 10% by US News & World Report

85% of our Graduates stay in WI

www.nursing.uwm.edu

Lohmann had no formal pubGertrude Lohmann was the lic-health training. But her past first Sheboygan County, Wisconnursing experience and common sin, public-health nurse and the sense helped her define her role as second public-health nurse in the a county nurse. state. She was born Jan. 20, 1881, In 1919, the County Board to Ernest and Antonie Lohmann, of Supervisors authorized the a pioneer Sheboygan family. She appointment of a county nurse graduated from St. Luke’s Hosat “salary and all other expenses pital Training School for Nurses in Chicago. Gertrude Lohrmann not to exceed $750 per year.� Lohmann was responsible to In 1913 the Wisconsin Legislaa committee on hygiene consisting of the ture enacted legislation permitting counties chairman of the County Board, the county to employ “visiting nurses.� The next year superintendent of schools and the chairman Lohmann was appointed. But Sheboygan of the committee on paupers. County didn’t pay Lohmann’s salary; in a Lohmann began her work as counrather unusual arrangement, her salary was ty-health nurse in the horse-and-buggy paid by the Sheboygan County Anti-Tuberdays. But her 1919 report notes “the urgent culosis Association. At the time tuberculosis need for an auto.� By this time her duties was the leading cause of death in Wisconsin had expanded to include school visits and, and nationwide. with 114 rural schools in the county, the need In her annual report for 1919, Lohmann was apparent. said, “The problem in the county, as in all Lohmann was the county nurse until 1921, other parts of the state and of the United when ill health forced her resignation. But States, is a serious one and demands the attention of every thinking man and woman.� she lived to be 82, dying Dec. 16, 1963. She is buried in Wildwood Cemetery in Sheboygan. In contrast to most county nurses,

Herzing University recognizes the critical role that nurses play and we’ve expanded our degree programs to give you more choices and ways to earn an advanced degree.

RN to BSN: Finish your BSN degree in as little as 12 months* MSN-FNP: Achieve the pinnacle of skill and specialization in nursing in as little as 20 months* MSN-NE: Be prepared to help build the next generation of nurses in as little as 16 months* MBA in Healthcare Management: Prepare to transition from clinical practice to administrative and management roles in as little as 14 months*

ACCREDITED | PRIVATE NONPROFIT | 50 YEAR HISTORY

1-888-NEW CAREER ( 1- 8 8 8 - 6 3 9 - 2 2 7 3 )

Herzing.edu

*Program completion time results may vary by student and is subject to admissions and university transfer credit policies, as well as clinical or preceptor availability. Â Â? Â? Â

Â? Â? Â? Â?  Â?Â? Â?­  Â€ Â? ­ ‚­ ƒ„…­ ‚ €Â? †……„‡­ †…† ˆˆ‰ ‡‰Š‹ŒŽ Â? ‘ Â? Â’Â’Â’ÂŽ ÂŽ ˆ…… ‡†‹ ‰““…Ž ” Â? ­ • Â’Â’Â’ÂŽ ÂŽ – ÂŽ ­ ­ ÂŽ


www.nursingmattersonline.com

Page 9

May • 2016

Visit the Historical Gallery at the Center for Nursing History

Take a look at the past Unique resource keeps nursing history alive Laurie K. Glass, RN, PhD, FAAN, University of WisconsinMilwaukee, College of Nursing‌

Nursing history is important because it provides a glimpse of where nurses have been, supplies ideas Laurie K. Glass about dealing with today’s issues and can help look at the future. The profession has many “firsts” in its history – nurses created the field of social work, had the first professional code of ethics and broke barriers to discrimination, to name a few. In 1971 when plans were being made for a nursing building on the University of Wisconsin-Milwaukee campus, Dean Inez G. Hinsvark’s design idea included an historical gallery – a nursing museum. When the building opened in 1973 the gallery was furnished with state-of-the-art display cases used to showcase memorabilia of well- known faculty and visitors. Helen Creighton, Elise Fitzpatrick, and Rozella Schlotfeldt all had exhibits. In 1976 a committee was appointed to determine how best to use the gallery, and in 1980 I was appointed director, a role I still hold today. I became interested in history in the early 1970s when the “women’s movement” was a much-publicized topic. I noticed there were similarities between the history of women and the history of nurses and nursing. When I arrived in Milwaukee there were other individuals interested in history and the college had the Historical Gallery. Eventually I pursued my PhD in Nursing History and Nursing Research. My specialty is the history of nursing leaders, organizations and professional issues. I have been active in the American Association for the History of Nursing and serve on the advisory board of the Midwest Nursing History Research Center at the University of Illinois-Chicago. I had the privilege of learning from, and working

ANNE MOLINEU

Ada Garvey – World War I Army Nurse Corps Nurse, c.1917-1919 — was recruited by the Red Cross. Later Garvey would become a Wisconsin county public-health nurse. Included in this display are Garvey’s ‘dog tags,’ mess kit and her scrapbook from her basic training.

with, Signe S. Cooper. The purpose of the gallery is to serve as a learning resource and to provide a viewing experience of artifacts, mementoes and photographs which are not otherwise available. The Historical Gallery is part of the Center for Nursing History, which has a mission to increase awareness of nursing’s historical past through consultation,

presentations and publications. The Center for Nursing History is the only nursing-history center in Wisconsin and one of about seven in the nation. Many items from the gallery’s collection are shown in these photographs; they were taken by Anne Molineu, who is a volunteer research assistant in the center. The center’s collection includes uniforms

from many schools, more than 20 different capes, World War I and World War II uniforms, 90 caps, 30-plus bedpans and urinals, school pins, nurse tools, record books, photographs, posters and more. In July 2014 the University of Wisconsin-Madison School of Nursing donated many items from the Signe Cooper historical collection to the center.

More photos, pages 10-12


May • 2016

Page 10

Nursingmatters

Visit the Historical Gallery at the Center for Nursing History

PHOTOS BY ANNE MOLINEU

Baby bottles, many dating back to the mid-1880s, indicate changes in infant feeding.

These black wool and velvet capes, with maroon wool lining, were issued to World War II Navy Nurse Corps nurses as part of their uniforms. Capes were traditional garments for all nurses and were considered efficient outerwear for nurses, who were frequently traveling between hospital buildings.

Public Health nursing started in the United States in the late 1800s with the great influx of European immigrants to large U.S. cities. Most immigrant families lived in close and squalid conditions in tenement houses. As a result disease and sickness spread quickly. Visiting nurses brought health care to patients and their families in their homes rather than hospitals. Nurses treated the sick and taught families health care and general hygiene. These badges were worn by local southeastern Wisconsin public-health nurses and staff while on duty.


www.nursingmattersonline.com

Page 11

May • 2016

Visit the Historical Gallery at the Center for Nursing History

The U.S. Cadet Nurse Corps was established in 1943 during World War II to recruit women into nursing. The program offered full room, board and stipend in return for working in a hospital until the end of the war. The program officially ended in 1948; it graduated an estimated 125,000 nurses.

PHOTOS BY ANNE MOLINEU

The practice of wearing caps grew out of the religious and military tradition that often required formal head coverings. Each school of nursing had a unique cap that identified its graduates. A black or blue velvet stripe was added to the cap when the student nurse graduated. In the 1970s the tradition of nursing caps began to fade.

This is a United Airlines stewardess uniform, ca. 1944. In the 1930s, as U.S. airlines increased passenger service, they hired nurses as the first female airline stewardesses. Nurses tended to the needs of passengers and provided a greater sense of safety in the early days of flight.


May • 2016

Page 12

Nursingmatters

Visit the Historical Gallery at the Center for Nursing History

PHOTOS BY ANNE MOLINEU

In hospital schools of nursing, it was traditional for students to replicate their unique uniforms for dolls. These dolls represent six different schools of nursing. The one in the graduation gown and the one in brown are from the University of Wisconsin-Madison School of Nursing.

ABOVE: Nursing pocket cases and tools c.1890s-1940s — it was customary for nurses to have their own “tools” that were carried in pockets or attached to belts. This display indicates the variety of tools and cases that nurses used. RIGHT: These school uniforms are from Milwaukee St. Mary’s School of Nursing, c. 1924, and University of WisconsinMadison School of Nursing, c.1929. Each school of nursing has its own unique uniform, as well as a cap and cape. The uniform on the left is the Milwaukee St. Mary’s School of Nursing — blue and white. On the right is the UW-Madison School of Nursing — brown and white with a brown-and-turquoise cape. FAR RIGHT, TOP: World War I Army Nurse Corps wool uniform and wool bathing suit are displayed. The accompanying Red Cross recruitment poster was used to encourage nurses to contribute to the war effort. FAR RIGHT, BOTTOM: This is a World War II Army Nurse Corps seersucker uniform, c. 1942-1945, and an original WWII Army poster. The rare World War II Army Nurse Corps seersucker uniform was worn in extremely hot regions such as the China, Burma and India theater of war, as well as in North Africa. The original World War II poster shows Army Nurses wearing similar seersucker uniforms.


www.nursingmattersonline.com

Page 13

May • 2016 A heartfelt thank you to all of our nurses, for all that you do.

HAPPY NURSES WEEK! BrightStar Care is experiencing exciting growth and has some excellent opportunities near Madison, Janesville, Baraboo and LaCrosse.

Skilled Nursing Assisted Living Hospitals Clinics Home Care Skilled Care Flexible scheduling and full benefit package including PTO Please call 608-441-8619 or visit our website at www.brightstarcare.com/madison

HOME CARE | MEDICAL STAFFING A Higher Standard

Nursing has unique essence Robert Kneepkens, RN, BSN, MSN, Certified Public Manager, Director of Nursing, Sand Ridge Secure Treatment Center‌

Robert Kneepkens designed a survey of current nurses at Sand Ridge Secure Treatment Center and compiled survey results for this article. Nurses practice with compassion and respect for the inherent dignity, worth and unique attributes of each person (American Nurses Association Code of Ethics with interpretive statements 2015).

One of the most challenging environments to actualize this ethical provision is working with sexually violent persons. According to the Association for the Treatment of Sex Abusers, Wisconsin is one of only 20 states with a civil-commitment process for sexually violent persons (Wisconsin Statutes chapter 980). The purpose of the law is to protect the public and provide treatment to individuals with a mental disorder that makes it “substantially probable that the person

continued on page 14

FURTHER YOUR NURSING CAREER! Continue your education with the Ruth S. Coleman College of Nursing and Health Sciences. Take advantage of the chance to earn your B.S. in Nursing RN to BSN degree! This program is designed for registered nurses who are looking for enhanced career opportunities, promotions, and continuing education.

Thank You,

Nursing Faculty & Staff In the spirit of Nurses Week, the Henry Predolin School of Nursing at Edgewood College thanks its nursing faculty and staff for their outstanding contributions to educating future nurses and nurse leaders.

Margaret Noreuil, Dean Jenna Alsteen Cathy Andrews, Emeritus Ruth Baier Martine Banda-Wolk Tammy Banfield Mary Elizabeth Bathum Chris Bell Gerrie Bleifuss Jacinda Burdon Nancy Comello Pamela Crary Carrie Croft Melissa Dabel Heidi Deininger-Kinney Kathy Dineen Tom Doherty Vicki Evenson Kari Fischer Kristin Gabriel Barb Gallogly Taylor Garcia JoAnne Granquist, Emeritus Colleen Gullickson Kristine Heckman Erika Helmer Julie Hudziak Joan Jacobsen Mary Kelly-Powell, Emeritus

Kathy Knapp Angela Krey Betsy Laessig-Stary Tish Lafferty Jane Lucht, Emeritus Kiersten Ludvigson Jeneile Luebke Cleary Kristen Menningen Pamela Minden, Emeritus Tara Morris Lottie Most Quinn Mullikin Roberta Pawlak Barb Pinekenstein Nancy Pullen Claude Rochon Marguerite Roulet Bethany Saddler Katie Selle Yulia Semeniuk Lori Severtson Christine Smith Bonnie Sommers Tracy Towne Kimberly Walker Britt Wanta Jennifer Weitzel Elaine Wheeler Ernise Williams Maria Yelle

Contact an admissions counselor to learn more: (414)-410-4040 or admissions@stritch.edu

OUR MISSION IS TO HELP YOU FIND YOURS.

Find out how: go.stritch.edu/nursing

connect.edgewood.edu


May • 2016

Page 14

Essence

continued from page 13 will engage in acts of sexual violence.” The Wisconsin Department of Health Services operates a nationally recognized program for the evaluation and treatment of sexually violent persons at the Sand Ridge Secure Treatment Center in Mauston, Wisconsin. There are more than 360 men at Sand Ridge. At this time, no women have been committed under

Wisconsin Statutes chapter 980. While nursing at Sand Ridge is similar to correctional nursing there are several major differences. Patients at Sand Ridge have the same patient rights, with a few exceptions, as any other person receiving mental-health treatment. Unlike other civil commitments or criminal justice sentences, patients there are committed indefinitely. There is no predetermined end date. Instead, a patient must demonstrate a reduced risk to reoffend for a commitment to end.

We are BETTER TOGETHER.

Affirmative Action/ EOE-Disability/Vet MK16-64-0(04/16)A

Staff at Sand Ridge regarding being an RN at the facility: Nurses serve a population with complex needs. “We never quite know what the day might bring as far as patient care. It is a wonderful challenge and use of our critical-thinking skills.” Nurses strive for trauma-informed care. “You must have the ability not to judge patients regardless of their criminal allegations, convictions or history of sex offending. You must have the ability to maintain firm professional boundaries. You never risk crossing those boundaries into fraternization.” Nurses value teamwork. “We work as a team of professionals to get the job done, while encouraging each other and finding reasons for genuine and respectful laughter. I feel supported and recognized for a job well done, but also know that others will respectfully inform me of ways to improve. At the end of the day, I leave feeling that great accomplishments were made. Even during times of staff shortage, the morale stays at a positive level. We have the flexibility to fill open shifts. The support we show each other (is) not only at work but also during times of family needs. This makes me really appreciate my co-workers.” Nurses take pride in the care and treatment they provide patients. “Sometimes responding to medical emergencies can be a ‘good day’ because it reminds us how much we appreciate the strengths of our fellow nurses. A different kind of ‘good day’ is when we have

Nursingmatters a successful conversation with a patient. Many of our patients have significant mental-health challenges and are at risk for self-care deficits. When we are able to offer nursing care or information, and it is well received or used by the patient, that feels successful and contributes to a good day at work.” Nurses make a difference in the lives of patients. “When I am able to successfully explain an issue or assist a patient, especially those who might struggle with mental illness, I find that motivating.” Nurses partner with medical and psychiatric providers. “I learn something new every day. I enjoy learning about different disease processes, especially from our providers, who are always willing to teach and share information with nursing staff.” Nurses work in a safe, supportive environment. “Security staff members at (Sand Ridge) are well-trained. They are always willing to accompany nurses, regardless of the procedure or location. The security aspect of (Sand Ridge) makes me feel very protected and safe when compared to other facilities without a high profile of security. Nurses balance their work and personal lives. “At the end of the day, caring for the patients and knowing that I have accomplished my nursing goals in an appropriate manner makes me proud of my nursing practice, but also knowing that when I leave for the day I can let my mind focus on my own personal life.”

JOIN US! Search “Careers” at ghcscw.com

Inspired to care Be inspired to achieve your educational goals today through one of our innovative programs: • Family Nurse Practitioner • Nurse Educator • RN-BSN Completion (100% online)

Learn more! marianuniversity.edu/nurse 45 S. National Ave. l Fond du Lac, WI 54935-4699 1-800-2-MARIAN ext. 7650 l www.marianuniversity.edu/apply

The University of Wisconsin–Madison School of Nursing extends its sincere appreciation to the nurse preceptors and other health care professionals who have shared their valuable time and expertise with our undergraduate and graduate nursing students. Thank you for the formative role you play in educating future nurses and nurse leaders.


www.nursingmattersonline.com

May • 2016

Page 15

Mental health topic for WCN conference Judith Hansen, Executive Director, Wisconsin Center for Nursing‌

The Wisconsin Center for Nursing is holding its sixth-annual conference, based on the Institute of Nursing’s “Future of Nursing” report recommendations, and as part of the recently awarded Robert Wood Johnson Foundation State Implementation Program grant, “Wisconsin Nursing LEADs the PACC (Partnerships in Action for Community Care).” The theme for this year’s conference was chosen as a continuing effort of the Nursing’s Voice project in southeastern Wisconsin, as supported by the Faye McBeath Foundation – “Nurses Leading Change to Advance Mental Health.” Millions of Americans are affected by mental-health conditions each year. According to the National Alliance on Mental Illness, staggering numbers of individuals and families are impacted by these conditions, with nearly 10 million adults living with a serious mental illness. Nurses can play a critical role in improving the quality of care for patients and their families. The conference will be held June 20 at the Richard T. Anderson Education Center, Waukesha County Technical College, Pewaukee Campus, 800 Main St., Pewaukee, Wisconsin. The keynote speaker will be Dr. Sally Raphel MS, APRN-PMH, FAAN. An internationally known speaker who has served on national and international councils

and task forces for global mental and behavioral care delivery, Raphel is the former deputy director of the Pan American Health Organization/World Health Organization Collaborating Center Sally Raphel for Mental Health Nursing, and is currently faculty in psychiatric-mentalhealth nursing at The Johns Hopkins University School of Nursing. The keynote address will feature overwhelming evidence that nursing, and even the behavioral health workforce, are not equipped in skills or numbers to respond adequately to increasing incidence of co-occurring mental and addictive disorders among individuals. Raphel’s message will outline an action plan on Behavioral Health Workforce Development to respond to the changing mental-health needs of the American population. A “lived experience” will highlight the second half of the morning, titled, “Integrating Mental Health Care in Practice: A Consumer’s, Nurse’s and Psychologist’s Point of View.” It will be a panel presentation to demonstrate that meeting

mental-health needs for everyone starts by considering the consumer’s point of view, learning strategies on being mentally healthy and assuring mental-health care is integrated into primary health care. Featured speakers for the panel will be: • ‌Maria Hanson, JD, CPS, peer specialist coordinator, Mendota Mental Health Institute; • ‌Donna Riemer, PMHN-BC, certified clinical traumatologist-nurse consultant, Department of Health Services, Division of Mental Health and Substance Abuse Services, Bureau of Prevention, Treatment and Recovery; and • ‌Elizabeth A. Zeidler Schreiter, PsyD, chief behavioral health officer, Access Community Health Center, Madison, Wisconsin. Four breakout sessions will be offered in the afternoon to focus on mental-health issues across the lifespan. • ‌“Infant Mental Health: Significance, Effects of Trauma and the Role of Family Relationships” – Donna M. Harris, MS, APRN – reflective practice consultant, co-founder and president of the board of Wisconsin Alliance for Infant Mental Health • ‌“Stigma, Isolation and Hope” – Peg Rauschenberger, MSN, RN, CCHP, interim dean at JoAnn McGrath School of Nursing, Alverno College, and psychiatric nurse at the Milwaukee County Juvenile Detention Center • ‌“Mental Health and Vulnerable Populations” – Mary Muse, MS, CCHP-A, CCHP-RN, director of nursing/

chief nursing officer at the Wisconsin Department of Corrections, • ‌“De-prescribing in the Era of Team-Based Care: Case Studies from Psychiatry and Geriatrics” – Michael J. Oldani, PhD, MS, associate professor, coordinator of interprofessional education at Concordia University Wisconsin, and Travis Suss, PharmD, assistant professor of pharmacy practice at Concordia University Wisconsin-School of Pharmacy The closing session for the conference will be a dynamic workshop, titled, “Motivational Interviewing: Skills to Help You Help Patients – No Matter Where They Are in Their Readiness to Change,” presented by Robin MonsonDupuis, LCSW, SAC, RYT, manager of Outpatient Behavioral Health Services at Aurora Health Care. After registering, participants will receive access to a prereading assignment for this session, titled, “Motivational Interviewing in Health Care Settings, Opportunities, and Limitations.” Registration fee for the conference is $100 or $50 for students. The conference will offer seven contact hours of Continuing Nursing Education credit to participants. Visit www.wisconsinnurses. com/reg_wcn.asp to register. A block of single/double rooms has been reserved at the nearby County Springs Hotel, 2810 Golf Road, Pewaukee, at the special rate of $92 per night, available through May 20. Reserve by calling the hotel at 262-5470201; ask for the “Wisconsin Center for Nursing room block.”

Health care center recognized for civic engagement MADISON, Wis. – The Center for Healthcare Education and Simulation, a unique partnership between Edgewood College, Dean and St. Mary’s Hospital, and UnityPoint Health-Meriter, has received an Esther Letven Campus-Community Partnership Award. The award was presented April 18 by the Wisconsin Campus Compact at the Medical College of Wisconsin in Milwaukee. The Esther Letven Campus-Community Partnership award recognizes up to two outstanding campus-community partnerships that produce measurable community impact as well as student growth and learning. The purpose of this award is to honor partnerships that have successfully demonstrated a mutually beneficial and mutually invested partnership between higher education

The Center for Healthcare Education and Simulation offers nursing students an opportunity to enhance their clinical knowledge in a safe practice environment.

and community. Since 2009, the Center for Healthcare Education and Simulation has provided

area health-care professionals with education and training using state-of-the-art patient-simulation models and clinical scenarios. During 2014-15, the center offered 550 individual trainings on a variety of topics. More than 200 of those education sessions were offered as outreach programs in collaboration with several other agencies. Through Center for Healthcare Education and Simulation, 1,000 nursing students have had an opportunity to enhance their clinical knowledge in a safe practice environment, hundreds of current medical professionals from a variety of disciplines have obtained professional certifications and updated their skills, and hundreds of community members have learned CPR and basic life-support skills. As a result of this

partnership, the quality of health care available in south-central Wisconsin communities has improved. Campus Compact is a national coalition of nearly 1,100 colleges and universities committed to the public purposes of higher education. In 2002, Wisconsin joined National Campus Compact’s movement toward an institutionalized commitment of civic engagement and service-learning. Visit www.wicampuscompact.org for more information. Located in Madison, Edgewood College is a liberal-arts Catholic college in the Dominican tradition serving about 3,000 undergraduate and graduate students at its Monroe Street and Deming Way campuses, and online. Visit www.edgewood. edu or call 608-663-2333 for more information.


May • 2016

Page 16

Nursingmatters

Caring has bittersweet price Linda Hohneke MSN, RN, NE-BC

This month I had the opportunity to connect with my best friend from nursing school, Anna. We both chose our nursing Linda Hohneke careers with the goal of serving others. During our freshman-year Candle Lighting Ceremony, we embraced the Florence Nightingale Pledge and vowed to devote our minds, bodies and souls to those committed to our care. Forty-five years later, we remain true to the vow. Nursing has a particular rhythm that is both existential and inspirational for us. We love incorporating nursing science, clinical skill, critical thinking, intuition, experience and caring while meeting the challenges of health-care delivery, in a safe yet efficient manner. Unexpectedly, the joy of serving has dimmed. Caring comes at a bittersweet price. Prior to this new awareness, I envied Anna’s long-tenured career in the neonatal intensive care unit. Originally we both started in the neonatal intensive care unit. We were passionate about the “wee ones.” Anna was able to remain in that setting, while I shifted my focus to other settings due to family moves and healthcare-setting variations. I pursued further education; Anna remained at the bedside. Both of us have been successful and know we have been able to make a difference for those we have served. Unexpectedly today, Anna confided she has been having difficulty starting her neonatal intravenous lines. She is noticing her eyes hurt a great deal when caring for critically ill neonates in high-intensity phototherapy. At times, she confessed, she cannot see. A recent visit to an ophthalmologist revealed that Anna has progressive macular degeneration. Macular degeneration is caused when part of the retina deteriorates. The retina is the interior layer of the eye that consists of receptors and nerves that collect and transmit light signals from the eye into the optic nerve, then to the brain for interpretation. The macula is the central portion of the retina that aids vision, color identification and enables us to see; it has photoreceptors that react to light stimulus. No one knows the etiology of macular degeneration. A review of the literature suggests age, pigmentation, gender, sleep apnea, smoking, medications and exposure to sunlight are factors leading to the disease. Those with lifelong outdoor careers or living near high altitudes or the equator are also at risk for macular degeneration. I cannot help but think as I dive into the literature, “What about a nurse

Babies are protected by “sunglasses” during phototherapy for jaundice. Nurses are not protected, though they are exposed often to the blue light.

Too many times nurses minimize risk only as science or technology becomes available. Nurses sometimes think if there is a concern in care practice in our work environment, someone will tell us about it. Much of the needed changes in health care occur in a reactive-perceived mode of crisis. Nurses are in the throes of this crisis. Neonatal blue-light phototherapy is a mainstay for management of neonatal jaundice. Millions of babies have received the effective and safe therapy to reduce the concentration of serum unconjugated bilirubin — but also exposed have been countless nurses, who have had no eye protection, unlike the babies.

who has been exposed to phototherapy for neonatal hyperbilirubinemia treatments for 45 years?” Neonatal blue-light phototherapy has been used as a mainstay for management of neonatal jaundice for decades. Millions of babies have received the effective, simple and safe therapy to reduce the concentration of serum unconjugated bilirubin (Oah, Monar, Kermeny, Osoma, 2013) in an isolette, with the light source above the baby. The eyes of the baby are patched to minimize any eye exposure. Nurses monitor the therapy and ensure minimal interruptions of the light source. With the evolution

of family-centered, evidence-based care – rooming in, skin-to-skin contact and breast feeding – more effort is being made to provide phototherapy in conjunction with family-centered care initiatives. A case report (Szucs and Rosenman, 2016) outlined an evidence-based phototherapy delivery of care in which the infant is under the phototherapy light and in skin-to-skin contact with the mother. “Although hypothesized that blue light may be a risk factor for macular degeneration, the evidence for an association has not been firmly established.” (p1985) Yet protective eye covers are available for

the mother and infant. The baby’s eyes are patched and amber glasses shield the mother’s retinas from the ultraviolet rays from blue light to provide a safe care environment. Historically, in practice, environmental exposures to hazardous chemicals such as unprotected chemotherapy mixture and administration resulted in safer chemotherapy preparation and administration. Blood-borne pathogen exposures to HIV and hepatitis resulted in protective barrier equipment and spill kits. Needle stick and sharps injuries resulted in self-sheathing or retractable needles. Musculoskeletal injuries resulted in Safe Patient Handling equipment such as ceiling lifts and transfer devices.

continued on page 17


www.nursingmattersonline.com

Caring

continued from page 16 Too many times nurses minimize risk only as science or technology becomes available. Nurses sometimes think if there is a concern in care practice in our work environment, someone will tell us about it. Much of the needed changes in health care occur in a reactive-perceived mode of crisis. Nurses are in the throes of this crisis. “Although it may not be the most dangerous profession in the world, nursing has the distinction of being associated with the broadest range of workplace hazards and threats to health and well-being.” (Stowkowski 2014) We must remain diligent for our own safety. Helping others should not put nurses at risk. As nurses we pride ourselves on high-quality, safe patient care. Nurses must embrace their own personal safety. Nurses are a critical link that bridges researchbased changes into clinical practice. Nurse must question existing practice, have access to library resources and nurse scientists, and have the time to work on evidence- based projects (Pipe et.al 2005). Staff nurses must be empowered to use evidence to improve practice and must have the resources to accomplish the goals related to improving the quality and safety of nursing care for our patients and ourselves. Perhaps then there will not be stories like Anna’s and caring will not have a bittersweet price.

Page 17

May • 2016

Notice of Vacancy for

NURSE CLINICIAN 2 Sand Ridge Secure Treatment Center Mauston, Wisconsin (Juneau County) Wisconsin’s Department of Health Services (DHS), Sand Ridge Secure Treatment Center (SRSTC) in Mauston, is seeking candidates for the position of Nurse Clinician 2. There are currently several vacancies available. This is an opportunity for nurses to work in a challenging and unique setting. SRSTC is a nationally recognized facility for the treatment of sex offenders committed under Wisconsin’s Statute 980. As a registered nurse, you will be utilizing the nursing process in the provision of routine and complex patient cares in both a clinic and skilled care unit setting. New nurses are provided one-toone orientation designed by a Nurse Clinician 4 that meets individual learning needs. An opportunity to work side-by-side with experienced nurses is also provided. Nurses at SRSTC are respected and valued for their knowledge, skill and contribution to the mission of SRSTC.

To our 10,000 nurses: thanks a million.

To be considered for this position, you will need to create an account and apply online. For instructions please visit the State of Wisconsin website at http://wisc.jobs and refer to Job Announcement Code 1600590. The deadline for submitting applications is June 30, 2016. Materials will be evaluated and qualified candidates will be invited to participate in the next step of the selection process. EOE

Nursing isn’t just a profession—it’s a way of life. And at Aurora Health Care, we see that every day. We see it in the compassionate care our nurses give to each and every one of our patients. We see it in their ongoing dedication to improving as individuals, as well as their passion for advancing the very ways in which we deliver care. And most of all, we see it in their commitment to helping others live well.

HAPPY NATIONAL NURSES WEEK. And thank you for everything you do for us, for your patients, and for the community.

x88187 (04/16) ©AHC


May • 2016

Page 18

Nursingmatters

M.S. in Nursing Health Care Systems Management

Save The Date!

Meeting the needs of mid-management and executive level nurses, and nurse entrepreneurs who must be able to lead teams, manage financial resources, analyze large data sets, understand complex organizational systems, and ensure quality and safety, all through the lens of nursing practice. Designed to accommodate busy working professionals with some courses available via blended-online format.

Graduate Program Showcase May 10 • 5-7 p.m.

msoe.edu/grad-showcase • (800) 321-6763

The Wisconsin Nurses Foundation is holding a second-annual Lamplight 5K Run/Walk. It will be held at 10 a.m. May 14 at Warner Park, 2930 N. Sherman Ave., Madison, Wisconsin. Proceeds will support Wisconsin Nurses Foundation scholarships and grants. Visit wisconsinnurses. org for more information and to register. Marquette University-College of Nursing is celebrating its 80th anniversary. Marquette nursing graduates are invited to help celebrate the anniversary. A series of events will be planned during Reunion Weekend, July 29-31. The College of Nursing will also host a fundraising dinner and auction Nov. 4 at the Wisconsin Club, 900 W. Wisconsin Ave., Milwaukee. The benefit auction will raise funds for the college’s work in the community, such as at the Sojourner Family Peace Center and the college’s Clinic for Women and Children. More details on these events will be shared with alumni and friends as they are finalized.

Johnston Hall is the oldest academic building at Marquette University.

Celebrating Nurse’s Week 2016 Celebr Correctional Nursing - Celebrating Ethical Practice and Quality Care Discover what you were meant to do. Find your purpose in Correctional Nursing. Philosophy: We believe that every individual person has intrinsic value and the right to health care. As professional nurses our responsibility is to the care, restoration, health and treatment of patients. As nurses we deliver care within the framework of a security environment and within the underpinnings of nursing practice.

Vision: To define and maintain a professional practice within nursing that embodies a dedication to excellence in patient care. Nursing within the WIDOC is an inspirational model for Correctional Nursing.

Mission: To enhance, foster, and promote the professional practice of nursing. To create a culture of caring and practice that is focused around respect for patients, restores and improves the health of our patient population, and contributes to the promotion of health through quality service. WISCONSIN DEPARTMENT OF CORRECTIONS

PASSION, COMMITMENT, AUTONOMY


Nursing Supervisor Department of Corrections We are currently recruiting for full time Nursing Supervisors to fill vacancies within the Wisconsin Department of Correctional Institution. Current Vacancies: Fox Lake Correctional Institution (Dodge County); Columbia Correctional Institution (Columbia County) and Racine Correctional Institution (Racine Co.) This recruitment will be used to fill any future vacancies statewide. These positions supervise health care staff; develop procedures and techniques to assure that health care programs are functioning effectively; monitor off-site health providers; assure that health care plans are carried out in accordance with policies and procedures; provide liaison to institution staff, psychological services, social services, and other treatment programs to coordinate treatment plans, and work with the primary care physician, dentist, psychiatrist, serving as a consultant to provide quality health care. Salary - Nursing Supervisor: $84,862 to $104,000 annually, depending on qualifications. Current licensure is required. Excellent benefits package to include: immediate coverage under the Wisconsin Retirement System, Health Plans available to meet your needs at low premiums, Sick Leave, Unused sick time converted to extended health care benefits upon retirement, paid vacation, 4.5 personal days each year, paid legal holidays per year, Life insurance, Supplemental retirement saving program, and Worker’s compensation.

Nursing Coordinator

State of Wisconsin - Department of Corrections We are currently recruiting for 2 full-time Nursing Coordinators. These position are based in Madison, with travel to assigned institutions throughout the State. Responsibilities include coordination and oversight of the health services provided to the correctional institutions. A well-qualified applicant will have leadership experience. • Salary up to $95,000 annually, depending on qualifications. A license is required. Excellent benefits package to include: immediate coverage under the Wisconsin Retirement System, Health Plans available to meet your needs at low premiums, Sick Leave (5 hours per pay period), Unused sick time converted to extended health care benefits upon retirement, 3 weeks paid vacation, 4.5 personal days each year, 9 paid legal holidays per year, Life insurance, Supplemental retirement saving program, and Worker’s compensation.

Application Information For detailed job description and application information, please see http://wisc.jobs JAC 15-03213

Application Information For a detailed job description and application information, please see http://wisc.jobs JAC 16-01215

We are an Equal Opportunity Employer

We are an Equal Opportunity Employer

Connect with

Nursingmatters on Facebook! Enjoy Updates, find links and information about upcoming events and job listings, make comments and see photos from events like the Nursingmatters Expo!

Not only will you find career opportunities in the classified section of Nursingmatters, you will find them posted continually throughout the month on Nursingmattersonline.com.


May • 2016

Page 20

Nursingmatters

MAKE YOUR NEXT PATIENT FEEL LIKE

YOUR ONLY PATIENT. ALVERNO’S 18-MONTH RN TO BSN

J O A N N M C G R AT H SCHOOL OF NURSING

Combines online learning with once-a-week evening classes Flexible, personalized curriculum with an emphasis on feedback The region’s strongest nursing network

#LoveTheChallenge

Open to women and men More info at alverno.edu/rnbsn or 414-382-6100

Thank you. To our nurses: When we promise parents that their children are in the very best hands, it’s often your hands that we’re talking about. From all of us at Children’s Hospital of Wisconsin, thank you for your hard work, passion and unwavering dedication to the patients and families you see every day. Happy Nurses Week!

chw.org


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.