Washington Nurse - Summer 2010 by WSNA

The Washington Nurse ANA House of Delegates NFN Labor Academy Fall Votor Guide

Volume 40, No 2 Summer 2010

A Publication of the Washington State Nurses Association

Summer 2010

What's Happening — a r e p o rt f r o m A N A ' s H o u s e o f D e l e g at e s n e w to o l s f o r pat i e n t a dvo c ac y t h e nF N ' s first a nn u a l L a b o r A c a d e m y fa l l v ot e r ' s g u i d e

Volume 40, No 2 Summer 2010

W S N A B oa r d o f D i r ecto r s & Sta f f

president Julia A. Weinberg, RN, Bow

Washington State Nurses Association

Vice President Tim Davis, MN, RN, Mt. Vernon

206.575.7979 • 206.575.1908 fax • wsna@wsna.org

575 Andover Park West, Suite 101, Seattle, WA 98188

Secretary / Treasurer Verlee Sutherlin, MEd, MSN, RN, Nine Mile Falls

Directors-at-Large Jeanne Avey, RN, Longview Ed Dolle, RN, Port Orchard Jennifer Graves, RN, MS, ARNP, Seattle Judi M. Lyons, RN, Ellensburg Pam Pasquale, MN, RN, BC, CNE, Wenatchee

Chair, Cabinet on Economic & General Welfare Martha Avey, RN, CCRN, Spokane Chair, Professional Nursing & Health Care Council Sharon Bradley, MSN, RN, Spokane Chair, Legislative & Health Policy CounciL Susan E. Jacobson, RN, CCRN, Yakima

Executive Director Judith A. Huntington, MN, RN Special Projects Manager Darlene Delgado, RN

Assistant Executive Director, Nursing Practice, Education & research Sally Watkins, PhD, MS, RN

Executive Administrative Assistant to the Executive Director Barbara Bergeron

Nursing Practice & Education SPECIALIST Karen A. Benson, Ph.D., MS, MN, RN

Bookkeeper Mary Reed

EDUCATION SPECIALIST Hilke Faber, MN, RN, FAAN

Assistant Executive Director, Governmental Affairs and operations Anne Tan Piazza

Occupational & Environmental Health Specialist Karen R. Bowman, MN, RN, COHN-S

Contract lobbyist Tamara Warnke Senior Governmental Affairs Advisor Sofia Aragon, JD, BSN, RN Communications Specialist Lillie Cridland WEB & COMMUNICATIONS SPECIALIST Ben Tilden Operations / Systems Administrator Duncan Taylor Membership Coordinator Mary Peterson Membership Processors Patrick McGraw Louise Hohbach Membership Processor / Clerical Support Kelly King Membership Processor / Administrative Assistant, Labor Relations Shastie Parker Administrative Assistant, Programs & Operations Hue Tran Communications Processor Kathryn MacLeod Receptionist / Mail Clerk Irene Mueller

2 | The Washington Nurse | Summer 2010

Assistant Executive Director, Labor Relations Christine Himmelsbach, MN, RN Senior Labor Consultant Barbara E. Frye, BSN, RN Assistant Director, Labor Relations Margaret Conley, RN, ARNP General / Corporate Counsel Timothy Sears General Counsel Michael Sanderson Paralegal Maria Pettit Nurse Representatives Debra Bessmer, BSN, RN Sara Frey, JD, BSN, RN Barbara Friesen, BSN, RN Carmen Garrison BSN, RN Kathi Landon, RN Judy Marken, BSN, RN Pat McClure, RN Jaclyn Perkins, BSN, RN Michele Rose, BSN, RN Hanna Welander, BSN, RN Heather Worbets, BSN, RN Ed Zercher, BSN, RN Nurse Organizers Jan Bussert, BSN, RN Tara Goode, BA, BSN, RN Mara Kieval, BSN, RN

www.wsna.org The Washington Nurse (ISSN# 0734-5666) newsmagazine is published quarterly by the Washington State Nurses Association. It is distributed as a benefit of membership to all WSNA members. A member rate of $10 per year is included in WSNA membership dues. Institutional subscription rate is $30 per year (Canada/ Mexico: US $36 per year; Foreign: US $49 per year). The information in this newsmagazine is for the benefit of WSNA members. WSNA is a multi-purpose, multifaceted organization. The Washington Nurse provides a forum for members of all specialties and interests to express their opinions. Opinions expressed are the responsibilities of the authors and do not necessarily reflect the opinions of the officers or membership of WSNA, unless so stated. Copyright 2010, WSNA. No part of this publication may be reproduced without permission. Advertising Information on advertising rates may be obtained on the WSNA website (www.wsna.org) or by contacting the WSNA Business Agent at 206.575.7979. Advertising deadlines are: March 1, June 1, September 1, and December 1. Advertising will be accepted on a first come, first served basis for preferred positions, pending space availability. WSNA reserves the right to reject advertising. Paid advertisements in The Washington Nurse do not necessarily reflect the endorsement of the WSNA Members, Staff or Organization.

Contributor Guidelines Article ideas and unsolicited manuscripts are welcome from WSNA members (300 word maximum). Please submit a typed copy and digital copy (Word 97/2003/2007), and include identified relevant photos, a biographical statement, your name, address and credentials. It is not the policy of WSNA to pay for articles or artwork.

A RTI C LE SUB M ISSION DE A DLINES Spring .......................................................................... February 15 Summer................................................................................. May 15 Fall .................................................................................... August 15 Winter...................................................................... November 15

Designed, edited & printed in the USA

Contents

– Summer 2010 –

U p Fro nt

F e at u r e

L a b o r R e l at i o n s

Back of Book

4 Calendar

14 Report from the 2010 ANA House of Delegates

20 NFN Labor Academy

30 Continuing Education Calendar

4 You Were Represented 6 In Focus: President's Letter 8 News Briefs 10 ANA News 12 District News 13 Staff Profile Karen Benson 13 Gelland Haagsma

Nu r s i n g P r a c t i c e 18

22 Report Card: Labor Program 24 2010 Leadership Conference Agenda & Registration

New Smoking

Cessation Program

19 Confronting Verbal Abuse

L e g i s l at i v e Affa i r s

32 The New Members List 34 2011 Convention Call for Nominations, Resolutions & Bylaws Amendments 37 Membership Update 37 WSNF News 38 In Memoriam

28 WSNA-PAC Endorsements 29 Why You Should Vote 'No' on Initiative 1082 29 Featured Candidates

The Washington Nurse | Summer 2010 | 3

You Were Represented

Upcoming Events

■ The WSNA staff and elected and appointed leaders represent your interests in a wide variety of meetings, coalitions, conferences and work groups throughout the year, anticipating and responding to the issues the membership has identified as priorities. In addition to many meetings with legislators, regulators, policy makers, other health care and nursing organizations and unions, the following represents a partial listing of the many places and meetings where you were represented during the months of April through July 2010.

• Alliance of Nurses for Health Environments (ANHE) Policy/Advocacy Committee • American Organization of Nurse Executives (AONE) Practice and Policy Committee • American Nurses Association (ANA) Board of Directors meeting • ANA Business Arrangements Task Force • ANA Constituent Assembly Executive Committee • ANA House of Delegates • ANA Lobby Day • ANA Nursing Practice Network conference calls • Arbitrations • Ballot Initiative Network steering committee • Collaborative on a Healthy Environment (CHE-WA) • Department of Health (DOH) Healthcare Acquired Infections meeting • DOH Patient Safety Adverse Events Advisory Committee • Disciplinary Meetings • Faculty Compensation workgroup for Master Plan for Education, WCN • Friends of Basic Health Coalition • Governor's Council on Health Disparities Subcommittee on Workforce Diversity • Grievances • Hanford Advisory Board • Health Care Assistant rules-writing hearing • Health Care for America Now (HCAN) • Health Coalition for Children and Youth • Healthy Washington Coalition • House of Representatives Commerce and Labor Committee work session on H1N1 and sick leave policies • House of Representatives Health and Human Services Appropriations Committee work session on public health funding and H1N1 • Informational Picketing • Investigatory Meetings • Labor Management Meetings • Mary Mahoney Professional Nurses Association annual meeting • Mediations • Meetings with the Department of Labor and Industries

4 | The Washington Nurse | Summer 2010

• National Federation of Nurses (NFN) Policy Committee • NFN National Executive Board meetings & National Advisory Board meetings • NFN National Labor Academy • Northwest Organization of Nurse Executives Nursing Practice Commission • Nursing Care Quality Assurance Commission Meetings (NCQAC) • NCQAC Continuing Competency rules-writing workshops • NCQAC Continuing Competency Subcommittee • Primary Care Coalition • Public Health Funding Roundtable • Revenue Coalition • Ruckelshaus Education Advisory Committee • Ruckelshaus Safe Staffing Steering Committee Meetings • Washington Center for Nursing (WCN) Board Meetings • WCN "Nurse of the Future" meetings • WCN Faculty Compensation workgroup for Master Plan for Education • WCN Master Plan Transition to Practice workgroup • Washington Chapter of Physicians for Social Responsibility • Washington Health Foundation Board Meeting • Washington Patient Safety Steering Committee and Medication Safety initiative • Washington State Labor Council May 2010 Convention on Political Education (COPE) • Washington State Labor Council Meetings • Washington State Public Health Association • Washington Toxics Coalition • WinthinReach Immunization annual meeting • Washington State Hospital Association (WSHA) Safe Table Learning Collaborative Advisory Committee • WSNA CEARP Committee • WSNA E&GW Cabinet • WSNA Finance Committee • WSNA Legislative Council • WSNA PNHCC, OEHSC, and Disaster/ Emergency Preparedness meetings • WSNF Board of Trustees meeting

– August– 5 - 6 12

NFN Meeting - Chicago WSNA Constituent Representative Council 18 - 19 International Swine Flu Conference - Washington, DC – September –

2 Washington State Nurses Foundation Board of Trustees 10 CEARP Committee Meeting 11 - 17 Global Nursing Leadership Institute - Geneva, Switzerland 15 - 17 ANA Lobbyist Meeting - Washington DC 25 - 26 Cabinet on Economic and General Welfare - Chelan 26 Local Unit Leadership Council - Chelan 27 - 28 Local Unit Leadership Conference - Chelan

– October – 8 Occupational and Enviornmental Health and Safety Committee 9 Disaster and Emergency Preparedness Committee 11 - 12 Public Health Joint Conference on Health - Yakima 15 Finance and Executive Committee Meetings 16 Professional Nursing and Health Care Council 21 - 22 CNEWS - Seattle 29 Second Annual CEARP Provider Update - Cedarbrook 29 Nominations for WSNA Elected Offices, Proposed Bylaws Amendments and Proposed Nonemergency Resolutions Due

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In Focus ByJulia Weinberg, RN WSNA President

hat an exciting few months! I was so pleased to be among the nurses representing Washington at the National Federation of Nurses Labor Academy in May and then again to join with nurses from Washington and across the country in June for the ANA House of Delegates (HOD). From here to Washington D.C., WSNA nurses have been leading the way on health care, labor and more.

This year’s HOD also brought us a very special visitor – President Barack Obama! In his speech, he thanked ANA and nurses for being such strong advocates and leaders for health care reform. He also called upon us to continue being leaders as the new health care law gets implemented and as we help our patients navigate this new system. I felt appreciated for the work that nurses do and inspired to go out and continue to provide not just excellent patient care but ‘WSNA leading the way’ – it’s a phrase some of you also excellent advocacy. It was such an honor to have may have heard on the picket line in the past year. him speak to us, and I am particularly pleased to To me, it’s a short way of saying that we, as WSNA report that I was one of several Washington nurses nurses, are showing leadership and vision in our who was able to shake his hand. I grabbed his hand practices, in our workplaces, in our state Capitol, and and thanked him for his efforts to push health care across the country. It has certainly been true over the reform forward. last few months, perhaps more so than ever before, and I’m proud of the work that all of us have been Many of us at HOD were also able to participate in the ANA Lobby Day, which took place on June 16th. doing this spring and summer. Along with many WSNA members, I visited a numI appreciated the opportunity to work with nurses ber of our Washington legislators and asked them to across the country in leading the way during the ANA support laws that ensure safe nurse staffing as well House of Delegates. Though I have been to the ANA as other nursing priorities. We were joined by 300 HOD before as a delegate, this was my first time as other nurses from all over the U.S. who visited their WSNA President and I felt quite a responsibility to legislator during ANA Lobby Day. On the bus to the represent Washington and our nurses. I was joined Capitol, you could hear the humming buzz of many by an amazing group of WSNA nurse delegates both nurses' voices speaking together about the issues experienced and new to this role, and I want to thank that are important to our practices and our patients each of them for taking their own time this summer as we prepared to lobby our legislators. to participate in our WSNA delegation. We should all be proud of the work they did for our state and It was Florence Nightingale, nursing’s founder, who national priorities. showed us that advocacy is the beginning of what ‘leading the way’ for nursing looks like. Florence At the HOD, 600 nurse representatives from all the 49 taught nurses that caring for patients at the bedside constituent member states gathered in Washington was not the only job of a nurse. She believed that D.C. to set the direction for the work of ANA and help nurses should also be prepared and ready to work the newly elected ANA Board of Directors focus their in the community, to help fellow nurses by teaching efforts over the next two years. This year, I was truly and mentoring, and to feel enabled and empowered impressed by the focus, professionalism, and vision to participate in decision-making. shown by all of the delegates at the HOD. Though we sometimes differed in our views, everyone was Today, nurses are viewed as leaders both within the working together on the issues affecting our profes- health care team and by patients and the public – a sion, our practices and our patients. Outgoing ANA point that President Obama emphasized in his speech. President Becky Patton did an excellent job of setting The public trusts nurses and because of this we all a tone of inclusiveness and collegiality which helped have a responsibility to be leaders and advocates for ensure that everyone was participating and keeping health and health care. We can do this as individuals and collectively when we gather as members of our discussions focused on nurses and nursing. WSNA, NFN, and ANA. 6 | The Washington Nurse | Summer 2010

We are so fortunate to have these professional nursing organizations and our 58 specialty nursing organizations such as the American Organization of Operating Nurses (AORN), Emergency Nurses Association (ENA) that provide opportunities where we can be active in ‘leading the way’. As nurses, we benefit greatly when we work and come together within these various organizations, our workplaces, community settings, and schools of nursing.

all nurses, we are making a difference together. First it must start with us as individuals in our practices by being thoughtful and accountable in our own decision-making, by providing excellent care for our patients and clients, and by taking steps to help lead our patients towards better health and health care such as developing a plan for management of a chronic disease.

We are each pursuing excellence while also working collectively and collaboratively to direct our profession’s future, we are truly When we are working together, we can build a stronger and ‘leading the way’ for ourselves, our patients and our communities. healthier health care environment for patients and nurses – in I believe that is the ultimate goal that Florence was striving to all practice settings, in all types of care, for all patients and cli- achieve over 100 years ago. ents. Whether we’re doing research, working with recognized Where you find nurses, you will find ANA, WSNA and NFN. I nurse leaders, defining our mutual purpose, lobbying our policy am proud to be a nurse, proud to be a member of these organizamakers, or seeking to find the solutions to problems affecting tions, and proud to be ‘leading the way.’ ■

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The Washington Nurse | Summer 2010 | 7

News Briefs

Donna Yancey, WSNA Member, Heads to Washington D.C. to Testify on Dangers of Chemical Exposure In honor of National Nurses Week, ANA sponsored a luncheon briefing ) in conjunction with the Congressional Nursing Caucus on Tuesday, May 11th to highlight for Congressional staff the Toxic Substances Control Act (TSCA). This act would reduce our nation’s exposure to toxic chemicals, protect nurses and other workers, improve the health of Americans, and decrease the cost of health care.

for regulation. These chemicals are all associated with chronic illness and physical disorders. Nurses, as the largest group of health care providers, recognize the serious impact chemical exposure has on the public’s health. Studies continue to demonstrate a link between chemical exposure and serious illnesses, including cancer, reproductive and developmental disorders, neurological diseases and asthma. Exposure in the workplace puts nurses and other health care professionals at an even greater risk.

Among the speakers at Tuesday’s event was Donna Yancey, RN, BSN, CRRN, a recently retired nurse from Seattle Childrens and a long-time member of WSNA. Donna was also one Other speakers included Nancy Hughes, MS, RN, and director of the participants in a recent study to illustrate the dangers of ANA’s Center for Occupational and Environmental Health, of chemical exposure conducted by ANA in partnership with Andy Igrejas, campaign director for Safer Chemicals, Healthy Physicians for Social Responsibility (PSR). The first of its kind Families, and Joyce Martin, the director of Environmental Health biomonitoring study of physicians and nurses was completed in Policy for the American Association on Individual and DevelOctober 2009. The findings showed each study participant had opmental Disabilities. at least 24 individual chemicals present in their systems, four of which are on the recently released EPA list of priority chemicals

New resource helps nurses help patients connect with support communities CaringBridge, a nonprofit that provides free websites for people facing a serious health event, today announced a new website in May designed specifically for healthcare professionals called RecommendCaringBridge.org. The new website was created to help healthcare professionals improve patient experience by keeping them connected to their supportive family and friends. “The website is a hub for healthcare professionals who want to be involved in the Recommend CaringBridge program,” said Sami Pelton, partnership director for CaringBridge. “We want to deepen our relationship with professionals such as nurses, child life specialists, social workers and chaplains, who work with patients and families each day who could benefit from using CaringBridge.” Since its inception in 1997, more than 200,000 families have created a CaringBridge website. Through CaringBridge,

8 | The Washington Nurse | Summer 2010

families can easily update those who care with one accurate message. Family and friends offer support by visiting the site to read journal entries, view photos and leave messages of love and support. RecommendCaringBridge.org includes: •

Educational information about how CaringBridge helps patients communicate and receive support when they need it most;

•

Downloadable materials such as brochures and flyers; and

•

Signs to look for in a patient who could benefit from creating a personal CaringBridge website.

“CaringBridge is a great tool for healthcare professionals to recommend when they see that a patient is isolated or needs support from family and friends,” said Pelton. “This program is designed to make it as easy as possible for these professionals to recommend CaringBridge and ultimately improve their patient’s quality of life.” Recommend CaringBridge is open to all healthcare professionals. For more information, visit www.RecommendCaringBridge.org

WSNA Members Inducted into the Sigma Theta Tau International Nurse Researcher Hall of Fame This July, Drs. Kathryn Barnard and Pamela Mitchell will be among 22 nurse researchers inducted into the newly created Sigma Theta Tau International Nurse Researcher Hall of Fame. This unique recognition honors nurse researchers who are STTI members; who have achieved long-term, broad national and/or international recognition for their work; and whose research has impacted the profession and the people it serves. The ceremony will take place at the Honor Society of Nursing, Sigma Theta Tau International’s Research Congress, July 16, 2010 in Orlando, Florida. Kathryn Barnard, RN, PhD, FAAN is Professor Emeritus of Nursing and the founder and Director of the Center on Infant Mental Health and Development at the University of Washington. Her pioneering work to improve the physical and mental

health outcomes of infants and young children has earned her numerous honors. Pamela Mitchell, PhD, RN, FAHA, FAAN is a professor of Nursing at the UW School of Nursing and the second Elizabeth S. Soule Distinguished Professor of Health Promotion. Her research investigates fundamental physiologic factors influencing the responses of critically ill neurologic/neurosurgical patients to ordinary nursing care activities. The goal of her research is to design modifications in nursing care that will enhance patients’ recoveries. Dr. Mitchell was also recently honored as one of three recipients of the 2010 Nursing Leadership Award at the Nurses Recognition Banquet sponsored by the UW School of Nursing and the UW Alumni Association.

$250 Million Investment to Lay Foundation for Prevention and Public Health National Prevention Council and Prevention and Public Health Fund Will Promote Public Health and Wellness prevention initiatives; the integration of primary care services into publicly funded community-based behavioral health settings; obesity prevention and fitness; and tobacco cessation.

U.S. Department of Health and Human Services Secretary Kathleen Sebelius today announced $250 million in new Affordable Care Act investments to support prevention activities and develop the nation’s public health infrastructure. Chronic diseases, such as heart disease, cancer, stroke, and diabetes, are responsible for 7 of 10 deaths each year among Americans, and account for 75 percent of the nation’s health spending. Many Americans engage in behaviors such as tobacco use, poor diet, physical inactivity, and alcohol abuse, which harm their health.

•

Public Health Infrastructure: $70 million will support state, local, and tribal public health infrastructure and build state and local capacity to prevent, detect, and respond to infectious disease outbreaks.

•

Research and Tracking: $31 million for data collection and analysis; to strengthen CDC’s Community Guide by supporting the Task Force on Community Preventive Services; and to improve transparency and public involvement in the Clinical Preventive Services Task Force.

•

Public Health Training: $23 million to expand CDC’s public health workforce programs and public health training centers.

These investments in prevention and public health are the second allocation for fiscal year 2010 from the new $500 million Prevention and Public Health fund created by the Affordable Care Act. The $250 million investment in prevention and public health will go to: •

Community and Clinical Prevention: $126 million will support federal, state and community

Secretary Sebelius had earlier announced the allocation $250 million, the first half of the Prevention and Public Health fund, to increase the number of clinicians and strengthen the primary care workforce. Building on the earlier investments made by the American Recovery and Reinvestment Act of 2009 and the Affordable Care Act, particularly for the National Health Service Corps, the investments will support the training and development of more than 16,000 new primary care providers over the next five years. With these investments and others, the Affordable Care Act is continuing the Obama Administration’s historic work to promote wellness and reduce chronic disease. The new law also calls for a national strategy to improve the nation’s health, eliminates co-pays for key preventive services like cancer screenings, and provides new support for employer wellness programs. A fact sheet will be available at www.healthreform.gov.

The Washington Nurse | Summer 2010 | 9

ANA News

ANA Testifies on Capitol Hill for Stronger Nursing Workforce ANA was on Capitol Hill on May 12 to testify before a House Subcommittee regarding fiscal year 2011 budget priorities. Debbie Hatmaker, PhD, RN-BC, SANE-A, ANA First Vice President, spoke before the Subcommittee on Labor, Health and Human Services, Education and Related Agencies on the need for additional funding for nursing workforce development. Dr. Hatmaker urged lawmakers to increase funding for Title VIII programs, calling the current funding levels "insufficient to address the growing nursing shortage" and citing several studies detailing the impact of the current shortage on patient safety, including a 2007 study in the journal Medical Care which demonstrates the link between nurse staffing levels and quality of care. The study suggests that adding 133,000 RNs to the acute care hospital workforce would save nearly 6,000 lives a year. She also pointed out the increased role of advanced practiced registered nurses (APRNs) in the delivery of high quality, cost-effective care, especially in traditionally underserved areas. Hatmaker referenced a recent study from the Journal of Rural Health showing that 80 percent of nurse practitioners who attended programs supported by Title VIII chose to work in underserved areas after graduation.

Newly-elected ANA President goes to white house for health care reform Karen Daley, PhD, MPH, RN, FAAN, newly elected president of the American Nurses Association, attended a meeting on June 22nd at the White House in recognition of the 90-day anniversary of the enactment of the historic Affordable Care Act. During the event, President Obama gave a speech on the significant progress that has been made in implementing the new consumer benefits and cost savings of the new law. The president also unveiled new rules implementing the “patients’ bill of rights” protections that will provide consumers with more secure coverage by ending some of the worst insurance company abuses. During his address to ANA’s House of Delegates on June 16, President Obama 10 | The Washington Nurse | Summer 2010

praised America’s nurses as the “beating heart of our medical system.” ANA has been advocating for health system reform for decades, and played a highly visible, national role in speaking out in support of the new health care reform legislation. “I am pleased to have the opportunity to represent ANA at this meeting, and reaffirm our strong commitment for health care reform as we move into the regulatory phase,” said Daley. “This is not the end of our journey – there is still much work to be done. ANA will remain actively engaged in the implementation of reform and will continue to speak out and advocate for nurses and patients.” A resident of Boston, Massachusetts, Daley spent more than 26 years as a staff nurse at Brigham and Women’s Hospital in Boston. She is a past president of the Massachusetts Nurses Association,

Massachusetts Association of Registered Nurses, and the Massachusetts Center for Nursing. In addition, she has served on the boards of ANA, the American Nurses Credentialing Center, and the ANA-PAC. As a vocal, nationally recognized advocate for legislation mandating the use of safer needle devices in health care practice settings, President Daley has traveled throughout the world raising awareness among nurses, legislators, and health care administrators on the importance of needlestick prevention. She was among those invited to the Oval Office to witness President Clinton sign the "Needlestick Safety Prevention Act" into law on November 6, 2000.

ANA Applauds Introduction of Registered Nurse Safe Staffing Bill in Congress Direct Care Nurses Would Drive Staffing Plans to Ensure Patient Safety ANA applauds the introduction of federal legislation that empowers registered nurses (RNs) to drive staffing decisions in hospitals and, as a result, protect patients and improve the quality of care. On the heels of the introduction of the Registered Nurse Safe Staffing Act of 2010 (S. 3491/H.R. 5527), hundreds of registered nurses from across the country flocked to Capitol Hill last month to meet with their congressional representatives, emphasizing that insufficient nurse staffing can be a life-ordeath issue for patients and that federal legislation is needed to ensure that hospitals don’t limit resources in a way that harms patient outcomes. To date, Washington is just one of seven states that have passed nurse safe staffing legislation closely resembling ANA’s national approach to ensure safe staffing. Those other states are Connecticut, Illinois, Nevada, Ohio, Oregon, and Texas. The RN Safe Staffing Act, crafted with input from ANA, has sponsors from both political parties – Sen. Daniel Inouye (D-HI) and Reps. Steven LaTourette (R-OH) and Lois Capps (D-CA), a nurse. “We know that nurses across the country are deeply concerned about unsafe staffing because it puts patients at risk, as well as puts nurses’ careers on the line,” said ANA President Karen Daley, PhD, MPH, RN, FAAN. “Nurses observe all the time how insufficient nurse staffing diminishes the quality of care for patients. We won’t stop advocating on this issue until federal

legislation is enacted to increase protections for patients and ensure fair working conditions for nurses.” The bill would require hospitals to establish committees that would create unit-by-unit nurse staffing plans based on multiple factors, such as the number of patients on the unit, severity of the patients’ conditions, experience and skill level of the RNs, availability of support staff and technological resources. ANA backed a similar staffing bill in the last Congress. This version includes new requirements that a hospital’s staffing committee be comprised of at least 55 percent direct care nurses or their representatives, and that the staffing plans must establish adjustable minimum numbers of RNs per unit. The safe staffing bill would require hospitals that participate in Medicare to publicly report nurse staffing plans for each unit. It would place limits on the practice of “floating” nurses by ensuring that RNs are not forced to work on units if they lack the education and experience in that specialty. It also would hold hospitals accountable for safe nurse staffing by requiring the development of procedures for receiving and investigating complaints; allowing imposition of civil monetary penalties for knowing violations; and providing whistle-blower protections for those who file a complaint about staffing.

ANA President Joins U.S. Delegation to World Health Assembly, Addresses International Council of Nurses ANA President Rebecca M. Patton, MSN, RN, CNOR, was selected by the State Department to be a part of the U.S. Delegation to the 63rd World Health Assembly in Geneva, Switzerland May 17-19. The World Health Assembly is the decision making body of the World Health Organization (WHO). Their annual meeting focused on a number of public health issues, including the implementation of International Health

Regulations, monitoring health-related Millennium Development Goals, and strategies to reduce the harmful use of alcohol. President Patton attended the assembly; she also addressed the International Council of Nurses (ICN) Conference on May 12, International Nurses Day. Her presentation, Nurses Empowerment and Policy Making, elucidated ANA’s ongoing role in advocating for health reform,

and provided strategies for all nurses to work toward policy changes in their communities. ANA is proud to be the U.S. representative to the ICN, and to have the association’s efforts toward health reform acknowledged at both the national, and international levels.

The Washington Nurse | Summer 2010 | 11

Districts

King County Nurses Association D i st r i c t 2

little spring weather arrived just in time for King County Nurses Association to celebrate its 107th Annual Meeting and Spring Banquet, May 6 at Shilshole Bay Beach Club. About 120 members, colleagues, friends and family enjoyed the program as KCNA presented 10 scholarship awards of $2000 each and two Shining Star Awards. Many also joined in the bidding at the annual scholarship auction (100% of proceeds to KCNA Scholarship Program), which netted a record $8,735 and brought total funds raised for scholarships to $15,085 this year. Scholarship awards went to: Cathy Ripley Lake Washington Technical/University of Washington, (RNB); Rachel Allen, Seattle University; Tara Cardinal, University of Washington; Mihoko Cheung, Seattle Pacific University; Karen Hayward, Bellevue College; Jeongmin Lee, Shoreline Community College; Michael Manley, Seattle University; Andria Rogers, University of Washington; Michelle Treat, Shoreline Community College; and Agnes Wang, Seattle University.

The 2010 Shining Star Awards for contributions to the practice and profession of nursing went to: Antwinett O. Lee, MSN, RN and Frankie T. Manning, RN, MAN. Antwinett has worked in Public Health and is currently working at Seattle University College of Nursing as Clinical Performance Lab Director and Instructor. She is an active volunteer with KCNA, Mary Mahoney Professional Nurse Organization, WSNA Health Care and Ethics Committee and African American Reach and Teach Health. Frankie recently retired from the Veteran’s Administration as Associate Director for Nursing Services after 42 years of military service. She has been a tireless Veterans’ advocate and senior leader at VA Puget Sound, and is an active volunteer with KCNA and countless other organizations. ■ To stay up to date on KCNA events and education opportunities, visit www.kcnurses.org.

Inland Empire Nurses Association D i st r i c t 4 On May 6, IENA hosted the Spring Scholarship and Awards Gala. Two $1,500 scholarships were awarded; one to Peggy Slider, RN, BSN, who is pursuing her MSN Degree, and the other to Kristina Benefield, Gonzaga University nursing student. We wish them luck as they pursue their education. Dan Simonson, CRNA, MHPA, accepted the Excellence in Nursing Leadership award. Dan has been published in numerous clinical journals, served as president and treasurer of the Washington Association of Nurse Anesthetists, and is currently a national board member for the American Association of Nurse Anesthetists. He is well known in Olympia, active in national politics, a member of ANA, and on the board of the Washington Association of Ambulatory Surgery Centers (WASCA). Dan is a member of Sigma Theta Tau and teaches Leadership at WSU. We were also

12 | The Washington Nurse | Summer 2010

honored to have 2010 WSNA Hall of Fame inductee Anna Mae Ericksen with us for the evening, and to hear highlights about her incredible career from her nominator Donna Pierce. The keynote speaker was WSU College of Nursing Instructor Debbie Brinker, who gave a motivating and uplifting presentation, “For the Love of It, How to Influence Yourself and Your Professional Practice.” Debbie’s presentation not only applies to our nursing careers, but emphasized seeking out the positive things in all walks of life. Photos from the event are available on our website at www.spokanenurses.org/gallery_sgala10.htm

IENA Elections will be held in July for the IENA Board of Directors – please vote! Your professional experience is invaluable in promoting the nursing profession and advocating for health and safety in our community. If you are interested in serving, please contact Administrative Secretary JoAnn Kaiser at iena@aimcomm.net. IENA’s annual Legislative Reception is planned for October at Ft. Mukogawa Commons. State and local legislators have been invited to speak. What a wonderful opportunity for us to hear from our Representatives on issues affecting healthcare in our communities. It is also a great opportunity to let them hear from us! This is a free event. If you would like to be notified of upcoming IENA events, please send your email address to iena@aimcomm.net or submit your email address via the link on our webpage at www.spokanenurses.org.

People Skagit Valley Hospital honors longtime nurse and WSNA member Gelland Haagsma, RN with “Daisy Award” on National Nurses’ Day

Sta f f P r o f i l e

Karen Benson, PhD, RN New Addition to WSNA's Nursing Practice, Education & Research Team WSNA is pleased to announce that Karen Benson, PhD, RN, has joined WSNA as our new Nursing Practice & Education Specialist! Karen comes to us with significant experience from working with professional associations and healthcare organizations to improve nursing practice and quality of care in diverse healthcare settings. She has been a nurse educator for undergraduate and graduate students in community college and university nursing programs, and has worked to develop web-based educational applications for students. Karen has over 15 years of experience managing her own consulting business working with various organizations that develop medical monitors and healthcare information systems. She has a successful history of collaborative project management with organizations such as the Institute of Medicine, Centers for Medicare and Medicaid Services, National Quality Forum, Qualis Health, Washington State Rural Health Quality Network, Washington State DSHS, Oregon State DOH, Group Health, and the American College of Emergency Physicians. Karen has been working on launching WSNA’s new online CNE program including identifying content experts for various CNE topic areas, completing the required documentation for the granting of contact hours for these independent study programs, and analyzing the feedback we receive once the programs are live.

n recognition of National Nurses’ Day, Skagit Valley Hospital’s honored longtime Family Birth Center Nurse Gelland Haagsma, RN with “The Daisy Award for Extraordinary Nurses.” Haagsma joined Skagit Valley Hospital as an LPN in 1972 and in 1983 graduated as a Registered Nurse, working ever since at the Mount Vernon hospital’s Family Birth Center.

lowing C-Sections and other procedures. She has set such an example for all of us, showing commitment to patients and her work over a dedicated and long career. I’m also quite proud to call her not just a colleague but also a fellow member of WSNA. We have a wonderful group of nurses at Skagit Valley and I commend everyone who was nominated for this award,” said Julia Weinberg, WSNA President.

Haagsma received a certificate, pin and “It’s an honor because there are so many a unique, hand-carved serpentine stone great nurses here. You don’t expect to get sculpture from Zimbabwe titled “A Healthese things. I love my job, so it’s not hard er’s Touch.” for me to come in to work every day. I was meant to do this. I’ve always wanted to be “Gell loves working with the labor patients a nurse since I was small, and I’m going and her patients love her,” said Pat Procto keep at it until I can’t do it anymore,” tor, RN, Director of the Family Birth Censaid Haagsma reflecting on the award and ter. “She loves being a nurse and bringing her career. babies into this world.” The Daisy Award is a national program to recognize nurses and was founded by a family who experienced outstanding nursing care for their son. More than 6,000 nurses have received recognition nationwide since the program’s inception in 1999. DAISY is an acronym for Diseases Attacking the Immune System. The Foundation was formed in January, 2000, by the family of J. Patrick Barnes who died at age 33 of complications of Idiopathic Thrombocytopenic Purpura (ITP). The DAISY Foundation was established to keep Pat’s very special spirit alive and recognize the skillful and amazingly compassionate care he received from his nurses – even when he was totally sedated. The DAISY Award For Extraordinary Nurses honors the super-human work nurses do every day all over the country.

Haagsma was among 16 nurse nominees for the first award given at Skagit Valley Hospital. The additional outstanding nominees were: • Jan Sundstrom, RN, Emergency Department • Janine Gonzales, RN, Special Observation Unit • Chris Nerland, RN, IV Therapy • Michelle Libbey, RN, Perioperative Services • Michelle Koetje, RN, Case Management • Mark Dodds, RN, Care Center • Lucia Cullup, RN, Orthopedic and Surgical Care • Jeanie Schemm, RN, Operating Room • Tracey Schafer, RN, Regional Cancer Care Center • Patsy Good, RN, Skagit Valley Kidney Center • Sue Gatti, RN, Progressive and Critical Care • Nikki Beal, RN, Medical and Pediatric Care • Jerry Kelly, RN, Endoscopy • Juanita Wolf, RN, Medical and Observation Care • Kelsey Connolly, RN Cardiac Catheterization Lab

“Over many years, I’ve had the pleasure of working with Gell from time to time fol-

The Washington Nurse | Summer 2010 | 13

ANA House of Delegates

R e p o rt f r o m t h e 2 0 1 0 A N A

House of Delegates —

WSNA Sends Thirty-three Delegates Kim Armstrong Re-Elected Second-Vice President of ANA Sally Watkins Elected to the ANA Congress on Practice and Economics Nearly 600 registered nurse delegates from across the country convened June 16-19 at the biennial ANA House of Delegates (HOD) meeting in Washington, DC. Delegates elected new officers and members to the ANA Board of Directors, the Congress on Nursing Practice and Economics, the Nominating Committee and passed several proposals designed to improve the nursing profession and advance the public’s health as well as others to strengthen the organization.

WSNA Delegation WSNA was well represented with 37 delegates and members attending. The delegation was led by WSNA President, Julia Weinberg and Executive Director, Judy Huntington and WSNA delegates included Sofia Aragon, Jeanne Avey, Marty Avey, Sally Baque, Gayla Bellamy, Joanna Boatman, Jan Bussert, Tim Davis, Darlene Delgado, Holly Emmett, Melissa Goldberg, Tara Goode, Jennifer Graves, Sally Herman, Susan E Jacobson, Susan M. Jacobson, Louise Kaplan, Mara Kieval, Mike Krashin, Judi Lyons, Sonya Miller, Pamela Newsom, Jon Olson, Yolanda Pacheco, Peggy Schmidt, Muriel Softli, Evelyn Street, Anita Stull, David Trevino, Judy Turner, and Ed Zercher. Also attending from WSNA were Christine Himmelsbach, Sally Watkins and ANA second Vice President, Kim Armstrong and former WSNA Presidents, Eunice Cole and Barbara Curtis.

WSNA’s Delegates had an exciting and exhausting time representing WSNA members in the ANA HOD (some meetings started as early as 7 am and delegates were often in meetings until 10 or 11 at night – so much for no mandatory overtime!) Our delegation included a wonderful mix of new and experienced delegates. You can be very proud of how they represented WSNA — they spoke up eloquently at the hearings and forums and in the House of Delegates. They attended the caucuses and other working sessions until all hours of the day and night and engaged in lively discussions of the issues, carefully interviewed candidates for ANA office and debated the merits of the proposed bylaws and resolutions.

Nurse Lobby Day on Capitol Hill Twenty WSNA delegates arrived early to take part in the ANA Legislative briefing and lobby day on Capitol Hill. Meetings were held with several of Washington State's Congressional Representatives and 15 of our delegates met with Senator Patty Murray and also with the Chief of staff to Senator Cantwell. WSNA nurses asked our policymakers to support the newly revised “Registered Nurse Safe Staffing Act” which was introduced this month in the U.S. Senate (S-3491) by Sen. Daniel Inouye (D-HI) and in the U.S. House of Representatives (HR-5527) by Reps. Lois 14 | The Washington Nurse | Summer 2010

Capps (D-CA), Steven LaTourette (R-OH) and Ginny BrownWaite (R-FL). Delegates also lobbied on other Federal legislative priorities, including safe patient handling, the Safe Chemicals Act, and support of the Home Health Care Planning Improvement Act, which allows APRNs to order home health services under Medicare. In addition to more than 300 ANA delegates on the Hill that day, more than 1,000 nurses also participated virtually in the ANA lobby day.

President Obama Speaks to the ANA HOD WSNA Nurses Shake His Hand Perhaps the greatest highlight of the four days of meetings occurred at the opening session of the ANA House of Delegates when President Barack Obama addressed the delegates to personally thank ANA, President Becky Patton and nurses across the country for our support of national health care reform. In his 18 minute address, he repeatedly thanked ANA and called nurses “the beating heart of the health care system” and noted that ANA has historically been one of the consistent supporters of health care reform dating back to our support of Medicare in

the 1960s. Following his speech, President Obama walked the rope line and shook hands with delegates and members. WSNA members Sally Baque, Melissa Goldberg, Jennifer Graves, Judy Huntington, Dave Trevino, Christine Himmelsbach, Mara Kieval, Julia Weinberg, and Ed Zercher were among those fortunate to meet him and shake his hand, as were WSNA past-presidents, Eunice Cole and Barbara Curtis. You can see a video President Obama and hear his remarks on the White House website or YouTube at http://www.youtubecom/watch?v=M6PLY7Q-zVA

ANA Past Presidents Panel Another highlight of the meetings was a special panel discussion featuring seven former presidents of ANA. Eunice Cole, a past president of WSNA and member of the WSNA Hall of Fame, was one of the seven former ANA presidents to speak. Others included: Jo Eleanor Elliott, Barbara Nichols, Lucille Joel, Virginia Betts, Mary Foley, and Barbara Blakeney. These outstanding leaders shared their reflections on ANA’s and nurses’ ability to influence health care through policy efforts during their

respective terms of office which spanned the past five decades. ANA’s advocacy work to ensure greater access to health care was a prevailing theme – from ANA’s efforts to support the creation of Medicare to the issuance of nursing’s first agenda on health care reform. The panel also spoke of ANA’s strides in collective bargaining, advanced practice, safe staffing, funding for nurse education, and needlestick prevention.

The Washington Nurse | Summer 2010 | 15

ANA House of Delegates

Election Results Karen Daley Elected President Karen Daley, PhD, MPH, RN, FAAN, a member of the Massachusetts Association of Registered Nurses (MARN) was elected to serve as ANA’s 35th president. Addressing the HOD following her election, President Daley said, "I am proud to be ANA, to be a nurse, and to be part of an association that — under the leadership of President Patton and other past presidents who have gone before — has guided and advanced our profession for over 100 years. Because of ANA and their efforts, nurses today are better able to care for their patients." Looking to the future, she called for nurse delegates to move forward with a newly energized commitment to the work of nursing. "We have exciting and challenging work ahead," said Daley, a former emergency nurse who was instrumental in the passage of the ANA-promoted needlestick law and who served on ANA’s Board of Directors for the past two years. "As an association and profession, we must draw on the strength of our values – for the challenges that we face may have changed, but the things that we believe in have not. As your president, I commit to doing all in my power to awaken the

pride in and passion for ANA in each and every nurse in this country."

They will join continuing ANA Board members whose terms run until 2012:

Joining Daley on the ANA Board are newly elected ANA officers (for two year terms) and At-Large Board members (elected for four year terms). They include:

• • • • •

ANA President: Karen Daley, (MA) 1st Vice President: Karen Ballard, (NY) 2nd Vice President: Kim Armstrong (WA) Secretary: Teresa Stone (OR) Treasurer: Teresa Haller (VA) Director-at-Large: Cindy Balkstra (GA) and Jennifer Mensik (AZ) Director-at-Large, Staff Nurse: Barbara Crane (NY) and Rose Marie Martin (OH) Director-at-Large, Recent Graduate: Jennifer Davis (OH)

Linda Gural (NJ) Carrie Houser James (SC) Florence Jones-Clarke (VA) Julie Shuff (OR) and Elizabeth Dietz (CA), who was appointed by the new board to fill the At-Large Board seat vacated by Daley

Delegates also elected members to ANA's nominating committee and the Congress on Nursing Practice and Economics. An article about the elections and more about the ANA House of Delegates and related meetings can be found on www.NursingWorld.org and will be featured in the next issue of The American Nurse. WSNA delegates enthusiastically celebrated the successful re-election of WSNA Past President, Kim Armstrong, to a second 2-year term as ANA secondvice president and the election of Sally Watkins, WSNA Assistant Executive Director for Nursing Practice, Education and Research, to a 4-year term on the ANA Congress on Nursing Practice and Economics.

Nineteen nurses honored for outstanding contributions to the nursing profession ANA conferred national awards to 19 registered nurses for outstanding contributions to the nursing profession, including five nurses who were inducted into ANA’s Hall of Fame: • • • • •

Nettie Birnbach, EdD, RN, FAAN; the late John F. Garde, MS, CRNA, FAAN; Claire M. Fagin, PhD, RN, FAAN, FRCN; Ada K. Jacox, PhD, RN, FAAN; and the late John Devereaux Thompson, MS, RN.

16 | The Washington Nurse | Summer 2010

ANA President Patton also presented ANA's newly established President's Award to Norma M. Lang, PhD, RN, FAAN, FRCN at ANA's House of Delegates meeting in Washington, DC. The award honors an individual or group for significant contributions to the advancement of nursing and for positively influencing public perception of the value of nursing. For more about all the award recipients, go to: www.nursingworld.org/FunctionalMenuCategories/MediaResources/PressReleases/2010-PR.aspx

Delegates take action on 11 resolutions and proposed changes to the ANA Bylaws In other actions, delegates approved several resolutions, including measures that address problems of workforce abuse and harassment and support for efforts to reduce workplace violence and to create healthy professional environments for all nurses. "Creating a safe working environment is essential for the delivery of quality care," said newly elected ANA President Karen Daley, PhD, MPH, RN, FAAN. "Workforce abuse and violence take a significant toll, whether it’s the physical, emotional and mental effects, the lost productivity, or the impact on nurse recruitment and retention. ANA is dedicated to raising awareness of this problem, and working on solutions which include an emphasis on prevention and reporting." ANA’s House of Delegates also examined the issue of health care in America, addressing several issues that impact the public’s health: health care for undocumented immigrants and health literacy. Even with the historic passage of health reform legislation, an estimated 12 million undocumented immigrants currently have no access to health care services. As undocumented immigrants delay or forgo necessary care, they pose a health risk to themselves and potentially the larger public. To address the issue, the ANA voted to reaffirm its long held position that health care is a basic human right, and as such the ANA will continue to advocate for the ability of documented and undocumented immigrants to gain access to health care. ANA further resolved to educate nurses about the wide-ranging social, economic and political ramifications of undocumented immigrants’ lack of access to health care services.

promote initiatives that address health literacy problems and support nursing research that identifies evidence-based practices regarding optimum health literacy. Additionally, ANA delegates passed the following measures, many of which could have a significant impact on public health: •

ANA delegates voted to support legislation that reduces barriers to care by permitting advanced practice registered nurses (APRNs) to sign orders for home care services and supplies for Medicare patients as well as make changes to home health care plans.

•

Delegates approved a resolution to support research on single-use devices and the environmental impact of using single-use devices. Further, ANA supports ongoing research efforts to better understand the ethical issues associated with utilizing single-use reprocessed devices and advance best practices that maintain the safety of patients.

•

Delegates passed a resolution to support initiatives to facilitate the successful integration of new nurse graduates into the work environment and to partner with state nurses associations and other nursing organizations to develop and disseminate information about mentoring programs.

ANA’s House of Delegates also passed a series of bylaws to strengthen the association as it continues its work on behalf of all nurses.

Poor health literacy costs an estimated $73 billion dollars annually according to the Institute of Medicine. ANA resolved to

WSNA receives ANA Membership Growth Award

Nightingale Tribute honors recently deceased

Julia Weinberg, WSNA President, was delighted to receive the ANA membership growth award from ANA President Rebecca Patton. The award is given to constituent member associations (CMA) with the largest percentage of membership growth over the past 2 years. There are four membership groups for this award and WSNA received the award for the CMA with membership greater than 4,000. Congratulations everyone! You all had a vital part to play in WSNA earning this highly coveted award.

The ANA HOD program included the "Nightingale Tribute" honoring the deceased nursing colleagues from each CMA who have passed away since the 2008 HOD. The names of 27 of our WSNA nurses were added to the Nightingale Tribute Book displayed at the front of the HOD and will also be displayed at ANA Headquarters Office, until the next HOD, to be held in 2012.

— T h ank y o u — We would like to extend a note of gratitude to the WSNA members who attended the 2010 ANA HOD and worked so hard and represented WSNA so well. Your time and efforts are greatly appreciated by all of the WSNA and ANA family.

The Washington Nurse | Summer 2010 | 17

Nursing Practice He l p Yo u r Low- I nc o m e Pat ien t s Q u i t fo r G o o d

New Quit-Smoking Campaign Features Real People, Real Struggles to Quit By Dr. Maxine Hayes, Washington State Health Officer

During the past decade, Washington has had tremendous success reducing tobacco use. Since the Tobacco Prevention and Control Program began in 2000, our state has nearly 30 percent fewer adult smokers. That equals about 295,000 people leading healthier lives. Our toll-free Washington State Tobacco Quit Line (1-800-QUIT-NOW; 1-877-2NOFUME in Spanish) is one reason we’ve been so successful at helping people quit. Calling the Quit Line is free and can double the chances of quitting successfully. Since the program began about 10 years ago, more than 125,000 people have called for help. Still, smoking rates remain higher among people from low-income and low-education backgrounds. These people are just as likely to try to give up tobacco as smokers with higher incomes, but they’re less likely to succeed. That’s why the state Department of Health continually develops new ways of reaching people who smoke with free resources and support to help them quit. The agency recently created a multi-media “Dear Me” campaign to reach people from all walks of life with messages designed to motivate them to quit smoking. The campaign features real smokers writing letters to themselves about their addiction. The “Dear Me” letters highlight the effect tobacco has had on the writer’s family, health, and livelihood. The videos—which are honest and, at times, emotional—con18 | The Washington Nurse | Summer 2010

vey the real, everyday struggle people go through when they try to quit tobacco.

and provide free nicotine patches or gum, if appropriate.

One Dear Me letter reads as follows:

To reach more people from low-income backgrounds, the state’s Medicaid program now provides support to clients through the Quit Line. The benefit covers Quit Line services and the cost of prescription medication, if appropriate. Medicaid reimburses physicians for smoking cessation referral visits, review of the Quit Line’s prescription medication recommendation, and prescription writing and faxing. All patients have to do is call the Quit Line at 1-800-QUIT-NOW to find out more.

“Dear Me, When you were 8 you begged mom to quit smoking. 4 years later you started. Now Jack is 7 and he begs you to quit. Mom is dying of cancer and all you have told the boys is that Grandma is sick. Shame on you! Sincerely, Me” Each “Dear Me” video concludes with the campaign’s tagline, “No one can make me quit but me”—an empowering message that speaks to the personal determination it takes to quit smoking for good. Each video directs viewers to the Tobacco Quit Line for free support. The “Dear Me” campaign includes radio ads that hit the airwaves statewide in April. Videos are also posted on Quitline. com. Visitors can watch a “Behind the letter” video that goes into greater detail about each person interviewed. People can submit their own “Dear Me” letters to be posted on the site, and find resources like the Quit Line number. People who call the Quit Line are connected with a “quit coach” who asks them about their smoking history and helps them identify personal triggers that cause the desire to smoke. The coaches help callers develop a quit plan and set a quit date,

Today, many more people have quit smoking in Washington than there are current smokers. As a health care provider, you’re in a unique position to help your patients quit tobacco — no matter their income. By simply referring people to the Quit Line, you can connect them with the support they need to quit. The Tobacco Control Resource Center (www.tobaccoprc.org/TCRC/) has online information. Just click on “Tobacco Cessation and/or Quit Line Materials” to order Dear Me posters for your office. Additional help for your patients who smoke is available at www.Quitline.com.

Smoking Cessation Campaign • Confronting Verbal Abuse

Confronting Disrespect and Abuse with Crucial Conversations By Kerry Patterson

ccording to a study conducted by VitalSmarts and the Ameri- “I’d like to talk about what happened this morning when the tech can Association of Critical Care Nurses, half of all nurses wasn’t prepared. It was clearly a frustrating situation for both and four out of five physicians say they work daily with a of us. My goal is to make this place less frustrating—to make it colleague who breaks rules, makes mistakes, fails to offer sup- more efficient, effective, and safe. Can we talk?” port, or appears critically incompetent. However, only one in ten Next, explain what the problem is. Often, it’s helpful to anticipate actually speak up when facing these kinds of concerns—and far the ways the other person could misunderstand your purpose. fewer speak up when the concern is with a physician. People’s For example, she might think you aren’t buying into her reasons failure to speak up when they have these concerns is highly for attacking the person. You can use a skill we call “Contrastrelated to quality of care, employee morale, productivity, and ing” to clarify you aren’t disagreeing with her high standards. retention. You’re disagreement is with how she handles violations of these The study further identified seven categories of conversations standards. that are especially difficult, and yet especially crucial for health“You have very high standards and I want to make sure my team care professionals to hold. One of the most common of these meets them. I don’t want you to think I disagree with your standifficult conversations is disrespect and abuse. How do you dards. I want to talk about how you react when someone doesn’t speak up to an abusive boss or physician? meet your standards. You often say things like, “Are you trying Begin by deciding what the problem is. The most common mis- to kill my patient?” or “How did they let you graduate nurstake people make is to confront a single incident of abuse as if ing school?” Other times you raise your voice and shout or call the incident were the only problem. Most likely, the problem is people names. When you do that, I end up having to protect them, not a single incident. It’s a pattern of abuse. If you focus on the when I’d rather be helping you coach them to fix the problem.” incident you’re likely to get bogged down in the details of who Something to understand: When people become defensive, it’s said what and why. because they feel unsafe. They think you are attacking them. If Next, try to put yourself in the other person’s shoes. Ask yourself, the person starts to become defensive, step out of the conversa“Why would a reasonable, rational, and decent person get angry tion and restore safety by reconfirming Mutual Purpose and and abusive like this? What is she trying to achieve and why is Mutual Respect. “I don’t mean to question your clinical judgment. she so frustrated?” You will be much more successful if your I have total confidence in your ability. I want to focus on how you approach solves the other person’s problems as well as yours. can work with the team to get the best support possible.” Then We call this “Mutual Purpose.” step right back into the content: “I want you to be completely frank about your concerns—but without raising your voice or Ask yourself two questions before opening your mouth: being disrespectful. Does that sound reasonable to you?” 1. “What is it I really want long-term out of this conversation — for Get an agreement from the person, but don’t expect them to me, for the other person, and for the relationship?” Asking this change overnight. Tell them you want to be able to give them question will help you take the high road. You want to find a wina “heads up” if you see a problem brewing, then follow up with win-win solution. You don’t want to beat up on the other person. them. It will take some reminders and some praise to keep the person on track. 2. What do I respect about the abusive person? You can always find things you don’t respect. But you can’t have a productive ■ Kerry Patterson is the coauthor of the New York Times bestsellers, discussion unless you can focus on the elements you do respect. Crucial Conversations, Crucial Confrontations, and Influencer. He is We call this “Mutual Respect.” also a sought-after speaker, consultant and cofounder of VitalSmarts, So, now let’s begin. Find a private place and ask the person’s per- an innovator in corporate training and organizational performance. mission to bring up a problem. Use Mutual Purpose and Mutual For related information from the authors of Crucial Conversations, Respect to make it clear you want to help, not attack, the person. please visit the Crucial Skills blog. The Washington Nurse | Summer 2010 | 19

Labor Relations “NFN Labor Academy — A great trip to Chicago!” By Judy Marken, BSN, RN WSNA Nurse Representative

had the very great privilege of attending the 2010 National Federation of Nurses (NFN) Labor Academy, the first Labor Academy for our national union. It was a wonderful three days, full of energy and excitement, and I want to share my experience with you.

The NFN Labor Academy events began on May 10, 2010 and went through May 12, 2010, in Chicago, IL at the stately old Allerton Hotel. Our own Barbara Frye had coordinated everything for the event including the reception, the meals, and the classes — a very big task, and she did an excellent job. The speakers and classes were superb and I had a great time getting to know nurses from across the country and finding out what issues they were facing in their respective states. I traveled to Chicago with Mary Parker, an outstanding grievance officer from one of the facilities where I work. Upon arriving, we attended a welcome reception in a beautiful room at the hotel with scrumptious hors d’oeuvres and refreshments. We met nurses from New York, New Jersey, Ohio, Montana, Oregon and Washington. There were about 150 nurses in attendance. The dynamic and engaging Barbara Crane, President of the NFN, was there talking to everyone and making us feel welcome. Barbara Crane opened the academy sessions the next morning, giving a rousing speech about the founding of the NFN, what it stands for, and how it is networking with nurses on a national level. She explained that the NFN is founded on core democratic principles such as self-governance, respect for individual organizations sovereignty and collaboration. Every member organization has a meaningful voice in the decisions and actions of the national union, resulting in greater transparency and accountability. Barbara explained that the NFN has a strong national voice that will be heard on issues like health care reform and safe staffing standards. Karen Daley, RN, PhD, spoke next about how a needle stick injury changed her life and how she has worked since then to insure that other nurses are protected. Since contracting HIV and Hepatitis C from her injury, she has been instrumental in

20 | The Washington Nurse | Summer 2010

changing state and national policy. She talked about how important it is for nurses to have a voice in the legislature so that safe needle practices can be upheld by the law. She also talked about how important it is for nurses to have a voice at their own jobsites, since that is the only way change can be affected. This phenomenal woman is a true inspiration. Over the next two days, the classes I attended kept me intrigued with research that was up-to-the-minute current on issues that are affecting nurses everywhere. I know a lot of this knowledge will help me in my role as a Nurse Representative. There were so many different classes, and we couldn’t attend every single one of them. The feedback I heard from other nurses who attended the classes I could not attend was very positive — everyone seemed to get a lot out of “Employer Financials–Focus on the True Picture” and “Organizing Skills Using the Wellstone Model”. Finally, to close the Academy, Stewart Acuff spoke. He has been a union leader for about thirty years, and was the president of the Atlanta AFL-CIO. He is a renowned organizer and his speech was unifying and moving. He expressed great admiration for the NFN, as we represent the future of nursing on a national level. He informed us about the importance of labor unions historically, and about how in the present day, they have given us the middle class. We need to fight for the right to have fair working conditions, and make America the great place it used to be. Barbara Crane bid us a fond farewell, and many pictures were taken to commemorate this great opportunity for all of us. The NFN Labor Academy was a great time and a meaningful one. I will never forget the experience.

NFN Labor Academy

What I Learned at the NFN Academy “The Art of Negotiations” taught by Lorraine Seidel, RN NYSNA. I am certain that this class will help me in upcoming negotiations. In a nutshell, the class teaches that interests, rights, and power all come into play in the arena of negotiations, but what one must try to find are the “mutual interests” between management and the nurse. If power becomes the focus of negotiating, success will probably elude the parties involved. Resolution in negotiations depends on seven steps—attitude, telling the human story, finding a preliminary agreement, looking at all the underlying facts, finding an agreement in principal, crafting the agreement, and finally, resolving the areas agreed upon. “Just Cause and the Burden of Proof” taught by Barbara Conklin, MA, RN NYSNA. This class will be very helpful in cases of discipline and termination. The focus was that management has the burden of proof in trying to justify why they decided to discipline the nurse and questions can be asked of management based on the principals of “just cause.” Literature that outlines the seven tests of “just cause” is helpful for anyone involved in cases of discipline. One example might be to query management about how they did their investigation, who was interviewed, and whether or not the nurse’s side was also heard. “New Developments in Labor Law” taught by WSNA’s own esteemed attorney, Timothy Sears. This was very informative. Tim outlined how the labor movement got its start in

America, how it has progressed over the years, and where it is going. I found the presentation moving and thoughtprovoking. We all need to keep on trying to make further strides in organizing and representing all workers, and legislation is pivotal in achieving this.

first duty as Nurse Representatives is the duty of fair representation. The ethics of nurses going on strike was discussed, and how the greater good that is gained for patients and nurses overall wins out over the ethical dilemma of leaving patients in the care of traveling nurses and others.

“Avoiding Violence in the Workplace” “Liability, Risks, and Other Scary taught by Gingy Harshey-Meade, RN Things” taught by Michael Loughran, from Ohio SNA. We learned about bullying, belittling, and abusive behavior, Executive Vice President of Affinity Insurance, and Bruce Dmystrow, Vice with examples given for each. This President of CNA Specialty Insurance. behavior occurs from nurse to nurse, The presenters statistics regarding from management to nurse, and even the number of claims, types of claims, from patient or family to nurse. Violence is defined as any inappropriate behavior and the areas of nursing most likely to incur lawsuits. Their presentation that includes conflict or confrontation, was eye-opening. Hospital nurses are and can range from verbal to physical most likely to be sued, followed by abuse, including sexual harassment. Corrections nurses. Hospital specialties There was a discussion about the way most likely to incur lawsuits are OB/ women are socialized, specifically that Peds and Med-Surg. Harm to the patient women are taught to accept blame and and proof of neglect of duty must be guilt; they are taught to be submissive. proved, and the statute of limitations Women, including nurses who are tends to be from two to three years women, must be empowered to stand unless there is some criminal charge up for themselves and advocate on involved. Nurses can also be sued if their own behalf. We are professionals, they go beyond their scope in the Nurse and as such we should be respected. Practice Act. The latest trend in lawsuits As professionals, we also must learn is for the DNS of the hospital to be held to cope with our stressful jobs without primarily accountable, as it is being blaming or hurting one another. recognized that they are responsible for “Ethics, Malpractice, and Union overall patient care, and responsible to Representation” taught by Carol supervise the nurses under their charge. Lynn Esposito, JD MA RN NYSNA. One important lesson from this call was This presentation was complex and that if the patient’s family and/or the very interesting, definitely one of my patient feels that the nurse caring for favorites. We discussed the Nurse them is a sincere, concerned advocate Practice Act, Nursing Roles as defined and they like the way the nurse interacts by ANA, and the Nursing Social Policy with them, the nurse is far less likely to Statement. She talked about ethical be named in a lawsuit. dilemmas and the Code of Ethics. Our

The Washington Nurse | Summer 2010 | 21

2.25%

1.5%

American Medical Response

St. Joseph Hospital Bellingham

1.75%

1.25%

Tacoma General Hospital

Central Washington Hospital

2nd Year Wage Increase

St. Joseph Medical Center Tacoma

1st Year Wage Increase

The following chart shows the power of our collective bargaining efforts during a very difficult economic situation. Your negotiation teams and WSNA’s labor experts and attorneys have had to work harder than ever to secure fair contracts and fight off takeaways.

3.5%

2.5%

1.5%

3rd year Wage Increase

• Step for year 28 moved to year 27 and increased to 3.5% • Step for year 30 increased to 3.5% effective 4/11

• Certification premium increased from $.80 to $1.00 • Nursing Degree Premium Premium from $.50 to $.75

• Improved mandatory training language

• New Step 30 added

• One year trial for new PTO approval process

• New nurse parity pay assured

• Improved vacation cashout language

• Continuing Ed amount increased to $1000 per year

• Float pool premium $2.00 per hour

• Nurses with frozen step increase shall receive increase retroactive to Oct, 2009

• Ratification bonus $1200 per full-time nurse, $500 per perdium nurse

• Overtime

• Holiday Compensation

• Two year agreement

• Changes ot Clinical Services groupings

• Maintenace of benefits for retirement and retirement plan of life of contract

• New Severance Pay section added

• Add Step 30 at 2.25% above Step 28

• Improved return to work afteer Workers Compensation benefit use New FMLA, Domestic Violence, Exigency

• Nurses mayuse PTO or low census days when dept is closed

• May convert EIB to PTO-16 hours per year

• Improved job applicant notification language

• Step 30 added 2nd year of agreement

Key Gains

• Improved leave language for military families and victims of domestic violence

• Amended language regarding disaster response

• Increased assess to lift assistinace

• New FMLA, Domestic violence, Exigency and Military Spous Leave

• Nurses do not have to find own vacation coverage

• MOU regarding Multicare Health System Wellness Plan

• Expanded Continuing Education Fund Use clarification

• New FMLA, Domestic Violence, Exigence andMilitary Spouse Leave

Most importantly, registered nurses across the state vented unsafe situations like mandatory call on days have stood up and fought to prevent any contract off, intermittent breaks, and reduced time for continuchanges that will have a negative impact on patient ing education. care and made sure that employers are putting safety first. At many facilities, we have successfully pre-

Labor Report Card

1.5%

.75%

Seattle / King County Public Health Staff

Yakima Regional Medical Center

St. Clare Hospital

Sacred Heart Medical Center

Ocean Beach Hospital

1.5%

Snohomish Health District

2.5%

Increases of 1.75% every 6 months equaling 10.5% over the life of the contract

1.5%

Wage reopeners 2011 and 2012

1.7 – 2%

Good Samaritan Hospital

• Improved education leave language

• Improved grievance procedure language

• Increase hospital contribution to employee health insurance

• Chemotherapy premium of $1.00 per hour for hours performing that work

• Longevity Bonis of $750 per RN with 10 or more years of service

• Contract signing bonus of $300 per nurse

• Effective 2011 Steps 18 and above increased by 0.5%

• Improved job posting language

• Improved pay language for F/T 12 hr shift nurses who work on day off, and improved rest between shift language for 12 hour shift nurses

• PTO and bereavement leave extended to registered domestic partner

• Improved antidiscrimination language

• New language prohibiting discrimination based on sexual orientation

• Tuition Reimburement increased to $1500 per nurse with 20+ hours per week, increases to $2500 effective 1/11

• WSNA Nurse Rep now a member of Conference Committee

• Improved access to nurses in orientation for WSNA

• New Step 30 added at 2.25% higher than Step 28 effective 2/11

• Clarifiaction of rotation of major holiday schedule

• Increased EIT maximum accrual

• Improved PTO Cashout option

• Clarification of RIF language

• Improved continuing ed leave for Advace Practice Nurses and Nurse Recruiter

• Improved Roster language

• Improved language on sick leave pay out to heirs at employee death

• Improved Clinical grouping language

• Professional/Education leave increased to 10 days per year

• Incentive Pay Plan deleted

• Improved low census language

• Improved FMLA, Military Spouse and Domestic violence language

• All performance improvement plans shall have an end date

• Improved discipline language

• Improved Military Leave, Military Spouse Leave and Domestic Violence leave language

• Improved bilingual premium

• PTO/EIT acceptance bonus of $2,600 to each nurse with a .4 FTE or greater

• Contract ratification bonus of $150.00 to all bargaining unit members

• Add Step 30 at 2.25% above Step 28

• Language added clarifying insurance procedures

• MOU preserving EIB accrual and use per existing practice

• Improved grievance procedure language

• Updated Clinical Grouping language

• Improved language re scheduling of regular patterns

• Improvd language regarding low census rotation lists

• Improved FMLA, Domestic violense and military spouse leave

• Accrued EIT Retirement Bonus dependant on years of service

• Improved FMLA, Military Spouse and Dometic violence leave language

• Improved language for Holiday staffing of Juvenile Detention facility

• MOU re: Alternative Work Scheduhle Review Process

• Improved employer contribution to employee insurance

• One time conversion of sick leave to PTO available Jan 2011

• Improved low census language

• Improved layoff or reallocation training language

2 0 1 0 E & G W L e a d e r s h i p C o n f e r e n c e

S e pte m b e r 25 - 28, 2010 ✺ C a m p b e ll’s R e s o rt, C h e l a n

Registration First Name _____________________________________________________________

Fees

Last Name _____________________________________________________________ Informal First Name__________________________________________________

Attendance Fee: $300

Credentials (RN, ARNP, etc) _________________________________________

Additional guests at the Awards Banquet:

Address ________________________________________________________________

¨ Yes, I will have ____________ guests at $30 each

City _____________________________________________________________________

Total Amount Due to WSNA:

State ____________________________________________________________________

$_______________

Zip______________________________________________________________________ Email ___________________________________________________________________ Years of WSNA Membership ________________________________________

Payment

# of Leadership Conferences Previously Attended______________

¨ Check / Money Order payable to WSNA

T-Shirt Size

¨ Visa / Mastercard Card Number _-___________ -______________-________________

Circle gender and size below Women’s

Men’s

S M L XL 2XL 3XL 4XL

Exp Date __________ /____________

_____________________________________________________________________ Print Cardholder’s Name _____________________________________________________________________ Cardholder’s Signature

Education Sessions Session 1 Monday, 3:00pm - 4:30pm ¨ 1A. Organizing Your Local Unit ¨ 1B. Advocacy Training ¨ 1C. Let’s Settle This Now! ¨ 1D. Labor Law History Session 2 Tuesday, 9:45am - 11:15am ¨ 2A. Organizing Your Local Unit ¨ 2B. Advocacy Training ¨ 2C. Let’s Settle This Now! ¨ 2D. Compassion Fatigue

¨ Local Unit My registration fee is to be paid by _ Local Unit

_____________________________________________________________________ Signature of Local Unit Chair/Co-Chair

Return this form to WSNA by mail: 575 Andover Park West, Suite 101, Seattle, WA 98188 or by fax: 206.575.1908 For questions or special needs, call 206.575.7979 or email wsna@wsna.org.

Accommodations Campbell’s Resort is located in the city of Chelan, near the center of Washington State. It is 180 miles east of Seattle and 160 miles west of Spokane. Major airline service is available from Wenatchee, 36 miles south of Chelan. Contact Campbell’s at 800.553.8225 or 509.682.2561; reference Registration Group Code: WSNA

2 0 1 0 E & G W L e a d e r s h i p C o n f e r e n c e

S e pte m b e r 25 - 28, 2010 ✺ C a m p b e ll’s R e s o rt, C h e l a n

Agenda Saturday, Sept 25

Monday, Sept 27

2:00pm – 6:00pm

7:30am – 8:30am

Cabinet on Economic and General Welfare meeting

Breakfast

9:00am – 12:00pm

Cabinet on Economic and General Welfare meeting 12:00pm – 1:30pm

Early Registration 1:30pm – 5: 30pm

Fall Local Unit Council Meeting All are welcome to attend.

• Jan Bussert, RN • Tara Goode, BA, BSN, RN

8:30am – 9:00am

Welcome

Sunday, Sept 26

3:00pm – 4:30pm

Concurrent Sessions 1 A. Organizing Your Local Unit

9:00am – 10:00am

Keynote Address Confident Voices • Beth Boynton, RN, MS Nurses have enormous potential to transform healthcare! This presentation will teach us how to transform that potential into real problem solving power! By combining stories, facts, experience and theories Ms Boynton speaks directly to the heart of many distressing problems that nurses face. By validating the experiences of nurses and providing a fresh perspective Ms Boynton promotes success and respectful work relationships that improve patient safety and nurse staffing. Come and get ‘real world” advice to age-old problems.

10:00am – 10:30am

Break

• Mara Kieval, RN The key to having strong and effective local units begins with internal organizing. Come hear about innovative and energized methods you can use to encourage new leaders, build your local unit rep structure and engage members to become and stay involved.

B. Advocacy Training • Anne Tan Piazza, Dir. of Governmental Affairs, Communications, & Membership • Lillie Cridland, Communications Specialist • Sofia Aragon, RN, Senior Governmental Affairs Advisor As lawmakers debate critical nursing and health care issues, it is critical that they hear from real nurses. Learn about the importance of legislative advocacy and the various ways for your voice to be heard and make a difference on important patient safety issues in Olympia such as meal and rest breaks.

C. Let’s Settle This Now! • Hanna Welander, BSN, RN, Nurse Representative

10:30am – 12:00pm

• Ed Zercher, BSN, RN, Nurse Representative

Crucial Confrontations Part 1

This course will help students understand the rationale and benefit of early resolution of grievances or potential grievances. Class participants will engage in learning why settling grievances and issues at the lowest level is always our goal. We will focus on what constitutes a potential grievance and discuss alternative resolutions which might be more appropriate. Class participants will have opportunity to hear about and discuss examples of grievances/potential grievances that were settled to the nurses’ satisfaction.

As leaders in our local units throughout the state, we are faced daily with extreme challenges with both professional and personal demands! This awardwinning training teaches participants straightforward step-by-step processes for dealing with difficult problems and people in the workplace. We will explore and practice using: Tools for Resolving Broken Promises, Violated Expectations, and Bad Behavior. Learn how to step up and lead the way to solve problems and save relationships.

12:00pm – 1:15pm

Lunch 1:15Pm – 2:45Pm

Crucial Confrontations Part 2 2:45pm – 3:00pm

D. Labor Law’s Fascinating History: A Tour through Time • Tim Sears Join us for this fascinating tour through time as we examine some of the crucial milestones, hardships and victories that the labor movement has endured. You will gain a greater understanding and appreciation for those who have cut the path before us and for the work we must never give up!

Break 4:30pm – 6:00pm

Break 6:00pm

Welcome Reception 7:00pm

E&GW Local Unit Awards Banquet Theme for this year’s banquet: “Age of Aquarius”

2 0 1 0 E & G W L e a d e r s h i p C o n f e r e n c e

S e pte m b e r 25 - 28, 2010 ✺ C a m p b e ll’s R e s o rt, C h e l a n

Agenda Tuesday, Sept 28 7:30am – 8:30am

Breakfast

Directions 11:15am – 12:15pm

Lunch / Check out 12:15Pm – 12:45pm

The Voice of Labor

8:30am – 9:30am

• Rick Bender, AFL-CIO

Plenary Session

In unity, we have strength! Rick will speak to us all with passion and facts about our current labor movement in Washington State. Hear about how WSNA and our partnership with the Washington State Labor Council gives us collective power and strengthens our voice in our communities, among politicians and policymakers and in determining the future of organized labor in our state.

• Marla Weston, PhD, RN Chief Executive Officer American Nurses Association Ms. Weston will discuss ANA’s goals and priorities as the only full-service professional organization representing the interests of the nation’s 3.1 million registered nurses through its constituent member nurses associations, its organizational affiliates, and its workforce advocacy affiliate, and the Center for American Nurses. The ANA advances the nursing profession by fostering high standards of nursing practice, promoting the economic and general welfare of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the public.

9:30am – 9:45am

Break 9:45am – 11:15am

Concurrent Sessions 2 A. Organizing Your Local Unit • Jan Bussert, RN • Tara Goode, BA, BSN, RN • Mara Kieval, RN [See prior description]

Campbell’s Resort is located in the city of Chelan, near the center of Washington State. It is 180 miles east of Seattle and 160 miles west of Spokane. Major airline service is available from Wenatchee, 36 miles south of Chelan. Contact Campbell’s at 800.553.8225 or 509.682.2561; reference Registration Group Code: WSNA.

From Spokane / Eastern WA via Hwy 2 1.

Take Hwy 2 West to Orondo

From Orondo, take Hwy 97 North for 22 miles

Turn Left onto Hwy 150, follow for 3.9 miles

12:45Pm – 1:30pm

National Federation of Nurses – National Labor Scene

Continue forward as Hwy 150 becomes Woodin Ave.

Campbell’s Resort is on the right (lake side)

• Barbara Crane, RN, President of NFN We are honored to have our President of the NFN speak to us about the power and strength of registered nurses coming together across the nation. Today, Barbara brings to us an inspiring message of hope and endless possibilities achievable through our new federated structure national union. The NFN is committed to our goals to support, educate and assist our members in achieving their economic, workplace and practice goals on both state and national levels. Come share in our celebration of solidarity!

1:30pm – 2:30pm

End Note - Releasing the Nurse Within Us

From Seattle / Western WA via I-90 / Snoqualmie & Blewett Passes 1.

Take I-90 East to Exit #84 (Wenatchee) at Cle Elum

Take Hwy 97 for approximately 35 miles

Hwy Ends at Junction of Hwys 2 & 97. Turn Right toward Wenatchee and go approximately 15 miles.

Upon reaching Wenatchee, exit onto US 97 Alternate (Northbound)

Continue North on Hwy 97 Alternate 35 miles to Chelan

Turn Left at Peterson’s Condominiums onto Woodin Avenue

Cross bridge; Campbell’s Resort is on the left (lake side)

• Beth Boynton, RN, MS Learn to be a champion for change in your work place by being willing to think about change, being able to talk about new thoughts and new ways of being. Class participants will learn collaborative problem solving skills to use in the workplace. We will learn to avoid contributing to the dysfunction while focusing on ways to optimize, cope with and seek alternative experiences! Come prepared and learn to be proactive in establishing a healthy work-life balance!

via Hwy 2 / Stevens Pass 1.

Take Hwy 2 East over Stevens Pass

Just before Wenatchee, take the Chelan exit onto Hwy 97 Alternate

C. Let’s Settle This Now! • Hanna Welander, BSN, RN, Nurse Representative

Continue North on Hwy 97 Alternate to Chelan

• Ed Zercher, BSN, RN, Nurse Representative

Turn Left at Peterson’s Condominiums onto Woodin Avenue

Cross bridge; Campbell’s Resort is on the left (lake side)

[See prior description]

D. Compassion Fatigue • Jeni Gregory, PhD Caring too much can hurt. When caregivers focus on others without practicing self-care, a secondary traumatic stress disorder now labeled “Compassion Fatigue” can surface. Jeni will discuss this concept given all nurses have the potential to experience this as they care for patients and others. She will help us recognize the signs and symptoms of compassion fatigue, including behavioral, physical and spiritual and job performance changes that a nurse may experience. She will also discuss effective interventions- a first step towards healing.

9.75 continuing nursing education contact hours will be awarded for this event The Washington State Nurses Association Continuing Education Provider Program (OH-231, 9-1-2012) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

hurricane blizzard earthquake flood terrorist attack tornado volcano natural disaster Be prepared for the unexpected. Get the the WSNA Emergency Preparedness Kit.

$49.99 Kit contains: 16 Datrex Emergency Drinking Water Pouches 1 Datrex packet of 18 food bars 1 Thermal Blanket - 84” x 52” 2 Air-activated 12-hour body / hand warmers 1 Hooded Poncho 3 Trash Bags 2 12-hour light sticks 2 zip baggies 1 flashlight with 2 D cell batteries 1 AM/FM radio 1 Whistle 1 deck playing cards 1 pair leather palm gloves 1 sling bag 1 hygiene pack (1 tissue packet, 3 moist towlettes, 1 biohazard wate bag, 1 n-95 dust mask, 2 sanitary napkins, 1 zip baggie) 1 first aid pack (3 2”x”2 gauze pads, 1 5”x9” abdominal pad, 10 plastic strip bandages, 1 roll Kendall tape, 3 antiseptic towlettes, 2 antibiotic ointments, 1 pair vinyl gloves, 3 alcohol wipes)

OR D ER FORM Billing Address

Shipping Address

____________________________________________________

Name ________________________________________________________________ Address ________________________________________________________________

_________ Total

________________________________________________________________ City ________________________________________________________________

State________________ Zip_____________________________________

_______________________________________________________________ Phone

________________________________________________________________ Cardholder Name ________________________________________________________________ Cardholder Signature ________________________________________________________________ Card Number ________________________________________________________________ Card Expiration

__________ Kits at $49.99 each __________ 9.50% sales tax

If Paying by Credit Card:

Place your order by mail, phone or fax: American Preparedness • 17800 Des Moines Memorial Drive • Seattle, WA 98148 206.431.1376 phone • 206.431.2075 fax • j.guite@americanpreparedness.com • www.americanpreparedness.com

Legislative Affairs / Political Action

WSNA-PAC Makes First Round of Endorsements Washington State Nurses Association Political Action Committee (WSNA-PAC) has completed its 2010 Candidate Evaluation Process. This is a critical election year including all 98 of our state representatives up for election as well as 24 out of the 48 state senate members. Candidate evaluations were based on their support of key nursing and health care issues such as safe breaks, nurse staffing, funding for key programs such as nursing education, public health and the Basic Health Plan.

WSNA-PAC is committed to its mission as a nonpartisan organization representing the interests of nurses concerned with promoting quality patient care through the political process. No WSNA dues monies are used to support candidates and contributions to the WSNA-PAC are voluntary and are made in compliance with the Washington State campaign finance law in Title 42 RCW.

Dist

Position

Party

CAMPBELL, THOMAS

ORMSBY, TIMM

CROUSE, LARRY

DRISCOLL, JOHN

MARR, CHRISTOPHER

HALER, LAWRENCE

The candidates listed below have received an endorsement from WSNA-PAC for 2010. WSNAPAC prides itself on using its limited resources efficiently and wisely to assist candidates who have demonstrated strong support for WSNA’s legislative issues and those who are prominent leaders on health care issues.

Dist

Position

Party

CODY, EILEEN

NELSON, SHARON

FINN, FREDERICK

D D

HAIGH, KATHRYN

CARLYLE, REUVEN

DICKERSON, MARY LOU

HUDGINS, ZACHARY

KOHL-WELLES, JEANNE

HASEGAWA, ROBERT

SANTOS, SHARON

PROBST, TIMOTHY

PETTIGREW, ERIC

TAKKO, DEAN

KLINE, DANIEL ADAM

BLAKE, BRIAN

MCCOY, JOHN

ROBERTS, MARY HELEN

SELLS, MICHAEL

LIIAS, MARKO

BOUCHER, THOMAS

SHIN, PAULL

MORRIS, JEFFREY

HUNT, SAMUEL

MAXWELL, MARCIE

APPLETON, SHERRY

CLIBBORN, JUDITH

ROLFES, CHRISTINE

GORDON, RANDOLPH

VAN DE WEGE, KEVIN

LINVILLE, KELLI

MORRELL, DAWN

PEDERSEN, JAMIE

SCHOENIKE, SUMNER

CHOPP, FRANK

KILMER, DEREK

MURRAY, EDWARD

DARNEILLE, JEANNIE

DUNSHEE, HANS

KELLEY, TROY

GOODMAN, ROGER

GREEN, TAMI

SPRINGER, LAWRENCE

KIRBY, STEVEN

WHITE, SCOTT

CONWAY, STEVEN

KENNEY, PHYLLIS

MILOSCIA, MARK

FROCKT, DAVID

BUNK, RAYMOND

SIMPSON, GEOFFREY

CHASE, MARALYN

SULLIVAN, PATRICK

KAGI, RUTH LECOCQ

KAUFFMAN, CLAUDIA

ORWALL, TINA

HUNTER, ROSS

UPTHEGROVE, DAVID

EDDY, DEBORAH

KEISER, KAREN

MOELLER, JAMES

28 | The Washington Nurse | Summer 2010

D D

WSLC Recommends ‘No’ Vote on Initiative 1082 The Washington State Labor Council (WSLC) has recommended a "no" vote on I-1082 because it would privatize our public non-profit workers’ compensation system. This initiative is being financed by private insurance companies and the Building Industry Association of Washington who all have a strong financial incentive to change our workers’ compensation system. Independent studies show our public non-profit workers’ compensation system has high benefits and low costs when compared to other states. The top priority of our public system is making sure injured workers get the care and job retraining they need. This risky scheme will put profits ahead of caring for injured workers. There may be ways to improve the current system, but destroying our public system in favor of a risky privatization scheme is clearly the wrong approach.

•

I-1082 privatization will force injured workers to fight the giant insurance companies for their benefits. These insurers routinely deny claims—just as they do for health insurance—and they have deep pockets to drag out the legal process through endless appeals.

•

I-1082 privatization will add a profit motive to our public non-profit system. Wall Street-based insurance companies like AIG (America’s biggest private workers’ compensation insurer) are driven by the bottom line, not by public service. They try to deny injured workers’ claims and charge employers as much as they can get away with.

•

I-1082 privatization will drive up employers’ costs. The same profitminded insurance companies that gouge us on health insurance will do the same with workers’ compensation.

•

I-1082 privatization will lead to taxpayer bailouts to maintain employers’ coverage and workers’ benefits when insurance companies go bankrupt. This has repeatedly happened in California and other states costing taxpayers billions.

For more information, visit www.voteno1082.com.

Featured Candidates Representative Dawn Morrell, RN

nurse was instrumental in the passage of the law to protect nurses from mandatory overtime in 2002.

Representative Morrell was first elected to the Washington State House of Representatives in 2002. She has served as As a staff nurse, Representative Morrell Vice Chair of the House Health Care Com- knows firsthand the issues important to mittee and is currently a leader in the nurses in the delivery of safe and quality Democratic Caucus as the House Major- patient care. She has been a champion on ity Caucus Vice-Chair. A member of the issues such as nurse staffing, safe patient Health Care Committee and a nurse, Rep- handling, uninterrupted meal/rest breaks resentative Morrell fights passionately in Olympia. Without her passion, tenacfor patients and has become a leader on ity, and leadership, we would not have Health Care issues in Olympia. achieved many landmark legislation. Representative Dawn Morrell has been a critical care nurse for 20 years, and currently works at Good Samaritan Hospital in Puyallup. Previous to that, she worked as a childbirth educator for 15 years. Throughout her nursing career, she has been an active member of the state nurses association. A longtime member of WSNA, she has served as a local unit leader, a member of the WSNA-PAC Board and was elected to the WSNA Legislative and Health Policy Council in 1999. Her testimony as a staff

Representative Tami Green, RN Representative Green showed her commitment, support and leadership in 2006 when her efforts were critical in the passage of the Safe Patient Handling Legislation, the best law on safe lifting in the nation. She certainly carried a lot of weight and did some very heavy lifting on this bill.

Western State Hospital and Child Study and Treatment Center, caring for Washington’s most severely mentally ill adults and children. She is currently a staff nurse at St. Joseph Hospital in Tacoma and member of WSNA. Representative Green serves on both the Health Care and Wellness Committee and Commerce and Labor. She is a key supporter of our uninterrupted rest and meal breaks legislation this year and has been an outspoken leader on previous issues like mandatory overtime. Raised in an active-duty military family, Representative Green understands the importance of commitment, community and service. She brings her extensive experience as a mother, grandmother, nurse, and community activist to the State Legislature to address such vital issues as health care, public schools, and family wage jobs.

Representative Green brings with her to the Legislature more than 20 years of direct care nursing experience. Since living in Washington she has worked at The Washington Nurse | Summer 2010 | 29

Continuing Education Calendar August Basic Cardiac Arrythmias – Kootenai Medical Center; August 4, 11, 18, 2010; Contact Hours: 17.5; Fee: Free to Employees all others $160.00Contact: Stacey Henning at (208) 666-2734 or email shenning@kmc.org Implementing Nurse Delegation – Washington State Dept of Social & Health Services (Aberdeen); August 18, 2010, 9:00 am – 4:00 pm; Fee: – 0 – – Contact Hours: 5.5; Contact: http://www.aasa. dshs.wa.gov/Professional/ND/ orientation.htm Intravenous Therapy Education Course – St. Alphonsus Regional Medical Center; August 18, 2010, Fee: – 0 – – Contact Hours: 3.4; Contact: Renae Dougal at (208) 367-6480

September Implementing Nurse Delegation – Washington State Dept of Social & Health Services (Seattle); September 9, 2010, 9:00 am – 4:00 pm; Fee: – 0 – – Contact Hours: 5.5; Contact: http://www.aasa. dshs.wa.gov/Professional/ND/ orientation.htm ACLS Provider Course – Kootenai Medical Center, CDA, Idaho; Sept. 15 & 16, 2010; Contact Hours: 9.0; Fee: $185.00 +$60.00 Manual and AHA Card (No charge to KMC or NIRHC employees) Contact: Carla Grant at (208) 666-2075

AOHP 2010 National Conference – The Boston Park Plaza Hotel and Towers, Boston, MA; September 15-19, 2010; Contact Hours: 15.0; Fee: 435.00; Contact: http://aohp. org/pages/education/national_ conference.html ACLS Recertification Course – Kootenai Medical Center, CDA, Idaho; Sept. 16, 2010; Contact Hours: 5.0; Fee: $125.00 +$60.00 Manual and AHA Card (No charge to KMC or NIRHC employees) Contact: Carla Grant at (208) 666-2075 Intravenous Therapy Education Course – St. Alphonsus Regional Medical Center; September 27, 2010, Fee: – 0 – – Contact Hours: 3.4; Contact: Renae Dougal at (208) 367-6480 Advanced Practice in Primary & Acute Care – University of Washington School of Nursing; Pacific Northwest 33rd Annual National Conference; Sept. 29 – Oct. 2, 2010, Contact Hours: 1.5 – 14.1; Fee: $20-$445.00 (see website); Contact: www.uwcne.org 33rd Annual Nurse Practitioner of Oregon Euducation Conference – Acute Care Education Associates, Inc., Gleneden Beach, OR, Salishan Spa & Golf Resort; September 30-October 3, 2010; FeeONA/NPO Members & NP Students $375/NonMembers $575; Contact Hours: 23.0; Contact: www.acutecareed. com or call (360) 901-6948

october

November

Basic Cardiac Arrythmias – Kootenai Medical Center; October 4, 11, 18, 2010; Contact Hours: 17.5; Fee: Free to Employees all others $160.00Contact: Stacey Henning at (208) 666-2734 or email shenning@kmc.org

Intravenous Therapy Education Course – St. Alphonsus Regional Medical Center; November 11, 2010, Fee: -0- - Contact Hours: 3.4; Contact: Renae Dougal at (208) 367-6480

ECG Interpretation for Telemetry Monitoring Nurses – Harrison Medical Center, Bremerton, WA; October 12, 2010; Contact Hours: 14.8; Fee: $7.00 for calipers if needed, $200 for non-employees; Contact: Vicki Grant at 360-7446887 Implementing Nurse Delegation – Washington State Dept of Social & Health Services (Walla Walla); October 21, 2010, 9:00 am – 4:00 pm; Fee: – 0 – – Contact Hours: 5.5; Contact: http://www.aasa. dshs.wa.gov/Professional/ND/ orientation.htm Intravenous Therapy Education Course – St. Alphonsus Regional Medical Center; October 21, 2010, Fee: – 0 – – Contact Hours: 3.4; Contact: Renae Dougal at (208) 367-6480 Update in Medical-Surgical Nursing – University of Washington School of Nursing; October 28-29, 2010, – Fee: $225 – $345 – Contact Hours: 6.6 – 13.5; Contact: C

Implementing Nurse Delegation – Washington State Dept of Social & Health Services (Olympia); November 15, 2010, 9:00 am – 4:00 pm; Fee: -0- - Contact Hours: 5.5; Contact: http://www.aasa. dshs.wa.gov/Professional/ND/ orientation.htm

December Intravenous Therapy Education Course – St. Alphonsus Regional Medical Center; December 8, 2010, Fee: -0- - Contact Hours: 3.4; Contact: Renae Dougal at (208) 367-6480 ACLS Provider Course – Kootenai Medical Center, CDA, Idaho; Dec. 15 & 16, 2010; Contact Hours: 9.0; Fee: $185.00 +$60.00 Manual and AHA Card (No charge to KMC or NIRHC employees) Contact: Carla Grant at (208) 666-2075 ACLS Recertification Course – Kootenai Medical Center, CDA, Idaho; Dec. 16, 2010; Contact Hours: 5.0; Fee: $125.00 +$60.00 Manual and AHA Card (No charge to KMC or NIRHC employees) Contact: Carla Grant at (208) 666-2075

— Contact Directory — A.

Pacific Lutheran University School of Nursing Continuing Nursing Education Terry Bennett, Program Specialis Tacoma, WA 98447 253.535.7683 or bennettl@plu.edu Fax: 253.535.7590 www.plu.edu/~ccnl/ Bellevue Community College Continuing Nursing Education Health Sciences Education & Wellness Institute 3000 Landerholm Circle SE Bellevue, WA 98007 425.564.2012 www.bcc.ctc.edu

University of Washington School of Nursing Continuing Nursing Education Box 359440 Seattle, WA 98195-9440 206.543.1047 206.543.6953 fax cne@u.washington.edu www.uwcne.org Intercollegiate College of Nursing Washington State University College of Nursing Professional Development 2917 W. Fort George Wright Drive Spokane, WA 99224-5291 509.324.7321 or 800.281.2589 www.icne.wsu.edu

AdvanceMed Educational Services 2777 Yulupa Ave., #213 Santa Rosa, CA 95405 www.advancemed.com

Virginia Mason Medical Center Clinical Education Department Barb Vancislo, CNE Coordinato Continuing Nursing Education 1100 Ninth Avenue – G2-EDU Seattle, WA 98101 206.583.6567 206.625.7279 fax cne@vmmc.org www.virginiamason.org/cne

American Association of Heart Failure Nurses (AAHFN) Heather Lush 731 S. Hwy 101, Suite 16 Solano Beach, CA 92075 858.345.1138 HLush@aahfn.org

Behavioral Tech, LLC Laura Desai 2133 3rd Ave., Suite 205 Seattle, WA 98121 206.675.8588 info@behavioraltech.org www.behavioraltech.org

Note to Continuing Nursing Education Providers: The Washington State Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. If you wish to attain WSNA approval for an educational activity which you are providing to nurses, please go online to www.wsna.org/education/cearp

30 | The Washington Nurse | Summer 2010

INDEPENDENT SELF STUDY COURSES AIDS: Essential Information for the Health Care Professional; Contact Hours: 7.0; Fees: $55; Contact: D.

High Cholesterol Pt. 2: Chinese Medicine Theory; Contact Hours: 4; Fee: $50.00; Contact: www. healthcmi.com

Assessing Lung Sounds; Contact Hours: 2.0; Fee $10; Contact: E Asthma Management; Contact Hours: 8.0; Fee: $30; Contact: E

High Cholesterol Pt. 3: Chinese Medicine Dietetics; Fee: $50.00; Contact Hours: 12; Contact: www. healthcmi.com

Breaking the Cycle of Depression: Contact Hours: 14.0; Contact C

HIV/AIDS - Contact Hours: 7.0; Fee: $95/$85; Contact C

Central Venous Catheter Infections: The Link Between Practice and Infection Rates; Contact Hours: 1.0; Fee: $10; Contact: C

IMPACT: Web-Based Training in Evidence Based Depression Care Management; Contact Hours: 12.4; Contact C

Clinical Assessment Pulmonary Patient: Contact Hours: 4.0; Fee: $20; Contact: E Clinical Pharmacology Series: Contact Hours: 7-8.0; Fee: $195/175*; Contact: C Congestive Heart FailureDiagnosis & Treatment: Contact Hours: 6.0; Fee: $25; Contact: E Culture & End-of-Life Web-based Educational Modules: Contact Hours: 3.0; Fee: None; Contact: Mary Shelkey at (206) 713-5637 Domestic Violence; Contact Hours: 2.0; Fee: $20Contact: C Ethics Related to Nursing Practice; Contact Hours: 9; Fees: $200; Contact: D. Everyday Encounters: Communication Skills for Successful Triage; Contact Hours. 1.4; Contact: Carol M. Stock & Associates Geriatric Health Promotion Lecture Series: Contact Hours: 63 Fee: $395; 1.5 Fee: $30; Contact C Hepatitis Case Studies; Contact Hours: .5; Contact C Hepatitis Web Studies; Contact Hours: .5; Contact C Health Assessment and Documentation: Contact Hours: 20: Fees: $150; Contact: D High Cholesterol Pt. 1: Western Medicine; Contact Hours: 7; Fee: $50.00; Contact: www.healthcmi. com

Legal Issues & Trends in Telephone Triage; Contact Hours. 1.2; Contact: Carol M. Stock & Associates Legal Issues in Nursing; Contact Hours: 4.0; Fees: $120; Contact: D. Legal Risks of Remote Triage; Contact Hours. 1.0; Contact: Carol M. Stock & Associates Lung Volume Reduction Surgery: Contact Hours: 2.0; Fee: $10; Contact E Managing Type 2 Diabetes: Contact Hours: 1.5; Contact: www. nphealthcarefoundation.org Management of Persistent Pain: Contact Hours: 1.8; Fee: No Fee; Contact: www. nphealthcarefoundation.org Medical/Surgical Nursing 2008: Review Course for Practice & Certification: Contact Hours: 50; Contact C Metered Dose Inhaler Use: Contact Hours: 3.0; Fee: $15; Contact E New Telehealth Technology: Legal Risks & Call Center Benefits; Contact Hours. 1.2; Contact: Carol M. Stock & Associates Nurse Grand Rounds; Contact: C OTC Advisor: Advancing Patient Self-Care: Contact Hours: 17.0; Contact: www. nphealthcarefoundation.org

RN Refresher Course; Fees: Theory: $500; Health Assessment and Skills Review: $500; Clinical Placement for Precept Clinical Experience: $400; Contact: D. Sleep Disorders: Contact Hours: 8.0; Fee: $30; Contact E Smoking Cessation: Contact Hours: 12.0; Fee $35; Contact E Telephone Triage: Contact Hours: 3; Fee: 24.00; Contact Wild Iris Medical Education Telephone Triage Trivia; Contact Hours. 1.0; Contact: Carol M. Stock & Associates The Pain Management Dilemma: Contact Hours: 1.5; Contact: www. nphealthcarefoundation.org Tubes & Drains Techniques, Tips & Troubleshooting; Contact Hours: 2.0; Contact: C University of Washington Continuing Nursing Education; Offers over 30 self-study courses; Contact C Washington State: HIV/AIDS With the KNOW Curriculum: Contact Hours: 7; Fee 65.00; Contact: Wild Iris Medical Education Wound Academy-Course 1 Wound Assessment & Preparation for Healing; Fee: $40; Contact Hours: 4.3; Contact C

Additional Independent Study course offerings: Wild Iris Medical Education Ann Johnson, CEO PO Box 257 Comptche, CA 95427 (707) 937-0518 ann@WildIrismedical.com http://www.nursingceu.com/ courses/218/index_nceu.html Nurse Practitioner Healthcare Foundation 2647 134th Ave NE Bellevue, WA 98005 (360) 297-1274 fiona@nphealthcarefoundation. org Carol M. Stock & Associates Carol M. Stock, JD, MN, RN PO Box 31114 Seattle, WA 98103 (206) 789-0909 Healthcare Medicine Institute Adam White, L.Ac, Dipl. Ac., M.T.C.M. 4895 Capitola Road Capitola, CA 95010 (831) 359-9129 director@healthcmi.com http://www.healthcmi.com

Wound Academy-Course 2 Lower Extremities and Pressure for Ulcers; Fee: $60; Contact Hours: 6.8; Contact C Wound Academy-Course 3 Dressing Selection & Infection Tuition; Fee: $30; Contact Hours: 2.5; Contact C Wound Assessment and Documentation; Fee: $60; Contact Hours: 2.0; Contact C Wound & Ostomy; Fee: $60; Contact Hours: 2.0; Contact C

Prescribe, Deny or Refer? Honing Your Skills in Prescribing Scheduled Drugs: Contact Hours: 10.4; Fee: $155/140*; Contact C Pulmonary Hygiene Techniques: Contact Hours: 6.0; Fee: $25; Contact E

The Washington Nurse | Summer 2010 | 31

New Members Whatcom County Ayala, Esmeralda Bol, Allison Hankins, Jessica Mchugh, Krista Ray, Kelsey King County Allen, Cathy Anderson, Amy Andrews, Kristine Benson, Karen Boughner, Eric Bromley, Leon Brown, Jennie Carp, Daniel Carr, Patricia Chea, Kiny Chou, Li-Chieh Clauson, Barbara Clemens, Glenda Courchaine, Nancy Crownhart, Holly Cuevas, Mirtha Cummings, Ryan Curran, Elise Dailey, Tiffany Dawes, Lisa De Leon, Katherine Deal, Samson Dela Cruz, Wilhelmina Delahunty, Kelly Delozier, Melonie Douglas, Angelia Douglas, Candace Drake, Cheryl Driscoll, Kathleen Dunn, Jeanette Ellison, Leann Eraker, Deborah Ferraro, Kathleen Finch, Deanna Foster, Charlotte Fraser, Jana Gandolfo, Rachal Glessner, Chelsea Gollhofer, Sarah Graham, Nikki Green, Michelle Hammel, Candice Hanna, Shannon Harper, Julie Hickey, Marie Hussein, Nimo

Jackson, Connie James, Ginny Jhong, Gigi Johnston, Heather Kolly, Baba Korets, Tatyana Kowall, Allison Kraisuwan, Sumalee Law, Helene Leary, Lynnea Lee, Sojung Loneman, Kari Long, Jenae Maki, Chiraphon Malda, Sara Mamacos, Gillian Marino, Cynthia Mattingly, Sean Mcgee, Matthew Mcmahon, Jennifer Mitchell, Stephen Montemayor, Joshua Muendel, Shauna Munger, Edward Nolan, Rhonda Norton, Kimberly Panda, Angela Patnoe, Christine Paul, Catherine Pham, Mary Reid, Brenda Reis, Amanda Remillard, Cheryl Reyes, David Reynolds-Gooch, Megan Rojas, Jose Rose, Michele Rupe, Katie Rybachuk, Viktor Sheils, Beth Stagner, Christine Stefanich, Sally Stepans, Sarah Sternoff, Rachel Strother, Marian Sullivan, Helen Taylor, Ann Tiongson, Marion Tonge-Seymour, Jill Topinka, Christine Trap, Bettina-Jo Trillo, Teresa Uzri, Jacquelyn Vargas, Cassandra Voice, Barbara

32 | The Washington Nurse | Summer 2010

Weiss, Paulina Wengenroth, Patricia Westin, Jennifer Whipstock, Elina Whitney, Rand Winn, Michelle Witte, Douglas Wolczyk, Laura Yeager, Danyel Yu, Candy Zakar, Colleen Pierce County Addison, Swandra Agpoon, Brigida Anderson, Stacy Bailey-Wysocki, Rica Lynn Boyle, Erin Broadbent, Mary Brown, Dana Bullion, Camille Byrd, Nola-Gene Carlson, Stacey Chamberlain, Elizabeth Christian, Madee Christiansen, Todd Costenbader-Rupp, Catherine Crabtree, Tonya Crone, Rebecca Cruza, Jasmine Daigle, Charllotte Dang, Minh-Chau Dembinski, Robert Dempsey, Mary Deschenes, Diane Diaz, Lisa Divens, Adrienne Downs, Elizabeth Dyson, Andrea Elauria, Maria Luisa Etafo, Maria Fanich, Michele Fisher, Taila Ford, Charla Foronda, Jean-Esther Forstein, Alice Frantz, Trudy Fredericks, Mary Funigiello, Jamie Furstenwerth, Angie Garcia, Tahahlita Gillard-Byers, Patrick Giovine, Rebecca Godfrey, Jamila Goss, Tanner

Gulian, Heather Guthrie, Deborah Hacker, Valerie Hangca, Cathy Hardman, Sheila Harrington, Kristine Harris, Tatiana Hawkins, Vincent Heindselman, Jennifer Hernandez, Michelle Hibbs, Deborah Hovey, Lindsay Hu, Xiu Lan Hughes, Carrie Im, Honeyleen Jaback, Heidi Jarecki, Caitlyn Jarnagan, Michael Jassar, Sandeep Johnson, Heidi Johnston, Patricia Jordan, Ashli Kalbfleisch, Jennifer Karanasos, Christina Kelly, Miyoung Ketter, Lori Kingsbury, Megan Kohn, Joseph Korzeniowska, Ewa Kuehn, Mary Li, Janet Liepman, Marisa Lim, Jennifer Linderman, Christopher Little, Vicki Lloyd, Shawna Lo, Tiffany Ludford, Colleen Lutsenko, Galina Lynch, Tina Mammen, Jerry Massengill, Andrew Mazon, Gazelle Mbugua, Mary Mbugua, Milka Mcdonald, Laura Mcmeel, Norena Mercer, Trisha Miller, Sara-Rebecca Mills, Lan Anh Munford, Tara Murphy, Frank Mutz, Tari Nighswonger, Rachel Nugent, David

Othon, Andrea Oxford-Cope, Holly Parker, Nicole Patel, Neha Payne, Jennifer Pennypacker, Tara Punt, Colleen Randisi, Judith Richardson, Kenneth Riedell, Amanda Riselvato, Sunny Robinson, Randee Rose, Gary Rose, Susan Roush, Jennifer Sales, Mary Jane Sanchez, Crystal Satter, Rebecca Schliesman, Michelle Schneider, Christopher Shaw, Robert Shoemaker, Dawn Silverton, Karen Smith, Katrina Soule, Toni Spagnuolo, Mary Stanley, Sonia Tabares, Alice Thompson, Bradley Urban, Shannon Warner, Serena Watson, Robyn Watzek, Eve Weaver, Kimberly Whitacre, Elizabeth Whittaker, Michele Wieber, Amelia Wiesner, Nancy Wilson, Kara Wilson, Maria Wolfe, Jessica Worthen, Jennifer Yuson, Caroline Zeller, Tricia

Spokane / Adams / Lincoln / Pend Oreille Allen, Theresa Blackwell, Deborah Blakemore, Ellen Bradbury, Amanda Braegger, Denise Comstock, Kyle Feldmeth, Katy Gilroy, Elizabeth Guthrie, Andrea Higgins, Loretta Himmelright, Christy Hodson, Heather Houchin, Alison Jeffries, Mary Jeffries, Sandra Laplante, Jessica Larson, Danielle Matthews, Julie Mccubbins, Nastastia Mcdaniel, Cheryl Mcdonald, Christina Mcdougall, Flora Mcintyre, Lisa Nelson, Loretta O'brien, Jessica O'neil, Lauren Osborn, Codi Palaniuk, Lisa Petro, Tammy Rieman, Kathy Rossi, Danielle Rupert, Deborah Samuelson, Kimberly Sanford, Jennifer Scott, Brianna Seyfert, Amanda Shack, Delores Swem, Marlee Tate, Pamela Taylor, Kerry Thorn, Sandra Tillman, Ellen Todd, Samantha Tonani, Carole Vuong, Whitney Wells, Gillian Whorton, Shana Williams, Jeremy Wilson, Isaac Woodward, Bobbi

Yakima City / N. Yakima

Clark / Skamania

Ball, Rosemary Curtis, Christina Herrington, Shannon Mellinger, Donna Mickel, Lynn Surgeon, Stephine Wellner, Miranda

JBloomquist, Katarina Cabelly, Christina Clemmer, Kristie Dewitt, Ruthie Dubke, Teresa Johnson, Leah Kirkpatrick, Theresa Mosely, Stephanie Nairn, Nancy Rains, Thomas Seubert, Bonita Shaw, Kristen Stephens, Wendy Williams, Amy Willson, Dawn

Chelan / Douglas / Grant Appel, Amy Brock, Patricia Broughton, Alissa Cano, Melissa Folden, Earl Scott Fowler, April Gardner-Baker, Sarah Garneau, Leslie Gowing, Christine Middleton, Jennifer Seims, Benjamin Smith, Sally Smith, Sarah Grays Harbor Hyde, Sally Maloney, Diane O'Brien, Caroline Schefstrom, Marci Snohomish O'Neil, Lisa

Sutton, Stacey Vandervegt, Kimberly Von Grey, Rachelle Wilde, Damien Woodard, Debra Kitsap County Moore, Karla

Kittitas County Stevenson, Tonia Tourtillott, Darbi All Other Counties Hutchinson, Jeremiah Moon, Leslie Slagle, Brenda

Whitman Daniels, Darci Nicklaus, Tia Benton / Franklin Allen, Hilarie Burnight, Michelle Diulio, Deanna Ferrari, Anna Flagg, Shelley Goldman, Stephanie Michel, Josie Schilz, Stacey Upchurch, Nashay Workman, Erin

Wahkiakum / Cowlitz

Skagit / Island / San Juan

Bauska, Jeanene Bennett, Vicki Bolen, John Gomez, Bethany Groce, Ashley Herriges, Linda Kallio, Terry Mccoy, Artemisa Monge, Amy Oldemar, Jennifer Plough, Ward Reeson, Kelly Rua, Clara Street, Jaymie Strong, Dante'

Berglin, Kristen Bowns, Karlene Camp, Nichole Cary, Susan Collins, Michael Conte, Tara Devries, Carmen Forgey, Gary Fuentes, Mary Gordon, Patricia Guernsey, Mariana Huttenstine, Suzanne Junco, Sharon Kurszewski, Laura Linke, Denenne Mansfield, Maren Ross, Elizabeth Soule, Amy Stavem, Lisa Sutton, Stacey

The Washington Nurse | Summer 2010 | 33

2011 Convention

Get Ready for the 2011 WSNA Convention! Call for Nominations, Resolutions and Bylaws and WSNA Awards The 2011 WSNA Convention and General Assembly will be held April 28-29, 2011 at the Sea-Tac Hilton Hotel and Conference Center. A pre-convention welcoming wine and cheese reception will be held April 27. The WSNA General Assembly business session will be held on April 28, 2011.

Call for Nominations for WSNA Elected Offices Seeking Nominations for WSNA Elected Offices The WSNA and Economic and General Welfare Nominations/Search Committees are seeking nominations for elected offices. Elections will occur by mail ballot following the close of the WSNA General Assembly on April 28, 2011. Each candidate for WSNA office must complete a Consent to Serve form and a written statement on his/her stand on WSNA programs. All WSNA members are eligible for office, however, candidates for the Cabinet on Economic and General Welfare, and the Economic and General Welfare Nominating / Search Committee shall hold current membership in WSNA, be represented for collective bargaining by WSNA, and meet the definition of staff nurse. Deadline for receipt of nominations at WSNA Headquarters is October 29, 2010.

eral Assembly (February 25, 2011) or by being nominated from the floor at the General Assembly (April 28, 2011), this will be too late for printing in the Winter Issue of The Washington Nurse. The names of candidates, regardless of method of nomination, will appear on the mailed election ballot and write-in candidates are allowed. Completed Consent to Serve forms are to be mailed to: Washington State Nurses Association, 575 Andover Park West, Suite 101, Seattle WA 98188. For more information or to request a Consent to Serve form, contact Barbara Bergeron at WSNA, telephone 206.575.7979, extension 3024, or by e-mail at bbergeron@wsna.org or go to www.wsna.org.

Although members may declare their own candidacy by submitting a consent to serve form to the WSNA Secretary no later than sixty (60) days prior to the first meeting of the Gen— The following offices are open to candidates. All offices are two-year terms. — Board of Directors 11 members President (1) Vice President (1) Secretary / Treasurer (1) Directors At-Large (3) Directors At-Large – Staff Nurse (2)

NOTE: The chairs of the Cabinet on Economic and General Welfare, Legislative and Health Policy Council, and Professional Nursing and Health Care Council are elected separately and serve as full members of the WSNA Board of Directors by virtue of their offices.

34 | The Washington Nurse | Summer 2010

WSNA Nominating / Search Committee 4 members Candidate receiving highest number of votes is Chair

Cabinet on Economic & General Welfare 10 members Chair (1) Vice Chair (1) Secretary / Treasurer (1) Members (7)

Economic & General Welfare Nominating / Search Committee 3 members

Candidate receiving highest number of votes is Chair

Legislative & Health Policy Council 4 elected members Chair (1) Members (3)

Professional Nursing & Health Care Council 7 elected members Chair (1) Members (6)

Delegates and Alternates to the 2011 and 2012 ANA House of Delegates Meetings

2011 WSNA Awards: Call for Nominees The WSNA Awards Committee and the Professional Nursing and Health Care Council are seeking outstanding WSNA members as nominees for the 2011 WSNA recognition awards. Nominations must be received at WSNA no later than January 15, 2011. The awardees will be notified in March 2011. The awards, given every two years, will be presented at a special awards reception at the 2011 WSNA Convention to be held April 28 – 29 at the SeaTac Hilton Convention Center. All nominations must be accompanied with a narrative from the nominator, listing the nominee’s credentials and achievements, and a copy of the nominee’s Curriculum Vitae / Resume must accompany the narrative.

WSNA Honorary Recognition Award Honorary Recognition may be conferred at any convention on persons who have rendered distinguished service or valuable assistance to the nursing profession, the name or names having been recommended by the Board of Directors. Honorary Recognition shall not be conferred on more than two persons at any convention.

Nurse Candidate Criteria: 1.

a. b.

The nominee must be a current WSNA member or have been a WSNA member during the years of service for which this award is given.

The nominee must have made a significant contribution to the field of public or community health nursing.

The nominee must have expertise in professional and technical performance.

The nominee must have shown leadership in the field of public or community health nursing.

The nominee must have participated in the Washington State Nurses Association.

A narrative from the nominator, listing the nominee’s credentials and achievements, must be submitted.

b. 3.

having held elected state, district or local unit office. having served as appointed chairholder at the state, district, or local unit level.

The Joanna Boatman Staff Nurse Leadership Award was established in 1995 in recognition of Joanna Boatman’s significant contributions to the advancement of staff nurses and her achievements in the economic and general welfare area of nursing in the state of Washington.

Criteria: 1.

The nominee must have a Washington State RN License.

The nominee must be a WSNA Member, for at least one year.

The nominee must currently be employed as a staff nurse.

The nominee must have made a significant contribution to the advancement of staff nurses or in the Economic and General Welfare area of nursing. Contributions may be at the local or state level.

Made significant contributions to: a.

Marguerite Cobb Public Health / Community Health Nurse Award This award recognizes the outstanding professional contributions of one public health or community health nurse and calls this achievement to the attention of members of the profession as well as the general public.

An actively contributing member of the WSNA by

Joanna Boatman Staff Nurse Leadership Award

the state or district association, or local unit. the professional practice of nursing.

Has been a consumer advocate and/ or interpreted the role of nursing to consumers.

A narrative from the nominator, listing the nominee’s credentials and achievements, must be submitted. Lay Candidate Has demonstrated interest in professional nursing by: 1.

contributing in a concrete way to its growth and development.

promoting better understanding of professional nursing in the community.

A narrative from the nominator, listing the nominee’s credentials and achievements, must be submitted.

A narrative from the nominator, listing the nominee’s credentials and achievements, must be submitted, and a copy of the nominee’s Curriculum Vitae / Resume must accompany the narrative. ANA Honorary Membership Pin The American Nurses Association Honorary Membership Pin is presented to a Washington State Nurses Association member or members in recognition of outstanding leadership, as well as participation in and contributions to the purposes of WSNA and ANA.

The nominee(s) must: 1.

Hold current WSNA membership.

Have held elective state, national or district office.

Have served as an appointed chairperson of a state, district or national committee.

Have demonstrated outstanding leadership that contributed to the purposes of the WSNA, District, or ANA.

A narrative from the nominator, listing the nominee’s credentials and achievements, must be submitted.

The Washington Nurse | Summer 2010 | 35

2011 Convention 2011 Professional Nursing and Health Care Council Awards Best Practice Award

Ethics and Human Rights Award

This award is presented to an individual, to recognize best practice in the daily care of patients/ clients.

This award is presented to an individual to recognize excellence in ethics and human rights.

The nominee must be a current WSNA member.

The nominee must have identified a problem or issue and utilized strategies to solve the problem.

The nominee must have utilized resources (i.e. people, literature, equipment) to solve the problem.

Nurse Leadership and Management Award This award is presented to an individual to recognize excellence in nursing leadership and management. 1.

The nominee must be a current WSNA member.

The nominee must facilitate excellence in clinical practice, and promote the professional development of nurses.

The nominee must demonstrate progressive leadership and management practice.

The nominee must foster a care environment that promotes creativity and enhances quality of care for clients and / or communities.

Nurse Educator Award This award is presented to an individual to recognize excellence in nursing education. 1.

The nominee must be a current WSNA member.

The nominee must demonstrate excellence in nursing education.

The nominee must promote the professional education of nursing students and/or nurses.

The nominee must foster an educational environment that promotes learning.

36 | The Washington Nurse | Summer 2010

The nominee must be a current WSNA member.

The nominee must have demonstrated exceptional activities supporting major ethical and human rights issues in Washington State.

The nominee must have worked within the community to influence the community and must also have support from the people in the community.

Nurse Researcher Award The purpose of this award is to recognize excellence in nursing research that addresses practice issues. Individuals and/or groups are eligible for the award. The awardee(s) may be asked to present the research in a poster or presentation at the WSNA Convention, and/or to write a brief summary of the work for The Washington Nurse. 1.

The nominee must be a current WSNA member. If the nominee is a group or team, at least one member of the group must be a WSNA member.

The research conducted by the nominee must have taken place in a practice setting and must have direct practice implications.

The nominee must have demonstrated sound research procedures including the protection of human subjects.

Call for Proposed Amendments to WSNA Bylaws Deadline for receipt of proposed amendments to the WSNA Bylaws at WSNA Headquarters is October 29, 2010. Following the receipt of proposed amendments, the WSNA Bylaws Committee will meet to review proposed amendments. The committeeâ&#x20AC;&#x2122;s recommendations will be submitted to the WSNA Board of Directors for approval. The Board-approved changes will be printed in the Winter 2010 issue of The Washington Nurse, and be submitted to the 2011 WSNA General Assembly for consideration at the WSNA Convention to be held April 28-29, 2011 at the Sea-Tac Hilton Convention Center. The proposed bylaws amendments will be presented and debated at the General Assembly meeting and will be sent to the membership for adoption by mailed ballot.

Call for Proposed Non-Emergency Resolutions Deadline for receipt of proposed nonemergency resolutions at WSNA Headquarters is October 29, 2010. The WSNA Bylaws/Resolutions Committee will meet following the deadline to consider any proposed non-emergency resolutions that may go before the WSNA General Assembly, April 28-29, 2011. Any individual member or constituent group of WSNA may submit proposed resolutions. The resolutions form must be completed, including the cost impact. To receive a copy of the procedural guidelines and / or resolutions form, call WSNA at 206.575.7979.

Membership Update

WSNF

Frequently Asked Questions

Was h ingto n Stat e N u r ses Fo u n dat i o n

By Patrick McGraw

How we can help you!

The following are a sample of questions that the membership department has received via phone, fax and email related to the payment of membership dues. How are my dues calculated? Membership dues are calculated by the district where a member is employed and the amount of scheduled hours that a member works on a monthly basis. How can I find out what district that I work in? A listing of districts may be found on the back side of the second page of the WSNA membership application. I don’t have an application. Where can I find one? The WSNA membership application can be found on the home page of the WSNA Web site. Simply go to www.wsna.org, look for the “Are you a member? Join today!” link at the bottom of the page and click to download a pdf version of the application. Alternately, the application may be downloaded from the membership page of the WSNA Web site, which is located at www.wsna.org/Membership. Can I pay my dues with a credit or debit card? Yes, both annual and installment dues can be paid by both a debit or a credit card. Simply provide the credit card information on the application and send to WSNA. Annual dues will be charged once per year and installment once every four months. Will WSNA supply a receipt for my dues payment? If paying dues by annual or installment options, simply call the WSNA membership department. We will gladly provide a written receipt for dues payment. What if I would like to change my dues payment option? To make a change to a dues payment option, please download and send in a completed change of information card. The change of information card can be found at www.wsna.org/ Membership/COI/. ■ If you have questions, the membership department may be reached by phone at 206.575.7979, by fax at 206.838.3099 or by email at membership@wsna.org.

By Sue Glass, MS, RN, CCRN, President, Board of Trustees Washington State Nurses Foundation

Happy summer to all the fantastic nurses of Washington State! In the past, the Washington State Nurses Foundation (WSNF) has published articles in The Washington Nurse to explain who we are and to ask for donations. This time, we want to tell you a little bit about how WE can help YOU! The goal of the Washington State Nurses Foundation (WSNF) is to advance the nursing profession and facilitate nursing’s contribution to the health of the community. Our nursing student scholarships help to advance the profession by assisting bright students achieve their educational goals. Our minigrant program helps to facilitate nursing’s contribution to the health of the community. WSNA members are encouraged to participate actively in community-based projects that can result in a positive change to a current health issue. Up to three grants of $500 each will be awarded each fiscal year. What is your idea of something that you would like to do to address an unmet health need in your community? Some projects that have been funded in the past include bicycle safety programs with education and helmet distribution, Spanish language educational materials in a health clinic for low income clients, education of staff regarding a hospital based patient safety program, and assessment of staff nurse attitudes toward safe lifting equipment. Funds may be used for projects that fulfill requirements for an advanced degree, as long as they meet the mini-grant criteria. The Washington State Nurses Foundation was established in 1982 to support professional nursing practice. We have a number of funds designated for specific purposes (e.g. scholarship funds, emergency assistance, health and public policy), as well as an unrestricted fund to be used for general purposes. We do not participate in political activities. The Foundation is always accepting donations. Your gift will help sustain our support for nurses and nursing students of the future. For more information just call the WSNA office at 206.575.7979 or send an email to wsnf@wsna.org. We will be happy to answer your questions.

The Washington Nurse | Summer 2010 | 37

In Memoriam Rosemarian (Rosie) Berni

Mary Hampton

1 92 5 – 20 10

1 93 9 – 2 01 0

Rosemarian Berni, 84, was born in Portland, OR on 9/30/1925 and died in Edmonds, WA on 5/2/2010. She was preceded in death by her parents George and Mabel Rauch, her only sibling, Frances (Don) Beckham and her beloved 'hubby' of 60 years, Al Berni.

Mary Hampton of Bellevue, Washington, passed away on May 17, 2010 at the age of 70 years. Mary was born November 6, 1939 in Shreveport, Louisiana. She was the Valedictorian of Booker T. Washington High School, Class of 1957. After which she pursued a Nursing degree at Philadelphia General Hospital and subsequently Catholic University in Washington DC where she was conferred a Bachelors of Nursing. Later she was conferred a Master's of Nursing and Master's of Public Health from the University of Washington. Early in her career, 1960, Mary joined the Women's Army Nurse Corps, serving on active duty until the mid-1970's. She continued her military obligation in the Army Reserves, retiring as a Lieutenant Colonel in 1989.

Rosie is survived by her four sons: George (Gretchen), Mike (Mary), Bill, and Al (Romi). She leaves behind seven grandchildren: Lisa, Sam, Alex, Ben, Adam, Nigel and Kate. She is also survived by her extended family of in-laws, nieces and nephews, as well as many, many good friends. Her personal journey took her to many places – from the top of Mt. Hood and Mt. St. Helens, to Cannon Beach, and to her 'heaven on earth' Holmes Harbor on Whidbey Island. She could always be found there walking on the community beach collecting treasures. Rosie's personal life was balanced by an extraordinary dedication to the nursing profession. She received her BS in Nursing in 1947 and worked for 2 years. Later, she re-entered the workforce in 1962 as the evening supervisor at Halcyon Psychiatric Hospital in Portland. She moved to the UW Hospital system in 1963, where she stayed until retirement in 1991, receiving her master's degree in 1973. Her tenure at the UW was a remarkable dedication to improving patient care. During her time there, Rosie held positions of staff nurse, unit head nurse, unit assistant director of nursing, clinical instructor, assistant professor and finally retired as an associate professor emeritus. Along the way she co-authored two books and numerous articles, achieving international recognition as an educator and consultant. Rosie led a very full life and had an unwavering faith in God. Her friendliness, work ethic and personal integrity were legendary. She will be greatly missed. Donations can be made in Rosie's memory to the Harrison Medical Center Foundation's Nurse Residency Program, 2520 Cherry Avenue, Bremerton, WA 98310. Please share memories at www.becksfuneralhome.com.

Leslie “Michelle” Filipe 1 9 61-20 10

Shortly after settling in the Pacific Northwest in 1972, she joined the Seattle VA Hospital as a Critical Care Nurse. After 39 years of service Mary became the Executive Director of Nursing Services. In addition to her military, clinical, and administrative nursing obligations, Mary was a member of the faculty at the University of Washington, Seattle University, and Seattle Pacific University Schools of Nursing. Besides her other activities, Mary was an active participant in the Special Olympics for over 20 years as a volunteer. She is survived by her husband, Henry G. Hampton; daughter, Enrica Hampton; son, David Hampton; and her brother, Willie Latin. Remembrances may be shared at www.sunsethillsfuneralhome.com. Advertisem ent

Mountain to Sound Chapter of AACN presents its 34th Annual Educational Event Currents: A 2 day critical and progressive care symposium Oct. 19-20th 2010 at Shoreline Conference Center Key Speakers include: Beth Hammer, Immediate Past President AACN, Kathleen Pagana, Suzi Burns, Barbara McLean, Elizabeth Bridges, and Eleanor Fitzpatrick Early Bird Registration available until 9/15/2010: Members=$165 / Nonmembers= $190 After 9/15/10: Members=$190 / Nonmember=$225 For additional information email education@mtsaacn.org or go to www.mtsaacn.org for registration

38 | The Washington Nurse | Summer 2010

Clinic Administrator Opportunities Available at Swedish Swedish, one of the largest nonprofit health systems in the Northwest, is seeking clinic administrators for its Swedish Physician Division — a network of more than 40 primary-care and specialty clinics located throughout the Puget Sound area. Swedish is in the process of an ambitious growth plan which requires experienced clinic leaders with a strong vision and unparalleled management ability. Positions are available at our: • Primary-care clinics in Seattle and on the Eastside • Neuroscience Institute and Pediatric Specialty Clinics Responsibilities include coordinating clinic operations and activities, monitoring overall performance of the clinic budgets, customer service, patient and staff satisfaction, supervising and mentoring clinic staff and assist in the strategic planning process. Qualifications: • BA/BS in a health-related or business field is required — master’s degree preferred. • Current Washington state medical RN license is required. • Minimum of five years of increasing responsibility in a hospital or ambulatory clinic setting and three to five years of management experience.

Swedish offers an excellent compensation and benefits package. To apply, please e-mail your resume to joanne.ibarra@swedish.org.

Washington State Nurses Association 575 Andover Park West, Suite 101 Seattle, WA 98188

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